Sample records for lashing

  1. Square-lashing technique in segmental spinal instrumentation: a biomechanical study.

    PubMed

    Arlet, Vincent; Draxinger, Kevin; Beckman, Lorne; Steffen, Thomas

    2006-07-01

    Sublaminar wires have been used for many years for segmental spinal instrumentation in scoliosis surgery. More recently, stainless steel wires have been replaced by titanium cables. However, in rigid scoliotic curves, sublaminar wires or simple cables can either brake or pull out. The square-lashing technique was devised to avoid complications such as cable breakage or lamina cutout. The purpose of the study was therefore to test biomechanically the pull out and failure mode of simple sublaminar constructs versus the square-lashing technique. Individual vertebrae were subjected to pullout testing having one of two different constructs (single loop and square lashing) using either monofilament wire or multifilament cables. Four different methods of fixation were therefore tested: single wire construct, square-lashing wiring construct, single cable construct, and square-lashing cable construct. Ultimate failure load and failure mechanism were recorded. For the single wire the construct failed 12/16 times by wire breakage with an average ultimate failure load of 793 N. For the square-lashing wire the construct failed with pedicle fracture in 14/16, one bilateral lamina fracture, and one wire breakage. Ultimate failure load average was 1,239 N For the single cable the construct failed 12/16 times due to cable breakage (average force 1,162 N). 10/12 of these breakages were where the cable looped over the rod. For the square-lashing cable all of these constructs (16/16) failed by fracture of the pedicle with an average ultimate failure load of 1,388 N. The square-lashing construct had a higher pullout strength than the single loop and almost no cutting out from the lamina. The square-lashing technique with cables may therefore represent a new advance in segmental spinal instrumentation.

  2. 49 CFR 176.74 - On deck stowage of break-bulk hazardous materials.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... both. Lashing of deck cargo is permitted if eye pads are used to attach the lashings. Lashings may not... water damage must be protected so that it will not be exposed to the weather or to sea water. (c) Not...

  3. Poliosis of eyelashes as an unusual sign of a halo nevus.

    PubMed

    Kay, Kyu Mee; Kim, Joong Hun; Lee, Tae Soo

    2010-08-01

    A 39-year-old man with poliosis of his lower eyelid lashes visited our clinic. He reported that his symptoms began with a few central lashes and then spread along the adjacent lashes during the ensuing 2 weeks. A pigmented nevus, approximately 4 mm in diameter, was identified just above the white lashes without surrounding skin depigmentation. No specific findings were identified with regard to the patient's general health or serologic and radiologic testing. Excisional biopsy of the pigmented nevus was performed. On histopathologic examination, infiltration of the dermis by numerous lymphocytes and melanophages was observed. The poliosis was ultimately diagnosed as a presenting sign of the halo phenomenon in the regressive stage of a melanocytic nevus.

  4. Poliosis of Eyelashes as an Unusual Sign of a Halo Nevus

    PubMed Central

    Kim, Joong Hun; Lee, Tae Soo

    2010-01-01

    A 39-year-old man with poliosis of his lower eyelid lashes visited our clinic. He reported that his symptoms began with a few central lashes and then spread along the adjacent lashes during the ensuing 2 weeks. A pigmented nevus, approximately 4 mm in diameter, was identified just above the white lashes without surrounding skin depigmentation. No specific findings were identified with regard to the patient's general health or serologic and radiologic testing. Excisional biopsy of the pigmented nevus was performed. On histopathologic examination, infiltration of the dermis by numerous lymphocytes and melanophages was observed. The poliosis was ultimately diagnosed as a presenting sign of the halo phenomenon in the regressive stage of a melanocytic nevus. PMID:20714388

  5. 46 CFR 160.017-13 - Construction.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... of the first step is approximately 600 mm (24 in.). (c) Lashing rings. A lashing ring must be...) Workmanship. A ladder must not have splinters, burrs, sharp edges, corners, projections, or other defects that...

  6. Practices and risks associated with operation of tie-down lashings in the vehicle transport industry.

    PubMed

    Fraysse, François; Milanese, Steven; Thewlis, Dominic

    2016-12-01

    Load restraint systems in automobile transport utilise tie-down lashings placed over the car's tyres, which are tensioned manually by the operator using a ratchet assembly. This process has been identified as a significant manual handling injury risk. The aim of this study was to gain insight on the current practices associated with tie-down lashings operation, and identify the gaps between current and optimal practice. We approached this with qualitative and quantitative assessments and one numerical simulation to establish: (i) insight into the factors involved in ratcheting; (ii) the required tension to hold the car on the trailer; and (iii) the tension achieved by drivers in practice and associated joint loads. We identified that the method recommended to the drivers was not used in practice. Drivers instead tensioned the straps to the maximum of their capability, leading to over-tensioning and mechanical overload at the shoulder and elbow. We identified the postures and strategies that resulted in the lowest loads on the upper body during ratcheting (using both hands and performing the task with their full body). This research marks the first step towards the development of a training programme aiming at changing practice to reduce injury risks associated with the operation of tie-down lashings in the automobile transport industry. Practitioner Summary: The study investigated current practice associated with the operation of tie-down lashings through qualitative (interviews) and quantitative (biomechanical analysis) methods. Operators tended to systematically over-tension the lashings and consequently overexert, increasing injury risks.

  7. 49 CFR 570.60 - Steering system.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 6 2014-10-01 2014-10-01 false Steering system. 570.60 Section 570.60... 10,000 Pounds § 570.60 Steering system. (a) System play. Lash or free play in the steering system... excessive lash or free play in the steering system. Table 2. Steering Wheel Free Play Values Steering wheel...

  8. 49 CFR 570.60 - Steering system.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 6 2012-10-01 2012-10-01 false Steering system. 570.60 Section 570.60... 10,000 Pounds § 570.60 Steering system. (a) System play. Lash or free play in the steering system... excessive lash or free play in the steering system. Table 2. Steering Wheel Free Play Values Steering wheel...

  9. 49 CFR 570.60 - Steering system.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 6 2011-10-01 2011-10-01 false Steering system. 570.60 Section 570.60... 10,000 Pounds § 570.60 Steering system. (a) System play. Lash or free play in the steering system... excessive lash or free play in the steering system. Table 2. Steering Wheel Free Play Values Steering wheel...

  10. 49 CFR 570.60 - Steering system.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 6 2010-10-01 2010-10-01 false Steering system. 570.60 Section 570.60... 10,000 Pounds § 570.60 Steering system. (a) System play. Lash or free play in the steering system... excessive lash or free play in the steering system. Table 2. Steering Wheel Free Play Values Steering wheel...

  11. Fluorescein dye improves microscopic evaluation and counting of demodex in blepharitis with cylindrical dandruff.

    PubMed

    Kheirkhah, Ahmad; Blanco, Gabriela; Casas, Victoria; Tseng, Scheffer C G

    2007-07-01

    To show whether fluorescein dye helps detect and count Demodex embedded in cylindrical dandruff (CD) of epilated eyelashes from patients with blepharitis. Two eyelashes with CD were removed from each lid of 10 consecutive patients with blepharitis and subjected to microscopic examination with and without fluorescein solution to detect and count Demodex mites. Of 80 eyelashes examined, 36 (45%) lashes retained their CD after removal. Before addition of the fluorescein solution, the mean total Demodex count per patient was 14.9 +/- 10 and the mean Demodex count per lash was 3.1 +/- 2.5 and 0.8 +/- 0.7 in epilated eyelashes with and without retained CD, respectively (P < 0.0001). After addition of the fluorescein solution, opaque and compact CD instantly expanded to reveal embedded mites in a yellowish and semitransparent background. As a result, the mean total Demodex count per patient was significantly increased to 20.2 +/- 13.8 (P = 0.003), and the mean count per lash was significantly increased to 4.4 +/- 2.8 and 1 +/- 0.8 in eyelashes with and without retained CD (P < 0.0001 and P = 0.007), respectively. This new method yielded more mites in 8 of 10 patients and allowed mites to be detected in 3 lashes with retained CD and 1 lash without retained CD that had an initial count of zero. Addition of fluorescein solution after mounting further increases the proficiency of detecting and counting mites embedded in CD of epilated eyelashes.

  12. 40 CFR Appendix Viii to Part 85 - Vehicle and Engine Parameters and Specifications

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... pressure. 3. Valves (intake and exhaust). a. Head diameter dimension. b. Valve lifter or actuator type and... diameter dimension. b. Valve lifter or actuator type and valve lash dimension. 5. Camshaft timing. a. Valve... dimension. b. Valve lifter or actuator type and valve lash dimension. 5. Camshaft timing. a. Valve opening...

  13. 40 CFR Appendix Viii to Part 85 - Vehicle and Engine Parameters and Specifications

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... pressure. 3. Valves (intake and exhaust). a. Head diameter dimension. b. Valve lifter or actuator type and... diameter dimension. b. Valve lifter or actuator type and valve lash dimension. 5. Camshaft timing. a. Valve... dimension. b. Valve lifter or actuator type and valve lash dimension. 5. Camshaft timing. a. Valve opening...

  14. Treatment of neck and shoulder pain in whip-lash syndrome patients with intracutaneous sterile water injections.

    PubMed

    Byrn, C; Borenstein, P; Linder, L E

    1991-01-01

    Ten whip-lash syndrome patients treated with intracutaneous triggerpoint injections with sterile water for pain relief were followed for 2 months. Pain intensity was evaluated with the Visual Analogue Scale (VAS). Eight patients became free from pain (VAS 0) and two patients improved to VAS 2 immediately after the treatment. Nine patients remained free from pain, three of them after one treatment, while six patients needed 2-4 treatments. One patient responded only a few hours after each of three treatments. Remarkably, with the relief of pain mobility was normalised in all patients. The method is suggested to be a first choice in the treatment of not only whip-lash patients but also for most acute and chronic musculo-skeletal triggerpoint pain syndromes.

  15. Sodium intake reduction efforts in Lebanon

    PubMed Central

    Almedawar, Mohamad M.; Nasreddine, Lara; Olabi, Ammar; Hamade, Haya; Awad, Elie; Toufeili, Imad; Arnaout, Samir

    2015-01-01

    Sodium intake reduction efforts in Lebanon are quite recent and have just started to take effect on the national level. Starting out from an academic institution, the Lebanese Action on Sodium and Health (LASH) campaign was established to counter the increasing prevalence of hypertension and associated adverse health effects. The campaign’s strategy was based on four pillars: research, health communication, advocacy, and monitoring. The LASH group set out with determining: baseline sodium intake of the population, main sources of sodium intake, and the knowledge, attitudes, and behaviors (KAB) of the population as a situation analysis that prompts for action. This gave LASH tangible evidence of the magnitude of the problem and the need for the government, the food industry, and the consumers, to be mobilized to take part in devising a solution. Currently, Lebanon is at a stage of technically working to reduce the sodium content in the major sources of sodium, namely local bread and bread-like products. The next steps will include implementation of a plan for monitoring industry compliance, while studying other food targets, including dairy products and processed meat. Meanwhile, the health communication plan is ongoing and the Salt Awareness Week is celebrated every year with media appearances of LASH researchers to raise the issue to the public eye. PMID:26090328

  16. Filtration by eyelashes

    NASA Astrophysics Data System (ADS)

    Vistarakula, Krishna; Bergin, Mike; Hu, David

    2010-11-01

    Nearly every mammalian and avian eye is rimmed with lashes. We investigate experimentally the ability of lashes to reduce airborne particle deposition in the eye. We hypothesize that there is an optimum eyelash length that maximizes both filtration ability and extent of peripheral vision. This hypothesis is tested using a dual approach. Using preserved heads from 36 species of animals at the American Museum of Natural History, we determine the relationship between eye size and eyelash geometry (length and spacing). We test the filtration efficacy of these geometries by deploying outdoor manikins and measuring particle deposition rate as a function of eyelash length.

  17. [Anticonvulsant hypersensitivity syndrome and lamotrigine-associated anticonvulsant hypersensitivity syndrome].

    PubMed

    Taillia, H; Alla, P; Fournier, B; Bounolleau, P; Ouologem, M; Ricard, D; Sallansonnet-Froment, M; de Greslan, T; Renard, J-L

    2009-10-01

    Anticonvulsant hypersensitivity syndrome (AHS) is defined by the association of high fever, cutaneous rash and multiorgan-system abnormalities (incidence, one in 1000 to one in 10,000 exposures). Fatal complications are described in 10%. This reaction usually develops 1 to 12 weeks after initiation of an aromatic anticonvulsant. Drug rash with eosinophilia and systemic symptoms (DRESS) can be discussed as differential diagnosis. Several hypotheses have been put forward to explain the pathogenesis of AHS. These include accumulation of toxic metabolites, antibody production and viral infection. The one based on toxic metabolites has found the greatest acceptance due to the fact that it can be proven by an in vitro test, the lymphocyte toxicity assay. In vivo, skin biopsies show characteristic findings of erythema multiform or typical leucocytoclastic angitis. The patch-test is positive in 80% of the cases. Lamotrigine-associated anticonvulsant hypersensitivity syndrome (LASH) is rare and was described in 1998. We report two new cases demonstrating the two particular configurations of apparition of LASH found in the 14 cases from the review of literature (Pubmed: anticonvulsant hypersensitivity syndrome - lamotrigine): high doses of lamotrigine (or lamotrigine in very young or old patients), and lamotrigine associated with another anti-epileptic (phenobarbital or sodium valproate). We discuss the links between DRESS after lamotrigine and LASH as illustrated in a new case.

  18. Invited Commentary: Can Issues With Reproducibility in Science Be Blamed on Hypothesis Testing?

    PubMed Central

    Weinberg, Clarice R.

    2017-01-01

    Abstract In the accompanying article (Am J Epidemiol. 2017;186(6):646–647), Dr. Timothy Lash makes a forceful case that the problems with reproducibility in science stem from our “culture” of null hypothesis significance testing. He notes that when attention is selectively given to statistically significant findings, the estimated effects will be systematically biased away from the null. Here I revisit the recent history of genetic epidemiology and argue for retaining statistical testing as an important part of the tool kit. Particularly when many factors are considered in an agnostic way, in what Lash calls “innovative” research, investigators need a selection strategy to identify which findings are most likely to be genuine, and hence worthy of further study. PMID:28938713

  19. Lash-free spherical bearing

    NASA Technical Reports Server (NTRS)

    Hein, L. A.; Myers, W. N.

    1979-01-01

    Grooved and chamfered spherical bearing can maintain close contact between its ball and race, even when it is vibrated. Bearing thus eliminates major cause of wear and loosening in spherical bearings: pounding of ball on race under vibration.

  20. Perceived control qualifies the effects of threat on prejudice.

    PubMed

    Greenaway, Katharine H; Louis, Winnifred R; Hornsey, Matthew J; Jones, Janelle M

    2014-09-01

    People sometimes show a tendency to lash out in a prejudiced manner when they feel threatened. This research shows that the relationship between threat and prejudice is moderated by people's levels of perceived control: Threat leads to prejudice only when people feel concurrently low in control. In two studies, terrorist threat was associated with heightened prejudice among people who were low in perceived control over the threat (Study 1; N = 87) or over their lives in general (Study 2; N = 2,394), but was not associated with prejudice among people who were high in perceived control. Study 3 (N = 139) replicated this finding experimentally in the context of the Global Financial Crisis. The research identifies control as an important ingredient in threatening contexts that, if bolstered, can reduce general tendencies to lash out under threat. © 2013 The British Psychological Society.

  1. Invited Commentary: Can Issues With Reproducibility in Science Be Blamed on Hypothesis Testing?

    PubMed

    Weinberg, Clarice R

    2017-09-15

    In the accompanying article (Am J Epidemiol. 2017;186(6):646-647), Dr. Timothy Lash makes a forceful case that the problems with reproducibility in science stem from our "culture" of null hypothesis significance testing. He notes that when attention is selectively given to statistically significant findings, the estimated effects will be systematically biased away from the null. Here I revisit the recent history of genetic epidemiology and argue for retaining statistical testing as an important part of the tool kit. Particularly when many factors are considered in an agnostic way, in what Lash calls "innovative" research, investigators need a selection strategy to identify which findings are most likely to be genuine, and hence worthy of further study. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  2. Effect of Radiation Exposure on the Retention of Commercial NAND Flash Memory

    NASA Technical Reports Server (NTRS)

    Oldham, Timothy R.; Chen, D.; Friendlich, M.; Carts, M. A.; Seidleck, C. M.; LaBel, K. A.

    2011-01-01

    We have compared the data retention of irradiated commercial NAND flash memories with that of unirradiated controls. Under some circumstanc es, radiation exposure has a significant effect on the retention of f lash memories.

  3. 46 CFR 160.017-11 - Materials.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) EQUIPMENT, CONSTRUCTION, AND MATERIALS... affecting its strength or durability. (d) Wood preservative. After each wooden part is formed and finished, it must be treated with water-repellant wood preservative that is properly applied. (e) Lashing rings...

  4. Development, sensitivity and uncertainty analysis of LASH model

    USDA-ARS?s Scientific Manuscript database

    Many hydrologic models have been developed to help manage natural resources all over the world. Nevertheless, most models have presented a high complexity regarding data base requirements, as well as, many calibration parameters. This has brought serious difficulties for applying them in watersheds ...

  5. Ocular demodicosis as a potential cause of pediatric blepharoconjunctivitis.

    PubMed

    Liang, Lingyi; Safran, Steve; Gao, Yingying; Sheha, Hosam; Raju, V K; Tseng, Scheffer C G

    2010-12-01

    To report Demodex infestation in pediatric blepharoconjunctivitis. A retrospective review of 12 patients, with ages from 2.5-11 years, with chronic blepharoconjunctivitis who failed to respond to conventional treatments. Demodex was detected by lash sampling and microscopic examination. Patients were treated with 50% tea tree oil (TTO) eyelid scrubs or 5% TTO ointment eyelid massages for 4-6 weeks. Demodex mites were found in all, but 1 case had cylindrical dandruff in the lashes. After 1 week of TTO treatment, all patients showed dramatic resolution of ocular irritation and inflammation while Demodex counts dropped. All corneal signs resolved within 2 weeks except for a residual anterior stromal scar in 1 eye. During a follow-up period of 8.3 ± 4.6 months, 1 patient showed recurrent inflammation, which was successfully managed by a second round of TTO treatment. Demodicosis should be considered as a potential cause of pediatric refractory blepharoconjunctivitis. Eyelid scrubs or massage with TTO could be an effective treatment regimen in these cases.

  6. Solo surgery--early results of robot-assisted three-dimensional laparoscopic hysterectomy.

    PubMed

    Tuschy, Benjamin; Berlit, Sebastian; Brade, Joachim; Sütterlin, Marc; Hornemann, Amadeus

    2014-08-01

    Report of our initial experience in laparoscopic hysterectomy by a solo surgeon using a robotic camera system with three-dimensional visualisation. This novel device (Einstein Vision®, B. Braun, Aesculap AG, Tuttlingen, Germany) (EV) was used for laparoscopic supracervical hysterectomy (LASH) performed by one surgeon. Demographic data, clinical and surgical parameters were evaluated. Our first 22 cases, performed between June and November 2012, were compared with a cohort of 22 age-matched controls who underwent two-dimensional LASH performed by the same surgeon with a second surgeon assisting. Compared to standard two-dimensional laparoscopic hysterectomy, there were no significant differences regarding duration of surgery, hospital stay, blood loss or incidence of complications. The number of trocars used was significantly higher in the control group (p <.0001). All hysterectomies in the treatment group were performed without assistance of a second physician. Robot-assisted solo surgery laparoscopic hysterectomy is a feasible and safe procedure. Duration of surgery, hospital stay, blood loss, and complication rates are comparable to a conventional laparoscopic hysterectomy.

  7. 49 CFR 570.7 - Steering systems.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 6 2011-10-01 2011-10-01 false Steering systems. 570.7 Section 570.7... Pounds or Less § 570.7 Steering systems. (a) System play. Lash or free play in the steering system shall... in the steering system. Table 1—Steering System Free Play Values Steering wheel diameter (inches...

  8. 49 CFR 570.7 - Steering systems.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 6 2012-10-01 2012-10-01 false Steering systems. 570.7 Section 570.7... Pounds or Less § 570.7 Steering systems. (a) System play. Lash or free play in the steering system shall... in the steering system. Table 1—Steering System Free Play Values Steering wheel diameter (inches...

  9. 49 CFR 570.7 - Steering systems.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 6 2014-10-01 2014-10-01 false Steering systems. 570.7 Section 570.7... Pounds or Less § 570.7 Steering systems. (a) System play. Lash or free play in the steering system shall... in the steering system. Table 1—Steering System Free Play Values Steering wheel diameter (inches...

  10. 46 CFR 42.25-15 - Stowage.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., DEPARTMENT OF HOMELAND SECURITY (CONTINUED) LOAD LINES DOMESTIC AND FOREIGN VOYAGES BY SEA Special... length which is the total length of the well or wells between superstructures. Where there is no limiting... cargoes where there is no bulkhead. (2) Lashings shall be not less than 3/4-inch close link chain or...

  11. 46 CFR 42.25-15 - Stowage.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., DEPARTMENT OF HOMELAND SECURITY (CONTINUED) LOAD LINES DOMESTIC AND FOREIGN VOYAGES BY SEA Special... length which is the total length of the well or wells between superstructures. Where there is no limiting... cargoes where there is no bulkhead. (2) Lashings shall be not less than 3/4-inch close link chain or...

  12. 46 CFR 42.25-15 - Stowage.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., DEPARTMENT OF HOMELAND SECURITY (CONTINUED) LOAD LINES DOMESTIC AND FOREIGN VOYAGES BY SEA Special... length which is the total length of the well or wells between superstructures. Where there is no limiting... cargoes where there is no bulkhead. (2) Lashings shall be not less than 3/4-inch close link chain or...

  13. 46 CFR 42.25-15 - Stowage.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., DEPARTMENT OF HOMELAND SECURITY (CONTINUED) LOAD LINES DOMESTIC AND FOREIGN VOYAGES BY SEA Special... length which is the total length of the well or wells between superstructures. Where there is no limiting... cargoes where there is no bulkhead. (2) Lashings shall be not less than 3/4-inch close link chain or...

  14. 46 CFR 42.25-15 - Stowage.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., DEPARTMENT OF HOMELAND SECURITY (CONTINUED) LOAD LINES DOMESTIC AND FOREIGN VOYAGES BY SEA Special... length which is the total length of the well or wells between superstructures. Where there is no limiting... cargoes where there is no bulkhead. (2) Lashings shall be not less than 3/4-inch close link chain or...

  15. The Role of Acid Sensing Ion Channels in Spinal Cord Injury

    DTIC Science & Technology

    2012-10-01

    ASIC1a is localized to the cell bodies and dendrites of neurons [4]. Pathological cerebral acidosis activates these channels which, in turn, kill...Tripathi, P. Wei, and A.T. Lash, The PPAR gamma agonist Pioglitazone improves anatomical and locomotor recovery after rodent spinal cord injury. Exp Neurol

  16. 49 CFR 570.7 - Steering systems.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 6 2010-10-01 2010-10-01 false Steering systems. 570.7 Section 570.7... Pounds or Less § 570.7 Steering systems. (a) System play. Lash or free play in the steering system shall... in the steering system. Table 1—Steering System Free Play Values Steering wheel diameter (inches...

  17. Outdoorsman, Unit II.

    ERIC Educational Resources Information Center

    Alberta Dept. of Agriculture, Edmonton.

    The second of three units of the 4-H Outdoorsman Program introduces more advanced camping and survival techniques for 4-H members in British Columbia, Alberta, Saskatchewan, and Manitoba. Backpacking, finding food in the wild, making a fire without matches, lashing techniques, axemanship, finding your way (with and without a compass), making a…

  18. Genome-Wide Association Study of Entropion Eyelid in Multiple Breeds of Sheep

    USDA-ARS?s Scientific Manuscript database

    Entropion is an inversion of the eyelid margin causing lashes or external hairs to rub against the ocular surface. If uncorrected, discomfort, ocular damage, increased eye infection rates, and potential blindness can occur. Entropion affects many mammalian species, can be expressed in both upper and...

  19. Highway Maintenance Equipment Operator: Basic Core. Training Materials.

    ERIC Educational Resources Information Center

    Perky, Sandra Dutreau; And Others

    This basic core curriculum is part of a three-part series of instructional guides designed for use in teaching a course in highway maintenance equipment operation. Addressed in the individual units of the curriculum, after an orientation unit, are safety; basic math; basic hand tools; procedures for loading. lashing, and unloading equipment;…

  20. 9 CFR 91.29 - Hatches.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Hatches. 91.29 Section 91.29 Animals... LIVESTOCK FOR EXPORTATION Inspection of Vessels and Accommodations § 91.29 Hatches. (a) Animals may be placed on hatches on exposed decks on an ocean vessel if the pens or stalls are securely lashed down. (b...

  1. 9 CFR 91.29 - Hatches.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Hatches. 91.29 Section 91.29 Animals... LIVESTOCK FOR EXPORTATION Inspection of Vessels and Accommodations § 91.29 Hatches. (a) Animals may be placed on hatches on exposed decks on an ocean vessel if the pens or stalls are securely lashed down. (b...

  2. 9 CFR 91.29 - Hatches.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Hatches. 91.29 Section 91.29 Animals... LIVESTOCK FOR EXPORTATION Inspection of Vessels and Accommodations § 91.29 Hatches. (a) Animals may be placed on hatches on exposed decks on an ocean vessel if the pens or stalls are securely lashed down. (b...

  3. 9 CFR 91.29 - Hatches.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Hatches. 91.29 Section 91.29 Animals... LIVESTOCK FOR EXPORTATION Inspection of Vessels and Accommodations § 91.29 Hatches. (a) Animals may be placed on hatches on exposed decks on an ocean vessel if the pens or stalls are securely lashed down. (b...

  4. 40 CFR Appendix II to Part 1068 - Emission-Related Parameters and Specifications

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... valve lash dimension. 4. Camshaft timing. a. Valve opening—intake exhaust (degrees from top-dead center or bottom-dead center). b. Valve closing—intake exhaust (degrees from top-dead center or bottom-dead.... Opening timing (degrees from top-dead center or bottom-dead center). c. Closing timing (degrees from top...

  5. 40 CFR Appendix II to Part 1068 - Emission-Related Parameters and Specifications

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... valve lash dimension. 4. Camshaft timing. a. Valve opening—intake exhaust (degrees from top-dead center or bottom-dead center). b. Valve closing—intake exhaust (degrees from top-dead center or bottom-dead.... Opening timing (degrees from top-dead center or bottom-dead center). c. Closing timing (degrees from top...

  6. 40 CFR Appendix II to Part 1068 - Emission-Related Parameters and Specifications

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... valve lash dimension. 4. Camshaft timing. a. Valve opening—intake exhaust (degrees from top-dead center or bottom-dead center). b. Valve closing—intake exhaust (degrees from top-dead center or bottom-dead.... Opening timing (degrees from top-dead center or bottom-dead center). c. Closing timing (degrees from top...

  7. Bullying May Be Fueled by the Desperate Need to Belong

    ERIC Educational Resources Information Center

    Underwood, Marion K.; Ehrenreich, Samuel E.

    2014-01-01

    Human beings have a fundamental need to belong, for ongoing positive interactions with others who provide companionship and caring (Baumeister & Leary, 1995). Children may hit, exclude, or harass others electronically because when their own needs for belongingness are threatened, or when they want to enhance their own status, they lash out and…

  8. Fiery Passion and Relentless Commitment: The Lived Experiences of African American Women Principals in Turnaround Model Schools

    ERIC Educational Resources Information Center

    Aldaco, Adrienne L. Gratten

    2016-01-01

    Chronically low performing schools in the United States have required targeted support and interventions to increase student achievement. In recent years, the school turnaround model has emerged as a swift, dramatic, comprehensive approach to implementing interventions in the lowest performing schools (Calkins, Guenther, Belfiore, & Lash,…

  9. 7 CFR 800.86 - Inspection of shiplot, unit train, and lash barge grain in single lots.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... prescribed in the instructions. (b) Application procedure. Applications for the official inspection of... statistical acceptance sampling and inspection plan according to the provisions of this section and procedures... inspection as part of a single lot and accepted by a statistical acceptance sampling and inspection plan...

  10. The Limits of Institutional Reflexivity in Bulgarian Universities

    ERIC Educational Resources Information Center

    Slantcheva, Snejana

    2004-01-01

    This article focuses on the notion of institutional reflexivity. Its theoretical framework is based on the views of a group of sociologists--Anthony Giddens, Ulrich Beck, Scott Lash--who developed the concept of reflexive modernization. The article applies the notion of institutional reflexivity to the field of higher education and reviews the…

  11. 46 CFR 133.175 - Survival craft and rescue boat equipment.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Survival craft and rescue boat equipment. 133.175... LIFESAVING SYSTEMS Requirements for All OSVs § 133.175 Survival craft and rescue boat equipment. (a) All rescue boat equipment must be as follows: (1) The equipment must be secured within the boat by lashings...

  12. 46 CFR 133.175 - Survival craft and rescue boat equipment.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Survival craft and rescue boat equipment. 133.175... LIFESAVING SYSTEMS Requirements for All OSVs § 133.175 Survival craft and rescue boat equipment. (a) All rescue boat equipment must be as follows: (1) The equipment must be secured within the boat by lashings...

  13. 46 CFR 133.175 - Survival craft and rescue boat equipment.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Survival craft and rescue boat equipment. 133.175... LIFESAVING SYSTEMS Requirements for All OSVs § 133.175 Survival craft and rescue boat equipment. (a) All rescue boat equipment must be as follows: (1) The equipment must be secured within the boat by lashings...

  14. 46 CFR 133.175 - Survival craft and rescue boat equipment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Survival craft and rescue boat equipment. 133.175... LIFESAVING SYSTEMS Requirements for All OSVs § 133.175 Survival craft and rescue boat equipment. (a) All rescue boat equipment must be as follows: (1) The equipment must be secured within the boat by lashings...

  15. Epilation for Minor Trachomatous Trichiasis: Four-Year Results of a Randomised Controlled Trial

    PubMed Central

    Habtamu, Esmael; Rajak, Saul N.; Tadesse, Zerihun; Wondie, Tariku; Zerihun, Mulat; Guadie, Birhan; Gebre, Teshome; Kello, Amir Bedri; Callahan, Kelly; Mabey, David C. W.; Khaw, Peng T.; Gilbert, Clare E.; Weiss, Helen A.; Emerson, Paul M.; Burton, Matthew J.

    2015-01-01

    Background Trachomatous trichiasis (TT) needs to be managed to reduce the risk of vision loss. The long-term impact of epilation (a common traditional practice of repeated plucking of lashes touching the eye) in preventing visual impairment and corneal opacity from TT is unknown. We conducted a randomized controlled trial of epilation versus surgery for the management of minor TT (fewer than six lashes touching the eye) in Ethiopia. Here we report the four-year outcome and the effect on vision and corneal opacity. Methodology/ Principal Findings 1300 individuals with minor TT were recruited and randomly assigned to quality trichiasis surgery or repeated epilation using high quality epilation forceps by a trained person with good near vision. Participants were examined six-monthly for two-years, and then at four-years after randomisation. At two-years all epilation arm participants were offered free surgery. At four-years 1151 (88.5%) were re-examined: 572 (88%) and 579 (89%) from epilation and surgery arms, respectively. At that time, 21.1% of the surgery arm participants had recurrent TT; 189/572 (33%) of the epilation arm had received surgery, while 383 (67%) declined surgery and had continued epilating (“epilation-only”). Among the epilation-only group, 207 (54.1%) fully controlled their TT, 166 (43.3%) had minor TT and 10 (2.6%) had major TT (>5 lashes). There were no differences between participants in the epilation-only, epilation-to-surgery and surgery arm participants in changes in visual acuity and corneal opacity between baseline and four-years. Conclusions/ Significance Most minor TT participants randomised to the epilation arm continued epilating and controlled their TT. Change in vision and corneal opacity was comparable between surgery and epilation-only participants. This suggests that good quality epilation with regular follow-up is a reasonable second-line alternative to surgery for minor TT for individuals who either decline surgery or do not have immediate access to surgical treatment. PMID:25768796

  16. Transforming Curricular Consumption and Dehumanization: Chicana/o Spiritualization and the Curriculum.

    ERIC Educational Resources Information Center

    Pizarro, Marc

    This paper critiques the consumerization of schooling and knowledge, then looks at the ways in which Chicano students have lashed out against consumption in their education. From early childhood education to the university, U.S. schooling is ensconced in the capitalist notion of the marketplace. Within the marketplace of schools, the curriculum is…

  17. SOLAR SYSTEM EXPLORATION: NASA Blasted for Rising Costs, Cancellations.

    PubMed

    Lawler, A

    2000-12-01

    When NASA cancelled a project last month that would have sent a tiny rover crawling over an asteroid, the community of planetary scientists issued a public tongue lashing of the agency. Its letter warned of larger problems in the U.S. program caused by spiraling costs and recommended a sweeping reexamination of the outer solar system effort.

  18. Conservative Politicians Are Lashing Out at Courts That Order Equal Funding for Education

    ERIC Educational Resources Information Center

    Corriher, Billy

    2014-01-01

    Conservative governors and legislators across America are angry at the third branch of government. Some of these lawmakers are pushing legislation that could throw judges off the bench, while others are pushing to limit judicial authority. In one state, a governor unilaterally removed a justice of the state supreme court. Another Republican…

  19. Treating Attention in Mild Aphasia: Evaluation of Attention Process Training-II

    ERIC Educational Resources Information Center

    Murray, Laura L.; Keeton, R. Jessica; Karcher, Laura

    2006-01-01

    This study examined whether attention processing training-II [Sohlberg, M. M., Johnson, L., Paule, L., Raskin, S. A., & Mateer, C. A. (2001). "Attention Process Training-II: A program to address attentional deficits for persons with mild cognitive dysfunction" (2nd ed.). Wake Forest, NC: Lash & Associates.; APT-II], when applied in the context of…

  20. 49 CFR 176.74 - On deck stowage of break-bulk hazardous materials.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 2 2013-10-01 2013-10-01 false On deck stowage of break-bulk hazardous materials... CARRIAGE BY VESSEL General Handling and Stowage § 176.74 On deck stowage of break-bulk hazardous materials... and proper lashing by use of wire rope, strapping or other means, including shoring and bracing, or...

  1. 49 CFR 176.74 - On deck stowage of break-bulk hazardous materials.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 2 2014-10-01 2014-10-01 false On deck stowage of break-bulk hazardous materials... CARRIAGE BY VESSEL General Handling and Stowage § 176.74 On deck stowage of break-bulk hazardous materials... and proper lashing by use of wire rope, strapping or other means, including shoring and bracing, or...

  2. 49 CFR 176.74 - On deck stowage of break-bulk hazardous materials.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 2 2011-10-01 2011-10-01 false On deck stowage of break-bulk hazardous materials... CARRIAGE BY VESSEL General Handling and Stowage § 176.74 On deck stowage of break-bulk hazardous materials... and proper lashing by use of wire rope, strapping or other means, including shoring and bracing, or...

  3. 49 CFR 176.74 - On deck stowage of break-bulk hazardous materials.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 2 2012-10-01 2012-10-01 false On deck stowage of break-bulk hazardous materials... CARRIAGE BY VESSEL General Handling and Stowage § 176.74 On deck stowage of break-bulk hazardous materials... and proper lashing by use of wire rope, strapping or other means, including shoring and bracing, or...

  4. 29 CFR 1918.43 - Handling hatch beams and covers.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the hatch shall be lashed or pinned back so that it cannot be moved toward the open section. (2... prevent them from falling off the cover before the hatch cover is moved. (j) When a hatch is to be covered... operations, if positive means are taken to prevent employees from walking on the tarpaulin. [62 FR 40202...

  5. The Challenges of Change. A Report from the Aspen Institute Seminar on Hispanic Americans and the Business Community (Aspen, Colorado, July 27-30, 1997).

    ERIC Educational Resources Information Center

    McGuire, Georgianna; Nicolau, Siobhan

    This report from the 1997 Aspen Institute seminar concerns how demographic changes in American will affect Hispanic Americans' role in the business community. Section 1, "Lashes: Back, Front, and Sideways" (Harold Hodgkinson), describes pervasive national pessimism over demographic change and documents universal backlash to that change…

  6. Comparison of laparoscopy-assisted hysterectomies with conventional hysterectomies.

    PubMed

    Abdollahi, Seddigheh F; Bahlouli, Abolfazl; Mostafa, Parvin G; Rasooli, Susan; Morteza, Ghojazadeh

    2009-06-01

    To compare operative and early postoperative outcomes of laparoscopic-assisted vaginal hysterectomy (LAVH) and laparoscopy assisted supracervical hysterectomy (LASH) with conventional hysterectomy by laparotomy or vaginally, including patients undergoing total or subtotal hysterectomy for benign gynecologic disease. Three different methods of hysterectomies: laparoscopic, vaginal, and abdominal, were compared at the Department of Obstetrics and Gynecology of Tabriz University of Medical Sciences, Tabriz, Iran, including all patients with indication of uterus removal for benign uterine disease from January 2005 to December 2007. The regional medical research ethics committee approved the study. A total of 288 hysterectomies were performed: 165 (57.3%) abdominal hysterectomy, 85 (29.5%) vaginal hysterectomy, and 38 (13.2%) laparoscopic-assisted hysterectomy. Laparoscopy assisted hysterectomy (LAVH, LASH) was associated with significantly lower early postoperative pain scores and complication rates, less blood loss, short hospital stay, and resulted in lower hospital charge with reusable devices statistically (p=0.03). Laparoscopy is preferred to abdominal hysterectomy by laparotomy and to vaginal hysterectomy. Though vaginal hysterectomy had less complications and rapid recovery and patient satisfaction as compared with abdominal, but it was limited for multiparous patients with some degree of pelvic organ prolapse.

  7. 46 CFR 35.35-10 - Closing of freeing-ports, scuppers, and sea valves-TB/ALL.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Closing of freeing-ports, scuppers, and sea valves-TB... OPERATIONS Cargo Handling § 35.35-10 Closing of freeing-ports, scuppers, and sea valves—TB/ALL. The person in... no circumstances may sea valves be secured by locks, the valves must be closed, and lashed or sealed...

  8. 46 CFR 35.35-10 - Closing of freeing-ports, scuppers, and sea valves-TB/ALL.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 1 2011-10-01 2011-10-01 false Closing of freeing-ports, scuppers, and sea valves-TB... OPERATIONS Cargo Handling § 35.35-10 Closing of freeing-ports, scuppers, and sea valves—TB/ALL. The person in... no circumstances may sea valves be secured by locks, the valves must be closed, and lashed or sealed...

  9. Operational Evaluation of Tug/Barge Systems.

    DTIC Science & Technology

    1979-07-01

    it would be expected that push-towing on the oceans would have developed long ago. However, the simple pin and wire/ chain lashings used on the rivers...better maneuverability available with push-towing. Thus, they began deepening the notches and using sophisticated cable/ chain linking and chafing...denied. But since mechanical linkages would result in increased manning rd capital costs, they instead began to develop improved cable/ chain linkages

  10. North Korea: Return to an Engagement Strategy

    DTIC Science & Technology

    2004-01-01

    CDR KEVIN T. McCARTHY, USN 5601 FUNDEMENTALS OF STRATEGIC LOGIC SEMINAR F PROFESSOR ROBERT CALLAHAN ADVISOR CAPT ROBERT B. BRANNON, USN...Despite that, it has invested heavily in military technology through the development, testing, and export of ballistic missiles and recent resumption of...North Korea respond to additional sanctions or lash out? A final element of economic power that needs to be part of the dialogue is investment

  11. Incidental neck symptoms in high energy trauma victims.

    PubMed

    Khan, H; McCormack, D; Burke, J; McManus, F

    1997-01-01

    We conducted a prospective study into the incidence of neck symptoms in victims of high energy trauma. Thirty consecutive patients were questioned regarding neck and jaw pain and stiffness initially and at six weeks. Despite suffering extensive skeletal injuries as a result of road traffic accidents, only two patients had such symptoms. We conclude that the incidence of 'whip lash' is surprisingly low in victims of high energy trauma.

  12. 7 CFR 800.86 - Inspection of shiplot, unit train, and lash barge grain in single lots.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... More than 0.20% 0.06 Garlicky 3 or more in 500 grams 21/3 Ergoty More than 0.10% 0.13 Infested Same as... or factor Grade limit Breakpoint Smutty 15 or more in 250 grams (wheat, rye, or triticale... More than 0.10% (all other mixtures) 0 Garlicky 2 or more per 1,000 grams (wheat, rye, or triticale...

  13. 7 CFR 800.86 - Inspection of shiplot, unit train, and lash barge grain in single lots.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... More than 0.20% 0.06 Garlicky 3 or more in 500 grams 21/3 Ergoty More than 0.10% 0.13 Infested Same as... or factor Grade limit Breakpoint Smutty 15 or more in 250 grams (wheat, rye, or triticale... More than 0.10% (all other mixtures) 0 Garlicky 2 or more per 1,000 grams (wheat, rye, or triticale...

  14. 7 CFR 800.86 - Inspection of shiplot, unit train, and lash barge grain in single lots.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... More than 0.20% 0.06 Garlicky 3 or more in 500 grams 21/3 Ergoty More than 0.10% 0.13 Infested Same as... or factor Grade limit Breakpoint Smutty 15 or more in 250 grams (wheat, rye, or triticale... More than 0.10% (all other mixtures) 0 Garlicky 2 or more per 1,000 grams (wheat, rye, or triticale...

  15. 7 CFR 800.86 - Inspection of shiplot, unit train, and lash barge grain in single lots.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... More than 0.20% 0.06 Garlicky 3 or more in 500 grams 21/3 Ergoty More than 0.10% 0.13 Infested Same as... or factor Grade limit Breakpoint Smutty 15 or more in 250 grams (wheat, rye, or triticale... More than 0.10% (all other mixtures) 0 Garlicky 2 or more per 1,000 grams (wheat, rye, or triticale...

  16. [The diagnosis of so-called whiplash injury of the cervical vertebrae. A case report].

    PubMed

    Ludolph, E; Meindl, U

    1990-08-01

    The acceleration injury of the cervical spine (so-called whip-lash injury) is a common traumatic mechanism in traffic accident. Severe damages are possible. Scepticism is necessary, if several hours or days are symptom-free. Radiological results which seem to prove an injury should be controlled. Severe injuries are in consideration of the symptom-free course incredible. This is demonstrated with a description of a case.

  17. Shock-Based Operations. New Wine in an Old Bottle

    DTIC Science & Technology

    2001-05-02

    demonstration of ineffectual shock-based targeting. Driving desperate dictators into dark corners can cause them to lash out in ways never...the competition among those schemata.” Murray Gell-Mann, The Quark and the Jaguar: Adventures in the Simple and the Complex (New York: W.H. Freeman...the Complex [on-line], in Complexity, Global Politics, and National Security, 3-4; and Murray-Gell Mann, The Quark and the Jaguar, 307-325. For

  18. Confessions of a Tenured Professor: Knowing Your Place--A "Professor" and "Travel-Writing Teacher" Returns to Scotland on a Study-Abroad Trip

    ERIC Educational Resources Information Center

    Irvine, Colin

    2010-01-01

    Colin Irvine shares that being "lashed to the mast" by virtue of his recent tenure, he often finds himself seeking imaginative ways within the profession to turn trips and long weekends into work. This particular trip was one in which he ended up heading off to Scotland with mostly Medieval Studies majors on a study-abroad trip. Having…

  19. HEALTH: laparoscopic supracervical hysterectomy versus second-generation endometrial ablation for the treatment of heavy menstrual bleeding: study protocol for a randomised controlled trial.

    PubMed

    Cooper, Kevin; McCormack, Kirsty; Breeman, Suzanne; Wood, Jessica; Scott, Neil W; Clark, Justin; Hawe, Jed; Hawthorn, Robert; Phillips, Kevin; Hyde, Angela; McDonald, Alison; Forrest, Mark; Wileman, Samantha; Scotland, Graham; Norrie, John; Bhattacharya, Siladitya

    2018-01-24

    Heavy menstrual bleeding (HMB) is a common problem affecting approximately 1.5 million women in England and Wales with a major impact on their physical, emotional, social and material quality of life. It is the fourth most common reason why women attend gynaecology outpatient clinics and accounts for one-fifth of all gynaecology outpatient referrals. Initial treatment in primary care is medical - either by means of oral or injected medication or the levonorgestrel-intrauterine system (Mirena®). If medical treatment fails then surgical treatment can be offered, either endometrial ablation (EA), which destroys the lining of the cavity of the uterus (endometrium), or hysterectomy, i.e. surgical removal of the uterus. While effective, conventional hysterectomy is invasive and carries a risk of complications due to injury to other pelvic structures. The procedure can be simplified and complications minimised by undertaking a 'supracervical' hysterectomy where the cervix is left in situ and only the body of the uterus removed. Recent advances in endoscopic technologies have facilitated increased use of laparoscopic supracervical hysterectomy (LASH) which can be performed as a day-case procedure and is relatively easy for the surgeon to learn. HEALTH (Hysterectomy or Endometrial AbLation Trial for Heavy menstrual bleeding) aims to address the question 'Is LASH superior to second generation EA for the treatment of HMB in terms of clinical and cost effectiveness?' Women aged < 50 years, with HMB, in whom medical treatment has failed and who are eligible for EA will be considered for trial entry. We aim to recruit women from approximately 30 active secondary care centres in the UK NHS who carry out both surgical procedures. All women who consent will complete a diary of pain symptoms from day 1 to day 14 after surgery, postal questionnaires at six weeks and six months after surgery and 15 months post randomisation. Healthcare utilisation questions will also be completed at the six-week, six-month and 15-month time-points. Measuring the comparative effectiveness of LASH vs EA will provide the robust evidence required to determine whether the new technique should be adopted widely in the NHS. International Standard Randomised Controlled Trials, ISRCTN49013893 . Registered on 28 January 2014.

  20. Characterization and Modeling of a Control Moment Gyroscope

    DTIC Science & Technology

    2015-03-26

    parallel, and angular directions [16]. The rotor is powered by a brushless DC motor rated to 557.9 mN-m (4.938 in-lbf) [4]. The motor has Hall effect ...mass balance installed on rotor housing Gimbal Balancing Test Procedures. To evaluate the effectiveness of the mass balance, the gimbal was tested...in which the rotor is running The vehicle-level model test (Section 4.9) predicts the effects of CMG gear lash on overall vehicle performance. Gear

  1. Decontamination, decommissioning, and vendor advertorial issue, 2006

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

    Agnihotri, Newal

    2006-07-15

    The focus of the July-August issue is on Decontamination, decommissioning, and vendor advertorials. Major articles/reports in this issue include: NPP Krsko revised decommissioning program, by Vladimir Lokner and Ivica Levanat, APO d.o.o., Croatia, and Nadja Zeleznik and Irena Mele, ARAO, Slovenia; Supporting the renaissance, by Marilyn C. Kray, Exelon Nuclear; Outage world an engineer's delight, by Tom Chrisopher, Areva, NP Inc.; Optimizing refueling outages with R and D, by Ross Marcoot, GE Energy; and, A successful project, by Jim Lash, FirstEnergy.

  2. The Coast Artillery Journal. Volume 76, Number 2, March-April 1933

    DTIC Science & Technology

    1933-04-01

    two bundles of bamboo poles (20 each) lashed to sides of wheels at the hub . Left: Escort wagon floated by means of its own wav;on cover. load is also...attrac- tive advertising space Congress legislated advertising out of the picture and the reduced income forced the JOURNAL to a bimonthly schedule of...8217allSwere forced tD use French guns for the duration of the war for mobilebatteries. The three-inch, trailer mount, model 1918, never saw ac- tion. All

  3. Development and Evaluation of a Remedial Reading Workbook for Navy Training.

    DTIC Science & Technology

    1979-12-01

    quirements (1973) and the Bluejackets’ Manual, 20th Edition (1978). The workbook is based on established remedial reading principles and many of the exercises...knot is just a little over one mile an hour; or a knot in a rope; hitches and bends in a line LASH To tie up with a line (or wire). Le , inq is what you...long i. (Exercise 5 - silent vowel is circled) 1 - saior, 2 b* 3 - peoce, 4 - rescul 5 - ste_, 6 - fantag 7 - inbc&d, 8 - issu, 9 - le , 10 - rel e, 11

  4. Intracutaneous sterile water injections do not relieve pain in cervicogenic headache.

    PubMed

    Sand, T; Bovim, G; Helde, G

    1992-11-01

    Intracutaneous sterile water injections have been reported to relieve acute labor pain and cervical pain in whip-lash patients. A double blind cross-over trial has presently been conducted in 10 women with cervicogenic headache in order to investigate whether sterile water injections were effective in this disorder. No benefit was observed for either treatment (isotonic saline or sterile water), neither on pain during the first 14 days nor on neck mobility. We conclude that intracutaneous sterile water injections is not effective in cervicogenic headache.

  5. LASH Ship Pretest Results of the Joint Logistics-Over-the-Shore (LOTS) Test and Evaluation Program.

    DTIC Science & Technology

    1977-03-07

    75-05. 9 0 wU C-7) z C) S.- C)C 40 10 GA’THEFRING CO~l BARGE LIFTING POINT I , I I II I I . . .. .. KI- V~~ PS4 and 5. LCM8 LIFT BEAM IS ENGAGED...design but which could not be delivered in time by the vendor. The attachment of the struts proved to be a time- consuming effort because of too close...actually used in the pretest, the general behavior and characteristics are similar.) C-4 APPENDIX D BREAKBULK CARGO THROUGHPUT OPERATIONS As an adjunct to

  6. NASA Spacecraft Views Aftermath of Texas Floods

    NASA Image and Video Library

    2015-06-02

    The torrential rains that lashed Texas in late May 2015 caused widespread flooding and devastation. Now that skies have partially cleared, evidence of the excessive water can still be seen in this image, acquired June 1, 2015 by the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) instrument on NASA's Terra spacecraft. Located south of San Antonio, the Nueces River was one of many that overflowed its banks, sending water into adjacent fields and towns. The image covers an area of 23 by 13 miles (37 by 21 kilometers), and is located at 28.2 degrees north, 99 degrees west. http://photojournal.jpl.nasa.gov/catalog/PIA19681

  7. The application of the airship to regions lacking in transport infrastructure

    NASA Technical Reports Server (NTRS)

    Coughlin, S.

    1975-01-01

    The requirements for two areas of airship application are considered. The first of these are those countries where there is a need to move consignments that are too large for the existing transport systems; the second are those regions where ground characteristics have resulted in an area totally devoid of transport. The needs of the second group are considered in detail since they also require transport to provide social as well as economic growth. With this problem in mind, a philosophy is put forward for using airships in conjunction with LASH vessels. A specimen design is outlined and the initial costs estimated.

  8. Cuba's 100-year plan for climate change

    NASA Astrophysics Data System (ADS)

    Stone, Richard

    2018-01-01

    On its deadly run through the Caribbean last September, Hurricane Irma lashed northern Cuba, inundating coastal settlements and scouring away vegetation. Irma lent new urgency to a Cuban national plan, called Tarea Vida, or Project Life, that bans construction of new homes in threatened coastal areas, mandates relocating people from communities doomed by rising sea levels, calls for an overhaul of the country's agricultural system to shift crop production away from saltwater-contaminated areas, and spells out the need to shore up coastal defenses, including by restoring degraded habitat. Project Life stands out for taking a long view: It intends to prepare Cuba for climatological impacts over the next century. Much of the initial funding could come from a $100 million proposal that Cuba plans to submit soon to the Global Climate Fund.

  9. From natural bone grafts to tissue engineering therapeutics: Brainstorming on pharmaceutical formulative requirements and challenges.

    PubMed

    Baroli, Biancamaria

    2009-04-01

    Tissue engineering is an emerging multidisciplinary field of investigation focused on the regeneration of diseased or injured tissues through the delivery of appropriate molecular and mechanical signals. Therefore, bone tissue engineering covers all the attempts to reestablish a normal physiology or to speed up healing of bone in all musculoskeletal disorders and injuries that are lashing modern societies. This article attempts to give a pharmaceutical perspective on the production of engineered man-made bone grafts that are described as implantable tissue engineering therapeutics, and to highlight the importance of understanding bone composition and structure, as well as osteogenesis and bone healing processes, to improve the design and development of such implants. In addition, special emphasis is given to pharmaceutical aspects that are frequently minimized, but that, instead, may be useful for formulation developments and in vitro/in vivo correlations.

  10. [Aplasia of the posterior arch of the atlas--report on two cases].

    PubMed

    Nakamura, T; Kadoya, S; Itoh, S; Kwak, R; Suzuki, T; Satoh, S

    1987-02-01

    Two cases of aplasia of the posterior arch of the atlas incidentally found are reported. Case 1: A 37-year-old man hit the forehead and the right mandible against the front glass at a head-on collision of his car and was brought to the emergency room. He was alert and neurologically normal except for multiple incision wounds with glass fragments in the face. CT, and cervical X-rays revealed total absence of the posterior arch of the atlas. Case 2: A 73-year-old woman, who sustained whip lash injury at an automobile accident, was admitted several hours after injury, complaining of neck and occipital pain. No neurological deficit was seen. CT demonstrated hemi-aplasia of the posterior arch of the atlas and isolated rudimentary posterior tubercle. Review of the literature and discussions were made on the incidence and genesis of this anomaly.

  11. The NASA Thunderstorm Observations and Research (ThOR) Mission: Lightning Mapping from Space to Improve the Short-term Forecasting of Severe Storms

    NASA Technical Reports Server (NTRS)

    Goodman, S. J.; Christian, H. J.; Boccippio, D. J.; Koshak, W. J.; Cecil, D. J.; Arnold, James E. (Technical Monitor)

    2002-01-01

    The ThOR mission uses a lightning mapping sensor in geostationary Earth orbit to provide continuous observations of thunderstorm activity over the Americas and nearby oceans. The link between lightning activity and cloud updrafts is the basis for total lightning observations indicating the evolving convective intensification and decay of storms. ThOR offers a national operational demonstration of the utility of real-time total lightning mapping for earlier and more reliable identification of potentially severe and hazardous storms. Regional pilot projects have already demonstrated that the dominance in-cloud lightning and increasing in-cloud lash rates are known to precede severe weather at the surface by tens of minutes. ThOR is currently planned for launch in 2005 on a commercial or research satellite. Real-time data will be provided to selected NWS Weather Forecast Offices and National Centers (EMC/AWC/SPC) for evaluation.

  12. Hurricane Fred Lashes the Cape Verde Islands

    NASA Image and Video Library

    2017-12-08

    Hurricane Fred is bringing very heavy rains to the Cape Verde Islands. From the National Hurricane Center's Hurricane Fred Forecast Discussion: "According to the official Atlantic tropical cyclone record, which begins in 1851, Fred is the first hurricane to pass through the Cape Verde Islands since 1892. We caution, however, that the database is less reliable prior to the satellite era (mid 1960s onward)." This image was taken by GOES East on August 31, 2015. Credit: NASA/NOAA via NOAA Environmental Visualization Laboratory 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 Credit: NOAA/NASA GOES Project

  13. A high-stability scanning tunneling microscope achieved by an isolated tiny scanner with low voltage imaging capability.

    PubMed

    Wang, Qi; Hou, Yubin; Wang, Junting; Lu, Qingyou

    2013-11-01

    We present a novel homebuilt scanning tunneling microscope (STM) with high quality atomic resolution. It is equipped with a small but powerful GeckoDrive piezoelectric motor which drives a miniature and detachable scanning part to implement coarse approach. The scanning part is a tiny piezoelectric tube scanner (industry type: PZT-8, whose d31 coefficient is one of the lowest) housed in a slightly bigger polished sapphire tube, which is riding on and spring clamped against the knife edges of a tungsten slot. The STM so constructed shows low back-lashing and drifting and high repeatability and immunity to external vibrations. These are confirmed by its low imaging voltages, low distortions in the spiral scanned images, and high atomic resolution quality even when the STM is placed on the ground of the fifth floor without any external or internal vibration isolation devices.

  14. Thelazia callipaeda infestation in Bangladesh: a case report.

    PubMed

    Akhanda, A H; Akonjee, A R; Hossain, M M; Rahman, M A; Mishu, F A; Hasan, M F; Akhanda, T H

    2013-07-01

    A 5 years old girl was admitted to Ophthalmology department of Mymensingh Medical College Hospital, Mymensingh with excessive watering, redness and movement of something in her right eye for last 2 months. She had unaided visual acuity- 6/6, matted eye lashes and mucoid discharge in right eye. Follicles were present on the fornices and lower palpebral conjunctiva of the same eye. On eversion of the right upper lid there were silicon tube like coiled moving structures seen at the lateral part of the upper fornics. Six nematodes were seen in the upper fornics around the duct of lacrimal glands. After removing the nematodes, one specimen was sent to parasitology department of Bangladesh Agriculture University for species identification. They reported that sending specimen is an adult "Thelazia Callipaeda". By the present study, the presence of human ocular T. callipaeda infestation is second reported case in Bangladesh. Ophthalmologists should be aware about parasitic infestation of conjunctiva.

  15. Shadow casted by a Konoplya-Zhidenko rotating non-Kerr black hole

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

    Wang, Mingzhi; Chen, Songbai; Jing, Jiliang, E-mail: wmz9085@126.com, E-mail: csb3752@hunnu.edu.cn, E-mail: jljing@hunnu.edu.cn

    We have investigated the shadow of a Konoplya-Zhidenko rotating non-Kerr black hole with an extra deformation parameter. The spacetime structure arising from the deformed parameter affects sharply the black hole shadow. With the increase of the deformation parameter, the size of the shadow of black hole increase and its shape becomes more rounded for arbitrary rotation parameter. The D-shape shadow of black hole emerges only in the case a <2√3/3\\, M with the proper deformation parameter. Especially, the black hole shadow possesses a cusp shape with small eye lashes in the cases with a >M, and the shadow becomes lessmore » cuspidal with the increase of the deformation parameter. Our result show that the presence of the deformation parameter yields a series of significant patterns for the shadow casted by a Konoplya-Zhidenko rotating non-Kerr black hole.« less

  16. Socio-demographic and behavioural correlates of oral hygiene status and oral health related quality of life, the Limpopo - Arusha school health project (LASH): A cross-sectional study

    PubMed Central

    2010-01-01

    Background Promoting oral health of adolescents is important for improvement of oral health globally. This study used baseline-data from LASH-project targeting secondary students to; 1) assess frequency of poor oral hygiene status and oral impacts on daily performances, OIDP, by socio-demographic and behavioural characteristics, 2) examine whether socio-economic and behavioural correlates of oral hygiene status and OIDP differed by gender and 3) examine whether socio-demographic disparity in oral health was explained by oral health-related behaviours. Methods Cross-sectional study was conducted in 2009 using one-stage cluster sampling design. Total of 2412 students (mean age 15.2 yr) completed self-administered questionnaires, whereas 1077 (mean age 14.9 yr) underwent dental-examination. Bivariate analyses were conducted using cross-tabulations and chi-square statistics. Multiple variable analyses were conducted using stepwise standardized logistic regression (SLR) with odds ratios and 95% Confidence intervals (CI). Results 44.8% presented with fair to poor OHIS and 48.2% reported any OIDP. Older students, those from low socio-economic status families, had parents who couldn't afford dental care and had low educational-level reported oral impacts, poor oral hygiene, irregular toothbrushing, less dental attendance and fewer intakes of sugar-sweetened drinks more frequently than their counterparts. Stepwise logistic regression revealed that reporting any OIDP was independently associated with; older age-groups, parents do not afford dental care, smoking experience, no dental visits and fewer intakes of sugar-sweetened soft drinks. Behavioural factors accounted partly for association between low family SES and OIDP. Low family SES, no dental attendance and smoking experience were most important in males. Low family SES and fewer intakes of sugar-sweetened soft drinks were the most important correlates in females. Socio-behavioural factors associated with higher odds ratios for poor OHIS were; older age, belonging to the poorest household category and having parents who did not afford dental care across both genders. Conclusion Disparities in oral hygiene status and OIDP existed in relation to age, affording dental care, smoking and intake of sugar sweetened soft drinks. Gender differences should be considered in intervention studies, and modifiable behaviours have some relevance in reducing social disparity in oral health. PMID:21118499

  17. The outcast-lash-out effect in youth: alienation increases aggression following peer rejection.

    PubMed

    Reijntjes, Albert; Thomaes, Sander; Bushman, Brad J; Boelen, Paul A; de Castro, Bram Orobio; Telch, Michael J

    2010-10-01

    Although there are good theoretical reasons to believe that youth who are high in alienation (i.e., estranged from society, significant others, and themselves) are prone to behave aggressively, empirical evidence is lacking. The present experiment tested whether alienation moderates the effects of acute peer rejection on aggression in youth. Participants (N = 121; mean age = 11.5 years) completed a personal profile (e.g., "How do you describe yourself?") that was allegedly evaluated online by a panel of peer judges. After randomly receiving negative or positive feedback from peer judges, participants were given the opportunity to aggress against them (i.e., by reducing their monetary reward and by posting negative comments about them online). As predicted, alienation increased participants' aggression against peers who had rejected them, but not against peers who had praised them, even after controlling for peer-nominated chronic rejection and peer-nominated aggression. Thus, alienated youth are more aggressive than others when they experience acute peer rejection.

  18. [Ocular complication in children with Stevens-Johnson syndrome].

    PubMed

    Gotz-Wieckowska, Anna; Bernardczyk-Meller, Jadwiga; Rakowicz, Piotr

    2003-01-01

    Presentation of serious cases of Stevens-Johnson syndrome (SJS) with acute and chronic ocular manifestations and methods of their treatment. 3 children aged between 6 to 12 years. Follow-up time was from 5, months up to 6 years. CONSERVATIVE TREATMENT WAS: Symblepharon massage, topical antibiotics, steroids, artificial tears. In chronic stage mitomycin C as eye drops was use in one case. Surgical treatment--intubation of lacrimal ducts and removal of eye lashes were performed in 2 cases. In 2 cases, in which ophthalmological therapy was introduced very early, the results of treatment were very good. In one case with corneal neovascularization and posterior lid margin keratinization, the results of treatment were not satisfactory. 1. The children with SJS should be treated by ophthalmologists as soon as possible. 2. Some pathological changes of conjunctiva, cornea and lacrimal ducts disappeared after few weeks of intensive topical therapy often. 3. The results of treatment of cicatrical changes of lids, conjunctiva and neovascularization of the cornea were not satisfactory.

  19. Effects on behaviour and rein tension on horses ridden with or without martingales and rein inserts.

    PubMed

    Heleski, C R; McGreevy, P D; Kaiser, L J; Lavagnino, M; Tans, E; Bello, N; Clayton, H M

    2009-07-01

    Unsteady hand position can cause discomfort to the horse, potentially leading to conflict behaviours (CB) such as head tossing or tail lashing. Some instructors feel that martingales or elastic rein inserts can reduce discomfort caused by inexperienced and unsteady hands. Others consider these devices to be inappropriate 'crutches'. Four horses and nine riders were tested under three conditions in random order: plain reins, adjustable training martingales (TM), and elasticised rein inserts (RI). Rein-tension data (7s) and behavioural data (30s) were collected in each direction. Rein-tension data were collected via strain-gauge transducers. Behavioural data were assessed using an ethogram of defined behaviours. No differences in the number of CB were observed. Mean rein tension for TM was higher than that of RI or controls. Relative to the withers, the head was lower for horses ridden with martingales. Carefully fitted martingales may have a place in riding schools that teach novices.

  20. Diagnosing and treating Phthirus pubis palpebrarum.

    PubMed

    Couch, J M; Green, W R; Hirst, L W; de la Cruz, Z C

    1982-01-01

    Phthiriasis palpebrarum is an uncommon cause of blepharitis and conjunctivitis and may easily be overlooked. A high index of suspicion and careful examination of the patient's lid margins and eyelashes will lead to the proper diagnosis. Treatment is best accomplished by careful removal of the lice and nits (louse eggs) from the patient's lashes. Local application of a pediculocide such as yellow mercuric oxide N.F. 1% ophthalmic ointment applied twice daily for one week or 0.25% physostigmine (Eserine) ointment applied twice daily for a minimum of ten days, to the lid margins should be considered when the total removal of Phthirus pubis and nits is not possible mechanically. Body hair should be examined for infestation with lice and treated with gamma benzene hexachloride shampoo. This medication should be used with caution in infants, children and pregnant women. Family members, sexual contacts, and close companions should be examined and treated appropriately; clothing, linen and personal items should be disinfected with heat of 50 degrees C for 30 minutes.

  1. Cervicogenic headache: a critical review of the current diagnostic criteria.

    PubMed

    Leone, M; D'Amico, D; Grazzi, L; Attanasio, A; Bussone, G

    1998-10-01

    Opinions are divided on the use of the term cervicogenic headache (CGH) in cases with no evidence of cervical damage. According to Sjaastad et al. (1990), CGH is diagnosed from three features: (1) unilateral headache triggered by head/neck movements or posture; (2) unilateral headache triggered by pressure on the neck; (3) unilateral headache spreading to the neck and the homolateral shoulder/arm. Other characteristics are not essential for CGH diagnosis, including pain improvement after greater occipital nerve (GON)/C2 block. However, other authors give different definitions of CGH, and this may explain why reported frequencies for this headache vary so widely. In this paper we critically review the major diagnostic criteria of Sjaastad et al. for CGH in the light of clinical studies conducted at our institute and other literature findings. In a study of 500 headaches we found only two patients with unilateral headache triggered by head/ neck movements or posture, and no cases of neck pressure-induced headache. No clear-cut criteria are given in the literature for differentiating CGH trigger points from myofascial trigger points. In another study of 440 primary headache patients we found that in the unilateral long-lasting headache group (64 migraines and 10 tension-type headaches), a pain involving the occiput/neck was present in 30 migraine and seven tension headache patients; thus, according to the CGH major criteria, 10% (30/307) of 'migraines' and 7% (7/96) of 'tension headaches' could be diagnosed as CGH. However, one cannot exclude that the association of unilateral pain with posterior irradiation is due to the high prevalence of migraine, tension-type headache and chronic neck pain. The relation between CGH and whip-lash injury has been put in doubt by a recent study which found no difference in headache frequency between trauma and control groups and reported no specific headache pattern in the trauma group. Other reports suggest that, when it occurs, CGH usually disappears within a year of whip-lash, throwing doubt on the appropriateness of surgery for post-traumatic CGH. The lack of specificity of GON/C2 block as a treatment for CGH adds further difficulties to the diagnosis of this headache. We conclude that, although neck structures play a role in the pathophysiology of some headaches, clinical patterns indicating a neck-headache relationship have still not been adequately defined. We believe that further rigorous studies are needed to definitively confirm the validity of CGH as a nosological entity.

  2. A review of preserved and preservative-free prostaglandin analogues for the treatment of open-angle glaucoma and ocular hypertension.

    PubMed

    Hommer, A

    2010-06-01

    Glaucoma affects an increasing number of people worldwide and is the second leading cause of blindness. The aim of antiglaucoma therapy is to maintain a patient's visual function and quality of life. Prostaglandin analogues are first-line topical antiglaucoma therapy. They are effective at lowering intraocular pressure (IOP) and are generally well tolerated, with fewer systemic adverse events compared with the other classes. However, the use of prostaglandin analogues can be associated with ocular adverse effects, such as stinging/burning sensation, dry eyes, iris and periocular hyperpigmentation, and eye lash growth, which can affect patient compliance. Preservatives used in antiglaucoma preparations can have dose-dependent toxic effects, which contribute to adverse effects. The development of preservative-free preparations may reduce such adverse effects and therefore improve patient compliance. Tafluprost is a prostaglandin analogue in a preservative-free formulation that was recently approved for the reduction of elevated IOP in open-angle glaucoma and ocular hypertension. Copyright 2010 Prous Science, S.A.U. or its licensors. All rights reserved.

  3. Reconceptualizing reflexivity and dissonance in professional and personal domains.

    PubMed

    Brooks, Ann

    2008-09-01

    Debates around 'reflexivity' and the construction of the gendered self within late modernity have occupied the attention of both 'reflexive modernization' theorists (Beck, Giddens and Lash 1994; Beck and Beck-Gernsheim 1996; Giddens 1991, 1992) as well as gender and feminist theorists. While theorists such as Beck and Giddens have been preoccupied with establishing the connection between reflexivity and the construction of the 'non-gendered' self, gender and feminist theorists have sought to amplify the debate by exploring the intersecting nexus of contemporary theorizing, more fully within this context. This paper explores the theoretical underpinnings of these debates and their application to specific professional and personal domains. I consider three case studies to assess these issues as outlined in my own work, Brooks 2006, and in the work of Wajcman and Martin 2002, and McDowell 1997, which draw on empirical research and explore changes to gender identity within professional and personal domains. I conclude that there is little evidence in the research presented here of any systematic reconfiguring of gender identities leading to a detraditionalization of gender as suggested by the 'reflexive modernization' theorists.

  4. The inquisitorial trial of a cross-dressing lesbian: reactions and responses to female homosexuality in 18th-century portugal.

    PubMed

    Soyer, François

    2014-01-01

    This article analyzes the inquisitorial trial of Maria Duran, a Catalan novice in the Dominican convent of Nossa Senhora do Paraíso in Portugal. Maria Duran was arrested by the Inquisition in 1741 and, after a lengthy trial, condemned in 1744 to a public lashing and exile. She was suspected of having made a pact with the Devil and was accused by many female witnesses of possessing a "secret penis" that she had allegedly used in her amorous relations with fellow nuns and novices. Her voluminous trial dossier offers a rare and fascinating documentary insight into the often extreme reactions that female homosexuality provoked from both men and women in early modern Portugal. Using the evidence offered by the 18th-century trial of Maria Duran, this article highlights female bewilderment when faced with female-on-female sexual violence and the difficulty that men (in this case, churchmen) had coming to terms with the existence of female homosexuality. It also discusses the case in light of the acts/identity debate among historians of the history of sexuality.

  5. Solar energy collector including a weightless balloon with sun tracking means

    DOEpatents

    Hall, Frederick F.

    1978-01-01

    A solar energy collector having a weightless balloon, the balloon including a transparent polyvinylfluoride hemisphere reinforced with a mesh of ropes secured to its outside surface, and a laminated reflector hemisphere, the inner layer being clear and aluminized on its outside surface and the outer layer being opaque, the balloon being inflated with lighter-than-air gas. A heat collection probe extends into the balloon along the focus of reflection of the reflective hemisphere for conducting coolant into and out of the balloon. The probe is mounted on apparatus for keeping the probe aligned with the sun's path, the apparatus being founded in the earth for withstanding wind pressure on the balloon. The balloon is lashed to the probe by ropes adhered to the outer surface of the balloon for withstanding wind pressures of 100 miles per hour. Preferably, the coolant is liquid sodium-potassium eutectic alloy which will not normally freeze at night in the temperate zones, and when heated to 4,000.degree. R exerts a pressure of only a few atmospheres.

  6. The pleasure of revenge: retaliatory aggression arises from a neural imbalance toward reward

    PubMed Central

    DeWall, C. Nathan

    2016-01-01

    Most of daily life hums along peacefully but provocations tip the balance toward aggression. Negative feelings are often invoked to explain why people lash out after an insult. Yet people might retaliate because provocation makes aggression hedonically rewarding. To test this alternative hypothesis, 69 participants underwent functional neuroimaging while they completed a behavioral aggression task that repeatedly manipulated whether aggression was preceded by an instance of provocation or not. After provocation, greater activity in the nucleus accumbens (NAcc) (a brain region reliably associated with reward) during aggressive decisions predicted louder noise blasts administered in retaliation. Greater NAcc activation was also associated with participants’ history of real-world violence. Functional connectivity between the NAcc and a regulatory region in the lateral prefrontal cortex related to lower retaliatory aggression. These findings suggest that provocation tips the neural balance towards hedonic reward, which fosters retaliatory aggression. Although such pleasure of inflicting pain may promote retaliatory aggression, self-regulatory processes can keep such aggressive urges at bay. Implications for theory and violence reduction are discussed. PMID:26117504

  7. An Indispensable Ingredient: Flight Research and Aircraft Design

    NASA Technical Reports Server (NTRS)

    Gorn, Michael H.

    2003-01-01

    Flight research-the art of flying actual vehicles in the atmosphere in order to collect data about their behavior-has played a historic and decisive role in the design of aircraft. Naturally, wind tunnel experiments, computational fluid dynamics, and mathematical analyses all informed the judgments of the individuals who conceived of new aircraft. But flight research has offered moments of realization found in no other method. Engineer Dale Reed and research pilot Milt Thompson experienced one such epiphany on March 1, 1963, at the National Aeronautics and Space Administration s Dryden Flight Research Center in Edwards, California. On that date, Thompson sat in the cockpit of a small, simple, gumdrop-shaped aircraft known as the M2-F1, lashed by a long towline to a late-model Pontiac Catalina. As the Pontiac raced across Rogers Dry Lake, it eventually gained enough speed to make the M2-F1 airborne. Thompson braced himself for the world s first flight in a vehicle of its kind, called a lifting body because of its high lift-to-drag ratio. Reed later recounted what he saw:

  8. Performance Comparison of Four SolarWorld Module Technologies at the US DOE Regional Test Center in New Mexico: November 2016 - March 2017.

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

    Burnham, Laurie; Lave, Matthew Samuel; Stein, Joshua

    This report provides a preliminary (three month) analysis for the SolarWorld system installed at the New Mexico Regional Test Center (RTC.) The 8.7kW, four-string system consists of four module types): bifacial, mono-crystalline, mono-crystalline glass-glass and polycrystalline. Overall, the SolarWorld system has performed well to date: most strings closely match their specification-sheet module temperature coefficients and Sandia 's f lash tests show that Pmax values are well within expectations. Although the polycrystalline modules underperformed, the results may be a function of light exposure, as well as mismatch within the string, and not a production flaw. The instantaneous bifacial gains for SolarWorldmore » 's Bisun modules were modest but it should be noted that the RTC racking is not optimized for bifacial modules, nor is albedo optimized at the site. Additional analysis, not only of the SolarWorld installation in New Mexico but of the SolarWorld installations at the Vermont and Florida RTCs will be provide much more information regarding the comparative performance of the four module types.« less

  9. Management of epiblepharon: state of the art.

    PubMed

    Woo, Kyung In; Kim, Yoon-Duck

    2016-09-01

    Epiblepharon is prevalent in East-Asian children. As the population in Asia is increasing, so is the demand for epiblepharon surgery. Surgeons should be familiar with the standards of beauty and needs of Asian people for epiblepharon management. This review provides a comprehensive summary of the published studies on the clinical manifestations, pathophysiology, and management of epiblepharon. Astigmatism is prevalent in epiblepharon patients, which can contribute to amblyopia. Early surgery and visual rehabilitation is important for epiblepharon patients with a high degree of astigmatism and amblyopia. Various etiologic factors play a role in the pathophysiology of epiblepharon. Surgical procedures focusing on creation of a lower eyelid crease have been popular for treating epiblepharon in Western textbooks; however, this is not appropriate for Asian patients in whom, a crease may be undesirable. In selecting surgical methods, it is important to resect a minimal amount of skin-muscle to avoid the adverse effects of ectropion and eyelid retraction. Although epiblepharon may resolve with facial growth, surgical correction is needed for cases in which there is significant corneal injury from the lash touch. Surgical management should focus on techniques that are effective, with little chance of complication, and do not create a lower eyelid crease.

  10. Full-scale measurements and system identification on Sutong cable-stayed bridge during Typhoon Fung-Wong.

    PubMed

    Wang, Hao; Tao, Tianyou; Guo, Tong; Li, Jian; Li, Aiqun

    2014-01-01

    The structural health monitoring system (SHMS) provides an effective tool to conduct full-scale measurements on existing bridges for essential research on bridge wind engineering. In July 2008, Typhoon Fung-Wong lashed China and hit Sutong cable-stayed bridge (SCB) in China. During typhoon period, full-scale measurements were conducted to record the wind data and the structural vibration responses were collected by the SHMS installed on SCB. Based on the statistical method and the spectral analysis technique, the measured data are analyzed to obtain the typical parameters and characteristics. Furthermore, this paper analyzed the measured structural vibration responses and indicated the vibration characteristics of the stay cable and the deck, the relationship between structural vibrations and wind speed, the comparison of upstream and downstream cable vibrations, the effectiveness of cable dampers, and so forth. Considering the significance of damping ratio in vibration mitigation, the modal damping ratios of the SCB are identified based on the Hilbert-Huang transform (HHT) combined with the random decrement technique (RDT). The analysis results can be used to validate the current dynamic characteristic analysis methods, buffeting calculation methods, and wind tunnel test results of the long-span cable-stayed bridges.

  11. Full-Scale Measurements and System Identification on Sutong Cable-Stayed Bridge during Typhoon Fung-Wong

    PubMed Central

    Tao, Tianyou; Li, Aiqun

    2014-01-01

    The structural health monitoring system (SHMS) provides an effective tool to conduct full-scale measurements on existing bridges for essential research on bridge wind engineering. In July 2008, Typhoon Fung-Wong lashed China and hit Sutong cable-stayed bridge (SCB) in China. During typhoon period, full-scale measurements were conducted to record the wind data and the structural vibration responses were collected by the SHMS installed on SCB. Based on the statistical method and the spectral analysis technique, the measured data are analyzed to obtain the typical parameters and characteristics. Furthermore, this paper analyzed the measured structural vibration responses and indicated the vibration characteristics of the stay cable and the deck, the relationship between structural vibrations and wind speed, the comparison of upstream and downstream cable vibrations, the effectiveness of cable dampers, and so forth. Considering the significance of damping ratio in vibration mitigation, the modal damping ratios of the SCB are identified based on the Hilbert-Huang transform (HHT) combined with the random decrement technique (RDT). The analysis results can be used to validate the current dynamic characteristic analysis methods, buffeting calculation methods, and wind tunnel test results of the long-span cable-stayed bridges. PMID:24995367

  12. Defusing the angry patient: 25 tips.

    PubMed

    Hills, Laura

    2010-01-01

    Just about every member of the medical practice team will be, at one time or another, on the receiving end of a patient's anger. That's because even the calmest and gentlest patients can reach their boiling point when illness or injury threatens their health, mobility, independence, finances, self-esteem, dreams, and plans. Tempers are also likely to flair whenever anyone is frightened, not feeling well, and/or feeling out of control. Unfortunately, the quick pace of today's medical practice doesn't help much, as time for active listening and individual attention may be in less supply than we'd ideally like. This article offers 25 strategies the medical practice employee can use to defuse the angry patient. Among these are eight focus and mindset strategies to use before taking action, five strategies to use to take immediate control, seven early intervention strategies, and five resolution and closure strategies. This article also includes guidance about choosing an appropriate and safe venue within the medical practice for discussions with angry patients. It also describes why, specifically, it is in every medical practice's self-interest to welcome complaints from its patients, even those who lash out in anger.

  13. Interventions for trachoma trichiasis

    PubMed Central

    Burton, Matthew; Habtamu, Esmael; Ho, Derek; Gower, Emily W

    2015-01-01

    Background Trachoma is the leading infectious cause of blindness. The World Health Organization (WHO) recommends eliminating trachomatous blindness through the SAFE strategy: Surgery for trichiasis, Antibiotic treatment, Facial cleanliness and Environmental hygiene. This is an update of a Cochrane review first published in 2003, and previously updated in 2006. Objectives To assess the effects of interventions for trachomatous trichiasis for people living in endemic settings. Search methods We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (2015, Issue 4), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to May 2015), EMBASE (January 1980 to May 2015), the ISRCTN registry (http://www.isrctn.com/editAdvancedSearch), http://ClinicalTrials.gov (http://www.clinicaltrials.gov) and the WHO International Clinical Trials Registry Platform (ICTRP) (http://www.who.int/ictrp/search/en). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 7 May 2015. We searched the reference lists of included studies to identify further potentially relevant studies. We also contacted authors for details of other relevant studies. Selection criteria We included randomised trials of any intervention intended to treat trachomatous trichiasis. Data collection and analysis Three review authors independently selected and assessed the trials, including the risk of bias. We contacted trial authors for missing data when necessary. Our primary outcome was post-operative trichiasis which was defined as any lash touching the globe at three months, one year or two years after surgery. Main results Thirteen studies met the inclusion criteria with 8586 participants. Most of the studies were conducted in sub-Saharan Africa. The majority of the studies were of a low or unclear risk of bias. Five studies compared different surgical interventions. Most surgical interventions were performed by non-physician technicians. These trials suggest the most effective surgery is full-thickness incision of the tarsal plate and rotation of the terminal tarsal strip. Pooled data from two studies suggested that the bilamellar rotation was more effective than unilamellar rotation (OR 0.29, 95% CI 0.16 to 0.50). Use of a lid clamp reduced lid contour abnormalities (OR 0.65, 95% CI 0.44 to 0.98) and granuloma formation (OR 0.67, 95% CI 0.46 to 0.97). Absorbable sutures gave comparable outcomes to silk sutures (OR 0.90, 95% CI 0.68 to 1.20) and were associated with less frequent granuloma formation (OR 0.63, 95% CI 0.40 to 0.99). Epilation was less effective at preventing eyelashes from touching the globe than surgery for mild trichiasis, but had comparable results for vision and corneal change. Peri-operative azithromycin reduced post-operative trichiasis; however, the estimate of effect was imprecise and compatible with no effect or increased trichiasis (OR 0.85, 95% CI 0.63 to 1.14; 1954 eyes; 3 studies). Community-based surgery when compared to health centres increased uptake with comparable outcomes. Surgery performed by ophthalmologists and integrated eye care workers was comparable. Adverse events were typically infrequent or mild and included rare postoperative infections, eyelid contour abnormalities and conjunctival granulomas. Authors' conclusions No trials were designed to evaluate whether the interventions for trichiasis prevent blindness as an outcome; however, several found modest improvement in vision following intervention. Certain interventions have been shown to be more effective at eliminating trichiasis. Full-thickness incision of the tarsal plate and rotation of the lash-bearing lid margin was found to be the best technique and is preferably delivered in the community. Surgery may be carried out by an ophthalmologist or a trained ophthalmic assistant. Surgery performed with silk or absorbable sutures gave comparable results. Post-operative azithromycin was found to improve outcomes where overall recurrence was low. PLAIN LANGUAGE SUMMARY Interventions for trachomatous trichiasis Review question This review addressed the question: "Which interventions improve the results of the treatment for trichiasis (in-turned eyelashes) caused by trachoma?" Background Trachoma is the commonest infectious cause of blindness in the world. It is caused by a bacterium called Chlamydia trachomatis. This infection causes inflammation and scarring of the surface of the eye, which results in the eyelid turning in (entropion) so that the eyelashes touch the eyeball. This is known as trachomatous trichiasis. The lashes can scratch the corneal surface, leading directly or indirectly (from secondary infections) to corneal opacity. Surgery to correct the eyelid deformity is the main treatment for the late stages of the disease. Most cases of trachomatous trichiasis occur in sub-Saharan Africa. They are generally treated by nurses with limited surgical training. Unfortunately the results of the surgery can be quite variable, with frequent post-operative trichiasis reported. Therefore, we wanted to find out what types of surgery and other interventions give the best results in treating this condition. Study characteristics We identified 13 randomised controlled trials. They were all conducted in trachoma-endemic countries (mostly in sub-Saharan Africa) with surgical interventions carried out by non-physician surgeons. Five studies compared different surgical treatments. Three studies investigated whether azithromycin antibiotic treatment after surgery improves the results. One study compared different types of sutures. One study compared surgery to the pulling out of eyelashes (epilation). One study compared the outcomes of treatments provided in the community with hospital care. One study compared the results of surgery performed by eye doctors with those of non-specialist technicians. The evidence is current to May 2015. Most studies were funded by government research councils or charitable foundations. Key results These trials suggested that the most effective surgery requires full-thickness incision of the tarsal plate and rotation of the edge of the eyelid. The use of a surgical lid clamp improves eyelid contour outcomes and reduces granuloma formation. Silk and absorbable sutures give comparable results. The addition of azithromycin treatment at the time of surgery may reduce post-operative trichiasis under certain conditions. Epilation is less effective than surgery at treating trichiasis, but has comparable results for vision and corneal change two years after intervention. Community-based surgery was more convenient for patients by reducing the time and expense of travelling to a conventional hospital, and it did not increase the risk of complications or recurrence. Surgery performed by ophthalmologists and by integrated eye care workers were both similarly effective. Destroying the lash roots by freezing or electrical ablation appeared to have low success rates and the equipment required is costly and can be difficult to maintain. Quality of the evidence The quality of the evidence from these randomised controlled trials was variable. Most were of a high quality. However, several were relatively small in size and several had potential bias problems due to the method of randomisation and masking. PMID:26568232

  14. Treatment options for demodex blepharitis: patient choice and efficacy.

    PubMed

    Hirsch-Hoffmann, S; Kaufmann, C; Bänninger, P B; Thiel, M A

    2015-04-01

    Demodex mites are microscopic parasites that live around hair follicles or sebaceous glands and may cause chronic blepharitis. The aim of this outcome analysis was to assess the efficacy and patient preferences with regard to the currently recommended treatment options. All patients with microscopic evidence for Demodex blepharitis were informed about the currently published treatments and instructed about daily lid hygiene. Additional topical treatment options included tea tree oil (TTO) 5%, a cleansing foam containing 0.02% TTO (Naviblef®), and metronidazole 2% ointment. Systemic treatment options included oral ivermectin 6 mg on day 1 and 14 and metronidazole 500 mg twice daily for 10 days. All patients were reviewed after 2 months for symptoms and for a mite count on 10 epilated lashes. Ninety-four of 96 patients with Demodex blepharitis opted for an additional treatment. The mean mite count after 2 months of treatment were 13.3 with 5% TTO (n=6), 12.0 with 0.02% TTO (n=38), 9.4 with metronidazole ointment (n=5), 12.8 with ivermectin (n=27) and 22.0 with oral metronidazole (n=5). While there are several published treatment options available, none of these options seem to be clearly effective in Demodex blepharitis. Georg Thieme Verlag KG Stuttgart · New York.

  15. Demodex sp. as a Potential Cause of the Abandonment of Soft Contact Lenses by Their Existing Users

    PubMed Central

    Tarkowski, Witold; Moneta-Wielgoś, Joanna; Młocicki, Daniel

    2015-01-01

    Demodex mites may be a potential etiological factor in the development of various eye and skin disorders. The aim of the study was to investigate the presence of Demodex in the hair follicles of eyelashes and their potential influence on abandoning soft contact lenses which had been previously well tolerated by their users. A group of 62 users of contact lenses (28 with emerging discomfort and 34 without discomfort) were examined. There is a need to check the existence of a relationship between D. folliculorum or/and D. brevis infestation and the emergence of intolerance to the presence of soft contact lenses. The removed lashes were examined under light microscopy, applying standard parasitological methods if demodicosis is suspected. A positive result was assumed if at least one adult stage, larva, protonymph/nymph, or egg of D. folliculorum and/or D. brevis was present. A positive correlation was observed between the presence of Demodex and intolerance to contact lenses by their existing users (p < 0.05), and Demodex sp. infections were observed in 92.86% of patients with intolerance to contact lenses. Our results provide further evidence for the pathogenic role played by the mites in the development of eye diseases. PMID:26290865

  16. Impacts on the deep-sea ecosystem by a severe coastal storm.

    PubMed

    Sanchez-Vidal, Anna; Canals, Miquel; Calafat, Antoni M; Lastras, Galderic; Pedrosa-Pàmies, Rut; Menéndez, Melisa; Medina, Raúl; Company, Joan B; Hereu, Bernat; Romero, Javier; Alcoverro, Teresa

    2012-01-01

    Major coastal storms, associated with strong winds, high waves and intensified currents, and occasionally with heavy rains and flash floods, are mostly known because of the serious damage they can cause along the shoreline and the threats they pose to navigation. However, there is a profound lack of knowledge on the deep-sea impacts of severe coastal storms. Concurrent measurements of key parameters along the coast and in the deep-sea are extremely rare. Here we present a unique data set showing how one of the most extreme coastal storms of the last decades lashing the Western Mediterranean Sea rapidly impacted the deep-sea ecosystem. The storm peaked the 26(th) of December 2008 leading to the remobilization of a shallow-water reservoir of marine organic carbon associated with fine particles and resulting in its redistribution across the deep basin. The storm also initiated the movement of large amounts of coarse shelf sediment, which abraded and buried benthic communities. Our findings demonstrate, first, that severe coastal storms are highly efficient in transporting organic carbon from shallow water to deep water, thus contributing to its sequestration and, second, that natural, intermittent atmospheric drivers sensitive to global climate change have the potential to tremendously impact the largest and least known ecosystem on Earth, the deep-sea ecosystem.

  17. CLINICAL EVALUATION OF THE RAPID ACCESS VITREAL INJECTION GUIDE: A Handheld Instrument for Assisting Intravitreal Injections.

    PubMed

    Han, Dennis P; McKenney, Kaitlin C; Kim, Judy E; Weinberg, David V; Musch, David C; Singh, Ravi S J

    2017-04-01

    The Rapid Access Vitreal Injection (RAVI) guide combines the function of an eyelid speculum and measuring caliper into a single instrument for assisting intravitreal injections. This study clinically evaluated the RAVI guide with respect to patient acceptance, complication rates, and operative goals. A prospective study was performed on 54 patients undergoing intravitreal injections using the RAVI guide (n = 32) or the speculum/caliper (n = 22). Device-related pain was assessed using the Wong-Baker scoring system, scaled from 0 (no pain) to 10 (agonizing pain). Mean device-related pain score did not differ significantly between the 2 groups, with scores of 0.6 and 0.7 for the RAVI guide and speculum groups, respectively. The rate of significant pain (score of ≥2) was twice as high in the speculum group (7 of 22, 32%) compared with the RAVI guide group (5 of 32, 16%), but this difference was not statistically significant (P = 0.19, Fisher's exact test). Operative goals of avoiding needle touch to lashes/lids and guiding needle insertion to the intended site were achieved in all patients. The RAVI guide appeared equivalent to the eyelid speculum in achieving operative goals, with similarly low pain scores. It has the potential for facilitating efficient, accurate, and safe intravitreal injections.

  18. Ophthalmic manifestations in patients with ectodermal dysplasia syndromes.

    PubMed

    Keklikci, Ugur; Yavuz, Izzet; Tunik, Selcuk; Ulku, Zelal Baskan; Akdeniz, Sedat

    2014-01-01

    Ectodermal dysplasia (ED) is a disorder that results from abnormal formation of at least two of the four major ectodermal derivatives in the developing embryo. The ectoderm of the embryo forms the skin, teeth, hair and nails, sweat glands and part of the eyes. The aim of this article is to reveal ophthalmologic symptoms and signs as multidisciplinary, reliable criteria for ectodermal dysplasia. In this retrospective study, 24 patients with ED were analyzed from the recorded data. Ophthalmological examination of the patients, who had previously received the diagnosis of ED in the dental department, was done. During the examination, ocular symptoms related to tear film, corneal changes, lacrimal duct, periorbital hyperpigmentation, alteration lashes and eyebrows were evaluated. The age ranged between 3-45, and the mean and standard deviation (Mean ± SD) was 15.8 ± 7.4 years. The number of males was 13 (54.2%) and females, 11 (45.8%). Eighteen patients (75.0%) suffered from ocular complaints related to the ocular surface. In 11 of the patients with ED, there were dry eye symptoms. While the mean age of cases with eye involvement was 17.5, it was 23.1 in cases with dry eye symptoms. In the study, it was observed that, in patients with ED, ocular complaints, particularly dry eye symptoms, may increase as age advances.

  19. Low dose trichloroethylene alters cytochrome P450 - 2C subfamily expression in the developing chick heart

    PubMed Central

    Makwana, Om; Ahles, Lauren; Lencinas, Alejandro; Selmin, Ornella I.; Runyan, Raymond B.

    2013-01-01

    Trichloroethylene (TCE) is an organic solvent and common environmental contaminant. TCE exposure is associated with heart defects in humans and animal models. Primary metabolism of TCE in adult rodent models is by specific hepatic cytochrome P450 enzymes (Lash et al., 2000). As association of TCE exposure with cardiac defects is in exposed embryos prior to normal liver development, we investigated metabolism of TCE in the early embryo. Developing chick embryos were dosed in ovo with environmentally relevant doses of TCE (8 ppb and 800 ppb) and RNA was extracted from cardiac and extra-cardiac tissue (whole embryo without heart). Real time PCR showed upregulation of CYP2H1 transcripts in response to TCE exposure in the heart. No detectable cytochrome expression was found in extra-cardiac tissue. As seen previously, the dose response was non-monotonic and 8ppb elicited stronger upregulation than 800 ppb. Immunostaining for CYP2C subfamily expression confirmed protein expression and showed localization in both myocardium and endothelium. TCE exposure increased protein expression in both tissues. These data demonstrate that the earliest embryonic expression of phase I detoxification enzymes is in the developing heart. Expression of these CYPs is likely to be relevant to the susceptibility of the developing heart to environmental teratogens. PMID:22855351

  20. A commentary on decision-making and organisational legitimacy in the Risk Society.

    PubMed

    Benn, Suzanne; Brown, Paul; North-Samardzic, Andrea

    2009-04-01

    Key concepts of Risk Society as elaborated by Ulrich Beck and others (Beck, U., 1992 (trans. Mark Ritter). The Risk Society. Sage Publications, London. Beck, U., 1995, Ecological Politics in the Age of Risk. Polity Press, Cambridge. Beck, U., 1999, World Risk Society. Polity Press, Cambridge. Giddens, A., 1994, Beyond Left and Right. Polity Press, Oxford. Beck, U., Giddens, A. and Lash, S., 1994, Reflexive Modernisation: Politics, Tradition and Aesthetics in the Modern Social Order. Stanford University Press, Stanford. Beck, U., Bonss, W. and Lau, C., 2003, Theory, Culture & Society 2003, Sage, London, 20(2), pp. 1-33.) are illuminated though a case study of managed environmental risk, namely the hexachlorobenzene (HCB) controversy at Botany, a southeast suburb of Sydney. We observe the way multiple stakeholder decision-making plays out a number of Risk Society themes, including the emergence of 'unbounded risk' and of highly 'individualised' and 'reflexive' risk communities. Across several decades, the events of the HCB story support Risk Society predictions of legitimacy problems faced by corporations as they harness technoscientific support for innovation in their products and industrial processes without due recognition of social and environmental risk. Tensions involving identity, trust and access to expert knowledge advance our understanding of democratic 'sub-political' decision-making and ways of distributing environmental risk.

  1. Hydroxyurea for sickle cell anemia: What have we learned and what questions still remain?

    PubMed Central

    McGann, Patrick T.; Ware, Russell E.

    2011-01-01

    Purpose of review Sickle cell anemia (SCA) is a well-characterized severe hematological disorder with substantial morbidity and early mortality. Hydroxyurea is a potent inducer of fetal hemoglobin, and evidence over the past 25 years has documented its laboratory and clinical efficacy for both adults and children with SCA. Recent findings The Phase III study of hydroxyurea in infants (BABY HUG) has just been completed and preliminary results indicate equivocal benefits for organ protection during the two-year treatment period, but significant benefits for pain, acute chest syndrome, hospitalizations, and transfusions. Three new reports document the benefits of hydroxyurea on reducing mortality in SCA: two adult trials (LaSHS and MSH) and one pediatric study (Brazilian cohort). Recent results from the HUSTLE protocol suggest minimal genotoxicity or carcinogenicity with long-term hydroxyurea exposure. Summary The potential utility of hydroxyurea for all patients with SCA is clear and indisputable. With decades of accumulated evidence and documented efficacy with an acceptable long-term safety profile, it is time to consider hydroxyurea treatment the standard of care for all young patients with SCA. Exporting our knowledge and experience with hydroxyurea to developing nations with large medical burdens from SCA can help relieve global suffering from this condition. PMID:21372708

  2. Impacts on the Deep-Sea Ecosystem by a Severe Coastal Storm

    PubMed Central

    Sanchez-Vidal, Anna; Canals, Miquel; Calafat, Antoni M.; Lastras, Galderic; Pedrosa-Pàmies, Rut; Menéndez, Melisa; Medina, Raúl; Company, Joan B.; Hereu, Bernat; Romero, Javier; Alcoverro, Teresa

    2012-01-01

    Major coastal storms, associated with strong winds, high waves and intensified currents, and occasionally with heavy rains and flash floods, are mostly known because of the serious damage they can cause along the shoreline and the threats they pose to navigation. However, there is a profound lack of knowledge on the deep-sea impacts of severe coastal storms. Concurrent measurements of key parameters along the coast and in the deep-sea are extremely rare. Here we present a unique data set showing how one of the most extreme coastal storms of the last decades lashing the Western Mediterranean Sea rapidly impacted the deep-sea ecosystem. The storm peaked the 26th of December 2008 leading to the remobilization of a shallow-water reservoir of marine organic carbon associated with fine particles and resulting in its redistribution across the deep basin. The storm also initiated the movement of large amounts of coarse shelf sediment, which abraded and buried benthic communities. Our findings demonstrate, first, that severe coastal storms are highly efficient in transporting organic carbon from shallow water to deep water, thus contributing to its sequestration and, second, that natural, intermittent atmospheric drivers sensitive to global climate change have the potential to tremendously impact the largest and least known ecosystem on Earth, the deep-sea ecosystem. PMID:22295084

  3. Real social analytics: A contribution towards a phenomenology of a digital world.

    PubMed

    Couldry, Nick; Fotopoulou, Aristea; Dickens, Luke

    2016-03-01

    This article argues against the assumption that agency and reflexivity disappear in an age of 'algorithmic power' (Lash 2007). Following the suggestions of Beer (2009), it proposes that, far from disappearing, new forms of agency and reflexivity around the embedding in everyday practice of not only algorithms but also analytics more broadly are emerging, as social actors continue to pursue their social ends but mediated through digital interfaces: this is the consequence of many social actors now needing their digital presence, regardless of whether they want this, to be measured and counted. The article proposes 'social analytics' as a new topic for sociology: the sociological study of social actors' uses of analytics not for the sake of measurement itself (or to make profit from measurement) but in order to fulfil better their social ends through an enhancement of their digital presence. The article places social analytics in the context of earlier debates about categorization, algorithmic power, and self-presentation online, and describes in detail a case study with a UK community organization which generated the social analytics approach. The article concludes with reflections on the implications of this approach for further sociological fieldwork in a digital world. © London School of Economics and Political Science 2016.

  4. Chemokines and their receptors in whiplash injury: elevated RANTES and CCR-5.

    PubMed

    Kivioja, J; Rinaldi, L; Ozenci, V; Kouwenhoven, M; Kostulas, N; Lindgren, U; Link, H

    2001-07-01

    The human sufferings and socioeconomic burden due to whip-lash-associated disorders (WAD) are obvious but the pathogenesis of WAD is obscure. The possible involvement of the immune system during the disease process in WAD is not known. Effector molecules including chemokines and their receptors could play a role in WAD. In a prospective study using flow cytometry, we examined percentages of blood mononuclear cells (MNC) expressing the chemokines RANTES, MCP-1, MIP-1alpha, MIP-1beta, and IL-8, the chemokine receptor CCR-5, the T cell activation marker CD25, and the T cell chemoattractant IL-16 in patients with WAD and, for reference, in healthy controls. Higher percentages of RANTES-expressing blood MNC and T cells were observed in patients with WAD examined within 3 days compared to 14 days after the whiplash injury and, likewise, compared with healthy controls. The patients with WAD examined within 3 days after the accident also had higher percentages of CCR-5-expressing blood MNC, T cells, and CD45RO+ T cells compared to healthy controls. In contrast, there were no differences for any of these variables between patients with WAD examined 14 days after injury and healthy controls. In conclusion, WAD is associated with a systemic but transient dysregulation in percentages of RANTES and CCR-5 expressing MNC and T cells.

  5. Benthic biodiversity and ecological gradients in the Seno Magdalena (Puyuhuapi Fjord, Chile)

    NASA Astrophysics Data System (ADS)

    Betti, F.; Bavestrello, G.; Bo, M.; Enrichetti, F.; Loi, A.; Wanderlingh, A.; Pérez-Santos, I.; Daneri, G.

    2017-11-01

    Due to its complex hydrological, geomorphological and climatic features, the Chilean fjords region is considered among the most productive areas of the world. The benthic fauna of this region accounts for more than 1600 species showing marked latitudinal biogeographic differences characterizing this as one of the most important hotspot of biodiversity of cold-temperate environments. Despite numerous studies have been conducted to depict the biological characteristics of the fjords, the present situation is strongly unbalanced towards specific taxa. Hence, this study takes into consideration a community approach, highlighting the distribution of six benthic assemblages thriving on vertical walls along the Seno Magdalena fjord (Aysen region). Underwater pictures were used to characterize the trends in abundance and diversity of the main taxa showing distinct responses to salinity and turbidity. Among the less tolerant taxa to high fresh water inputs there are encrusting algae, mainly found in the most external sites lashed by outer currents, far from the estuarine plume. The bathymetric zonation of the assemblages, instead, is characterized by a dense mussel belt in the first 10 m, within a thick layer of low-salinity, nutrient-enriched waters. Rich assemblages of sponges, brachiopods, gorgonians and scleractinians thrive in deeper, marine, clear waters. The evaluation of the ecological role of benthic species leads both to the definition of potential bioindicator taxa responding to anthropic disturbances and to the promotion of protected areas.

  6. Optical gyroscope

    NASA Astrophysics Data System (ADS)

    Seifollahi, Alireza

    It is said that future of the world is based on space exploration which leads us to think more about low cost and light weight instruments. Cheap and sensitive instruments should be de-signed and replace the expensive ones. One of the required instruments in space ships is gyroscope controls the direction of space ship. In this article I am going to give an idea to use optical properties in a new gyroscope which will be cheaper as well as more sensitive in com-pare with most of the being used normal gyroscope nowadays. This instrument uses an optical system to measure the angular changes in the direction of a space craft movements in any of the three axels. Any movement, even very small one, will move a crystal bulb which is lashed by some narrow elastic bands in a fixed box surrounded by three optical sources and light meters. Light meters measure the attitude and the angel of changes in the light beams going through the bulb which is related to the amount of changes in the space craft directions. The system will be very sensitive even against movement around its access. As an electro digital device in connection to a Main Process Unit (MPU) it can be used in Stability Augmentation System (SAS) in a space ship. The sensitivity rate of the instrument will be based on the quality and sensitivity of the light meters.

  7. Queue up, please! Spermathecal filling in the rove beetle Drusilla canaliculata (Coleoptera, Staphylinidae)

    NASA Astrophysics Data System (ADS)

    Werner, Michael; Gack, Claudia; Speck, Thomas; Peschke, Klaus

    2007-10-01

    Most studies on insect sperm motility have been conducted in vitro using artificial environments outside the animal’s body. Only little is known about the function of motile insect sperm at different sites within the male or female genital tracts. We dissected genital tracts of female rove beetles ( Drusilla canaliculata) to show that spermatozoa use their own motility to migrate from the spermatophore into the spermatheca. Our dissection method allowed direct observation and filming of the spermathecal filling process inside the female’s genital tract. Spermatozoa were found to enter the spermatheca individually, sometimes in groups of two or three. Although exhibiting only weak motility and no progressive motion in buffer solution, the spermatozoa inside the female show vigorous lashing and reach an average velocity of 47.5 μm s-1. To gain mobility and speed, the spermatozoa likely utilize the relatively small diameter of the spermathecal duct to push themselves off the duct walls, rather than swimming freely in seminal fluid. The spermatozoa (approximately 1,250 μm) are considerably longer than the distance they have to travel along the spermathecal duct (approximately 800 μm). Our study provides the first direct observation of active sperm migration within the female of an insect stressing the importance of the genital tract as a prerequisite for functional sperm motility.

  8. Treating attention in mild aphasia: evaluation of attention process training-II.

    PubMed

    Murray, Laura L; Keeton, R Jessica; Karcher, Laura

    2006-01-01

    This study examined whether attention processing training-II [Sohlberg, M. M., Johnson, L., Paule, L., Raskin, S. A., & Mateer, C. A. (2001). Attention Process Training-II: A program to address attentional deficits for persons with mild cognitive dysfunction (2nd ed.). Wake Forest, NC: Lash & Associates.; APT-II], when applied in the context of a multiple baseline ABA design, would improve the attention abilities of RW, a patient with mild conduction aphasia and concomitant attention and working memory deficits. We also explored whether APT-II training would enhance RW's auditory comprehension, other cognitive abilities such as memory, and his and his spouse's perceptions of his daily attention and communication difficulties. With treatment, RW improved on trained attention tasks and made modest gains on standardized tests and probes that evaluated cognitive skills related to treatment activities. Nominal change in auditory comprehension and untrained attention and memory functions was observed, and neither RW nor his spouse reported noticeable improvements in his daily attention or communication abilities. These and previous findings indicate that structured attention retraining may enhance specific attention skills, but that positive changes in broader attention and untrained functions are less likely. As a result of reading this article, the participant will be able to: (1) summarize the previous literature regarding attention impairments and treatment approaches for patients with aphasia. (2) describe how Attention Processing Training-II affected the attention, auditory comprehension, and other cognitive abilities of the patient in this study.

  9. Anterior segment photography in pediatric eyes using the Lytro light field handheld noncontact camera.

    PubMed

    Marcus, Inna; Tung, Irene T; Dosunmu, Eniolami O; Thiamthat, Warakorn; Freedman, Sharon F

    2013-12-01

    To compare anterior segment findings identified in young children using digital photographic images from the Lytro light field camera to those observed clinically. This was a prospective study of children <9 years of age with an anterior segment abnormality. Clinically observed anterior segment examination findings for each child were recorded and several digital images of the anterior segment of each eye captured with the Lytro camera. The images were later reviewed by a masked examiner. Sensitivity of abnormal examination findings on Lytro imaging was calculated and compared to the clinical examination as the gold standard. A total of 157 eyes of 80 children (mean age, 4.4 years; range, 0.1-8.9) were included. Clinical examination revealed 206 anterior segment abnormalities altogether: lids/lashes (n = 21 eyes), conjunctiva/sclera (n = 28 eyes), cornea (n = 71 eyes), anterior chamber (n = 14 eyes), iris (n = 43 eyes), and lens (n = 29 eyes). Review of Lytro photographs of eyes with clinically diagnosed anterior segment abnormality correctly identified 133 of 206 (65%) of all abnormalities. Additionally, 185 abnormalities in 50 children were documented at examination under anesthesia. The Lytro camera was able to document most abnormal anterior segment findings in un-sedated young children. Its unique ability to allow focus change after image capture is a significant improvement on prior technology. Copyright © 2013 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

  10. The conceptual solutions concerning decommissioning and dismantling of Russian civil nuclear powered ships

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

    Kulikov, Konstantin N.; Nizamutdinov, Rinat A.; Abramov, Andrey N.

    From 1959 up to 1991 nine civil nuclear powered ships were built in Russia: eight ice-breakers and one lash lighter carrier (cargo ship). At the present time three of them were taking out of service: ice-breaker 'Lenin' is decommissioned as a museum and is set for storage in the port of Murmansk, nuclear ice-breakers 'Arktika' and 'Sibir' are berthing. The ice-breakers carrying rad-wastes appear to be a possible source of radiation contamination of Murmansk region and Kola Bay because the ship long-term storage afloat has the negative effect on hull's structures. As the result of this under the auspices ofmore » the Federal Targeted Program 'Nuclear and Radiation Safety of Russia for 2008 and the period until 2015' the conception and projects of decommissioning of nuclear-powered ships are developed by the State corporation Rosatom with the involvement of companies of United Shipbuilding Corporation. In developing the principal provisions of conception of decommissioning and dismantling of icebreakers the technical and economic assessment of dismantling options in ship-repairing enterprises of North-West of Russia was performed. The paper contains description of options, research procedure, analysis of options of decommissioning and dismantling of nuclear ice-breakers, taking into account the principle of optimization of potential radioactive effect to personnel, human population and environment. The report's conclusions contain the recommendations for selection of option for development of nuclear icebreaker decommissioning and dismantling projects. (authors)« less

  11. RISK FACTORS FOR CONTACT LENS INDUCED PAPILLARY CONJUNCTIVITIS ASSOCIATED WITH SILICONE HYDROGEL CONTACT LENS WEAR

    PubMed Central

    Tagliaferri, Angela; Love, Thomas E.; Szczotka-Flynn, Loretta

    2014-01-01

    BACKGROUND Contact lens induced papillary conjunctivitis (CLPC) continues to be a major cause of dropout during contact lens extended wear. This retrospective study explores risk factors for the development of CLPC during silicone hydrogel lens extended wear. METHODS Data from 205 subjects enrolled in the Longitudinal Analysis of Silicone Hydrogel Contact Lens (LASH) study wearing lotrafilcon A silicone hydrogel lenses for up to 30 days of continuous wear were used to determine risk factors for CLPC in this secondary analysis of the main cohort. The main covariates of interest included substantial lens-associated bacterial bioburden, and topographically determined lens base curve-to-cornea fitting relationships. Additional covariates of interest included history of prior adverse events, time of year, race, education level, gender and other subject demographics. Statistical analyses included univariate logistic regression to assess the impact of potential risk factors on the binary CLPC outcome, and Cox proportional hazards regression to describe the impact of those factors on time-to-CLPC diagnosis. RESULTS Across 12 months of follow-up, 52 subjects (25%) experienced CLPC. No associations were found between CLPC development and the presence of bacterial bioburden, lens-to-cornea fitting relationships, history of prior adverse events, gender or race. CLPC development followed the same seasonal trends as the local peaks in environmental allergans. CONCLUSIONS Lens fit and biodeposits, in the form of lens associated bacterial bioburden, were not associated with the development of CLPC during extended wear with lotrafilcon A silicone hydrogel lenses. PMID:24681609

  12. External ocular hyperemia: a quantifiable indicator of spacecraft air quality.

    PubMed

    Ogle, J W; Cohen, K L

    1996-05-01

    Eye irritation consistently ranks as a top astronaut complaint but is difficult to measure. Exposure to internal air pollution hypothetically disrupts the eye's tear film, thereby exposing the crewmembers' conjunctivae to the irritating effects of the recirculated, contaminant-laden atmosphere of the space vehicle. Causes elude engineers and toxicologists, who report that measured irritants remain below established Spacecraft Maximum Allowable Concentrations. Lack of objective ocular endpoints stymies efforts to identify etiologies. Computers offer a practical means of analyzing ocular hyperemia in space. We use computer analysis to quantify redness and blood vessels of digitized images of bulbar conjunctivae in near real time. Custom software masks artifacts, lids and lashes for each photographic or telemedicine ocular image, Algorithms then generate semi-independent measurements of hyperemia. Computed difference scores between 34 pairs of images were compared with subjective difference scores as voted on by a panel of ophthalmology residents. Objective data were reliably extracted from ocular images and significantly correlated (r = 0.583, p < 0.05) with subjective scores. This ground-based methodology generates accurate and reliable ocular endpoint data without mass, volume, or power penalty. To assist in identifying and eliminating onboard ocular irritants, these objective data can be regressed against independent variables such as mission elapsed time, subjective astronaut complaints, levels of chemical and electromagnetic contaminants, nephthelometric and barothermal data. As missions lengthen, sensitive tools such as hyperemia quantification will become increasingly important for assessing and optimizing spacecraft environments.

  13. The effect of social and token economy reinforcements on academic achievement of students with intellectual disabilities.

    PubMed

    Mirzamani, S Mahmood; Ashoori, Mohammad; Sereshki, Narges Adib

    2011-01-01

    This study investigates the effect of social and token economy reinforcements on academic achievement of 9th grade boy students with intellectual disabilities in an experimental science class in Tehran Province. The method used for this study was experimental by pre-test, post- test with a control group. The boy students with intellectual disabilities from three junior high schools participated in this study. The sample consisted of thirty, 9th grade boy students with intellectual disabilities in the selected schools; the schools were chosen by the multi-stage cluster method. To measure the progress of students in the science class, a teacher made test and the Wechsler intelligence test for matching the groups for IQ were used. To ensure validity, the content validity criteria depended tests calculated by the Lashe method and teachers' perspective were used. The reliability coefficient was obtained by the reliability coefficient of related tests; the percent agreement method and the obtained data were analyzed using one-way variance analysis and Shefe prosecution test. The results showed that there was a significant increase in academic achievement of students with intellectual disabilities when using token economy than using social reinforcements compared with the control group. Also, when using social reinforcements, the academic achievement of students was more than the control group. Token economy and social reinforcements increased the academic achievement of students with intellectual disabilities in the science class; and also the effect of token economy reinforcements was more than social reinforcements on the subjects.

  14. Modeling and calculation of impact friction caused by corner contact in gear transmission

    NASA Astrophysics Data System (ADS)

    Zhou, Changjiang; Chen, Siyu

    2014-09-01

    Corner contact in gear pair causes vibration and noise, which has attracted many attentions. However, teeth errors and deformation make it difficulty to determine the point situated at corner contact and study the mechanism of teeth impact friction in the current researches. Based on the mechanism of corner contact, the process of corner contact is divided into two stages of impact and scratch, and the calculation model including gear equivalent error—combined deformation is established along the line of action. According to the distributive law, gear equivalent error is synthesized by base pitch error, normal backlash and tooth profile modification on the line of action. The combined tooth compliance of the first point lying in corner contact before the normal path is inversed along the line of action, on basis of the theory of engagement and the curve of tooth synthetic compliance & load-history. Combined secondarily the equivalent error with the combined deflection, the position standard of the point situated at corner contact is probed. Then the impact positions and forces, from the beginning to the end during corner contact before the normal path, are calculated accurately. Due to the above results, the lash model during corner contact is founded, and the impact force and frictional coefficient are quantified. A numerical example is performed and the averaged impact friction coefficient based on the presented calculation method is validated. This research obtains the results which could be referenced to understand the complex mechanism of teeth impact friction and quantitative calculation of the friction force and coefficient, and to gear exact design for tribology.

  15. Under the lash

    PubMed Central

    Lacey, Noreen; Kavanagh, Kevin; Tseng, Scheffer C.G.

    2010-01-01

    Demodex mites, class Arachnida and subclass Acarina, are elongated mites with clear cephalothorax and abdomens, the former with four pairs of legs. There are more than 100 species of Demodex mite, many of which are obligatory commensals of the pilosebaceous unit of mammals including cats, dogs, sheep, cattle, pigs, goats, deer, bats, hamsters, rats and mice. Among them, Demodex canis, which is found ubiquitously in dogs, is the most documented and investigated. In excessive numbers D. canis causes the inflammatory disease termed demodicosis (demodectic mange, follicular mange or red mange), which is more common in purebred dogs and has a hereditary predisposition in breeding kennels1. Two distinct Demodex species have been confirmed as the most common ectoparasite in man. The larger Demodex folliculorum, about 0.3–0.4 mm long, is primarily found as a cluster in the hair follicle (Figure 1a), while the smaller Demodex brevis, about 0.2–0.3 mm long with a spindle shape and stubby legs, resides solitarily in the sebaceous gland (Figure 1b). These two species are also ubiquitously found in all human races without gender preference. The pathogenic role of Demodex mites in veterinary medicine is not as greatly disputed as in human diseases. In this article, we review the key literature and our joint research experience regarding the pathogenic potential of these two mites in causing inflammatory diseases of human skin and eye. We hope that the evidence summarized herein will invite readers to take a different look at the life of Demodex mites in several common human diseases. PMID:20664811

  16. Under the lash: Demodex mites in human diseases.

    PubMed

    Lacey, Noreen; Kavanagh, Kevin; Tseng, Scheffer C G

    2009-08-01

    Demodex mites, class Arachnida and subclass Acarina, are elongated mites with clear cephalothorax and abdomens, the former with four pairs of legs. There are more than 100 species of Demodex mite, many of which are obligatory commensals of the pilosebaceous unit of mammals including cats, dogs, sheep, cattle, pigs, goats, deer, bats, hamsters, rats and mice. Among them, Demodex canis, which is found ubiquitously in dogs, is the most documented and investigated. In excessive numbers D. canis causes the inflammatory disease termed demodicosis (demodectic mange, follicular mange or red mange), which is more common in purebred dogs and has a hereditary predisposition in breeding kennels1. Two distinct Demodex species have been confirmed as the most common ectoparasite in man. The larger Demodex folliculorum, about 0.3-0.4 mm long, is primarily found as a cluster in the hair follicle (Figure 1a), while the smaller Demodex brevis, about 0.2-0.3 mm long with a spindle shape and stubby legs, resides solitarily in the sebaceous gland (Figure 1b). These two species are also ubiquitously found in all human races without gender preference. The pathogenic role of Demodex mites in veterinary medicine is not as greatly disputed as in human diseases. In this article, we review the key literature and our joint research experience regarding the pathogenic potential of these two mites in causing inflammatory diseases of human skin and eye. We hope that the evidence summarized herein will invite readers to take a different look at the life of Demodex mites in several common human diseases.

  17. The Effect of Social and Token Economy Reinforcements on Academic Achievement of Students with Intellectual Disabilities

    PubMed Central

    Ashoori, Mohammad; Sereshki, Narges Adib

    2011-01-01

    Objective This study investigates the effect of social and token economy reinforcements on academic achievement of 9th grade boy students with intellectual disabilities in an experimental science class in Tehran Province. Method The method used for this study was experimental by pre-test, post- test with a control group. The boy students with intellectual disabilities from three junior high schools participated in this study. The sample consisted of thirty, 9th grade boy students with intellectual disabilities in the selected schools; the schools were chosen by the multi-stage cluster method. To measure the progress of students in the science class, a teacher made test and the Wechsler intelligence test for matching the groups for IQ were used. To ensure validity, the content validity criteria depended tests calculated by the Lashe method and teachers' perspective were used. The reliability coefficient was obtained by the reliability coefficient of related tests; the percent agreement method and the obtained data were analyzed using one-way variance analysis and Shefe prosecution test. Results The results showed that there was a significant increase in academic achievement of students with intellectual disabilities when using token economy than using social reinforcements compared with the control group. Also, when using social reinforcements, the academic achievement of students was more than the control group. Conclusion Token economy and social reinforcements increased the academic achievement of students with intellectual disabilities in the science class; and also the effect of token economy reinforcements was more than social reinforcements on the subjects. PMID:22952517

  18. Blue Ribbon Commission on America's Nuclear Future: Report to the Secretary of Energy

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

    None

    2012-01-01

    Preamble The Blue Ribbon Commission on America’s Nuclear Future (BRC) was formed by the Secretary of Energy at the request of the President to conduct a comprehensive review of policies for managing the back end of the nuclear fuel cycle and recommend a new strategy. It was co-chaired by Rep. Lee H. Hamilton and Gen. Brent Scowcroft. Other Commissioners are Mr. Mark H. Ayers, the Hon. Vicky A. Bailey, Dr. Albert Carnesale, Sen. Pete Domenici, Ms. Susan Eisenhower, Sen. Chuck Hagel, Mr. Jonathan Lash, Dr. Allison M. Macfarlane, Dr. Richard A. Meserve, Dr. Ernest J. Moniz, Dr. Per Peterson, Mr.more » John Rowe, and Rep. Phil Sharp. The Commission and its subcommittees met more than two dozen times between March 2010 and January 2012 to hear testimony from experts and stakeholders, to visit nuclear waste management facilities in the United States and abroad, and to discuss the issues identified in its Charter. Additionally, in September and October 2011, the Commission held five public meetings, in different regions of the country, to hear feedback on its draft report. A wide variety of organizations, interest groups, and individuals provided input to the Commission at these meetings and through the submission of written materials. Copies of all of these submissions, along with records and transcripts of past meetings, are available at the BRC website (www.brc.gov). This report highlights the Commission’s findings and conclusions and presents recommendations for consideration by the Administration and Congress, as well as interested state, tribal and local governments, other stakeholders, and the public.« less

  19. Stressful events and coping related to acute and sub-acute whiplash-associated disorders.

    PubMed

    Pettersson, Susanne; Bring, Annika; Åsenlöf, Pernilla

    2017-03-01

    Purpose To describe daily stressors affecting and coping strategies employed by individuals with whiplash-associated disorders (WAD) immediately to one month (acute) and three to four months (sub-acute) after injury events using a daily coping assessment. Levels of pain, anxiety, depressed mood and activity are also compared between phases. Method A descriptive prospective design with a content analysis approach was used. Participants completed daily coping assessments for one week during both acute and sub-acute phases. Main measure was whiplash-associated disorders-daily coping assessment (WAD-DCA). Results Nine participants used words describing recovery in the sub-acute phase; 31 described stressful events during both phases. Most frequently reported stressors were related to "symptoms", "emotions" and "occupations/studies". These were equally reported during both phases. Cognitive coping strategies were employed more often during the sub-acute phase (p = 0.008). The only behavioral strategy that increased in prevalence over time was the "relaxed" strategy (p = 0.001). Anxiety levels declined over time (p = 0.022). Conclusion The reported stressors were largely uniform across both acute and sub-acute phases; however, the use of cognitive coping strategies increased over time. The WAD-DCA captures individual stressors and coping strategies employed during a vulnerable phase of rehabilitation and can thus provide information that is useful to clinical practice. Implications for rehabilitation The WAD-DCA provides valuable information for clinical practice when employed during early phases of whiplash-associated disorder development. Reported stressors during the acute and sub-acute phases are essentially the same, whereas cognitive coping strategies grow in prevalence over time. Tailored treatments in early phases of whip-lash associated disorders may benefit from strategies aimed at matching patient-specific stressors with contextually adapted coping strategies.

  20. Temporomandibular joint injury potential imposed by the low-velocity extension-flexion maneuver.

    PubMed

    Howard, R P; Hatsell, C P; Guzman, H M

    1995-03-01

    It has been proposed that significant temporomandibular joint injury can occur as a result of rapid extension-flexion motion of the neck (whip-lash). This motion, which is experienced by passengers in vehicles that undergo rear-end collisions, has been described as causing rapid protrusion and opening of the mandible. It has been speculated that this relative motion between the mandible and the cranium produces forces at the temporomandibular joint (TMJ) that injure the articular elements. The objective of this study was to measure these forces by an experimental method. Accelerometer sensor and high-speed cinematographic data were obtained from the kinematic responses of live human test subjects positioned as occupants in motor vehicles that underwent staged low-velocity rear-end collisions. Linear and moment forces generated at the TMJs were obtained from the resultant acceleration pulse at the craniomandibular complex, estimation of the mass properties of the mandible and its appended soft tissues, and the application of Newton's Second Law of motion. The maximum linear forces generated at the TMJ in a rear-end collision resulting in a velocity change of the test subject of 8 km/h (5 mph) were in the 7 to 10 N (1.6 to 2.2 lb) range. Moment forces at the joint peaked briefly at 0.55 N.m (4.81 lb-in). These force magnitudes generated at the TMJ constitute a minor fraction of the forces experienced at the joint during normal physiologic function. It is a conclusion of this study that injuries to the TMJ attributed to low-velocity "whiplash" cannot be accounted for by the joint forces produced by this maneuver.

  1. Fundamental Science with Pulsed Power: Research Opportunities and User Meeting.

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

    Mattsson, Thomas Kjell Rene; Wootton, Alan James; Sinars, Daniel Brian

    The fifth Fundamental Science with Pulsed Power: Research Opportunities and User Meeting was held in Albuquerque, NM, July 20-­23, 2014. The purpose of the workshop was to bring together leading scientists in four research areas with active fundamental science research at Sandia’s Z facility: Magnetized Liner Inertial Fusion (MagLIF), Planetary Science, Astrophysics, and Material Science. The workshop was focused on discussing opportunities for high-­impact research using Sandia’s Z machine, a future 100 GPa class facility, and possible topics for growing the academic (off-Z-campus) science relevant to the Z Fundamental Science Program (ZFSP) and related projects in astrophysics, planetary science, MagLIF-more » relevant magnetized HED science, and materials science. The user meeting was for Z collaborative users to: a) hear about the Z accelerator facility status and plans, b) present the status of their research, and c) be provided with a venue to meet and work as groups. Following presentations by Mark Herrmann and Joel Lash on the fundamental science program on Z and the status of the Z facility where plenary sessions for the four research areas. The third day of the workshop was devoted to breakout sessions in the four research areas. The plenary-­ and breakout sessions were for the four areas organized by Dan Sinars (MagLIF), Dylan Spaulding (Planetary Science), Don Winget and Jim Bailey (Astrophysics), and Thomas Mattsson (Material Science). Concluding the workshop were an outbrief session where the leads presented a summary of the discussions in each working group to the full workshop. A summary of discussions and conclusions from each of the research areas follows and the outbrief slides are included as appendices.« less

  2. Competitive advantage on a warming planet.

    PubMed

    Lash, Jonathan; Wellington, Fred

    2007-03-01

    Whether you're in a traditional smokestack industry or a "clean" business like investment banking, your company will increasingly feel the effects of climate change. Even people skeptical about global warming's dangers are recognizing that, simply because so many others are concerned, the phenomenon has wide-ranging implications. Investors already are discounting share prices of companies poorly positioned to compete in a warming world. Many businesses face higher raw material and energy costs as more and more governments enact policies placing a cost on emissions. Consumers are taking into account a company's environmental record when making purchasing decisions. There's also a burgeoning market in greenhouse gas emission allowances (the carbon market), with annual trading in these assets valued at tens of billions of dollars. Companies that manage and mitigate their exposure to the risks associated with climate change while seeking new opportunities for profit will generate a competitive advantage over rivals in a carbon-constrained future. This article offers a systematic approach to mapping and responding to climate change risks. According to Jonathan Lash and Fred Wellington of the World Resources Institute, an environmental think tank, the risks can be divided into six categories: regulatory (policies such as new emissions standards), products and technology (the development and marketing of climate-friendly products and services), litigation (lawsuits alleging environmental harm), reputational (how a company's environmental policies affect its brand), supply chain (potentially higher raw material and energy costs), and physical (such as an increase in the incidence of hurricanes). The authors propose a four-step process for responding to climate change risk: Quantify your company's carbon footprint; identify the risks and opportunities you face; adapt your business in response; and do it better than your competitors.

  3. Combat high or traumatic stress: violent offending is associated with appetitive aggression but not with symptoms of traumatic stress

    PubMed Central

    Köbach, Anke; Schaal, Susanne; Elbert, Thomas

    2015-01-01

    Former members of armed groups in eastern DR Congo had typically witnessed, experienced, and perpetrated extreme forms of violence. Enhanced trauma-related symptoms had been shown in prior research. But also lashing out in self-defense is a familiar response to threat defined as reactive aggression. Another potential response is appetitive aggression, in which the perpetration of excessive violence is perceived as pleasurable (combat high). What roles do these forms of aggressive behavior play in modern warfare and how are they related to posttraumatic stress symptoms? To answer the question, we sought to determine predictors for appetitive aggressive and trauma-related mental illness, and investigated the frequency of psychopathological symptoms for high- and low-intensity conflict demobilization settings. To this end, we interviewed 213 former members of (para)military groups in the eastern Democratic Republic of Congo in regard to their combat exposure, posttraumatic stress, appetitive aggression, depression, suicidality, and drug dependence. Random forest regression embedded in a conditional inference framework revealed that perpetrated violent acts are not necessarily stressful. In fact, the experience of violent acts that typically implicated salient cues of hunting (e.g., blood, suffering of the victim, etc.) had the strongest association with an appetite for aggression. Furthermore, the number of lifetime perpetrated violent acts was the most important predictor of appetitive aggression. However, the number of perpetrated violent acts did not significantly affect the posttraumatic stress. Greater intensity of conflict was associated with more severe posttraumatic stress symptoms and depression. Psychotherapeutic interventions that address appetitive aggression in addition to trauma-related mental illness, including drug dependence, therefore seem indispensible for a successful reintegration of those who fought in the current civil wars. PMID:25709586

  4. Effect of lipid-based dry eye supplements on the tear film in wearers of eye cosmetics.

    PubMed

    Wang, Michael T M; Cho, Irene Sung Hee; Jung, Soo Hee; Craig, Jennifer P

    2017-08-01

    To compare the effects on tear film parameters and contamination in cosmetic eyeliner wearers, after single application of two lipid-based dry eye treatments: a lipid-containing lubricant eye drop and a phospholipid liposomal spray. Fifty participants were enrolled in a prospective, randomised, paired-eye, investigator-masked trial. Pencil eyeliner (Body Shop ® Crayon Eye Definer) was applied to the upper eyelid periocular skin of both eyes, anterior to the lash line. Baseline tear film quality was assessed fifteen minutes after eyeliner application. A lubricant drop (Systane ® Balance) was then applied to one eye (randomised), and liposomal spray (Tears Again ® ) to the contralateral eye. Tear film contamination, lipid layer grade, non-invasive tear film break-up time and tear evaporation rate were evaluated fifteen minutes post-treatment and compared to pre-treatment values. Pre-treatment measurements did not differ between eyes assigned to lubricant drop and liposomal spray. Tear film contamination was observed in a greater proportion of eyes following both treatments (both p<0.05), with no significant difference between treatments (p=0.41). Both treatments improved lipid layer thickness (both p≤0.01), but effected no significant change in non-invasive tear film break-up time or tear evaporation rate (all p>0.05). Changes in tear film parameters did not differ between treatments (all p>0.05). Both the lipid-containing lubricant eye drop and phospholipid liposomal spray result in clinically apparent tear film contamination in eyeliner cosmetic wearers. Although both treatments effected an increase in lipid layer thickness, neither displayed clinical efficacy in improving tear film stability. Copyright © 2017 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.

  5. The extraordinary joint material of an articulated coralline alga. II. Modeling the structural basis of its mechanical properties.

    PubMed

    Denny, Mark W; King, Felicia A

    2016-06-15

    By incorporating joints into their otherwise rigid fronds, erect coralline algae have evolved to be as flexible as other seaweeds, which allows them to thrive - and even dominate space - on wave-washed shores around the globe. However, to provide the required flexibility, the joint tissue of Calliarthron cheilosporioides, a representative articulated coralline alga, relies on an extraordinary tissue that is stronger, more extensible and more fatigue resistant than that of other algae. Here, we used the results from recent experiments to parameterize a conceptual model that links the microscale architecture of cell walls to the adaptive mechanical properties of joint tissue. Our analysis suggests that the theory of discontinuous fiber-wound composite materials (with cellulose fibrils as the fibers and galactan gel as the matrix) can explain key aspects of the material's mechanics. In particular, its adaptive viscoelastic behavior can be characterized by two, widely separated time constants. We speculate that the short time constant (∼14 s) results from the viscous response of the matrix to the change in cell-wall shape as a joint is stretched, a response that allows the material both to remain flexible and to dissipate energy as a frond is lashed by waves. We propose that the long time constant (∼35 h), is governed by the shearing of the matrix between cellulose fibrils. The resulting high apparent viscosity ensures that joints avoid accumulating lethal deformation in the course of a frond's lifetime. Our synthesis of experimental measurements allows us to draw a chain of mechanistic inference from molecules to cell walls to fronds and community ecology. © 2016. Published by The Company of Biologists Ltd.

  6. The effects of maternal corticosterone levels on offspring behavior in fast- and slow-growth garter snakes (Thamnophis elegans).

    PubMed

    Robert, Kylie A; Vleck, Carol; Bronikowski, Anne M

    2009-01-01

    During embryonic development, viviparous offspring are exposed to maternally circulating hormones. Maternal stress increases offspring exposure to corticosterone and this hormonal exposure has the potential to influence developmental, morphological and behavioral traits of the resulting offspring. We treated pregnant female garter snakes (Thamnophis elegans) with low levels of corticosterone after determining both natural corticosterone levels in the field and pre-treatment levels upon arrival in the lab. Additional measurements of plasma corticosterone were taken at days 1, 5, and 10 during the 10-day exposure, which occurred during the last third of gestation (of 4-month gestation). These pregnant snakes were from replicate populations of fast- and slow-growth ecotypes occurring in Northern California, with concomitant short and long lifespans. Field corticosterone levels of pregnant females of the slow-growth ecotype were an order of magnitude higher than fast-growth dams. In the laboratory, corticosterone levels increased over the 10 days of corticosterone manipulation for animals of both ecotypes, and reached similar plateaus for both control and treated dams. Despite similar plasma corticosterone levels in treated and control mothers, corticosterone-treated dams produced more stillborn offspring and exhibited higher total reproductive failure than control dams. At one month of age, offspring from fast-growth females had higher plasma corticosterone levels than offspring from slow-growth females, which is opposite the maternal pattern. Offspring from corticosterone-treated mothers, although unaffected in their slither speed, exhibited changes in escape behaviors and morphology that were dependent upon maternal ecotype. Offspring from corticosterone-treated fast-growth females exhibited less anti-predator reversal behavior; offspring from corticosterone-treated slow-growth females exhibited less anti-predator tail lashing behavior.

  7. Embryonic Developmental Stages of African Giant Catfish Heterobranchus longifilis (Valenciennes, 1840) (Teleostei, Clariidae)

    NASA Astrophysics Data System (ADS)

    Wilfred-Ekprikpo, P. C.

    2016-02-01

    One of the major challenges confronting the globe is the issue of food insecurity. This problem results from inadequate protein intake by humans especially those people from the third world countries. In order to arrest this ugly situation, there is the need to increase protein production by intensifying aquaculture. In sub-saharan Africa, particularly Nigeria, the major aquaculture species is African mud catfish (Clarias gariepinus) and its production has increase protein output but the protein deficit is still wide. Thus, necessitating the need to develop other aquaculture species endemic to the region. One of these species is Heterobranchus and there successful breeding depending on a good understanding of their biology. The embryonic developmental stages of Heterobranchus longifilis in freshwater tanks were determined. The first cleavage cell division occurred 30 minutes after fertilization of eggs while, the morula stage was observed within 2 hours. The blastula stage occurred between 2 and 8 hours, while the gastrula stage occurred between 12 and 18 hours. Thereafter, neurulation period, and embryonic body formation appeared. The optical vesicle and auditory vesicle formed. Finally muscular contraction, tail formation, heartbeat and hatching occurred. The embryonic developmental stage of H. longifilis started immediately the oocyte (egg) was fertilized and terminated when the embryo hatched from the chorion membranous wall. The young larva emerged from the embryonic membrane at 24.46 hrs with vigorous lashing of the caudal region against the chorion membrane. The average weight and length of the yolk larvae were 0.005g and 0.43 cm respectively. The percentage fertilization and hatchability rates were 82.50 and 65.10% respectively. The experiment revealed that Heterobranchus longifilis could be a good aquaculture species.

  8. Upper lid crease approach for margin rotation in trachomatous cicatricial entropion without external sutures.

    PubMed

    Cruz, Antonio Augusto Velasco E; Akaishi, Patricia M S; Al-Dufaileej, Mohammed; Galindo-Ferreiro, Alicia

    2015-01-01

    To describe the use of a lid crease incision for upper eyelid margin rotation in cicatricial entropion combining internal traction on the anterior lamella, tarsotomy, and tarsal overlap without external sutures. Surgical description: The main steps of the procedure consisted of exposure of the entire tarsal plate up to the eyelashes followed by tarsotomy through the conjunctiva. A double-armed 6.0 polyglactin suture was then passed through the distal tarsal fragment to the marginal section of the orbicularis oculi muscle. As the sutures were tied, the distal tarsus advanced over the marginal section, and traction was exerted on the marginal strip of the orbicularis muscle. There were no bolsters or external knots. The pretarsal skin-muscle flap was closed with a 6.0 plain gut suture. We used this procedure at a tertiary hospital in Saudi Arabia from 2013 to 2014. Sixty upper lids of 40 patients (23 women and 17 men) were operated on, with an age range of 44-99 years [mean ± standard deviation (SD) = 70.9 ± 13.01 years]. Bilateral surgery was performed on 21 patients. Follow-up ranged from 1 to 12 months (mean 3.0 ± 2.71 months). Forty percent of the patients (24 lids) had more than 3 months' follow-up. The postoperative lid margin position was good in all cases. Trichiasis (two lashes) was observed in only one patient with unilateral entropion on the medial aspect of the operated lid. The upper lid margin can be effectively rotated through a lid crease incision with internal sutures. The technique combines the main mechanisms of the Wies and Trabut approaches and avoids the use of bolsters or external sutures, which require a second consultation to be removed. Some other lid problems, such as ptosis, retraction, or dermatochalasis, can be concomitantly addressed during the procedure.

  9. How to recycle asbestos containing materials (ACM)

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

    Jantzen, C.M.

    The current disposal of asbestos containing materials (ACM) in the private sector consists of sealing asbestos wetted with water in plastic for safe transportation and burial in regulated land fills. This disposal methodology requires large disposal volumes especially for asbestos covered pipe and asbestos/fiberglass adhering to metal framework, e.g. filters. This wrap and bury technology precludes recycle of the asbestos, the pipe and/or the metal frameworks. Safe disposal of ACM at U.S. Department of Energy (DOE) sites, likewise, requires large disposal volumes in landfills for non-radioactive ACM and large disposal volumes in radioactive burial grounds for radioactive and suspect contaminatedmore » ACM. The availability of regulated disposal sites is rapidly diminishing causing recycle to be a more attractive option. Asbestos adhering to metal (e.g., pipes) can be recycled by safely removing the asbestos from the metal in a patented hot caustic bath which prevents airborne contamination /inhalation of asbestos fibers. The dissolution residue (caustic and asbestos) can be wet slurry fed to a melter and vitrified into a glass or glass-ceramic. Palex glasses, which are commercially manufactured, are shown to be preferred over conventional borosilicate glasses. The Palex glasses are alkali magnesium silicate glasses derived by substituting MgO for B{sub 2}O{sub 3} in borosilicate type glasses. Palex glasses are very tolerant of the high MgO and high CaO content of the fillers used in forming asbestos coverings for pipes and found in boiler lashing, e.g., hydromagnesite (3MgCO{sub 3} Mg(OH){sub 2} 3H{sub 2}O) and plaster of paris, gypsum (CaSO{sub 4}). The high temperate of the vitrification process destroys the asbestos fibers and renders the asbestos non-hazardous, e.g., a glass or glass-ceramic. In this manner the glass or glass-ceramic produced can be recycled, e.g., glassphalt or glasscrete, as can the clean metal pipe or metal framework.« less

  10. The clinical course over the first year of whiplash associated disorders (WAD): pain-related disability predicts outcome in a mildly affected sample.

    PubMed

    Åsenlöf, Pernilla; Bring, Annika; Söderlund, Anne

    2013-12-21

    Different recovery patterns are reported for those befallen a whip-lash injury, but little is known about the variability within subgroups. The aims were (1) to compare a self-selected mildly affected sample (MILD) with a self-selected moderately to severely affected sample (MOD/SEV) with regard to background characteristics and pain-related disability, pain intensity, functional self-efficacy, fear of movement/(re)injury, pain catastrophising, post-traumatic stress symptoms in the acute stage (at baseline), (2) to study the development over the first year after the accident for the above listed clinical variables in the MILD sample, and (3) to study the validity of a prediction model including baseline levels of clinical variables on pain-related disability one year after baseline assessments. The study had a prospective and correlative design. Ninety-eight participants were consecutively selected. Inclusion criteria; age 18 to 65 years, WAD grade I-II, Swedish language skills, and subjective report of not being in need of treatment due to mild symptoms. A multivariate linear regression model was applied for the prediction analysis. The MILD sample was less affected in all study variables compared to the MOD/SEV sample. Pain-related disability, pain catastrophising, and post-traumatic stress symptoms decreased over the first year after the accident, whereas functional self-efficacy and fear of movement/(re)injury increased. Pain intensity was stable. Pain-related disability at baseline emerged as the only statistically significant predictor of pain-related disability one year after the accident (Adj r² = 0.67). A good prognosis over the first year is expected for the majority of individuals with WAD grade I or II who decline treatment due to mild symptoms. The prediction model was not valid in the MILD sample except for the contribution of pain-related disability. An implication is that early observations of individuals with elevated levels of pain-related disability are warranted, although they may decline treatment.

  11. Risk Factors for Contact Lens Bacterial Contamination During Continuous Wear

    PubMed Central

    Szczotka-Flynn, Loretta B.; Bajaksouzian, Saralee; Jacobs, Michael R.; Rimm, Alfred

    2009-01-01

    Purpose Microbial contamination of contact lenses is associated with corneal infection and inflammation. This study determined which microbiological, clinical and demographic factors are associated with bacterial contamination of a silicone hydrogel contact lens when worn for continuous wear. Methods Two hundred five normal subjects were enrolled in the Longitudinal Analysis of Silicone Hydrogel (LASH) Contact Lens Study and were fitted with lotrafilcon A lenses for monthly continuous wear and followed for 1 year. Lenses were aseptically removed after 1 week and 4 months of wear and cultured using an agar sandwich technique. Lids and conjunctiva were routinely cultured at baseline, and after 1 week and 4 months of continuous wear. Lenses and ocular sites were considered to have substantial microbial bioburden when they harbored pathogenic organisms or high levels of commensal organisms. Univariate and multivariate logistic regression analyses were conducted to examine whether substantial conjunctival or lid bioburden, subject demographics, lens wearing history, symptoms, and biomicroscopic signs were associated with lens bioburden. Results About one-third (32.4%) of subjects had substantial bacterial bioburden in either eye across multiple visits. Over half (53.2%) and about one-tenth (11.7%) of subjects had substantial lid and conjunctival bioburden, respectively, and 11.2% discontinued due to discomfort. The adjusted odds ratios (and 95% confidence intervals) for presence of substantial lens bioburden were 2.49 (1.17–5.30), 4.24 (1.45–12.40), and 4.11 (1.17–14.46) for substantial lid bioburden, substantial conjunctival bioburden, and lens discomfort, respectively. Conclusions Bacterial contamination of silicone hydrogel contact lenses is common during continuous wear. Substantial lens bioburden is associated with discomfort precluding successful continuous wear. The presence of substantial lid and conjunctival bioburden are associated with a 2.5 fold and over 4 fold greater risk of substantial lens bioburden and are likely the major routes of contamination. PMID:19786927

  12. The clinical course over the first year of Whiplash Associated Disorders (WAD): pain-related disability predicts outcome in a mildly affected sample

    PubMed Central

    2013-01-01

    Background Different recovery patterns are reported for those befallen a whip-lash injury, but little is known about the variability within subgroups. The aims were (1) to compare a self-selected mildly affected sample (MILD) with a self-selected moderately to severely affected sample (MOD/SEV) with regard to background characteristics and pain-related disability, pain intensity, functional self-efficacy, fear of movement/(re)injury, pain catastrophising, post-traumatic stress symptoms in the acute stage (at baseline), (2) to study the development over the first year after the accident for the above listed clinical variables in the MILD sample, and (3) to study the validity of a prediction model including baseline levels of clinical variables on pain-related disability one year after baseline assessments. Methods The study had a prospective and correlative design. Ninety-eight participants were consecutively selected. Inclusion criteria; age 18 to 65 years, WAD grade I-II, Swedish language skills, and subjective report of not being in need of treatment due to mild symptoms. A multivariate linear regression model was applied for the prediction analysis. Results The MILD sample was less affected in all study variables compared to the MOD/SEV sample. Pain-related disability, pain catastrophising, and post-traumatic stress symptoms decreased over the first year after the accident, whereas functional self-efficacy and fear of movement/(re)injury increased. Pain intensity was stable. Pain-related disability at baseline emerged as the only statistically significant predictor of pain-related disability one year after the accident (Adj r2 = 0.67). Conclusion A good prognosis over the first year is expected for the majority of individuals with WAD grade I or II who decline treatment due to mild symptoms. The prediction model was not valid in the MILD sample except for the contribution of pain-related disability. An implication is that early observations of individuals with elevated levels of pain-related disability are warranted, although they may decline treatment. PMID:24359208

  13. A 1-Year Follow-Up of Post-operative Scars After the Use of a 1210-nm Laser-Assisted Skin Healing (LASH) Technology: A Randomized Controlled Trial.

    PubMed

    Casanova, D; Alliez, A; Baptista, C; Gonelli, D; Lemdjadi, Z; Bohbot, S

    2017-08-01

    Laser therapies are used prophylactically for excessive scar formation. The Laser-Assisted Skin Healing treatment induces a controlled heat stress that promotes tissue regeneration. This comparative trial is the first to evaluate the performance of a new automated 1210-nm laser system, compatible with all Fitzpatrick scale phototypes. Forty women undergoing bilateral breast reduction were enrolled in this double-blinded randomized controlled trial. The horizontal sutured incision of one breast was treated with the portable 1210-nm laser while in the operating theatre. The other breast was used as the study control. Objective measurements, subjective clinical assessments and safety evaluation were carried out over 1 year by both clinicians and patients. Six weeks following surgery, better overall appearance and modified OSAS scores were reported for the laser-treated scars when compared to the control group (p = 0.024 and p = 0.079). This supports an early effect of the laser treatment during the inflammatory stage of the healing process. After a post-treatment period of 6 months, there continued to be a strong tendency in favour of the laser treatment based on the subjective scores and corroborated by the objective improvement of the treated scar volume (p = 0.038). At 1 year, the laser-treated scars continued to improve compared to the control ones in terms of volume (p = 0.004), surface (p = 0.017) and roughness (p = 0.002), and these comparatively better results were strengthened with the blind expression of patients' preference for their laser-treated scar (p = 0.025). This new 1210-nm laser treatment, used as a single session performed immediately after surgery, provides significant objective and subjective improvements in scar appearance. These data can be useful when preparing patients to undergo their surgical procedure. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

  14. Deletion 22q13.3 syndrome.

    PubMed

    Phelan, Mary C

    2008-05-27

    The deletion 22q13.3 syndrome (deletion 22q13 syndrome or Phelan-McDermid syndrome) is a chromosome microdeletion syndrome characterized by neonatal hypotonia, global developmental delay, normal to accelerated growth, absent to severely delayed speech, and minor dysmorphic features. The deletion occurs with equal frequency in males and females and has been reported in mosaic and non-mosaic forms. Due to lack of clinical recognition and often insufficient laboratory testing, the syndrome is under-diagnosed and its true incidence remains unknown. Common physical traits include long eye lashes, large or unusual ears, relatively large hands, dysplastic toenails, full brow, dolicocephaly, full cheeks, bulbous nose, and pointed chin. Behavior is autistic-like with decreased perception of pain and habitual chewing or mouthing. The loss of 22q13.3 can result from simple deletion, translocation, ring chromosome formation and less common structural changes affecting the long arm of chromosome 22, specifically the region containing the SHANK3 gene. The diagnosis of deletion 22q13 syndrome should be considered in all cases of hypotonia of unknown etiology and in individuals with absent speech. Although the deletion can sometimes be detected by high resolution chromosome analysis, fluorescence in situ hybridization (FISH) or array comparative genomic hybridization (CGH) is recommended for confirmation. Differential diagnosis includes syndromes associated with hypotonia, developmental delay, speech delay and/or autistic-like affect (Prader-Willi, Angelman, Williams, Smith-Magenis, Fragile X, Sotos, FG, trichorhinophalangeal and velocardiofacial syndromes, autism spectrum disorders, cerebral palsy). Genetic counseling is recommended and parental laboratory studies should be considered to identify cryptic rearrangements and detect parental mosaicism. Prenatal diagnosis should be offered for future pregnancies in those families with inherited rearrangements. Individuals with deletion 22q13 should have routine examinations by the primary care physician as well as genetic evaluations with referral to specialists if neurological, gastrointestinal, renal, or other systemic problems are suspected. Affected individuals benefit from early intervention programs, intense occupational and communication therapies, adaptive exercise and sport programs, and other therapies to strengthen their muscles and increase their communication skills. No apparent life-threatening organic abnormalities accompany the diagnosis of deletion 22q13.

  15. [CSF enzyme activities in patients with head injury--especially on GOT, GPT, LDH, and CPK (AUTHOR'S TRANSL)].

    PubMed

    Nakamura, H; Mizuno, T; Kawamura, K; Kamino, T

    1976-08-01

    In our studies on patients with head injury, it was noted that there are some correlations between their clinical courses and the urinary excretion of creatine (cr), creatinine (Crn), 17-ketosteroid and 17-hydroxycorticosteroid. We observed the high urinary excretion of Cr in patients with severe head injury while almost negative in a mild case. We reported those facts in 1974. Also noted in patients with head injury is the relationship between the enzyme-activities (GOT, GPT, LDH and CPK) in the cerebrospinal fluid and their clinical courses. In this paper, we reported 34 cases of head injured patients (simple type: 2, concussion: 9, contusion: 8, acute intracranial hematoma: 7 and chronic intra-cranial hematoma: 8). The control values of CSF enzyme-activities were determined in these 14 cases (simple head injury, whip-lash injury and osteoma of the skull) as GOT less that 15, GPT less than 7, LDH less than 12 and CPK less than 8 units. In the moderate cases, a slight increase in activities of 4 enzymes in CSF were observed, while in severe or comatose cases, the enzyme-activities (especially LDH and CPK) were greater than in the controls. In the dead cases these values were five times as high as the normal case. In the patients recovering from a serious stage, these activities decreased to normal. High CSF enzyme-levels tend to indicate a poor prognosis and low levels a favorable progrosis. In the patients with a significant elevation of CSF enzymes, a high urinary excretion of Cr [normal range: 0-150 (ca. 50)mg/day] was often observed. There was no apparent correlation between the enzyme level in CSF and that in serum and the increase or decrease of these 4 enzymes are not always proprotionate with each other. As reported by Green (1958) and Lending (1961), cerebral cell necrosis and increased permeability of BLB, BBB or cerebral cell membrane can be related to the increase of enzymeactivities. With these observations, it can be considered that severe head injury gives influence on metabolic function in the hypothalamus and may cause in the levels of CSF enzymes and/or the urinary excretions of Cr, Crn and corticosteroids. And the examinations of enzyme activities in the patients with head injury may become a useful aid to make an outlook of their clinical coure and prognosis.

  16. An unusual cutaneous manifestation of Crohn's disease.

    PubMed

    Weiser, Jessica A; Markowitz, David M; Husain, Sameera; Grossman, Marc E

    2011-01-01

    A 61-year-old man with a 12-year history of quiescent Crohn's disease on mesalamine presented to his gastroenterologist in April 2009, complaining of abdominal cramping, diarrhea, and a 25-lb weight loss over 6 weeks. He did not respond to prednisone 50 mg and 6-mercaptopurine 100 mg daily. Abdominal computed tomography findings revealed diffuse submucosal edema consistent with extensive colitis. Colonoscopy demonstrated diffuse inflammation with erythema, friability, and shallow ulcerations in the rectum and colon. Biopsies were consistent with Crohn's colitis. He was admitted for infliximab infusion for his unremitting diarrhea. Five days before admission, the patient noted mild swelling and redness of the left lower eyelid, which progressed to involve the right lower eyelid with frank pus draining from both eyes. He had no visual impairment or eye pain. Two days before admission, an ophthalmologist prescribed a steroid eyedrop with no relief. He also complained of seropurulent painful skin lesions on his face and scalp, which spread to involve his upper trunk and proximal arms. On admission to the hospital, dermatology, ophthalmology, and infectious disease consultations were obtained to rule out disseminated infection before initiation of infliximab therapy. The patient was afebrile and hemodynamically stable. His oral mucosa was normal. He had prominent bilateral lower eyelid edema, erythema, and superficial erosions with hemorrhagic crusting and frank green purulent drainage from both eyes, with crusting along the lower lash line and bilateral sclera injection (Figure 1). On his scalp, face, trunk, and proximal extremities, he had 25 to 30 erythematous, 4- to 8-mm papulopustules with narrow red halos, some with central necrosis and crusting (Figure 2). Cultures from the purulent ocular drainage and pustules on the trunk and arms were all negative for bacteria, virus, and fungi. Gram stain from the eye drainage showed polymorphonuclear leukocytes without organisms. Tissue cultures were negative for bacterial, fungal, and mycobacterial infection. Skin biopsy taken from the central upper back demonstrated subcorneal pustules with areas of eroded epidermis and collections of neutrophils in the superficial dermis (Figure 3). Special stains were negative for organisms. He received infliximab infusion 5 mg/kg for a total dose of 420 mg over 2 hours. Within 48 hours of infusion, there was notable decrease in size of lesions, in addition to reduction of purulent drainage from both eyes. The patient was discharged home following infliximab infusion. His skin lesions resolved during a period of 2 weeks, leaving small pink atrophic scars. He received his second infusion of infliximab 2 weeks after discharge with continued improvement in his gastrointestinal symptoms.

  17. Magnetotaxis as a means for nanofabrication of bioelectronics

    NASA Astrophysics Data System (ADS)

    Macwan, Isaac

    Self-assembly plays an important role in the formation of different nanostructures either organic or inorganic. Controlled assembly of molecules into higher ordered hierarchical structures on the other hand require a thorough insight into the interactive forces that lie behind such an assembly. The interface between organic and inorganic materials is thus of primary significance when it comes to the tasks of selective deposition and assembly of inorganic molecules through organic agents. One of the bacterial species that belong to the class alpha-proteobacteria called Magnetospirillum magneticum (classified as AMB-1) is investigated in this study and it is found that this species is able to fulfill the requirements that are imposed by the complexity of the selective deposition and controlled assembly tasks. AMB-1 contain single-domain crystals of magnetite (Fe3O4) called magnetosomes that sense the external magnetic field that is further utilized for cellular displacement (magnetotaxis) through lash-like cellular appendages called flagella. The two flagella located at the proximal and distal ends of the cell consists of a protein monomer flagellin. Individual flagellin in turn that are located on the periphery of each of the flagellum's central channel consists of four sub-domains, two inner domains (D0, D1) made up of alpha-helices and two outer domains (D2, D3) made up of beta sheets. However, it is the domain D3 that is exposed to the surrounding micro-environment, thereby interacting with the components to be selectively deposited, in this case, carbon nanotubes (CNT). Based on the electromagnetic and molecular dynamics simulations and the real-time experimental analysis involving optical microscopy utilizing 50 micron diameter conductor (44AWG) magnetic coils as directional magnetic field generation centers to visualize the motion of free as well as loaded AMB-1 as well as electron microscopy (TEM & SEM) to analyze the interactive forces between CNT and AMB-1 flagellum, it is found that once the domain D3 is functionalized with either metallic (m-) or semiconducting (s-) carbon nanotubes (CNT), the AMB-1 cell can be used as an efficient carrier for selective deposition tasks. Two aspects that are of particular interest are the phenomenal control of direction exhibited by AMB-1 using locally generated magnetic field and the efficient interactive forces in the form of short range forces (van der Waals, hydrophobic interactions and hydrogen bonds) and long range forces (electrostatic interactions) between m-CNT or s-CNT and D3. Thus, it is recognized that a compound semiconductor manufacturing technology involving bacterial carriers and carbon-based materials such as carbon nanotubes would be a desirable choice in the future.

  18. EAST93: Geophysical traverse from the Transantarctic Mountains to the Wilkes Basin, East Antarctica

    USGS Publications Warehouse

    ten Brink, Uri S.; Bannister, Stephen

    1995-01-01

    The East Antarctic Seismic Traverse (EAST93) was a geophysical traverse designed to image the bedrock under the East Antarctic ice cap. The traverse started 10 km west of the Taylor Dome drill site and 25 km west of the exposed bedrock of the Transantarctic Mountains at Lashly Mt. and ended 323 km west of the drill site over the Wilkes subglacial basin (Fig. 1). The traverse was located subparallel to latitude 78° S starting 30-50 km north of the Victoria Land Traverse (1958-1959). It was carried out jointly by the U.S. Geological Survey and Stanford University, U.S.A., together with the Institute of Geological and Nuclear Sciences, and Victoria University, New Zealand, during December 1993 and January 1994. The geophysical traverse included 236 km of multichannel seismic reflection data at 150 m shot intervals, 312.5 km of gravity data collected at intervals of 2.1 km, 312.5 km of magnetic data (total field intensity) collected at average intervals of 0.5 km, and 205 km of ground penetrating radar at intervals of 77 m. Relative locations and elevations of the entire traverse were measured at intervals of 150 m by traditional surveying methods, and tied to three absolute locations measured by the Global Positioning System (GPS). EAST93 is the first large-scale geophysical traverse on the polar plateau to our knowledge since the early 1960s. As such, the experiment presented several logistical challenges: (1) how to collect regional seismic profiles during the short Antarctic summer; (2) how to keep the scientific instruments running with minimal protection in harsh conditions; and (3) how to combine daily moves of camp with full days of work. The scientific and logistical aspects of the project proceeded, in general, according to plan despite the harsh conditions and our lack of previous experience on the polar plateau. Two unanticipated problems affected the progress of the work: the strong wind which slowed seismic acquisition, and the break-down of one of the large traverse vehicles. The major operational lessons of this project are. (1) Primacord laid close to the surface is not an adequate seismic source for imaging under the thick East Antarctic ice sheet, despite positive prior tests on the Ross Ice Shelf. (2) It is necessary to reduce the 6-7 hours spent daily on camp move and other chores by integrating the living quarters into the working teams, and by improving vehicle warming methods and generator housing. The following report details the operational and logistical aspects of the work, the weather and ground conditions, the technical aspects of acquisition of geophysical data, and lessons and recommendations for future geophysical traverses.

  19. Industrializing Offshore Wind Power with Serial Assembly and Lower-cost Deployment - Final Report

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

    Kempton, Willett

    A team of engineers and contractors has developed a method to move offshore wind installation toward lower cost, faster deployment, and lower environmental impact. A combination of methods, some incremental and some breaks from past practice, interact to yield multiple improvements. Three designs were evaluated based on detailed engineering: 1) a 5 MW turbine on a jacket with pin piles (base case), 2) a 10 MW turbine on a conventional jacket with pin piles, assembled at sea, and 3) a 10 MW turbine on tripod jacket with suction buckets (caissons) and with complete turbine assembly on-shore. The larger turbine, assemblymore » ashore, and the use of suction buckets together substantially reduce capital cost of offshore wind projects. Notable capital cost reductions are: changing from 5 MW to 10 MW turbine, a 31% capital cost reduction, and assembly on land then single-piece install at sea an additional 9% capital cost reduction. An estimated Design 4) estimates further cost reduction when equipment and processes of Design 3) are optimized, rather than adapted to existing equipment and process. Cost of energy for each of the four Designs are also calculated, yielding approximately the same percentage reductions. The methods of Design 3) analyzed here include accepted structures such as suction buckets used in new ways, innovations conceived but previously without engineering and economic validation, combined with new methods not previously proposed. Analysis of Designs 2) and 3) are based on extensive engineering calculations and detailed cost estimates. All design methods can be done with existing equipment, including lift equipment, ports and ships (except that design 4 assumes a more optimized ship). The design team consists of experienced offshore structure designers, heavy lift engineers, wind turbine designers, vessel operators, and marine construction contractors. Comparing the methods based on criteria of cost and deployment speed, the study selected the third design. That design is, in brief: a conventional turbine and tubular tower is mounted on a tripod jacket, in turn atop three suction buckets. Blades are mounted on the tower, not on the hub. The entire structure is built in port, from the bottom up, then assembled structures are queued in the port for deployment. During weather windows, the fully-assembled structures are lifted off the quay, lashed to the vessel, and transported to the deployment site. The vessel analyzed is a shear leg crane vessel with dynamic positioning like the existing Gulliver, or it could be a US-built crane barge. On site, the entire structure is lowered to the bottom by the crane vessel, then pumping of the suction buckets is managed by smaller service vessels. Blades are lifted into place by small winches operated by workers in the nacelle without lift vessel support. Advantages of the selected design include: cost and time at sea of the expensive lift vessel are significantly reduced; no jack up vessel is required; the weather window required for each installation is shorter; turbine structure construction is continuous with a queue feeding the weather-dependent installation process; pre-installation geotechnical work is faster and less expensive; there are no sound impacts on marine mammals, thus minimal spotting and no work stoppage Industrializing Offshore Wind Power 6 of 96 9 for mammal passage; the entire structure can be removed for decommissioning or major repairs; the method has been validated for current turbines up to 10 MW, and a calculation using simple scaling shows it usable up to 20 MW turbines.« less

  20. Design of smart composite platforms for adaptive trust vector control and adaptive laser telescope for satellite applications

    NASA Astrophysics Data System (ADS)

    Ghasemi-Nejhad, Mehrdad N.

    2013-04-01

    This paper presents design of smart composite platforms for adaptive trust vector control (TVC) and adaptive laser telescope for satellite applications. To eliminate disturbances, the proposed adaptive TVC and telescope systems will be mounted on two analogous smart composite platform with simultaneous precision positioning (pointing) and vibration suppression (stabilizing), SPPVS, with micro-radian pointing resolution, and then mounted on a satellite in two different locations. The adaptive TVC system provides SPPVS with large tip-tilt to potentially eliminate the gimbals systems. The smart composite telescope will be mounted on a smart composite platform with SPPVS and then mounted on a satellite. The laser communication is intended for the Geosynchronous orbit. The high degree of directionality increases the security of the laser communication signal (as opposed to a diffused RF signal), but also requires sophisticated subsystems for transmission and acquisition. The shorter wavelength of the optical spectrum increases the data transmission rates, but laser systems require large amounts of power, which increases the mass and complexity of the supporting systems. In addition, the laser communication on the Geosynchronous orbit requires an accurate platform with SPPVS capabilities. Therefore, this work also addresses the design of an active composite platform to be used to simultaneously point and stabilize an intersatellite laser communication telescope with micro-radian pointing resolution. The telescope is a Cassegrain receiver that employs two mirrors, one convex (primary) and the other concave (secondary). The distance, as well as the horizontal and axial alignment of the mirrors, must be precisely maintained or else the optical properties of the system will be severely degraded. The alignment will also have to be maintained during thruster firings, which will require vibration suppression capabilities of the system as well. The innovative platform has been designed to have tip-tilt pointing and simultaneous multi-degree-of-freedom vibration isolation capability for pointing stabilization. Analytical approaches have been employed for determining the loads in the components as well as optimizing the design of the system. The different critical components such as telescope tube struts, flexure joints, and the secondary mirror mount have been designed and analyzed using finite element technique. The Simultaneous Precision Positioning and Vibration Suppression (SPPVS) smart composites platforms for the adaptive TVC and adaptive composite telescope are analogous (e.g., see work by Ghasemi-Nejhad and co-workers [1, 2]), where innovative concepts and control strategies are introduced, and experimental verifications of simultaneous thrust vector control and vibration isolation of satellites were performed. The smart composite platforms function as an active structural interface between the main thruster of a satellite and the satellite structure for the adaptive TVC application and as an active structural interface between the main smart composite telescope and the satellite structure for the adaptive laser communication application. The cascaded multiple feedback loops compensate the hysteresis (for piezoelectric stacks inside the three linear actuators that individually have simultaneous precision positioning and vibration suppression), dead-zone, back-lash, and friction nonlinearities very well, and provide precision and quick smart platform control and satisfactory thrust vector control capability. In addition, for example for the adaptive TVC, the experimental results show that the smart composite platform satisfactorily provided precision and fast smart platform control as well as the satisfactory thrust vector control capability. The vibration controller isolated 97% of the vibration energy due to the thruster firing.

  1. Study of Extreme Hydrometeorological Events under Consideration of Climate Change in terms of Flood Protection Design Standard

    NASA Astrophysics Data System (ADS)

    Lin, B.-Z.

    2012-04-01

    A study of Trend and Shift on annual maximum daily data over 500 raingauges with data length of 80 years or longer in the Ohio River Basin U.S. demonstrated a significant increase in variance of the data over time. The area-average increase in standard deviation is 23% for the recent 40 years (1959 - 1998) in comparison with the earlier 40-60 years (1919 or earlier - 1958). This implies that more and more extreme hydrometeorological events such as extreme rainfalls and droughts could be observed in the future years. The centurial flood disaster of August 8-10 2009 in the mid-southern Taiwan caused by Morakot Typhoon and the extraordinary drought lasting from winter 2009 to early summer 2010 wreaking havoc of a vast area of south-west China mainland were two good examples of the extremes. This variation could attribute to climate change. It challenges the hydrologic frequency analysis. Thus, exploration of a robust and reliable approach to precipitation frequency analysis becomes an imminent issue in hydrologic design studies. This paper introduces a novel hydrometeorological approach, the Regional L-moments method (RLM), to rainfall frequency analysis. There are two fatal weaknesses in FA: 1) There is no analytical way to derive a theoretical distribution to best fit the data; 2) The theoretical true value of a frequency such as 50-y or 100-y is unknown forever. The RLM, which is developed based on the order statistics and the concept of hydrometeorological homogeneity, demonstrates unbiasedness of parameter estimates and robust to outliers, and reduces the uncertainties of frequency estimates as well via the real data in Ohio River Basin of the U.S. and in the Taihu Lake Basin of China. Further study indicated that the variation of the frequency estimates such as 10-year, 100-year, 500-year, etc. is not normal as suggested in current textbooks. Actually, the frequency estimates vary asymmetrically from positive skew to negative skew when estimates go through from common frequencies to rare frequencies. Probable Maximum Precipitation (PMP) is defined as the greatest depth of precipitation for a given duration meteorologically possible for a design watershed or a given storm area at a particular location at a particular time of year, with no allowance made for long-term climate trends (WMO, 2009). The PMP has been widely used by many hydrologists to determine the probable maximum flood (PMF) critical to the design of a variety of hydrological structures and other high profile infrastructures such as nuclear power-generation station with respect to flood-protection, for which a high level safety is required. What is the impact of climate change on PMP estimation? Actually, in the definition of PMP, there is "no allowance made for long-term climate trends" (WMO, 2009). However, when people are talking about impact of climate change on PMP estimation, two things may be taken into account practically: (1) To affect the precipitable water as a result of increase of SST; (2) Effect on the selection of the transposed storm because more extreme storms would occur due to climate change and more potential candidates to be used for storm transposition. The occurrence of a severe rainfall storm could alter the PMP estimates. A good example is the lashing of the Typhoon Morakot of 8 - 10 Aug. 2009 on Taiwan Island that set up new rainfall picture. What is the effect of topography on rainfall is another big issue in PMP estimation. Many observations of precipitation in mountainous areas show a general increase in precipitation with elevation. Practically, the effect of topography on rainfall should be taken into account in PMP estimation and implemented by the storm separation technique. The Step-Duration-Orographic-Intensification-Factor (SDOIF) Method, which was developed based on statistics analysis of extreme rainfalls in the storm area, can practically be used as storm separation technique to decouple the Morakot storm rainfalls into two components, convergence component and orographic component. Then, the convergence component can be transposed in a wider area for PMP estimation at a design location in the East Asia region. At last, this paper provides a clue for the first time on relationship between the frequency analysis and the PMP estimation in terms of hydrologic engineering design studies.

  2. Mars Express radar ready to work

    NASA Astrophysics Data System (ADS)

    2005-06-01

    MARSIS consists of three antennas: two ‘dipole’ booms 20 metres long, and one 7-metre ‘monopole’ boom oriented perpendicular to the first two. Its importance is that it is the first- ever means of looking at what may lie below the surface of Mars. The delicate three-stage phase of radar boom deployment, and all the following tests to verify spacecraft integrity, took place between 2 May and 19 June. Deployment of the first boom was completed on 10 May. That boom, initially stuck in unlocked mode, was later released by exploiting solar heating of its hinges. Taking advantage of the lessons learnt from that first boom-deployment, the second 20-metre boom was successfully deployed on 14 June. Subsequently, ESA’s ground team at the European Space Operations Centre (ESOC) in Darmstadt, Germany, commanded the non-critical deployment of the third boom on 17 June, which proceeded smoothly as planned. MARSIS’s ability to transmit radio waves in space was tried out for the first time on 19 June, when the instrument was switched on and performed a successful transmission test. The instrument works by sending a coded stream of radio waves towards Mars at night, and analysing their distinctive echoes. From this, scientists can then make deductions about the surface and subsurface structure. The key search is for water. But MARSIS's capabilities do not stop there. The same methods can also be used by dayto probe the structure of the upper atmosphere. Before starting its scientific observations, MARSIS has to undergo its commissioning phase. This is a routine procedure for any spacecraft instrument, necessary to test its performance in orbit using real targets in situ. In this case, the commissioning will last about ten days, or 38 spacecraft orbital passes, starting on 23 June and ending on 4 July. During the commissioning phase, MARSIS will be pointed straight down (nadir pointing mode) to look at Mars from those parts of the elliptical orbit where the spacecraft is closest to the surface (around the pericentre). During this phase, it will cover the areas of Mars between 15° S and 70° N latitude. This includes interesting features such as the northern plains and the Tharsis region, so there is a small chance of exciting discoveries being made early on. On 4 July, when the commissioning operations end, MARSIS will start its nominal science observations. In the initial phase, it will operate in survey mode. It will make observations of the Martian globe’s night-side. This is favourable to deep subsurface sounding, because during the night the ionosphere of Mars does not interfere with the lower-frequency signals needed by the instrument to penetrate the planet's surface, down to a depth of 5 kilometres. Through to mid-July, the radar will look at all Martian longitudes between 30° S and 60° N latitude, in nadir pointing mode. This area, which includes the smooth northern plains, may have once contained large amounts of water. The MARSIS operation altitudes are up to 800 kilometres for subsurface sounding and up to 1200 kilometres for studying the ionosphere. From mid-July, the orbit's closest approach point will enter the day-side of Mars and stay there until December. In this phase, using higher frequency radio waves, the instrument will continue shallow probing of the subsurface and start atmospheric sounding. “Overcoming all the technical challenges to operate an instrument like MARSIS, which had never flown in space before this mission, has been made possible thanks to magnificent cooperation between experts on both sides of the Atlantic,” said Professor David Southwood, ESA's Science Programme Director. “The effort is indeed worthwhile as, with MARSIS now at work, whatever we find, we are moving into new territory; ESA’s Mars Express is now well and truly one of the most important scientific missions to Mars to date,” he concluded. Note to editors The MARSIS instrument was developed by the University of Rome, Italy, in partnership with NASA’s Jet Propulsion Laboratory (JPL) in Pasadena, California. The instrument team is led by Professor Giovanni Picardi. It is the first instrument to actually look below the surface of Mars, using low frequency microwaves reflected by the different layers of matter. Among its primary objectives are the attempt to detect underground water ice and the characterisation of terrains underneath layers of sediment. In addition, MARSIS will conduct large-scale altimetry mapping and provide data on the planet’s ionosphere, as this electrically-charged region of the upper atmosphere reflects radio waves too. Mars Express was launched on 2 June 2003 and reached the Red Planet on Christmas Day that same year. MARSIS was planned to deploy its three antenna booms in April 2004, towards the end of the orbiter’s commissioning phase. Computer simulations pointed to a risk that the booms could lash back and harm the spacecraft and its instruments during deployment. ESA therefore delayed deployment until the boom supplier (JPL) and the spacecraft prime contractor (Astrium, France) together with ESA’s experts had conducted further analyses and simulations of boom behaviour during deployment and the possible impact on the spacecraft. Once the magnitude of the risk involved had been assessed and the relevant mitigation scenarios defined, ESA decided to proceed with releasing the MARSIS antennas in May 2005.

  3. Response to letter to the editor from Dr Rahman Shiri: The challenging topic of suicide across occupational groups.

    PubMed

    Niedhammer, Isabelle; Milner, Allison; Witt, Katrina; Klingelschmidt, Justine; Khireddine-Medouni, Imane; Alexopoulos, Evangelos C; Toivanen, Susanna; Chastang, Jean-François; LaMontagne, Anthony D

    2018-01-01

    We thank Dr Rahman Shiri (1) for his careful reading of our systematic review and meta-analysis on suicide among agricultural, forestry, and fishery workers (2). Our paper had the objective of providing a pooled effect size of suicide for this occupational group. Suicide is a crucial issue in public and occupational health. Suicide has a multifactorial etiology and recent systematic reviews and meta-analyses have pointed out the role of occupational exposures, mainly psychosocial work stressors, as risk factors for suicide (3, 4). Suicide is a very rare event in the general population and still more seldom in the working population. Indeed, unemployed and economically inactive people have a higher risk of suicide compared to employed people (5, 6). However, the total number of suicides is greater in the employed population than among the economically inactive or unemployed (6). Shiri's letter (1) questioned several aspects of our review and meta-analysis. One comment related to the single reference database used in our review and a suggestion that our review could not be considered to be systematic. The review was based on Medline because our main interest was in quantitative epidemiologic studies. This is the largest database for biomedical literature and we would argue the most pertinent. Furthermore, we checked the reference lists of the most recent papers and literature reviews, and Shiri did not report any paper that was missing. No review, whether searching one or more databases, can expect to be totally exhaustive. There may always be missing studies, especially if we consider grey literature. Thus we assert that our review was systematic, while acknowledging that it may not be perfectly comprehensive. Shiri suggested an absence of quality assessment of the studies included in our meta-analysis. First, quality was considered in the context of our comments in the discussion section. Second, as suggested by Rothman et al (7), quality assessment was replaced by regression analyses of the effect of each quality item (study characteristics, ie, study design, effect measure, reference group, and adjustment). Third, because most studies included in this review were based on objective data (census, administrative, or register data), they were free of many of the sources of bias that exist in studies where information on exposure and outcome must be collected from participants. Consequently, many of the items related to quality were not pertinent, such as response and follow-up rates, coverage and representativeness of the sample, selection, etc. Contrary to what Shiri suggested, all study designs can be informative in this topic because all of them are able to provide an unbiased estimate of the effect size. In addition, the prospective and case-control studies may have shortcomings. For example, we excluded five studies including three prospective and case-control studies in the sensibility analysis because the group of interest was defined on the basis of the exposure to chemicals (pesticides) rather than job title. Our choice to retain the least adjusted models was justified because aggregated data were used for the meta-analysis. Therefore, unless all included studies adjusted for the same covariates measured in the same way, adjusted estimates cannot be meaningfully provided in an aggregate data meta-analysis. In addition, as the objective was above all descriptive and not etiological or explanatory, and as it is the norm in the exploration of social inequalities in health (8), the results from the least (gender- and age-) adjusted models were in line with the objective. Indeed, including more adjustment variables could lead to overadjustment as they may be intermediate variables on the causal pathways between occupation and suicide. Our strategy was in line with previous meta-analyses on similar topics (9-11). Consequently, we would argue that our results are not likely to be largely due to confounding, contrary to the comment by Shiri. Indeed, the study of the contribution of underlying factors in explaining social inequalities in health outcomes is a fully-fledged topic of research (12-15), but this is relevant research to conduct after demonstrating that inequalities exist between social or occupational groups. Several of Shiri's comments were about statistical aspects of our analyses. First, it was suggested that we did not correctly extract the confidence intervals for the estimates of several studies. We disagree. We used the STATA metan suite of commands using log-transformed effect sizes and standard errors. Our figure 1 and the values of effect sizes and confidence intervals were provided by STATA, this explains why there may be small differences in these values compared with the results published in some studies. Using log-transformed effect sizes and confidence intervals, the analysis provided the same results. Second, our subgroup comparison was based on subsamples that were independent. As not all studies provided information for these subgroups, each subgroup was treated as a unit of analysis. This strategy allows the use of all relevant subgroups and comparisons between them (16). Third, we were also criticized for the use of random-effects models. Random-effects models are generally more plausible for meta-analysis based on studies from the published literature, because the fixed-effect model assumed that the entire corpus of literature has been obtained, ie, that every study has been or ever will be written on the topic has been included, which is an implausible assumption. We also assumed differences in effect size between studies and between subgroups, and the use of random-effects models was consistent with such an assumption. However, random-effects models produce wider confidence intervals compared to fixed-effect models (16). These models are thus more conservative, making our results all the more robust. One of Shiri's comments related to the reference group used in the studies for the comparison of agricultural, forestry, and fishery workers. Although we reported that the studies using a specific occupational group as reference group provided a higher effect size than the studies using other reference groups, we did not explicitly recognize and state in the paper that the results for Japan were based on two studies using a specific occupational group as reference; we concede that this may explain why we found a much more elevated effect size for Japan. Shiri's results (1) allow to conclude that the difference between Japan and the other geographic areas could be explained by the choice of reference group-we are grateful to him for raising this point. However, we would note that the effect size of suicide was still elevated and significant for agricultural, forestry, and fishery workers even after this change in the reference group for these two studies. Nevertheless, the choice of the optimal reference group is not obvious. If we consider the general population as the reference group, as unemployed people and economically inactive people (including people who may not be working due to illness or disability) are part of it and have a higher risk of suicide than employed people, the effect size provided by the nine studies using the general population as the reference is likely to be underestimated, which may contribute to an underestimation of the observed effect size of suicide among agricultural, forestry, and fishery workers in our study. The comparison was made in our paper with the other occupational groups (ie, the working population except the group of interest) as the reference, which was used by nine other studies, but this did not allow to determine the exact rank of the group of interest in the occupational hierarchy. Another relevant choice would have been to retain the group with the lowest suicide risk (for example, the high-skilled occupational group) as the reference, which would have led to a much higher effect size of suicide for agricultural, forestry, and fishery workers. To conclude, as statistical power in detecting differences between subgroups may be low in subgroup analyses and meta-regression, the absence of significant results according to subgroups found in our results cannot be interpreted as evidence that the effect size is the same across subgroups. Consequently, our meta-analysis reporting a significant excess of risk of suicide among agricultural, forestry, and fishery workers may also be a good incentive for more research among this group of workers to (i) confirm this observed excess of risk using differing methodological approaches to meta-analysis and (ii) explore the potential differences within this group and the underlying factors that may explain this excess of risk. 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