Similarly Torn, Differentially Shorn? The Experience and Management of Conflict between Multiple Roles, Relationships, and Social Categories

PubMed Central

Jones, Janelle M.; Hynie, Michaela

2017-01-01

In three studies we examined the experience and management of conflict between different types of multiple identities. Participants described a conflict between pairs of role, relational, or social identities before rating the experience (i.e., magnitude, stress, and growth) and management of conflict on a newly developed scale assessing four strategies: reconciliation, where identities are integrated, realignment, where one identity is chosen over another, retreat, where both identities are avoided, and reflection, where fit (with others, situation) determines identity selection. In general, the types of identities mattered for conflict management but not its experience: Magnitude and growth did not differ, however, stress was greater for role identity conflicts (Study 3 only) and participants endorsed the use of more realignment for role conflicts (Study 2) and more retreat for relational conflicts (Study 3) relative to other types of identity conflicts. Furthermore, findings suggested that the perceived flexibility of identities, not their importance or valence, were associated with realignment and retreat for roles and with retreat for relationships. Experiencing conflicts between multiple identities leaves people similarly torn, but multiple roles and relationships may be differentially shorn to manage conflict. PMID:29051744

Similarly Torn, Differentially Shorn? The Experience and Management of Conflict between Multiple Roles, Relationships, and Social Categories.

PubMed

Jones, Janelle M; Hynie, Michaela

2017-01-01

In three studies we examined the experience and management of conflict between different types of multiple identities. Participants described a conflict between pairs of role, relational, or social identities before rating the experience (i.e., magnitude, stress, and growth) and management of conflict on a newly developed scale assessing four strategies: reconciliation , where identities are integrated, realignment , where one identity is chosen over another, retreat , where both identities are avoided, and reflection , where fit (with others, situation) determines identity selection. In general, the types of identities mattered for conflict management but not its experience: Magnitude and growth did not differ, however, stress was greater for role identity conflicts ( Study 3 only ) and participants endorsed the use of more realignment for role conflicts ( Study 2 ) and more retreat for relational conflicts ( Study 3 ) relative to other types of identity conflicts. Furthermore, findings suggested that the perceived flexibility of identities, not their importance or valence, were associated with realignment and retreat for roles and with retreat for relationships. Experiencing conflicts between multiple identities leaves people similarly torn, but multiple roles and relationships may be differentially shorn to manage conflict.

Stock-outs, uncertainty and improvisation in access to healthcare in war-torn Northern Uganda.

PubMed

Muyinda, Herbert; Mugisha, James

2015-12-01

Stock-outs, also known as shortages or complete absence of a particular inventory, in public health facilities have become a hallmark in Uganda's health system making the notions of persistent doubt in access to healthcare - uncertainty, and doing more with less - 'improvisation', very pronounced. The situation becomes more critical in post-conflict areas with an over whelming burden of preexisting and conflict-related ailments amidst weak health systems. Particularly in the war-torn Northern Uganda, the intersection between the effects of violent conflict and shortage of medications is striking. There are problems getting the right type of medications to the right people at the right time, causing persistent shortages and uncertainty in access to healthcare. With reference to patients on Antiretroviral Therapy (ART), we present temporal trends in access to healthcare in the context of medication shortages in conflict-affected areas. We examine uncertainties in access to care, and how patients, medical practitioners, and the state - the key actors in the domain of supplying and utilizing medicines, respond. Our observation is that, while improvisation is a feature of biomedicine and facilitates problem solving in daily life, it is largely contextual. Given the rapidly evolving contexts and social and professional sensitivities that characterize war affected areas, there is a need for deliberate healthcare programs tailored to the unique needs of people and to the shaping of appropriate policies in post-conflict settings, which call for more North-South collaboration on equal terms. Copyright © 2015 Elsevier Ltd. All rights reserved.

Acute torn meniscus combined with acute cruciate ligament injury. Second look arthroscopy after 3-month conservative treatment.

PubMed

Ihara, H; Miwa, M; Takayanagi, K; Nakayama, A

1994-10-01

The purpose of this study was to evaluate arthroscopically the natural healing of an acute torn meniscus combined with an acute cruciate ligament injury treated nonoperatively. There were 30 lateral and 10 medial meniscus tears associated with 25 acute anterior cruciate ligament and 7 posterior cruciate ligament injuries in 32 patients. There was more than 1 tear on some menisci for a total of 51 tear sites. Injuries to the menisci and ligaments were allowed to heal without surgery, but were given protective mobilization immediately in order to stimulate stress oriented healing of injured collagen fibers and promote circulation of synovial fluid to the meniscus and ligament. A Kyuro knee brace with a coil spring traction system was used to add adequate but not excessive stress to the associated injured cruciate ligament. All knees were examined and arthroscoped before and after a 3-month treatment period. Results indicated that 69% of the lateral menisci healed completely and 18% healed partially, whereas 58% of the medial menisci healed completely and none healed partially. Twenty of 25 anterior cruciate ligaments and 3 of 7 posterior cruciate ligaments healed satisfactorily. This study indicated that acute tears of the meniscus, even when they occur in association with a cruciate ligament injury, can heal morphologically with nonsurgical treatment.

Developmental Biology and Regenerative Medicine: Addressing the Vexing Problem of Persistent Muscle Atrophy in the Chronically Torn Human Rotator Cuff.

PubMed

Meyer, Gretchen A; Ward, Samuel R

2016-05-01

Persistent muscle atrophy in the chronically torn rotator cuff is a significant obstacle for treatment and recovery. Large atrophic changes are predictive of poor surgical and nonsurgical outcomes and frequently fail to resolve even following functional restoration of loading and rehabilitation. New insights into the processes of muscle atrophy and recovery gained through studies in developmental biology combined with the novel tools and strategies emerging in regenerative medicine provide new avenues to combat the vexing problem of muscle atrophy in the rotator cuff. Moving these treatment strategies forward likely will involve the combination of surgery, biologic/cellular agents, and physical interventions, as increasing experimental evidence points to the beneficial interaction between biologic therapies and physiologic stresses. Thus, the physical therapy profession is poised to play a significant role in defining the success of these combinatorial therapies. This perspective article will provide an overview of the developmental biology and regenerative medicine strategies currently under investigation to combat muscle atrophy and how they may integrate into the current and future practice of physical therapy. © 2016 American Physical Therapy Association.

Epidemiology and Clinical Burden of Malaria in the War-Torn Area, Orakzai Agency in Pakistan.

PubMed

Karim, Asad Mustafa; Hussain, Irfan; Malik, Sumera Kausar; Lee, Jung Hun; Cho, Ill Hwan; Kim, Young Bae; Lee, Sang Hee

2016-01-01

Military conflict has been a major challenge in the detection and control of emerging infectious diseases such as malaria. It poses issues associated with enhancing emergence and transmission of infectious diseases by destroying infrastructure and collapsing healthcare systems. The Orakzai agency in Pakistan has witnessed a series of intense violence and destruction. Military conflicts and instability in Afghanistan have resulted in the migration of refugees into the area and possible introduction of many infectious disease epidemics. Due to the ongoing violence and Talibanization, it has been a challenge to conduct an epidemiological study. All patients were sampled within the transmission season. After a detailed clinical investigation of patients, data were recorded. Baseline venous blood samples were taken for microscopy and nested polymerase chain reaction (nPCR) analysis. Plasmodium species were detected using nested PCR (nPCR) and amplification of the small subunit ribosomal ribonucleic acid (ssrRNA) genes using the primer pairs. We report a clinical assessment of the epidemic situation of malaria caused by Plasmodium vivax (86.5%) and Plasmodium falciparum (11.79%) infections with analysis of complications in patients such as decompensated shock (41%), anemia (8.98%), hypoglycaemia (7.3%), multiple convulsions (6.7%), hyperpyrexia (6.17%), jaundice (5%), and hyperparasitaemia (4.49%). This overlooked distribution of P. vivax should be considered by malaria control strategy makers in the world and by the Government of Pakistan. In our study, children were the most susceptible population to malaria infection while they were the least expected to use satisfactory prevention strategies in such a war-torn deprived region. Local health authorities should initiate malaria awareness programs in schools and malaria-related education should be further promoted at the local level reaching out to both children and parents.

Direct measurement of hoop strains in the intact and torn human medial meniscus.

PubMed

Jones, R Spencer; Keene, G C R; Learmonth, D J A; Bickerstaff, D; Nawana, N S; Costi, J J; Pearcy, M J

1996-07-01

the patterns of strain distribution are disturbed by meniscal tears. RELEVANCE: These results provide important data for mathematical models which must include non-uniform behaviour. They also have implications for the surgical management of torn menisci. Undamaged portions should be preserved and the integrity of the circumferential fibres maintained to ensure the menisci retain a load bearing capability.

Repair of Torn Avascular Meniscal Cartilage Using Undifferentiated Autologous Mesenchymal Stem Cells: From In Vitro Optimization to a First-in-Human Study.

PubMed

Whitehouse, Michael R; Howells, Nicholas R; Parry, Michael C; Austin, Eric; Kafienah, Wael; Brady, Kyla; Goodship, Allen E; Eldridge, Jonathan D; Blom, Ashley W; Hollander, Anthony P

2017-04-01

Meniscal cartilage tears are common and predispose to osteoarthritis (OA). Most occur in the avascular portion of the meniscus where current repair techniques usually fail. We described previously the use of undifferentiated autologous mesenchymal stem cells (MSCs) seeded onto a collagen scaffold (MSC/collagen-scaffold) to integrate meniscal tissues in vitro. Our objective was to translate this method into a cell therapy for patients with torn meniscus, with the long-term goal of delaying or preventing the onset of OA. After in vitro optimization, we tested an ovine-MSC/collagen-scaffold in a sheep meniscal cartilage tear model with promising results after 13 weeks, although repair was not sustained over 6 months. We then conducted a single center, prospective, open-label first-in-human safety study of patients with an avascular meniscal tear. Autologous MSCs were isolated from an iliac crest bone marrow biopsy, expanded and seeded into the collagen scaffold. The resulting human-MSC/collagen-scaffold implant was placed into the meniscal tear prior to repair with vertical mattress sutures and the patients were followed for 2 years. Five patients were treated and there was significant clinical improvement on repeated measures analysis. Three were asymptomatic at 24 months with no magnetic resonance imaging evidence of recurrent tear and clinical improvement in knee function scores. Two required subsequent meniscectomy due to retear or nonhealing of the meniscal tear at approximately 15 months after implantation. No other adverse events occurred. We conclude that undifferentiated MSCs could provide a safe way to augment avascular meniscal repair in some patients. Registration: EU Clinical Trials Register, 2010-024162-22. Stem Cells Translational Medicine 2017;6:1237-1248. © 2017 The Authors Stem Cells Translational Medicine published by Wiley Periodicals, Inc. on behalf of AlphaMed Press.

Knee arthroscopy

MedlinePlus

... remove it. Torn or damaged anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL). Torn or damaged ... surgery; Meniscus - arthroscopy; Collateral ligament - arthroscopy Patient Instructions ACL reconstruction - discharge Getting your home ready - knee or ...

Muscle fibers are injured at the time of acute and chronic rotator cuff repair.

PubMed

Davis, Max E; Stafford, Patrick L; Jergenson, Matthew J; Bedi, Asheesh; Mendias, Christopher L

2015-01-01

Rotator cuff tears are a common source of shoulder pain and disability. Even after surgical repair, some patients continue to have reduced function and progression of fatty degeneration. Because patients with chronic cuff tears often experience muscle shortening, it is possible that repairing the tendon to its anatomic footprint induces a stretch-induced muscle injury that could contribute to failures of the repair and perhaps ongoing pain. We hypothesized that, compared with acutely torn and repaired muscles, the stretch that is required to repair a chronically torn cuff would result in more muscle fiber damage. Specifically, we asked: (1) Is there muscle fiber damage that occurs from repair of an acutely torn rotator cuff and does it vary by location in the muscle; and (2) is the damage greater in the case of repair of a chronic injury? We used an open surgical approach to create a full-thickness rotator cuff tear in rats, and measured changes in muscle mass, length, and the number of fibers containing the membrane impermeable Evans Blue Dye after acute (1 day) or chronic (28 days) cuff tear or repair in rats. Differences between groups were tested using a one-way ANOVA followed by Tukey's post hoc sorting. Chronic tears resulted in 24% to 35% decreases in mass and a 20% decrease in length. The repair of acutely and chronically torn muscles resulted in damage to 90% of fibers in the distal portion of the muscle. In the proximal portion, no differences between the acutely torn and repaired groups and controls were observed, whereas repairing the chronically torn group resulted in injury to almost 70% of fibers. In a rat model, marked injury to muscle fibers is induced when the tendons of torn rotator cuffs are repaired to their anatomic footprint. In this animal model, we found that repair of chronically torn cuff muscles results in extensive injury throughout the muscle. Based on these findings, we posit that inducing a widespread injury at the time of surgical

Medial versus lateral supraspinatus tendon properties: implications for double-row rotator cuff repair.

PubMed

Wang, Vincent M; Wang, Fan Chia; McNickle, Allison G; Friel, Nicole A; Yanke, Adam B; Chubinskaya, Susan; Romeo, Anthony A; Verma, Nikhil N; Cole, Brian J

2010-12-01

Rotator cuff repair retear rates range from 25% to 90%, necessitating methods to improve repair strength. Although numerous laboratory studies have compared single-row with double-row fixation properties, little is known regarding regional (ie, medial vs lateral) suture retention properties in intact and torn tendons. A torn supraspinatus tendon will have reduced suture retention properties on the lateral aspect of the tendon compared with the more medial musculotendinous junction. Controlled laboratory study. Human supraspinatus tendons (torn and intact) were randomly assigned for suture retention mechanical testing, ultrastructural collagen fibril analysis, or histologic testing after suture pullout testing. For biomechanical evaluation, sutures were placed either at the musculotendinous junction (medial) or 10 mm from the free margin (lateral), and tendons were elongated to failure. Collagen fibril assessments were performed using transmission electron microscopy. Intact tendons showed no regional differences with respect to suture retention properties. In contrast, among torn tendons, the medial region exhibited significantly higher stiffness and work values relative to the lateral region. For the lateral region, work to 10-mm displacement (1592 ± 261 N-mm) and maximum load (265 ± 44 N) for intact tendons were significantly higher (P < .05) than that of torn tendons (1086 ± 388 N-mm and 177 ± 71 N, respectively). For medial suture placement, maximum load, stiffness, and work of intact and torn tendons were similar (P > .05). Regression analyses for the intact and torn groups revealed generally low correlations between donor age and the 3 biomechanical indices. For both intact and torn tendons, the mean fibril diameter and area density were greater in the medial region relative to the lateral (P ≤ .05). In the lateral tendon, but not the medial region, torn specimens showed a significantly lower fibril area fraction (48.3% ± 3.8%) than intact specimens

40 CFR 63.11468 - What are the monitoring requirements for new and existing sources?

Code of Federal Regulations, 2011 CFR

2011-07-01

... baghouse, including but not limited to air leaks, torn or broken bags or filter media, or any other...) Inspecting the fabric filter for air leaks, torn or broken bags or filter media, or any other condition that... PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR...

40 CFR 63.11468 - What are the monitoring requirements for new and existing sources?

Code of Federal Regulations, 2013 CFR

2013-07-01

... baghouse, including but not limited to air leaks, torn or broken bags or filter media, or any other...) Inspecting the fabric filter for air leaks, torn or broken bags or filter media, or any other condition that... PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR...

40 CFR 63.11468 - What are the monitoring requirements for new and existing sources?

Code of Federal Regulations, 2012 CFR

2012-07-01

... baghouse, including but not limited to air leaks, torn or broken bags or filter media, or any other...) Inspecting the fabric filter for air leaks, torn or broken bags or filter media, or any other condition that... PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR...

40 CFR 63.11468 - What are the monitoring requirements for new and existing sources?

Code of Federal Regulations, 2014 CFR

2014-07-01

... baghouse, including but not limited to air leaks, torn or broken bags or filter media, or any other...) Inspecting the fabric filter for air leaks, torn or broken bags or filter media, or any other condition that... PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR...

Apoptosis occurs throughout the diseased rotator cuff.

PubMed

Lee, Hyo-Jin; Kim, Yang-Soo; Ok, Ji-Hoon; Song, Ha-Jung

2013-10-01

Even though apoptosis is known to be closely associated with rotator cuff tears, the differences in apoptosis according to the location within the torn supraspinatus tendon are still unknown. To elucidate where apoptosis begins within the supraspinatus tendon. Controlled laboratory study. Tendon tissues were collected from 14 patients undergoing arthroscopic rotator cuff repair surgery and 7 patients undergoing surgery for proximal humeral fracture who served as controls. In the patients with rotator cuff tears, the samples were harvested at 3 sites: the most lateral torn margin, 1 cm medial from the torn margin, and at the posterior torn corner. Caspase 3/7, 8, and 9 and cytochrome c activities were measured to determine the intracellular apoptosis pathway. Apoptotic cells were determined by in situ TUNEL (terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling) staining, and immunohistochemistry was performed. The apoptotic activities of tendons from the experimental subjects were significantly higher than those of the controls. There were, however, no significant differences between the 3 sample sites. Immunohistochemistry also revealed strong expression of increased caspase 3/7, 8, and 9 and cytochrome c but no significant difference between them. This study shows that the intracellular apoptotic pathway is not only through the cell membrane receptor but also via intracellular mitochondria cascade. Because apoptosis occurs regardless of the location within the rotator cuff, debridement of the torn margin to obtain a healthy tendon may not be needed. Further study should focus on not only the technique of tying the torn tendon back to the bone but also biological augmentation to reverse or prevent further apoptosis within rotator cuff tendon.

Increased levels of interleukin-22 in thoracic aorta and plasma from patients with acute thoracic aortic dissection.

PubMed

Ye, Jing; Wang, Menglong; Jiang, Huimin; Ji, Qingwei; Huang, Ying; Liu, Jianfang; Zeng, Tao; Xu, Yao; Wang, Zhen; Lin, Yingzhong; Wan, Jun

2017-11-03

Interleukin (IL)-22 plays important roles in the development of arterial disease, including atherosclerosis and hypertension. However, the relationship between IL-22 and acute thoracic aortic dissection (TAD) remains unknown. Blood samples were collected from patients with chest pain who underwent computed tomography angiography of the thoracic aorta but had no known preoperative diagnosis of coronary artery disease, peripheral artery disease, arthritis, and/or membranous nephropathy. Patients were divided into non-AD (NAD) and TAD groups, and the plasma concentrations of IL-22, IL-6 and tumor necrosis factor (TNF)-α were measured. In addition, aortic tissue samples from acute TAD patients and normal donors were collected, and the expression levels of IL-22 and IL-22 receptor 1 (IL-22R1) were measured. IL-22, IL-6 and TNF-α levels were significantly higher in acute TAD patients than in NAD patients (IL-22, NAD group: 27.0 (19.1, 38.6) pg/ml vs. TAD group: 32.9 (20.6, 58.3) pg/ml, p<0.0001). The correlation analysis showed that IL-22 levels were positively correlated with levels of IL-6, TNF-α, fasting glucose, blood pressure, white blood cells, C-reactive proteins and D-dimers. Binary logistic regression analyses showed that IL-22 was independently associated with the presence of acute TAD (OR 1.169, 95% CI 1.069 to 1.277; p=0.001). In addition, compared with aortic tissue of normal controls, TAD aortas showed increased expression of IL-22 and IL-22R1, especially in the torn section (IL-22, non-torn section: 2.8±0.5/HPF vs. torn section 2.8±0.5/HPF, p<0.001). Additionally, macrophage but not T lymphocyte infiltration was significantly increased in the torn section (Macrophage, non-torn section: 2.2±0.6/HPF vs. torn section 5.7±1.2/HPF, p<0.001; T lymphocyte, non-torn section: 2.7±0.9/HPF vs. torn section 2.4±0.5/HPF, p=0.28), as evidenced by increased positive staining for the macrophage marker CD68, as opposed to the T cell marker CD3. IL-22 levels may

The Potential Observation Network Design with Mesoscale Ensemble Sensitivities in Complex Terrain

DTIC Science & Technology

2012-03-01

in synoptic storms , extratropical transition and developing hurricanes. Because they rely on lagged covariances from a finite-sized ensemble, they...diagnose predictors of forecast error in synoptic storms , extratropical transition and developing hurricanes. Because they rely on lagged covariances...sensitivities can be used successfully to diagnose predictors of forecast error in synoptic storms (Torn and Hakim 2008), extratropical transition (Torn and

Enhancing Human Resource Capability in the Tanzania Peoples Defense Force (TPDF)

DTIC Science & Technology

2006-06-01

Tanzania’s elephants , thus making the Selous a big attraction to tourists (Pan- African News Agency, 1999). The problem of poaching is not only confined...the Cold War and the collapse of the Soviet Union changed the strategic environment. Refugees from conflict torn areas, poaching , small arms...changed the strategic environment. Refugees from conflict torn areas, poaching , small arms proliferation, political and religious fundamentalism, drug

Visibility of Anterolateral Ligament Tears in Anterior Cruciate Ligament-Deficient Knees With Standard 1.5-Tesla Magnetic Resonance Imaging.

PubMed

Hartigan, David E; Carroll, Kevin W; Kosarek, Frank J; Piasecki, Dana P; Fleischli, James F; D'Alessandro, Donald F

2016-10-01

To attempt to visualize the ligament with standard 1.5-tesla magnetic resonance imaging (MRI) in the acute anterior cruciate ligament (ACL)-torn knee, and if it is visible, attempt to characterize it as torn or intact at its femoral, meniscal, and tibial attachment sites. This was a retrospective MRI study based on arthroscopic findings of a known ACL tear in 72 patients between the years 2006 and 2010. Patients all had hamstring ACL reconstructions, no concomitant lateral collateral ligament, or posterolateral corner injury based on imaging and physical examination, and had a preoperative 1.5-tesla MRI scan with standard sequences performed within 3 weeks of the injury. Two fellowship-trained musculoskeletal radiologists retrospectively reviewed the preoperative MRI for visualization of the anterolateral ligament (ALL) for concomitant tears. Inter- and intraobserver reliability was calculated. Learning effect was analyzed to determine if radiologists' agreement improved as reads progressed. Both radiologists were able to visualize the ALL in 100% of the scans. Overall, ALL tears were noted in 26% by radiologist 1 and in 62% by radiologist 2. The agreement between the ligament being torn or not had a kappa of 0.54 between radiologists. The agreements in torn or not torn between radiologists in the femoral, meniscal, and tibial sites were 0.14, 0.15, and 0.31. The intraobserver reliability by radiologist 1 for femoral, meniscal, and tibial tears was 0.04, 0.57, and 0.54 respectively. For radiologist 2, they were 0.75, 0.61, and 0.55. There was no learning effect noted. ALL tears are currently unable to be reliably identified as torn or intact on standard 1.5-tesla MRI sequences. Proper imaging sequences are of crucial importance to reliably follow these tears to determine their clinical significance. Level IV, therapeutic case series study. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Girl's Schooling in War-Torn Somalia

ERIC Educational Resources Information Center

Moyi, Peter

2012-01-01

A civil war has raged in Somalia since 1991. The civil war was the final blow to an already collapsed education system. Somalia has received little research and policy attention yet children, especially girls, are very vulnerable during times of conflict. The different gender roles, activities, and status in society create gender differentiated…

Arthroscopic pullout repair of a complete radial tear of the tibial attachment site of the medial meniscus posterior horn.

PubMed

Kim, Young-Mo; Rhee, Kwang-Jin; Lee, June-Kyu; Hwang, Deuk-Soo; Yang, Jun-Young; Kim, Sung-Jae

2006-07-01

We developed an effective arthroscopic pullout technique for repairing complete radial tears of the tibial attachment site of the medial meniscus posterior horn (MMPH). In our technique, the torn meniscus is reattached to the tibial plateau immediately medial or anteromedial to the posterior cruciate ligament (PCL) using two No. 2 Ethibond sutures (Ethicon, Somerville, NJ). After a complete radial tear of the tibial attachment site of the MMPH and its reparability were confirmed, using a Caspari suture loaded with a suture shuttle, one No. 2 Ethibond suture is placed through the meniscus, through the red-red zone, 3 to 5 mm medial to the torn edge of the MMPH, and the other is passed through the meniscocapsular junction 3 to 5 mm medial to the torn edge of the meniscus. Then, a tibial tunnel, 5-mm in diameter, is made from the anteromedial aspect of the proximal tibia to the previously prepared tibial plateau, immediately medial or anteromedial to the PCL, and the two No. 2 Ethibond sutures are pulled out through the tibial tunnel and then fixed to the proximal tibia using a 3.5-mm cortical screw and washer. Firm reattachment of the torn meniscus was confirmed arthroscopically.

Automated T2-mapping of the Menisci From Magnetic Resonance Images in Patients with Acute Knee Injury.

PubMed

Paproki, Anthony; Engstrom, Craig; Strudwick, Mark; Wilson, Katharine J; Surowiec, Rachel K; Ho, Charles; Crozier, Stuart; Fripp, Jurgen

2017-10-01

This study aimed to evaluate the accuracy of an automated method for segmentation and T2 mapping of the medial meniscus (MM) and lateral meniscus (LM) in clinical magnetic resonance images from patients with acute knee injury. Eighty patients scheduled for surgery of an anterior cruciate ligament or meniscal injury underwent magnetic resonance imaging of the knee (multiplanar two-dimensional [2D] turbo spin echo [TSE] or three-dimensional [3D]-TSE examinations, T2 mapping). Each meniscus was automatically segmented from the 2D-TSE (composite volume) or 3D-TSE images, auto-partitioned into anterior, mid, and posterior regions, and co-registered onto the T2 maps. The Dice similarity index (spatial overlap) was calculated between automated and manual segmentations of 2D-TSE (15 patients), 3D-TSE (16 patients), and corresponding T2 maps (31 patients). Pearson and intraclass correlation coefficients (ICC) were calculated between automated and manual T2 values. T2 values were compared (Wilcoxon rank sum tests) between torn and non-torn menisci for the subset of patients with both manual and automated segmentations to compare statistical outcomes of both methods. The Dice similarity index values for the 2D-TSE, 3D-TSE, and T2 map volumes, respectively, were 76.4%, 84.3%, and 75.2% for the MM and 76.4%, 85.1%, and 76.1% for the LM. There were strong correlations between automated and manual T2 values (r MM  = 0.95, ICC MM  = 0.94; r LM  = 0.97, ICC LM  = 0.97). For both the manual and the automated methods, T2 values were significantly higher in torn than in non-torn MM for the full meniscus and its subregions (P < .05). Non-torn LM had higher T2 values than non-torn MM (P < .05). The present automated method offers a promising alternative to manual T2 mapping analyses of the menisci and a considerable advance for integration into clinical workflows. Copyright © 2017 The Association of University Radiologists. All rights reserved.

On Feeling Torn About One’s Sexuality

PubMed Central

Windsor-Shellard, Ben

2014-01-01

Three studies offer novel evidence addressing the consequences of explicit–implicit sexual orientation (SO) ambivalence. In Study 1, self-identified straight females completed explicit and implicit measures of SO. The results revealed that participants with greater SO ambivalence took longer responding to explicit questions about their sexual preferences, an effect moderated by the direction of ambivalence. Study 2 replicated this effect using a different paradigm. Study 3 included self-identified straight and gay female and male participants; participants completed explicit and implicit measures of SO, plus measures of self-esteem and affect regarding their SO. Among straight participants, the response time results replicated the findings of Studies 1 and 2. Among gay participants, trends suggested that SO ambivalence influenced time spent deliberating on explicit questions relevant to sexuality, but in a different way. Furthermore, the amount and direction of SO ambivalence was related to self-esteem. PMID:24972940

Retinal Detachment: Torn or Detached Retina Symptoms

MedlinePlus

Subspecialties Cataract/Anterior Segment Comprehensive Ophthalmology Cornea/External Disease Glaucoma Neuro-Ophthalmology/Orbit Pediatric Ophthalmology/Strabismus Ocular Pathology/Oncology Oculoplastics/Orbit Refractive Management/Intervention Retina/Vitreous Uveitis ...

Retinal Detachment: Torn or Detached Retina Diagnosis

MedlinePlus

... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Find an Ophthalmologist Advanced ...

Retinal Detachment: Torn or Detached Retina Treatment

MedlinePlus

... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Find an Ophthalmologist Advanced ...

Teaching Career Skills in War-Torn Iraq

ERIC Educational Resources Information Center

Eliah, Elaine

2006-01-01

While western Iraq's Anbar province was making headlines with its voter turnout this past December 2005, a quieter turnout of its young men was making headway graduating from school. In Habbaniyah, a volatile city where rockets and mortars destroy buildings and lives all too suddenly and frequently, the Iraq Construction Apprentice Program (ICAP)…

Direct observations of ice seasonality reveal changes in climate over the past 320–570 years

USGS Publications Warehouse

Sharma, Sapna; Magnuson, John J.; Batt, Ryan D.; Winslow, Luke; Korhonen, Johanna; Yasuyuki Aono,

2016-01-01

Lake and river ice seasonality (dates of ice freeze and breakup) responds sensitively to climatic change and variability. We analyzed climate-related changes using direct human observations of ice freeze dates (1443–2014) for Lake Suwa, Japan, and of ice breakup dates (1693–2013) for Torne River, Finland. We found a rich array of changes in ice seasonality of two inland waters from geographically distant regions: namely a shift towards later ice formation for Suwa and earlier spring melt for Torne, increasing frequencies of years with warm extremes, changing inter-annual variability, waning of dominant inter-decadal quasi-periodic dynamics, and stronger correlations of ice seasonality with atmospheric CO2 concentration and air temperature after the start of the Industrial Revolution. Although local factors, including human population growth, land use change, and water management influence Suwa and Torne, the general patterns of ice seasonality are similar for both systems, suggesting that global processes including climate change and variability are driving the long-term changes in ice seasonality.

Direct observations of ice seasonality reveal changes in climate over the past 320–570 years

PubMed Central

Sharma, Sapna; Magnuson, John J.; Batt, Ryan D.; Winslow, Luke A.; Korhonen, Johanna; Aono, Yasuyuki

2016-01-01

Lake and river ice seasonality (dates of ice freeze and breakup) responds sensitively to climatic change and variability. We analyzed climate-related changes using direct human observations of ice freeze dates (1443–2014) for Lake Suwa, Japan, and of ice breakup dates (1693–2013) for Torne River, Finland. We found a rich array of changes in ice seasonality of two inland waters from geographically distant regions: namely a shift towards later ice formation for Suwa and earlier spring melt for Torne, increasing frequencies of years with warm extremes, changing inter-annual variability, waning of dominant inter-decadal quasi-periodic dynamics, and stronger correlations of ice seasonality with atmospheric CO2 concentration and air temperature after the start of the Industrial Revolution. Although local factors, including human population growth, land use change, and water management influence Suwa and Torne, the general patterns of ice seasonality are similar for both systems, suggesting that global processes including climate change and variability are driving the long-term changes in ice seasonality. PMID:27113125

MRI appearance of posterior cruciate ligament tears.

PubMed

Rodriguez, William; Vinson, Emily N; Helms, Clyde A; Toth, Alison P

2008-10-01

There is little in the radiology literature regarding the MRI appearance of a torn posterior cruciate ligament (PCL). The purpose of this study was to describe the MRI appearance of surgically proven PCL tears and to emphasize previously unreported signs. The PCL is usually injured as the result of stretching deformation; on MRI, the ligament maintains continuity as a single structure with apparent thickening. On sagittal T2-weighted images, an anteroposterior diameter of 7 mm or more is highly suggestive of a torn PCL. Increased intrasubstance signal intensity in the PCL on proton-density images with lower signal intensity on T2-weighted images is another common feature.

Use of intravoxel incoherent motion diffusion-weighted imaging in identifying the vascular and avascular zones of human meniscus.

PubMed

Guo, Tan; Chen, Juan; Wu, Bing; Zheng, Dandan; Jiao, Sheng; Song, Yan; Chen, Min

2017-04-01

To investigate the hypothesis that the intravoxel incoherent motion (IVIM) diffusion-weighted imaging may depict microcirculation of meniscus and the perfusion changes in meniscal disorder. Fifty patients received diffusion-weighted MRI with multiple b-values ranging from 0 to 400 s/mm 2 . The four horns of the menisci were divided into normal, degenerated, and torn groups. IVIM parameters including perfusion fraction (f), pseudo-diffusion coefficient (D*), true diffusion coefficient (D), and the product of f and D* (f D*) of normal meniscal red zone and white zone were derived and compared for microcirculation changes of normal, degenerated, and torn posterior horn of the medial meniscus (PMM). The parameters between red and white zones among the groups were compared. Significant differences were considered when P < 0.05. Mean f and fD* were significantly higher in the red zone than those in the white zone for the normal four meniscal horns (P < 0.05), whereas D* (P = 0.882, 0.011, 0.593, and 0.33) and D (P = 0.186, 0.099, 0.767, and 0.041) did not significantly differ between the two zones. Among the normal, degenerated, and torn PMM, f was observed to be lower in the red zone of torn horns as compared to the normal horns (P = 0.013). D*, fD*, and D did not exhibit statistically significant difference among different groups (P = 0.353, 0.661, and 0.327, respectively). This hypothesis driven work shows that IVIM imaging is able to depict microcirculation of meniscus and the perfusion changes in meniscal disorder. 3 J. Magn. Reson. Imaging 2017;45:1090-1096. © 2016 International Society for Magnetic Resonance in Medicine.

The potential of optical coherence tomography for diagnosing meniscal pathology

NASA Astrophysics Data System (ADS)

Hang-Yin Ling, Carrie; Pozzi, Antonio; Thieman, Kelley M.; Tonks, Catherine A.; Guo, Shuguang; Xie, Huikai; Horodyski, MaryBeth

2010-04-01

Meniscal tears are often associated with anterior cruciate ligament (ACL) injury and may lead to pain and discomfort in humans. Maximal preservation of meniscal tissue is highly desirable to mitigate the progression of osteoarthritis. Guidelines of which meniscal tears are amenable to repair and what part of damaged tissues should be removed are elusive and lacking consensus. Images of microstructural changes in meniscus would potentially guide the surgeons to manage the meniscal tears better, but the resolution of current diagnostic techniques is limited for this application. In this study, we demonstrated the feasibility of using optical coherence tomography (OCT) for the diagnosis of meniscal pathology. Torn medial menisci were collected from dogs with ACL insufficiency. The torn meniscus was divided into three tissue samples and scanned by OCT and scanning electron microscopy (SEM). OCT and SEM images of torn menisci were compared. Each sample was evaluated for gross and microstructural abnormalities and reduction or loss of birefringence from the OCT images. The abnormalities detected with OCT were described for each type of tear. OCT holds promise in non-destructive and fast assessment of microstructural changes and tissue birefringence of meniscal tears. Future development of intraoperative OCT may help surgeons in the decision making of meniscal treatment.

New meniscus repair technique for peripheral tears near the posterior tibial attachment of the posterior horn of the medial meniscus.

PubMed

Park, In-Seop; Kim, Sung-Jae

2006-08-01

We introduce a suture technique to repair a peripheral tear near the posterior tibial attachment of the posterior horn. A suture hook was inserted through the posteromedial portal, and the peripheral capsular rim was penetrated from superior to inferior by the sharp hook. Both relay limbs were brought out through the posteromedial portal. The outer limb of the superior peripheral capsular rim was identified with a hemostat. An 18-gauge spinal needle loaded with a No. 0 polydioxanone suture (PDS) was introduced into the joint from the anteromedial portal; it was passed through the joint space until it penetrated the inner torn meniscus. The PDS suture loaded within the needle was pushed into the joint and picked up through the posteromedial portal. The needle was pulled out of the torn meniscus and readvanced over it while the suture was kept loaded. The other limb of the suture from the tip of the spinal needle was retrieved through the posteromedial portal. The initial PDS suture limb was hooked to the shuttle-relay system; it then was passed through the inner torn meniscus and the peripheral capsular rim. The suture limb exiting from the peripheral capsular rim was used as a post and was joined to the other suture limb to form a sliding knot.

Isolated medial meniscal tear in a Border Collie.

PubMed

Ridge, P A

2006-01-01

A three-year-old, female Border Collie was successfully treated for an isolated, torn, medial meniscus by arthroscopic meniscal tear resection. The dog returned to agility competition without recurrence of lameness.

7 CFR 51.3069 - Very serious damage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... (INSPECTION, CERTIFICATION, AND STANDARDS) United States Standards for Florida Avocados Definitions § 51.3069... quality; (b) Pulled stems when the skin surrounding the exposed stem cavity is torn more than an aggregate...

7 CFR 51.3069 - Very serious damage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... (INSPECTION, CERTIFICATION, AND STANDARDS) United States Standards for Florida Avocados Definitions § 51.3069... quality; (b) Pulled stems when the skin surrounding the exposed stem cavity is torn more than an aggregate...

7 CFR 51.3064 - Damage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... appearance is materially affected; (b) Pulled stems when the exposed stem cavity is excessively deep, or when skin surrounding the stem cavity is more than slightly torn; (c) Russeting or similar discoloration...

7 CFR 51.3064 - Damage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... appearance is materially affected; (b) Pulled stems when the exposed stem cavity is excessively deep, or when skin surrounding the stem cavity is more than slightly torn; (c) Russeting or similar discoloration...

The influence of perforation of foil reactors on greenhouse gas emission rates during aerobic biostabilization of the undersize fraction of municipal wastes.

PubMed

Stegenta, Sylwia; Dębowski, Marcin; Bukowski, Przemysław; Randerson, Peter F; Białowiec, Andrzej

2018-02-01

The opinion, that the use of foil reactors for the aerobic biostabilization of municipal wastes is not a valid method, due to vulnerability to perforation, and risk of uncontrolled release of exhaust gasses, was verified. This study aimed to determine the intensity of greenhouse gas (GHG) emissions to the atmosphere from the surface of foil reactors in relation to the extent of foil surface perforation. Three scenarios were tested: intact (airtight) foil reactor, perforated foil reactor, and torn foil reactor. Each experimental variant was triplicated, and the duration of each experiment cycle was 5 weeks. Temperature measurements demonstrated a significant decrease in temperature of the biostabilization in the torn reactor. The highest emissions of CO 2 , CO and SO 2 were observed at the beginning of the process, and mostly in the torn reactor. During the whole experiment, observed emissions of CO, H 2 S, NO, NO 2 , and SO 2 were at a very low level which in extreme cases did not exceed 0.25 mg t -1 .h -1 (emission of gasses mass unit per waste mass unit per unit time). The lowest average emissions of greenhouse gases were determined in the case of the intact reactor, which shows that maintaining the foil reactors in an airtight condition during the process is extremely important. Copyright © 2017 Elsevier Ltd. All rights reserved.

Keeping Faith with our War-Torn: Rebuilding Broken Spirits

DTIC Science & Technology

2012-03-22

theory of suicide. The theory holds that there are three things that keep an individual from killing himself. They are belongingness , usefulness, and...factors, belongingness and usefulness are often taken from them as they leave service and become unemployed or find themselves in pursuits that do not...compare to the feelings of usefulness and belongingness that they experienced as part of the world’s best and most relevant military. Another major

MRI Scans

MedlinePlus

Magnetic resonance imaging (MRI) uses a large magnet and radio waves to look at organs and structures inside your body. Health care professionals use MRI scans to diagnose a variety of conditions, from torn ...

Knee pain

MedlinePlus

... the kneecap. Torn ligament. An anterior cruciate ligament (ACL) injury, or medial collateral ligament (MCL) injury may ... need surgery. Alternative Names Pain - knee Patient Instructions ACL reconstruction - discharge Hip or knee replacement - after - what ...

Knee arthroscopy - discharge

MedlinePlus

... remove it. Torn or damaged anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL). Inflamed or damaged ... surgery Knee pain Meniscal allograft transplantation Patient Instructions ACL reconstruction - discharge Getting your home ready - knee or ...

Rotator cuff problems

MedlinePlus

... smooth layer) lining these tendons. A rotator cuff tear occurs when one of the tendons is torn ... Poor posture over many years Aging Rotator cuff tears TEARS Rotator cuff tears may occur in two ...

I've Been Stung: What Should I Do?

MedlinePlus

... personnel at an annual convention of the Diving Equipment and Marketing Association that was held in Anaheim, ... which is easily torn from the rigid (abrasive) structure underneath, and thus deposited into the scrape or ...

7 CFR 30.18 - Injury.

Code of Federal Regulations, 2012 CFR

2012-01-01

... deformed leaves; or tobacco hurt by insects; or tobacco affected by wild-fire, black fire, rust, frogeye... has been torn or broken, frozen or frosted, sunburned or scalded, scorched or fire-killed, bulk-burnt...

7 CFR 30.18 - Injury.

Code of Federal Regulations, 2011 CFR

2011-01-01

... deformed leaves; or tobacco hurt by insects; or tobacco affected by wild-fire, black fire, rust, frogeye... has been torn or broken, frozen or frosted, sunburned or scalded, scorched or fire-killed, bulk-burnt...

7 CFR 30.18 - Injury.

Code of Federal Regulations, 2013 CFR

2013-01-01

... deformed leaves; or tobacco hurt by insects; or tobacco affected by wild-fire, black fire, rust, frogeye... has been torn or broken, frozen or frosted, sunburned or scalded, scorched or fire-killed, bulk-burnt...

7 CFR 30.18 - Injury.

Code of Federal Regulations, 2010 CFR

2010-01-01

... deformed leaves; or tobacco hurt by insects; or tobacco affected by wild-fire, black fire, rust, frogeye... has been torn or broken, frozen or frosted, sunburned or scalded, scorched or fire-killed, bulk-burnt...

7 CFR 30.18 - Injury.

Code of Federal Regulations, 2014 CFR

2014-01-01

... deformed leaves; or tobacco hurt by insects; or tobacco affected by wild-fire, black fire, rust, frogeye... has been torn or broken, frozen or frosted, sunburned or scalded, scorched or fire-killed, bulk-burnt...

Long-Term Data Reveal Rate and Risk Factors for Subsequent Surgeries Following Initial ACL Reconstruction

MedlinePlus

... and Risk Factors for Subsequent Surgeries Following Initial ACL Reconstruction By Colleen Labbe, M.S. | December 1, 2013 ... surgery to reconstruct a torn anterior cruciate ligament (ACL) eventually need to have additional surgery on the ...

Store Front Lawyers in San Francisco

ERIC Educational Resources Information Center

Carlin, Jerome E.

1970-01-01

Describes how "a highly successful program of legal services for the poor is torn between community control advocates in the neighborhoods and radical intellectuals in the central office of the Neighborhood Legal Assistance Foundation. (Author)

Pelvic Organ Prolapse

MedlinePlus

... occurs when the tissue and muscles of the pelvic floor no longer support the pelvic organs resulting in ... organ prolapse. Supporting muscles and tissue of the pelvic floor may become torn or stretched because of labor ...

Medial Collateral Ligament (MCL) Injuries

MedlinePlus

... torn MCL tend to play contact sports, like football and soccer. More severe injuries happen when the ... the things you love — like running or playing football, field hockey, or softball — can be frustrating. If ...

Artist concept of Galileo encountering Io during its Jupiter approach

NASA Image and Video Library

1989-08-25

Artist concept shows Galileo spacecraft while still approaching Jupiter having a satellite encounter. Galileo is flying about 600 miles above Io's volcano-torn surface, twenty times closer than the closest flyby altitude of Voyager in 1979.

78 FR 32535 - National Hurricane Preparedness Week, 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-30

... supply kit with food, water, and medicine; taking time now to learn evacuation routes, and how workplaces... with the tide, families whose worlds were torn apart with the loss of a loved one. But in the aftermath...

7 CFR 51.2657 - Serious damage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Standards for Grades for Sweet Cherries 1 Definitions § 51.2657 Serious damage. Serious damage means any... healed; (d) Cracks which are not well healed; and, (e) Pulled stems with skin or flesh of cherry torn or...

7 CFR 51.2657 - Serious damage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Standards for Grades for Sweet Cherries 1 Definitions § 51.2657 Serious damage. Serious damage means any... healed; (d) Cracks which are not well healed; and, (e) Pulled stems with skin or flesh of cherry torn or...

Stressed-out Enceladus 3-D

NASA Image and Video Library

2005-03-24

This high-resolution stereo anaglyph captured by NASA Cassini spacecraft of Saturn moon Enceladus shows a region of craters softened by time and torn apart by tectonic stresses. 3D glasses are necessary to view this image.

7 CFR 51.2657 - Serious damage.

Code of Federal Regulations, 2014 CFR

2014-01-01

..., CERTIFICATION, AND STANDARDS) United States Standards for Grades for Sweet Cherries 1 Definitions § 51.2657... stems with skin or flesh of cherry torn or which causes the cherry to leak. [36 FR 8502, May 5, 1971; 36...

7 CFR 51.2657 - Serious damage.

Code of Federal Regulations, 2013 CFR

2013-01-01

..., CERTIFICATION, AND STANDARDS) United States Standards for Grades for Sweet Cherries 1 Definitions § 51.2657... stems with skin or flesh of cherry torn or which causes the cherry to leak. [36 FR 8502, May 5, 1971; 36...

7 CFR 51.3069 - Very serious damage.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) Cuts or other skin breaks when not healed and penetrating into the flesh of the fruit, or any skin... the skin surrounding the exposed stem cavity is torn more than an aggregate area of a circle one-half...

Women, war, and reproductive health in developing countries.

PubMed

Pillai, Vijayan; Wang, Ya-Chien; Maleku, Arati

2017-01-01

Globally, millions of people are affected by war and conflicts every year. However, women have increasingly suffered the greatest harm by war in more different ways than men. We conceptualize a reproductive rights approach toward examining the effects of war on women's reproductive health in developing countries. Given the rising concerns of exclusion to adequately address women's rights, sexual and gender-based violence, and post-conflict accountability, we specifically focus on the limitations of the Minimum Initial Service Package, a UN-sponsored reproductive health service program in conflict zones while offering a broad reproductive rights-based conceptual lens for examining reproductive health care services in war-torn areas. In addition, we discuss the roles social workers may play at both micro and macro levels in war-torn areas to bring about both short term and long term gains in women's reproductive health.

Art Experiences for Young Children with Severe Visual Imapairments: Report from the Field.

ERIC Educational Resources Information Center

Swenson, Anna M.

1987-01-01

Ten guidelines are offered for providing art experiences for blind young children include adding sound, smell, or taste whenever possible. Suggested activities include making styrofoam-toothpick sculptures, box sculptures, tape and feather collages, torn paper collages, and fingerpaintings. (DB)

Rotator Cuff Damage: Reexamining the Causes and Treatments.

ERIC Educational Resources Information Center

Nash, Heyward L.

1988-01-01

Sports medicine specialists are beginning to reexamine the causes and treatments of rotator cuff problems, questioning the role of primary impingement in a deficient or torn cuff and trying new surgical procedures as alternatives to the traditional open acromioplasty. (Author/CB)

Squirrel Damage to Pines

Treesearch

USDA Forest Service

1981-01-01

Flagging (dead branch tips) on jack pine and red pine may be caused by insects, diseases, or mechanical damage. In the Lake States, flagging is often the result of mechanical damage, sometimes girdling, caused when the cones are torn off by red squirrels.

Comet Bites the Dust Around Dead Star Artist Concept

NASA Image and Video Library

2006-01-11

This artist concept illustrates a comet being torn to shreds around a dead star, or white dwarf, called G29-38. NASA Spitzer Space Telescope observed a cloud of dust around this white dwarf that may have been generated from comet disruption.

The Politics of French University Reform: Ten Years after May.

ERIC Educational Resources Information Center

Ambler, John S.

1978-01-01

Examines French higher education in terms of Michel Crozier's theory that views the French as torn between two conflicting desires: to maximize personal autonomy and to assure an ordered and orderly environment. Participation on all levels in the university system is described. (AMH)

40 CFR 63.1187 - What do I need to know about operations, maintenance, and monitoring plans?

Code of Federal Regulations, 2011 CFR

2011-07-01

... include: (i) Inspecting the fabric filter for air leaks, torn or broken bags or filter media, or any other... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES (CONTINUED) National Emission Standards for Hazardous Air...

40 CFR 63.1187 - What do I need to know about operations, maintenance, and monitoring plans?

Code of Federal Regulations, 2013 CFR

2013-07-01

... include: (i) Inspecting the fabric filter for air leaks, torn or broken bags or filter media, or any other... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES (CONTINUED) National Emission Standards for Hazardous Air...

40 CFR 63.1187 - What do I need to know about operations, maintenance, and monitoring plans?

Code of Federal Regulations, 2012 CFR

2012-07-01

... include: (i) Inspecting the fabric filter for air leaks, torn or broken bags or filter media, or any other... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES (CONTINUED) National Emission Standards for Hazardous Air...

40 CFR 63.1187 - What do I need to know about operations, maintenance, and monitoring plans?

Code of Federal Regulations, 2014 CFR

2014-07-01

... include: (i) Inspecting the fabric filter for air leaks, torn or broken bags or filter media, or any other... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES (CONTINUED) National Emission Standards for Hazardous Air...

Maryland physicians on a humanitarian mission to war-torn Croatia.

PubMed

Laukenmann, B

1993-04-01

Six physicians from Maryland, California, and Utah participated in a 10-day humanitarian mission to Croatia. They spent long hours in antiquated operating rooms performing maxillofacial and extremity reconstructive procedures; most patients were young or war-injured males. Though not a third world country, Croatia urgently needs finances to acquire drugs, supplies, textbooks, and equipment.

Strains and Sprains

MedlinePlus

... have been overstretched (mild sprain) or torn (severe sprain). Ankles, wrists, and knees sprain easily. How Is a ... lead to a strained calf or thigh muscle. Sprains are caused by injuries, such as twisting your ankle. This kind of injury is common in sports, ...

40 CFR 63.11552 - What are my monitoring requirements?

Code of Federal Regulations, 2014 CFR

2014-07-01

... filter for air leaks, torn or broken bags or filter media, or any other condition that may cause an...? 63.11552 Section 63.11552 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES...

40 CFR 63.11552 - What are my monitoring requirements?

Code of Federal Regulations, 2013 CFR

2013-07-01

... filter for air leaks, torn or broken bags or filter media, or any other condition that may cause an...? 63.11552 Section 63.11552 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES...

40 CFR 63.9600 - What are my operation and maintenance requirements?

Code of Federal Regulations, 2014 CFR

2014-07-01

...) through (vi) of this section. (i) Inspecting the baghouse for air leaks, torn or broken bags or filter... requirements? 63.9600 Section 63.9600 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES...

40 CFR 63.11552 - What are my monitoring requirements?

Code of Federal Regulations, 2011 CFR

2011-07-01

... filter for air leaks, torn or broken bags or filter media, or any other condition that may cause an...? 63.11552 Section 63.11552 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES...

40 CFR 63.9600 - What are my operation and maintenance requirements?

Code of Federal Regulations, 2013 CFR

2013-07-01

...) through (vi) of this section. (i) Inspecting the baghouse for air leaks, torn or broken bags or filter... requirements? 63.9600 Section 63.9600 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES...

40 CFR 63.11552 - What are my monitoring requirements?

Code of Federal Regulations, 2012 CFR

2012-07-01

... filter for air leaks, torn or broken bags or filter media, or any other condition that may cause an...? 63.11552 Section 63.11552 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES...

Major Values Conflicts of Young, Re-Entry Graduate Students.

ERIC Educational Resources Information Center

Kinnier, Richard; Townley, Julie

1986-01-01

Investigates value conflicts among young college students. Results indicate that women are more torn between their career and family roles than are men. Further, security versus the risky pursuit of success and making money versus seeking nonmaterialistic fulfillment were common conflicts among graduate students. (Author/BL)

The Russian Federation Islamic Republic of Dagestan: Curricular Decentralization, Social Cohesion, and Stability

ERIC Educational Resources Information Center

Eaton, Jana Sackman

2005-01-01

This article focuses on the curricular decentralization-sociopolitical stability nexus in the predominantly Muslim Russian Federation Republic of Dagestan, adjacent to war-torn Chechnya. Concomitant with the metamorphoses taking place in the economic and political sectors of society is the overhaul of institutionalized education. A major reform…

Rebuilding It Better: Greensburg, Kansas. Kiowa County Courthouse

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

D. Egan

2010-04-14

This document is one in a series of five that showcases the green, sustainable buildings in Greensburg, Kansas. The Kiowa County Courthouse was one of only two buildings left standing after the tornado, which allowed the building to be renovated and refurbished rather than torn down.

Rebuilding It Better: Greensburg, Kansas. Kiowa County Courthouse (Brochure)

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

Not Available

2010-04-01

This document is one in a series of five that showcases the green, sustainable buildings in Greensburg, Kansas. The Kiowa County Courthouse was one of only two buildings left standing after the tornado, which allowed the building to be renovated and refurbished rather than torn down.

Curls of My Dreams.

ERIC Educational Resources Information Center

Greenman, Geri

2001-01-01

Describes an art activity in which students draw ribbons (thin watercolor paper that, when torn, will stand up in a curling fashion). Explains in detail the assignment in which students used pencil rendering or charcoal pencil depending on the type of paper used for the assignment. (CMK)

40 CFR 60.273 - Emission monitoring.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) Inspecting the baghouse for air leaks, torn or broken bags or filter media, or any other condition that may....273 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... installs and continuously operates a bag leak detection system according to paragraph (e) of this section...

40 CFR 60.273 - Emission monitoring.

Code of Federal Regulations, 2012 CFR

2012-07-01

...) Inspecting the baghouse for air leaks, torn or broken bags or filter media, or any other condition that may....273 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... installs and continuously operates a bag leak detection system according to paragraph (e) of this section...

40 CFR 60.5225 - What are the monitoring and calibration requirements for compliance with my operating limits?

Code of Federal Regulations, 2014 CFR

2014-07-01

... limited to the following: (i) Inspecting the fabric filter for air leaks, torn or broken bags or filter... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) STANDARDS OF PERFORMANCE FOR NEW STATIONARY... maintain your bag leak detection system in continuous operation according to your monitoring plan required...

40 CFR 60.273a - Emission monitoring.

Code of Federal Regulations, 2013 CFR

2013-07-01

... following: (1) Inspecting the baghouse for air leaks, torn or broken bags or filter media, or any other....273a Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... by a certified visible emission observer and the owner installs and continuously operates a bag leak...

40 CFR 60.5225 - What are the monitoring and calibration requirements for compliance with my operating limits?

Code of Federal Regulations, 2013 CFR

2013-07-01

... limited to the following: (i) Inspecting the fabric filter for air leaks, torn or broken bags or filter... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) STANDARDS OF PERFORMANCE FOR NEW STATIONARY... maintain your bag leak detection system in continuous operation according to your monitoring plan required...

40 CFR 60.273 - Emission monitoring.

Code of Federal Regulations, 2014 CFR

2014-07-01

...) Inspecting the baghouse for air leaks, torn or broken bags or filter media, or any other condition that may....273 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... installs and continuously operates a bag leak detection system according to paragraph (e) of this section...

40 CFR 60.273a - Emission monitoring.

Code of Federal Regulations, 2014 CFR

2014-07-01

... following: (1) Inspecting the baghouse for air leaks, torn or broken bags or filter media, or any other....273a Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... by a certified visible emission observer and the owner installs and continuously operates a bag leak...

40 CFR 60.273a - Emission monitoring.

Code of Federal Regulations, 2012 CFR

2012-07-01

... following: (1) Inspecting the baghouse for air leaks, torn or broken bags or filter media, or any other....273a Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... by a certified visible emission observer and the owner installs and continuously operates a bag leak...

Sequential segmental terminal lenticular side-cut dissection for safe and effective small-incision lenticule extraction in thin lenticules.

PubMed

Jacob, Soosan; Agarwal, Amar; Mazzotta, Cosimo; Agarwal, Athiya; Raj, John Michael

2017-04-01

Small-incision lenticule extraction may be associated with complications such as partial lenticular dissection, torn lenticule, lenticular adherence to cap, torn cap, and sub-cap epithelial ingrowth, some of which are more likely to occur during low-myopia corrections. We describe sequential segmental terminal lenticular side-cut dissection to facilitate minimally traumatic and smooth lenticular extraction. Anterior lamellar dissection is followed by central posterior lamellar dissection, leaving a thin peripheral rim and avoiding the lenticular side cut. This is followed by sequential segmental dissection of the lenticular side cut in a manner that fixates the lenticule and provides sufficient resistance for smooth and complete dissection of the posterior lamellar cut without undesired movements of the lenticule. The technique is advantageous in thin lenticules, where the risk for complications is high, but can also be used in thick lenticular dissection using wider sweeps to separate the lenticular side cut sequentially. Copyright © 2017 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Mitral valve plasty for mitral regurgitation after blunt chest trauma.

PubMed

Kumagai, H; Hamanaka, Y; Hirai, S; Mitsui, N; Kobayashi, T

2001-06-01

A 21 year-old woman was admitted to our hospital because of chest and back pain after blunt chest trauma. On admission, consciousness was clear and a physical examination showed labored breathing. Her vital signs were stable, but her breathing gradually worsened, and artificial respiration was started. The chest roentgenogram and a subsequent chest computed tomographic scans revealed contusions, hemothorax of the left lung and multiple rib fractures. A transthoracic echocardiography (TTE) revealed normal left ventricular wall motion and mild mitral regurgitation (MR). TTE was carried out repeatedly, and revealed gradually progressive MR and prolapse of the posterior medial leaflet, although there was no congestive heart failure. After her general condition had recovered, surgery was performed. Intraoperative transesophageal echocardiography (TEE) revealed torn chordae at the posterior medial leaflet. The leaflet where the chorda was torn was cut and plicated, and posterior mitral annuloplasty was performed using a prosthetic ring. One month later following discharge, the MR had disappeared on TTE.

Posttraumatic Psychological Distress and Resettlement: The Need for a Different Practice in Assisting Refugee Families

ERIC Educational Resources Information Center

Lacroix, Marie; Sabbah, Charlotte

2011-01-01

Social work practitioners are increasingly confronted with couples and families who have come from war-torn countries. Refugees may have experienced genocide, organized violence, ethnic wars, displacement, and losses of various kinds. Such experiences will often be carried through the post-migratory period and obscure legitimate individual and…

Field Materiel Handling Robot Workcell

DTIC Science & Technology

1986-04-02

20-foot container, one 40-foot container, or two 20-foot containers that can be placed on a single flatbed semitrailer. The Toby- hanna Army Depot...bags are considered to be marginally effective and are easily torn. Laminated rubber air bags are effective with temperature limitations and are

Who Cares about One Blood in This Global Society? A Qualitative Study of South Korea's Reunification Curriculum

ERIC Educational Resources Information Center

Chung, Yoo Jin

2010-01-01

This qualitative study examined South Korean teenagers' views on North Korea and possible reunification. In-depth interviews conducted with fourteen (14) South Korean high school students reported that these teenagers were torn about whether or not they should support reunification. While students acknowledged the lack of dialogue and discussion…

Relationship between subscapularis tears and injuries to the biceps pulley.

PubMed

Godenèche, Arnaud; Nové-Josserand, Laurent; Audebert, Stéphane; Toussaint, Bruno; Denard, Patrick J; Lädermann, Alexandre

2017-07-01

The purpose of this study was to analyse the relationship between long head of the biceps brachii (LHBT) lesions and subscapularis tears. The hypothesis was that a bicipital pulley might remain intact, even in the case of a subscapularis tear. Between 2010 and 2011, all patients who had a primary arthroscopic repair of a subscapularis tear were potentially included in this prospective study. The outcome of interest was the prevalence and type of arthroscopic lesions of the LHBT and bicipital pulley. Furthermore, the supposed pathomechanics of injury and the treatment proposed (conservative, pulley repair, tenodesis, tenotomy, etc.) was recorded. The following baseline characteristics were assessed: age, sex, shoulder side, and limb dominance. Of the 218 patients, the superior glenohumeral ligament/coracohumeral ligament (SGHL/CHL) complex was normal in 54 patients (25%), stretched in 84 patients (39%), and absent in 77 patients (35%). Below the SGHL/CHL complex in the bicipital groove, the medial wall of the LHBT sheath was normal in 25%, partially torn in 39%, and completely torn in 35%. In 25 of the 218 patients (11%), a pathologic LHBT with an intact SGHL/CHL complex was observed. In these cases, the medial wall of the bicipital sheath was torn in 92%. The biceps pulley system, including the SGHL/CHL complex and subscapularis tendon, merits recognition as an important anatomical structure, and its lesions contribute to shoulder pathology. The subscapularis tendon is very important for the stability of the LHBT and should be included in the pulley system. In cases of a tear associated with a lesion of the SGHL/CHL complex, the LHBT is nearly always unstable and pathologic. II.

Biomechanical analysis of articular-sided partial-thickness rotator cuff tear and repair.

PubMed

Mihata, Teruhisa; McGarry, Michelle H; Ishihara, Yoko; Bui, Christopher N H; Alavekios, Damon; Neo, Masashi; Lee, Thay Q

2015-02-01

Articular-sided partial-thickness rotator cuff tears are common injuries in throwing athletes. The superior shoulder capsule beneath the supraspinatus and infraspinatus tendons works as a stabilizer of the glenohumeral joint. To assess the effect of articular-sided partial-thickness rotator cuff tear and repair on shoulder biomechanics. The hypothesis was that shoulder laxity might be changed because of superior capsular plication in transtendon repair of articular-sided partial-thickness rotator cuff tears. Controlled laboratory study. Nine fresh-frozen cadaveric shoulders were tested by using a custom shoulder-testing system at the simulated late-cocking phase and acceleration phase of throwing motion. Maximum glenohumeral external rotation angle, anterior translation, position of the humeral head apex with respect to the glenoid, internal impingement area, and glenohumeral and subacromial contact pressures were measured. Each specimen underwent 3 stages of testing: stage 1, with the intact shoulder; stage 2, after creation of articular-sided partial-thickness tears of the supraspinatus and infraspinatus tendons; and stage 3, after transtendon repair of the torn tendons by using 2 suture anchors. Articular-sided partial-thickness tears did not significantly change any of the shoulder biomechanical measurements. In the simulated late-cocking phase, transtendon rotator cuff repair resulted in decreased maximum external rotation angle by 4.2° (P = .03), posterior shift of the humeral head (1.1-mm shift; P = .02), decreased glenohumeral contact pressure by 1.7 MPa (56%; P = .004), and decreased internal impingement area by 26.4 mm(2) (65%; P < .001) compared with values in the torn shoulder. In the acceleration phase, the humeral head shifted inferiorly (1.2-mm shift; P = .03 vs torn shoulder), and glenohumeral anterior translation (1.5-mm decrease; P = .03 vs torn shoulder) and subacromial contact pressure (32% decrease; P = .004 vs intact shoulder) decreased

JPRS Report, East Europe.

DTIC Science & Technology

1989-12-05

everywhere in the country. Torn-up streets, empty butcher shops, crowds scurrying wildly. The one thing that strikes the eye is how many apartment...Hungavis poultry exporting enterprise, is vexed that "monetary transfers and the crediting of them normally take 15 to 20 days." His vexation might be

Preparing Pre-Service Teachers for Multicultural Classrooms

ERIC Educational Resources Information Center

Premier, Jessica Aimee; Miller, Jenny

2010-01-01

Cultural diversity is evident throughout schools in Victoria, Australia. Many students are new arrivals from war-torn countries including Sudan, Afghanistan and Iraq. To what extent do teacher training courses in Victoria prepare pre-service teachers to cater for the needs of culturally and linguistically diverse (CALD) students? This paper…

Falling into Winter.

ERIC Educational Resources Information Center

Harrington, Carolyn Lang

2000-01-01

Presents an activity that connects art, science, and nature in which elementary school students learn about deciduous trees. Explains that students create a torn-tissue collage, using fall colors for a background and drawing a silhouette of a tree without leaves on top of the background with black crayon. (CMK)

7 CFR 51.3069 - Very serious damage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... STANDARDS) United States Standards for Florida Avocados Definitions § 51.3069 Very serious damage. Very... break very seriously affecting the appearance, or the edible or shipping quality; (b) Pulled stems when the skin surrounding the exposed stem cavity is torn more than an aggregate area of a circle one-half...

7 CFR 51.3069 - Very serious damage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... STANDARDS) United States Standards for Florida Avocados Definitions § 51.3069 Very serious damage. Very... break very seriously affecting the appearance, or the edible or shipping quality; (b) Pulled stems when the skin surrounding the exposed stem cavity is torn more than an aggregate area of a circle one-half...

Children, Education and War: Reaching Education for All (EFA) Objectives in Countries Affected by Conflict. Conflict Prevention and Reconstruction Unit Working Paper.

ERIC Educational Resources Information Center

Sommers, Marc

Conflict's path of devastation and chaos has dramatically slowed the ability of war-torn countries to reach the Education for All (EFA) goals adopted in Dakar (April 2000). This paper describes the situation confronting children, their families, and governments in conflict countries and describes the challenges of reaching universal primary…

Adaptive, Active and Multifunctional Composite and Hybrid Materials Program: Composite and Hybrid Materials ERA

DTIC Science & Technology

2014-04-01

Microvascular Self - Healing Composites Mechanical Evaluation ................................................................................11...Thermoplastic SMP Foam Microstructure- Mechanical Stress-Strain Relationships 2.2.2 Microvascular Self - Healing Composites Mechanical Evaluation 2.3.1 Z...materials, and embedded sensory and circulatory systems. Damage repair of torn or injured tissue was demonstrated by the use of self - healing polymer

Neighborhood Preservation.

ERIC Educational Resources Information Center

Benin, Shirley

1984-01-01

Because of concern about the preservation of the historic character of Stamford (Connecticut), children in a pilot program at an elementary school learned about neighborhood history, sketched houses, researched houses which had been torn down and drew and constructed replicas of them, and learned about renovation and period interior design. (IS)

A Community of Caring: Reaching Out to the Children of Kosovo.

ERIC Educational Resources Information Center

Mason, Linda

2000-01-01

Reports on an educator's mission to examine the status of young children and early childhood education in war-torn Kosovo. Relates the story of a 10-year-old girl and her family during and after the hostilities. Describes relief efforts of Americans and American organizations, particularly Mercy Corps International, Children's Resources…

40 CFR 60.105a - Monitoring of emissions and operations for fluid catalytic cracking units (FCCU) and fluid coking...

Code of Federal Regulations, 2012 CFR

2012-07-01

... for air leaks, torn or broken bags or filter media, or any other condition that may cause an increase... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) STANDARDS OF... nozzles must conduct a daily check of the air or water pressure to the spray nozzles and record the...

40 CFR 63.11468 - What are the monitoring requirements for new and existing sources?

Code of Federal Regulations, 2010 CFR

2010-07-01

... baghouse, including but not limited to air leaks, torn or broken bags or filter media, or any other... identified in the site-specific monitoring plan required by paragraph (c)(2) of this section. (vii) You must... submit to the Administrator or delegated authority for approval a site-specific monitoring plan for each...

Black Bodies, White Rural Spaces: Disturbing Practices of Unbelonging for "Refugee" Students

ERIC Educational Resources Information Center

Edgeworth, Kathryn

2015-01-01

In global times, when the forced migration of refugees from war-torn countries like Sudan impacts the demography of once ethnically homogenous schooling spaces, I consider the need to better understand the geographical making of racism. This article explores the lived experience of two newly arrived Sudanese students studying at a rural high…

"Did We Learn English or What?": A Study Abroad Student in the UK Carrying and Crossing Boundaries in Out-of-Class Communication

ERIC Educational Resources Information Center

Badwan, Khawla M.

2017-01-01

Language educators in many parts of the world are torn between preparing language learners to pass language proficiency tests and trying to let their classrooms reflect the messiness of out-of-class communication. Because testing is "an activity which perhaps more than any other dictates what is taught" (Hall, 2014, p. 379), helping…

77 FR 57003 - Airworthiness Directives; Airbus Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-17

... Airworthiness Directives; Airbus Airplanes AGENCY: Federal Aviation Administration (FAA), Department of... Airbus Model A318, A319, and A320 series airplanes. This AD was prompted by a report of a torn out.... The FAA amends Sec. 39.13 by adding the following new AD: 2012-18-12 Airbus: Amendment 39-17189...

Karl Marx and the Paris Commune of 1871: Tracing Traditions of Critical Pedagogy

ERIC Educational Resources Information Center

McGray, Robert

2014-01-01

In 1871, citizens of the war torn arrondissements of Paris, in the face of traumatic political and military turmoil, established a new local form of government. The Paris Commune, as this government became known as in the English world, attracted attention for its alternative political-economic organization. One notable commentator was Karl Marx…

Active Learning Methods and Technology: Strategies for Design Education

ERIC Educational Resources Information Center

Coorey, Jillian

2016-01-01

The demands in higher education are on the rise. Charged with teaching more content, increased class sizes and engaging students, educators face numerous challenges. In design education, educators are often torn between the teaching of technology and the teaching of theory. Learning the formal concepts of hierarchy, contrast and space provide the…

Processing of Niobium-Lined M240 Machine Gun Barrels

DTIC Science & Technology

2014-11-01

different materials (the gun steel and the niobium liner). A large chunk of the niobium liner in barrel 2 was torn away from the end of the liner at...it to increase the frictional bond between the liner and gun steel . The barrels with liners were hammer forged by FN. FN experienced some...

Conflicts between On-Task and Off-Task Behaviors in the Classroom: The Influences of Parental Monitoring, Peer Value Orientations, Students' Goals, and Their Value Orientations

ERIC Educational Resources Information Center

Kilian, Britta; Hofer, Manfred; Kuhnle, Claudia

2013-01-01

Students in class are sometimes torn between following the lesson and engaging in off-task behavior. In this paper, instead of classifying it as a form of deviant behavior, off-task behavior is reconstructed as a manifestation of students multiple motivations in the classroom. The study examines whether parental monitoring, peer value…

A Role for English Language Teachers in Trauma Healing

ERIC Educational Resources Information Center

Medley, Michael

2012-01-01

Because English language teachers should take into account the social-psychological situation of the students they teach, they must be sensitive to the effects of traumatic stress among learners. Refugee and immigrant children are frequently survivors of trauma, along with their peers in crisis-torn English as a foreign language settings around…

Developing a Drawing Task to Differentiate Group Average Time Course vs. Dynamics in the Individual

ERIC Educational Resources Information Center

Blech, Christine; Gaschler, Robert

2017-01-01

Teaching and theorizing in psychology has long been torn between targeting general underlying principles by observing dynamics in the individual or focusing on average behavior. As dealing with group averages is common practice in psychology, it is important for students to understand how individual learning curves relate to group average curves.…

One-Shot Library Instruction and Cambourne's Theory of Learning

ERIC Educational Resources Information Center

Masuchika, Glenn Norio; Boldt, Gail

2012-01-01

Librarians who teach one-shot library instruction classes (one-time, one- to three-hour classes to students who are assumed to be novice researchers) are often torn between two pedagogic approaches: a "critical mass" pedagogy emphasizing a minimum amount of databases that must be introduced with little time for student searching, and a…

Central American Refugees and U.S. High Schools. A Psychosocial Study of Motivation and Achievement.

ERIC Educational Resources Information Center

Suarez-Orozco, Marcelo M.

This ethnographic study documents and interprets key school, work, and family life issues in the lives and experiences of a sampling of recent immigrants from the war-torn Central American nations; and suggests a psychocultural theory of achievement motivation. Information was gathered from observation in two urban high schools, interviews with 50…

It's a Wrap! A Study of Installations.

ERIC Educational Resources Information Center

Buck, Susan

2002-01-01

Describes an art project for junior and senior high school students called the wrapped chair project where students wrapped chairs using torn sheets in the style of artists, Christo Javacheff and Jeanne-Claude de-Guillebon. Explains that students created thumbnail sketches and drew their finished drawing in either charcoal or chalk. (CMK)

Balfour's Mission to Palestine: Science, Strategy, and the Inauguration of the Hebrew University in Jerusalem

ERIC Educational Resources Information Center

Macleod, Roy

2008-01-01

In 1925, A.J. Balfour, first Earl Balfour and author of the famous "Balfour Declaration", attended the inauguration of the Hebrew University in Jerusalem. His education and experience of foreign policy equipped him to take a prominent role. However, the conditions of strife-torn Palestine weighed heavily upon him, and raised wider…

The 1990s Father: Balancing Work & Family Concerns. BNA Special Report Series on Work & Family. Special Report #18.

ERIC Educational Resources Information Center

Bureau of National Affairs, Inc., Washington, DC.

This report examines the issues surrounding working fathers and the changing expectations of fatherhood that are creating the necessity for changes in the workplace. Issues examined include the following: (1) fathers are torn between employers expecting super employees and mothers expecting super fathers; (2) a few companies are taking note of the…

3 CFR 8452 - Proclamation 8452 of November 9, 2009. World Freedom Day, 2009

Code of Federal Regulations, 2010 CFR

2010-01-01

... for millions who had known only tyranny. Markets opened too, spreading information and technology that... than at any time in human history, giving rise to new opportunities for shared progress. Today, the... indifference. History reminds us that such walls can be torn down, but where they still exist we must work with...

Steal These Ideas! Winning Activities from Real Teachers

ERIC Educational Resources Information Center

Instructor, 2007

2007-01-01

This article presents several winning activities for students in the classroom. These activities include: (1) making Abraham Lincoln costumes; (2) creating frosty scenes from torn-paper collage for a grammar activity; (3) listening to Dr. Martin Luther King's "I have a Dream" speech; (4) hosting an architectural challenge for a kindergarten class;…

Keeping the Bar Low: Why Russia's Nonresident Fathers Accept Narrow Fatherhood Ideals

ERIC Educational Resources Information Center

Utrata, Jennifer

2008-01-01

Although most Russian nonresident fathers feel torn between old and new ideals of fatherhood, they end up accepting older, narrow ideals. Fathers reproduce the dominant gender discourse, which deems men irresponsible and infantile and diminishes the importance of fathers. On the basis of extensive fieldwork, including in-depth interviews (N = 21)…

Two war-torn soldiers: combat-related trauma through an intersubjective lens.

PubMed

Carr, Russell B

2013-01-01

The author, himself an Iraq war veteran, presents a contemporary psychodynamic understanding, known as intersubjective therapy, of combat-related Post-traumatic Stress Disorder (PTSD). At the onset of this case example, the patient was highly suicidal and his PTSD symptoms had not responded to a first-line treatment: manualized cognitive processing therapy. Robert Stolorow's intersubjective, psychodynamic approach to traumatic emotional experiences was then selected for treatment, and illustrates how combat in Afghanistan shattered this soldier's world and self experience. Therapeutic action arises from this intersubjective perspective by providing a relational home so that unendurable emotions can be borne, processed, and integrated to achieve a more constant and individualized sense of self. Being a two-person model of therapy, the author also describes how his work with this traumatized soldier affected him, ultimately contributing to his own sense of authentic existing. The author discusses the need for therapists to recognize and acknowledge to traumatized patients their shared finitude and the ubiquity of trauma. In the Postscript, the patient describes what he felt was therapeutic and contrasts this to his previous experiences with manualized cognitive processing therapy.

Feeling torn when everything seems right: semantic incongruence causes felt ambivalence.

PubMed

Gebauer, Jochen E; Maio, Gregory R; Pakizeh, Ali

2013-06-01

The co-occurrence of positive and negative attributes of an attitude object typically accounts for less than a quarter of the variance in felt ambivalence toward these objects, rendering this evaluative incongruence insufficient for explaining felt ambivalence. The present research tested whether another type of incongruence, semantic incongruence, also causes felt ambivalence. Semantic incongruence arises from inconsistencies in the descriptive content of attitude objects' attributes (e.g., attributes that are not mutually supportive), independent of these attributes' valences. Experiment 1 manipulated evaluative and semantic incongruence using valence norms and semantic norms. Both of these norm-based manipulations independently predicted felt ambivalence, and, in Experiment 2, they even did so over and above self-based incongruence (i.e., participants' idiosyncratic perceptions of evaluative and semantic incongruence). Experiments 3a and 3b revealed that aversive dissonant feelings play a role in the effects of evaluative incongruence, but not semantic incongruence, on felt ambivalence.

A 76-year old man with a torn Freedom SOLO bioprosthesis.

PubMed

Wollersheim, Laurens W; Li, Wilson W; van der Meulen, Jan; de Mol, Bas A

2014-01-01

We describe a case of a 76-year old male who presented with progressive dyspnoea. He underwent an aortic valve replacement with a Freedom SOLO bioprosthesis 6 years ago. Transthoracic echocardiography showed a moderate-to-severe leakage of the Freedom SOLO bioprosthesis. During surgical reintervention, a partial tear of the left coronary cusp was seen from the commissure of the right coronary cusp to its base. After radiographic and microscopic examination, no clear cause was found for the failure of this Freedom SOLO bioprosthesis. To our knowledge, this is the third failure of a Freedom SOLO bioprosthesis reported in the literature. When the long-term follow-up of the Freedom SOLO bioprosthesis is available, it has to be compared with other bioprosthesis for long-term durability.

Diagnosis of the "large medial meniscus" of the knee on MR imaging.

PubMed

Samoto, Nobuhiko; Kozuma, Masakazu; Tokuhisa, Toshio; Kobayashi, Kunio

2006-11-01

Although several quantitative magnetic resonance (MR) diagnostic criteria for discoid lateral meniscus (DLM) have been described, there are no criteria by which to estimate the size of the medial meniscus. We define a medial meniscus that exceeds the normal size as a "large medial meniscus" (LMM), and the purpose of this study is to establish the quantitative MR diagnostic criteria for LMM. The MR imaging findings of 96 knees with arthroscopically confirmed intact semilunar lateral meniscus (SLM), 18 knees with intact DLM, 105 knees with intact semilunar medial meniscus (SMM) and 4 knees with torn LMM were analyzed. The following three quantitative parameters were measured: (a) meniscal width (MW): the minimum MW on the coronal slice; (b) ratio of the meniscus to the tibia (RMT): the ratio of minimum MW to maximum tibial width on the coronal slice; (c) continuity of the anterior and posterior horns (CAPH): the number of consecutive 5-mm-thick sagittal slices showing continuity between the anterior horn and the posterior horn of the meniscus on sagittal slices. Using logistic discriminant analysis between intact SLM and DLM groups and using descriptive statistics of intact SLM and SMM groups, the cutoff values used to discriminate LMM from SMM were calculated by MW and RMT. Moreover, the efficacy of these cutoff values and three slices of the cutoff values for CAPH were estimated in the medial meniscus group. "MW> or =11 mm" and "RMT> or =15%" were determined to be effective diagnostic criteria for LMM, while three of four cases in the torn LMM group were true positives and specificity was 99% in both criteria. When "CAPH> or =3 slices" was used as a criterion, three of four torn LMM cases were true positives and specificity was 93%.

Pesticides detected in surface waters and fish of the Red River of the North drainage basin

USGS Publications Warehouse

Brigham, Mark E.

1994-01-01

Pesticide data have been collected in the Red River Basin by various Federal, State, and local agencies. Tornes and Brigham (1994) recently summarized many of these historical data. This paper summarizes selected data collected as part of the NAWQA program during 1992-93, and briefly compares these data to historical data and to pesticide usage.

Helping Immigrant and Refugee Students Succeed: It's Not Just What Happens in the Classroom

ERIC Educational Resources Information Center

Kugler, Eileen Gale; Price, Olga Acosta

2009-01-01

A child who seems disinterested may actually be depressed, living with parents who themselves are disengaged and depressed as they struggle to adjust. A student with violent outbursts, who might just appear undisciplined, can be reliving the emotion of a turbulent event in a war-torn country, experiencing a heightened "flight or fight" response.…

The War in Man; Media and Machines.

ERIC Educational Resources Information Center

Wilhelmsen, Frederick D.; Bret, Jane

The authors present a picture of contemporary man torn by conflicting forces, caught in a psychic house divided against itself, a victim of war between media and machines. Machines, they state, represent the rationalistic tradition which has brought man to the brink of psychic and social disaster. The media they see as offering hope--true…

Achieving Synergies through Generic Skills: A Strength of Online Communities

ERIC Educational Resources Information Center

Clarkson, Barnard; Brook, Chris

2007-01-01

Educators are often torn between impositions of the institution in which they work and the imperatives of their individual courses or units and the impact this tension might have on student satisfaction with the learning experience. It is common to hear that students must graduate with multiple generic attributes or skills, yet these skills may…

Congo: Elections and the Battle for Mineral Resources

ERIC Educational Resources Information Center

Social Education, 2007

2007-01-01

Twenty million voters cast ballots July 30, 2006, in the Democratic Republic of the Congo's first free election since 1960. A runoff election three months later, between transitional president Joseph Kabila and transitional vice president Jean-Pierre Bemba, gave Kabila a mandate to lead the war-torn nation for five more years. The elections, in…

Sub-Saharan Africa Report

DTIC Science & Technology

1987-02-09

leaders to lead our people to their right destinies ." In reply, the Korean Ambassador told the Prime Minister that his country which is non-aligned like...meanwhile, the torn and weary townships have hit upon the embryo of the only avenue yet in sight to materially advance the quality of their lives. If

Paradoxical phenomena of the McMurray test. An arthroscopic investigation.

PubMed

Kim, S J; Min, B H; Han, D Y

1996-01-01

We evaluated 200 patients who had a positive McMurray test and found atypical McMurray test results in 24 patients (12%). These patients revealed pain or clicking or both either in the medial compartment of the knee when the leg was internally rotated or in the lateral compartment of the knee when the leg was externally rotated. The authors analyzed these paradoxical findings at arthroscopic examination to identify the relationship between the type of meniscal tear and the direction of leg rotation that elicited the catching and displacement of the torn meniscal portion during the McMurray test. Contrary to conventional McMurray test findings, three different types of meniscal tears were found on the side of the knee where pain or a clicking sound occurred. The three types were 1) anteriorly based posterior oblique tears with anterior displacement of the meniscus, 2) bucket-handle tears in the posterior half of the menisci, and 3) peripheral detachment of discoid menisci in the posterior half of the torn portions.

Patterns of meniscal tears associated with anterior cruciate ligament lesions in athletes.

PubMed

Binfield, P M; Maffulli, N; King, J B

1993-09-01

In this study, 400 clinically anterior cruciate ligament (ACL) deficient knees were arthroscoped and studied prospectively in the period January 1986 to April 1992. An ACL tear was always confirmed, and 41 per cent of these patients did not have an associated meniscal tear. In 30.25 per cent the lateral meniscus was torn; in 21.25 per cent the ACL tear was associated with a medial meniscus tear, and in the remaining 7 per cent both menisci were torn. The most frequently associated meniscal injury was the bucket handle tear of the medial meniscus (9 per cent), followed by the posterior horn tear of the lateral meniscus, which showed the same frequency as the ragged (or degenerated) tear of the lateral meniscus (6 per cent). The horizontal tear of the posterior part of the lateral meniscus showed a prevalence of 4.3 per cent. This picture is probably dependent on a secondary referral nature of the centre surveyed, in which the average time between injury and arthroscopy was 23.3 months.

Looking at Racial Segregation: An Exploratory Case Study of a Predominately Somali Charter School

ERIC Educational Resources Information Center

Courtney, Robert H.

2015-01-01

In 2005, a group of concerned parents who had arrived in the United States as refugees from war-torn Somalia received approval from their local school district to establish the Iftin Charter School (ICS). The K-8 school continues to engender hope and intellectual strength in its students and parents. ICS finds itself uniquely equipped to meet the…

Smashing Cosmopolitanism: The Neo-Liberal Destruction of Cosmopolitan Education in East-Central Europe

ERIC Educational Resources Information Center

Imre, Robert J.; Millei, Zsuzsa

2009-01-01

Critiques that seek to examine cosmopolitanism as a concept suffer from a severe popularity problem. Rather than engage in this pro/con debate, we are interested in demonstrating that cosmopolitanism can wax and wane, ebb and flow, and has appeared as a grounding ideology for educational programs before, only to be torn asunder by those seeking to…

The Keeper of the House: Principal Succession and the Mending of the Hearts.

ERIC Educational Resources Information Center

Takahashi, Sarii Sally

When a popular high school principal was reassigned under difficult circumstances, the school's culture was torn apart. A narrative of how this happened and how the principal's successor was able to heal the rift is provided in this report. The paper provides details of the actions that led up to the board reassigning the principal and the outcry…

"This Is Why We Need a GSA"

ERIC Educational Resources Information Center

Kilman, Carrie

2007-01-01

For several weeks last spring, fliers announcing Sennett Middle School's Gay-Straight Alliance were torn from the hallways, revealing a hidden message to the culprits about why the club was important in the first place. Safe spaces can be hard to come by when you are a middle school student, especially if you are lesbian, gay, bisexual or…

An American Montessori Teacher's Experience in Sri Lanka

ERIC Educational Resources Information Center

Baker, Irene

2006-01-01

What can Montessorians learn from teaching in a war-torn country, and what can they hope to share with others in the process? These questions were much on the author's mind when she went to Sri Lanka in the summer of 2003. This article contains excerpts from e-mails the author sent home, chronicling her experience teaching two high school English…

Of people, particles and prejudice

NASA Astrophysics Data System (ADS)

Jackson, Penny; Greene, Anne; Mears, Matt; Spacecadet1; Green, Christian; Hunt, Devin J.; Berglyd Olsen, Veronica K.; Ilya, Komarov; Pierpont, Elaine; Gillman, Matthew

2016-05-01

In reply to Louise Mayor's feature article “Where people and particles collide”, about the experiences of researchers at CERN who are lesbian, gay, bisexual or transgender (LGBT), efforts to make LGBT CERN an officially recognized club, and incidents where posters advertising the club have been torn down or defaced (March pp31-36, http://ow.ly/YVP2Z).

The Swedes and Their History

ERIC Educational Resources Information Center

Olofsson, Hans; Samuelsson, Johan; Stolare, Martin; Wendell, Joakim

2017-01-01

The aim of this article is to analyse adolescents' views of Swedish history. A small number of adults were also included in the study. The analysis shows that, regardless of the age of the informants, Sweden is portrayed as an exception from the world through its legacy of a long peace (in spite of a war-torn distant history) and through its…

A new way to study the changing Arctic ecosystem

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

Hubbard, Susan

2011-09-12

Berkeley Lab scientists Susan Hubbard and Margaret Torn discuss the proposed Next Generation Ecosystem Experiment, which is designed to answer one of the most urgent questions facing researchers today: How will a changing climate impact the Arctic, and how will this in turn impact the planet's climate? More info: http://newscenter.lbl.gov/feature-stories/2011/09/14/alaska-climate-change/

A new way to study the changing Arctic ecosystem

ScienceCinema

Hubbard, Susan

2017-12-09

Berkeley Lab scientists Susan Hubbard and Margaret Torn discuss the proposed Next Generation Ecosystem Experiment, which is designed to answer one of the most urgent questions facing researchers today: How will a changing climate impact the Arctic, and how will this in turn impact the planet's climate? More info: http://newscenter.lbl.gov/feature-stories/2011/09/14/alaska-climate-change/

Exploring the Neither in João Pedro Rodrigues and João Rui Guerra Da Mata's "A ultima vez que vi Macau"

ERIC Educational Resources Information Center

ten Haaf, Rachel

2017-01-01

Torn between two colonial powers, Macau has long existed as a peripheral region in Lusophone studies. This current study explores João Pedro Rodrigues and João Rui Guerra da Mata's 2012 film "A ultima vez que vi Macau". With a focus on a contemporary Macau that seeks to resolve its fundamental duality through investigation of gender,…

[Care and acceptance of the elderly homeless person].

PubMed

Lohner, Marie-Christine

2012-01-01

Homeless people are even more vulnerable to the harsh conditions of life on the street when they are old and in poor health. Torn between respecting the individual's choice and performing its mission to provide care, the nursing team aims to find the most adapted solution. Seeking to convince without restraining it is guided by an attitude of care and concern.

Management of acute unstable acromioclavicular joint injuries.

PubMed

Cisneros, Luis Natera; Reiriz, Juan Sarasquete

2016-12-01

Surgical management of acute unstable acromioclavicular joint injuries should be focused on realigning the torn ends of the ligaments to allow for healing potential. The most widely utilized treatment methods incorporate the use of metal hardware, which can alter the biomechanics of the acromioclavicular joint. This leads to a second surgical procedure for hardware removal once the ligaments have healed. Patients with unstable acromioclavicular joint injuries managed with arthroscopy-assisted procedures have shown good and excellent clinical outcomes, without the need for a second operation. These procedures incorporate a coracoclavicular suspension device aimed to function as an internal brace, narrowing the coracoclavicular space thus allowing for healing of the torn coracoclavicular ligaments. The lesser morbidity of a minimally invasive approach and the possibility to diagnose and treat concomitant intraarticular injuries; no obligatory implant removal, and the possibility of having a straight visualization of the inferior aspect of the base of the coracoid (convenient when placing coracoclavicular fixation systems) are the main advantages of the arthroscopic approach over classic open procedures. This article consists on a narrative review of the literature in regard to the management of acute acromioclavicular joint instability.

[Instances of alienation: portrait of the torn patient. I. Individual and context].

PubMed

Stiefel, Friedrich; Bourquin, Céline; Saraga, Michael

2014-02-12

While the past decades were marked by an increased interest for the existential situation of man suffering from disease, the mechanisms alienating the patient from himself and from his context have been poorly investigated. These mechanisms, though operating in a dynamic interaction, will be discussed here sequentially. The first part of this article focuses on individual mechanisms of alienation emerging from the relationship the patient establishes with his body and psyche and on those related to his relational context. The aim is not to comprehensively describe these phenomena, but to discuss--based on clinical vignettes--some examples and their implications. The second part of the article describes some mechanisms of alienation that are incorporated in the medical apparatus and the dominant discourses.

Perspective: A Pull in Two Directions--Mothers Torn between Work and Home

ERIC Educational Resources Information Center

Murphy, Anne Pleshette

2004-01-01

This article was excerpted from the author's "The 7 Stages of Motherhood: Making the Most of Your Life as a Mom," published by Alfred A. Knopf in 2004. The author describes the experiences of several professional women, including herself, returning to work from maternity leave. The article examines the varied and sometimes ambivalent responses…

Military Review. Volume 83, Number 3, May-June 2003

DTIC Science & Technology

2003-06-01

the special operations liaison element to directly termi- nate an operational unit’s communications, which can reduce sensor-to- shooter times to...to- shooter operations. In Afghanistan, however, SOF had a dif- ferent role. With its Northern Alliance partners, SOF was a maneuver force requiring...exhibit a great amount of empathy toward children in war- torn counties. Consequently, engagements with child soldiers can be incredibly demoralizing for

Greasy Automatons and The Horsey Set: The U.S. Cavalry and Mechanization, 1928 - 1940

DTIC Science & Technology

1995-05-01

provide. Faced with the unenviable task of holding together an institution under attack from without and torn apart within, the chiefs sacrificed the... protection . Still, the Superior Board concluded that tanks were an infantry auxiliary, incapable of independent action, and recommended that they be...the tank’s role. It involved enhancing power of combat units through doctrinal and organizational schemes that exploited the protection , firepower

Scaling Task Management in Space and Time: Reducing User Overhead in Ubiquitous-Computing Environments

DTIC Science & Technology

2005-03-28

consequently users are torn between taking advantage of increasingly pervasive computing systems, and the price (in attention and skill) that they have to... advantage of the surrounding computing environments; and (c) that it is usable by non-experts. Second, from a software architect’s perspective, we...take full advantage of the computing systems accessible to them, much as they take advantage of the furniture in each physical space. In the example

Comparison of the Adjoint and Adjoint-Free 4dVar Assimilation of the Hydrographic and Velocity Observations in the Adriatic Sea

DTIC Science & Technology

2015-11-10

of the ensemble method o the estimation of sensitivities was demonstrated in meteorological Ancell and Hakim, 2007 ; Torn and Hakim, 2008) and...to predetermined low- dimensional subspaces spanned either by the reduced-order approx- imations of the model Green’s functions ( Stammer and Wunsch...2005; Qui et al., 2007 ; Hoteit, 2008). In fact, the 4dEnVar technique pursues a similar, but more general approach, pa- rameterizing the search

Repair of Nerve Cell Membrance Damage by Calcium-Dependent, Membrane-Binding Proteins

DTIC Science & Technology

2013-09-01

In acute spinal cord injury the plasma membranes of spinal neurons are torn allowing high concentrations of calcium to enter the cytoplasm, activating...repairing the cell membrane as soon as the increase in intracellular calcium is sensed by calcium -binding proteins. If these repair mechanisms can be...testing the hypothesis that the action of copine, a human calcium -dependent-membrane-binding protein, in model systems can promote a stable repair of

Development and Testing of a Two-Stage Hybrid Launcher.

DTIC Science & Technology

1979-10-31

treating as follows: 0 The steel is austenitizeu ( transformed to the austenite phase ) by heating to approximately 8430 C (1550 0 F), then cooling...produce eicner martensite or bainite, so that some ferrite and pearlite are produced; these phases are considerauly softer and weaKer. To complicate...nigher in alloying elements torn the harder martensite , and the regions lower in these elements form the softer bainite and ferrite . The mechanical

Ditching Investigation of a 1/18-Scale Model of the North American B-45 Airplane

NASA Technical Reports Server (NTRS)

Fisher, Lloyd J.; Thompson, William C.

1949-01-01

An investigation of a 1/18-scale dynamically similar model of the North American B-45 airplane was made to observe the ditching behavior and determine the proper landing technique to be used in an emergency water landing. Various conditions of damage were simulated to determine the behavior which probably would occur in a full-scale ditching. The behavior of the model was determined from high-speed motion-picture records, time-history acceleration records, and visual observations. It was concluded that the airplane should be ditched at the maximum nose-high attitude with the landing flaps full down for minimum landing speed. During the ditching, the nose-wheel and bomb-bay doors probably will be torn away and the rear of the fuselage flooded. A violent dive will very likely occur. Longitudinal decelerations of approximately 5g and vertical accelerations of approximately -6g (including gravity) will be experienced near the pilots' compartment. Ditching braces installed in the bomb bay will tend to improve the behavior slightly but will be torn away along with the bomb-bay doors. A hydroflap installed ahead of the nose-wheel doors will eliminate the dive and failure of the nose-wheel doors, and substantially reduce the motions and accelerations.

Document reconstruction by layout analysis of snippets

NASA Astrophysics Data System (ADS)

Kleber, Florian; Diem, Markus; Sablatnig, Robert

2010-02-01

Document analysis is done to analyze entire forms (e.g. intelligent form analysis, table detection) or to describe the layout/structure of a document. Also skew detection of scanned documents is performed to support OCR algorithms that are sensitive to skew. In this paper document analysis is applied to snippets of torn documents to calculate features for the reconstruction. Documents can either be destroyed by the intention to make the printed content unavailable (e.g. tax fraud investigation, business crime) or due to time induced degeneration of ancient documents (e.g. bad storage conditions). Current reconstruction methods for manually torn documents deal with the shape, inpainting and texture synthesis techniques. In this paper the possibility of document analysis techniques of snippets to support the matching algorithm by considering additional features are shown. This implies a rotational analysis, a color analysis and a line detection. As a future work it is planned to extend the feature set with the paper type (blank, checked, lined), the type of the writing (handwritten vs. machine printed) and the text layout of a snippet (text size, line spacing). Preliminary results show that these pre-processing steps can be performed reliably on a real dataset consisting of 690 snippets.

An emergency response team for membrane repair

NASA Technical Reports Server (NTRS)

McNeil, Paul L.; Kirchhausen, Tom

2005-01-01

On demand, rapid Ca(2+)-triggered homotypic and exocytic membrane-fusion events are required to repair a torn plasma membrane, and we propose that this emergency-based fusion differs fundamentally from other rapid, triggered fusion reactions. Emergency fusion might use a specialized protein and organelle emergency response team that can simultaneously promote impromptu homotypic fusion events between organelles and exocytic fusion events along the vertices between these fusion products and the plasma membrane.

Army Communicator. Volume 32, Number 2, Spring 2007

DTIC Science & Technology

2007-01-01

they could physically see the war- torn equipment piling up outside the gate. Seeing all that equipment made quite an impression on con- gressional... Kenneth Gainous. MAJ Thomson is currently ACE – American Council on Educa- tion CCNA – Cisco Certified Network Associate FA24 – Functional Area 24 GIG...operations and sensor-to- shooter nets. Another 5,000 radios are fielded with the other services and coalition partners. Referred to as the Situation

Lessons Learned from the Use of the Machine Gun during the Russo-Japanese War and the Application of Those Lessons by the Protagonists of World War I

DTIC Science & Technology

2005-06-17

defense, where they threw themselves panting into pits that their own artillery had torn .”20 Another said of these same guns, “Nothing can stand...Nineteenth Century, trans. Gordon E. Smith (Gulf Breeze, FL: Academic International Press, 1996 ), 185. 10Ibid., 109. 11Menning, Bayonets Before...the man most directly responsible for creating these expert shooters , Major N. R. McMahon, chief instructor at the Hythe School of Musketry, did not

Horizontal and Vertical Stabilization of Acute Unstable Acromioclavicular Joint Injuries Arthroscopy-Assisted

PubMed Central

Cisneros, Luis Natera; Sarasquete Reiriz, Juan; Besalduch, Marina; Petrica, Alexandru; Escolà, Ana; Rodriguez, Joaquim; Fallone, Jan Carlo

2015-01-01

We describe the technical aspects of an arthroscopy-assisted procedure indicated for the management of acute unstable acromioclavicular joint injuries, consisting of a synthetic augmentation of both the coracoclavicular and acromioclavicular ligaments, that anatomically reproduces the coracoclavicular biomechanics and offers fixation that keeps the torn ends of the ligaments facing one another, thus allowing healing of the native structures without the need for a second surgical procedure for metal hardware removal. PMID:26870653

On Sensitivity Analysis within the 4DVAR Framework

DTIC Science & Technology

2014-02-01

sitivity’’ (AS) approach, Lee et al. (2001) estimated the sensitivity of the Indonesian Throughflow to remote wind forcing, Losch and Heimbach ( 2007 ...of massive paral- lelization. The ensemble sensitivity (ES) analysis (e.g., Ancell and Hakim 2007 ; Torn and Hakim 2008) follows the basic principle of...variational assimila- tion techniques (e.g., Cao et al. 2007 ; Liu et al. 2008; Yaremchuk et al. 2009; Clayton et al. 2013). In particular, Yaremchuk

Atlantic brant--human commensalism on eelgrass beds in New Jersey

USGS Publications Warehouse

Kirby, R.E.; Obrecht, H.H.

1980-01-01

Atlantic Brant Branta bernicla hrota in Barnegat Bay, New Jersey, have established a commensal feeding relationship with man. Small flocks feed 3-5 m from clam fishermen on Zostera torn from the sea bottom by the fishing activities. Background material on the availability and digestibility of different brant foods is presented. This commensalism gives the Brant an efficient food gathering opportunity and permits them to exploit Zostera which might otherwise be unavailable to them.

Ecology of Postlarval Stages of Chigger Mites.

DTIC Science & Technology

1985-12-05

or during prolonged droughts . Adults of T. autumnalis have been collected at depths of 30.5-45.7 cm (Cockings 1948), and Richards (1950) reported...study were all Pinus spp. in advanced stages of decay, and could easily be torn apart by hand. Much of the wood in 9r - --- - decomposing tree stumps...floridana L.), Red Cedar (Juniperus virginiana L.), Loblolly Pine ( Pinus taeda L.), and Hawthorne (Crataegus sp.). Shrubs consisted predominantly of

The Linear Perturbation Theory of Axially Symmetric Compressible Flow with Application to the Effect of Compressibility on the Pressure Coefficient at the Surface of a Body of Revolution

DTIC Science & Technology

1947-07-18

which + la constant constitute a surface vhlch say he called a streaa surface. The stream surface Is In torn Bode up of streaallnee. If a...potential and stream function would be, reapeetHely, VpX and ia ^r8. The stream awfaeoa would he right circular cylinders with axes along the x...there is a double infinity of methods. In general, !n transforming frem the compreeslhlo-flov field to the IncrwpreSBlble-flow field, streaa

Torn in Two: An Examiniation of Elementary School Counselors' Perceptions on Self-Efficacy

ERIC Educational Resources Information Center

Sesto, Casper

2013-01-01

The American School Counselor Association (ASCA; The ASCA National Model: A Framework for School Counseling Programs, 2005) developed the ASCA National Model to define the prescribed roles and functions of the professional school counselor. Although the national model initially defines school counselors' roles, counselors find it difficult to…

Determinants of Children's Mental Health in War-Torn Settings: Translating Research Into Action.

PubMed

Miller, Kenneth E; Jordans, Mark J D

2016-06-01

Research on the mental health and psychosocial wellbeing of children in conflict-affected settings has undergone a significant paradigm shift in recent years. Earlier studies based on a war exposure model primarily emphasized the effects of direct exposure to armed conflict; this has gradually given way to a broader understanding of the diverse pathways by which organized violence affects children. A robustly supported comprehensive model includes risk factors at multiple points in time (prior war exposure, ongoing daily stressors) and at all levels of the social ecology. In particular, findings suggest that material deprivation and a set of family variables, including harsh parenting, parental distress, and witnessing intimate partner violence, are important mediators of the relationship between armed conflict and children's wellbeing. To date, however, interventions aimed at supporting war-affected children's wellbeing, both preventive and treatment-focused, have focused primarily on direct work with children, while paying only modest attention to ongoing risk factors in their families and broader environments. Possible reasons for the ongoing prioritization of child-focused interventions are considered, and examples are provided of recent evidence-based interventions that have reduced toxic stressors (harsh parenting and the use of violent discipline by teachers) in conflict-affected communities.

Rapid Deployment of International Tele-Intensive Care Unit Services in War-Torn Syria.

PubMed

Moughrabieh, Anas; Weinert, Craig

2016-02-01

The conflict in Syria has created the largest humanitarian emergency of the twenty-first century. The 4-year Syrian conflict has destroyed hospitals and severely reduced the capacity of intensive care units (ICUs) and on-site intensivists. The crisis has triggered attempts from abroad to support the medical care of severely injured and acutely ill civilians inside Syria, including application of telemedicine. Within the United States, tele-ICU programs have been operating for more than a decade, albeit with high start-up costs and generally long development times. With the benefit of lessons drawn from those domestic models, the Syria Tele-ICU program was launched in December 2012 to manage the care of ICU patients in parts of Syria by using inexpensive, off-the-shelf video cameras, free social media applications, and a volunteer network of Arabic-speaking intensivists in North America and Europe. Within 1 year, 90 patients per month in three ICUs were receiving tele-ICU services. At the end of 2015, a network of approximately 20 participating intensivists was providing clinical decision support 24 hours per day to five civilian ICUs in Syria. The volunteer clinicians manage patients at a distance of more than 6,000 miles, separated by seven or eight time zones between North America and Syria. The program is implementing a cloud-based electronic medical record for physician documentation and a medication administration record for nurses. There are virtual chat rooms for patient rounds, radiology review, and trainee teaching. The early success of the program shows how a small number of committed physicians can use inexpensive equipment spawned by the Internet revolution to support from afar civilian health care delivery in a high-conflict country.

Rapid Deployment of International Tele–Intensive Care Unit Services in War-Torn Syria

PubMed Central

Moughrabieh, Anas

2016-01-01

The conflict in Syria has created the largest humanitarian emergency of the twenty-first century. The 4-year Syrian conflict has destroyed hospitals and severely reduced the capacity of intensive care units (ICUs) and on-site intensivists. The crisis has triggered attempts from abroad to support the medical care of severely injured and acutely ill civilians inside Syria, including application of telemedicine. Within the United States, tele-ICU programs have been operating for more than a decade, albeit with high start-up costs and generally long development times. With the benefit of lessons drawn from those domestic models, the Syria Tele-ICU program was launched in December 2012 to manage the care of ICU patients in parts of Syria by using inexpensive, off-the-shelf video cameras, free social media applications, and a volunteer network of Arabic-speaking intensivists in North America and Europe. Within 1 year, 90 patients per month in three ICUs were receiving tele-ICU services. At the end of 2015, a network of approximately 20 participating intensivists was providing clinical decision support 24 hours per day to five civilian ICUs in Syria. The volunteer clinicians manage patients at a distance of more than 6,000 miles, separated by seven or eight time zones between North America and Syria. The program is implementing a cloud-based electronic medical record for physician documentation and a medication administration record for nurses. There are virtual chat rooms for patient rounds, radiology review, and trainee teaching. The early success of the program shows how a small number of committed physicians can use inexpensive equipment spawned by the Internet revolution to support from afar civilian health care delivery in a high-conflict country. PMID:26788827

Postoperative New-Onset Pseudoparalysis: A Retrospective Analysis of 430 Consecutive Arthroscopic Repairs for Large to Massive Rotator Cuff Tears.

PubMed

Jeong, Hyeon Jang; Rhee, Sung Min; Oh, Joo Han

2018-04-01

The authors have sometimes encountered postoperative new-onset pseudoparalysis (PONP) after arthroscopic repair for large to massive rotator cuff tear (ARCR). As there are insufficient data regarding PONP, the authors aimed to determine whether such a condition is characterized by obvious risk factors, as well as to assess the conditions under which it can be reversed. To evaluate the predictors of PONP development after ARCR and its reversal and to integrate these predictors into a scoring system that can be applied in clinical practice. Case-control study; Level of evidence, 3. The authors retrospectively analyzed 430 consecutive ARCRs performed between March 2010 and May 2016. Patients were stratified according to the occurrence of PONP. To determine the risk factors of PONP, the authors compared the PONP and control groups (patients who did not experience PONP) in terms of demographic, clinical, and operative characteristics. Results were expressed in terms of odds ratios (ORs). The incidence of PONP was 6.0% (26 of 430). Predictors of PONP included torn subscapularis (OR, 7.875; 95% CI, 1.780-34.956; P = .007), ≥30-mm retraction of the torn supraspinatus (OR, 4.657; 95% CI, 1.537-14.203; P = .007), age ≥65 years (OR, 3.865; 95% CI, 1.465-10.040; P = .006), and preoperative stiffness (OR, 2.954; 95% CI, 1.212-7.159; P = .017). The reversal rate of PONP was 65.4% (17 of 26), and the mean time to PONP reversal was 10 months. The occurrence and reversal of PONP were not related to retear. Fatty infiltration of the supraspinatus lower than Goutallier grade 3 was the sole predictor of reversal (OR, 22.000; 95% CI, 1.857-260.648; P = .014). Although the incidence of PONP after ARCR was low (6.0%), the risk of PONP was higher in patients with a torn subscapularis, larger supraspinatus tear size, older age, and preoperative stiffness. The mean time from PONP onset to reversal was 10 months, and PONP reversal was affected solely by fatty infiltration of the

The effect of complete radial lateral meniscus posterior root tear on the knee contact mechanics: a finite element analysis.

PubMed

Bao, H R C; Zhu, D; Gong, H; Gu, G S

2013-03-01

In recent years, with technological advances in arthroscopy and magnetic resonance imaging and improved biomechanical studies of the meniscus, there has been some progress in the diagnosis and treatment of injuries to the roots of the meniscus. However, the biomechanical effect of posterior lateral meniscus root tears on the knee has not yet become clear. The purpose of this study was to determine the effect of a complete radial posterior lateral meniscus root tear on the knee contact mechanics and the function of the posterior meniscofemoral ligament on the knee with tear in the posterior root of lateral meniscus. A finite element model of the knee was developed to simulate different cases for intact knee, a complete radial posterior lateral meniscus root tear, a complete radial posterior lateral meniscus root tear with posterior meniscofemoral ligament deficiency, and total meniscectomy of the lateral meniscus. A compressive load of 1000 N was applied in all cases to calculate contact areas, contact pressure, and meniscal displacements. The complete radial posterior lateral meniscus root tear decreased the contact area and increased the contact pressure on the lateral compartment under compressive load. We also found a decreased contact area and increased contact pressure in the medial compartment, but it was not obvious compared to the lateral compartment. The lateral meniscus was radially displaced by compressive load after a complete radial posterior lateral meniscus root tear, and the displacement took place mainly in the body and posterior horn of lateral meniscus. There were further decrease in contact area and increases in contact pressure and raidial displacement of the lateral meniscus in the case of the complete posterior lateral meniscus root tear in combination with posterior meniscofemoral ligament deficiency. Complete radial posterior lateral meniscus root tear is not functionally equivalent to total meniscectomy. The posterior root torn lateral

A Structural Weight Estimation Program (SWEEP) for Aircraft. Volume 6 - Wing and Empennage Module. Appendix A: General Information for Module Flow Charts and Listings. Appendix B: Program Flow Charts, Overlays (8,0), (14,0), (15,0), (16,0) and (17,0)

DTIC Science & Technology

1974-06-01

reimi /oifi I mew oo n ni I • I t»M • »’ - (I/O.. -iISIII »7. . ISIll • »I/ISM • ^■>l niKii • mi i Wi’iOui...flll>»tlllll"r A ’ torn». • rami nm • reiMi ni»i • ocm .. • cioie • i it CKDIII • nsiiii 1 IMIBl • TCIII TWllTI ■ TCm miai • «ein

Unmanned Aerial Warfare: Strategic Help or Hindrance

DTIC Science & Technology

2000-06-01

operations quickly as opposed to rebuilding war torn infrastructure.60 The public opinion data is not as clear on this issue since questions were...for US military Operations (Santa Monica, CA: Rand Corporation, 1996 ), 11. 29 Ibid., 12. 30 Ibid., 8. 31 Mueller, 47. 32 Ibid. 33 Meuller, 233. 34...has been built around the “ shooter ” and the support elements. The focus of this system has always been to give the “warfighter” the support they need

Isometric immersions, energy minimization and self-similar buckling in non-Euclidean elastic sheets

NASA Astrophysics Data System (ADS)

Gemmer, John; Sharon, Eran; Shearman, Toby; Venkataramani, Shankar C.

2016-04-01

The edges of torn plastic sheets and growing leaves often display hierarchical buckling patterns. We show that this complex morphology i) emerges even in zero strain configurations, and ii) is driven by a competition between the two principal curvatures, rather than between bending and stretching. We identify the key role of branch point (or “monkey saddle”) singularities in generating complex wrinkling patterns in isometric immersions, and show how they arise naturally from minimizing the elastic energy.

JPRS Report, East Asia, Southeast Asia

DTIC Science & Technology

1988-08-18

brochures entitled "Pancasila Should Be Torn Up by Every Muslim," by Muhamad Izrail, "The Muslim Position on Pancasila," by Abu Musa, and "The Process...to past UMNO Pemuda chair- men. In Kuala Terengganu—Haji Abdul Rahaman Bakar , former deputy chairman of the Terengganu UMNO (old) Pemuda, who was...34] [Text] Bangkok, Tuesday [5 July]—Foreign Minister Datuk Haji Abu Hassan Omar will visit Hanoi in several weeks to discuss the question of

JPRS Report Soviet Union Political Affairs.

DTIC Science & Technology

1990-06-25

this is far from the truth. I must say that among the USSR Supreme Soviet depu- ties there are a few people who feel that the Union is being torn...pioneer camps; — investigate the feasibility of and organize the rest of children and young families from the afflicted rayons in their own republics...republic com- munist parties will create their own specific documents. I feel that we must voice the same decisive attitude toward the attempts to weaken

Composite Material from By-products and Its Properties

NASA Astrophysics Data System (ADS)

Šeps, K.; Broukalová, I.; Vodička, J.

2017-09-01

The paper shows an example of utilization of specific textile admixture - fluffs of torn textiles from waste cars in production of composite with aggregate consisting entirely of unsorted recycled concrete. The admixture in the mixture of recycled concrete and cement binder fills the pores and voids in composite. The elaborated composite has working title STEREDconcrete. In the article, basic mechanical-physical properties of the composite are presented also the fire resistance of STEREDconcrete, which was determined in tests.

Hurricane Irma Damage Assessment

NASA Image and Video Library

2017-09-12

A boat dock torn apart is seen during a survey of NASA's Kennedy Space Center in Florida on September 12, 2017. The survey was performed to identify structures and facilities that may have sustained damage from Hurricane Irma as the storm passed Kennedy on September 10, 2017. NASA closed the center ahead of the storm's onset and only a small team of specialists known as the Rideout Team was on the center as the storm approached and passed.

Secrets of the Soil (LBNL Science at the Theater)

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

Brodie, Eoin; Northen, Trent; Jansson, Janet

2011-11-07

Four Berkeley Lab scientists unveil the "Secrets of the Soil"at this Nov. 7, 2011 Science at the Theater event. Eoin Brodie, Janet Jansson, Margaret Torn and Trent Northen talk about their research and how soil could hold the key to our climate and energy future.The discussion was moderated by John Harte, who holds a joint professorship in the Energy and Resources Group and the Ecosystem Sciences Division of UC Berkeley's College of Natural Resources

Galaxy disruption in a halo of dark matter.

PubMed

Forbes, Duncan A; Beasley, Michael A; Bekki, Kenji; Brodie, Jean P; Strader, Jay

2003-08-29

The relics of disrupted satellite galaxies have been found around the Milky Way and Andromeda, but direct evidence of a satellite galaxy in the early stages of disruption has remained elusive. We have discovered a dwarf satellite galaxy in the process of being torn apart by gravitational tidal forces as it merges with a larger galaxy's dark matter halo. Our results illustrate the morphological transformation of dwarf galaxies by tidal interaction and the continued buildup of galaxy halos.

Confusion about a little observatory: the history of the first high school observatory (German Title: Verwirrung um eine kleine Sternwarte: Die Geschichte der ersten Chemnitzer Schulsternwarte )

NASA Astrophysics Data System (ADS)

Pfitzner, Elvira

By means of a small watercolor, painted by a musicologist, the existence of the highschool observatory of Chemnitz was rediscovered. The small observatory was build in 1893 by means of funds and a donation: after WW I it was also used for popular education. During Nazi times, the observatory fell into neglect, and the mechanical damage made it impossible to put it back into operation after WW II The building was torn down in 1964 and forgotten.

Anterolateral ligament abnormalities in patients with acute anterior cruciate ligament rupture are associated with lateral meniscal and osseous injuries.

PubMed

Van Dyck, Pieter; Clockaerts, Stefan; Vanhoenacker, Filip M; Lambrecht, Valérie; Wouters, Kristien; De Smet, Eline; Gielen, Jan L; Parizel, Paul M

2016-10-01

To determine the frequency of anterolateral ligament (ALL) injury in patients with acute anterior cruciate ligament (ACL) rupture and to analyse its associated injury patterns. Ninety patients with acute ACL rupture for which MRI was obtained within 8 weeks after the initial trauma were retrospectively identified. Two radiologists assessed the status of the ALL on MRI by consensus. The presence or absence of an ALL abnormality was compared with the existence of medial and lateral meniscal tears diagnosed during arthroscopy. Associated collateral ligament and osseous injuries were documented with MRI. Forty-one of 90 knees (46 %) demonstrated ALL abnormalities on MRI. Of 49 knees with intact ALL, 15 (31 %) had a torn lateral meniscus as compared to 25 torn lateral menisci in 41 knees (61 %) with abnormal ALL (p = 0.008). Collateral ligament (p ≤ 0.05) and osseous injuries (p = 0.0037) were more frequent and severe in ALL-injured as compared with ALL-intact knees. ALL injuries are fairly common in patients with acute ACL rupture and are statistically significantly associated with lateral meniscal, collateral ligament and osseous injuries. • ALL injuries are fairly common in patients with acute ACL rupture. • ALL injuries are highly associated with lateral meniscal and osseous injuries. • MRI assessment of ACL-injured knees should include evaluation of the ALL.

[Three Jewish Germans as chief surgeons in the Berlin-Friedrichshain Hospital--a historical reminiscence].

PubMed

Franke, A; Franke, K

2005-10-01

Three jewish Germans were between 1903 and 1933 continuously in charge of a department of surgery at the oldest municipal hospital in Berlin-Friedrichshain (founded 1874). They were A. Neumann (1865-1920), Moritz Katzenstein (1872-1932) and Max Marcus (1892-1983). A. Neumann described in 1907 the so-called omentum-majus-cuff. By this a drain is wrapped up and put into a perforated ulcus pylori, which cannot be treated by another procedure. M. Katzenstein in 1900 was the first in Germany who repaired a torn off meniscus by suture with a good result (The very first was T. Annandale in Edinburgh in 1883). Aside of this procedure, important for prevention of gonarthrosis, M. K. described new methods for repairing torn ligaments of the elbow and the ankle joint. He was a close friend of Albert Einstein during his years in Berlin. Max Marcus was after the death of M. Katzenstein the youngest chief surgeon in Berlin--but only until April 1933. Then he was expelled by the Nazis, because he was a jew. In June 1933 he immigrated to Palestine and became the leading surgeon there in the later Israel. After the end of World War II he refused coming back to Germany, though F. Sauerbruch spoke about him as the "great hope for the German surgery".

Vertical tears of the cranial horn of the meniscus and its cranial ligament in the equine femorotibial joint: 7 cases and their treatment by arthroscopic surgery.

PubMed

Walmsley, J P

1995-01-01

Five horses with a vertical tear in the cranial horn and cranial ligament of the medial meniscus and 2 horses with a similar injury in the lateral meniscus were diagnosed from a series of 126 horses which were examined arthroscopically for stifle lameness. All the lesions had similar characteristics. The tear was about 1 cm from the axial border of the meniscus and its ligament and, in all but one case in which it was incomplete, much of the torn tissue was loosely attached in the axial part of the joint from where it was removed. The remaining meniscus, abaxial to the tear, was displaced cranially and abaxially and its torn edges were debrided. Radiographically, 6 cases had proliferative new bone on the cranial aspect of the intercondylar eminence of the tibia and 3 had calcified soft tissue densities in the cranial, medial or lateral femorotibial joint. Following surgery and a 6 month period of rest and controlled exercise, 3 horses returned to full competition work, one was usable for hacking, 2 are convalescing and one is lame after one year. It is postulated that this could be a characteristic meniscal injury in horses which can benefit from arthroscopic surgery. Better techniques for accessing the body and caudal pole of the menisci are needed if a more complete diagnosis and treatment of meniscal injuries are to be achieved.

Skylab 2 Farewell View from the Departing Skylab Command/Service Module

NASA Image and Video Library

1973-06-22

SL2-07-667 (22 June 1973) --- This overhead view of the Skylab Space Station was taken from the Departing Skylab Command/Service Module during the Skylab 2's final fly-around inspection. The single solar panel is quite evident as well as the parasol solar shield, rigged to replace the missing micrometeoroid shield. Both the second solar panel and the micrometeoroid shield were torn away during a mishap in the original Skylab 1 liftoff and orbital insertion. Photo credit: NASA

Skylab 2 Farewell View from the Departing Skylab Command/Service Module

NASA Image and Video Library

1973-06-22

SL2-07-651 (22 June 1973) --- This overhead view of the Skylab Space Station was taken from the Departing Skylab Command/Service Module during the Skylab 2's final fly-around inspection. The single solar panel is quite evident as well as the parasol solar shield, rigged to replace the missing micrometeoroid shield. Both the second solar panel and the micrometeoroid shield were torn away during a mishap in the original Skylab 1 liftoff and orbital insertion. Photo credit: NASA

M-X Environmental Technical Report. Alternative Potential Deployment Areas: Texas/New Mexico.

DTIC Science & Technology

1980-12-22

437.2 466.7 Motor Vehicle Sales Tax 401.1 433.3 Cigarette and Tobacco Taxes 300.3 309.8 Corporate Franchise Tax 264.9 293.8 Alcoholic Beverage Tax... benefits of several :"t,-stt metroplitan areas in effect in first half of 1980. Wage may also take he torn. of per diet’.. travtel subsistance...locations other than operating bases as this study assumes. Roughly 300 persons per ASC would be required, as would local procurement for food and other

[Instances of alienation: portrait of the torn patient. 2. Medical apparatus and dominant discourses].

PubMed

Stiefel, Friedrich; Bourquin, Céline; Saraga, Michael

2014-02-12

The first part of the article focused on the individual mechanisms--body, psyche and relational context--alienating the patient. The second part addresses alienating mechanisms related to the medical apparatus and the dominant discourses produced within and by society. The aim is not to comprehensively list possible mechanisms, but to discuss some of them using illustrative examples.

Leukocyte-Reduced Platelet-Rich Plasma Normalizes Matrix Metabolism in Torn Human Rotator Cuff Tendons.

PubMed

Cross, Jessica A; Cole, Brian J; Spatny, Kaylan P; Sundman, Emily; Romeo, Anthony A; Nicholson, Greg P; Wagner, Bettina; Fortier, Lisa A

2015-12-01

The optimal platelet-rich plasma (PRP) for treatment of supraspinatus tendinopathy has not been determined. To evaluate the effect of low- versus high-leukocyte concentrated PRP products on catabolic and anabolic mediators of matrix metabolism in diseased rotator cuff tendons. Controlled laboratory study. Diseased supraspinatus tendons were treated with PRP made by use of 2 commercial systems: Arthrex Autologous Conditioned Plasma Double Syringe System (L(lo) PRP) and Biomet GPS III Mini Platelet Concentrate System (L(hi) PRP). Tendon explants were placed in 6-well plates and cultured in L(lo) PRP, L(hi) PRP, or control media (Dulbecco's Modified Eagle Medium + 10% fetal bovine serum) for 96 hours. Tendons were processed for hematoxylin-eosin histologic results and were scored with the modified Bonar scale. Group 1 tendons were defined as moderate tendinopathy (Bonar score <3); group 2 tendons were assessed as severely affected (Bonar score = 3). Transforming growth factor β-1 (TGFβ-1), interleukin-1β (IL-1β), interleukin-1 receptor antagonist (IL-1Ra), interleukin-6 (IL-6), interleukin-8 (IL-8), and matrix metalloproteinase-9 (MMP-9) concentrations in PRP media were measured by use of enzyme-linked immunosorbent assay after 96 hours of culture with diseased tendon. Tendon messenger RNA expression of collagen type I (COL1A1), collagen type III (COL3A1), cartilage oligomeric matrix protein (COMP), MMP-9, MMP-13, and IL-1β was measured with real-time quantitative polymerase chain reaction. Leukocytes and platelets were significantly more concentrated in L(hi) PRP compared with L(lo) PRP. Increased IL-1β was present in L(hi) PRP after culture with group 1 tendons. IL-6 was increased in L(hi) PRP after culture with group 2 tendons. Both TGFβ-1 and MMP-9 were increased in L(hi) PRP after culture with either tendon group. In L(lo) PRP cultures, IL-1Ra:IL-1β in PRP used as media and COL1A1:COL3A1 gene expression were increased for group 1 tendon cultures. Gene expression of MMP-9 and IL-1β was increased in group 2 tendons cultured in L(lo) PRP. There was no significant difference in the expression of MMP-13 or COMP in either group of tendons cultured in L(lo) PRP or L(hi) PRP. L(lo) PRP promotes normal collagen matrix synthesis and decreases cytokines associated with matrix degradation and inflammation to a greater extent than does L(hi) PRP in moderately degenerative tendons. In severely degenerative tendons, neither PRP preparation enhanced matrix synthesis. L(lo) PRP may promote healing in moderately degenerative rotator cuff tendons. © 2015 The Author(s).

Sexual Violence toward Children and Youth in War-Torn Eastern Democratic Republic of Congo

PubMed Central

Malemo Kalisya, Luc; Lussy Justin, Paluku; Kimona, Christophe; Nyavandu, Kavira; Mukekulu Eugenie, Kamabu; Jonathan, Kasereka Muhindo Lusi; Claude, Kasereka Masumbuko; Hawkes, Michael

2011-01-01

Background The epidemic of gender-based violence in the Democratic Republic of the Congo (DRC) has garnered popular media attention, but is incompletely described in the medical literature to date. In particular, the relative importance of militarized compared to civilian rape and the impact on vulnerable populations merits further study. We describe a retrospective case series of sexual abuse among children and youth in eastern DRC. Methods Medical records of patients treated for sexual assault at HEAL Africa Hospital, Goma, DRC between 2006 and 2008 were reviewed. Information extracted from the chart record was summarized using descriptive statistics, with comparative statistics to examine differences between pediatric (≤18 yrs) and adult patients. Findings 440 pediatric and 54 adult sexual abuse cases were identified. Children and youth were more often assaulted by someone known to the family (74% vs 30%, OR 6.7 [95%CI 3.6–12], p<0.001), and less frequently by military personnel (13% vs 48%, OR 0.14 [95%CI 0.075–0.26], p<0.001). Delayed presentation for medical care (>72 hours after the assault) was more common in pediatric patients (53% vs 33%, OR 2.2 [95%CI 1.2–4.0], p = 0.007). Physical signs of sexual abuse, including lesions of the posterior fourchette, hymeneal tears, and anal lesions, were more commonly observed in children and youth (84% vs 69%, OR 2.3 [95%CI 1.3–4.4], p = 0.006). Nine (2.9%) pediatrics patients were HIV-positive at presentation, compared to 5.3% of adults (p = 0.34). Interpretation World media attention has focused on violent rape as a weapon of war in the DRC. Our data highlight some neglected but important and distinct aspects of the ongoing epidemic of sexual violence: sexual abuse of children and youth. PMID:21267467

Posterior medial meniscus-femoral insertion into the anterior cruciate ligament. A case report.

PubMed

Bhargava, A; Ferrari, D A

1998-03-01

Medial meniscal anomalies are rare. The anterior horn insertion into the anterior cruciate ligament is the most common. In the course of an arthroscopy for torn lateral meniscus, an anomalous band in continuity with the posterior horn of the medial meniscus was observed to insert into the anterior cruciate ligament. Although the tibial portion of the anterior cruciate was redundant, the anomalous band provided tension to the anterior cruciate ligament and a negative pivot shift. A previously unreported posterior medial meniscal femoral insertion is described.

Arthroscopically assisted percutaneous repair of fresh closed achilles tendon rupture by Kessler's suture.

PubMed

Tang, Kang-lai; Thermann, Hajo; Dai, Gang; Chen, Guang-xing; Guo, Lin; Yang, Liu

2007-04-01

Achilles tendon ruptures are difficult to repair, and the healing rate is low due to this structure's anatomic and physiological characteristics. It is essential to develop new techniques to increase the healing rate and decrease the rate of complications. To propose and evaluate a new percutaneous method of repairing fresh closed Achilles tendon ruptures by Kessler's suture under arthroscopy. Case series; Level of evidence, 4. Twenty patients were followed at least 12 months in this study. First, the torn ends of the Achilles tendon were debrided during arthroscopy. Then percutaneous repair of the Achilles tendon was performed using Kessler's suture by an inside-out technique. All cases were followed up for an average range of 21 months (range, 12-36 months). All patients were evaluated by clinical examination, magnetic resonance imaging, and the Lindholm scale. The torn ends were well aligned and sutured after the debridement under arthroscopy. According to the Lindholm scale, excellent results were seen in 15 cases and good in 5 cases. No patients had complications such as nerve injury, infection, or re-rupture at follow-up. Magnetic resonance imaging results showed that the ruptured Achilles tendons were repaired and remodeled very well in all patients. The present method is an effective surgical technique for repair of a closed rupture of the Achilles tendon. The short-term follow-up results were good, and recovery time was short. Few complications were found in our study cases.

M1/70 attenuates blood-borne neutrophil oxidants, activation, and myofiber damage following stretch injury.

PubMed

Brickson, S; Ji, L L; Schell, K; Olabisi, R; St Pierre Schneider, B; Best, T M

2003-09-01

The purpose of this study was to determine the role of the CD11b-dependent respiratory burst in neutrophil oxidant generation and activation, interleukin-8 (IL-8) production, and myofiber damage after muscle stretch injury by using the monoclonal antibody M1/70 to block this pathway. Twelve male New Zealand White rabbits were randomly assigned to a treatment group: M1/70 (n = 6), IgG isotype control (n = 3), or saline control (n = 3). After intravenous injection of the assigned agent under gas anesthesia, a standardized single-stretch injury was created in the right tibialis anterior, whereas the left tibialis anterior underwent a sham surgery. Blood-borne neutrophil oxidant generation and CD11b receptor density and plasma IL-8 levels were measured pre- and 24 h postinjury. Damage was assessed histologically at the hematoma site by counting torn myofibers. M1/70 group demonstrated decreased blood-borne neutrophil oxidant generation (P < 0.05) and CD11b receptor density (P < 0.05), an increase in plasma IL-8 concentration (P < 0.01), and less torn myofibers (P < 0.01) compared with IgG isotype or saline control groups. These data indicate that 1). CD11b-dependent respiratory burst is a major source of oxidants produced by the neutrophil, and that treatment with M1/70 2). attenuates neutrophil activation status, 3). increases plasma IL-8 concentration, and 4). minimizes myofiber damage 24 h postmuscle stretch injury.

Provenance of whitefish in the Gulf of Bothnia determined by elemental analysis of otolith cores

NASA Astrophysics Data System (ADS)

Lill, J.-O.; Finnäs, V.; Slotte, J. M. K.; Jokikokko, E.; Heimbrand, Y.; Hägerstrand, H.

2018-02-01

The strontium concentration in the core of otoliths was used to determine the provenance of whitefish found in the Gulf of Bothnia, Baltic Sea. To that end, a database of strontium concentration in fish otoliths representing different habitats (sea, river and fresh water) had to be built. Otoliths from juvenile whitefish were therefore collected from freshwater ponds at 5 hatcheries, from adult whitefish from 6 spawning sites at sea along the Finnish west coast, and from adult whitefish ascending to spawn in the Torne River, in total 67 otoliths. PIXE was applied to determine the elemental concentrations in these otoliths. While otoliths from the juveniles raised in the freshwater ponds showed low but varying strontium concentrations (194-1664 μg/g,), otoliths from sea-spawning fish showed high uniform strontium levels (3720-4333 μg/g). The otolith core analysis of whitefish from Torne River showed large variations in the strontium concentrations (1525-3650 μg/g). These otolith data form a database to be used for provenance studies of wild adult whitefish caught at sea. The applicability of the database was evaluated by analyzing the core of polished otoliths from 11 whitefish from a test site at sea in the Larsmo archipelago. Our results show that by analyzing strontium in the otolith core, we can differentiate between hatchery-origin and wild-origin whitefish, but not always between river and sea spawning whitefish.

Reliability of the anterior drawer test, the pivot shift test, and the Lachman test.

PubMed

Kim, S J; Kim, H K

1995-08-01

In 147 patients with arthroscopically proved chronic injuries of the anterior cruciate ligament, the anterior drawer test, the Lachman test, and the pivot shift test were done before operation under general or spinal anesthesia. Results of the anterior drawer test were positive in 79.6% of the patients, in 98.6% patients having the Lachman test, and in 89.8% of patients having the pivot shift test. In 19 cases (12.9%), arthroscopic examination showed reattachment of the proximally torn end of the anterior cruciate ligament to the posterior cruciate ligament. In these cases, results of the anterior drawer test were positive in 13 patients (68.4%), in 17 (89.5%) patients having the Lachman test, and in 12 patients (63.2%) having the pivot shift test. In 15 cases with a false negative pivot shift test, arthroscopy showed blockage of anterior subluxation of the lateral tibial condyle by a partially functioning portion of the anterior cruciate ligament, which was reattached to the posterior cruciate ligament in 7 cases. In 2 cases with a false negative Lachman test, there was firm reattachment of the torn end of the anterior cruciate ligament to the proximal portion of the posterior cruciate ligament combined with a bucket handle tear of the medial meniscus. The Lachman test was most sensitive in diagnosing chronic injuries of the anterior cruciate ligament. The pivot shift test was also sensitive but was influenced by many factors.

MR imaging of knees having isolated and combined ligament injuries.

PubMed

Rubin, D A; Kettering, J M; Towers, J D; Britton, C A

1998-05-01

Although clinical evaluation and MR imaging both accurately reveal injuries in knees with isolated ligament tears, physical examination becomes progressively less reliable when multiple lesions exist. We investigated the accuracy of MR imaging of knees having varying degrees and numbers of ligament injuries. We prospectively interpreted the MR images of 340 consecutive injured knees and compared these interpretations with the results of subsequent arthroscopy or open surgery, which served as the gold standard. Our interpretations of MR images focused on five soft-tissue supporting structures (the two cruciate ligaments, the two collateral ligaments, and the patellar tendon) and the two menisci. Patients were divided into three groups: no ligament injuries, single ligament injuries, and multiple ligament injuries. Using MR imaging, we found overall sensitivity and specificity for diagnosing ligament tears to be 94% and 99%, respectively, when no or one ligament was torn and 88% and 84%, respectively, when two or more supporting structures were torn. The difference in specificity was statistically significant (p < .0001). Sensitivity for diagnosing meniscal tears decreased as the number of injured structures increased, but the relationship achieved statistical significance (p = .001) only for the medial meniscus. For all categories of injury, MR imaging was more accurate than clinical evaluation, statistics for which were taken from the orthopedic literature. In knees with multiple ligament injuries, the diagnostic specificity of MR imaging for ligament tears decreases, as does the sensitivity for medial meniscal tears.

The Use of an Intra-Articular Depth Guide in the Measurement of Partial Thickness Rotator Cuff Tears

PubMed Central

Carroll, Michael J.; More, Kristie D.; Sohmer, Stephen; Nelson, Atiba A.; Sciore, Paul; Boorman, Richard; Hollinshead, Robert; Lo, Ian K. Y.

2013-01-01

Purpose. The purpose of this study was to compare the accuracy of the conventional method for determining the percentage of partial thickness rotator cuff tears to a method using an intra-articular depth guide. The clinical utility of the intra-articular depth guide was also examined. Methods. Partial rotator cuff tears were created in cadaveric shoulders. Exposed footprint, total tendon thickness, and percentage of tendon thickness torn were determined using both techniques. The results from the conventional and intra-articular depth guide methods were correlated with the true anatomic measurements. Thirty-two patients were evaluated in the clinical study. Results. Estimates of total tendon thickness (r = 0.41, P = 0.31) or percentage of thickness tears (r = 0.67, P = 0.07) using the conventional method did not correlate well with true tendon thickness. Using the intra-articular depth guide, estimates of exposed footprint (r = 0.92, P = 0.001), total tendon thickness (r = 0.96, P = 0.0001), and percentage of tendon thickness torn (r = 0.88, P = 0.004) correlated with true anatomic measurements. Seven of 32 patients had their treatment plan altered based on the measurements made by the intra-articular depth guide. Conclusions. The intra-articular depth guide appeared to better correlate with true anatomic measurements. It may be useful during the evaluation and development of treatment plans for partial thickness articular surface rotator cuff tears. PMID:23533789

Atelocollagen Enhances the Healing of Rotator Cuff Tendon in Rabbit Model.

PubMed

Suh, Dong-Sam; Lee, Jun-Keun; Yoo, Ji-Chul; Woo, Sang-Hun; Kim, Ga-Ram; Kim, Ju-Won; Choi, Nam-Yong; Kim, Yongdeok; Song, Hyun-Seok

2017-07-01

Failure of rotator cuff healing is a common complication despite the rapid development of surgical repair techniques for the torn rotator cuff. To verify the effect of atelocollagen on tendon-to-bone healing in the rabbit supraspinatus tendon compared with conventional cuff repair. Controlled laboratory study. A tear of the supraspinatus tendon was created and repaired in 46 New Zealand White rabbits. They were then randomly allocated into 2 groups (23 rabbits per group; 15 for histological and 8 for biomechanical test). In the experimental group, patch-type atelocollagen was implanted between bone and tendon during repair; in the control group, the torn tendon was repaired without atelocollagen. Each opposite shoulder served as a sham (tendon was exposed only). Histological evaluation was performed at 4, 8, and 12 weeks. Biomechanical tensile strength was tested 12 weeks after surgery. Histological evaluation scores of the experimental group (4.0 ± 1.0) were significantly superior to those of the control group (7.7 ± 2.7) at 12 weeks ( P = .005). The load to failure was significantly higher in the experimental group (51.4 ± 3.9 N) than in the control group (36.4 ± 5.9 N) ( P = .001). Histological and biomechanical studies demonstrated better results in the experimental group using atelocollagen in a rabbit model of the supraspinatus tendon tear. Atelocollagen patch could be used in the cuff repair site to enhance healing.

Endoscopic treatment of Morel-Lavallee lesion.

PubMed

Kim, Sunghoon

2016-05-01

Morel-Lavallee lesion is a closed degloving soft tissue injury in which subcutaneous tissue is torn from the underlying muscular fascia. The tear leads to venolymphatic leak, and concomitant adipose tissue necrosis from the force of the trauma causes swelling and possible infection at the site of injury. The traditional treatment for the lesion is surgical drainage and debridement. In this report, an endoscopic method is described, which achieves the goal of an open surgical debridement but minimizes surgical morbidity. Copyright © 2016 Elsevier Ltd. All rights reserved.

History of Lung Diseases of Coal Miners in Great BritainPART III, 1920-1952*

PubMed Central

Meiklejohn, Andrew

1952-01-01

All sciences are connected; they lend each other material aid as parts of one great whole, each doing its own work not for itself alone but for the other parts, as the eye guides the whole body and the foot sustains it and leads it from place to place. As with an eye torn out or a foot cut off, so it is with the different departments of knowledge; none can attain its proper result separately, since all are parts of one and the same complete wisdom. ROGER BACON (1214-1294). PMID:14944741

A new day: Challenger and space flight thereafter

NASA Technical Reports Server (NTRS)

Vonputtkamer, Jesco

1986-01-01

On January 28, 1986, at an altitude of 14 kilometers, the Space Shuttle Challenger was torn apart by an explosion of the external tank. The effects of the accident are undoubtedly far-reaching; they have broad repercussions that affect NASA's international partner organizations. The effects of the postponed shuttle flights on European space programs are discussed. A review of the German participation in the American space program is presented. The need to continue the future projects such as the space station is examined in light of its importance as a springboard for further exploration.

Torn between Two Worlds: Hybridity and In-Between Identity Recognition in Goli Taraqqi's "Two Worlds"

ERIC Educational Resources Information Center

Shabankare, Nasser Najafi; Mehrabi, Bahar

2014-01-01

As one of the contemporary Iranian women writers living in the U.S, Goli Taraqqi's fiction is mostly concerned with pains and difficulties of migrant Iranian women in other countries. Bearing a biographical resemblance, her sequence collection to "Scattered Memories," entitled "Two Worlds" retells interrelated short stories of…

Human Integration through Olympism Education: A Pragmatic Engagement of Youths in a War-Torn Society

ERIC Educational Resources Information Center

Nanayakkara, Samantha

2016-01-01

This paper delineates the findings of a mixed methods study that investigated how Olympism education could strengthen competencies of human integration through delivery of physical, social, and critical literacy and conflict resolution literacy. The study introduced a curriculum model integrating Olympism values and conflict resolution strategies…

Torn between Study and Leisure: How Motivational Conflicts Relate to Students' Academic and Social Adaptation

ERIC Educational Resources Information Center

Grund, Axel; Brassler, Nina K.; Fries, Stefan

2014-01-01

Research on motivational conflicts indicates that students' difficulties during studying may result from tempting alternatives in the leisure domain. In the present set of studies, we addressed the question of whether academic motivation inversely has negative spillover effects on students' leisure-related functioning, too. In the first 2 studies…

Retained Myogenic Potency of Human Satellite Cells from Torn Rotator Cuff Muscles Despite Fatty Infiltration.

PubMed

Koide, Masashi; Hagiwara, Yoshihiro; Tsuchiya, Masahiro; Kanzaki, Makoto; Hatakeyama, Hiroyasu; Tanaka, Yukinori; Minowa, Takashi; Takemura, Taro; Ando, Akira; Sekiguchi, Takuya; Yabe, Yutaka; Itoi, Eiji

2018-01-01

Rotator cuff tears (RCTs) are a common shoulder problem in the elderly that can lead to both muscle atrophy and fatty infiltration due to less physical load. Satellite cells, quiescent cells under the basal lamina of skeletal muscle fibers, play a major role in muscle regeneration. However, the myogenic potency of human satellite cells in muscles with fatty infiltration is unclear due to the difficulty in isolating from small samples, and the mechanism of the progression of fatty infiltration has not been elucidated. The purpose of this study was to analyze the population of myogenic and adipogenic cells in disused supraspinatus (SSP) and intact subscapularis (SSC) muscles of the RCTs from the same patients using fluorescence-activated cell sorting. The microstructure of the muscle with fatty infiltration was observed as a whole mount condition under multi-photon microscopy. Myogenic differentiation potential and gene expression were evaluated in satellite cells. The results showed that the SSP muscle with greater fatty infiltration surrounded by collagen fibers compared with the SSC muscle under multi-photon microscopy. A positive correlation was observed between the ratio of muscle volume to fat volume and the ratio of myogenic precursor to adipogenic precursor. Although no difference was observed in the myogenic potential between the two groups in cell culture, satellite cells in the disused SSP muscle showed higher intrinsic myogenic gene expression than those in the intact SSC muscle. Our results indicate that satellite cells from the disused SSP retain sufficient potential of muscle growth despite the fatty infiltration.

I'm no longer torn after choice: how explicit choices implicitly shape preferences of odors.

PubMed

Coppin, Géraldine; Delplanque, Sylvain; Cayeux, Isabelle; Porcherot, Christelle; Sander, David

2010-04-01

Several studies have shown that preferences can be strongly modulated by cognitive processes such as decision making and choices. However, it is still unclear whether choices can influence preferences of sensory stimuli implicitly. This question was addressed here by asking participants to evaluate odors, to choose their preferred odors within pairs, to reevaluate the odors, and to perform an unexpected memory test. Results revealed, for the first time in the study of olfaction, the existence of postchoice preference changes, in the sense of an overvaluation of chosen odors and a devaluation of rejected ones, even when choices were forgotten. These results suggest that chemosensory preferences can be modulated by explicit choices and that such modulation might rely on implicit mechanisms. This finding rules out any explanation of postchoice preference changes in terms of experimental demand and strongly challenges the classical cognitive-dissonance-reduction account of such preference changes.

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

Niitsu, Mamoru; Ikeda, Kotaroh; Fukubayashi, Tohru

Our goal was to assess the effect of joint position of semiflexed and extended knees in MR delineation of the anterior cruciate ligament (ACL). With a mobile knee brace and a flexible surface coil, the knee joint was either fully extended or bent to a semiflexed position (average 45{degrees} of flexion) within the magnet bore. Sets of oblique sagittal MR images were obtained for both extended and flexed knee positions. Thirty-two knees with intact ACLs and 43 knees with arthroscopically proven ACL tears were evaluated. Two observers compared paired MR images of both extended and flexed positions and rated themmore » by a relative three point scale. Anatomic correlation in MR images was obtained by a cadaveric knee with incremental flexion. The MR images of flexed knees were more useful than of extended knees in 53% of the case reviews of femoral attachments and 36% of reviews of midportions of normal ACLs. Compared with knee extensions, the MR images for knee flexion provided better clarity in 48% of reviews of disrupted sites and 52% of residual bundles of torn ACLs. Normal ACL appeared taut in the knee extension and lax in semiflexion. Compared with MR images of knees in extension, MR images of knees in flexion more clearly delineate the femoral side of the ligament with wider space under the intercondylar roof and with decreased volume-averaging artifacts, providing superior visualization of normal and torn ACLs. 13 refs., 7 figs., 1 tab.« less

Degeneration of the long biceps tendon: comparison of MRI with gross anatomy and histology.

PubMed

Buck, Florian M; Grehn, Holger; Hilbe, Monika; Pfirrmann, Christian W A; Manzanell, Silvana; Hodler, Jürg

2009-11-01

The objective of our study was to relate alterations in biceps tendon diameter and signal on MR images to gross anatomy and histology. T1-weighted, T2-weighted fat-saturated, and proton density-weighted fat-saturated spin-echo sequences were acquired in 15 cadaveric shoulders. Biceps tendon diameter (normal, flattened, thickened, and partially or completely torn) and signal intensity (compared with bone, fat, muscle, and joint fluid) were graded by two readers independently and in a blinded fashion. The distance of tendon abnormalities from the attachment at the glenoid were noted in millimeters. MRI findings were related to gross anatomic and histologic findings. On the basis of gross anatomy, there were six normal, five flattened, two thickened, and two partially torn tendons. Reader 1 graded nine diameter changes correctly, missed two, and incorrectly graded four. The corresponding values for reader 2 were seven, one, and five, respectively, with kappa = 0.75. Histology showed mucoid degeneration (n = 13), lipoid degeneration (n = 7), and fatty infiltration (n = 6). At least one type of abnormality was found in each single tendon. Mucoid degeneration was hyperintense compared with fatty infiltration on T2-weighted fat-saturated images and hyperintense compared with magic-angle artifacts on proton density-weighted fat-saturated images. MRI-based localization of degeneration agreed well with histologic findings. Diameter changes are specific but not sensitive in diagnosing tendinopathy of the biceps tendon. Increased tendon signal is most typical for mucoid degeneration but should be used with care as a sign of tendon degeneration.

M2-F3 on lakebed

NASA Image and Video Library

1970-06-20

The M2-F3 Lifting Body is seen here on the lakebed next to the NASA Flight Research Center (FRC--later Dryden Flight Research Center), Edwards, California. The May 1967 crash of the M2-F2 had torn off the left fin and landing gear. It had also damaged the external skin and internal structure. Flight Research Center engineers worked with Ames Research Center and the Air Force in redesigning the vehicle with a center fin to provide greater stability. Then Northrop Corporation cooperated with the FRC in rebuilding the vehicle. The entire process took three years.

Posterior double PCL sign: a case report of unusual MRI finding of bucket-handle tear of medial meniscus.

PubMed

Yoo, Jae Ho; Hahn, Sung Ho; Yi, Seung Rim; Kim, Seong Wan

2007-11-01

Among the MRI signs of bucket-handle tears of medial meniscus, double posterior cruciate ligament (PCL) sign denotes a low signal band anterior and parallel to the PCL, which looks like another PCL in MR images. If the bucket-handle fragment subsequently tears at the anterior horn, the torn meniscal substance can be displaced to the posterosuperior region of the PCL, and looks like another PCL behind the original PCL. We propose the lesion be called the "posterior double PCL sign" in contrast to the ordinary double PCL sign. We present a case showing the posterior double PCL sign.

Cruciate ligament replacement using a meniscus. An experimental study.

PubMed

Mitsou, A; Vallianatos, P; Piskopakis, N; Nicolaou, P

1988-11-01

In 30 rabbits, the medial meniscus was used to replace the anterior or posterior cruciate ligament. The changes that took place were followed in histological sections, obtained both from the area of insertion into bone and from the intra-articular part of the graft. There was a gradual differentiation to chondroid tissue, with subsequent calcific deposition and no appearance of normal ligamentous tissue. The strength of the graft after 52 weeks was only one-quarter of that of the normal ligament. Our results do not justify the use of the meniscus to replace a torn cruciate ligament.

The Tunguska comet or the great Siberian mystery explosion of 1908

USGS Publications Warehouse

Spall, H.

1986-01-01

The boat disintegrates, hurling men and animals into the freezing river. The farmer's shirt is scorched off his back; the tramp is blown off his feet, his ports and pans scattering like shrapnel. One of the trappers standing in the doorway of the trading post is knocked unconscious, overcome by the searing heat; the tents of the nomads are torn loose, the men and dogs inside being rolled over the ground like leaves in a gale. All that remain of the reindeer are charred carcasses. The forest has been turning into a crackling inferno, and a black fireball rises into the air. 

Ply-tear webbing energy absorber

NASA Technical Reports Server (NTRS)

Stevens, G. W. H.

1972-01-01

Ply-tear webbing is essentially two plain webbings that are bound together by a portion of the warps and that can be torn apart and do work by breaking the binders. Nylon webbing were woven to range in tear force from 1 to 10 kilonewtons. This force is substantially independent of speed, which was as high as 100 m/sec in some cases. A specific energy absorption of 90 J/g was achieved in the dry state. However, lower rated webbings that absorb approximately 40 J/g are recommended for use in practice where it is acceptable.

Person-Locator System Based On Wristband Radio Transponders

NASA Technical Reports Server (NTRS)

Mintz, Frederick W.; Blaes, Brent R.; Chandler, Charles W.

1995-01-01

Computerized system based on wristband radio frequency (RF), passive transponders is being developed for use in real-time tracking of individuals in custodial institutions like prisons and mental hospitals. Includes monitoring system that contains central computer connected to low-power, high-frequency central transceiver. Transceiver connected to miniature transceiver nodes mounted unobtrusively at known locations throughout the institution. Wristband transponders embedded in common hospital wristbands. Wristbands tamperproof: each contains embedded wire loop which, when broken or torn off and discarded, causes wristband to disappear from system, thus causing alarm. Individuals could be located in a timely fashion at relatively low cost.

Kurdistan Region, Asia as seen from STS-58

NASA Image and Video Library

1993-10-30

STS058-95-028 (18 Oct-1Nov 1993) --- Lake Urmia (Orumiyeh) in the high desert plateau of northwest Iran dominates the center of this northeast-looking view. The left edge of the view cuts Lake Van in eastern Turkey. The Caucasus Mountains in war-torn Georgia appear just beyond. Mount Ararat, of biblical fame, is a major peak north of Lake Van. The Caspian Sea, an international body of water, stretches across the top right of the view. Countries bordering the Caspian are Iran in the south, Kazakhstan in the west, and Russia and Azerbaijan in the west.

[Lung Abscess with Acute Empyema Which Improved after Performing by Video Assissted Thoracic Surgery( Including Pneumonotomy and Lung Abscess Drainage);Report of a Case].

PubMed

Gabe, Atsushi; Nagamine, Naoji

2017-05-01

We herein report the case of a patient demonstrating a lung abscess with acute empyema which improved after performing pnemumonotomy and lung abscess drainage. A 60-year-old male was referred to our hospital to receive treatment for a lung abscess with acute empyema. At surgery, the lung parenchyma was slightly torn with pus leakage. After drainage of lung abscess by enlarging the injured part, curettage in the thoracic cavity and decortication were performed. The postoperative course was uneventful. Direct drainage of an abscess into the thoracic cavity is thought to be a choice for the treatment of lung abscesses.

Therapeutic outcomes of muscular advancement by an arthroscopic-assisted modified Debeyre-Patte procedure for irreparable large and massive rotator cuff tears.

PubMed

Morihara, Toru; Kida, Yoshikazu; Furukawa, Ryuhei; Sukenari, Tsuyoshi; Kabuto, Yukichi; Kurokawa, Masao; Fujiwara, Hiroyoshi; Kubo, Toshikazu

2018-05-01

In cases of the large or massive rotator cuff tears, retear rates after rotator cuff repairs remain high. We introduced an arthroscopic-assisted modified Debeyre-Patte procedure which enables to decrease the tension of torn rotator cuff by sliding supraspinatus and infraspinatus laterally keeping fascia connection to the rhomboids. The objective of this study was to examine the clinical outcomes and retear rates after an arthroscopic-assisted modified Debeyre-Patte procedure for irreparable large and massive rotator cuff tears. Thirty-three rotator cuff tear patients (34 shoulders) were selected. These patients underwent arthroscopic-assisted modified Debeyre-Patte procedures and were observed postoperatively for at least 24 months. Magnetic resonance imaging (MRI) was used to evaluate the preoperative location of the torn rotator cuff stump and fatty infiltration of the muscles composing the rotator cuff, as well as the repaired rotator cuffs. Shoulder functional evaluations through the use of the Constant and Murley scores and the University of California Los Angeles (UCLA) shoulder score were compared before and after surgery, and the preoperative global fatty degeneration index (GFDI) was compared between retear and healed shoulders. MRI showed that 77% of shoulders were healed and 23% exhibited retear postoperatively. The mean preoperative GFDI was 1.99 among the 26 healed shoulders and 2.54 among the 8 retear shoulders (p < .05). When the Goutallier's classification was grade 3 or lower for all 3 cuff muscles for fatty infiltration, the retear rate was 14.3%. The mean Constant and Murley scores in healed and retear groups respectively improved from 34.7 ± 15.8, 30.0 ± 15.1 points (p = 0.47) preoperatively to 70.8 ± 8.3, 53.9 ± 14.0 points (p < .001), and UCLA scores in healed and retear groups from 13.8 ± 3.9, 12.4 ± 5.0 points (p = 0.46) preoperatively to 32.8 ± 2.7, 28.4 ± 3.6 points (p < .001). The clinical outcomes of

The Bridge-Enhanced Anterior Cruciate Ligament Repair (BEAR) Procedure: An Early Feasibility Cohort Study.

PubMed

Murray, Martha M; Flutie, Brett M; Kalish, Leslie A; Ecklund, Kirsten; Fleming, Braden C; Proffen, Benedikt L; Micheli, Lyle J

2016-11-01

This study assessed the safety of the newly developed bridge-enhanced anterior cruciate ligament (ACL) repair (BEAR), which involves suture repair of the ligament combined with a bioactive scaffold to bridge the gap between the torn ligament ends. As the intra-articular environment is complex in its response to implanted materials, this study was designed to determine whether there would be a significant rate of adverse reaction to the implanted scaffold. The primary hypothesis was that the implanted scaffold would not result in a deep joint infection (arthrocentesis with positive culture) or significant inflammation (clinical symptoms justifying arthrocentesis but negative culture). The secondary hypotheses were that patients treated with BEAR would have early postoperative outcomes that were similar to patients treated with ACL reconstruction with an autologous hamstring graft. Cohort study; Level of evidence, 2. A total of 20 patients were enrolled in this nonrandomized, first-in-human study. Ten patients received BEAR treatment and 10 received a hamstring autograft ACL reconstruction. The BEAR procedure was performed by augmenting a suture repair with a proprietary scaffold, the BEAR scaffold, placed in between the torn ends of the ACL at the time of suture repair. The BEAR scaffold is to our knowledge the only device that fills the gap between the torn ligament ends to have current Investigational Device Exemption approval from the Food and Drug Administration. Ten milliliters of autologous whole blood were added to the scaffold prior to wound closure. Outcomes were assessed at 3 months postoperatively. The outcomes measures included postoperative pain, muscle atrophy, loss of joint range of motion, and implant failure (designated by an International Knee Documentation Committee grade C or D Lachman test and/or an absence of continuous ACL tissue on magnetic resonance images). There were no joint infections or signs of significant inflammation in either group

The Bridge-Enhanced Anterior Cruciate Ligament Repair (BEAR) Procedure

PubMed Central

Murray, Martha M.; Flutie, Brett M.; Kalish, Leslie A.; Ecklund, Kirsten; Fleming, Braden C.; Proffen, Benedikt L.; Micheli, Lyle J.

2016-01-01

Background: This study assessed the safety of the newly developed bridge-enhanced anterior cruciate ligament (ACL) repair (BEAR), which involves suture repair of the ligament combined with a bioactive scaffold to bridge the gap between the torn ligament ends. As the intra-articular environment is complex in its response to implanted materials, this study was designed to determine whether there would be a significant rate of adverse reaction to the implanted scaffold. Hypothesis: The primary hypothesis was that the implanted scaffold would not result in a deep joint infection (arthrocentesis with positive culture) or significant inflammation (clinical symptoms justifying arthrocentesis but negative culture). The secondary hypotheses were that patients treated with BEAR would have early postoperative outcomes that were similar to patients treated with ACL reconstruction with an autologous hamstring graft. Study Design: Cohort study; Level of evidence, 2. Methods: A total of 20 patients were enrolled in this nonrandomized, first-in-human study. Ten patients received BEAR treatment and 10 received a hamstring autograft ACL reconstruction. The BEAR procedure was performed by augmenting a suture repair with a proprietary scaffold, the BEAR scaffold, placed in between the torn ends of the ACL at the time of suture repair. The BEAR scaffold is to our knowledge the only device that fills the gap between the torn ligament ends to have current Investigational Device Exemption approval from the Food and Drug Administration. Ten milliliters of autologous whole blood were added to the scaffold prior to wound closure. Outcomes were assessed at 3 months postoperatively. The outcomes measures included postoperative pain, muscle atrophy, loss of joint range of motion, and implant failure (designated by an International Knee Documentation Committee grade C or D Lachman test and/or an absence of continuous ACL tissue on magnetic resonance images). Results: There were no joint

War is the Enemy of Health. Pulmonary, Critical Care, and Sleep Medicine in War-Torn Syria.

PubMed

Sahloul, Mohammed Z; Monla-Hassan, Jaber; Sankari, Abdulghani; Kherallah, Mazen; Atassi, Bassel; Badr, Safwan; Abbara, Aula; Sparrow, Annie

2016-02-01

The Syrian crisis, now in its fifth year, has created an unprecedented strain on health services and systems due to the protracted nature of the warfare, the targeting of medics and health care infrastructure, the exodus of physicians and nurses, the shortage of medical supplies and medications, and the disruption of medical education and training. Within a few short years, the life expectancy of resident Syrians has declined by 20 years. Over the first 4 years of the conflict, more than 75,000 civilians died from injuries incurred in the violence. More than twice as many civilians, including many women and children, have died prematurely of infectious and noninfectious chronic diseases for want of adequate health care. Doctors, local administrators, and nongovernmental organizations are struggling to manage the consequences of the conflict under substandard conditions, often using unorthodox methods of health care delivery in field hospitals and remotely by telehealth communication. Much-needed medical supplies are channeled through dangerous routes across the borders from Lebanon, Jordan, and Turkey. Physicians in the United States and other western nations have helped Syrian physicians make the most of the situation by providing training on introducing innovations in technology and treatment. Portable ultrasound machines have been introduced and are being used extensively in the management of trauma and shock. This report, prepared by members of the Syrian American Medical Society, documents current needs for health care relief within Syria, focusing on pulmonary, critical care, and sleep medicine, and some of the efforts currently underway to meet those needs.

Magnetic Resonance Imaging Findings in Symptomatic Patients After Arthroscopic Partial Meniscectomy for Torn Discoid Lateral Meniscus.

PubMed

Lee, Chang-Rack; Bin, Seong-Il; Kim, Jong-Min; Kim, Nam-Ki

2016-11-01

To evaluate the change in the thickness and width of the residual meniscus using magnetic resonance imaging (MRI) in patients who underwent arthroscopic partial meniscectomy for discoid lateral meniscus (DLM), to assess whether the degeneration of the articular cartilage in the lateral compartment of the knee progressed, and to evaluate clinical results. Among the patients who underwent arthroscopic partial meniscectomy for DLM between January 1997 and December 2011, those who were aged 40 or below at surgery were followed up for at least 3 years, and received at least 2 follow-up MRIs that were retrospectively reviewed. MRIs were done in symptomatic knees. Using MRI, the relative thickness and width were measured in the anterior horn, midportion, and posterior horn. To determine whether the degeneration of the lateral compartment would progress, the articular cartilage was graded based on the Outerbridge classification in MRIs. The clinical results were evaluated using the Lysholm score. A total of 20 patients (21 knees) were included. The average follow-up period was 6.8 years. In residual meniscus, the relative thickness of the midportion decreased from 9.0% ± 2.4% to 7.3% ± 2.3% (P < .001), the relative thickness of the anterior horn decreased from 15.6% ± 4.3% to 14.3% ± 6.7% (P = .030), and the relative thickness of the posterior horn decreased from 20.0% ± 4.4% to 16.7% ± 6.7% (P = .019). A decrease in the relative width was observed in the midportion (12.4% ± 4.8% to 10.9% ± 4.9%, P = .003). No significant changes in size were observed in the medial meniscus. A progression of degeneration in the lateral compartment was observed. However, the clinical results did not present significant changes. In symptomatic patients after arthroscopic partial meniscectomy for DLM, the thickness and width of the residual meniscus decreases over time. The arthritic change of the lateral compartment of the knee progressed. However, the change in the size of the residual meniscus was of unknown clinical significance. Level IV, therapeutic case series. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Effects of corticosteroids and hyaluronic acid on torn rotator cuff tendons in vitro and in rats.

PubMed

Nakamura, Hidehiro; Gotoh, Masafumi; Kanazawa, Tomonoshin; Ohta, Keisuke; Nakamura, Keiichirou; Honda, Hirokazu; Ohzono, Hiroki; Shimokobe, Hisao; Mitsui, Yasuhiro; Shirachi, Isao; Okawa, Takahiro; Higuchi, Fujio; Shirahama, Masahiro; Shiba, Naoto; Matsueda, Satoko

2015-10-01

Corticosteroids (CS) or hyaluronic acid (HA) is used in subacromial injection for the conservative treatment of rotator cuff tears (RCT); this study addresses the question of how CS and HA affect the tendon tissue and fibroblasts in vitro and in rats. Cell proliferation assays were performed in human tendon fibroblasts from RCT. Rats underwent surgery to create RCT, and the surgical sites were injected with CS or HA. The rotator cuff tendons were subjected to biomechanical testing, microscopic and immunohistochemical analysis of proliferating cell nuclear antigen (PCNA), and ultrastructural analysis. Cell proliferation was significantly decreased with CS in vitro (p < 0.05). Maximal load of CS-treated tendons was significantly decreased compared with that of HA-treated tendons (p < 0.05), as well as PCNA(+) cells at 2 weeks (p < 0.05). Ultrastructural observations of the CS-treated rats detected apoptosis of tendon fibroblasts 24 h after surgery. Histological and biomechanical data 4 weeks after surgery were not significant among the three groups. Unlike HA, CS caused cell death, and inhibition of the proliferation of tendon fibroblasts, leading to a delay of tendon healing involved and a subsequent decrease of biomechanical strength at the surgical site. © 2015 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

A call for international soil experiment networks for studying, predicting, and managing global change impacts

DOE PAGES

Torn, M. S.; Chabbi, A.; Crill, P.; ...

2015-08-24

The soil profile encompasses a remarkably large range of biogeochemical conditions, processes, and fluxes. For example, in most soils the turnover time of soil organic carbon (SOC) varies more between the soil surface and 1m deep than between surface soils in the tropics vs. the Arctic (Torn et al., 2009). Moreover, radiocarbon observations in different soil types show that SOC decomposition rates decrease with depth, with residence times of years to decades at the soil surface to over 10 000 years at 1m deep (e.g., Torn et al., 2002). There are many competing hypotheses for this steep decline in SOCmore » turnover with depth. They can be grouped loosely into physical–chemical accessibility, energetic limits to microbial activity, microclimate and pH, and physical disconnect between decomposers and substrate. While all of these mechanisms control deep SOC cycling, data are lacking for unraveling their relative importance in different soils under different environmental conditions. However, critical knowledge for predicting soil responses to global change, because fairly rapid loss (or gain) of old and/or deep SOC stocks is possible and more than 80% of the world’s SOC is found below 20 cm depth (Jobbágy and Jackson, 2000). Currently, the soil modules within Earth system models are parameterized for surface soil and lack mechanisms important for stabilization and losses of deep SOC. We, therefore, suggest that a critical challenge is to achieve process-level understanding at the global level and the ability to predict whether, and how, the large stores of deep, old SOC are stabilized and lost under global change scenarios.« less

Reduced muscle fiber force production and disrupted myofibril architecture in patients with chronic rotator cuff tears.

PubMed

Mendias, Christopher L; Roche, Stuart M; Harning, Julie A; Davis, Max E; Lynch, Evan B; Sibilsky Enselman, Elizabeth R; Jacobson, Jon A; Claflin, Dennis R; Calve, Sarah; Bedi, Asheesh

2015-01-01

A persistent atrophy of muscle fibers and an accumulation of fat, collectively referred to as fatty degeneration, commonly occur in patients with chronic rotator cuff tears. The etiology of fatty degeneration and function of the residual rotator cuff musculature have not been well characterized in humans. We hypothesized that muscles from patients with chronic rotator cuff tears have reduced muscle fiber force production, disordered myofibrils, and an accumulation of fat vacuoles. The contractility of muscle fibers from biopsy specimens of supraspinatus muscles of 13 patients with chronic full-thickness posterosuperior rotator cuff tears was measured and compared with data from healthy vastus lateralis muscle fibers. Correlations between muscle fiber contractility, American Shoulder and Elbow Surgeons (ASES) scores, and tear size were analyzed. Histology and electron microscopy were also performed. Torn supraspinatus muscles had a 30% reduction in maximum isometric force production and a 29% reduction in normalized force compared with controls. Normalized supraspinatus fiber force positively correlated with ASES score and negatively correlated with tear size. Disordered sarcomeres were noted, along with an accumulation of lipid-laden macrophages in the extracellular matrix surrounding supraspinatus muscle fibers. Patients with chronic supraspinatus tears have significant reductions in muscle fiber force production. Force production also correlates with ASES scores and tear size. The structural and functional muscle dysfunction of the residual muscle fibers is independent of the additional area taken up by fibrotic tissue. This work may help establish future therapies to restore muscle function after the repair of chronically torn rotator cuff muscles. Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

The potential of optical coherence tomography in meniscal tear characterization

NASA Astrophysics Data System (ADS)

Ling, Hang-yin; Guo, Shuguang; Thieman, Kelley M.; Wise, Brent T.; Pozzi, Antonio; Xie, Huikai; Horodyski, MaryBeth

2009-02-01

Meniscal tear is one of the most common knee injuries leading to pain and discomfort. Partial and total meniscectomies have been widely used to treat the avascular meniscal injuries in which tears do not heal spontaneously. However, the meniscectomies would cause an alteration of the tibiofemoral contact mechanics resulting in progressive osteoarthritis (OA). To mitigate the progression of OA, maximal preservation of meniscal tissue is recommended. The clinical challenge is deciding which meniscal tears are amenable to repair and which part of damaged tissues should be removed. Current diagnosis techniques such as arthroscopy and magnetic resonance imaging can provide macrostructural information of menisci, but the microstructural changes that occur prior to the observable meniscal tears cannot be identified by these techniques. Serving as a nondestructive optical biopsy, optical coherence tomography (OCT), a newly developed imaging modality, can provide high resolution, cross-sectional images of tissues and has been shown its capabilty in arthroscopic evaulation of articular cartilage. Our research was to demonstrate the potential of using OCT for nondestructive characterization of the histopathology of different types of meniscal tears from clinical cases in dogs, providing a fundamental understanding of the failure mechanism of meniscal tears. First, cross-sectional images of torn canine menisci obtained from the OCT and scanning electronic microscopy (SEM) were be compared. By studying the organization of collegan fibrils in torn menisci from the SEM images, the feasibility of using OCT to characterize the organization of collegan fibrils was elucidated. Moreover, the crack size of meniscal tears was quantatitively measured from the OCT images. Changes in the crack size of the tear may be useful for understanding the failure mechanism of meniscal tears.

Tendon retraction with rotator cuff tear causes a decrease in cross-sectional area of the supraspinatus muscle on magnetic resonance imaging.

PubMed

Fukuta, Shoji; Tsutsui, Takahiko; Amari, Rui; Wada, Keizo; Sairyo, Koichi

2016-07-01

Muscle atrophy and fatty degeneration of the rotator cuff muscles have been reported as negative prognostic indicators after rotator cuff repair. Although the Y-shaped view is widely used for measuring the cross-sectional area of the supraspinatus muscle, the contribution of retraction of the torn tendon as well as muscle atrophy must be considered. The purpose of this study was to clarify the relationship between cross-sectional area and tendon retraction or size of the tear. This study included 76 shoulders that were evaluated arthroscopically for the presence and size of tears. Cross-sectional areas of rotator cuff muscles were measured from the Y-shaped view to 3 more medial slices. The occupation ratio and tangent sign were evaluated on the Y-shaped view. The retraction of torn tendon was also measured on the oblique coronal images. On the Y-shaped view, the cross-sectional area of the supraspinatus and the occupation ratio decreased in conjunction with the increase in tear size. A significant decrease in cross-sectional area was noted only in large and massive tears on more medial slices from the Y-shaped view. Significant decreases in the cross-sectional area of the infraspinatus were observed in large and massive tears on all images. A negative correlation was found between tendon retraction and cross-sectional area, which was strongest on the Y-shaped view. To avoid the influence of retraction of the supraspinatus tendon, sufficient medial slices from the musculotendinous junction should be used for evaluation of muscle atrophy. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

Diary of an astronaut: examination of the remains of the late Israeli astronaut Colonel Ilan Ramon's Crew Notebook recovered after the loss of NASA's space shuttle Columbia.

PubMed

Brown, Sharon; Sin-David, Laser

2007-05-01

Two months after the fatal re-entering into the Earth's atmosphere of Columbia flight STS-107, the remains of Israeli astronaut Colonel Ilan Ramon's Crew Notebook were found strewn in a field in San Augustine County, TX. The random pile of papers was found to have survived the calamity of the Shuttle's disintegration remarkably well. Most of the papers recovered were torn and/or washed out to varying degrees but only mildly charred around the edges. The sheets of paper could be categorized into four groups: Group I: eight sides of paper written while in space in black ink and in pencil--Ramon's personal diary; the writing on these eight sides of paper survived well and is only missing where the pages were torn. Small fragments found in the field were physically matched to holes in the pages thus locating their original positions in the text. Group II: six sides of technical preparation notes written by Ramon before the mission. The writing on these pages was washed out entirely, but much of it was visualized using infrared luminescence. Group III: eight sides of personal notes prepared by Ramon before the mission written in blue ink. The writing on these pages was barely visible to the naked eye and not visualized by infrared luminescence, but was made largely legible by digital enhancement imaging. Group IV: a few sides of printed technical information. These pages were mostly intact and were not examined at length as they contained standard printed material. After completion of examinations at the Questioned Document Laboratory of the Israel Police, the diary was transferred to the Paper Conservation Department of the Israel Museum for preservation and strengthening treatments.

The fracture properties and mechanical design of human fingernails.

PubMed

Farren, L; Shayler, S; Ennos, A R

2004-02-01

Fingernails are a characteristic feature of primates, and are composed of three layers of the fibrous composite keratin. This study examined the structure and fracture properties of human fingernails to determine how they resist bending forces while preventing fractures running longitudinally into the nail bed. Nail clippings were first torn manually to examine the preferred crack direction. Next, scissor cutting tests were carried out to compare the fracture toughness of central and outer areas in both the transverse and longitudinal direction. The fracture toughness of each of the three isolated layers was also measured in this way to determine their relative contributions to the toughness. Finally, the structure was examined by carrying out scanning electron microscopy of free fracture surfaces and polarized light microscopy of nail sections. When nails were torn, cracks were always diverted transversely, parallel to the free edge of the nail. Cutting tests showed that this occurred because the energy to cut nails transversely, at approximately 3 kJ m(-2), was about half that needed (approx. 6 kJ m(-2)) to cut them longitudinally. This anisotropy was imparted by the thick intermediate layer, which comprises long, narrow cells that are oriented transversely; the energy needed to cut this layer transversely was only a quarter of that needed to cut it longitudinally. In contrast the tile-like cells in the thinner dorsal and ventral layers showed isotropic behaviour. They probably act to increase the nail's bending strength, and as they wrap around the edge of the nail, they also help prevent cracks from forming. These results cast light on the mechanical behaviour and care of fingernails.

A novel arthroscopic all-inside suture technique using the Fast-Fix 360 system for repairing horizontal meniscal tears in young athletes

PubMed Central

Atsumi, Satoru; Hara, Kunio; Arai, Yuji; Yamada, Manabu; Mizoshiri, Naoki; Kamitani, Aguri; Kubo, Toshikazu

2018-01-01

Abstract Rationale: Considering the risk of osteoarthritis following resection of a horizontally torn meniscus of the knee, repairing and preserving the meniscus as much as possible is preferred. We report 3 cases of restoration of horizontally torn menisci using a novel arthroscopic method we have called “all-inside interleaf vertical suture” that afforded preservation. Patient concerns: The 3 patients (aged 14, 17, and 21 years) had knee pain through sports activity. Diagnoses: All patients had horizontal tears in the posteromedial part of the meniscus. Interventions: The method uses Fast-Fix, whereby a first anchor is inserted from the tibial surface of the tear's superior leaflet and a second anchor is inserted from the femoral surface of the tear's inferior leaflet, and the 2 leaflets are closed using vertical suture. In all cases, the suture knots were embedded between the superior leaflet and inferior leaflet, avoiding contact with the articular cartilage, and superior leaflet and inferior leaflet crimping was good. Outcomes: All 3 were able to resume competing in sport and ≥ 1 year after surgery they had no pain and their postoperative mean Lysholm scores were 99.7. There were no complications or recurrence. On magnetic resonance imaging, the signal intensity of all the horizontal tears was high before surgery but low after surgery, suggesting that the repaired tear was healing. Lessons: The all-inside interleaf vertical suture procedure is a new surgical technique that can repair posteromedial horizontal meniscal tears of the knee of young people by easy crimping of the superior and inferior leaflets without the suture knots causing complications. PMID:29443758

The Trifid Nebula

NASA Technical Reports Server (NTRS)

1997-01-01

This NASA Hubble Space Telescope (HST) image of the Trifid Nebula reveals a stellar nursery being torn apart by a nearby massive star. Embryonic stars are forming within an ill-fated cloud of dust and gas, which is destined to be eaten away by the glare from the massive neighbor. The cloud is about 8 light years away from the nebula' s central star. This stellar activity is a beautiful example of how the life cycle of stars like our Sun is intimately cornected with their more powerful siblings. Residing in the constellation Sagittarius, the Trifid Nebula is about 9,000 light years from Earth.

Traumatic displacement of stomach - a case report.

PubMed

Janardhanan, Joshima; Tarvadi, Pratik Vijay; Manipady, Shahnavaz; Shetty, Mahabalesh; Somashekar, C

2014-01-01

These days we have fast paced traffic on our roads to help us keep up with our fast paced life. But every boon has a down side and our high velocity traffic is no exception. Here is a case report of a blunt abdominal injury following a road traffic accident. Externally the deceased had only a few grazed abrasions on the forehead and right forearm. But on internal examination of abdomen, it was noticed that the left hemi-diaphragm was torn and the stomach and intestines were found displaced into the left thoracic cavity. Copyright © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

[Usefulness of arthrography of the knee in assessing the unfavorable outcome from a meniscectomy intervention].

PubMed

Corbetti, F; Camposampiero, A; Pellicano, A; Meneghello, A

1983-03-01

Knee arthrography was performed in 22 patients suffering from persistent articular symptoms after meniscectomy. In 3 cases a surgically proved tear of the opposite meniscus was assessed. In 4 cases no meniscal tear was found, but 3 out of these patients had a significant anatomic lesion. In 15 cases meniscectomy was found to be incomplete, and a residual posterior horn of the medial meniscus was observed, normal in shape in 7 cases, torn or detached in 8. It is suggested that the persistence of the posterior horn of the medial meniscus after meniscectomy may cause the persistent symptoms; the value of knee arthrography before surgery is emphasized.

History of Hubble Space Telescope (HST)

NASA Image and Video Library

1997-09-08

This NASA Hubble Space Telescope (HST) image of the Trifid Nebula reveals a stellar nursery being torn apart by a nearby massive star. Embryonic stars are forming within an ill-fated cloud of dust and gas, which is destined to be eaten away by the glare from the massive neighbor. The cloud is about 8 light years away from the nebula' s central star. This stellar activity is a beautiful example of how the life cycle of stars like our Sun is intimately cornected with their more powerful siblings. Residing in the constellation Sagittarius, the Trifid Nebula is about 9,000 light years from Earth.

Kurdistan Region, Asia as seen from STS-58

NASA Technical Reports Server (NTRS)

1993-01-01

Lake Urmia (Orumiyeh) in the high desert palteau of northwest Iran dominates the center of the northeast-looking view. The left edge of the view cuts Lake Van in eastern Turkey. The Caucasus mountains in war-torn Georgia appear just beyond. Mount Ararat is a major peak north of Lake Van. The Caspian Sea, an international body of water, stretches across the top right of the view. Countries bordering the Caspian are Iran in the south, Kazakhstan in the west, and Russia and Azerbaijan in the west. The shuttle stabilizer, OMS pods and open payload bay can also be seen just above the horizon.

Tendon ruptures: mallet, flexor digitorum profundus.

PubMed

Yeh, Peter C; Shin, Steven S

2012-08-01

Mallet injuries are the most common closed tendon injury in the athlete. Flexor digitorum profundus ruptures are rare in baseball, but are common injuries in contact sports. The diagnosis for each condition is based on clinical examination, although radiographs should be evaluated for a possible bony component. Treatment for mallet injury depends on the athlete's goals of competition and understanding of the consequences of any treatment chosen. Gripping, throwing, and catching would be restricted or impossible with the injured finger immobilized. Treatment of FDP ruptures is almost always surgical and requires reattachment of the torn tendon to the distal phalanx. Copyright © 2012 Elsevier Inc. All rights reserved.

Warping and tearing of misaligned circumbinary disks around eccentric supermassive black hole binaries

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

Hayasaki, K.; Sohn, B.W.; Jung, T.

2015-07-01

We study the warping and tearing of a geometrically thin, non-self-gravitating disk surrounding binary supermassive black holes on an eccentric orbit. The circumbinary disk is significantly misaligned with the binary orbital plane, and is subject to the time-dependent tidal torques. In principle, such a disk is warped and precesses, and is torn into mutually misaligned rings in the region, where the tidal precession torques are stronger than the local viscous torques. We derive the tidal-warp and tearing radii of the misaligned circumbinary disks around eccentric SMBH binaries. We find that in disks with the viscosity parameter α larger than amore » critical value depending on the disk aspect ratio, the disk warping appears outside the tearing radius. This condition is expressed for small amplitude warps as α > √H/(3r) for H/r∼<0.1, where H is the disk scale height. If α < √H/(3r), only the disk tearing occurs because the tidal warp radius is inside the tearing radius, where most of disk material is likely to rapidly accrete onto SMBHs. In warped and torn disks, both the tidal-warp and the tearing radii most strongly depend on the binary semi-major axis, although they also mildly depend on the other orbital and disk parameters. This strong dependence enables us to estimate the semi-major axis, once the tidal warp or tearing radius is determined observationally: for the tidal warp radius of 0.1 pc, the semi-major axis is estimated to be ∼10{sup −2} pc for 10{sup 7} M{sub ⊙} black hole with typical orbital and disk parameters. We also briefly discuss the possibility that central objects of observed warped maser disks in active galactic nuclei are supermassive black hole binaries.« less

Factors Determining Availability, Utilization and Retention of Child Health Card in Western Nepal.

PubMed

Paudel, K P; Bajracharya, D C; Karki, K; K C, A

2016-05-01

The immunization card is revised with addition of general information about child health and is later called as child health card. This card is a tool used by Health Management Information System in Nepal. It is important for tracking the records of immunization. Aim is to identify the factors determining the availability, utilization and retention of the child health card in Western Nepal. A cross sectional study was conducted among mothers having children < 24 months old from Gorkha (Western Hill) and Nawalparasi (Western Terai) districts. The sample size for the study was 600 and systematic random sampling was used to select the mothers having less than 24 months old children. Data entry and analysis was done by using SPSS. Qualitative data was analyzed by making matrix. The average age of respondents was 24 years. The majority of respondents have gained higher level education. Retention of the card was found to be 82.2%. 90.3% retention was seen among 0-12 months children age group whereas it was 74 % among12 to 24 months age group. The reasons for less retention were torn by the child/played by child (54.6%) followed by lack of proper place,unaware about importance and poor quality of card.The new child health cards were insufficient, compelling use of both new and old cards which created problem in consistency. Regarding utilization of child health card, it was found to be used for birth registration and for further studies in abroad. The areas of utilization of child health card should be broadened so that the retention of card can be increased. The main reasons for less retention of the card are torn by children and lack of the proper place.

Soft X-Ray Exposure Testing of FEP Teflon for the Hubble Space Telescope

NASA Technical Reports Server (NTRS)

deGroh, Kim K.

1998-01-01

The FEP Teflon (DuPont) multilayer insulation (MLI) thermal-control blanket material on the Hubble Space Telescope is degrading in the space environment. During the first Hubble servicing mission in 1993, after 3.6 years in low Earth orbit, aluminized and silvered FEP Teflon MLI thermal-control blanket materials were retrieved. These materials have been jointly analyzed by the NASA Lewis Research Center and the NASA Goddard Space Flight Center for degradation induced in the space environment (ref. 1). Solar-facing blanket materials were found to be embrittled with through-the-thickness cracking in the 5-mil FEP. During the second Hubble servicing mission in 1997, astronauts noticed that several blankets had large areas with tears. The torn FEP was curled up in some areas, exposing the underlying materials to the space environment. This tearing problem, and the associated curling up of torn areas, could lead to over-heating of the telescope and to particulate contamination. A Hubble Space Telescope MLI Failure Review Board was assembled by Goddard to investigate and identify the degradation mechanism of the FEP, to identify and characterize replacement materials, and to estimate the extent of damage at the time of the third servicing mission in 1999. A small piece of FEP retrieved during the second servicing mission is being evaluated by this failure review board along with materials from the first servicing mission. Since the first servicing mission, and as part of the failure review board, Lewis has been exposing FEP to soft x-rays to help determine the damage mechanisms of FEP in the space environment. Soft x-rays, which can penetrate into the bulk of FEP, are generated during solar flares and appear to be contributing to the degradation of the Hubble MLI.

Population stochastic modelling (PSM)--an R package for mixed-effects models based on stochastic differential equations.

PubMed

Klim, Søren; Mortensen, Stig Bousgaard; Kristensen, Niels Rode; Overgaard, Rune Viig; Madsen, Henrik

2009-06-01

The extension from ordinary to stochastic differential equations (SDEs) in pharmacokinetic and pharmacodynamic (PK/PD) modelling is an emerging field and has been motivated in a number of articles [N.R. Kristensen, H. Madsen, S.H. Ingwersen, Using stochastic differential equations for PK/PD model development, J. Pharmacokinet. Pharmacodyn. 32 (February(1)) (2005) 109-141; C.W. Tornøe, R.V. Overgaard, H. Agersø, H.A. Nielsen, H. Madsen, E.N. Jonsson, Stochastic differential equations in NONMEM: implementation, application, and comparison with ordinary differential equations, Pharm. Res. 22 (August(8)) (2005) 1247-1258; R.V. Overgaard, N. Jonsson, C.W. Tornøe, H. Madsen, Non-linear mixed-effects models with stochastic differential equations: implementation of an estimation algorithm, J. Pharmacokinet. Pharmacodyn. 32 (February(1)) (2005) 85-107; U. Picchini, S. Ditlevsen, A. De Gaetano, Maximum likelihood estimation of a time-inhomogeneous stochastic differential model of glucose dynamics, Math. Med. Biol. 25 (June(2)) (2008) 141-155]. PK/PD models are traditionally based ordinary differential equations (ODEs) with an observation link that incorporates noise. This state-space formulation only allows for observation noise and not for system noise. Extending to SDEs allows for a Wiener noise component in the system equations. This additional noise component enables handling of autocorrelated residuals originating from natural variation or systematic model error. Autocorrelated residuals are often partly ignored in PK/PD modelling although violating the hypothesis for many standard statistical tests. This article presents a package for the statistical program R that is able to handle SDEs in a mixed-effects setting. The estimation method implemented is the FOCE(1) approximation to the population likelihood which is generated from the individual likelihoods that are approximated using the Extended Kalman Filter's one-step predictions.

Sloping fan travertine, Belen, New Mexico, USA

NASA Astrophysics Data System (ADS)

Cook, Megan; Chafetz, Henry S.

2017-05-01

Pliocene to Quaternary age travertines are very well-exposed in quarries near Belen, New Mexico, U.S.A., on the western edge of the Rio Grande Rift system. A series of hillside springs produced travertine tongues tens of meters thick and hundreds of meters long. The accumulations represent deposits from individual springs as well as the amalgamation of deposits. The overall architecture is predominantly composed of sloping fans with a smaller component of terrace mounds. The sloping fan deposits commonly have a dip of < 10°, however, they range from horizontal to near vertical. Individual strata display significant changes in depositional dip, beds pinch and swell, and some are completely truncated. Centimeter to meter scale terrace mounds exhibit the common stair-step morphology. As a consequence of vertical accretion in the pools, terrace mounds morphed into sloping fans. The travertine is composed of a variety of commonly reported constituents, i.e., centimeter thick laminae of bacterial shrubs and oncoids, foam rock, sheets and rafts, and finely crystalline crusts that occur throughout the sloping fan and terrace mound accumulations. Sheets and rafts formed as precipitates in pools on the surfaces of the fans and terraces as well as spelean deposits on the water surfaces of pools within cavities in the overall accumulation. Thus, the spelean rafts provide valuable indicators of original horizontality in the sloping fan strata. In addition, intraformational breccias, composed of locally torn-up travertine intraclastic boulders and deposited in with other travertine, and extraformational breccias, composed of torn-up travertine intraclasts mixed with siliciclastic fines and sand and Paleozoic limestone clasts transported downslope from higher on the hillside, are a common constituent in the sloping fan accumulation. The Belen travertines provide a very well-exposed example of sloping fan travertines and may provide relevant data with regard to the subsurface

Pushing the Frontier of Data-Oriented Geodynamic Modeling: from Qualitative to Quantitative to Predictive

NASA Astrophysics Data System (ADS)

Liu, L.; Hu, J.; Zhou, Q.

2016-12-01

The rapid accumulation of geophysical and geological data sets poses an increasing demand for the development of geodynamic models to better understand the evolution of the solid Earth. Consequently, the earlier qualitative physical models are no long satisfying. Recent efforts are focusing on more quantitative simulations and more efficient numerical algorithms. Among these, a particular line of research is on the implementation of data-oriented geodynamic modeling, with the purpose of building an observationally consistent and physically correct geodynamic framework. Such models could often catalyze new insights into the functioning mechanisms of the various aspects of plate tectonics, and their predictive nature could also guide future research in a deterministic fashion. Over the years, we have been working on constructing large-scale geodynamic models with both sequential and variational data assimilation techniques. These models act as a bridge between different observational records, and the superposition of the constraining power from different data sets help reveal unknown processes and mechanisms of the dynamics of the mantle and lithosphere. We simulate the post-Cretaceous subduction history in South America using a forward (sequential) approach. The model is constrained using past subduction history, seafloor age evolution, tectonic architecture of continents, and the present day geophysical observations. Our results quantify the various driving forces shaping the present South American flat slabs, which we found are all internally torn. The 3-D geometry of these torn slabs further explains the abnormal seismicity pattern and enigmatic volcanic history. An inverse (variational) model simulating the late Cenozoic western U.S. mantle dynamics with similar constraints reveals a different mechanism for the formation of Yellowstone-related volcanism from traditional understanding. Furthermore, important insights on the mantle density and viscosity structures

Lightning Strike in Golf Practice

PubMed Central

Elena-Sorando, E.; Galeano-Ricaño, N.; Agulló-Domingo, A.; Cimorra-Moreno, G.; Gil-Castillo, C.

2006-01-01

Summary The case is presented of a golfer who was struck by lightning while playing golf during a thunderstorm. The patient was found lying unconscious on wet grass with his clothes scorched and his spiked golf shoes torn. He had suffered dermal burns affecting the neck, thorax, abdomen, and upper and lower limbs (10% total body surface area), without any cardiovascular or respiratory disturbances. It may be hypothesized that the lightning current went over the outside of the patient, causing ignition of his clothes. Treatment included monitoring, adequate fluid management, debridement, and topical treatment (silver sulphadiazine). Complete healing of the wounds was achieved in two weeks. After three years' follow-up, the patient had no sequelae. PMID:21991022

Payload bay doors and radiator panels familiarization handbook

NASA Technical Reports Server (NTRS)

Godbold, John A.

1992-01-01

The structure and mechanisms associated with the Payload Bay Doors (PLBDs) and the radiator panels are detailed. The PLBDs allow the radiator panels to be exposed to space, protect payloads from contamination, and provide an aerodynamic fairing over the payload bay. The radiator panels dissipate heat from the orbiter and regulate hydraulic fluid temperature. Contamination in the payload bay can hinder the success of missions. Therefore, the contamination control barrier which the PLBDs provide must be efficient in keeping the bay free from contaminants. The aerodynamic fairing the PLBDs provide prevents the orbiter from being torn apart by aerodynamic forces. These facts make the PLBDs and radiator panels mission critical elements of the Space Shuttle.

Georg Friedrich Kordenbusch and astronomy in Nuremberg in the second half of the 18th century. (German Title: Georg Friedrich Kordenbusch und die Astronomie in Nürnberg in der zweiten Hälfte des 18. Jahrhunderts)

NASA Astrophysics Data System (ADS)

Gaab, Hans

In the second half of the 18th century, Georg Friedrich Kordenbusch (1731 - 1802) was the best-known living mathematician and astronomer in Nuremberg. Being a physician by training, he obtained, in 1769, the post of lecturer in mathematics and physics at the Egidien secondary school. Subsequently, he tried in vain to re-erect the observatory, torn down in 1751. In the early 1770s, he became famous for preparing the second edition of Johann Leonhard Rost's Astronomisches Handbuch that was, in its first edition of 1718, the first compendium of astronomy written in German, and which had a wide circulation. In 1790, Kordenbusch was raised to the nobility for his achievements.

Plastic deformation at surface during unlubricated sliding

NASA Technical Reports Server (NTRS)

Yamamoto, T.; Buckley, D. H.

1982-01-01

The plastic deformation and wear of 304 stainless-steel surface slid against an aluminum oxide rider were observed by using a scanning electron microscope and an optical microscope. Experiments were conducted in a vacuum of 0.000001 Pa and in an environment of 0.0005 Pa chlorine gas at 25 C. The load was 500 grams and the sliding velocity was 0.5 centimeter per second. The deformed surface layer which accumulates and develops successively is left behind the rider, and step-shaped protuberances are developed even after single pass sliding under both environmental conditions. A fully developed surface layer is gradually torn off leaving a characteristic pattern. These observations result from both adhesion and an adhesive wear mechanism.

Arthroscopic Meniscectomy and Meniscoplasty for a Torn Discoid Medial Meniscus: Case Report, Surgical Technique, and Literature Review

PubMed Central

Abhay, Gokhale Nikhil; Ashwin, Samant; Sunil, Shahane; Hardik, Kapopara

2016-01-01

Introduction: Normal menisci of the knee are semilunar structures. Sometimes, a meniscus may be found to be thickened and disc like and is called a discoid meniscus. Such a discoid variant is usually found in the lateral meniscus. Its occurrence in the medial meniscus is extremely rare. Case Report: We report a case of an 18-year-old female, who presented to us with knee pain and was found to have a discoid medial meniscus with a tear. We operated on her arthroscopically and performed meniscectomy and meniscoplasty. Postoperatively, the patient was free of her knee pain. Conclusion: Discoid medial meniscus is a rare phenomenon which can present as a cause of knee pain. If discoid meniscus is symptomatic, the management includes arthroscopic meniscectomy and meniscoplasty. PMID:28164061

Providing surgery in a war-torn context: the Médecins Sans Frontières experience in Syria.

PubMed

Trelles, Miguel; Dominguez, Lynette; Tayler-Smith, Katie; Kisswani, Katrin; Zerboni, Alberto; Vandenborre, Thierry; Dallatomasina, Silvia; Rahmoun, Alaa; Ferir, Marie-Christine

2015-01-01

Since 2011, civil war has crippled Syria leaving much of the population without access to healthcare. Various field hospitals have been clandestinely set up to provide basic healthcare but few have been able to provide quality surgical care. In 2012, Medecins Sans Frontieres (MSF) began providing surgical care in the Jabal al-Akrad region of north-western Syria. Based on the MSF experience, we describe, for the period 5th September 2012 to 1st January 2014: a) the volume and profile of surgical cases, b) the volume and type of anaesthetic and surgical procedures performed, and c) the intraoperative mortality rate. A descriptive study using routinely collected MSF programme data. Quality surgical care was assured through strict adherence to the following minimum standards: adequate infrastructure, adequate water and sanitation provisions, availability of all essential disposables, drugs and equipment, strict adherence to hygiene requirements and universal precautions, mandatory use of sterile equipment for surgical and anaesthesia procedures, capability for blood transfusion and adequate human resources. During the study period, MSF operated on 578 new patients, of whom 57 % were male and median age was 25 years (Interquartile range: 21-32 years). Violent trauma was the most common surgical indication (n-254, 44 %), followed by obstetric emergencies (n-191, 33 %) and accidental trauma (n-59, 10 %). In total, 712 anaesthetic procedures were performed. General anaesthesia without intubation was the most common type of anaesthesia (47 % of all anaesthetics) followed by spinal anaesthesia (25 %). A total of 831 surgical procedures were performed, just over half being minor/wound care procedures and nearly one fifth, caesarean sections. There were four intra-operative deaths, giving an intra-operative mortality rate of 0.7 %. Surgical needs in a conflict-afflicted setting like Syria are high and include both combat and non-combat indications, particularly obstetric emergencies. Provision of quality surgical care in a complex and volatile setting like this is possible providing appropriate measures, supported by highly experienced staff, can be implemented that allow a specific set of minimum standards of care to be adhered to. This is particularly important when patient outcomes - as a reflection of quality of care - are difficult to assess.

Faith and Hope in a War-Torn Land: The US Army Chaplaincy in the Balkans, 1995-2005

DTIC Science & Technology

2006-01-01

31 3. Engineering Excellence, a painting by Christopher Thiel showing the...land grabbing by each party. Nevertheless, US Secretary of State Warren Christopher and his team pushed through a compromise the Serbs, Croats, and...V Corps chaplain, Chaplain (COL) Barry Lonigan , and the 1st Armored Division chaplain, Chaplain (Lieutenant Colonel [LTC]) Scott McChrystal. The 1st

Value of MRI in diagnosing injuries after ankle sprains in children.

PubMed

Endele, Dominick; Jung, Christian; Bauer, Gerhard; Mauch, Frieder

2012-12-01

To our knowledge, there are only a few prospective studies on the use of magnetic resonance imaging (MRI) to diagnose injuries associated with ankle sprains in children. We hypothesized that MRI examinations of acute ankle sprains in growing children would show relevant injuries that may have been overlooked by conventional clinical, radiological, and ultrasound examinations. Thirty children with acute inversion injury of the ankle were subjected to an MRI examination of the ankle joint, in addition to conventional radiographic procedures. All data were recorded prospectively. Depending on the severity of the clinical symptoms, the children were divided into three different groups. Children with little soft-tissue swelling and who were still able to walk were assigned to Group I (n = 10), Group II consisted of children who were only partially able to walk and had moderate soft-tissue swelling (n = 12), while Group III consisted of the children who were not able to walk and had pronounced soft-tissue swelling (n = 8). Regular followup examinations were carried out. At the final followup examination, on average 8 months after injury, the children in Groups II and III were again examined by MRI. The clinical results were compared and correlated with the results of the MRI examinations. Altogether, torn ligaments could be verified in 23 out of 30 of the cases; bony avulsions were found in 10% of these. Three of 30 patients had a Salter I injury. Bone bruising was found in 18 out of 30 (60%). Bone bruising was most commonly found near the medial talus. MRI examination of the patients in Group I showed no more ruptures than the clinical examination; here, only four patients were found to have partial ruptures of the ATL. In Group II, torn ligaments were found in six out of 12 (50%) of the cases; similarly, Salter I injuries were found in three out of 12 cases. The patients in Group III also showed serious injuries on the MRI examination. Bone bruising, torn ligaments, or

Benefits of an inclusive US education system.

PubMed

Gantt, Elisabeth

2013-01-01

Presented is a historical perspective of one scientist's journey from war-torn Europe to the opportunities presented by a flexible US educational system. It celebrates the opening of the science establishment that began in the 1950s and its fostering of basic research, and recognizes individuals who were instrumental in guiding the author's education as well as those with whom she later participated in collaborative algal plant research. The initial discovery and later elucidation of phycobilisome structure are elaborated, including the structural connection with photosystem II. Furthermore, she summarizes some of her laboratory's results on carotenoids and its exploration of the isoprenoid pathway in cyanobacteria. Finally, she comments on the gender gap and how her generation benefited when opportunities for women scientists were enlarged.

Identification of a starting point of breast skin tears during chicken plucking.

PubMed

Pitcovski, J; Ohana, N; Amzaleg, L; Krispel, S; Bercovich, D; Pinchasov, Y

1997-02-01

A site (STP) was identified on the skin of the chicken, during defeathering in the slaughter house, at which about 90% of breast skin tears started. This site is on the ventral side of the pectoral tract area. There was no difference in location of this site with respect to different commercial lines, sexes, flocks, or time of the day. In order to demonstrate the importance of a small skin tear to ultimate damage, defeathered chickens with a minor tear at a particular site and undamaged defeathered chickens were passed through the defeathering machine a second time. Thirty-six percent of the STP chickens were torn further, but only a small percentage (about 4%) of the undamaged chickens were harmed.

Tularemia Outbreak Investigation in Kosovo: Case Control and Environmental Studies

PubMed Central

Dedushaj, Isuf; Gjini, Ardiana; Jorgensen, Tine Rikke; Cotter, Benvon; Lieftucht, Alfons; D’Ancona, Fortunato; Dennis, David T.; Kosoy, Michael A.; Mulliqi-Osmani, Gjyle; Grunow, Roland; Kalaveshi, Ariana; Gashi, Luljeta; Humolli, Isme

2002-01-01

A large outbreak of tularemia occurred in Kosovo in the early postwar period, 1999-2000. Epidemiologic and environmental investigations were conducted to identify sources of infection, modes of transmission, and household risk factors. Case and control status was verified by enzyme-linked immunosorbent assay, Western blot, and microagglutination assay. A total of 327 serologically confirmed cases of tularemia pharyngitis and cervical lymphadenitis were identified in 21 of 29 Kosovo municipalities. Matched analysis of 46 case households and 76 control households suggested that infection was transmitted through contaminated food or water and that the source of infection was rodents. Environmental circumstances in war-torn Kosovo led to epizootic rodent tularemia and its spread to resettled rural populations living under circumstances of substandard housing, hygiene, and sanitation. PMID:11749751

Observational Progress in Identifying and Characterizing Tidal Disruption Flares

NASA Astrophysics Data System (ADS)

Cenko, S. Bradley

I present an overview of observational efforts across the electromagnetic spectrum to identify and study tidal disruption flares (TDFs), when a star wanders too close to a super-massive black hole and is torn apart by tidal forces. In particular I will focus on four unexpected surprises that challenge the most basic analytic picture of these events: 1) large inferred radii for the optical/UV-emitting material; 2) the ubiquity of outflows, detected at radio, X-ray, and UV wavelengths, ranging from speeds of 100 km/s to near the speed of light; 3) the peculiar atomic abundances observed in the UV and optical spectra of these objects; and, 4) the preference for these events to occur in post-starburst galaxies.

Gene expression profiles of changes underlying different-sized human rotator cuff tendon tears.

PubMed

Chaudhury, Salma; Xia, Zhidao; Thakkar, Dipti; Hakimi, Osnat; Carr, Andrew J

2016-10-01

Progressive cellular and extracellular matrix (ECM) changes related to age and disease severity have been demonstrated in rotator cuff tendon tears. Larger rotator cuff tears demonstrate structural abnormalities that potentially adversely influence healing potential. This study aimed to gain greater insight into the relationship of pathologic changes to tear size by analyzing gene expression profiles from normal rotator cuff tendons, small rotator cuff tears, and large rotator cuff tears. We analyzed gene expression profiles of 28 human rotator cuff tendons using microarrays representing the entire genome; 11 large and 5 small torn rotator cuff tendon specimens were obtained intraoperatively from tear edges, which we compared with 12 age-matched normal controls. We performed real-time polymerase chain reaction and immunohistochemistry for validation. Torn rotator cuff tendons demonstrated upregulation of a number of key genes, such as matrix metalloproteinase 3, 10, 12, 13, 15, 21, and 25; a disintegrin and metalloproteinase (ADAM) 12, 15, and 22; and aggrecan. Amyloid was downregulated in all tears. Small tears displayed upregulation of bone morphogenetic protein 5. Chemokines and cytokines that may play a role in chemotaxis were altered; interleukins 3, 10, 13, and 15 were upregulated in tears, whereas interleukins 1, 8, 11, 18, and 27 were downregulated. The gene expression profiles of normal controls and small and large rotator cuff tear groups differ significantly. Extracellular matrix remodeling genes were found to contribute to rotator cuff tear pathogenesis. Rotator cuff tears displayed upregulation of a number of matrix metalloproteinase (3, 10, 12, 13, 15, 21, and 25), a disintegrin and metalloproteinase (ADAM 12, 15, and 22) genes, and downregulation of some interleukins (1, 8, and 27), which play important roles in chemotaxis. These gene products may potentially have a role as biomarkers of failure of healing or therapeutic targets to improve tendon

Does simulated walking cause gapping of meniscal repairs?

PubMed

McCulloch, Patrick C; Jones, Hugh L; Hamilton, Kendall; Hogen, Michael G; Gold, Jonathan E; Noble, Philip C

2016-12-01

The objective of rehabilitation following meniscal repair is to promote healing by limiting stresses on repairs, while simultaneously preserving muscle strength and joint motion. Both protective protocols limiting weight bearing and accelerated which do not, have shown clinical success. This study assesses the effects of physiologic gait loading on the kinematic behavior of a repaired medial meniscus. The medial menisci of eight fresh cadaveric knees were implanted with arrays of six 0.8-1.0 mm beads. Pneumatic actuators delivered muscle loads and forces on the knee as each specimen was subjected to a simulated stance phase of gait. Meniscus motion was measured at loading response, mid stance, and toe-off positions. Measurements were performed using biplanar radiography and RSA, with each knee: (a) intact, (b) with posterior longitudinal tear, and (c) after inside-out repair. The tissue spanning the site of the longitudinal tear underwent compression rather than gapping open in all states (intact [I], torn [T] and repaired [R] states). Average compression at three sites along the posterior half of the meniscus was: posterior horn -0.20 ± 0.08 mm [I], -0.39 ± 0.10 mm [T], and -0.20 ± 0.06 mm [R] (p = 0.15); junction of posterior horn and body -0.11 ± 0.12 mm [I], -0.21 ± 12 mm [T], -0.17 ± 0.09 mm [R] (p = 0.87); and adjacent to the medial collateral ligament -0.07 ± 0.06 mm [I], -0.29 ± 0.13 mm [T], -0.07 ± 0.17 mm [R] (p = 0.35). The entire meniscus translated posteriorly from mid-stance to toe off. Displacement was greatest in the torn state compared to intact, but was not restored to normal levels after repair. The edges of a repaired longitudinal medial meniscal tear undergo compression, not gapping, during simulated gait.

Displaceability of SLAP lesion on shoulder MR arthrography with external rotation position.

PubMed

Jung, Jin Young; Ha, Doo Hoe; Lee, Sang Min; Blacksin, Marcia F; Kim, Kyung Ah; Kim, Jae Wha

2011-08-01

To investigate the usefulness of the external rotation (ER) position on magnetic resonance (MR) arthrography for the diagnosis of superior labral anterior to posterior (SLAP) lesion. Approval of institutional review board was obtained, and informed consent was waived. The MR arthrograms of 210 shoulders that were arthroscopically confirmed as SLAP lesion in 163 shoulders and intact superior labrum in 47 shoulders were retrospectively reviewed in each neutral and ER position for the diagnosis of SLAP lesion, the extent of distraction of the torn labrum, and the external rotation angle. The sensitivity, specificity, and diagnostic accuracy of MR arthrograms for determining SLAP lesion were assessed in each position. For the arthroscopically confirmed group, the diagnosis of SLAP lesion and the extent of distraction about the tear were compared between neutral and ER positions by Fisher's exact test and the paired t-test. The correlation between the external rotation angle and the diagnosis of SLAP lesion, and between the external rotation angle and the differences in the extent of distraction were evaluated in the ER position using the ANOVA test. Sensitivity and diagnostic accuracy of MR arthrography for SLAP lesion increased from 64.4% and 71.0% in the neutral position to 78.5% and 81.9% in the ER position, respectively, without change of specificity, which was 93.6% in both positions. The diagnosis of SLAP lesion was changed from negative to SLAP lesion in 16.0% of the arthroscopically confirmed group. Mean difference in the extent of distraction about the tear was 0.69 mm (range -1.40 ∼ 6.67 mm), which was statistically significant. There was no relationship between the external rotation angle and the diagnosis of SLAP lesion, and between the external rotation angle and the differences in the extent of distraction. Shoulder MR arthrography with additional ER positioning helps in the diagnosis of SLAP lesion and provides information about the displaceability

Whistleblowing--is it really worth the consequences?

PubMed

Delk, Kayla L

2013-02-01

This article explores general principles of state whistleblower laws and alerts nurses to considerations when deciding whether to report an employer violation. Reporting an employer violation can be difficult for any employee but especially for nurses because nurses are torn between their desire and duty to advocate for clients' safety and their desire to maintain employment. The author suggests questions to consider when deciding to "blow the whistle" and alerts nurses to statutes of limitations that may affect when nurses must report violations. The article also illuminates policy and procedural issues for various states that affect how and to whom nurses report violations to protect themselves under whistleblower protection laws. Finally, this article explores personal and professional consequences that nurses should consider before reporting violations. Copyright 2013, SLACK Incorporated.

Histopathological Evaluation of the Anterior Cruciate Ligament in Patients Undergoing Primary Total Knee Arthroplasty.

PubMed

Mont, Michael A; Elmallah, Randa K; Cherian, Jeffrey J; Banerjee, Samik; Kapadia, Bhaveen H

2016-01-01

This study assessed gross and histopathological ACL changes in arthritic knees (n=174) undergoing total knee arthroplasty. Histopathological changes were assessed and graded as absent (0), mild (1), moderate (2), or marked (3). These were correlated to demographic and clinical factors, and radiographic evaluations. The ACL was intact in 43, frayed in 85, torn in 15, and absent in 31 knees. Eighty-five percent had histological changes. Overall, there were significant associations between greater age and BMI, and histological changes. Grade IV knees had significantly greater calcium pyrophosphate deposits, microcyst formation, and number of pathologic changes. These correlations may aid decision-making when determining suitability for unicompartmental or bicruciate-retaining arthroplasties, though further studies should correlate these histological findings to mechanical and functional knee status. Copyright © 2016 Elsevier Inc. All rights reserved.

Direct observation of keyhole characteristics in deep penetration laser welding with a 10 kW fiber laser.

PubMed

Zhang, Mingjun; Chen, Genyu; Zhou, Yu; Li, Shichun

2013-08-26

Keyhole formation is a prerequisite for deep penetration laser welding. Understanding of the keyhole dynamics is essential to improve the stability of the keyhole. Direct observation of the keyhole during deep penetration laser welding of a modified "sandwich" specimen with a 10 kW fiber laser is presented. A distinct keyhole wall and liquid motion along the wall are observed directly for the first time. The moving liquid "shelf" on the front keyhole wall and the accompanying hydrodynamic and vapor phenomena are observed simultaneously. Micro-droplets torn off the keyhole wall and the resultant bursts of vapor are also visualized. The hydrodynamics on the keyhole wall has a dominant effect on the weld defects. The emission spectrum inside the keyhole is captured accurately using a spectrometer to calculate the characteristics of the keyhole plasma plume.

Dragonfly: an implementation of the expand-maximize-compress algorithm for single-particle imaging.

PubMed

Ayyer, Kartik; Lan, Ti-Yen; Elser, Veit; Loh, N Duane

2016-08-01

Single-particle imaging (SPI) with X-ray free-electron lasers has the potential to change fundamentally how biomacromolecules are imaged. The structure would be derived from millions of diffraction patterns, each from a different copy of the macromolecule before it is torn apart by radiation damage. The challenges posed by the resultant data stream are staggering: millions of incomplete, noisy and un-oriented patterns have to be computationally assembled into a three-dimensional intensity map and then phase reconstructed. In this paper, the Dragonfly software package is described, based on a parallel implementation of the expand-maximize-compress reconstruction algorithm that is well suited for this task. Auxiliary modules to simulate SPI data streams are also included to assess the feasibility of proposed SPI experiments at the Linac Coherent Light Source, Stanford, California, USA.

[A case of hemorrhagic cholecystitis associated with Churg-Strauss syndrome].

PubMed

Koizumi, Satomi; Kamisawa, Terumi; Kuruma, Sawako; Chiba, Kazuro; Tabata, Taku; Koizumi, Koichi; Kurata, Masanao; Horiguchi, Shinichiro; Hishima, Tsunekazu

2016-01-01

A woman in her 70s with Churg-Strauss syndrome presented with epigastric pain. She was being treated with steroids at the time of admission. Computed tomography showed swelling of the gallbladder, and percutaneous transhepatic cholangiography revealed bloody secretion. On duodenoscopy, bleeding was observed from the orifice of the major duodenal papilla. Emergency cholecystectomy was performed under a diagnosis of hemorrhagic cholecystitis;intraoperatively, extensive hematoma was detected in the thickened wall of the gallbladder. Subsequent histopathological examination revealed mucosal ulceration with infiltration of inflammatory cells, torn small vessels, and extensive transmural bleeding and abscess formation in the thickened wall of the gallbladder. We considered that the hemorrhagic cholecystitis was induced by either vasculitis or corticosteroid therapy. To the best of our knowledge, this is the first report of hemorrhagic cholecystitis associated with Churg-Strauss syndrome.

Formation of a Chern-Simons cylindrical wormhole during evolution of manifolds

NASA Astrophysics Data System (ADS)

Sepehri, Alireza; Ghaffary, Tooraj; Naimi, Yaghoob; Ghaforyan, Hossein; Ebrahimzadeh, Majid

In this paper, the formation of cylindrical wormhole during evolution of manifolds is studied. It is shown that this type of wormholes may be produced at two stages and then disappeared very fast at the third stage. First, one N-dimensional is formed by joining point-like manifolds. Then, this manifold is torn and two child manifolds plus one Chern-Simons manifold appeared. Our universe is born on one of the child manifolds and connected to the other one by Chern-Simons manifold. At the third stage, this Chern-Simons manifold-which plays the role of cylindrical wormhole, dissolves into universes and gives its energy to them and causes inflation. Thus, the Chern-Simons cylindrical wormhole is unstable and dissolves in our four-dimensional universes and another universe very fast.

Arthroscopic Medial Meniscus Posterior Root Fixation Using a Modified Mason-Allen Stitch.

PubMed

Chung, Kyu Sung; Ha, Jeong Ku; Ra, Ho Jong; Kim, Jin Goo

2016-02-01

A complete radial tear of the meniscus posterior root, which can effectively cause a state of total meniscectomy via loss of hoop tension, requires that the torn root be repaired. Several methods have been used to repair medial meniscus posterior root tears, most of which are based on a simple stitch technique that is known to have stitch-holding strength. We applied a modified version of the Mason-Allen stitch technique, which is recognized as a method for rotator cuff repair surgery because its locking effect overcomes the potential weakness of simple stitches. This article introduces the medial meniscus posterior root tears repair procedure based on a modified Mason-Allen stitch technique in which 2 strands (i.e., 1 simple horizontal and 1 simple vertical stitch) are used.

Gloves against mineral oils and mechanical hazards: composites of carboxylated acrylonitrile–butadiene rubber latex

PubMed Central

Krzemińska, Sylwia; Rzymski, Władysław M.; Malesa, Monika; Borkowska, Urszula; Oleksy, Mariusz

2016-01-01

Resistance to permeation of noxious chemical substances should be accompanied by resistance to mechanical factors because the glove material may be torn, cut or punctured in the workplace. This study reports on glove materials, protecting against mineral oils and mechanical hazards, made of carboxylated acrylonitrile–butadiene rubber (XNBR) latex. The obtained materials were characterized by a very high resistance of the produced materials to oil permeation (breakthrough time > 480 min). The mechanical properties, and especially tear resistance, of the studied materials were improved after the addition of modified bentonite (nanofiller) to the XNBR latex mixture. The nanocomposite meets the requirements in terms of parameters characterizing tear, abrasion, cut and puncture resistance. Therefore, the developed material may be used for the production of multifunctional protective gloves. PMID:26757889

Material Removes Heavy Metal Ions From Water

NASA Technical Reports Server (NTRS)

Philipp, Warren H., Jr.; Street, Kenneth W.; Hill, Carol; Savino, Joseph M.

1995-01-01

New high capacity ion-exchange polymer material removes toxic metal cations from contaminated water. Offers several advantages. High sensitivities for such heavy metals as lead, cadmium, and copper and capable of reducing concentrations in aqueous solutions to parts-per-billion range. Removes cations even when calcium present. Material made into variety of forms, such as thin films, coatings, pellets, and fibers. As result, adapted to many applications to purify contaminated water, usually hard wherever found, whether in wastewater-treatment systems, lakes, ponds, industrial plants, or homes. Another important feature that adsorbed metals easily reclaimed by either destructive or nondestructive process. Other tests show ion-exchange polymer made inexpensively; easy to use; strong, flexible, not easily torn; and chemically stable in storage, in aqueous solutions, and in acidic or basic solution.

Performance of a 16.6 Meter Diameter Modified Ringsail Parachute in a Simulated Martian Environment

NASA Technical Reports Server (NTRS)

Whitlock, Charles H.; Henning, Allen B.; Coltrane, Lucille C.

1968-01-01

Inflation, drag, and stability characteristics of a 54.5 -foot nominal-diameter (16.6-meter) modified ringsail parachute deployed in the wake of a 15-foot-diameter (4.6-meter) spacecraft traveling at a Mach number of 1.6 and a dynamic pressure equal to 11.6 psf (555 N/m(exp 2)) were obtained from the third balloon-launched flight test of the Planetary Entry Parachute Program. After deployment, the parachute inflated rapidly to a full condition, partially collapsed, and reinflated to a stable configuration. After reinflation, an average drag coefficient near 0.6 based on nominal surface area was obtained. During descent, an aerodynamic trim angle was observed in a plane near several torn sails. Amplitude of the trim was approximately 15 degrees and oscillation about trim was less than 11 degrees.

Life satisfaction and trauma in clinical and non-clinical children living in a war-torn environment: A discriminant analysis.

PubMed

Veronese, Guido; Pepe, Alessandro

2017-07-01

The aim of this work was to discriminate between healthy children and children at risk of developing mental impairments by evaluating the impact on contextual and individual factors of a context characterized by war. We tested the hypothesis that a linear discriminant function composed of trauma, life satisfaction, and affect balance has the power to classify the children as community or clinical referred. Membership of the clinical-referred group was associated with poorer life satisfaction and higher levels of trauma. Community-referred profiles were associated with lesser trauma. Perceived life satisfaction regarding family and school was the main contributor to the discriminant function.

Use and limitations of malaria rapid diagnostic testing by community health workers in war-torn Democratic Republic of Congo.

PubMed

Hawkes, Michael; Katsuva, Jean Paul; Masumbuko, Claude K

2009-12-23

Accurate and practical malaria diagnostics, such as immunochromatographic rapid diagnostic tests (RDTs), have the potential to avert unnecessary treatments and save lives. Volunteer community health workers (CHWs) represent a potentially valuable human resource for expanding this technology to where it is most needed, remote rural communities in sub-Saharan Africa with limited health facilities and personnel. This study reports on a training programme for CHWs to incorporate RDTs into their management strategy for febrile children in the Democratic Republic of Congo, a tropical African setting ravaged by human conflict. Prospective cohort study, satisfaction questionnaire and decision analysis. Twelve CHWs were trained to safely and accurately perform and interpret RDTs, then successfully implemented rapid diagnostic testing in their remote community in a cohort of 357 febrile children. CHWs were uniformly positive in evaluating RDTs for their utility and ease of use. However, high malaria prevalence in this cohort (93% by RDTs, 88% by light microscopy) limited the cost-effectiveness of RDTs compared to presumptive treatment of all febrile children, as evidenced by findings from a simplified decision analysis. CHWs can safely and effectively use RDTs in their management of febrile children; however, cost-effectiveness of RDTs is limited in zones of high malaria prevalence.

Use and limitations of malaria rapid diagnostic testing by community health workers in war-torn Democratic Republic of Congo

PubMed Central

2009-01-01

Background Accurate and practical malaria diagnostics, such as immunochromatographic rapid diagnostic tests (RDTs), have the potential to avert unnecessary treatments and save lives. Volunteer community health workers (CHWs) represent a potentially valuable human resource for expanding this technology to where it is most needed, remote rural communities in sub-Saharan Africa with limited health facilities and personnel. This study reports on a training programme for CHWs to incorporate RDTs into their management strategy for febrile children in the Democratic Republic of Congo, a tropical African setting ravaged by human conflict. Methods Prospective cohort study, satisfaction questionnaire and decision analysis. Results Twelve CHWs were trained to safely and accurately perform and interpret RDTs, then successfully implemented rapid diagnostic testing in their remote community in a cohort of 357 febrile children. CHWs were uniformly positive in evaluating RDTs for their utility and ease of use. However, high malaria prevalence in this cohort (93% by RDTs, 88% by light microscopy) limited the cost-effectiveness of RDTs compared to presumptive treatment of all febrile children, as evidenced by findings from a simplified decision analysis. Conclusions CHWs can safely and effectively use RDTs in their management of febrile children; however, cost-effectiveness of RDTs is limited in zones of high malaria prevalence. PMID:20028563

Supporting 'medicine at a distance' for delivery of hospital services in war-torn Somalia: how well are we doing?

PubMed

Maalim, Abdisalan M; Zachariah, Rony; Khogali, Mohamed; Van Griensven, Johan; Van den Bergh, Rafael; Tayler-Smith, Katherine; Kizito, Walter; Baruani, Bienvenu; Osoble, Abdirahman; Abdirahman, Faiza; Ayada, Latifa; Mohamed, Abdinoor H

2014-03-01

We describe an innovative strategy implemented to support national staff at Istarlin Hospital in the conflict setting of Somalia; and report on inpatient morbidities, mortality and adverse hospital exit outcomes. This was a retrospective analysis of hospital data for 2011. Of 8584 admitted patients, the largest numbers were for lower respiratory tract infections (LRTI) (2114; 25%), normal deliveries (1355; 16%) and diarrhoeal diseases (715; 8%). The highest contributors to mortality were gunshot wounds in surgery (18/30; 60%), LRTIs in internal medicine (6/32; 19%) and malnutrition in paediatrics (30/81; 37%). Adverse hospital exit outcomes (deaths and absconded) were well within thresholds set by Médecins Sans Frontières. With a support package, satisfactory standards of care were met for hospital care in Somalia.

Children, Kitchen and Computer: Women--Torn between Family and Job. Developments in the Federal Republic of Germany. Social Report.

ERIC Educational Resources Information Center

Kischke, Martina I.

Focusing on the changing roles and consciousness of women currently living in the Federal Republic of Germany, this report is organized under seven topical headings. The first section, "Women and Politics," comments on the increasing influence of women in local politics, with 36 women currently occupying the posts of Lord Mayor, Mayor,…

Effect of security threats on primary care access in Logar province, Afghanistan.

PubMed

Morikawa, Masahiro J

2008-01-01

Security threats are a major concern for access to health care in many war-torn communities; however, there is little quantified data on actual access to care in rural communities during war. Kinderberg International e.V. provided primary care in rural Logar province, Afghanistan, for these three years in eight districts until they were integrated into the new health care structure led by the Ministry of Health in early 2005. We examined the number of patients visiting our clinic before and during the security threats related to the parliamentary election and subsequent national assembly in 2004. The number of patients declined in remote clinics while the number increased in central locations. This finding has an important practical implication: the monitoring of access to care should include remote clinics, otherwise it may potentially underestimate compromised access to health care due to security threats.

Cautious surgery for discoid menisci

NASA Astrophysics Data System (ADS)

Smith, Chadwick F.; Van Dyk, Eda; Jurgutis, John; Vangsness, C. Thomas

1995-05-01

Thirty patients were surgically treated for discoid menisci at our institution from 1972 to 1987. All developed Fairbank's changes if followed more than 5 years. Between 1980 and 1987 we saw 25 patients with menisci over 50% of the size of the femoral condyle by magnetic resonance imaging or arthrographic examination. Surgical criteria have been anteroposterior hypermobility and arthroscopic evidence of rupture in patients with disabling symptoms. Of the 21 patients undergoing surgery since 1980, 99 (43%) have developed Fairbank's changes, all having been treated by partial meniscectomy or meniscectomy plus posterior repair. Follow-up arthroscopy in five patients revealed distinctly abnormal but relatively stable menisci. Partial meniscectomy for discoid menisci by the Watanabe classification is recommended if symptoms are disabling and the menisci is significantly torn. Repair must be added if the posterior horn is unstable.

Critical Places Beyond the Psychology of Well-Being and Competitiveness.

PubMed

Chemi, Tatiana

2018-05-14

The purpose of the present contribution is to look beyond the limits evident in dualistic discourses in educational practices. Torn between the promises of well-being or the hard facts of competitiveness, educational institutions at all levels of instruction might miss the point of a more holistic approach to learning and creativity. Looking beyond dichotomous discourses in educational practices is harder than ever, in a world where globalisation demands high standards of competitiveness and neoliberalism denies all but economic growth targets. Approaches that envision different solutions are necessarily imaginative, critical and alternative to rigid discourses. In order to find foundational evidence for alternative ways of thinking and talking about learning, I will look at how Dewian and Vygotskyan conceptualisations walk the same paths and go towards holistic suggestions. Concluding remarks will address the disruptive potential of critical thinking in schools for the future.

A Numerical Study on the Streams of Star Debris after Tidal Disruption

NASA Astrophysics Data System (ADS)

Camacho Olachea, Priscila; Ramirez-Ruiz, Enrico; Law-Smith, Jamie

2017-01-01

Lurking at the centers of most galaxies are gigantic star and gas devouring monsters. These monsters are supermassive black holes (SMBHs), some of which are larger than our solar system and ten billion times as massive as our own Sun. The vast majority of stars in the universe live for tens of billions of years, eventually dying from old age as the nuclearreactions that power them become progressively less effective. But for every ten thousand stars that die peacefully, one star will be brutally torn apart by the extreme tidal forces present as it passes near a SMBH. My recent work has been to develop computational tools necessary to study the fates of stars disrupted by SMBHs. In this research project I presentthe results of my numerical study aimed at understanding the streams of star debris that result after disruption.

Uncommon Indications for Reverse Total Shoulder Arthroplasty

PubMed Central

Hyun, Yoon Suk; Huri, Gazi; Garbis, Nickolas G.

2013-01-01

Total shoulder arthroplasty and shoulder hemiarthroplasty have been the traditional method for treating a variety of shoulder conditions, including arthritis, cuff tear arthropathy, and some fracture types. However, these procedures did not provide consistently good results for patients with torn rotator cuffs. The development of the reverse prosthesis by Grammont in the late 20th century revolutionized the treatment of the rotator-cuff-deficient shoulder with arthritis. The main indication for the reverse prosthesis remains the patient with cuff tear arthropathy who has pain and loss of motion. Because the reverse total shoulder arthroplasty produced such good results in these patients, the indications for the reverse prosthesis have expanded to include other shoulder conditions that have previously been difficult to treat successfully and predictably. This review discusses and critically reviews these newer indications for the reverse total shoulder arthroplasty. PMID:24340143

Dynamic forces on agglomerated particles caused by high-intensity ultrasound.

PubMed

Knoop, Claas; Fritsching, Udo

2014-03-01

In this paper the acoustic forces on particles and agglomerates caused by high-intensity ultrasound in gaseous atmosphere are derived by means of computational fluid dynamics (CFD). Sound induced forces cause an oscillating stress scenario where the primary particles of an agglomerate are alternatingly pressed together and torn apart with the frequency of the applied wave. A comparison of the calculated acoustic forces with respect to the inter particle adhesion forces from Van-der-Waals and liquid bridge interactions reveals that the separation forces may reach the same order of magnitude for 80 μm sized SiO2-particles. Hence, with finite probability acoustically agitated gases may de-agglomerate/disperse solid agglomerate structures. This effect is confirmed by dispersion experiments in an acoustic particle levitation setup. Copyright © 2013 Elsevier B.V. All rights reserved.

Dynamic Mechanical Properties and Fracture Surface Morphologies of Core-Shell Rubber (CSR) Toughened Epoxy at Liquid Nitrogen (Ln2) Temperatures

NASA Technical Reports Server (NTRS)

Wang, J.; Magee, D.; Schneider, J. A.

2009-01-01

The dynamic mechanical properties and fracture surface morphologies were evaluated for a commercial epoxy resin toughened with two types of core-shell rubber (CSR) toughening agents (Kane Ace(Registered TradeMark) MX130 and MX960). The impact resistance (R) was evaluated by the resulting breaking energy measured in Charpy impact tests conducted on an instrumented drop tower. The resulting fracture surface morphologies were examined using Scanning Electron Microscopy (SEM). Fractographic observations of the CSR toughened epoxy tested at ambient temperature, showed a fracture as characterized by slender dendrite textures with large voids. The increasing number of dendrites and decreasing size of scale-like texture with more CSR particles corresponded with increased R. As the temperature decreased to Liquid Nitrogen (LN 2), the fracture surfaces showed a fracture characterized by a rough, torn texture containing many river markings and deep furrows.

Land subsidence

USGS Publications Warehouse

Holzer, T.L.

1986-01-01

In November 1966, sixty percent of Venice, Italy, is inundated by a storm surge that causes waters in the Venetian lagoon to rise more than 6 feet. On December 28, 1971, a janitor at the Washington Elementary School in Johnston City, Illinois, discovers sever cracking of the school. In January 1972, the school is abandoned and subsequently razed. In the 1970's, five homes in New Orleans, Louisiana, are destroyed by gas explosins. In May 198, a 350 feet diameter sink-hole forms in a business area in Winter Park, Florida, and swallows a home and parts of several businesses. In August 1983, Hurricane Alicia slams into the texas Gulf Coast near Houston, Texas, and devastates the 500 home Brownwood subdivision on the north end of Galveston Bay. Homes are torn from their foundations and reduced to rubble. 

Pullout repair of a medial meniscus posterior root tear using a FasT-Fix® all-inside suture technique.

PubMed

Kodama, Y; Furumatsu, T; Fujii, M; Tanaka, T; Miyazawa, S; Ozaki, T

2016-11-01

A medial meniscus posterior root tear (MMPRT) may increase the tibiofemoral contact pressure by decreasing the tibiofemoral contact area. Meniscal dysfunction induced by posterior root injury may lead to the development of osteoarthritic knees. Repair of a MMPRT can restore medial meniscus (MM) function and prevent knee osteoarthritis progression. Several surgical procedures have been reported for treating a MMPRT. However, these procedures are associated with several technical difficulties. Here, we describe a technique to stabilize a torn MM posterior root using the FasT-Fix ® all-inside meniscal suture device and a new aiming device. The uncut free-end of the FasT-Fix ® suture can be used as a thread for transtibial pullout repair. Our procedure might help overcome the technical difficulties in arthroscopic treatment of a MMPRT. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Control technology for Richard Klinger, Inc. , Sidney, Ohio. Indepth survey report

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

Heitbrink, W.A.

1984-06-25

Environmental and breathing zone samples were analyzed for asbestos (1332214) at Richard Klinger Incorporated (SIC-3069), Sidney, Ohio in August 1983 as part of an in depth study of dust control during bag opening, dumping, and disposal. Asbestos control technology was inspected. Control of asbestos at the facility was achieved by using an automatic cleaner to clean spills and routinely remove settled and spilled asbestos from the floor. During periods of peak exposure, workers wore NIOSH approved respirators and disposable coveralls. Air sampling was used to identify any asbestos control problems. Closed bales of asbestos were torn. The author concludes thatmore » operation of the bag slitter does not increase asbestos concentrations. Closed bales of asbestos may be an emission source. Improving the quality of the wrapping around the bales and handling techniques during shipment are recommended.« less

Questioning the role of Facebook in maintaining Syrian social capital during the Syrian crisis.

PubMed

Ramadan, Reem

2017-12-01

The Syrian crisis is considered the 'world's single largest crisis for almost a quarter of a century that has the biggest refugee population from a single conflict in a generation' (UN High Commissioner for Refugees, 2016). The rapid adoption of Facebook among Syrians questions whether it helps in maintaining the social capital of a war-torn nation and a dispersed Syrian population worldwide. Data was collected by means of a Facebook survey from 964 Syrian users. Results indicated that Facebook enhanced social identity and social capital through facilitating communication, collaboration and resource sharing among dispersed Syrians inside and outside the country. However, the offline rift of the nation was extended to Facebook through promoting hate speech among opposed parties. Results of this study may advance the understanding of the role of Facebook on social capital in countries going through similar crisis situations.

Management of chronic unstable acromioclavicular joint injuries.

PubMed

Cisneros, Luis Natera; Reiriz, Juan Sarasquete

2017-12-01

The acromioclavicular joint represents the link between the clavicle and the scapula, which is responsible for the synchronized dynamic of the shoulder girdle. Chronic acromioclavicular joint instability involves changes in the orientation of the scapula, which provokes cinematic alterations that might result in chronic pain. Several surgical strategies for the management of patients with chronic and symptomatic acromioclavicular joint instability have been described. The range of possibilities includes anatomical and non-anatomical techniques, open and arthroscopy-assisted procedures, and biological and synthetic grafts. Surgical management of chronic acromioclavicular joint instability should involve the reconstruction of the torn ligaments because it is accepted that from three weeks after the injury, these structures may lack healing potential. Here, we provide a review of the literature regarding the management of chronic acromioclavicular joint instability. Expert opinion, Level V.

Centaur Standard Shroud (CSS) cryogenic unlatch tests

NASA Technical Reports Server (NTRS)

1973-01-01

Cryogenic tanking and partial jettison (unlatch) tests were performed on a full scale Centaur vehicle and Centaur Standard Shroud (CSS) to develop and qualify the CSS insulation system, the CSS and Centaur ground-hold purge systems, and the Centaur hydrogen tank flight vent system. Operation of the shroud/Centaur pyrotechnic systems, seals, and the shroud jettison springs, hinges, and other separation systems was demonstrated by a partial jettison of the shroud into catch nets. The Centaur tanks were filled with liquid hydrogen and liquid nitrogen. Prelaunch operations were performed, and data taken to establish system performances. Results from the initial tests showed a higher than expected heat transfer rate to the Centaur hydrogen tank. In addition, the release mechanism for the forward seal between the Centaur and the CSS did not function properly, and the seal was torn during jettison of the shroud.

Andic soils : mineralogical effect onto organic matter dynamics, organic matter effect onto mineral dynamics, or both?

NASA Astrophysics Data System (ADS)

Basile-Doelsch, Isabelle; Amundson, Ronald; Balesdent, Jérome; Borschneck, Daniel; Bottero, Jean-Yves; Colin, Fabrice; de Junet, Alexis; Doelsch, Emmanuel; Legros, Samuel; Levard, Clément; Masion, Armand; Meunier, Jean-Dominique; Rose, Jérôme

2014-05-01

From a strictly mineralogical point of view, weathering of volcanic glass produces secondary phases that are short range ordered alumino-silicates (SRO-AlSi). These are imogolite tubes (2 to 3 nm of diameter) and allophane supposedly spheres (3.5 to 5 nm). Their local structure is composed of a curved gibbsite Al layer and Si tetrahedra in the vacancies (Q0). Proto-imogolites have the same local structure but are roof-shape nanoparticles likely representing the precursors of imogolite and allophanes (Levard et al. 2010). These structures and sizes give to the SRO-AlSi large specific surfaces and high reactivities. In some natural sites, imogolites and allophanes are formed in large quantities. Aging of these phases may lead to the formation of more stable minerals (halloysite, kaolinite and gibbsite) (Torn et al 1997). In natural environments, when the weathering of volcanic glass is associated with the establishment of vegetation, the soils formed are generally andosols. These soils are particularly rich in organic matter (OM), which is explained by the high ability of SRO-AlSi mineral phases to form bonds with organic compounds. In a first order "bulk" approach, it is considered that these bonds strongly stabilize the organic compounds as their mean age can reach more than 10 kyrs in some studied sites (Basile-Doelsch et al. 2005; Torn et al. 1997). However, the structure of the mineral phases present in andosols deserves more attention. Traditionally, the presence in the SRO-AlSi andosols was shown by selective dissolution approaches by oxalate and pyrophosphate. Using spectroscopic methods, mineralogical analysis of SRO-AlSi in andosols samples showed that these mineral phases were neither imogolites nor allophanes as originally supposed, but only less organized structures remained in a state of proto-imogolites (Basile-Doelsch al. 2005 ; Levard et al., 2012). The presence of OM would have an inhibitory effect on the formation of secondary mineral phases, by

Torn between dual roles: the experiences of nurse-family members when a loved one is hospitalised in a critical condition.

PubMed

Giles, Tracey M; Williamson, Victoria

2015-11-01

To understand and interpret the experiences of nurse-family members when a family member or loved one is hospitalised in a critical condition. Having a family member hospitalised with a critical illness is a traumatic stressor, often with long-term sequelae. Providing holistic care for family members who are also nurses makes the provision of care more complex because of their professional expertise; yet few studies have explored this issue. In this descriptive study, qualitative data were collected using a questionnaire and analysed using van Manen's (Researching Lived Experience: Human Science for an Action Sensitive Pedagogy, 1990, State University of New York Press, London, ON) six-step approach. Twenty nurse-family members completed an online questionnaire in June 2013. Qualitative findings from 19 participants were included in the analysis. The phenomenological analysis approach described by van Manen (Researching Lived Experience: Human Science for an Action Sensitive Pedagogy, 1990, State University of New York Press, London, ON) was used to describe and interpret nurse-family member experiences. Nurse-family members experience significant dual role conflicts between their personal and professional personas due to their specialised knowledge, need for watchfulness and competing expectations. Our findings describe how dual role conflicts developed and were managed, and reveal the resultant emotional toll and psychological distress as nurse-family members struggled to resolve these conflicts. Nurse-family members require a different type of care than general public family members, yet their unique needs are often unmet, leading to increased anxiety and distress that could potentially be minimised. An increased awareness and emphasis on the nurse-family member experience can ensure health care professionals are better placed to provide appropriate and targeted care to minimise distressing dual role conflicts. There is a need for targeted and specialised communication appropriate to each nurse-family members' needs and level of understanding, and to clarify expectations to ensure nurse-family members' professional knowledge and skills are recognised and respected without being exploited. © 2015 John Wiley & Sons Ltd.

Osteoarthritis after rotator cuff repair: A 10-year follow-up study.

PubMed

Flurin, P-H; Hardy, P; Valenti, P; Meyer, N; Collin, P; Kempf, J-F

2017-06-01

Joint surgery is often complicated by gradual bone and cartilage deterioration that eventually leads to secondary osteoarthritis. The primary objective of this study was to identify preoperative risk factors for gleno-humeral osteoarthritis after rotator cuff repair. The secondary objectives were to assess whether the risk of gleno-humeral osteoarthritis was influenced by the operative technique, occurrence of postoperative complications, cuff healing, and muscle degeneration and to determine whether gleno-humeral osteoarthritis affected the clinical outcome. The development of gleno-humeral osteoarthritis affects the postoperative clinical outcome. A retrospective multicentre study of patients who underwent rotator cuff repair in 2003 and were re-evaluated at least 10 years later was conducted under the aegis of the Société française de chirurgie orthopédique et traumatique (SOFCOT). Osteoarthritis severity was graded according to the Samilson-Prieto classification. Four hundred and one patients were included. At last follow-up, at least 10 years after surgery, the radiological Samilson-Prieto grades were distributed as follows: 0, n=181 (45%); 1, n=142 (n=35%); 2, n=57 (14%); 3, n=14 (4%); and 4, n=7 (2%). The mean Constant score was significantly higher in the patients without than with osteoarthritis at last follow-up (79/100 vs. 73/100, P<0.001). MRI assessment of cuff healing showed that the proportion of patients with osteoarthritis was significantly higher in the group with unhealed or re-torn cuffs (Sugaya type 4 or 5) than in the group with healed cuffs (Sugaya type 1, 2, or 3) (46% vs. 25%, P=0.012). Our study showed no associations linking the risk of gleno-humeral osteoarthritis to the patient activity profile, history of shoulder injury, or preoperative symptom duration. In contrast, statistically significant associations were identified between gleno-humeral osteoarthritis and age, male gender, initial tear severity, and the pain and mobility

Failed healing of rotator cuff repair correlates with altered collagenase and gelatinase in supraspinatus and subscapularis tendons.

PubMed

Robertson, Catherine M; Chen, Christopher T; Shindle, Michael K; Cordasco, Frank A; Rodeo, Scott A; Warren, Russell F

2012-09-01

histological examination. From a general linear model, the upregulation of MMP-1 and MMP-9 was highly correlated with failed healing of the rotator cuff (R(2) = .656). The upregulation of tissue remodeling genes in the torn rotator cuff at the time of surgery provides a snapshot of the biological environment surrounding the torn rotator cuff that is closely related to the healing of repaired rotator cuffs.

The Ideological and Political Dimensions of the Anti-Smoking and Anti-Drinking Video Advertisements in the Republic of Moldova.

PubMed

Stanchevici, Dmitri

2017-06-01

Based on the critical approach in health communication, along with Habermas's theory of legitimation and Ellul's theory of propaganda, this qualitative study analyzes the political and ideological dimensions of the video advertisements used in the 2012 anti-smoking and 2014 anti-drinking campaigns in the Republic of Moldova. This analysis shows that these health videos support male domination and exclusion of the poor and legitimate the current political leadership with its declared pro-European orientation. This study uniquely contributes to the critical approach in health communication by focusing on the post-Soviet context in which statehood and national identity are unstable and societies are torn between the Russian and (post-)Soviet influences on one hand and European aspirations on the other. Drawing on critical scholarship in global health communication, this article calls for greater respect and recognition of Moldova's local culture and definition of health.

Ho:YAG laser arthroscopy of the knee

NASA Astrophysics Data System (ADS)

Sisto, Domenick J.; Blazina, Martin E.; Hirsh, Linda C.

1994-09-01

The HO:YAG laser is a near-contact laser with a capacity to ablate or cut tissues. The ablation function allows the surgeon to remove meniscal tissue, lyse and resect adhesions, melt loose bodies, and dissolve inflamed synovium. The cutting function of the laser is utilized to perform a lateral release or resect torn menisci. The laser can also be utilized to drill holes in Grade IV chondromalacic lesions to initiate a healing response. The laser has been embraced by orthopaedic surgeons because of its shape and versatility. The tip is only 2 mm wide and can be delivered into the tight posterior compartments of the knee with no damaging contact with the articular surfaces. The laser coagulates as it works and bleeding is minimized. The laser can function both as a cutting and ablating tool. The laser can also drill holes into subchondral bone to, hopefully, initiate a healing response.

Ultrahigh interlayer friction in multiwalled boron nitride nanotubes.

PubMed

Niguès, A; Siria, A; Vincent, P; Poncharal, P; Bocquet, L

2014-07-01

Friction at the nanoscale has revealed a wealth of behaviours that depart strongly from the long-standing macroscopic laws of Amontons-Coulomb. Here, by using a 'Christmas cracker'-type of system in which a multiwalled nanotube is torn apart between a quartz-tuning-fork-based atomic force microscope (TF-AFM) and a nanomanipulator, we compare the mechanical response of multiwalled carbon nanotubes (CNTs) and multiwalled boron nitride nanotubes (BNNTs) during the fracture and telescopic sliding of the layers. We found that the interlayer friction for insulating BNNTs results in ultrahigh viscous-like dissipation that is proportional to the contact area, whereas for the semimetallic CNTs the sliding friction vanishes within experimental uncertainty. We ascribe this difference to the ionic character of the BN, which allows charge localization. The interlayer viscous friction of BNNTs suggests that BNNT membranes could serve as extremely efficient shock-absorbing surfaces.

Flow studies in a wet steam turbine

NASA Technical Reports Server (NTRS)

Evans, D. H.; Pouchot, W. D.

1974-01-01

The design and test results of a four stage wet vapor turbine operating with slightly superheated inlet steam and expanding to 10% exit moisture are presented. High speed movies at 3000 frames per second of liquid movement on the pressure side and along the trailing edge of the last stator blade are discussed along with back lighted photographs of moisture drops as they were torn from the stator blade trailing edge. Movies at lower framing rates were also taken of the exit of the last rotating blade and the casing moisture removal slot located in line with the rotor blade shroud. Also moisture removal data are presented of casing slot removal at the exit of the third and fourth rotor blades and for slots located in the trailing edge of the last stator blade. Finally, the degradation of turbine thermodynamic performance due to condensation formation and movement is discussed.

The struggle of giving up personal goals: affective, physiological, and cognitive consequences of an action crisis.

PubMed

Brandstätter, Veronika; Herrmann, Marcel; Schüler, Julia

2013-12-01

A critical phase in goal striving occurs when setbacks accumulate and goal disengagement becomes an issue. This critical phase is conceptualized as an action crisis and assumed to be characterized by an intrapsychic conflict in which the individual becomes torn between further goal pursuit and goal disengagement. Our theorizing converges with Klinger's conceptualization of goal disengagement as a process, rather than a discrete event. Two longitudinal field studies tested and found support for the hypothesis that an action crisis not only compromises an individual's psychological and physiological well-being, but also dampens the cognitive evaluation of the respective goal. In Study 3, marathon runners experiencing an action crisis in their goal of running marathons showed a stronger cortisol secretion and a lower performance in the race 2 weeks later. Results are interpreted in terms of action-phase-specific mindsets with a focus on self-regulatory processes in goal disengagement.

Double Internal Limiting Membrane Insertion for Macular Hole-Associated Retinal Detachment

PubMed Central

Chen, San-Ni

2017-01-01

Purpose To describe a modified technique of internal limiting membrane (ILM) insertion for macular hole- (MH-) associated retinal detachment (RD) in highly myopic eyes. Methods Nine eyes underwent pars plana vitrectomy, cortical vitreous removal, and fovea-sparing ILM peeling. Double ILM insertion into the hole was performed with inverted perifoveal ILM and a free ILM flap followed by air-fluid exchange. Results Two of the 9 eyes had perifoveal ILM partially torn after cortical vitreous or epiretinal removal. All eyes had the ILM plug stabilized within the MH after double ILM insertion. Postoperatively, MH was sealed with the retina reattached in all the eyes. Conclusion Double ILM insertion may further secure the ILM flap in place in the eyes with MH-associated RD, especially in cases in which insufficient perifoveal ILM was left. This trial is registered with the clinical registration number Clinicaltrials.gov NCT03174639. PMID:28845304

KSC-04PD-1776

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. United Space Alliance workers Dallas Lewis (left) and Damon Petty clean up hurricane debris inside the Thermal Protection System Facility (TPSF). Much of the roof was torn off by Hurricane Frances as it passed over Central Florida during the Labor Day weekend. Undamaged equipment has been moved to the RLV hangar at KSC. The TPSF, which creates the TPS tiles, blankets and all the internal thermal control systems for the Space Shuttles, is almost totally unserviceable at this time after losing approximately 35 percent of its roof. The maximum wind at the surface from Hurricane Frances was 94 mph from the northeast at 6:40 a.m. on Sunday, September 5. It was recorded at a weather tower located on the east shore of the Mosquito Lagoon near the Cape Canaveral National Seashore. The highest sustained wind at KSC was 68 mph.

KSC-04pd1776

NASA Image and Video Library

2004-09-14

KENNEDY SPACE CENTER, FLA. - United Space Alliance workers Dallas Lewis (left) and Damon Petty clean up hurricane debris inside the Thermal Protection System Facility (TPSF). Much of the roof was torn off by Hurricane Frances as it passed over Central Florida during the Labor Day weekend. Undamaged equipment has been moved to the RLV hangar at KSC. The TPSF, which creates the TPS tiles, blankets and all the internal thermal control systems for the Space Shuttles, is almost totally unserviceable at this time after losing approximately 35 percent of its roof. The maximum wind at the surface from Hurricane Frances was 94 mph from the northeast at 6:40 a.m. on Sunday, September 5. It was recorded at a weather tower located on the east shore of the Mosquito Lagoon near the Cape Canaveral National Seashore. The highest sustained wind at KSC was 68 mph.

Is maternal education a social vaccine for childhood malaria infection? A cross-sectional study from war-torn Democratic Republic of Congo.

PubMed

Ma, Cary; Claude, Kasereka Masumbuko; Kibendelwa, Zacharie Tsongo; Brooks, Hannah; Zheng, Xiaonan; Hawkes, Michael

2017-03-01

In zones of violent conflict in the tropics, social disruption leads to elevated child mortality, of which malaria is the leading cause. Understanding the social determinants of malaria transmission may be helpful to optimize malaria control efforts. We conducted a cross-sectional study of healthy children aged 2 months to 5 years attending well-child and/or immunization visits in the Democratic Republic of Congo (DRC). Six hundred and forty-seven children were tested for malaria antigenemia by rapid diagnostic test and the accompanying parent or legal guardian simultaneously completed a survey questionnaire related to demographics, socioeconomic status, maternal education, as well as bednet use and recent febrile illness. We examined the associations between variables using multivariable logistic regression analysis, chi-squared statistic, Fisher's exact test, and Spearman's rank correlation, as appropriate. One hundred and twenty-three out of the 647 (19%) children in the study tested positive for malaria. Higher levels of maternal education were associated with a lower risk of malaria in their children. The prevalence of malaria in children of mothers with no education, primary school, and beyond primary was 41/138 (30%), 41/241 (17%), and 39/262 (15%), respectively (p = 0.001). In a multivariable logistic regression model adjusting for the effect of a child's age and study site, the following remained significant predictors of malaria antigenemia: maternal education, number of children under five per household, and HIV serostatus. Higher maternal education, through several putative causal pathways, was associated with lower malaria prevalence among children in the DRC. Our findings suggest that maternal education might be an effective 'social vaccine' against malaria in the DRC and globally.

Is maternal education a social vaccine for childhood malaria infection? A cross-sectional study from war-torn Democratic Republic of Congo

PubMed Central

Ma, Cary; Claude, Kasereka Masumbuko; Kibendelwa, Zacharie Tsongo; Brooks, Hannah; Zheng, Xiaonan; Hawkes, Michael

2017-01-01

In zones of violent conflict in the tropics, social disruption leads to elevated child mortality, of which malaria is the leading cause. Understanding the social determinants of malaria transmission may be helpful to optimize malaria control efforts. We conducted a cross-sectional study of healthy children aged 2 months to 5 years attending well-child and/or immunization visits in the Democratic Republic of Congo (DRC). Six hundred and forty-seven children were tested for malaria antigenemia by rapid diagnostic test and the accompanying parent or legal guardian simultaneously completed a survey questionnaire related to demographics, socioeconomic status, maternal education, as well as bednet use and recent febrile illness. We examined the associations between variables using multivariable logistic regression analysis, chi-squared statistic, Fisher’s exact test, and Spearman’s rank correlation, as appropriate. One hundred and twenty-three out of the 647 (19%) children in the study tested positive for malaria. Higher levels of maternal education were associated with a lower risk of malaria in their children. The prevalence of malaria in children of mothers with no education, primary school, and beyond primary was 41/138 (30%), 41/241 (17%), and 39/262 (15%), respectively (p = 0.001). In a multivariable logistic regression model adjusting for the effect of a child’s age and study site, the following remained significant predictors of malaria antigenemia: maternal education, number of children under five per household, and HIV serostatus. Higher maternal education, through several putative causal pathways, was associated with lower malaria prevalence among children in the DRC. Our findings suggest that maternal education might be an effective ‘social vaccine’ against malaria in the DRC and globally. PMID:28220714

Prioritizing Healthcare Delivery in a Conflict Zone Comment on "TB/HIV Co-Infection Care in Conflict-Affected Settings: A Mapping of Health Facilities in the Goma Area, Democratic Republic of Congo".

PubMed

Wood, Robin; Richardson, Eugene T

2013-09-01

Nowhere are the barriers to a functional health infrastructure more clearly on display than in the Goma region of Democratic Republic of Congo. Kaboru et al. report poorly integrated services for HIV and TB in this war-torn region. Priorities in conflict zones include provision of security, shelter, food, clean water and prevention of sexual violence. In Goma, immediate health priorities include emergency treatment of cholera, malaria, respiratory illnesses, provision of maternal care, millions of measles vaccinations, and management of an ongoing rabies epidemic. It is a daunting task to determine an essential package of medical services in a setting where there are so many competing priorities, where opportunity costs are limited and epidemiologic information is scarce. Non-governmental agencies sometimes add to the challenge via an insidious reduction of state sovereignty and the creation of new levels of income inequality. Kaboru et al. have successfully highlighted many of the complexities of rebuilding and prioritizing healthcare in a conflict zone.

The role of platelet-rich plasma in rotator cuff repair.

PubMed

Mei-Dan, Omer; Carmont, Michael R

2011-09-01

The shoulder is a common source of disability resulting from traumatic and degenerate tears of the rotator cuff, subacromial impingement, and osteoarthritis. Nonoperative management has focused on treatment of the predisposing factors, the use of analgesics and anti-inflammatory medication usually in association with local anesthetic and steroid injections. Surgical intervention allows debridement of the degenerate cuff and partial thickness cuff tears, subacromial bursitis, impinging bone spurs and osteophytes together with rotator cuff repairs. Repairs of degenerate and torn tissue are often prone to failure due to many intrinsic and extrinsic factors. It is assumed that some biological therapies might improve clinical, mechanical, and histologic outcomes. Injections of platelet-rich plasma (PRP) have led to reduced pain and improved recovery in other degenerate pathologies areas together with the restoration of function. This study reviews the current literature on PRP and in particular discusses its relevance in the treatment of rotator cuff tears.

Six decades of educational multilateralism in a globalising world: The history of the UNESCO Institute in Hamburg

NASA Astrophysics Data System (ADS)

Elfert, Maren

2013-07-01

Created in 1945 as a specialised agency of the United Nations (UN), the United Nations Educational, Scientific and Cultural Organization (UNESCO) was given, among other mandates, the task of reconstructing education systems devastated during the Second World War. UNESCO, in turn, and after some debate about an engagement in Germany, founded the UNESCO Institute for Education (UIE) in Hamburg in 1952. This paper traces the development of an institute which was founded to contribute to social renewal in war-torn Germany and Europe, functioned as a mediator between Western and Eastern countries during the Cold War and later shifted its geographical focus to developing countries. The institute was instrumental in conceptualising lifelong learning as a global educational paradigm, as well as in shaping the shift from education to learning and the concept of literacy as a "continuum". The author is particularly interested in the nature of the institute's niche which secured its survival in the uncertain domain of educational multilateralism in the past six decades.

Assessment of biological leaf tissue using biospeckle laser imaging technique

NASA Astrophysics Data System (ADS)

Ansari, M. Z.; Mujeeb, A.; Nirala, A. K.

2018-06-01

We report on the application of an optical imaging technique, the biospeckle laser, as a potential tool to assess biological and medicinal plant leaves. The biospeckle laser technique is a non-invasive and non-destructive optical technique used to investigate biological objects. Just after their removal from plants, the torn leaves were used for biospeckle laser imaging. Quantitative evaluation of the biospeckle data using the inertia moment (IM) of the time history speckle pattern, showed that the IM can be utilized to provide a biospeckle signature to the plant leaves. It showed that leaves from different plants can have their own characteristic IM values. We further investigated the infected regions of the leaves that display a relatively lower biospeckle activity than the healthy tissue. It was easy to discriminate between the infected and healthy regions of the leaf tissue. The biospeckle technique can successfully be implemented as a potential tool for the taxonomy of quality leaves. Furthermore, the technique can help boost the quality of ayurvedic medicines.

Informed Consent at Gunpoint: When Psychiatry Affects Gun Ownership.

PubMed

Candilis, Philip J; Khurana, Gagandeep; Leong, Gregory B; Weinstock, Robert

2015-06-01

As states take more steps to connect patients' gun ownership to their mental health, psychiatrists are being asked to provide mental health information after clinical interviews as well as after confiscation. This move into the patient-physician relationship raises new questions about how psychiatrists should obtain informed consent when interviews may result in reports to legal authorities. Consent warnings are already practiced more in the breach than in the observance and informed consent is imperfect at its best. In communities torn by controversies surrounding gun control, vehement political views will further influence these established themes to result in unprecedented pressures on patient confidentiality. This analysis draws on new movements in ethical theory and behavioral medicine that go beyond balancing principles to question the use of psychiatry in firearm reporting, and support a vigorous practice of informed consent to protect both individuals and the communities they live in. Copyright © 2015 John Wiley & Sons, Ltd.

Pure Varus Injury to the Knee Joint.

PubMed

Yoo, Jae Ho; Lee, Jung Ha; Chang, Chong Bum

2015-06-01

A 30-year-old male was involved in a car accident. Radiographs revealed a depressed marginal fracture of the medial tibial plateau and an avulsion fracture of the fibular head. Magnetic resonance imaging showed avulsion fracture of Gerdy's tubercle, injury to the posterior cruciate ligament (PCL), posterior horn of the medial meniscus, and the attachments of the lateral collateral ligament and the biceps femoris tendon. The depressed fracture of the medial tibial plateau was elevated and stabilized using a cannulated screw and washer. The injured lateral and posterolateral corner (PLC) structures were repaired and augmented by PLC reconstruction. However, the avulsion fracture of Gerdy's tubercle was not fixed because it was minimally displaced and the torn PCL was also not repaired or reconstructed. We present a unique case of pure varus injury to the knee joint. This case contributes to our understanding of the mechanism of knee injury and provides insight regarding appropriate treatment plans for this type of injury.

Arthroscopic partial meniscectomy of a medial meniscus bucket-handle tear using the posteromedial portal.

PubMed

Ahn, Jin Hwan; Oh, Irvin

2004-09-01

Arthroscopic resection of irreparable bucket-handle tears of the medial meniscus is a commonly performed procedure. Adequate visualization of the posterior horn of the medial meniscus can be a challenging task with the conventional use of the anterior portal. An attempt to resect the posterior horn in a blind fashion may result in iatrogenic damage of the articular cartilage in the posterior compartment, over-resection of a remnant meniscus, or an insufficient resection of the torn fragment. We describe the use of the posteromedial portal for an accurate visualization and resection of the posterior attachment of a bucket-handle tear for arthroscopic partial meniscectomy, as well as detection of other injuries that may be involved in the posteromedial compartment, while avoiding injury to other intra-articular structures during the arthroscopic procedure. We found that the use of the posteromedial portal is a safe and efficient method in removing a bucket-handle tear of the medial meniscus in one piece.

Kidnapping and Mental Health in Iraqi Refugees: The Role of Resilience

PubMed Central

Wright, A. Michelle; Talia, Yousif R.; Aldhalimi, Abir; Broadbridge, Carissa L.; Jamil, Hikmet; Lumley, Mark A.; Pole, Nnamdi; Arnetz, Judith E.

2016-01-01

Although kidnapping is common in war-torn countries, there is little research examining its psychological effects. Iraqi refugees (N = 298) were assessed upon arrival to the U.S. and 1 year later. At arrival, refugees were asked about prior trauma exposure, including kidnapping. One year later refugees were assessed for post-traumatic stress disorder (PTSD) and major depression disorder (MDD) using the SCID-I. Individual resilience and narratives of the kidnapping were also assessed. Twenty-six refugees (9 %) reported being kidnapped. Compared to those not kidnapped, those who were had a higher prevalence of PTSD, but not MDD, diagnoses. Analyses examining kidnapping victims revealed that higher resilience was associated with lower rates of PTSD. Narratives of the kidnapping were also discussed. This study suggests kidnapping is associated with PTSD, but not MDD. Additionally, kidnapping victims without PTSD reported higher individual resilience. Future studies should further elucidate risk and resilience mechanisms. PMID:26781328

Kidnapping and Mental Health in Iraqi Refugees: The Role of Resilience.

PubMed

Wright, A Michelle; Talia, Yousif R; Aldhalimi, Abir; Broadbridge, Carissa L; Jamil, Hikmet; Lumley, Mark A; Pole, Nnamdi; Arnetz, Bengt B; Arnetz, Judith E

2017-02-01

Although kidnapping is common in war-torn countries, there is little research examining its psychological effects. Iraqi refugees (N = 298) were assessed upon arrival to the U.S. and 1 year later. At arrival, refugees were asked about prior trauma exposure, including kidnapping. One year later refugees were assessed for posttraumatic stress disorder (PTSD) and major depression disorder (MDD) using the SCID-I. Individual resilience and narratives of the kidnapping were also assessed. Twenty-six refugees (9 %) reported being kidnapped. Compared to those not kidnapped, those who were had a higher prevalence of PTSD, but not MDD, diagnoses. Analyses examining kidnapping victims revealed that higher resilience was associated with lower rates of PTSD. Narratives of the kidnapping were also discussed. This study suggests kidnapping is associated with PTSD, but not MDD. Additionally, kidnapping victims without PTSD reported higher individual resilience. Future studies should further elucidate risk and resilience mechanisms.

[Meniscus transplantation as an option in case of painful arthrosis following meniscectomy].

PubMed

van Arkel, E R

2004-01-17

The menisci play a role as shock absorbers and distribute the pressure uniformly over the joint cartilage. Other functions are: the nutrition of the joint cartilage, secondary stability and proprioception. In case of a torn meniscus, one should first attempt to suture the meniscus, followed by arthroscopic partial meniscectomy if suturing is impossible. In a large proportion of patients, arthrosis with pain and loss of function of the knee develops several years after the meniscectomy. In order to alleviate the symptoms of such arthrosis, a trial of meniscus transplantation was undertaken. In two long-term studies without a control group, the results of meniscus transplantation were reasonable. The results of medial meniscus transplantation are dependent upon the presence of an intact anterior cruciate ligament. The accepted indication for meniscus transplantation after meniscectomy is: disabling pain following (sub)total meniscectomy in a patient younger than 45-50 years of age with a normal alignment and a stable knee joint.

[The power of the notion of resistance in the mental health field: a case study on the life of rural communities whitin the Colombian armed conflict].

PubMed

Arias López, Beatriz Elena

2014-08-01

The objective of this study is to identify individual, family and/or community responses of resistance within protracted armed conflict. We conducted a case study with members of rural communities in the municipality of San Francisco, in the eastern area of Antioquia, Colombia, combining biographical and ethnographical approaches. The primary results show that, along with the suffering generated by the experience of armed conflict, rural community members also display a repertoire of multiple and diverse resistance strategies. Resistance is for them an active response and a way to re-weave the fabric torn by the experience. As a type of affirmative opposition, resistance is a powerful category for the entire mental health field, in that it highlights the creativity and capacity for transformation of individuals. In this way, the category allows for overcoming the limits of the conventional biomedical view that tends to pathologize individual and social responses in scenarios of severe distress.

Morphological evolution of thin polymer film on chemically patterned substrates

NASA Astrophysics Data System (ADS)

Singh, Satya Pal

2018-05-01

In this paper work, pattern formation in ultra thin polymer film, adsorbed on chemically patterned substrates, is reported under strong confinement. The observations indicate for the strong influence of the surface attraction over evolution of spindoal waves, leading to the flattening of the film. But, the film appears to be torn apart in strip or nano fiber like structures, because of coalescences of the monomers at the free ends of the chains. The beads at the free ends of the chain are relatively more mobile. The chain diffusion towards attractive part of the chemically patterned surfaces is clearly seen. Prewetting or crystallization like phenomena seems to appear resulting into formation of strips with coexistence of molten phase drops at the top of the ruptured film. The investigation mimics spindoal dewetting because of the fact that the rupturing occurs in case of strong attractive surface. The investigation is of technical importance as it highlights the formation of nano scale strips and fibers though in a quasi equilibrium case.

Surgery in the Horn of Africa: a 1-year experience of an American-sponsored surgical residency in Eritrea.

PubMed

Khambaty, Fatima M; Ayas, Huda M; Mezghebe, Haile M

2010-08-01

To describe the 1-year experience of a unique postgraduate medical education program set in Eritrea, a recently war-torn country. The Partnership for Eritrea, a cooperative between The George Washington University Medical Center, Physicians for Peace, and the Eritrean Ministry of Health, formed a surgical residency program, launched January 2, 2008, in Asmara, Eritrea, to train native Eritrean surgeons. No prior residency program (to our knowledge) had existed in Eritrea. Eritrea, a country in the Horn of Africa. Five Eritrean physicians participated in the surgical residency. The number of operations performed, length of stay, antibiotic use, and intravenous fluid use. The number of operations increased and resource use decreased because of improved and standardized clinical management. The Partnership for Eritrea established a general surgical residency program that improved clinical care in a resource-poor country that previously had lacked postgraduate training. The program experience suggests a model that can be reproduced in other developing countries.

HIV/AIDS, childhood and governance: sundering the bonds of human society.

PubMed

Barnett, Tony

2005-12-01

There is a disharmonious resonance between the length of HIV infection in the individual human host and the length of a human generation. In brief, an infected person may have children, these may be orphaned and grow up to become infected, and afterwards they themselves may have children, who can be orphaned in turn. Hence, a basic unit of social structure in most human societies, the three-generation bond between grandparents, parents and the current generation - and on into the future - is repeatedly torn apart in the absence of treatment, a vaccine or behaviour change. This situation should be read against the threat of growing viral resistance. Certain implications of these processes for the future are outlined and discussed. The paper notes the uncertain future confronting societies that already have a relatively high number of orphans, and considers some otherwise unexpected possibilities, as well as the dangers of assuming that large-scale orphaning necessarily leads to social unrest and disorder.

The Palestinian/Israeli Conflict: a geopolitical identity disorder.

PubMed

Brenner, Ira

2009-03-01

In this paper, the author considers that the large-group dynamics in certain war-torn, hot spots throughout the world are symptoms of a "geopolitical identity disorder." He extrapolates from the model of the severely traumatized psyche in dissociative identity disorder in which there is so much intolerable emotion, destructive aggression and conflict that different selves with different identities develop which are unable to recognize how interdependent and related they actually are. In the most extreme cases, one dissociated self tries to kill off "the other" in order to gain exclusive control of the body and make it comply with his or her wishes and vision. In actuality, however, such an attempt is a dissociated suicide plan with lethal implications. This model is applied to the Palestinian/Israeli situation where there is a deadly battle over the land. A clinical vignette is offered to illustrate these ideas and offer possibilities for help.

Fractured Identity: A Framework for Understanding Young Asian American Women's Self-harm and Suicidal Behaviors.

PubMed

Hahm, Hyeouk Chris; Gonyea, Judith G; Chiao, Christine; Koritsanszky, Luca Anna

2014-01-01

Despite the high suicide rate among young Asian American women, the reasons for this phenomenon remain unclear. This qualitative study explored the family experiences of 16 young Asian American women who are children of immigrants and report a history of self-harm and/or suicidal behaviors. Our findings suggest that the participants experienced multiple types of "disempowering parenting styles" that are characterized as: abusive, burdening, culturally disjointed, disengaged, and gender-prescriptive parenting. Tied to these family dynamics is the double bind that participants suffer. Exposed to multiple types of negative parenting, the women felt paralyzed by opposing forces, caught between a deep desire to satisfy their parents' expectations as well as societal expectations and to simultaneously rebel against the image of "the perfect Asian woman." Torn by the double bind, these women developed a "fractured identity," which led to the use of "unsafe coping" strategies. Trapped in a "web of pain," the young women suffered alone and engaged in self-harm and suicidal behaviors.

Multi-level partnerships to promote health services among internally displaced in eastern Burma.

PubMed

Mahn, M; Maung, C; Oo, E K Shwe; Smith, L; Lee, C I; Whichard, E; Neumann, C; Richards, A K; Mullany, L C; Kuiper, H; Lee, T J

2008-01-01

Ethnic populations in eastern Burma are the target of military policies that result in forced labour, destruction of food supplies, and massive forced displacement. Despite international assistance to Burmese refugees along the Thai-Burma border, traditional humanitarian models have failed to reach these internally displaced persons (IDPs) within Burma. Nevertheless, through the cultivation of a model (cross border local-global partnerships) 300,000 IDPs in eastern Burma now receive critical health services where, otherwise, there would be none. We describe key elements of the partnership model's genesis in eastern Burma. The role of the local partner, Backpack Health Worker Team (BPHWT), is highlighted for its indigenous access to the IDP populations and its maintenance of programmatic autonomy. These local elements are potentiated by international support for technical assistance, training, resources, and advocacy. International policy and investment should prioritize support of locally-driven health initiatives that utilize local-global partnerships to reach not only IDPs but also other war-torn or traditionally inaccessible populations worldwide.

Plastic deformation and wear process at a surface during unlubricated sliding

NASA Technical Reports Server (NTRS)

Yamamoto, T.; Buckley, D. H.

1983-01-01

The plastic deformation and wear of a 304 stainless steel surface sliding against an aluminum oxide rider with a spherical surface (the radius of curvature: 1.3 cm) were observed by using scanning electron and optical microscopes. Experiments were conducted in a vacuum of one million Pa and in an environment of fifty thousandth Pa of chlorine gas at 25 C. The load was 500 grams and the sliding velocity was 0.5 centimeter per second. The deformed surface layer which accumulates and develops successively is left behind the rider, and step shaped proturbances are developed even after single pass sliding under both environmental conditions. A fully developed surface layer is gradually torn off leaving a characteristic pattern. The mechanism for tearing away of the surface layer from the contact area and sliding track contour is explained assuming the simplified process of material removal based on the adhesion theory for the wear of materials. Previously announced in STAR as N82-32735

Plastic deformation and wear process at a surface during unlubricated sliding

NASA Technical Reports Server (NTRS)

Yamamoto, T.; Buckley, D. H.

1982-01-01

The plastic deformation and wear of a 304 stainless steel surface sliding against an aluminum oxide rider with a spherical surface (the radius of curvature: 1.3 cm) were observed by using scanning electron and optical microscopes. Experiments were conducted in a vacuum of one million Pa and in an environment of fifty thousandth Pa of chlorine gas at 25 C. The load was 500 grams and the sliding velocity was 0.5 centimeter per second. The deformed surface layer which accumulates and develops successively is left behind the rider, and step shaped proturbances are developed even after single pass sliding under both environmental conditions. A fully developed surface layer is gradually torn off leaving a characteristic pattern. The mechanism for tearing away of the surface layer from the contact area and sliding track contour is explained assuming the simplified process of material removal based on the adhesion theory for the wear of materials.

Review: Modelling of meniscus of knee joint during soccer kicking

NASA Astrophysics Data System (ADS)

Azrul Hisham Mohd Adib, Mohd; Firdaus Jaafar, Mohd

2013-12-01

Knee is a part of the body that located between thigh and shank is one of the most complicated and largest joints in the human body. The common injuries that occur are ligaments, meniscus or bone fracture. During soccer games, the knee is the most critical part that will easily injure due to the shock from an external impact. Torn meniscus is one of the effects. This study will investigate the effect towards the meniscus within the knee joint during soccer ball kicking. We conduct a literary review of 14 journals that discuss the general view of meniscus and also soccer kicking. The selected topics for this review paper are meniscal function, meniscal movement, meniscal tears and also instep kick. As a finding, statistics show that most meniscal tears (73%) occurred in athletes who were soccer players, basketball players or skiers. The tear is frequently happening at the medial side rather than lateral side with a percentage of 70%.

Three-Dimensional Engineered Bone–Ligament–Bone Constructs for Anterior Cruciate Ligament Replacement

PubMed Central

Ma, Jinjin; Smietana, Michael J.; Kostrominova, Tatiana Y.; Wojtys, Edward M.; Larkin, Lisa M.

2012-01-01

The anterior cruciate ligament (ACL), a major stabilizer of the knee, is commonly injured. Because of its intrinsic poor healing ability, a torn ACL is usually reconstructed by a graft. We developed a multi-phasic, or bone–ligament–bone, tissue-engineered construct for ACL grafts using bone marrow stromal cells and sheep as a model system. After 6 months in vivo, the constructs increased in cross section and exhibited a well-organized microstructure, native bone integration, a functional enthesis, vascularization, innervation, increased collagen content, and structural alignment. The constructs increased in stiffness to 52% of the tangent modulus and 95% of the geometric stiffness of native ACL. The viscoelastic response of the explants was virtually indistinguishable from that of adult ACL. These results suggest that our constructs after implantation can obtain physiologically relevant structural and functional characteristics comparable to those of adult ACL. They present a viable option for ACL replacement. PMID:21902608

The coastal fishes and fisheries of the Socotra Archipelago, Yemen.

PubMed

Zajonz, Uwe; Lavergne, Edouard; Klaus, Rebecca; Krupp, Friedhelm; Aideed, Moteah Sheikh; Saeed, Fouad Naseeb

2016-04-30

The Socotra Archipelago is situated in the Gulf of Aden where tropical and "pseudo-temperate" conditions combine to create a unique marine ecosystem. The diversity, ecology, productivity and fisheries of the coastal fish assemblages are still relatively understudied and no update of the scientific knowledge existed. The islands support unique coastal and coral-associated fish assemblages in spite of the limited biogenic reef frameworks. Fish diversity is the highest among comparable Arabian eco-regions, and fish biomass productivity high too by Indian Ocean standards. The production of the once traditionally-managed small-scale fishery is severely declining and whether it is sustainable nowadays is extremely doubtful. At a time when Yemen is torn apart by a severe political and humanitarian crisis it is timely to review and update the current state of knowledge for scientists and managers, and thereby ease access to existing information, facilitating follow-on studies and evidence-based conservation and fisheries management. Copyright © 2015 Elsevier Ltd. All rights reserved.

Magnetic resonance imaging of injuries to the ankle joint: can it predict clinical outcome?

PubMed

Zanetti, M; De Simoni, C; Wetz, H H; Zollinger, H; Hodler, J

1997-02-01

To predict clinical outcome after ankle sprains on the basis of magnetic resonance (MR) findings. Twenty-nine consecutive patients (mean age 32.9 years, range 13-60 years) were examined clinically and with MR imaging both after trauma and following standardized conservative therapy. Various MR abnormalities were related to a clinical outcome score. There was a tendency for a better clinical outcome in partial, rather than complete, tears of the anterior talofibular ligament and when there was no fluid within the peroneal tendon sheath at the initial MR examination (P = 0.092 for either abnormality). A number of other MR features did not significantly influence clinical outcome, including the presence of a calcaneofibular ligament lesion and a bone bruise of the talar dome. Clinical outcome after ankle sprain cannot consistently be predicted by MR imaging, although MR imaging may be more accurate when the anterior talofibular ligament is only partially torn and there are no signs of injury to the peroneal tendon sheath.

Bursting the Taylor cone bubble

NASA Astrophysics Data System (ADS)

Pan, Zhao; Truscott, Tadd

2014-11-01

A soap bubble fixed on a surface and placed in an electric field will take on the shape of a cone rather than constant curvature (dome) when the electrical field is not present. The phenomenon was introduced by J. Zeleny (1917) and studied extensively by C.T. Wilson & G.I. Taylor (1925). We revisit the Taylor cone problem by studying the deformation and bursting of soap bubbles in a point charge electric field. A single bubble takes on the shape of a cone in the electric field and a high-speed camera equipped with a micro-lens is used to observe the unsteady dynamics at the tip. Rupture occurs as a very small piece of the tip is torn away from the bubble toward the point charge. Based on experiments, a theoretical model is developed that predicts when rupture should occur. This study may help in the design of foam-removal techniques in engineering and provide a better understanding of an electrified air-liquid interface.

Spin Complicates Eccentric BH-NS Mergers

NASA Astrophysics Data System (ADS)

Kohler, Susanna

2015-08-01

When a neutron star (NS) has a glancing encounter with a black hole (BH), its spin has a significant effect on the outcome, according to new simulations run by William East of Stanford University and his collaborators. Spotting an Eccentric Merger. In a traditional BH-NS merger, the two objects orbit each other quasi-circularly as they spiral in. But there's another kind of merger that's possible in high-density environments like galactic nuclei or globular clusters: a dynamical capture merger, in which a NS and BH pass each other just close enough that the gravity of the black hole "catches" the NS, leading the two objects to merge with very eccentric orbits. During an eccentric merger, the NS can be torn apart -- at which point some fraction of the tidally-disrupted material will escape the system, while some fraction instead accretes back onto the BH. Knowing these fractions is important for being able to model the expected electromagnetic signatures for the merger: the unbound material can power transients like kilonovae, whereas the accreting material may be the cause of short gamma-ray bursts. The amount of material available for events like these would change their observable strengths. Testing the Effects of Spin. To see whether NS spin has an impact on the behavior of the merger, East and collaborators use a general-relativistic hydrodynamic code to simulate the glancing encounter of a BH and a NS with dimensionless spin between a=0 (non-spinning) and a=0.756 (rotation period of 1 ms). They also vary the separation of the first encounter. The group finds that changing the NS's spin can change a number of outcomes of the merger. To start with, it can affect whether the NS is captured by the BH, or if the encounter is glancing and then both objects carry on their merry way. And if the NS is trapped by the BH and torn apart, then the higher the NS's spin, the more matter outside of the BH ends up unbound, instead of getting trapped into an accretion disk

The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the anterior cruciate ligament. Results of long-term follow-up.

PubMed

Hughston, J C

1994-09-01

Forty-one of fifty patients (fifty knees) who had had a repair of an acute tear of the medial ligaments, a procedure in which repair of the posterior oblique ligament and the semimembranosus complex was emphasized, were re-evaluated after an average duration of follow-up of twenty-two years (range, eighteen to thirty years). The ages of the patients at the time of the injury had ranged from fifteen to twenty-one years. In twenty-four of the forty-one knees, the anterior cruciate ligament had been torn. In seventeen of these knees, the torn ligament had been debrided; in six others, which had had avulsion of a bone fragment or a terminal tear, the ligament had been repaired with absorbable sutures; and in the remaining knee, the repaired anterior cruciate ligament had been augmented. Four patients had had a pes anserinus transfer to supplement the medial repair. The medial meniscus had been intact or repaired in twenty-five of the forty-one knees and had been removed from the remaining sixteen. The lateral meniscus had been retained in thirty-nine knees and removed from two. Postoperatively, all knees had been immobilized for six weeks in 60 degrees of flexion by means of a plaster cast. This had not caused lasting loss of motion, persistent muscle atrophy, or clinically demonstrable deterioration of the articular cartilage. In the twenty-four knees that had had a tear of the anterior cruciate ligament, the rates of instability, meniscal injury, and deterioration of the joint had not increased since the time of treatment, compared with those in the knees with an intact ligament, even though repair and augmentation of this ligament had not been performed (except in one patient, in whom it was unsuccessful). Thirty-eight patients had good stability and a normal range of motion, as well as little or no muscle atrophy. Radiographic changes were slight or absent in all but four knees. Most patients had maintained a high level of physical fitness and recreational athletic

Repair of meniscal tears with the absorbable Clearfix screw: results after 1-3 years.

PubMed

Frosch, K H; Fuchs, M; Losch, A; Stürmer, K M

2005-11-01

Total meniscus resection usually leads to osteoarthritis of the knee joint. Preservation and refixation of the injured menisci are therefore of great clinical importance. The present study examines 40 meniscal injuries in 37 patients that were arthroscopically treated with Clearfix meniscal screws (Mitek, Norderstedt, Germany) in the period from August 1999 to December 2002. The mean patient age was 27.7 (range 16-62) years. Nine patients were female. A total of 24 patients (27 meniscal tears) also had an anterior cruciate ligament (ACL) lesion, and 5 patients had cartilage injuries. Twenty-two patients were treated within the first 2 weeks following the trauma, 10 patients within 8 weeks, and 5 patients after 8 weeks. The lesions were a bucket-handle tear of the medial meniscus in 11 cases and a bucket-handle tear of the lateral meniscus in 2 cases. The posterior horn of the medial meniscus was torn in 13 cases, and the pars intermedia in 3 cases. The posterior horn of the lateral meniscus was torn in 8 cases, and the pars intermedia in 3 cases. The mean tear length was 2.9 (+/- 1.5) cm and was fixed with an average of 1.8 (+/- 0.7) screws. In 7 cases, the anterior horn was treated with an additional meniscal suture. A total of 35 patients were examined after an average of 18 (range 7-45) months. In the event of a moderate outcome, MRI was performed as part of the follow-up investigation. The average Lysholm score was 93 (+/- 7.4), the Tegner activity index was 6.3 (+/- 2.0) before the accident and 5.8 (+/- 2.0) at the follow-up, the Marshall knee score was 47 (+/- 3.8). The VAS pain assessment was 1.6 (+/- 1.3) and the VAS function assessment was 7.9 (+/- 1.6). Of the 7 patients with a moderate result, 2 patients without additional ligament lesions suffered re-ruptures after and 13 months, respectively. The other 5 patients with a moderate result each had multiple accompanying injuries or pre-existing damage to the affected knee joint. The Clearfix screws

Does high knee flexion cause separation of meniscal repairs?

PubMed

Lin, David L; Ruh, Sarah S; Jones, Hugh L; Karim, Azim; Noble, Philip C; McCulloch, Patrick C

2013-09-01

Previous clinical studies comparing nonrestrictive and restrictive protocols after meniscal repair have shown no difference in outcomes; however, some surgeons still limit range of motion out of concern that it will place undue stress on the repair. Large acute medial meniscal tears will gap during simulated open chain exercises at high flexion angles, and a repaired construct with vertical mattress sutures will not gap. Controlled laboratory study. Tantalum beads were implanted in the medial menisci of 6 fresh-frozen cadaveric knees via an open posteromedial approach. Each knee underwent 10 simulated open chain flexion cycles with loading of the quadriceps and hamstrings. Testing was performed on 3 different states of the meniscus: intact, torn, and repaired. Biplanar radiographs were taken of the loaded knee in 90°, 110°, and 135° of flexion for each state. A 2.5-cm tear was created in the posteromedial meniscus and repaired with inside-out vertical mattress sutures. Displacement of pairs of beads spanning the tear was measured in all planes by use of radiostereometric analysis (RSA) with an accuracy of better than 80 μm. With a longitudinal tear, compression rather than gapping occurred in all 3 regions of the posterior horn of the meniscus (mean ± standard deviation for medial collateral ligament [MCL], -321 ± 320 μm; midposterior, -487 ± 256 μm; root, -318 ± 150 μm) with knee flexion. After repair, meniscal displacement returned part way to intact values in both the MCL (+55 ± 250 μm) and root region (-170 ± 123 μm) but not the midposterior region, where further compression was seen (-661 ± 278 μm). Acute posteromedial meniscal tears and repairs with vertical mattress sutures do not gap, but rather compress in the transverse plane at higher flexion angles when subjected to physiologic loads consistent with active, open kinetic chain range of motion rehabilitation exercises. The kinematics of the repaired meniscus more closely resemble that of

A stitch in time: a cross-sectional survey looking at long lasting insecticide-treated bed net ownership, utilization and attrition in SNNPR, Ethiopia.

PubMed

Batisso, Esey; Habte, Tedila; Tesfaye, Gezahegn; Getachew, Dawit; Tekalegne, Agonafer; Kilian, Albert; Mpeka, Betty; Lynch, Caroline

2012-06-07

Since 2002/03, an estimated 4.7 million nets have been distributed in the Southern Nations, Nationalities and Peoples Region (SNNPR) among an at risk population of approximately 10 million people. Evidence from the region suggests that large-scale net ownership rapidly increased over a relatively short period of time. However, little is known about how coverage is being maintained given that the last mass distribution was in 2006/2007. This study sought to determine the status of current net ownership, utilization and rate of long lasting insecticide-treated nets (LLIN) loss in the previous three years in the context of planning for future net distribution to try to achieve sustainable universal coverage. A total of 750 household respondents were interviewed across malarious, rural kebeles of SNNPR. Households were randomly selected following a two-stage cluster sampling design where kebeles were defined as clusters. Kebeles were chosen using proportional population sampling (PPS), and 25 households within 30 kebeles randomly chosen. Approximately 67.5% (95%CI: 64.1-70.8) of households currently owned at least one net. An estimated 31.0% (95%CI 27.9-34.4) of all nets owned in the previous three years had been discarded by owners, the majority of whom considered the nets too torn, old or dirty (79.9%: 95%CI 75.8-84.0). Households reported that one-third of nets (33.7%) were less than one year old when they were discarded. The majority (58.8%) of currently owned nets had 'good' structural integrity according to a proportionate Hole Index. Nearly two-thirds of households (60.6%) reported using their nets the previous night. The overriding reason for not using nets was that they were too torn (45.7%, 95% CI 39.1-50.7). Yet, few households are making repairs to their nets (3.7%, 95% CI: 2.4-5.1). Results suggest that the life span of nets may be shorter than previously thought, with little maintenance by their owners. With the global move towards malaria elimination it

Simulation of High-Latitude Hydrological Processes in the Torne-Kalix Basin: PILPS Phase 2(e). 3; Equivalent Model Representation and Sensitivity Experiments

NASA Technical Reports Server (NTRS)

Bowling, Laura C.; Lettenmaier, Dennis P.; Nijssen, Bart; Polcher, Jan; Koster, Randal D.; Lohmann, Dag; Houser, Paul R. (Technical Monitor)

2002-01-01

The Project for Intercomparison of Land Surface Parameterization Schemes (PILPS) Phase 2(e) showed that in cold regions the annual runoff production in Land Surface Schemes (LSSs) is closely related to the maximum snow accumulation, which in turn is controlled in large part by winter sublimation. To help further explain the relationship between snow cover, turbulent exchanges and runoff production, a simple equivalent model-(SEM) was devised to reproduce the seasonal and annual fluxes simulated by 13 LSSs that participated in PILPS Phase 2(e). The design of the SEM relates the annual partitioning of precipitation and energy in the LSSs to three primary parameters: snow albedo, effective aerodynamic resistance and evaporation efficiency. Isolation of each of the parameters showed that the annual runoff production was most sensitive to the aerodynamic resistance. The SEM was somewhat successful in reproducing the observed LSS response to a decrease in shortwave radiation and changes in wind speed forcings. SEM parameters derived from the reduced shortwave forcings suggested that increased winter stability suppressed turbulent heat fluxes over snow. Because winter sensible heat fluxes were largely negative, reductions in winter shortwave radiation imply an increase in annual average sensible heat.

Communist coalmining union activists and postwar reconstruction, 1945-52: Germany, Poland, and Britain

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

Fishman, N.; Prazmowska, A.J.; Heith, H.

2006-01-15

The demand for coal in war-torn Europe after VE Day gave coalmining trade unions unprecedented bargaining leverage. Miners' incomes had been depressed throughout the interwar period, and they were now anxious to recover their past high wages and improve their conditions. In several key European countries, Communists were prominent among the leadership of mining trade unions. Communist miners' leaders Willi Agatz, Edward Gierek and Arthur Horner each faced unprecedented opportunities and challenges at the onset of the Cold War in 1948, as they sought to fuse their parallel identities as committed and influential Communists and as conscientious trade union negotiatorsmore » in these newly advantageous circumstances. Each of these three 'revolutionary' trade unionists pursued strategies that revived the position of miners, without undermining the potential for economic recovery in their respective countries - for which an uninterrupted supply of coal remained critical. A comparative study of the personal and political experiences of the three Communist miners' leaders enhances our understanding of the evolution of Communist trade unionism in the early postwar period.« less

Lessons from psychiatry in the Arab world--a Lebanese trainee psychiatrist's qualitative views on the provision of mental healthcare services for Palestinian refugees in Lebanon and an interview with a consultant psychiatrist on the effects of the Arab spring on the mental health of Libyans.

PubMed

Hankir, Ahmed; Sadiq, Asad

2013-09-01

In this manuscript, a Lebanese trainee psychiatrist qualitatively analyses and discusses the provision of mental healthcare services for Palestinian refugees in Lebanon. There are more than 250,000 Palestinian people sporadically dispersed in the refugee camps in Sidon, Beirut and other major cities in the Levant. Displacement, conflict, trauma, unemployment and poverty are but some of the myriad factors that influence Palestinian refugee mental health. This article traces the historical, political and socioeconomic determinants of health for Palestinians exiled in Lebanon and describes the pivotal role that the non-Govenmental Organisation Medical Aid for Palestinians is playing in helping to alleviate the psychiatric distress of Palestinian sufferers of mental illness. The latter half of the manuscript contains an interview with a consultant psychiatrist about his experiences volunteering in the war-torn lands of Libya post Arab Spring. He expounds on how he feels mental healthcare services in Libya are woefully inadequate and broaches on his perception of how the resilience and the 'family-centric' model of the Libyan people has conferred a certain degree of protection towards developing severe psychiatric illness.

“Seeing the Life”: Redefining self-worth and family roles among Iraqi refugee families resettled in the United States

PubMed Central

Nelson, Matthew; Hess, Julia Meredith; Isakson, Brian; Goodkind, Jessica

2017-01-01

Social and geographic displacement is a global phenomenon that precipitates novel stressors and disruptions that intersect with longstanding familial and social roles. Among the displaced are war-torn Iraqi refugee families, who must address these new obstacles in unconventional ways. This study explores how such disruptions have influenced associations between gender and apparent self-worth experienced by Iraqi refugee families upon relocation to the United States. Further, the psychosocial mechanisms requisite of any novel approach to a new social construct are explored and reveal that production in the family is at the core of instability and shifting power dynamics during resettlement, preventing family members from “seeing the life” in the United States that they had envisioned prior to immigration. Over 200 semi-structured qualitative interviews with Iraqi participants and mental health providers were conducted over the course of the study, and demonstrate a plasticity among social roles in the family and community that transcends the notion of a simple role reversal, and illustrate the complex positionalities that families under stress must approximate during such physical and social displacement. PMID:28966556

Hubble Sees 'Ghost Light' From Dead Galaxies

NASA Image and Video Library

2014-10-30

NASA’s Hubble Space Telescope has picked up the faint, ghostly glow of stars ejected from ancient galaxies that were gravitationally ripped apart several billion years ago. The mayhem happened 4 billion light-years away, inside an immense collection of nearly 500 galaxies nicknamed “Pandora’s Cluster,” also known as Abell 2744. The scattered stars are no longer bound to any one galaxy, and drift freely between galaxies in the cluster. By observing the light from the orphaned stars, Hubble astronomers have assembled forensic evidence that suggests as many as six galaxies were torn to pieces inside the cluster over a stretch of 6 billion years. Read more: 1.usa.gov/1yK2Ucp Credit: NASA/ESA/IAC/HFF Team, STScI NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

How Traumatic Violence Permanently Changes Shopping Behavior.

PubMed

Sigirci, Ozge; Rockmore, Marc; Wansink, Brian

2016-01-01

Traumatic experiences - such as combat, living in a conflict country or war-torn nation, or experiencing a violent crime or natural disaster - change social relationships and may also influence a life-time of consumer relationships with brands and shopping. Our focus on this previously overlooked area is centered on an analysis of the long-term shopping habits of 355 combat veterans. We show that those who experienced heavy trauma (e.g., heavy combat) exhibited similar disconnection from brands as others have experienced in social relationships. They became more transactional in that they were more open to switching brands, to trying new products, and buying the least expensive alternative (p < 0.01). In contrast, those who had experienced a light trauma were more influenced by ads and more open to buying brands even when they cost more (p < 0.00). Trauma, such as combat, may change one's decision horizon. Functionality and price become more important, which is consistent with the idea that they are more focused on the present moment than on building on the past or saving for the future.

Guilty but good: defending voluntary active euthanasia from a virtue perspective.

PubMed

Begley, Ann Marie

2008-07-01

This article is presented as a defence of voluntary active euthanasia from a virtue perspective and it is written with the objective of generating debate and challenging the assumption that killing is necessarily vicious in all circumstances. Practitioners are often torn between acting from virtue and acting from duty. In the case presented the physician was governed by compassion and this illustrates how good people may have the courage to sacrifice their own security in the interests of virtue. The doctor's action created huge tensions for the nurse, who was governed by the code of conduct and relevant laws. Appraising active euthanasia from a virtue perspective can offer a more compassionate approach to the predicament of practitioners and clients. The tensions arising from the virtue versus rules debate generates irreconcilable difficulties for nurses. A shift towards virtue would help to resolve this problem and support the call for a change in the law. The controversial nature of this position is acknowledged. The argument is put forward on the understanding that many practitioners will not agree with the conclusions reached.

Success requires seizing opportunities.

PubMed

Melum, M M

1987-01-01

The well-trained group of professionals had worked hard at the business they knew well. Their efforts had paid off--they were highly respected for their quality; their business grew; they had a close, trusting relationship with their customers; and they had the satisfaction of running their business as they alone knew to be best. As they looked ahead, they saw the personal security of a bright, safe future, of more of the same success. Then, slowly at first but building steadily to a feverish pace, their business and their lives were uprooted and torn apart in an all-encompassing economic and social earthquake. Now, with a force the professionals could hardly believe, let alone keep track of, the very definition of their business was changing, the trusting relationship with customers began to break down as massive numbers of new and different competitors vied for their business, many new players began to control how they ran their business, and security vanished into a confusion of competition, entrepreneurship, and risk.

Delayed Collapse of Wooden Folding Stairs

NASA Astrophysics Data System (ADS)

Krentowski, Janusz; Chyzy, Tadeusz

2017-10-01

During operation of folding stairs, a fastener joining the ladder hanger with the frame was torn off. A person using the stairs sustained serious injury. In several dozen other locations similar accidents were observed. As a result of inspections, some threaded parts of the screws were found in the gaps between the wooden elements of the stairs’ flaps. In the construction a hatch made of wooden strips is attached to an external frame by means of metal hangers. Laboratory strength tests were conducted on three samples made of wooden elements identical to the ones used in the damaged stairs. Due to complex load distribution mechanism acting on the base of the structure, a three-dimensional FEM model was created. An original software was used for calculations. Five computational model variants were considered. As a result of the numerical analyses, it was unquestionably shown that faulty connections were the cause of the destruction of the stairs. The weakest link in the load transmission chain were found to have been the screws connecting the hatch board with the hangers.

Beyond individual war trauma: domestic violence against children in Afghanistan and Sri Lanka.

PubMed

Catani, Claudia; Schauer, Elisabeth; Neuner, Frank

2008-04-01

To date, research on the psychosocial consequences of mass trauma resulting from war and organized violence on children has primarily focused on the individual as the unit of treatment and analysis with particular focus on mental disorders caused by traumatic stress. This body of research has stimulated the development of promising individual-level treatment approaches for addressing psychological trauma. In contrast, there is virtually no literature addressing the effects of mass trauma on the family and community systems. Research conducted in Sri Lanka and Afghanistan, two long-standing war-torn societies, found that in addition to multiple exposure to war or disaster-related traumatic events children also indicated high levels of exposure to family violence. These findings point to the need for conjoint family- and community-based programs of prevention and intervention that are specifically tailored for the context of the affected society. In particular, programs should take issues such as poverty, child labor, and parental alcohol use into account in assessing and treating children in the aftermath of mass trauma.

Detection of rebar delamination using modal analysis

NASA Astrophysics Data System (ADS)

Blodgett, David W.

2003-08-01

A non-destructive method for early detection of reinforcement steel bars (re-bar) delamination in concrete structures has been developed. This method, termed modal analysis, has been shown effective in both laboratory and field experiments. In modal analysis, an audio speaker is used to generate flexural resonant modes in the re-bar in reinforced concrete structures. Vibrations associated with these modes are coupled to the surrounding concrete and propagate to the surface where they are detected using a laser vibrometer and/or accelerometer. Monitoring both the frequency and amplitude of these vibrations provides information on the bonding state of the embedded re-bar. Laboratory measurements were performed on several specially prepared concrete blocks with re-bar of varying degrees of simulated corrosion. Field measurements were performed on an old bridge about to be torn down in Howard County, Maryland and the results compared with those obtained using destructive analysis of the bridge after demolition. Both laboratory and field test results show this technique to be sensitive to re-bar delamination.

The application of 3D image processing to studies of the musculoskeletal system

NASA Astrophysics Data System (ADS)

Hirsch, Bruce Elliot; Udupa, Jayaram K.; Siegler, Sorin; Winkelstein, Beth A.

2009-10-01

Three dimensional renditions of anatomical structures are commonly used to improve visualization, surgical planning, and patient education. However, such 3D images also contain information which is not readily apparent, and which can be mined to elucidate, for example, such parameters as joint kinematics, spacial relationships, and distortions of those relationships with movement. Here we describe two series of experiments which demonstrate the functional application of 3D imaging. The first concerns the joints of the ankle complex, where the usual description of motions in the talocrural joint is shown to be incomplete, and where the roles of the anterior talofibular and calcaneofibular ligaments are clarified in ankle sprains. Also, the biomechanical effects of two common surgical procedures for repairing torn ligaments were examined. The second series of experiments explores changes in the anatomical relationships between nerve elements and the cervical vertebrae with changes in neck position. They provide preliminary evidence that morphological differences may exist between asymptomatic subjects and patients with radiculopathy in certain positions, even when conventional imaging shows no difference.

Magma Fragmentation

NASA Astrophysics Data System (ADS)

Gonnermann, Helge M.

2015-05-01

Magma fragmentation is the breakup of a continuous volume of molten rock into discrete pieces, called pyroclasts. Because magma contains bubbles of compressible magmatic volatiles, decompression of low-viscosity magma leads to rapid expansion. The magma is torn into fragments, as it is stretched into hydrodynamically unstable sheets and filaments. If the magma is highly viscous, resistance to bubble growth will instead lead to excess gas pressure and the magma will deform viscoelastically by fracturing like a glassy solid, resulting in the formation of a violently expanding gas-pyroclast mixture. In either case, fragmentation represents the conversion of potential energy into the surface energy of the newly created fragments and the kinetic energy of the expanding gas-pyroclast mixture. If magma comes into contact with external water, the conversion of thermal energy will vaporize water and quench magma at the melt-water interface, thus creating dynamic stresses that cause fragmentation and the release of kinetic energy. Lastly, shear deformation of highly viscous magma may cause brittle fractures and release seismic energy.

The experience of being a partner to a spinal cord injured person: A phenomenological-hermeneutic study

PubMed Central

Buus, Niels

2011-01-01

This qualitative focuses on the personal experiences of partners to a spinal cord injured person. Using a Ricoeurian phenomenological-hermeneutic approach, we analysed seven partners’ narratives 1 and 2 years after their partner's injury. The study revealed how the injury was experienced from the partners’ perspective through the aftermath. In the acute phase after the injury, partners also felt harmed, and support was needed in relation to their own daily activities, eating, resting, and managing distress. During the institutionalized rehabilitation, partners felt torn between supporting the injured partner and the demanding tasks of everyday life outside the institution. After discharge, partners struggled for the injured partner to regain a well-functioning everyday life and for reestablishing life as a couple. The partner struggled to manage the overwhelming amount of everyday tasks. Some sought to reestablish their usual functions outside the family, whereas others focused on establishing a new life together. The partners experienced much distress and appreciated the support they got, but felt that they were mainly left to manage the difficult process on their own. PMID:22007262

Warfare in biodiversity hotspots.

PubMed

Hanson, Thor; Brooks, Thomas M; Da Fonseca, Gustavo A B; Hoffmann, Michael; Lamoreux, John F; Machlis, Gary; Mittermeier, Cristina G; Mittermeier, Russell A; Pilgrim, John D

2009-06-01

Conservation efforts are only as sustainable as the social and political context within which they take place. The weakening or collapse of sociopolitical frameworks during wartime can lead to habitat destruction and the erosion of conservation policies, but in some cases, may also confer ecological benefits through altered settlement patterns and reduced resource exploitation. Over 90% of the major armed conflicts between 1950 and 2000 occurred within countries containing biodiversity hotspots, and more than 80% took place directly within hotspot areas. Less than one-third of the 34 recognized hotspots escaped significant conflict during this period, and most suffered repeated episodes of violence. This pattern was remarkably consistent over these 5 decades. Evidence from the war-torn Eastern Afromontane hotspot suggests that biodiversity conservation is improved when international nongovernmental organizations support local protected area staff and remain engaged throughout the conflict. With biodiversity hotspots concentrated in politically volatile regions, the conservation community must maintain continuous involvement during periods of war, and biodiversity conservation should be incorporated into military, reconstruction, and humanitarian programs in the world's conflict zones. ©2009 Society for Conservation Biology.

Fermentation characteristics of some assamica clones and process optimization of black tea manufacturing.

PubMed

Baruah, Ananta Madhab; Mahanta, Pradip Kumar

2003-10-22

Changes in the specific activities of polyphenol oxidase (PPO), peroxidase (POD), and protease and in the relative amounts of flavan-3-ols for eight genetically derived cultivated teas at various stages of leaf maturity and in four succescive seasons were examined. A series of investigations were carried out to study the cross-reactivity of complex polyphenols and PPO-generated orange-yellow theaflavins, as well as of POD oxidized substrates, producing brown so-called thearubigins during fermented tea processing. From the estimation of five major catechins, PPO activities in young shoots, and theaflavin and thearubigin contents of crushed, torn, and curled (CTC) black teas, the superior variety and flavorful flush characteristics were refined. Notable protein hydrolysis by endogenous protease as measured from free amino acids and formation of tannin-protein complex (browning products) was obtained for cultivar character and product quality. Results showed that process optimization with respect to time, temperature, moisture, and pH maximizes PPO-catalyzed desirable theaflavin pigments, whereas POD-mediated chemical reaction produces dull color.

Reeling in the textiles at Row Clothing Enterprises

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

Ridgley, H.

1997-12-01

While a handful of textile processing centers in operation today can date their roots back to the turn of this century or before, Row Clothing Enterprises (Baltimore) first opened its doors in 1985. Soon after, it climbed its way to becoming one of the premier textile processing businesses in the country. And what they want most of all is usable clothing--the discards of American secondhand clothing stores. The company exports 100% of the usable clothing it recovers paying institutions as much as $150 a ton for the material. Graders also sort the material into piles headed for the mutilating, ormore » fiber-shredding, machine. While not all the material is shredded, it does provide more opportunities for resale. Whatever Row cannot resell as clothing--because it is soiled or torn--gets processed into industrial wiping cloths, if it is cotton. Clothing made from wool and polyester is sent to woolen and polyester fiber mills to be made into new clothing. While 80% of Row`s wiper market is domestic, 80% of its fiber market is overseas.« less

[Regional health agencies: only sham autonomy two years later].

PubMed

Rolland, Christine; Pierru, Frédéric

2013-01-01

From the outset, reform of regional health agencies in France, has been torn between two conflicting approaches: traditional state planning and the more recent New Public Management. In fact, the "Hôpital Patients Santá Territoires" (Hospital Patients Health Territories) bill juxtaposes rather than supplants these conflicting approaches. Based on a sociological and qualitative survey conducted nationwide and in three regional health agencies, this article highlights the contradictions in which regional health agency management is entangled and how it tries to accommodate them in its everyday professional activity. Officially, and paradoxically, regional agencies are required to be "autonomous" and "innovative" to ensure more "territorialized" health policies, but in fact, they are caught in a meshwork of somewhat arbitrary national regulatory and budgetary controls that are very similar to the traditional French model of administration. In the light of the example of three different schemes of regional/territorial delegation regulations, this article shows how the various stakeholders are nevertheless trying to innovate even if, ultimately, they are faced with a more traditional, centralised healthcare system with decreased participation at the more local levels.

MR imaging of meniscal tears: comparison of intermediate-weighted FRFSE imaging with intermediate-weighted FSE imaging.

PubMed

Tokuda, Osamu; Harada, Yuko; Ueda, Takaaki; Iida, Etsushi; Shiraishi, Gen; Motomura, Tetsuhisa; Fukuda, Kouji; Matsunaga, Naofumi

2012-11-01

We compared intermediate-weighted fast spin-echo (IW-FSE) images with intermediate-weighted fast-recovery FSE (IW-FRFSE) images in the diagnosis of meniscal tears. First, 64 patients were recruited, and the arthroscopic findings (n = 40) and image analysis (n = 19) identified 59 torn menisci with 36 patients. Both the diagnostic performance and image quality in assessing meniscal tears was evaluated for IW-FSE and IW-FRFSE images using a four-point scale. Signal-to-noise ratio (SNR) calculation was performed for both sets of images. IW-FRFSE image specificity (100 %) for diagnosing the posterior horn of the medial meniscus (MM) tear with reader 1 was significantly higher than that of IW-FSE images (90 %). Mean ratings of the contrast between the lesion and normal signal intensity within the meniscus were significantly higher for the IW-FRFSE image ratings than the IW-FSE images in most meniscal tears. Mean SNRs were significantly higher for IW-FSE images than for IW-FRFSE images (P < 0.05). IW-FRFSE imaging can be used as an alternative to the IW-FSE imaging to evaluate meniscal tears.

Radial tears associated with cleavage tears of the medial meniscus in athletes.

PubMed

Kidron, Amos; Thein, Rafael

2002-03-01

To evaluate the significance of a small radial tear in the root of the posterior horn of the medial meniscus in an otherwise normal-looking meniscus in individuals who play vigorous sports. Retrospective review. Arthroscopy was performed in 1,270 patients; 11 patients (0.86%) had a small radial tear in the root of the medial meniscus. Trimming of the tear revealed a large horizontal cleavage tear of the posterior horn and body of the meniscus. The average age of the affected patients was 29.6 years (range, 21 to 45 years), and all were active in sports. Magnetic resonance imaging was of dubious diagnostic value. Three patients had undergone previous arthroscopy at which time the small radial root tear had been noted but was not thought to warrant treatment. All 11 patients returned to their former levels of activity after adequate surgery. When a radial root tear in the medial meniscus is found in an athletic patient, the edges of the tear should be trimmed, the root of the medial meniscus examined, and any additional torn cartilage resected.

Accuracy of diagnoses from magnetic resonance imaging of the knee. A multi-center analysis of one thousand and fourteen patients.

PubMed

Fischer, S P; Fox, J M; Del Pizzo, W; Friedman, M J; Snyder, S J; Ferkel, R D

1991-01-01

Magnetic resonance images of the knee were made for 1014 patients, and the diagnosis was subsequently confirmed arthroscopically. The accuracy of the diagnoses from the imaging was 89 per cent for the medial meniscus, 88 per cent for the lateral meniscus, 93 per cent for the anterior cruciate ligament, and 99 per cent for the posterior cruciate ligament. The magnetic resonance examinations were done at several centers, and the results varied substantially among centers. The accuracy ranged from 64 to 95 per cent for the medial meniscus, from 83 to 94 per cent for the lateral meniscus, and from 78 to 97 per cent for the anterior cruciate ligament. The results from different magnetic-resonance units were also compared, and the findings suggested increased accuracy for the units that had a stronger magnetic field. Of the menisci for which the magnetic resonance signal was reported to be Grade II (a linear intrameniscal signal not extending to the superior or inferior meniscal surface), 17 per cent were found to be torn at arthroscopy.

Comparison of the analgesic effects of meloxicam and carprofen administered preoperatively to dogs undergoing orthopaedic surgery.

PubMed

Laredo, F G; Belda, E; Murciano, J; Escobar, M; Navarro, A; Robinson, K J; Jones, R S

2004-11-20

Thirty-two dogs undergoing operations to repair a torn cranial cruciate ligament or a fractured long bone were randomly allocated to one of two treatment groups in a study on postoperative pain. Sixteen of the dogs were given 4 mg/kg carprofen and the other 16 were given 0.2 mg/kg meloxicam subcutaneously before the operation. The signs of pain shown by the animals were assessed for 24 hours on a visual analogue scale, a discontinuous scoring system, and a score based on five behavioural and physiological variables. The dogs' heart and respiratory rates and their mean arterial blood pressures were also measured non-invasively at each assessment. Blood samples were taken before the surgery and 24 hours after it, and the concentrations of urea and creatinine were measured in plasma. Both drugs were effective in relieving the signs of pain for up to 24 hours in all the dogs. There were no significant changes in the concentrations of urea and creatinine, and no adverse effects were reported during the postoperative period.

Spiraling Cracks in Thin Sheets

NASA Astrophysics Data System (ADS)

Romero, Victor; Roman, Benoit; Cerda, Enrique

2008-03-01

A wide kind of everyday-life industrial products come in a thin package that needs to be torn open by the user, and the opening is not always easy. We built a simple setup to study crack propagation in thin sheets coupled with large out-of-plane displacement : A cylindrical tool is inserted in a straight incision in a thin sheet, and is pushed against the sheet perpendicularly to that incision, eventually propagating a crack. When the blunt tool is continually pushed against the lip, we found that the crack follows a very robust spiraling path. Experiments may be interpreted in terms of ``Spira Mirabilis'' (logarithmic spiral). Starting with crack theory argument, we will show that the early behavior of the cut path follows a portion of a logathmic spiral, and that the path tends to another spiral with a different pitch as the crack adds more turns. Our crack experiment illustrates the fact that thin sheets mechanics is deeply connected to geometry, and finally spirals characteristics allow us to measure material crack properties of the thin layer used.

Meniscal injuries in the young, athletically active patient.

PubMed

Poulsen, Matthew R; Johnson, Darren L

2011-02-01

Meniscal injuries are common in young physically active individuals, particularly those who are involved in contact level 1 sports that involve frequent pivoting, such as soccer and American football. This is a unique population because of their high physical activity at a young age, and it is important that correct diagnosis and appropriate treatment are provided, as the medial and lateral menisci are essential for normal knee function. In this article, we review the anatomy and function of the meniscus, the epidemiology of meniscal tears, and mechanism(s) of injury. Important concomitant injuries are also discussed. When making a diagnosis, relevant patient history, physical examination, and appropriate imaging studies are required. Nonoperative treatment is rarely successful for treating meniscal tears in young athletes, and therefore repair of the torn menisci is often required. We also discuss partial resection (which should only be performed when repair is not possible), as well as rehabilitation protocols after repair has been performed. All of these factors associated with meniscal injuries are important for a physician when diagnosing and treating these often complex injuries.

Anatomy, Variants, and Pathologies of the Superior Glenohumeral Ligament: Magnetic Resonance Imaging with Three-Dimensional Volumetric Interpolated Breath-Hold Examination Sequence and Conventional Magnetic Resonance Arthrography

PubMed Central

Ogul, Hayri; Karaca, Leyla; Can, Cahit Emre; Pirimoglu, Berhan; Tuncer, Kutsi; Topal, Murat; Okur, Aylin

2014-01-01

The purpose of this review was to demonstrate magnetic resonance (MR) arthrography findings of anatomy, variants, and pathologic conditions of the superior glenohumeral ligament (SGHL). This review also demonstrates the applicability of a new MR arthrography sequence in the anterosuperior portion of the glenohumeral joint. The SGHL is a very important anatomical structure in the rotator interval that is responsible for stabilizing the long head of the biceps tendon. Therefore, a torn SGHL can result in pain and instability. Observation of the SGHL is difficult when using conventional MR imaging, because the ligament may be poorly visualized. Shoulder MR arthrography is the most accurately established imaging technique for identifying pathologies of the SGHL and associated structures. The use of three dimensional (3D) volumetric interpolated breath-hold examination (VIBE) sequences produces thinner image slices and enables a higher in-plane resolution than conventional MR arthrography sequences. Therefore, shoulder MR arthrography using 3D VIBE sequences may contribute to evaluating of the smaller intraarticular structures such as the SGHL. PMID:25053912

Kinematics of a Head-Neck Model Simulating Whiplash

NASA Astrophysics Data System (ADS)

Colicchia, Giuseppe; Zollman, Dean; Wiesner, Hartmut; Sen, Ahmet Ilhan

2008-02-01

A whiplash event is a relative motion between the head and torso that occurs in rear-end automobile collisions. In particular, the large inertia of the head results in a horizontal translation relative to the thorax. This paper describes a simulation of the motion of the head and neck during a rear-end (whiplash) collision. A head-neck model that qualitatively undergoes the same forces acting in whiplash and shows the same behavior is used to analyze the kinematics of both the head and the cervical spine and the resulting neck loads. The rapid acceleration during a whiplash event causes the extension and flexion of the cervical spine, which in turn can cause dislocated vertebrae, torn ligaments, intervertebral disc herniation, and other trauma that appear to be the likely causes of subsequent painful headache or neck pain symptoms. Thus, whiplash provides a connection between the dynamics of the human body and physics. Its treatment can enliven the usual teaching in kinematics, and both theoretical and experimental approaches provide an interesting biological context to teach introductory principles of mechanics.

Biochemical magnetic resonance imaging of knee articular cartilage: T1rho and T2 mapping as cartilage degeneration biomarkers.

PubMed

Le, Jenna; Peng, Qi; Sperling, Karen

2016-11-01

Osteoarthritis (OA) is a disease whose hallmark is the degeneration of articular cartilage. There is a worsening epidemic of OA in the United States today, with considerable economic costs. In order to develop more effective treatments for OA, noninvasive biomarkers that permit early diagnosis and treatment monitoring are necessary. T1rho and T2 mapping are two magnetic resonance imaging techniques that have shown great promise as noninvasive biomarkers of cartilage degeneration. Each of the two techniques is endowed with advantages and disadvantages: T1rho can discern earlier biochemical changes of OA than T2 mapping, while T2 mapping is more widely available and can be incorporated into existing imaging protocols in a more time-efficient manner than T1rho. Both techniques have been applied in numerous instances to study how cartilage is affected by OA risk factors, such as age and exercise. Additionally, both techniques have been repeatedly applied to the study of posttraumatic OA in patients with torn anterior cruciate ligaments. © 2016 New York Academy of Sciences.

The Economy of the Totalitarian Mind: the Case of the Immigrant Child.

PubMed

Kelley-Lainé, Kathleen

2016-12-01

Immigration in early childhood can be considered as a traumatic situation. It often goes unrecognized since children adapt to most conditions and conform to their environment with astonishing agility. Inspired by the sensitive work of Sándor Ferenczi, and Donald Winnicott, regarding the psychic economy of maturational processes, the author explores the concept of totalitarian functioning and its obstruction of the growing psyche. Before birth we are all totalitarian, one with the mother; this symbiotic, invincible state of survival mode is prolonged as the immature newborn child ignores the requirements of reality and enjoys omnipotent pleasure through hallucination. The loss of place in immigration often becomes the loss of identity-the question of "where am I?" becomes confused with "who am I?". Clinical practice exposes this fragility in adults torn from their home environment at an early age, forced into precocious maturity, never to grow up in reality. Through clinical examples, the author illustrates how totalitarian mental functioning of "all or nothing, right or wrong, black or white" is exposed in the transference and can be worked through within the psychoanalytical space.

Simulated Solar Flare X-Ray and Thermal Cycling Durability Evaluation of Hubble Space Telescope Thermal Control Candidate Replacement Materials

NASA Technical Reports Server (NTRS)

deGroh, Kim K.; Banks, Bruce A.; Sechkar, Edward A.; Scheiman, David A.

1998-01-01

During the Hubble Space Telescope (HST) second servicing mission (SM2), astronauts noticed that the multilayer insulation (MLI) covering the telescope was damaged. Large pieces of the outer layer of MLI (aluminized Teflon fluorinated ethylene propylene (Al-FEP)) were torn in several locations around the telescope. A piece of curled up Al-FEP was retrieved by the astronauts and was found to be severely embrittled, as witnessed by ground testing. Goddard Space Flight Center (GSFC) organized a HST MLI Failure Review Board (FRB) to determine the damage mechanism of FEP in the HST environment, and to recommend replacement insulation material to be installed on HST during the third servicing mission (SM3) in 1999. Candidate thermal control replacement materials were chosen by the FRB and tested for environmental durability under various exposures and durations. This paper describes durability testing of candidate materials which were exposed to charged particle radiation, simulated solar flare x-ray radiation and thermal cycling under load. Samples were evaluated for changes in solar absorptance and tear resistance. Descriptions of environmental exposures and durability evaluations of these materials are presented.

The Case of Abel: Religion as Boon and Bane for a Catholic Gay Man.

PubMed

Cerbone, Armand R; Danzer, Graham

2017-08-01

Conservative religions that condemn homosexual sexual orientation and acts as unnatural and sinful pose significant challenges for gay persons whose faith is a core part of their identity. The condemnation presents a serious barrier to the acceptance and integration of their sexuality, a primary task of psychosexual development. As a result, they can manifest depression, anxiety, suicidal ideation, and even suicide attempts. The ecclesiastical censure also imposes an untenable dilemma for homosexuals in that they feel pressed to reject their sexual identity or renounce their spiritual identity and heritage. Psychotherapists who treat gay persons caught in this quandary can find themselves facing a similar problem: how to help their homosexual client reconcile their proscribed sexuality with their spiritual commitments. The case presented here recounts the treatment over many years of a gay man suffering from such a conflict and his eventual accommodation of both his homosexuality and his faith. Recommendations are offered for constructive treatment with those torn between two conflicting core identities. © 2017 Wiley Periodicals, Inc.

Politics and medicine: the case of Israeli National Health Insurance.

PubMed

Yishai, Y

1982-01-01

The paper focuses on the attempts to introduce a national health insurance system in Israel. So far all these attempts advanced through six public committees and various legislative initiatives have been futile. The major actors involved in the process of NHI formulation are (a) the sick funds, the largest of which (KH) nearly monopolizes the health services; (b) political parties which are affiliated with the sick funds; (c) the Israeli medical association. The labor oriented parties and sick funds aimed for the introduction of an NHI system which would strengthen KH and preserve its autonomy. The right wing parties and sick fund advocated nationalization of the NHI. The IMA took a mid-way position not identifying with either of the parties. By allying with a small coalition party it was effective in impeding the legislative process that was initiated by the Labor Party. The vigorous opposition of KH has hindered the adoption of the Likud's version of the NHI. Hence, the issue, torn between conflicting parties, reached a stalemate which is not likely to be resolved in the near future.

Polluted White Dwarf (Artist's Concept)

NASA Image and Video Library

2017-11-01

This artist's concept shows an exoplanet and debris disk orbiting a polluted white dwarf. White dwarfs are dim, dense remnants of stars similar to the Sun that have exhausted their nuclear fuel and blown off their outer layers. By "pollution," astronomers mean heavy elements invading the photospheres -- the outer atmospheres -- of these stars. The leading explanation is that exoplanets could push small rocky bodies toward the star, whose powerful gravity would pulverize them into dust. That dust, containing heavy elements from the torn-apart body, would then fall on the star. NASA's Spitzer Space Telescope has been instrumental in expanding the field of polluted white dwarfs orbited by hot, dusty disks. Since launch in 2004, Spitzer has confirmed about 40 of these special stars. Another space telescope, NASA's Wide-field Infrared Survey Explorer (WISE), also detected a handful, bringing the total up to about four dozen known today. Because these objects are so faint, infrared light is crucial to identifying them. https://photojournal.jpl.nasa.gov/catalog/PIA22084

Mechanical injury and repair of cells

NASA Technical Reports Server (NTRS)

Miyake, Katsuya; McNeil, Paul L.

2003-01-01

OBJECTIVE: To concisely review the field of cell plasma membrane disruption (torn cell surface) and repair. MAIN POINTS: Plasma membrane disruption is a common form of cell injury under physiologic conditions, after trauma, in certain muscular dystrophies, and during certain forms of clinical intervention. Rapid repair of a disruption is essential to cell survival and involves a complex and active cell response that includes membrane fusion and cytoskeletal activation. Tissues, such as cardiac and skeletal muscle, adapt to a disruption injury by hypertrophying. Cells adapt by increasing the efficiency of their resealing response. CONCLUSION: Plasma membrane disruption is an important cellular event in both health and disease. The disruption repair mechanism is now well understood at the cellular level, but much remains to be learned at the molecular level. Cell and tissue level adaptational responses to the disruption either prevent its further occurrence or facilitate future repairs. Therapeutically useful drugs might result if, using this accumulating knowledge, chemical agents can be developed that can enhance repair or adaptive responses.

The biopsychosocial model and its potential for a new theory of homeopathy.

PubMed

Schmidt, Josef M

2012-04-01

Since the nineteenth century the theory of conventional medicine has been developed in close alignment with the mechanistic paradigm of natural sciences. Only in the twentieth century occasional attempts were made to (re)introduce the 'subject' into medical theory, as by Thure von Uexküll (1908-2004) who elaborated the so-called biopsychosocial model of the human being, trying to understand the patient as a unit of organic, mental, and social dimensions of life. Although widely neglected by conventional medicine, it is one of the most coherent, significant, and up-to-date models of medicine at present. Being torn between strict adherence to Hahnemann's original conceptualization and alienation caused by contemporary scientific criticism, homeopathy today still lacks a generally accepted, consistent, and definitive theory which would explain in scientific terms its strength, peculiarity, and principles without relapsing into biomedical reductionism. The biopsychosocial model of the human being implies great potential for a new theory of homeopathy, as may be demonstrated with some typical examples. Copyright © 2012. Published by Elsevier Ltd.

Liver hanging maneuver for right hemiliver in situ donation--anatomical considerations.

PubMed

Trotovsek, B; Gadzijev, E M; Ravnik, D; Hribernik, M

2006-01-01

An anatomical study was carried out to evaluate the safety of the liver hanging maneuver for the right hemiliver in living donor and in situ splitting transplantation. During this procedure a 4-6 cm blind dissection is performed between the inferior vena cava and the liver. Short subhepatic veins entering the inferior vena cava from segments 1 and 9 could be torn with consequent hemorrhage. One hundred corrosive casts of livers were evaluated to establish the position and diameter of short subhepatic veins and the inferior right hepatic vein. The average distance from the right border of the inferior vena cava to the opening of segment 1 veins was 16.7+/-3.4 mm and to the entrance of segment 9 veins was 5.0+/-0.5 mm. The width of the narrowest point on the route of blind dissection was determined, with the average value being 8.7+/-2.3 mm (range 2-15 mm). The results show that the liver hanging maneuver is a safe procedure. A proposed route of dissection minimizes the risk of disrupting short subhepatic veins (7%).

Regenerative Repair of Damaged Meniscus with Autologous Adipose Tissue-Derived Stem Cells

PubMed Central

Pak, Jaewoo; Lee, Jung Hun; Lee, Sang Hee

2014-01-01

Mesenchymal stem cells (MSCs) are defined as pluripotent cells found in numerous human tissues, including bone marrow and adipose tissue. Such MSCs, isolated from bone marrow and adipose tissue, have been shown to differentiate into bone and cartilage, along with other types of tissues. Therefore, MSCs represent a promising new therapy in regenerative medicine. The initial treatment of meniscus tear of the knee is managed conservatively with nonsteroidal anti-inflammatory drugs and physical therapy. When such conservative treatment fails, an arthroscopic resection of the meniscus is necessary. However, the major drawback of the meniscectomy is an early onset of osteoarthritis. Therefore, an effective and noninvasive treatment for patients with continuous knee pain due to damaged meniscus has been sought. Here, we present a review, highlighting the possible regenerative mechanisms of damaged meniscus with MSCs (especially adipose tissue-derived stem cells (ASCs)), along with a case of successful repair of torn meniscus with significant reduction of knee pain by percutaneous injection of autologous ASCs into an adult human knee. PMID:24592390

Ditching Investigation of a 1/24-Scale Model of the Boeing B-47 Airplane

NASA Technical Reports Server (NTRS)

Fisher, Lloyd J.; Windham, John O.

1950-01-01

An investigation of a 1/24-scale dynamically similar model of the Boeing B-47 airplane was made to determine the ditching characteristics and proper ditching technique for the airplane. Various conditions of damage, landing attitude, flap setting, and speed were investigated. The behavior of the model was determined from visual observations, motion-picture records, and time-history deceleration records. The results of the investigation are presented in table form, photographs, and curves. The airplane should be ditched at the lowest speed and highest attitude consistent with adequate control; the flaps should be full down. The airplane will probably make a deep but fairly smooth run. The fuselage bottom will be damaged and partially filled with water; consequently, crew members should be assigned ditching stations near an exit in the upper or forward part of the fuselage. The nacelles may be expected to be torn away from the wing. In calm water the maximum decelerations will be about 3g and the landing run will be about 6 fuselage lengths.

MICRURGICAL STUDIES IN CELL PHYSIOLOGY

PubMed Central

Chambers, Robert; Reznikoff, Paul

1926-01-01

By means of micro-dissection and injection Amœba proteus was treated with the chlorides of Na, K, Ca, and Mg alone, in combination, and with variations of pH. I. The Plasmalemma. 1. NaCl weakens and disrupts the surface membrane of the ameba. Tearing the membrane accelerates the disruption which spreads rapidly from the site of the tear. KCl has no disruptive effect on the membrane but renders it adhesive. 2. MgCl2 and CaCl2 have no appreciable effect on the integrity of the surface membrane of the ameba when applied on the outside. No spread of disruption occurs when the membrane is torn in these salts. When these salts are introduced into the ameba they render the pellicle of the involved region rigid. II. The Internal Protoplasm. 3. Injected water either diffuses through the protoplasm or becomes localized in a hyaline blister. Large amounts when rapidly injected produce a "rushing effect". 4. HCl at pH 1.8 solidifies the internal protoplasm and at pH 2.2 causes solidification only after several successive injections. The effect of the subsequent injections may be due to the neutralization of the cell-buffers by the first injection. 5. NaCl and KCl increase the fluidity of the internal protoplasm and induce quiescence. 6. CaCl2 and MgCl2 to a lesser extent solidify the internal protoplasm. With CaCl2 the solidification tends to be localized. With MgCl2 it tends to spread. The injection of CaCl2 accelerates movement in the regions not solidified whereas the injection of MgCl2 induces quiescence. III. Pinching-Off Reaction. 7. A hyaline blister produced by the injection of water may be pinched off. The pinched-off blister is a liquid sphere surrounded by a pellicle. 8. Pinching off always takes place with injections of HCl when the injected region is solidified. 9. The injection of CaCl2 usually results in the pinching off of the portion solidified. The rate of pinching off varies with the concentration of the salt. The injection of MgCl2 does not cause pinching

Analysis of Remote Trauma Transfers in South Central Texas with Comparison with Current US Combat Operations: Results of the RemTORN-I Study

DTIC Science & Technology

2013-01-01

product and procoagulant use by paramedical personnel, and clinical trials of freeze-dried plasma, tranexamic acid , and other intravascular...of administering tranexamic acid to bleeding trauma patients using evidence from the CRASH-2 trial. PLoS One. 2011;6(5):e18987. 3. Gonzalez RP

Modified suture-bridge technique to prevent a marginal dog-ear deformity improves structural integrity after rotator cuff repair.

PubMed

Ryu, Keun Jung; Kim, Bang Hyun; Lee, Yohan; Lee, Yoon Seok; Kim, Jae Hwa

2015-03-01

The arthroscopic suture-bridge technique has proved to provide biomechanically firm fixation of the torn rotator cuff to the tuberosity by increasing the footprint contact area and pressure. However, a marginal dog-ear deformity is encountered not infrequently when this technique is used, impeding full restoration of the torn cuff. To evaluate the structural and functional outcomes of the use of a modified suture-bridge technique to prevent a marginal dog-ear deformity compared with a conventional suture-bridge method in rotator cuff repair. Cohort study; Level of evidence 2. A consecutive series of 71 patients aged 50 to 65 years who underwent arthroscopic rotator cuff repair for full-thickness medium-sized to massive tears was evaluated. Patients were divided into 2 groups according to repair technique: a conventional suture-bridge technique (34 patients; group A) versus a modified suture-bridge technique to prevent a marginal dog-ear deformity (37 patients; group B). Radiographic evaluations included postoperative cuff integrity using MRI. Functional evaluations included pre- and postoperative range of motion (ROM), pain visual analog scale (VAS), the University of California, Los Angeles (UCLA) shoulder rating scale, the Constant score, and the American Shoulder and Elbow Surgeons (ASES) score. All patients were followed up clinically at a minimum of 1 year. When the 2 surgical techniques were compared, postoperative structural integrity by Sugaya classification showed the distribution of types I:II:III:IV:V to be 4:20:2:4:4 in group A and 20:12:4:0:1 in group B. More subjects in group B had a favorable Sugaya type compared with group A (P < .001). The postoperative healed:retear rate was 26:8 in group A and 36:1 in group B, with a significantly lower retear rate in group B (P = .011). However, there were no significant differences in ROM and all functional outcome scores between the 2 groups postoperatively. When surgical techniques were compared across healed

Mechanical exfoliation of two-dimensional materials

NASA Astrophysics Data System (ADS)

Gao, Enlai; Lin, Shao-Zhen; Qin, Zhao; Buehler, Markus J.; Feng, Xi-Qiao; Xu, Zhiping

2018-06-01

Two-dimensional materials such as graphene and transition metal dichalcogenides have been identified and drawn much attention over the last few years for their unique structural and electronic properties. However, their rise begins only after these materials are successfully isolated from their layered assemblies or adhesive substrates into individual monolayers. Mechanical exfoliation and transfer are the most successful techniques to obtain high-quality single- or few-layer nanocrystals from their native multi-layer structures or their substrate for growth, which involves interfacial peeling and intralayer tearing processes that are controlled by material properties, geometry and the kinetics of exfoliation. This procedure is rationalized in this work through theoretical analysis and atomistic simulations. We propose a criterion to assess the feasibility for the exfoliation of two-dimensional sheets from an adhesive substrate without fracturing itself, and explore the effects of material and interface properties, as well as the geometrical, kinetic factors on the peeling behaviors and the torn morphology. This multi-scale approach elucidates the microscopic mechanism of the mechanical processes, offering predictive models and tools for the design of experimental procedures to obtain single- or few-layer two-dimensional materials and structures.

Status offenses.

PubMed

Steinhart, D J

1996-01-01

Public policy is unsettled with regard to juvenile status offenders--children who are subject to juvenile court jurisdiction for noncriminal behavior such as running away from home, incorrigibility, truancy, and curfew violation. In 1974, the federal Juvenile Justice and Delinquency Prevention Act initiated a national policy of status offender "deinstitutionalization," supporting the development of community-based treatment programs and prohibiting incarceration of these youths. In the following years, most states embraced this policy, sharply reducing status offender detention levels. This article describes factors that have recently worked to erode the federal and state commitment to a policy of status offender deinstitutionalization. These factors include widespread failure to develop adequate services for youths and families; the tragic deaths of runaway youths; rising fear of juvenile crime; and new statehouse majorities promoting agendas of youth discipline and accountability. The article references recent surveys and press reports on the number of runaways, truants, and curfew violators in the United States. In the author's view, policymakers today are torn between their desire to provide services to at-risk youths and families and public pressure to respond to all forms of youth misbehavior with tough new sanctions, including the incarceration of status offenders.

The Use of Remote Sensing Data for Advancing America's Energy Policy

NASA Technical Reports Server (NTRS)

Valinia, Azita; Seery, Bernard D.

2010-01-01

After briefly reviewing America's Energy Policy laid out by the Obama Administration, we outline how a Global Carbon Observing System designed to monitor Carbon from space can provide the necessary data and tools to equip decision makers with the knowledge necessary to formulate effective energy use and practices policy. To stabilize greenhouse gas emissions in the atmosphere in a manner that it does not interfere with the Earth's climate system (which is one of the goals of United Nations Framework for Convention on Climate Change) requires vastly improved prediction of the atmospheric carbon dioxide (CO2) concentrations. This in torn requires a robust understanding of the carbon exchange mechanisms between atmosphere, land, and oceans and a clear understanding of the sources and sinks (i.e. uptake and storage) of CO2. We discuss how the Carbon Observing System from space aids in better understanding of the connection between the carbon cycle and climate change and provides more accurate predictions of atmospheric CO2 concentration. It also enables implementation of greenhouse gas (GHG) mitigation policies such as cap and trade programs, international climate treaties, as well as formulation of effective energy use policies.

The influence of breed and sex on the incidence of mortalities and skin tears in broiler carcasses.

PubMed

Casey, N H; Smith, G A; Crosley, R I

1989-06-01

The effects of nutrition, breed and sex on the incidence of mortalities and of skin tears on broiler carcasses were studied. Both sexes of 2 breeds, Hubbard and Ross, were given 4 dietary treatments consisting of a normal level of vitamin and mineral premix plus 300 ppm furazolidone, twice normal premix inclusion level plus 300 ppm furazolidone, a normal level of vitamin and mineral premix, and twice normal mineral premix inclusion level. A coccidiostat containing the active ingredient halofuginone was included at 6 ppm, twice the recommended dosage. Starter, grower and finisher diets were fed respectively up to Day 20, Day 30 and Day 48. Group growth performances, mortalities and the incidence of torn skin were monitored on both the live birds and carcasses. The effect of the different nutritional treatments on skin tears was not significant (P = 0.9533), as was the breed effect (P = 0.0547). However, the effect of sex was significant (P = 0.0044), the incidence in hens being higher. Mortalities among the Hubbard were significantly greater than among the Ross (P = 0.0001). Hens showed a slightly higher mortality rate than roosters, tending towards significance at the 5% level (P = 0.0554).

Influence of meniscus shape in the cross sectional plane on the knee contact mechanics.

PubMed

Łuczkiewicz, Piotr; Daszkiewicz, Karol; Witkowski, Wojciech; Chróścielewski, Jacek; Zarzycki, Witold

2015-06-01

We present a three dimensional finite element analysis of stress distribution and menisci deformation in the human knee joint. The study is based on the Open Knee model with the geometry of the lateral meniscus which shows some degenerative disorders. The nonlinear analysis of the knee joint under compressive axial load is performed. We present results for intact knee, knee with complete radial posterior meniscus root tear and knee with total meniscectomy of medial or lateral meniscus. We investigate how the meniscus shape in the cross sectional plane influences knee-joint mechanics by comparing the results for flat (degenerated) lateral and normal medial meniscus. Specifically, the deformation of the menisci in the coronal plane and the corresponding stress values in cartilages are studied. By analysing contact resultant force acting on the menisci in axial plane we have shown that restricted extrusion of the torn lateral meniscus can be attributed to small slope of its cross section in the coronal plane. Additionally, the change of the contact area and the resultant force acting on the menisci as the function of compressive load are investigated. Copyright © 2015 Elsevier Ltd. All rights reserved.

Downward delegation of implantable cardioverter defibrillator decision-making in a restricted-resource environment: the pitfalls of bedside rationing.

PubMed

Simpson, Christopher S; Hoffmaster, Barry; Dorian, Paul

2005-05-15

Implantable cardioverter defibrillators have been shown to reduce all-cause mortality in some patient populations at risk of sudden death. New Canadian guidelines recommend implantable cardioverter defibrillator therapy for these patients. However, the need for these devices exceeds the funded volumes in many Canadian jurisdictions. As a result, rationing of this resource has been necessary. While rationing at the macro (Ministry of Health) and meso (hospital) levels has achieved some level of acceptance by society, the responsibility for the decisions taken at the micro (individual) patient level actually rests with the physician at the bedside. This 'bedside rationing' creates a moral dilemma for physicians, who are torn between their traditional fiduciary role as 'patient advocate' and the competing role of 'gatekeeper'. This 'downward delegation' of rationing decision-making obscures the reality that rationing occurs, and encourages covert, opaque and inconsistent approaches. The remedy is the development of fair, legitimate procedures for making rationing decisions that include guidelines that structure and constrain those decisions. Macro- and meso-level stakeholders must also recognize and take responsibility for their part in restricting resources in a broadly inclusive and transparent process.

Critical components required to improve deployable laboratory biological hazards identification

NASA Astrophysics Data System (ADS)

Niemeyer, Debra M.

2004-08-01

An ever-expanding global military mission necessitates quick and accurate identification of biological hazards, whether naturally occurring or man-made. Coupled with an ever-present threat of biological attack, an expanded U.S. presence in worn-torn locations like Southwest Asia presents unique public health challenges. We must heed modern day "lessons learned" from Operation Desert Shield and the Soviet Afghanistan Campaign and guard against rapid incapacitation of troop strength from endemic disease and biological attack. To minimize readiness impacts, field hygiene is enforced, and research on better medical countermeasures such as antibiotics and vaccines continues. However, there are no preventions or remedies for all military-relevant infectious diseases or biological agents. A deployable, streamlined, self-contained diagnostic and public health surveillance laboratory capability with a reach-back communication is critical to meeting global readiness challenges. Current deployable laboratory packages comprise primarily diagnostic or environmental sample testing capabilities. Discussion will focus on critical components needed to improve existing laboratory assets, and to facilitate deployment of small, specialized packages far forward. The ideal laboratory model described will become an essential tool for the Combatant or Incident Commander to maintain force projection in the expeditionary environment.

Correlates of depression among older Kurdish refugees.

PubMed

Cummings, Sherry; Sull, Linnet; Davis, Cindy; Worley, Natalie

2011-04-01

Little is known about the psychological status of older refugees who have immigrated from war-torn areas in the Middle East. This study examined the nature and predictors of depression among older Kurds living in one city in the United States. Older Kurds (N = 70) were recruited and surveyed by trained Kurdish interviewers in their native dialect. The majority of participants had very low incomes; had no education; were illiterate in their own language; and had little to no ability to speak, read, or write English. Elevated levels of depression were found, with 67.1 percent scoring above the clinical cutoff for depression and 25.7 percent scoring in the severe depression range. Depression was associated with demographic (age), stressor (migratory grief, death of spouse, number of medical conditions, functional disability, and income), and coping (English proficiency and social support) variables. Health conditions exerted the greatest effect. Migratory grief and social support were also significant predictors of depression. Results suggest substantial psychological distress among this understudied population of older refugees. Implications for research and practice with older members of newly established refugee populations are discussed.

They starved so that others be better fed: remembering Ancel Keys and the Minnesota experiment.

PubMed

Kalm, Leah M; Semba, Richard D

2005-06-01

During World War II, 36 conscientious objectors participated in a study of human starvation conducted by Ancel Keys and his colleagues at the University of Minnesota. The Minnesota Starvation Experiment, as it was later known, was a grueling study meant to gain insight into the physical and psychologic effects of semistarvation and the problem of refeeding civilians who had been starved during the war. During the experiment, the participants were subjected to semistarvation in which most lost >25% of their weight, and many experienced anemia, fatigue, apathy, extreme weakness, irritability, neurological deficits, and lower extremity edema. In 2003-2004, 18 of the original 36 participants were still alive and were interviewed. Many came from the Historic Peace Churches (Mennonite, Brethren, and Quaker), and all expressed strong convictions about nonviolence and wanting to make a meaningful contribution during the war. Despite ethical issues about subjecting healthy humans to starvation, the men interviewed were unanimous in saying that they would do it all over again, even after knowing the suffering that they had experienced. After the experiment ended, many of the participants went on to rebuilding war-torn Europe, working in the ministries, diplomatic careers, and other activities related to nonviolence.

Long-term results of repeated anti-vascular endothelial growth factor therapy in eyes with retinal pigment epithelial tears.

PubMed

Moreira, Carlos A; Arana, Luis A; Zago, Rommel J

2013-02-01

To evaluate the long-term results of retinal pigment epithelium tears in eyes treated with repeated anti-vascular endothelial growth factor (VEGF) therapy. Five patients with retinal pigment epithelial tears (without foveal center involvement) after anti-VEGF injection were studied retrospectively. Mean follow-up time was 52 months, with measurements of visual acuity and evaluation of macular findings by angiography and optical coherence tomography during this period. All eyes had a persistent submacular neovascular membrane 30 days after the tear. An anti-VEGF drug was reinjected until the membranes stopped leaking. The mean initial visual acuity immediately after the tear was 20/160, and the mean final visual acuity was 20/60. The number of anti-VEGF reinjections varied from two to eight during the follow-up period. Long-term optical coherence tomography analysis showed reduced fluid and remodeling of the torn retinal pigment epithelium. Long-term visual results with repeated anti-VEGF therapy are not as devastating as suggested previously. Visual acuity and metamorphopsia improve with time as long as the neovascular membrane is inactive. Optical coherence tomography changes in the macular area reflect the visual acuity improvement.

Body-packing as cause of unexpected sudden death.

PubMed

Heinemann, A; Miyaishi, S; Iwersen, S; Schmoldt, A; Püschel, K

1998-03-02

Four fatalities related to smuggling of drugs by body-packing were investigated. The victims were examined at the Institute of Forensic Medicine of Hamburg University between 1983 and 1995, two of them due to "sudden" unknown cause of death. All victims were male. Two of them were found already dead in a backyard and in a hotel, two other were emergency cases and died at a hospital. Smuggled substances included cocaine (two cases), heroin and amphetamine/caffeine. In all cases, the cause of death was intoxication caused by torn packages which were detected at autopsy. The maximum weight of the packet's contents was 630 g divided in 90 packages. Only one victim was apparently an intravenous drug-abuser. Hair analysis was performed in three cases and revealed in one case a difference between a concealed and a habitually consumed drug. Toxicological analysis revealed that the substances were quite pure and provided evidence that rather long survival was possible following intoxication in three cases, in two cases supported by hospital treatment in the final stage. The procedural regimen in cases of suspected body-packing is discussed.

No reconciliation, but self-searching in the sense of rapprochement: Hillel Klein's Holocaust research in Germany 40 years after.

PubMed

Nedelmann, Carl

2005-08-01

The paper is written from a personal perspective and in conjunction with the author's participation in editing Hillel Klein's book Uberleben und Versuche der Wiederbelebung-Psychoanalytische Studien mit Uberlebenden der Shoah und mit ihren Familien in Israel und in der Diaspora [Survival and trials of revival--Psychodynamic studies of Holocaust survivors and their families in Israel and the diaspora] which appeared posthumously in 2003. The manuscript was originally written in English during the first half of the 1980s. It consists of a revised version of his contributions to psychoanalytic Holocaust research, as well as further observations and a number of autobiographical features. It suggests that we see the symptom which relates to the traumatic past less as the sign of a pathology, and instead, through the linking of drives and objects, more as a sign of hope. The hope is that revival begins in recovering the world that was lost in the Holocaust, the world from before, which, as torn as it was, he still referred to as the 'intact world'. He regarded rapprochement as one of the main therapeutic tools. Rapprochement does not build up absolutes, but leaves from the quantitative point of view room for encounter.

Alcohol use in South Sudan in relation to social factors, mental distress and traumatic events.

PubMed

Lien, Lars; Hauff, Edvard; Martinez, Priscilla; Eide, Arne H; Swarts, Leslie; Ayazi, Touraj

2016-09-06

Alcohol use is a major public health problem with vast implications for poor, war-torn countries. The objective of this study was to describe prevalence of alcohol use and risky drinking across socio-demographic factors in South Sudan, and to determine the association between risky drinking, traumatic events and mental distress. This is a randomized, population based, cross-sectional study from the north-western part of South Sudan with nearly 500 participants. We used the Alcohol Use Disorders Identification Test (AUDIT) as main outcome variable, the General Health Questionnaire (GHQ-28) for mental distress and five questions to assess traumatic events. The mean AUDIT score was 2.7 (SD 0.3) with 14,2 % in the high risk problem drinking category. Being male, lack of a regular income and psychological distress were significantly associated with higher AUDIT score. Traumatic events, however, was not associated with higher score on AUDIT. Despite decades of civil war and great poverty the alcohol use in this population was at the same level as other countries in Southern Africa. Traumatic events were not related to risk of problem drinking.

Dry dock gate stability modelling

NASA Astrophysics Data System (ADS)

Oktoberty; Widiyanto; Sasono, E. J.; Pramono, S.; Wandono, A. T.

2018-03-01

The development of marine transportation needs in Indonesia increasingly opens national shipyard business opportunities to provide shipbuilding services to the shipbuilding vessels. That emphasizes the stability of prime. The ship's decking door becomes an integral part of the efficient place and the specification of the use of the asset of its operational ease. This study aims to test the stability of Dry Dock gate with the length of 35.4 meters using Maxsurf and Hydromax in analyzing the calculation were in its assessment using interval per 500 mm length so that it can get detail data toward longitudinal and transverse such as studying Ship planning in general. The test result shows dry dock gate meets IMO standard with ballast construction containing 54% and 68% and using fix ballast can produce GMt 1,924 m, tide height 11,357m. The GMt value indicates dry dick gate can be stable and firmly erect at the base of the mouth dry dock. When empty ballast produces GMt 0.996 which means dry dock date is stable, but can easily be torn down. The condition can be used during dry dock gate treatment.

A New Giant Stellar Structure in the Outer Halo of M31

NASA Astrophysics Data System (ADS)

Zucker, Daniel B.; Kniazev, Alexei Y.; Bell, Eric F.; Martínez-Delgado, David; Grebel, Eva K.; Rix, Hans-Walter; Rockosi, Constance M.; Holtzman, Jon A.; Walterbos, Rene A. M.; Ivezić, Željko; Brinkmann, J.; Brewington, Howard; Harvanek, Michael; Kleinman, S. J.; Krzesinski, Jurek; Lamb, Don Q.; Long, Dan; Newman, Peter R.; Nitta, Atsuko; Snedden, Stephanie A.

2004-09-01

The Sloan Digital Sky Survey has revealed an overdensity of luminous red giant stars ~3° (40 projected kpc) to the northeast of M31, which we have called Andromeda NE. The line-of-sight distance to Andromeda NE is within ~50 kpc of M31; Andromeda NE is not a physically unrelated projection. Andromeda NE has a g-band absolute magnitude of ~-11.6 and a central surface brightness of ~29 mag arcsec-2, making it nearly 2 orders of magnitude more diffuse than any known Local Group dwarf galaxy at that luminosity. Based on its distance and morphology, Andromeda NE is likely undergoing tidal disruption. Andromeda NE's red giant branch color is unlike that of M31's present-day outer disk or the stellar stream reported by Ibata et al., arguing against a direct link between Andromeda NE and these structures. However, Andromeda NE has a red giant branch color similar to that of the G1 clump; it is possible that these structures are both material torn off of M31's disk in the distant past or that these are both part of one ancient stellar stream.

Tearing of thin spherical shells adhered to equally curved rigid substrates

NASA Astrophysics Data System (ADS)

McMahan, Connor; Lee, Anna; Marthelot, Joel; Reis, Pedro

Lasik (Laser-Assisted in Situ Keratomileusis) eye surgery involves the tearing of the corneal epithelium to remodel the corneal stroma for corrections such as myopia, hyperopia and astigmatism. One issue with this procedure is that during the tearing of the corneal epithelium, if the two propagating cracks coalesce, a flap detaches which could cause significant complications in the recovery of the patient. We seek to gain a predictive physical understanding of this process by performing precision desktop experiments on an analogue model system. First, thin spherical shells of nearly uniform thickness are fabricated by the coating of hemispherical molds with a polymer solution, which upon curing yields an elastic and brittle structure. We then create two notches near the equator of the shell and tear a flap by pulling tangentially to the spherical substrate, towards its pole. The resulting fracture paths are characterized by high-resolution 3D digital scanning. Our primary focus is on establishing how the positive Gaussian curvature of the system affects the path of the crack tip. Our results are directly contrasted against previous studies on systems with zero Gaussian curvature, where films were torn from planar and cylindrical substrates.

The nature of ethical conflicts and the meaning of moral community in oncology practice.

PubMed

Pavlish, Carol; Brown-Saltzman, Katherine; Jakel, Patricia; Fine, Alyssa

2014-03-01

To explore ethical conflicts in oncology practice and the nature of healthcare contexts in which ethical conflicts can be averted or mitigated. Ethnography. Medical centers and community hospitals with inpatient and outpatient oncology units in southern California and Minnesota. 30 oncology nurses, 6 ethicists, 4 nurse administrators, and 2 oncologists. 30 nurses participated in six focus groups that were conducted using a semistructured interview guide. Twelve key informants were individually interviewed. Coding, sorting, and constant comparison were used to reveal themes. Most ethical conflicts pertained to complex end-of-life situations. Three factors were associated with ethical conflicts: delaying or avoiding difficult conversations, feeling torn between competing obligations, and the silencing of different moral perspectives. Moral communities were characterized by respectful team relationships, timely communication, ethics-minded leadership, readily available ethics resources, and provider awareness and willingness to use ethics resources. Moral disagreements are expected to occur in complex clinical practice. However, when they progress to ethical conflicts, care becomes more complicated and often places seriously ill patients at the epicenter. Practice environments as moral communities could foster comfortable dialogue about moral differences and prevent or mitigate ethical conflicts and the moral distress that frequently follows.

Measuring Regional Changes in Damaged Tendon

NASA Astrophysics Data System (ADS)

Frisch, Catherine Kayt Vincent

Mechanical properties of tendon predict tendon health and function, but measuring these properties in vivo is difficult. An ultrasound-based (US) analysis technique called acoustoelastography (AE) uses load-dependent changes in the reflected US signal to estimate tissue stiffness non-invasively. This thesis explores whether AE can provide information about stiffness alteration resulting from tendon tears both ex vivo and in vivo. An ex vivo ovine infraspinatus tendon model suggests that the relative load transmitted by the different tendon layers transmit different fractions of the load and that ultrasound echo intensity change during cyclic loading decreases, becoming less consistent once the tendon is torn. An in vivo human tibialis anterior tendon model using electrically stimulated twitch contractions investigated the feasibility of measuring the effect in vivo. Four of the five subjects showed the expected change and that the muscle contraction times calculated using the average grayscale echo intensity change compared favorably with the times calculated based on the force data. Finally an AE pilot study with patients who had rotator cuff tendon tears found that controlling the applied load and the US view of the system will be crucial to a successful in vivo study.

Sports cardiology: lessons from the past and perspectives for the future.

PubMed

Leischik, Roman

2015-01-01

The possibility of myocardial damage as a result of endurance sport has been known about since ancient times. According to a leg-end, a soldier named Pheidippides (more likely Philippides) dropped dead after run-ning from war-torn Marathon to Athens with the news of victory. Millennia later, we do not know whether he was a soldier or a courier, or whether he really ran the entire 240 km from Athens to Sparta and then back from Marathon to Athens. What is clear however, is that his death went down in history as the first documented exercise-related death and provides a tangible starting-point for the discipline of sport cardiology. Sports cardiology today covers a broad range of areas; from patients with cardiomyopathies, coronary disease and metabolic syndrome through to fitness fans, high-performance athletes and those with physically demanding professions. The following editorial introduces the primary topics for discussion to be included in the F1000Research channel Sports cardiology with the hope that this will evoke open, controversial and broad discourse in the form of reviews and original research papers in this important field.

How Traumatic Violence Permanently Changes Shopping Behavior

PubMed Central

Sigirci, Ozge; Rockmore, Marc; Wansink, Brian

2016-01-01

Traumatic experiences – such as combat, living in a conflict country or war-torn nation, or experiencing a violent crime or natural disaster – change social relationships and may also influence a life-time of consumer relationships with brands and shopping. Our focus on this previously overlooked area is centered on an analysis of the long-term shopping habits of 355 combat veterans. We show that those who experienced heavy trauma (e.g., heavy combat) exhibited similar disconnection from brands as others have experienced in social relationships. They became more transactional in that they were more open to switching brands, to trying new products, and buying the least expensive alternative (p < 0.01). In contrast, those who had experienced a light trauma were more influenced by ads and more open to buying brands even when they cost more (p < 0.00). Trauma, such as combat, may change one’s decision horizon. Functionality and price become more important, which is consistent with the idea that they are more focused on the present moment than on building on the past or saving for the future. PMID:27656152

Cathepsins in Rotator Cuff Tendinopathy: Identification in Human Chronic Tears and Temporal Induction in a Rat Model.

PubMed

Seto, Song P; Parks, Akia N; Qiu, Yongzhi; Soslowsky, Louis J; Karas, Spero; Platt, Manu O; Temenoff, Johnna S

2015-09-01

While overuse of the supraspinatus tendon is a leading factor in rotator cuff injury, the underlying biochemical changes have not been fully elucidated. In this study, torn human rotator cuff (supraspinatus) tendon tissue was analyzed for the presence of active cathepsin proteases with multiplex cysteine cathepsin zymography. In addition, an overuse injury to supraspinatus tendons was induced through downhill running in an established rat model. Histological analysis demonstrated that structural damage occurred by 8 weeks of overuse compared to control rats in the region of tendon insertion into bone. In both 4- and 8-week overuse groups, via zymography, there was approximately a 180% increase in cathepsin L activity at the insertion region compared to the controls, while no difference was found in the midsubstance area. Additionally, an over 400% increase in cathepsin K activity was observed for the insertion region of the 4-week overused tendons. More cathepsin K and L immunostaining was observed at the insertion region of the overuse groups compared to controls. These results provide important information on a yet unexplored mechanism for tendon degeneration that may operate alone or in conjunction with other proteases to contribute to chronic tendinopathy.

Cathepsins in Rotator Cuff Tendinopathy: Identification in Human Chronic Tears and Temporal Induction in a Rat Model

PubMed Central

Seto, Song P.; Parks, Akia N.; Qiu, Yongzhi; Soslowsky, Louis J.; Karas, Spero; Platt, Manu O.; Temenoff, Johnna S.

2015-01-01

While overuse of the supraspinatus tendon is a leading factor in rotator cuff injury, the underlying biochemical changes have not been fully elucidated. In this study, torn human rotator cuff (supraspinatus) tendon tissue was analyzed for the presence of active cathepsin proteases with multiplex cysteine cathepsin zymography. In addition, an overuse injury to supraspinatus tendons was induced through downhill running in an established rat model. Histological analysis demonstrated that structural damage occurred by 8 weeks of overuse compared to control rats in the region of tendon insertion into bone. In both 4- and 8-week overuse groups, via zymography, there was approximately a 180% increase in cathepsin L activity at the insertion region compared to the controls, while no difference was found in the midsubstance area. Additionally, an over 400% increase in cathepsin K activity was observed for the insertion region of the 4-week overused tendons. More cathepsin K and L immunostaining was observed at the insertion region of the overuse groups compared to controls. These results provide important information on a yet unexplored mechanism for tendon degeneration that may operate alone or in conjunction with other proteases to contribute to chronic tendinopathy. PMID:25558848

Arthroscopic Coracoclavicular Ligament Reconstruction Using a Synthetic Polycaprolactone-Based Polyurethane Urea Tendon Graft: A Report of 5 Cases.

PubMed

Ranne, Juha O; Kainonen, Terho U; Lempainen, Lasse L; Kosola, Jussi A; Kajander, Sami A; Niemi, Pekka T

2018-06-01

Several techniques have been introduced to treat acromioclavicular (AC) separation using the semitendinosus tendon as a graft for coracoclavicular (CC) ligament reconstruction. However, the tendon may have been used previously or the patient may not want it harvested. Hence, synthetic tendon transfers have become increasingly popular. Five patients with chronic AC separations were treated. A synthetic polyurethane urea tendon graft (Artelon Tissue Reinforcement [ATR]) was chosen for its ability to partially transform into connective tissue. The patient follow-up period lasted 45 to 60 months. The mean preoperative Constant Score increased from 64.8 to 100 postoperatively. The mean preoperative Simple Shoulder Test increased from 7.2 to 12 postoperatively. The mean postoperative increase of the CC distance was 1.5 mm. The mean expansion of the clavicular drill hole from the original was 2.1 mm. According to the postoperative magnetic resonance imaging, the grafts had healed well and the cross-sections of the grafts were up to 10.5 mm between the coracoid and the clavicle. The synthetic ATR tendon strip was a practical method for reconstructing a torn CC ligament complex. The ATR graft appears promising for future CC ligament reconstructions.

Research into topology optimization and the FDM method for a space cracked membrane

NASA Astrophysics Data System (ADS)

Hu, Qingxi; Li, Wanyuan; Zhang, Haiguang; Liu, Dali; Peng, Fujun; Duan, Yongchao

2017-07-01

The problem that the space membranes are easily torn open is the main focus in this paper, and a bionic strengthening-ribs structure is proposed for a space membrane based on interdisciplinary strengths, such as topology optimization, composite materials, and rapid prototyping. The optimization method and modeling method of membranes with bionic strengthening-ribs was studied. The PEEK and SCF/PEEK composite material which are applied to the space environment are chosen, and FDM technology is used. Through topology optimization, bionic strengthening-ribs with good tensile and tear capacities were obtained. Cracked membranes, cracked membranes with PEEK strengthening-ribs and SCF/PEEK strengthening-ribs were tested and test data were obtained. An extension situation and tension fracture were compared for three cases. The experimental results showed that membranes with the bionic strengthening-ribs structure have better mechanical properties, and the strength of the membranes with PEEK and SCF/PEEK strengthening-ribs were raised, respectively, up to 266.9% and 185.9%. The strengthening-ribs structure greatly improves the capacity to halt membrane crack-growth, which has an important significance to avoid membrane tear, and to ensure the spacecraft orbital lifetime.

Anatomical basis of the liver hanging maneuver.

PubMed

Trotovsek, Blaz; Belghiti, Jacques; Gadzijev, Eldar M; Ravnik, Dean; Hribernik, Marija

2005-01-01

The anterior approach to right hepatectomy using the liver hanging maneuver without liver mobilization claims to be anatomically evaluated. During this procedure a 4 to 6-cm blind dissection between the inferior vena cava and the liver is performed. Short subhepatic veins, entering the inferior vena cava could be torn and a hemorrhage, difficult to control, could occur. On 100 corrosive casts of livers the anterior surface of the inferior vena cava was studied to evaluate the position, diameter and draining area of short subhepatic veins and inferior right hepatic vein. The width of the narrowest point on the planned route of blind dissection was determined. The average value of the narrowest point on the planned route of blind dissection was 8.7+/-2.3mm (range 2-15mm). The ideal angle of dissection being 0 degrees was found in 93% of cases. In 7% we found the angle of 5 degrees toward the right border of inferior vena cava to be the better choice. Our results show that liver hanging maneuver is a safe procedure. With the dissection in the proposed route the risk of disrupting short subhepatic veins is low (7%).

Sea spray production by bag breakup mode of fragmentation of the air-water interface at strong and hurricane wind

NASA Astrophysics Data System (ADS)

Troitskaya, Yuliya; Kandaurov, Alexander; Ermakova, Olga; Kozlov, Dmitry; Sergeev, Daniil; Zilitinkevich, Sergej

2016-04-01

Sea sprays is a typical element of the marine atmospheric boundary layer (MABL) of large importance for marine meteorology, atmospheric chemistry and climate studies. They are considered as a crucial factor in the development of hurricanes and severe extratropical storms, since they can significantly enhance exchange of mass, heat and momentum between the ocean and the atmosphere. This exchange is directly provided by spume droplets with the sizes from 10 microns to a few millimeters mechanically torn off the crests of a breaking waves and fall down to the ocean due to gravity. The fluxes associated with the spray are determined by the rate of droplet production at the surface quantified by the sea spray generation function (SSGF), defined as the number of spray particles of radius r produced from the unit area of water surface in unit time. However, the mechanism of spume droplets' formation is unknown and empirical estimates of SSGF varied over six orders of magnitude; therefore, the production rate of large sea spray droplets is not adequately described and there are significant uncertainties in estimations of exchange processes in hurricanes. Experimental core of our work comprise laboratory experiments employing high-speed video-filming, which have made it possible to disclose how water surface looks like at extremely strong winds and how exactly droplets are torn off wave crests. We classified events responsible for spume droplet, including bursting of submerged bubbles, generation and breakup of "projections" or liquid filaments (Koa, 1981) and "bag breakup", namely, inflating and consequent blowing of short-lived, sail-like pieces of the water-surface film, "bags". The process is similar to "bag-breakup" mode of fragmentation of liquid droplets and jets in gaseous flows. Basing on statistical analysis of results of these experiments we show that the main mechanism of spray-generation is attributed to "bag-breakup mechanism On the base of general principles

Djibouti, the capital city of the country of Djibouti

NASA Image and Video Library

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, Djibouti’s 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.

A Case of Extragonadal Teratoma in the Pouch of Douglas and Literature Review.

PubMed

Kakuda, Mamoru; Matsuzaki, Shinya; Kobayashi, Eiji; Yoshino, Kiyoshi; Morii, Eiichi; Kimura, Tadashi

2015-01-01

Mature cystic teratoma is a germ cell tumor of the ovaries and is often observed in clinical practice. However, extragonadal teratomas are rare tumors and have been reported outside the ovaries, (e.g., in the greater omentum). The mechanism underlying the development of extragonadal teratomas remains unknown. We encountered a case of extragonadal teratoma in the pouch of Douglas that appeared to be a parasitic dermoid cyst. From our experience and the literature review, we discuss the potential mechanism leading to the development of extragonadal teratomas. A 41-year-old nonpregnant woman was referred to our department due to myoma and anemia. A 4-cm asymptomatic mass in the pouch of Douglas was observed, and the patient was diagnosed with ovarian mature cystic teratoma. She underwent laparoscopic surgery, and intraoperative findings revealed that the fallopian tube was injured and torn, and a residual small ovary was observed in the left side of the ovary. A tumor measuring approximately 4 cm observed in the pouch of Douglas was extracted without rupturing. The tumor was diagnosed as a parasitic dermoid cyst by macroscopic and histopathological findings. Auto-amputation could be the underlying mechanism that leads to an isolated parasitic dermoid cyst in the pouch of Douglas. Copyright © 2015 AAGL. Published by Elsevier Inc. All rights reserved.

Tree-ring dating of meteorite fall in Sikhote-Alin, Eastern Siberia - Russia

NASA Astrophysics Data System (ADS)

Fantucci, R.; Di Martino, Mario; Serra, Romano

2012-01-01

This research deals with the fall of the Sikhote-Alin iron meteorite on the morning of 12 February 1947, at about 00:38 h Utrecht, in a remote area in the territory of Primorsky Krai in Eastern Siberia (46°09‧36″N, 134°39‧22″E). The area engulfed by the meteoritic fall was around 48 km2, with an elliptic form and thousands of craters. Around the large craters the trees were torn out by the roots and laid radially to the craters at a distance of 10-20 m; the more distant trees had broken tops. This research investigated through dendrocronology n.6 Scots pine trees (Pinus Sibirica) close to one of the main impact craters. The analysis of growth anomalies has shown a sudden decrease since 1947 for 4-8 years after the meteoritic impact. Tree growth stress, detected in 1947, was analysed in detail through wood microsection that confirmed the winter season (rest vegetative period) of the event. The growth stress is mainly due to the lost crown (needle lost) and it did not seem to be caused due to direct damages on trunk and branches (missing of resin ducts).

A Neutron Star Binary Merger Model for GW170817/GRB 170817A/SSS17a

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

Murguia-Berthier, A.; Ramirez-Ruiz, E.; Kilpatrick, C. D.

2017-10-20

The merging neutron star gravitational-wave event GW170817 has been observed throughout the entire electromagnetic spectrum from radio waves to γ -rays. The resulting energetics, variability, and light curves are shown to be consistent with GW170817 originating from the merger of two neutron stars, in all likelihood followed by the prompt gravitational collapse of the massive remnant. The available γ -ray, X-ray, and radio data provide a clear probe for the nature of the relativistic ejecta and the non-thermal processes occurring within, while the ultraviolet, optical, and infrared emission are shown to probe material torn during the merger and subsequently heatedmore » by the decay of freshly synthesized r -process material. The simplest hypothesis, that the non-thermal emission is due to a low-luminosity short γ -ray burst (sGRB), seems to agree with the present data. While low-luminosity sGRBs might be common, we show here that the collective prompt and multi-wavelength observations are also consistent with a typical, powerful sGRB seen off-axis. Detailed follow-up observations are thus essential before we can place stringent constraints on the nature of the relativistic ejecta in GW170817.« less

Local Coulomb explosion of boron nitride nanotubes under electron beam irradiation.

PubMed

Wei, Xianlong; Tang, Dai-Ming; Chen, Qing; Bando, Yoshio; Golberg, Dmitri

2013-04-23

In many previous reports, the engineering of nanostructures using electron beam irradiation (EBI) in a high vacuum has primarily been based on the knock-on atom displacement. Herein, we report a new phenomenon under EBI that can also be effectively used to engineer a nanostructure: local Coulomb explosion (LCE) of cantilevered multiwalled boron nitride nanotubes (BNNTs) resulted from their profound positive charging. The nanotubes are gradually shortened, while the tubular shells at free ends are torn into graphene-like pieces and then removed during LCE. The phenomenon is dependent not only on the characteristics of an incident electron beam, as in the case of a common knock-on process, but also on the cantilevered tube length. Only after the electron beam density and tube length exceed the threshold values can LCE take place, and the threshold value for one of the parameters decreases with increasing the value of the other one. A model based on the diffusion of electron-irradiation-induced holes along a BNNT is proposed to describe the positive charge accumulation and can well explain the observed LCE. LCE opens up an efficient and versatile way to engineer BNNTs and other dielectric nanostructures with a shorter time and a lower beam density than those required for the knock-on effect-based engineering.

Men and women--still far apart on HIV/AIDS.

PubMed

Frasca, Tim

2003-11-01

What could be more logical than a gay-feminist alliance to respond to the AIDS epidemic in Latin America? However, drawing on published articles and the author's experience in HIV/AIDS work in Chile, this paper argues that such an alliance is more rhetorical than real. Instead, both groups tend to stick to their respective niches and view the epidemic through the prism of the particular needs and concerns of their target constituencies, rather than learn from and support each other. Feminist rhetoric sometimes suggests that AIDS is a problem only because it affects women. The African paradigm of vulnerable women is inexactly applied, given the predominantly male and homosexual nature of the epidemic in most Latin American countries. Both women and homosexually active men are highly vulnerable to HIV infection, and little is gained by competing for the top slot on the "tragedy honour roll". Latin American gay men's groups, torn between AIDS and gay rights activism, often resist both protagonism by women and women's issues. Although the fight for access to antiretroviral treatment has obscured this conflict, it resurfaces in associations of HIV-positive people and may increase along with heterosexual transmission in the region. Discussion and exchanges should be encouraged to overcome these largely hidden divisions.

Comparison of CT and MRI in patients with tibial plateau fracture: can CT findings predict ligament tear or meniscal injury?

PubMed

Mui, Leonora W; Engelsohn, Eliyahu; Umans, Hilary

2007-02-01

(1) To determine the accuracy of computed tomography (CT) in the evaluation of ligament tear and avulsion in patients with tibial plateau fracture. (2) To evaluate whether the presence or severity of fracture gap and articular depression can predict meniscal injury. A fellowship-trained musculoskeletal radiologist retrospectively reviewed knee CT and MRI examinations of 41 consecutive patients presenting to a level 1 trauma center with tibial plateau fractures. Fracture gap, articular depression, ligament tear and footprint avulsions were assessed on CT examinations. The MRI studies were examined for osseous and soft tissue injuries, including meniscal tear, meniscal displacement, ligament tear, and ligament avulsion. CT demonstrated torn ligaments with 80% sensitivity and 98% specificity. Only 2% of ligaments deemed intact on careful CT evaluation had partial or complete tears on MRI. Although the degree of fracture gap and articular depression was significantly greater in patients with meniscal injury compared with those without meniscal injury, ROC analysis demonstrated no clear threshold for gap or depression that yielded a combination of high sensitivity and specificity. In the acute setting, CT offers high sensitivity and specificity for depicting osseous avulsions, as well as high negative predictive value for excluding ligament injury. However, MRI remains necessary for the preoperative detection of meniscal injury.

Healing Potential of the Anterior Cruciate Ligament Remnant Stump.

PubMed

Trocan, Ilie; Ceausu, Raluca A; Jitariu, Andreea A; Haragus, Horia; Damian, Gratian; Raica, Marius

2016-01-01

The aim of this study was to analyze the microstructural architecture and cellular differentiation of the anterior cruciate ligament (ACL) stumps in different stages after injury, as this could augment graft biointegration. The histological appearance and immunoreaction for cluster of differentiation 34 antigen (CD34) of 54 biopsies from 27 remnants were compared to 10 biopsies from 5 normal cruciate ligaments. CD34 reaction in endothelial cells, fibroblasts and fibrocytes was consistently positive in small synovial vessels. Remnants also exhibited CD34(+) cells among collagen fibers. Blood vessel density varied between specimens. The mean vascular microdensity was 43 per ×200 field in remnants compared to 15.2 in controls. A total of 94.44% of remnant ACL samples had significant hyperplasia of stellate and fusiform stromal cells, CD34(+); 22.4% had developed capillary vessels inside the ligament; 33% exhibited ongoing angiogenesis. Significant differences exist between torn and intact ACL regarding microvascularization. The remnants contain stellate stromal cells and CD34(+) fibrocytes, and display angiogenesis both at synovia as well as in the ligament itself. These findings underline the potential contribution to neoligament healing when remnants are preserved. Copyright © 2016 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.

Intrinsic healing response of the human anterior cruciate ligament: an histological study of reattached ACL remnants.

PubMed

Nguyen, Duy Tan; Ramwadhdoebe, Tamara H; van der Hart, Cor P; Blankevoort, Leendert; Tak, Paul Peter; van Dijk, Cornelis Niek

2014-02-01

A reattachment of the tibial remnant of the torn anterior cruciate ligament (ACL) to the posterior cruciate ligament is sometimes observed during surgery and apparently implies that the human ACL does have a healing response. The aim of this study was to investigate whether this reattachment tissue has similar histological characteristics of a healing response as the medial collateral ligament (MCL), which can heal spontaneously. Standard histology and immunostaining of α-smooth muscle actin and collagen type 3 was performed. The results shows that the reattached tissue has typical characteristics of a healing response: there attached ACL remnant could not be released by forceful traction; microscopy showed that the collagen fibers of the reattached tissue were disorganized with no preferred direction; increased neovascularization; the presence of lipid vacuoles; the mean number of cells within the biopsy tissue was 631±269 cells per mm2; and 68±20% was expressing α-SMA; semi-quantitative analysis of collagen type 3 expression showed that collagen type 3 had an high expression with an average score of 3. In conclusion, this study shows that the human proximal 1/3 ACL has an intrinsic healing response with typical histological characteristics similar to the MCL. © 2013 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

Enhanced Tendon-to-Bone Healing of Chronic Rotator Cuff Tears by Bone Marrow Aspirate Concentrate in a Rabbit Model

PubMed Central

Liu, Xiao Ning; Yang, Cheol-Jung; Kim, Ji Eui; Du, Zhen Wu; Ren, Ming; Zhang, Wei; Zhao, Hong Yu; Kim, Kyung Ok

2018-01-01

Background To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC. Methods In this in vivo study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors in vitro. Results The ultimate load-to-failure was significantly higher in RPB group compared to RS group (p = 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP. Conclusions Locally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications. PMID:29564054

Mechanisms of tendon injury and repair

PubMed Central

Thomopoulos, Stavros; Parks, William C.; Rifkin, Daniel B.; Derwin, Kathleen A.

2015-01-01

Tendon disorders are common and lead to significant disability, pain, healthcare cost, and lost productivity. A wide range of injury mechanisms exist leading to tendinopathy or tendon rupture. Tears can occur in healthy tendons that are acutely overloaded (e.g., during a high speed or high impact event) or lacerated (e.g., a knife injury). Tendinitis or tendinosis can occur in tendons exposed to overuse conditions (e.g., an elite swimmer’s training regimen) or intrinsic tissue degeneration (e.g., age-related degeneration). The healing potential of a torn or pathologic tendon varies depending on anatomic location (e.g., Achilles vs. rotator cuff) and local environment (e.g., intrasynovial vs. extrasynovial). Although healing occurs to varying degrees, in general healing of repaired tendons follows the typical wound healing course, including an early inflammatory phase, followed by proliferative and remodeling phases. Numerous treatment approaches have been attempted to improve tendon healing, including growth factor- and cell-based therapies and rehabilitation protocols. This review will describe the current state of knowledge of injury and repair of the three most common tendinopathies-- flexor tendon lacerations, Achilles tendon rupture, and rotator cuff disorders-- with a particular focus on the use of animal models for understanding tendon healing. PMID:25641114

Efficacy of therapeutic ultrasound treatment of a meniscus tear in a severely disabled patient: a case report.

PubMed

Muché, Julie A

2003-10-01

This report focuses on diagnosis and management of a meniscus tear of unknown etiology in a functionally impaired patient. The patient was a 21-year-old man diagnosed with viral meningoencephalitis and postvaccinal central pontine myelinolysis, who experienced respiratory failure and required prolonged mechanical ventilation. He was in a comatose state for approximately 1.5 months. He presented to our facility 3 weeks after coma complaining of left knee pain and limited range of motion (ROM). Diagnostic workup, including magnetic resonance imaging, showed a grade II posterior horn medial meniscus tear and lateral tibial stress injury of the left knee. Management of the meniscus tear included the RICE protocol (rest, ice, compression, elevation), therapeutic ultrasound, and physical therapy. The patient responded extremely well to initial ultrasound therapy, with decreased pain and increased ROM of the left knee, which allowed him to make significant functional gains and to make overall progress in our comprehensive acute rehabilitation program. To date, nonoperative care of acute meniscal injury is commonly considered to be unsatisfactory; however, in this patient it led to rapid functional gains. Thus, therapeutic ultrasound may be a beneficial modality to decrease pain and increase ROM of the knee in an acutely torn meniscus, which, in turn, would likely promote good functional progress in any rehabilitation program.

A comparison of MRI findings in patients with acute and chronic ACL tears.

PubMed

Dimond, P M; Fadale, P D; Hulstyn, M J; Tung, G A; Greisberg, J

1998-01-01

This retrospective study compared the magnetic resonance imaging (MRI) findings in 87 patients with acute and chronic anterior cruciate ligament (ACL) tears. Sixty patients had acute tears and 27 had chronic tears. The appearance of the torn ligament was examined on MRI, and associated meniscal and osteochondral injuries were described. All findings were verified at arthroscopy. Acute ACL tears (MRI examination was performed within 6 weeks of injury) were typified by the presence of diffuse (58%) or focal (42%) increased signal within the ligament, whereas chronic ACL tears (MRI examination was performed more than 6 months after injury) usually appeared as either a fragmented ligament (44%) or an intact band of low signal with abnormal orientation (30%). Patients with chronic ACL tears had a higher prevalence of medial meniscal tears (78% versus 40%), articular chondromalacia, and an increased posterior cruciate bow ratio (0.47 versus 0.37) in association with chronic ACL tears. A bone bruise was seen in 68% of acute ACL tears but in no case of chronic ACL tear. On MRI, there are salient differences between acute and chronic ACL tears. Chronic ACL tears are associated with a greater prevalence of meniscal and osteochondral injuries. These findings may have implications for future treatment recommendations.

Articular contact pressures of meniscal repair techniques at various knee flexion angles.

PubMed

Flanigan, David C; Lin, Fang; Koh, Jason L; Zhang, Li-Qun

2010-07-13

Articular cartilage injury can occur after meniscal repair with biodegradable implants. Previous contact pressure analyses of the knee have been based on the tibial side of the meniscus at limited knee flexion angles. We investigated articular contact pressures on the posterior femoral condyle with different knee flexion angles and surgical repair techniques. Medial meniscus tears were repaired in 30 fresh bovine knees. Knees were mounted on a 6-degrees-of-freedom jig and statically loaded to 200 N at 45 degrees, 70 degrees, 90 degrees, and 110 degrees of knee flexion under 3 conditions: intact meniscus, torn meniscus, and meniscus after repair. For each repair, 3 sutures or biodegradable implants were used. A pressure sensor was used to determine the contact area and peak pressure. Peak pressures over each implant position were measured. Peak pressure increased significantly as knee flexion increased in normal, injured, and repaired knees. The change in peak pressure in knees with implant repairs was significantly higher than suture repairs at all knee flexion angles. Articular contact pressure on the posterior femoral condyle increased with knee flexion. Avoidance of deep knee flexion angles postoperatively may limit increases in articular contact pressures and potential chondral injury. Copyright 2010, SLACK Incorporated.

Long term results of surgery for non-acute anteromedial rotatory instability of the knee.

PubMed

Oretorp, N; Gillquist, J; Liljedahl, S O

1979-06-01

Seventy-eight patients treated by extraarticular reconstruction including pes anserinus transfer for anteromedial rotatory instability of the knee were reinvestigated 16--47 months (mean 28) after operation. Function before and after operation was assessed by means of a knee rating score. Of these patients, 94 per cent showed a higher score after operation. Twenty per cent showed full recovery with no limitation of knee function whatsoever. The follow-up score was higher with preserved medial meniscus function than when this structure had been removed. When not initially torn, the medial meniscus tended to become involved with time. Mild laxity in extension, possibly indicative of a posterior cruciate injury previously underestimated or not observed, was found in 15 per cent of the patients. No correlation was found between late knee function and the interval between injury and operation or the interval between operation and follow-up examination. The long term results were good. Extraarticular reconstruction is thus indicated in cases of chronic rotatory instability of the anteromedial type. Routine meniscectomy is not recommended in these patients, however. Signs possibly indicating posterior cruciate ligament involvement should be carefully looked for, as even minor posterior cruciate injury, easily overlooked, may influence the late results.

Limited posterolateral surgical approach to the knee for excision of osteoid osteoma.

PubMed

Minkoff, J; Jaffe, L; Menendez, L

1987-10-01

An 18-year-old man suffered four years of undiagnosed knee pain until a CAT scan revealed an epiphyseal osteoid osteoma of the tibia located subchondrally, just medial to the proximal tibiofibular joint. A nidus in this location is not easily accessible, and its proximity to the joint surface raised concerns about damage to the tibial plateau. To facilitate excision of the tumor, cadaveric dissections were performed to develop a limited posterior approach to the proximal, lateral portion of the tibia. The CAT scan was used to calculate the precise dimensions of the tumor and its relation to the posterior tibial cortex and the proximal tibiofibular joint. With the use of the exposure developed in the laboratory and the calculations derived from the CAT scan, the tumor could be excised by removing a single block of bone 15 mm3. Intraoperative radiographs confirmed the presence of the nidus within the excised block of bone. This case report reaffirms the frequent difficulties and tardiness in diagnosing osteoid osteomas and the need to include these tumors in the differential diagnosis of knee pain and epiphyseal lesions. Before CAT scans were used, the working diagnoses were torn meniscus, juvenile rheumatoid arthritis, and bone hemangiomatosis.

Tadeus Reichstein, co-winner of the Nobel Prize for Physiology or Medicine: on the occasion of the 110th anniversary of his birth in Poland.

PubMed

Wincewicz, Andrzej; Sulkowska, Mariola; Sulkowski, Stanislaw

2007-01-01

Tadeus Reichstein (1897-1996) was the first scientist born in Poland to receive the Nobel Prize in Medicine or Physiology (1950) for the "discovery of hormones of the adrenal cortex, their structure and biological effects", as stated by the Nobel Prize Committee. His family being deeply devoted to Polish cultural and historical heritage, his first name was given to him after Tadeus Kosciuszko, a chief commander of the 18th century Polish uprising named the Kosciuszko Insurrection. As a child, he emigrated with his family to Switzerland, where he was much later to become involved in numerous research studies on steroids on an international scale. It was Tadeus Reichstein who isolated and synthesized desoxycorticosterone, which still remains the drug of first choice in the treatment of Addison's disease. Additionally, thanks to his strategy for the mass production of Vitamin C, the cost of this agent was drastically reduced thus enabling its widespread therapeutic use. In our divided world so often torn by tremendous conflicts, there is a great need to both remember and commemorate such distinguished people as Tadeus Reichstein who, despite the apparent "borders" between different nationalities and cultures, have demonstrated through their work the huge need for harmonious collaboration in the development of science.

Negotiating candidacy: ethnic minority seniors’ access to care

PubMed Central

KOEHN, SHARON

2013-01-01

The ‘Barriers to Access to Care for Ethnic Minority Seniors ’ (BACEMS) study in Vancouver, British Columbia, found that immigrant families torn between changing values and the economic realities that accompany immigration cannot always provide optimal care for their elders. Ethnic minority seniors further identified language barriers, immigration status, and limited awareness of the roles of the health authority and of specific service providers as barriers to health care. The configuration and delivery of health services, and health-care providers’ limited knowledge of the seniors’ needs and confounded these problems. To explore the barriers to access, the BACEMS study relied primarily on focus group data collected from ethnic minority seniors and their families and from health and multicultural service providers. The applicability of the recently developed model of ‘candidacy’, which emphasises the dynamic, multi-dimensional and contingent character of health-care access to ethnic minority seniors, was assessed. The candidacy framework increased sensitivity to ethnic minority seniors’ issues and enabled organisation of the data into manageable conceptual units, which facilitated translation into recommendations for action, and revealed gaps that pose questions for future research. It has the potential to make Canadian research on the topic more co-ordinated. PMID:23814327

Tunicate-Inspired Gallic Acid/Metal Ion Complex for Instant and Efficient Treatment of Dentin Hypersensitivity.

PubMed

Prajatelistia, Ekavianty; Ju, Sung-Won; Sanandiya, Naresh D; Jun, Sang Ho; Ahn, Jin-Soo; Hwang, Dong Soo

2016-04-20

Dentin hypersensitivity is sharp and unpleasant pains caused by exposed dentinal tubules when enamel outside of the tooth wears away. The occlusion of dentinal tubules via in situ remineralization of hydroxyapatite is the best method to alleviate the symptoms caused by dentin hypersensitivity. Commercially available dental desensitizers are generally effective only on a specific area and are relatively toxic, and their performance usually depends on the skill of the clinician. Here, a facile and efficient dentin hypersensitivity treatment with remarkable aesthetic improvement inspired by the tunicate-self-healing process is reported. As pyrogallol groups in tunicate proteins conjugate with metal ions to heal the torn body armor of a tunicate, the ingenious mechanism by introducing gallic acid (GA) as a cheap, abundant, and edible alternative to the pyrogallol groups of the tunicate combined with a varied daily intake of metal ion sources is mimicked. In particular, the GA/Fe(3+) complex exhibits the most promising results, to the instant ≈52% blockage in tubules within 4 min and ≈87% after 7 d of immersion in artificial saliva. Overall, the GA/metal ion complex-mediated coating is facile, instant, and effective, and is suggested as an aesthetic solution for treating dentin hypersensitivity. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

High Mobility and Low Use of Malaria Preventive Measures among the Jarai Male Youth along the Cambodia–Vietnam Border

PubMed Central

Gryseels, Charlotte; Peeters Grietens, Koen; Dierickx, Susan; Xuan, Xa Nguyen; Uk, Sambunny; Bannister-Tyrrell, Melanie; Trienekens, Suzan; Ribera, Joan Muela; Hausmann-Muela, Susanna; Gerrets, René; D'Alessandro, Umberto; Sochantha, Tho; Coosemans, Marc; Erhart, Annette

2015-01-01

Malaria control along the Vietnam–Cambodia border presents a challenge for both countries' malaria elimination targets as the region is forested, inhabited by ethnic minority populations, and potentially characterized by early and outdoor malaria transmission. A mixed methods study assessed the vulnerability to malaria among the Jarai population living on both sides of the border in the provinces of Ratanakiri (Cambodia) and Gia Lai (Vietnam). A qualitative study generated preliminary hypotheses that were quantified in two surveys, one targeting youth (N = 498) and the other household leaders (N = 449). Jarai male youth, especially in Cambodia, had lower uptake of preventive measures (57.4%) and more often stayed overnight in the deep forest (35.8%) compared with the female youth and the adult population. Among male youth, a high-risk subgroup was identified that regularly slept at friends' homes or outdoors, who had fewer bed nets (32.5%) that were torn more often (77.8%). The vulnerability of Jarai youth to malaria could be attributed to the transitional character of youth itself, implying less fixed sleeping arrangements in nonpermanent spaces or non-bed sites. Additional tools such as long-lasting hammock nets could be suitable as they are in line with current practices. PMID:26283747

The glenolabral articular disruption lesion: MR arthrography with arthroscopic correlation.

PubMed

Sanders, T G; Tirman, P F; Linares, R; Feller, J F; Richardson, R

1999-01-01

The purpose of this study was to describe the MR arthrography appearance of the glenolabral articular disruption (GLAD) lesion. Proper diagnosis of this lesion is important because it can be a source of persistent shoulder pain that requires surgical repair and because it is often difficult to diagnose clinically. Findings on MR arthrography were retrospectively correlated with the clinical histories and physical examination findings of six patients in whom we saw the typical appearance of the GLAD lesion. Four of these patients underwent follow-up arthroscopy that included surgical proof of GLAD lesions. Five of the six patients had a documented glenohumeral impaction injury associated with an abducted externally rotated shoulder. All six patients had persistent shoulder pain, but their shoulders were stable during routine examination. In all patients, MR arthrography showed a superficial tear of the anteroinferior labrum with an adjacent articular cartilage injury. The torn labrum remained firmly attached to the anterior scapular periosteum, and contrast material was seen to extend into the labral tear and cartilaginous defect. The MR arthrography findings of GLAD lesions include a nondisplaced tear of the anteroinferior labrum with an adjacent chondral injury. The pattern of chondral injury can range from a cartilaginous flap tear to a depressed osteochondral injury of the articular cartilage and underlying bone.

Searching for tidal disruption events at an unexplored wavelength

NASA Astrophysics Data System (ADS)

Soler, S.; Webb, N.; Saxton, R.

2017-10-01

When a star approaches too close to a black hole, the star can be torn apart by the gravitational forces and approximately half the matter falls towards the black hole, causing the luminosity to increase by several orders of magnitude. Such an event is known as a tidal disruption event (TDE). These events can help us locate black holes which would be otherwise too faint to be detected and help us understand the mass function of these objects. To date only a small sample of candidate TDEs have been detected (˜65), either in the optical or in soft X-rays. However, four TDEs have been observed with hard X-ray spectra. In order to determine if these hard TDEs are the result of a different mechanism to those detected at lower energy, we search for similar events in the 3XMM catalogue. Using spectral and timing characteristics determined from the hard TDEs and cross-correlating 3XMM with other catalogues, we have developed a methodology with which to identify new hard TDEs. In this poster we describe the characteristics used to search for previously undiscovered hard TDEs and present the results of this search and the resulting constraints on the central mechanism in TDEs.

Ultrasound determination of rotator cuff tear repairability

PubMed Central

Tse, Andrew K; Lam, Patrick H; Walton, Judie R; Hackett, Lisa

2015-01-01

Background Rotator cuff repair aims to reattach the torn tendon to the greater tuberosity footprint with suture anchors. The present study aimed to assess the diagnostic accuracy of ultrasound in predicting rotator cuff tear repairability and to assess which sonographic and pre-operative features are strongest in predicting repairability. Methods The study was a retrospective analysis of measurements made prospectively in a cohort of 373 patients who had ultrasounds of their shoulder and underwent rotator cuff repair. Measurements of rotator cuff tear size and muscle atrophy were made pre-operatively by ultrasound to enable prediction of rotator cuff repairability. Tears were classified following ultrasound as repairable or irreparable, and were correlated with intra-operative repairability. Results Ultrasound assessment of rotator cuff tear repairability has a sensitivity of 86% (p < 0.0001) and a specificity of 67% (p < 0.0001). The strongest predictors of rotator cuff repairability were tear size (p < 0.001) and age (p = 0.004). Sonographic assessments of tear size ≥4 cm2 or anteroposterior tear length ≥25 mm indicated an irreparable rotator cuff tear. Conclusions Ultrasound assessment is accurate in predicting rotator cuff tear repairability. Tear size or anteroposterior tear length and age were the best predictors of repairability. PMID:27582996

The Rotator Cuff Organ: Integrating Developmental Biology, Tissue Engineering, and Surgical Considerations to Treat Chronic Massive Rotator Cuff Tears.

PubMed

Rothrauff, Benjamin B; Pauyo, Thierry; Debski, Richard E; Rodosky, Mark W; Tuan, Rocky S; Musahl, Volker

2017-08-01

The torn rotator cuff remains a persistent orthopedic challenge, with poor outcomes disproportionately associated with chronic, massive tears. Degenerative changes in the tissues that comprise the rotator cuff organ, including muscle, tendon, and bone, contribute to the poor healing capacity of chronic tears, resulting in poor function and an increased risk for repair failure. Tissue engineering strategies to augment rotator cuff repair have been developed in an effort to improve rotator cuff healing and have focused on three principal aims: (1) immediate mechanical augmentation of the surgical repair, (2) restoration of muscle quality and contractility, and (3) regeneration of native enthesis structure. Work in these areas will be reviewed in sequence, highlighting the relevant pathophysiology, developmental biology, and biomechanics, which must be considered when designing therapeutic applications. While the independent use of these strategies has shown promise, synergistic benefits may emerge from their combined application given the interdependence of the tissues that constitute the rotator cuff organ. Furthermore, controlled mobilization of augmented rotator cuff repairs during postoperative rehabilitation may provide mechanotransductive cues capable of guiding tissue regeneration and restoration of rotator cuff function. Present challenges and future possibilities will be identified, which if realized, may provide solutions to the vexing condition of chronic massive rotator cuff tears.

Analysis of Femtosecond Laser Assisted Capsulotomy Cutting Edges and Manual Capsulorhexis Using Environmental Scanning Electron Microscopy

PubMed Central

Serrao, Sebastiano; Lombardo, Giuseppe; Desiderio, Giovanni; Buratto, Lucio; Schiano-Lomoriello, Domenico; Pileri, Marco; Lombardo, Marco

2014-01-01

Purpose. To investigate the structure and irregularity of the capsulotomy cutting edges created by two femtosecond (FS) laser platforms in comparison with manual continuous circular capsulorhexis (CCC) using environmental scanning electron microscopy (eSEM). Methods. Ten anterior capsulotomies were obtained using two different FS laser cataract platforms (LenSx, n = 5, and Victus, n = 5). In addition, five manual CCC (n = 5) were obtained using a rhexis forceps. The specimens were imaged by eSEM (FEI Quanta 400, OR, USA). Objective metrics, which included the arithmetic mean deviation of the surface (Sa) and the root-mean-square deviation of the surface (Sq), were used to evaluate the irregularity of both the FS laser capsulotomies and the manual CCC cutting edges. Results. Several microirregularities were shown across the FS laser capsulotomy cutting edges. The edges of manually torn capsules were shown, by comparison of Sa and Sq values, to be smoother (P < 0.05) than the FS laser capsulotomy edges. Conclusions. Work is needed to understand whether the FS laser capsulotomy edge microirregularities, not seen in manual CCC, may act as focal points for the concentration of stress that would increase the risk of capsular tear during phacoemulsification as recently reported in the literature. PMID:25505977

Analysis of femtosecond laser assisted capsulotomy cutting edges and manual capsulorhexis using environmental scanning electron microscopy.

PubMed

Serrao, Sebastiano; Lombardo, Giuseppe; Desiderio, Giovanni; Buratto, Lucio; Schiano-Lomoriello, Domenico; Pileri, Marco; Lombardo, Marco

2014-01-01

Purpose. To investigate the structure and irregularity of the capsulotomy cutting edges created by two femtosecond (FS) laser platforms in comparison with manual continuous circular capsulorhexis (CCC) using environmental scanning electron microscopy (eSEM). Methods. Ten anterior capsulotomies were obtained using two different FS laser cataract platforms (LenSx, n = 5, and Victus, n = 5). In addition, five manual CCC (n = 5) were obtained using a rhexis forceps. The specimens were imaged by eSEM (FEI Quanta 400, OR, USA). Objective metrics, which included the arithmetic mean deviation of the surface (Sa) and the root-mean-square deviation of the surface (Sq), were used to evaluate the irregularity of both the FS laser capsulotomies and the manual CCC cutting edges. Results. Several microirregularities were shown across the FS laser capsulotomy cutting edges. The edges of manually torn capsules were shown, by comparison of Sa and Sq values, to be smoother (P < 0.05) than the FS laser capsulotomy edges. Conclusions. Work is needed to understand whether the FS laser capsulotomy edge microirregularities, not seen in manual CCC, may act as focal points for the concentration of stress that would increase the risk of capsular tear during phacoemulsification as recently reported in the literature.

Tidal Disruption Events Prefer Unusual Host Galaxies

NASA Astrophysics Data System (ADS)

Arcavi, Iair; French, K. Decker; Zabludoff, Ann I.

2016-06-01

A star passing close to a supermassive black hole (SMBH) can be torn apart in a Tidal Disruption Events (TDE). TDEs that are accompanied by observable flares are now being discovered in transient surveys and are revealing the presence and the properties of otherwise-quiescent SMBHs. Recently, it was discovered that TDEs show a strong preference for rare post-starburst galaxies, (i.e. galaxies that have undergone intense star formation but are no longer forming stars today). We quantify this preference and find that TDEs are approximately 30-200 times more likely to occur in post-starburst hosts (compared to the general SDSS galaxy population), with the enhancement factor depending on the star formation history of the galaxy. This surprising host-galaxy preference connects the until-now disparate TDE subclasses of UV/optical-dominated TDEs and X-ray-dominated TDEs, and serves as the basis for TDE-targeted transient surveys. Post-starburst galaxies may be post-mergers, with binary SMBH systems that are still spiraling in. Such systems could enhance the TDE rate, but it is not yet clear if models can quantitatively reproduce the observed enhancement. Alternative explanations for enhanced TDE rate in post-starbursts include non-spherical post-merger central potentials and enhanced rates of giant stars.

REPEATING FAST RADIO BURSTS FROM HIGHLY MAGNETIZED PULSARS TRAVELING THROUGH ASTEROID BELTS

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

Dai, Z. G.; Wang, J. S.; Huang, Y. F.

Very recently, Spitler et al. and Scholz et al. reported their detections of 16 additional bright bursts in the direction of the fast radio burst (FRB) 121102. This repeating FRB is inconsistent with all of the catastrophic event models put forward previously for hypothetically non-repeating FRBs. Here, we propose a different model, in which highly magnetized pulsars travel through the asteroid belts of other stars. We show that a repeating FRB could originate from such a pulsar encountering a large number of asteroids in the belt. During each pulsar-asteroid impact, an electric field induced outside of the asteroid has suchmore » a large component parallel to the stellar magnetic field that electrons are torn off the asteroidal surface and accelerated to ultra-relativistic energies instantaneously. The subsequent movement of these electrons along magnetic field lines will cause coherent curvature radiation, which can account for all of the properties of an FRB. In addition, this model can self-consistently explain the typical duration, luminosity, and repetitive rate of the 17 bursts of FRB 121102. The predicted occurrence rate of repeating FRB sources may imply that our model would be testable in the next few years.« less

Graphene Oxide Directed One-Step Synthesis of Flowerlike Graphene@HKUST-1 for Enzyme-Free Detection of Hydrogen Peroxide in Biological Samples.

PubMed

Wang, Qingxiang; Yang, Yizhen; Gao, Feng; Ni, Jiancong; Zhang, Yanhui; Lin, Zhenyu

2016-11-30

A novel metal-organic framework (MOF)-based electroactive nanocomposite containing graphene fragments and HKUST-1 was synthesized via a facile one-step solvothermal method using graphene oxide (GO), benzene-1,3,5-tricarboxylic acid (BTC), and copper nitrate (Cu(NO 3 ) 2 ) as the raw materials. The morphology and structure characterization revealed that the GO could induce the transformation of HKUST-1 from octahedral structure to the hierarchical flower shape as an effective structure-directing agent. Also, it is interesting to find out that the GO was torn into small fragments to participate in the formation of HKUST-1 and then transformed into the reduction form during the solvothermal reaction process, which dramatically increased the surface area, electronic conductivity, and redox-activity of the material. Electrochemical assays showed that the synergy of graphene and HKUST-1 in the nanocomposite leaded to high electrocatalysis, fast response, and excellent selectivity toward the reduction of hydrogen peroxide (H 2 O 2 ). Based on these remarkable advantages, satisfactory results were obtained when the nanocomposite was used as a sensing material for electrochemical determination of H 2 O 2 in the complex biological samples such as human serum and living Raw 264.7 cell fluids.

Tectonic analysis of Baja California and Parras shear belt in Mexico

NASA Technical Reports Server (NTRS)

Abdel-Gawad, M. (Principal Investigator); Tubbesing, L.

1974-01-01

The author has identified the following significant results. Geological correlation of terrain across the Gulf of California using ERTS-1 imagery revealed significant similarities between Isla Tiburon, Isla Angel de la Guarda, and the San Carlos Range in mainland Mexico. ERTS-1 imagery was used to check the validity of the existence of major trans-Baja fault zones. ERTS-1 imagery also shows that high albedo sediments similar to known late Tertiary marine sediments are widespread in southern and middle Baja and extend in places to the eastern side of the Peninsula. Major faults in northern Mexico and across the border in the United States were mapped, and ample evidence was found that the Parras and parts of the Texas lineament are belts of major transverse shear faults in areas outside the supposed limit of the Texas and Parras lineaments. A fundamental concept which may help explain many complexities in the tectonic development is beginning to emerge: The southwestern part of North America was torn by massive left-lateral shear of transverse trend (east-west) during the compressive stage of the late Mesozoic and early Cenozoic. This tectonic style has changed into tensional rifting (Basin and Range) and right-lateral shear later in the Cenozoic and Quaternary.

Liver hanging maneuver for right hemiliver in situ donation – anatomical considerations

PubMed Central

Gadžijev, E.M.; Ravnik, D.; Hribernik, M.

2006-01-01

Background. An anatomical study was carried out to evaluate the safety of the liver hanging maneuver for the right hemiliver in living donor and in situ splitting transplantation. During this procedure a 4–6 cm blind dissection is performed between the inferior vena cava and the liver. Short subhepatic veins entering the inferior vena cava from segments 1 and 9 could be torn with consequent hemorrhage. Materials and methods. One hundred corrosive casts of livers were evaluated to establish the position and diameter of short subhepatic veins and the inferior right hepatic vein. Results. The average distance from the right border of the inferior vena cava to the opening of segment 1 veins was 16.7±3.4 mm and to the entrance of segment 9 veins was 5.0±0.5 mm. The width of the narrowest point on the route of blind dissection was determined, with the average value being 8.7±2.3 mm (range 2–15 mm). Discussion. The results show that the liver hanging maneuver is a safe procedure. A proposed route of dissection minimizes the risk of disrupting short subhepatic veins (7%). PMID:18333236

Methods used during gross necropsy to determine watercraft-related mortality in the Florida manatee (Trichechus manatus latirostris).

PubMed

Lightsey, Jessica D; Rommel, Sentiel A; Costidis, Alexander M; Pitchford, Thomas D

2006-09-01

Between 1993 and 2003, 713 (24%) of 2,940 dead Florida manatees (Trichechus manatus latirostris) recovered from Florida waters and examined were killed by watercraft-induced trauma. It was determined that this mortality was the result of watercraft trauma because the external wound patterns and the internal lesions seen during gross necropsy are recognizable and diagnostic. This study documents the methods used in determining watercraft-related mortality during gross necropsy and explains why these findings are diagnostic. Watercraft can inflict sharp- and blunt-force trauma to manatees, and both types of trauma can lead to mortality. This mortality may be a direct result of the sharp and blunt forces or from the chronic effects resulting from either force. In cases in which death is caused by a chronic wound-related complication, the original incident is usually considered to be the cause of death. Once a cause of death is determined, it is recorded in an extensive database and is used by Federal and state managers in developing strategies for the conservation of the manatee. Common sequelae to watercraft-induced trauma include skin lesions, torn muscles, fractured and luxated bones, lacerated internal organs, hemothorax, pneumothorax, pyothorax, hydrothorax, abdominal hemorrhage and ascites, and pyoperitoneum.

A qualitative assessment of personal and social responsibility for kidney disease: the Increasing Kidney Disease Awareness Network Transplant Project.

PubMed

Spigner, Clarence; Lyles, Courtney Rees; Galvin, Georgia; Sabin, Janice; Davis, Connie; Dick, Andre; Young, Bessie A

2011-01-01

Limited qualitative research has explored opinions of kidney disease health care providers regarding racial and ethnic disparities in access to and receipt of kidney transplantation. Key informant interviews were conducted among transplant nephrologists, nephrologists, transplant social workers, and transplant coordinators to determine barriers to transplantation among African Americans compared to whites with end-stage renal disease (ESRD). Thirty-eight interviews were audio recorded and transcribed to hardcopy for content analysis. Grounded theory was used to determine dominant themes within the interviews. Reliability and validity were ensured by several coinvestigators independently sorting verbatim responses used for generating themes and subsequent explanations. Several major categories arose from analysis of the transcripts. Under the category of personal and social responsibility for kidney transplantation, interviews revealed 4 major themes: negative personal behaviors, acquisition of and lack of self-treatment of comorbid conditions, lack of individual responsibility, and the need for more social responsibility. Many providers perceived patients as being largely responsible for the development of ESRD, while some providers expressed the idea that more social responsibility was needed to improve poor health status and disparities in kidney transplantation rates. Kidney disease health providers seemed torn between notions of patients' accountability and social responsibility for racial disparities in chronic kidney disease and ESRD. Further research is needed to clarify which aspects contribute most to disparities in access to transplantation.

Historic Manhattan Project Sites at Los Alamos

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

McGehee, Ellen

The Manhattan Project laboratory constructed at Los Alamos, New Mexico, beginning in 1943, was intended from the start to be temporary and to go up with amazing speed. Because most of those WWII-era facilities were built with minimal materials and so quickly, much of the original infrastructure was torn down in the late '40s and early '50s and replaced by more permanent facilities. However, a few key facilities remained, and are being preserved and maintained for historic significance. Four such sites are visited briefly in this video, taking viewers to V-Site, the buildings where the first nuclear explosive device wasmore » pre-assembled in preparation for the Trinity Test in Southern New Mexico. Included is another WWII area, Gun Site. So named because it was the area where scientists and engineers tested the so-called "gun method" of assembling nuclear materials -- the fundamental design of the Little Boy weapon that was eventually dropped on Hiroshima. The video also goes to Pajarito Site, home of the "Slotin Building" and "Pond Cabin." The Slotin Building is the place where scientist Louis Slotin conducted a criticality experiment that went awry in early 1946, leading to his unfortunate death, and the Pond Cabin served the team of eminent scientist Emilio Segre who did early chemistry work on plutonium that ultimately led to the Fat Man weapon.« less

Blue sensors : technology and cooperative monitoring in UN peacekeeping.

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

Dorn, A. Walter Dr.

2004-04-01

For over a half-century, the soldiers and civilians deployed to conflict areas in UN peacekeeping operations have monitored ceasefires and peace agreements of many types with varying degrees of effectiveness. Though there has been a significant evolution of peacekeeping, especially in the 1990s, with many new monitoring functions, the UN has yet to incorporate monitoring technologies into its operations in a systematic fashion. Rather, the level of technology depends largely on the contributing nations and the individual field commanders. In most missions, sensor technology has not been used at all. So the UN has not been able to fully benefitmore » from the sensor technology revolution that has seen effectiveness greatly amplified and costs plummet. This paper argues that monitoring technologies need not replace the human factor, which is essential for confidence building in conflict areas, but they can make peacekeepers more effective, more knowledgeable and safer. Airborne, ground and underground sensors can allow peacekeepers to do better monitoring over larger areas, in rugged terrain, at night (when most infractions occur) and in adverse weather conditions. Technology also allows new ways to share gathered information with the parties to create confidence and, hence, better pre-conditions for peace. In the future sensors should become 'tools of the trade' to help the UN keep the peace in war-torn areas.« less

Flex Sensor Based Biofeedback Monitoring for Post-Stroke Fingers Myopathy Patients

NASA Astrophysics Data System (ADS)

Garda, Y. R.; Caesarendra, W.; Tjahjowidodo, T.; Turnip, A.; Wahyudati, S.; Nurhasanah, L.; Sutopo, D.

2018-04-01

Hands are one of the crucial parts of the human body in carrying out daily activities. Accidents on the hands decreasing in motor skills of the hand so that therapy is necessary to restore motor function of the hand. In addition to accidents, hand disabilities can be caused by certain diseases, e.g. stroke. Stroke is a partial destruction of the brain. It occurs if the arteries that drain blood to the brain are blocked, or if torn or leak. The purpose of this study to make biofeedback monitoring equipment for post-stroke hands myopathy patients. Biofeedback is an alternative method of treatment that involves measuring body functions measured subjects such as skin temperature, sweat activity, blood pressure, heart rate and hand paralysis due to stroke. In this study, the sensor used for biofeedback monitoring tool is flex sensor. Flex sensor is a passive resistive device that changes its resistance as the sensor is bent. Flex sensor converts the magnitude of the bend into electrical resistance, the greater the bend the greater the resistance value. The monitoring used in this biofeedback monitoring tool uses Graphical User Interface (GUI) in C# programming language. The motivation of the study is to monitor and record the progressive improvement of the hand therapy. Patients who experienced post-stroke can see the therapy progress quantitatively.

Current Biomechanical Concepts for Rotator Cuff Repair

PubMed Central

2013-01-01

For the past few decades, the repair of rotator cuff tears has evolved significantly with advances in arthroscopy techniques, suture anchors and instrumentation. From the biomechanical perspective, the focus in arthroscopic repair has been on increasing fixation strength and restoration of the footprint contact characteristics to provide early rehabilitation and improve healing. To accomplish these objectives, various repair strategies and construct configurations have been developed for rotator cuff repair with the understanding that many factors contribute to the structural integrity of the repaired construct. These include repaired rotator cuff tendon-footprint motion, increased tendon-footprint contact area and pressure, and tissue quality of tendon and bone. In addition, the healing response may be compromised by intrinsic factors such as decreased vascularity, hypoxia, and fibrocartilaginous changes or aforementioned extrinsic compression factors. Furthermore, it is well documented that torn rotator cuff muscles have a tendency to atrophy and become subject to fatty infiltration which may affect the longevity of the repair. Despite all the aforementioned factors, initial fixation strength is an essential consideration in optimizing rotator cuff repair. Therefore, numerous biomechanical studies have focused on elucidating the strongest devices, knots, and repair configurations to improve contact characteristics for rotator cuff repair. In this review, the biomechanical concepts behind current rotator cuff repair techniques will be reviewed and discussed. PMID:23730471

Ipsilateral Medial and Lateral Discoid Meniscus with Medial Meniscus Tear

PubMed Central

Shimozaki, Kengo; Nakase, Junsuke; Ohashi, Yoshinori; Numata, Hitoaki; Oshima, Takeshi; Takata, Yasushi; Tsuchiya, Hiroyuki

2016-01-01

Introduction: Discoid meniscus is a well-documented knee pathology, and there are many cases of medial or lateral discoid meniscus reported in the literature. However, ipsilateral concurrent medial and lateral discoid meniscus is very rare, and only a few cases have been reported. Herein, we report a case of concurrent medial and lateral discoid meniscus. Case Report: A 27-year-old Japanese man complained of pain on medial joint space in his right knee that was diagnosed as a complete medial and lateral discoid meniscus. In magnetic resonance imaging, although the lateral discoid meniscus had no tear, the medial discoid meniscus had a horizontal tear. Arthroscopic examination of his right knee similarly revealed that the medial discoid meniscus had a horizontal tear. In addition, the discoid medial meniscus also had an anomalous insertion to the anterior cruciate ligament, and there was also mild fibrillation of the medial tibial cartilage surface. We performed arthroscopic partial meniscectomy for the torn medial discoid meniscus but not for the asymptomatic lateral discoid meniscus. The latest follow-up at 18 months indicated satisfactory results. Conclusion: We report a rare case of ipsilateral medial and lateral discoid meniscus with medial meniscus tear. The medial discoid meniscus with tear was treated with partial meniscectomy, whereas the lateral discoid meniscus without tear was only followed up. PMID:28164045

Romancing the boundary: client masculinities in the Chinese sex industry.

PubMed

Kong, Travis S K

2015-01-01

This paper draws on 24 in-depth interviews and 2 focus-group discussions conducted since 2012 with Hong Kong heterosexual men who buy sex in order to examine men's level of physical and emotional engagement with sex workers under two dominant sexual scripts in contemporary Hong Kong. Torn between companionate sexuality, with its companionate model of relationships, and recreational sexuality, with its promiscuous model of sexual pleasure, Hong Kong male clients seek to satisfy their sexual and affective needs through commercial sexual relationships. The term (meaning 'chicken worm', connoting a 'McSex' form of masculinity) refers to those men who seek impersonal sexual release with as many women as they wish, while the term (meaning 'sunken boat' and connoting a 'Titanic' form of masculinity) refers to those men who seek an intense level of emotional intimacy with sex workers. Between these two contrasting types, the majority of respondents fall into a form of 'bounded' masculinity characteristic of men who emphasise control and balance by seeking emotionally responsive women in a time-bound romance. By comparing clients' variations in the level of physical and emotional engagement with sex workers, this paper seeks to understand individual differences in client types and offers a new understanding of Chinese male sexuality and relationship formation, and the corresponding health risks (e.g., sexual, emotional) associated with each type.

Volcanism and Subduction: The Kamchatka Region

NASA Astrophysics Data System (ADS)

Eichelberger, John; Gordeev, Evgenii; Izbekov, Pavel; Kasahara, Minoru; Lees, Jonathan

The Kamchatka Peninsula and contiguous North Pacific Rim is among the most active regions in the world. Kamchatka itself contains 29 active volcanoes, 4 now in a state of semi-continuous eruption, and I has experienced 14 magnitude 7 or greater earthquakes since accurate recording began in 1962. At its heart is the uniquely acute subduction cusp where the Kamchatka and Aleutian Arcs and Emperor Seamount Chain meet. Volcanism and Subduction covers coupled magmatism and tectonics in this spectacular region, where the torn North Pacific slab dives into hot mantle. Senior Russian and American authors grapple with the dynamics of the cusp with perspectives from the west and east of it, respectively, while careful tephrostratigraphy yields a remarkably precise record of behavior of storied volcanoes such as Kliuchevskoi and Shiveluch. Towards the south, Japanese researchers elucidate subduction earthquake processes with unprecedented geodetic resolution. Looking eastward, new insights on caldera formation, monitoring, and magma ascent are presented for the Aleutians. This is one of the first books of its kind printed in the English language. Students and scientists beginning research in the region will find in this book a useful context and introduction to the region's scientific leaders. Others who wish to apply lessons learned in the North Pacific to their areas of interest will find the volume a valuable reference.

Facial injuries following hyena attack in rural eastern Ethiopia.

PubMed

Fell, M J; Ayalew, Y; McClenaghan, F C; McGurk, M

2014-12-01

Hyenas are effective hunters and will consider humans as potential prey if the need and opportunity arise. This study describes the circumstances of hyena attacks, the patterns of injuries sustained, and reconstruction in a resource-poor setting. As part of a charitable surgical mission to Ethiopia in 2012, 45 patients with facial deformities were reviewed, of whom four were victims of hyena attacks. A semi-structured interview was performed to ascertain the circumstances of the attack and the subsequent consequences. The age of the victims at the time of attack varied from 5 to 50 years. The attacks occurred when the victims were alone and vulnerable and took place in outdoor open spaces, during the evening or at night. The initial lunge was made to the facial area; if the jaws closed on the facial bones they were crushed, but in all cases the soft tissues were grasped and torn from the underlying bone. Reconstruction was dictated by the extent of soft tissue loss but could normally be obtained by use of local or regional flaps. Hyenas have been shown to attack humans in a predictable way and cause injuries that typically involve the soft tissues of the face. Copyright © 2014 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

An online academic writing and publishing skills course: Help Syrians find their voice

PubMed Central

Sabouni, Ammar; Chaar, Abdelkader; Bdaiwi, Yamama; Masrani, Abdulrahman; Abolaban, Heba; Alahdab, Fares; Firwana, Belal; Al-Moujahed, Ahmad

2017-01-01

Purpose: A group of Arab-American physicians and researchers in the United States organized a blended online course in academic writing and publishing in medicine targeting medical students and physicians in war-torn Syria. This was an effort to address one of the reasons behind the poor quantity and quality of scientific research papers in Syria and the Arab region. In this paper, we report on the design, conduct, and outcome of this course and attempt to evaluate its effectiveness. Methods: The educational intervention was a 2-month blended online course. We administered a questionnaire to assess satisfaction and self-reported improvement in knowledge, confidence, and skills of academic writing and publishing. Results: The course succeeded in reaching more than 2588 physicians and medical students from the region; 159 of them completed most of the course. Eighty-three percent of the participants felt that they were confident enough to write an academic paper after the course and 95% felt the learning objectives were achieved with an average student satisfaction of 8.4 out of 10. Conclusion: Physicians in Syria and neighboring countries are in need of training to become an active part of the global scientific community and to document and communicate the crisis their countries are going through from a medical perspective. Low-cost online educational initiatives help respond, at least partially, to those needs. PMID:28791242

Historic Manhattan Project Sites at Los Alamos

ScienceCinema

McGehee, Ellen

2018-05-11

The Manhattan Project laboratory constructed at Los Alamos, New Mexico, beginning in 1943, was intended from the start to be temporary and to go up with amazing speed. Because most of those WWII-era facilities were built with minimal materials and so quickly, much of the original infrastructure was torn down in the late '40s and early '50s and replaced by more permanent facilities. However, a few key facilities remained, and are being preserved and maintained for historic significance. Four such sites are visited briefly in this video, taking viewers to V-Site, the buildings where the first nuclear explosive device was pre-assembled in preparation for the Trinity Test in Southern New Mexico. Included is another WWII area, Gun Site. So named because it was the area where scientists and engineers tested the so-called "gun method" of assembling nuclear materials -- the fundamental design of the Little Boy weapon that was eventually dropped on Hiroshima. The video also goes to Pajarito Site, home of the "Slotin Building" and "Pond Cabin." The Slotin Building is the place where scientist Louis Slotin conducted a criticality experiment that went awry in early 1946, leading to his unfortunate death, and the Pond Cabin served the team of eminent scientist Emilio Segre who did early chemistry work on plutonium that ultimately led to the Fat Man weapon.

Re-design of apple pia packaging using quality function deployment method

NASA Astrophysics Data System (ADS)

Pulungan, M. H.; Nadira, N.; Dewi, I. A.

2018-03-01

This study was aimed to identify the attributes for premium apple pia packaging, to determine the technical response to be carried out by Permata Agro Mandiri Small and Medium Enterprise (SME) and to design a new apple pie packaging acceptable by the SME. The Quality Function Deployment (QFD) method was employed to improve the apple pia packaging design, which consisted of seven stages in data analysis. The results indicated that whats attribute required by the costumers include graphic design, dimensions, capacity, shape, strength, and resistance of packaging. While, the technical responses to be conducted by the SMEs were as follows: attractive visual packaging designs, attractive colors, clear images and information, packaging size dimensions, a larger capacity packaging (more product content), ergonomic premium packaging, not easily torn, and impact resistant packaging materials. The findings further confirmed that the design of premium apple pia packaging accepted by the SMES was the one with the capacity of ten apple pia or 200 g weight, and with rectangular or beam shape form. The packaging material used was a duplex carton with 400 grammage (g/m2), the outer part of the packaging was coated with plastic and the inside was added with duplex carton. The acceptable packaging dimension was 30 cm x 5 cm x 3 cm (L x W x H) with a mix of black and yellow color in the graphical design.

A camerate-rich late carboniferous (Moscovian) crinoid fauna from volcanic conglomerate, Xinjiang, People's Republic of China

USGS Publications Warehouse

Lane, N.G.; Waters, J.A.; Maples, C.G.; Marcus, S.A.; Liao, Z.-T.

1996-01-01

A low-diversity camerate-rich crinoid fauna from the Qijiagou Formation, Taoshigo Valley near Turpan, Xinjiang-Uygar Autonomous Region, China was collected during field work in May, 1993. The crinoid fauna is dominated by species of Platycrinites. Other camerate crinoids include a species in the Paragaricocrinidae, Actinocrinites, a hexacrinitid, and an acrocrinoid. The only other non-North American occurrence of this latter family is Springeracrocrinus from the Moscovian of Russia. In addition to the camerates, there are several advanced cladid inadunates more typical of Upper Carboniferous crinoid faunas, including an erisocrinoid (possibly Sinocrinus), Graphiocrinus, ?Cromyocrinus, and an agassizocrinoid (Petschoracrinus) represented by partly fused infrabasal cones. A single radial plate with angustary facet may represent a cyathocrinoid, There also is a catillocrinoid, assigned here to Paracatillocrinus. The fauna, which resembles Moscovian crinoids described from Russia, is preserved in graded volcanic conglomeratic debris flows that overlie a carbonate mound and contain clasts up to 3 m in dimension. The crinoids are fragmentary, with many calyces seemingly torn into two or three pieces and dumped in with the pyroclastic debris. Camerates are represented by large thecal scraps consisting of numerous plates, or by large individual plates or circlets. Other fossils include rare solitary rugose corals, tabular bryozoans, Neospirifer, and other fragmentary brachiopods. We suspect that the crinoids may have been swept off of a nearby carbonate mound and deposited as debris-flow bedload.

The relationship between age, rotator cuff integrity, and osseous microarchitecture of greater tuberosity: Where should we put anchor?

PubMed

Kholinne, Erica; Lee, Hyun Joo; Kim, Sung Jung; Park, So Hyun; Jeon, In-Ho

2018-01-01

The aim of this study was to compare the microarchitecture of the greater tuberosity with or without rotator cuff tear and to obtain optimum location for anchor screw insertion for rotator cuff repair. Twenty-five humeral heads were harvested from 13 male cadavers of mean age 58.4 years, including 6 humeri with rotator cuff tear and 19 intact humeri. Six regions of interest (proximal, intermediate, and distal zones of the superficial and deep regions) were divided into the anterior (G1), middle (G2), and posterior (G3) areas of the greater tuberosity. Trabecular bone volume and cortical thickness were evaluated. Total trabecular bone volume was greater in subjects <50 years old than in subjects >50 years old but did not differ significantly in subjects with and without rotator cuff tear. Cortical thickness in both intact and torn rotator cuff groups was significantly greater in the proximal and intermediate zones than in the distal zone. Cortical thickness was related to anatomic location rather than age or cuff tear. The optimal location for anchor screw insertion during rotator cuff repair is either the proximal or intermediate region of the greater tuberosity. Age has more influence in terms of trabecular bone volume loss than rotator cuff integrity. Copyright © 2017. Production and hosting by Elsevier B.V.

Perception and personal protective measures toward mosquito bites by communities in Jaffna District, northern Sri Lanka.

PubMed

Surendran, S N; Kajatheepan, A

2007-06-01

Mosquito-borne diseases are of public health importance in war-torn northern Sri Lanka. The severity of mosquito bites and attitudes of the public toward mosquito problems were investigated using a structured questionnaire among communities in 3 administrative divisions in Jaffna District. One hundred fifty-four households were interviewed during this study. Sixty-four percent of the respondents reported that the mosquito problem was severe in their localities. Fifty-two percent stated that mosquito-biting activity was severe in the evening (1500 h-1900 h), 41% at night (after 1900 h), and 7% throughout the day. Severity of mosquito menace was found to have no association with type of house construction. Seventy-seven percent were able to name at least 1 disease transmitted by mosquitoes. Statistical analysis showed no association between education level and public awareness on mosquito-borne diseases. Nearly 88% were able to identify at least a breeding source of mosquitoes and most of them practice measures to eliminate suitable environments for mosquito breeding. Ninety-six percent used personal protective measures against mosquito bites during some seasons or throughout the year. Mosquito coils were the most commonly used personal protective method followed by bed nets. The monthly expenditure for personal protective measures varied from US$0.19 (LKR 20) to US$3.40 (LKR 350).

Isometric immersions and self-similar buckling in elastic sheets.

NASA Astrophysics Data System (ADS)

Gemmer, John

The edges of torn elastic sheets and growing leaves often display hierarchical self-similar like buckling patterns. On the one hand, such complex, self similar patterns are usually associated with a competition between two distinct energy scales, e.g. elastic sheets with boundary conditions that preclude the possibility of relieving in plane strains, or at alloy-alloy interfaces between distinct crystal structures. On the other hand, within the non-Euclidean plate theory this complex morphology can be understood as low bending energy isometric immersions of hyperbolic Riemannian metrics. In particular, many growth patterns generate residual in-plane strains which can be entirely relieved by the sheet forming part of a surface of revolution or a helix. In this talk we will show that this complex morphology (i) arises from isometric immersions (ii) is driven by a competition between the two principal curvatures, rather than between bending and stretching. We identify the key role of branch-point (or monkey-saddle) singularities, in complex wrinkling patterns within the class of finite bending energy isometric immersions. Using these defects we will give an explicit construction of strain-free embeddings of hyperbolic surfaces that are fractal like and have lower elastic energy than their smooth counterparts US-Israel BSF Grant 2008432. NSF Grant DMS-0807501. NSF-RTG Grant DMS-1148284.

ARC-1989-A89-7042

NASA Image and Video Library

1989-08-11

P-34578 BW One of two new ring arcs, or partial rings, discovered by Voyager 2, is faintly visible just outside the orbit of the Neptunian moon 1989N4.The 155-second exposure taken by the spacecraft's narrow-angle camera shows the glare of an overexposed Neptune to the right of the moon and ring arc. The two bright streaks below the moon and ring arc are stars. The ring arc is approximately 50,000 kilometers (30,000 miles) long. The second ring arc, not apparent here, is about 10,000 kilometers (6,000 miles) long and is assoiciated with moon 1989N3. The ring arc, along with 1989N4, orbits about 62,000 kilometers (38,000 miles) from the planet's cloud tops. Astronomers long suspected the existence of such an irregular ring system around Neptune. Data from repeated ground-based observations hinted at the existence of irregular strands of partial rings orbiting Neptune. Voyager's photographs of the ring arcs are the first photographic evidence that such a ring system exists. Voyager scientists said the ring arcs may be comprised of debris associated with the nearby moons, or may be the remnants of moons that have been torn apart or ground down through collisions. Close-up studies of the ring arcs by Voyager 2 will help determine their composition.

Bifurcation of the Yellowstone plume driven by subduction-induced mantle flow

NASA Astrophysics Data System (ADS)

Kincaid, C.; Druken, K. A.; Griffiths, R. W.; Stegman, D. R.

2013-05-01

The causes of volcanism in the northwestern United States over the past 20 million years are strongly contested. Three drivers have been proposed: melting associated with plate subduction; tectonic extension and magmatism resulting from rollback of a subducting slab; or the Yellowstone mantle plume. Observations of the opposing age progression of two neighbouring volcanic chains--the Snake River Plain and High Lava Plains--are often used to argue against a plume origin for the volcanism. Plumes are likely to occur near subduction zones, yet the influence of subduction on the surface expression of mantle plumes is poorly understood. Here we use experiments with a laboratory model to show that the patterns of volcanism in the northwestern United States can be explained by a plume upwelling through mantle that circulates in the wedge beneath a subduction zone. We find that the buoyant plume may be stalled, deformed and partially torn apart by mantle flow induced by the subducting plate. Using plausible model parameters, bifurcation of the plume can reproduce the primary volcanic features observed in the northwestern United States, in particular the opposite progression of two volcanic chains. Our results support the presence of the Yellowstone plume in the northwestern United States, and also highlight the power of plume-subduction interactions to modify surface geology at convergent plate margins.

HOW DOES THE BRAZILIAN ORTHOPEDIC SURGEONS TREAT ACUTE LATERAL ANKLE SPRAIN?

PubMed Central

Belangero, Paulo Santoro; Tamaoki, Marcel Jun Sugawara; Nakama, Gilberto Yoshinobu; Shoiti, Marcus Vinicius; Gomes, Rodrigo Vick Fernandes; Belloti, João Carlos

2015-01-01

Acute lateral ankle sprain (ALAS) is a common injury, but its treatment has yet to be firmly established. The purpose of this study was to investigate how Brazilian Orthopedists (including residents) manage the diagnosis, classification, treatment and complications of ALAS. Methods: A multiple-choice questionnaire was developed with the aim of addressing the main aspects of the treatment of ALAS. The questionnaire was made available on the official website of the Brazilian Society of Orthopedics and Traumatology between June 15 and August 1, 2004. Results: 444 questionnaires were included in the analysis. The results showed agreement among most of the interviewees in the following regards: 90.8% used a classification method to guide treatment of the sprain; 59% classified the ankle sprain with certainty; 63.7% used rigid immobilization in cases of totally torn ligaments; 60.6% used anti-inflammatory medication in cases of partial ligament tears; and 75.9% reported that residual pain was the most frequent complication. There was no consensus regarding the immobilization method for partial ALAS, given that immobilization and functional treatment were chosen with the same frequency (47%). There was no significant difference between the responses from residents and from orthopedists (p = 0.81). Conclusions: Orthopedists and orthopedic residents in Brazil have difficulty classifying ALAS and there is no consensus about the best therapeutic option for partial ALAS. PMID:27022596

Ordinary least squares regression is indicated for studies of allometry.

PubMed

Kilmer, J T; Rodríguez, R L

2017-01-01

When it comes to fitting simple allometric slopes through measurement data, evolutionary biologists have been torn between regression methods. On the one hand, there is the ordinary least squares (OLS) regression, which is commonly used across many disciplines of biology to fit lines through data, but which has a reputation for underestimating slopes when measurement error is present. On the other hand, there is the reduced major axis (RMA) regression, which is often recommended as a substitute for OLS regression in studies of allometry, but which has several weaknesses of its own. Here, we review statistical theory as it applies to evolutionary biology and studies of allometry. We point out that the concerns that arise from measurement error for OLS regression are small and straightforward to deal with, whereas RMA has several key properties that make it unfit for use in the field of allometry. The recommended approach for researchers interested in allometry is to use OLS regression on measurements taken with low (but realistically achievable) measurement error. If measurement error is unavoidable and relatively large, it is preferable to correct for slope attenuation rather than to turn to RMA regression, or to take the expected amount of attenuation into account when interpreting the data. © 2016 European Society For Evolutionary Biology. Journal of Evolutionary Biology © 2016 European Society For Evolutionary Biology.

Efficient control-channel multifailure management mechanism in GMPLS-based optical networks

NASA Astrophysics Data System (ADS)

Muñoz, Raül; Martínez, Ricardo; Junyent, Gabriel

2006-12-01

In generalized multiprotocol label switching (GMPLS) architecture, the control channels between each pair of optical nodes are not forced to use the same physical link as the data/transport channels. The problem arises when, due to the fact of allowing the control channels to be physically diverse from the associated data links, there may not be any active control channels available while data channels are still in use. Control-channel faults should not have a service impact on the existing connections; that is, a link that is carrying data traffic must not be torn down because the control channel is no longer available. But, due to the lack of the control channel, the active traffic that is using the data link may no longer be guaranteed with the same level of recovery service (protection or restoration). Under these circumstances the link must be considered to be in a degraded state. This means that routing and signaling should be notified that new connections are not accepted and the link is advertised with no unreserved resources. For this purpose, here we propose a control-channel multifailure management mechanism involving routing, signaling, and link management with extended GMPLS-based protocol extensions to keep the same level of service (in terms of provisioning and recovery) when a link is in the degraded state.

Equation of State Effects on Binary Neutron Star and Neutron Star-Black Hole Merger Ejecta

NASA Astrophysics Data System (ADS)

Rizzo, Monica; Pankow, Chris; Kalogera, Vassiliki; Coughlin, Scott; Chase, Eve; Imperato, Sam

2018-01-01

Binary neutron stars (BNSs) and neutron star-black hole (NSBH) binaries are not only potential sources of gravitational waves (GWs), but also are thought to generate phenomena such as kilonova, which have proven to be difficult to catch with electromagnetic (EM) instruments. Kilonovae are believed to arise from the radioactive decay of nuclear matter ejected from NSBH and BNS mergers. As they spiral toward each other, neutron stars (NSs), composed of highly dense nuclear matter, are torn apart by their companion's gravity and eject matter. The amount of matter they eject depends sensitively on the composition of NSs, which is described by a nuclear equation of state (EOS). Using fit formulas for ejected mass from Kawaguchi et. al. (2016) and T. Dietrich and M. Ujevic (2016), for NSBH and BNS respectively, we calculate the amount of mass ejected given the initial parameters (masses, black hole spin, etc.) of NSBH and BNS systems. We then predict the distribution of ejected matter for populations of NSBH and BNS mergers, assuming a different EOS for each population. Using formulas derived from The Kilonova Handbook (Metzger, 2016), we can use the calculated ejected mass to generate light curves which, along with GW detections, can be used to place constraints on an EOS for NSs when GW detections are made. We find that the amount of ejected matter observed is distinct for most EOSs, though to draw any solid conclusions about NS composition, joint GW wave and EM counterpart detections are necessary.

Prevalence of triceps tendon tears on MRI of the elbow and clinical correlation.

PubMed

Koplas, Monica C; Schneider, Erika; Sundaram, Murali

2011-05-01

Triceps tendon injuries are reported to be very rare. To our knowledge, there have been no studies describing its prevalence or injury patterns on MR imaging. The purpose of this retrospective study was to determine the prevalence and patterns of triceps injuries based on a large series of consecutive MR examinations. Clinical correlation was obtained. From 801 consecutive elbow MR examinations over a 15-year period, 28 patients with 30 triceps tendon injuries were identified and graded as partial tendon tear and complete tendon tear. The patients' medical records were reviewed to determine age, gender, cause of tears, and management. The prevalence of triceps tendon injuries was 3.8%. There were 5 women and 23 men with partial or complete tears (mean age: 46.6 years; range: 2.7 to 75.1 years). The most common injury was partial tear, found in 18 patients. There were 10 patients with 12 complete tears (2 had re-torn following surgical repair). A tear was suspected in 12 out 28 (43%) patients prior to the MRI. The most common presenting symptom was pain. The most common cause was athletic injury (8 patients [29%], including weightlifting [2 patients]). Tendon tear was found to be a complication of infection in 6 patients, and in 3 patients the tears were a complication of steroid use. Thirteen tendon tears were surgically repaired (8 of these were complete tears). Triceps tendon injury is not as rare as commonly reported and may often be clinically underdiagnosed.

Primary achilles tendon repair with mini-dorsolateral incision technique and accelerated rehabilitation.

PubMed

Hrnack, Scott A; Crates, John M; Barber, F Alan

2012-10-01

No consensus exists for the best primary repair of acute Achilles tendon ruptures. Problems with wound healing and nerve damage can occur. Prolonged immobilization leads to stiffness and calf atrophy. This study assesses the clinical outcome of acute Achilles tendon repairs using a mini-dorsolateral incision followed by a rapid rehabilitation program. A consecutive series of acute Achilles tendon ruptures repaired using a mini-dorsolateral incision were reviewed with a minimum 12 months follow up. Fifteen patients with an average age of 44 (range, 32 to 60) years were followed an average of 45 (range, 14 to 72) months. Two modified, buried core high strength sutures were placed in each torn end of the Achilles tendon reinforced with a running circumferential whip-stitch. Ankle Hindfoot scores, single toe raises, calf circumference, and adverse events were recorded. An accelerated postoperative rehabilitation protocol was followed. Postoperative AOFAS Ankle Hindfoot scores averaged 98.3 [39 pain; 49.6 function; 9.3 alignment]. All patients could single heel raise. Eight of 15 demonstrated atrophy with an average calf circumference loss of 1.0 cm. The only postoperative complication was one case of superficial cellulitis successfully treated with oral antibiotics. There were no sural nerve injuries, wound break down, or re-ruptures at final followup. The repair of acute Achilles tendon ruptures through a minimal lateral incision provided excellent functional outcomes, avoided complications including sural nerve injury, and allowed a return to sports between 4 to 6 months.

Harvey Cushing and the battle of Boston common: military medical preparedness for world war one.

PubMed

Rutkow, Eric; Rutkow, Ira

2010-07-01

To explore the events and people that shaped Harvey Cushing, one of the nation's leading surgeons, into a political actor as he rallied support for the issue of military medical preparedness for World War One. In a little remembered episode of American medical history, for 2 years before the nation's formal entry into World War One in April 1917, Harvey Cushing attempted to garner political and professional support for the idea of military medical preparedness. His efforts, including the proposed construction of a functioning Base Hospital on Boston Common, sparked controversy in a public that was torn between maintaining neutrality and going to war. An analysis of Harvey Cushing's unpublished letters, manuscripts, and papers located at the Yale University School of Medicine, New Haven, CT. While Harvey Cushing's crusade for military medical preparedness failed to win over the local public, it helped convince national military leaders that the civilian medical community was ready to assist in the war. This, in turn, laid the foundation for much of the American medical establishment's success on the battlefields of World War One. The disagreement surrounding the Battle of Boston Common, as Harvey Cushing had labeled the debate, reveals both how, even at the brink of war, ideas formulated on the war front could not be translated to the home front, and how early military medical preparedness, although national in character, was commanded by only a few select voices.

CSL protein regulates transcription of genes required to prevent catastrophic mitosis in fission yeast.

PubMed

Převorovský, Martin; Oravcová, Martina; Zach, Róbert; Jordáková, Anna; Bähler, Jürg; Půta, František; Folk, Petr

2016-11-16

For every eukaryotic cell to grow and divide, intricately coordinated action of numerous proteins is required to ensure proper cell-cycle progression. The fission yeast Schizosaccharomyces pombe has been instrumental in elucidating the fundamental principles of cell-cycle control. Mutations in S. pombe 'cut' (cell untimely torn) genes cause failed coordination between cell and nuclear division, resulting in catastrophic mitosis. Deletion of cbf11, a fission yeast CSL transcription factor gene, triggers a 'cut' phenotype, but the precise role of Cbf11 in promoting mitotic fidelity is not known. We report that Cbf11 directly activates the transcription of the acetyl-coenzyme A carboxylase gene cut6, and the biotin uptake/biosynthesis genes vht1 and bio2, with the former 2 implicated in mitotic fidelity. Cbf11 binds to a canonical, metazoan-like CSL response element (GTGGGAA) in the cut6 promoter. Expression of Cbf11 target genes shows apparent oscillations during the cell cycle using temperature-sensitive cdc25-22 and cdc10-M17 block-release experiments, but not with other synchronization methods. The penetrance of catastrophic mitosis in cbf11 and cut6 mutants is nutrient-dependent. We also show that drastic decrease in biotin availability arrests cell proliferation but does not cause mitotic defects. Taken together, our results raise the possibility that CSL proteins play conserved roles in regulating cell-cycle progression, and they could guide experiments into mitotic CSL functions in mammals.

Knee arthroscopy in Chinese children and adolescents: an eight-year prospective study.

PubMed

Maffulli, N; Chan, K M; Bundoc, R C; Cheng, J C

1997-02-01

In the period January 1985 to December 1992, 69 Chinese boys and 20 Chinese girls (average 14.6 years, age range 6 to 16 years) with a total of 92 involved knees underwent examination under anaesthesia and knee arthroscopy. Two thirds of the patients were engaged in sports activities. A haemarthrosis was present in 51 patients. In one patient, Staphylococcus aureus was shown, and in two children a serous-purulent aspirate grew Mycobacterium tuberculosis. The lateral meniscus was torn in four knees and the medial meniscus in six. An intact discoid lateral meniscus was found in five girls. Three partial anterior cruciate ligament (ACL) tears, three complete ACL tears and two posterior cruciate ligament tears were diagnosed. One child had an osteochondral defect of the lateral femoral condyle accompanying an ACL and a lateral meniscal tear. Nonspecific synovitis of unknown etiology was diagnosed in six patients who had presented subacutely with at least a 2-month history of a symptomatic monoarticular knee effusion with low grade local inflammation and no history of major trauma. The synovitis gradually resolved over a 6- to 10-month period after arthroscopy. Knee arthroscopy in children and adolescent patients is safe, gives a high diagnostic accuracy, and allows treatment of a variety of intraarticular conditions. This study also demonstrates that the range of intraarticular knee problems found in Chinese children and adolescents differs from that described in their Western counterparts.

Cosmic Extremes: Probing Energetic Transients with Radio Observations

NASA Astrophysics Data System (ADS)

Denham Alexander, Kate

2018-01-01

With the advent of sensitive facilities like the Karl G. Jansky Very Large Array (VLA) and planning well underway for vastly more powerful wide-field interferometers like the Square Kilometer Array, the study of radio astrophysical transients is poised for dramatic growth. Radio observations provide a unique window into a wide variety of transient events, from gamma-ray bursts (GRBs) to supernovae to tidal disruption events (TDEs) in which a star is torn apart by a supermassive black hole. In particular, GRBs and TDEs have emerged as valuable probes of some of the most extreme physics in the Universe. In these high-energy laboratories, the longer timescale of radio emission allows for extensive followup and characterization of the event energies and the densities of surrounding material. I will present high-cadence broadband radio studies of GRB afterglows and TDEs undertaken with the goal of learning more about their physical properties, the physics underlying the formation and growth of relativistic jets and outflows, and the environments in which these events occur. Our observations confirm that only a small fraction of TDEs produce relativistic jets but reveal low-luminosity, non-relativistic outflows in two nearby TDEs, allowing us to begin constraining the bulk of the TDE population. Our GRB radio observations reveal both intrinsic variability (reverse shocks) and extrinsic variability (interstellar scintillation). The insights derived from these studies will be invaluable for designing and interpreting the results from future radio transient surveys.

Biomechanical Effect of Margin Convergence Techniques: Quantitative Assessment of Supraspinatus Muscle Stiffness.

PubMed

Hatta, Taku; Giambini, Hugo; Zhao, Chunfeng; Sperling, John W; Steinmann, Scott P; Itoi, Eiji; An, Kai-Nan

2016-01-01

Although the margin convergence (MC) technique has been recognized as an option for rotator cuff repair, little is known about the biomechanical effect on repaired rotator cuff muscle, especially after supplemented footprint repair. The purpose of this study was to assess the passive stiffness changes of the supraspinatus (SSP) muscle after MC techniques using shear wave elastography (SWE). A 30 × 40-mm U-shaped rotator cuff tear was created in 8 cadaveric shoulders. Each specimen was repaired with 6 types of MC technique (1-, 2-, 3-suture MC with/without footprint repair, in a random order) at 30° glenohumeral abduction. Passive stiffness of four anatomical regions in the SSP muscle was measured based on an established SWE method. Data were obtained from the SSP muscle at 0° abduction under 8 different conditions: intact (before making a tear), torn, and postoperative conditions with 6 techniques. MC techniques using 1-, or 2-suture combined with footprint repair showed significantly higher stiffness values than the intact condition. Passive stiffness of the SSP muscle was highest after a 1-suture MC with footprint repair for all regions when compared among all repair procedures. There was no significant difference between the intact condition and a 3-suture MC with footprint repair. MC techniques with single stitch and subsequent footprint repair may have adverse effects on muscle properties and tensile loading on repair, increasing the risk of retear of repairs. Adding more MC stitches could reverse these adverse effects.

Geochemical evidence for the melting of subducting oceanic lithosphere at plate edges

NASA Astrophysics Data System (ADS)

Yogodzinski, G. M.; Lees, J. M.; Churikova, T. G.; Dorendorf, F.; Wöerner, G.; Volynets, O. N.

2001-01-01

Most island-arc magmatism appears to result from the lowering of the melting point of peridotite within the wedge of mantle above subducting slabs owing to the introduction of fluids from the dehydration of subducting oceanic crust. Volcanic rocks interpreted to contain a component of melt (not just a fluid) from the subducting slab itself are uncommon, but possible examples have been recognized in the Aleutian islands, Baja California, Patagonia and elsewhere. The geochemically distinctive rocks from these areas, termed `adakites', are often associated with subducting plates that are young and warm, and therefore thought to be more prone to melting. But the subducting lithosphere in some adakite locations (such as the Aleutian islands) appears to be too old and hence too cold to melt. This implies either that our interpretation of adakite geochemistry is incorrect, or that our understanding of the tectonic context of adakites is incomplete. Here we present geochemical data from the Kamchatka peninsula and the Aleutian islands that reaffirms the slab-melt interpretation of adakites, but in the tectonic context of the exposure to mantle flow around the edge of a torn subducting plate. We conclude that adakites are likely to form whenever the edge of a subducting plate is warmed or ablated by mantle flow. The use of adakites as tracers for such plate geometry may improve our understanding of magma genesis and thermal structure in a variety of subduction-zone environments.

Multiple Generations of Boudinage in a P-T Path: Insights from 3D Analysis of Amphibolite Boudins in Marble on Naxos, Greece

NASA Astrophysics Data System (ADS)

von Hagke, C.; Virgo, S.; Urai, J. L.

2016-12-01

Boudins are periodic structures in mechanically layered rocks deformed by layer parallel extension. At first sight, 2D sections of boudinaged layers are similar although 3D boudin patterns can be dramatically different. We aim to develop criteria to infer 3D strain from 2D outcrop observation of boudins. In marble quarries in the high grade complex on Naxos, Greece, we studied spectacular outcrops of amphibolite and pegmatite boudins, in combination with serial slicing of quarried blocks to reconstruct the 3D boudin structures. We identified multiple boudin generations, with early, high grade pinch and swell boudins followed by two generations of brittle shearband and torn boudins formed along the retrograde path under greenschist facies conditions. This shows how the rheological contract between marble and amphibolite changes from amphibolite to greenschist facies and suggests E-W shortening and N-S stretching in the footwall of the Naxos detachment. The later phases of boudinage interact with existing boudin geometries, producing complex structures in 3D. In 2D section the complexity is not directly apparent and reveals itself only in statistical analysis of long continuous sections. Our findings highlight the importance of 3D characterization of boudinage structures for boudin classification. The insights we gain from the analysis of multiphase boudinage structures on Naxos are the basis for quantitative boudin analysis to infer rheology, effective stress, vorticity and strain and establish a mechanics-based boudin classification scheme.

A Rare Case of Massive Rotator Cuff Tear and Biceps Tendon Rupture with Posterior Shoulder Dislocation in a Young Adult - Surgical Decision-making and Outcome

PubMed Central

Soon, En Loong; Razak, Hamid Rahmatullah Bin Abd; Tan, Andrew Hwee Chye

2017-01-01

Introduction: Massive rotator cuff tears (RCTs) in the context of shoulder dislocations are relatively uncommon in the young adult (<40 years) and if reported are more commonly described in association with acute traumatic anterior glenohumeral dislocations. They have rarely been described with posterior dislocations, regardless of patient age. This is the 1st case reported in the context of posterior dislocations, where a triad of biceps tendon rupture, posterior dislocation, and RCTs was observed during surgery. It provides an important reminder to readers about certain injuries commonly overlooked during the assessment of an acute traumatic shoulder. Case Report: We report an atypical case of a massive RCT involving a 34-year-old Asian male who landed on his outstretched hand after falling off a bicycle. A tear involving the supraspinatus and subscapularis was visualized during surgery, along with long head of biceps (LHB) tendon rupture. This was after an initial failure to achieve closed reduction of the posteriorly dislocated left shoulder. Conclusion: It is easy to miss the posterior instability, the associated RCTs or the biceps tendon injuries. Biceps tendon rupture should be a consideration when one is unable to reduce a posteriorly dislocated shoulder. The interposed torn LHB tendon trapped within the glenohumeral joint was the likely physical block in the initial failure to achieve closed reduction. With timely diagnosis, prudent physical examination, early imaging and surgery, and excellent results can potentially be achieved to return a young patient to full functionality. PMID:28819610

Emotions delay care-seeking in patients with an acute myocardial infarction.

PubMed

Nymark, Carolin; Mattiasson, Anne-Cathrine; Henriksson, Peter; Kiessling, Anna

2014-02-01

In acute myocardial infarction the risk of death and loss of myocardial tissue is at its highest during the first few hours. However, the process from symptom onset to the decision to seek medical care can take time. To comprehend patients' pre-hospital delay, attention must be focused on the circumstances preceding the decision to seek medical care. To add a deeper understanding of patients' thoughts, feelings and actions that preceded the decision to seek medical care when afflicted by an acute myocardial infarction. Fourteen men and women with a first or second acute myocardial infarction were interviewed individually in semi-structured interviews. Data were analysed by qualitative content analysis. Four themes were conceptualized: 'being incapacitated by fear, anguish and powerlessness', 'being ashamed of oneself', 'fear of losing a healthy identity' and 'striving to avoid fear by not interacting with others'. Patients were torn between feelings such as anguish, fear, shame and powerlessness. They made an effort to uphold their self-image as being a healthy person thus affected by an unrecognized discomfort. This combined with a struggle to protect others from involvement, strengthened the barriers to seeking care. The present study indicates that emotional reactions are important and influence patients' pre-hospital behaviour. Being ashamed of oneself stood out as a novel finding. Emotions might be an important explanation of undesired and persisting patient delays. However, our findings have to and should be evaluated quantitatively. Such a study is in progress.

Joining sheet aluminum AA6061-T4 to cast magnesium AM60B by vaporizing foil actuator welding: Input energy, interface, and strength

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

Liu, Bert; Vivek, Anupam; Daehn, Glenn S.

Dissimilar joining of sheet aluminum AA6061-T4 to cast magnesium AM60B was achieved by vaporizing foil actuator welding (VFAW). Three input energy levels were used (6, 8, and 10 kJ), and as a trend, higher input energies resulted in progressively higher flyer velocities, more pronounced interfacial wavy features, larger weld zones, higher peel strengths, and higher peel energies. In all cases, weld cross section revealed a soundly bonded interface characterized by well-developed wavy features and lack of voids and continuous layers of intermetallic compounds (IMCs). At 10 kJ input energy, flyer speed of 820 m/s, peel strength of 22.4 N/mm, andmore » peel energy of 5.2 J were obtained. In lap-shear, failure occurred in AA6061- T4 flyer at 97% of the base material’s peak tensile load. Peel samples failed along the weld interface, and the AM60B-side of the fracture surface showed thin, evenly-spaced lines of Al residuals which had been torn out of the base AA6061-T4 in a ductile fashion and transferred over to the AM60B side, indicating very strong AA6061-T4/AM60B bond in these areas. Furthermore, this work demonstrates VFAW’s capability in joining dissimilar lightweight metals such as Al/Mg, which is expected to be a great enabler in the ongoing push for vehicle weight reduction.« less

Evaluation of cartilage degeneration in a rat model of rotator cuff tear arthropathy

PubMed Central

Kramer, Erik J.; Bodendorfer, Blake M.; Laron, Dominique; Wong, Jason; Kim, Hubert T.; Liu, Xuhui; Feeley, Brian T.

2013-01-01

Introduction Rotator cuff tears are the most common injury seen by shoulder surgeons. Many late stage rotator cuff tear patients develop glenohumeral osteoarthritis as a result of torn cuff tendons, termed cuff tear arthropathy. However, the mechanisms of cuff tear arthropathy have not been fully established. It has been hypothesized that a combination of synovial and mechanical factors contribute equally to the development of cuff tear arthropathy. The goal of this study was to assess the utility of this model in investigating cuff-tear arthropathy. Methods We utilized a rat model which accurately reflects rotator cuff muscle degradation after massive rotator cuff tears through either infraspinatus and supraspinatus tenotomy or suprascapular nerve transection. Using a Modified-Mankin Scoring System (MMS), we found significant glenohumeral cartilage damage following both rotator cuff tenotomy and suprascapular nerve transection after only 12 weeks. Results Cartilage degeneration was similar between groups, and was present on both the humeral head and the glenoid. Denervation of the supraspinatus and infraspinatus muscles without opening the joint capsule caused cartilage degeneration similar to that found in the tendon transection group. Conclusions These results suggest that altered mechanical loading after rotator cuff tears is the primary factor in cartilage degeneration after rotator cuff tears. Clinically, understanding the process of cartilage degeneration after rotator cuff injury will help guide treatment decisions in the setting of rotator cuff tears. Level of evidence Basic Science Study, Animal Model PMID:23664745

[Health system reforms, economic constraints and ethical and legal values].

PubMed

Caillol, Michel; Le Coz, Pierre; Aubry, Régis; Bréchat, Pierre-Henri

2010-01-01

Health system and hospital reforms have led to important and on-going legislative, structural and organizational changes. Is there any logic at work within the health system and hospitals that could call into question the principle of solidarity, the secular values of ethics that govern the texts of law and ethics? In order to respond, we compared our experiences to a review of the professional and scientific literature from 1992 to 2010. Over the course of the past eighteen years, health system organization was subjected to variations and significant tensions. These variations are witnesses to a paradigm shift: although a step towards the regionalization of the health system integrating the choice of public health priorities, consultation and participatory democracy has been implemented, nevertheless the system was then re-oriented towards the trend of returning to centralization on the basis of uniting economics, technical modernization and contracting. This change of doctrine may undermine the social mission of hospitals and the principle of solidarity. Progress, the aging population and financial constraints would force policy-makers to steer the health system towards more centralized control. Hospitals, health professionals and users may feel torn within a system that tends to simplify and minimize what is becoming increasingly complex and global. Benchmarks on values, ethics and law for the hospitals, healthcare professionals and users are questioned. These are important elements to consider when the law on the reform of hospitals, patients, health care and territories and regional health agencies is implemented.

Globalisation, complex humanitarian emergencies and health.

PubMed

O'Dempsey, T J D; Munslow, B

2006-01-01

A new political economy of conflict has emerged in the aftermath of colonialism and the Cold War. Complex political emergencies have been simmering in the post-colonial world for more than three decades. Intra-country armed conflict, often combined with natural disasters, at present contributes to the displacement of over 20 million people world-wide. The international community remains profoundly uncomfortable with the complex political emergencies of the new era, torn between the respect for national sovereignty upon which the international political system of the United Nations and other agencies is built, and the growth of concern with human rights and a burgeoning International Humanitarian Law. Globalisation may have brought many benefits to some but there are also many losers. The Word Bank and the International Monetary Fund imposed structural adjustment policies to ensure debt repayment and economic restructuring that have resulted in a net reduction in expenditure on health, education and development. A downward spiral has been created of debt, disease, malnutrition, missed education, economic entrapment, poverty, powerlessness, marginalization, migration and instability. Africa's complex political emergencies are particularly virulent and tenacious. Three examples that are among the most serious humanitarian emergencies to have faced the world in recent times--those in Angola, the Democratic Republic of Congo and Sudan--are reviewed here in detail. The political evolution of these emergencies and their impact on the health of the affected populations are also explored.

Hypoxia induces adipogenic differentitation of myoblastic cell lines

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

Itoigawa, Yoshiaki; Juntendo University School of Medicine, Tokyo; Kishimoto, Koshi N., E-mail: kishimoto@med.tohoku.ac.jp

2010-09-03

Research highlights: {yields} C2C12 and G8 myogenic cell lines treated by hypoxia differentiate into adipocytes. {yields} The expression of C/EBP{beta}, {alpha} and PPAR{gamma} were increased under hypoxia. {yields} Myogenic differentiation of C2C12 was inhibited under hypoxia. -- Abstract: Muscle atrophy usually accompanies fat accumulation in the muscle. In such atrophic conditions as back muscles of kyphotic spine and the rotator cuff muscles with torn tendons, blood flow might be diminished. It is known that hypoxia causes trans-differentiation of mesenchymal stem cells derived from bone marrow into adipocytes. However, it has not been elucidated yet if hypoxia turned myoblasts into adipocytes.more » We investigated adipogenesis in C2C12 and G8 murine myogenic cell line treated by hypoxia. Cells were also treated with the cocktail of insulin, dexamethasone and IBMX (MDI), which has been known to inhibit Wnt signaling and promote adipogenesis. Adipogenic differentiation was seen in both hypoxia and MDI. Adipogenic marker gene expression was assessed in C2C12. CCAAT/enhancer-binding protein (C/EBP) {beta}, {alpha} and peroxisome proliferator activating receptor (PPAR) {gamma} were increased by both hypoxia and MDI. The expression profile of Wnt10b was different between hypoxia and MDI. The mechanism for adipogenesis of myoblasts in hypoxia might be regulated by different mechanism than the modification of Wnt signaling.« less

Should anorectal ultrasonography be included as a diagnostic tool for chronic anal pain?

PubMed

García-Montes, M J; Argüelles-Arias, Federico; Jiménez-Contreras, S; Sánchez-Gey, S; Pellicer-Bautista, F; Herrerías-Gutiérrez, J M

2010-01-01

To assess the efficiency of endorectal ultrasound (ERUS) in the study of chronic idiopathic anal pain (CIAP). This is a prospective and descriptive study in which 40 patients, 18 men and 22 women with an average of 47 years, were included. They had chronic anal pain of at least 3 months duration. A complete colonoscopy was performed in all patients, which found no abnormalities to explain clinical symptoms. Patients with anal fissure and internal hemorrhoids of any degree, perianal suppurative processes, and pelvic surgery were excluded from the study. An ALOKA ProSound SSD-4000 ultrasound console attached to a multifrequency radial transductor ASU-67 (7.5 and 10 MHz) was used. One patient could not tolerate the examination. In 8 patients (20% of cases) alterations were detected during ultrasonography: in 4 patients (10% of the cases; 1 man and 3 women) internal anal sphincter (IAS) hypertrophy, and in 5 patients (4 women and 1 man) a torn sphincter complex. A tear in the upper IAS canal and hypertrophy of the middle anal canal were observed in one patient (1 woman). ERUS is a simple, economic and useful test to study anorectal pathologies. Although in most studied cases no damage to the anal canal or rectal wall was detected, in a considerable number of patients we observed a thickening of the IAS, a probable cause of anal pain. Therefore, we understand that ERUS should be included in the study of CIAP.

Leadership lessons from the Chilean mine rescue.

PubMed

Rashid, Faaiza; Edmondson, Amy C; Leonard, Herman B

2013-01-01

Three years ago, when a cave-in at the San José mine in Chile trapped 33 men under 700,000 metric tons of rock, experts estimated the probability of getting them out alive at less than 1%. Yet, after spending a record 69 days underground, all 33 were hoisted up to safety. The inspiring story of their rescue is a case study in how to lead in situations where the stakes, risk, and uncertainty are incredibly high and time pressure is intense. Today executives often find themselves in similar straits. When they do, many feel torn. Should they be directive, taking charge and commanding action? Or should they be empowering, enabling innovation and experimentation? As the successful example of André Sougarret, the chief of the mine rescue operation, shows, the answer is yes--to both. The choice is a false dichotomy. Implementing this dual approach involves three key tasks. Each has directive and enabling components. The first task is envisioning, which requires instilling both realism and hope. The second task is enrolling, which means setting clear boundaries for who is on and off the team, but inviting in helpful collaborators. The third task is engaging--leading disciplined execution while encouraging innovation and experimentation. The authors of this article describe how Sougarret ably juggled all of these tasks, orchestrating the efforts of hundreds of people from different organizations, areas of expertise, and countries in an extraordinary mission that overcame impossible odds.

Resection of Grade III cranial horn tears of the equine medial meniscus alter the contact forces on medial tibial condyle at full extension: an in-vitro cadaveric study.

PubMed

Fowlie, Jennifer; Arnoczky, Steven; Lavagnino, Michael; Maerz, Tristan; Stick, John

2011-12-01

To evaluate the magnitude and distribution of joint contact pressure on the medial tibial condyle after grade III cranial horn tears of the medial meniscus. Experimental study. Cadaveric equine stifles (n = 6). Cadaveric stifles were mounted in a materials testing system and electronic pressure sensors were placed between the medial tibial condyle and medial meniscus. Specimens were loaded parallel to the longitudinal axis of the tibia to 1800 N at 130°, 140°, 150°, and 160° stifle angle. Peak pressure and contact area were recorded from the contact maps. Testing was repeated after surgical creation of a grade III cranial horn tear of the medial meniscus, and after resection of the simulated tear. In the intact specimens, a significantly smaller contact area was observed at 160° compared with the other angles (P < .05). Creation of a grade III cranial horn tear in the medial meniscus did not significantly alter the pressure or contact area measurements at any stifle angle compared with intact specimens (P > .05). Resection of the tear resulted in significantly higher peak pressures in the central region of the medial tibial condyle at a stifle angle of 160° relative to the intact (P = .026) and torn (P = .012) specimens. Resection of grade III cranial horn tears in the medial meniscus resulted in a central focal region of increased pressure on the medial tibial condyle at 160° stifle angle. © Copyright 2011 by The American College of Veterinary Surgeons.

Effect of magnetic and thermal properties of iron oxide nanoparticles (IONs) in nitrile butadiene rubber (NBR) latex

NASA Astrophysics Data System (ADS)

Ong, Hun Tiar; Julkapli, Nurhidayatullaili Muhd; Hamid, Sharifah Bee Abd; Boondamnoen, O.; Tai, Mun Foong

2015-12-01

Nitrile butadiene rubber (NBR) gloves are one of the most important personal protective equipments but they are possible to tear off and contaminate food or pharmaceutical and healthcare products during manufacturing and packaging process. High tendency of torn glove remaining in food or products due to white or light flesh-coloured glove is not easy to be detected by naked eyes. In this paper, iron oxide nanoparticles (IONs) selected as additive for NBR to improve its detectability by mean of magnetic properties. IONs synthesized via precipitation method and compounded with NBR latex before casting on petri dish. The properties of IONs were investigated by X-ray Diffractometry (XRD), Transmission Electron Microscope (TEM), Raman Spectroscopy and Vibrating Sample Magnetometer (VSM). Meanwhile NBR/IONs composites were studied by Thermogravimetry Analysis (TGA), Differential Scanning Calorimetry (DSC) and Vibrating Sample Magnetometer (VSM). It observed that, synthesized IONs shows of 25.28 nm crystallite with 25.86 nm semipherical (changed as) shape. Meanwhile, Magnetite and maghemite phase are found in range of 670 cm-1 and 700 cm-1 respectively, which it contributes magnetization saturation of 73.96 emu/g at 10,000 G by VSM. Thermal stability and magnetic properties were increased with incorporating IONs into NBR latex up to 20 phr. NBR/IONs 5 phr has the optimum thermal stability, lowest glass transition temperature (-14.83 °C) and acceptable range of magnetization saturation (3.83 emu/g at 10,000 G) to form NBR gloves with magnetic detectability.

Joining sheet aluminum AA6061-T4 to cast magnesium AM60B by vaporizing foil actuator welding: Input energy, interface, and strength

DOE PAGES

Liu, Bert; Vivek, Anupam; Daehn, Glenn S.

2017-09-19

Dissimilar joining of sheet aluminum AA6061-T4 to cast magnesium AM60B was achieved by vaporizing foil actuator welding (VFAW). Three input energy levels were used (6, 8, and 10 kJ), and as a trend, higher input energies resulted in progressively higher flyer velocities, more pronounced interfacial wavy features, larger weld zones, higher peel strengths, and higher peel energies. In all cases, weld cross section revealed a soundly bonded interface characterized by well-developed wavy features and lack of voids and continuous layers of intermetallic compounds (IMCs). At 10 kJ input energy, flyer speed of 820 m/s, peel strength of 22.4 N/mm, andmore » peel energy of 5.2 J were obtained. In lap-shear, failure occurred in AA6061- T4 flyer at 97% of the base material’s peak tensile load. Peel samples failed along the weld interface, and the AM60B-side of the fracture surface showed thin, evenly-spaced lines of Al residuals which had been torn out of the base AA6061-T4 in a ductile fashion and transferred over to the AM60B side, indicating very strong AA6061-T4/AM60B bond in these areas. Furthermore, this work demonstrates VFAW’s capability in joining dissimilar lightweight metals such as Al/Mg, which is expected to be a great enabler in the ongoing push for vehicle weight reduction.« less

Enamel matrix derivative enhances tissue formation around scaffolds used for tissue engineering of ligaments.

PubMed

Messenger, Michael P; Raïf, El M; Seedhom, Bahaa B; Brookes, Steven J

2010-02-01

The following in vitro translational study investigated whether enamel matrix derivative (EMD), an approved biomimetic treatment for periodontal disease (Emdogain) and hard-to-heal wounds (Xelma), enhanced synovial cell colonization and protein synthesis around a scaffold used clinically for in situ tissue engineering of the torn anterior cruciate ligament (ACL). Synovial cells were enzymatically extracted from bovine synovium and dynamically seeded onto polyethylene terephthalate (PET) scaffolds. The cells were cultured in low-serum medium (0.5% FBS) for 4 weeks with either a single administration of EMD at the start of the 4 week period or multiple administrations of EMD at regular intervals throughout the 4 weeks. Samples were harvested and evaluated using the Hoechst DNA assay, BCA protein assay, cresolphthalein complexone calcium assay, SDS-PAGE, ELISA and electron microscopy. A significant increase in cell number (DNA) (p < 0.01), protein content (p < 0.01) and TGFbeta1 synthesis (p < 0.01) was observed with multiple administrations of EMD. Additionally, SDS-PAGE showed an increase in high molecular weight proteins, characteristic of the fibril-forming collagens. Electron microscopy supported these findings, showing that scaffolds treated with multiple administrations of EMD were heavily coated with cells and extracellular matrix (ECM) that enveloped the fibres. Multiple administrations of EMD to synovial cell-seeded scaffolds enhanced the formation of tissue in vitro. Additionally, it was shown that EMD enhanced TGFbeta1 synthesis of synovial cells, suggesting a potential mode of action for EMD's capacity to stimulate tissue regeneration.

Geochemical evidence for the melting of subducting oceanic lithosphere at plate edges.

PubMed

Yogodzinski, G M; Lees, J M; Churikova, T G; Dorendorf, F; Wöerner, G; Volynets, O N

2001-01-25

Most island-arc magmatism appears to result from the lowering of the melting point of peridotite within the wedge of mantle above subducting slabs owing to the introduction of fluids from the dehydration of subducting oceanic crust. Volcanic rocks interpreted to contain a component of melt (not just a fluid) from the subducting slab itself are uncommon, but possible examples have been recognized in the Aleutian islands, Baja California, Patagonia and elsewhere. The geochemically distinctive rocks from these areas, termed 'adakites, are often associated with subducting plates that are young and warm, and therefore thought to be more prone to melting. But the subducting lithosphere in some adakite locations (such as the Aleutian islands) appears to be too old and hence too cold to melt. This implies either that our interpretation of adakite geochemistry is incorrect, or that our understanding of the tectonic context of adakites is incomplete. Here we present geochemical data from the Kamchatka peninsula and the Aleutian islands that reaffirms the slab-melt interpretation of adakites, but in the tectonic context of the exposure to mantle flow around the edge of a torn subducting plate. We conclude that adakites are likely to form whenever the edge of a subducting plate is warmed or ablated by mantle flow. The use of adakites as tracers for such plate geometry may improve our understanding of magma genesis and thermal structure in a variety of subduction-zone environments.

Comet 'Bites the Dust' Around Dead Star

NASA Technical Reports Server (NTRS)

2006-01-01

[figure removed for brevity, see original site] Infrared Spectrometer Graph

This artist's concept illustrates a comet being torn to shreds around a dead star, or white dwarf, called G29-38. NASA's Spitzer Space Telescope observed a cloud of dust around this white dwarf that may have been generated from this type of comet disruption. The findings suggest that a host of other comet survivors may still orbit in this long-dead solar system.

The white dwarf G29-38 began life as a star that was about three times as massive as our sun. Its death involved the same steps that the sun will ultimately undergo billions of years from now. According to theory, the G29-38 star became brighter and brighter as it aged, until it bloated up into a dying star called a red giant. This red giant was large enough to engulf and evaporate any terrestrial planets like Earth that happened to be in its way. Later, the red giant shed its outer atmosphere, leaving behind a shrunken skeleton of star, called a white dwarf. If the star did host a planetary system, outer planets akin to Jupiter and Neptune and a remote ring of icy comets would remain.

The Spitzer observations provide observational evidence for this orbiting outpost of comet survivors. Astronomers speculate that one such comet was knocked into the inner regions of G29-38, possibly by an outer planet. As the comet approached very close to the white dwarf, it may have been torn apart by the star's tidal forces. Eventually, all that would be left of the comet is a disk of dust.

This illustration shows a comet in the process of being pulverized: part of it still exists as a chain of small clumps, while the rest has already spread out into a dusty disk. Comet Shoemaker-Levy 9 broke apart in a similar fashion when it plunged into Jupiter in 1994. Evidence for Comets Found in Dead Star's Dust The graph of data, or spectrum, from NASA's Spitzer Space Telescope indicates that a dead star, or white dwarf, called G29

NASA Aircraft in the Hangar at Lewis Research Center

NASA Image and Video Library

1970-09-21

Several aircraft parked inside the Flight Research Building, or hangar, at the National Aeronautics and Space Administration (NASA) Lewis Research Center in Cleveland, Ohio. A Convair F-106B Delta Dart is in the foreground, a Convair F-102A Delta Dagger is to the right, a Douglas DC-3 is in the back to left, and a Convair T-29 is in background. Lewis’ Martin B-57B Canberra is not seen in this photograph. The F-102A had just been acquired by Lewis to serve as a chase plane for the F-106B. The Lewis team removed the weapons system and 700 pounds of wire from the F-106B when it was acquired on October 20, 1966. The staff cut holes in the wings and modified the elevons to mount the test nacelles. A 228-gallon fuel tank was installed in the missile bay, and the existing wing tanks were used for instrumentation. This photograph contains a rare view of the Block House, seen to the left of the aircraft. Lewis acquired three large developmental programs in 1962—the Centaur and Agena rockets and the M-1 engine. The center was short on office space at the time, and its flight research program was temporarily on the wane. Lewis management decided to construct a large cinderblock structure inside one half of the hangar to house the new personnel. This structure was used until 1965 when the new Developmental Engineering Building was built. The Block House was eventually torn down in 1973.

Modeling Soft Tissue Damage and Failure Using a Combined Particle/Continuum Approach.

PubMed

Rausch, M K; Karniadakis, G E; Humphrey, J D

2017-02-01

Biological soft tissues experience damage and failure as a result of injury, disease, or simply age; examples include torn ligaments and arterial dissections. Given the complexity of tissue geometry and material behavior, computational models are often essential for studying both damage and failure. Yet, because of the need to account for discontinuous phenomena such as crazing, tearing, and rupturing, continuum methods are limited. Therefore, we model soft tissue damage and failure using a particle/continuum approach. Specifically, we combine continuum damage theory with Smoothed Particle Hydrodynamics (SPH). Because SPH is a meshless particle method, and particle connectivity is determined solely through a neighbor list, discontinuities can be readily modeled by modifying this list. We show, for the first time, that an anisotropic hyperelastic constitutive model commonly employed for modeling soft tissue can be conveniently implemented within a SPH framework and that SPH results show excellent agreement with analytical solutions for uniaxial and biaxial extension as well as finite element solutions for clamped uniaxial extension in 2D and 3D. We further develop a simple algorithm that automatically detects damaged particles and disconnects the spatial domain along rupture lines in 2D and rupture surfaces in 3D. We demonstrate the utility of this approach by simulating damage and failure under clamped uniaxial extension and in a peeling experiment of virtual soft tissue samples. In conclusion, SPH in combination with continuum damage theory may provide an accurate and efficient framework for modeling damage and failure in soft tissues.

Swedish women's perceptions of and conformity to feminine norms.

PubMed

Kling, Johanna; Holmqvist Gattario, Kristina; Frisén, Ann

2017-06-01

The relatively high gender equality in the Swedish society is likely to exert an influence on gender role construction. Hence, the present research aimed to investigate Swedish women's perceptions of and conformity to feminine norms. A mixed methods approach with two studies was used. In Study 1, young Swedish women's gender role conformity, as measured by the Conformity to Feminine Norms Inventory 45 (CFNI-45), was compared to the results from previously published studies in Canada, the United States, and Slovakia. Overall, Swedish women displayed less conformity than their foreign counterparts, with the largest difference on the subscale Sexual fidelity. In Study 2, focus group interviews with young Swedish women added a more complex picture of feminine norms in the Swedish society. For instance the results indicated that Swedish women, while living in a society with a strong gender equality discourse, are torn between the perceived need to invest in their appearances and the risk of being viewed as non-equal when doing so. In sum, despite the fact that traditional gender roles are less pronounced in Sweden, gender role conformity is still a pressing issue. Since attending to the potential roles of feminine norms in women's lives previously has been proposed to be useful in counseling and therapeutic work, the present research also offers valuable information for both researchers and practitioners. [Correction added on 5 May 2017, after first online publication in April 2017: An incorrect Abstract was inadvertently captured in the published article and has been corrected in this current version.]. © 2017 Scandinavian Psychological Associations and John Wiley & Sons Ltd.