The Exhumation of the Central Lhasa, Tibet: Evidence from the Low-temperature Thermochronology

NASA Astrophysics Data System (ADS)

Sun, G.; Xiumian, H.; Sinclair, H. D.; Stuart, F. M.

2017-12-01

The modern Tibetan Plateau has an average elevation of 4500 m above the sea level. But its early growth history still remains debate, despite its significance to the global climate system. In common, the early growth of the Tibetan Plateau has been attributed to the India-Asia collision in the early Paleocene. However, the structural reconstruction, Late Cretaceous sedimentation, and petrology studies, imply there would be a paleo-plateau or the high-elevation gain in the Lhasa terrane prior to the India-Asia collision. In order to examine this model, the zircon/apatite U-Th-He (ZHe and AHe) and apatite fission track (AFT) are employed to the mid-Cretaceous granites in Coqen area, central Lhasa. Eight samples from the plateau surface yield ZHe ages ranging from 88 to 54 Ma, while the AHe ages ranging from 70 to 45 Ma. Five samples from the above have been conducted the AFT analysis and yielded AFT ages ranging between 73 and 62 Ma, showing the similar age ranges with the corresponding AHe ages. Single-sample inverse thermal kinetic modeling reveal that these intrusive rocks have undergone the rapid cooling history since 85 Ma, after when, the relatively slow cooling process has been established at 45 Ma. Inverse thermal-kinetic modeling of these data, recorded in the context of the Late Cretaceous rapid cooling history, is best interpreted by the early plateau growth in the central Lhasa. In consideration of the substantial crustal thickening and shortening in the Lhasa terrane during the Cretaceous, this Late Cretaceous-Early Paleogene rapid cooling history reveal that the exhumation of the central Lhasa has initiated before the India-Asia collision. This scenario is consistent with a 30 Ma ( 90-60 Ma) sedimentation hiatus since the Late Cretaceous terrestrial conglomerate deposition in the central Lhasa terrane.

A Global Landslide Nowcasting System using Remotely Sensed Information

NASA Astrophysics Data System (ADS)

Kirschbaum, Dalia; Stanely, Thomas

2017-04-01

A global Landslide Hazard Assessment model for Situational Awareness (LHASA) has been developed that combines susceptibility information with satellite-based precipitation to provide an indication of potential landslide activity at the global scale every 30 minutes. This model utilizes a 1-km global susceptibility map derived from information on slope, geology, road networks, fault zones, and forest loss. A multi-satellite dataset from the Global Precipitation Measurement (GPM) mission is used to identify the current and antecedent rainfall conditions from the past 7 days. When both rainfall and susceptibility are high, a "nowcast" is issued to indicate areas where a landslide may be likely. The global LHASA model is currently being run in near real-time every 30 minutes and the outputs are available in several different formats at https://pmm.nasa.gov/precip-apps. This talk outlines the LHASA system, discusses the performance metrics and potential applications of the LHASA system.

Early cretaceous topographic growth of the Lhasaplano, Tibetan plateau: Constraints from the Damxung conglomerate

NASA Astrophysics Data System (ADS)

Wang, Jian-Gang; Hu, Xiumian; Garzanti, Eduardo; Ji, Wei-Qiang; Liu, Zhi-Chao; Liu, Xiao-Chi; Wu, Fu-Yuan

2017-07-01

Constraining the timing of early topographic growth on the Tibetan plateau is critical for any models of India-Asia collision, Himalayan orogeny and subsequent plateau development in the Cenozoic. Stratigraphic, sedimentological and provenance analysis of the Lower Cretaceous red-beds of the Damxung Conglomerate provide new key information to reconstruct the paleogeography and the tectonic evolution of the Lhasa terrane at the time. The over 700-m-thick Damxung Conglomerate documents distal alluvial fan to braidplain sedimentation passing upward to proximal alluvial fan sedimentation. Deposition began near sea level, as documented by limestone beds occurring at the base of the unit. Zircon U-Pb dating of interbedded tuff layers constrain deposition age at ca. 111 Ma. Abundance of volcanic clasts, Cretaceous U-Pb ages and Hf isotopes of detrital zircons yielding mainly negative ɛHf(t) values together with paleocurrent data indicate an active volcanic source located in the North Lhasa subterrane. Pre-Mesozoic-aged zircon, recycled quartz and (meta) sedimentary rock fragments increase up-section, indicating progressive erosional exhumation of the Paleozoic sedimentary/metasedimentary basement. The Damxung Conglomerate thus records a significant uplift and unroofing stage in the source region, implying initial topographic growth on the Lhasa terrane at early Albian time. Early Cretaceous topographic growth on the Lhasa terrane is supported by the stratigraphic record in the Linzhou basin, the Xigaze forearc basin and the southern Nima basin. In contrast, marine strata in the central-western Lhasa terrane lasted until the early Cenomanian (ca. 96 Ma), indicating diachronous marine regression on the Lhasa terrane from east to west.

Paleomagnetism of Cretaceous Oceanic Red Beds (CORBs) from Gyangze, northern Tethys Himalaya: Evidence for Intra-oceanic Subduction System and Southern Paleolatitute Limit for the Lhasa Block

NASA Astrophysics Data System (ADS)

Tan, Xiaodong

2016-04-01

In the northern Tethys Himalaya, sporadically distributed Cretaceous oceanic red beds (CORBs, the Chuangde Formation) have been described. The sequence was interpreted to be firstly deposited in the outer continental shelf and upper slope, and later slumped into deep basin. Based on this model, and paleomagnetic data of shallow water deposits from the southern Tethys Himalaya, the CORBs were derived from the northern tip of the passive margin of the greater India. If so, the CORBs would provide more accurate record of the northern extent of the greater India, which is an important parameter for estimating the initial time of India-Asia continental collision and the amount of crustal shortening. The well studied and most accessible section is located in the Chuangde village, about 40km east from the Gyangze city. The formation is about 25m thick, ranging from 84 to 75Ma in age according to fossil records of planktonic foraminiferal species. The lower and upper parts are 2 and 5 meter thick marlstones, respectively, and the middle section is dominated by shale with a few layers of centimeter scale marlstones. Fifty cores were collected from the marlstones of the section, and for the purpose of fold test, 30 more cores were collected from the upper part of the formation from a second section located in the Pulong village, ~3km to the northeast of the Chuangde village. All samples were subject to stepwise thermal demagnetization. About 60% of the samples yielded interpretable demagnetization results. The bottom of the upper part of the formation show reversed high temperature component, and the rest of the upper part and the lower part show normal polarity. The Chuangde section data failed reversal test, because the normal polarity direction is likely not fully resolved from overprint component. However, the well resolved reversal direction from the Chuangde village and the normal direction from Pulong pass both reversal and fold tests. The mean paleomagnetic data indicate a paleolatitude of 10±2 degree north, ~2000 km distance from the southern Tethys Himalaya. Therefore, the formation is not deposited near the greater Indian continental margins. Based on recent plate tectonic reconstruction, the CORBs are very likely formed within a back-arc basin between the equatorial intra-oceanic subduction system and the Asian continental margin. Due to coeval development of abundant red beds in the Lhasa block, the characteristic pigments of hematite born in the CORBs are likely of terrestrial origin. In addition, the new data indicate that the Lhasa block is unlikely to be at low paleolatitude in the Late Cretaceous and Tertiary as some of the paleomagnetic results show.

Spatiotemporal Distribution and Alpine Behavior of Short Chain Chlorinated Paraffins in Air at Shergyla Mountain and Lhasa on the Tibetan Plateau of China.

PubMed

Wu, Jing; Gao, Wei; Liang, Yong; Fu, Jianjie; Gao, Yan; Wang, Yawei; Jiang, Guibin

2017-10-03

Pristine high-altitude mountains are ideal areas for studying the potential mechanism behind the long-range transport and environmental behavior of persistent organic pollutants in remote areas. Short chain chlorinated paraffins (SCCPs) are the most complex halogenated contaminants in the environment, and have attracted extensive worldwide interest in recent years. In this study, the spatiotemporal concentrations and distributions of SCCPs in air collected from Shergyla Mountain (located in the southeast of the Tibetan Plateau) and Lhasa were investigated during 2012-2015. Generally, the total SCCP levels at Shergyla Mountain and Lhasa were between 130 and 1300 pg/m 3 and 1100-14440 pg/m 3 , respectively. C 10 and C 11 components were the most abundant homologue groups, indicating that lighter SCCP homologue groups are capable of relatively long-range atmospheric transport. Relatively high but insignificant atmospheric SCCP concentrations at Shergyla Mountain area and Lhasa were observed from 2013 to 2015 compared with 2012. At Shergyla Mountain, SCCP concentrations on the eastern and western slopes increased with altitude, implying that "mountain cold-trapping" might occur for SCCPs. A back-trajectory model showed that SCCP sources at Shergyla Mountain and Lhasa were primarily influenced by the tropical monsoon from Southwest and South Asia.

The newly-discovered Late Cretaceous igneous rocks in the Nuocang district: Products of ancient crust melting trigged by Neo-Tethyan slab rollback in the western Gangdese

NASA Astrophysics Data System (ADS)

Jiang, Jun-Sheng; Zheng, You-Ye; Gao, Shun-Bao; Zhang, Yong-Chao; Huang, Jian; Liu, Jun; Wu, Song; Xu, Jing; Huang, Liang-Liang

2018-05-01

The newly discovered polymetallic Nuocang Pb-Zn skarn deposit is located in the southern Lhasa subterrane, western Gangdese, Tibet. The orebodies occur primarily at the contact zone between the Angjie Formation and the Linzizong volcanic rocks of Dianzhong Formation (LDF) that are dominated by basaltic andesitic tuff and rhyolite. Zircon U-Pb dating for two granite porphyries yield ages of 72.4 ± 0.2 Ma and 73.4 ± 0.9 Ma, which are different from the ages ( 69-60 Ma) of the LDF in the eastern Gangdese. The basaltic andesite tuff at Nuocang exhibits enrichment of MgO, TiO2, LILE, and LREE, with a relative depletion of SiO2, K2O, HFSE, and HREE, low Sr/Y ratios (32.9-38.0), and weak negative Eu anomalies (mean 0.86). They have 87Sr/86Sr(i) from 0.70695 to 0.70807 and εNd(t) values between -4.3 and -5.9. These features are similar to the Linzizong volcanic rocks of Dianzhong Formation in the Linzhou basin, indicating that they were associated with partial melting of mantle wedge mixing with 25-35% ancient Lhasa terrane basement. The rhyolite and granite porphyry show high SiO2 and K2O, and low Sr/Y ratio (1.2-9.9), enrichment of LILE and LREE and strong depletion of the HFSEs. They have pronounced negative Eu anomalies (mean 0.46), and εHf (t) values of the granite porphyry zircons range from -22.0 to -6.0. All these features suggest that they are the product of anatexis of ancient crustal materials heated by mantle-derived magma, the latter derived from Neo-Tethyan slab dehydration mechanisms. Combined with the previous geochronological and geochemical data, we proposed that the Nuocang district of western Gangdese in the southern Lhasa subterrane contains an ancient block, and the igneous rocks here were triggered by the Neo-Tethyan slab rollback starting at 82 Ma. The western Gangdese contains more ancient continental crustal materials and Late Cretaceous-Eocene Linzizong volcanic rocks and coeval intrusions than in the eastern Gangdese. Thus the western Gangdese block displays greater potential for deposits associated with Late Cretaceous-Eocene magmatism including porphyry Mo, polymetallic skarn (W-Sn-Mo-Pb-Zn-Ag), base and precious metal epithermal (Pb-Zn-Ag-Au), cryptoexplosive breccia (Pb-Zn-Ag), and hydrothermal vein Pb-Zn-Ag deposits.

Community Knowledge and Experience of Mosquitoes and Personal Prevention and Control Practices in Lhasa, Tibet

PubMed Central

Liu, Xiaobo; Wan, Fangjun; Cirendunzhu; Cirenwangla; Bai, Li; Pengcuociren; Zhou, Lin; Baimaciwang; Guo, Yuhong; Dazhen; Xu, Junfang; Sang, Shaowei; Li, Xiaolu; Gu, Shaohua; Wu, Haixia; Wang, Jun; Dawa; Xiraoruodeng; Liu, Qiyong

2014-01-01

Since 2009, great public attention has been paid in Lhasa City (Tibet, China) to mosquito bites and accompanying inflammatory complications. However, the potential contribution of knowledge levels, experiences, disease control and preventive practices (KEP) towards mosquitoes has not received much attention. To investigate community KEP concerning mosquitoes in Lhasa, a cross-sectional survey was undertaken in four sub-districts of urban Lhasa in 2012. Questionnaires were designed to collect information regarding socio-demographics and KEP concerning the harmful effects of mosquitoes on participants. The scoring for KEP was developed after consultation of literature. A total of 591 eligible questionnaires were examined. The majority of respondents were female (61.8%) with a mean age of 46 years. Nearly all of the respondents were of Tibetan nationality (97.4%) and living in registered native households (92.7%), who have less than primary school education. The averages of overall score, knowledge score, experience score, and practice score were 9.23, 4.53, 1.80, 2.90, respectively. The registered household with the highest overall score, knowledge score and practice score was non-native. Female subjects with monthly incomes between 1000 and 3000 RMB had higher experience scores. The correlation analysis revealed that significant positive linear correlations existed between knowledge and experience, knowledge and practices, and experience and practices towards mosquitoes. Past experiences with mosquitoes can result in a better knowledge of effective mosquito control practices in the present and the future. Though the average of overall scores related to mosquitoes is high among the participants in Lhasa, however, the knowledge about the ecological habits of mosquitoes should be strengthened. The findings in this study may help to develop strategies and measures of mosquito and mosquito-borne diseases in the future, not only in Lhasa, but also in similar altitude, latitude and longitude regions worldwide. PMID:25250847

Geochronology and geochemistry of the Early Jurassic Yeba Formation volcanic rocks in southern Tibet: Initiation of back-arc rifting and crustal accretion in the southern Lhasa Terrane

NASA Astrophysics Data System (ADS)

Wei, Youqing; Zhao, Zhidan; Niu, Yaoling; Zhu, Di-Cheng; Liu, Dong; Wang, Qing; Hou, Zengqian; Mo, Xuanxue; Wei, Jiuchuan

2017-05-01

Understanding the geological history of the Lhasa Terrane prior to the India-Asia collision ( 55 ± 10 Ma) is essential for improved models of syn-collisional and post-collisional processes in the southern Lhasa Terrane. The Miocene ( 18-10 Ma) adakitic magmatism with economically significant porphyry-type mineralization has been interpreted as resulting from partial melting of the Jurassic juvenile crust, but how this juvenile crust was accreted remains poorly known. For this reason, we carried out a detailed study on the volcanic rocks of the Yeba Formation (YF) with the results offering insights into the ways in which the juvenile crust may be accreted in the southern Lhasa Terrane in the Jurassic. The YF volcanic rocks are compositionally bimodal, comprising basalt/basaltic andesite and dacite/rhyolite dated at 183-174 Ma. All these rocks have an arc-like signature with enriched large ion lithophile elements (LILEs; e.g., Rb, Ba and U) and light rare earth elements (LREEs) and depleted high field strength elements (HFSEs; e.g., Nb, Ta, Ti). They also have depleted whole-rock Sr-Nd and zircon Hf isotopic compositions, pointing to significant mantle isotopic contributions. Modeling results of trace elements and isotopes are most consistent with the basalts being derived from a mantle source metasomatized by varying enrichment of subduction components. The silicic volcanic rocks show the characteristics of transitional I-S type granites, and are best interpreted as resulting from re-melting of a mixed source of juvenile amphibole-rich lower crust with reworked crustal materials resembling metagraywackes. Importantly, our results indicate northward Neo-Tethyan seafloor subduction beneath the Lhasa Terrane with the YF volcanism being caused by the initiation of back-arc rifting. The back-arc setting is a likely site for juvenile crustal accretion in the southern Lhasa Terrane.

Acute mountain sickness, arterial oxygen saturation and heart rate among Tibetan students who reascend to Lhasa after 7 years at low altitude: a prospective cohort study

PubMed Central

Gonggalanzi; Labasangzhu; Bjertness, Espen; Wu, Tianyi; Stigum, Hein; Nafstad, Per

2017-01-01

Objectives The aim of the present study was to estimate the incidence of acute mountain sickness (AMS) and address the changes in arterial oxygen saturation (SaO2) and heart rate (HR) in native Tibetans who reascend to the high-altitude city of Lhasa (3658 m) after a 7-year stay at low altitude. Methods We followed two cohorts of students aged 17–21 years (859 Native Tibetan and 801 Han Chinese), travelling from lowland China until 3 days after their arrival in highland city of Lhasa. Questionnaire information of the symptoms of AMS using the Lake Louise Scoring System, resting SaO2 and HR were assessed both before leaving the lowland and after arriving in Lhasa. Linear regression was performed to compare changes in SaO2 and HR levels from low to high altitude in Tibetan and Han Chinese. Results New cases of AMS occurred in only 1.2% (95% CI 0.4% to 2.0%) of the Tibetan students who came to Lhasa by train compared with 32.7% (95% CI 28.0% to 37.3%) and 42.9% (95% CI 38.0% to 47.7%) of the Han Chinese students who came to Lhasa by train and by air, respectively. Tibetan students had less changes in SaO2 (−2.95 percentage points, 95% CI −3.24% to −2.65%) and HR (10.89 beats per minute (bpm), 95% CI 9.62 to 12.16 bpm) from low to high altitude compared with Han Chinese students, although measurements did not differ between the two groups when measured at low altitude. Conclusions Healthy Tibetans are mostly protected against AMS and primarily maintain their good adaptation to high altitude, even after a long period of stay at low altitude. PMID:28698346

Lithospheric electrical structure of the middle Lhasa terrane in the south Tibetan plateau

NASA Astrophysics Data System (ADS)

Liang, Hongda; Jin, Sheng; Wei, Wenbo; Gao, Rui; Ye, Gaofeng; Zhang, Letian; Yin, Yaotian; Lu, Zhanwu

2018-04-01

The Lhasa terrane in southern Tibetan plateau is a huge tectono-magmatic belt and an important metallogenic belt. Its formation evolution process and mineralization are affected by the subduction of oceanic plate and subsequent continental collision. However, the evolution of Lhasa terrane has been a subject of much debate for a long time. The Lithospheric structure records the deep processes of the subduction of oceanic plate and continental collision. The magnetotelluric (MT) method can probe the sub-surface electrical conductivity, newly dense broadband and long period magnetotelluric data were collected along a south-north trending profile that across the Lhasa terrane at 88°-89°E. Dimensionality analyses demonstrated that the MT data can be interpreted using two-dimensional approaches, and the regional strike direction was determined as N110°E.Based on data analysis results, a two-dimensional (2-D) resistivity model of crust and upper mantle was derived from inversion of the transverse electric mode, transverse magnetic mode and vertical magnetic field data. Inversion model shows a large north-dipping resistor that extended from the upper crust to upper mantle beneath the Himalaya and the south of Lhasa Terrane, which may represent the subducting Indian continental lithosphere. The 31°N may be an important boundary in the Lhasa Terrane, the south performs a prominent high-conductivity anomaly from the lower crust to upper mantle which indicates the existence of asthenosphere upwelling, while the north performs a higher resistivity and may have a reworking ancient basement. The formation of the ore deposits in the study area may be related to the upwelling of the mantle material triggered by slab tearing and/or breaking off of the Indian lithosphere, and the mantle material input also contributed the total thickness of the present-day Tibetan crust. The results provide helpful constrains to understand the mechanism of the continent-continent collision and the regional exploratory prospect of the deep resources.

Community knowledge and experience of mosquitoes and personal prevention and control practices in Lhasa, Tibet.

PubMed

Liu, Xiaobo; Wan, Fangjun; Cirendunzhu; Cirenwangla; Bai, Li; Pengcuociren; Zhou, Lin; Baimaciwang; Guo, Yuhong; Dazhen; Xu, Junfang; Sang, Shaowei; Li, Xiaolu; Gu, Shaohua; Wu, Haixia; Wang, Jun; Dawa; Xiraoruodeng; Liu, Qiyong

2014-09-23

Since 2009, great public attention has been paid in Lhasa City (Tibet, China) to mosquito bites and accompanying inflammatory complications. However, the potential contribution of knowledge levels, experiences, disease control and preventive practices (KEP) towards mosquitoes has not received much attention. To investigate community KEP concerning mosquitoes in Lhasa, a cross-sectional survey was undertaken in four sub-districts of urban Lhasa in 2012. Questionnaires were designed to collect information regarding socio-demographics and KEP concerning the harmful effects of mosquitoes on participants. The scoring for KEP was developed after consultation of literature. A total of 591 eligible questionnaires were examined. The majority of respondents were female (61.8%) with a mean age of 46 years. Nearly all of the respondents were of Tibetan nationality (97.4%) and living in registered native households (92.7%), who have less than primary school education. The averages of overall score, knowledge score, experience score, and practice score were 9.23, 4.53, 1.80, 2.90, respectively. The registered household with the highest overall score, knowledge score and practice score was non-native. Female subjects with monthly incomes between 1000 and 3000 RMB had higher experience scores. The correlation analysis revealed that significant positive linear correlations existed between knowledge and experience, knowledge and practices, and experience and practices towards mosquitoes. Past experiences with mosquitoes can result in a better knowledge of effective mosquito control practices in the present and the future. Though the average of overall scores related to mosquitoes is high among the participants in Lhasa, however, the knowledge about the ecological habits of mosquitoes should be strengthened. The findings in this study may help to develop strategies and measures of mosquito and mosquito-borne diseases in the future, not only in Lhasa, but also in similar altitude, latitude and longitude regions worldwide.

[An investigation on rare and endangered Tibetan medicinal plants in Lhasa region].

PubMed

Lu, Jie; Lan, Xiao-Zhong

2013-01-01

To investigate and study the endangered Tibetan medicinal plant species, their moisture content, biomass and resources reserves in Lhasa region. The rare and endangered Tibetan medicinal plant resources were investigated by plot-quadrat method, walking and inquiry ways, sampling and drying method. There were 37 species of rare and endangered plants, belonging to 22 families and 34 genera in Lhasa region. The moisture content of aerial part was higher than that of underground part in many plants. The moisture content of Przewalskia tangutica was the highest (91.97%), and the lowest one was Fritillaria delavayi (only 25.99%). The mean biomass of Rubus biflorus was the highest (1 830.480 g), that of Cordyceps sinensis was the lowest (0.291 g). The root-shoot ratio of Asparagus filicinus was the maximum (5.313), the minimum was Aconitum gymnandrum (0.286). The largest output was 18.000 kg x hm(-2) for Berberis agricola, the output of Saxifraga pasumensis was the lowest (0.007 kg x hm(-2)). The resources reserves of the rare and endangered plants were 15683.697 t in Lhasa region, the maximum was 7690.230 t for B. agricola, 49.03% of the total reserves, the minimum was 2.393 t for S. pasumensis, only 0.015%. The characteristics of rare and endangered plants were as follows: abundant species and complex habitats, widely distribution but uneven, rich reserves and high economic value. We suggested to update the endangered level of medicinal plants, strengthen the scientific research on these plants, maintain sustainable utilization of the rare and endangered plants in Lhasa region.

Geometries of geoelectrical structures in central Tibetan Plateau from INDEPTH magnetotelluric data

NASA Astrophysics Data System (ADS)

Vozar, Jan; Jones, Alan G.; Le Pape, Florian

2013-04-01

Magnetotelluric (MT) data collected on N-S profiles crossing the Banggong-Nujiang Suture, which separates the Qiangtang and Lhasa Terranes in central Tibet, as a part of InterNational DEep Profiling of Tibet and the Himalaya project (INDEPTH) are modeled by 2D and 3D inversion codes. The 2D deep MT model of line 500 confirms previous observations concluding that the region is characterized to first-order by a resistive upper crust and a conductive, partially melted, middle to lower crust that extends from the Lhasa Terrane to the Qiangtang Terrane with varying depth. The same conductive structure setting, but in shallower depths is also present on the eastern 400 line. From deep electromagnetic sounding, supported by independent 1D integrated petro-physical investigation, we can estimate the next upper-mantle conductive layer at depths from 200 km to 250 km below the Lhasa Terrane and less resistive Tibetan lithosphere below the Qiangtang Terrane with conductive upper-mantle in depths about 120 km. The anisotropic 2D modeling reveals lower crustal anisotropy in Lhasa Terrane, which can interpreted as crustal channel flow. The 3D inversion models of all MT data from central Tibet show dominant 2D regional strike of mid and lower crustal structures equal N110E. This orientation is parallel to Shuanghu suture, BengCo Jiali strike-slip fault system and perpendicular to convergence direction. The lower crust conductor in central Lhasa Terrane can be interpreted more likely as 3D lower Indian crust structure, located to the east from line 500, than geoelectrical anisotropic crustal flow.

Acute mountain sickness, arterial oxygen saturation and heart rate among Tibetan students who reascend to Lhasa after 7 years at low altitude: a prospective cohort study.

PubMed

Gonggalanzi; Labasangzhu; Bjertness, Espen; Wu, Tianyi; Stigum, Hein; Nafstad, Per

2017-07-10

The aim of the present study was to estimate the incidence of acute mountain sickness (AMS) and address the changes in arterial oxygen saturation (SaO 2 ) and heart rate (HR) in native Tibetans who reascend to the high-altitude city of Lhasa (3658 m) after a 7-year stay at low altitude. We followed two cohorts of students aged 17-21 years (859 Native Tibetan and 801 Han Chinese), travelling from lowland China until 3 days after their arrival in highland city of Lhasa. Questionnaire information of the symptoms of AMS using the Lake Louise Scoring System, resting SaO 2 and HR were assessed both before leaving the lowland and after arriving in Lhasa. Linear regression was performed to compare changes in SaO 2 and HR levels from low to high altitude in Tibetan and Han Chinese. New cases of AMS occurred in only 1.2% (95% CI 0.4% to 2.0%) of the Tibetan students who came to Lhasa by train compared with 32.7% (95% CI 28.0% to 37.3%) and 42.9% (95% CI 38.0% to 47.7%) of the Han Chinese students who came to Lhasa by train and by air, respectively. Tibetan students had less changes in SaO 2 (-2.95 percentage points, 95% CI -3.24% to -2.65%) and HR (10.89 beats per minute (bpm), 95% CI 9.62 to 12.16 bpm) from low to high altitude compared with Han Chinese students, although measurements did not differ between the two groups when measured at low altitude. Healthy Tibetans are mostly protected against AMS and primarily maintain their good adaptation to high altitude, even after a long period of stay at low altitude. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Hair Selenium Levels of School Children in Kashin-Beck Disease Endemic Areas in Tibet, China.

PubMed

Chen, Zhuo; Li, Hairong; Yang, Linsheng; Wang, Wuyi; Li, Yonghua; Gong, Hongqiang; Guo, Min; Nima, Cangjue; Zhao, Shengcheng; Wang, Jing; Ye, Bixiong; Danzeng, Sangbu; Deji, Yangzong

2015-11-01

Previous studies have shown that the selenium (Se) deficiency is an important factor for the etiology of Kashin-Beck disease (KBD). Although KBD is presently controlled in most regions of China, it is still active in the Tibetan Plateau. The present study aimed to assess the nutritional status of selenium in school children by using the Se level in hair as a biomarker in KBD endemic areas of Lhasa in Tibet, China. Hair samples of 155 school children aged 6-15 years were collected in both KBD areas and non-KBD areas of Lhasa in 2013. The Se level in the hair samples was determined by inductive coupled plasma mass spectrometry (ICP-MS). The average concentration of Se in children's hair was 0.232 μg/g in KBD areas of Lhasa, which was significantly higher than the data reported decades ago. A significant difference in hair Se was observed between the boys (0.255 μg/g) and the girls (0.222 μg/g) in the studied KBD areas (P < 0.01, Mann-Whitney U test), but hair Se did not vary by age or region. School children in KBD endemic areas in Lhasa likely have improved Se status as a result of high Se content staple food substitution with the enforcement of Free Education Policy and Nutrition Improvement Plan in Tibet. Nevertheless, there were still 20.3 % of students with low Se status (hair Se <0.20 μg/g), which showed that Se status of school children was also partly affected by low Se environment in KBD endemic areas of Lhasa.

Geometries of geoelectrical structures in central Tibetan Plateau from INDEPTH magnetotelluric data

NASA Astrophysics Data System (ADS)

Vozar, J.; Jones, A. G.; Le Pape, F.

2012-12-01

Magnetotelluric (MT) data collected on N-S profiles crossing the Banggong-Nujiang Suture (BNS), which separates the Qiangtang and Lhasa Terranes in central Tibet, as a part of InterNational DEep Profiling of Tibet and the Himalaya project (INDEPTH) are modeled by 2D, 3D inversion codes and 1D petro-physical package LitMod. The modeling exhibits regional resistive and conductive structures correlated with ShuangHu Suture, Tanggula Mountains and strike-slip faults like BengCo-Jiali fault in the south. The BNS is not manifested in the geoelectrical models as a strong crustal regional structure. The strike direction azimuth of mid and lower crustal structures estimated from horizontal slices from 3D modeling (N110°E) is slightly different from one estimated by 2D strike analysis (N100°E). Orientation of crustal structures is perpendicular to convergence direction in this area. The deepest lower crustal conductors are correlated to areas with maximum Moho depth obtained from satellite gravity data. The anisotropic 2D modeling reveals that lower crustal conductor in Lhasa Terrane is anisotropic. This anisotropy can be interpreted as a proof for crustal channel flow below Lhasa Terrane. But same Lhasa lower crust conductor from isotropic 3D modeling can be interpreted more likely as 3D lower Indian crust structure, located to the east from line 500, than geoelectrical anisotropic crustal flow. From deep electromagnetic sounding, supported by independent integrated petro-physical investigation, we can estimate the next upper-mantle conductive layer at depths from 200 km to 250 km below the Lhasa Terrane and less resistive Tibetan lithosphere below the Qiangtang Terrane with conductive upper-mantle in depths about 120 km.

Geochronological and geochemical constraints on the origin of the Yunzhug ophiolite in the Shiquanhe-Yunzhug-Namu Tso ophiolite belt, Lhasa Terrane, Tibetan Plateau

NASA Astrophysics Data System (ADS)

Zeng, Yun-Chuan; Xu, Ji-Feng; Chen, Jian-Lin; Wang, Bao-Di; Kang, Zhi-Qiang; Huang, Feng

2018-02-01

The formation of the Shiquanhe-Yunzhug-Namu Tso ophiolite mélange zone (SNMZ) within the Lhasa Terrane, Tibetan Plateau, is key to understanding the Mesozoic tectonic evolution of this terrane, which remains controversial. We show that the Yunzhug ophiolite in the central segment of the SNMZ formed at 150 Ma, based on U-Pb dating of zircons from a gabbroic sample in a well-developed sheeted dike complex. Geochemically, these mafic rocks are dominated by E-MORB-type compositions, along with minor amounts of rocks with P-MORB-type compositions. The samples also exhibit high εNd(t) values and lack negative Nb and Ta anomalies. Data for all the samples plot within the MORB array on a Th/Yb-Nb/Yb diagram. Therefore, these mafic rocks most likely formed in either a slow spreading oceanic setting or an embryonic ocean, and not in a back-arc basin as has been previously assumed. Taking into account the regional geology, we propose that the Yunzhug ophiolite is part of a distinct ophiolitic belt and represents material formed in an embryonic ocean within the Lhasa Terrane, which provides new insights into the Jurassic tectonic evolution of the Lhasa Terrane.

Petrogenesis of the Majiari ophiolite (western Tibet, China): Implications for intra-oceanic subduction in the Bangong-Nujiang Tethys

NASA Astrophysics Data System (ADS)

Huang, Qiang-tai; Liu, Wei-liang; Xia, Bin; Cai, Zhou-rong; Chen, Wei-yan; Li, Jian-feng; Yin, Zheng-xin

2017-09-01

The Majiari ophiolite lies in the western Bangong-Nujiang Suture Zone, which separates the Qiangtang and Lhasa blocks in central Tibet. The ophiolite consists of peridotite, gabbro/diabase and basalt. Zircon U-Pb dating yielded an age of 170.5 ± 1.7 Ma for the gabbro, whereas 40Ar/39Ar dating of plagioclase from the same gabbro yielded ages of 108.4 ± 2.6 Ma (plateau age) and 112 ± 2 Ma (isochron age), indicating that the ophiolite was formed during the Middle Jurassic and was probably emplaced during the Early Cretaceous. Zircons from the gabbro have εHf(t) values ranging from +6.9 to +10.6 and f(Lu/Hf) values ranging from -0.92 to -0.98. Mafic lavas plot in the tholeiitic basalt field but are depleted in Nb, Ta and Ti and enriched in Rb, Ba and Th in the N-MORB-normalized trace element spider diagram. These lavas have whole-rock εNd(t) values of +5.9 to +6.6, suggesting that they were derived from a depleted mantle source, which was probably modified by subducted materials. The Majiari ophiolite probably formed in a typical back-arc basin above a supra-subduction zone (SSZ) mantle wedge. Intra-oceanic subduction occurred during the Middle Jurassic and collision of the Lhasa and South Qiangtang terranes likely occurred in the Early Cretaceous. Thus, closure of the Bangong-Nujiang Tethys Ocean likely occurred before the Early Cretaceous.

Microarray analysis of gene expression in seeds of Brassica napus planted in Nanjing (altitude: 8.9 m), Xining (altitude: 2261.2 m) and Lhasa (altitude: 3658 m) with different oil content.

PubMed

Fu, San-Xiong; Cheng, Hao; Qi, Cunkou

2009-11-01

The regulation of seed oil synthesis in rapeseed is largely unknown. In this study, Arabidopsis microarray was used to analyze the gene differential expression of the immature seeds 30 days after flowering of a high oil Brassica napus, H105, whose oil content was 46.04 +/- 1.42, 53.94 +/- 1.35 and 53.09 +/- 1.35% when planted in Nanjing (altitude: 8.9 m), Xining (altitude: 2261.2 m) and Lhasa (altitude: 3658 m), respectively. Transcript levels of 363 genes and 421 genes were altered twofold or more for H105 planted in Xining and Lhasa compared to that in Nanjing, respectively. Together, there were 53 common up-regulated and 42 common down-regulated expression transcripts shared by H105 planted in Xining and Lhasa compared to that in Nanjing. Some important genes, such as sucrose synthase, pyruvate kinase and 6-phosphogluconate dehydrogenase which related to sugar metabolism were identified common up-regulated in higher oil content H105. These results revealed the expressional disciplinarian of correlative genes, and provided important information of the molecular genetic mechanism of oil content difference of rapeseed. In addition, these differential expression genes could be suitable as targets for genetic improvement of seed oil content.

Evaluation TRMM Rainfall Data In Hydrological Modeling For An Ungaged In Lhasa River Basin

NASA Astrophysics Data System (ADS)

Ji, H. J.; Liu, J.

2017-12-01

Evaluation TRMM Rainfall Data In Hydrological Modeling For An Ungaged In Lhasa River BasinHaijuan Ji1* Jintao Liu1,2 Shanshan Xu1___________________ 1College of Hydrology and Water Resources, Hohai University, Nanjing 210098, People's Republic of China 2State Key Laboratory of Hydrology-Water Resources and Hydraulic Engineering, Hohai University, Nanjing 210098, People's Republic of China ___________________ * Corresponding author. Tel.: +86-025-83786973; Fax: +86-025-83786606. E-mail address: Hhu201510@163.com (H.J. Ji). Abstract: The Tibetan Plateau plays an important role in regulating the regional hydrological processes due to its high elevations and being the headwaters of many major Asian river basins. If familiar with the distribution of hydrological characteristics, will help us improve the level of development and utilization the water resources. However, there exist glaciers and snow with few sites. It is significance for us to understand the glacier and snow hydrological process in order to recognize the evolution of water resources in the Tibetan. This manuscript takes Lhasa River as the study area, taking use of ground, remote sensing and assimilation data, taking advantage of high precision TRMM precipitation data and MODIS snow cover data, first, according to the data from ground station evaluation of TRMM data in the application of the accuracy of the Lhasa River, and based on MODIS data fusion of multi source microwave snow making cloudless snow products, which are used for discriminant and analysis glacier and snow regulation mechanism on day scale, add snow and glacier unit into xinanjing model, this model can simulate the study region's runoff evolution, parameter sensitivity even spatial variation of hydrological characteristics the next ten years on region grid scale. The results of hydrological model in Lhasa River can simulate the glacier and snow runoff variation in high cold region better, to enhance the predictive ability of the spring snow disaster.

Syn-convergence extension in the southern Lhasa terrane: Evidence from late Cretaceous adakitic granodiorite and coeval gabbroic-dioritic dykes

NASA Astrophysics Data System (ADS)

Ma, Xuxuan; Xu, Zhiqin; Meert, Joseph G.

2017-10-01

Late Cretaceous (∼100-80 Ma) magmatism in the Gangdese magmatic belt plays a pivotal role in understanding the evolutionary history and tectonic regime of the southern Lhasa terrane. The geodynamic process for the formation of the early Late Cretaceous magmatism has long been an issue of hot debates. Here, petrology, geochronology and geochemistry of early Late Cretaceous granodiorite and coeval gabbroic-dioritic dykes in the Caina region, southern Lhasa, were investigated in an effort to ascertain their petrogenesis, age of intrusion, magma mixing and tectonic setting. Zircon U-Pb dating of granodiorite yields 206Pb/238U ages of 85.8 ± 1.7 and 86.4 ± 1.1 Ma, whilst that of the E-W trending dykes yields ages of 82.7 ± 2.6 and 83.5 ± 3.5 Ma. Within error, the crystallization ages of the dykes and the granodiorite are indistinguishable. Field observations and mineralogical microstructures are suggestive of a magma mixing process during the formation of the dykes and the granodiorite. The granodiorite exhibits geochemical features that are in agreement with those of subduction-related high-SiO2 adakites. The granodiorite and dykes have relatively constant εNd(t) values of +2.2 to +4.9 and initial 87Sr/86Sr ratios (0.7045-0.7047). These similar characteristics are herein interpreted as an evolutionary series from the dykes to granodiorite, consistent with magma mixing process. Ti-in-zircon thermometer and Al-in-hornblende barometer indicate that the granodiorite and the dioritic dyke crystallized at temperatures of ca. 750 and 800 °C, depths of ca. 6-10 and 5-9 km, respectively. Taking into account the synchronous magmatic rocks in the Gangdese Belt and the coeval rifted basin within the Lhasa terrane, the granodiorite and dykes reveal an early Late Cretaceous syn-convergence extensional regime in the southern Lhasa terrane, triggered by slab rollback of the Neotethyan oceanic lithosphere.

Low crustal velocities and mantle lithospheric variations in southern Tibet from regional Pnl waveforms

NASA Astrophysics Data System (ADS)

Rodgers, Arthur J.; Schwartz, Susan Y.

We report low average crustal P-wave velocities (5.9-6.1 km/s, Poisson's ratio 0.23-0.27, thickness 68-76 km) in southern Tibet from modelling regional Pnl waveforms recorded by the 1991-1992 Tibetan Plateau Experiment. We also find that the mantle lithosphere beneath the Indus-Tsangpo Suture and the Lhasa Terrane is shield-like (Pn velocity 8.20-8.25 km/s, lid thickness 80-140 km, positive velocity gradient 0.0015-0.0025 s-1). Analysis of relative Pn travel time residuals requires a decrease in the mantle velocities beneath the northern Lhasa Terrane, the Banggong-Nujiang Suture and the southern Qiangtang Terrane. Tectonic and petrologic considerations suggest that low bulk crustal velocities could result from a thick (50-60 km) felsic upper crust with vertically limited and laterally pervasive partial melt. These results are consistent with underthrusting of Indian Shield lithosphere beneath the Tibetan Plateau to at least the central Lhasa Terrane.

Mosquitoes established in Lhasa city, Tibet, China

PubMed Central

2013-01-01

Background In 2009, residents of Lhasa city, Tibet Autonomous Region (TAR), China reported large numbers of mosquitoes and bites from these insects. It is unclear whether this was a new phenomenon, which species were involved, and whether these mosquitoes had established themselves in the local circumstances. Methods The present study was undertaken in six urban sites of Chengguan district Lhasa city, Tibet. Adult mosquitoes were collected by bed net trap, labor hour method and light trap in August 2009 and August 2012. The trapped adult mosquitoes were initially counted and identified according to morphological criteria, and a proportion of mosquitoes were examined more closely using a multiplex PCR assay. Results 907 mosquitoes of the Culex pipiens complex were collected in this study. Among them, 595 were females and 312 were males. There was no significant difference in mosquito density monitored by bed net trap and labor hour method in 2009 and 2012. Of 105 mosquitoes identified by multiplex PCR, 36 were pure mosquitoes (34.29%) while 69 were hybrids (65.71%). The same subspecies of Culex pipiens complex were observed by bed net trap, labor hour method and light trap in 2009 and 2012. Conclusion The local Culex pipiens complex comprises the subspecies Cx. pipiens pipiens, Cx. pipiens pallens, Cx. pipiens quinquefasciatus and its hybrids. Mosquitoes in the Cx. pipiens complex, known to be, potentially, vectors of periodic filariasis and encephalitis, are now present from one season to the next, and appear to be established in Lhasa City, TAR. PMID:24060238

The vertical structure of ozone and water vapor profiles in Lhasa within Asia summer monsoon anticyclone during the stratospheric intrusion

NASA Astrophysics Data System (ADS)

Li, Dan; Vogel, Bärbel; Bian, Jianchun; Müller, Rolf; Günther, Gebhard; Bai, Zhixuan; Li, Qian; Fan, Qiujun; Zhang, Jinqiang

2017-04-01

A stratospheric intrusion process occurred over the southeastern side of the Asia summer monsoon (ASM) region is investigated using the balloon-borne measurements of ozone and water vapor during 18-20 August 2013. Data from Lhasa (29.66° N, 91.14° E, above sea level (asl.) 3,650 m) show that the positive relative change of the ozone mixing ratios in the tropopause layer attained to 90 % on 19 and 20 August. The backward trajectory calculation from CLaMS model and the satellite data from the ozone monitoring instrument (OMI) and the atmospheric infrared sounder (AIRS) indicate that the (stratospheric) air parcels intruded (originated) from the Northeast Asia to the southeastern edge of the ASM anticyclone. Meanwhile, typhoon Utor occurred over the sourtheastern edge of the ASM and lasted from 8 to 18 August 2013. The convection associated with Utor uplifted air with low ozone from the Western Pacific to the middle/upper troposphere. Air parcels with high ozone from the high latitude and with low ozone from the Western Pacific met at the sourtheastern side of the ASM and then transported westward to Lhasa over long-distances (˜2,000 km). In addition, the laminated identification method is used to identify the laminae structure of the ozone and water vapor profiles from the middle troposphere to the lower stratosphere in Lhasa, confirming the role of the dynamic disturbance (e.g., Rossby and gravity wave)

Early Carboniferous magmatism in Lhasa generated in passive continental margin: constrained by new SIMS dating from Carboniferous arc in Qiantang terrane, Tibet

NASA Astrophysics Data System (ADS)

Zhang, X. Z.; Dan, W.; Wang, Q.; Hao, L. L.; Qi, Y.

2016-12-01

In today's oceans, they are rarely undergone subduction on one side and extension on the opposite side. In contrast, there are a few magmatisms in the passive continental margins in the Tethys Ocean. However, because of their long and complex evolution of the northern continental margin of the Gondwana, the geodynamics of the magmatism occurred in this area is speculative or highly depute. One of these examples is the geodynamics of the 360-350 Ma magmatism in southern Lhasa, Tibet. Many authors speculated that it was generated in back-arc setting. Our recent new high-resolution SIMS zircon U-Pb dating reveals that there is a subduction arc with ages of 370-350 Ma in the Qiangtang terrane. The arc rocks compose of andesites, plagiogranites, A-type granites and cumulated gabbros, indicating an initial subduction. This initial subduction arc is located on the north margin of the eastern Paleo-Tethys Ocean, and it was formed slightly earlier than the 360-350 Ma magmatism in southern Lhasa, located on the south margin of the eastern Paleo-Tethys Ocean. Combined with similar aged magmatism generating the back-arc basin in the Sanjiang area, the 360-350 Ma magmatism in southern Lhasa was proposed to be generated in a passive continental margin, and induced by the regional extensional setting related to the subduction in the north margin of the eastern Paleo-Tethys Ocean.

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Late Cretaceous tectonothermal evolution of the southern Lhasa terrane, South Tibet: Consequence of a Mesozoic Andean-type orogeny

NASA Astrophysics Data System (ADS)

Dong, Xin; Zhang, Ze-ming; Klemd, Reiner; He, Zhen-yu; Tian, Zuo-lin

2018-04-01

The Lhasa terrane of the southern Tibetan Plateau participated in a Mesozoic Andean-type orogeny caused by the northward subduction of the Neo-Tethyan oceanic lithosphere. However, metamorphic rocks, which can unravel details of the geodynamic evolution, are rare and only exposed in the south-eastern part of the Lhasa terrane. Therefore, we conducted a detailed petrological, geochemical and U-Pb zircon geochronological study of the late Cretaceous metamorphic rocks and associated gabbros from the Nyemo inlier of the southern Lhasa terrane. The Nyemo metamorphic rocks including gneisses, schists, marbles and calc-silicate rocks, experienced peak amphibolite-facies contact metamorphism under P-T conditions of 3.5-4.0 kbar and 642-657 °C with a very high geothermal gradient of 45-50 °C/km, revealing a distinct deflection from the steady-state geotherm during low-pressure metamorphism. Inherited magmatic zircon cores from the metamorphic rocks yielded protolith ages of 197-194 Ma, while overgrowth zircon rims yielded metamorphic ages of ca. 86 Ma. Whole-rock chemistry and zircon Hf isotopes suggest that the protoliths of the gneisses and schists are andesites and tuffs of the early Jurassic Sangri Group, which were derived from a depleted mantle source of a continental arc affinity. The coeval intimately-associated gabbro (ca. 86 Ma) crystallized under P-T conditions of 3.5-5.3 kbar and 914-970 °C, supplying the heat flux high enough to cause the contact metamorphism of the Sangri Group rock types. We propose that the intrusion of the gabbro and a simultaneous pressure increase of up to 4.0 kbar, which is related to crustal thickening due to crustal overthrusting and the intrusion of mafic material, resulted in the late Cretaceous metamorphism of the early Jurassic Sangri Group during an Andean-type orogeny. Furthermore the Nyemo metamorphic rocks, which have previously been considered to represent slivers of the Precambrian metamorphic basement of the Lhasa terrane, are late Cretaceous metamorphic supracrustal rocks.

Detailed Configuration of the Underthrusting Indian Lithosphere Beneath Western Tibet Revealed by Receiver Function Images

NASA Astrophysics Data System (ADS)

Xu, Qiang; Zhao, Junmeng; Yuan, Xiaohui; Liu, Hongbing; Pei, Shunping

2017-10-01

We analyze the teleseismic waveform data recorded by 42 temporary stations from the Y2 and ANTILOPE-1 arrays using the P and S receiver function techniques to investigate the lithospheric structure beneath western Tibet. The Moho is reliably identified as a prominent feature at depths of 55-82 km in the stacked traces and in depth migrated images. It has a concave shape and reaches the deepest location at about 80 km north of the Indus-Yarlung suture (IYS). An intracrustal discontinuity is observed at 55 km depth below the southern Lhasa terrane, which could represent the upper border of the eclogitized underthrusting Indian lower crust. Underthrusting of the Indian crust has been widely observed beneath the Lhasa terrane and correlates well with the Bouguer gravity low, suggesting that the gravity anomalies in the Lhasa terrane are induced by topography of the Moho. At 20 km depth, a midcrustal low-velocity zone (LVZ) is observed beneath the Tethyan Himalaya and southern Lhasa terrane, suggesting a layer of partial melts that decouples the thrust/fold deformation of the upper crust from the shortening and underthrusting in the lower crust. The Sp conversions at the lithosphere-asthenosphere boundary (LAB) can be recognized at depths of 130-200 km, showing that the Indian lithospheric mantle is underthrusting with a ramp-flat shape beneath southern Tibet and probably is detached from the lower crust immediately under the IYS. Our observations reconstruct the configuration of the underthrusting Indian lithosphere and indicate significant along strike variations.

Crust-mantle density distribution in the eastern Qinghai-Tibet Plateau revealed by satellite-derived gravity gradients

NASA Astrophysics Data System (ADS)

LI, Honglei; Fang, Jian; Braitenberg, Carla; Wang, Xinsheng

2015-04-01

As the highest, largest and most active plateau on Earth, the Qinghai-Tibet Plateau has a complex crust-mantle structure, especially in its eastern part. In response to the subduction of the lithospheric mantle of the Indian plate, large-scale crustal motion occurs in this area. Despite the many previous studies, geodynamic processes at depth remain unclear. Knowledge of crust and upper mantle density distribution allows a better definition of the deeper geological structure and thus provides critically needed information for understanding of the underlying geodynamic processes. With an unprecedented precision of 1-2 mGal and a spatial resolution better than 100 km, GOCE (Gravity field and steady-state Ocean Circulation Explorer) mission products can be used to constrain the crust-mantle density distribution. Here we used GOCE gravitational gradients at an altitude of 10km after reducing the effects of terrain, sediment thickness variations, and Moho undulations to image the density structures of eastern Tibet up to 200 km depths. We inverted the residual satellite gravitational gradients using a least square approach. The initial density model for the inversion is based on seismic velocities from the tomography. The model is composed of rectangular blocks, having a uniform density, with widths of about 100 km and variable thickness and depths. The thickness of the rectangular cells changes from10 to 60km in accordance with the seismic model. Our results reveal some large-scale, structurally controlled density variations at depths. The lithospheric root defined by higher-density contrast features from southwest to northeast, with shallowing in the central part: base of lithosphere reaches a depth of180 km, less than 100km, and 200 km underneath the Lhasa, Songpan-Ganzi, and Ordos crustal blocks, respectively. However, these depth values only represent a first-order parameterization because they depend on model discretization inherited from the original seismic tomography model. For example, the thickness of the uniform density blocks centered at140 km depth is as large as 60 km. Low-density crustal anomalies beneath the southern Lhasa and Songpan-Ganzi blocks in our model support the idea of weak lower crust and possible crustal flow, as a result of the thermal anomalies caused by the upwelling of hot deep materials. The weak lower crust may cause the decoupling of the upper crust and the mantle. These results are consistent with many other geophysical studies, confirming the effectiveness of the GOCE gravitational gradient data. Using these data in combination with other geodynamic constraints (e.g., gravity and seismic structure and preliminary reference Earth model), an improved dynamic model can be derived.

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Constraints on the shear speed, crust thickness and residual topography of western Tibet from surface wave tomography and virtual deep seismic sounding

NASA Astrophysics Data System (ADS)

Matchette-Downes, H.; van der Hilst, R. D.; Priestley, K. F.

2017-12-01

We have estimated the thickness of the crust in western Tibet by measuring the time delays between the direct S and the SsPmp seismic phases. We find that the thickness of the crust increases from around 50 km beneath the Tethyan Himalayas to around 80 km beneath the Lhasa block, and then decreases to around 70 km beneath the Qiangtang terrane.This method, virtual deep seismic sounding (VDSS), also yields robust estimates of the contribution of crust buoyancy to elevation. By subtracting the predicted elevation from the real topography, we find there is no observable deviation from hydrostatic topography beneath the Tethyan Himalaya, but there is negative residual topography of 1.5 to 2.0 km beneath the Lhasa and Qiangtang terranes. It is also known that the interior of the Plateau is isostatically compensated, as it has small free air gravity anomalies.Additionally, we have estimated the 3D shear speed structure of the crust and upper mantle. This model is derived from maps of the fundamental mode Rayleigh wave phase speed dispersion in the period range from 20 to 140 s, obtained from a standard two-plane-wave inversion constrained with receiver functions and group speeds from ambient noise. The observations agree with previous observations of a low-wavespeed zone in the mid-crust and a gradual Moho. Furthermore, the long-period Rayleigh waves detect a high-wavespeed upper mantle.Together, the observations of high upper mantle wavespeeds, negative residual topography, and small free air gravity anomalies support the hypothesis that cold, dense Indian lithosphere has underthrust the Plateau in this region. However, in the presentation we also consider contributions to residual topography from plate flexure, lower crustal flow, or deeper mantle flow (dynamic topography).

Slab Breakoff of the Neo-Tethys Ocean in the Lhasa Terrane Inferred From Contemporaneous Melting of the Mantle and Crust

NASA Astrophysics Data System (ADS)

Huang, Feng; Xu, Jifeng; Zeng, Yunchuan; Chen, Jianlin; Wang, Baodi; Yu, Hongxia; Chen, Ling; Huang, Wenlong; Tan, Rongyu

2017-11-01

Oceanic slab breakoff significantly affects the thermal regime of the lithosphere during continental collision. This often triggers extension-related mafic magmatism and crustal melting. It is generally accepted that the Neo-Tethyan lithosphere subducted beneath the southern Lhasa Subterrane, resulting in the formation of the Gangdese magmatic arc. However, the timing of slab breakoff is still disputed, due to a lack of evidence for extension-related mafic magmatism. In this study, we provide comprehensive age, element and Sr-Nd-Hf isotopic data of mafic dikes, felsic intrusions, and enclaves from the Daju area, southern Lhasa Subterrane. The timing of mafic dikes and granitoids are contemporaneous at circa 57 Ma. The mafic dikes are characterized by high Th/U, and Zr/Y ratios, their geochemistry indicates an intraplate affinity rather than arc magmas. Furthermore, the mafic dikes show strongly variable igneous zircon ɛHf(t), and lower whole-rock ɛNd(t) than granitoids. This evidence suggests that the mafic dikes represent asthenosphere-derived melts contaminated by various degrees of ancient lithosphere. However, the granitoids were directly derived from the juvenile lower crust. Given the abrupt decrease in the convergence rate between India and Asia, and the surface uplift and sedimentation cessation in the southern Lhasa Subterrane in the early Cenozoic, the occurrence of synchronous mafic dikes and granitoids is best explained by a slab breakoff model. The occurrence of intraplate-type magmas likely corresponds to the magmatic expression of the initial stage of Neo-Tethyan slab breakoff. The slab breakoff concept also explains the onset of the magmatic "flare-up" and crustal growth after 57 Ma.

Differences Between the “Chinese AMS Score” and the Lake Louise Score in the Diagnosis of Acute Mountain Sickness

PubMed Central

Wu, Jialin; Gu, Haoran; Luo, Yongjun

2016-01-01

Abstract The Chinese AMS score (CAS) is used in clinical medicine and research to diagnosis acute mountain sickness (AMS). However, the Lake Louise Score (LLS) is the well-accepted standard for diagnosing AMS. The difference between the CAS and LLS questionnaires is that the CAS considers more nonspecific symptoms. The aim of the present study was to evaluate differences in AMS prevalence according to the LLS and CAS criteria. We surveyed 58 males who traveled from Chongqing (300 m) to Lhasa (3658 m) via the Qinghai-Tibet train. Cases of AMS were diagnosed using LLS and CAS questionnaires in a few railway stations at different evaluation areas along the road. We subsequently evaluated discrepancies in values related to the prevalence of AMS determined using the 2 types of questionnaires (CAS and LLS). The prevalence of CAS-diagnosed AMS indicated that the percentage of AMS cases among the 58 young men was 29.3% in Golmud, 60.3% in Tanggula, 63.8% in Lhasa, 22.4% on the first day after arrival in Lhasa, 27.6% on the second day, 24.1% on the third day, and 12.1% on the fourth day. The prevalence of LLS-diagnosed AMS in Golmud was 10.3%, 38% in Lhasa, and 6.9% on day 1, the prevalence in each station was lower than that as assessed by the CAS. Our experimental data indicate that AMS diagnoses ascertained using the CAS indicate a higher AMS prevalence than those ascertained using the LLS. Through statistical analysis, the CAS seems capable of effectively diagnosing AMS as validated by LLS (sensitivity 61.8%, specificity 92.7%). PMID:27227918

Research on the sewage treatment in high altitude region based on Lhasa Sewage Treatment Plant

NASA Astrophysics Data System (ADS)

Xu, Jin; Li, Shuwen

2017-12-01

Sewage treatment is of great significance to enhance environmental quality, consolidate pollution prevention and ecological protection, and ensure sustainable economic and social development in high altitude region. However, there are numerous difficulties in sewage treatment due to the alpine climate, the relatively low economic development level, and the backward operation and management styles, etc. In this study, the characteristics of influent quality in the sewage treatment plant in Lhasa are investigated by analysing the influent BOD5/COD and BOD5/TN, comparing key indexes recorded from 2014 to 2016 with the hinterland. Results show that the concentration of influent COD, BOD5, NH3-N and SS in the Lhasa sewage treatment plant, in which the sewage belongs to low-concentration urban sewage, is smaller than that in the domestic sewage treatment plants in the mainland. The concentration ratio of BOD5/COD and BOD5/TN is below 0.4 and 4, which indicates that the biodegradation is poor and the carbon sources are in bad demand. The consequences obtained play a vital role in the design, operation and management of sewage treatment plants in high altitude region.

In situ water vapor and ozone measurements in Lhasa and Kunming during the Asian summer monsoon

NASA Astrophysics Data System (ADS)

Bian, Jianchun; Pan, Laura L.; Paulik, Laura; Vömel, Holger; Chen, Hongbin; Lu, Daren

2012-10-01

The Asian summer monsoon (ASM) anticyclone circulation system is recognized to be a significant transport pathway for water vapor and pollutants to enter the stratosphere. The observational evidence, however, is largely based on satellite retrievals. We report the first coincident in situ measurements of water vapor and ozone within the ASM anticyclone. The combined water vapor and ozonesondes were launched from Kunming, China in August 2009 and Lhasa, China in August 2010. In total, 11 and 12 sondes were launched in Kunming and Lhasa, respectively. We present the key characteristics of these measurements, and provide a comparison to similar measurements from an equatorial tropical location, during the Tropical Composition, Cloud and Climate Coupling (TC4) campaign in July and August of 2007. Results show that the ASM anticyclone region has higher water vapor and lower ozone concentrations in the upper troposphere and lower stratosphere than the TC4 observations. The results also show that the cold point tropopause in the ASM region has a higher average height and potential temperature. The in situ observations therefore support the satellite-based conclusion that the ASM is an effective transport pathway for water vapor to enter stratosphere.

Early Cretaceous bimodal volcanic rocks in the southern Lhasa terrane, south Tibet: Age, petrogenesis and tectonic implications

NASA Astrophysics Data System (ADS)

Wang, Chao; Ding, Lin; Liu, Zhi-Chao; Zhang, Li-Yun; Yue, Ya-Hui

2017-01-01

Limited geochronological and geochemical data from Early Cretaceous igneous rocks of the Gangdese Belt have resulted in a dispute regarding the subduction history of Neo-Tethyan Ocean. To approach this issue, we performed detailed in-situ zircon U-Pb and Hf isotopic, whole-rock elemental and Sr-Nd isotopic analyses on Late Mesozoic volcanic rocks exposed in the Liqiongda area, southern Lhasa terrane. These volcanic rocks are calc-alkaline series, dominated by basalts, basaltic andesites, and subordinate rhyolites, with a bimodal suite. The LA-ICPMS zircon U-Pb dating results of the basaltic andesites and rhyolites indicate that these volcanic rocks erupted during the Early Cretaceous (137-130 Ma). The basaltic rocks are high-alumina (average > 17 wt.%), enriched in large ion lithophile elements (LILEs) and light rare earth elements (LREEs), and depleted in high field strength elements (HFSEs), showing subduction-related characteristics. They display highly positive zircon εHf(t) values (+ 10.0 to + 16.3) and whole-rock εNd(t) values (+ 5.38 to + 7.47). The silicic suite is characterized by low Al2O3 (< 15.4 wt.%), Mg# (< 40), and TiO2 (< 0.3 wt.%) abundances; enriched and variable concentrations of LILEs and REEs; and strongly negative Eu anomalies (Eu/Eu* = 0.08-0.19), as well as depleted Hf isotopic compositions (εHf(t) = + 4.9 to + 16.4) and Nd isotopic compositions (εNd(t) = + 5.26 to + 6.71). Consequently, we envision a process of basaltic magmas similar to that of MORB extracted from a source metasomatized by slab-derived components for the petrogenesis of mafic rocks, whereas the subsequent mafic magma underplating triggered partial melting of the juvenile crust to generate acidic magma. Our results confirm the presence of Early Cretaceous volcanism in the southern Lhasa terrane. Combined with the distribution of the contemporary magmatism, deformation style, and sedimentary characteristics in the Lhasa terrane, we favor the suggestion that the Neo-Tethyan oceanic lithosphere was flat-lying beneath the Lhasa terrane during the Early Cretaceous. Appendix Table A2. LA-MC-ICPMS zircon Hf isotopes of volcanic rocks from Liqiongda area. Appendix Table A3. Whole-rock major, trace element and Sr-Nd isotope data of the volcanic rocks from the Liqiongda area.

Electromagnetic, seismic and petro-physical investigations of the lithosphere-asthenosphere boundary in central Tibet

NASA Astrophysics Data System (ADS)

Vozar, J.; Fullea, J.; Jones, A. G.; Agius, M. R.; Lebedev, S.

2011-12-01

Combined seismological and electromagnetic investigations of the lithosphere and underlying asthenosphere have the potential to yield superior inferences than using either one on its own. Central Tibet offers an excellent natural laboratory for testing such approaches, given the high quality seismological and magnetotelluric (MT) data available as a consequence of INDEPTH studies. In particular, the presence and lateral and vertical extent of the Indian lithosphere beneath Tibet is highly debated. Integrated petrological-geophysical modeling of MT and surface-wave data, which are differently sensitive to temperature and composition, allows us to reduce the uncertainties associated with modeling these two data sets independently, as commonly undertaken. For the MT data, we use selected distortion-corrected MT transfer functions, from INDEPTH Phase III line 500 across central Tibet for 1D modeling. The selected data fit well the 1D assumption and exhibit large penetration depth. Our deep resistivity models can be classified into two different groups: i) the Lhasa Terrane and ii) the Qiangtang Terrane. For the Lhasa Terrane group, the models show the existence of two high conductive layers localized at depths of 60-80 km and more than 200 km, whereas for the Qiangtang Terrane these conductive layers appears to be occur at shallower depths, namely 30-50 km and 120 km depth respectively. Our dispersion curves for Rayleigh and Love surface waves were measured using seismograms recorded by stations of INDEPTH and PASSCAL experiments. Dispersion curves for central Lhasa and Qiangtang terranes show similarly low phase velocities at periods sampling the thick crust beneath the regions, but differ at periods sampling the mantle. Inverting the dispersion data for 1D, radially-anisotropic Vs profiles, we find that beneath central Qiangtang terrane shear velocity is lower than the global average down to 75 km below the Moho, indicating relatively high temperatures, whereas beneath Central Lhasa terrane S-velocities are close to global-average values. We perform the integrated petro-physical modeling of MT and surface-wave data using the software package LitMod. The program facilitates definition of realistic temperature and pressure distributions within the upper mantle, and characterizes the mineral assemblages given bulk chemical compositions as well as water content. This allows us to firstly define a bulk geoelectric and seismic model of the upper mantle based on laboratory and xenolith data for the most relevant mantle minerals, and secondly to compute synthetic geophysical observables that are compared with measured data (i.e., MT responses, surface-wave dispersion curves, topography, and surface heat flow). Our preliminary results suggest an 80-120 km-thick, dry lithosphere in the central part of the Qiangtang Terrane. In the central Lhasa Terrane the data can be explained by a relatively warm 100-120 km-thick Tibetian lithosphere underlain by an 80-120-km-thick Indian lithosphere. The mid-lower crust in Lhasa shows strong seismic and electric anisotropy, with a predominant E-W oriented high velocity/conductivity axis.

Religious burning as a potential major source of atmospheric fine aerosols in summertime Lhasa on the Tibetan Plateau

NASA Astrophysics Data System (ADS)

Cui, Yu Yan; Liu, Shang; Bai, Zhixuan; Bian, Jianchun; Li, Dan; Fan, Kaiyu; McKeen, Stuart A.; Watts, Laurel A.; Ciciora, Steven J.; Gao, Ru-Shan

2018-05-01

We carried out field measurements of aerosols in Lhasa, a major city in the Tibetan Plateau that has been experiencing fast urbanization and industrialization. Aerosol number size distribution was continuously measured using an optical particle size spectrometer near the center of Lhasa city during the Asian summer monsoon season in 2016. The mass concentration of fine particles was modulated by boundary layer dynamics, with an average of 11 μg m-3 and the high values exceeding 50 μg m-3 during religious holidays. Daytime high concentration coincided with the religious burning of biomass and incense in the temples during morning hours, which produced heavy smoke. Factor analysis revealed a factor that likely represented religious burning. The factor contributed 34% of the campaign-average fine particle mass and the contribution reached up to 80% during religious holidays. The mass size distribution of aerosols produced from religious burnings peaked at ∼500 nm, indicating that these particles could efficiently decrease visibility and promote health risk. Because of its significance, our results suggest that further studies of religious burning, a currently under-studied source, are needed in the Tibetan Plateau and in other regions of the world where religious burnings are frequently practiced.

Early Jurassic Volcanism in the South Lhasa Terrane, Southern Tibet: Record of Back-arc Extension in the Active Continental Margin

NASA Astrophysics Data System (ADS)

Wei, Y.; Zhao, Z.; Zhu, D. C.; Wang, Z.; Liu, D.; Mo, X.

2015-12-01

Indus-Yarlung Zangbo Suture Zone (IYZSZ) represents the Mesozoic remnants of the Neo-Tethyan Ocean lithosphere after its northward subduction beneath the Lhasa Terrane. The evolution of the Neo-Tethyan Ocean prior to India-Asia collision remains unclear. To explore this period of history, we investigate zircon U-Pb geochronology, geochemistry and Nd-Hf isotopes of the Early Jurassic bimodal-like volcanic sequence around Dagze area, south Tibet. The volcanic sequence comprises calc-alkaline basalts to rhyolites whereas intermediate components are volumetrically restricted. Zircons from a basaltic andesite yielded crystallization age of 178Ma whereas those from 5 silicic rocks were dated at 183-174Ma, which suggest that both the basaltic and the silicic rocks are coeval. The basaltic rocks are enriched in LREE and LILE, and depleted in HFSE, with Epsilon Nd(t) of 1.6-4.0 and zircon Epsilon Hf(t) of 0.7-11.8, which implies that they were derived from a heterogenetic mantle source metasomatized by subduction components. Trace element geochemistry shows that the basaltic rocks are compositionally transitional from normal mid-ocean ridge basalts (N-MORB) to island arc basalts (IAB, e.g. Zedong arc basalts of ~160-155Ma in the south margin of Lhasa Terrane), with the signature of immature back-arc basin basalts. The silicic rocks display similar Nd-Hf isotopic features of the Gangdese batholith with Epsilon Nd(t) of 0.9-3.4 and zircon Epsilon Hf(t) of 2.4-17.7, indicating that they were possibly generated by anatexis of basaltic juvenile lower crust, instead of derived from the basaltic magma. These results support an Early to Middle Jurassic (183-155Ma) model that the back-arc extension tectonic setting were existing in the active continental margin in the south Lhasa Terrane.

A new approach to very-high-altitude land travel: the train to Lhasa, Tibet.

PubMed

West, John B

2008-12-16

The train from Golmud in Qinghai Province, China, to Lhasa, Tibet, travels for more than 14 hours at an average altitude of 4500 m, the highest point being 5072 m (16,600 ft). Therefore, passengers are potentially exposed to very severe sustained hypoxia. The enterprising solution is to increase the oxygen concentration of the air in the train from 21% to between 24% and 25% by the use of oxygen generators in each passenger car. By increasing the oxygen concentration to 25%, the equivalent altitude is reduced by about 1200 m. The engineering challenge of oxygenating the whole train is immense but has been successfully accomplished. This is an extraordinary innovation in high-altitude transportation.

Contrast of lithospheric dynamics across the southern and eastern margins of the Tibetan Plateau: a numerical study

NASA Astrophysics Data System (ADS)

Sun, Yujun; Fan, Taoyuan; Wu, Zhonghai

2018-05-01

Both of the southern and eastern margins of the Tibetan Plateau are bounded by the cratonic blocks (Indian plate and Sichuan basin). However, there are many differences in tectonic deformation, lithospheric structure and surface heat flow between these two margins. What dynamics cause these differences? With the constraints of the lithospheric structure and surface heat flow across the southern and eastern margins of Tibetan Plateau, we constructed 2-D thermal-mechanical finite-element models to investigate the dynamics across these two margins. The results show that the delamination of mantle lithosphere beneath the Lhasa terrane in Oligocene and the rheological contrast between the Indian and Tibetan crust are the two main factors that control the subduction of the Indian plate. The dynamics across the eastern margin of the Tibetan Plateau are different from the southern margin. During the lateral expansion of the Tibetan Plateau, pure shear thickening is the main deformation characteristic for the Songpan-Ganzi lithosphere. This thickening results in the reduction of geothermal gradient and surface heat flow. From this study, it can be seen that the delamination of the mantle lithosphere and the rheological contrast between the Tibetan Plateau and its bounding blocks are the two main factors that control the lithospheric deformation and surface heat flow.

Gondwana dispersion and Asian accretion: Tectonic and palaeogeographic evolution of eastern Tethys

NASA Astrophysics Data System (ADS)

Metcalfe, I.

2013-04-01

Present-day Asia comprises a heterogeneous collage of continental blocks, derived from the Indian-west Australian margin of eastern Gondwana, and subduction related volcanic arcs assembled by the closure of multiple Tethyan and back-arc ocean basins now represented by suture zones containing ophiolites, accretionary complexes and remnants of ocean island arcs. The Phanerozoic evolution of the region is the result of more than 400 million years of continental dispersion from Gondwana and plate tectonic convergence, collision and accretion. This involved successive dispersion of continental blocks, the northwards translation of these, and their amalgamation and accretion to form present-day Asia. Separation and northwards migration of the various continental terranes/blocks from Gondwana occurred in three phases linked with the successive opening and closure of three intervening Tethyan oceans, the Palaeo-Tethys (Devonian-Triassic), Meso-Tethys (late Early Permian-Late Cretaceous) and Ceno-Tethys (Late Triassic-Late Cretaceous). The first group of continental blocks dispersed from Gondwana in the Devonian, opening the Palaeo-Tethys behind them, and included the North China, Tarim, South China and Indochina blocks (including West Sumatra and West Burma). Remnants of the main Palaeo-Tethys ocean are now preserved within the Longmu Co-Shuanghu, Changning-Menglian, Chiang Mai/Inthanon and Bentong-Raub Suture Zones. During northwards subduction of the Palaeo-Tethys, the Sukhothai Arc was constructed on the margin of South China-Indochina and separated from those terranes by a short-lived back-arc basin now represented by the Jinghong, Nan-Uttaradit and Sra Kaeo Sutures. Concurrently, a second continental sliver or collage of blocks (Cimmerian continent) rifted and separated from northern Gondwana and the Meso-Tethys opened in the late Early Permian between these separating blocks and Gondwana. The eastern Cimmerian continent, including the South Qiangtang block and Sibumasu Terrane (including the Baoshan and Tengchong blocks of Yunnan) collided with the Sukhothai Arc and South China/Indochina in the Triassic, closing the Palaeo-Tethys. A third collage of continental blocks, including the Lhasa block, South West Borneo and East Java-West Sulawesi (now identified as the missing "Banda" and "Argoland" blocks) separated from NW Australia in the Late Triassic-Late Jurassic by opening of the Ceno-Tethys and accreted to SE Sundaland by subduction of the Meso-Tethys in the Cretaceous.

Bully Blocking: Six Secrets to Help Children Deal with Teasing and Bullying. Revised Edition

ERIC Educational Resources Information Center

Field, Evelyn M.

2007-01-01

This confidence-boosting book aims to help children overcome the damaging effects of teasing and bullying, and to develop practical skills and attitudes to improve their self-esteem and quality of life. This revised edition of "Bully Blocking" (originally published under the title "Bully Busting") is based on Evelyn Field's "Secrets of Relating,"…

Linking Tengchong Terrane in SW Yunnan with Lhasa Terrane in southern Tibet through magmatic correlation

NASA Astrophysics Data System (ADS)

Xie, Jincheng; Zhu, Dicheng; Dong, Guochen; Zhao, Zhidan; Wang, Qing

2016-04-01

New zircon U-Pb data, along with the data reported in the literature, reveal five phases of magmatic activity in the Tengchong Terrane since the Early Paleozoic with spatial and temporal variations summarized as: Cambrian-Ordovician (500-460 Ma) to the eastern, minor Triassic (245-206 Ma) in the eastern and western, abundant Early Cretaceous (131-114 Ma) in the eastern, extensive Late Cretaceous (77-65 Ma) in the central, and Paleocene-Eocene (65-49 Ma) in the central and western Tengchong Terrane, in which the Cretaceous-Eocene magmatism was migrated from east to west (Xu et al., 2012). The increased zircon eHf(t) of the Early Cretaceous granitoids from -12.3 to -1.4 at ca. 131-122 Ma to -4.6 to +7.1 at ca. 122-114 Ma identified for the first time in this study and the magmatic flare-up at ca. 53 Ma in the central and western Tengchong Terrane (Wang et al., 2014, Ma et al., 2015) indicate the increased contributions from mantle- or juvenile crust-derived components. The spatial and temporal variations and changing magmatic compositions with time in the Tengchong Terrane closely resemble the Lhasa Terrane in southern Tibet. Such similarities, together with the data of stratigraphy and paleobiogeography (Zhang et al., 2013), enable us to propose that the Tengchong Terrane in SW Yunnan is most likely linked with the Lhasa Terrane in southern Tibet, both of which experience similar tectonomagmatic histories since the Early Paleozoic. References Ma, L.Y., Wang, Y.J., Fan, W.M., Geng, H.Y., Cai, Y.F., Zhong, H., Liu, H.C., Xing, X.W., 2014. Petrogenesis of the early Eocene I-type granites in west Yingjiang (SW Yunnan) and its implication for the eastern extension of the Gangdese batholiths. Gondwana Research 25, 401-419. Wang, Y.J., Zhang, L.M., Cawood, P.A., Ma, L.Y., Fan, W.M., Zhang, A.M., Zhang, Y.Z., Bi, X.W., 2014. Eocene supra-subduction zone mafic magmatism in the Sibumasu Block of SW Yunnan: Implications for Neotethyan subduction and India-Asia collision. Lithos 206-207, 384-399. Xu, Y.G., Yang, Q.J., Lan, J.B., Luo, Z.Y., Huang, X.L., Shi, Y.R., Xie, L.W., 2012. Temporal-spatial distribution and tectonic implications of the batholiths in the Gaoligong-Tengliang-Yingjiang area, western Yunnan: Constraints from zircon U-Pb ages and Hf isotopes. Journal of Asian Earth Sciences 53, 151-175. Zhang, Y.C., Shi, G.R., Shen, S.Z., 2013. A review of Permian stratigraphy, paleobiogeography and palaeogeography of the Qinghai-Tibet Plateau. Gondwana Research 24, 55-76.

Religious Burning as a Major Source of Atmospheric Fine Aerosols in Lhasa city in the Tibetan Plateau

NASA Astrophysics Data System (ADS)

Liu, S.; Cui, Y.; Zhixuan, B.; Bian, J.; McKeen, S. A.; Watts, L. A.; Ciciora, S. J.; Gao, R. S.

2017-12-01

Measurements of aerosols in the Tibetan Plateau are scant due to the high altitude and harsh climate. To bridge this gap, we carried out the first field measurements of aerosol size distributions in Lhasa, a major city in the Tibetan Plateau that has been experiencing fast urbanization and reduced air quality. Aerosol number size distribution was continuously measured using an optical particle size spectrometer near the center of Lhasa city during the Asian summer monsoon season in 2016. The mass concentration of fine particles was modulated by boundary layer dynamics, with an average of 11 µg m-3 and the high values exceeding 50 µg m-3 during religious holidays. Daytime high concentration coincided with the religious burning of biomass and incense in the temples during morning hours, which produced heavy smoke. Factor analysis revealed a factor that is likely induced by religious burning. The factor contributed 34% of the campaign-average fine particle mass and the contribution reached up to 80% during religious holidays. The mass size distribution of aerosols produced from religious burnings peaked at 500 nm, indicating that these particles could efficiently decrease visibility and promote health risk. Because of its significance, our results suggest that more attention should be paid to religious burning, a currently under-studied source, in the Tibetan Plateau and in other regions of the world where religious burnings are frequently practiced.

Influence of long-range transboundary transport on atmospheric water vapor mercury collected at the largest city of Tibet.

PubMed

Huang, Jie; Kang, Shichang; Tian, Lide; Guo, Junming; Zhang, Qianggong; Cong, Zhiyuan; Sillanpää, Mika; Sun, Shiwei; Tripathee, Lekhendra

2016-10-01

Monsoon circulation is an important process that affects long-range transboundary transport of anthropogenic contaminants such as mercury (Hg). During the Indian monsoon season of 2013, a total of 92 and 26 atmospheric water vapor samples were collected at Lhasa, the largest city of the Tibet, for Hg and major ions analysis, respectively. The relatively low pH/high electronic conductivity values, together with the fact that NH4(+) in atmospheric water vapor was even higher than that determined in precipitation of Lhasa, indicated the effects of anthropogenic perturbations through long-range transboundary atmospheric transport. Concentrations of Hg in atmospheric water vapor ranged from 2.5 to 73.7ngL(-1), with an average of 12.5ngL(-1). The elevated Hg and major ions concentrations, and electronic conductivity values were generally associated with weak acidic samples, and Hg mainly loaded with anthropogenic ions such as NH4(+). The results of principal component analysis and trajectory analysis suggested that anthropogenic emissions from the Indian subcontinent may have largely contributed to the determined Hg in atmospheric water vapor. Furthermore, our study reconfirmed that below-cloud scavenging contribution was significant for precipitation Hg in Lhasa, and evaluated that on average 74.1% of the Hg in precipitation could be accounted for by below-cloud scavenging. Copyright © 2016 Elsevier B.V. All rights reserved.

Validation of the Omron HEM-7201 upper arm blood pressure monitor, for self-measurement in a high-altitude environment, according to the European Society of Hypertension International Protocol revision 2010.

PubMed

Cho, K; Tian, M; Lan, Y; Zhao, X; Yan, L L

2013-08-01

Few studies have been conducted on blood pressure monitors and their use at high altitude. This study is the first to evaluate the accuracy of an automatic blood pressure monitor in a high-altitude environment following a standard validation protocol. The Omron HEM-7201 upper arm blood pressure monitor was tested for accuracy in Lhasa, Tibet, China (3650 m above sea level) according to the European Society of Hypertension International Protocol revision 2010 (ESH-IP2). Thirty-three participants received 9-10 sequential blood pressure measurements alternating between a mercury sphygmomanometer and the device. The mean device-observer measurement difference was 1.0±5.9 mm Hg for systolic blood pressure (SBP) and -3.1±4.6 mm Hg for diastolic blood pressure (DBP). Of the 99 measurement pairs analyzed, 72, 90 and 97 device readings were within 5, 10 and 15 mm Hg, respectively, of the observer measurements for SBP, and 68, 92 and 99 readings for DBP. The number of participants with at least two out of three measurements within 5 mm Hg was 27 for SBP and 25 for DBP. Three participants had no measurements within 5 mm Hg for either SBP or DBP. As a result, the Omron HEM-7201 passes the ESH-IP2 validation criteria and can therefore be recommended for use in adults in this setting.

Survival of the Lhasa Terrane during its collision with Asia due to crust-mantle coupling revealed by ca. 114 Ma intrusive rocks in western Tibet

NASA Astrophysics Data System (ADS)

Wang, Qing; Zhu, Di-Cheng; Liu, An-Lin; Cawood, Peter A.; Liu, Sheng-Ao; Xia, Ying; Chen, Yue; Wang, Hao; Zhang, Liang-Liang; Zhao, Zhi-Dan

2018-04-01

Survival of the Lhasa Terrane during its drift across the Tethyan Ocean and subsequent collision with Asia was likely maintained by mechanical coupling between its ancient lithospheric mantle and the overlying crust. Evidence for this coupling is provided by geochronological and geochemical data from high-Mg dioritic porphyrite dikes that intruded into granodiorites with dioritic enclaves within the Nixiong Batholith in the western segment of the central Lhasa subterrane, southern Tibet. Zircon LA-ICP-MS U-Pb dating indicates synchronous emplacement of dioritic porphyrite dikes (113.9 ± 2 Ma), dioritic enclaves (113.9 ± 1 Ma), and host granodiorites (113.1 ± 2 Ma). The hornblende-bearing granodiorites are metaluminous to weakly peraluminous (A/CNK = 0.95-1.05) and belong to high-K calc-alkaline I-type granite. These rocks are characterized by low Mg# (37-43), negative zircon εHf(t) values (-6.8 to -1.2), and negative whole-rock εNd(t) values (-8.1 to -5.4), suggestive of derivation through anatexis of ancient lower crust. The two least-mixed or contaminated dioritic porphyrite dike samples have high MgO (8.46-8.74 wt%), high Mg# (69-70), and high abundances of compatible elements (e.g., Cr = 673-646 ppm, Ni = 177-189 ppm), which are close to those of primitive magma. They are high-K calc-alkaline and show negative whole-rock εNd(t) values (-1.9 to -1.2), indicating that these samples are most likely derived from the partial melting of ancient lithospheric mantle that was metasomatized by slab-derived fluids. The dioritic enclave samples are metaluminous high-K calc-alkaline and have varying negative whole-rock εNd(t) values (-7.8 to -3.7), which are interpreted as the result of magma mixing between the ancient lower crust-derived melts and asthenospheric mantle- (rather than lithospheric mantle-) derived melts. The Nd isotope mantle model ages of the least-mixed or contaminated high-Mg dioritic porphyrite dike samples (1.1-1.4 Ga) are close to the Nd isotope two-stage model ages (1.3-1.6 Ga) and the zircon Hf isotope crustal model ages (1.1-1.5 Ga) of the ancient lower crust-derived granodiorites, indicating that the lithospheric mantle of the western segment of the central Lhasa subterrane is mechanically coupled to the overlying crust at 114 Ma. In combination with the Proterozoic crustal rocks documented in the central and eastern segments of the central Lhasa subterrane, we propose that this coupling enabled it to resist subduction during accretion to Asia.

Detrital zircon U-Pb geochronology and provenance of the Carboniferous-Permian glaciomarine pebbly slates in the Tibetan Plateau

NASA Astrophysics Data System (ADS)

Wang, Q.; Zhu, D.; Zhao, Z.; Chung, S.; Li, C.; Sui, Q.; Fu, X.; Mo, X.

2011-12-01

Glaciomarine diamictites (including pebbly slate, pebbly siltstone, and pebbly sandstone) in the Tibetan Plateau are widely interpreted to have been associated with the deglaciation of the Indian continent. Guiding by zircon cathodoluminescence images, we determined U-Pb ages for detrital zircons from five typical Carboniferous-Permian pebbly slate samples from the Qiangtang, Lhasa, and Tethyan Himalaya of the Tibetan Plateau. The age distributions of detrital zircons from two samples (180 analyses) from Qiwu and Gangma Tso of the Qiangtang Terrane are similar, with two main age peaks ca. 579 and ca. 816 Ma and one minor age peak ca. 2490 Ma. Two samples (177 analyses) from Jiangrang and Damxung of the Lhasa Terrane define similar age distributions with two main age peaks ca. 539 and ca. 1175 Ma. Ages of detrital zircons from one sample (110 analyses) from Kangmar of the Tethyan Himalaya display main age peaks ca. 535, ca. 949, and ca. 2490 Ma. The ca. 816-Ma detrital zircons from the Qiangtang Terrane were most likely derived from the Lesser Himalaya, and the ca. 950-Ma detrital zircons from the Tethyan Himalaya might have been sourced from the High Himalaya, Eastern Ghats Province of the Indian plate and the Rayner Province of East Antarctica. The distinctive ca. 1175-Ma age population characteristic of zircons in the pebbly slates from the Lhasa Terrane is identical to the detrital zircons from the late Paleozoic sandstones (Zhu et al., 2011a) and the inherited zircons from the Mesozoic peraluminous granites (Zhu et al., 2011b) in this terrane, but significantly absent in the pebbly slates from both the Qiangtang and the Tethyan Himalayan terranes. The ca. 1175-Ma detrital zircons in the Lhasa Terrane were most likely sourced from the Albany-Fraser-Wilkes in southwestern Australia and East Antarctica. These new data obtained in this study reveal a distinct difference of detrital zircon provenance for the coeval Carboniferous-Permian glaciomarine pebbly slates from different terranes of the Tibetan Plateau. Such difference may have been associated primarily with the different paleogeographical positions of the Lhasa Terrane that was adjacent to northern Australia and of the Qiangtang and Tethyan Himalaya terranes that were situated in the northern margin of the Indian continent, respectively. [Financially supported by the National Key Project for Basic Research of China (2011CB403102), the Chinese National Natural Science Foundation (41073013 and 40830317), and the Programme of the China Geological Survey (1212011121260 and 1212011121066)]. Zhu, D.C., et al., 2011a. Geology 39, 727-730. Zhu, D.C., et al., 2011b. Acta Petrologica Sinica 27, 1917-1930.

Examining the Impact of Technology on Primary Students' Revision of Written Work

ERIC Educational Resources Information Center

Lisy, Jennifer Garrette

2015-01-01

Few studies have examined the revision processes of second grade students and even fewer have explored the impact of digital writing on young students' revisions. This study utilized a within subject crossover trial using randomized block assignment (AB | BA) for counterbalancing. This study sought to determine (1) whether revising on paper versus…

75 FR 20269 - Regulatory Reporting Requirements for the Indian Community Development Block Grant Program

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-19

...-AC79 Regulatory Reporting Requirements for the Indian Community Development Block Grant Program AGENCY... final rule revises the reporting requirements for the Indian Community Development Block Grants (ICDBG... Indian Community Development Block Grant (ICDBG) program. The purpose of the ICDBG program is the...

Rapid warming in Tibet, China: public perception, response and coping resources in urban Lhasa

PubMed Central

2013-01-01

Background Tibet, average altitude more than 4,000 meters, is warming faster than anywhere else in China. The increase in temperatures may aggravate existing health problems and lead to the emergence of new risks. However, there are no actions being taken at present to protect population health due to limited understanding about the range and magnitude of health effects of climate change. Methods The study was a cross-sectional survey of 619 respondents from urban Lhasa, Tibet in August 2012 with the aim to investigate public perceptions of risk, heat experiences, and coping resources. Results Respondents are aware of the warming that has occurred in Lhasa in recent years. Over 78% reported that rising temperature is either a “very” or “somewhat” serious threat to their own health, and nearly 40% reported they had experienced heat-related symptoms. Sex, age, education and income influenced perceived risks, health status, and heat experience. The vast majority of respondents reported that they had altered their behaviour on hot summer days. Bakuo, a sub-district at the city center, is considered especially vulnerable to heat because of sparse vegetation, high population density, poor dwelling conditions and a high proportion of low-income population. However, neighborhood social ties were stronger in Bakuo than other study locations. Conclusions The study suggests that actions are needed now to minimize downside effects of rapid warming in Tibet, because of increasing human exposure to high temperatures and uneven distribution of the resources needed to cope. PMID:24103412

Erosion in southern Tibet shut down at ∼10 Ma due to enhanced rock uplift within the Himalaya

PubMed Central

Tremblay, Marissa M.; Fox, Matthew; Schmidt, Jennifer L.; Tripathy-Lang, Alka; Wielicki, Matthew M.; Harrison, T. Mark; Zeitler, Peter K.; Shuster, David L.

2015-01-01

Exhumation of the southern Tibetan plateau margin reflects interplay between surface and lithospheric dynamics within the Himalaya–Tibet orogen. We report thermochronometric data from a 1.2-km elevation transect within granitoids of the eastern Lhasa terrane, southern Tibet, which indicate rapid exhumation exceeding 1 km/Ma from 17–16 to 12–11 Ma followed by very slow exhumation to the present. We hypothesize that these changes in exhumation occurred in response to changes in the loci and rate of rock uplift and the resulting southward shift of the main topographic and drainage divides from within the Lhasa terrane to their current positions within the Himalaya. At ∼17 Ma, steep erosive drainage networks would have flowed across the Himalaya and greater amounts of moisture would have advected into the Lhasa terrane to drive large-scale erosional exhumation. As convergence thickened and widened the Himalaya, the orographic barrier to precipitation in southern Tibet terrane would have strengthened. Previously documented midcrustal duplexing around 10 Ma generated a zone of high rock uplift within the Himalaya. We use numerical simulations as a conceptual tool to highlight how a zone of high rock uplift could have defeated transverse drainage networks, resulting in substantial drainage reorganization. When combined with a strengthening orographic barrier to precipitation, this drainage reorganization would have driven the sharp reduction in exhumation rate we observe in southern Tibet. PMID:26371325

Teleseismic P-wave tomography and mantle dynamics beneath Eastern Tibet

NASA Astrophysics Data System (ADS)

Lei, Jianshe; Zhao, Dapeng

2016-05-01

We determined a new 3-D P-wave velocity model of the upper mantle beneath eastern Tibet using 112,613 high-quality arrival-time data collected from teleseismic seismograms recorded by a new portable seismic array in Yunnan and permanent networks in southwestern China. Our results provide new insights into the mantle structure and dynamics of eastern Tibet. High-velocity (high-V) anomalies are revealed down to 200 km depth under the Sichuan basin and the Ordos and Alashan blocks. Low-velocity (low-V) anomalies are imaged in the upper mantle under the Kunlun-Qilian and Qinling fold zones, and the Songpan-Ganzi, Qiangtang, Lhasa and Chuan-Dian diamond blocks, suggesting that eastward moving low-V materials are extruded to eastern China after the obstruction by the Sichuan basin, and the Ordos and Alashan blocks. Furthermore, the extent and thickness of these low-V anomalies are correlated with the surface topography, suggesting that the uplift of eastern Tibet could be partially related to these low-V materials having a higher temperature and strong positive buoyancy. In the mantle transition zone (MTZ), broad high-V anomalies are visible from the Burma arc northward to the Kunlun fault and eastward to the Xiaojiang fault, and they are connected upward with the Wadati-Benioff seismic zone. These results suggest that the subducted Indian slab has traveled horizontally for a long distance after it descended into the MTZ, and return corner flow and deep slab dehydration have contributed to forming the low-V anomalies in the big mantle wedge. Our results shed new light on the dynamics of the eastern Tibetan plateau.

76 FR 18322 - Federal Acquisition Regulation; Clarification of Standard Form 26-Award/Contract

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-01

.... This revised form includes changes above blocks 17 and 18 and in block 18 to clarify that block 18... blocks 17 and 18 of the Standard Form (SF) 26, Award/Contract. FAR 53.214(a) prescribes the SF 26 for use... identified instances in which contracting officers mistakenly checked block 18 when awarding negotiated, not...

What can the Cretaceous-to-present latitude history of the Lhasa terrane tell us about plate-scale deformation in the Tibetan-Himalayan orogen? (Invited)

NASA Astrophysics Data System (ADS)

Lippert, P. C.; Van Hinsbergen, D. J.; Dupont-Nivet, G.; Huang, W.

2013-12-01

Published paleomagnetic data from well-dated sedimentary and volcanic rocks from the Lhasa terrane have been re-evaluated in a statistically consistent framework to assess the latitude history of southern Tibet from ~110 Ma to the present. We apply a methodology similar to the one used by the Time-Averaged geomagnetic Field Initiative to each paleomagnetic data set to establish coherency within and between paleomagnetic data from Tibet (see Session T023 for more details). Moreover, we use only sedimentary data that have been evaluated for and, where necessary, corrected for sedimentary inclination shallowing. The resulting apparent polar wander path (APWP) shows that the southern margin of the Lhasa terrane at the longitudes of Nepal remained at 20×4°N latitude from ~110 to at least 50 Ma and subsequently drifted northward to its present latitude of 29°N. This latitude history provides a paleomagnetically-determined collision age between the Tibetan Himalaya and the southern margin of Asia that is 49.5×4.5 Ma at 21×4° N latitude. The paleomagnetic age and latitude of this collision may be a few millions of years earlier and ~2° lower if estimates for shortening within the suture zone are considered. When compared to the global APWP of Torsvik et al. (2012) in Eurasian coordinates, the Lhasa APWP indicates that at most 1100×560 km of post-50 Ma India-Asia convergence was partitioned into Asian lithosphere. The lower bound of these paleomagnetic estimates is consistent with the magnitude of upper crustal shortening within Asia calculated from orogen-scale geological reconstructions. An implication is that 1700×560 km or more post-50 Ma India-Asia convergence was partitioned into Greater India. Paleomagnetic data from the Tibetan Himalaya are consistent with >2000 km of extension of Greater Indian lithosphere after break-up from Gondwana but prior to collision with the southern margin of Asia. Cenozoic subduction of this Cretaceous extensional basin following collision of the Tibetan Himalayan microcontinent can account for the large amount of post-50 Ma convergence that is partitioned into Greater India. We suggest that Cordilleran-style tectonics were more important in constructing the Tibetan Plateau than previous thought, wherein substantial crustal thickening of the plateau occurred at subtropical latitudes above an oceanic subduction zone in the absence of a continent-continent collision, sensu stricto. Although our Lhasa APWP is constructed from only a handful paleomagnetic studies, these data were processed in a framework consistent with an empirical and modeling-based understanding of geomagnetic field behavior and detrital magnetization processes. By contrast, the majority of volcanic-based paleomagnetic poles used in recent reviews of paleomagnetic data from Asia do not average paleosecular variation and therefore cannot be used ';as-is' or used as a baseline against which to compare detrital paleomagnetic records.

Value of the Application of Neuroendoscope in the Treatment of Ventriculoperitoneal Shunt Blockage.

PubMed

Wei, Quantang; Xu, Yimin; Peng, Kaiwen; Qi, Songtao; Peng, Yuping; Ji, Huangyi; Li, Yu; Qiu, Mingxing; Ying, Yanyi; Qiu, Xiaoyu

2018-05-10

To explore the value of the application of neuroendoscope techniques in the treatment of ventriculoperitoneal shunt blockage. Our study included 3 plans for revision surgeries for ventriculoperitoneal shunt blockage. In Plan A, the choroid plexus or ependyma that grew inside the ventricular catheter was completely removed. In Plan B, the terminal part of the ventricular catheter was clipped and removed. In Plan C, the ventricular catheter was carefully extracted with the assistance of neuroendoscope, and the tissues that blocked the catheter were removed. Then, the ventricular catheter was reinserted into the lateral ventricle. The side holes of the tube may be blocked by cerebral tissue, granulation tissue, newly formed blood vessels, choroid plexus or ependymal. Five patients successfully underwent the Plan A revision surgery. Eight patients underwent the Plan B revision surgery. The remaining 22 patients underwent the Plan C revision surgery. After the operation, 34 patients exhibited relieved symptoms with high intracranial pressure. In all patients, the shunts became unobstructed. Neuroendoscope techniques can be used to reveal the various causes of shunt obstruction. Any attempt to extract the tube should be performed with the assistance of neuroendoscope. There are 3 revision surgery plans for a blocked catheter. These revision surgeries for shunt obstruction are mentioned for the first time in the literature. These methods could reduce the operation time, the incidence of intraventricular hemorrhage and the risk of infection. Copyright © 2018. Published by Elsevier Inc.

Rag Deletion in Peripheral T Cells Blocks TCR Revision

PubMed Central

Hale, J. Scott; Ames, Kristina T.; Boursalian, Tamar E.; Fink, Pamela J.

2010-01-01

Mature CD4+Vβ5+ T cells that recognize a peripherally expressed endogenous superantigen are tolerized either by deletion or T cell receptor (TCR) revision. In Vβ5 transgenic mice, this latter tolerance pathway results in the appearance of CD4+Vβ5−TCRβ+ T cells, coinciding with Rag1, Rag2, and TdT expression and the accumulation of Vβ-DJβ recombination intermediates in peripheral CD4+ T cells. Because post-thymic RAG-dependent TCR rearrangement has remained controversial, we sought to definitively determine whether TCR revision is an extrathymic process that occurs in mature peripheral T cells. We now show that Rag deletion in post-positive selection T cells in Vβ5 transgenic mice blocks TCR revision in vivo, and that mature peripheral T cells sorted to remove cells bearing endogenous TCRβ chains can express newly generated TCRβ molecules in adoptive hosts. These findings unambiguously demonstrate post-thymic, RAG-dependent TCR rearrangement and define TCR revision as a tolerance pathway that targets mature peripheral CD4+ T cells. PMID:20435935

Cutting Edge: Rag deletion in peripheral T cells blocks TCR revision.

PubMed

Hale, J Scott; Ames, Kristina T; Boursalian, Tamar E; Fink, Pamela J

2010-06-01

Mature CD4(+)Vbeta5(+) T cells that recognize a peripherally expressed endogenous superantigen are tolerized either by deletion or TCR revision. In Vbeta5 transgenic mice, this latter tolerance pathway results in the appearance of CD4(+)Vbeta5(-)TCRbeta(+) T cells, coinciding with Rag1, Rag2, and TdT expression and the accumulation of V(beta)-DJ(beta) recombination intermediates in peripheral CD4(+) T cells. Because postthymic RAG-dependent TCR rearrangement has remained controversial, we sought to definitively determine whether TCR revision is an extrathymic process that occurs in mature peripheral T cells. We show in this study that Rag deletion in post-positive selection T cells in Vbeta5 transgenic mice blocks TCR revision in vivo and that mature peripheral T cells sorted to remove cells bearing endogenous TCRbeta-chains can express newly generated TCRbeta molecules in adoptive hosts. These findings unambiguously demonstrate postthymic, RAG-dependent TCR rearrangement and define TCR revision as a tolerance pathway that targets mature peripheral CD4(+) T cells.

Marriage and family patterns in Tibet.

PubMed

Zhang, T

1997-08-01

This article presents a statistical profile of marriage patterns and family size in Tibet Autonomous Region in China. Data were obtained from the 1990 China Census. At 30%, Tibet has a higher proportion of unmarried women, aged 15-69 years, than any other nationality or province in China, including Han women and all other ethnic women, at 24.3% and 23.5%, respectively. 53% of women aged 20-24 years, and 7-9% of women aged 30-49 years, were unmarried. High rates of unmarried women are attributed to an imbalanced sex ratio favoring women, the existence of polyandry, and strict rules among the dominant Gelug Sect of Tibetan Buddhism. The overall percentage of married women aged 15-69 years was 56.6%. In Lhasa City, 60.4% were married; in other towns, 55.4%; and in counties, 55.4%. In 1990, the mean age at first marriage was 23.1 years. The overall divorce rate of Tibetan women aged 15-69 years was 3.8%; 2.5% in Lhasa city, 2.4% in towns, and 3.9% in counties. Divorce declined with an increase in education. Divorce increased from younger to older ages. Divorce is attributed to maltreatment by drunk husbands, a lack of mutual understanding before marriage, disputes over household duties, and extramarital love affairs. The average family size was 5.20. Family size was lower in Lhasa city (3.67) and towns (3.68). 7.74% of Tibetan families were 1-child families. 20.37% had 8 or more family members. Discrepancies exist in family size between Tibetans and ethnic Han.

Health risk assessment of semi-volatile organic pollutants in Lhasa River China.

PubMed

Liu, Feng; Liu, Yan; Jiang, Dongsheng; Zhang, Rongfei; Cui, Yibin; Li, Mei

2014-05-01

The semi-volatile organic compounds in Lhasa River were determined qualitatively and quantitatively by gas chromatography method with mass spectrometric detection. Total concentrations of 23 organic pollutants in samples from five sites ranged from 1.56 to 2.78 μg/L. The average concentrations for ΣPAEs, ΣPAHs and ΣBTEXs obtained in this study were 1.53, 0.33 and 0.51 μg/L, respectively. Moreover, the results of analysis of variable showed that there were significant differences (P < 0.05) among the sites for levels of ΣPAHs, ΣPAEs and ΣBTEXs. Cluster analysis was applied to detect spatial similarity for grouping of sites under the monitoring network. The results indicated that the five sites in this study could be divided into two significant groups, i.e. low and high pollutant groups. Health risk assessment was conducted by multimedia environmental goals (MEG), risk quotient (RQ) for each pollutant and hazard quotient (HQ) approach from USA ecological risk assessment (ERA) for screening stage. Calculated both total ambient severity and RQ were less than 1 and therefore minimal risk to human and ecological health. For analysis results of HQ, whether for the ingestion exposure or dermal adsorption pathway were all less than 1, the results also agreed with the RQ model and MEG model for evaluating the potential for adverse health effects due to exposure semi-volatile organic compounds from surface water. Therefore, SVOCs in Lhasa River posed little or no threat to the health of local consumers and ecological environment.

Observation and estimation of photosynthetically active radiation in Lhasa (Tibetan Plateau)

NASA Astrophysics Data System (ADS)

Peng, Simao; Du, Qingyun; Lin, Aiwen; Hu, Bo; Xiao, Ke; Xi, Yuliang

2015-03-01

In this study, we measured photosynthetically active radiation (PAR) and global solar radiation (G) in Lhasa, located on the Tibetan Plateau, from 2006 to 2012 to examine the PAR and PAR/G (PAR fraction) seasonal characteristics. The maximum and minimum values of both PAR and the PAR fraction occurred in summer and winter, respectively. Moreover, the PAR and PAR fraction annual averages were 38.64 mol m-2 d-1 and 1.84 mol M J-1, respectively. An efficient all-weather model used for estimating PAR under various sky conditions was developed based on the relationships among PAR, the cosine of the solar zenith angle and the clearness index in Lhasa. The model also produced acceptable estimations of PAR with high accuracy at the Donghu and Sanjiang weather stations. A PAR dataset was reconstructed from G using the newly developed model for the period 1961-2012. The modelled annual mean daily PAR was approximately 37.62 mol m-2 d-1. A significant decreasing trend (-0.61 mol m-2 per decade) over the last 50 years was observed on the Tibetan Plateau; this decrease was largest in autumn (-1.024 mol m-2 per decade), and relatively small decreases were observed in summer. The results also revealed that PAR began increasing at 0.164 mol m-2 per year from 1991 to 2012, which was inconsistent with the variations of G. The proposed all-weather PAR model could be useful for ecological modelling and agricultural processes in the Tibetan Plateau region of China.

Cenozoic mantle composition evolution of southern Tibet indicated by Paleocene ( 64 Ma) pseudoleucite phonolitic rocks in central Lhasa terrane

NASA Astrophysics Data System (ADS)

Qi, Yue; Gou, Guo-Ning; Wang, Qiang; Wyman, Derek A.; Jiang, Zi-Qi; Li, Qiu-Li; Zhang, Le

2018-03-01

The question of whether continental subduction processes in collisional orogenic belts can trigger wide-spread mantle metesomatism and crustal material recycling remains unresolved. Miocene (25-8 Ma) ultrapotassic rocks in southern Tibet are the only mantle-derived magmatic rocks emplaced after the collision between India and Asia and they have been linked to the onset of east-west extensional stresses as the surface uplift of the Tibetan Plateau reached near-maximum elevation. However, their petrogenesis remains highly controversial, particularly the issue of whether their extremely enriched Sr-Nd isotopic characteristics were related to metasomatism derived from subducted Indian continental materials during the Cenozoic. Here we report on a Paleocene silicate-unsaturated, pseudoleucite phonolitic dike, in the Rongniduo area of central Lhasa terrane. In-situ SIMS (secondary ion mass spectrometry) apatite U-Pb age indicates the dike was generated at 64.1 ± 4.2 Ma, which slightly predates the age of initial India and Asia collision (about 55-50 Ma). This is the oldest age yet reported for ultrapotassic rocks in southern Tibet. Samples from this dike have distinctly more depleted Sr-Nd (whole rock: (87Sr/86Sr)i = 0.7064 to 0.7062, εNd(t) = - 1.5 to 0.4; in situ apitite: (87Sr/86Sr)i = 0.7059 to 0.7060, εNd(t) = - 2.0 to 0.4) isotopic compositions, than those of Miocene (25-8 Ma) ultrapotassic rocks in the central Lhasa terrane ((87Sr/86Sr)i = 0.7106 to 0.7399, εNd(t) = - 10.6 to - 18.5). Our new data provides important constraints on pre-collisional mantle characteristics beneath the Lhasa terrane. We suggest that these 64 Ma pseudoleucite phonolitic rocks were derived from the enriched lithospheric mantle metasomatized by subducted Tethyan oceanic materials in response to Neo-Tethyan slab roll-back. As a consequence, the younger Miocene ultrapotassic rocks, which display different geochemical compositions from the pre-collisional ultrapotassic rocks, were most probably derived from a mantle source metasomatized by subducted Indian continental materials after 64 Ma. Our results indicate that the addition of subducted continental components plays an important role in changing mantle constituents beneath collisional orogenic belts.

Surface gas pollutants in Lhasa, a highland city of Tibet: current levels and pollution implications

NASA Astrophysics Data System (ADS)

Ran, L.; Lin, W. L.; Deji, Y. Z.; La, B.; Tsering, P. M.; Xu, X. B.; Wang, W.

2014-05-01

Through several years of development, the city of Lhasa has become one of the most populated and urbanized areas on the highest plateau in the world. In the process of urbanization, current and potential air quality issues have been gradually concerned. To investigate the current status of air pollution in Lhasa, various gas pollutants including NOx, CO, SO2 and O3 were continuously measured from June 2012 to May 2013 at an urban site (29.40° N, 91.08° E, 3650 m a.s.l.). The seasonal variations of primary gas pollutants exhibited a peak from November to January with a large variability. High concentrations of primary trace gases almost exclusively occurred under low wind speed and showed no distinct dependence on wind direction, implying local urban emissions to be predominant. A comparison of NO2, CO and SO2 concentrations in summer between 1998 and 2012 indicated a significant increase in emissions of these gas pollutants and a change in their intercorrelations, as a result of a substantial growth in the demand of energy consumption using fossil fuels instead of previously widely used biofuels. The pronounced diurnal double peaks of primary trace gases in all seasons suggested automobile exhaust to be a major emission source in Lhasa. The secondary gas pollutant O3 displayed an average diurnal cycle of a shallow flat peak for about 4-5 h in the afternoon and a minimum in the early morning. Nighttime O3 was sometimes completely consumed by the high level of NOx. Seasonally, the variations of O3 concentrations displayed a low valley in winter and a peak in spring. In autumn and winter, transport largely contributed to the observed O3 concentrations, given its dependence on wind speed and wind direction, while in spring and summer photochemistry played an important role. A more efficient buildup of O3 concentrations in the morning and a higher peak in the afternoon was found in summer 2012 than in 1998. An enhancement in O3 concentrations would be expected in the future and more attention should be given to O3 photochemistry in response to increasing precursor emissions in this area.

Surface gas pollutants in Lhasa, a highland city of Tibet - current levels and pollution implications

NASA Astrophysics Data System (ADS)

Ran, L.; Lin, W. L.; Deji, Y. Z.; La, B.; Tsering, P. M.; Xu, X. B.; Wang, W.

2014-10-01

Through several years of development, the city of Lhasa has become one of the most populated and urbanized areas on the highest plateau in the world. In the process of urbanization, current and potential air quality issues have been gradually concerned. To investigate the current status of air pollution in Lhasa, various gas pollutants including NOx, CO, SO2, and O3, were continuously measured from June 2012 to May 2013 at an urban site (29.40° N, 91.08° E, 3650 m a.s.l.). The seasonal variations of primary gas pollutants exhibited a peak from November to January with a large variability. High mixing ratios of primary trace gases almost exclusively occurred under low wind speed and showed no distinct dependence on wind direction, implying local urban emissions to be predominant. A comparison of NO2, CO, and SO2 mixing ratios in summer between 1998 and 2012 indicated a significant increase in emissions of these gas pollutants and a change in their intercorrelations, as a result of a substantial growth in the demand of energy consumption using fossil fuels instead of previously widely used biomass. The pronounced diurnal double peaks of primary trace gases in all seasons suggested automobile exhaust to be a major emission source in Lhasa. The secondary gas pollutant O3 displayed an average diurnal cycle of a shallow flat peak for about 4-5 h in the afternoon and a minimum in the early morning. Nighttime O3 was sometimes completely consumed by the high level of NOx. Seasonally, the variations of O3 mixing ratios displayed a low valley in winter and a peak in spring. In autumn and winter, transport largely contributed to the observed O3 mixing ratios, given its dependence on wind speed and wind direction, while in spring and summer photochemistry played an important role. A more efficient buildup of O3 mixing ratios in the morning and a higher peak in the afternoon was found in summer 2012 than in 1998. An enhancement in O3 mixing ratios would be expected in the future and more attention should be given to O3 photochemistry in response to increasing precursor emissions in this area.

[Preliminary textual research on Zhijintang Sanctum re-revised version of Jinling edition of Ben cao gang mu (Compendium of Materia Medica)].

PubMed

Zheng, Jinsheng

2014-03-01

The Zhijintang Sanctum version of the re-revised edition of Jinling edition of Ben cao gang mu (Compendium of Materia Medica)collected by Zhao Huiyuan of Baihe, Henan Province in 2008 was opted as one of the third batch of the National Directory of Rare Ancient Worksin 2010. On the second cover page (patent page), it is recorded as"Original Jiangxi version". However, it is investigated to find that most of its paper sheets were reprinted after the original Jinling version, only scores of paper sheets were supplemented block-printed, including the additional block-printed second preface and Li Jianyuan's submitted report of the Jiangxi version, the re-revised time of which should be after the Jiangxi edition, or 1603. The exact time can be determined only by checking it carefully against another Jinling re-revised version (the Sheyuantang Sanctum edition).

78 FR 72874 - Revision of a Currently Approved Information Collection for the Energy Efficiency and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-04

... Efficiency and Conservation Block Grant Program Status Report AGENCY: U.S. Department of Energy. ACTION... . Additional information and reporting guidance concerning the Energy Efficiency and Conservation Block Grant... Title: ``Energy Efficiency and Conservation Block Grant (EECBG) Program Status Report''; (3) Type of...

Pyloric obstruction secondary to epicardial pacemaker implantation: a case report.

PubMed

Bedoya Nader, G; Kellihan, H B; Bjorling, D E; McAnulty, J

2017-02-01

A 10-year old Lhasa Apso dog was presented for an acute history of exercise intolerance and hind limb weakness. High grade second degree atrioventricular block with an atrial rate of 200 beats per minute, ventricular rate of 40 beats per minute and an intermittent ventricular escape rhythm, was diagnosed on electrocardiograph. A transdiaphragmatic, unipolar, epicardial pacemaker was implanted without immediate surgical complications. Severe vomiting was noted 12 h post-operatively. Abdominal ultrasound and a barium study supported a diagnosis of pyloric outflow obstruction and exploratory abdominal surgery was performed. The pyloric outflow tract appeared normal and no other causes of an outflow obstruction were identified. The epicardial generator was repositioned from the right to the left abdominal wall. Pyloric cell pacing was presumed to be the cause for the pyloric obstruction and severe vomiting, and this was thought to be due to close proximity of the pacemaker generator to the pylorus situated in the right abdominal wall. Repositioning of the pulse generator to the left abdominal wall resulted in resolution of vomiting. Copyright © 2016 Elsevier B.V. All rights reserved.

Teleseismic P-wave Tomography and Mantle Dynamics beneath Eastern Tibet: Insight into Tengchong Volcano and Large Earthquakes

NASA Astrophysics Data System (ADS)

Lei, J., Sr.; Zhao, D.

2016-12-01

We determined a new 3-D P-wave velocity model of the upper mantle beneath eastern Tibet using 112,613 high-quality arrival-time data collected from teleseismic seismograms recorded by a new portable seismic array in Yunnan and permanent networks in southwestern China. Our results provide new insights into the mantle structure and dynamics of eastern Tibet. High-velocity (high-V) anomalies are revealed down to 200 km depth under the Sichuan basin and the Ordos and Alashan blocks. Low-velocity (low-V) anomalies are imaged in the upper mantle under the Kunlun-Qilian and Qinling fold zones, and the Songpan-Ganzi, Qiangtang, Lhasa and Chuan-Dian diamond blocks, suggesting that eastward moving low-V materials are extruded to eastern China after the obstruction by the Sichuan basin, and the Ordos and Alashan blocks. Furthermore, the extent and thickness of these low-V anomalies are correlated with the surface topography, suggesting that the uplift of eastern Tibet could be partially related to these low-V materials having a higher temperature and strong positive buoyancy. In the mantle transition zone (MTZ), broad high-V anomalies are visible from the Burma arc northward to the Kunlun fault and eastward to the Xiaojiang fault, and they are connected upward with the Wadati-Benioff seismic zone. These results suggest that the subducted Indian slab has traveled horizontally for a long distance after it descended into the MTZ, and return corner flow and deep slab dehydration have contributed to forming the low-V anomalies in the big mantle wedge. Our results shed new light on the deep origin of Tengchong volcano and large crustal earthquakes as well as the mantle dynamics of the eastern Tibetan plateau.

Late Cretaceous transition from subduction to collision along the Bangong-Nujiang Tethys: New volcanic constraints from central Tibet

NASA Astrophysics Data System (ADS)

Liu, De-Liang; Shi, Ren-Deng; Ding, Lin; Zou, Hai-Bo

2018-01-01

This study deals with arc-type and subsequent bimodal volcanic rocks interbedded with (late) Cretaceous sedimentary formations near Gaize, central Tibet that shed new light on the Tethyan evolution along the Bangong-Nujiang suture. Unit I consists of trachyandesites interbedded with fine-grained sandstone, slate, and limestone. Zircon dating on a trachyandesite sample yields a 206Pb/238U age of 99 ± 1 Ma. The trachyandesites are characterized by strong enrichment in LILE but depletion in HFSE, low zircon saturation temperatures (TZr = 642-727 °C), and high oxygen fugacity (Δ FMQ = - 0.67-0.73), indicating their arc affinities. Unit II comprises a bimodal basalt-rhyolite suite interbedded with coarse-grained sandstone and conglomerate. Zircon dating on two rhyolitic samples yield 206Pb/238U ages of 97.1-87.0 Ma. In contrast with Unit I trachyandesites, Unit II basalts and rhyolites exhibit OIB-like trace element patterns, high temperatures (T = 1298-1379 °C for basalts, TZr = 855-930 °C for rhyolites), and low oxygen fugacity (Δ FMQ = - 3.37 - 0.43), suggesting that Unit II bimodal volcanic rocks probably formed in an extensional setting. The Sr-Nd isotopes of both Unit I (87Sr/86Sri = 0.7052-0.7074, εNd(t) = - 2.21-1.02) and Unit II (87Sr/86Sri = 0.7057-0.7098, εNd(t) = - 3.22-0.88) rocks are similar to mantle-wedge-derived volcanic rocks within the southern Qiangtang block. The parental magma of Unit I trachyandesites was formed by fluid induced melting of the mantle wedge above the subducted Bangong-Nujiang Tethyan slab, and contaminated by crustal materials during MASH process within a deep crustal hot zone; and Unit II bimodal volcanic rocks were derived by melting of upwelling asthenosphere and a mildly metasomatized mantle wedge during the Lhasa-Qiangtang collision. We propose that the transition from the Bangong-Nujiang Tethyan subduction to the Lhasa-Qiangtang collision occurred during the Late Cretaceous in central Tibet.

Preliminary Specifications for Standard Concrete Ties and Fastenings for Transit Track

DOT National Transportation Integrated Search

1979-01-01

These revised specifications cover requirements for component materials, manufacturing procedures, and handling of mono-block and two-block concrete (prestressed) cross ties, pads, and insulators for rapid transit use. It also includes requirements f...

Precipitation chemistry of Lhasa and other remote towns, Tibet

NASA Astrophysics Data System (ADS)

Zhang, David D.; Peart, Mervyn; Jim, C. Y.; He, Y. Q.; Li, B. S.; Chen, J. A.

Precipitation event samples during 1987-1988 field expedition periods and 1997, 1998, 1999 and 2000 have been collected at Lhasa, Dingri, Dangxiong and Amdo, Tibet. The sampling and analysis were based on WMO recommendations for a background network with some modifications according to local conditions and environmental characteristics. The following precipitation constituents and related parameters were measured: pH, conductivity, CO 2 partial pressure, total suspended particles, and the content of K +, Na +, Ca 2+, Mg 2+, Fe, Mn, NH 4+, Cl -, NO 2-, NO 3-, SO42- Br-, HCO 3- and HPO 42-. Some atmospheric dust samples have also been collected. Over 300 precipitation events have been measured for pH and conductivity. Among these, 60 have been analysed for their chemical components. The results show that Lhasa's precipitation events were constantly alkaline with weighted averages of pH 8.36 in the 1987-1988 period, and 7.5 for 1997 to 1999. Only one event was weakly acidic during 1997-1999. Although CO 2 partial pressure, a major producer of acidity in natural water on the Plateau, falls with increasing elevation, the lowest measured CO 2 partial pressure can only raise pH value by 0.1 units in the sampling areas. Chemical analysis indicates that the major contributor to alkaline precipitation is the continental dust, which is rich in calcium. The analysis also shows that Tibet is still one of the cleanest areas in the world with little air pollution. However, the decline of pH from the 1980s to 1990s, which was reflected by an increase of NO 3- and SO 42- in precipitation, alerts us to the urgency of environmental protection in this fragile paradise.

What was the Paleogene latitude of the Lhasa terrane? A reassessment of the geochronology and paleomagnetism of Linzizong volcanic rocks (Linzhou basin, Tibet)

NASA Astrophysics Data System (ADS)

Huang, Wentao; Dupont-Nivet, Guillaume; Lippert, Peter C.; van Hinsbergen, Douwe J. J.; Dekkers, Mark J.; Waldrip, Ross; Ganerød, Morgan; Li, Xiaochun; Guo, Zhaojie; Kapp, Paul

2015-03-01

The Paleogene latitude of the Lhasa terrane (southern Tibet) can constrain the age of the onset of the India-Asia collision. Estimates for this latitude, however, vary from 5°N to 30°N, and thus, here, we reassess the geochronology and paleomagnetism of Paleogene volcanic rocks from the Linzizong Group in the Linzhou basin. The lower and upper parts of the section previously yielded particularly conflicting ages and paleolatitudes. We report consistent 40Ar/39Ar and U-Pb zircon dates of 52 Ma for the upper Linzizong, and 40Ar/39Ar dates ( 51 Ma) from the lower Linzizong are significantly younger than U-Pb zircon dates (64-63 Ma), suggesting that the lower Linzizong was thermally and/or chemically reset. Paleomagnetic results from 24 sites in lower Linzizong confirm a low apparent paleolatitude of 5°N, compared to the upper part ( 20°N) and to underlying Cretaceous strata ( 20°N). Detailed rock magnetic analyses, end-member modeling of magnetic components, and petrography from the lower and upper Linzizong indicate widespread secondary hematite in the lower Linzizong, whereas hematite is rare in upper Linzizong. Volcanic rocks of the lower Linzizong have been hydrothermally chemically remagnetized, whereas the upper Linzizong retains a primary remanence. We suggest that remagnetization was induced by acquisition of chemical and thermoviscous remanent magnetizations such that the shallow inclinations are an artifact of a tilt correction applied to a secondary remanence in lower Linzizong. We estimate that the Paleogene latitude of Lhasa terrane was 20 ± 4°N, consistent with previous results suggesting that India-Asia collision likely took place by 52 Ma at 20°N.

Canine urolithiasis: A look at over 16 000 urolith submissions to the Canadian Veterinary Urolith Centre from February 1998 to April 2003

PubMed Central

2004-01-01

Abstract The purpose of this study was to report on the age, sex, breed, and mineral composition of 16 647 canine bladder uroliths submitted to the Canadian Veterinary Urolith Centre between February 1998 and April 2003. Each urolith submission was accompanied by a questionnaire. Of the submissions, approximately 43.8% were struvite and 41.5% oxalate. Struvite uroliths were most common in female dogs. Mixed breed dogs predominated, followed by the shih tzu, bichon frise, miniature schnauzer, Lhasa apso, and Yorkshire terrier. Oxalate uroliths were most common in males and in the miniature schnauzer, bichon frise, Lhasa apso, shih tzu, and Yorkshire terrier. Urate uroliths were most common in male Dalmations. Other urolith types, including cystine, xanthine, silica, and calcium phosphate, were less commonly reported. A review of risk factors for the various uroliths is presented, along with some recommendations for treatment and prevention. PMID:15072194

A framework for nowcasting and forecasting of rainfall-triggered landslide activity using remotely sensed data

NASA Astrophysics Data System (ADS)

Kirschbaum, Dalia; Stanley, Thomas

2016-04-01

Remote sensing data offers the unique perspective to provide situational awareness of hydrometeorological hazards over large areas in a way that is impossible to achieve with in situ data. Recent work has shown that rainfall-triggered landslides, while typically local hazards that occupy small spatial areas, can be approximated over regional or global scales in near real-time. This work presents a regional and global approach to approximating potential landslide activity using the landslide hazard assessment for situational awareness (LHASA) model. This system couples remote sensing data, including Global Precipitation Measurement rainfall data, Shuttle Radar Topography Mission and other surface variables to estimate where and when landslide activity may be likely. This system also evaluates the effectiveness of quantitative precipitation estimates from the Goddard Earth Observing System Model, Version 5 to provide a 24 forecast of potential landslide activity. Preliminary results of the LHASA model and implications for are presented for a regional version of this system in Central America as well as a prototype global approach.

Crust-mantle Coupling Seismogenic Mechanism in Sichuan-Yunnan Region

NASA Astrophysics Data System (ADS)

Qiang, H.; Pei, L. S.; Yuan, Z. W.; Dong, L. S.

2016-12-01

The intracrustal weak zone controls strength of interaction between crust and mantle, restricts coupling relationship between lithospheric layers, and also affects mode of interaction between blocks. This effect can be analyzed in terms of comparing deformation and stress in different depth. The paper is based on GPS time series data that provided by 81 base stations from 1999 to 2015 to compute velocity field. Combining previous SKS shear wave splitting data, we analyze deformation characteristics of horizontal direction. The lithospheric bottom mantle convection stress field of the Sichuan-Yunnan region is calculated using 11 36 spherical harmonic coefficients of gravity model EGM2008. Meanwhile the focal mechanism of 1131 earthquakes that occurred from 2000 to now in Sichuan-Yunnan region is collected and organized. Through the above systematic research, this article argues that uneven development of the stress is the key of strain energy accumulation. And vertical coupling relationship of different layers greatly influences interaction of blocks. There is stress delamination in blocks which exist the intracrustal weak zone, stress of edge area changes significantly in horizontal and vertical directions, and seismic risk of crust above the weak layer is higher. We choose 81 stations from research area ,download the coordinate time series and use the monadic linear regression analysis to obtain the stations' average speed as shown in figure 1(a).the continuous variation of the velocity vector diagram.When in the process of communication, SKS wave divided into polarization direction and anisotropy of the parallel to the axis of symmetry fast slow wave and vertical wave through anisotropic medium. Fast wave polarization direction is considered to be the mantle peridotite in the crystal lattice advantage under the local stress direction, reflect the deformation of the upper mantle; Time delay of torsion wave reflect the characterization of anisotropic layer thickness and strength. This paper collected Wang Chunyong etc. [1], Chang Lijun provided in [2], such as literature research of 130 stations in the area of SKS shear wave splitting parameters (as shown in figure 1 (b)). From picture 1(c), Northwest Yunnan block and Lhasa block GPS crustal deformation direction are consistent.

Sandstone provenance and tectonic evolution of the Xiukang Mélange from Neotethyan subduction to India-Asia collision (Yarlung-Zangbo suture, south Tibet)

NASA Astrophysics Data System (ADS)

An, Wei; Hu, Xiumian; Garzanti, Eduardo

2016-04-01

The Xiukang Mélange of the Yarlung-Zangbo suture zone in south Tibet documents low efficiency of accretion along the southern active margin of Asia during Cretaceous Neotethyan subduction, followed by final development during the early Paleogene stages of the India-Asia collision. Here we investigate four transverses in the Xigaze area (Jiding, Cuola Pass, Riwuqi and Saga), inquiry the composition in each transverse, and present integrated petrologic, U-Pb detrital-zircon geochronology and Hf isotope data on sandstone blocks. In fault contact with the Yarlung-Zangbo Ophiolite to the north and the Tethyan Himalaya to the south, the Xiukang mélange can be divided into three types: serpentinite-matrix mélange composed by broken Yarlung-Zangbo Ophiolite, thrust-sheets consisting mainly chert, quartzose or limestone sheets(>100m) with little intervening marix, and mudstone-matrix mélange displaying typical blocks-in-matrix texture. While serpentinite-matrix mélange is exposed adjacent to the ophiolite, distributions of thrust-sheets and blocks in mudstone-matrix mélange show along-strike diversities. For example, Jiding transverse is dominant by chert sheets and basalt blocks with scarcely sandstone blocks, while Cuola Pass and Saga transverses expose large amounts of limestone/quartzarenite sheets in the north and volcaniclastic blocks in the south. However, turbidite sheets and volcaniclastic blocks are outcropped in the north Riwuqi transverse with quartzarenite blocks preserved in the south. Three groups of sandstone blocks/sheets with different provenance and depositional setting are distinguished by their petrographic, geochronological and isotopic fingerprints. Sheets of turbiditic quartzarenite originally sourced from the Indian continent were deposited in pre-Cretaceous time on the northernmost edge of the Indian passive margin and eventually involved into the mélange at the early stage of the India-Asia collision. Two distinct groups of volcaniclastic-sandstone blocks were derived from the central Lhasa block and Gangdese magmatic arc. One group was deposited in the trench and/or on the trench slope of the Asian margin during the early Late Cretaceous, and the other group in a syn-collisional basin just after the onset of the India-Asia collision in the Early Eocene. The largely erosional character of the Asian active margin in the Late Cretaceous is indicated by the scarcity of off-scraped trench-fill deposits and the relatively small subduction complex developed during limited episodes of accretion. The Xiukang Mélange was finally structured in the Late Paleocene/Eocene, when sandstone of both Indian and Asian origin were progressively incorporated tectonically in the suture zone of the nascent Himalayan Orogen.

First Report of Carnation vein mottle virus Infecting Dianthus amurensis in China

USDA-ARS?s Scientific Manuscript database

Tomato mottle mosaic virus (ToMMV), a tentative member in genus Tobamovirus, was first reported from a greenhouse tomato sample collected in Mexico in 2013 (1). In August 2013, foliar mottle, shrinking and necrosis were observed on pepper plants in several vegetable greenhouses of Lhasa, Tibet Auton...

Hyaluronan Oligosaccharides for the Promotion of Remyelination (Revised)

DTIC Science & Technology

2012-10-01

AD_________________ Award Number: W81XWH-10-1-0967 TITLE: Hyaluronan oligosaccharides for the...REPORT TYPE FINAL (revised) 3. DATES COVERED 30 2010- 2012 4. TITLE AND SUBTITLE Hyaluronan oligosaccharides for the promotion of...differentiation and remyelination; and if particular formulations of HA oligosaccharides could block the activities of these digestion products

Comparison of maternal and newborn outcomes of Tibetan and Han Chinese delivering in Lhasa, Tibet

PubMed Central

Miller, Suellen; Tudor, Carrie; Thorsten, Vanessa; Nyima; Sonam; Droyoung; Wright, Linda; Varner, Michael

2009-01-01

Aim To compare maternal and neonatal outcomes of Tibetan and Han Chinese women delivering vaginally at high altitude (3650 meters) in Lhasa, Tibet Autonomous Region, People’s Republic of China. Method Comparative analysis of data from a prospective observational study of Tibetan (n = 938) and Han Chinese (n = 146) women delivering at three hospitals between January 2004 and May 2005. Results Han Chinese women had higher rates of pre-eclampsia/gestational hypertension than Tibetan women, (10.3% vs 5.9%, P = 0.04). There was no difference in rates of postpartum hemorrhage between Tibetan and Han women (12.8% vs 17.1%, P = 0.15). Han newborns weighed significantly less than Tibetan newborns (P < 0.01), and were twice as likely to be small for gestational age, (24.5% vs 11.6%, P < 0.01). Tibetan newborns were less likely to have poor neonatal outcomes than Han newborns (P < 0.01). Conclusion In high altitude deliveries in Tibet, adverse outcomes were significantly more common among Han Chinese. PMID:19012697

Geothermal energy in Tibet

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

Lund, J.W.; McEuen, R.B.; Roberts, A.

1984-09-01

During the fall of 1983, a American delegation of 14 geothermal experts visited the People's Republic of China. The three-week trip included visits to Beijing (Peking), Chengdu, Lhasa, Yangbajing, and Kunming. By far the highlight of the trip was the journey to Tibet where the geothermal field and power station at Yangbajing were toured. Technical exchanges with Chinese and Tibetan geothermal scientists and engineers were made at Beijing, Lhasa, Yangbajing and Kunming. At Kunming in Yunnan Province, the geothermal field in the western part of the province was discussed, but not visited. This latter field is in the process ofmore » extensive investigation, but only minor direct-use development such as sulfur collection and wool washing is being undertaken. The drilling of wells and power plant construction is anticipated in the Rehai and Ridian fields in the near future. In general, Yunnan has one of the largest geothermal potentials in China with over 600 sites identified so far. The sites are widespread throughout the province, but the high temperature sites are located in the western part, a very mountainous area.« less

On Alternative Formulations for Linearised Miss Distance Analysis

DTIC Science & Technology

2013-05-01

is traditionally employed by analysts as part of the solution process . To gain further insight into the nature of the missile-target engagement...a constant. Thus, following this process , the revised block diagram model for the linearised equations is presented in Figure 13. This model is... process is known as reducing the block to its fundamental closed loop form and has been achieved here using standard block diagram algebra. This

Linkages Between Cretaceous Forearc and Retroarc Basin Development in Southern Tibet

NASA Astrophysics Data System (ADS)

Orme, D. A.; Laskowski, A. K.

2015-12-01

Integrated provenance and subsidence analysis of forearc and retroarc foreland basin strata were used to reconstruct the evolution of the southern margin of Eurasia during the Early to Late Cretaceous. The Cretaceous-Eocene Xigaze forearc basin, preserved along ~600 km of the southern Lhasa terrane, formed between the Gangdese magmatic arc and accretionary complex as subduction of Neo-Tethyan oceanic lithosphere accommodated the northward motion and subsequent collision of the Indian plate. Petrographic similarities between Xigaze forearc basin strata and Cretaceous-Eocene sedimentary rocks of the northern Lhasa terrane, interpreted as a retroarc foreland basin, were previously interpreted to record N-S trending river systems connecting the retro- and forearc regions during Cretaceous time. New sandstone petrographic and U-Pb detrital zircon provenance analysis of Xigaze forearc basin strata support this hypothesis. Qualitative and statistical provenance analysis using cumulative distribution functions and Kolmogorov-Smirnov (K-S) tests show that the forearc basin was derived from either the same source region as or recycled from the foreland basin. Quartz-rich sandstones with abundant carbonate sedimentary lithic grains and rounded, cobble limestone clasts suggests a more distal source than the proximal Gangdese arc. Therefore, we interpret that the northern Lhasa terrane was a significant source of Xigaze forearc detritus and track spatial and temporal variability in the connection between the retro- and forearc basin systems during the Late Cretaceous. A tectonic subsidence curve for the Xigaze forearc basin shows a steep and "kinked" shape similar to other ancient and active forearc basins. Initial subsidence was likely driven by thermal relaxation of the forearc ophiolite after emplacement while additional periods of rapid subsidence likely result from periods of high flux magmatism in the Gangdese arc and changes in plate convergence rate. Comparison of the subsidence history of the Xigaze forearc basin with the Cretaceous-Eocene retroarc foreland basin reveals coeval periods of rapid subsidence, specifically during the Aptian-Turonian, suggesting that the upper-plate was in an overall state of extension.

Impact of typhoons on the composition of the upper troposphere within the Asian summer monsoon anticyclone: the SWOP campaign in Lhasa 2013

NASA Astrophysics Data System (ADS)

Li, Dan; Vogel, Bärbel; Bian, Jianchun; Müller, Rolf; Pan, Laura L.; Günther, Gebhard; Bai, Zhixuan; Li, Qian; Zhang, Jinqiang; Fan, Qiujun; Vömel, Holger

2017-04-01

In the frame of the SWOP (sounding water vapour, ozone, and particle) campaign during the Asian summer monsoon (ASM), ozone and water vapour profiles were measured by balloon-borne sensors launched from Lhasa (29.66° N, 91.14° E, elevation 3650 m), China, in August 2013. In total, 24 soundings were launched, nearly half of which show strong variations in the relationship between ozone and water vapour in the tracer-tracer correlation in the upper troposphere and lower stratosphere (UTLS). For each sounding, 20-day backward trajectories were calculated using the trajectory module of the Chemical Lagrangian Model of the Stratosphere (CLaMS) to analyse these variations. The trajectory calculations demonstrate that three tropical cyclones (tropical storm Jebi, typhoons Utor and Trami), which occurred over the western Pacific Ocean during August 2013, had a considerable impact on the vertical distribution of ozone and water vapour by uplifting marine air masses to altitudes of the ASM anticyclone. Air parcels subsequently arrived at the observation site via two primary pathways: firstly via direct horizontal transport from the location of the typhoon to the station within approximately 3 days, and secondly via transport following the clockwise wind flow of the ASM within a timescale of 1 week. Furthermore, the interplay between the spatial position of the ASM anticyclone and tropical cyclones plays a key role in controlling the transport pathways of air parcels from the boundary layer of the western Pacific to Lhasa in horizontal and vertical transport. Moreover, the statistical analysis shows that the strongest impact by typhoons is found at altitudes between 14.5 and 17 km (365-375 K). Low ozone values (50-80 ppbv) were observed between 370 and 380 K due to the strong vertical transport within tropical cyclones.

Estimation of Water Within the Lithospheric Mantle of Central Tibet from Petrological-Geophysical Investigations

NASA Astrophysics Data System (ADS)

Vozar, J.; Fullea, J.; Jones, A. G.

2013-12-01

Investigations of the lithosphere and sub-lithospheric upper mantle by integrated petrological-geophysical modeling of magnetotelluric (MT) and seismic surface-wave data, which are differently sensitive to temperature and composition, allows us to reduce the uncertainties associated with modeling these two data sets independently, as commonly undertaken. We use selected INDEPTH MT data, which have appropriate dimensionality and large penetration depths, across central Tibet for 1D modeling. Our deep resistivity models from the data can be classified into two different and distinct groups: (i) the Lhasa Terrane and (ii) the Qiangtang Terrane. For the Lhasa Terrane group, the models show the existence of upper mantle conductive layer localized at depths of 200 km, whereas for the Qiangtang Terrane, this conductive layer is shallower at depths of 120 km. We perform the integrated geophysical-petrological modeling of the MT and surface-wave data using the software package LitMod. The program facilitates definition of realistic temperature and pressure distributions within the upper mantle for given thermal structure and oxide chemistry in the CFMAS system. This allows us to define a bulk geoelectric and seismic model of the upper mantle based on laboratory and xenolith data for the most relevant mantle minerals, and to compute synthetic geophysical observables. Our results suggest an 80-120 km-thick, dry lithosphere in the central part of the Qiangtang Terrane. In contrast, in the central Lhasa Terrane the predicted MT responses are too resistive for a dry lithosphere regardless its thickness; according to seismic and topography data the expected lithospheric thickness is about 200 km. The presence of small amounts of water significantly decreases the electrical resistivity of mantle rocks and is required to fit the MT responses. We test the hypothesis of small amounts of water (ppm scale) in the nominally anhydrous minerals of the lithospheric mantle. Such a small amount of water dramatically affects the resistivity but has no influence on the seismic velocities (and therefore, the calculated surface wave's dispersion curves are unaffected too). Three different proton conduction models for olivine conductivity (1 - Wang et al., 2006; 2 - Yoshino et al., 2009; 3 -Jones et al., 2012) and two water partition coefficients are tested. The presence of water in lithospheric mantle is decreased from 170 km to the LAB depth at 200 km. If we move this water-presentbottom boundary to shallower depth, the lithospheric mantle becomes too resistive. Our results favour a moderately wet (<0.01 wt%) mantle above the underthrusted Indian lithosphere, probably as a result of the dehydration processes. The presence of percolating water-rich fluids has the additional effect of lowering the solidus, and therefore facilitating partial melting in the warm lower crust of Lhasa.

Student-initiated revision in child health.

PubMed

Alfaham, M; Gray, O P; Davies, D P

1994-03-01

Most teaching of child health in Cardiff takes place in block attachments of 8 weeks. There is an introductory seminar of 2 days followed by a 6-week clinical attachment in a district general hospital in Wales, and then a revision period of one week designed to help students formalize and structure their basic knowledge and to clarify aspects of child health which they may have had difficulty in understanding. The revision programme has to take into account: the short time available, the small number of teaching staff, the most relevant basic knowledge and active participation by the student. This paper describes how this week has been improved through the use of student-initiated revision (SIR). The students' appraisal of this revision and in particular SIR is presented.

Fracture of the proximal tibia after revision total knee arthroplasty with an extensor mechanism allograft.

PubMed

Klein, Gregg R; Levine, Harlan B; Sporer, Scott M; Hartzband, Mark A

2013-02-01

Extensor mechanism reconstruction with an extensor mechanism allograft (EMA) remains one of the most reliable methods for treating the extensor mechanism deficient total knee arthroplasty. We report 3 patients who were treated with an EMA who sustained a proximal tibial shaft fracture. In all 3 cases, a short tibial component was present that ended close to the level of the distal extent of the bone block. When performing an EMA, it is important to recognize that the tibial bone block creates a stress riser and revision to a long-stemmed tibial component should be strongly considered to bypass this point to minimize the risk of fracture. Copyright © 2013 Elsevier Inc. All rights reserved.

Is Lhasa Tibetan Sign Language emerging, endangered, or both?

PubMed Central

Hofer, Theresia

2017-01-01

This article offers the first overview of the recent emergence of Tibetan Sign Language (TibSL) in Lhasa, capital of the Tibet Autonomous Region (TAR), China. Drawing on short anthropological fieldwork, in 2007 and 2014, with people and organisations involved in the formalisation and promotion of TibSL, the author discusses her findings within the nine-fold UNESCO model for assessing linguistic vitality and endangerment. She follows the adaptation of this model to assess signed languages by the Institute of Sign Languages and Deaf Studies (iSLanDS) at the University of Central Lancashire. The appraisal shows that TibSL appears to be between “severely” and “definitely” endangered, adding to the extant studies on the widespread phenomenon of sign language endangerment. Possible future influences and developments regarding the vitality and use of TibSL in Central Tibet and across the Tibetan plateau are then discussed and certain additions, not considered within the existing assessment model, suggested. In concluding, the article places the situation of TibSL within the wider circumstances of minority (sign) languages in China, Chinese Sign Language (CSL), and the post-2008 movement to promote and use “pure Tibetan language”. PMID:29033477

Randomized Double Masked Trial of Zhi Byed 11, a Tibetan Traditional Medicine, Versus Misoprostol to Prevent Postpartum Hemorrhage in Lhasa, Tibet

PubMed Central

Miller, Suellen; Tudor, Carrie; Thorsten, Vanessa; Nyima; Kalyang; Sonam; Lhakpen; Droyoung; Quzong, Karma; Dekyi, Tsering; Hartwell, Ty; Wright, Linda L.; Varner, Michael W.

2009-01-01

The objective of this study was to compare a Tibetan traditional medicine (the uterotonic Zhi Byed 11 [ZB11]) to oral misoprostol for prophylaxis of postpartum hemorrhage (PPH). We conducted a double-blind randomized controlled trial at three hospitals in Lhasa, Tibet, People’s Republic of China. Women (N = 967) were randomized to either ZB11 or misoprostol groups. Postpartum blood loss was measured in a calibrated blood collection drape. The primary combined outcome was incidence of PPH, defined as measured blood loss (MBL) ≥ 500 mL, administration of open label uterotonics, or maternal death. We found that the rate of the combined outcome was lower among the misoprostol group (16.1% versus 21.8% for ZB11; P = .02). Frequency of PPH was lower with misoprostol (12.4% versus 17.4%; P = .02). There were no significant differences in MBL > 1000 mL or mean or median MBL. Fever was significantly more common in the misoprostol group (P = .03). The rate of combined outcome was significantly lower among women receiving misoprostol. However, other indices of obstetric hemorrhage were not significantly different. PMID:19249659

High Altitude Observatory YBJ and ARGO Project

NASA Astrophysics Data System (ADS)

Tan, Y.; ARGO Collaboration

A 5800 m2 RPC (Resistive Plate Chamber) full coverage air shower array is under construction in the YangBaJing Cosmic Ray Observatory, Tibet of China, by the ChinaItaly ARGO Collaboration. YBJ is a large flat grassland with an area 10 × 70 km2 at 4300m altitude, about 90 north west from Lhasa. Its nearby power station, asphalt road to Lhasa, passing railway (will be constructed during the coming 5 years), optical fiber link to the INTERNET, rare snow and other favourable weather conditions are well suitable for setting an Astrophysical Observatory here. The installation of a large area carpet-like detector in this peculiar site will allow one to perform an all-sky and high duty cycle study of high energy gamma rays from 100GeV to 50 TeV as well as accurate measurements on UHE cosmic rays. To insure the stable and uniform working condition of RPCs, a 104 M2 carpet hall was constructed, the RPC installation have be started in it since last November. The natural distribution and daily variation of temperature in the hall, the data concerning the performances of the installed RPCs, have been measured, the results are presented. ce

Is Lhasa Tibetan Sign Language emerging, endangered, or both?

PubMed

Hofer, Theresia

2017-05-24

This article offers the first overview of the recent emergence of Tibetan Sign Language (TibSL) in Lhasa, capital of the Tibet Autonomous Region (TAR), China. Drawing on short anthropological fieldwork, in 2007 and 2014, with people and organisations involved in the formalisation and promotion of TibSL, the author discusses her findings within the nine-fold UNESCO model for assessing linguistic vitality and endangerment. She follows the adaptation of this model to assess signed languages by the Institute of Sign Languages and Deaf Studies (iSLanDS) at the University of Central Lancashire. The appraisal shows that TibSL appears to be between "severely" and "definitely" endangered, adding to the extant studies on the widespread phenomenon of sign language endangerment. Possible future influences and developments regarding the vitality and use of TibSL in Central Tibet and across the Tibetan plateau are then discussed and certain additions, not considered within the existing assessment model, suggested. In concluding, the article places the situation of TibSL within the wider circumstances of minority (sign) languages in China, Chinese Sign Language (CSL), and the post-2008 movement to promote and use "pure Tibetan language".

Speed of Information Processing and Individual Differences in Intelligence.

DTIC Science & Technology

1986-06-01

years of age. As criteria, the students were given the Vocabulary and Block Design subtests of the Wechsler Adult Intelligence Scale --Revised (WAIS-R... Wechsler Adult Intelligence Scale (WAIS) and inspection time (Nettelbeck & Lally, 1976), most subsequent investigations found a less spectacular, but...Design sdbtests of the Wechsler Adult Intelligence Scale , Revised (WAIS-R) and the Cognitive Laterality Battery (Gordon, 1983). Visual Processing Tasks

Revised estimation of 550-km times 550-km mean gravity anomalies

NASA Technical Reports Server (NTRS)

Williamson, M. R.

1977-01-01

The calculation of 550-km x 550-km mean gravity anomalies from 1 degree x 1 degree mean free-air gravimetry data is discussed. The block estimate procedure developed by Kaula is used to obtain 1,504 of the 1,654 possible mean block anomalies. The estimated block anomalies calculated from 1 deg x 1 deg mean anomalies referred to the reference ellipsoid and from 1 degree x 1 degree mean anomalies referred to a 24th-degree-and-order field are compared.

Tectonic evolution of the Yarlung suture zone, Lopu Range region, southern Tibet

NASA Astrophysics Data System (ADS)

Laskowski, Andrew K.; Kapp, Paul; Ding, Lin; Campbell, Clay; Liu, XiaoHui

2017-01-01

The Lopu Range, located 600 km west of Lhasa, exposes a continental high-pressure metamorphic complex beneath India-Asia (Yarlung) suture zone assemblages. Geologic mapping, 14 detrital U-Pb zircon (n = 1895 ages), 11 igneous U-Pb zircon, and nine zircon (U-Th)/He samples reveal the structure, age, provenance, and time-temperature histories of Lopu Range rocks. A hornblende-plagioclase-epidote paragneiss block in ophiolitic mélange, deposited during Middle Jurassic time, records Late Jurassic or Early Cretaceous subduction initiation followed by Early Cretaceous fore-arc extension. A depositional contact between fore-arc strata (maximum depositional age 97 ± 1 Ma) and ophiolitic mélange indicates that the ophiolites were in a suprasubduction zone position prior to Late Cretaceous time. Five Gangdese arc granitoids that intrude subduction-accretion mélange yield U-Pb ages between 49 and 37 Ma, recording Eocene southward trench migration after collision initiation. The south dipping Great Counter Thrust system cuts older suture zone structures, placing fore-arc strata on the Kailas Formation, and sedimentary-matrix mélange on fore-arc strata during early Miocene time. The north-south, range-bounding Lopukangri and Rujiao faults comprise a horst that cuts the Great Counter Thrust system, recording the early Miocene ( 16 Ma) transition from north-south contraction to orogen-parallel (E-W) extension. Five early Miocene (17-15 Ma) U-Pb ages from leucogranite dikes and plutons record crustal melting during extension onset. Seven zircon (U-Th)/He ages from the horst block record 12-6 Ma tectonic exhumation. Jurassic—Eocene Yarlung suture zone tectonics, characterized by alternating episodes of contraction and extension, can be explained by cycles of slab rollback, breakoff, and shallow underthrusting—suggesting that subduction dynamics controlled deformation.

78 FR 65982 - Auction of H Block Licenses in the 1915-1920 MHz and 1995-2000 MHz Bands Rescheduled for January...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-04

...This document announces the procedures, reserve price, and minimum opening bids for the upcoming auction of H Block licenses (Auction 96) and provides the revised schedule for Auction 96. This document is intended to familiarize prospective applicants with the procedures and other requirements for participation in the auction.

3-D electrical structure across the Yadong-Gulu rift revealed by magnetotelluric data: New insights on the extension of the upper crust and the geometry of the underthrusting Indian lithospheric slab in southern Tibet

NASA Astrophysics Data System (ADS)

Wang, Gang; Wei, Wenbo; Ye, Gaofeng; Jin, Sheng; Jing, Jianen; Zhang, Letian; Dong, Hao; Xie, Chengliang; Omisore, Busayo O.; Guo, Zeqiu

2017-09-01

The approximately north-south trending Cenozoic Yadong-Gulu rift (YGR) in the eastern Lhasa block is an ideal location to investigate the extensional kinematic mechanism of the upper crust and the deformation characteristics of the Indian lithospheric slab in southern Tibet. The magnetotelluric (MT) method has been widely used in probing subsurface structures at lithospheric scale and is sensitive to high electrically conductive body (conductor). A three-dimensional (3-D) inversion of MT data was conducted to derive the east-west electrical structures across the northern segment of the YGR. The result reveals that the conductors in the middle crust are not continuous in the east-west direction. The deep conductor underneath the YGR is interpreted to result from the tearing of the Indian lithospheric slab. The upper crust to the east of the YGR is significantly intruded by underlying conductors. Based on the features of the 3-D inversion result from this study and other geophysical observations, the formation of the YGR is most likely caused by tearing of the Indian lithospheric slab through the pull of mid-lower crustal conductors that have locally weak strength beneath the YGR.

Human Adaptation to the Tibetan Plateau

DTIC Science & Technology

1991-08-12

exercise for only 30 min on arrival. design was to make measurements during high altitude Femoral arterial and venous catheterization . After the...studied after right heart catheterization . The Tibetans had remarkably low pulmonary artery pressures. Values averaged 14 mmHg, similar to the sea...their longer duration of Lhasa residences, may reflect favorable adaptations in a population with a long history of living at high altitude

The Scary Thing Is the Existence of Only Two Voices: The Internet Surges of Extreme Nationalism and National Nihilism

ERIC Educational Resources Information Center

Handing, Liu

2011-01-01

Many earthshaking events took place in China in 2008: the ice and snow in South China, the Lhasa riots, the hindrances to the Olympic torch relay, the Wenchuan earthquake, anticorruption in Taiwan, the Beijing Olympics, and many more. Many of these incidents triggered acute Internet altercations. In conformity with the pattern of Internet…

Racial differences of endothelial function and plasma endothelin 1 level in preclinical Tibetan and Han male population.

PubMed

Yang, B; Zhao, H; Zhang, J; Jiang, B; Li, C W; Cao, Y K; Cao, F

2016-07-01

The differences in endothelial function between Tibetan and Han nationality population have not been fully investigated. The aim of this work is to investigate the differences in endothelial function and plasma endothelin 1 (ET-1) concentration between Tibetan and Han male population. Totally 272 Tibetan male subjects aged 42.9 ± 9.4 years were enrolled in this study to stand for Tibetan population. All of them were native residents in Lhasa City. And 580 Qinghai-Tibet Railway constructors with Han nationality aged 41.8 ± 11.1 years were enrolled in this study to stand for Han nationality population. All of them were male subjects and lived in Lhasa City for at least 1 year. All subjects lived in the same high-altitude area (the altitude of Lhasa is 3658 m). Height, weight, waist circumference, hip circumference, systolic blood pressure, diastolic blood pressure were evaluated. Body mass index (BMI) was calculated. Brachial artery flow-mediated dilation (FMD) was measured in the fasting state using high-resolution B-mode ultrasound. Computer-assisted analysis software was used to calculate brachial artery diameters. Venous blood was sampled for the measurement of total cholesterol (CH), triglyceride (TG), high density lipoprotein cholesterol (HDL), low density lipoprotein cholesterol (LDL) and HbA1c. Plasma ET-1 was quantitated using a commercially available ELISA kits. Totally 272 Tibetan subjects and 580 Han nationality subjects were enrolled in this study. BMI and waist-hip ratio in Tibetan subjects were much higher than those in Han subjects (p < 0.01). LDL cholesterol level and plasma ET-1 concentration in Tibetan subjects were significantly higher than Han subjects (p < 0.01). The baseline brachial artery diameter in Tibetan group was much higher than that of Han group (p < 0.01). The absolute and percent changes in brachial artery diameter were lower in Tibetan population compared with Han population (p < 0.01). The linear regression analysis showed that LDL cholesterol, and plasma ET-1 were correlated with FMD (p < 0.01). Endothelial function and plasma ET-1 concentration were different between Tibetan and Han male populations.

Exercise Capacity and Selected Physiological Factors by Ancestry and Residential Altitude: Cross-Sectional Studies of 9–10-Year-Old Children in Tibet

PubMed Central

Berntsen, Sveinung; Andersen, Lars Bo; Stigum, Hein; Ouzhuluobu; Nafstad, Per; Wu, Tianyi; Bjertness, Espen

2014-01-01

Abstract Bianba, Sveinung Bernsten, Lars Bo Andersen, Hein Stegum, Ouzhuluobu, Per Nafstad, Tianyi Wu, and Espen Bjertness. Exercise capacity and selected physiological factors by ancestry and residential altitude—Cross-sectional studies of 9–10-year-old children in Tibet. High Alt Med Biol. 15:162–169, 2014.—Aim: Several physiological compensatory mechanisms have enabled Tibetans to live and work at high altitude, including increased ventilation and pulmonary diffusion capacity, both of which serve to increase oxygen transport in the blood. The aim of the present study was to compare exercise capacity (maximal power output) and selected physiological factors (arterial oxygen saturation and heart rate at rest and during maximal exercise, resting hemoglobin concentration, and forced vital capacity) in groups of native Tibetan children living at different residential altitudes (3700 vs. 4300 m above sea level) and across ancestry (native Tibetan vs. Han Chinese children living at the same altitude of 3700 m). Methods: A total of 430 9–10-year-old native Tibetan children from Tingri (4300 m) and 406 native Tibetan- and 406 Han Chinese immigrants (77% lowland-born and 33% highland-born) from Lhasa (3700 m) participated in two cross-sectional studies. The maximal power output (Wmax) was assessed using an ergometer cycle. Results: Lhasa Tibetan children had a 20% higher maximal power output (watts/kg) than Tingri Tibetan and 4% higher than Lhasa Han Chinese. Maximal heart rate, arterial oxygen saturation at rest, lung volume, and arterial oxygen saturation were significantly associated with exercise capacity at a given altitude, but could not fully account for the differences in exercise capacity observed between ancestry groups or altitudes. Conclusions: The superior exercise capacity in native Tibetans vs. Han Chinese may reflect a better adaptation to life at high altitude. Tibetans at the lower residential altitude of 3700 m demonstrated a better exercise capacity than residents at a higher altitude of 4300 m when measured at their respective residential altitudes. Such altitude- or ancestry-related difference could not be fully attributed to the physiological factors measured. PMID:24836751

Complex N-S variations in Moho depth and Vp/Vs ratio beneath the western Tibetan Plateau as revealed by receiver function analysis

NASA Astrophysics Data System (ADS)

Murodov, Davlatkhudzha; Zhao, Junmeng; Xu, Qiang; Liu, Hongbing; Pei, Shunping

2018-04-01

We present herein detailed images of the Moho depth and Vp/Vs ratio along ANTILOPE-1 profile beneath the western Tibetan Plateau derived from receiver function analysis. Along the ANTILOPE -1 profile, a rapidly northward dipping Moho extends from ˜50 km below the Himalaya to ˜80 km across the Indus-Yarlung suture (IYS), shallowing to ˜66 km under the central Lhasa terrane. The Moho depth shows a dramatic increase from ˜66 km north of the Bangong-Nujiang suture (BNS) to ˜93 km beneath central Qiangtang terrane where it reaches the maximum depth observed along this profile before steeply rising to ˜73 km. We interpret both the 15 km and 20 km offsets of Moho depth occurring beneath the central Lhasa and central Qiangtang terranes as being related to the northern frontiers of the decoupled underthrusting Indian lower crust and lithospheric mantle, respectively. The Moho remains at a depth of ˜70 km with a slight undulation beneath the northern Qiangtang and Songpan-Ganzi terranes, and then abruptly shallows to ˜45 km near the Altyn Tagh Fault. The ˜25 km Moho offset observed at the conjunction of the Tarim Basin and the Altyn Tagh mountain range suggests that the crustal shortening is achieved by pure shear thickening without much underthrusting. The average crustal Vp/Vs ratio changes from 1.66 to 1.80 beneath the Himalaya, the Lhasa terrane and the Tarim Basin indicating a felsic-to-intermediate composition. However, higher Vp/Vs ratios between 1.76 and 1.83 (except for a few outlying low values) are found beneath the Qiangtang and Songpan-Ganzi terranes, which could be attributed to the joint effects of the more mafic composition and partial melt within the crust. The Moho depth and Vp/Vs ratio exhibit complex N-S variations along this profile, which can be attributed to the joint effects of Indian lower crust underthrusting, the low velocity zone of the mid-upper crust, crustal shortening and thickening and other involved dynamic mechanisms.

Wet deposition of mercury at Lhasa, the capital city of Tibet.

PubMed

Huang, Jie; Kang, Shichang; Wang, Shuxiao; Wang, Long; Zhang, Qianggong; Guo, Junming; Wang, Kang; Zhang, Guoshuai; Tripathee, Lekhendra

2013-03-01

Quantifying the contribution of mercury (Hg) in wet deposition is important for understanding Hg biogeochemical cycling and anthropogenic sources, and verifying atmospheric models. Mercury in wet deposition was measured over the year 2010, in Lhasa the capital and largest city in Tibet. Precipitation samples were analyzed for total Hg (HgT), particulate-bound Hg (HgP), and reactive Hg (HgR). The volume-weighted mean (VWM) concentrations and wet deposition fluxes of HgT, HgP and HgR in precipitation were 24.8 ng L-1 and 8.2 μg m-2 yr-1, 19.9 ng L-1 and 7.1 μg m-2 yr-1, and 0.5 ng L-1 and 0.19 μg m-2 yr-1, respectively. Concentrations of HgT and HgP were statistically higher during the non-monsoon season than during the monsoon season, while HgR concentrations were statistically higher during the monsoon season than during the non-monsoon season. Most HgT, HgP and HgR wet deposition occurred during the monsoon season. Concentrations of HgP and HgR were 77% and 5% of the HgT on average (VWM), respectively. Concentrations of HgT and HgP were weakly negatively correlated with precipitation amount (r2 = 0.09 and 0.10; p < 0.05), indicating that below-cloud scavenging of Hg from the local atmosphere was an important mechanism contributing Hg to precipitation. High HgP%, as well as a significant positive correlation between HgT and HgP, confirms that Hg wet deposition at Lhasa was primarily occurring in the form of atmospheric HgP below-cloud scavenging. Moreover, the HgT concentration, rather than the precipitation amount, was found to be the governing factor affecting HgT wet deposition flux. A comparison among modeled wet and dry deposition fluxes, and measurements suggested that estimates of both wet and dry Hg deposition fluxes by the GEOS-Chem model were 2 to 3 times higher than the measured annual wet flux. Copyright © 2013 Elsevier B.V. All rights reserved.

WWC Quick Review of the Report "The Role of Simplification and Information in College Decisions: Results from the H&R Block FAFSA Experiment" Revised

ERIC Educational Resources Information Center

What Works Clearinghouse, 2010

2010-01-01

This paper presents an updated WWC (What Works Clearinghouse) Quick Review of the report "The Role of Simplification and Information in College Decisions: Results from the H&R Block FAFSA Experiment". The study examined whether assistance in filling out the Free Application for Federal Student Aid (FAFSA) increases the likelihood of…

Early Cretaceous paleomagnetic and geochronologic results from the Tethyan Himalaya: Insights into the Neotethyan paleogeography and the India-Asia collision.

PubMed

Ma, Yiming; Yang, Tianshui; Bian, Weiwei; Jin, Jingjie; Zhang, Shihong; Wu, Huaichun; Li, Haiyan

2016-02-17

To better understand the Neotethyan paleogeography, a paleomagnetic and geochronological study has been performed on the Early Cretaceous Sangxiu Formation lava flows, which were dated from ~135.1 Ma to ~124.4 Ma, in the Tethyan Himalaya. The tilt-corrected site-mean characteristic remanent magnetization (ChRM) direction for 26 sites is Ds = 296.1°, Is = -65.7°, ks = 51.7, α95 = 4.0°, corresponding to a paleopole at 5.9°S, 308.0°E with A95 = 6.1°. Positive fold and reversal tests prove that the ChRM directions are prefolding primary magnetizations. These results, together with reliable Cretaceous-Paleocene paleomagnetic data observed from the Tethyan Himalaya and the Lhasa terrane, as well as the paleolatitude evolution indicated by the apparent polar wander paths (APWPs) of India, reveal that the Tethyan Himalaya was a part of Greater India during the Early Cretaceous (135.1-124.4 Ma) when the Neotethyan Ocean was up to ~6900 km, it rifted from India sometime after ~130 Ma, and that the India-Asia collision should be a dual-collision process including the first Tethyan Himalaya-Lhasa terrane collision at ~54.9 Ma and the final India-Tethyan Himalaya collision at ~36.7 Ma.

Molecular detection and characterization of Theileria infection in cattle and yaks from Tibet Plateau Region, China.

PubMed

Qin, Gege; Li, Youquan; Liu, Junlong; Liu, Zhijie; Yang, Jifei; Zhang, Lin; Liu, Guangyuan; Guan, Guiquan; Luo, Jianxun; Yin, Hong

2016-07-01

Theileriosis continues to threaten the livestock industry worldwide, but comprehensive epidemiological surveys for this disease have not been conducted in the Tibet Plateau Region, China. In this study, we screened 154 cattle blood samples from the Tibet Plateau Region (Lhasa, Lhoka, and Tianzhu), China, for detection of Theileria pathogens by polymerase chain reaction (PCR) with species-specific primers. The results revealed that the prevalence was 6.9 % (2/29) for Theileria orientalis and 27.6 % (8/29) for Theileria sinensis in Lhasa, 0 % (0/30) for T. orientalis and 26.7 % (8/30) for T. sinensis in Lhoka, and 0 % (0/95) for T. orientalis and 30.5 % (29/95) for T. sinensis in Tianzhu. Interestingly, Theileria luwenshuni, which was a previously reported pathogenic Theileria sp. in sheep and goats, was detected in blood samples from cattle and yaks for the first time, with a prevalence of 10 % (3/30) in Lhoka and 1.1 % (1/95) in Tianzhu. No other Theileria sp. was detected in these samples. T. sinensis and T. orientalis infections were detected in cattle and yaks, and T. luwenshuni was discovered for the first time in cattle and yaks in the Tibet Plateau Region, China.

[Geochemical characteristics of radon and mercury in soil gas in Lhasa, Tibet, China].

PubMed

Zhou, Xiao-Cheng; Du, Jian-Guo; Wang, Chuan-Yuan; Cao, Zhong-Quan; Yi, Li; Liu, Lei

2007-03-01

The geochemical characteristics of radon and mercury in soil gas in Lhasa and vicinity are investigated based on the measurements of Rn and Hg concentrations, and environmental quality for Rn and Hg in soil gas was evaluated by means of the index of geoaccumulation. The data of Rn and Hg of 1 579 sampling site indicate that the values of environmental-geochemical background of Rn and Hg are 7 634.9 Bq/m3, 41.5 ng/m3 with standard deviations of 2.7 Bq/m3, 2.2 ng/m3, respectively. The environmental quality for Rn in soil gas is better in the west and east parts of studied area, but becomes moderate pollution (level III) in the north part of the central area. Rn is derived from radioactive elements in granitic sediments in the intermountain basin and granite base, which are the major sources of pollution. The environmental quality for Hg in soil gas becomes gradually polluted from the suburban to the center of urban, and the highest pollution reaches level IV. The background of Hg in soil gas is mainly controlled by compositions of sediments, but the Hg pollution caused by human waste and religionary use of mercury.

Are All Ames Strains in the OECD Mutagenicity Test Guideline 471 Useful and Necessary? An Analysis of Large Mutagenicity Data Sets for the IWGT.

EPA Science Inventory

Are All Ames Strains in the OECD Mutagenicity Test Guideline 471 Useful and Necessary? An Analysis of Large Mutagenicity Data Sets for the IWGT R. Williams1, D.M. DeMarini2, L.F. Stankowski Jr.3, E. Zeiger4, K.P. Cross5 1Lhasa, LTD, Leeds, UK 2U.S. EPA, RTP, NC 3Charles River L...

A Source Manual for Information on Nitinol and NiTi. First Revision

DTIC Science & Technology

1980-02-01

NSWC TR 80-59 A SOURCE MANUAL FOR INFORMATION ON NITINOL AND NiTi FIRST REVISION BY DAVID GOLDSTEIN RESEARCH AND TECHNOLOGY DEPARTMENT 1 FEBRUARY...NITINOL AND (9 . NiTi / lFirst Revisiony’?91 6 PERFORMINO ORG. WFWTRUM5ER Davi a CONTRACT OR GRANT NUMBER(. 9 PERFORMING ORGANIZATION NAME AND ADDRESS 10...NITINOL Nickel-Titanium Alloys NiTi Shape Memory Effect Heat Engines 20. ABSTRACT (Continue on roeore side if noceseary ansd Identify by block nuebstr

Restoration and evolution of the intermontane Indus molasse basin, Ladakh Himalaya, India

NASA Astrophysics Data System (ADS)

Searle, M. P.; Pickering, K. T.; Cooper, D. J. W.

1990-03-01

Collision of the Indian Plate with the Karakorum Plate-Lhasa Block during the Eocene (ca. 55-50 Ma) created predominantly a S- or SW-verging thrust culmination across the Himalaya. During the late Tertiary, two molasse basins existed — the Siwalik Bain, formed in the late Miocene to Present on the Indian foreland south of the Himalaya, and the mid-Eocene to late Miocene Indus Basin along the Indus Suture Zone north of the High Himalaya. The Indus Basin is approximately 2000 km long, extending eastwards from Ladakh across South Tibet. A balanced cross-section along the Zanskar River shows a minimum 36 km shortening in the Eocene-?late Miocene molasse, and suggests that the minimum basin width was approximately 60 km in Ladakh. More than 2000 m of post-Eocene alluvial fan, fluvial and fluvio-lacustrine sediments accumulated in the Ladakh sector with petrographies suggesting derivation mainly from the deeply dissected and uplifted northern granodioritic Ladakh batholith (Aptian-Eocene), with only minor amounts of debris derived from the deformed southern Tethyan passive margin. Palaeocurrents show predominant E-W, axis-parallel, sediment transport, with subordinate lateral input paths being preserved. The Indus molasse basin is deformed by numerous, post-Eocene, N-directed backthrusts, many of which cut the entire stratigraphy and, therefore, were active at least into late Tertiary times.

Oxidation state inherited from the magma source and implications for mineralization: Late Jurassic to Early Cretaceous granitoids, Central Lhasa subterrane, Tibet

NASA Astrophysics Data System (ADS)

Cao, MingJian; Qin, KeZhang; Li, GuangMing; Evans, Noreen J.; McInnes, Brent I. A.; Li, JinXiang; Zhao, JunXing

2018-03-01

Arc magmas are more oxidized than mid-ocean ridge basalts; however, there is continuing debate as to whether this higher oxidation state is inherited from the source magma or developed during late-stage magmatic differentiation processes. Well-constrained Late Jurassic to Early Cretaceous arc-related intermediate to felsic rocks derived from distinct magma sources provide us with a good opportunity to resolve this enigma. A series of granitoids from the western Central Lhasa subterrane were analyzed for whole-rock magnetic susceptibility, Fe2O3/FeO ratios, and trace elements in zircon. Compared to Late Jurassic samples (1.8 ± 2.0 × 10-4 emu g-1 oe-1, Fe3+/Fetotal = 0.32 ± 0.07, zircon Ce4+/Ce3+* = 15.0 ± 13.4), Early Cretaceous rocks show higher whole-rock magnetic susceptibility (5.8 ± 2.5 × 10-4 emu g-1 oe-1), Fe3+/Fetotal ratios (0.43 ± 0.04), and zircon Ce4+/Ce3+* values (23.9 ± 22.3). In addition, positive correlations among whole-rock magnetic susceptibility, Fe3+/Fetotal ratios, and zircon Ce4+/Ce3+* reveal a slight increase in oxidation state from fO2 = QFM to NNO in the Late Jurassic to fO2 = ˜NNO in the Early Cretaceous. Obvious linear correlation between oxidation indices (whole-rock magnetic susceptibility, zircon Ce4+/Ce3+*) and source signatures (zircon ɛHf(t), TDM C ages) indicates that the oxidation state was predominantly inherited from the source with only a minor contribution from magmatic differentiation. Thus, the sources for both the Late Jurassic and Early Cretaceous rocks were probably influenced by mantle wedge-derived magma, contributing to the increased fO2. Compared to ore-forming rocks at giant porphyry Cu deposits, the relatively low oxidation state (QFM to NNO) and negative ɛHf(t) (-16 to 0) of the studied granitoids implies relative infertility. However, this study demonstrates two potential fast and effective indices ( fO2 and ɛHf(t)) to evaluate the fertility of granitoids for porphyry-style mineralization. In an exploration context for the west Central Lhasa subterrane, features indicative of potential fertility might include more oxidized, positive ɛHf(t), young rocks (<130 Ma).

Early Cretaceous paleomagnetic and geochronologic results from the Tethyan Himalaya: Insights into the Neotethyan paleogeography and the India-Asia collision

NASA Astrophysics Data System (ADS)

Ma, Yiming; Yang, Tianshui; Bian, Weiwei; Jin, Jingjie; Zhang, Shihong; Wu, Huaichun; Li, Haiyan

2016-02-01

To better understand the Neotethyan paleogeography, a paleomagnetic and geochronological study has been performed on the Early Cretaceous Sangxiu Formation lava flows, which were dated from ~135.1 Ma to ~124.4 Ma, in the Tethyan Himalaya. The tilt-corrected site-mean characteristic remanent magnetization (ChRM) direction for 26 sites is Ds = 296.1°, Is = -65.7°, ks = 51.7, α95 = 4.0°, corresponding to a paleopole at 5.9°S, 308.0°E with A95 = 6.1°. Positive fold and reversal tests prove that the ChRM directions are prefolding primary magnetizations. These results, together with reliable Cretaceous-Paleocene paleomagnetic data observed from the Tethyan Himalaya and the Lhasa terrane, as well as the paleolatitude evolution indicated by the apparent polar wander paths (APWPs) of India, reveal that the Tethyan Himalaya was a part of Greater India during the Early Cretaceous (135.1-124.4 Ma) when the Neotethyan Ocean was up to ~6900 km, it rifted from India sometime after ~130 Ma, and that the India-Asia collision should be a dual-collision process including the first Tethyan Himalaya-Lhasa terrane collision at ~54.9 Ma and the final India-Tethyan Himalaya collision at ~36.7 Ma.

Convective removal of the Tibetan Plateau mantle lithosphere by 26 Ma

NASA Astrophysics Data System (ADS)

Lu, Haijian; Tian, Xiaobo; Yun, Kun; Li, Haibing

2018-04-01

During the late Oligocene-early Miocene there were several major geological events in and around the Tibetan Plateau (TP). First, crustal shortening deformation ceased completely within the TP before 25 Ma and instead adakitic rocks and potassic-ultrapotassic volcanics were emplaced in the Lhasa terrane since 26-25 Ma. Several recent paleoelevation reconstructions suggest an Oligocene-early Miocene uplift of 1500-3000 m for the Qiangtang (QT) and Songpan-Ganzi (SG) terranes, although the exact timing is unclear. As a possible response to this uplift, significant desertification occurred in the vicinity of the TP at 26-22 Ma, and convergence between India and Eurasia slowed considerably at 26-20 Ma. Subsequently, E-W extension was initiated no later than 18 Ma in the Lhasa and QT terranes. In contrast, the tectonic deformation around the TP was dominated by radial expansion of shortening deformation since 25-22 Ma. The plateau-wide near-synchroneity of these events calls for an internally consistent model which can be best described as convective removal of the lower mantle lithosphere. Geophysical and petrochemical evidence further confirms that this extensive removal occurred beneath the QT and SG terranes. The present review concludes that, other than plate boundary stress, the internal stress within the TP lithosphere could have contributed to rapid wholesale uplift and a series of concomitant tectonic events, accompanied by major aridification, since 26 Ma.

Detrital Zircons Split Sibumasu in East Gondwana

NASA Astrophysics Data System (ADS)

Zhang, X.; Chung, S. L.

2017-12-01

It is widely accepted that Sibumasu developed as a united terrane and originated from NW Australian margin in East Gondwana. Here we report new detrital zircon U-Pb-Hf isotopic data from Sumatra that, in combination with literature data, challenge and refute the above long-held view. In particular, the East and West Sumatra terranes share nearly identical Precambrian to Paleozoic detrital zircon age distributions and Hf isotopes, indicating a common provenance/origin for them. The Sumatra detrital zircons exhibit a prominent population of ca. 1170-1070 Ma, indistinguishable from those of the Lhasa and West Burma terranes, with detritus most probably sourcing from western Australia. By contrast, Sibuma (Sibumasu excluding Sumatra) detrital zircons display a prevailing population of ca. 980-935 Ma, strongly resembling those of the western Qiangtang terrane, with detrital materials most likely derived from Greater India and Himalayas. Such markedly distinct detrital zircon age profiles between Sumatra and Sibuma require disparate sources/origin for them, provoking disintegration of the widely-adopted, but outdated, term Sibumasu and thus inviting a new configuration of East Gondwana in the early Paleozoic, with Sumatra and West Burma lying outboard the Lhasa terrane in the NW Australian margin and Sibuma situated in the northern Greater Indian margin. More future investigations are needed to establish the precise rifting and drifting histories of Sumatra and Sibuma, as two separated terranes, during the breakup of Gondwana.

Integrated Electronic Warfare System Advanced Development Model (ADM); Appendix 1 - Functional Requirement Specification.

DTIC Science & Technology

1977-10-01

APPROVED DATE FUNCTION APPROVED jDATE WRITER J . K-olanek 2/6/76 REVISIONS CHK DESCRIPTION REV CHK DESCRIPTION IREV REVISION jJ ~ ~ ~~~ _ II SHEET NO...DOCUMENT (CDBDD) 45 5.5 COMPUTER PROGRAM PACKAGE (CPP)- j 45 5.6 COMPUTER PROGRAM OPERATOR’S MANUAL (CPOM) 45 5.7 COMPUTER PROGRAM TEST PLAN (CPTPL) 45...I LIST OF FIGURES Number Page 1 JEWS Simplified Block Diagram 4 2 System Controller Architecture 5 SIZE CODE IDENT NO DRAWING NO. A 49956 SCALE REV J

Resolving writer's block.

PubMed Central

Huston, P.

1998-01-01

PROBLEM BEING ADDRESSED: Writer's block, or a distinctly uncomfortable inability to write, can interfere with professional productivity. OBJECTIVE OF PROGRAM: To identify writer's block and to outline suggestions for its early diagnosis, treatment, and prevention. MAIN COMPONENTS OF PROGRAM: Once the diagnosis has been established, a stepwise approach to care is recommended. Mild blockage can be resolved by evaluating and revising expectations, conducting a task analysis, and giving oneself positive feedback. Moderate blockage can be addressed by creative exercises, such as brainstorming and role-playing. Recalcitrant blockage can be resolved with therapy. Writer's block can be prevented by taking opportunities to write at the beginning of projects, working with a supportive group of people, and cultivating an ongoing interest in writing. CONCLUSIONS: Writer's block is a highly treatable condition. A systematic approach can help to alleviate anxiety, build confidence, and give people the information they need to work productively. PMID:9481467

Prospective randomized comparison of mitomycin C application in endoscopic and external dacryocystorhinostomy.

PubMed

Mudhol, Rekha R; Zingade, N D; Mudhol, R S; Harugop, Anil S; Das, Amal T

2013-08-01

The aim of the study is to compare the subjective (relief of symptoms) and objective (endoscopic visualization of ostium patency at the time of syringing) outcomes at the end of two procedures-Endonasal DCR versus External DCR with Mitomycin C and to assess the role of Mitomycin C in maintaining patency of nasolacrimal drainage system. Prospective randomized comparative study was performed. Thirty-five patients were enrolled in each endoscopic and external dacryocystorhinostomy groups with Mitomycin C (MMC) application. The 37 eyes underwent endonasal DCR (28 unilateral primary eyes + 1 bilateral primary eyes + 5 unilateral revision eyes + 1 bilateral revision eye) while 35 eyes underwent external DCR (34 unilateral primary eyes + 1 unilateral revision eye). Mitomycin C 0.2 mg/ml was applied intra-operatively for 5 min to the ostium site at the end of endonasal or external DCR procedure. Objective assessment by syringing at the end of 1 year in the endonasal group showed 35 eyes (94%) were patent, 1 (3%) was partially blocked and 1(3%) was completely blocked; while in external group all 35 eyes (100%) were patent. Endoscopic visualization of the ostium at the time of syringing showed only one eye (3%) in the endonasal group was blocked while all the other eyes in both groups were patent. Both groups had a mean follow-up of 6-36 months. No complications were associated with use of Mitomycin C. In conclusion, intra-operative use of Mitomycin C in both endoscopic DCR and external DCR is safe and effective in increasing the success rate.

Preschoolers' Cognitive Performance Improves Following Massage.

ERIC Educational Resources Information Center

Hart, Sybil; Field, Tiffany; Hernandez-Reif, Maria; Lundy, Brenda

1998-01-01

Effects of massage on preschoolers' cognitive performance were assessed. Preschoolers were given Wechsler Preschool and Primary Scale of Intelligence-Revised subtests before and after receiving 15-minute massage or spending 15 minutes reading stories with the experimenter. Children's performance on Block Design improved following massage, and…

The current municipal solid waste management situation in Tibet

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

Jiang Jianguo; Lou Zhiying; Ng Silo

The Tibetan Plateau has an average altitude of more than 4,000 m. The total area of Tibetan Plateau is 2,400,000 km{sup 2}, which occupies 25% of the area of China. Due to the high altitude, the environment has low atmospheric pressure, low oxygen content, and low temperature, and is also fragile. Investigations concerning MSW generation and characteristics, MSW management, collection and transportation, and treatment and disposal of MSW covered four representative cities, including the urban areas of Lhasa city, Shigatse, Nedong of Lhoka and Bayi of Nyingtri. The results show that MSW generation in the urban areas of Lhasa citymore » and Tibet were 450 t/d and 3,597 t/d, respectively, in 2006. However, accelerated economic development and flourishing tourism caused by the opening of the Qinghai-Tibet Railway (QTR) have greatly increased solid waste generation to a new high. It is predicted that MSW generation in Tibet will reach 4,026 t/d in 2010 and 4,942 t/d in 2020. MSW management and disposal lag behind MSW generation due to a number of factors such as equipment shortage, insufficient maintenance, exhaustion of waste treatment capacity and low recycling efficiency. Still, MSW in most areas is dumped in the open with no controls. Because no appropriate collection and treatment systems for leachate and landfill gas exist, untreated leachate is discharged directly into the environment, causing serious secondary pollution. Some suggestions on improving the MSW management system are presented in this paper.« less

The current municipal solid waste management situation in Tibet.

PubMed

Jiang, Jianguo; Lou, Zhiying; Ng, Silo; Luobu, Ciren; Ji, Duo

2009-03-01

The Tibetan Plateau has an average altitude of more than 4,000 m. The total area of Tibetan Plateau is 2,400,000 km2, which occupies 25% of the area of China. Due to the high altitude, the environment has low atmospheric pressure, low oxygen content, and low temperature, and is also fragile. Investigations concerning MSW generation and characteristics, MSW management, collection and transportation, and treatment and disposal of MSW covered four representative cities, including the urban areas of Lhasa city, Shigatse, Nedong of Lhoka and Bayi of Nyingtri. The results show that MSW generation in the urban areas of Lhasa city and Tibet were 450 t/d and 3,597 t/d, respectively, in 2006. However, accelerated economic development and flourishing tourism caused by the opening of the Qinghai-Tibet Railway (QTR) have greatly increased solid waste generation to a new high. It is predicted that MSW generation in Tibet will reach 4,026 t/d in 2010 and 4,942 t/d in 2020. MSW management and disposal lag behind MSW generation due to a number of factors such as equipment shortage, insufficient maintenance, exhaustion of waste treatment capacity and low recycling efficiency. Still, MSW in most areas is dumped in the open with no controls. Because no appropriate collection and treatment systems for leachate and landfill gas exist, untreated leachate is discharged directly into the environment, causing serious secondary pollution. Some suggestions on improving the MSW management system are presented in this paper.

USAF Damage Tolerant Design Handbook: Guidelines for the analysis and Design of Damage Tolerant Aircraft Structures. Revision A

DTIC Science & Technology

1979-03-01

Fatigue Crack Growth (Schr~matic) 5.12 Sustained Load Crack Growth Rate Data for 7075-f651,7079- T651, and 2024 - T351 Aluminum Plate (Ref...Block Programming and Block Size on Crack Growth Life (All histories Have Same Cycle Content) Alloy : 2024 -T3 Aluminum (Ref. 38) 5.21 Yield Zone Due to...4340 Steel in Humid Air," ASM Trans 58, 46-53 (1965). 20. Meyn, D.A., "Frequency and Amplitude Effects on Corrosion Fatigue Cracks in a Titanium Alloy

USAF Damage Tolerant Design Handbook: Guidelines for the Analysis and Design of Damage Tolerant Aircraft Structures. Revision B

DTIC Science & Technology

1984-05-01

Effect of Block Programming and Block Size on Crack Growth Life (All Histories Have Same Cycle Content) Alloy : 2024 -T3 Aluminum (Reference 27...1 I 6 o T 1 >0 100 Crack Growth Life for l-in. Crack Growth 1000 Figure 5.1.10, Effect of Humidity on Fatigue Crack Propagation...Growth Life (All Histories Have Same Cycle Content) Alloy : 2024 -T3 Aluminum (Reference 27). 5.2.6 Yield Zone Due to Overload (r T), Current Crack

Randolph AFB, San Antonio, Texas. Revised Uniform Summary of Surface Weather Observations (RUSSWO). Parts A-F.

DTIC Science & Technology

1982-02-08

is printed in any year-month block when the extreme value Is based on an in- complete month (at least one day missing for the month). When a month has...means, standard deviations, and total number of valid observations for each month and annual (all months). An asterisk (*) is printed n each data block...becomes the extreme or monthly total in any of these tables it is printed as "TRACE." Continued on Reverse Side Values ’or means and standard

Bitburg AB, Bitburg, Germany. Revised Uniform Summary of Surface Weather Observations (RUSSWO). Parts A-F

DTIC Science & Technology

1979-02-20

for e;--ch month and annual (all motnhs) and the total valid aebserntion count. An asterisk (%*)J is printed in any yar-montha block -.en the en-rme...annuel (all months). An asterisk (*) is printed in each data block if one or more days are missing for the mantt. No occurxvnces for a month ae indicted...in the sae msaar as in the extreme tables above. If a trace becoms the extreme or wathly total in say of these tables it is printed as r Continaed an

Tracking the multiple-stage exhumation history and magmatic-hydrothermal events of the West Junggar region, NW China: Evidence from 40Ar/39Ar and (U-Th)/He thermochronology

NASA Astrophysics Data System (ADS)

Yin, Jiyuan; Chen, Wen; Xiao, Wenjiao; Long, Xiaoping; Tao, Ni; Liu, Li-Ping; Yuan, Chao; Sun, Min

2018-06-01

To decipher cooling events in the West Junggar region, biotite and K-feldspar 40Ar/39Ar, and zircon and apatite (U-Th)/He isotopic analyses of intrusive rocks were carried out. Previous U-Pb data showed that intrusive bodies in the Baogutu area were emplaced at 315-310 Ma. U-Pb and zircon (U-Th)/He dating results (313-241 Ma) suggest that a magmatic-hydrothermal event lasted for 72 Ma in the Baogutu area of the West Junggar region. Early-stage high temperature alteration (900-300 °C) lasted for 6-2 Ma and was followed by prolonged phyllic and argillic alteration lasting 67-63 Ma between 350 and 200 °C. Finally, slower cooling occurred between 200 and 70 °C, accompanied by post-mineralization uplift and erosion. In this study, three main episodes of relatively rapid cooling were distinguished in the West Junggar region, i.e. late Carboniferous-early Permian (307-277 Ma), middle Triassic (241-232 Ma) and early Cretaceous (145-120 Ma). The first rapid cooling during the late Carboniferous-early Permian was possibly associated with the release of magmatic heat. The middle Triassic and early Cretaceous cooling and exhumation are interpreted as a response to collision(s) between the Qiangtang and Kunlun-Qaidam or Lhasa blocks. The Cenozoic India-Eurasia collision, however, may have had little or no effect on modern tectonic reactivation of the West Junggar region.

Chemical composition of size-segregated aerosols in Lhasa city, Tibetan Plateau

NASA Astrophysics Data System (ADS)

Wan, Xin; Kang, Shichang; Xin, Jinyuan; Liu, Bin; Wen, Tianxue; Wang, Pengling; Wang, Yuesi; Cong, Zhiyuan

2016-06-01

To reveal the chemical characteristics of size-segregated aerosols in the high-altitude city of Tibetan Plateau, eight-size aerosol samples were collected in Lhasa from March 2013 to February 2014. The annual mean of online PM2.5 was 25.0 ± 16.0 μg m- 3, which was much lower than Asian cities but similar with some European cities. The annual mean concentrations of organic carbon (OC, 7.92 μg m- 3 in PM2.1 and 12.66 μg m- 3 in PM9.0) and elemental carbon (EC, 1.00 μg m- 3 in PM2.1 and 1.21 μg m- 3 in PM9.0) in Lhasa aerosols were considerably lower than those heavily polluted cities such as Beijing and Xi'an, China and Kathmandu, Nepal. Sulfate, NO3-, NH4+ and Ca2 + were 0.75 ± 0.31, 0.82 ± 0.35, 0.38 ± 0.34 and 0.57 ± 0.29 μg m- 3 in fine particles while in coarse particles they were 0.57 ± 0.37, 0.73 ± 0.23, 0.07 ± 0.03 and 2.52 ± 1.37 μg m- 3, respectively. Secondary water-soluble ions composed 35.8% of the total ionic components in fine particles according to the established electroneutrality, while in coarse particles they took up only 9.3%. Ca2 + (40.6%) was the major component of the coarse particles. For seasonality, the concentrations of OC, EC, SO42 -, NH4+, K+, Ca2 +, Mg2 +, Cl- and Na+ presented higher values during late autumn and winter but were relatively lower in spring and summer. Nevertheless, NO3- was considerably higher in summer and autumn, presumably due to increased tourist-vehicle emissions. During winter and spring, [Ca2 +]/[NO3-+ SO42 -] ratios in coarse particles showed higher values of 7.31 and 6.17, respectively, emphasizing the dust influence. [NO3-]/[SO42 -] ratios in fine particles during spring, summer and autumn exceeding 1 indicated that the currently predominant vehicle exhaust makes a greater contribution to the aerosols. While more stationary sources such as coal and biomass burning existed in winter since the [NO3-]/[SO42 -] ratio was less than 1. Different sources and formation processes lead to a bimodal size distribution (0-0.65 μm in fine particles and 4.7-9.0 μm in coarse particles) for all of the compounds except Na+.

An interdisciplinary study of the estuarine and coastal oceanography of Block Island Sound and adjacent New York coastal waters

NASA Technical Reports Server (NTRS)

Yost, E. F. (Principal Investigator); Hollman, R.; Alexander, J.; Nuzzi, R.

1974-01-01

The author has identified the following significant results. Photo-optical additive color quantitative measurements were made of ERTS-1 reprocessed positives of New York Bight and Block Island Sound. Regression of these data on almost simultaneous ship sample data of water's physical, chemical, biological, and optical properties showed that ERTS bands 5 and 6 can be used to predict the absolute value of the total number of particles and bands 4 and 5 to predict the relative extinction coefficient in New York Bight. Water masses and mixing patterns in Block Island Sound heretofore considered transient were found to be persistent phenomena requiring revision of existing mathematical and hydraulic models.

Refining the GPS Space Service Volume (SSV) and Building a Multi-GNSS SSV

NASA Technical Reports Server (NTRS)

Parker, Joel J. K.

2017-01-01

The GPS (Global Positioning System) Space Service Volume (SSV) was first defined to protect the GPS main lobe signals from changes from block to block. First developed as a concept by NASA in 2000, it has been adopted for the GPS III block of satellites, and is being used well beyond the current specification to enable increased navigation performance for key missions like GOES-R. NASA has engaged the US IFOR (Interagency Forum Operational Requirements) process to adopt a revised requirement to protect this increased and emerging use. Also, NASA is working through the UN International Committee on GNSS (Global Navigation Satellite System) to develop an interoperable multi-GNSS SSV in partnership with all of the foreign GNSS providers.

Bricklaying Curriculum: Advanced Bricklaying Techniques. Instructional Materials. Revised.

ERIC Educational Resources Information Center

Turcotte, Raymond J.; Hendrix, Laborn J.

This curriculum guide is designed to assist bricklaying instructors in providing performance-based instruction in advanced bricklaying. Included in the first section of the guide are units on customized or architectural masonry units; glass block; sills, lintels, and copings; and control (expansion) joints. The next two units deal with cut,…

Syringomyelia caused by an arachnoid web in a patient with shunted Dandy-Walker malformation.

PubMed

Lee, Hee Chang; Choi, Jung Won; Lee, Ji Yeoun; Phi, Ji Hoon; Kim, Seung-Ki; Cho, Byung-Kyu; Wang, Kyu-Chang

2017-04-01

Dandy-Walker malformation (DWM) is a congenital brain anomaly characterized by dysgenesis of the cerebellar vermis and the presence of a posterior fossa cyst. The association of syringomyelia with DWM is extremely rare. A 10-year-old patient who was diagnosed with DWM in infancy presented with progressive scoliosis and fecal incontinence. He had been treated with cystoventriculoperitoneal shunting with a Y-connection during infancy, which was followed by a revision 6 years later. During the revision surgery, intraventricular bleeding occurred and was managed conservatively. Imaging studies for the current visit revealed syringomyelia along the cervicothoracic spinal cord and a membranous structure around the cervicomedullary junction. Phase-contrast cine magnetic resonance imaging (MRI) revealed disturbed cerebrospinal fluid (CSF) flow across the membrane. We excised the arachnoid web that was tethering the brainstem and blocking CSF flow. Postoperatively, the patient experienced symptom relief, and the follow-up imaging study demonstrated a dramatic decrease in the size of the syringomyelia. We suggest that syrinx formation in this patient was possibly caused by disturbed CSF flow and tethering of the brainstem. We experienced an unusual case of DWM with syringomyelia which was caused by an arachnoid web blocking CSF flow and tethering the brainstem. The arachnoid web seems to be formed by previous bleeding which occurred at the time of shunt revision. After excision of the arachnoid web, the patient showed good outcome.

Prehospital Acute ST-Elevation Myocardial Infarction Identification in San Diego: A Retrospective Analysis of the Effect of a New Software Algorithm.

PubMed

Coffey, Christanne; Serra, John; Goebel, Mat; Espinoza, Sarah; Castillo, Edward; Dunford, James

2018-05-03

A significant increase in false positive ST-elevation myocardial infarction (STEMI) electrocardiogram interpretations was noted after replacement of all of the City of San Diego's 110 monitor-defibrillator units with a new brand. These concerns were brought to the manufacturer and a revised interpretive algorithm was implemented. This study evaluated the effects of a revised interpretation algorithm to identify STEMI when used by San Diego paramedics. Data were reviewed 6 months before and 6 months after the introduction of a revised interpretation algorithm. True-positive and false-positive interpretations were identified. Factors contributing to an incorrect interpretation were assessed and patient demographics were collected. A total of 372 (234 preimplementation, 138 postimplementation) cases met inclusion criteria. There was a significant reduction in false positive STEMI (150 preimplementation, 40 postimplementation; p < 0.001) after implementation. The most common factors resulting in false positive before implementation were right bundle branch block, left bundle branch block, and atrial fibrillation. The new algorithm corrected for these misinterpretations with most postimplementation false positives attributed to benign early repolarization and poor data quality. Subsequent follow-up at 10 months showed maintenance of the observed reduction in false positives. This study shows that introducing a revised 12-lead interpretive algorithm resulted in a significant reduction in the number of false positive STEMI electrocardiogram interpretations in a large urban emergency medical services system. Rigorous testing and standardization of new interpretative software is recommended before introduction into a clinical setting to prevent issues resulting from inappropriate cardiac catheterization laboratory activations. Copyright © 2018 Elsevier Inc. All rights reserved.

Cellient™ automated cell block versus traditional cell block preparation: a comparison of morphologic features and immunohistochemical staining.

PubMed

Wagner, David G; Russell, Donna K; Benson, Jenna M; Schneider, Ashley E; Hoda, Rana S; Bonfiglio, Thomas A

2011-10-01

Traditional cell block (TCB) sections serve as an important diagnostic adjunct to cytologic smears but are also used today as a reliable preparation for immunohistochemical (IHC) studies. There are many ways to prepare a cell block and the methods continue to be revised. In this study, we compare the TCB with the Cellient™ automated cell block system. Thirty-five cell blocks were obtained from 16 benign and 19 malignant nongynecologic cytology specimens at a large university teaching hospital and prepared according to TCB and Cellient protocols. Cell block sections from both methods were compared for possible differences in various morphologic features and immunohistochemical staining patterns. In the 16 benign cases, no significant morphologic differences were found between the TCB and Cellient cell block sections. For the 19 malignant cases, some noticeable differences in the nuclear chromatin and cellularity were identified, although statistical significance was not attained. Immunohistochemical or special stains were performed on 89% of the malignant cases (17/19). Inadequate cellularity precluded full evaluation in 23% of Cellient cell block IHC preparations (4/17). Of the malignant cases with adequate cellularity (13/17), the immunohistochemical staining patterns from the different methods were identical in 53% of cases. The traditional and Cellient cell block sections showed similar morphologic and immunohistochemical staining patterns. The only significant difference between the two methods concerned the lower overall cell block cellularity identified during immunohistochemical staining in the Cellient cell block sections. Copyright © 2010 Wiley-Liss, Inc.

3. "TEST STAND NO. 13, EXCAVATION PLAN & SECTIONS." Specifications ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. "TEST STAND NO. 1-3, EXCAVATION PLAN & SECTIONS." Specifications No. ENG 04-353-50-10; Drawing No. 60-0906; no sheet number within title block; D.O. SERIES 1109/10. Stamped: AS BUILT. No revisions or revision dates. Last work date on this drawing "Checked by EAG, 1/31/49." Though this drawing is specific to Test Stand 1-3, it also illustrates the general methods used for excavation design and retaining wall construction at Test Stand 1-5. - Edwards Air Force Base, Air Force Rocket Propulsion Laboratory, Test Stand 1-3, Test Area 1-115, northwest end of Saturn Boulevard, Boron, Kern County, CA

1. PLAN OF MOXHAM, JOHNSTOWN, PENNA. ALL REGULAR LOTS 40 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. PLAN OF MOXHAM, JOHNSTOWN, PENNA. ALL REGULAR LOTS 40 FT BY 120 FT. TRACED FROM DRAWING 10742 (dated February 1, 1892). THE JOHNSON COMPANY, SCALE 1 INCH - 160 FT, SEPT. 19TH 1898. DRAWING NUMBER 29781. Original plan for the Town of Moxham drafted in 1887-88, company archives contain several revised blueprints of the original plan. This revision reflects the subdivision of the Von Lunch Grove into residential lots, but still indicates the 'Moxham Block' on which the original Moxham Estate was built in 1888-89. (Photograph of drawing held at the Johnstown Corporation General Office, Johnstown, PA) - Borough of Moxham, Johnstown, Cambria County, PA

78 FR 36185 - Information Collection(s) Being Reviewed by the Federal Communications Commission, Comments...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-17

...-- Miscellaneous Wireless Communications Services in the 2.3 GHz Band. Form Number: N/A. Type of Review: Revision...' transmissions in WCB Blocks C and D to further protect SDARS operations. Relaxed the WCS licensee notification requirements regarding low-power WCS stations and minor WCS station modifications, and clarified WCS...

Elementary Environmental Learning Packet K-3, Second Revised Edition. [Primary CEL Blocks. Teacher's Guide].

ERIC Educational Resources Information Center

Brevard County School Board, Cocoa, FL.

This environmental education program consists of two levels: primary and intermediate. The material in this publication encompasses the primary level. The learning materials are activity-based and incorporate process and subject area skills with knowledge and concern for the environment. The program is also interdisciplinary including activities…

Elementary Environmental Learning Packet Grades 4-6, Second Revised Edition. [Intermediate CEL Blocks. Teacher's Guide].

ERIC Educational Resources Information Center

Brevard County School Board, Cocoa, FL.

This environmental education program consists of two levels: primary and intermediate. The material in this publication encompasses the intermediate level. The learning materials are activity-based and incorporate process and subject area skills with knowledge and concern for the environment. The program is also interdisciplinary including…

Elementary Environmental Learning Packet K-3, Third Revised Edition. [Primary CEL Blocks, Student Activity Cards].

ERIC Educational Resources Information Center

Brevard County School Board, Cocoa, FL.

This environmental education program consists of two levels: primary and intermediate. The learning materials are activity based and incorporate process and subject area skills with knowledge and concern for the environment. The program is also interdisciplinary including activities and skills from art, language arts, mathematics, music, science,…

A Conceptual Approach to the Problem of Therapist-Client Matching

ERIC Educational Resources Information Center

Carson, Robert C.

1970-01-01

Approach described derives from social exchange theory as developed by Thibaut and Kelley, and states that successful therapist must provide client with a series of experiences of low hedonic outcome first to block disordered behavior and then to induce client into new behaviors with which he needs construct revising experiences. Presented at…

Revision of the documentation for a model for calculating effects of liquid waste disposal in deep saline aquifers

USGS Publications Warehouse

INTERA Environmental Consultants, Inc.

1979-01-01

The major limitation of the model arises using second-order correct (central-difference) finite-difference approximation in space. To avoid numerical oscillations in the solution, the user must restrict grid block and time step sizes depending upon the magnitude of the dispersivity.

Wechsler Adult Intelligence Scale-Revised Block Design broken configuration errors in nonpenetrating traumatic brain injury.

PubMed

Wilde, M C; Boake, C; Sherer, M

2000-01-01

Final broken configuration errors on the Wechsler Adult Intelligence Scale-Revised (WAIS-R; Wechsler, 1981) Block Design subtest were examined in 50 moderate and severe nonpenetrating traumatically brain injured adults. Patients were divided into left (n = 15) and right hemisphere (n = 19) groups based on a history of unilateral craniotomy for treatment of an intracranial lesion and were compared to a group with diffuse or negative brain CT scan findings and no history of neurosurgery (n = 16). The percentage of final broken configuration errors was related to injury severity, Benton Visual Form Discrimination Test (VFD; Benton, Hamsher, Varney, & Spreen, 1983) total score and the number of VFD rotation and peripheral errors. The percentage of final broken configuration errors was higher in the patients with right craniotomies than in the left or no craniotomy groups, which did not differ. Broken configuration errors did not occur more frequently on designs without an embedded grid pattern. Right craniotomy patients did not show a greater percentage of broken configuration errors on nongrid designs as compared to grid designs.

Revision of loop colostomy under regional anaesthesia and sedation.

PubMed

Ng, Oriana; Thong, Sze Ying; Chia, Claramae Shulyn; Teo, Melissa Ching Ching

2015-05-01

Patients presenting for emergency abdominal procedures often have medical issues that cause both general anaesthesia and central neuraxial blockade to pose significant risks. Regional anaesthetic techniques are often used adjunctively for abdominal procedures under general anaesthesia, but there is limited published data on procedures done under peripheral nerve or plexus blocks. We herein report the case of a patient with recent pulmonary embolism and supraventricular tachycardia who required colostomy refashioning. Ultrasonography-guided regional anaesthesia was administered using a combination of ilioinguinal-iliohypogastric, rectus sheath and transversus abdominis plane blocks. This was supplemented with propofol and dexmedetomidine sedation as well as intermittent fentanyl and ketamine boluses to cover for visceral stimulation. We discuss the anatomical rationale for the choice of blocks and compare the anaesthetic conduct with similar cases that were previously reported.

Biventricular non-compaction hypertrophic cardiomyopathy in association with congenital complete heart block and type I mitochondrial complex deficiency.

PubMed

Dhar, Ranjana; Reardon, William; McMahon, Colin J

2015-06-01

We report a baby girl with an antenatal diagnosis of biventricular non-compaction and complete heart block detected at 22 weeks' gestation. Postnatal echocardiography confirmed severe biventricular non-compaction hypertrophic cardiomyopathy, multiple muscular ventricular septal defects, and mild-moderate pulmonary valve stenosis. Skeletal muscle biopsy confirmed complex 1 mitochondrial respiratory chain deficiency. An epicardial VVI pacemaker was implanted on day 3 of life and revised at 7 years of age. She remains stable at 8 years of age following pacing and medical treatment with carvedilol, aspirin, co-enzyme Q10, and carnitine. This represents the first report of biventricular non-compaction hypertrophic phenotype in association with congenital complete heart block and complex 1 mitochondrial respiratory chain deficiency in a child.

First record of Chilodonella piscicola (Ciliophora: Chilodonellidae) from two endangered fishes, Schizothorax o'connori and Oxygymnocypris stewartii in Tibet.

PubMed

Deng, Qiong; Guo, Qingxiang; Zhai, Yanhua; Wang, Zhe; Gu, Zemao

2015-08-01

Schizothorax o'connori and Oxygymnocypris stewartii are two endangered endemic Tibetan fishes that thrive in the Lhasa River at an average altitude over 4000 m. During artificial reproduction of endemic Tibetan fishes, the juvenile fish of S. o'connori and O. stewartii experienced mass mortality event. The causative agent is diagnosed to be a ciliate parasite, Chilodonella piscicola (syn. C. cyprini), which is common in various fishes. Here, we supplemented its description based on the morphological and molecular data. The body of C. piscicola is oval, 30-60 × 25-40 μm in vivo. Cyrtos is hook-like, composed of 9-10 toothed nematodesmal rods. Somatic kineties usually contain seven right kineties and nine left kineties. Two parallel circumoral kineties revolve round the cyrtos, and one preoral kinety extends to the anterior end of the fourth left-most kinety. Terminal fragment kinety is linear and on the top left of dorsal side. Sequence alignments revealed that the present SSU rDNA and ITS1-5.8S-ITS2 sequences are both most similar to the sequences of C. uncinata with the similarities of 98.2 and 99.5%. The phylogenetic analyses showed that C. piscicola is sister to other Chilodonella species, whereas C. cyprini (FJ873805) cluster with Tetrahymena species. Molecular analysis shows that the ITS1-5.8S-ITS2 sequence of C. cyprini in GenBank is unreliable. Our study extended the host range of C. piscicola and supplemented and revised the molecular data. Besides, as far as we know, this is the first record of C. piscicola in Tibetan plateau.

78 FR 45903 - Native American Housing Assistance and Self-Determination Act of 1996: Negotiated Rulemaking...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-30

... Rulemaking Committee. The committee will negotiate a proposed rule to revise the allocation formula used under the Indian Housing Block Grant (IHBG) Program. In addition, this notice announces a two-day first...:30 a.m., and adjourn at approximately 5 p.m. ADDRESSES: The meeting will take place at the Grand...

76 FR 63169 - Airworthiness Directives; Bombardier Inc. Model DHC-8-102, -103, -106, -201, -202, -301, -311...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-12

.... Therefore, * * * this [Canadian] directive is issued to require rework of the cockpit door striker plate and... these Do these actions-- serial numbers-- 8-52-54, Revision A, dated 003 through 407 Rework the cockpit... AD rework the cockpit door striker plate and replace the latch block, in accordance with the...

77 FR 65710 - Notice of Submission of Proposed Information Collection to OMB; Indian Housing Block Grants (IHBG...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-30

... available a revised Word version, an Excel version, and a version on HUD's Energy and Performance... recipient may elect to submit to HUD either the Word, Excel, or EPIC versions; however, the Excel and EPIC versions are preferred because of their automated capabilities and reduced burden. The Word, Excel, and...

75 FR 844 - Tapered Roller Bearings and Parts Thereof, Finished and Unfinished, from the People's Republic of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-06

... pillow blocks) incorporating tapered rollers, with or without spindles, whether or not for automotive use... Department has made the following changes: We have revised the surrogate value for tube steel. See Issues and... Analysis Memorandum''). We have corrected the direct material calculation for bar and tube steel in our...

Access to Knowledge: The Continuing Agenda for Our Nation's Schools. Revised Edition.

ERIC Educational Resources Information Center

Goodlad, John I., Ed.; Keating, Pamela, Ed.

This book presents a collection of essays by education researchers and practitioners about issues of educational equity and excellence. The authors examine the problem of failure in schools and describe the various curricular and structural factors that block access to an equal and quality education for all students. Chapters are entitled: (1)…

Cretaceous-Cenozoic Geological Evolution of Tibet: Tectonic Interpretations and Outstanding Questions (Invited)

NASA Astrophysics Data System (ADS)

Kapp, P. A.; Decelles, P. G.; Ding, L.; van Hinsbergen, D. J.

2010-12-01

The India-Asia collision, although profound, is only the most recent in a series of orogenic events that has modified the architecture of the Asian lithosphere. For instance, large parts of central Tibet (Lhasa and Qiangtang terranes) underwent >50% upper-crustal shortening, and likely substantial elevation gain, between Cretaceous and Eocene time in response to Lhasa - Qiangtang continental collision and Andean-style orogenesis along the southern margin of Asia. Findings by independent groups of Gangdese-arc-age detrital zircons in 52-50 Ma Tethyan Himalaya (TH) strata indicate that TH-Asia collision was ongoing by this time. This collision timing is consistent with multiple other, albeit less direct lines of evidence and suggests that a magmatic flare-up within the Gangdese arc (culminated at 52-51 Ma) occurred during subduction of TH lithosphere. Low-temperature thermochronologic data indicate that very low erosion rates, and likely plateau-like conditions considering the shortening history, were established in large parts of central Tibet at or by 50-45 Ma. The temporal-spatial distribution of subsequent shortening and exhumation is consistent with plateau growth northward and southward from central Tibet since the Eocene. The Cenozoic magmatic record of Tibet shows intriguing temporal-spatial patterns. Between 45 Ma and 30 Ma, volcanism swept >600 km northward from the Indus-Yarlung suture (IYS) and then back southward between 30 Ma and 25 Ma. These magmatic sweeps may have been produced by underthrusting and subsequent rollback of subducting TH lithosphere. Recent stratigraphic and structural studies suggest localized extension and elevation loss along the IYS at ~25 Ma, which is explainable in a slab rollback scenario, followed within a few million years by uplift back to near-modern elevations, perhaps in response to breakoff of TH lithosphere and northward underthrusting of Indian lithosphere. This hypothesis of TH - Indian lithosphere subduction can explain how ~2000 km of India-Asia convergence was accommodated south of the IYS since ~50 Ma (with the remaining ~1000 km accommodated by shortening of Asian lithosphere). Outstanding questions include: (1) What are the explanations for major, coeval geological changes in the Lhasa terrane, Gangdese forearc, IYS, and TH at 65-63 Ma, which have led some workers to argue for initiation of India-Asia collision at this time? (2) What was the nature of the subducted TH lithosphere and its former paleogeographic and tectonic relationships to Indian cratonic lithosphere? (3) Why has only <50% of the estimated 2000 km of post-50 Ma convergence south of the Indus-Yarlung suture been documented as shortening within the Tethyan-Himalayan thrust belts? (4) Why did Asian lithosphere in Pamir and Tibet behave so differently in response to collisional orogenesis?

An Introduction to the Tibet cGPS pilot project: TigiCAS

NASA Astrophysics Data System (ADS)

Zhang, Z.; Liu, J.; Galetzka, J.; Avouac, J.; Tapponnier, P.; Zeng, L.; Gan, W.; Shen, Z.; Wang, M.

2007-12-01

The convergence between India and Eurasia is the¡¡prototype of continental collision in action. Compared¡¡to geological history and fault kinematics studies, the present-day, regional pattern of strain-partitioning¡¡is still inadequately known. Among limited geodetic¡¡efforts in the past decade or two, most have been focused¡¡on refining measurements of the current crustal¡¡shortening rate across the Himalaya. The vast region¡¡immediately to the north is sparsely instrumented, with only one continuous GPS station (Lhasa) within¡¡the plateau proper. Campaign stations are few and¡¡ill-positioned, mostly along major roads, providing¡¡poor constraints on present-day slip-rates on individual¡¡active faults. The extant GPS network configuration is thus still insufficient to discriminate between block vs continuum deformation. In November 2006, the¡¡Chinese Academy of Sciences led a pilot program and¡¡installed 6 continuous GPS stations in southern Tibet, crossing the NS-trending normal fault systems and¡¡complementing the Nepal cGPS profiles. We present¡¡here the new sites, preliminary data processing results, and the spatial relationship with ongoing or planned¡¡continuous GPS sites from a couple of other projects. Together with such projects, TigiCAS will provide¡¡a substantial increase in geodetic data in the¡¡Himalayan-Tibet convergent belt in the next few¡¡years, and lead to a better understanding of¡¡contemporary deformation of the region.

Tearing of the Indian lithospheric slab beneath southern Tibet revealed by SKS-wave splitting measurements

NASA Astrophysics Data System (ADS)

Chen, Yun; Li, Wei; Yuan, Xiaohui; Badal, José; Teng, Jiwen

2015-03-01

Shear wave birefringence is a direct diagnostic of seismic anisotropy. It is often used to infer the northern limit of the underthrusting Indian lithosphere, based on the seismic anisotropy contrast between the Indian and Eurasian plates. Most studies have been made through several near north-south trending passive-source seismic experiments in southern Tibet. To investigate the geometry and the nature of the underthrusting Indian lithosphere, an east-west trending seismic array consisting of 48 seismographs was operated in the central Lhasa block from September 2009 to November 2010. Splitting of SKS waves was measured and verified with different methods. Along the profile, the direction of fast wave polarization is about 60° in average with small fluctuations. The delay time generally increases from east to west between 0.2 s and 1.0 s, and its variation correlates spatially with north-south oriented rifts in southern Tibet. The SKS wave arrives 1.0-2.0 s later at stations in the eastern part of the profile than in the west. The source of the anisotropy, estimated by non-overlapped parts of the Fresnel zones at stations with different splitting parameters, is concentrated above ca. 195 km depth. All the first-order features suggest that the geometry of the underthrusting Indian lithospheric slab in the Himalayan-Tibetan collision zone beneath southern Tibet is characterized by systematic lateral variations. A slab tearing and/or breakoff model of Indian lithosphere with different subduction angles is likely a good candidate to explain the observations.

Patella Tendon Injuries Secondary to Cement Spacers Used at First-Stage Revision of Infected Total Knee Replacement

PubMed Central

Wilson, Katherine; Kothwal, Rahul; Khan, Wasim S.; Williams, Rhodri; Morgan-Jones, Rhidian

2015-01-01

We describe a series of three patients who sustained patella tendon injuries in infected total knee arthroplasties following the use of a static cement spacer at first-stage knee revision. The patella tendon injuries resulted in significant compromise to wound healing and knee stability requiring multiple surgeries. The mid-term function was poor with an Oxford score at 24 months ranging from 12 to 20. Based on our experience, we advise caution in the use of static cement spacer blocks. If they are to be used, we recommend that they should be keyed in the bone to prevent patella tendon injuries. PMID:25905106

How to Write Your First Research Paper

PubMed Central

Kallestinova, Elena D.

2011-01-01

Writing a research manuscript is an intimidating process for many novice writers in the sciences. One of the stumbling blocks is the beginning of the process and creating the first draft. This paper presents guidelines on how to initiate the writing process and draft each section of a research manuscript. The paper discusses seven rules that allow the writer to prepare a well-structured and comprehensive manuscript for a publication submission. In addition, the author lists different strategies for successful revision. Each of those strategies represents a step in the revision process and should help the writer improve the quality of the manuscript. The paper could be considered a brief manual for publication. PMID:21966034

How to write your first research paper.

PubMed

Kallestinova, Elena D

2011-09-01

Writing a research manuscript is an intimidating process for many novice writers in the sciences. One of the stumbling blocks is the beginning of the process and creating the first draft. This paper presents guidelines on how to initiate the writing process and draft each section of a research manuscript. The paper discusses seven rules that allow the writer to prepare a well-structured and comprehensive manuscript for a publication submission. In addition, the author lists different strategies for successful revision. Each of those strategies represents a step in the revision process and should help the writer improve the quality of the manuscript. The paper could be considered a brief manual for publication. Copyright © 2011.

Tectonics of the Qinling (Central China): Tectonostratigraphy, geochronology, and deformation history

USGS Publications Warehouse

Ratschbacher, L.; Hacker, B.R.; Calvert, A.; Webb, L.E.; Grimmer, J.C.; McWilliams, M.O.; Ireland, T.; Dong, S.; Hu, Jiawen

2003-01-01

The Qinling orogen preserves a record of late mid-Proterozoic to Cenozoic tectonism in central China. High-pressure metamorphism and ophiolite emplacement (Songshugou ophiolite) assembled the Yangtze craton, including the lower Qinling unit, into Rodinia during the ~1.0 Ga Grenvillian orogeny. The lower Qinling unit then rifted from the Yangtze craton at ~0.7 Ga. Subsequent intra-oceanic arc formation at ~470-490 Ma was followed by accretion of the lower Qinling unit first to the intra-oceanic arc and then to the Sino-Korea craton. Subduction then imprinted a ~400 Ma Andean-type magmatic arc onto all units north of the northern Liuling unit. Oblique subduction created Silurian-Devonian WNW-trending, sinistral transpressive wrench zones (e.g., Lo-Nan, Shang-Dan), and Late Permian-Early Triassic subduction reactivated them in dextral transpression (Lo-Nan, Shang-Xiang, Shang-Dan) and subducted the northern edge of the Yangtze craton. Exhumation of the cratonal edge formed the Wudang metamorphic core complex during dominantly pure shear crustal extension at ~230-235 Ma. Post-collisional south-directed shortening continued through the Early Jurassic. Cretaceous reactivation of the Qinling orogen started with NW-SE sinistral transtension, coeval with large-scale Early Cretaceous crustal extension and sinistral transtension in the northern Dabie Shan; it presumably resulted from the combined effects of the Siberia-Mongolia-Sino-Korean and Lhasa-West Burma-Qiangtang-Indochina collisions and Pacific subduction. Regional dextral wrenching was active within a NE-SW extensional regime between ~60 and 100 Ma. An Early Cretaceous Andean-type continental magmatic arc, with widespread Early Cretaceous magmatism and back-arc extension, was overprinted by shortening related to the collision of Yangtze-Indochina Block with the West Philippines Block. Strike-slip and normal faults associated with Eocene half-graben basins record Paleogene NNE-SSW contraction and WNW-ESE extension. The Neogene(?) is characterized by normal faults and NNE-trending sub-horizontal extension. Pleistocene(?)-Quaternary NW-SE extension and NE-SW contraction comprises sinistral strike-slip faults and is part of the NW-SE extension imposed across eastern Asia by the India-Asia collision. 

The subduction-accretion history of the Bangong-Nujiang Ocean: Constraints from provenance and geochronology of the Mesozoic strata near Gaize, central Tibet

NASA Astrophysics Data System (ADS)

Li, Shun; Ding, Lin; Guilmette, Carl; Fu, Jiajun; Xu, Qiang; Yue, Yahui; Henrique-Pinto, Renato

2017-04-01

The Mesozoic strata, within the Bangong-Nujiang suture zone in central Tibet, recorded critical information about the subduction-accretion processes of the Bangong-Nujiang Ocean prior to the Lhasa-Qiangtang collision. This paper reports detailed field observations, petrographic descriptions, sandstone detrital zircon U-Pb ages and Hf isotopic analyses from an accretionary complex (preserved as Mugagangri Group) and the unconformably overlying Shamuluo Formation near Gaize. The youngest detrital zircon ages, together with other age constraints from literature, suggest that the Mugagangri Group was deposited during late Triassic-early Jurassic, while the Shamuluo Formation was deposited during late Jurassic-early Cretaceous. Based on the differences in lithology, age and provenance, the Mugagangri Group is subdivided into the upper, middle and lower subunits. These units are younging structurally downward/southward, consistent with models of progressive off-scrapping and accretion in a southward-facing subduction complex. The upper subunit, comprising mainly quartz-sandstone and siliceous mud/shale, was deposited in abyssal plain environment close to the Qiangtang passive margin during late Triassic, with sediments derived from the southern Qiangtang block. The middle and lower subunits comprise mainly lithic-quartz-sandstone and mud/shale, containing abundant ultramafic/ophiolitic fragments. The middle subunit, of late Triassic-early Jurassic age, records a transition in tectono-depositional setting from abyssal plain to trench-wedge basin, with sudden influx of sediments sourced from the central Qiangtang metamorphic belt and northern Qiangtang magmatic belt. The appearance of ultramafic/ophiolitic fragments in the middle subunit reflects the subduction initiation. The lower subunit was deposited in a trench-wedge basin during early Jurassic, with influx of Jurassic-aged zircons originating from the newly active southern Qiangtang magmatic arc. The lower subunit records the onset of arc magmatism related to the northward subduction of the Bangong-Nujiang Ocean. The Shamuluo Formation, comprising mainly lithic-feldspar-sandstone with limestone interlayers, was deposited in a post-collisional residual-sea or pre-collisional trench-slope basin, with sediments derived entirely from the Qiangtang block.

Behavioural improvement in a minimally conscious state after caloric vestibular stimulation: evidence from two single case studies.

PubMed

Vanzan, Serena; Wilkinson, David; Ferguson, Heather; Pullicino, Patrick; Sakel, Mohamed

2017-04-01

To investigate whether caloric vestibular stimulation, a non-invasive form of neuro-modulation, alters the level of awareness in people residing in a minimally conscious state. Single-case ( n = 2), prospective, controlled (ABAB) efficacy study. Tertiary, neuro-rehabilitation inpatient ward within a university hospital. Two individuals in a minimally conscious state. Left ear caloric vestibular stimulation was performed in two four/five-week blocks interleaved with two four/five-week blocks of sham stimulation. Session duration and frequency gradually increased within each block from once per day for 10 minutes (Week 1) to once per day for 20 minutes (Week 2) to 20 minutes twice per day in the remaining weeks. Wessex Head Injury Matrix, JFK Coma Recovery Scale - Revised. Both participants' Wessex Head Injury Matrix scores indicated a transition from involuntary (i.e. mechanical vocalization) to voluntary (i.e. gesture making, selective responses to family members) behaviour that was time-locked to the onset of active stimulation. In one participant, this improvement persisted for at least four weeks after active stimulation, while in the other it diminished two weeks after stimulation. Allied, although less dramatic, changes were seen on the arousal and auditory subscales of the JFK Coma Recovery Scale - Revised. The data provide the first evidence that vestibular stimulation may help improve outcome in a low awareness state, although further studies are needed to replicate effect and determine longer-term benefit.

A quasi-linear structure of the southern margin of Eurasia prior to the India-Asia collision: First paleomagnetic constraints from Upper Cretaceous volcanic rocks near the western syntaxis of Tibet

NASA Astrophysics Data System (ADS)

Yi, Zhiyu; Huang, Baochun; Yang, Liekun; Tang, Xiangde; Yan, Yonggang; Qiao, Qingqing; Zhao, Jie; Chen, Liwei

2015-07-01

We report the first combined geochronologic and paleomagnetic study of volcanic rocks from the Shiquanhe and Yare Basins at the westernmost Lhasa Terrane, which aims to provide an accurate constraint on the shape and paleoposition of the southern margin of Asia prior to the India-Asia collision. Three new 40Ar/39Ar ages of 92.5 ± 2.9 Ma, 92.4 ± 0.9 Ma, and 79.6 ± 0.7 Ma determined by fresh matrix or feldspar from lava flows suggest a Late Cretaceous age for the investigated units. Characteristic remanent magnetizations have been successfully isolated from 38 sites which pass positive fold and/or reversal, conglomerate tests and are hence interpreted as primary in origin. The two paleopoles obtained from Yare and Shiquanhe yield consistent paleolatitudes of 13.6°N ± 9.6°N and 14.2°N ± 2.7°N, respectively (for a reference site of 31.5°N, 80°E), indicating that the southern margin of Asia near the western syntaxis was located far south during the Late Cretaceous time. A reconstruction of the Lhasa Terrane in the frame of Eurasia with paleomagnetic data obtained from its western and eastern parts indicates that the southern margin of Eurasia probably had a quasi-linear orientation prior to the collision formerly trending approximately 315°E. This is compatible with the shape of the Neo-Tethys slab observed from seismic tomographic studies. Our findings provide a solid basis for evaluating Cenozoic crustal shortening in the Asian interior and the size of Greater India near the western syntaxis.

Paleomagnetic and Geochronologic Results of Latest Cretaceous Lava Flows From the Lhasa Terrane and Their Tectonic Implications

NASA Astrophysics Data System (ADS)

Ma, Yiming; Yang, Tianshui; Bian, Weiwei; Jin, Jingjie; Wang, Qiang; Zhang, Shihong; Wu, Huaichun; Li, Haiyan; Cao, Liwan; Yuan, Haifan; Ding, Jikai

2017-11-01

To position the Asian southern margin before the India-Asia collision, paleomagnetic and geochronologic studies were performed on the Dianzhong Formation lava flows from the Shiquanhe area of the westernmost Lhasa terrane (LT). Zircon U-Pb analyses dated the lava flows to 69.5 ± 2.5 Ma. The characteristic remanent magnetization directions contain antipodal polarities and pass fold tests, implying that they are primary magnetizations; this interpretation is supported by rock-magnetic analyses and petrographic observations. Forty-four site-mean directions were divided into 17 statistically independent direction groups. The group-mean direction after tilt correction is Ds = 43.3°, Is = 30.3°, k = 28.0, α95 = 6.9°. The corresponding paleopole at 47.8°N, 181.4°E (A95 = 6.4°) yields a paleolatitude of 16.6° ± 6.4°N for the Shiquanhe area of westernmost Tibet (32.34°N, 80.12°E). Consistent paleolatitudes for the southern margin of the LT calculated from the western and central part of the LT indicate that the leading edge of the LT was aligned relatively W-E. When compared with the reference pole at 70 Ma for Eurasia, this new paleopole suggests that crustal shortening between the Shiquanhe area and stable Asia was 1,500 ± 800 km. This is supported by the crustal shortening (600-1,000 km) absorbed by Cenozoic thrust and fold belts within this area, indicating that the magnitude of crustal shortening within Asia north of the India-Asia suture zone was similar in the central and western part of the plateau.

Precipitation and ice core isotopes from the Asian Summer Monsoon region reflect coherent ENSO variability

NASA Astrophysics Data System (ADS)

Cai, Z.; Tian, L.; Bowen, G. J.

2017-12-01

Oxygen isotope signals (δ18O) from paleo-archives are important proxies for past Asian Summer Monsoon (ASM) climate reconstruction. However, causes of interannual variation in the δ18O values of modern precipitation across the ASM region remain in argument. We report interannual δ18O variation in southern Tibetan Plateau precipitation based on long-term observations at Lhasa. These data, together with precipitation δ18O records from five Global Network of Isotopes in Precipitation (GNIP) stations and two ice core δ18O records, were used to define a regional metric of ASM precipitation δ18O (ASMOI). Back-trajectory analyses for rainy season precipitation events indicate that moisture sources vary little between years with relatively high and low δ18O values, a result that is consistent for the south (Lhasa), southeast (Bangkok), and east ASM regions (Hong Kong). In contrast, δ18O values at these three locations are significantly correlated with convection in the estimated source regions and along transport paths. These results suggest that upstream convection, rather than moisture source change, causes interannual variation in ASM precipitation δ18O values. Contrasting values of the ASMOI in El Niño and La Niña years reveal a positive isotope-El Niño Southern Oscillation (ENSO) response (e.g., high values corresponding to warm phases), which we interpret as a response to changes in regional convection. We show that the isotope-ENSO response is amplified at high elevation sites and during La Niña years. These findings should improve interpretations of paleo-δ18O data as a proxy for past ASM variation and provide new opportunities to use data from this region to study paleo-ENSO activity.

Genetic diversities of 21 non-CODIS autosomal STRs of a Chinese Tibetan ethnic minority group in Lhasa.

PubMed

Zhu, Bo-feng; Shen, Chun-mei; Wang, Hong-dan; Yang, Guang; Yan, Jiang-wei; Qin, Hai-xia; Guo, Jian-xin; Huang, Jing-feng; Jing, Hang; Liu, Xin-she

2011-07-01

In the present study, we investigated 21 short tandem repeat (STR) loci (D6S474, D12ATA63, D22S1045, D10S1248, D1S1677, D11S4463, D1S1627, D3S4529, D2S441, D6S1017, D4S2408, D19S433, D17S1301, D1GATA113, D18S853, D20S482, D14S1434, D9S1122, D2S1776, D10S1435, D5S2500), which are not included in the Combined DNA Index System and Amelogenin locus in 104 randomly selected healthy autochthonous individuals from the Tibetan ethnic minority group residing in the Lhasa region, Tibet Autonomous Region of China. Allelic frequencies, common forensic statistical parameters, and the Hardy-Weinberg equilibrium in this population were calculated with a modified PowerState V12.xls. A total of 143 alleles were found in the Tibetan group with corresponding allelic frequencies ranging from 0.005 to 0.582. The observed heterozygosity, the expected heterozygosity, the power of discrimination, the power of exclusion, and the polymorphic information content ranged from 0.615 to 0.817, 0.559 to 0.787, 0.727 to 0.926, 0.310 to 0.632, and 0.488 to 0.760, respectively. Chi-square tests of the observed genotype frequencies and expected genotype frequencies in the samples showed no departure from the Hardy-Weinberg equilibrium at all loci except for D5S2500. Our results demonstrate that these 21 STRs are highly polymorphic and suitable for anthropological research, population genetics, and forensic paternity testing and human individual identification in this region, and can enrich Chinese ethnical genetic informational resources.

Observations of atmospheric pollutants at Lhasa during 2014-2015: Pollution status and the influence of meteorological factors.

PubMed

Duo, Bu; Cui, Lulu; Wang, Zhenzhen; Li, Rui; Zhang, Liwu; Fu, Hongbo; Chen, Jianmin; Zhang, Huifang; Qiong, A

2018-01-01

Atmospheric pollutants including SO 2 , NO 2 , CO, O 3 and inhalable particulate matter (PM 2.5 and PM 10 ) were monitored continuously from March 2014 to February 2015 to investigate characteristics of air pollution at Lhasa, Tibetan Plateau. Species exhibited similar seasonal variations except O 3 , with the peaks in winter but low valleys in summer. The maximum O 3 concentration was observed in spring, followed by summer, autumn, and winter. The positive correlation between O 3 and PM 10 in spring indicated similar sources of them, and was assumed to be turbulent transport. Temperature was the dominant meteorological factor for most species in spring. High temperature accelerates O 3 photochemistry, and favors air disturbance which is conductive to dust resuspension in spring. Relative humidity (RH) and atmospheric pressure were the main meteorological factors in summer. RH showed negative correlations with species, while atmospheric pressure posed opposite situation. Wind speed (WS) was the dominant meteorological factor in autumn, the negative correlations between WS and species indicated diffusion by wind. Most species showed non-significant correlations with meteorological factors in winter, indicating the dependence of pollution on source emission rather than restriction by meteorology. Pollution weather character indicated that emissions were from biomass burning and dust suspension, and meteorological factors also played an important role. Air stream injection from the stratosphere was observed during O 3 pollution period. Air parcels from Southwest Asia were observed during air pollution period in winter. An enhancement in air pollutants such as O 3 would be expected in the future, more attention should be given to countermeasures for prevention of air pollution in the future. Copyright © 2017. Published by Elsevier B.V.

ENSO variability reflected in precipitation oxygen isotopes across the Asian Summer Monsoon region

NASA Astrophysics Data System (ADS)

Cai, Zhongyin; Tian, Lide; Bowen, Gabriel J.

2017-10-01

Oxygen isotope signals (δ18O) from paleo-archives are important proxies for past Asian Summer Monsoon (ASM) climate reconstruction. However, causes of interannual variation in the δ18O values of modern precipitation across the ASM region remain in argument. We report interannual δ18O variation in southern Tibetan Plateau precipitation based on long-term observations at Lhasa. These data, together with precipitation δ18O records from five Global Network of Isotopes in Precipitation (GNIP) stations and two ice core δ18O records, were used to define a regional metric of ASM precipitation δ18O (ASMOI). Back-trajectory analyses for rainy season precipitation events indicate that moisture sources vary little between years with relatively high and low δ18O values, a result that is consistent for the south (Lhasa), southeast (Bangkok), and east ASM regions (Hong Kong). In contrast, δ18O values at these three locations are significantly correlated with convection in the estimated source regions and along transport paths. These results suggest that upstream convection, rather than moisture source change, causes interannual variation in ASM precipitation δ18O values. Contrasting values of the ASMOI in El Niño and La Niña years reveal a positive isotope-El Niño Southern Oscillation (ENSO) response (e.g., high values corresponding to warm phases), which we interpret as a response to changes in regional convection. We show that the isotope-ENSO response is amplified at high elevation sites and during La Niña years. These findings should improve interpretations of paleo-δ18O data as a proxy for past ASM variation and provide new opportunities to use data from this region to study paleo-ENSO activity.

Polycyclic aromatic hydrocarbons and organochlorine pesticides in surface soils from the Qinghai-Tibetan plateau.

PubMed

Tao, Shu; Wang, Wentao; Liu, Wenxin; Zuo, Qian; Wang, Xilong; Wang, Rong; Wang, Bin; Shen, Guofeng; Yang, Yuanhe; He, Jin-shen

2011-01-01

Eighty eight surface soil samples were collected from the Qinghai-Tibetan Plateau (QTP) for determination of polycyclic aromatic hydrocarbons (PAHs) and organochlorine pesticides (OCPs), including dichlorodiphenyltrichloroethane and metabolites (DDXs) and hexachlorocyclohexane isomers (HCHs). The measured concentrations were 51.8 ± 38.5 ng g(-1), 0.329 ± 0.818 ng g(-1), and 0.467 ± 0.741 ng g(-1) as means and standard deviations of PAHs, DDXs, and HCHs, respectively, which were 1-2 orders of magnitude lower than those reported for eastern China. Significant differences were also revealed among four sub-areas within QTP. PAHs detected in the samples from the remote sub-areas of T'ang-ku-la/Hoh Xil Mountains and along the Qinghai-Tibet highway in the west and northwest of QTP were 1 order of magnitude lower than those from Lhasa and east Qinghai. The differences in soil OCPs among the sub-areas were 2-7 times. Soil PAHs were significantly correlated with emission density and soil organic carbon content (SOC), while OCPs were correlated significantly with the population density and SOC. Based on the calculated backward air mass trajectories and geographical distributions of emission and population, it was revealed that PAHs and OCPs accumulated in the soils in the west and northwest QTP were primarily from long-range transport and may represent the background levels of East Asia. This part of QTP can also serve as an important receptor area for regional or even global long-range transport study. The elevated concentrations of PAHs and OCPs in Lhasa and east Qinghai were mainly from local sources, while PAHs from adjacent Lanzhou area also contributed considerably to the accumulation of PAHs in east Qinghai.

Fluid inclusion characteristics and molybdenite Re-Os geochronology of the Qulong porphyry copper-molybdenum deposit, Tibet

NASA Astrophysics Data System (ADS)

Li, Yang; Selby, David; Feely, Martin; Costanzo, Alessandra; Li, Xian-Hua

2017-02-01

The Qulong porphyry copper and molybdenum deposit is located at the southwest margin of the Lhasa Terrane and in the eastern region of the Gangdese magmatic belt. It represents China's largest porphyry copper system, with ˜2200 million tonnes of ore comprising 0.5 % Cu and 0.03 % Mo. The mineralization is associated with Miocene granodiorite, monzogranite and quartz-diorite units, which intruded into Jurassic volcanic units in a post-collisional (Indian-Asian) tectonic setting. Field observations and core logging demonstrate the alteration and mineralization at Qulong are akin to typical porphyry copper systems in subduction settings, which comprise similar magmatic-hydrothermal, potassic, propylitic and phyllic alteration assemblages. Molybdenite Re-Os geochronology confirms the relative timeframe defined by field observations and core logging and indicates that the bulk copper and molybdenum at Qulong were deposited within 350,000 years: between 16.10 ± 0.06 [0.08] (without and with decay constant uncertainty) and 15.88 ± 0.06 [0.08] Ma. This duration for mineralization is in direct contrast to a long-lived intrusive episode associated with mineralization based on previous zircon U-Pb data. Our fluid inclusion study indicates that the ore-forming fluid was oxidized and contained Na, K, Ca, Fe, Cu, Mo, Cl and S. The magmatic-hydrothermal transition occurred at ˜425 °C under lithostatic pressure, while potassic, propylitic and phyllic alteration occurred at hydrostatic pressure with temperature progressively decreasing from 425 to 280 °C. The fluid inclusion data presented here suggests that there has been ˜2.3 km of erosion at Qulong after its formation, and this erosion may be related to regional uplift of the Lhasa Terrane.

77 FR 470 - Specialty Crop Block Grant Program-Farm Bill Request for Extension and Revision of a Currently...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-05

... number 0348-0044) is required to show each project's budget breakdown. (c) Form SF-424B, ``Assurances-Non... Total Annual Burden on Respondents: 112 hours. (b) Form SF-270, ``Request for Advance and Reimbursement'' (approved under OMB collection number 0348-0004) is required whenever the grantees request an advance or...

High Density Lidar and Orthophotography in UXO Wide Area Assessment, Phase 2. Former Camp Beale Demonstration Site. Addendum, Revision 2

DTIC Science & Technology

2008-01-01

the delivery tiles . For the Former Camp Beale site, orthophotos were created in blocks of 2.675 square kilometers, in order to keep file sizes...3-19 3.7.12 Data Density Effects - Orthophotos ....................................................... 3-20 3.7.13 Data... Orthophoto Positional Accuracy ........................................... 3-29 4.0 PERFORMANCE ASSESSMENT

Redesigning Design: Field Testing a Revised Design Rubric Based on iNACOL Quality Course Standards

ERIC Educational Resources Information Center

Adelstein, David; Barbour, Michael K.

2016-01-01

Designers have a limited selection of K-12 online course creation standards to choose from that are not blocked behind proprietary or pay walls. For numerous institutions and states, the use of the iNACOL "National Standards for Quality Online Courses" is becoming a widely used resource. This article presents the final phase in a…

Increased prevalence of third-degree atrioventricular block in patients with type II diabetes mellitus.

PubMed

Movahed, Mohammad-Reza; Hashemzadeh, Mehrtash; Jamal, M Mazen

2005-10-01

Diabetes mellitus (DM) is a major risk for cardiovascular disease and mortality. There is some evidence that third-degree atrioventricular (AV) block occurs more commonly in patients with DM. In this study, we evaluated any possible association between DM and third-degree AV block using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes in a very large inpatient database. We used patient treatment files containing discharge diagnoses using ICD-9 codes of inpatient treatment from all Veterans Health Administration hospitals. The cohort was stratified using the ICD-9-CM code for DM (n = 293,124), a control group with hypertension but no DM (n = 552,623), and the ICD-9 code for third-degree AV block (426.0) and smoking (305.1, V15.82). We performed multivariate analysis adjusting for coronary artery disease, congestive heart failure, smoking, and hyperlipidemia. Continuous and binary variables were analyzed using chi2 and Fisher exact tests. Third-degree AV block diagnosis was present in 3,240 of DM patients (1.1%) vs 3,367 patients (0.6%) in the control group. Using multivariate analysis, DM remained strongly associated with third-degree AV block (odds ratio, 3.1; 95% confidential interval, 3.0 to 3.3; p < 0.0001). Third-degree AV block occurs significantly more in patients with DM. This finding may, in part, explain the high cardiovascular mortality in DM patients.

Efficient preparation of large-block-code ancilla states for fault-tolerant quantum computation

NASA Astrophysics Data System (ADS)

Zheng, Yi-Cong; Lai, Ching-Yi; Brun, Todd A.

2018-03-01

Fault-tolerant quantum computation (FTQC) schemes that use multiqubit large block codes can potentially reduce the resource overhead to a great extent. A major obstacle is the requirement for a large number of clean ancilla states of different types without correlated errors inside each block. These ancilla states are usually logical stabilizer states of the data-code blocks, which are generally difficult to prepare if the code size is large. Previously, we have proposed an ancilla distillation protocol for Calderbank-Shor-Steane (CSS) codes by classical error-correcting codes. It was assumed that the quantum gates in the distillation circuit were perfect; however, in reality, noisy quantum gates may introduce correlated errors that are not treatable by the protocol. In this paper, we show that additional postselection by another classical error-detecting code can be applied to remove almost all correlated errors. Consequently, the revised protocol is fully fault tolerant and capable of preparing a large set of stabilizer states sufficient for FTQC using large block codes. At the same time, the yield rate can be boosted from O (t-2) to O (1 ) in practice for an [[n ,k ,d =2 t +1

The complete mitochondrial genome sequence of the Tibetan red fox (Vulpes vulpes montana).

PubMed

Zhang, Jin; Zhang, Honghai; Zhao, Chao; Chen, Lei; Sha, Weilai; Liu, Guangshuai

2015-01-01

In this study, the complete mitochondrial genome of the Tibetan red fox (Vulpes Vulpes montana) was sequenced for the first time using blood samples obtained from a wild female red fox captured from Lhasa in Tibet, China. Qinghai--Tibet Plateau is the highest plateau in the world with an average elevation above 3500 m. Sequence analysis showed it contains 12S rRNA gene, 16S rRNA gene, 22 tRNA genes, 13 protein-coding genes and 1 control region (CR). The variable tandem repeats in CR is the main reason of the length variability of mitochondrial genome among canide animals.

Assessment of Navy Alcohol and Drug Abuse Education and Training Curricula, Revision Requirements

DTIC Science & Technology

1986-02-01

include the following: Introduction to Psychology Adolescent Psychology Maslow’s Hierarchy Abnormal Psychology Defense Mechanisms Anxiety... abnormal psychological development and behavior, techniques of psychological assessment and treatment, and the application of these skills in a variety...block number) The Chief of Naval Operations has taken a firm, constructive approach to drug and alcohol abuse problems in the Navy. Navy policy

High Density Lidar and Orthophotography in UXO Wide Area Assessment Phase 2. Final Report Addendum for Former Camp Beale Demonstration Site, Revision 2

DTIC Science & Technology

2008-01-01

color balancing, and trimming to the delivery tiles . For the Former Camp Beale site, orthophotos were created in blocks of 2.675 square kilometers, in...3-19 3.7.12 Data Density Effects - Orthophotos ...3-27 3.7.18 Lidar and Orthophoto Positional Accuracy ........................................... 3-29 4.0 PERFORMANCE ASSESSMENT

PETSc Users Manual Revision 3.7

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

Balay, Satish; Abhyankar, S.; Adams, M.

This manual describes the use of PETSc for the numerical solution of partial differential equations and related problems on high-performance computers. The Portable, Extensible Toolkit for Scientific Computation (PETSc) is a suite of data structures and routines that provide the building blocks for the implementation of large-scale application codes on parallel (and serial) computers. PETSc uses the MPI standard for all message-passing communication.

PETSc Users Manual Revision 3.8

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

Balay, S.; Abhyankar, S.; Adams, M.

This manual describes the use of PETSc for the numerical solution of partial differential equations and related problems on high-performance computers. The Portable, Extensible Toolkit for Scientific Computation (PETSc) is a suite of data structures and routines that provide the building blocks for the implementation of large-scale application codes on parallel (and serial) computers. PETSc uses the MPI standard for all message-passing communication.

SEMICYUC 2012. Recommendations for intensive care management of acute pancreatitis.

PubMed

Maraví Poma, E; Zubia Olascoaga, F; Petrov, M S; Navarro Soto, S; Laplaza Santos, C; Morales Alava, F; Darnell Martin, A; Gorraiz López, B; Bolado Concejo, F; Casi Villarroya, M; Aizcorbe Garralda, M; Albeniz Arbizu, E; Sánchez-Izquierdo Riera, J A; Tirapu León, J P; Bordejé Laguna, L; López Camps, V; Marcos Neira, P; Regidor Sanz, E; Jiménez Mendioroz, F

2013-04-01

Significant changes in the management of acute pancreatitis have taken place since the 2004 Pamplona Consensus Conference. The objective of this conference has been the revision and updating of the Conference recommendations, in order to unify the integral management of potentially severe acute pancreatitis in an ICU. Spanish and international intensive medicine physicians, radiologists, surgeons, gastroenterologists, emergency care physicians and other physicians involved in the treatment of acute pancreatitis. LEVELS OF EVIDENCE AND GRADES OF RECOMMENDATION: The GRADE method has been used for drawing them up. DRAWING UP THE RECOMMENDATIONS: The selection of the committee members was performed by means of a public announcement. The bibliography has been revised from 2004 to the present day and 16 blocks of questions on acute pancreatitis in a ICU have been drawn up. Firstly, all the questions according to groups have been drawn up in order to prepare one document. This document has been debated and agreed upon by computer at the SEMICYUC Congress and lastly at the Consensus Conference which was held with the sole objective of drawing up these recommendations. Eighty two recommendations for acute pancreatitis management in an ICU have been presented. Of these 84 recommendations, we would emphasize the new determinants-based classification of acute pancreatitis severity, new surgical techniques and nutritional recommendations. Note. This summary only lists the 84 recommendations of the 16 questions blocks except blocks greater relevance and impact of its novelty or because they modify the current management. Copyright © 2013 Elsevier España, S.L. and SEMICYUC. All rights reserved.

Tibet revisited: TIPMEX-86

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

Reiter, E.R.; Sheaffer, J.D.; Bossert, J.E.

1987-06-01

A long-planned field-measurement program to determine surface-energy budgets at two sites in Tibet was carried out during June 1986 in collaboration with scientists from the State Meteorological Administration, Academy of Meteorological Sciences, People's Republic of China. The data set obtained in Tibet is unique for this remote region of the world. The present report describes some of the experiences of the United States scientific team and its medical officer, M. Otteman of Ft. Collins, Colorado. The data are presently being archived on computer tapes. Preliminary analysis results are presented as typical examples of the conditions encountered at the two experimentalmore » sites near Lhasa (3635 m) and Nagqu (4500 m).« less

Computer-assisted design of organic synthesis

NASA Technical Reports Server (NTRS)

Kaminaka, H.

1986-01-01

The computer programs to design synthetic pathways of organic compounds have been utilized throughout the world since the first system was reported by Corey in 1969, and the LHASA was reported in1972 to become the predominant system. Many programs have been reported mainly in the United States and Europe, and groups of corporations, especially chemical companies, have been trying to improve programs and increase the efficiency of research. In Japan, unfortunately, no concrete movement in this area has been seen. Of course, it goes without saying that these kinds of programs are effective for efficient research, but the remarkable aspect is that these can present unexpected data to the researchers to stimulate them to develop new ideas.

Calcium Triglyceride Versus Polymethylmethacrylate Augmentation: A Biomechanical Analysis of Pullout Strength.

PubMed

Hickerson, Lindsay E; Owen, John R; Wayne, Jennifer S; Tuten, H Robert

2013-01-01

Biomechanical pullout study using calcium triglyceride (CTG) and polymethylmethacrylate (PMMA) for screw augmentation. Compare the biomechanical performance of CTG augmentation versus the gold standard, PMMA, in primary and revision models, using a pedicle screw pullout model. CTG is a novel form of bone augmentation with several reported biocompatible properties compared with PMMA. PMMA is the standard of care for pedicle screw augmentation in osteoporotic spine. Blocks of closed-cell rigid polyurethane foam of uniform density, representing subcortical layer in osteoporotic pedicle, were prepared according to ASTM standards. After the components of PMMA (n = 11) and CTG (n = 11) were individually mixed in a standardized fashion, 0.2 ml was injected from deep to superficial along a predrilled pilot hole followed by immediate insertion of the pedicle screw. An unaugmented group (n = 10) was also prepared. Blocks cured for 24 hrs, and screws were pulled out at a rate of 5 mm/min on materials testing equipment. For the revision model, the unaugmented group, after screw pullout, was augmented with 0.8 ml of PMMA (n = 5) or CTG (n = 5) as detailed above and screw pullout performed similarly. The mean pullout strengths (SD) for the intact models were as follows: unaugmented, 976.6 N (94.2 N); PMMA, 1,218.1 N (66.8 N); and CTG, 1,841.6 N (57.4 N). A one-way analysis of variance indicated a significant difference among the primary models (p < .0001). For the revision models, the pullout strength for PMMA was 1,939.2 N (108.9 N) and for CTG, 2,513.0 N (149.1 N), which were statistically different from each other (p < .0003). Stiffness of the constructs was increased with both PMMA and CTG augmentation over no augmentation (p < .0001) although no significant difference in stiffness was detected between the 2 forms of augmentation. We conclude that CTG augmentation of pedicle screws resulted in significantly higher axial pullout strength in primary (p < .0001) and revision (p < .0003) models compared with PMMA. Copyright © 2013 Scoliosis Research Society. Published by Elsevier Inc. All rights reserved.

76 FR 38533 - Alphabetical Listings: Specially Designated Nationals and Blocked Persons; Blocked Vessels...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-30

...The Department of the Treasury's Office of Foreign Assets Control (``OFAC'') is amending 31 CFR chapter V to replace the list of persons (which includes individuals and entities) with whom transactions and dealings are prohibited by the various economic sanctions programs administered by OFAC that appears at Appendix A to 31 CFR chapter V with information on how to obtain up-to-date lists of such persons on OFAC's Web site or by other means. OFAC also is removing Appendix B to 31 CFR chapter V, which includes the names of certain blocked vessels. In addition, OFAC is amending its regulations for a number of the sanctions programs it administers to revise references to Appendix A and to remove references to Appendix B. Finally, OFAC is amending the Iranian Transactions Regulations, by republishing in alphabetical order the entire list of persons identified in Appendix A to 31 CFR Part 560, to reflect changes to the list since that appendix was last published.

5. "TEST STAND 13, CONCRETE STRUCTURAL SECTIONS AND DETAILS." Specifications ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. "TEST STAND 1-3, CONCRETE STRUCTURAL SECTIONS AND DETAILS." Specifications No. OC12-50-10; Drawing No. 60-09-06; no sheet number within title block. D.O. SERIES 1109/17, Rev. A. Stamped: AS BUILT; NO CHANGES. Date of Revision A: 11/1/50. - Edwards Air Force Base, Air Force Rocket Propulsion Laboratory, Test Stand 1-3, Test Area 1-115, northwest end of Saturn Boulevard, Boron, Kern County, CA

Behavioral and Physiological Effects of Noise on People. A Review of the Literature. Revision 1

DTIC Science & Technology

1979-04-30

system... 22 Sleep... 22 Speech intelligibility ... 34 Work performance ... 34 Absenteeism , accident, and injury rates... 36 REFERENCES... 37 RELATED...eiew of lelitertr 6. PERFORMING ORG. REPORT NUMBER 7. AUTHOR(s) B CONTRACT OR GRANT NUMBER(S) C1 a DRj.a~mbert NOSC 9. PERFORMING ORGANIZATION NAME...reverse side if necessary and Identify by block number)II Noise (sound) Hearing Behavior Ship noise Conservation Performance Habitability Deafness

A Boundary Delineation System for the Bureau of Ocean Energy Management

NASA Astrophysics Data System (ADS)

Vandegraft, Douglas L.

2018-05-01

Federal government mapping of the offshore areas of the United States in support of the development of oil and gas resources began in 1954. The first mapping system utilized a network of rectangular blocks defined by State Plane coordinates which was later revised to utilize the Universal Transverse Mercator grid. Creation of offshore boundaries directed by the Submerged Lands Act and Outer Continental Shelf Lands Act were mathematically determined using early computer programs that performed the required computations, but required many steps. The Bureau of Ocean Energy Management has revised these antiquated methods using GIS technology which provide the required accuracy and produce the mapping products needed for leasing of energy resources, including renewable energy projects, on the outer continental shelf. (Note: this is an updated version of a paper of the same title written and published in 2015).

A comparison of thoracic spinal anesthesia with low-dose isobaric and low-dose hyperbaric bupivacaine for orthopedic surgery: A randomized controlled trial

PubMed Central

Imbelloni, Luiz Eduardo; Gouveia, Marildo A.

2014-01-01

Background: The thoracic spinal anesthesia was first described in 1909 and recently revised for various surgical procedures. This is a prospective study aims to evaluate the parameters of the thoracic spinal anesthesia (latency, motor block and paresthesia), the incidence of cardiovascular changes and complications comparing low doses of isobaric and hyperbaric bupivacaine. Materials and Methods: A total of 200 orthopedic patients operated under spinal anesthesia were included in this study. Spinal anesthesia was between T9-T10, with a 27G cutting point or pencil tip in lateral or sitting. Spinal anesthesia was performed with 0.5% bupivacaine isobaric or hyperbaric. Patients remained in cephalad or head down position 10-20° for 10 minutes. We evaluated the demographics, analgesia, and degree of motor block, incidence of paresthesia, bradycardia, hypotension, anesthesia success and neurological complications. Results: All patients developed spinal and there was no failure. The solution did not affect the onset of the blockade. The duration of motor block was greater than the sensitive with isobaric. The duration of sensory block was greater than the motor block with hyperbaric solution. The incidence of paresthesia was 4%, with no difference between the needles. The incidence of hypotension was 12.5% with no difference between the solutions. There was no neurological damage in all patients. Conclusion: The beginning of the block is fast regardless of the solution used. By providing a sensory block of longer duration than the motor block hyperbaric bupivacaine is reflected in a better indication. Thoracic spinal anesthesia provides excellent anesthesia for lower limb orthopedic surgery PMID:25886099

Validation of the "Pain Block" concrete ordinal scale for children aged 4 to 7 years.

PubMed

Jung, Jin Hee; Lee, Jin Hee; Kim, Do Kyun; Jung, Jae Yun; Chang, Ikwan; Kwon, Hyuksool; Shin, Jonghwan; Paek, So Hyun; Oh, Sohee; Kwak, Young Ho

2018-04-01

Pain scales using faces are commonly used tools for assessing pain in children capable of communicating. However, some children require other types of pain scales because they have difficulties in understanding faces pain scales. The goal of this study was to develop and validate the "Pain Block" concrete ordinal scale for 4- to 7-year-old children. This was a multicenter prospective observational study in the emergency department. Psychometric properties (convergent validity, discriminative validity, responsivity, and reliability) were compared between the "Pain Block" pain scale and the Faces Pain Scale-Revised (FPS-R) to assess the validity of the "Pain Block" scale. A total of 163 children (mean age, 5.5 years) were included in this study. The correlation coefficient between the FPS-R and the Pain Block scale was 0.82 for all participants which increased with age. Agreement between the 2 pain scales was acceptable, with 95.0% of the values within the predetermined limit. The differences in mean scores between the painful group and nonpainful group were 3.3 (95% confidence interval, 2.6-4.1) and 3.8 (95% confidence interval, 3.1-4.6) for FPR-S and Pain Block, respectively. The pain scores for both pain scales were significantly decreased when analgesics or pain-relieving procedures were administered (difference in Pain Block, 2.4 [1.4-3.3]; and difference in FPS-R, 2.3 [1.3-3.3]). The Pain Block pain scale could be used to assess pain in 4- to 7-year-old children capable of understanding and counting up to the number 5, even if they do not understand the FPS-R pain scale.

Non-amine-based dopamine transporter (reuptake) inhibitors retain properties of amine-based progenitors.

PubMed

Madras, Bertha K; Fahey, Michele A; Miller, Gregory M; De La Garza, Richard; Goulet, Martin; Spealman, Roger D; Meltzer, Peter C; George, Susan R; O'Dowd, Brian F; Bonab, Ali A; Livni, Eli; Fischman, Alan J

2003-10-31

Without exception, therapeutic and addictive drugs that produce their primary effects by blocking monoamine transporters in brain contain an amine nitrogen in their structure. This fundamental canon of drug design was based on a prevailing premise that an amine nitrogen is required to mimic the structures of monoamine neurotransmitters and other natural products. Non-amines, a novel class of compounds that contain no amine nitrogen, block monoamine transporters in the nM range and display markedly high selectivity for monoamine transporters, but not for receptors. Non-amines retain the spectrum of biochemical and pharmacological properties characteristic of amine-bearing counterparts. These novel drugs compel a revision of current concepts of drug-monoamine transporter complex formation and open avenues for discovery of a new generation of therapeutic drugs.

Three Dimensional Lithospheric Electrical Structure of the Tibetan Plateau as Revealed by SinoProbe Long Period Magnetotelluric Array Data

NASA Astrophysics Data System (ADS)

Wei, Wenbo; Zhang, Letian; Jin, Sheng; Ye, Gaofeng; Jing, Jianen; Dong, Hao; Xie, Chengliang; Yin, Yaotian

2017-04-01

The on-going continent-continent collision between the Indian and Eurasian plates since 55 Ma has created the spectacular topography of the Tibetan plateau. However, many first order questions remain to be answered as to the mechanisms behind this young orogenic process. Under the auspices of the SinoProbe Project, a three dimensional (3-D) Magnetotelluric (MT) array have been deployed on the Tibetan Plateau from 2010 to 2013 to better understand this orogeny. By the end of 2013, 1099 MT stations have been completed, including 102 combined broadband MT (BBMT) and long period MT (LMT) stations. In this study, MT data of these 102 combined stations have been used to investigate the deep lithospheric electrical structure of the Tibetan Plateau. MT impedances within the period range of 10 - 50000 s were extracted to be used for 3-D inversions with the ModEM code using the standard NLCG algorithm. The resulting lithospheric electrical structure of the Tibetan Plateau shows a distinct pattern of strong variation not only vertically, but also horizontally. Conductors are found to be widespread in the middle to lower crust. But their geometries are quite complex, and not obviously consistent with the hypothesis of continuous eastward channel flow. Instead, most crustal conductors in central and southern Tibet display a pattern of N-S extension. In the depth range of the upper mantle, two more conductive regions can be identified in the southern Qiangtang Terrane and in the central Lhasa Terrane. Resistor associated with the underthrust Inidan plate can be traced beneath the Bangong-Nujiang suture in western Tibet, but only beneath the central Lhasa terrane in central Tibet. * This work was jointly supported by the grants from Project SinoProbe-01 and National Natural Science Foundation of China (41404060).

Continental collision with a sandwiched accreted terrane: Insights into Himalayan-Tibetan lithospheric mantle tectonics?

NASA Astrophysics Data System (ADS)

Kelly, Sean; Butler, Jared P.; Beaumont, Christopher

2016-12-01

Many collisional orogens contain exotic terranes that were accreted to either the subducting or overriding plate prior to terminal continent-continent collision. The ways in which the physical properties of these terranes influence collision remain poorly understood. We use 2D thermomechanical finite element models to examine the effects of prior 'soft' terrane accretion to a continental upper plate (retro-lithosphere) on the ensuing continent-continent collision. The experiments explore how the style of collision changes in response to variations in the density and viscosity of the accreted terrane lithospheric mantle, as well as the density of the pro-lithospheric mantle, which determines its propensity to subduct or compress the accreted terrane and retro-lithosphere. The models evolve self-consistently through several emergent phases: breakoff of subducted oceanic lithosphere; pro-continent subduction; shortening of the retro-lithosphere accreted terrane, sometimes accompanied by lithospheric delamination; and, terminal underthrusting of pro-lithospheric mantle beneath the accreted terrane crust or mantle. The modeled variations in the properties of the accreted terrane lithospheric mantle can be interpreted to reflect metasomatism during earlier oceanic subduction beneath the terrane. Strongly metasomatized (i.e., dense and weak) mantle is easily removed by delamination or entrainment by the subducting pro-lithosphere, and facilitates later flat-slab underthrusting. The models are a prototype representation of the Himalayan-Tibetan orogeny in which there is only one accreted terrane, representing the Lhasa terrane, but they nonetheless exhibit processes like those inferred for the more complex Himalayan-Tibetan system. Present-day underthrusting of the Tibetan Plateau crust by Indian mantle lithosphere requires that the Lhasa terrane lithospheric mantle has been removed. Some of the model results support previous conceptual interpretations that Tibetan lithospheric mantle was removed by convective coupling to the pro-lithosphere. They can also be interpreted to suggest that delamination beneath Tibet was facilitated by densification and weakening of the plateau lithosphere, perhaps owing to long-lived pre- to syn-collisional subduction-related metasomatism beneath the Asian margin.

Velocity and Attenuation Structure of the Tibetan Lithosphere using Seismic Attributes of P-waves from Regional Earthquakes Recorded by the Hi-CLIMB Array

NASA Astrophysics Data System (ADS)

Nowack, R. L.; Bakir, A. C.; Griffin, J.; Chen, W.; Tseng, T.

2010-12-01

Using data from regional earthquakes recorded by the Hi-CLIMB array in Tibet, we utilize seismic attributes from crustal and Pn arrivals to constrain the velocity and attenuation structure in the crust and the upper mantle in central and western Tibet. The seismic attributes considered include arrival times, Hilbert envelope amplitudes, and instantaneous as well as spectral frequencies. We have constructed more than 30 high-quality regional seismic profiles, and of these, 10 events have been selected with excellent crustal and Pn arrivals for further analysis. Travel-times recorded by the Hi-CLIMB array are used to estimate the large-scale velocity structure in the region, with four near regional events to the array used to constrain the crustal structure. The travel times from the far regional events indicate that the Moho beneath the southern Lhasa terrane is up to 75 km thick, with Pn velocities greater than 8 km/s. In contrast, the data sampling the Qiangtang terrane north of the Bangong-Nujiang (BNS) suture shows thinner crust with Pn velocities less than 8 km/s. Seismic amplitude and frequency attributes have been extracted from the crustal and Pn wave trains, and these data are compared with numerical results for models with upper-mantle velocity gradients and attenuation, which can strongly affect Pn amplitudes and pulse frequencies. The numerical modeling is performed using the complete spectral element method (SEM), where the results from the SEM method are in good agreement with analytical and reflectivity results for different models with upper-mantle velocity gradients. The results for the attenuation modeling in Tibet imply lower upper mantle Q values in the Qiangtang terrane to the north of the BNS compared to the less attenuative upper mantle beneath the Lhasa terrane to the south of the BNS.

Increased vital and total lung capacities in Tibetan compared to Han residents of Lhasa (3,658 m).

PubMed

Droma, T; McCullough, R G; McCullough, R E; Zhuang, J G; Cymerman, A; Sun, S F; Sutton, J R; Moore, L G

1991-11-01

Larger chest dimensions and lung volumes have been reported for Andean high-altitude natives compared with sea-level residents and implicated in raising lung diffusing capacity. Studies conducted in Nepal suggested that lifelong Himalayan residents did not have enlarged chest dimensions. To determine if high-altitude Himalayans (Tibetans) had larger lung volumes than acclimatized newcomers (Han "Chinese"), we studied 38 Tibetan and 43 Han residents of Lhasa, Tibet Autonomous Region, China (elevation 3,658 m) matched for age, height, weight, and smoking history. The Tibetan compared with the Han subjects had a larger total lung capacity [6.80 +/- 0.19 (mean +/- SEM) vs 6.24 +/- 0.18 l BTPS, P less than 0.05], vital capacity (5.00 +/- 0.08 vs 4.51 +/- 0.10 1 BTPS, P less than 0.05), and tended to have a greater residual volume (1.86 +/- 0.12 vs 1.56 +/- 0.09 1 BTPS, P less than 0.06). Chest circumference was greater in the Tibetan than the Han subjects (85 +/- 1 vs 82 +/- 1 cm, P less than 0.05) and correlated with vital capacity in each group as well as in the two groups combined (r = 0.69, P less than 0.05). Han who had migrated to high altitude as children (less than or equal to 5 years old, n = 6) compared to Han adult migrants (greater than or equal to 18 years old, n = 26) were shorter but had similar lung volumes and capacities when normalized for body size. The Tibetans' vital capacity and total lung capacity in relation to body size were similar to values reported previously for lifelong residents of high altitude in South and North America. Thus, Tibetans, like North and South American high-altitude residents, have larger lung volumes. This may be important for raising lung diffusing capacity and preserving arterial oxygen saturation during exercise.

Constraining the India-Asia collision by retrieving the paleolatitude from partially remagnetized Paleogene volcanics in the Nanmulin Basin (southern Tibet)

NASA Astrophysics Data System (ADS)

Huang, Wentao; Dupont-Nivet, Guillaume; van Hinsbergen, Douwe; Lippert, Peter; Dekkers, Mark; Guo, Zhaojie; Li, Xiaochun; Zhang, Xiaoran

2014-05-01

Determining paleolatitudes of the Lhasa terrane (southern Tibet) using paleomagnetic inclinations is key to constraining the paleogeography and timing of the collision between India and Asia. However, paleolatitude estimates vary widely from 5°N to 30°N due to unrecognized rock magnetic biases such as inclination shallowing in sedimentary rocks or poor averaging of secular variation in volcanic rocks. Here, we investigated Paleogene volcanics of the Linzizong Group from southern Tibet in the Nanmulin Basin that had previously yielded low paleomagnetic inclinations ca. 10°N. Using proper paleomagnetic sampling and measurement protocols we observe similar shallow inclinations. However, sampled sections with different bedding attitudes yield a negative fold test indicating that the isolated remanent magnetizations do not have a primary origin. Detailed rock magnetic analysis, end-member modeling, and petrographic investigation reveal that most of the section has been variably remagnetized due to low-temperature alteration of magmatic titanomagnetite and formation of secondary hematite, which occurred after tilting of the strata. We show that the observed paleomagnetic inclinations vary according to a linear trend with the degree of remagnetization. Accordingly, we can estimate that the primary pre-tilting thermoremanent magnetization has an inclination of 38.1° ([35.7°, 40.5°] within 95% confidence limit), corresponding to a paleolatitude of 21.4° ([19.8°, 23.1°] within 95% confidence limit). This is consistent with results from pristine volcanic units and inclination-shallowing corrected sediments of the upper Linzizong Group ~200 km to the east [Dupont-Nivet et al., Geophysical Journal International, 182, 1189-1198; Huang et al., Geophysical Journal International, 194, 1390-1411]. Our results demonstrate that previously reported low paleolatitudes of the Lhasa terrane can be an artifact of unrecognized remagnetization. Furthermore, we show that original paleolatitudes can be recovered from partially remagnetized volcanics. Collectively, these results suggest that the India-Asia collision began at ~20°N by 45-55 Ma.

Subclinical thyroid disorders and cognitive performance among adolescents in the United States.

PubMed

Wu, Tiejian; Flowers, Joanne W; Tudiver, Fred; Wilson, Jim L; Punyasavatsut, Natavut

2006-04-19

Thyroid hormone plays a crucial role in the growth and function of the central nervous system. The purpose of the study was to examine the relationships between the status of subclinical thyroid conditions and cognition among adolescents in the United States. Study sample included 1,327 adolescents 13 to 16 years old who participated in the Third National Health and Nutrition Examination Survey (NHANES III). Serum thyroxine (T4) and thyroid stimulating hormone (TSH) were measured and subclinical hypothyroidism, subclinical hyperthyroidism, and euthyroid groups were defined. Cognitive performance was assessed using the subscales of the Wide Range Achievement Test-Revised (WRAT-R) and the Wechsler Intelligence Scale for Children-Revised (WISC-R). The age-corrected scaled scores for arithmetic, reading, block design, and digit span were derived from the cognitive assessments. Subclinical hypothyroidism was found in 1.7% and subclinical hyperthyroidism was found in 2.3% of the adolescents. Cognitive assessment scores on average tended to be lower in adolescents with subclinical hyperthyroidism and higher in those with subclinical hypothyroidism than the score for the euthyroid group. Adolescents with subclinical hypothyroidism had significantly better scores in block design and reading than the euthyroid subjects even after adjustment for a number of variables including sex, age, and family income level. Subclinical hypothyroidism was associated with better performance in some areas of cognitive functions while subclinical hyperthyroidism could be a potential risk factor.

Application of Lean Sigma to the Audiology Clinic at a Large Academic Center.

PubMed

Huddle, Matthew G; Tirabassi, Amy; Turner, Laurie; Lee, Emily; Ries, Kathryn; Lin, Sandra Y

2016-04-01

To apply Lean Sigma--a quality improvement strategy to eliminate waste and reduce variation and defects--to improve audiology scheduling and utilization in a large tertiary care referral center. The project goals included an increase in utilization rates of audiology block time and a reduction in appointment lead time. Prospective quality improvement study. Academic tertiary care center. All patients scheduling audiology clinic visits July 2013 to July 2014. Value stream mapping was performed for the audiology scheduling process, and wasteful steps were identified for elimination. Interventions included a 2-week block release, audiology template revision, and reduction of underutilized blocks. Schedule utilization and lead time for new patient diagnostic audiogram were measured for 5 months postintervention and compared with 5 months preintervention. Overall, 2995 preintervention and 3714 postintervention booked appointments were analyzed. Block utilization increased from 77% to 90% after intervention (P < .0001). Utilization of joint-with-provider visits increased from 39% to 67% (P < .0001). Booked appointments increased from 2995 to 3714, with joint-with-provider booked appointments increasing from 317 to 1193. Appointment lead time averaged 24 days postintervention, compared with 29 days preintervention (P = .06). Average monthly relative value units measured 13,321 preintervention and 14,778 postintervention (P = .09). Lean Sigma techniques were successfully used to increase appointment block utilization and streamline scheduling practices. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2016.

Tibetan Magmatism Database

NASA Astrophysics Data System (ADS)

Chapman, James B.; Kapp, Paul

2017-11-01

A database containing previously published geochronologic, geochemical, and isotopic data on Mesozoic to Quaternary igneous rocks in the Himalayan-Tibetan orogenic system are presented. The database is intended to serve as a repository for new and existing igneous rock data and is publicly accessible through a web-based platform that includes an interactive map and data table interface with search, filtering, and download options. To illustrate the utility of the database, the age, location, and ɛHft composition of magmatism from the central Gangdese batholith in the southern Lhasa terrane are compared. The data identify three high-flux events, which peak at 93, 50, and 15 Ma. They are characterized by inboard arc migration and a temporal and spatial shift to more evolved isotopic compositions.

Synthesis of 6-Substituted-2,4-Diamino-5,6,7,8-Tetrahydropyrimido (4-5-d) Pyrimidines. Revised.

DTIC Science & Technology

1981-07-01

SUPPLEMENTARY NOTES IS. KEY WOROSIUXau on avere aide Inocoeay end Identity by block acemb.,) Tetrahydropyrimido (4,!:-d) pyrimidines Phenylethylamines ...not see continuation of further members of the original target compounds as cost effective . Because of extreme dif- ficulties and time-consuming...have shown significant activity are the 4-Cl (3), 3,4-C1 2 (3,4) and CF3 (5). Spacers such as the Y = -CH2- (6) were also reported to be effective

Naval Justice School Procedure Study Guide. Revision

DTIC Science & Technology

1990-01-01

preferring charges. The preferral of charges is accomplished by the signing and swearing to charges in Block 11 on page 1 of the charge sheet (DD Form 458...by the Naval Investigative Service (NIS) or similar agency; or upon receipt of signed and sworn charges (i.e., preferred charges on DD Form 458). 2-1 4...imcludiag. if loppropriatte in tkv astolrsoa# of joistiro sod 4.. ap4.e. the preferring of such charges alt app..? to yes to be mssimed by expected

Bupivacaine (Marcaine): an evaluation of its tissue and systemic toxicity in humans.

PubMed

Moore, D C; Mather, L E; Bridenbaugh, L D; Thompson, G E; Balfour, R I; Lysons, D F; Horton, W G

1977-01-01

In countries other than the U.S.A., dosages of bupivacaine have been limited to 100 mg without epinephrine and 150 mg with epinephrine. A review of 7,688 regional block procedures employing bupivacaine in concentrations of 0.25, 0.5, and 0.75%, and in dosages as high as 600 mg, indicated that such stringent restrictions: (1) are unwarranted, (2) make comparisons with other local anesthetic agents difficult, and (3) are in need of revision.

Failure to Identify Borrelia burgdorferi in Southern California Ticks by DNA Amplification

DTIC Science & Technology

1993-01-01

reverse if necessary and identify by block, number) F;Et.D . &P SUB-GROUP ric..ettsial diseases, Lyme borreliosis , polymerase chain re on, I~~ I...DNA sequences of B. bur~dorfrri (as a positiv e control. B. burg- would be useful in assessino the risk of Lyme borreliosis in ex- dorferi alone was...vector. %%ell-documnented cases of Lyme borreliosis remain to the revised Centers for Disease Control and Prevention case rare in southern California

Multi-ligament instability after early dislocation of a primary total knee replacement - case report.

PubMed

Sisak, Krisztian; Lloyd, John; Fiddian, Nick

2011-01-01

Peripheral nerve blocks have found increased popularity in providing prolonged post-operative analgesia following total knee replacement surgery. They generally provide effective analgesia with fewer complications than epidurals. This report describes an acute low-energy knee dislocation after a well balanced, fixed bearing, cruciate-retaining primary total knee replacement performed under a spinal anaesthetic with combined complimentary femoral and sciatic nerve blocks. The dislocation was not accompanied by neurovascular compromise. Due to the subsequent instability and injury to both collaterals, the posterior cruciate ligament and posterolateral corner structures, the knee was treated with a rotating-hinge revision total knee replacement. The dislocation occurred whilst the peripheral nerve blocks (PNB) were still working. We review our incidence of PNB related complications and conclude that PNB remain a safe and effective analgesia for total knee replacements. However, we advocate that ward staff and patients should be sufficiently educated to ensure that unaided post-operative mobilisation is prevented until such a time that patients have regained complete voluntary muscle control. Copyright © 2009 Elsevier B.V. All rights reserved.

Restructuring a basic science course for core competencies: an example from anatomy teaching.

PubMed

Gregory, Jeremy K; Lachman, Nirusha; Camp, Christopher L; Chen, Laura P; Pawlina, Wojciech

2009-09-01

Medical schools revise their curricula in order to develop physicians best skilled to serve the public's needs. To ensure a smooth transition to residency programs, undergraduate medical education is often driven by the six core competencies endorsed by the Accreditation Council for Graduate Medical Education (ACGME): patient care, medical knowledge, practice-based learning, interpersonal skills, professionalism, and systems-based practice. Recent curricular redesign at Mayo Medical School provided an opportunity to restructure anatomy education and integrate radiology with first-year gross and developmental anatomy. The resulting 6-week (120-contact-hour) human structure block provides students with opportunities to learn gross anatomy through dissection, radiologic imaging, and embryologic correlation. We report more than 20 educational interventions from the human structure block that may serve as a model for incorporating the ACGME core competencies into basic science and early medical education. The block emphasizes clinically-oriented anatomy, invites self- and peer-evaluation, provides daily formative feedback through an audience response system, and employs team-based learning. The course includes didactic briefing sessions and roles for students as teachers, leaders, and collaborators. Third-year medical students serve as teaching assistants. With its clinical focus and competency-based design, the human structure block connects basic science with best-practice clinical medicine.

Using noble gas tracers to constrain a groundwater flow model with recharge elevations: A novel approach for mountainous terrain

USGS Publications Warehouse

Doyle, Jessica M.; Gleeson, Tom; Manning, Andrew H.; Mayer, K. Ulrich

2015-01-01

Environmental tracers provide information on groundwater age, recharge conditions, and flow processes which can be helpful for evaluating groundwater sustainability and vulnerability. Dissolved noble gas data have proven particularly useful in mountainous terrain because they can be used to determine recharge elevation. However, tracer-derived recharge elevations have not been utilized as calibration targets for numerical groundwater flow models. Herein, we constrain and calibrate a regional groundwater flow model with noble-gas-derived recharge elevations for the first time. Tritium and noble gas tracer results improved the site conceptual model by identifying a previously uncertain contribution of mountain block recharge from the Coast Mountains to an alluvial coastal aquifer in humid southwestern British Columbia. The revised conceptual model was integrated into a three-dimensional numerical groundwater flow model and calibrated to hydraulic head data in addition to recharge elevations estimated from noble gas recharge temperatures. Recharge elevations proved to be imperative for constraining hydraulic conductivity, recharge location, and bedrock geometry, and thus minimizing model nonuniqueness. Results indicate that 45% of recharge to the aquifer is mountain block recharge. A similar match between measured and modeled heads was achieved in a second numerical model that excludes the mountain block (no mountain block recharge), demonstrating that hydraulic head data alone are incapable of quantifying mountain block recharge. This result has significant implications for understanding and managing source water protection in recharge areas, potential effects of climate change, the overall water budget, and ultimately ensuring groundwater sustainability.

Modelling of terrain-induced advective flow in Tibet: Implications for assessment of crustal heat flow

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

Hochstein, M.P.; Yang Zhongke

1992-01-01

In steep terrain the effect of advective flow can be significant, as it can distort the temperature field in the upper brittle crust. The effect was studied by modeling advective flow across a large valley system in Tibet which is associated with several geothermal hot spring systems, the Yanbajing Valley. It was found that, in this setting, all near-surface temperature gradients are significantly disturbed, attaining values differing by up to half an order of magnitude from those resulting from conductive heat transfer. Allowing for advective effects, it was found that the crustal heat flux within the Himalayan Geothermal Belt liesmore » within the range of 60 to 90 mW/m{sup 2} in the Lhasa-Yanbajing area.« less

Estimates of interseismic deformation in Northeast India from GPS measurements

NASA Astrophysics Data System (ADS)

Jade, Sridevi; Mukul, Malay; Bhattacharyya, Anjan Kumar; Vijayan, M. S. M.; Jaganathan, Saigeetha; Kumar, Ashok; Tiwari, R. P.; Kumar, Arun; Kalita, S.; Sahu, S. C.; Krishna, A. P.; Gupta, S. S.; Murthy, M. V. R. L.; Gaur, V. K.

2007-11-01

Estimates of interseismic deformation in northeastern India based on GPS measurements at eight permanent stations (2003-2006) and six campaign sites (1997-2006) are presented here. The Euler pole of rotation of Indian tectonic plate in ITRF2000 determined from the present data set is located at 51.7 ± 0.5 °N, - 15.1 ± 1.5 °E with angular velocity of 0.469 ± 0.01 Myr - 1 . The results show that there is a statistically insignificant present-day active deformation within the Shillong Plateau and in the foreland spur north of the plateau in the Brahmaputra valley. Convergence rate of the northeastern GPS sites with respect to the IGS station Lhasa along baselines that are normal to the Himalayan arc in this region is 16 ± 0.5 mm/yr. This represents the arc-normal Indo-Eurasian convergence rate across the northeastern boundary, similar to arc-normal convergence rates determined in central Nepal along the Himalayan arc. However, unlike central Nepal, in the Arunachal Himalaya the 16 mm/yr shortening is distributed between the Lesser as well as Higher and Tethyan Himalayas. Baselines between sites on the Indo-Burmese Fold and Thrust Belt (IBFTB) and Shillong Plateau indicate variations in the shortening rate from 1.5 mm/yr on the Tripura-Mizoram salient (TRS) south of the plateau, to 6 mm/yr in the Imphal Recess (IR) to the east and 8 mm/yr in Naga salient (NS) to the northeast. This suggests that the deformation in the IBFTB is segmented into N-S blocks along E-W transverse zones exhibiting dextral slip between NS-IR and sinistral slip between IR and TRS. Baselines between the IBFTB sites also show 10 ± 0.6 mm/yr convergence pointing to the existence of an active transverse zone between Aizawl and Imphal.

Along the way to developing a theory of the program: a re-examination of the conceptual framework as an organizing strategy.

PubMed

Helitzer, Deborah L; Sussman, Andrew L; Hoffman, Richard M; Getrich, Christina M; Warner, Teddy D; Rhyne, Robert L

2014-08-01

Conceptual frameworks (CF) have historically been used to develop program theory. We re-examine the literature about the role of CF in this context, specifically how they can be used to create descriptive and prescriptive theories, as building blocks for a program theory. Using a case example of colorectal cancer screening intervention development, we describe the process of developing our initial CF, the methods used to explore the constructs in the framework and revise the framework for intervention development. We present seven steps that guided the development of our CF: (1) assemble the "right" research team, (2) incorporate existing literature into the emerging CF, (3) construct the conceptual framework, (4) diagram the framework, (5) operationalize the framework: develop the research design and measures, (6) conduct the research, and (7) revise the framework. A revised conceptual framework depicted more complicated inter-relationships of the different predisposing, enabling, reinforcing, and system-based factors. The updated framework led us to generate program theory and serves as the basis for designing future intervention studies and outcome evaluations. A CF can build a foundation for program theory. We provide a set of concrete steps and lessons learned to assist practitioners in developing a CF. Copyright © 2014 Elsevier Ltd. All rights reserved.

Paleomagnetic results from the Early Cretaceous Lakang Formation lavas: Constraints on the paleolatitude of the Tethyan Himalaya and the India-Asia collision

NASA Astrophysics Data System (ADS)

Yang, Tianshui; Ma, Yiming; Bian, Weiwei; Jin, Jingjie; Zhang, Shihong; Wu, Huaichun; Li, Haiyan; Yang, Zhenyu; Ding, Jikai

2015-10-01

To better constrain the Early Cretaceous paleogeographic position of the Tethyan Himalaya and the India-Asia collision process, a paleomagnetic study was performed on the Lakang Formation lava flows in the Cuona area in the southeastern Tethyan Himalaya. Stepwise thermal and alternating field demagnetizations successfully isolated reliable characteristic remanent magnetization (ChRM) directions that include antipodal dual polarities and pass positive fold tests at the 99% confidence level and reversal tests at 95% confidence level, indicating prefolding primary magnetizations. The distribution patterns of ChRM directions from the Lakang Formation lava flows are consistent with young lava flows at similar latitudes, suggesting that secular variation has likely been averaged out. The tilt-corrected site-mean direction for 31 sites is D = 261.6 °, I = - 68.5 ° with α95 = 3.6 °, which provides a paleopole at 26.8°S, 315.2°E (A95 = 5.7 °), corresponding to a paleolatitude of 52.2 ° ± 5.7 °S for the study area. Comparison of the paleolatitude observed from the Lakang Formation lava flows with that expected from the apparent polar wander paths of India at 130 Ma show a paleolatitude difference of ∼2.1° (∼230 km), indicating that neither a great north-south continental crustal shortening occurred between the Indian craton and the Tethyan Himalaya after 130 Ma, nor that a wide ocean separated them at that time. Comparison with reliable Cretaceous-Paleocene paleomagnetic results observed from the Tethyan Himalaya and the Lhasa terrane indicates that the latitudinal width of the Neo-Tethyan Ocean could have been up to ∼7000 km at 134-130 Ma and an extension should have existed between the Indian craton and the Tethyan Himalaya during the Late Cretaceous and Paleocene. Furthermore, reliable paleomagnetic results suggest that the India-Asia collision was a dual-collision process, consisting of a first collision of the Tethyan Himalaya with the Lhasa terrane (Asia) at 54.9 ± 2.3 Ma and a final continent-continent collision of the Indian craton with the Tethyan Himalaya at 40.0 ± 3.3 Ma.

Post-peak metamorphic evolution of the Sumdo eclogite from the Lhasa terrane of southeast Tibet

NASA Astrophysics Data System (ADS)

Cao, Dadi; Cheng, Hao; Zhang, Lingmin; Wang, Ke

2017-08-01

A reconstruction of the pressure-temperature-time (P-T-t) path of high-pressure eclogite-facies rocks in subduction zones may reveal important information about the tectono-metamorphic processes that occur at great depths along the plate interface. The majority of studies have focused on prograde to peak metamorphism of these rocks, whereas after-peak metamorphism has received less attention. Herein, we present a detailed petrological, pseudosection modeling and radiometric dating study of a retrograded eclogite sample from the Sumdo ultrahigh pressure belt of the Lhasa terrane, Tibet. Mineral chemical variations, textural discontinuities and thermodynamic modeling suggest that the eclogite underwent an exhumation-heating period. Petrographic observations and phase equilibria modeling suggest that the garnet cores formed at the pressure peak (∼2.5 GPa and ∼520 °C) within the lawsonite eclogite-facies and garnet rims (∼1.5 GPa and <650 °C) grew during post-peak amphibole eclogite-facies metamorphism. The metamorphic evolution of the Sumdo eclogite is characterized by a clockwise P-T path with a heating stage during early exhumation, a finding that conflicts with previously reported heating-compression P-T paths for the Sumdo eclogite. A garnet-whole rock Lu-Hf age of 266.6 ± 0.7 Ma, which is consistent with the loosely constrained zircon U-Pb age of 261 ± 15 Ma within uncertainty, was obtained for the sample. The peak metamorphic temperature of the sample is lower than the Lu-Hf closure temperature of garnet, which combined with the general core-to-rim decrease in the Mn and Lu concentrations and the occurrence of a second maximum Lu peak in the inner rim, is consistent with the Lu-Hf system skewing to the age of the garnet inner rim. Thus the Lu-Hf age likely reflects late eclogite-facies metamorphism. The new U-Pb and Lu-Hf ages, together with previously published radiometric dating results, suggest that the overall growth of garnet spans an interval of ∼7 million years, which is a minimum estimate of the duration of the eclogite-facies metamorphism of the Sumdo eclogite.

Temperature, hospital admissions and emergency room visits in Lhasa, Tibet: a time-series analysis.

PubMed

Bai, Li; Cirendunzhu; Woodward, Alistair; Dawa; Zhaxisangmu; Chen, Bin; Liu, Qiyong

2014-08-15

Tibet of China, with an average altitude of over 4000 m, has experienced noticeable changes in its climate over the last 50 years. The association between temperature and morbidity (most commonly represented by hospital admissions) has been documented mainly in developed countries. Little is known about patterns in China; nor have the health effects of temperature variations been closely studied in highland areas, worldwide. We investigated the temperature-morbidity association in Lhasa, the capital city of Tibet, using sex- and age-specific hospitalizations, excluding those due to external causes. A distributed lag non-linear model (DLNM) was applied to assess the nonlinear and delayed effects of temperature on morbidity (including total emergency room visits, total and cause-specific hospital admissions, sex- and age-specific non-external admissions). High temperatures are associated with increases in morbidity, to a greater extent than low temperatures. Lag effects of high and low temperatures were cause-specific. The relative risks (RR) of high temperature for total emergency room visits and non-external hospitalizations were 1.162 (95% CI: 1.002-1.349) and 1.161 (95% CI: 1.007-1.339) respectively, for lag 0-14 days. The strongest cumulative effect of heat for lag 0-27 days was on admissions for infectious diseases (RR: 2.067, 95% CI: 1.026-4.027). Acute heat effects at lag 0 were related with increases of renal (RR: 1.478, 95% CI: 1.005-2.174) and respiratory diseases (RR: 1.119, 95% CI: 1.010-1.240), whereas immediate cold effects increased admission for digestive diseases (RR: 1.132, 95% CI: 1.002-1.282). Those ≥65 years of age and males were more vulnerable to high temperatures. We provide a first look at the temperature-morbidity relationship in Tibet. Exposure to both hot and cold temperatures resulted in increased admissions to hospital, but the immediate causes varied. We suggest that initiatives should be taken to reduce the adverse effects of temperature extremes in Tibet. Copyright © 2014. Published by Elsevier B.V.

Effect of education on listening comprehension of sentences on healthy elderly: analysis of number of correct responses and task execution time.

PubMed

Silagi, Marcela Lima; Rabelo, Camila Maia; Schochat, Eliane; Mansur, Letícia Lessa

2017-11-13

To analyze the effect of education on sentence listening comprehension on cognitively healthy elderly. A total of 111 healthy elderly, aged 60-80 years of both genders were divided into two groups according to educational level: low education (0-8 years of formal education) and high education (≥9 years of formal education). The participants were assessed using the Revised Token Test, an instrument that supports the evaluation of auditory comprehension of orders with different working memory and syntactic complexity demands. The indicators used for performance analysis were the number of correct responses (accuracy analysis) and task execution time (temporal analysis) in the different blocks. The low educated group had a lower number of correct responses than the high educated group on all blocks of the test. In the temporal analysis, participants with low education had longer execution time for commands on the first four blocks related to working memory. However, the two groups had similar execution time for blocks more related to syntactic comprehension. Education influenced sentence listening comprehension on elderly. Temporal analysis allowed to infer over the relationship between comprehension and other cognitive abilities, and to observe that the low educated elderly did not use effective compensation strategies to improve their performances on the task. Therefore, low educational level, associated with aging, may potentialize the risks for language decline.

Aerial multi-camera systems: Accuracy and block triangulation issues

NASA Astrophysics Data System (ADS)

Rupnik, Ewelina; Nex, Francesco; Toschi, Isabella; Remondino, Fabio

2015-03-01

Oblique photography has reached its maturity and has now been adopted for several applications. The number and variety of multi-camera oblique platforms available on the market is continuously growing. So far, few attempts have been made to study the influence of the additional cameras on the behaviour of the image block and comprehensive revisions to existing flight patterns are yet to be formulated. This paper looks into the precision and accuracy of 3D points triangulated from diverse multi-camera oblique platforms. Its coverage is divided into simulated and real case studies. Within the simulations, different imaging platform parameters and flight patterns are varied, reflecting both current market offerings and common flight practices. Attention is paid to the aspect of completeness in terms of dense matching algorithms and 3D city modelling - the most promising application of such systems. The experimental part demonstrates the behaviour of two oblique imaging platforms in real-world conditions. A number of Ground Control Point (GCP) configurations are adopted in order to point out the sensitivity of tested imaging networks and arising block deformations. To stress the contribution of slanted views, all scenarios are compared against a scenario in which exclusively nadir images are used for evaluation.

Isotopic, geochemical, and temporal characterization of Proterozoic basement rocks in the Quitovac region, northwestern Sonora, Mexico: Implications for the reconstruction of the southwestern margin of Laurentia

USGS Publications Warehouse

Iriondo, A.; Premo, W.R.; Martínez-Torres, Luis M.; Budahn, J.R.; Atkinson, William W.; Siems, D.F.; Guaras-Gonzalez, B.

2004-01-01

A detailed geochemical characterization of 19 representative Proterozoic basement rocks in the Quitovac region in northwestern Sonora, Mexico, has identified two distinct Paleoproterozoic basement blocks that coincide spatially with the previously proposed Caborca and "North America" blocks. New U-Pb zircon geochronology revises their age ranges, the Caborca (1.78-1.69 Ga) and "North America" (1.71-1.66 Ga) blocks at Quitovac, and precludes a simple age differentiation between them. In addition, Grenvillian-age granitoids (ca. 1.1 Ga), spatially associated with the Caborca block have been identified at Quitovac. Nd isotopes and major- and trace-element geochemistry support the distinction of these Paleoproterozoic blocks. Granitoids of the "North America" block are characterized by depleted ??Nd values (3.4-3.9) and younger Nd model ages (1800-1740 Ma) and have lower K2O, Y, Rb, Ba, Th, REE, and Fe/Mg values than coeval rocks of the Caborca block. The Caborca block granitoids are likewise characterized by slightly less depleted ??Nd (0.6-2.6) and older Nd model ages (2070-1880 Ma). Despite the subtle differences, granitoids from both the Caborca and "North America" blocks exhibit island arc-like affinities. We propose that the Proterozoic basement rocks from the Quitovac region are an extension of the Proterozoic crustal provinces in the southwestern United States. Specifically, rocks of the Caborca block exhibit an affinity to rocks of either the Yavapai province or the Mojave-Yavapai transition zone, whereas rocks of the "North America" block have signatures similar to those of the Mazatzal province or possibly the Yavapai province of Arizona. The new isotopic ages and geochemical data do not support the existence of the Late Jurassic Mojave-Sonora megashear at Quitovac, as originally proposed. However, the Quitovac region accounts only for a small fraction of the Proterozoic basement in Sonora, so these findings do not eliminate the possibility of a megashear elsewhere in northern Sonora. Our new data create the possibility of alternative hypotheses for the distribution of Paleoproterozoic crustal provinces in southwestern North America that affect reconstructions of the original southwestern margin of Laurentia, and reduce uncertainties in the configuration, timing, and existence of the Proterozoic supercontinent, Rodinia.

Teaching clinically relevant dental anatomy in the dental curriculum: description and assessment of an innovative module.

PubMed

Obrez, Ales; Briggs, Charlotte; Buckman, James; Goldstein, Loren; Lamb, Courtney; Knight, William G

2011-06-01

The primary objective of the preclinical dental anatomy course in the predoctoral dental curriculum is to introduce students to cognitive and psychomotor skills related to the morphology and spatial and functional relationships of human dentition. Traditionally, didactic content for the subject is found in textbooks and course manuals and summarized by the faculty in lectures to the entire class. Psychomotor skills associated with recognition and reproduction of tooth morphology are traditionally learned by examining preserved tooth specimens and their cross-sections, combined with producing two-dimensional line drawings and carving teeth from wax blocks. These activities have little direct clinical application. In most cases, students are passive in the learning process, and assessment of student performance is unilateral and subjective. A recently revised dental anatomy module at the University of Illinois at Chicago College of Dentistry integrates independent class preparation with active small-group discussion and patient scenario-based wax-up exercises to replace missing tooth structure on manikin teeth. The goal of the revision is to shift emphasis away from decontextualized technical learning toward more active and clinically applicable learning that improves conceptual understanding while contributing to early acquisition of psychomotor skills. This article describes the rationale, components, and advantages of the revised module and presents a pre-post comparison of student learning outcomes for three class cohorts (N=203).

Visuospatial characteristics of an elderly Chinese population: results from the WAIS-R block design test.

PubMed

Yin, Shufei; Zhu, Xinyi; Huang, Xin; Li, Juan

2015-01-01

Visuospatial deficits have long been recognized as a potential predictor of dementia, with visuospatial ability decline having been found to accelerate in later stages of dementia. We, therefore, believe that the visuospatial performance of patients with mild cognitive impairment (MCI) and dementia (Dem) might change with varying visuospatial task difficulties. This study administered the Wechsler Adult Intelligence Scale-Revised (WAIS-R) Block Design Test (BDT) to determine whether visuospatial ability can help discriminate between MCI patients from Dem patients and normal controls (NC). Results showed that the BDT could contribute to the discrimination between MCI and Dem. Specifically, simple BDT task scores could best distinguish MCI from Dem patients, while difficult BDT task scores could contribute to discriminating between MCI and NC. Given the potential clinical value of the BDT in the diagnosis of Dem and MCI, normative data stratified by age and education for the Chinese elderly population are presented for use in research and clinical settings.

Is Active Tectonics on Madagascar Consistent with Somalian Plate Kinematics?

NASA Astrophysics Data System (ADS)

Stamps, D. S.; Kreemer, C.; Rajaonarison, T. A.

2017-12-01

The East African Rift System (EARS) actively breaks apart the Nubian and Somalian tectonic plates. Madagascar finds itself at the easternmost boundary of the EARS, between the Rovuma block, Lwandle plate, and the Somalian plate. Earthquake focal mechanisms and N-S oriented fault structures on the continental island suggest that Madagascar is experiencing east-west oriented extension. However, some previous plate kinematic studies indicate minor compressional strains across Madagascar. This inconsistency may be due to uncertainties in Somalian plate rotation. Past estimates of the rotation of the Somalian plate suffered from a poor coverage of GPS stations, but some important new stations are now available for a re-evaluation. In this work, we revise the kinematics of the Somalian plate. We first calculate a new GPS velocity solution and perform block kinematic modeling to evaluate the Somalian plate rotation. We then estimate new Somalia-Rovuma and Somalia-Lwandle relative motions across Madagascar and evaluate whether they are consistent with GPS measurements made on the island itself, as well as with other kinematic indicators.

Inhibition of Protein Carbamylation in Urea Solution Using Ammonium Containing Buffers

PubMed Central

Sun, Shisheng; Zhou, Jian-Ying; Yang, Weiming; Zhang, Hui

2013-01-01

Urea solution is one of the most commonly employed protein denaturants for protease digestion in proteomic studies. However, it has long been recognized that urea solution can cause carbamylation at the N-termini of proteins/peptides and at the side chain amino groups of lysine and arginine residues. Protein/peptide carbamylation blocks protease digestion and affects protein identification and quantification in mass spectrometry analysis by blocking peptide amino groups from isotopic/isobaric labeling and changing peptide charge states, retention times and masses. In addition, protein carbamylation during sample preparation makes it difficult to study in vivo protein carbamylation. In this study, we compared the peptide carbamylation in urea solutions of different buffers and found that ammonium containing buffers were the most effective buffers to inhibit protein carbamylation in urea solution. The possible mechanism of carbamylation inhibition by ammonium containing buffers is discussed, and a revised procedure for the protease digestion of proteins in urea and ammonium containing buffers was developed to facilitate its application in proteomic research. PMID:24161613

The influence of imagery capacity in motor performance improvement.

PubMed

Ruffino, Célia; Papaxanthis, Charalambos; Lebon, Florent

2017-10-01

Motor imagery (MI) training improves motor performance, but the inter-individual variability of this improvement remains still unexplored. In this study, we tested the influence of imagery ability on the performance improvement following MI training. Twenty participants were randomly distributed into the MI or control group. They actually performed, at pre- and post-test sessions, a revisited version of the Nine Hole Peg Test, a speed-accuracy trade-off task, commonly used in clinics. Between the tests, the MI group mentally trained on the task (5 blocks of 10 trials), while the control group watched a non-emotional documentary. Before and during MI training, we tested the imagery ability of the MI group, by the revised version of Movement Imagery Questionnaire and by the estimation of vividness for the movement task at each block (subjective evaluation-SE). In the post-test, the MI group significantly decreased the movement duration by -12.1 ± 5.7% (P < 0.001), whereas the control group did not (-2.68 ± 5%, P = 0.68). For the MI group, the percentage of improvement was correlated neither to the MIQ-R nor to the SE reported after block 1. However, we observed an evolution of the SE during training, with a positive correlation between performance improvement and SE at block 4 (R = 0.61, P = 0.03) and at block 5 (R = 0.68, P = 0.04). The current study shows that motor performance may be positively influenced, whilst not predicted, by the capacity to form vivid movement images throughout the mental training. These findings are of interest for clinical interventions using MI as a complementary rehabilitation tool.

Improving atlas methodology

USGS Publications Warehouse

Robbins, C.S.; Dowell, B.A.; O'Brien, J.

1987-01-01

We are studying a sample of Maryland (2 %) and New Hampshire (4 %) Atlas blocks and a small sample in Maine. These three States used different sampling methods and block sizes. We compare sampling techniques, roadside with off-road coverage, our coverage with that of the volunteers, and different methods of quantifying Atlas results. The 7 1/2' (12-km) blocks used in the Maine Atlas are satisfactory for coarse mapping, but are too large to enable changes to be detected in the future. Most states are subdividing the standard 7 1/2' maps into six 5-km blocks. The random 1/6 sample of 5-km blocks used in New Hampshire, Vermont (published 1985), and many other states has the advantage of permitting detection of some changes in the future, but the disadvantage of leaving important habitats unsampled. The Maryland system of atlasing all 1,200 5-km blocks and covering one out of each six by quarterblocks (2 1/2-km) is far superior if enough observers can be found. A good compromise, not yet attempted, would be to Atlas a 1/6 random sample of 5-km blocks and also one other carefully selected (non-random) block on the same 7 1/2' map--the block that would include the best sample of habitats or elevations not in the random block. In our sample the second block raised the percentage of birds found from 86% of the birds recorded in the 7 1/2' quadrangle to 93%. It was helpful to list the expected species in each block and to revise this list annually. We estimate that 90-100 species could be found with intensive effort in most Maryland blocks; perhaps 95-105 in New Hampshire. It was also helpful to know which species were under-sampled so we could make a special effort to search for these. A total of 75 species per block (or 75% of the expected species in blocks with very restricted habitat diversity) is considered a practical and adequate goal in these States. When fewer than 60 species are found per block, a high proportion of the rarer species are missed, as well as some of the common ones. Similarity indices based on fewer than 60 species per block reflect coverage rather than habitat affinities. Atlas blocks that are ecologically similar should have similarity indices (S) of at least 0.80 to be considered adequately covered. S = 2C/(A + B), where C is the number of species in common and A and B are species totals for each of the two blocks being compared. A series of 15 13-minutes roadside stops yielded more species than 15 off-road stops, but off-road stops always had some species not detected at the roadside stops. A series of timed stops is an excellent way to map relative abundance if the stops are standardized with respect to time of day and weather, and the counts are made by observers of comparable ability. Efforts to estimate Atlas block populations in powers of 10 (as in the French Atlas) have not gained acceptance in U.S.A. Most observers feel unqualified to make estimates. An efficient way to Atlas a block is to make at least 3 early morning visits to 15 or more specific stops. Arrive in the block early enough to check for nocturnal species on at least two days; and after completing the specific stops, search the block for other species and for confirmations.

Anatomical basis for sciatic nerve block at the knee level.

PubMed

Barbosa, Fabiano Timbó; Barbosa, Tatiana Rosa Bezerra Wanderley; da Cunha, Rafael Martins; Rodrigues, Amanda Karine Barros; Ramos, Fernando Wagner da Silva; de Sousa-Rodrigues, Célio Fernando

2015-01-01

Recently, administration of sciatic nerve block has been revised due to the potential benefit for postoperative analgesia and patient satisfaction after the advent of ultrasound. The aim of this study was to describe the anatomical relations of the sciatic nerve in the popliteal fossa to determine the optimal distance the needle must be positioned in order to realize the sciatic nerve block anterior to its bifurcation into the tibial and common fibular nerve. The study was conducted by dissection of human cadavers' popliteal fossa, fixed in 10% formalin, from the Laboratory of Human Anatomy and Morphology Departments of the Universidade Federal de Alagoas and Universidade de Ciências da Saúde de Alagoas. Access to the sciatic nerve was obtained. 44 popliteal fossa were analyzed. The bifurcation of the sciatic nerve in relation to the apex of the fossa was observed. There was bifurcation in: 67.96% below the apex, 15.90% above the apex, 11.36% near the apex, and 4.78% in the gluteal region. The sciatic nerve bifurcation to its branches occurs at various levels, and the chance to succeed when the needle is placed between 5 and 7 cm above the popliteal is 95.22%. Copyright © 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

[Anatomical basis for sciatic nerve block at the knee level].

PubMed

Barbosa, Fabiano Timbó; Barbosa, Tatiana Rosa Bezerra Wanderley; Cunha, Rafael Martins da; Rodrigues, Amanda Karine Barros; Ramos, Fernando Wagner da Silva; Sousa-Rodrigues, Célio Fernando de

2015-01-01

Recently, administration of sciatic nerve block has been revised due to the potential benefit for postoperative analgesia and patient satisfaction after the advent of ultrasound. The aim of this study was to describe the anatomical relations of the sciatic nerve in the popliteal fossa to determine the optimal distance the needle must be positioned in order to realize the sciatic nerve block anterior to its bifurcation into the tibial and common fibular nerve. The study was conducted by dissection of human cadavers' popliteal fossa, fixed in 10% formalin, from the Laboratory of Human Anatomy and Morphology Departments of the Universidade Federal de Alagoas and Universidade de Ciências da Saúde de Alagoas. Access to the sciatic nerve was obtained. 44 popliteal fossa were analyzed. The bifurcation of the sciatic nerve in relation to the apex of the fossa was observed. There was bifurcation in: 67.96% below the apex, 15.90% above the apex, 11.36% near the apex, and 4.78% in the gluteal region. The sciatic nerve bifurcation to its branches occurs at various levels, and the chance to succeed when the needle is placed between 5 and 7 cm above the popliteal is 95.22%. Copyright © 2014 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

EAS thermal neutron detection with the PRISMA-LHAASO-16 experiment

NASA Astrophysics Data System (ADS)

Li, B.-B.; Alekseenko, V. V.; Cui, S.-w.; Chen, T.-L.; Dangzengluobu; Feng, S.-H.; Gao, Q.; Liu, Y.; Huang, Q.-C.; He, Y.-Y.; Liu, M.-Y.; Ma, X.-H.; Pozdnyakov, E. I.; Shchegolev, O. B.; Shen, F.-Z.; Stenkin, Yu. V.; Stepanov, V. I.; Yanin, Ya. V.; Yao, J.-D.; Zhou, R.

2017-12-01

EAS (extensive air shower) thermal neutron measurement gives advantages to study energy and mass composition of primary cosmic rays especially in the knee region. After the success of the PRISMA-YBJ experiment, we build a new EAS thermal neutron detection array at Tibet University, Lhasa, China (3700 m a.s.l.) in March, 2017. This prototype array so called "PRISMA-LHAASO-16" consists of 16 EAS EN-detectors ("EN" is abbreviation for electron and neutron) measuring two main EAS components: hadronic and electromagnetic ones. Different from PRISMA-YBJ, these detectors use a thin layer of a novel type of ZnS(Ag) scintillator alloyed with natural boron compound for thermal neutron capture. PRISMA-LHAASO-16 will be moved to the LHAASO site in the near future. In this paper, we introduce principle of the detection technique, deployment of the array, and the test results of the array.

The October 6, 2008 Mw 6.3 magnitude Damxung earthquake, Yadong-Gulu rift, Tibet, and implications for present-day crustal deformation within Tibet

NASA Astrophysics Data System (ADS)

Wu, Zhong-hai; Ye, Pei-sheng; Barosh, Patrick J.; Wu, Zhen-han

2011-03-01

A Mw 6.3 magnitude earthquake occurred on October 6, 2008 in southern Damxung County within the N-S trending Yangyi graben, which forms the northern section of the Yadong-Gulu rift of south-central Tibet. The earthquake had a maximum intensity of IX at the village of Yangyi (also Yangying) (29°43.3'N; 90°23.6'E) and resulted in 10 deaths and 60 injured in this sparsely populated region. Field observations and focal mechanism solutions show normal fault movement occurred along the NNE-trending western boundary fault of the Yangyi graben, in agreement with the felt epicenter, pattern of the isoseismal contours, and distribution of aftershocks. The earthquake and its tectonic relations were studied in detail to provide data on the seismic hazard to the nearby city of Lhasa. The Damxung earthquake is one of the prominent events along normal and strike-slip faults that occurred widely about Tibet before and after the 2008 Mw 7.9 magnitude Wenchuan earthquake. Analysis of these recent M ⩾ 5.0 earthquake sequences demonstrate a kinematic relation between the normal, strike-slip, and reverse causative fault movements across the region. These earthquakes are found to be linked and the result of eastward extrusion of two large structural blocks of central Tibet. The reverse and oblique-slip surface faulting along the Longmenshan thrust belt at the eastern margin of the Tibetan Plateau causing the Wenchuan earthquake, was the result of eastward directed compression and crustal shortening due to the extrusion. Prior to it, east-west extensional deformation indicated by normal and strike-slip faulting events across central Tibet, had led to a build up of the compression to the east. The subsequent renewal of extensional deformational events in central Tibet appears related to some drag effect due to the crustal shortening of the Wenchuan event. Unraveling the kinematical relation between these earthquake swarms is a very helpful approach for understanding the migration of strong earthquakes across Tibet.

Accessing The Fourth Dimension In Orogenic Reconstruction Using Granitoid Thermobarometry

NASA Astrophysics Data System (ADS)

Alexander, E.; Wielicki, M. M.; Harrison, M.; Lovera, O. M.; DePaolo, D.

2016-12-01

Tectonic models for the Tibetan-Himalayan orogen predict very different crustal thickness histories, providing a possible test of these various hypotheses. However, reconstructing the evolution of the Tibetan-Himalayan crust is a four-dimensional problem. Knowing the 2D distribution of U-Pb zircon dated samples permits insights into changes in magmatic style, but understanding of N-S thickening history requires depth information. In S. Tibet, voluminous granitoids emplaced between 200-20 Ma provides a spatiotemporal window into the tectonic evolution of the Tibetan crust. A thermoisotopic model utilizing systematic N-S ɛNd variations as a crustal thickness proxy indicates that, at the time of collision, the crust beneath the Indus-Tsangpo suture was relatively thin ( 20 km), increasing to >45 km 100 km to the N. Given evidence of little post-50 Ma upper-crustal shortening, the Tibetan crust appears to have reached its present 85 km thickness via 20 km of tectonic accretion, 15 km of juvenile magma input, as well as the underthrusted Indian crust. Since zircon ɛHf correlates well with whole rock ɛNd, using it together with in situ δ18O, Ti-thermometry and trace element analyses, has provided a refined picture of the relative roles of assimilation and recharge in granitoid formation. To understand the spatiotemporal progression of thickening, we utilize two thermobarometers to reconstruct crystallization depths: Al-in-hornblende and Ti-in-quartz. While Al-in-hornblende has been more widely tested on igneous systems, our data show that it may be sensitive to closure effects during high T storage and hydrothermal alteration. In contrast, Ti-in-quartz preserves magmatic Ti signatures, and quartz's exclusive structure and resistance to alteration provides a more robust proxy for emplacement conditions. Using these thermobarometers in conjunction with Ti-in-zircon thermometry can establish emplacement depth of syn-collisional Lhasa block granites providing the missing dimension in reconstructing orogenic histories. Together, our data show that the southern margin of Asia remained thin (<25 km) until collision began whereas the northern terrane was continuously thick from 200 Ma. This observation reinforces the growing view that Tibet hosted significant topography prior to collision.

Lateral variations in lithospheric and landscape evolution at both ends of the Himalaya-Tibet orogen

NASA Astrophysics Data System (ADS)

Zeitler, P. K.; Schmidt, J. L.; Meltzer, A.

2015-12-01

At the broadest scale, like many orogens the Himalaya encompass a range of orogenic features that are remarkably similar along much of the length of the mountain belt and its neighboring terranes. At one scale of consideration, these similarities appear to be a signal that fundamental processes associated with lithospheric collision have been active. However, the vast size of the Himalaya and Tibet, the different climate regimes experienced by the orogen across time and space, and the along-strike variations in the continental and arc margins that faced one another before collision, make it at once remarkable that any similarities exist, and important to more critically evaluate their nature. The eastern and western Himalayan syntaxes confound any attempt to generalize too much about the Himalaya-Tibet orogen. By area these features occupy at least 25% of the orogenic belt, and compared to the "main" portions of the arc they show clear differences in their lithospheric structures, landscapes, and evolution. The boundary and initial conditions that shaped the eastern and western indentor corners were and are different, as is the nature and timing of erosional exhumation. Some of the most active geologic processes on Earth have recently been in play within the syntaxes, and the evolution of landscapes and fluvial systems, important in developing the sedimentary record of the Himalaya-Tibet system, has been complex and variable in space and time. Southeasternmost Tibet and the Lhasa Block in particular exemplify this complexity both in its complex topographic evolution linked to surface processes and climate, and in lateral variability in lithospheric structure. Taking a system viewpoint, an important question to debate is the degree to which there are features in the Himalaya-Tibet system that are robustly emergent, given the broad boundary conditions of the continental collision plus the suite of local and regional geodynamical processes that have operated during orogenesis. A related question is the degree to which the variability seen within the orogen represents important information about process that is exportable to other orogens, or is in effect tectonic noise contingent on local geologic details and secular changes.

Proton pump inhibitors as anti vacuolar-ATPases drugs: a novel anticancer strategy.

PubMed

Spugnini, Enrico P; Citro, Gennaro; Fais, Stefano

2010-05-08

The vacuolar ATPases are ATP-dependent proton pumps whose functions include the acidification of intracellular compartments and the extrusion of protons through the cell cytoplasmic membrane. These pumps play a pivotal role in the regulation of cell pH in normal cells and, to a much greater extent, in tumor cells. In fact, the glucose metabolism in hypoxic conditions by the neoplasms leads to an intercellular pH drift towards acidity. The acid microenvironment is modulated through the over-expression of H+ transporters that are also involved in tumor progression, invasiveness, distant spread and chemoresistance. Several strategies to block/downmodulate the efficiency of these transporters are currently being investigated. Among them, proton pump inhibitors have shown to successfully block the H+ transporters in vitro and in vivo, leading to apoptotic death. Furthermore, their action seems to synergize with conventional chemotherapy protocols, leading to chemosensitization and reversal of chemoresistance. Aim of this article is to critically revise the current knowledge of this cellular machinery and to summarize the therapeutic strategies developed to counter this mechanism.

Inhibition of protein carbamylation in urea solution using ammonium-containing buffers.

PubMed

Sun, Shisheng; Zhou, Jian-Ying; Yang, Weiming; Zhang, Hui

2014-02-01

Urea solution is one of the most commonly employed protein denaturants for protease digestion in proteomic studies. However, it has long been recognized that urea solution can cause carbamylation at the N termini of proteins/peptides and at the side chain amino groups of lysine and arginine residues. Protein/peptide carbamylation blocks protease digestion and affects protein identification and quantification in mass spectrometry analysis by blocking peptide amino groups from isotopic/isobaric labeling and changing peptide charge states, retention times, and masses. In addition, protein carbamylation during sample preparation makes it difficult to study in vivo protein carbamylation. In this study, we compared the peptide carbamylation in urea solutions of different buffers and found that ammonium-containing buffers were the most effective buffers to inhibit protein carbamylation in urea solution. The possible mechanism of carbamylation inhibition by ammonium-containing buffers is discussed, and a revised procedure for the protease digestion of proteins in urea and ammonium-containing buffers was developed to facilitate its application in proteomic research. Copyright © 2013 Elsevier Inc. All rights reserved.

Reconstructing Past Admixture Processes from Local Genomic Ancestry Using Wavelet Transformation

PubMed Central

Sanderson, Jean; Sudoyo, Herawati; Karafet, Tatiana M.; Hammer, Michael F.; Cox, Murray P.

2015-01-01

Admixture between long-separated populations is a defining feature of the genomes of many species. The mosaic block structure of admixed genomes can provide information about past contact events, including the time and extent of admixture. Here, we describe an improved wavelet-based technique that better characterizes ancestry block structure from observed genomic patterns. principal components analysis is first applied to genomic data to identify the primary population structure, followed by wavelet decomposition to develop a new characterization of local ancestry information along the chromosomes. For testing purposes, this method is applied to human genome-wide genotype data from Indonesia, as well as virtual genetic data generated using genome-scale sequential coalescent simulations under a wide range of admixture scenarios. Time of admixture is inferred using an approximate Bayesian computation framework, providing robust estimates of both admixture times and their associated levels of uncertainty. Crucially, we demonstrate that this revised wavelet approach, which we have released as the R package adwave, provides improved statistical power over existing wavelet-based techniques and can be used to address a broad range of admixture questions. PMID:25852078

The unsteady end to a powerful Plinian eruption: insights from a Vulcanian block apron from the 1912 eruption of Novarupta, Alaska

NASA Astrophysics Data System (ADS)

Isgett, S. J.; Houghton, B. F.; Burgisser, A.; Arbaret, L.

2016-12-01

Current models propose a static conduit architecture prior to Vulcanian eruptions where a dense, outgassed dome/plug overlies an orderly, texturally horizontally layered conduit. Blocks from a Vulcanian phase (Episode IV) during the 1912 eruption of Novarupta provide special insight to the state of the magma within a complex shallow conduit prior to fragmentation. Extreme conduit heterogeneity is seen in a diverse range of dacitic block types, including pumiceous, dense, flow-banded, and variably welded breccia clasts, all with a range of surface-breadcrusting. Diverse 2D and 3D textures suggest a variety of degassing states, with ranges of vesicle textures (e.g. bubble number, shape, and size) in each of the block types. The nonbreadcrusted pumice exhibit textures similar to preceding Plinian phases, reflecting bubble nucleation, growth, and coalescence followed by fragmentation. Breadcrusted rind and dense dacite textures are the result of bubble collapse with the dense dacites progressing furthest along the outgassing pathway. Residual water contents within the quenched glass are all less than 0.5 wt% and indicate that the melt came from the upper 100 m of the conduit. There is no correlation between water content and vesicularity. Overall, the evidence indicates 1) the mingling of variably degassed and outgassed melts in varying states of chemical disequilibrium over a narrow depth range close to the surface and 2) fragmentation was probably driven by the melt forming the non-breadcrusted pumices which we consider was probably newly arrived in the shallow conduit at the time of fragmentation. We therefore propose a revised, dynamic model applicable to Vulcanian explosions in the context of downscaling Plinian eruptions that involves vigorous mingling of melts that are all actively degassing and outgassing to varying degrees within the shallow conduit.

Free Bone Plug Quadriceps Tendon Harvest and Suspensory Button Attachment for Anterior Cruciate Ligament Reconstruction.

PubMed

Todor, Adrian; Caterev, Sergiu; Nistor, Dan Viorel; Khallouki, Youssef

2016-06-01

The most commonly used autografts for anterior cruciate ligament reconstruction are the bone-patellar tendon-bone and hamstring tendons. Each has its advantages and limitations. The bone-patellar tendon-bone autograft can lead to more donor-site morbidity, and the hamstring autograft can be unpredictable in size. The quadriceps tendon, with or without a bone block, has been described as an alternative graft source and has been used especially in revision cases, but in recent years, it has attracted attention even for primary cases. We report a technique for harvesting a free bone quadriceps tendon graft and attaching an extracortical button for femoral fixation for anterior cruciate ligament reconstruction.

The Compleat TRAIDsman.

DTIC Science & Technology

1969-09-01

uses a COMMON block of 663 cells . PLOTT works from a table of data, and assigns to each trace (up to 6 traces) a preset character. Once yoor data is...ALFA 000777 1 ~L P M A LP A U VU I 00) 󈧑 EL4 ’ I’LAC 4-43 FLIER slU.-r t;IINk fLIE" (5,LP.KONUA IlEI 335 50C k k LJ~C I~ N’.12 5 ExTEN, REVISION of...FLAG, PLACLD IN CumM"O. 753 C N3.0,0 AS RUN OAIE (IF BLANK* TAKEN FROM SYSTEM C DATE CELL ) ?SS C e1-63 13 EXECUTION TIME LIMIT IN MINUTES (IF ?b6 C

Banning standard cell engineering notebook

NASA Technical Reports Server (NTRS)

1976-01-01

A family of standardized thick-oxide P-MOS building blocks (standard cells) is described. The information is presented in a form useful for systems designs, logic design, and the preparation of inputs to both sets of Design Automation programs for array design and analysis. A data sheet is provided for each cell and gives the cell name, the cell number, its logic symbol, Boolean equation, truth table, circuit schematic circuit composite, input-output capacitances, and revision date. The circuit type file, also given for each cell, together with the logic drawing contained on the data sheet provides all the information required to prepare input data files for the Design Automation Systems. A detailed description of the electrical design procedure is included.

Maternal and neonatal outcomes of hospital vaginal deliveries in Tibet

PubMed Central

Miller, S; Tudor, C; Nyima; Thorsten, VR; Sonam; Droyoung; Craig, S; Le, P; Wright, LL; Varner, MW

2007-01-01

Introduction To determine the outcomes of vaginal deliveries in three study hospitals in Lhasa, Tibet Autonomous Region (TAR), People's Republic of China (PRC), at high altitude (3,650 m). Methods Prospective observational study of 1,121 vaginal deliveries. Results Pre-eclampsia/gestational hypertension (PE/GH) was the most common maternal complication 18.9% (n=212), followed by postpartum hemorrhage (blood loss ≥ 500 ml) 13.4%. There were no maternal deaths. Neonatal complications included: low birth weight (10.2%), small for gestational age (13.7%), preterm delivery (4.1%) and low Apgar (3.7%). There were 11 stillbirths (9.8/1,000 live births) and 19 early neonatal deaths (17/1,000 live births). Conclusion This is the largest study of maternal and newborn outcomes in Tibet. It provides information on the outcomes of institutional vaginal births among women delivering infants at high altitude. There was a higher incidence of PE/GH and low birth weight; rates of PPH were not increased compared to those at lower altitudes. PMID:17481630

Necropsy findings in dogs that died during grooming or other pet service procedures.

PubMed

Maria, Anna Carolina Barbosa Esteves; Rego, Alexandre Aparecido Mattos da Silva; Maiorka, Paulo César

2013-09-01

Procedures involved in grooming, bathing, and other pet services can often lead animals to death. Of the necropsies of 1391 animals carried out at a private diagnostic laboratory in Sao Paulo, Brazil from 2004 to 2009, 94 were dogs that died during the above-mentioned procedures. Young male dogs and small breeds like Poodle Miniature, Yorkshire Terrier, and Lhasa Apso were most frequently observed. Blunt-force trauma was responsible for the deaths of 31% of the animals, with a higher incidence of trauma to the head, characterized chiefly by fractures and nervous tissue lesions. In the other 69% of cases, the animals showed signs of stress, and died due to pulmonary edema and hemorrhage. As we cannot rule out the intentional character in some situations, this article provides veterinary forensic support for veterinarians and pet owners, especially in lawsuits, helping in finding the cause of animal's death in such pet services. © 2013 American Academy of Forensic Sciences.

"No one says 'No' to money" - a mixed methods approach for evaluating conditional cash transfer schemes to improve girl children's status in Haryana, India.

PubMed

Krishnan, Anand; Amarchand, Ritvik; Byass, Peter; Pandav, Chandrakant; Ng, Nawi

2014-01-31

Haryana was the first state in India to launch a conditional cash transfer (CCT) scheme in 1994. Initially it targeted all disadvantaged girls but was revised in 2005 to restrict it to second girl children of all groups. The benefit which accrued at girl attaining 18 years and subject to conditionalities of being fully immunized, studying till class 10 and remaining unmarried, was increased from about US$ 500 to US$ 2000. Using a mixed methods approach, we evaluated the implementation and possible impact of these two schemes. A survey was conducted among 200 randomly selected respondents of Ballabgarh Block in Haryana to assess their perceptions of girl children and related schemes. A cohort of births during this period was assembled from population database of 28 villages in this block and changes in sex ratio at birth and in immunization coverage at one year of age among boys and girls was measured. Education levels and mean age at marriage of daughters were compared with daughters-in-law from outside Haryana. In-depth interviews were conducted among district level implementers of these schemes to assess their perceptions of programs' implementation and impact. These were analyzed using a thematic approach. The perceptions of girls as a liability and poor (9% to 15%) awareness of the schemes was noted. The cohort analysis showed that while there has been an improvement in the indicators studied, these were similar to those seen among the control groups. Qualitative analysis identified a "conspiracy of silence" - an underplaying of the pervasiveness of the problem coupled with a passive implementation of the program and a clash between political culture of giving subsidies and a bureaucratic approach that imposed many conditionalities and documentary needs for availing of benefits. The apparent lack of impact on the societal mindset calls for a revision in the current approach of addressing a social issue by a purely conditional cash transfer program.

Superior exercise performance in lifelong Tibetan residents of 4,400 m compared with Tibetan residents of 3,658 m.

PubMed

Curran, L S; Zhuang, J; Droma, T; Moore, L G

1998-01-01

Few environments challenge human populations more than high altitude, since the accompanying low oxygen pressures (hypoxia) are pervasive and impervious to cultural modification. Work capacity is an important factor in a population's ability to thrive in such an environment. The performance of work or exercise is a measure of the integrated functioning of the O2 transport system, with maximal O2 uptake (.VO2max) a convenient index of that function. Hypoxia limits the ability to transport oxygen: maximal O2 uptake decreases with ascent to high altitude, and years of high altitude residence do not restore sea level .VO2max values. Since Tibetans live and work at some of the highest altitudes in the world, their ability to exercise at very high altitude (>4,000 m) may define the limits of human adaptation to hypoxia. We transported 20 Tibetan lifelong residents of > or =4,400 m down to 3,658 m in order to compare them with 16 previously studied Tibetan residents of Lhasa (3,658 m). The two groups of Tibetans were matched for age, weight, and height. All studies were performed in Lhasa within 3 days of the 4,400 m Tibetans' arrival. Standard test protocol and criteria were used for attaining .VO2max on a Monark bicycle ergometer, while measuring oxygen uptake (.VO2, ml/kg - min STPD), heart rate (bpm), minute ventilation (VE, 1/min BTPS), and arterial oxygen saturation (SaO2, %). The 4,400 m compared with 3,658 m residents had, at maximal effort, similar .VO2 (48.5 +/- 1.2 vs. 51.2 +/- 1.4 ml/kg - min, P = NS), higher workload attained (211 +/- 6 vs. 177 +/- 7 watts, P < 0.01), lower heart rate(176 +/- 2 vs. 191 +/- 2 bpm, P < 0.01), lower ventilation (127 +/- 5 vs. 149 +/- 5 l/min BTPS, P < 0.01), and similar SaO2(81.9 +/- 1.0 vs. 83.7 +/- 1.2%, P = NS). Furthermore, over the range of submaximal workloads, 4,400 m compared with 3,658 m Tibetans had lower .VO2 (P < 0.01), lower heart rates (P < 0.01), and lower ventilation (P < 0.01) and SaO2 (P < 0.05). We conclude that Tibetans living at 4,400 m compared with those residing at 3,658 m achieve greater work performance for a given .VO2 at submaximal and maximal workloads with less cardiorespiratory effort.

Autoplan: A self-processing network model for an extended blocks world planning environment

NASA Technical Reports Server (NTRS)

Dautrechy, C. Lynne; Reggia, James A.; Mcfadden, Frank

1990-01-01

Self-processing network models (neural/connectionist models, marker passing/message passing networks, etc.) are currently undergoing intense investigation for a variety of information processing applications. These models are potentially very powerful in that they support a large amount of explicit parallel processing, and they cleanly integrate high level and low level information processing. However they are currently limited by a lack of understanding of how to apply them effectively in many application areas. The formulation of self-processing network methods for dynamic, reactive planning is studied. The long-term goal is to formulate robust, computationally effective information processing methods for the distributed control of semiautonomous exploration systems, e.g., the Mars Rover. The current research effort is focusing on hierarchical plan generation, execution and revision through local operations in an extended blocks world environment. This scenario involves many challenging features that would be encountered in a real planning and control environment: multiple simultaneous goals, parallel as well as sequential action execution, action sequencing determined not only by goals and their interactions but also by limited resources (e.g., three tasks, two acting agents), need to interpret unanticipated events and react appropriately through replanning, etc.

A two-dimensional hybrid method for modeling seismic waves propagation in laterally-varying anisotropic media and its application to central Tibet

NASA Astrophysics Data System (ADS)

Zhao, L.; Wen, L.

2009-12-01

The shear wave splitting measurements provide important information on mantle flow, deformation and mineralogy. They are now routinely made using the method developed by Silver and Chan (1994). More and more dense regional observations also begin to reveal sharp spatial variations of seismic anisotropy which could not be explained by simplified horizontal homogeneous anisotropic structures. To better constrain the mantle anisotropy beneath those regions, we developed a two-dimensional hybrid method for simulating seismic wave propagation in laterally-varying anisotropic media [Zhao et al., 2008]. In this presentation, we apply the method to study anisotropic structures beneath central Tibet by waveform modeling the teleseismic SKS phases recorded in the International Deep Profiling of Tibet and the Himalayas project (INDEPTH) III. Using data from two events that were selected such that the stations and sources can be approximated as a two-dimensional profile, we derived an optimal model for the anisotropic structures of the upper mantle beneath the study region: a 50-70 km thick anisotropic layer with a fast direction trending N95°E beneath the Qiangtang block, a 150 km thick and 60 km wide anisotropic segment with an axis trending N95°E beneath the northernmost Lhasa block, and a ~30 km wide transition zone in between within which the fast direction trends N45°E and the depth extent of anisotropy decreases northward sharply. Synthetic waveform modeling further suggests that an anisotropic model with a horizontal symmetry axis can explain the observations better than that with a dipping symmetry, and a low velocity zone possibly underlies or mixes with the anisotropic structures in the northern portion of the region. The optimal model yields synthetic seismograms that are in good agreement with the observations in both amplitudes and relative arrival times of SKS phases. Synthetic tests also indicate that different elastic constants, source parameters and depth extents of anisotropy adopted in the calculations do not affect the general conclusions, although trade-offs exist between the model parameters. Our modeling results suggest that, if the complex seismic structures in central Tibet are associated with the underthrusting of the Indian lithosphere beneath the Asian lithosphere, the inferred horizontal symmetry of anisotropy was likely generated during the collision because an inherited anisotropy would have a dipping angle of symmetry axis that is parallel to the underthrusting direction. References Silver, P. G., and M. K. Savage (1994), The interpretation of shear-wave splitting parameters in the presence of two anisotropic layers, Geophys. J. Int., 119, 949-963. Zhao L., L.X. Wen, L. Chen, T.Y. Zheng (2008). A two-dimensional hybrid method for modeling seismic wave propagation in anisotropic media, J. Geophys. Res., 113, B12307, doi:10.1029/2008JB005733.

Copper benchmark experiment for the testing of JEFF-3.2 nuclear data for fusion applications

NASA Astrophysics Data System (ADS)

Angelone, M.; Flammini, D.; Loreti, S.; Moro, F.; Pillon, M.; Villar, R.; Klix, A.; Fischer, U.; Kodeli, I.; Perel, R. L.; Pohorecky, W.

2017-09-01

A neutronics benchmark experiment on a pure Copper block (dimensions 60 × 70 × 70 cm3) aimed at testing and validating the recent nuclear data libraries for fusion applications was performed in the frame of the European Fusion Program at the 14 MeV ENEA Frascati Neutron Generator (FNG). Reaction rates, neutron flux spectra and doses were measured using different experimental techniques (e.g. activation foils techniques, NE213 scintillator and thermoluminescent detectors). This paper first summarizes the analyses of the experiment carried-out using the MCNP5 Monte Carlo code and the European JEFF-3.2 library. Large discrepancies between calculation (C) and experiment (E) were found for the reaction rates both in the high and low neutron energy range. The analysis was complemented by sensitivity/uncertainty analyses (S/U) using the deterministic and Monte Carlo SUSD3D and MCSEN codes, respectively. The S/U analyses enabled to identify the cross sections and energy ranges which are mostly affecting the calculated responses. The largest discrepancy among the C/E values was observed for the thermal (capture) reactions indicating severe deficiencies in the 63,65Cu capture and elastic cross sections at lower rather than at high energy. Deterministic and MC codes produced similar results. The 14 MeV copper experiment and its analysis thus calls for a revision of the JEFF-3.2 copper cross section and covariance data evaluation. A new analysis of the experiment was performed with the MCNP5 code using the revised JEFF-3.3-T2 library released by NEA and a new, not yet distributed, revised JEFF-3.2 Cu evaluation produced by KIT. A noticeable improvement of the C/E results was obtained with both new libraries.

A general method for the derivation of the functional forms of the effective energy terms in coarse-grained energy functions of polymers. I. Backbone potentials of coarse-grained polypeptide chains

NASA Astrophysics Data System (ADS)

Sieradzan, Adam K.; Makowski, Mariusz; Augustynowicz, Antoni; Liwo, Adam

2017-03-01

A general and systematic method for the derivation of the functional expressions for the effective energy terms in coarse-grained force fields of polymer chains is proposed. The method is based on the expansion of the potential of mean force of the system studied in the cluster-cumulant series and expanding the all-atom energy in the Taylor series in the squares of interatomic distances about the squares of the distances between coarse-grained centers, to obtain approximate analytical expressions for the cluster cumulants. The primary degrees of freedom to average about are the angles for collective rotation of the atoms contained in the coarse-grained interaction sites about the respective virtual-bond axes. The approach has been applied to the revision of the virtual-bond-angle, virtual-bond-torsional, and backbone-local-and-electrostatic correlation potentials for the UNited RESidue (UNRES) model of polypeptide chains, demonstrating the strong dependence of the torsional and correlation potentials on virtual-bond angles, not considered in the current UNRES. The theoretical considerations are illustrated with the potentials calculated from the ab initio potential-energy surface of terminally blocked alanine by numerical integration and with the statistical potentials derived from known protein structures. The revised torsional potentials correctly indicate that virtual-bond angles close to 90° result in the preference for the turn and helical structures, while large virtual-bond angles result in the preference for polyproline II and extended backbone geometry. The revised correlation potentials correctly reproduce the preference for the formation of β-sheet structures for large values of virtual-bond angles and for the formation of α-helical structures for virtual-bond angles close to 90°.

Advancements in OSeMOSYS - the Open Source energy MOdelling SYStem

NASA Astrophysics Data System (ADS)

Gardumi, Francesco; Almulla, Youssef; Shivakumar, Abhishek; Taliotis, Constantinos; Howells, Mark

2017-04-01

This work provides a review of the latest developments and applications of OSeMOSYS energy systems model generator. OSeMOSYS was launched at Oxford university in 2011, including co-authors from UCL, UNIDO, UCT, Stanford, PSI and other institutions. It was designed to fill a gap in the energy modelling toolkit, where no open source optimising model generators were available at the time. OSeMOSYS is free, open source and accessible. Written in GNU MathProg programming language, it can generate from small village energy models up to global multi-resource integrated - Climate, Land, Energy, Water - models. In its most widespread version it calculates what investments to make, when, at what capacity and how to operate them, to meet given final demands and policy targets at the lowest cost. OSeMOSYS is structured into blocks of functionalities, each consisting in a stand-alone set of equations which can be plugged into the core code to add specific insights for the case-study of interest. Originally, seven blocks of functionalities for the objective function, costs, storage, capacity adequacy, energy balance, constraints, emissions were provided, documented by plain English descriptions and algebraic formulations. Recently, the block for storage was deeply revised and developed, while new blocks of functionality for studying short-term implications of energy planning onto the electricity system were designed. These include equations for computing 1) the reserve capacity dispatch; 2) the costs of flexible operation of power plants and 3) the reserve capacity demand as a function of the penetration of intermittent renewables were introduced. Additionally, a revision of the whole code was completed, as the result of a public call launched and led by UNite Ideas. This allowed the computational time to be greatly reduced and opened up the path to refinements of the scales of analysis. Finally, the code was made available in Python and GAMS programming languages, thus engaging two of the widest existing communities of programmers. Such developments allowed a number of applications to be produced at different scales. Regional and country models were generated for the whole of South America and Sub-Saharan Africa. A Pan-European model is under development. Models of Cyprus and Tunisia, detailed down to the individual power plant, are among the latest applications. Finally, integrated assessment water-energy models have been generated for regions in Central Asia and the Balkans, in the framework of the UNECE Water Convention. These look into trans-boundary issues related to the water and energy management along river basins, including detailed representations of water storage and cascading power plants. This multiplicity of developments and applications of OSeMOSYS engages a wide community of users and decision-makers and fosters the use of modelling tools for energy planning. This fulfils a scientific and social mission to empower communities with the development of solutions for a better access to energy.

Slip Rates of Main Active Fault Zones Through Turkey Inferred From GPS Observations

NASA Astrophysics Data System (ADS)

Ozener, H.; Aktug, B.; Dogru, A.; Tasci, L.; Acar, M.; Emre, O.; Yilmaz, O.; Turgut, B.; Halicioglu, K.; Sabuncu, A.; Bal, O.; Eraslan, A.

2015-12-01

Active Fault Map of Turkey was revised and published by General Directorate of Mineral Research and Exploration in 2012. This map reveals that there are about 500 faults can generate earthquakes.In order to understand the earthquake potential of these faults, it is needed to determine the slip rates. Although many regional and local studies were performed in the past, the slip rates of the active faults in Turkey have not been determined. In this study, the block modelling, which is the most common method to produce slip rates, will be done. GPS velocities required for block modeling is being compiled from the published studies and the raw data provided then velocity field is combined. To form a homogeneous velocity field, different stochastic models will be used and the optimal velocity field will be achieved. In literature, GPS site velocities, which are computed for different purposes and published, are combined globally and this combined velocity field are used in the analysis of strain accumulation. It is also aimed to develop optimal stochastic models to combine the velocity data. Real time, survey mode and published GPS observations is being combined in this study. We also perform new GPS observations. Furthermore, micro blocks and main fault zones from Active Fault Map Turkey will be determined and homogeneous velocity field will be used to infer slip rates of these active faults. Here, we present the result of first year of the study. This study is being supported by THE SCIENTIFIC AND TECHNOLOGICAL RESEARCH COUNCIL OF TURKEY (TUBITAK)-CAYDAG with grant no. 113Y430.

Postoperative dysesthesia in minimally invasive transforaminal lumbar interbody fusion: a report of five cases.

PubMed

Wang, Honggang; Zhou, Yue; Zhang, Zhengfeng

2016-05-01

Minimally invasive transforaminal lumbar interbody fusion (misTLIF) can potentially lead to dorsal root ganglion (DRG) injury which may cause postoperative dysesthesia (POD). The purpose of retrospective study was to describe the uncommon complication of POD in misTLIF. Between January 2010 and December 2014, 539 patients were treated with misTLIF in investigator group. POD was defined as dysesthetic pain or burning dysesthesia at a proper DRG innervated region, whether spontaneous or evoked. Non-steroidal antiinflammatory drugs, central non-opioid analgesic agent, neuropathic pain drugs and/or intervertebral foramen block were selectively used to treat POD. There were five cases of POD (5/539, 0.9 %), which consisted of one patient in recurrent lumbar disc herniation (1/36, 3 %), one patient in far lateral lumbar disc herniation (1/34, 3 %), and 3 patients in lumbar spondylolisthesis (3/201, 1 %). Two DRG injury cases were confirmed by revision surgery. After the treatment by drugs administration plus DRG block, all patients presented pain relief with duration from 22 to 50 days. A gradual pain moving to distal end of a proper DRG innervated region was found as the beginning of end. Although POD is a unique and rare complication and maybe misdiagnosed as nerve root injury in misTLIF, combination drug therapy and DRG block have an effective result of pain relief. The appearance of a gradual pain moving to distal end of a proper DRG innervated region during recovery may be used as a sign for the good prognosis.

The origin of invasion of an alien frog species in Tibet, China.

PubMed

Wang, Supen; Fan, Liqing; Liu, Conghui; Li, Jiaqi; Gao, Xu; Zhu, Wei; Li, Yiming

2017-12-01

Identifying the origins of alien species has important implications for effectively controlling the spread of alien species. The black-spotted frog Pelophylax nigromaculatus , originally from East Asia, has become an alien species on the Tibetan Plateau (TP). In this study, we collected 300 individuals of P. nigromaculatus from 13 native regions and 2 invasive regions (including Nyingchi and Lhasa) on the TP. To identify the source region of the TP introductions, we sequenced portions of the mitochondrial cyt b gene. We sequenced a ∼600-bp portion of the mitochondrial cyt b gene to identify 69 haplotypes (124 polymorphic sites) in all sampled populations. According to the network results, we suggest that the P. nigromaculatus found on the TP was most likely originated from Chongqing by human introduction. Furthermore, we found that the genetic diversity was significantly lower for invasive than for native sites due to founder effects. Our study provides genetic evidence that this alien species invaded the cold environment of high elevations and expanded the distribution of P. nigromaculatus in China.

Genetic variation and forensic characterization of highland Tibetan ethnicity reveled by autosomal STR markers.

PubMed

He, Guanglin; Wang, Zheng; Su, Yongdong; Zou, Xing; Wang, Mengge; Liu, Jing; Hou, Yiping

2018-01-08

Understanding the origin and genetic background of Chinese high-altitude Tibetans play a pivotal role in medical genetics, archeology, anthropology, and forensics. In this study, to investigate the forensic characterization and genetic diversity of Chinese Tibetan, allele frequencies and corresponding forensic statistical parameters of 15 autosomal STRs included in the AmpFℓSTR® Sinofiler™ kit were obtained from 1220 Tibetan individuals residing in Lhasa country, Tibet Autonomous Region. We identified 191 alleles with corresponding allele frequencies varied from 0.0004 to 0.3984. The combined probability of discrimination and the combined probability of exclusion are 0.9999999999999999997 and 0.9999996, respectively. Our study provided the valuable dataset for forensic individual identification and parentage testing in the high-altitude Tibetan population. In addition, comprehensive population comparisons among 30 Chinese populations via PCA, AMOVA, MDS, and N-J tree demonstrated that the genetic components of Tibet Tibetan have received gene introgression from surrounding lowland populations (Such as Gansu Hui and Yunnan Bai) and Tibetan keeps the close genetic relationship with geographic neighboring populations.

Plasma amino acid concentrations in 36 dogs with histologically confirmed superficial necrolytic dermatitis.

PubMed

Outerbridge, Catherine A; Marks, Stanley L; Rogers, Quinton R

2002-08-01

Plasma amino acid concentrations were measured in 36 dogs diagnosed with superficial necrolytic dermatitis (SND) via skin biopsy. The median age of the dogs was 10 years, and 27 out of 36 (75%) were male. Twenty-two out of 36 (61%) of the dogs were accounted for by six breeds; West Highland white terriers (six), Shetland sheepdogs (five), cocker spaniels (four), Scottish terriers (three), Lhasa apsos (two) and Border collies (two). The mean concentration (+/- standard deviation) was calculated for each measured plasma amino acid and compared to previously documented concentrations of plasma amino acids measured in dogs with acute and chronic hepatitis. The ratio of branched chain amino acids to aromatic amino acids in the dogs with SND was 2.6, slightly lower than that in normal dogs. The mean plasma amino acid concentrations for dogs with SND were significantly lower than for dogs with acute and chronic hepatitis. A metabolic hepatopathy in which there is increased hepatic catabolism of amino acids is hypothesized to explain the hypoaminoacidaemia seen in SND.

Maui Optical Site, Mount Halekualia, Hawaii, Revised Uniform Summary of Surface Weather Observations (RUSSWO). Parts C, E and F

DTIC Science & Technology

1981-03-01

printed frot a0silablg Peek .astI fow 060 V Newmtk, how,.? aW asterisk (*) to printed &a the data block It laoS tWa go$ ( or mre missift qbeewvatioms...SPEED (FROM HOURLY OBSERVATIONS) oflQ.nJ MAuI OPTICAL kT£ 11 NORTH TOWER __-I__ JAN__ _ _ ILL WEAlTHER 20- 3D UI ONI IO ( 1 1) I) •3 4.4 1.10 11. V...9- 14~.0 u A .2 .3.Z ). 13a sWC _ I t -: R - 1 -1 s . 3d . 1-9.. --.L .. 1..L ...L.%.L AAA..L (.L - ’~L a v~sw @g’ISVA’W. I’. ’Ii’w USAETAC

[Emotional processing in patients with a dissocial personality disorder subtype "psychopathy" according to PCL-R].

PubMed

Weber, Tatjana; Sommer, Monika; Hajak, Göran; Müller, Jürgen

2004-11-01

Functional MRI was used to test the effects of the deficient emotional responsiveness of psychopathic patients on cognitive processes. We used a Simon-paradigm, in which ten healthy volunteers and ten patients with a diagnosis of "psychopathy" (defined by Hare Psychopathy Checklist Revised) have to select their spatially defined responses on the basis of a nonspatial stimuli feature. For the emotion induction pictures from the International Affective Picture System (IAPS) were selected. At the beginning and intermediated by the Simon-paradigm blocks of positive, negative or neutral pictures were presented. Patients with "psychopathy" exhibited untypical activation patterns in amygdala and prefrontal regions during interferences between negative or positive stimulations and cognitive tasks. These results demonstrated disturbed regulation of emotion-cognition-interaction in "psychopathy" according to PCL-R.

Effect of Video-Assisted Teaching Module (VATM) on Knowledge of ASHAs regarding RNTCP in Kuchinda Block of Sambalpur (Odisha).

PubMed

Pradhan, Malati; Dash, Bijayalakshmi

2015-05-01

Infectious disease is a major public health issue for both developed and developing countries. Among infectious diseases, tuberculosis (TB) is most prevalent in the develop- ing countries. India is the highest TB burden country in the world and accounts for nearly one fifth (20%) of global burden of tuberculosis. A pre-experimental design where pre- and post-test without control group with experimental approach was undertaken in Kuchinda block of Sambalpur district (Odisha) with the objectives to assess effectiveness of Video-assisted Teaching Module (VATM) on knowledge of Accredited Social Health Activists (ASHAs) regarding Revised National Tuberculosis Control Programme (RNTCP) Data were collected from 52 ASHAs, selected by systematic random sampling technique through structured questionnaire. The overall mean score in pre-test was 23.31±3.07 which is 58.27 percent of maximum score and good knowledge whereas it was 34.35±3.56 while post-test it was 85.87 percent of maximum score during post-test showing a difference of 27.6 percent effectiveness. Highly significant (p<0.01) differ- ence was found between pre- and post-test knowledge score and no significant (>0.05) association was found between post-test knowledge score when compared to all the demographic variables of ASHAs.

Neural Correlates of Conflict Control on Facial Expressions with A Flanker Paradigm

PubMed Central

Liu, Tongran; Xiao, Tong; Shi, Jian-Nong

2013-01-01

Conflict control is an important cognitive control ability and it is also crucial for human beings to execute conflict control on affective information. To address the neural correlates of cognitive control on affective conflicts, the present study recorded event-related potentials (ERPs) during a revised Eriksen Flanker Task. Participants were required to indicate the valence of the central target expression while ignoring the flanker expressions in the affective congruent condition, affective incongruent condition and neutral condition (target expressions flanked by scramble blocks). Behavioral results manifested that participants exhibited faster response speed in identifying neutral target face when it was flanked by neutral distractors than by happy distractors. Electrophysiological results showed that happy target expression induced larger N2 amplitude when flanked by sad distractors than by happy distractors and scramble blocks during the conflict monitoring processing. During the attentional control processing, happy target expression induced faster P3 response when it was flanked by happy distractors than by sad distractors, and sad target expression evoked larger P3 amplitude when it was flanked by happy distractors comparing with sad distractors. Taken together, the current findings of temporal dynamic of brain activity during cognitive control on affective conflicts shed light on the essential relationship between cognitive control and affective information processing. PMID:23894521

Neural correlates of conflict control on facial expressions with a flanker paradigm.

PubMed

Liu, Tongran; Xiao, Tong; Shi, Jian-Nong

2013-01-01

Conflict control is an important cognitive control ability and it is also crucial for human beings to execute conflict control on affective information. To address the neural correlates of cognitive control on affective conflicts, the present study recorded event-related potentials (ERPs) during a revised Eriksen Flanker Task. Participants were required to indicate the valence of the central target expression while ignoring the flanker expressions in the affective congruent condition, affective incongruent condition and neutral condition (target expressions flanked by scramble blocks). Behavioral results manifested that participants exhibited faster response speed in identifying neutral target face when it was flanked by neutral distractors than by happy distractors. Electrophysiological results showed that happy target expression induced larger N2 amplitude when flanked by sad distractors than by happy distractors and scramble blocks during the conflict monitoring processing. During the attentional control processing, happy target expression induced faster P3 response when it was flanked by happy distractors than by sad distractors, and sad target expression evoked larger P3 amplitude when it was flanked by happy distractors comparing with sad distractors. Taken together, the current findings of temporal dynamic of brain activity during cognitive control on affective conflicts shed light on the essential relationship between cognitive control and affective information processing.

No meaningful association between suicidal behavior and the use of IL-17A-neutralizing or IL-17RA-blocking agents.

PubMed

Chiricozzi, Andrea; Romanelli, Marco; Saraceno, Rosita; Torres, Tiago

2016-12-01

An emerging class of agents blocking IL-17 signaling represents a very promising therapeutic approach. One of these agents, brodalumab, has been associated with an increased risk of suicide behavior. Areas covered: This review sought to provide an overview strictly focused on suicide behavior signals related to the use of IL-17 agents. Data collection regarding this peculiar safety aspect was primarily based on: (i) a revision of safety outcomes belonging to phase II and phase III trials; (ii) a systematic search using the Pubmed Medline database; and (iii) collecting recent data issued as posters or communications in eminent international meetings. Expert opinion: Whilst secukinumab and ixekizumab were not associated with increased signal of suicidal behavior, being recently approved for the treatment of psoriasis by EMA and FDA, brodalumab raised concern because of suicide behavior cases that led to pause momentarily its development program during pre-marketing stage before obtaining the positive recommendation by an FDA advisory panel for its approval. Indeed, a careful re-evaluation of brodalumab safety profile is being performed and no evidence clarified a significant association or a pathogenic mechanism linking brodalumab treatment to the risk of suicidal behavior, suggesting that cases of suicidal behavior accidentally occurred during brodalumab trials.

Nitrogen-based drugs are not essential for blockade of monoamine transporters.

PubMed

Madras, B K; Pristupa, Z B; Niznik, H B; Liang, A Y; Blundell, P; Gonzalez, M D; Meltzer, P C

1996-12-01

In brain, monoamine transporters are principal targets of widely used therapeutic drugs including antidepressants, methylphenidate (Ritalin), and the addictive drug cocaine. Without exception, these transport blocking agents contain an amine nitrogen. A prevalent view and untested premise is that an amine nitrogen is needed to bind to the same counterion on the transporter as does the amine nitrogen of the monoamine neurotransmitter. We report that several compounds without nitrogen (8-oxa-bicyclo-3-aryl-[3.2.1] octanes, or aryloxatropanes) are active at monoamine transporters. One of these, tropoxane (0-914), bound with high affinity to the dopamine (IC50: 3.35 +/- 0.39 nM), serotonin (IC50: 6.52 +/- 2.05 nM), and norepinephrine (IC50: 20.0 +/- 0.3 nM) transporters in monkey brain, the human striatal dopamine transporter (IC50: 5.01 +/- 1.74 nM), and blocked dopamine transport (IC50: 7.2 +/- 3.0 nM) in COS-7 cells transfected with the human dopamine transporter. These unique compounds require a revision of current concepts of the drug binding domains on monoamine transporters, open avenues for discovery of a new generation of drugs and raise the issue of whether mammalian transporters and receptors may respond to, as yet, undiscovered non-amine bearing neurotransmitters or drugs.

“No one says ‘No’ to money” – a mixed methods approach for evaluating conditional cash transfer schemes to improve girl children’s status in Haryana, India

PubMed Central

2014-01-01

Introduction Haryana was the first state in India to launch a conditional cash transfer (CCT) scheme in 1994. Initially it targeted all disadvantaged girls but was revised in 2005 to restrict it to second girl children of all groups. The benefit which accrued at girl attaining 18 years and subject to conditionalities of being fully immunized, studying till class 10 and remaining unmarried, was increased from about US$ 500 to US$ 2000. Using a mixed methods approach, we evaluated the implementation and possible impact of these two schemes. Methods A survey was conducted among 200 randomly selected respondents of Ballabgarh Block in Haryana to assess their perceptions of girl children and related schemes. A cohort of births during this period was assembled from population database of 28 villages in this block and changes in sex ratio at birth and in immunization coverage at one year of age among boys and girls was measured. Education levels and mean age at marriage of daughters were compared with daughters-in-law from outside Haryana. In-depth interviews were conducted among district level implementers of these schemes to assess their perceptions of programs’ implementation and impact. These were analyzed using a thematic approach. Results The perceptions of girls as a liability and poor (9% to 15%) awareness of the schemes was noted. The cohort analysis showed that while there has been an improvement in the indicators studied, these were similar to those seen among the control groups. Qualitative analysis identified a “conspiracy of silence” - an underplaying of the pervasiveness of the problem coupled with a passive implementation of the program and a clash between political culture of giving subsidies and a bureaucratic approach that imposed many conditionalities and documentary needs for availing of benefits. Conclusion The apparent lack of impact on the societal mindset calls for a revision in the current approach of addressing a social issue by a purely conditional cash transfer program. PMID:24484583

Eye-closure-triggered paroxysmal activity and cognitive impairment: a case report.

PubMed

Termine, Cristiano; Rubboli, Guido; Veggiotti, Pierangelo

2006-01-01

To study the neuropsychological status of an epileptic patient presenting with epileptic activity triggered by eye closure in a 14-year follow-up period. The patient was studied at 12 and 26 years of age; during this period he underwent periodical clinical evaluations and EEG investigations; brain magnetic resonance imaging (MRI) was performed at 12 years of age. A neuropsychological assessment was carried out both at 12 years of age (T0) and at 26 years of age. At T0 and T1, neuropsychological tests (digits and words span, graphoestesia, reactions time to auditory stimuli, sentences repetition, words repetition, digital gnosis, backward counting [i.e.,100-0]) were performed during video-EEG monitoring either with eyes closed or with eyes open, to evaluate possible transitory effects related to ongoing epileptic activity. Moreover, at T0 the patient underwent Wechsler Intelligence Scale for Children-Revised, and at T1 to Wechsler Adult Intelligence Scale-Revised. EEG recordings showed continuous epileptic activity triggered by eye closure, disappearing only with eyes opening, both at T0 and T1 (in this latter case, anteriorly predominant). The results of neuropsychological assessment during eyes closed as compared to performances with eyes open did not show significant differences, at T0 as well as at T1. Wechsler Intelligence scales showed a deterioration of performances at T1 with respect to T0; in addition, at T1, attention and short-term memory abnormalities, impairment in facial recognition and block design, and defective results in Continuous Performance Test and Wisconsin Card Sorting Test were observed. Lack of differences between the results of neuropsychological tests performed with eyes closed as compared to the eyes open condition suggests that in our patient epileptic activity did not cause transitory cognitive abnormalities. Deterioration of Wechsler Intelligence Scales in the follow-up period might be interpreted as the result of a disruption of cognitive processes possibly related to the persistence of a continuous epileptic activity during eye closure over the years. We speculate whether a dysfunction in posterior cortical areas involved in visual processing might be related to the impairment in face recognition and block design tests as well to eye closure sensitivity.

Women with double primary cancers of the colorectum and endometrium: do they have Lynch syndrome?

PubMed

Song, Taejong; Kim, Min Kyu; Lee, Yoo-Young; Choi, Chel Hun; Kim, Tae-Joong; Lee, Jeong-Won; Bae, Duk-Soo; Kim, Byoung-Gie

2016-04-01

The aim of this study was to determine the clinical characteristics of women with double primary cancers of the colorectum and endometrium and assess the probability of Lynch syndrome. We identified 15 women with paraffin-embedded blocks available who were diagnosed, treated and followed for double primary colorectal and endometrial cancers at in a single institution between 1994 and 2014. If there was a family history that met the revised Amsterdam criteria for Lynch syndrome, the woman was considered to have 'clinically defined Lynch syndrome'. If immunohistochemical (IHC) loss of expression of mismatch repair genes (MLH1, MSH2, MSH6, or PMS2) or high microsatellite instability (MSI) was demonstrated in molecular testing, the case was considered 'suspected Lynch syndrome'. The incidence of clinically defined Lynch syndrome according to the revised Amsterdam criteria was 66% (8 of 15). All 8 of the women clinically diagnosed with Lynch syndrome had either abnormal IHC loss or MSI-high, indicating a suspected Lynch syndrome. Furthermore, 27% (4 of 15) experienced second primary colorectal cancer or other Lynch syndrome-related cancers. Overall, 66% (10 of 15) met the criteria for clinically defined Lynch syndrome or suspected Lynch syndrome. Based on our findings, a large percentage (66%) of women with double primary cancers of the colorectum and endometrium are likely to be diagnosed with Lynch syndrome. Copyright © 2015. Published by Elsevier Ireland Ltd.

Glycogen Synthase Kinase-3 Is an Early Determinant in the Differentiation of Pathogenic Th17 Cells

PubMed Central

Beurel, Eléonore; Yeh, Wen-I; Michalek, Suzanne M.; Harrington, Laurie E.; Jope, Richard S.

2011-01-01

CD4+ T cells are critical for host defense but are also major drivers of immune-mediated diseases. The classical view of Th1 and Th2 subtypes of CD4+ T cells was recently revised by the identification of the Th17 lineage of CD4+ T cells that produce IL-17, which have been found to be critical in the pathogenesis of autoimmune and other diseases. Mechanisms controlling the differentiation of Th17 cells have been well described, but few feasible targets for therapeutically reducing Th17 cells are known. The generation of Th17 cells requires IL-6 and activation of STAT3. During polarization of CD4+ T cells to Th17 cells, we found that inhibition of glycogen synthase kinase-3 (GSK3) blocked IL-6 production, STAT3 activation, and polarization to Th17 cells. Polarization of CD4+ T cells to Th17 cells increased by 10-fold the expression of GSK3β protein levels in Th17 cells, whereas GSK3β was unaltered in regulatory T cells. Diminishing GSK3 activity either pharmacologically or molecularly blocked Th17 cell production, and increasing GSK3 activity promoted polarization to Th17 cells. In vivo inhibition of GSK3 in mice depleted constitutive Th17 cells in intestinal mucosa, blocked Th17 cell generation in the lung after Francisella tularensis infection, and inhibited the increase in spinal cord Th17 cells and disease symptoms in the experimental autoimmune encephalomyelitis mouse model of multiple sclerosis. These findings identify GSK3 as a critical mediator of Th17 cell production and indicate that GSK3 inhibitors provide a potential therapeutic intervention to control Th17-mediated diseases. PMID:21191064

Guidelines for the treatment of hemorrhoids (short report).

PubMed

Higuero, T; Abramowitz, L; Castinel, A; Fathallah, N; Hemery, P; Laclotte Duhoux, C; Pigot, F; Pillant-Le Moult, H; Senéjoux, A; Siproudhis, L; Staumont, G; Suduca, J M; Vinson-Bonnet, B

2016-06-01

Hemorrhoids are a common medical problem that is often considered as benign. The French Society of Colo-Proctology (Société nationale française de colo-proctologie [SNFCP]) recently revised its recommendations for the management of hemorrhoids (last issued in 2001), based on the literature and consensual expert opinion. We present a short report of these recommendations. Briefly, medical treatment, including dietary fiber, should always be proposed in first intention and instrumental treatment only if medical treatment fails, except in grade ≥III prolapse. Surgery should be the last resort, and the patient well informed of the surgical alternatives, including the possibility of elective ambulatory surgery, if appropriate. Postoperative pain should be prevented by the systematic implementation of a pudendal block and multimodal use of analgesics. Copyright © 2016. Published by Elsevier Masson SAS.

The Impact of Paralympic School Day on Student Attitudes Toward Inclusion in Physical Education.

PubMed

McKay, Cathy; Block, Martin; Park, Jung Yeon

2015-10-01

The purpose of this study was to determine if Paralympic School Day (PSD), a published disability awareness program, would have a positive impact on the attitudes of students without disabilities toward the inclusion of students with disabilities in physical education classes. Participants were 143 sixth-grade students who were divided into 2 groups (experimental n = 71, control n = 72), with the experimental group receiving the PSD treatment. Participants responded 2 times to Siperstein's Adjective Checklist and Block's Children's Attitudes Toward Integrated Physical Education-Revised (CAIPE-R) questionnaire. Four ANCOVA tests were conducted. Results indicated a significant PSD treatment effect across all 4 measures: Adjective Checklist (p = .046, η² = .03), CAIPE-R (p = .002, η² = .04), inclusion subscale (p = .001, η² = .05), and sport-modification subscale (p = .027, η² = .02).

Does regional compared to local anaesthesia influence outcome after arteriovenous fistula creation?

PubMed

Macfarlane, Alan James Robert; Kearns, Rachel Joyce; Aitken, Emma; Kinsella, John; Clancy, Marc James

2013-08-19

An arteriovenous fistula is the optimal form of vascular access in patients with end-stage renal failure requiring haemodialysis. Unfortunately, approximately one-third of fistulae fail at an early stage. Different anaesthetic techniques can influence factors associated with fistula success, such as intraoperative blood flow and venous diameter. A regional anaesthetic brachial plexus block results in vasodilatation and improved short- and long-term fistula flow compared to the infiltration of local anaesthetic alone. This, however, has not yet been shown in a large trial to influence long-term fistula patency, the ultimate clinical measure of success.The aim of this study is to compare whether a regional anaesthetic block, compared to local anaesthetic infiltration, can improve long-term fistula patency. This study is an observer-blinded, randomised controlled trial. Patients scheduled to undergo creation of either brachial or radial arteriovenous fistulae will receive a study information sheet, and consent will be obtained in keeping with the Declaration of Helsinki. Patients will be randomised to receive either: (i) an ultrasound guided brachial plexus block using lignocaine with adrenaline and levobupivicaine, or (ii) local anaesthetic infiltration with lignocaine and levobupivicaine.A total of 126 patients will be recruited. The primary outcome is fistula primary patency at three months. Secondary outcomes include primary patency at 1 and 12 months, secondary patency and fistula flow at 1, 3 and 12 months, flow on first haemodialysis, procedural pain, patient satisfaction, change in cephalic vein diameter pre- and post-anaesthetic, change in radial or brachial artery flow pre- and post-anaesthetic, alteration of the surgical plan after anaesthesia as guided by vascular mapping with ultrasound, and fistula infection requiring antibiotics. No large randomised controlled trial has examined the influence of brachial plexus block compared with local anaesthetic infiltration on the long-term patency of arteriovenous fistulae. If the performance of brachial plexus block increases fistulae patency, this will have significant clinical and financial benefits as the number of patients able to commence haemodialysis when planned should increase, and the number of "redo" or revision procedures should be reduced. This study has been approved by the West of Scotland Research Ethics Committee 5 (reference no. 12/WS/0199) and is registered with the ClinicalTrials.gov database (reference no. NCT01706354).

Revision of middle Proterozoic Yellowjacket Formation, central Idaho, and revision of Cretaceous Slim Sam Formation, Elkhorn mountains area, Montana

USGS Publications Warehouse

Tysdal, Russell G.

2000-01-01

The Yellowjacket Formation is restricted to the strata originally assigned to it by Ross (1934). The Yellowjacket, the conformably overlying Hoodoo Quartzite, and succeeding unnamed argillaceous quartzite unit form a genetically related sequence that lies in a structural block delimited on the northeast by the Iron Lake fault. Directly northeast of the fault, strata currently assigned by others to the lower subunit of the Yellowjacket are correlated with the Apple Creek Formation in the Lemhi Range. Mapping in the western part of the Lemhi Range shows that the Apple Creek Formation lies depositionally above the Big Creek Formation and that no rocks of the Yellowjacket-Hoodoo unnamed unit stratigraphic sequence are present. In contrast, in the area of the Yellowjacket mapped by Ross (1934) and the area directly northeast of the Iron Lake Fault, the Big Creek Formation is absent, even though it is 2,700 m thick in the Lemhi Range. These data indicate that the Iron Lake Fault juxtaposed the Yellowjacket-Hoodoo-unnamed unit sequence against non-Yellowjacket strata to the northeast. The Upper Cretaceous Slim Sam Formation of the Elkhorn Mountains area is revised. Strata of the lower part are correlated with the regionally recognized marine Telegraph Creek Formation and the overlying marine to marginal marine Eagle Sandstone. Only lower strata of the Eagle are present in the study area and they are preserved discontinously. The nonmarine volcanic and volcaniclastic rocks of the upper part of the Slim Sam as originally defined retain the name Slim Sam Formation. These rocks, mainly of sedimentary origin, are genetically related to the Elkhorn Mountains Volcanics. The lower contact of the Slim Sam (restricted) is unconformable above the Eagle Sandstone or more commonly above the Telegraph Creek Formation. The upper contact is conformable with the Elkhorn Mountains Volcanics.

Time allocated to mathematics in post-primary schools in Ireland: are we in double trouble?

NASA Astrophysics Data System (ADS)

O'Meara, Niamh; Prendergast, Mark

2018-05-01

Mathematics educators and legislators worldwide have begun placing a greater emphasis on teaching mathematics for understanding and through the use of real-life applications. Revised curricula have led to the time allocated to mathematics in effected countries being scrutinised. This has resulted in policy-makers and educationalists worldwide calling for the inclusion of double class periods on the mathematics timetable. Research from the United States suggests that the introduction of double or block periods allow for the objectives of revised curricula to be realized. The aim of this study, which is set in the school context, is first to ascertain if schools in Ireland are scheduling double periods for mathematics at both lower post-primary level (Junior Cycle) and upper post-primary level (Senior Cycle). It also seeks to determine if there is a link between teachers' levels of satisfaction with the time allocated to mathematics and the provision of double periods and to get insights from teachers in relation to their opinions on what can be achieved through the introduction of such classes. Questionnaires were sent to 400 post-primary schools (approximately 1600 teachers) which were selected using stratified sampling techniques. It was found that 8.7% of mathematics teachers reported the provision of double periods at Junior Cycle while 55% reported that double periods were included on their timetable at Senior Cycle. The study also identified a link between teachers' levels of satisfaction with the time allocated to mathematics and the provision of double periods. Finally, teachers felt that double periods allowed for new teaching methodologies, which were promoted by the revised curricula, to be implemented and teaching for understanding was also more feasible. In essence, it was found that double periods have an influence on the mathematical experience of post-primary students as well as the teaching approaches employed.

Carboniferous paleogeographic, phytogeographic, and paleoclimatic reconstructions

USGS Publications Warehouse

Rowley, D.B.; Raymond, A.; Parrish, Judith T.; Lottes, A.L.; Scotese, C.R.; Ziegler, A.M.

1985-01-01

Two revised paleogeographic reconstructions of the Visean and Westphalian C-D stages are presented based on recent paleomagnetic, phytogeographic, stratigraphic, and tectonic data. These data change the positions of some continental blocks, and allow the definition of several new ones. The most important modifications that have been incorporated in these reconstructions are: (1) a proposed isthmus linking North America and Siberia across the Bering Strait; and (2) the separation of China and Southeast Asia in six major blocks, including South China, North China, Shan Thai-Malaya, Indochina, Qangtang, and Tarim blocks. Evidence is presented that suggests that at least the South China, Shan Thai-Malaya, and Qangtang blocks were derived from the northern margin of Gondwana. Multivariate statistical analysis of phytogeographic data from the middle and late Paleozoic allow definition of a number of different phytogeographic units for four time intervals: (1) the Early Devonian, (2) Tournaisian-early Visean, (3) Visean, and (4) late Visean-early Namurian A. Pre-late Visean-early Namurian A floral assemblages from South China show affinities with northern Gondwana floras suggesting a southerly position and provides additional support for our reconstruction of South China against the northern margin of Gondwana. There is a marked decrease in the diversity of phytogeographic units in the Namurian and younger Carboniferous. This correlates closely with the time of assembly of most of Pangaea. The general pattern of Carboniferous phytogeographic units corresponds well with global distribution of continents shown on our paleogeographic reconstructions. In addition, we have constructed paleoclimatic maps for the two Carboniferous time intervals. These maps stress the distribution of rainfall, as this should be strongly correlated with the floras. There is marked change in the rainfall patterns between the Visean and Westphalian C-D. This change corresponds with the closing of the Appalachian-Ouachita ocean between Laurussia and Gondwana, and reflects the removal of a low-latitude moisture source that probably gave rise to monsoonal conditions along the northern margin of Gondwana in the Visean and earlier times. As well, the presence of a substantial heat source at high elevation in the Late Carboniferous significantly influenced the distribution of climatic belts. ?? 1986.

Electron microscopy of human peripheral nerves of clinical relevance to the practice of nerve blocks. A structural and ultrastructural review based on original experimental and laboratory data.

PubMed

Reina, M A; Arriazu, R; Collier, C B; Sala-Blanch, X; Izquierdo, L; de Andrés, J

2013-12-01

The goal is to describe the ultrastructure of normal human peripheral nerves, and to highlight key aspects that are relevant to the practice of peripheral nerve block anaesthesia. Using samples of sciatic nerve obtained from patients, and dural sac, nerve root cuff and brachial plexus dissected from fresh human cadavers, an analysis of the structure of peripheral nerve axons and distribution of fascicles and topographic composition of the layers that cover the nerve is presented. Myelinated and unmyelinated axons, fascicles, epineurium, perineurium and endoneurium obtained from patients and fresh cadavers were studied by light microscopy using immunohistochemical techniques, and transmission and scanning electron microscopy. Structure of perineurium and intrafascicular capillaries, and its implications in blood-nerve barrier were revised. Each of the anatomical elements is analyzed individually with regard to its relevance to clinical practice to regional anaesthesia. Routine practice of regional anaesthetic techniques and ultrasound identification of nerve structures has led to conceptions, which repercussions may be relevant in future applications of these techniques. In this regard, the ultrastructural and histological perspective accomplished through findings of this study aims at enlightening arising questions within the field of regional anaesthesia. Copyright © 2013 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

[Identification and analysis of Corydalis boweri, Meconopsis horridula and their close related species of the same genus by using ITS2 DNA barcode].

PubMed

Dou, Rong-kun; Bi, Zhen-fei; Bai, Rui-xue; Ren, Yao-yao; Tan, Rui; Song, Liang-ke; Li, Di-qiang; Mao, Can-quan

2015-04-01

The study is aimed to ensure the quality and safety of medicinal plants by using ITS2 DNA barcode technology to identify Corydalis boweri, Meconopsis horridula and their close related species. The DNA of 13 herb samples including C. boweri and M. horridula from Lhasa of Tibet was extracted, ITS PCR were amplified and sequenced. Both assembled and web downloaded 71 ITS2 sequences were removed of 5. 8S and 28S. Multiple sequence alignment was completed and the intraspecific and interspecific genetic distances were calculated by MEGA 5.0, while the neighbor-joining phylogenetic trees were constructed. We also predicted the ITS2 secondary structure of C. boweri, M. horridula and their close related species. The results showed that ITS2 as DNA barcode was able to identify C. boweri, M. horridula as well as well as their close related species effectively. The established based on ITS2 barcode method provides the regular and safe detection technology for identification of C. boweri, M. horridula and their close related species, adulterants and counterfeits, in order to ensure their quality control, safe medication, reasonable development and utilization.

Energy consumption and CO2 emissions in Tibet and its cities in 2014

NASA Astrophysics Data System (ADS)

Shan, Yuli; Zheng, Heran; Guan, Dabo; Li, Chongmao; Mi, Zhifu; Meng, Jing; Schroeder, Heike; Ma, Jibo; Ma, Zhuguo

2017-08-01

Because of its low level of energy consumption and the small scale of its industrial development, the Tibet Autonomous Region has historically been excluded from China's reported energy statistics, including those regarding CO2 emissions. In this paper, we estimate Tibet's energy consumption using limited online documents, and we calculate the 2014 energy-related and process-related CO2 emissions of Tibet and its seven prefecture-level administrative divisions for the first time. Our results show that 5.52 million tons of CO2 were emitted in Tibet in 2014; 33% of these emissions are associated with cement production. Tibet's emissions per capita amounted to 1.74 tons in 2014, which is substantially lower than the national average, although Tibet's emission intensity is relatively high at 0.60 tons per thousand yuan in 2014. Among Tibet's seven prefecture-level administrative divisions, Lhasa City and Shannan Region are the two largest CO2 contributors and have the highest per capita emissions and emission intensities. The Nagqu and Nyingchi regions emit little CO2 due to their farming/pasturing-dominated economies. This quantitative measure of Tibet's regional CO2 emissions provides solid data support for Tibet's actions on climate change and emission reductions.

Multiple cooling episodes in the Central Tarim (Northwest China) revealed by apatite fission track analysis and vitrinite reflectance data

NASA Astrophysics Data System (ADS)

Chang, Jian; Qiu, Nansheng; Song, Xinying; Li, Huili

2016-06-01

Apatite fission track and vitrinite reflectance are integrated for the first time to study the cooling history in the Central Tarim, northwest China. The paleo-temperature profiles from vitrinite reflectance data of the Z1 and Z11 wells showed a linear relationship with depth, suggesting an approximately 24.8 °C/km paleo-geothermal gradient and 2700-3900 m of erosion during the Early Mesozoic. The measured apatite fission track ages from well Z2 in the Central Tarim range from 39 to 159 Ma and effectively record the Meso-Cenozoic cooling events that occurred in Central Tarim. Moreover, two cooling events at 190-140 Ma in the Early Jurassic-Early Cretaceous and 80-45 Ma in the Late Cretaceous-Paleocene revealed by measured AFT data and thermal modeling results are related to the collisions of the Qiangtang-Lhasa terranes and the Greater India Plate with the southern margin of the Eurasian Plate, respectively. This study provides new insights into the tectonic evolution of the Tarim Basin (and more broadly Central Asia) and for hydrocarbon generation and exploration in the Central Tarim.

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

Montgomery, S.L.

Recent discovery of natural gas in sandstones of the Jackfork Group of southeastern Oklahoma has led to revised interpretations of hydrocarbon potential in the Ouachita thrust province of eastern Oklahoma. Jackfork reservoirs consist of fine to very fine grained, submarine-fan lobe sandstones with low matrix permeability and porosity. Production is dependent upon natural fractures, enhanced in most cases by artificial stimulation. Individual wells have produced at rates of 1.3-5.7 Mcf per day and possess estimated reserves in the range of 2.0-7.6 Gcf. Hyperbolic decline suggests gas contribution from the matrix, possibly due to the presence of microfractures. Drilling has concentratedmore » on two subsidiary thrust blocks in the hanging wall of the Ti Valley thrust, southern Latimer County. However, recent outcrop, petrographic, and sedimentological analyses have shown that traditional depositional models of the Jackfork are overly limited and that potential Jackfork reservoirs exist across a broad area to the south of the current play. Such analyses have revealed the existence of thick, medium-coarse-grained channel sequences at a number of localities in the Lynn Mountain syncline. Similar sequences may also exist well to the south, in the Boktukola syncline, where thick sand intervals have been identified. Petrographic study of samples from the Lynn Mountain syncline suggests that channel sequences may have significantly higher reservoir quality than is found in productive Jackfork sandstones to the north. Traditional assumptions postulating low regional hydrocarbon potential for the Jackfork therefore stand in need of revision.« less

Intravascular migration of a broken cerclage wire into the left heart.

PubMed

Leonardi, Francesco; Rivera, Fabrizio

2014-10-01

This article describes a patient in whom a broken cerclage wire migrated from the left hip into the left ventricle. A 71-year-old woman was admitted to the authors' hospital for preoperative examination before femoral hernia repair. Chest radiograph showed a metallic wire in the left ventricle. Twenty-four years earlier, she had a revision arthroplasty. During revision surgery, fragments of the osteotomy were fixed to the femur with multiple cerclage wires. During the past 5 years, radiographic follow-up showed progressive multiple ruptures of cerclage wires. The cerclage wiring was not removed because the patient had no related clinical symptoms. Radiograph of the left hip showed a well-fixed cemented acetabular ring and an uncemented femoral stem with a healed trochanteric osteotomy. All cerclage wires were broken into multiple parts, and it was very difficult to determine which part had migrated into the heart. Thoracic computed tomography scan showed wire that had migrated into the anterior left ventricular myocardial wall at the atrioventricular level. The patient had no clinical symptoms. Electrocardiogram showed a normal sinus rhythm and right bundle branch block. Because of the high risk of surgical left ventriculotomy associated with searching for wire that had migrated into the myocardial wall, patient monitoring was planned. Definitive management of this complication constitutes a dilemma. Although this complication is highly unusual, the possibility of intracardiac migration of broken wire should be considered when deciding on prophylactic surgical removal of hardware after fracture or osteotomy healing. Copyright 2014, SLACK Incorporated.

Parameterization of Model Validating Sets for Uncertainty Bound Optimizations. Revised

NASA Technical Reports Server (NTRS)

Lim, K. B.; Giesy, D. P.

2000-01-01

Given measurement data, a nominal model and a linear fractional transformation uncertainty structure with an allowance on unknown but bounded exogenous disturbances, easily computable tests for the existence of a model validating uncertainty set are given. Under mild conditions, these tests are necessary and sufficient for the case of complex, nonrepeated, block-diagonal structure. For the more general case which includes repeated and/or real scalar uncertainties, the tests are only necessary but become sufficient if a collinearity condition is also satisfied. With the satisfaction of these tests, it is shown that a parameterization of all model validating sets of plant models is possible. The new parameterization is used as a basis for a systematic way to construct or perform uncertainty tradeoff with model validating uncertainty sets which have specific linear fractional transformation structure for use in robust control design and analysis. An illustrative example which includes a comparison of candidate model validating sets is given.

iQIST v0.7: An open source continuous-time quantum Monte Carlo impurity solver toolkit

NASA Astrophysics Data System (ADS)

Huang, Li

2017-12-01

In this paper, we present a new version of the iQIST software package, which is capable of solving various quantum impurity models by using the hybridization expansion (or strong coupling expansion) continuous-time quantum Monte Carlo algorithm. In the revised version, the software architecture is completely redesigned. New basis (intermediate representation or singular value decomposition representation) for the single-particle and two-particle Green's functions is introduced. A lot of useful physical observables are added, such as the charge susceptibility, fidelity susceptibility, Binder cumulant, and autocorrelation time. Especially, we optimize measurement for the two-particle Green's functions. Both the particle-hole and particle-particle channels are supported. In addition, the block structure of the two-particle Green's functions is exploited to accelerate the calculation. Finally, we fix some known bugs and limitations. The computational efficiency of the code is greatly enhanced.

76 FR 2493 - Nutrition Standards in the National School Lunch and School Breakfast Programs

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-13

...This rule proposes to revise the meal patterns and nutrition requirements for the National School Lunch Program and the School Breakfast Program to align them with the 2005 ``Dietary Guidelines for Americans,'' as required by the Richard B. Russell National School Lunch Act. The proposed changes are based on recommendations from the National Academies' Institute of Medicine set forth in the report ``School Meals: Building Blocks for Healthy Children.'' This proposed rule would increase the availability of fruits, vegetables, whole grains, and fat-free and low-fat fluid milk in school meals; reduce the levels of sodium and saturated fat in meals; and help meet the nutrition needs of school children within their calorie requirements. Implementation of this proposed rule would result in more nutritious school meals that improve the dietary habits of school children and protect their health.

Isomer-delayed γ -ray spectroscopy of A =159 -164 midshell nuclei and the variation of K -forbidden E 1 transition hindrance factors

NASA Astrophysics Data System (ADS)

Patel, Z.; Walker, P. M.; Podolyák, Zs.; Regan, P. H.; Berry, T. A.; Söderström, P.-A.; Watanabe, H.; Ideguchi, E.; Simpson, G. S.; Nishimura, S.; Wu, Q.; Xu, F. R.; Browne, F.; Doornenbal, P.; Lorusso, G.; Rice, S.; Sinclair, L.; Sumikama, T.; Wu, J.; Xu, Z. Y.; Aoi, N.; Baba, H.; Bello Garrote, F. L.; Benzoni, G.; Daido, R.; Dombrádi, Zs.; Fang, Y.; Fukuda, N.; Gey, G.; Go, S.; Gottardo, A.; Inabe, N.; Isobe, T.; Kameda, D.; Kobayashi, K.; Kobayashi, M.; Komatsubara, T.; Kojouharov, I.; Kubo, T.; Kurz, N.; Kuti, I.; Li, Z.; Matsushita, M.; Michimasa, S.; Moon, C.-B.; Nishibata, H.; Nishizuka, I.; Odahara, A.; Şahin, E.; Sakurai, H.; Schaffner, H.; Suzuki, H.; Takeda, H.; Tanaka, M.; Taprogge, J.; Vajta, Zs.; Yagi, A.; Yokoyama, R.

2017-09-01

Excited states have been studied in 159Sm, 161Sm, 162Sm (Z =62 ), 163Eu (Z =63 ), and 164Gd (Z =64 ), populated by isomeric decay following 238U projectile fission at RIBF, RIKEN. The isomer half-lives range from 50 ns to 2.6 μ s . In comparison with other published data, revised interpretations are proposed for 159Sm and 163Eu. The first data for excited states in 161Sm are presented, where a 2.6-μ s isomer is assigned a three-quasiparticle, Kπ=17 /2- structure. The interpretation is supported by multi-quasiparticle Nilsson-BCS calculations, including the blocking of pairing correlations. A consistent set of reduced E 1 hindrance factors is obtained. Limited evidence is also reported for isomeric decay in 163Sm, 164Eu, and 165Eu.

Antarctica and global paleogeography: from Rodinia, rhrough Gondwanaland and Pangea, to the birth of the Southern Ocean and the opening of gateways

USGS Publications Warehouse

Torsvik, T.H.; Gaina, C.; Redfield, T.F.

2007-01-01

Neoproterozoic Rodinia reconstructions associate East Antarctica (EANT) with cratonic Western Australia. By further linking EANT to both Gondwana and Pangea with relative plate circuits, a Synthetic Apparent Polar Wander (SAPW) path for EANT is calculated. This path predicts that EANT was located at tropical to subtropical southerly latitudes from ca. 1 Ga to 420 Ma. Around 400 Ma and again at 320 Ma, EANT underwent southward drift. Ca. 250 Ma Antarctica voyaged briefly north but headed south again ca. 200 Ma. Since 75 Ma EANT became surrounded by spreading centers and has remained extremely stable. Although paleomagnetic data of the blocks that embrace West Antarctica are sparse, we attempt to model their complex kinematics since the Mesozoic. Together with the SAPW path and a revised circum-Antarctic seafloor spreading history we construct a series of new paleogeographic maps.

A novel revision to the classical transnasal topical sphenopalatine ganglion block for the treatment of headache and facial pain.

PubMed

Candido, Kenneth D; Massey, Scott T; Sauer, Ruben; Darabad, Raheleh Rahimi; Knezevic, Nebojsa Nick

2013-01-01

The sphenopalatine ganglion (SPG) is located with some degree of variability near the tail or posterior aspect of the middle nasal turbinate. The SPG has been implicated as a strategic target in the treatment of various headache and facial pain conditions, some of which are featured in this manuscript. Interventions for blocking the SPG range from minimally to highly invasive procedures often associated with great cost and unfavorable risk profiles. The purpose of this pilot study was to present a novel, FDA-cleared medication delivery device, the Tx360® nasal applicator, incorporating a transnasal needleless topical approach for SPG blocks. This study features the technical aspects of this new device and presents some limited clinical experience observed in a small series of head and face pain cases. Case series. Pain management center, part of teaching-community hospital, major metropolitan city, United States. After Institutional Review Board (IRB) approval, the technical aspects of this technique were examined on 3 patients presenting with various head and face pain conditions including trigeminal neuralgia (TN), chronic migraine headache (CM), and post-herpetic neuralgia (PHN). The subsequent response to treatment and quality of life was quantified using the following tools: the 11-point Numeric Rating Scale (NRS), Modified Brief Pain Inventory - short form (MBPI-sf), Patient Global Impression of Change (PGIC), and patient satisfaction surveys. The Tx360® nasal applicator was used to deliver 0.5 mL of ropivacaine 0.5% and 2 mg of dexamethasone for SPG block. Post-procedural assessments were repeated at 15 and 30 minutes, and on days one, 7, 14, and 21 with a final assessment at 28 days post-treatment. All patients were followed for one year. Individual patients received up to 10 SPG blocks, as clinically indicated, after the initial 28 days. Three women, ages 43, 18, and 15, presented with a variety of headache and face pain disorders including TN, CM, and PHN. All patients reported significant pain relief within the first 15 minutes post-treatment. A high degree of pain relief was sustained throughout the 28 day follow-up period for 2 of the 3 study participants. All 3 patients reported a high degree of satisfaction with this procedure. One patient developed minimal bleeding from the nose immediately post-treatment which resolved spontaneously in less than 5 minutes. Longer term follow-up (up to one year) demonstrated that additional SPG blocks over time provided a higher degree and longer lasting pain relief. Controlled double blind studies with a higher number of patients are needed to prove efficacy of this minimally invasive technique for SPG block. SPG block with the Tx360® is a rapid, safe, easy, and reliable technique to accurately deliver topical transnasal analgesics to the area of mucosa associated with the SPG. This intervention can be delivered in as little as 10 seconds with the novice provider developing proficiency very quickly. Further investigation is certainly warranted related to technique efficacy, especially studies comparing efficacy of Tx360 and standard cotton swab techniques.

Crossing the roof of the world: Trade in medicinal plants from Nepal to China.

PubMed

He, Jun; Yang, Bin; Dong, Min; Wang, Yunshang

2018-04-26

Trade in medicinal and aromatic plants (MAPs) between Nepal and China has taken place for centuries along the Tibetan border. While there is anecdotal evidence that economic development in China over the past decades, coupled with regional infrastructure development and increasing market integration, has substantially changed this trade, there are no current published studies investigating this, e.g. in terms of species and market structure. This knowledge gap impedes the development of public interventions, e.g. in support of sustainable trade. The primary objective of this study is to provide the first informative insights into the Nepal-China trade in MAPs, with particular emphasis on the value chain in Tibet. Data was collected from December 2015 to August 2016 in Nepal and Tibet. The data collection included standardized questionnaires to understand and map the value chain of MAPs, including the actors involved and key governance issues. Data was collected from Katmandu-based MAPs wholesalers exporting from Nepal to China, (n = 6) and with regional wholesalers (n = 40) based in Tibet. The questionnaires contained quantitative and qualitative components focusing on key elements of the MAPs value chain, e.g. the traded species and their values. This was augmented with qualitative interviews with Lhasa-based processors (n = 4) and government officials (n = 12) working in border controls, customs, and/or drug administration. We also collected official statistics on the Nepal-China MAPs trade and conducted a workshop in Lhasa with traders and government officials to discuss the nature of the Nepal-China MAPs trade. The Nepal-China MAPs trade boomed after 2011 when the value of traded plants increased more than nine-fold. This rapid increase reflected both a broader species composition and higher unit prices in response to increasing demand from China. The trade expansion was also driven by increasing demand in China and facilitated by improved infrastructure in Nepal and Tibet, including direct flight connections for the transport of high-value products. Official records on both sides of the border under-document both the value and the volume of the trade, implying that much of it is extra-legal. The value chain is thus governed by both legal and extra-legal mechanisms. This study provides the first structured overview of the current trade in commercial MAPs from Nepal to China. While the trade is thriving, growing in both volume and value to the benefit of producers in Nepal and consumers in China, there is little empirical data or research to support policy formulation on sustainable trading. This study provides informative insights into the value chain and makes public policy recommendations to increase the transparency and sustainability of trade by improving traditional border markets and removing market barriers. Copyright © 2018 Elsevier B.V. All rights reserved.

Project Hi-CLIMB: A Synoptic View of the Himalayan Collision Zone and Southern Tibet

NASA Astrophysics Data System (ADS)

Nábělek, J. L.; Vergne, J.; Hetenyi, G.

2005-12-01

Project Hi-CLIMB is a broadband seismic experiment whose goal is to produce a high-resolution continuous profile across the Himalaya and southern Tibet. The centerpiece of the project is a closely spaced, linear array of broadband seismographs, extending from the Ganga lowland, across the Himalayas, and onto the central Tibetan plateau. A complementary array of sparsely spaced stations flanks the linear array. Over 270 sites were occupied during the experiment. The principal institutions involved in the field operations were the Oregon State U. and U. of Illinois (USA), Dept. of Mines and Geology (Nepal), Chinese Academy of Geol. Sci. and Peking U. (China) and the Inst. of Earth Sci. (Taiwan). The major funding for this project was provided by the NSF, Continental Dynamics program. We focus on the receiver function images from the main profile. We observe clear Moho and the upper-mantle discontinuities. The Moho, which in southern Nepal is at 45 km depth (relative to sea level), dips at a gentle angle under the Himalaya. Crossing the Himalaya, its depth rapidly increases, reaching the of 70 km near the Yarlung River. We have succeeded in imagining the Main Himalayan Trust (MHT) as it descends northward at a shallow depth from its surface expression, the Main Frontal Thrust in southern Nepal. In Nepal along the profile, MHT is expressed by a pronounced seismic low velocity zone, which we believe indicates a presence of trapped aqueous fluids in the fault zone, thus lowering the strength of the megathrust. The low velocity associated with the MHT disappears for a short distance north but reappears again as the MHT increases its dip under S. Tibet. We believe the characteristics of the low velocity associated with the MHT in S. Tibet indicate a presence of partial melt due to an increase in depth and frictional heating. A low-velocity wedge above the MHT suggests an accumulation of the melt. This could be an ongoing process of generation of the Himalayan granites. The Tibetan data reveal Indian crust tucking under the "Asian" crust and sliding under it all the way to the Banggong-Nujiang suture where its lower portion peals off and subducts steeply under the Qiangtang terrene. Under the Lhasa terrene, where we observe fully doubled-up Indian and Asian crust, the relative motion appears to be taken up along a midcrustal low-viscosity/low-velocity zone. The lower crust is high velocity, dense and strong, thus enabling its subduction north of the BNS. The strength of the lower crust seems to be inherited from the lower Indian crust, which is high velocity already under Nepal and undergoes further densification by eclogitisation as it slides to greater depths under Tibet. North of the BNS the high-velocity lower crust is absent. The lower crust north of the BNS may be formed by a northward transfer of unsubducted viscous quartz-rich midcrustal material from the Lhasa terrene.

Why do paleomagnetic studies in Tibet lead to such disparate paleolatitude estimates? (Invited)

NASA Astrophysics Data System (ADS)

Lippert, P. C.; Huang, W.; Van Hinsbergen, D. J.; Dupont-Nivet, G.

2013-12-01

Paleomagnetism is the only technique that can quantify paleolatitudes. Thus, many paleomagnetists have attempted to date the India-Asia collision by determining when the latitudes of rocks of the northern Himalayas (i.e. the northernmost continental rocks derived from India) overlap with those from the Lhasa terrane (i.e., the southern margin of Asia). The first studies were published in the 1980s, and only recently has the paleomagnetic community revived this technique. A suite of recent papers reported paleomagnetic data from coeval volcanic units of the upper Linzizong Formation in Southern Tibet. Despite similar sampling and measurement methods, these studies presented paleolatitudes for the Lhasa terrane that range over more than 20 degrees, i.e. >2200 km. These results have engendered skepticism within the tectonics community and raised questions regarding the usefulness of paleomagnetism in studying the India-Asia collision. Here we attempt to demonstrate that the diversity of paleolatitude estimates from the upper Linzizong Formation is an artifact of the statistical treatment of datasets primarily arising from under-sampling of the time-averaged paleomagnetic field in many of the individual studies. Previous reviews treated all of these data with equal weight, despite disparate sample sizes and quality criteria among the individual studies. This approach introduces large errors and spurious uncertainty in paleolatitude calculations. We show that applying the rigorous methodology typically employed by the geomagnetic field community to each paleomagnetic data set establishes coherency within and between data sets. The resulting latitude history provides a paleomagnetically-determined collision age between the Tibetan Himalaya and the southern margin of Asia at the longitudes of Nepal that is 49.5×4.5 Ma at 21×4° N latitude. The paleomagnetic age and latitude of this collision may be a few millions of years earlier and ~2° lower if estimates for shortening within the suture zone are considered. We test the robustness of our result in two ways. First, we demonstrate that the compilation of filtered published paleomagnetic data provides, within error, the same paleolatitude whether we include our own large data set or not, even though individual papers drew significantly different conclusions. This shows that the disparate paleolatitude estimates are the result of inclusion of poorly-resolved data and under-sampling of the paleomagnetic field. Second, we show that paleomagnetic data derived from sediments interbedded within this volcanic sequence provide the same paleolatitude as filtered volcanic data after they have been evaluated and corrected for compaction-induced flattening. We conclude that paleomagnetic research is a key tool in making quantitative tectonic reconstructions within the India-Asia collision zone (see Session GP003), but that a consistent and thorough quality filter rooted in our understanding of geomagnetic field behavior is essential to obtain reliable and coherent results.

Deep Probe: Investigating the lithosphere of western North America with refraction seismology

NASA Astrophysics Data System (ADS)

Gorman, Andrew Robert

The Laurentian Craton, composed of the exposed Canadian Shield ringed by sediment-covered platforms, is the Precambrian heart of North America. The craton can be divided into several provinces representing ancient Archean blocks and the suture regions which stitched them together. In western Canada, Montana and Wyoming, the general distribution of Precambrian cratonic elements has been established by previous potential field studies combined with the analysis of basement rocks extracted from a small number of exploration drill holes that penetrated the overlying sedimentary basin, and from limited outcrops in southern Montana and Wyoming. The major blocks identified in this region include the Archean Hearne (mostly beneath Alberta) and Wyoming (beneath Montana and Wyoming) Provinces. A third block, the Medicine Hat Block, often interpreted to be the southernmost part of the Hearne Province, is considered independent in this study. The objectives of this thesis are to determine the velocity structure and characteristics of the crust and sub-crustal lithospheric mantle beneath the three Archean domains and the relationships among them to further understanding of the tectonic development of cratonic western North America. These objectives are met through interpretation of data from the Deep Probe/SAREX seismic refraction experiment of 1995, the largest of its type ever undertaken on the continent. Twenty large chemical explosions were detonated along a 3000-km-long profile running from Great Slave Lake to southern New Mexico and recorded at ˜2000 closely spaced seismograph stations between central Alberta and northern New Mexico. Interpretations, of increasing complexity, are based on: (1) the tau-p downward continuation of individual shot records, (2) a ray-theoretical travel-time inversion with Earth curvature considerations, and (3) detailed modelling of specific features with a finite difference wave propagation method. Interpretations of velocities and structures are made to depths as great as 150 km. From features of the crustal structure and their correspondence with two north-dipping relict subduction zones in the upper mantle, the boundaries between the three major Archean blocks are delineated and associated with the Vulcan Structure and Great Falls Tectonic Zone, two poorly understood tectonic features in the region. A prominent 10-to-30 km thick high velocity layer at the base of the Wyoming Province and Medicine Hat Block is interpreted to represent Proterozoic crustal underplating and alteration. The composition and physical properties of the crust-mantle boundary, the relict subduction zones and a heterogeneous upper mantle layer lying between depths of 100 km and 140 km are investigated to further understand lithospheric development in this region. The seismic interpretation is combined with previous work to develop a revised scenario for the tectonic assembly of western Laurentia.

A multidisciplinary study on the crustal architecture and tectonic evolution of the Biligiri Rangan Block, southern India: Implications for Neoarchean plate tectonics

NASA Astrophysics Data System (ADS)

Raveendran Thankamoni, Ratheesh Kumar

2017-04-01

Southern India is comprised of a collage of crustal blocks ranging in age from Archean to Neoproterozoic. Previous studies considered the Archean high-grade granulite terrain to the north of the Southern Granuilte Terrain (SGT) of southern India as the part of the Dharwar Craton and hence subdivided this craton into western, central and eastern provinces. This contribution presents my detailed examinations on the least studied Central Dharwar Province, comprising the Biligiri Rangan (BR) - Male Mahadeshwara (MM) Hills domain composed predominantly of charnockites. One of my recent study (Ratheesh-Kumar et al., 2016) for the first time provided necessary evidence for Neoarchean subduction-accretion-collision tectonic evolution of this domain as a separate crustal block which has been named as Biligiri Rangan Block (BRB) by using a multidisciplinary approach involving field investigation, petrography, mineral chemistry, thermodynamic modeling of metamorphic P-T evolution, and LA-ICPMS U-Pb and Lu-Hf analyses of zircons on representative rocks together with regional-scale crustal thickness model derived using isostatic gravimetric geophysical method. The important findings of this study are: (1) The BRB preserves the vestiges of a Mesoarchean primitive continental crust as indicated by the age (ca. 3207) and positive ɛHf value (+2.7) of quartzofeldspathic gneiss occurred in the central part of the block (2) The charnockites and associated mafic granulites and granites provide ages between ca. 2650 Ma and ca. 2498 Ma with large negative ɛHf values are suggestive of Neoarchean charnockitization and crustal remelting (3) New geochemical data of charnockites and mafic granulites from BRB are consistent with arc magmatic rocks generated through oceanic plate subduction (4) Delineation of a suture zone along the Kollegal structural lineament bounding the BRB and the Western Dharwar Craton surmised from the occurrences of quartzite-iron formation intercalations and also mafic-ultramafic lenses along this lineament with their evolution through a clockwise prograde and retrograde metamorphism in a subduction zone setting at a high-pressure of 18-19 kbar and temperature of ˜840°C (5) Spatial variation of crustal thickness data reveal high crustal thickness in the Biligiri Rangan and the Nilgiri Blocks, and are attributed to a more competently thickened crust resulted by the subduction and collision processes. Based on these results, this study proposes a new tectonic model for the evolution of the BRB that envisages eastward subduction of the Western Dharwar oceanic crust beneath the BRB along the Kollegal suture zone resulted in the arc magmatism during the Neoarchean. The relevance of this study relies on the fact that the proposed evolutionary model revises the existing debates on the tectonic framework and evolution of the Archean terranes of southern India.

Revised Geologic Map of the Fort Garland Quadrangle, Costilla County, Colorado

USGS Publications Warehouse

Wallace, Alan R.; Machette, Michael N.

2008-01-01

The map area includes Fort Garland, Colo., and the surrounding area, which is primarily rural. Fort Garland was established in 1858 to protect settlers in the San Luis Valley, then part of the Territory of New Mexico. East of the town are the Garland mesas (basalt-covered tablelands), which are uplifted as horsts with the Central Sangre de Cristo fault zone. The map also includes the northern part of the Culebra graben, a deep structural basin that extends from south of San Luis (as the Sanchez graben) to near Blanca, about 8 km west of Fort Garland. The oldest rocks exposed in the map area are early Proterozic basement rocks (granites in Ikes Creek block) that occupy an intermediate structural position between the strongly uplifted Blanca Peak block and the Culebra graben. The basement rocks are overlain by Oligocene volcanic and volcaniclastic rocks of unknown origin. The volcanic rocks were buried by a thick sequence of basin-fill deposits of the Santa Fe Group as the Rio Grande rift formed about 25 million years ago. The Servilleta Basalt, a regional series of 3.7?4.8 Ma old flood basalts, was deposited within sediment, and locally provides a basis for dividing the group into upper and lower parts. Landslide deposits and colluvium that rest on sediments of the Santa Fe Group cover the steep margins of the mesas. Exposures of the sediment beneath the basalt and within the low foothills east of the Central Sangre de Cristo fault zone are comprised of siltstones, sandstones, and minor fluvial conglomerates. Most of the low ground surrounding the mesas and in the graben is covered by surficial deposits of Quaternary age. The alluvial deposits are subdivided into three Pleistocene-age units and three Holocene-age units. The oldest Pleistocene gravel (unit Qao) is preserved as isolated remnants that cap high surfaces north and east of Fort Garland. The primary geologic hazards in the map area are from earthquakes, landslides, and localized flooding. The Central Sangre de Cristo fault zone shows evidence for latest Pleistocene to possible early Holocene movement. The landslides may have seismogenic origins; that is, they may be stimulated by strong ground shaking during large earthquakes. This revised geologic map is based on previous mapping by Wallace (1997) and new mapping, primarily of the Quaternary deposits, by Machette.

Revision of infected knee arthroplasties in Denmark

PubMed Central

Lindberg-Larsen, Martin; Jørgensen, Christoffer C; Bagger, Jens; Schrøder, Henrik M; Kehlet, Henrik

2016-01-01

Background and purpose The surgical treatment of periprosthetic knee infection is generally either a partial revision procedure (open debridement and exchange of the tibial insert) or a 2-stage exchange arthroplasty procedure. We describe the failure rates of these procedures on a nationwide basis. Patients and methods 105 partial revisions (100 patients) and 215 potential 2-stage revision procedures (205 patients) performed due to infection from July 1, 2011 to June 30, 2013 were identified from the Danish Knee Arthroplasty Register (DKR). Failure was defined as surgically related death ≤ 90 days postoperatively, re-revision due to infection, or not reaching the second stage for a planned 2-stage procedure within a median follow-up period of 3.2 (2.2–4.2) years. Results The failure rate of the partial revisions was 43%. 71 of the partial revisions (67%) were revisions of a primary prosthesis with a re-revision rate due to infection of 34%, as compared to 55% in revisions of a revision prosthesis (p = 0.05). The failure rate of the 2-stage revisions was 30%. Median time interval between stages was 84 (9–597) days. 117 (54%) of the 2-stage revisions were revisions of a primary prosthesis with a re-revision rate due to infection of 21%, as compared to 29% in revisions of a previously revised prosthesis (p = 0.1). Overall postoperative mortality was 0.6% in high-volume centers (> 30 procedures within 2 years) as opposed to 7% in the remaining centers (p = 0.003). Interpretation The failure rates of 43% after the partial revision procedures and 30% after the 2-stage revisions in combination with the higher mortality outside high-volume centers call for centralization and reconsideration of surgical strategies. PMID:26900908

Failure of aseptic revision total knee arthroplasties

PubMed Central

Leta, Tesfaye H; Lygre, Stein Håkon L; Skredderstuen, Arne; Hallan, Geir; Furnes, Ove

2015-01-01

Background and purpose In Norway, the proportion of revision knee arthroplasties increased from 6.9% in 1994 to 8.5% in 2011. However, there is limited information on the epidemiology and causes of subsequent failure of revision knee arthroplasty. We therefore studied survival rate and determined the modes of failure of aseptic revision total knee arthroplasties. Method This study was based on 1,016 aseptic revision total knee arthroplasties reported to the Norwegian Arthroplasty Register between 1994 and 2011. Revisions done for infections were not included. Kaplan-Meier and Cox regression analyses were used to assess the survival rate and the relative risk of re-revision with all causes of re-revision as endpoint. Results 145 knees failed after revision total knee arthroplasty. Deep infection was the most frequent cause of re-revision (28%), followed by instability (26%), loose tibial component (17%), and pain (10%). The cumulative survival rate for revision total knee arthroplasties was 85% at 5 years, 78% at 10 years, and 71% at 15 years. Revision total knee arthroplasties with exchange of the femoral or tibial component exclusively had a higher risk of re-revision (RR = 1.7) than those with exchange of the whole prosthesis. The risk of re-revision was higher for men (RR = 2.0) and for patients aged less than 60 years (RR = 1.6). Interpretation In terms of implant survival, revision of the whole implant was better than revision of 1 component only. Young age and male sex were risk factors for re-revision. Deep infection was the most frequent cause of failure of revision of aseptic total knee arthroplasties. PMID:25267502

42 CFR 405.1889 - Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 2 2012-10-01 2012-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...

42 CFR 405.1889 - Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 2 2013-10-01 2013-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...

42 CFR 405.1889 - Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 2 2014-10-01 2014-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...

42 CFR 405.1889 - Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 2 2011-10-01 2011-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...

42 CFR 405.1889 - Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 2 2010-10-01 2010-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...

The Dynamics of Curriculum Revision.

ERIC Educational Resources Information Center

LaPorte, Diane Howard; LaPorte, Ronald E.

This research study was undertaken in order to understand the dynamics of curriculum revision. The study examines reasons for change, persons involved in revision, frequency of revision, ways of evaluating a revised curriculum, and consistency of revision processes across school districts. Information was obtained through surveys distributed to…

Final Revisions Rule State Budgets and New Unit Set-Asides TSD

EPA Pesticide Factsheets

This technical support document shows the underlying data and calculations used to quantify the state budget revisions and new unit set-aside revisions made in the final revisions rule, as well as those revisions included in the direct final revisions rule

Joint range of motion after total shoulder arthroplasty with and without a continuous interscalene nerve block: a retrospective, case-control study.

PubMed

Ilfeld, Brian M; Wright, Thomas W; Enneking, F Kayser; Morey, Timothy E

2005-01-01

Although a continuous interscalene nerve block (CISB) has been shown to provide potent analgesia after major shoulder surgery, its potential effects on postoperative rehabilitation remain uninvestigated. Therefore, this retrospective case-control study was undertaken to determine the association between CISB and joint range-of-motion after total shoulder arthroplasty (TSA). The medical records for patients who underwent TSA at our institution in the previous 3 years were examined. Each patient with a CISB (cases) was matched with a patient without a CISB (controls) for the following variables: age, gender, and TSA type (primary v revision). Data collected included maximum shoulder elevation and external rotation (primary endpoints), along with pre- and postoperative pain scores. Of 134 charts reviewed, 25 cases were matched with an equal number of controls. On postoperative day 1, patients with or without a CISB achieved a median (5th-95th percentiles) of 85% (51-100) and 33% (11-56) of their surgeon-defined goal for elevation (P = .048), respectively, and attained 100% (33-100) and 17% (-81-68) for external rotation (P < .001), respectively. The median numeric rating pain score (NRS) during shoulder movement for patients with CISB was 2.0 (0.0-8.7) versus 8.5 (1.8-10.0) for patients without CISB (P < .001). Least, median, and highest resting NRS for the 24 hours after surgery were 0.0 (0.0-5.8), 1.0 (0.0-6.4), and 3.0 (0.0-9.0) for patients with CISB, respectively, versus 2.0 (0.0-7.7), 6.0 (0.3-9.6), and 8.0 (0.0-10.0) for patients without CISB (P = .030, P < .001, and P < .001 between groups, respectively). The day after TSA, a CISB is associated with increased shoulder range of motion, most likely resulting from the potent analgesia these nerve blocks provide.

Performance Characteristics of a New LSO PET/CT Scanner With Extended Axial Field-of-View and PSF Reconstruction

NASA Astrophysics Data System (ADS)

Jakoby, Bjoern W.; Bercier, Yanic; Watson, Charles C.; Bendriem, Bernard; Townsend, David W.

2009-06-01

A new combined lutetium oxyorthosilicate (LSO) PET/CT scanner with an extended axial field-of-view (FOV) of 21.8 cm has been developed (Biograph TruePoint PET/CT with TrueV; Siemens Molecular Imaging) and introduced into clinical practice. The scanner includes the recently announced point spread function (PSF) reconstruction algorithm. The PET components incorporate four rings of 48 detector blocks, 5.4 cm times 5.4 cm in cross-section. Each block comprises a 13 times 13 matrix of 4 times 4 times 20 mm3 elements. Data are acquired with a 4.5 ns coincidence time window and an energy window of 425-650 keV. The physical performance of the new scanner has been evaluated according to the recently revised National Electrical Manufacturers Association (NEMA) NU 2-2007 standard and the results have been compared with a previous PET/CT design that incorporates three rings of block detectors with an axial coverage of 16.2 cm (Biograph TruePoint PET/CT; Siemens Molecular Imaging). In addition to the phantom measurements, patient Noise Equivalent Count Rates (NECRs) have been estimated for a range of patients with different body weights (42-154 kg). The average spatial resolution is the same for both scanners: 4.4 mm (FWHM) and 5.0 mm (FWHM) at 1 cm and 10 cm respectively from the center of the transverse FOV. The scatter fractions of the Biograph TruePoint and Biograph TruePoint TrueV are comparable at 32%. Compared to the three ring design, the system sensitivity and peak NECR with smoothed randoms correction (1R) increase by 82% and 73%, respectively. The increase in sensitivity from the extended axial coverage of the Biograph TruePoint PET/CT with TrueV should allow a decrease in either scan time or injected dose without compromising diagnostic image quality. The contrast improvement with the PSF reconstruction potentially offers enhanced detectability for small lesions.

Outcomes following revision surgery performed for adverse reactions to metal debris in non-metal-on-metal hip arthroplasty patients

PubMed Central

Judge, A.; Murray, D. W.; Pandit, H. G.

2017-01-01

Objectives Few studies have assessed outcomes following non-metal-on-metal hip arthroplasty (non-MoMHA) revision surgery performed for adverse reactions to metal debris (ARMD). We assessed outcomes following non-MoMHA revision surgery performed for ARMD, and identified predictors of re-revision. Methods We performed a retrospective observational study using data from the National Joint Registry for England and Wales. All non-MoMHAs undergoing revision surgery for ARMD between 2008 and 2014 were included (185 hips in 185 patients). Outcome measures following ARMD revision were intra-operative complications, mortality and re-revision surgery. Predictors of re-revision were identified using Cox regression. Results Intra-operative complications occurred in 6.0% (n = 11) of the 185 cases. The cumulative four-year patient survival rate was 98.2% (95% CI 92.9 to 99.5). Re-revision surgery was performed in 13.5% (n = 25) of hips at a mean time of 1.2 years (0.1 to 3.1 years) following ARMD revision. Infection (32%; n = 8), dislocation/subluxation (24%; n = 6), and aseptic loosening (24%; n = 6) were the most common re-revision indications. The cumulative four-year implant survival rate was 83.8% (95% CI 76.7 to 88.9). Multivariable analysis identified three predictors of re-revision: multiple revision indications (hazard ratio (HR) = 2.78; 95% CI 1.03 to 7.49; p = 0.043); selective component revisions (HR = 5.76; 95% CI 1.28 to 25.9; p = 0.022); and ceramic-on-polyethylene revision bearings (HR = 3.08; 95% CI 1.01 to 9.36; p = 0.047). Conclusions Non-MoMHAs revised for ARMD have a high short-term risk of re-revision, with important predictors of future re-revision including selective component revision, multiple revision indications, and ceramic-on-polyethylene revision bearings. Our findings may help counsel patients about the risks of ARMD revision, and guide reconstructive decisions. Future studies attempting to validate the predictors identified should also assess the effects of implant design (metallurgy and modularity), given that this was an important study limitation potentially influencing the reported prognostic factors. Cite this article: G. S. Matharu, A. Judge, D. W. Murray, H. G. Pandit. Outcomes following revision surgery performed for adverse reactions to metal debris in non-metal-on-metal hip arthroplasty patients: Analysis of 185 revisions from the National Joint Registry for England and Wales. Bone Joint Res 2017;6:405–413. DOI: 10.1302/2046-3758.67.BJR-2017-0017.R2. PMID:28710154

Agreement on underlying causes of infant death between original records and after investigation: analysis of two biennia in the years 2000.

PubMed

dos Santos, Hellen Geremias; de Andrade, Selma Maffei; Silva, Ana Maria Rigo; de Carvalho, Wladithe Organ; Mesas, Arthur Eumann; González, Alberto Durán

2014-01-01

To analyze the agreement between underlying causes of infant deaths obtained from Death Certificates (DC) with those defined after investigation by the Municipal Committee for the Prevention of Maternal and Infant Mortality (CMPMMI), in Londrina, Paraná State, in the biennia 2000-2001 and 2007-2008. DC of infants and records of investigations were obtained from the CMPMMI. The causes of death registered in both sources were coded according to the International Classification of Diseases, tenth revision (ICD-10), and the underlying causes of deaths were selected. Agreement between underlying causes of deaths was verified by Kappa's (k) test and analyzed according to ICD-10 chapters and blocks of categories in both biennia. In 2000/2001, according to ICD-10 chapters, high agreement rates were observed for conditions originated in the perinatal period (k = 0.85) and for external causes (k = 0.84), while, for congenital malformations, there was a substantial agreement (k = 0.71). In 2007/2008, agreement was considered poor for all analyzed chapters. For blocks of categories, high or substantial agreement rates were observed only in the first biennium for "congenital malformations of the circulatory system" (k = 0.78) and for "other external causes of accidental injury" (k = 0.91). A decrease in agreement between the sources during the study period indicates either an improvement in the process of investigation of infant death by the CMPMMI and/or a worsening in the quality of the DC information.

Effects of hydroxyapatite coating of cups used in hip revision arthroplasty

PubMed Central

2012-01-01

Background and purpose Coating of acetabular revision implants with hydroxyapatite (HA) has been proposed to improve ingrowth and stability. We investigated whether HA coating of revision cups can reduce the risk of any subsequent re-revision. Methods We studied uncemented cups either with or without HA coating that were used at a primary acetabular revision and registered in the Swedish Hip Arthroplasty Register (SHAR). 2 such cup designs were identified: Harris-Galante and Trilogy, both available either with or without HA coating. These cups had been used as revision components in 1,780 revisions of total hip arthroplasties (THA) between 1986 and 2009. A Cox proportional hazards model including the type of coating, age at index revision, sex, cause of cup revision, cup design, the use of bone graft at the revision procedure, and the type of cup fixation at primary THA were used to calculate adjusted risk ratios (RRs with 95% CI) for re-revision for any reason or due to aseptic loosening. Results 71% of the cups were coated with HA and 29% were uncoated. At a mean follow-up time of 6.9 (0–24) years, 159 (9%) of all 1,780 cups had been re-revised, mostly due to aseptic loosening (5%), dislocation (2%), or deep infection (1%). HA coating had no significant influence on the risk of re-revision of the cup for any reason (RR = 1.4, CI: 0.9–2.0) or due to aseptic loosening (RR = 1.1, 0.6–1.9). In contrast, HA coating was found to be a risk factor for isolated liner re-revision for any reason (RR = 1.8, CI: 1.01–3.3). Age below 60 years at the index cup revision, dislocation as the cause of the index cup revision, uncemented cup fixation at primary THA, and use of the Harris-Galante cup also increased the risk of re-revision of the cup. In separate analyses in which isolated liner revisions were excluded, bone grafting was found to be a risk factor for re-revision of the metal shell due to aseptic loosening (RR = 2.1, CI: 1.05–4.2). Interpretation We found no evidence to support the notion that HA coating improves the performance of the 2 studied cup designs in revision arthroplasty. In contrast, patient-related factors such as younger age and dislocation as the reason for cup revision, and technical factors such as the choice of revision cup were found to influence the risk of subsequent re-revision of the cup. The reason for inferior results after revision of uncemented cups is not known, but it is possible that these hips more often had pronounced bone loss at the index cup revision. PMID:22937978

Outcomes following revision surgery performed for adverse reactions to metal debris in non-metal-on-metal hip arthroplasty patients: Analysis of 185 revisions from the National Joint Registry for England and Wales.

PubMed

Matharu, G S; Judge, A; Murray, D W; Pandit, H G

2017-07-01

Few studies have assessed outcomes following non-metal-on-metal hip arthroplasty (non-MoMHA) revision surgery performed for adverse reactions to metal debris (ARMD). We assessed outcomes following non-MoMHA revision surgery performed for ARMD, and identified predictors of re-revision. We performed a retrospective observational study using data from the National Joint Registry for England and Wales. All non-MoMHAs undergoing revision surgery for ARMD between 2008 and 2014 were included (185 hips in 185 patients). Outcome measures following ARMD revision were intra-operative complications, mortality and re-revision surgery. Predictors of re-revision were identified using Cox regression. Intra-operative complications occurred in 6.0% (n = 11) of the 185 cases. The cumulative four-year patient survival rate was 98.2% (95% CI 92.9 to 99.5). Re-revision surgery was performed in 13.5% (n = 25) of hips at a mean time of 1.2 years (0.1 to 3.1 years) following ARMD revision. Infection (32%; n = 8), dislocation/subluxation (24%; n = 6), and aseptic loosening (24%; n = 6) were the most common re-revision indications. The cumulative four-year implant survival rate was 83.8% (95% CI 76.7 to 88.9). Multivariable analysis identified three predictors of re-revision: multiple revision indications (hazard ratio (HR) = 2.78; 95% CI 1.03 to 7.49; p = 0.043); selective component revisions (HR = 5.76; 95% CI 1.28 to 25.9; p = 0.022); and ceramic-on-polyethylene revision bearings (HR = 3.08; 95% CI 1.01 to 9.36; p = 0.047). Non-MoMHAs revised for ARMD have a high short-term risk of re-revision, with important predictors of future re-revision including selective component revision, multiple revision indications, and ceramic-on-polyethylene revision bearings. Our findings may help counsel patients about the risks of ARMD revision, and guide reconstructive decisions. Future studies attempting to validate the predictors identified should also assess the effects of implant design (metallurgy and modularity), given that this was an important study limitation potentially influencing the reported prognostic factors. Cite this article: G. S. Matharu, A. Judge, D. W. Murray, H. G. Pandit. Outcomes following revision surgery performed for adverse reactions to metal debris in non-metal-on-metal hip arthroplasty patients: Analysis of 185 revisions from the National Joint Registry for England and Wales. Bone Joint Res 2017;6:405-413. DOI: 10.1302/2046-3758.67.BJR-2017-0017.R2. © 2017 Matharu et al.

Avascular Necrosis of Acetabulum: The Hidden Culprit of Resistant Deep Wound Infection and Failed Fixation of Fracture Acetabulum - A Case Report.

PubMed

K, Kandhari V; M, Desai M; S, Bava S; N, Wade R

2015-01-01

Chances of avascular necrosis of acetabulum are rare as it enjoys a rich blood supply. But cases of post - traumatic avascular necrosis of acetabulum following fracture of posterior column have been well documented. Importance of identifying and suspecting the avascular necrosis of acetabulum is essential in cases of failed fixation of fracture acetabulum, previously operated using extensile approach to acetabulum; either extended anterior ilio - femoral or tri - radiate approach. Such patients usually present with repeated deep bone infection or with early failure of fixation with aseptic loosening and migration of its components. We present a similar case. 40 years female presented with inadequately managed transverse fracture of left acetabulum done by anterior extended ilio-inguinal approach. The fixation failed. She presented 6 months later with painful hip. Cemented total hip replacement was performed with reconstruction of acetabulum by posterior column plating. Six months postoperatively patient presented with dislodgement of cup, pelvic discontinuity and sinus in the thigh. Two stage revision surgery was planned. First implant, removal; debridement and antibiotic spacer surgery was performed. At second stage of revision total hip replacement, patient had Paprosky grade IIIb defect in acetabulum. Spacer was removed through the posterior approach. Anterior approach was taken for anterior plating. Intra-operatively external iliac pulsations were found to be absent so procedure was abandoned after expert opinion. Postoperatively digital subtraction angiography demonstrated a chronic block in the external iliac artery and corona mortis was the only patent vascular channel providing vascular to the left lower limb. Thus, peripheral limb was stealing blood supply from the acetabulum to maintain perfusion. Patient was ultimately left with pelvic discontinuity, excision arthroplasty and pseudoarthrosis of the left hip. Avascular necrosis of acetabulum is a rare entity & often not recognized. One should be suspicious about diagnosis of avascular necrosis of acetabulum in select cases of failed acetabular fixation, previously operated via extensile anterior ilio - inguinal approach. Angiographic evaluation is essential in revision cases of failed acetabular fixation. Corona mortis (crown or circle of death) can sometimes act as a savior of limb.

What Is the Rerevision Rate After Revising a Hip Resurfacing Arthroplasty? Analysis From the AOANJRR.

PubMed

Wong, James Min-Leong; Liu, Yen-Liang; Graves, Stephen; de Steiger, Richard

2015-11-01

More than 15,000 primary hip resurfacing arthroplasties have been recorded by the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) with 884 primary procedures requiring revision for reasons other than infection, a cumulative percent revision rate at 12 years of 11%. However, few studies have reported the survivorship of these revision procedures. (1) What is the cumulative percent rerevision rate for revision procedures for failed hip resurfacings? (2) Is there a difference in rerevision rate among different types of revision or bearing surfaces? The AOANJRR collects data on all primary and revision hip joint arthroplasties performed in Australia and after verification against health department data, checking of unmatched procedures, and subsequent retrieval of unreported procedures is able to obtain an almost complete data set relating to hip arthroplasty in Australia. Revision procedures are linked to the known primary hip arthroplasty. There were 15,360 primary resurfacing hip arthroplasties recorded of which 884 had undergone revision and this was the cohort available to study. The types of revisions were acetabular only, femoral only, or revision of both acetabular and femoral components. With the exception of the acetabular-only revisions, all revisions converted hip resurfacing arthroplasties to conventional (stemmed) total hip arthroplasties (THAs). All initial revisions for infection were excluded. The survivorship of the different types of revisions and that of the different bearing surfaces used were estimated using the Kaplan-Meier method and compared using Cox proportional hazard models. Cumulative percent revision was calculated by determining the complement of the Kaplan-Meier survivorship function at that time multiplied by 100. Of the 884 revisions recorded, 102 underwent further revision, a cumulative percent rerevision at 10 years of 26% (95% confidence interval, 19.6-33.5). There was no difference in the rate of rerevision between acetabular revision and combined femoral and acetabular revision (hazard ratio [HR], 1.06 [0.47-2], p = 0.888), femoral revision and combined femoral and acetabular revision (HR, 1.00 [0.65-2], p = 0.987), and acetabular revision and femoral revision (HR, 1.06 [0.47-2], p = 0.893). There was no difference in the rate of rerevision when comparing different bearing surfaces (metal-on-metal versus ceramic-on-ceramic HR, 0.46 [0.16-1.29], p = 0.141; metal-on-metal versus ceramic-on-crosslinked polyethylene HR, 0.51 [0.15-1.76], p = 0.285; metal-on-metal versus metal-on-crosslinked polyethylene HR, 0.62 [0.20-1.89], p = 0.399; and metal-on-metal versus oxinium-on-crosslinked polyethylene HR, 0.53 [0.14-2.05], p = 0.356). Revision of a primary hip resurfacing arthroplasty is associated with a high risk of rerevision. This study may help surgeons guide their patients about the outcomes in the longer term after the first revision of hip resurfacing arthroplasty. Level III, therapeutic study.

Fate of the unrevised cemented stem following cup only revision: 227 hips at an average of 6 years follow-up.

PubMed

McGonagle, L; Siney, P D; Raut, V V

2015-11-01

After primary total hip replacement, aseptic loosening of the acetabular cup is more common than loosening of the femoral stem. Removal of a well-fixed stem adds to operative time, blood loss, risk of bone loss and fracture. There is limited evidence that isolated cup revision can be a safe option in revision hip arthroplasty. We question the following regarding the unrevised cemented stem after isolated cup revision: 1) Does the unrevised stem require revision after isolated cup revision? 2) When is the stem subsequently revised? 3) Why is the stem subsequently revised? 4) Do unrevised stems exhibit radiographic loosening? We hypothesise that after isolated cup revision most unrevised stems do not need subsequent revision, and that most do not exhibit evidence of radiographic loosening. A retrospective analysis of all patients who underwent revision of the acetabular component only during revision hip arthroplasty between March 1970 and July 2013 was carried out. We assessed survival of the unrevised stem, reasons for subsequent revision, plus radiographic analysis for stem loosening. Two hundred and twenty-seven hips were included [215 patients with an average age at the time of primary surgery was 47 (13-70) years]. The Charnley stem was used in 161 cases; C-stem 65, Howse 1. Average time between primary surgery and cup revision was 15.9 (1.6-33.4) years. Average follow-up for all stems post-isolated cup revision was 6.1 (0.1-30.7) years. Twenty-eight stems (12.3%) were subsequently revised 5.1 (0.1-12.6) years after the isolated cup revision. Reasons for subsequent revision were: aseptic loosening (10); infection (8); dislocation (6); unreconstructable joint post-loose cup removal (2); fracture (2). Radiographic review was possible on 140 cases. Five femoral stems were revised and 2 others showed evidence of possible radiological loosening but were not revised. To our knowledge this is the largest series showing that isolated cup revision in the place of a well-fixed cemented stem is safe and is associated with ongoing good long-term survival of the stem. Level IV, retrospective case series. Copyright © 2015. Published by Elsevier Masson SAS.

Computer Strategies for Teaching Revision: It May Be Convenient, but It's Not Easy.

ERIC Educational Resources Information Center

Strickland, James

Word processing does not, in itself, teach revision. Students with incomplete revision strategies will not begin revising at a higher level simply by using a word processor. New computer strategies for teaching revision are needed--revision strategies that use the computer to reorganize, elaborate, and strengthen what has already been written. For…

Surface replacement conversion: results depend upon reason for revision.

PubMed

Su, E P; Su, S L

2013-11-01

Surface hip replacement (SHR) is generally used in younger, active patients as an alternative conventional total hip replacement in part because of the ability to preserve femoral bone. This major benefit of surface replacement will only hold true if revision procedures of SHRs are found to provide good clinical results. A retrospective review of SHR revisions between 2007 and 2012 was presented, and the type of revision and aetiologies were recorded. There were 55 SHR revisions, of which 27 were in women. At a mean follow-up of 2.3 years (0.72 to 6.4), the mean post-operative Harris hip score (HHS) was 94.8 (66 to 100). Overall 23 were revised for mechanical reasons, nine for impingement, 13 for metallosis, nine for unexplained pain and one for sepsis. Of the type of revision surgery performed, 14 were femoral-only revisions; four were acetabular-only revisions, and 37 were complete revisions. We did not find that clinical scores were significantly different between gender or different types of revisions. However, the mean post-operative HHS was significantly lower in patients revised for unexplained pain compared with patients revised for mechanical reasons (86.9 (66 to 100) versus 99 (96 to 100); p = 0.029). There were two re-revisions for infection in the entire cohort. Based on the overall clinical results, we believe that revision of SHR can have good or excellent results and warrants a continued use of the procedure in selected patients. Close monitoring of these patients facilitates early intervention, as we believe that tissue damage may be related to the duration of an ongoing problem. There should be a low threshold to revise a surface replacement if there is component malposition, rising metal ion levels, or evidence of soft-tissue abnormalities.

Bcl-2-interacting mediator of cell death influences autoantigen-driven deletion and TCR revision

PubMed Central

Hale, J. Scott; Nelson, Lisa T.; Simmons, Kalynn B.; Fink, Pamela J.

2010-01-01

Peripheral CD4+Vβ5+ T cells are tolerized to an endogenous mouse mammary tumor virus superantigen either by deletion or TCR revision. Through TCR revision, RAG reexpression mediates extrathymic TCRβ rearrangement and results in a population of post-revision CD4+Vβ5− T cells expressing revised TCRβ chains. We have hypothesized that cell death pathways regulate the selection of cells undergoing TCR revision to ensure the safety and utility of the post-revision population. Here, we investigate the role of Bim-mediated cell death in autoantigen-driven deletion and TCR revision. Bim deficiency and Bcl-2 overexpression in Vβ5 transgenic (Tg) mice both impair peripheral deletion. Vβ5 Tg Bim deficient and Bcl-2 Tg mice exhibit an elevated frequency of CD4+ T cells expressing both the transgene-encoded Vβ5 chain and a revised TCRβ chain. We now show that these dual-TCR expressing cells are TCR revision intermediates, and that the population of RAG-expressing, revising CD4+ T cells is increased in Bim deficient Vβ5 Tg mice. These findings support a role for Bim and Bcl-2 in regulating the balance of survival versus apoptosis in peripheral T cells undergoing RAG-dependent TCR rearrangements during TCR revision, thereby ensuring the utility of the post-revision repertoire. PMID:21148799

Long-term evaluation of a new ventriculoperitoneal shunt valve system in a dog.

PubMed

Filgueiras, Richard da Rocha; Martins, Christine de Souza; de Almeida, Ricardo Miyasaka; Silva, Rosana Marques; da Rocha, Martha de Souza Teixeira; Firmino, Fernanda de Paula; Maguilnik, Samara; Medeiros, Luíza Quintão

2009-12-01

To report on the use of a new ventriculoperitoneal shunt (VPS) valve system utilized in a dog with hydrocephalus and to describe the clinical course over 20 months after implantation. A 3-month-old female Lhasa Apso dog was presented with lateral strabismus, domed calvarium, and visual deficits. A lateral skull radiograph revealed a persistent fontanelle. Transfontanellar ultrasonographic examination and computed tomographic examination showed excessive accumulation of fluid within the ventricles. The owner had observed symptoms as early as 1 month after birth, suggesting congenital hydrocephalus. A VPS with a new valve system that inhibits cerebrospinal fluid overdrainage and obstruction of the catheter was implanted. The dog showed clinical improvement 48 hours after the procedure. Twenty days after shunt implantation, another computed tomography scan was performed that showed reduction in ventricle size. The evaluation of VPS patency was carried out 20 months after surgery and demonstrated that the system was working properly without obstruction. There are reports in the literature describing the use of several devices to perform VPS in dogs. A new device not previously described in the veterinary literature was used in this case report, and according to the manufacturer's description, this device inhibits proteinaceous build-up, which is usually responsible for subsequent catheter obstructions.

New Germplasms of the Culinary-Medicinal Button Mushroom, Agaricus bisporus (Agaricomycetes): Two Wild Strains from the Tibetan Plateau (China).

PubMed

Li, Bin-Bin; Jiang, Si-Ping; Xu, Ai-Guo; Dorji, Phurbu; Wang, Wen-Jing; Wang, Xiao-Liang; Wei, Tie-Zheng; Zhang, Zu-Tang; Yao, Yi-Jian

2017-01-01

Agaricus bisporus is one of the most important commercially cultivated culinary-medicinal mushrooms worldwide. In China, most of the cultivated strains of the fungus were introduced from other countries and cultivated in the eastern provinces. In this study, 2 wild strains of A. bisporus, 2091 and 2094, isolated from fresh specimens collected from the Tibetan Plateau, were domesticated and cultivated alongside a commercial hybrid strain, As2796, in Lhasa, China, for comparison in order to provide new germplasms for cultivation. Basic characteristics, mushroom yield, dry weight, polysaccharide contents, and antioxidant activities of the tested strains were analyzed. Compared with strain As2796, the 2 wild strains displayed good values for mycelial growth, time to fruiting, mushroom yield, dry weight, and polysaccharide contents, and their basidiomata had distinct morphological characteristics (e.g., brown or pale brown caps with some white scales). In addition, the antioxidant activities (reducing power and DPPH radical scavenging effect) of strain 2094 were significantly higher than those of the other 2 strains. Domestication of the 2 wild strains would add more genetic variation into the germplasm of A. bisporus for cultivation, especially in China, and might help to address the problem inherent to the nearly monoculture crop lacking genetic diversity in China.

Inorganic-organic shape memory polymers and foams for bone defect repairs

NASA Astrophysics Data System (ADS)

Zhang, Dawei

The ultimate goal of this research was to develop a "self-fitting" shape memory polymer (SMP) scaffold for the repair of craniomaxillofacial (CMF) bone defects. CMF defects may be caused by trauma, tumor removal or congenital abnormalities and represent a major class of bone defects. Their repair with autografts is limited by availability, donor site morbidity and complex surgical procedures. In addition, shaping and positioning of these rigid grafts into irregular defects is difficult. Herein, we have developed SMP scaffolds which soften at T > ˜56 °C, allowing them to conformally fit into a bone defect. Upon cooling to body temperature, the scaffold becomes rigid and mechanically locks in place. This research was comprised of four major studies. In the first study, photocrosslinkable acrylated (AcO) SMP macromers containing a poly(epsilon-caprolactone) (PCL) segment and polydimethylsiloxane (PDMS) segments were synthesized with the general formula: AcO-PCL40-block-PDMS m-block-PCL40-OAc. By varying the PDMS segment length (m), solid SMPs with highly tunable mechanical properties and excellent shape memory abilities were prepared. In the second study, porous SMP scaffolds were fabricated based on AcO-PCL 40-block-PDMS37-block-PCL 40-OAc via a revised solvent casting particulate leaching (SCPL) method. By tailoring scaffold parameters including salt fusion, macromer concentration and salt size, scaffold properties (e.g. pore features, compressive modulus and shape memory behavior) were tuned. In the third study, porous SMP scaffolds were produced from macromers with variable PDMS segment lengths (m = 0 -- 130) via an optimized SCPL method. The impact on pore features, thermal, mechanical, and shape memory properties as well as degradation rates were investigated. In the final study, a bioactive polydopamine coating was applied onto pore surfaces of the SMP scaffold prepared from PCL diacrylate. The thin coating did not affect intrinsic bulk properties of the scaffold. However, the coating significantly increased its bioactivity, giving rise to the formation of "bone-bonding" hydroxyapatite (HAp) when exposed to simulated body fluid (SBF). It was also shown that the coating largely enhanced the scaffold's capacities to support osteoblasts adhesion, proliferation and osteogenesis. Thus, the polydopamine coating should enhance the performance of the "self-fitting" SMP scaffolds for the repair of bone defects.

28 CFR Appendix E-Guidance to... - Appendix E-Guidance to Revisions to ADA Title II and Title III Regulations Revising the Meaning...

Code of Federal Regulations, 2010 CFR

2017-07-01

... Title II and Title III Regulations Revising the Meaning and Interpretation of the Definition of... E-Guidance to Revisions to ADA Title II and Title III Regulations Revising the Meaning and... Title II and Title III Regulations Revising the Meaning and Interpretation of the Definition of...

How often is the office visit needed? Predicting total knee arthroplasty revision risk using pain/function scores.

PubMed

Hightower, Charles D; Hightower, Lisa S; Tatman, Penny J; Morgan, Patrick M; Gioe, Terence; Singh, Jasvinder A

2016-08-24

Most patients have favorable outcomes after primary total knee arthroplasty (TKA). Well-validated methods to predict the risk of poor outcomes have not been developed or implemented. Several patients have annual clinic visits despite well-funcitoning TKA, as a routine practice, to detect early failure requiring revision surgery. It is not known whether assessment of pain and function can be used as a predictive tool for early failure and revision to guide practice. Our objective was to determine whether pain and function can predict revision after TKA. We retrospectively studied data from a large prospectively gathered TKA registry to examine changes in outcome scores for primary TKAs undergoing revision compared to those not requiring revision to determine the factors that are predictive for revision. Of the 1,012 patients, 721 had had a single-sided primary TKA and had American Knee Society (AKS) Scores for three or more visits. 46 patients underwent revision, 23 acutely (fracture, traumatic component failure or acute infection) and 23 for latent causes (late implant loosening, progressive osteolysis, or pain and indolent infection). Mean age was 70 years for the non-revision patients, and 64 years for those revised. Both AKS Clinical and AKS Function Scores for non-revised patients were higher than in revision patients, higher in acute revision compared to latent revision patients. Significant predictors of revision surgery were preoperative, 3- and 15-month postoperative AKS Clinical Scores and 3-month AKS Function Scores. At 15-month post-TKA, a patient with a low calculated probability of revision, 32 % or less, was unlikely to require revision surgery with a negative predictive value of 99 %. Time dependent interval evaluation post-TKA with the AKS outcome scores may provide the ability to assign risk of revision to patients at the 15-month follow-up visit. If these findings can be replicated using a patient-reported measure, a virtual follow-up with patient-reported outcomes and X-ray review may be an alternative to clinic visit for patients doing well.

Fixation of revision implants is improved by a surgical technique to crack the sclerotic bone rim.

PubMed

Kold, Søren; Bechtold, Joan E; Mouzin, Olivier; Elmengaard, Brian; Chen, Xinqian; Søballe, Kjeld

2005-03-01

Revision joint replacement has poorer outcomes compared with primary joint replacement, and these poor outcomes have been associated with poorer fixation. We investigated a surgical technique done during the revision operation to improve access from the marrow space to the implant interface by locally cracking the sclerotic bone rim that forms during aseptic loosening. Sixteen implants were inserted bilaterally by distal femur articulation of the knee joint of eight dogs, using our controlled experimental model that replicates the revision setting (sclerotic bone rim, dense fibrous tissue, macrophages, elevated cytokines) by pistoning a loaded 6.0-mm implant 500 microm into the distal femur with particulate PE. At 8 weeks, one of two revision procedures was done. Both revision procedures included complete removal of the membrane, scraping, lavaging, and inserting a revision plasma-spray Ti implant. The crack revision procedure also used a splined tool to circumferentially locally perforate the sclerotic bone rim before insertion of an identical revision implant. Superior fixation was achieved with the cracking procedure in this experimental model. Revision implants inserted with the rim cracking procedure had a significantly higher pushout strength (fivefold median increase) and energy to failure (sixfold median increase), compared with the control revision procedure. Additional evaluation is needed of local perforation of sclerotic bone rim as a simple bone-sparing means to improve revision implant fixation and thereby increase revision implant longevity.

Comparison of revision surgeries for one- to two-level cervical TDR and ACDF from 2002 to 2011.

PubMed

Nandyala, Sreeharsha V; Marquez-Lara, Alejandro; Fineberg, Steven J; Singh, Kern

2014-12-01

Cervical total disc replacement (TDR) and anterior cervical discectomy and fusion (ACDF) provide comparable outcomes for degenerative cervical pathology. However, revisions of these procedures are not well characterized. The purpose of this study is to examine the rates, epidemiology, perioperative complications, and costs between the revision procedures and to compare these outcomes with those of primary cases. This study is a retrospective database analysis. A total of 3,792 revision and 183,430 primary cases from the Nationwide Inpatient Sample (NIS) database from 2002 to 2011 were included. Incidence of revision cases, patient demographics, length of stay (LOS), in-hospital costs, mortality, and perioperative complications. Patients who underwent revision for either one- to two-level cervical TDR or ACDF were identified. SPSS v.20 was used for statistical analysis with χ(2) test for categorical data and independent sample t test for continuous data. The relative risk for perioperative complications with revisions was calculated in comparison with primary cases using a 95% confidence interval. An alpha level of less than 0.05 denoted statistical significance. There were 3,536 revision one- to two-level ACDFs and 256 revision cervical TDRs recorded in the NIS database from 2002 to 2011. The revision cervical TDR cohort demonstrated a significantly greater LOS (3.18 vs. 2.25, p<.001), cost ($16,998 vs. $15,222, p=.03), and incidence of perioperative wound infections (13.6 vs. 5.3 per 1,000, p<.001) compared with the ACDF revision cohort (p<.001). There were no differences in mortality between the revision surgical cohorts. Compared with primary cases, both revision cohorts demonstrated a significantly greater LOS and cost. Furthermore, patients who underwent revision demonstrated a greater incidence and risk for perioperative wound infections, hematomas, dysphagia, and neurologic complications relative to the primary procedures. This study demonstrated a significantly greater incidence of perioperative wound infection, LOS, and costs associated with a TDR revision compared with a revision ACDF. We propose that these differences are by virtue of the inherently more invasive nature of revising TDRs. In addition, compared with primary cases, revision procedures are associated with greater costs, LOS, and complications including wound infections, dysphagia, hematomas, and neurologic events. These additional risks must be considered before opting for a revision procedure. Copyright © 2014 Elsevier Inc. All rights reserved.

[An overview on the collation and revision of medical books by the Bureau for Revising Medical Books in the Northern Song Dynasty].

PubMed

Meng, Yongliang; Liang, Yongxuan

2014-07-01

The Bureau for Revising Medical Books was a temporary agency established by the government of the Northern Song Dynasty in 1057, the 2nd year of Jiayou of Emperor Renzong, exclusively for the edition, revision and publishing of ancient medical books. 11 medical books were revised and edited by 13 Bureau members in a period of 12 years until 1069, the 2nd year of Xining of Emperor ShenZong, which eventually became the final versions until today. 8 medical books were initially planned for the revision, but 11 were actually completed in the end. The time for completing a revision varied from over 10 years at most to less than 1 year at least. Instead of working in the office, the officers of the Bureau for Revising Medical Books did their works at home. The members of the said Bureau came from the Tiju officer of the Bureau for Revising Medical Books and the officials of revising medical books, consisting of both Confucian ministers and medical officers. Confucian ministers played an important role in revising medical books. The Bureau had a strict workflow in electing revising officials, making the project, and the determination of the principles and arrangements of the tasks of editing and proofreading.

Effect of femoral head size and surgical approach on risk of revision for dislocation after total hip arthroplasty

PubMed Central

Zijlstra, Wierd P; De Hartog, Bas; Van Steenbergen, Liza N; Scheurs, B Willem; Nelissen, Rob G H H

2017-01-01

Background and purpose Recurrent dislocation is the commonest cause of early revision of a total hip arthropasty (THA). We examined the effect of femoral head size and surgical approach on revision rate for dislocation, and for other reasons, after total hip arthroplasty (THA). Patients and methods We analyzed data on 166,231 primary THAs and 3,754 subsequent revision THAs performed between 2007 and 2015, registered in the Dutch Arthroplasty Register (LROI). Revision rate for dislocation, and for all other causes, were calculated by competing-risk analysis at 6-year follow-up. Multivariable Cox proportional hazard regression ratios (HRs) were used for comparisons. Results Posterolateral approach was associated with higher dislocation revision risk (HR =1) than straight lateral, anterolateral, and anterior approaches (HR =0.5–0.6). However, the risk of revision for all other reasons (especially stem loosening) was higher with anterior and anterolateral approaches (HR =1.2) and lowest with posterolateral approach (HR =1). For all approaches, 32-mm heads reduced the risk of revision for dislocation compared to 22- to 28-mm heads (HR =1 and 1.6, respectively), while the risk of revision for other causes remained unchanged. 36-mm heads increasingly reduced the risk of revision for dislocation but only with the posterolateral approach (HR =0.6), while the risk of revision for other reasons was unchanged. With the anterior approach, 36-mm heads increased the risk of revision for other reasons (HR =1.5). Interpretation Compared to the posterolateral approach, direct anterior and anterolateral approaches reduce the risk of revision for dislocation, but at the cost of more stem revisions and other revisions. For all approaches, there is benefit in using 32-mm heads instead of 22- to 28-mm heads. For the posterolateral approach, 36-mm heads can safely further reduce the risk of revision for dislocation. PMID:28440704

X-ray Properties of the Central kpc of AGN and Starbursts: The Latest News from Chandra

NASA Technical Reports Server (NTRS)

Weaver, Kimberly A.; White, Nicholas E. (Technical Monitor)

2001-01-01

The X-ray properties of 15 nearby (v less than 3,000 km/s) galaxies that possess AGN (active galactic nuclei) and/or starbursts are discussed. Two-thirds have nuclear extended emission on scales from approx. 0.5 to approx. 1.5 kpc that is either clearly associated with a nuclear outflow or morphologically resembles an outflow. Galaxies that are AGN-dominated tend to have linear structures while starburst-dominated galaxies tend to have plume-like structures. Significant X-ray absorption is present in the starburst regions, indicating that a circumnuclear starburst is sufficient to block an AGN at optical wavelengths. Galaxies with starburst activity possess more X-ray point sources within their central kpc than non-starbursts. Many of these sources are more luminous than typical X-ray binaries. The Chandra results are discussed in terms of the starburst-AGN connection, a revised unified model for AGN, and possible evolutionary scenarios.

Using analogy role-play activity in an undergraduate biology classroom to show central dogma revision.

PubMed

Takemura, Masaharu; Kurabayashi, Mario

2014-01-01

For the study of biology in an undergraduate classroom, a classroom exercise was developed: an analogy role-play to learn mechanisms of gene transcription and protein translation (central dogma). To develop the central dogma role-play exercise, we made DNA and mRNA using paper sheets, tRNA using a wire dress hanger, and amino acids using Lego® blocks (Lego System A/S, Denmark). Students were studying in the course of mathematics, physics, or chemistry, so biology was not among their usual studies. In this exercise, students perform the central dogma role-play and respectively act out nuclear matrix proteins, a transcription factor, an RNA polymerase II, an mRNA transport protein, nuclear pore proteins, a large ribosomal subunit, a small ribosomal subunit, and several amino-acyl tRNA synthetases. Questionnaire results obtained after the activity show that this central dogma role-play analogy holds student interest in the practical molecular biological processes of transcription and translation. © 2014 The International Union of Biochemistry and Molecular Biology.

Rotational and Infrared Spectroscopy of Ethanimine: A Route toward Its Astrophysical and Planetary Detection

NASA Astrophysics Data System (ADS)

Melli, Alessio; Melosso, Mattia; Tasinato, Nicola; Bosi, Giulio; Spada, Lorenzo; Bloino, Julien; Mendolicchio, Marco; Dore, Luca; Barone, Vincenzo; Puzzarini, Cristina

2018-03-01

Ethanimine, a possible precursor of amino acids, is considered an important prebiotic molecule and thus may play important roles in the formation of biological building blocks in the interstellar medium. In addition, its identification in Titan’s atmosphere would be important for understanding the abiotic synthesis of organic species. An accurate computational characterization of the molecular structure, energetics, and spectroscopic properties of the E and Z isomers of ethanimine, CH3CHNH, has been carried out by means of a composite scheme based on coupled-cluster techniques, which also account for extrapolation to the complete basis-set limit and core-valence correlation correction, combined with density functional theory for the treatment of vibrational anharmonic effects. By combining the computational results with new millimeter-wave measurements up to 300 GHz, the rotational spectrum of both isomers can be accurately predicted up to 500 GHz. Furthermore, our computations allowed us to revise the infrared spectrum of both E- and Z-CH3CHNH, thus predicting all fundamental bands with high accuracy.

Dissociative adsorption of O2 on unreconstructed metal (100) surfaces: Pathways, energetics, and sticking kinetics

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

Liu, Da-Jiang; Evans, James W.

An accurate description of oxygen dissociation pathways and kinetics for various local adlayer environments is key for an understanding not just of the coverage dependence of oxygen sticking, but also of reactive steady states in oxidation reactions. Density functional theory analysis for M(100) surfaces with M=Pd, Rh, and Ni, where O prefers the fourfold hollow adsorption site, does not support the traditional Brundle-Behm-Barker picture of dissociative adsorption onto second-nearest-neighbor hollow sites with an additional blocking constraint. Rather adsorption via neighboring vicinal bridge sites dominates, although other pathways can be active. The same conclusion also applies for M=Pt and Ir, wheremore » oxygen prefers the bridge adsorption site. Statistical mechanical analysis is performed based on kinetic Monte Carlo simulation of a multisite lattice-gas model consistent with our revised picture of adsorption. This analysis determines the coverage and temperature dependence of sticking for a realistic treatment of the oxygen adlayer structure.« less

Anti-EGFR monoclonal antibody in cancer treatment: in vitro and in vivo evidence

PubMed

Quatrale, Anna Elisa; Petriella, Daniela; Porcelli, Letizia; Tommasi, Stefania; Silvestris, Nicola; Colucci, Giuseppe; Angelo, Angelo; Azzariti, Amalia

2011-01-01

The complexity of EGFR signaling network suggests that the receptor could be promising targets for new personalised therapy. In clinical practice two strategies targeting the receptor are available; they utilise monoclonal antibodies, directed towards the extracellular domain of EGFR, and small molecule tyrosine kinase inhibitors, which bind the catalytic kinase domain of the receptor. In this review, we summarise currently known pre-clinical data on the antitumor effects of monoclonal antibodies, which bind to EGFR in its inactive configuration, competing for ligand binding and thereby blocking ligand-induced EGFR tyrosine kinase activation. As a consequence of treatment, key EGFR-dependent intracellular signals in cancer cells are affected. Data explaining the mechanisms of action of anti-EGFR monoclonal antibodies, currently used in clinical setting and under development for the treatment of solid tumors, are revised with the aim to provide an overview of the most important preclinical studies showing the impact of this class of EGFR targeted agents on tumor biology.

Strength training for a child with suspected developmental coordination disorder.

PubMed

Menz, Stacy M; Hatten, Kristin; Grant-Beuttler, Marybeth

2013-01-01

Children with developmental coordination disorder (DCD) demonstrate difficulty with feedforward motor control and use varied compensatory strategies. To examine gross motor function changes following strength training in a child with motor control difficulties. A girl aged 6 years 11 months, with apraxia and hypotonia, and demonstrating motor delays consistent with DCD. Twenty-four strength training sessions were completed using a universal exercise unit. Postintervention scores significantly improved on the Bruininks-Oseretsky test of motor proficiency, second edition, and the Canadian occupational performance measure scores and raised the developmental coordination disorder questionnaire, revised 2007, scores above the range where DCD is suspected. Nonsignificant changes in strength were observed. Improved function and significant gains in manual coordination were observed following blocked practice of isolated, simple joint movements during strength training. Improved motor skills may be because of effective use of feedforward control and improved stabilization. Strength training does not rehearse skills using momentum, explaining nonsignificant changes in locomotor or locomotion areas.

Genetic and environmental mediation between measures of personality and family environment in twins reared together.

PubMed

Kandler, Christian; Riemann, Rainer; Kämpfe, Nicole

2009-01-01

In this study we analyzed the etiology of the relationship between personality traits and retrospectively recalled family environment. The data of 226 identical and 168 fraternal twin pairs reared together from the Jena twin study of social attitudes were available. Personality traits were measured using the self- and peer report versions of the German NEO-personality inventory-revised. A German version of Blocks Environmental Questionnaire was applied to measure two broad dimensions of the family environment retrospectively: support and organization. We could replicate earlier findings that retrospective reports of these family environment dimensions were in part genetically influenced. A total of 66% of the genetic variance in support and 24% in organization could be accounted for by heritable variance in self-rated personality. That was replicated by using peer reports of personality, 41% explained genetic variance in support and 17% in organization. Environmental mediations were negligible. This indicates that the relationship between personality and retrospectively recalled family environment is largely genetically mediated.

Cardiovascular drugs inducing QT prolongation: facts and evidence.

PubMed

Taira, Carlos A; Opezzo, Javier A W; Mayer, Marcos A; Höcht, Christian

2010-01-01

Acquired QT syndrome is mainly caused by the administration of drugs that prolong ventricular repolarization. On the other hand, the risk of drug-induced torsades de pointes is increased by numerous predisposing factors, such as genetic predisposition, female sex, hypokalemia and cardiac dysfunction. This adverse reaction is induced by different chemical compounds used for the treatment of a variety of pathologies, including arrhythmias. As it is known, antiarrhythmic agents and other cardiovascular drugs can prolong the QT interval, causing this adverse reaction. Of the 20 most commonly reported drugs, 10 were cardiovascular agents and these appeared in 348 of the reports (46%). Class Ia antiarrhythmic agents have frequently been linked to inducing arrhythmia, including torsades de pointes. Sotalol and amiodarone, class III antiarrhythmics, are known to prolong the QT interval by blocking I(Kr). Due to the severity of events caused by the therapeutic use of these drugs, in this work of revision the cardiovascular drugs that present this property and the factors and evidence will be mentioned.

Annotation and Classification of Argumentative Writing Revisions

ERIC Educational Resources Information Center

Zhang, Fan; Litman, Diane

2015-01-01

This paper explores the annotation and classification of students' revision behaviors in argumentative writing. A sentence-level revision schema is proposed to capture why and how students make revisions. Based on the proposed schema, a small corpus of student essays and revisions was annotated. Studies show that manual annotation is reliable with…

Poor Survivorship and Frequent Complications at a Median of 10 Years After Metal-on-Metal Hip Resurfacing Revision.

PubMed

Matharu, Gulraj S; Pandit, Hemant G; Murray, David W

2017-02-01

High short-term failure rates have been reported for several metal-on-metal hip resurfacing (MoMHR) designs. Early observations suggested that MoMHRs revised to total hip arthroplasties (THAs) for pseudotumor had more major complications and inferior patient-reported outcomes compared with other revision indications. However, little is known about implant survivorship and patient-reported outcomes at more than 5 years after MoMHR revision. (1) What are the implant survivorship, proportion of complications and abnormal radiological findings, and patient-reported outcomes at a median of 10 years after MoMHR revision surgery? (2) Are survivorship, complications, and patient-reported outcomes influenced by revision indication? (3) Do any other factors predict survivorship, complications, and patient-reported outcomes? Between 1999 and 2008, 53 MoMHR revision procedures in 51 patients (mean age, 55 years; 62% female) were performed at one center and were all included in this retrospective study. Two patients (4%) were lost to followup and two patients (4%) died before a minimum followup of 7 years (median, 10.3 years; range 7-15 years). Revision indications included pseudotumor (n = 16), femoral neck fracture (n = 21), and other causes (n = 16). In most cases (62%, n = 33) both components were revised to a non-MoM bearing THA with the remainder (38%, n = 20: fracture, loosening, or head collapse) undergoing femoral-only revision to a large-diameter MoM THA. Postrevision complications, rerevision, Oxford Hip Score (OHS), and UCLA score were determined using both a longitudinally maintained institutional database and postal questionnaire. Implant survivorship was assessed using the Kaplan-Meier method (endpoint was rerevision surgery). Radiographs at latest followup were systematically assessed for any signs of failure (loosening, migration, osteolysis) by one observer blinded to all clinical information and not involved in the revision procedures. Overall, 45% (24 of 53) experienced complications and 38% (20 of 53) underwent rerevision. Ten-year survival free from rerevision for revised MoMHRs was 63% (95% confidence interval [CI], 48%-74%). Revision indications were not associated with differences in the frequency of complications or repeat revisions. With the numbers available, 10-year survival free from rerevision for pseudotumor revisions (56%; 95% CI, 30%-76%) was not different from the fracture (68%; 95% CI, 42%-85%; p = 0.359) and other groups (63%; 95% CI, 35%-81%; p = 0.478). Pseudotumor revisions had inferior OHSs (median, 21; range, 2-46; p = 0.007) and UCLA scores (median, 2; range, 2-7; p = 0.0184) compared with fracture and other revisions. Ten-year survival free from rerevision after femoral-only revision using another large-diameter MoM bearing was lower (p = 0.0498) compared with all component revisions using non-MoM bearings. After controlling for potential confounding variables such as age, sex, and revision indication, we found femoral-only revision as the only factor predicting rerevision (hazard ratio, 5.7; 95% CI, 1.1-29; p = 0.040). Poor implant survivorship and frequent complications were observed at a median of 10 years after MoMHR revision. However, patients undergoing femoral-only revisions with large-diameter MoM bearings had the worst survivorship, whereas patients revised for pseudotumor had the most inferior patient-reported outcomes. Our findings suggest these two patient subgroups require regular surveillance after MoMHR revision. Level III, therapeutic study.

Revision total knee arthroplasty in the young patient: is there trouble on the horizon?

PubMed

Aggarwal, Vinay K; Goyal, Nitin; Deirmengian, Gregory; Rangavajulla, Ashwin; Parvizi, Javad; Austin, Matthew S

2014-04-02

The volume of total knee arthroplasties, including revisions, in young patients is expected to rise. The objective of this study was to compare the reasons for revision and re-revision total knee arthroplasties between younger and older patients, to determine the survivorship of revision total knee arthroplasties, and to identify risk factors associated with failure of revision in patients fifty years of age or younger. Perioperative data were collected for all total knee arthroplasty revisions performed from August 1999 to December 2009. A cohort of eighty-four patients who were fifty years of age or younger and a cohort of eighty-four patients who were sixty to seventy years of age were matched for the date of surgery, sex, and body mass index (BMI). The etiology of failure of the index total knee arthroplasty and all subsequent revision total knee arthroplasties was determined. Kaplan-Meier survival curves were used to evaluate the timing of the primary failure and the survivorship of revision knee procedures. Finally, multivariate Cox regression was used to calculate risk ratios for the influence of age, sex, BMI, and the reason for the initial revision on survival of the revision total knee arthroplasty. The most common reason for the initial revision was aseptic loosening (27%; 95% confidence interval [CI] = 19% to 38%) in the younger cohort and infection (30%; 95% CI = 21% to 40%) in the older cohort. Of the twenty-five second revisions in younger patients, 32% (95% CI = 17% to 52%) were for infection, whereas 50% (95% CI = 32% to 68%) of the twenty-six second revisions in the older cohort were for infection. Cumulative six-year survival rates were 71.0% (95% CI = 60.7% to 83.0%) and 66.1% (95% CI = 54.5% to 80.2%) for revisions in the younger and older cohorts, respectively. Infection and a BMI of ≥ 40 kg/m(2) posed the greatest risk of failure of revision procedures, with risk ratios of 2.731 (p = 0.006) and 2.934 (p = 0.009), respectively. The survivorship of knee revisions in younger patients is a cause of concern, and the higher rates of aseptic failure in these patients may be related to unique demands that they place on the reconstruction. Improvement in implant fixation and treatment of infection when these patients undergo revision total knee arthroplasty is needed.

Preoperative Risk Factors Associated With Poor Outcomes of Revision Surgery for "Pseudotumors" in Patients With Metal-on-Metal Hip Arthroplasty.

PubMed

Liow, Ming Han Lincoln; Dimitriou, Dimitris; Tsai, Tsung-Yuan; Kwon, Young-Min

2016-12-01

Revision surgery of failed metal-on-metal (MoM) total hip arthroplasty (THA) for adverse tissue reaction (pseudotumor) can be challenging as a consequence of soft tissue and muscle necrosis. The aims of this study were to (1) report the revision outcomes of patients who underwent revision surgery for failed MoM hip arthroplasty due to symptomatic pseudotumor and (2) identify preoperative risk factors associated with revision outcomes. Between January 2011 and January 2013, a total of 102 consecutive large head MoM hip arthroplasties in 97 patients (male: 62, female: 35), who underwent revision surgery were identified from the database of a multidisciplinary referral center. At minimum follow-up of 2 years (range: 26-52 months), at least one complication had occurred in 14 of 102 revisions (14%). Prerevision radiographic loosening (P = .01), magnetic resonance imaging (MRI) findings of solid lesions with abductor deficiency on MRI (P < .001), and intraoperative grading of adverse tissue reactions (P = .05) were correlated with post-revision complications. The reoperation rate of revised MoM THA was 7% (7 of 102 hips). Implant survivorship was 88% at 3 years. Metal ion levels declined in most patients after removal of MoM articulation. Revision outcomes of revision surgery for failed MoM THA due to symptomatic pseudotumor demonstrated 14% complication rate and 7% re-revision rate at 30-month follow-up. Our study identified prerevision radiographic loosening, solid lesions/abductor deficiency on MRI, and high grade intraoperative tissue damage as risk factors associated with poorer revision outcomes. This provides clinically useful information for preoperative planning and perioperative counseling of MoM THA patients undergoing revision surgery. Copyright © 2016 Elsevier Inc. All rights reserved.

What are the causes of revision total knee arthroplasty in Japan?

PubMed

Kasahara, Yasuhiko; Majima, Tokifumi; Kimura, Shoichi; Nishiike, Osamu; Uchida, Jun

2013-05-01

There is limited information regarding the cause of revision TKA in Asia, especially Japan. Owing to differences in patient backgrounds and lifestyles, the modes of TKA failures in Asia may differ from those in Western countries. We therefore determined (1) causes of revision TKA in a cohort of Japanese patients with revision TKA and (2) whether patient demographic features and underlying diagnosis of primary TKA are associated with the causes of revision TKA. We assessed all revision TKA procedures performed at five major centers in Hokkaido from 2006 to 2011 for the causes of failures. Demographic data and underlying diagnosis for index primary TKA of the revision cases were compared to those of randomly selected primary TKAs during the same period. One hundred forty revision TKAs and 4047 primary TKAs were performed at the five centers, indicating a revision burden of 3.3%. The most common cause of revision TKA was mechanical loosening (40%) followed by infection (24%), wear/osteolysis (9%), instability (9%), implant failure (6%), periprosthetic fracture (4%), and other reasons (8%). The mean age of patients with periprosthetic fracture was older (77 versus 72 years) and the male proportion in patients with infection was higher (33% versus 19%) than those of patients in the primary TKA group. There was no difference in BMI between primary TKAs and any type of revision TKA except other causes. The revision burden at the five referral centers in Hokkaido was 3.3%, and the most common cause of revision TKA was mechanical loosening followed by infection. Demographic data such as age and sex might be associated with particular causes of revision TKA.

Revision surgery of metal-on-metal hip arthroplasties for adverse reactions to metal debris.

PubMed

Matharu, Gulraj S; Eskelinen, Antti; Judge, Andrew; Pandit, Hemant G; Murray, David W

2018-06-01

Background and purpose - The initial outcomes following metal-on-metal hip arthroplasty (MoMHA) revision surgery performed for adverse reactions to metal debris (ARMD) were poor. Furthermore, robust thresholds for performing ARMD revision are lacking. This article is the second of 2. The first article considered the various investigative modalities used during MoMHA patient surveillance (Matharu et al. 2018a ). The present article aims to provide a clinical update regarding ARMD revision surgery in MoMHA patients (hip resurfacing and large-diameter MoM total hip arthroplasty), with specific focus on the threshold for performing ARMD revision, the surgical strategy, and the outcomes following revision. Results and interpretation - The outcomes following ARMD revision surgery appear to have improved with time for several reasons, among them the introduction of regular patient surveillance and lowering of the threshold for performing revision. Furthermore, registry data suggest that outcomes following ARMD revision are influenced by modifiable factors (type of revision procedure and bearing surface implanted), meaning surgeons could potentially reduce failure rates. However, additional large multi-center studies are needed to develop robust thresholds for performing ARMD revision surgery, which will guide surgeons' treatment of MoMHA patients. The long-term systemic effects of metal ion exposure in patients with these implants must also be investigated, which will help establish whether there are any systemic reasons to recommend revision of MoMHAs.

76 FR 35923 - Notice of Opportunity for Public Comment on the Proposed Model Safety Evaluation for Plant...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-20

... Traveler TSTF-510, Revision 2, ``Revision to Steam Generator Program Inspection Frequencies and Tube Sample...-510, Revision 2, ``Revision to Steam Generator Program Inspection Frequencies and Tube Sample Selection.'' TSTF-510, Revision 2, is available in the Agencywide Documents Access and Management System...

Introductory Business Textbook Revision Cycles: Are They Getting Shorter?

ERIC Educational Resources Information Center

Zinser, Brian; Brunswick, Gary

2010-01-01

The rate of textbook revision cycles is examined in light of the recent trend towards more rapid revisions (and adoptions of textbooks). The authors conduct background research to better understand the context for textbook revision cycles and the environmental forces that have been influencing what appears to be more rapid textbook revisions. A…

Current Epidemiology of Revision Total Knee Arthroplasty in the United States.

PubMed

Delanois, Ronald E; Mistry, Jaydev B; Gwam, Chukwuweike U; Mohamed, Nequesha S; Choksi, Ujval S; Mont, Michael A

2017-09-01

Revision surgery for failed total knee arthroplasty (TKA) continues to pose a substantial burden for the United States healthcare system. The predominant etiology of TKA failure has changed over time and may vary between studies. This report aims to update the current literature on this topic by using a large national database. Specifically, we analyzed: (1) etiologies for revision TKA; (2) frequencies of revision TKA procedures; (3) various demographics including payer type and region; and (4) the length of stay (LOS) and total charges based on type of revision TKA procedure. The Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) database was used to identify all revision TKA procedures performed between 2009 and 2013. Clinical, economic, and demographic data were collected and analyzed for 337,597 procedures. Patients were stratified according to etiology of failure, age, sex, race, US census region, and primary payor class. The mean LOS and total charges were also calculated. Infection was the most common etiology for revision TKA (20.4%), closely followed by mechanical loosening (20.3%). The most common revision TKA procedure performed was all component revision (31.3%). Medicare was the primary payor for the greatest proportion of revisions (57.7%). The South census region performed the most revision TKAs (33.2%). The overall mean LOS was 4.5 days, with arthrotomy for removal of prosthesis without replacement procedures accounting for the longest stays (7.8 days). The mean total charge for revision TKAs was $75,028.07. Without appropriate measures in place, the burden of revision TKAs may become overwhelming and pose a strain on providers and institutions. Continued insight into the etiology and epidemiology of revision TKAs may be the principle step towards improving outcomes and mitigating the need for future revisions. Copyright © 2017 Elsevier Inc. All rights reserved.

Incidence of revision after primary implantation of the Agility™ total ankle replacement system: a systematic review.

PubMed

Roukis, Thomas S

2012-01-01

Revision of failed total ankle replacement remains a challenge with limited information available to guide treatment options. I undertook a systematic review of electronic databases and other relevant sources to identify material relating to the incidence of revision after primary implantation of the Agility™ Total Ankle Replacement System. In an effort to procure the highest quality studies available, studies were eligible for inclusion only if they involved patients undergoing primary Agility™ Total Ankle Replacement; had evaluated patients at a mean follow-up of 12 months or longer; included details of the revision performed; and included revision etiologies of aseptic loosening, ballooning osteolysis, cystic changes, malalignment, or instability. A total of 14 studies involving 2312 ankles, with a weighted mean follow-up of 22.8 months, were included. Of the 2312 ankles, 224 (9.7%) underwent revision, of which 182 (81.3%) underwent implant component replacement, 34 (15.2%) underwent arthrodesis, and 8 (3.6%) underwent below-knee amputation. No significant effect from the surgeon's learning curve on the incidence of revision or the type of revision surgery performed was identified. However, excluding the inventor increased the incidence of revision twofold, from 6.6% to 12.2%, and skewed the type of revision away from arthrodesis and toward implant component replacement or below-knee amputation. Regardless, the incidence of revision after primary implantation of the Agility™ Total Ankle Replacement System was less than historically reported and amenable to implant component revision more than 80% of the time. However, methodologically sound cohort studies are needed that include the outcomes after revision surgery, specifically focusing on what implant component replacement techniques are effective in enhancing survivorship of these revised implants and the role of custom-stemmed talar and tibial components have in revision of the Agility™ Total Ankle Replacement System. A direct comparison of the incidence of revision between the various contemporary total ankle replacement systems in common use is also warranted. Copyright © 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Increased Mortality After Prosthetic Joint Infection in Primary THA.

PubMed

Gundtoft, Per Hviid; Pedersen, Alma Becic; Varnum, Claus; Overgaard, Søren

2017-11-01

Revision for prosthetic joint infection (PJI) has a major effect on patients' health but it remains unclear if early PJI after primary THA is associated with a high mortality. (1) Do patients with a revision for PJI within 1 year of primary THA have increased mortality compared with patients who do not undergo revision for any reason within 1 year of primary THA? (2) Do patients who undergo a revision for PJI within 1 year of primary THA have an increased mortality risk compared with patients who undergo an aseptic revision? (3) Are there particular bacteria among patients with PJI that are associated with an increased risk of death? This population-based cohort study was based on the longitudinally maintained Danish Hip Arthroplasty Register on primary THA performed in Denmark from 2005 to 2014. Data from the Danish Hip Arthroplasty Register were linked to microbiology databases, the National Register of Patients, and the Civil Registration System to obtain data on microbiology, comorbidity, and vital status on all patients. Because reporting to the register is compulsory for all public and private hospitals in Denmark, the completeness of registration is 98% for primary THA and 92% for revisions (2016 annual report). The mortality risk for the patients who underwent revision for PJI within 1 year from implantation of primary THA was compared with (1) the mortality risk for patients who did not undergo revision for any reason within 1 year of primary THA; and (2) the mortality risk for patients who underwent an aseptic revision. A total of 68,504 primary THAs in 59,954 patients were identified, of those 445 primary THAs underwent revision for PJI, 1350 primary THAs underwent revision for other causes and the remaining 66,709 primary THAs did not undergo revision. Patients were followed from implantation of primary THA until death or 1 year of followup, or, in case of a revision, 1 year from the date of revision. Within 1 year of primary THA, 8% (95% CI, 6%-11%) of patients who underwent revision for PJI died. The adjusted relative mortality risk for patients with revision for PJI was 2.18 (95% CI, 1.54-3.08) compared with the patients who did not undergo revision for any cause (p < 0.001). The adjusted relative mortality risk for patients with revisions for PJI compared with patients with aseptic revision was 1.87 (95% CI, 1.11-3.15; p = 0.019). Patients with enterococci-infected THA had a 3.10 (95% CI, 1.66-5.81) higher mortality risk than patients infected with other bacteria (p < 0.001). Revision for PJI within 1 year after primary THA induces an increased mortality risk during the first year after the revision surgery. This study should incentivize further studies on prevention of PJI and on risk to patients with the perspective to reduce mortality in patients who have had THA in general and for patients with PJI specifically. Level III, therapeutic study.

Revision total hip arthoplasty: factors associated with re-revision surgery.

PubMed

Khatod, Monti; Cafri, Guy; Inacio, Maria C S; Schepps, Alan L; Paxton, Elizabeth W; Bini, Stefano A

2015-03-04

The survivorship of implants after revision total hip arthroplasty and risk factors associated with re-revision are not well defined. We evaluated the re-revision rate with use of the institutional total joint replacement registry. The purpose of this study was to determine patient, implant, and surgeon factors associated with re-revision total hip arthroplasty. A retrospective cohort study was conducted. The total joint replacement registry was used to identify patients who had undergone revision total hip arthroplasty for aseptic reasons from April 1, 2001, to December 31, 2010. The end point of interest was re-revision total hip arthroplasty. Risk factors evaluated for re-revision total hip arthroplasty included: patient risk factors (age, sex, body mass index, race, and general health status), implant risk factors (fixation type, bearing surface, femoral head size, and component replacement), and surgeon risk factors (volume and experience). A multivariable Cox proportional hazards model was used. Six hundred and twenty-nine revision total hip arthroplasties with sixty-three (10%) re-revisions were evaluated. The mean cohort age (and standard deviation) was 57.0 ± 12.4 years, the mean body mass index (and standard deviation) was 29.5 ± 6.1 kg/m(2), and most of the patients were women (64.5%) and white (81.9%) and had an American Society of Anesthesiologists score of <3 (52.9%). The five-year implant survival after revision total hip arthroplasty was 86.8% (95% confidence interval, 83.57% to 90.25%). In adjusted models, age, total number of revision surgical procedures performed by the surgeon, fixation, and bearing surface were associated with the risk of re-revision. For every ten-year increase in patient age, the hazard ratio for re-revision decreases by a factor of 0.72 (95% confidence interval, 0.58 to 0.90). For every five revision surgical procedures performed by a surgeon, the risk of revision decreases by a factor of 0.93 (95% confidence interval, 0.86 to 0.99). At the time of revision, a new or retained cemented femoral implant or all-cemented hip implant increases the risk of revision by a factor of 3.19 (95% confidence interval, 1.22 to 8.38) relative to a retained or new uncemented hip implant. A ceramic on a highly cross-linked polyethylene bearing articulation decreases the hazard relative to metal on highly cross-linked polyethylene by a factor of 0.32 (95% confidence interval, 0.11 to 0.95). Metal on constrained bearing increases the hazard relative to metal on highly cross-linked polyethylene by a factor of 3.32 (95% confidence interval, 1.16 to 9.48). When evaluating patient, implant, and surgical factors at the time of revision total hip arthroplasty, age, surgeon experience, implant fixation, and bearing surfaces had significant impacts on the risk of re-revision. Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated.

42 CFR 498.103 - Notice and effect of revised decision.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Notice and effect of revised decision. 498.103... Departmental Appeals Board § 498.103 Notice and effect of revised decision. (a) Notice. The notice mailed to... decision. (b) Effect—(1) ALJ revised decision. An ALJ revised decision is binding unless it is reviewed by...

Real Revision: Authors' Strategies to Share with Student Writers

ERIC Educational Resources Information Center

Messner, Kate

2011-01-01

How do you show students that revision is more than a classroom exercise to please the teacher? Take them into the real world of writing for publication. In Real Revision, award-winning author and teacher Kate Messner demystifies the revision process for teachers and students alike and provides tried-and-true revision strategies, field tested by…

75 FR 1712 - Approval and Promulgation of Air Quality Implementation Plans; Mississippi; Update to Materials...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-13

... their EPA-approved SIP revisions. These changes revised the format for the identification of the SIP in... Section 2 is revised to read ``2/4/72.'' 2. Revising the date format listed in paragraphs 52.1270(c). Revise the date format in the ``State effective date,'' and ``EPA approval date,'' columns for...

From Error Correction to Meaning Making: Reconstructing Student Perceptions of Revision

ERIC Educational Resources Information Center

Barrett, Catherine; Junio, Rachel Wright

2017-01-01

For most students, revision is viewed as a punishment for not writing well enough. However, what if students' negative perceptions of revision shifted to view revision as an opportunity to better develop the meaning and message of texts. Revision, like all processes in writing, is complex, cognitively demanding, and requires students to be able to…

Evolution of Cupido and Coahuila carbonate platforms, early Cretaceous, northeastern Mexico

USGS Publications Warehouse

Lehmann, Christoph; Osleger, David A.; Montañez, Isabel P.; Sliter, William V.; Arnaud Vanneau, Annie; Banner, Jay L.

1999-01-01

The Cupido and Coahuila platforms of northeastern Mexico are part of the extensive carbonate platform system that rimmed the ancestral Gulf of Mexico during Barremian to Albian time. Exposures of Cupido and Coahuila lithofacies in several mountain ranges spanning an ∼80000 km2 area reveal information about platform morphology and composition, paleoenvironmental relations, and the chronology of platform evolution. New biostratigraphic data, integrated with carbon and strontium isotope stratigraphy, significantly improve chronostratigraphic relations across the region. These data substantially change previous age assignments of several formations and force a revision of the longstanding stratigraphy in the region. The revised stratigraphy and enhanced time control, combined with regional facies associations, allow the construction of cross sections, isopach maps, and time-slice paleogeographic maps that collectively document platform morphology and evolution.The orientation of the Cupido (Barremian-Aptian) shelf margin was controlled by the emergent Coahuila basement block to the northwest. The south-facing margin is a high-energy grainstone shoal, whereas the margin facing the ancestral Gulf of Mexico to the east is a discontinuous rudist-coral reef. A broad shelf lagoon developed in the lee of the Cupido margin, where as much as 660 m of cyclic peritidal deposits accumulated. During middle to late Aptian time, a major phase of flooding forced a retrograde backstep of the Cupido platform, shifting the locus of shallow-marine sedimentation northwestward toward the Coahuila block. This diachronous flooding event records both the demise of the Cupido shelf and the consequent initiation of the Coahuila ramp.The backstepped Coahuila ramp (Aptian-Albian) consisted of a shallow shoal margin separating an interior evaporitic lagoon from a low-energy, muddy deep ramp. More than 500 m of cyclic carbonates and evaporites accumulated in the evaporitic lagoon during early to middle Albian time. Restriction of the platform interior dissipated by middle to late Albian time with the deposition of peloidal, miliolid-rich packstones and grainstones of the Aurora Formation. The Coahuila platform was drowned during latest Albian to early Cenomanian time, and the deep-water laminites of the Cuesta del Cura Formation were deposited.This study fills in a substantial gap in the Cretaceous paleogeography of the eastern Gulf of Mexico coast, improving regional correlations with adjacent hydrocarbon-rich platforms. The enhanced temporal relations and chronology of events recorded in the Cupido and Coahuila platforms significantly improve global correlations with coeval, economically important platforms worldwide, perhaps contributing to the determination of global versus regional controls on carbonate platform evolution during middle Cretaceous time.

Revision of Articular Surface Replacement (ASR) Total Hip Arthroplasty: Correlation of Perioperative Data and Early Post-Revision Outcome Results.

PubMed

Cip, Johannes; Bach, Christian; Widemschek, Mark; Luegmair, Matthias; Martin, Arno

2015-09-01

The articular surface replacement (ASR) total hip arthroplasty (THA) showed accelerated failure rates due to adverse-reaction to metal debris (ARMD). Literature correlating preoperative with intraoperative revision findings respectively post-revision outcome results are rare. 30 of 99 available ASR THA were revised due to ARMD. Mean post-revision follow-up term was 2.3 years. In part, preoperative data did not correlate with intraoperative revision findings. ARMD was even found in asymptomatic patients with non-elevated ion levels. Postoperative pain and metal ions decreased significantly (P ≤ 0.016). Cobalt decreased faster than chrome. Patients with intraoperative pseudotumors, osteolysis or bilateral THA did not have higher pre- or postoperative ion values (P ≥ 0.053). Females showed higher postoperative chrome levels (P=0.031). One major post-revision complication (femoral nerve palsy) and one re-revision (late onset infection) occurred. Copyright © 2015 Elsevier Inc. All rights reserved.

Primary Care Clinic Re-Design for Prescription Opioid Management.

PubMed

Parchman, Michael L; Von Korff, Michael; Baldwin, Laura-Mae; Stephens, Mark; Ike, Brooke; Cromp, DeAnn; Hsu, Clarissa; Wagner, Ed H

The challenge of responding to prescription opioid overuse within the United States has fallen disproportionately on the primary care clinic setting. Here we describe a framework comprised of 6 Building Blocks to guide efforts within this setting to address the use of opioids for chronic pain. Investigators conducted site visits to thirty primary care clinics across the United States selected for their use of team-based workforce innovations. Site visits included interviews with leadership, clinic tours, observations of clinic processes and team meetings, and interviews with staff and clinicians. Data were reviewed to identify common attributes of clinic system changes around chronic opioid therapy (COT) management. These concepts were reviewed to develop narrative descriptions of key components of changes made to improve COT use. Twenty of the thirty sites had addressed improvements in COT prescribing. Across these sites a common set of 6 Building Blocks were identified: 1) providing leadership support; 2) revising and aligning clinic policies, patient agreements (contracts) and workflows; 3) implementing a registry tracking system; 4) conducting planned, patient-centered visits; 5) identifying resources for complex patients; and 6) measuring progress toward achieving clinic objectives. Common components of clinic policies, patient agreements and data tracked in registries to assess progress are described. In response to prescription opioid overuse and the resulting epidemic of overdose and addiction, primary care clinics are making improvements driven by a common set of best practices that address complex challenges of managing COT patients in primary care settings. © Copyright 2017 by the American Board of Family Medicine.

Curricular Revision and Reform: The Process, What Was Important, and Lessons Learned.

PubMed

Ilkiw, Jan E; Nelson, Richard W; Watson, Johanna L; Conley, Alan J; Raybould, Helen E; Chigerwe, Munashe; Boudreaux, Karen

Beginning in 2005, the Doctor of Veterinary Medicine program at the University of California underwent major curricular review and reform. To provide information for others that follow, we have documented our process and commented on factors that were critical to success, as well as factors we found surprising, difficult, or problematic. The review and reform were initiated by the Executive Committee, who led the process and commissioned the committees. The planning stage took 6 years and involved four faculty committees, while the implementation stage took 5 years and was led by the Curriculum Committee. We are now in year 2 of the institutionalizing stage and no longer refer to our reform as the "new curriculum." The change was driven by a desire to improve the curriculum and the learning environment of the students by aligning the delivery of information with current teaching methodologies and implementing adult learning strategies. We moved from a department- and discipline-based curriculum to a school-wide integrated block curriculum that emphasized student-centered, inquiry-based learning. A limit was placed on in-class time to allow students to apply classroom knowledge by solving problems and cases. We found the journey long and arduous, requiring tremendous commitment and effort. In the change process, we learned the importance of adequate planning, leadership, communication, and a reward structure for those doing the "heavy lifting." Specific to our curricular design, we learned the importance of the block leader role, of setting clear expectations for students, and of partnering with students on the journey.

Anatomy as the Backbone of an Integrated First Year Medical Curriculum: Design and Implementation

PubMed Central

Klement, Brenda J.; Paulsen, Douglas F.; Wineski, Lawrence E

2011-01-01

Morehouse School of Medicine chose to restructure its first year medical curriculum in 2005. The anatomy faculty had prior experience in integrating courses, stemming from the successful integration of individual anatomical sciences courses into a single course called Human Morphology. The integration process was expanded to include the other first year basic science courses (Biochemistry, Physiology, and Neurobiology) as we progressed toward an integrated curriculum. A team, consisting of the course directors, a curriculum coordinator and the Associate Dean for Educational and Faculty Affairs, was assembled to build the new curriculum. For the initial phase, the original course titles were retained but the lecture order was reorganized around the Human Morphology topic sequence. The material from all four courses was organized into four sequential units. Other curricular changes included placing laboratories and lectures more consistently in the daily routine, reducing lecture time from 120 to 90 minute blocks, eliminating unnecessary duplication of content, and increasing the amount of independent study time. Examinations were constructed to include questions from all courses on a single test, reducing the number of examination days in each block from three to one. The entire restructuring process took two years to complete, and the revised curriculum was implemented for the students entering in 2007. The outcomes of the restructured curriculum include a reduction in the number of contact hours by 28%, higher or equivalent subject examination average scores, enhanced student satisfaction, and a first year curriculum team better prepared to move forward with future integration. PMID:21538939

[The mini-open Latarjet procedure for treatment of recurrent anterior instability of the shoulder].

PubMed

Pogorzelski, J; Beitzel, K; Imhoff, A B; Braun, S

2016-12-01

Shoulder stabilization. Symptomatic recurrent anterior shoulder instability combined with glenoid bone loss of approximately 20-35 % of the glenoid surface, engaging Hill-Sachs lesion and/or previously failed arthroscopic Bankart repair. In patients with a high risk of redislocation (contact sports) or irreparable soft tissue injury the Latarjet procedure can be considered as a first-line treatment. Contraindicated if arthroscopic Bankart repair is possible. Irreparable damage of subscapularis tendon. Bony defect >35 % of the glenoid that cannot be filled with coracoid bone block. Arbitrary shoulder dislocation. Young patients with open growth plates (relative contraindication). Mini-open deltopectoral approach of approximately 6 cm. Preparation of the coracoid process and the conjoined tendons. Osteotomy of the coracoid process at its base using a 90° sawblade. Split of the subscapularis tendon. Preparation of the glenoid defect and implantation of 2-3 suture anchors where appropriate. Drilling of two parallel holes through the coracoid process. Fixation of the bone block with cannulated screws at the anterior glenoid rim and refixation of the joint capsula, if necessary with the help of the suture anchors. Wound drainage and closure in layers. Intermittent immobilization in a sling for 6 weeks with limited abduction, flexion and external rotation. Sport-specific training after 3 months, over-head sports after 6 months. Since 2009 64 mini-open Latarjet procedures (61 patients) performed. In all, 9.4 % of patients suffered from persistent instability (dislocations and subluxations); only 1 patient needed revision surgery due to instability.

Viscoelastic-cycle model of interseismic deformation in the northwestern United States

USGS Publications Warehouse

Pollitz, F.F.; McCrory, Patricia; Wilson, Doug; Svarc, Jerry; Puskas, Christine; Smith, Robert B.

2010-01-01

We apply a viscoelastic cycle model to a compilation of GPS velocity fields in order to address the kinematics of deformation in the northwestern United States. A viscoelastic cycle model accounts for time-dependent deformation following large crustal earthquakes and is an alternative to block models for explaining the interseismic crustal velocity field. Building on the approach taken in Pollitz et al., we construct a deformation model for the entire western United States-based on combined fault slip and distributed deformation-and focus on the implications for the Mendocino triple junction (MTJ), Cascadia megathrust, and western Washington. We find significant partitioning between strike-slip and dip-slip motion near the MTJ as the tectonic environment shifts from northwest-directed shear along the San Andreas fault system to east-west convergence along the Juan de Fuca Plate. By better accounting for the budget of aseismic and seismic slip along the Cascadia subduction interface in conjunction with an assumed rheology, we revise a previous model of slip for the M~ 9 1700 Cascadia earthquake. In western Washington, we infer slip rates on a number of strike-slip and dip-slip faults that accommodate northward convergence of the Oregon Coast block and northwestward convergence of the Juan de Fuca Plate. Lateral variations in first order mechanical properties (e.g. mantle viscosity, vertically averaged rigidity) explain, to a large extent, crustal strain that cannot be rationalized with cyclic deformation on a laterally homogeneous viscoelastic structure. Our analysis also shows that present crustal deformation measurements, particularly with the addition of the Plate Boundary Observatory, can constrain such lateral variations.

Ab initio determination of geometries and vibrational characteristics of building blocks of organic super-conductors: TTF and its derivatives.

PubMed

Rani, P; Yadav, R A

2012-12-01

Molecular behavior of the building block {[2-(1,3-dithiole-2-ylidene)-1,3-dithiole] ≡ tetrathiafulvalene (TTF)} of organic superconductors have been investigated along with its three derivatives, namely, {[2-(1,3-dioxole-2-ylidene)-1,3-dioxole] ≡ tetraoxafulvalene (TOF)}; [2,2]-bi -[[1,3] oxathiolylidene] ≡ Der I and 2-(3H-Furan-2-ylidene)-[1,3] oxathiole ≡ Der II. The properties of the molecules such as molecular geometries, frontier MOs and vibrational spectra have been investigated by using DFT method at the B3LYP level employing 6-311++G(d,p) basis set. The geometrical parameters and atomic charges on various atomic sites of the TTF, TOF, Ders I and II suggest extended conjugation in these systems. The present calculations lead to the reassignments for of some of the fundamentals and new interpretations for some of the observed IR and Raman frequencies. One of the two modes involved in the Fermi resonance giving rise to the doublet 1555 and 1564 cm(-1) needed to be revised and another doublet 3083 and 3108 cm(-1) could be interpreted as a Fermi resonance doublet. Out of the two ν(C = C) modes under the a(1) species, the lower frequency mode is assigned to the ν(C = C) of the ring and the higher one to the ν(C = C) of the central C = C bond contrary to the assignment reported in literature. The conducting properties of these molecules depend mainly on this mode. Copyright © 2012 Elsevier B.V. All rights reserved.

Smoking is associated with earlier time to revision of total knee arthroplasty.

PubMed

Lim, Chin Tat; Goodman, Stuart B; Huddleston, James I; Harris, Alex H S; Bhowmick, Subhrojyoti; Maloney, William J; Amanatullah, Derek F

2017-10-01

Smoking is associated with early postoperative complications, increased length of hospital stay, and an increased risk of revision after total knee arthroplasty (TKA). However, the effect of smoking on time to revision TKA is unknown. A total of 619 primary TKAs referred to an academic tertiary center for revision TKA were retrospectively stratified according to the patient smoking status. Smoking status was then analyzed for associations with time to revision TKA using a Chi square test. The association was also analyzed according to the indication for revision TKA. Smokers (37/41, 90%) have an increased risk of earlier revision for any reason compared to non-smokers (274/357, 77%, p=0.031). Smokers (37/41, 90%) have an increased risk of earlier revision for any reason compared to ex-smokers (168/221, 76%, p=0.028). Subgroup analysis did not reveal a difference in indication for revision TKA (p>0.05). Smokers are at increased risk of earlier revision TKA when compared to non-smokers and ex-smokers. The risk for ex-smokers was similar to that of non-smokers. Smoking appears to have an all-or-none effect on earlier revision TKA as patients who smoked more did not have higher risk of early revision TKA. These results highlight the need for clinicians to urge patients not to begin smoking and encourage smokers to quit smoking prior to primary TKA. Copyright © 2017 Elsevier B.V. All rights reserved.

Relationship Between Metabolic Syndrome and Cognitive Abilities in U.S. Adolescents.

PubMed

Rubens, Muni; Ramamoorthy, Venkataraghavan; Saxena, Anshul; George, Florence; Shehadeh, Nancy; Attonito, Jennifer; McCoy, H Virginia; Beck-Sagué, Consuelo M

2016-10-01

Metabolic syndrome is increasingly common in U.S. adolescents and has been linked to cognitive dysfunction. Purpose of this study is to explore associations between metabolic syndrome and cognitive impairment in U.S. adolescents using population-based data. Participants included adolescents aged 12-16 years who participated in the National Health and Nutrition Examination Survey (NHANES) III. The main outcome measures included assessments of cognitive function using Wide Range Achievement Test-Revised (WRAT-R) and Wechsler Intelligence Scale for Children-Revised (WISC-R) tools. The WRAT-R consisted of mathematics and reading tests. The WISC-R consisted of block design test, which measures spatial visualization and motor skills, and digit span test, which measures working memory and attention. Linear regression models were used to examine associations between metabolic syndrome and cognitive function. We used education levels of the family reference person, while controlling for education levels because of missing data. Presence or absence of metabolic syndrome was tested in 1170 of 2216 NHANES III participants aged 12-16 years. Regression models showed that participants with metabolic syndrome scored an average 1.25 [95% confidence interval (CI) = -2.14 to -0.36] points lower in reading examination and an average 0.89 (95% CI = -1.65 to -0.13) points lower in digit span examination, compared to those without metabolic syndrome. In addition, components of metabolic syndrome-elevated systolic blood pressure and increased waist circumference (WC)-were associated with impaired working memory/attention, and higher fasting glucose and increased WC were associated with poorer reading test scores. Metabolic syndrome was associated with impaired reading, working memory, and attention among adolescents.

[Analyzing the Wechsler Intelligence Scale for Children-Revised (WISC-R) in Children With Attention Deficit and Hyperactivity Disorder: Predictive Value of Subtests, Kaufman, and Bannatyne Categories].

PubMed

Tural Hesapçıoğlu, Selma; Çelik, Cihat; Özmen, Sevim; Yiğit, İbrahim

2016-01-01

The aim of this study is to evaluate the predictive value of intelligence quotients scores (IQs), subtests of Wechsler Intelligence Scale for Children-Revised (WISC-R) and Kaufman's and Bannatyne's categories scores which are the sums of subtests of WISC-R in attention deficit hyperactivity disorder (ADHD). Another aim is to examine the difference of some neurocognitive skills between the children with ADHD and their unaffected peers by WISC-R subtests. WISC-R's subtest and IQ scores, and scores of Kaufman's and Bannatyne's categories of the children who were diagnosed with only ADHD were compared with the same scores of the children who were in healthy control group (N= 111) and were in ADHD with co morbidity group (N= 82). It was found that the subtest scores (vocabulary, comprehension, digit span, picture completion and block design) of the children with only ADHD and ADHD with comorbidity were significantly lower than healthy group. It was observed that subtests of comprehension (Wald= 5.47, df= 1, p=0.05), digit span (Wald= 16.79, df= 1, p=0.001) and picture completion (Wald= 5.25, df= 1, p=0.05) predicted significantly ADHD. In addition, the categories of freedom from distractibility (Wald= 8.22, df= 1, p=0.01) and spatial abilities (Wald= 12.22, df= 1, p<0.0001) were predictive for ADHD in this study. Problem solving abilities in social processes, auditory short-term memories, visual-spatial abilities and visual configuration abilities of the children with ADHD was observed to be lower than their healthy peers. It was thought that in WISC-R's profile analysis, the categories of freedom from distractibility and spatial abilities can be distinctive in ADHD diagnose.

Pilot study evaluating the effect of massage therapy on stress, anxiety and aggression in a young adult psychiatric inpatient unit.

PubMed

Garner, Belinda; Phillips, Lisa J; Schmidt, Hans-Martin; Markulev, Connie; O'Connor, Jenny; Wood, Stephen J; Berger, Gregor E; Burnett, Peter; McGorry, Patrick D

2008-05-01

The aim of the present pilot study was to examine the effectiveness of a relaxation massage therapy programme in reducing stress, anxiety and aggression on a young adult psychiatric inpatient unit. This was a prospective, non-randomized intervention study comparing treatment as usual (TAU) with TAU plus massage therapy intervention (MT) over consecutive 7 week blocks (May-August 2006). MT consisted of a 20 min massage therapy session offered daily to patients during their period of hospitalization. The Kennedy Nurses' Observational Scale for Inpatient Evaluation (NOSIE), the Symptom Checklist-90-Revised (SCL-90-R), the State-Trait Anxiety Inventory (STAI) and stress hormone (saliva cortisol) levels were used to measure patient outcomes at admission and discharge from the unit. The Staff Observation Aggression Scale-Revised (SOAS-R) was used to monitor the frequency and severity of aggressive incidents on the unit. There was a significant reduction in self-reported anxiety (p < 0.001), resting heart rate (p < 0.05) and cortisol levels (p < 0.05) immediately following the initial and final massage therapy sessions. Significant improvements in hostility (p = 0.007) and depression scores (p < 0.001) on the SCL-90-R were observed in both treatment groups. There was no group x time interaction on any of the measures. Poor reliability of staff-reported incidents on the SOAS-R limited the validity of results in this domain. Massage therapy had immediate beneficial effects on anxiety-related measures and may be a useful de-escalating tool for reducing stress and anxiety in acutely hospitalized psychiatric patients. Study limitations preclude any definite conclusions on the effect of massage therapy on aggressive incidents in an acute psychiatric setting. Randomized controlled trials are warranted.

Revision of the structures of citrifolinin A, citrifolinoside, yopaaoside A, yopaaoside B, and morindacin, iridoids from Morinda citrifolia L. and Morinda coreia Ham.

PubMed

Schripsema, Jan; Caprini, Geisa P; Dagnino, Denise

2006-11-09

[Structure: see text] Citrifolin A was revised to dehydromethoxygaertneroside (2). Citrifolinoside and yopaaoside A were found to be identical, and their structures were revised to the new structure dehydroepoxymethoxygaertneroside (5). Yopaaoside B was revised to citrifolinoside A (9), and morindacin was revised to borreriagenin (11).

77 FR 12086 - Final Staff Guidance, Revision 4 to Standard Review Plan; Section 8.1 on Electric Power-Introduction

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-28

... incorporate Revision 4 of SRP Section 8.1 into the next revisions of the Regulatory Guide 1.206, ``Combined..., 2011 (76 FR 31381), the NRC published for public comment the proposed Revision 4 on Section 8.1 on... NUCLEAR REGULATORY COMMISSION [NRC-2011-0119] Final Staff Guidance, Revision 4 to Standard Review...

Revising Lecture Notes: How Revision, Pauses, and Partners Affect Note Taking and Achievement

ERIC Educational Resources Information Center

Luo, Linlin; Kiewra, Kenneth A.; Samuelson, Lydia

2016-01-01

Note taking has been categorized as a two-stage process: the recording of notes and the review of notes. We contend that note taking might best involve a three-stage process where the missing stage is revision. This study investigated the benefits of revising lecture notes and addressed two questions: First, is revision more effective than…

Outcome of knee revisions for osteoarthritis and inflammatory arthritis with postero-stabilized arthroplasties: a mean ten-year follow-up with 90 knee revisions.

PubMed

Hernigou, Philippe; Dubory, Arnaud; Potage, Damien; Roubineau, François; Flouzat-Lachaniette, Charles Henri

2017-04-01

Patients with rheumatoid arthritis (RA) and osteoarthritis (OA) may require revision total knee replacement. Few studies have compared post-operative complications, results and risk of re-revision in RA and OA patients. Forty-five RA patients who had undergone revision TKA from 1998 to 2010 were selected and matched with 45 OA patients who had revision during the same period. Results of the use of a revision postero-stabilized implant in osteoarthritis were compared to results of its use in inflammatory arthritis. With a mean follow-up of ten years (range, 5-17 years) we determined differences in comorbidities, risk for peri-operative adverse events, functional and radiological results, and risk of subsequent re-revision, between patients suffering from OA versus RA. There were higher comorbidities, post-operative (<30 days) adverse events, and mortality at average ten years FU in RA than in OA patients. The mean overall changes in function scores were greater for the RA revision group when compared with the OA revision group. Taking steroids (Cox's regression, p = 0.001), and methotrexate or TNFα blockers (Cox's regression, p = 0.02) were not significant factors for radiolucent lines in RA and for loosening. At average ten years followup, patients with RA undergoing revision TKAs were not more likely to have a re-revision (4 among 45 patients; 9 %) than patients with OA undergoing revision in our department (7 patients; 15 %). Similar results for the knee were observed in these two forms of arthritis in spite of the fact that the initial local joint status and general health status are worse in inflammatory rheumatoid arthritis than in "degenerative" osteoarthritis. However, complications were more frequent with RA.

Outcomes in revision Tommy John surgery in Major League Baseball pitchers.

PubMed

Liu, Joseph N; Garcia, Grant H; Conte, Stan; ElAttrache, Neal; Altchek, David W; Dines, Joshua S

2016-01-01

With the recent rise in the number of Tommy John surgeries, a proportionate rise in revisions is expected. However, much is unknown regarding the current revision rate of Tommy John surgery, return to play, and change in performance in Major League Baseball (MLB) pitchers. Publicly available databases were used to obtain a list of all MLB pitchers who underwent primary and revision Tommy John surgery. Pitching performance preoperatively and postoperatively for pitchers who returned to 1 or more MLB games after revision surgery was compared with controls matched for age and position. Since 1999, 235 MLB pitchers have undergone Tommy John surgeries; 31 pitchers (13.2%) underwent revision surgery, and 37% underwent revision within 3 years of the index procedure. Twenty-six revisions had more than 2 years of follow-up; 17 pitchers (65.4%) returned to pitch at least 1 major league game, whereas only 11 (42.3%) returned to pitch 10 or more games. Of those who returned to MLB competition, the average length of recovery was 20.76 months. Compared with controls matched for age and position, MLB pitchers undergoing revision surgery had a statistically shorter career after revision surgery (4.9 vs 2.6 seasons, P = .002), pitched fewer innings, and had fewer total pitches per season. The rate of revision Tommy John surgery is substantially higher than previously reported. For MLB pitchers, return to play after revision surgery is much lower than after primary reconstruction. The overall durability of MLB pitchers after revision ulnar collateral ligament reconstruction decreases significantly compared with controls matched for age and matched controls. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

The revised APTA code of ethics for the physical therapist and standards of ethical conduct for the physical therapist assistant: theory, purpose, process, and significance.

PubMed

Swisher, Laura Lee; Hiller, Peggy

2010-05-01

In June 2009, the House of Delegates (HOD) of the American Physical Therapy Association (APTA) passed a major revision of the APTA Code of Ethics for physical therapists and the Standards of Ethical Conduct for the Physical Therapist Assistant. The revised documents will be effective July 1, 2010. The purposes of this article are: (1) to provide a historical, professional, and theoretical context for this important revision; (2) to describe the 4-year revision process; (3) to examine major features of the documents; and (4) to discuss the significance of the revisions from the perspective of the maturation of physical therapy as a doctoring profession. PROCESS OF REVISION: The process for revision is delineated within the context of history and the Bylaws of APTA. FORMAT, STRUCTURE, AND CONTENT OF REVISED CORE ETHICS DOCUMENTS: The revised documents represent a significant change in format, level of detail, and scope of application. Previous APTA Codes of Ethics and Standards of Ethical Conduct for the Physical Therapist Assistant have delineated very broad general principles, with specific obligations spelled out in the Ethics and Judicial Committee's Guide for Professional Conduct and Guide for Conduct of the Physical Therapist Assistant. In contrast to the current documents, the revised documents address all 5 roles of the physical therapist, delineate ethical obligations in organizational and business contexts, and align with the tenets of Vision 2020. The significance of this revision is discussed within historical parameters, the implications for physical therapists and physical therapist assistants, the maturation of the profession, societal accountability and moral community, potential regulatory implications, and the inclusive and deliberative process of moral dialogue by which changes were developed, revised, and approved.

Does adding antibiotics to cement reduce the need for early revision in total knee arthroplasty?

PubMed

Bohm, Eric; Zhu, Naisu; Gu, Jing; de Guia, Nicole; Linton, Cassandra; Anderson, Tammy; Paton, David; Dunbar, Michael

2014-01-01

There is considerable debate about whether antibiotic-loaded bone cement should be used for fixation of TKAs. While antibiotics offer the theoretical benefit of lowering early revision due to infection, they may weaken the cement and thus increase the likelihood of aseptic loosening, perhaps resulting in a higher revision rate. We (1) compared the frequency of early knee revision arthroplasty in patients treated with antibiotic-loaded or non-antibiotic-loaded cement for initial fixation, (2) determined effects of age, sex, comorbidities, and surgeons' antibiotic-loaded cement usage patterns on revision rate, and (3) compared causes of revision (aseptic or septic) between groups. Our study sample was taken from the Canadian Joint Replacement Registry and Canada's Hospital Morbidity Database and included cemented TKAs performed between April 1, 2003, and March 31, 2008, including 20,016 TKAs inserted with non-antibiotic-loaded cement and 16,665 inserted with antibiotic-loaded cement. Chi-square test was used to compare the frequency of early revisions between groups. Cox regression modeling was used to determine whether revision rate would change by age, sex, comorbidities, or use of antibiotic-loaded cement. Similar Cox regression modeling was used to compare cause of revision between groups. Two-year revision rates were similar between the groups treated with non-antibiotic-loaded cement and antibiotic-loaded cement (1.40% versus 1.51%, p = 0.41). When controlling for age, sex, comorbidities, diabetes, and surgeons' antibiotic-loaded cement usage patterns, the revision risk likewise was similar between groups. Revision rates for infection were similar between groups; however, there were more revisions for aseptic loosening in the group treated with non-antibiotic-loaded cement (p = 0.02). The use of antibiotic-loaded cement in TKAs performed for osteoarthritis has no clinically significant effect on reducing revision within 2 years in patients who received perioperative antibiotics. Longer followup and confirmation of these findings with other national registries are warranted.

Financial analysis of revision knee surgery based on NHS tariffs and hospital costs: does it pay to provide a revision service?

PubMed

Kallala, R F; Vanhegan, I S; Ibrahim, M S; Sarmah, S; Haddad, F S

2015-02-01

Revision total knee arthroplasty (TKA) is a complex procedure which carries both a greater risk for patients and greater cost for the treating hospital than does a primary TKA. As well as the increased cost of peri-operative investigations, blood transfusions, surgical instrumentation, implants and operating time, there is a well-documented increased length of stay which accounts for most of the actual costs associated with surgery. We compared revision surgery for infection with revision for other causes (pain, instability, aseptic loosening and fracture). Complete clinical, demographic and economic data were obtained for 168 consecutive revision TKAs performed at a tertiary referral centre between 2005 and 2012. Revision surgery for infection was associated with a mean length of stay more than double that of aseptic cases (21.5 vs 9.5 days, p < 0.0001). The mean cost of a revision for infection was more than three times that of an aseptic revision (£30 011 (sd 4514) vs £9655 (sd 599.7), p < 0.0001). Current NHS tariffs do not fully reimburse the increased costs of providing a revision knee surgery service. Moreover, especially as greater costs are incurred for infected cases. These losses may adversely affect the provision of revision surgery in the NHS. ©2015 The British Editorial Society of Bone & Joint Surgery.

Final June Revisions Rule State Budgets and New Unit Set-Asides TSD

EPA Pesticide Factsheets

This technical support document (TSD) for the final revisions to the Transport Rule shows the underlying data and calculations used to quantify the state budget revisions and new unit set-aside revisions.

78 FR 4305 - Common Crop Insurance Regulations; Florida Citrus Fruit Crop Insurance Provisions; Correction

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-22

... and need to be clarified. First, the example in section 10(b)(6) that was proposed to be revised was mistakenly omitted in the revised text. This amendment adds the revised example back into section 10(b)(6... Sec. 457.107 as follows: 0 a. By revising section 10(b)(6); 0 b. By revising the added section 10(d)(6...

Frontal sinus revision rate after nasal polyposis surgery including frontal recess clearance and middle turbinectomy: A long-term analysis.

PubMed

Benkhatar, Hakim; Khettab, Idir; Sultanik, Philippe; Laccourreye, Ollivier; Bonfils, Pierre

2018-08-01

To determine the frontal sinus revision rate after nasal polyposis (NP) surgery including frontal recess clearance (FRC) and middle turbinectomy (MT), to search for predictive factors and to analyse surgical management. Longitudinal analysis of 153 patients who consecutively underwent bilateral sphenoethmoidectomy with FRC and MT for NP with a minimum follow-up of 7 years. Decision of revision surgery was made in case of medically refractory chronic frontal sinusitis or frontal mucocele. Univariate and multivariate analysis incorporating clinical and radiological variables were performed. The frontal sinus revision rate was 6.5% (10/153). The mean time between the initial procedure and revision surgery was 3 years, 10 months. Osteitis around the frontal sinus outflow tract (FSOT) was associated with a higher risk of frontal sinus revision surgery (p=0.01). Asthma and aspirin intolerance did not increase the risk, as well as frontal sinus ostium diameter or residual frontoethmoid cells. Among revised patients, 60% required multiple procedures and 70% required frontal sinus ostium enlargement. Our long-term study reports that NP surgery including FRC and MT is associated with a low frontal sinus revision rate (6.5%). Patients developing osteitis around the FSOT have a higher risk of frontal sinus revision surgery. As mucosal damage can lead to osteitis, FSOT mucosa should be preserved during initial NP surgery. However, as multiple procedures are common among NP patients requiring frontal sinus revision, frontal sinus ostium enlargement should be considered during first revision in the hope of reducing the need of further revisions. Copyright © 2018 Elsevier B.V. All rights reserved.

Microcomputers and the Improvement of Revision Skills.

ERIC Educational Resources Information Center

Balajthy, Ernest; And Others

1987-01-01

Discusses use of word processing software as an effective tool in writing and revision instruction, and describes the role of the teacher. Examples of exercises that encourage revision and of software designed to teach effective revision skills are reviewed. (MBR)

The Epidemiology of Primary and Revision Total Hip Arthroplasty in Teaching and Nonteaching Hospitals in the United States.

PubMed

Kowalik, Thomas D; DeHart, Matthew; Gehling, Hanne; Gehling, Paxton; Schabel, Kathryn; Duwelius, Paul; Mirza, Amer

2016-06-01

The purpose of this study was to examine the epidemiology of primary and revision total hip arthroplasty (THA) in teaching and nonteaching hospitals. The Healthcare Cost and Utilization Project Nationwide Inpatient Sample was queried from 2006 to 2010 to identify primary and revision THAs at teaching and nonteaching hospitals. A total of 1,336,396 primary and 223,520 revision procedures were identified. Forty-six percent of all primary and 54% of all revision procedures were performed at teaching hospitals. Teaching hospitals performed 17% of their THAs as revisions; nonteaching hospitals performed 12% as revisions. For primary and revision THAs, teaching hospitals had fewer patients aged >65 years, fewer Medicare patients, similar gender rates, more nonwhite patients, and more patients in the highest income quartile compared with nonteaching hospitals. Costs, length of stay, and Charlson Comorbidity Index scores were similar; however, the mortality rate was lower at teaching hospitals. This study found small but significant differences in key epidemiologic and outcome variables in examining primary and revision THA at teaching and nonteaching hospitals. Level III.

77 FR 66650 - Proposed Revisions to Radiation Protection

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-06

... NUCLEAR REGULATORY COMMISSION [NRC-2012-0268] Proposed Revisions to Radiation Protection AGENCY: Nuclear Regulatory Commission. ACTION: Standard review plan-draft section revision; request for comment. SUMMARY: The U.S. Nuclear Regulatory Commission (NRC or the Commission) is revising the following sections...

Varying Paths for Learning to Revise.

ERIC Educational Resources Information Center

Zellermayer, Michal; Cohen, Judith

1996-01-01

Studied how preacademic students acquired revision strategies based upon their individual cognitive abilities. Revision Cuing Devices, teacher intervention and student reaction, peer support and collaboration, think-aloud protocols, and holistic assessments were used to develop individual strategies. Eventually revision support faded without signs…

The effects of lip revision surgery on nasolabial esthetics in patients with cleft lip.

PubMed

Mercado, A M; Phillips, C; Vig, K W L; Trotman, C-A

2014-11-01

1) To determine the concordance among surgeons on subjective assessments of nasolabial esthetics in children with repaired cleft lip; and 2) to evaluate longitudinal changes in nasolabial esthetics in relation to cleft lip revision surgery. School of Dentistry at University of North Carolina, Chapel Hill. Children with repaired unilateral cleft lip: 32 had lip revision surgery and 27 did not have surgery. Retrospective observational study from a non-randomized clinical trial. Ratings of nasolabial esthetics performed by six surgeons using the Asher-McDade scale at baseline and 12-month follow-up. Concordance among surgeons ranged from poor to acceptable. Nasolabial ratings at follow-up were better in the Revision group than in the Non-Revision group, although differences were small. The most prevalent change in the Revision Group was improvement in one or more units on the scale, while 'no change' was most prevalent in the Non-Revision group. Participants in the Revision group were more likely to receive a 'no' in relation to the need for lip or nose revision at the follow-up visit. There were mild esthetic improvements observed in relation to lip revision surgery, which should be interpreted with caution given the subjectivity of the rating method used. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

75 FR 9612 - Minor Boundary Revision of Pinnacles National Monument

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-03

... DEPARTMENT OF THE INTERIOR National Park Service Minor Boundary Revision of Pinnacles National Monument AGENCY: National Park Service, Interior. ACTION: Announcement of boundary revision. SUMMARY: This notice announces the revision to the boundary of Pinnacles National Monument, pursuant to the authority...

Economic Analysis of 4221 Revisions Due to Periprosthetic Joint Infection in Poland.

PubMed

Babiak, Ireneusz; Pędzisz, Piotr; Janowicz, Jakub; Kulig, Mateusz; Małdyk, Paweł

2017-01-26

Periprosthetic joint infection (PJI) is one of the most severe complications of total hip (THA) and total knee (TKA) arthroplasty. The aim of the study is to determine the number and type of hip and knee prosthesis revisions in Poland performed due to infection and reimbursement of the cost of septic revisions and to compare the costs of septic and aseptic revisions in Poland and other countries. The data published for the period 2009-2013 by the National Health Fund (NHF) were analysed and the average cost of septic and aseptic revisions was calculated. In the years 2009-2013, a total of 260,030 hip and knee arthroplasties including 23,027 revisions (incl. 4,221 septic) were performed in Poland. In 2013, septic revisions accounted for 1.38% of all hip replacement procedures, 2.56% of all knee replacement procedures and 14.67% of all hip revisions and 30.23% of all knee revisions. In 2013, the difference between the average cost incurred by the hospital and the NHF refund for septic revision due to PJI was at least €238 and the cost-refund gap for the entire year was €219198. 1. The system of reporting periprostheticjoint infections currently in use in Poland does not adequately reflect the current classification of PJI and reimbursement for septic revision of joint prosthesis does not match the actual costs. 2. The Polish DRG system does not distinguish between early and late PJI and fails to acknowledge basic guidelines for infection treatment currently followed in Poland and worldwide. 3. According to the DRG system, patients requiring different treatment are placed in one category. 4. Until the year 2013, the less expensive treatment of early infections had been reimbursed on the same basis as the more costly two-stage revision procedures.

Revision rates after knee replacement. Cumulative results from worldwide clinical studies versus joint registers.

PubMed

Pabinger, C; Berghold, A; Boehler, N; Labek, G

2013-02-01

To assess revision rates after knee arthroplasty by comparing the cumulative results from worldwide clinical studies and arthroplasty registers. We hypothesised that the revision rate of all clinical studies of a given implant and register data would not differ significantly. A systematic review of clinical studies in indexed peer-reviewed journals was performed followed by internal and external validation. Parameters for measurement of revision were applied (Revision for any reason, Revisions per 100 observed component years). Register data served as control group. Thirty-six knee arthroplasty systems were identified to meet the inclusion criteria: 21 total knee arthroplasty (TKA) systems, 14 unicondylar knee arthroplasty (UKA) systems, one patello-femoral implant system. For 13 systems (36%), no published study was available that contained revision data. For 17 implants (47%), publications were available dealing with radiographic, surgical or technical details, but power was too weak to compare revision rates at a significant level. Six implant systems (17%) had a significant number of revisions published and were finally analysed. In general, developers report better results than independent users. Studies from developers represent an overproportional share of all observed component years. Register data report overall 10-year revision rates of TKA of 6.2% (range: 4.9-7.8%), rates for UKA are 16.5% (range: 9.7-19.6%). Revision rates of all clinical studies of a given implant do not differ significantly from register data. However, significant differences were found between the revision rates published by developers and register data. Therefore the different data need to be interpreted in the context of the source of the information. Copyright © 2012 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

Early outcomes of patella resurfacing in total knee arthroplasty

PubMed Central

Clements, Warren J; Miller, Lisa; Whitehouse, Sarah L; Graves, Stephen E; Ryan, Philip

2010-01-01

Background Patella resurfacing in total knee arthroplasty is a contentious issue. The literature suggests that resurfacing of the patella is based on surgeon preference, and little is known about the role and timing of resurfacing and how this affects outcomes. Methods We analyzed 134,799 total knee arthroplasties using data from the Australian Orthopaedic Association National Joint Replacement Registry. Hazards ratios (HRs) were used to compare rates of early revision between patella resurfacing at the primary procedure (the resurfacing group, R) and primary arthroplasty without resurfacing (no-resurfacing group, NR). We also analyzed the outcomes of NR that were revised for isolated patella addition. Results At 5 years, the R group showed a lower revision rate than the NR group: cumulative per cent revision (CPR) 3.1% and 4.0%, respectively (HR = 0.75, p < 0.001). Revisions for patellofemoral pain were more common in the NR group (17%) than in the R group (1%), and “patella only” revisions were more common in the NR group (29%) than in the R group (6%). Non-resurfaced knees revised for isolated patella addition had a higher revision rate than patella resurfacing at the primary procedure, with a 4-year CPR of 15% and 2.8%, respectively (HR = 4.1, p < 0.001). Interpretation Rates of early revision of primary total knees were higher when the patella was not resurfaced, and suggest that surgeons may be inclined to resurface later if there is patellofemoral pain. However, 15% of non-resurfaced knees revised for patella addition are re-revised by 4 years. Our results suggest an early beneficial outcome for patella resurfacing at primary arthroplasty based on revision rates up to 5 years. PMID:19968604

Revising the Belgian Nursing Minimum Dataset: from concept to implementation.

PubMed

Sermeus, Walter; van den Heede, Koen; Michiels, Dominik; Delesie, Lucas; Thonon, Olivier; Van Boven, Caroline; Codognotto, Jean; Gillet, Pierre

2005-12-01

The process of revising the Belgian Nursing Minimum Dataset (B-NMDS) started in 2000 and entailed four major phases. The first phase (June-October 2002) involved the development of a conceptual framework based on a literature review and secondary data analysis. The Nursing Interventions Classification (NIC) was selected as a framework for the revision of the original B-NMDS. The second phase (November 2002-September 2003) focused on language development for six care programs evaluated by panels of clinical experts (N=75). These panels identified the following items as priorities for the revised B-NMDS: hospital financing, nurse staffing allocation, assessment of the appropriateness of hospitalisation, and quality management. During this period, we developed a draft instrument with 92 variables using the NIC. This led to an alpha version of a revised B-NMDS. The third phase (October 2003-December 2004) focused on data collection and validation of the new tool. The revised B-NMDS (alpha version) was tested in 158 nursing wards in 66 Belgian hospitals from December 2003 until March 2004. This test generated data for some 95,000 in-patient days. The interrater reliability of the revised B-NMDS was assessed. The criterion-related validity of the revised B-NMDS was compared to that of the original B-NMDS. The discriminative power of the revised B-NMDS was also assessed to select the most relevant variables for data collection. This resulted in a beta version of the revised B-NMDS in December 2004. The records of the revised B-NMDS were linked to the Hospital Discharge Dataset and other mandatory datasets to integrate the revised B-NMDS into the overall healthcare management system. The fourth phase (January 2005-December 2005) is presently focusing on information management. Nationwide implementation is foreseen by January 2007.

The effects of hydroxyapatite coating and bone allograft on fixation of loaded experimental primary and revision implants.

PubMed

Søballe, Kjeld; Mouzin, Olivier R G; Kidder, Louis A; Overgaard, Søren; Bechtold, Joan E

2003-06-01

We used our established experimental model of revision joint replacement to examine the roles of hydroxyapatite coating and bone graft in improving the fixation of revision implants. The revision protocol uses the Søballe micromotion device in a preliminary 8-week period of implant instability for the presence of particulate polyethylene. During this procedure, a sclerotic endosteal bone rim forms, and a dense fibrous membrane is engendered, having macrophages with ingested polyethylene and high levels of inflammatory cytokines. At the time of revision after 8 weeks, the cavity is revised with either a titanium alloy (Ti) or a hydroxyapatite (HA) 6.0 mm plasma-sprayed implant, in the presence or absence of allograft packed into the initial 0.75 mm peri-implant gap. The contralateral limb is subjected to primary surgery with the same implant configuration, and serves as control. 8 implants were included in each of the 8 treatment groups (total 64 implants in 32 dogs). The observation period was 4 weeks after revision. Outcome measures are based on histomorphometry and mechanical pushout properties. The revision setting was always inferior to its primary counterpart. Bone graft improved the revision fixation in all treatment groups, as also did the HA coating. The sole exception was revision-grafted HA implants, which reached the same fixation as primary Ti and HA grafted implants. The revision, which was less active in general, seems to need the dual stimulation of bone graft and HA implant surface, to obtain the same level of fixation associated with primary implants. Our findings suggest that the combination of HA implant and bone graft may be of benefit in the clinical revision implant setting.

The effects of hydroxyapatite coating and bone allograft on fixation of loaded experimental primary and revision implants

PubMed Central

Søballe, Kjeld; Mouzin, Olivier R G; Kidder, Louis A; Overgaard, Søren; Bechtold, Joan E

2015-01-01

We used our established experimental model of revision joint replacement to examine the roles of hydroxyapatite coating and bone graft in improving the fixation of revision implants. The revision protocol uses the Søballe micromotion device in a preliminary 8-week period of implant instability for the presence of particulate polyethylene. During this procedure, a sclerotic endosteal bone rim forms, and a dense fibrous membrane is engendered, having macrophages with ingested polyethylene and high levels of inflammatory cytokines. At the time of revision after 8 weeks, the cavity is revised with either a titanium alloy (Ti) or a hydroxyapatite (HA) 6.0 mm plasma-sprayed implant, in the presence or absence of allograft packed into the initial 0.75 mm peri-implant gap. The contralateral limb is subjected to primary surgery with the same implant configuration, and serves as control. 8 implants were included in each of the 8 treatment groups (total 64 implants in 32 dogs). The observation period was 4 weeks after revision. Outcome measures are based on histomorphometry and mechanical pushout properties. The revision setting was always inferior to its primary counterpart. Bone graft improved the revision fixation in all treatment groups, as also did the HA coating. The sole exception was revision-grafted HA implants, which reached the same fixation as primary Ti and HA grafted implants. The revision, which was less active in general, seems to need the dual stimulation of bone graft and HA implant surface, to obtain the same level of fixation associated with primary implants. Our findings suggest that the combination of HA implant and bone graft may be of benefit in the clinical revision implant setting. PMID:12899541

Short-term survival of the trabecular metal cup is similar to that of standard cups used in acetabular revision surgery.

PubMed

Mohaddes, Maziar; Rolfson, Ola; Kärrholm, Johan

2015-02-01

The use of trabecular metal (TM) cups in revision surgery has increased worldwide during the last decade. Since the introduction of the TM cup in Sweden in 2006, this design has gradually replaced other uncemented designs used in Sweden. According to data from the Swedish Hip Arthroplasty Register (SHAR) in 2012, one-third of all uncemented first-time cup revisions were performed using a TM cup. We compared the risk of reoperation and re-revision for TM cups and the 2 other most frequently used cup designs in acetabular revisions reported to the SHAR. The hypothesis was that the performance of TM cups is as good as that of established designs in the short term. The study population consisted of 2,384 patients who underwent 2,460 revisions during the period 2006 through 2012. The most commonly used cup designs were the press-fit porous-coated cup (n = 870), the trabecular metal cup (n = 805), and the cemented all-polyethylene cup (n = 785). 54% of the patients were female, and the median age at index revision was 72 (19-95) years. Reoperation was defined as a second surgical intervention, and re-revision-meaning exchange or removal of the cup-was used as endpoint. The mean follow-up time was 3.3 (0-7) years. There were 215 reoperations, 132 of which were re-revisions. The unadjusted and adjusted risk of reoperation or re-revision was not significantly different for the TM cup and the other 2 cup designs. Our data support continued use of TM cups in acetabular revisions. Further follow-up is necessary to determine whether trabecular metal cups can reduce the re-revision rate in the long term, compared to the less costly porous press-fit and cemented designs.

Automated revision of CLIPS rule-bases

NASA Technical Reports Server (NTRS)

Murphy, Patrick M.; Pazzani, Michael J.

1994-01-01

This paper describes CLIPS-R, a theory revision system for the revision of CLIPS rule-bases. CLIPS-R may be used for a variety of knowledge-base revision tasks, such as refining a prototype system, adapting an existing system to slightly different operating conditions, or improving an operational system that makes occasional errors. We present a description of how CLIPS-R revises rule-bases, and an evaluation of the system on three rule-bases.

Impact of anxiety and depressive symptoms on perceptions of stigma in persons living with HIV disease in rural versus urban North Carolina.

PubMed

Costelloe, Stephanie; Kemppainen, Jeanne; Brion, John; MacKain, Sally; Reid, Paula; Frampton, Art; Rigsbee, Elizabeth

2015-01-01

This analysis examined the relationships between HIV-related stigma, depression, and anxiety in rural and urban sites. Participants were HIV-positive urban (n = 100) and rural (n = 100) adult residents of a US southern state, drawn from a sample for a larger international study of self-esteem and self-compassion. Measures included demographic and health information, the HIV Stigma Scale, the Center for Epidemiology Studies Depression Scale (CES-D), and the Symptom Checklist 90 Revised (SCL-R-90) anxiety scale. Independent sample t-tests showed no significant differences between urban/rural groups on measures of HIV-related stigma, anxiety, or depression, except that rural participants reported greater disclosure concerns (t = 2.11, df = 196, p = .036). Both groups indicated high levels of depression and anxiety relative to published norms and clinically relevant cut-off scores. Hierarchical regression analyses were conducted for the HIV Stigma Scale including its four subscales and total stigma scores. Block 1 (control) contained health and demographic variables known to predict HIV-related stigma. Block 2 included the CES-D and the SCL-R-90, and Block 3 was urban/rural location. Mental health symptom scores contributed a significant amount to explained variance in total stigma scores (5.5%, FΔ = 6.020, p < .01), personalized stigma (4.8%, FΔ = 5.035, p < .01), negative self-image (9.7%, FΔ = 12.289, p < .001), and concern with public attitudes (4.9%, FΔ = 5.228, p < .01), but not disclosure concerns. Urban/rural location made significant additional contributions to the variance for total stigma (1.7%, FΔ = 3.899, p < .05), disclosure concerns (2.6%, FΔ = 5.446, p < .05), and concern with public attitudes (1.9%, FΔ = 4.169, p < .05) but not personalized stigma or negative self-image. Depression scores consistently and significantly predicted perceived stigma total and subscale scores. Findings suggest that mental health symptoms and urban/rural location play important roles in perceived stigma, and treatment implications are presented.

Facilitating higher-fidelity simulations of axial compressor instability and other turbomachinery flow conditions

NASA Astrophysics Data System (ADS)

Herrick, Gregory Paul

The quest to accurately capture flow phenomena with length-scales both short and long and to accurately represent complex flow phenomena within disparately sized geometry inspires a need for an efficient, high-fidelity, multi-block structured computational fluid dynamics (CFD) parallel computational scheme. This research presents and demonstrates a more efficient computational method by which to perform multi-block structured CFD parallel computational simulations, thus facilitating higher-fidelity solutions of complicated geometries (due to the inclusion of grids for "small'' flow areas which are often merely modeled) and their associated flows. This computational framework offers greater flexibility and user-control in allocating the resource balance between process count and wall-clock computation time. The principal modifications implemented in this revision consist of a "multiple grid block per processing core'' software infrastructure and an analytic computation of viscous flux Jacobians. The development of this scheme is largely motivated by the desire to simulate axial compressor stall inception with more complete gridding of the flow passages (including rotor tip clearance regions) than has been previously done while maintaining high computational efficiency (i.e., minimal consumption of computational resources), and thus this paradigm shall be demonstrated with an examination of instability in a transonic axial compressor. However, the paradigm presented herein facilitates CFD simulation of myriad previously impractical geometries and flows and is not limited to detailed analyses of axial compressor flows. While the simulations presented herein were technically possible under the previous structure of the subject software, they were much less computationally efficient and thus not pragmatically feasible; the previous research using this software to perform three-dimensional, full-annulus, time-accurate, unsteady, full-stage (with sliding-interface) simulations of rotating stall inception in axial compressors utilized tip clearance periodic models, while the scheme here is demonstrated by a simulation of axial compressor stall inception utilizing gridded rotor tip clearance regions. As will be discussed, much previous research---experimental, theoretical, and computational---has suggested that understanding clearance flow behavior is critical to understanding stall inception, and previous computational research efforts which have used tip clearance models have begged the question, "What about the clearance flows?''. This research begins to address that question.

Paleomagnetic reconstruction of the Neotethyan Suture in Central Anatolia (Turkey)

NASA Astrophysics Data System (ADS)

Ozkaptan, M.; Gulyuz, E.; Kaymakci, N.; Langereis, C. G.

2016-12-01

The consumption of the Neo-Tethyan Ocean and the accretion of intervening continental blocks such as the Taurides and Kırşehir Block in the south and the Pontides in the north since the Mesozoic occurred along two sutures. The İzmir-Ankara Suture Zone (IASZ) between the Pontides in the north and the Taurides in the south and Intra-Tauride suture Zone (ITSZ) between the Taurides and the Kırşehir block meets around the Haymana Basin. The IASZ follows roughly an E-W trend and makes a sharp bend of approximately of 90° along the western margin of the Çankırı Basin. The ITSZ, on the other hand, follows a NW-SE trend parallel to the Tuz Gölü Fault Zone and overprinted by the structures related to the İASZ in the north. From West to East; the Haymana, Tuz Gölü and Çankırı basins straddle these suture zones and are developed in relation to the subduction and collision processes, which make them invaluable for unraveling deformation history and evolution of the Neotethys. In this regard we have conducted a very detailed paleomagnetic study to determine vertical axis rotations in the region, mainly on the Late Cretaceous to Recent infill of these basins. Results have shown that the region undergone strong clockwise (CW) and counter-clockwise (CCW) rotations, up to ±90° in places, resulting in the present geometry of the region. The central part of the Haymana Basin rotated as much as 90° CCW sense while its northern parts and the Tuz Gölü basin rotated 30° CW sense, which contradicts with almost all the published paleomagnetic results from the region. The restored geometries, based on new paleomagnetic data indicate that Haymana, Tuz Gölü basins and the SW margin of the Çankırı Basin were initially oriented in N-S direction prior to the Eocene. These results indicate that the most of the paleogeographical maps and evolutionary scenarios and models proposed for the region previously requires major re-thinking and serious revisions.

A comparison of revisional and primary bariatric surgery

PubMed Central

Fulton, Courtney; Sheppard, Caroline; Birch, Daniel; Karmali, Shazeer; de Gara, Christopher

2017-01-01

Background Revisional surgery is an important component of addressing weight regain and complications following primary bariatric surgery. Owing to provincial need and the complexity of this patient population, a specialized multidisciplinary revision clinic was developed. We sought to characterize patients who undergo revision surgery and compare their outcomes with primary bariatric surgery clinic data. Methods We completed a retrospective chart review of bariatric revision clinic patients compared with primary bariatric surgery patients from December 2009 to June 2014. Results We reviewed the charts of 2769 primary bariatric clinic patients, 886 of whom had bariatric surgery, and 534 revision bariatric clinic patients, 83 of whom had revision surgery. Fewer revision clinic patients underwent surgery than primary clinic patients (22% v. 32%). The mean preoperative body mass index (BMI) was 44.7 ± 9.5 in revision patients compared with 45.7 ± 7.6 in primary bariatric surgery patients. Most revision patients had a prior vertical banded gastroplasty (VBG; 48%) or a laparoscopic adjustable gastric band (LAGB; 24%). Bands were removed in 36% of all LAGB patients presenting to clinic. Of the 134 procedures performed in the revision clinic, 83 were bariatric weight loss surgeries, and 51 were band removals. Revision clinic patients experienced a significant decrease in BMI (from 44.7 ± 9.5 to 33.8 ± 7.5, p < 0.001); their BMI at 12-month follow-up was similar to that of primary clinic patients (34.5 ± 7.0, p = 0.7). Complications were significantly more frequent in revision patients than primary patients (41% v. 15%, p < 0.001). Conclusion A bariatric revision clinic manages a wide variety of complex patients distinct from those seen in a primary clinic. Operative candidates at the revision clinic are chosen based on favourable medical, anatomic and psychosocial factors, keeping in mind the resource constraints of a public health care system. PMID:28570215

A comparison of revisional and primary bariatric surgery.

PubMed

Fulton, Courtney; Sheppard, Caroline; Birch, Daniel; Karmali, Shazeer; de Gara, Christopher

2017-06-01

Revisional surgery is an important component of addressing weight regain and complications following primary bariatric surgery. Owing to provincial need and the complexity of this patient population, a specialized multidisciplinary revision clinic was developed. We sought to characterize patients who undergo revision surgery and compare their outcomes with primary bariatric surgery clinic data. We completed a retrospective chart review of bariatric revision clinic patients compared with primary bariatric surgery patients from December 2009 to June 2014. We reviewed the charts of 2769 primary bariatric clinic patients, 886 of whom had bariatric surgery, and 534 revision bariatric clinic patients, 83 of whom had revision surgery. Fewer revision clinic patients underwent surgery than primary clinic patients (22% v. 32%). The mean preoperative body mass index (BMI) was 44.7 ± 9.5 in revision patients compared with 45.7 ± 7.6 in primary bariatric surgery patients. Most revision patients had a prior vertical banded gastroplasty (VBG; 48%) or a laparoscopic adjustable gastric band (LAGB; 24%). Bands were removed in 36% of all LAGB patients presenting to clinic. Of the 134 procedures performed in the revision clinic, 83 were bariatric weight loss surgeries, and 51 were band removals. Revision clinic patients experienced a significant decrease in BMI (from 44.7 ± 9.5 to 33.8 ± 7.5, p < 0.001); their BMI at 12-month follow-up was similar to that of primary clinic patients (34.5 ± 7.0, p = 0.7). Complications were significantly more frequent in revision patients than primary patients (41% v. 15%, p < 0.001). A bariatric revision clinic manages a wide variety of complex patients distinct from those seen in a primary clinic. Operative candidates at the revision clinic are chosen based on favourable medical, anatomic and psychosocial factors, keeping in mind the resource constraints of a public health care system.

Results of revision anterior shoulder stabilization surgery in adolescent athletes.

PubMed

Blackman, Andrew J; Krych, Aaron J; Kuzma, Scott A; Chow, Roxanne M; Camp, Christopher; Dahm, Diane L

2014-11-01

The purpose of this study was to determine failure rates, functional outcomes, and risk factors for failure after revision anterior shoulder stabilization surgery in high-risk adolescent athletes. Adolescent athletes who underwent primary anterior shoulder stabilization were reviewed. Patients undergoing subsequent revision stabilization surgery were identified and analyzed. Failure rates after revision surgery were assessed by Kaplan-Meier analysis. Failure was defined as recurrent instability requiring reoperation. Functional outcomes included the Marx activity score; American Shoulder and Elbow Surgeons score; and University of California, Los Angeles score. The characteristics of patients who required reoperation for recurrent instability after revision surgery were compared with those of patients who required only a single revision to identify potential risk factors for failure. Of 90 patients who underwent primary anterior stabilization surgery, 15 (17%) had failure and underwent revision surgery (mean age, 16.6 years; age range, 14 to 18 years). The mean follow-up period was 5.5 years (range, 2 to 12 years). Of the 15 revision patients, 5 (33%) had recurrent dislocations and required repeat revision stabilization surgery at a mean of 50 months (range, 22 to 102 months) after initial revision. No risk factors for failure were identified. The Kaplan-Meier reoperation-free estimates were 86% (95% confidence interval, 67% to 100%) at 24 months and 78% (95% confidence interval, 56% to 100%) at 48 months after revision surgery. The mean final Marx activity score was 14.8 (range, 5 to 20); American Shoulder and Elbow Surgeons score, 82.1 (range, 33 to 100); and University of California, Los Angeles score, 30.8 (range, 16 to 35). At 5.5 years' follow-up, adolescent athletes had a high failure rate of revision stabilization surgery and modest functional outcomes. We were unable to convincingly identify specific risk factors for failure of revision surgery. Level IV, retrospective therapeutic case series. Copyright © 2014 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Comparison of mode of failure between primary and revision total knee arthroplasties.

PubMed

Liang, H; Bae, J K; Park, C H; Kim, K I; Bae, D K; Song, S J

2018-04-01

Cognizance of common reasons for failure in primary and revision TKA, together with their time course, facilitates prevention. However, there have been few reports specifically comparing modes of failure for primary vs. revision TKA using a single prosthesis. The goal of the study was to compare the survival rates, modes of failure, and time periods associated with each mode of failure, of primary vs. revision TKA. The survival rates, modes of failure, time period for each mode of failure, and risk factors would differ between primary and revision TKA. Data from a consecutive cohort comprising 1606 knees (1174 patients) of primary TKA patients, and 258 knees (224 patients) of revision TKA patients, in all of whom surgery involved a P.F.C ® prosthesis (Depuy, Johnson & Johnson, Warsaw, IN), was retrospectively reviewed. The mean follow-up periods of primary and revision TKAs were 9.2 and 9.8 years, respectively. The average 10- and 15-year survival rates for primary TKA were 96.7% (CI 95%,±0.7%) and 85.4% (CI 95%,±2.0%), and for revision TKA 91.4% (CI 95%,±2.5%) and 80.5% (CI 95%,±4.5%). Common modes of failure included polyethylene wear, loosening, and infection. The most common mode of failure was polyethylene wear in primary TKA, and infection in revision TKA. The mean periods (i.e., latencies) of polyethylene wear and loosening did not differ between primary and revision TKAs, but the mean period of infection was significantly longer for revision TKA (1.2 vs. 4.8 years, P=0.003). Survival rates decreased with time, particularly more than 10 years post-surgery, for both primary and revision TKAs. Continuous efforts are required to prevent and detect the various modes of failure during long-term follow-up. Greater attention is necessary to detect late infection-induced failure following revision TKA. Case-control study, Level III. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Revision for prosthetic joint infection following hip arthroplasty: Evidence from the National Joint Registry.

PubMed

Lenguerrand, E; Whitehouse, M R; Beswick, A D; Jones, S A; Porter, M L; Blom, A W

2017-06-01

We used the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man (NJR) to investigate the risk of revision due to prosthetic joint infection (PJI) for patients undergoing primary and revision hip arthroplasty, the changes in risk over time, and the overall burden created by PJI. We analysed revision total hip arthroplasties (THAs) performed due to a diagnosis of PJI and the linked index procedures recorded in the NJR between 2003 and 2014. The cohort analysed consisted of 623 253 index primary hip arthroplasties, 63 222 index revision hip arthroplasties and 7585 revision THAs performed due to a diagnosis of PJI. The prevalence, cumulative incidence functions and the burden of PJI (total procedures) were calculated. Overall linear trends were investigated with log-linear regression. We demonstrated a prevalence of revision THA due to prosthetic joint infection of 0.4/100 procedures following primary and 1.6/100 procedures following revision hip arthroplasty. The prevalence of revision due to PJI in the three months following primary hip arthroplasty has risen 2.3-fold (95% confidence interval (CI) 1.3 to 4.1) between 2005 and 2013, and 3.0-fold (95% CI 1.1 to 8.5) following revision hip arthroplasty. Over 1000 procedures are performed annually as a consequence of hip PJI, an increase of 2.6-fold between 2005 and 2013. Although the risk of revision due to PJI following hip arthroplasty is low, it is rising and, coupled with the established and further predicted increased incidence of both primary and revision hip arthroplasty, this represents a growing and substantial treatment burden. Cite this article : E. Lenguerrand, M. R. Whitehouse, A. D. Beswick, S. A. Jones, M. L. Porter, A. W. Blom. Revision for prosthetic joint infection following hip arthroplasty: Evidence from the National Joint Registry. Bone Joint Res 2017;6:391-398. DOI: 10.1302/2046-3758.66.BJR-2017-0003.R1. © 2017 Lenguerrand et al.

Revision total hip arthroplasty: the femoral side using cemented implants.

PubMed

Holt, Graeme; Hook, Samantha; Hubble, Matthew

2011-02-01

Advances in surgical technique and implant technology have improved the ten-year survival after primary total hip arthroplasty (THA). Despite this, the number of revision procedures has been increasing in recent years, a trend which is predicted to continue into the future. Revision THA is a technically demanding procedure often complicated by a loss of host bone stock which may be compounded by the need to remove primary implants. Both cemented and uncemented implant designs are commonly used in the United Kingdom for primary and revision THA and much controversy still exists as to the ideal method of stem fixation. In this article we discuss revision of the femur using cemented components during revision THA. We focus on three clinical scenarios including femoral cement-in-cement revision where the primary femoral cement-bone interface remains well fixed, femoral cement-in-cement revision for peri-prosthetic femoral fractures, and femoral impaction grafting. We discuss the clinical indications, surgical techniques and clinical outcomes for each of these procedures.

Cutting Edge: TCR Revision Affects Predominantly Foxp3− Cells and Skews Them toward the Th17 Lineage1

PubMed Central

Zehn, Dietmar; Bevan, Michael J.; Fink, Pamela J.

2009-01-01

CD4+ T cells respond to peripheral endogenous superantigen stimulation by undergoing deletion or TCR revision. The latter involves RAG re-expression, TCR gene rearrangement, and expression of a novel TCR. TCR-revised T cells are functional and express a diverse TCR repertoire. Because TCR revision harbors the potential to create self-reactivity, it is important to explore whether T cells known to be self-reactive (regulatory T cells) or those involved in autoimmunity (Th17 cells) arise from TCR revision. Interestingly, we observed that Foxp3+ cells are excluded from revising their TCR and that only a small fraction of postrevision cells expresses Foxp3. In contrast, Th17 cells are 20 times more frequent among revised than among C57BL/6 CD4+ T cells, indicating that postrevision cells are biased toward the Th17 lineage. The link between Th17 differentiation and TCR revision might be highly relevant to the role of Th17 cells in promoting autoimmunity. PMID:17947636

Risk factors for revision within 10 years of total knee arthroplasty.

PubMed

Dy, Christopher J; Marx, Robert G; Bozic, Kevin J; Pan, Ting Jung; Padgett, Douglas E; Lyman, Stephen

2014-04-01

An in-depth understanding of risk factors for revision TKA is needed to minimize the burden of revision surgery. Previous studies indicate that hospital and community characteristics may influence outcomes after TKA, but a detailed investigation in a diverse population is warranted to identify opportunities for quality improvement. We asked: (1) What is the frequency of revision TKA within 10 years of primary arthroplasty? (2) Which patient demographic factors are associated with revision within 10 years of TKA? (3) Which community and institutional characteristics are associated with revision within 10 years of TKA? We identified 301,955 patients who underwent primary TKAs in New York or California from 1997 to 2005 from statewide databases. Identifier codes were used to determine whether they underwent revision TKA. Patient, community, and hospital characteristics were analyzed using multivariable regression modeling to determine predictors for revision. The frequency of revision was 4.0% at 5 years after the index arthroplasty and 8.9% at 9-years. Patients between 50 and 75 years old had a lower risk of revision than patients younger than 50 years (hazard ratio [HR], 0.47; 95% CI, 0.44, 0.50). Black patients were at increased risk for needing revision surgery (HR, 1.39; 95% CI, 1.29, 1.49) after adjustment for insurance type, poverty level, and education. Women (HR, 0.82; 95% CI, 0.79, 0.86) and Medicare recipients (HR, 0.82; 95% CI, 0.79, 0.86) were less likely to undergo revision surgery, whereas those from the most educated (HR, 1.09; 95% CI, 1.02, 1.16) and the poorest communities (HR, 1.08; 95% CI, 1.01, 1.15) had modest increases in risk of revision. Mid-volume hospitals (200-400 annual cases) had a reduction of early revision (HR, 0.91; 95% CI, 0.83, 0.99) compared with those performing less than 200 cases annually, whereas higher-volume hospitals (greater than 400 cases) showed little effect compared with low-volume hospitals. Patient, community, and institutional characteristics affect the risk for revision within 10 years of index TKA. These data can be used to develop process improvement and implant surveillance strategies among high-risk patients. Level III, therapeutic study. See the Instructions for Authors for a complete description of levels of evidence.

Description of the rates, trends and surgical burden associated with revision for prosthetic joint infection following primary and revision knee replacements in England and Wales: an analysis of the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man.

PubMed

Lenguerrand, Erik; Whitehouse, Michael R; Beswick, Andrew D; Toms, Andrew D; Porter, Martyn L; Blom, Ashley W

2017-07-10

To describe the prevalence rates of revision surgery for the treatment of prosthetic joint infection (PJI) for patients undergoing knee replacement, their time trends, the cumulative incidence function of revision for PJI and estimate the burden of PJI at health service level. We analysed revision knee replacements performed due to a diagnosis of PJI and the linked index procedures recorded in the National Joint Registry from 2003 to 2014 for England and Wales. The cohort analysed consisted of 679 010 index primary knee replacements, 33 920 index revision knee replacements and 8247 revision total knee replacements performed due to a diagnosis of PJI. The prevalence rates, their time trends investigated by time from index surgery to revision for PJI, cumulative incidence functions and the burden of PJI (total procedures) were calculated. Overall linear trends were investigated with log-linear regression. The incidence of revision total knee replacement due to PJI at 2 years was 3.2/1000 following primary and 14.4/1000 following revision knee replacement, respectively. The prevalence of revision due to PJI in the 3 months following primary knee replacement has risen by 2.5-fold (95% CI 1.2 to 5.3) from 2005 to 2013 and 7.5-fold (95% CI 1.0 to 56.1) following revision knee replacement. Over 1000 procedures per year are performed as a consequence of knee PJI, an increase of 2.8 from 2005 to 2013. Overall, 75% of revisions were two-stage with an increase in use of single-stage from 7.9% in 2005 to 18.8% in 2014. Although the risk of revision due to PJI following knee replacement is low, it is rising, and coupled with the established and further predicted increased incidence of both primary and revision knee replacements, this represents an increasing and substantial treatment burden for orthopaedic service delivery in England and Wales. This has implications for future service design and the funding of individual and specialist centres. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Description of the rates, trends and surgical burden associated with revision for prosthetic joint infection following primary and revision knee replacements in England and Wales: an analysis of the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man

PubMed Central

Lenguerrand, Erik; Whitehouse, Michael R; Beswick, Andrew D; Toms, Andrew D; Porter, Martyn L; Blom, Ashley W

2017-01-01

Objectives To describe the prevalence rates of revision surgery for the treatment of prosthetic joint infection (PJI) for patients undergoing knee replacement, their time trends, the cumulative incidence function of revision for PJI and estimate the burden of PJI at health service level. Design We analysed revision knee replacements performed due to a diagnosis of PJI and the linked index procedures recorded in the National Joint Registry from 2003 to 2014 for England and Wales. The cohort analysed consisted of 679 010 index primary knee replacements, 33 920 index revision knee replacements and 8247 revision total knee replacements performed due to a diagnosis of PJI. The prevalence rates, their time trends investigated by time from index surgery to revision for PJI, cumulative incidence functions and the burden of PJI (total procedures) were calculated. Overall linear trends were investigated with log-linear regression. Results The incidence of revision total knee replacement due to PJI at 2 years was 3.2/1000 following primary and 14.4/1000 following revision knee replacement, respectively. The prevalence of revision due to PJI in the 3 months following primary knee replacement has risen by 2.5-fold (95% CI 1.2 to 5.3) from 2005 to 2013 and 7.5-fold (95% CI 1.0 to 56.1) following revision knee replacement. Over 1000 procedures per year are performed as a consequence of knee PJI, an increase of 2.8 from 2005 to 2013. Overall, 75% of revisions were two-stage with an increase in use of single-stage from 7.9% in 2005 to 18.8% in 2014. Conclusions Although the risk of revision due to PJI following knee replacement is low, it is rising, and coupled with the established and further predicted increased incidence of both primary and revision knee replacements, this represents an increasing and substantial treatment burden for orthopaedic service delivery in England and Wales. This has implications for future service design and the funding of individual and specialist centres. PMID:28698316

Validity and reliability of the Tibetan version of s-EMBU for measuring parenting styles.

PubMed

Yangzong, Ciren; Lerkiatbundit, Sanguan; Luobu, Ouzhu; Cui, Chaoying; Liabsuetrakul, Tippawan; Kangzhuo, Baima; Quzong, Deji; Zhandui, Luobu; Zhen, Pu; Chongsuvivatwong, Virasakdi

2017-01-01

Parenting style experienced during childhood has profound effects on children's futures. Scales developed in other countries have never been validated in the Tibetan context. The present study aimed to examine the construct validity and reliability of a Tibetan translation of the 23-item short form of the Egna Minnen Beträffande Uppfostran [One's Memories of Upbringing] (s-EMBU) and to test the correlation between the parenting styles of fathers and mothers. A cross-sectional study was conducted in a sample of 847 students aged 12-21 years from Lhasa, Tibet, during September and October 2015 with a participation rate of 97.7%. The Tibetan translation of self-completed s-EMBU was administered. Confirmatory factor analysis was employed to test the scale's validity on the first half of the sample and was then cross-validated with the second half of the sample. The final model consisted of six factors: three (rejection, emotional warmth, and overprotection) for each parent, equality constrained on factor loadings, factor correlations, and error variance between father and mother. Father-mother correlation coefficients ranged from 0.81 to 0.86, and the level of consistency ranged from 0.62 to 0.82. Thus, the slightly modified s-EMBU is suitable for use in the Tibetan culture where both the father and the mother have consistent parenting styles.

In silico tools for sharing data and knowledge on toxicity and metabolism: derek for windows, meteor, and vitic.

PubMed

Marchant, Carol A; Briggs, Katharine A; Long, Anthony

2008-01-01

ABSTRACT Lhasa Limited is a not-for-profit organization that exists to promote the sharing of data and knowledge in chemistry and the life sciences. It has developed the software tools Derek for Windows, Meteor, and Vitic to facilitate such sharing. Derek for Windows and Meteor are knowledge-based expert systems that predict the toxicity and metabolism of a chemical, respectively. Vitic is a chemically intelligent toxicity database. An overview of each software system is provided along with examples of the sharing of data and knowledge in the context of their development. These examples include illustrations of (1) the use of data entry and editing tools for the sharing of data and knowledge within organizations; (2) the use of proprietary data to develop nonconfidential knowledge that can be shared between organizations; (3) the use of shared expert knowledge to refine predictions; (4) the sharing of proprietary data between organizations through the formation of data-sharing groups; and (5) the use of proprietary data to validate predictions. Sharing of chemical toxicity and metabolism data and knowledge in this way offers a number of benefits including the possibilities of faster scientific progress and reductions in the use of animals in testing. Maximizing the accessibility of data also becomes increasingly crucial as in silico systems move toward the prediction of more complex phenomena for which limited data are available.

Semen quality analysis of military personnel from six geographical areas of the People's Republic of China.

PubMed

Zou, Zhikang; Hu, Haixiang; Song, Manshu; Shen, Yanling; Guo, Xiuhua; McElreavey, Kenneth; Bittles, Alan H; Wang, Wei

2011-05-01

To examine the determinants of semen quality in a large sample of military personnel from different geographical areas of the People's Republic of China. Cross-sectional study. Six representative geographical regions in China: Beihai, Lhasa, Germu, Xinzhou, Huhehaote, and Mohe. 1,194 army personnel aged 18 to 35 years at the time of their inclusion in the study, sampled between 2007 and 2009. None. Semen volume (in milliliters), sperm concentration (in millions per milliliter), percentage of motile spermatozoa, total sperm count (in millions), and relative risk of subfertility. The median values were 3.0 mL for semen volume, 39.4×10(6) per mL for sperm concentration, 120.1×10(6) for total sperm count, 15.8% for sperm rapid progressive motility, 30.1% for sperm progressive motility, and 43.9% for total motility. We found that 88.3% of the servicemen had at least one semen parameter below normal values according to World Health Organization (WHO) recommendations (1999), and 62.5% according to WHO recommendations (2010). Season, average altitude, and duration of sexual abstinence all were statistically significantly associated with semen quality. The men had markedly lower mean sperm concentrations, sperm counts, and sperm motility compared with WHO recommendations. Possible contributory factors included diet, lifestyle, climate, and altitude. Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

Analysis of atmospheric pollutant metals by laser ablation inductively coupled plasma mass spectrometry with a radial line-scan dried-droplet approach

NASA Astrophysics Data System (ADS)

Tang, Xiaoxing; Qian, Yuan; Guo, Yanchuan; Wei, Nannan; Li, Yulan; Yao, Jian; Wang, Guanghua; Ma, Jifei; Liu, Wei

2017-12-01

A novel method has been improved for analyzing atmospheric pollutant metals (Be, Mn, Fe, Co, Ni, Cu, Zn, Se, Sr, Cd, and Pb) by laser ablation inductively coupled plasma mass spectrometry. In this method, solid standards are prepared by depositing droplets of aqueous standard solutions on the surface of a membrane filter, which is the same type as used for collecting atmospheric pollutant metals. Laser parameters were optimized, and ablation behaviors of the filter discs were studied. The mode of radial line scans across the filter disc was a representative ablation strategy and can avoid error from the inhomogeneous filter standards and marginal effect of the filter disc. Pt, as the internal standard, greatly improved the correlation coefficient of the calibration curve. The developed method provides low detection limits, from 0.01 ng m- 3 for Be and Co to 1.92 ng m- 3 for Fe. It was successfully applied for the determination of atmospheric pollutant metals collected in Lhasa, China. The analytical results showed good agreement with those obtained by conventional liquid analysis. In contrast to the conventional acid digestion procedure, the novel method not only greatly reduces sample preparation and shortens the analysis time but also provides a possible means for studying the spatial distribution of atmospheric filter samples.

Genetic polymorphisms in 18 autosomal STR loci in the Tibetan population living in Tibet Chamdo, Southwest China.

PubMed

Li, Zhenghui; Zhang, Jian; Zhang, Hantao; Lin, Ziqing; Ye, Jian

2018-05-01

Short tandem repeats (STRs) play a vitally important role in forensics. Population data is needed to improve the field. There is currently no large population data-based data set in Chamdo Tibetan. In our study, the allele frequencies and forensic statistical parameters of 18 autosomal STR loci (D5S818, D21S11, D7S820, CSF1PO, D2S1338, D3S1358, VWA, D8S1179, D16S539, PentaE, TPOX, TH01, D19S433, D18S51, FGA, D6S1043, D13S317, and D12S391) included in the DNATyper™19 kit were investigated in 2249 healthy, unrelated Tibetan subjects living in Tibet Chamdo, Southwest China. The combined power of discrimination and the combined probability of exclusion of all 18 loci were 0.9999999999999999999998174 and 0.99999994704, respectively. Furthermore, the genetic relationship between our Tibetan group and 33 previously published populations was also investigated. Phylogenetic analyses revealed that the Chamdo Tibetan population is more closely related genetically with the Lhasa Tibetan group. Our results suggest that these autosomal STR loci are highly polymorphic in the Tibetan population living in Tibet Chamdo and can be used as a powerful tool in forensics, linguistics, and population genetic analyses.

Valuing trade-offs of river ecosystem services in large hydropower development in Tibet, China

NASA Astrophysics Data System (ADS)

Yu, B.; Xu, L.

2015-12-01

Hydropower development can be considered as a kind of trade-offs of ecosystem services generated by human activity for their economic and energy demand, because it can increase some river ecosystem services but decrease others. In this context, an ecosystem service trade-off framework in hydropower development was proposed in this paper. It aims to identify the ecological cost of river ecosystem and serve for the ecological compensation during hydropower development, for the hydropower services cannot completely replace the regulating services of river ecosystem. The valuing trade-offs framework was integrated by the influenced ecosystem services identification and ecosystem services valuation, through ecological monitoring and ecological economic methods, respectively. With a case study of Pondo hydropower project in Tibet, China, the valuing trade-offs of river ecosystem services in large hydropower development was illustrated. The typical ecological factors including water, sediment and soil were analyzed in this study to identify the altered river ecosystem services by Pondo hydropower project. Through the field monitoring and valuation, the results showed that the Lhasa River ecosystem services value could be changed annually by Pondo hydropower project with the increment of 5.7E+8CNY, and decrement of 5.1E+7CNY. The ecological compensation for river ecosystem should be focus on water and soil conservation, reservoir dredging and tributaries habitat protection.

Validity and reliability of the Tibetan version of s-EMBU for measuring parenting styles

PubMed Central

Yangzong, Ciren; Lerkiatbundit, Sanguan; Luobu, Ouzhu; Cui, Chaoying; Liabsuetrakul, Tippawan; Kangzhuo, Baima; Quzong, Deji; Zhandui, Luobu; Zhen, Pu; Chongsuvivatwong, Virasakdi

2017-01-01

Parenting style experienced during childhood has profound effects on children’s futures. Scales developed in other countries have never been validated in the Tibetan context. The present study aimed to examine the construct validity and reliability of a Tibetan translation of the 23-item short form of the Egna Minnen Beträffande Uppfostran [One’s Memories of Upbringing] (s-EMBU) and to test the correlation between the parenting styles of fathers and mothers. A cross-sectional study was conducted in a sample of 847 students aged 12–21 years from Lhasa, Tibet, during September and October 2015 with a participation rate of 97.7%. The Tibetan translation of self-completed s-EMBU was administered. Confirmatory factor analysis was employed to test the scale’s validity on the first half of the sample and was then cross-validated with the second half of the sample. The final model consisted of six factors: three (rejection, emotional warmth, and overprotection) for each parent, equality constrained on factor loadings, factor correlations, and error variance between father and mother. Father–mother correlation coefficients ranged from 0.81 to 0.86, and the level of consistency ranged from 0.62 to 0.82. Thus, the slightly modified s-EMBU is suitable for use in the Tibetan culture where both the father and the mother have consistent parenting styles. PMID:28053560

Educational status: improvement and problems. Population programme.

PubMed

Zhang, T

1997-08-01

This report describes the levels of literacy and educational status in Tibet Autonomous Region. Data were obtained from the 1990 and earlier China Censuses. Traditional education among Tibetans was accessible only to lamas and a privileged few. The reasons were religious influence and an underdeveloped socioeconomic status. In 1990, illiteracy was 90.6% for the urban population (80.0% for males and 81.6% for females). Illiteracy was 91.4% in rural areas (81.6% for males and 98.1% for females). There were 2556 modern schools in 1990, with a total enrollment of 175,600 students. The percentage of well-educated Tibetan population was lower than that for any other ethnic groups living in Tibet. Illiteracy among persons aged 15 years and older declined from 74% in 1982, to 69% in 1990. Tibet Autonomous Region has the highest illiteracy rate in China. The absolute number of illiterates increased by 12.4% during 1982-90. Urban illiteracy also rose by 12%. In rural areas, the absolute number of illiterates increased by only 1.3%. Illiteracy in rural areas declined by 0.52%, to 88%, during 1982-90. In 1990, illiteracy among adolescents aged 10-14 years was 74.25% in rural areas, 36.26% in towns, and 28.60% in Lhasa city. More women are illiterate than men. Enrollment of school age children is low due to religious reasons and a need among herdsmen for help tending livestock.

Mercury in alpine fish from four rivers in the Tibetan Plateau.

PubMed

Shao, Junjuan; Shi, Jianbo; Duo, Bu; Liu, Chengbin; Gao, Yan; Fu, Jianjie; Yang, Ruiqiang; Jiang, Guibin

2016-01-01

As a global pollutant, high levels of mercury (Hg) have been found in remote ecosystem due to the long range atmospheric transport. In this study, a total of 60 fish samples were collected from four rivers across the Tibetan Plateau to study the accumulation of Hg in remote and high-altitude aquatic environment. The total Hg (THg) and methylmercury (MeHg) in fish muscles ranged from 11 to 2097 ng/g dry weight (dw) (average: 819 ng/g dw) and from 14 to 1960 ng/g dw (average: 756 ng/g dw), respectively. Significantly positive linear relationships were observed between the THg (r=0.591, p<0.01, n=36) and MeHg concentrations (r=0.473, p<0.01, n=36) with the trophic level of fish from Lhasa River, suggesting trophic transfer and biomagnification of Hg in this aquatic ecosystem. Moreover, the THg levels in fish had significantly positive correlations with the length (r=0.316, p<0.05, n=60) and weight (r=0.271, p<0.05, n=60) of fish. The high levels of Hg were attributed to the slow growth and long lifespan of the fish under this sterile and cold environment. Risk assessment revealed that the consumption of Oxygymnocypris stewartii, Schizothorax macropogon, Schizothorax waltoni, Schizopygopsis younghusbandi and Schizothorax o'connori would lead to a high exposure to MeHg. Copyright © 2015. Published by Elsevier B.V.

78 FR 44559 - Effective Date of Revised Company Registration Requirements

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-24

... are registered to make that type of filing. \\1\\ Revisions to Company Registration and Establishing...; and RM12-3-000] Effective Date of Revised Company Registration Requirements AGENCY: Federal Energy... Revised Company Registration Requirements. The Commission issued a Notice in the Federal Register, 78 FR...

76 FR 1440 - Notice of Revised Child Outcomes Framework

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-10

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Notice of Revised Child Outcomes Framework AGENCY: Office of Head Start (OHS), HHS. ACTION: Notice of Revised Child Outcomes Framework. SUMMARY: This notice announces and informs the public of the revised Head Start Child...

Results of press-fit stems in revision knee arthroplasties.

PubMed

Wood, Gavin C; Naudie, Douglas D R; MacDonald, Steven J; McCalden, Richard W; Bourne, Robert B

2009-03-01

The ideal method of stem fixation in revision knee arthroplasty is controversial with advantages and disadvantages for cemented and press-fit designs. Studies have suggested cemented revision knee stems may provide better long-term survival. The aim of this study was to report our experience with press-fit uncemented stems and metaphyseal cement fixation in a selected series of patients undergoing revision total knee arthroplasty. One hundred twenty-seven patients (135 knees) who underwent revision total knee arthroplasty using a press-fit technique (press-fit diaphyseal fixation and cemented metaphyseal fixation) were reviewed. Minimum followup was 2 years (mean, 5 years; range, 2-12 years). A Kaplan-Meier survivorship analysis using an end point of revision surgery or radiographic loosening was used to determine probability of survival at 5 and 10 years. Of the 127 patients (135 knees), 31 patients (36 knees) died and two patients (two knees) were lost to followup. Six patients (six knees) had revisions at a mean of 3.5 years (range, 1-8 years). Kaplan-Meier survivorship analysis revealed a probability of survival free of revision for aseptic loosening of 98% at 12 years. Survivorship of press-fit stems for revision knee arthroplasty is comparable to reported survivorship of cemented stem revision knee arthroplasty. Radiographic analysis has shown continued satisfactory appearances regardless of constraint, stem size, and augmentations.

Bcl-2-interacting mediator of cell death influences autoantigen-driven deletion and TCR revision.

PubMed

Hale, J Scott; Nelson, Lisa T; Simmons, Kalynn B; Fink, Pamela J

2011-01-15

Peripheral CD4(+)Vβ5(+) T cells are tolerized to an endogenous mouse mammary tumor virus superantigen either by deletion or TCR revision. Through TCR revision, RAG reexpression mediates extrathymic TCRβ rearrangement and results in a population of postrevision CD4(+)Vβ5(-) T cells expressing revised TCRβ chains. We have hypothesized that cell death pathways regulate the selection of cells undergoing TCR revision to ensure the safety and utility of the postrevision population. In this study, we investigate the role of Bcl-2-interacting mediator of cell death (Bim)-mediated cell death in autoantigen-driven deletion and TCR revision. Bim deficiency and Bcl-2 overexpression in Vβ5 transgenic (Tg) mice both impair peripheral deletion. Vβ5 Tg Bim-deficient and Bcl-2 Tg mice exhibit an elevated frequency of CD4(+) T cells expressing both the transgene-encoded Vβ5 chain and a revised TCRβ chain. We now show that these dual-TCR-expressing cells are TCR revision intermediates and that the population of RAG-expressing, revising CD4(+) T cells is increased in Bim-deficient Vβ5 Tg mice. These findings support a role for Bim and Bcl-2 in regulating the balance of survival versus apoptosis in peripheral T cells undergoing RAG-dependent TCR rearrangements during TCR revision, thereby ensuring the utility of the postrevision repertoire.

A Prospective Comparative Study of Arthroscopic Versus Mini-Open Latarjet Procedure With a Minimum 2-Year Follow-up.

PubMed

Marion, Blandine; Klouche, Shahnaz; Deranlot, Julien; Bauer, Thomas; Nourissat, Geoffroy; Hardy, Philippe

2017-02-01

To compare postoperative pain during the first postoperative week and the position of the coracoid bone block at the anterior aspect of the glenoid after the arthroscopic and the mini-open Latarjet procedure. The secondary purpose was to assess functional results and recurrence after at least 2 years of follow-up. This comparative prospective study included patients who underwent a Latarjet-Bristow procedure for anterior shoulder instability in 2012. The Latarjet procedure was performed by a mini-open approach (G1) in one center and by an arthroscopic approach (G2) in the other. The main evaluation criterion was average shoulder pain during the first postoperative week assessed by the patient on a standard 10-cm visual analog scale (0-10). Secondary criteria were consumption of analgesics during the first week, the position of the coracoid bone block on radiograph and computed tomography scan at the 3-month follow-up and clinical outcomes (Western Ontario Score Index and new surgery) after at least 2 years of follow-up. Fifty-eight patients were included, 22 G1 and 36 G2, 13 women and 45 men, mean age 26.9 ± 7.7 years. The mean follow-up was 29.8 ± 4.4 months. There was significantly less pain in the arthroscopic Latarjet group than in the mini-open group during the first postoperative week (2.5 ± 1.4 vs 1.2 ± 1.2, P = .002) with comparable consumption of analgesics (P > .05). The arthroscopic Latarjet procedure resulted in a more lateral coracoid bone block (P = .04) and a better equatorial position than the mini-open technique (P = .02). Three patients underwent revision surgery (1 recurrence [2.8%], 1 block fracture, 1 screw ablation) in the arthroscopic group, none in the mini-open group (P = .54). At the final follow-up, the Western Ontario Score Index score was good in all patients (G1: 78.5 ± 7.5% vs G2: 82.3 ± 7%, P = .03). This prospective comparative study showed that the arthroscopic Latarjet procedure was significantly less painful than the mini-open procedure during the first postoperative week. The clinical outcomes were comparable after at least 2 years of follow-up. Level II, prospective comparative study. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

7 CFR 868.102 - Procedures for establishing and revising grade standards.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 7 2012-01-01 2012-01-01 false Procedures for establishing and revising grade....102 Procedures for establishing and revising grade standards. (a) GIPSA will develop, revise, suspend, or terminate grade standards if it determines that such action is in the public interest. GIPSA...

7 CFR 868.102 - Procedures for establishing and revising grade standards.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 7 2013-01-01 2013-01-01 false Procedures for establishing and revising grade....102 Procedures for establishing and revising grade standards. (a) GIPSA will develop, revise, suspend, or terminate grade standards if it determines that such action is in the public interest. GIPSA...

7 CFR 868.102 - Procedures for establishing and revising grade standards.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 7 2010-01-01 2010-01-01 false Procedures for establishing and revising grade....102 Procedures for establishing and revising grade standards. (a) GIPSA will develop, revise, suspend, or terminate grade standards if it determines that such action is in the public interest. GIPSA...

7 CFR 868.102 - Procedures for establishing and revising grade standards.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 7 2014-01-01 2014-01-01 false Procedures for establishing and revising grade....102 Procedures for establishing and revising grade standards. (a) GIPSA will develop, revise, suspend, or terminate grade standards if it determines that such action is in the public interest. GIPSA...

7 CFR 868.102 - Procedures for establishing and revising grade standards.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 7 2011-01-01 2011-01-01 false Procedures for establishing and revising grade....102 Procedures for establishing and revising grade standards. (a) GIPSA will develop, revise, suspend, or terminate grade standards if it determines that such action is in the public interest. GIPSA...

Uncovering Substance: Teaching Revision in High School Classrooms

ERIC Educational Resources Information Center

Early, Jessica Singer; Saidy, Christina

2014-01-01

This article shares the process and outcomes from a three-day revision workshop designed and implemented in a diverse high school language arts classroom. The revision workshop included: direct instruction, self-reflection, and peer feedback to provide struggling writers with opportunities to take part in substantive revision. The authors examine…

42 CFR 423.1092 - Revision of reopened decision.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 3 2012-10-01 2012-10-01 false Revision of reopened decision. 423.1092 Section 423.1092 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Civil Money Penalties § 423.1092 Revision of reopened decision. (a) Revision based on new evidence. If a...

Integrating Relational Reasoning and Knowledge Revision during Reading

ERIC Educational Resources Information Center

Kendeou, Panayiota; Butterfuss, Reese; Van Boekel, Martin; O'Brien, Edward J.

2017-01-01

Our goal in this theoretical contribution is to connect research on knowledge revision and relational reasoning. To achieve this goal, first, we review the "knowledge revision components framework" (KReC) that provides an account of knowledge revision processes, specifically as they unfold during reading of texts. Second, we review a…

75 FR 61365 - Revisions to Forms, Statements, and Reporting Requirements for Natural Gas Pipelines

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-05

... proposing to revise certain financial reporting forms required to be filed by natural gas companies (FERC... the above-referenced proceeding \\1\\ proposing to revise certain financial reporting forms required by...] Revisions to Forms, Statements, and Reporting Requirements for Natural Gas Pipelines September 24, 2010...

76 FR 16845 - Administrator's Line of Succession Designation, No. 1-A, Revision 32

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-25

... SMALL BUSINESS ADMINISTRATION Administrator's Line of Succession Designation, No. 1-A, Revision 32 This document replaces and supersedes ``Line of Succession Designation No. 1-A, Revision 31.'' Line of Succession Designation No. 1-A, Revision 32 Effective immediately, the Administrator's Line of Succession...

77 FR 38124 - Inspector General; Line of Succession Designation, No. 23-C, Revision 5

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-26

... SMALL BUSINESS ADMINISTRATION Inspector General; Line of Succession Designation, No. 23-C, Revision 5 This document replaces and supersedes ``Delegation of Authority and Line of Succession No. 23-C, Revision 4.'' Line of Succession Designation, No. 23-C, Revision 5: Effective immediately, the Inspector...

77 FR 44305 - Administrator's Line of Succession Designation, No. 1-A, Revision 34

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-27

... SMALL BUSINESS ADMINISTRATION Administrator's Line of Succession Designation, No. 1-A, Revision 34 This document replaces and supersedes ``Line of Succession Designation No. 1-A, Revision 33.'' Line of Succession Designation No. 1-A, Revision 34: Effective immediately, the Administrator's Line of Succession...

75 FR 25798 - Approval and Promulgation of Air Quality Implementation Plans; Colorado; Revisions to Regulation...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-10

... Promulgation of Air Quality Implementation Plans; Colorado; Revisions to Regulation Number 1 AGENCY... Number 1 (revisions to the performance testing requirements for air curtain destructors). Colorado... concurrent with Colorado's Regulation Number 1 revision request will be acted on at a later date. In the...

76 FR 66763 - Models for Plant-Specific Adoption of Technical Specifications Task Force Traveler TSTF-510...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-27

... of Technical Specifications Task Force Traveler TSTF-510, Revision 2, ``Revision to Steam Generator..., Revision 2, ``Revision to Steam Generator [(SG)] Program Inspection Frequencies and Tube Sample Selection..., ``Steam Generator (SG) Program,'' Specification 5.6.7, ``Steam Generator Tube Inspection Report,'' and the...

76 FR 78015 - Revised Analysis and Mapping Procedures for Non-Accredited Levees

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-15

...] Revised Analysis and Mapping Procedures for Non-Accredited Levees AGENCY: Federal Emergency Management... comments on the proposed solution for Revised Analysis and Mapping Procedures for Non-Accredited Levees. This document proposes a revised procedure for the analysis and mapping of non-accredited levees on...

Promoting Self-Directed Revision in EFL Writing Classes

ERIC Educational Resources Information Center

Coomber, Matthew

2016-01-01

Second language writers need to develop the ability to revise their writing independently of third party advice; thus, it is important that teachers devise methods by which to promote habits of self-directed revision. This quasi-experimental study investigates three classroom activities designed to encourage students to independently revise essays…

78 FR 6765 - Amendment to the International Traffic in Arms Regulations: Revision of U.S. Munitions List...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-31

... revise Category IV (launch vehicles, guided missiles, ballistic missiles, rockets, torpedoes, bombs, and... revises USML Category IV (launch vehicles, guided missiles, ballistic missiles, rockets, torpedoes, bombs... missiles, rockets, torpedoes, bombs, and mines whose jurisdiction would be in doubt based on this revision...

Disabling Fictions: Institutionalized Delimitations of Revision.

ERIC Educational Resources Information Center

Carroll, Jeffrey

1989-01-01

Examines three contemporary taxonomies of revision as proposed by Wallace Hildick, Lester Faigley and Stephen Witte, and Sondra Perl. Uses literary and cultural theory to bridge the gap between these theories and students' revision practices. Argues that while revision may be prescriptive, it must also be subordinate to the writer's intentions and…

77 FR 10341 - Revisions to Federal Implementation Plans To Reduce Interstate Transport of Fine Particulate...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-21

... supporting the proposed revisions, which specifically addressed post-combustion pollution control equipment... on the proposed revisions rule (76 FR 63860, October 14, 2011) regarding post-combustion control... annual SO 2 budgets based on comments received on the revision rule regarding post-combustion control...

75 FR 34975 - Notice of Estuary Habitat Restoration Council's Intent to Revise its Estuary Habitat Restoration...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-21

... Estuary Habitat Restoration Council's Intent to Revise its Estuary Habitat Restoration Strategy; Request... interagency Estuary Habitat Restoration Council, is providing notice of the Council's intent to revise the ''Estuary Habitat Restoration Strategy'' and requesting public comments to guide its revision. DATES...

78 FR 47537 - Airworthiness Directives; Airbus Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-06

... 47172-530 shall [also] be included in the next Airworthiness Limitation Section (ALS) Part 4 revision... Limitations Section (ALS) Part 4--Ageing Systems Maintenance, Revision 03, dated September 9, 2011; instead of Revision 02, dated December 16, 2009. Delta stated that Revision 03 of that ALS specifies the 1,000 flight...

78 FR 11618 - Approval and Promulgation of Implementation Plans Tennessee: Revisions to Volatile Organic...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-19

... Promulgation of Implementation Plans Tennessee: Revisions to Volatile Organic Compound Definition AGENCY..., SIP revision adds 17 compounds to the list of compounds excluded from the definition of ``Volatile Organic Compound''. EPA is approving this SIP revision because the State has demonstrated that it is...

76 FR 67746 - Revised Guidance for Industry on Impurities: Residual Solvents in New Veterinary Medicinal...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-02

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-1999-D-2955] Revised Guidance for Industry on Impurities: Residual Solvents in New Veterinary Medicinal Products... Veterinary Medicinal Products, Active Substances and Excipients (Revision)'' VICH GL18(R). This revised...

78 FR 63878 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; Revised Ambient Air...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-25

...] Approval and Promulgation of Air Quality Implementation Plans; Virginia; Revised Ambient Air Quality... State Implementation Plan (SIP). The revisions add ambient air quality standards and associated... Ambient Air Quality Standards (NAAQS) for PM 2.5 . EPA is approving these revisions in accordance with the...

75 FR 19886 - Approval and Promulgation of Air Quality Implementation Plans; Wyoming; Revisions to the Wyoming...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-16

... Promulgation of Air Quality Implementation Plans; Wyoming; Revisions to the Wyoming Air Quality Standards and.... Wyoming has revised its Air Quality Standards and Regulations, specifically Chapter 1, Section 5... Wyoming's State Implementation Plan (SIP). These revisions amend Wyoming's Air Quality Standards and...

The Padua Inventory: Do Revisions Need Revision?

ERIC Educational Resources Information Center

Gonner, Sascha; Ecker, Willi; Leonhart, Rainer

2010-01-01

The purpose of the present study was to examine the psychometric properties, factorial structure, and validity of the Padua Inventory-Washington State University Revision and of the Padua Inventory-Revised in a large sample of patients with obsessive-compulsive disorder (n = 228) and with anxiety disorders and/or depression (n = 213). The…

Creative revision - From rough draft to published paper

NASA Technical Reports Server (NTRS)

Buehler, M. F.

1976-01-01

The process of revising a technical or scientific paper can be performed more efficiently by the people involved (author, co-author, supervisor, editor) when the revision is controlled by breaking it into a series of steps. The revision process recommended here is based on the levels-of-edit concept that resulted from a study of the technical editorial function at the Jet Propulsion Laboratory of the California Institute of Technology. Types of revision discussed are Substantive, Policy, Language, Mechanical Style, Format, Integrity, and Copy Clarification.

Dealing with the predicted increase in demand for revision total knee arthroplasty: challenges, risks and opportunities.

PubMed

Hamilton, D F; Howie, C R; Burnett, R; Simpson, A H R W; Patton, J T

2015-06-01

Worldwide rates of primary and revision total knee arthroplasty (TKA) are rising due to increased longevity of the population and the burden of osteoarthritis. Revision TKA is a technically demanding procedure generating outcomes which are reported to be inferior to those of primary knee arthroplasty, and with a higher risk of complication. Overall, the rate of revision after primary arthroplasty is low, but the number of patients currently living with a TKA suggests a large potential revision healthcare burden. Many patients are now outliving their prosthesis, and consideration must be given to how we are to provide the necessary capacity to meet the rising demand for revision surgery and how to maximise patient outcomes. The purpose of this review was to examine the epidemiology of, and risk factors for, revision knee arthroplasty, and to discuss factors that may enhance patient outcomes. ©2015 The British Editorial Society of Bone & Joint Surgery.

Fixation of revision implants is improved by new surgical technique to crack the sclerotic endosteal rim.

PubMed

Kold, S; Soballe, K; Mouzin, O; Chen, Xiangmei; Toft, M; Bechtold, J

2002-01-01

We used an experimental model producing a tissue response with a sclerotic endosteal neo-cortical rim associated with implant loosening in humans: a 6 mm PMMA cylinder pistoned 500 m concentrically in a 7.5 mm hole, with polyethylene particles. At a second operation at eight weeks, the standard revision procedure removed the fibrous membrane in one knee, and the crack revision procedure was used to crack the sclerotic endosteal rim in the contralateral knee. Once stability was achieved following the revision procedures, loaded Ti plasma sprayed implants were inserted into the revision cavities of 8 dogs for an additional 4 weeks. Revision implant fixation (ultimate shear strength and energy absorption) was significantly enhanced by cracking the sclerotic endosteal rim. In conclusion, we demonstrated a simple technique of cracking the sclerotic endosteal rim as an additional method for improving revision fixation. (Hip International 2002; 2: 77-9).

Lambda light chain revision in the human intestinal IgA response.

PubMed

Su, Wen; Gordon, John N; Barone, Francesca; Boursier, Laurent; Turnbull, Wayne; Mendis, Surangi; Dunn-Walters, Deborah K; Spencer, Jo

2008-07-15

Revision of Ab L chains by secondary rearrangement in mature B cells has the potential to change the specific target of the immune response. In this study, we show for the first time that L chain revision is normal and widespread in the largest Ab producing population in man: intestinal IgA plasma cells (PC). Biases in the productive and non-productive repertoire of lambda L chains, identification of the circular products of rearrangement that have the characteristic biases of revision, and identification of RAG genes and protein all reflect revision during normal intestinal IgA PC development. We saw no evidence of IgH revision, probably due to inappropriately orientated recombination signal sequences, and little evidence of kappa-chain revision, probably due to locus inactivation by the kappa-deleting element. We propose that the lambda L chain locus is available and a principal modifier and diversifier of Ab specificity in intestinal IgA PCs.

77 FR 24585 - List of Approved Spent Fuel Storage Casks: HI-STORM 100, Revision 8

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-25

... Storage Casks: HI-STORM 100, Revision 8 AGENCY: Nuclear Regulatory Commission. ACTION: Direct final rule... revising the Holtec International HI-STORM 100 System listing within the ``List of Approved Spent Fuel...) 72.214, by revising the Holtec International HI-STORM 100 System listing within the ``List of...

"SOAR" to the Stars through Revising.

ERIC Educational Resources Information Center

Johnson, Jan

1995-01-01

Explains how a teacher uses the acronym SOAR (Sentences Organized and Revised) as the core of a game designed to motivate a class to revise their work through the promise of popcorn, free time, or snacks for their revision work. Describes a worksheet that forces students to pay attention to various parts of their paper. (TB)

40 CFR 52.1674 - Requirements for state implementation plan revisions relating to new motor vehicles.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PLANS (CONTINUED) New York § 52.1674 Requirements for state implementation plan revisions relating to new motor vehicles. New York's adopted LEV program must be revised to the extent necessary for the... plan revisions relating to new motor vehicles. 52.1674 Section 52.1674 Protection of Environment...

30 CFR 250.295 - When must I revise my DWOP?

Code of Federal Regulations, 2010 CFR

2010-07-01

... SULPHUR OPERATIONS IN THE OUTER CONTINENTAL SHELF Plans and Information Deepwater Operations Plans (dwop) § 250.295 When must I revise my DWOP? You must revise either the Conceptual Plan or your DWOP to reflect... in your plan. You must submit the revision within 60 days after any material change to the...

76 FR 65545 - Notice of Revision of Standard Form 1152: Unpaid Compensation of Deceased Civilian Employee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-21

... OFFICE OF PERSONNEL MANAGEMENT Notice of Revision of Standard Form 1152: Unpaid Compensation of Deceased Civilian Employee AGENCY: U.S. Office of Personnel Management. ACTION: Notice of revision. SUMMARY: The U.S. Office of Personnel Management (OPM) has revised Standard Form (SF) 1152, Unpaid Compensation...

76 FR 6696 - NASA Implementation of Federal Acquisition Regulation (FAR) Award Fee Language Revision

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-08

... of Federal Acquisition Regulation (FAR) Award Fee Language Revision AGENCY: National Aeronautics and... (NFS) to implement the FAR Award Fee revision issued in Federal Acquisition Circular (FAC) 2005-46.... Background Federal Acquisition Circular (FAC) 2005-46 significantly revised FAR Parts 16.305, 16.401, and 16...

75 FR 52976 - Issuance of Revised Users' Manual for Commission Mediation Program for Investigations Under...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-30

... INTERNATIONAL TRADE COMMISSION Issuance of Revised Users' Manual for Commission Mediation Program... 65615 (Nov. 8, 2008). The Commission has determined to issue a revised Users' Manual for its program for the mediation of investigations under section 337 of the Tariff Act of 1930. The revised Users' Manual...

78 FR 17708 - Endangered and Threatened Wildlife and Plants; Draft Revised Supplement to the Grizzly Bear...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-22

...] Endangered and Threatened Wildlife and Plants; Draft Revised Supplement to the Grizzly Bear Recovery Plan... Revised Supplement to the Grizzly Bear Recovery Plan. Specifically, this supplement proposes to revise the demographic recovery criteria for the Yellowstone Ecosystem. In the lower 48 States, Grizzly bears (Ursus...

48 CFR 252.247-7002 - Revision of prices.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Revision of prices. 252... Provisions And Clauses 252.247-7002 Revision of prices. As prescribed in 247.270-4(c), use the following clause: Revision of Prices (DEC 1991) (a) Definition. Wage adjustment, as used in this clause, means a...

Understanding Taxes. Teacher's Resource Kit. 1995 Annual Revision.

ERIC Educational Resources Information Center

Internal Revenue Service (Dept. of Treasury), Washington, DC.

This packet contains revisions of the following sections of the "Understanding Taxes" teacher's resource kit: complete revisions of lessons 3 and 4; updated student handouts for lessons 2, 9, and 11; new glossary; and revised software user's guide. Lesson 3, "From W-4 to 1040A," is designed to acquaint students with the basic…

75 FR 21197 - Approval and Promulgation of Air Quality Implementation Plans; New Mexico; Revisions to New...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-23

... Promulgation of Air Quality Implementation Plans; New Mexico; Revisions to New Mexico Transportation Conformity... approve revisions to the New Mexico State Implementation Plan (SIP) concerning the State transportation... action on SIP revisions pertaining to the State of New Mexico. We have published a direct final rule...

78 FR 4804 - Revision to the Washington State Implementation Plan; Tacoma-Pierce County Nonattainment Area

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-23

... Plan (SIP) revision submitted by the Washington Department of Ecology (Ecology) dated November 28, 2012... Air Quality Standard (NAAQS). Second, EPA is proposing to approve updated rules submitted by Ecology... emissions. II. Summary of SIP Revision Ecology's November 28, 2012 SIP revision contains two elements for...

75 FR 34670 - Approval and Promulgation of Air Quality Implementation Plans; Maryland; Revision to Emission...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-18

... Promulgation of Air Quality Implementation Plans; Maryland; Revision to Emission Limitations for R. Paul Smith... revision pertains to revised emission limitations for the R. Paul Smith Power Station located in Washington... R. Paul Smith Power Station in Washington County. This facility had annual nitrogen oxides (NOx...

75 FR 36126 - Office of New Reactors; Proposed Revision to Standard Review Plan Section 13.6.1, Revision 1 on...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-24

... NUCLEAR REGULATORY COMMISSION [NRC-2010-0228] Office of New Reactors; Proposed Revision to Standard Review Plan Section 13.6.1, Revision 1 on Physical Security--Combined License and Operating...), Section 13.6.1 on ``Physical Security--Combined License and Operating Reactors,'' (Agencywide Documents...

40 CFR 60.4124 - Hg budget permit revisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Hg budget permit revisions. 60.4124... Coal-Fired Electric Steam Generating Units Permits § 60.4124 Hg budget permit revisions. Except as provided in § 60.4123(b), the permitting authority will revise the Hg Budget permit, as necessary, in...

7 CFR 277.3 - Budgets and budget revision procedures.

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2010-01-01

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24 CFR 968.225 - Budget revisions.

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2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Budget revisions. 968.225 Section... Fewer Than 250 Units) § 968.225 Budget revisions. (a) A PHA shall not incur any modernization cost in excess of the total HUD-approved CIAP budget. A PHA shall submit a budget revision, in a form prescribed...

28 CFR 70.25 - Revision of budget and program plans.

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2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Revision of budget and program plans. 70... Revision of budget and program plans. (a) The budget plan is the financial expression of the project or... from budget and program plans, and request prior approvals for budget and program plan revisions, in...

45 CFR 2543.25 - Revision of budget and program plans.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Revision of budget and program plans. 2543.25... Revision of budget and program plans. (a) The budget plan is the financial expression of the project or... deviations from budget and program plans, and request prior approvals for budget and program plan revisions...

78 FR 59317 - Approval and Promulgation of Air Quality Implementation Plans; Maryland; Revision to Emission...

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2013-09-26

... for R. Paul Smith Power Station; Withdrawal of Proposed Rule AGENCY: Environmental Protection Agency... revision pertains to revised emission limitations for the R. Paul Smith Power Station located in Washington... action to approve the revised emission limitations for the R. Paul Smith Power Station contained in the...

12 CFR 332.8 - Revised privacy notices.

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2014-01-01

... 12 Banks and Banking 5 2014-01-01 2014-01-01 false Revised privacy notices. 332.8 Section 332.8... PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 332.8 Revised privacy notices. (a... described in your prior notice. (c) Delivery. When you are required to deliver a revised privacy notice by...

12 CFR 332.8 - Revised privacy notices.

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12 CFR 332.8 - Revised privacy notices.

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2013-01-01

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12 CFR 332.8 - Revised privacy notices.

Code of Federal Regulations, 2011 CFR

2011-01-01

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76 FR 10295 - Approval and Promulgation of Air Quality Implementation Plans; Texas; Revisions To Control...

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2011-02-24

... Promulgation of Air Quality Implementation Plans; Texas; Revisions To Control Volatile Organic Compound... Organic Compounds. The State submitted these revisions on March 4, 2010. These revisions remove the Texas... second comment period. Any parties interested in commenting on this action should do so at this time...

12 CFR 332.8 - Revised privacy notices.

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2010-01-01

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Psychometric Properties of the Revised Purdue Spatial Visualization Tests: Visualization of Rotations (The Revised PSVT-R)

ERIC Educational Resources Information Center

Yoon, So Yoon

2011-01-01

Working under classical test theory (CTT) and item response theory (IRT) frameworks, this study investigated psychometric properties of the Revised Purdue Spatial Visualization Tests: Visualization of Rotations (Revised PSVT:R). The original version, the PSVT:R was designed by Guay (1976) to measure spatial visualization ability in…

75 FR 80857 - Notice of Availability of NUREG-1800, Revision 2; “Standard Review Plan for Review of License...

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2010-12-23

..., Revision 2; ``Generic Aging Lessons Learned (GALL) Report'' AGENCY: Nuclear Regulatory Commission (NRC... Nuclear Power Plants'' and NUREG-1801, Revision 2; ``Generic Aging Lessons Learned (GALL) Report... Lessons Learned (GALL) Report.'' These revised documents describe methods acceptable to the NRC staff for...

75 FR 4759 - Withdrawal of Proposed Rule Revising the California State Implementation Plan, San Joaquin Valley...

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2010-01-29

... Proposed Rule Revising the California State Implementation Plan, San Joaquin Valley Unified Air Pollution... approval of revisions to the San Joaquin Valley Unified Air Pollution Control District portion of the... revisions to the San Joaquin Valley Unified Air Pollution Control District (``District'') portion of the...

76 FR 21832 - Proposed Revision of Class E Airspace; Yakutat, AK

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2011-04-19

...-0244 Airspace Docket No. 11-AAL-05] Proposed Revision of Class E Airspace; Yakutat, AK AGENCY: Federal... proposes to revise Class E airspace at Yakutat, AK. The revision of eight Standard Instrument Approach... Administration, 222 West 7th Avenue, Box 14, Anchorage, AK 99513-7587. FOR FURTHER INFORMATION CONTACT: Martha...

76 FR 14602 - Approval and Promulgation of Air Quality Implementation Plans; Louisiana; Revisions To Control...

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2011-03-17

... Promulgation of Air Quality Implementation Plans; Louisiana; Revisions To Control Volatile Organic Compound...: Proposed rule. SUMMARY: EPA is proposing to approve State Implementation Plan (SIP) revisions for control... submitted to EPA on August 31, 2010. EPA is also proposing to approve a SIP revision for control of emission...

77 FR 4471 - Tribal Veterans Cemetery Grants

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2012-01-30

... paragraph (b) introductory text. 0 c. Revising paragraphs (c) and (d). The revisions read as follows: Sec... paragraphs (a) introductory text and (a)(4) to read as follows: Sec. 39.30 General requirements for a grant... paragraph (a). 0 b. Revising paragraphs (b) introductory text, (b)(5), (6), and (8). 0 c. Revising...

75 FR 54073 - Medicaid Program; Withdrawal of Determination of Average Manufacturer Price, Multiple Source Drug...

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2010-09-03

... hospital that is located outside of a Metropolitan Statistical Area for Medicare payment regulations and... reserved. 4. Section 447.510 is amended by-- A. Republishing paragraph (a) introductory text. B. Revising.... Revising the introductory text of paragraph (b). C. Revising paragraph (c). The revisions read as follows...

75 FR 24323 - American Society of Mechanical Engineers (ASME) Codes and New and Revised ASME Code Cases

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2010-05-04

... Approved for Incorporation by Reference Introductory text to paragraph Introductory text Revise to title... reference. ASME B&PV Code, Section III Introductory text to paragraph Introductory text Revise to clarify... editorial corrections and additions. Introductory text to paragraph Introductory text Revise to include the...

Positive Culture Rate in Revision Shoulder Arthroplasty

PubMed Central

Hobgood, E. Rhett

2009-01-01

We recognized a trend of positive cultures taken from presumably uninfected shoulders during revision arthroplasty. Owing to the indolent nature of common shoulder pathogens such as Propionibacterium acnes, these cultures often become positive several days, even weeks, after surgery. Having concern regarding the potential importance of these positive cultures, we reviewed our revision arthroplasty population to determine the rate of positive intraoperative cultures in patients presumed to be aseptic, to characterize the isolated organisms, and to determine the subsequent development of infection. We retrospectively reviewed 27 patients (28 revisions) presumed to be uninfected between April 2005 and October 2007. Intraoperative cultures were positive in eight (29%) of the 28 revisions. Propionibacterium acnes was isolated in six. Methicillin-resistant Staphylococcus aureus was isolated in one patient and coagulase-negative Staphylococcus aureus was isolated in one patient. One-year followup was available on 24 of the 28 revisions. Two of the eight culture-positive revisions had a subsequent infection develop. Cultures taken at revision surgery for failed shoulder arthroplasty are often positive, and our findings document the importance of these positive cultures. Our data confirm previous reports isolating Propionibacterium acnes as a primary pathogen in revision shoulder arthroplasty. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. PMID:19434469

Revision of Unicondylar to Total Knee Arthroplasty: A Systematic Review

PubMed Central

Siddiqui, Nashat A; Ahmad, Zafar M

2012-01-01

Isolated unicompartmental osteoarthritis in the young patient is a difficult problem to treat; they may be too young to consider total knee arthroplasty due to difficulties with inevitable future revision. Unicompartmental knee arthroplasty is one possible solution as it is perceived by some as being a smaller surgical insult than total knee arthroplasty, with easier revision to total knee arthroplasty than a revision total knee arthroplasty. A total knee arthroplasty performed as a revision unicondylar knee arthroplasty is thought by some authors to have equivalent functional outcomes to a primary total knee replacement. However, there have been several studies suggesting that revision is not as simple as suggested, and that function is not as good as primary total knee arthroplasty. We performed a systematic review of the literature regarding outcomes after revision of a unicondylar knee arthroplasty. Although there are many studies proposing selective use of the unicondylar knee arthroplasty, there are a number of studies highlighting difficulties with revision and poorer outcomes, and, therefore, the unicondylar knee arthroplasty cannot be considered a small procedure that will 'buy time' for the patient, and have results equal to a primary knee arthroplasty when revised. Further controlled studies, ideally randomised, are required before final conclusions can be drawn. PMID:22905072

The economic impact of revision otologic surgery.

PubMed

Nadimi, Sahar; Leonetti, John P; Pontikis, George

2016-03-01

Revision otologic surgery places a significant economic burden on patients and the healthcare system. We conducted a retrospective chart analysis to estimate the economic impact of revision canal-wall-down (CWD) mastoidectomy. We reviewed the medical records of all 189 adults who had undergone CWD mastoidectomy performed by the senior author between June 2006 and August 2011 at Loyola University Medical Center in Maywood, Ill. Institutional charges and collections for all patients were extrapolated to estimate the overall healthcare cost of revision surgery in Illinois and at the national level. Of the 189 CWD mastoidectomies, 89 were primary and 100 were revision procedures. The total charge for the revision cases was $2,783,700, and the net reimbursement (collections) was $846,289 (30.4%). Using Illinois Hospital Association data, we estimated that reimbursement for 387 revision CWD mastoidectomies that had been performed in fiscal year 2011 was nearly $3.3 million. By extrapolating our data to the national level, we estimated that 9,214 patients underwent revision CWD mastoidectomy in the United States during 2011, which cost the national healthcare system roughly $76 million, not including lost wages and productivity. Known causes of failed CWD mastoidectomies that often result in revision surgery include an inadequate meatoplasty, a facial ridge that is too high, residual diseased air cells, and recurrent cholesteatoma. A better understanding of these factors can reduce the need for revision surgery, which could have a positive impact on the economic strain related to this procedure at the local, state, and national levels.

Age and Early Revision After Primary Total Hip Arthroplasty for Osteoarthritis.

PubMed

Meyer, Zachary; Baca, Geneva; Rames, Richard; Barrack, Robert; Clohisy, John; Nam, Denis

2017-11-01

Prior reports have noted an increased risk of early revision among younger patients undergoing total hip arthroplasty (THA) but have been confounded by the inclusion of various diagnoses. The purpose of this study was to assess the revision rate and the time to revision for patients undergoing THA for osteoarthritis based on age. Patients with a diagnosis of osteoarthritis who underwent both primary and revision THA at the same institution were identified. The time between primary and revision surgery and the indication for revision were collected. Patients were stratified into 2 groups based on age at the time of primary THA: 64 years or younger (group 1) or 65 years or older (group 2). Between 1996 and 2016, a total of 4662 patients (5543 hips) underwent primary THA for a diagnosis of osteoarthritis. Of these, 100 patients (104 hips) received a revision THA (62 in group 1 and 42 in group 2). Mean age was 52.7±8.4 years in group 1 vs 73.4±6.3 years in group 2 (P<.001). There was no significant difference in mean body mass index (29.7±7.3 kg/m 2 vs 28.4±4.6 kg/m 2 , P=.30). Rate of revision was not significantly different between the groups (1.8% vs 2.0%, P=.7). Average time from primary to revision surgery was 3.0±3.2 years for group 1 and 1.1±2.1 years for group 2 (P=.001). Among patients undergoing primary THA for a diagnosis of osteoarthritis, younger age is not associated with an increased rate of early failure or revision. [Orthopedics. 2017; 40(6):e1069-e1073.]. Copyright 2017, SLACK Incorporated.

Thirteen-year outcomes in the Anatomique Benoist Girard II hip prosthesis.

PubMed

Catanach, Michael J M; Sorial, Rami M; Eslick, Guy D

2015-04-01

The Stryker Anatomique Benoist Girard (ABG) hip implant system was a commonly used cementless prosthesis in the early 2000s, which fell from favour after several studies emerged implicating the prosthesis in high rates of revision. This retrospective, single-surgeon clinical study examines the fracture rate, revision rate and reasons for revision in 500 consecutive ABG II primary total conventional hip replacements. Follow-up was conducted by audit of patient notes, patient mailout survey, patient phone contact and audit of the Australian National Joint Replacement Registry (NJRR) database to find instances of fracture and revision. End points were periprosthetic fracture and revision for any reason. Follow-up was 1.2-13.8 years with a mean of 6.58 years. Of the 500 hips, 17 (3.4%) had undergone a revision. Of these, 13 were due to periprosthetic fracture. Four further fractures occurred that were not revised. Eight of these periprosthetic fractures occurred within 1 year post-operatively. There were four revisions for recurrent dislocations. Kaplan-Meier survival curve demonstrates a 93.7% survivorship at 6.58 years for revision for any reason. Multivariate analysis showed the only statistically significant factor for increased risk of revision was smaller stem size. Our results were consistent with the literature in that the ABG II system has good medium-term results but is prone to periprosthetic fractures, especially in the early post-operative period. When used as a primary total hip arthroplasty, the ABG II system has an 8-year revision rate of 5.6% compared with the 4.9% of all primary total hip arthroplasties. © 2014 Royal Australasian College of Surgeons.

Cosmetic rhinoplasty: revision rates revisited.

PubMed

Neaman, Keith C; Boettcher, Adam K; Do, Viet H; Mulder, Corlyne; Baca, Marissa; Renucci, John D; VanderWoude, Douglas L

2013-01-01

Cosmetic rhinoplasty has great potential to change a patient's appearance. It also carries the very real risk of patient dissatisfaction and request for revision. Although there have been many published patient series studying various aspects of rhinoplasty, questions remain regarding revision rates, as well as risk factors for complications, dissatisfaction, and revision. The authors investigate the rate of cosmetic rhinoplasty revision at a plastic surgery group practice and identify risk factors for revision. Medical records were retrospectively reviewed for all patients who presented to a single multisurgeon practice for primary rhinoplasty, septorhinoplasty, and revision rhinoplasty between 1998 and 2008. Patient demographics, preoperative complaints, preoperative physical examination findings, detailed operative data, and postoperative outcomes were abstracted from the charts. Complication rates, revision rates, and postoperative patient satisfaction were calculated and analyzed for identifiable risk factors. Of 369 consecutive cosmetic rhinoplasties performed during the study period, 279 (72.7%) were conducted with an open approach. The overall complication, dissatisfaction, and revision rates were 7.9%, 15.4%, and 9.8%, respectively. Postoperatively, most patients (87%) were identified by their surgeons as having had successful anatomical correction of their nasal deformity. History of previous nasal operation or facial fracture, lack of anatomical correction, and occurrence of postoperative complications were associated with both revision and dissatisfaction (P < .05). Failure to address the nasal tip at the time of primary rhinoplasty was associated with a higher level of dissatisfaction. Cosmetic rhinoplasty is one of the most challenging procedures in plastic surgery; however, these data indicate that a high level of patient satisfaction is attainable within a plastic surgery group practice if certain factors are considered. Specifically, surgeons should be aware of risk factors that are potentially associated with dissatisfaction and revision. 4.

Revision of the International Pharmaceutical Federation's Basel Statements on the future of hospital pharmacy: From Basel to Bangkok.

PubMed

Vermeulen, Lee C; Moles, Rebekah J; Collins, Jack C; Gray, Andy; Sheikh, Abdul Latif; Surugue, Jacqueline; Moss, Robert J; Ivey, Marianne F; Stevenson, James G; Takeda, Yasuo; Ranjit, Eurek; Chaar, Betty; Penm, Jonathan

2016-07-15

The processes used to revise the 2008 Basel Statements on the future of hospital pharmacy are summarized, and the revised statements are presented. The process for revising the Basel Statements followed an approach similar to that used during their initial development. The Hospital Pharmacy Section (HPS) of the International Pharmaceutical Federation (FIP) revised the 2008 FIP Basel Statements in four phases, including a survey of hospital pharmacists worldwide, an internal review, online forums, and a face-to-face "World Café" workshop in Bangkok, Thailand. The global survey on the initial Basel Statements included input from 334 respondents from 62 countries. The majority of respondents agreed that most of the initial Basel Statements were acceptable as written and did not require revision. In total, 11 statements were judged by more than 10% of respondents as needing revision or deletion. The FIP HPS executive committee used the survey results to develop 69 initial revised draft statements. After an online discussion with the international hospital pharmacy community, including individuals from 28 countries representing all six World Health Organization regions, a final set of draft statements was prepared for the live discussion involving participants from 20 countries. The final 65 revised Basel Statements were voted on and accepted. Systematic revision of the FIP Basel Statements resulted in an updated reflection of aspirational goals for the future of hospital pharmacy practice. While this revision reflects the development of new goals for hospital pharmacy practice, the core principles of the Basel Statements remain an essential foundation for the discipline. Copyright © 2016 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

Revalidation of the Score for Neonatal Acute Physiology in the Vermont Oxford Network.

PubMed

Zupancic, John A F; Richardson, Douglas K; Horbar, Jeffrey D; Carpenter, Joseph H; Lee, Shoo K; Escobar, Gabriel J

2007-01-01

Our specific objectives were (1) to document the performance of the revised Score for Neonatal Acute Physiology and the revised Score for Neonatal Acute Physiology Perinatal Extension in predicting death in the Vermont Oxford Network, compared with published normative values; (2) to determine whether this performance could be improved through recalibration of the weights for individual score items; (3) to determine the impact of including congenital anomalies in the predictive model; and (4) to compare performance against that of the Vermont Oxford Network risk adjustment, separately and in combination. Fifty-eight Vermont Oxford Network centers collected data prospectively for the revised Score for Neonatal Acute Physiology in the first 12 hours after admission of infants in 2002. Data were collected for 10,469 infants, and analyses were undertaken for 9897 who met inclusion criteria. The median revised Score for Neonatal Acute Physiology was 5, and the mean birth weight was 1951 g. Recalibration of the revised Score for Neonatal Acute Physiology and revised Score for Neonatal Acute Physiology Perinatal Extension resulted in minimal changes in their discriminatory abilities. The Vermont Oxford Network risk adjustment performed similarly, compared with the revised Score for Neonatal Acute Physiology Perinatal Extension. Current score performance was similar to that observed previously, which suggests that the revised Score for Neonatal Acute Physiology and revised Score for Neonatal Acute Physiology Perinatal Extension have not decalibrated over the 7 years since the first cohort was assembled, despite advances in neonatal care during that period. Addition of congenital anomalies to the revised Score for Neonatal Acute Physiology Perinatal Extension improved discrimination significantly, particularly for infants with birth weights of >1500 g. The Vermont Oxford Network risk adjustment performed similarly, compared with the revised Score for Neonatal Acute Physiology Perinatal Extension.

Predictors of surgical revision after in situ decompression of the ulnar nerve.

PubMed

Krogue, Justin D; Aleem, Alexander W; Osei, Daniel A; Goldfarb, Charles A; Calfee, Ryan P

2015-04-01

This study was performed to identify factors associated with the need for revision surgery after in situ decompression of the ulnar nerve for cubital tunnel syndrome. This case-control investigation examined all patients treated at one institution with open in situ decompression for cubital tunnel syndrome between 2006 and 2011. The case patients were 44 failed decompressions that required revision, and the controls were 79 randomly selected patients treated with a single operation. Demographic data and disease-specific data were extracted from the medical records. The rate of revision surgery after in situ decompression was determined from our 5-year experience. A multivariate logistic regression model was used based on univariate testing to determine predictors of revision cubital tunnel surgery. Revision surgery was required in 19% (44 of 231) of all in situ decompressions performed during the study period. Predictors of revision surgery included a history of elbow fracture or dislocation (odds ratio [OR], 7.1) and McGowan stage I disease (OR, 3.2). Concurrent surgery with in situ decompression was protective against revision surgery (OR, 0.19). The rate of revision cubital tunnel surgery after in situ nerve decompression should be weighed against the benefits of a less invasive procedure compared with transposition. When considering in situ ulnar nerve decompression, prior elbow fracture as well as patients requesting surgery for mild clinically graded disease should be viewed as risk factors for revision surgery. Patient factors often considered relevant to surgical outcomes, including age, sex, body mass index, tobacco use, and diabetes status, were not associated with a greater likelihood of revision cubital tunnel surgery. Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

[Perioperative complications after total hip revision surgery and their predictive factors. A series of 181 consecutive procedures].

PubMed

de Thomasson, E; Guingand, O; Terracher, R; Mazel, C

2001-09-01

We conducted a retrospective study to assess morbidity and mortality in patients undergoing revision total hip arthroplasty (THA) procedures. Perioperative complications were recorded in 181 revision procedures (162 patients) performed between January 1995 and March 1999 (117 bipolar revisions and 64 acetabular isolated revisions). There were 86 complications (68 patients) leading to 21 new revisions. About half (50/86) were related to the surgical procedure (dislocation, femoral fracture, infection.). Life-threatening complications (3.6%) ended in patient death in 1.6% of the cases. Complications were more frequent in patients with an ASA score=3 (p<0.01) or aged over 75 years (p<0.05). Age was also predictive of femoral misalignment and fracture (p<0.05). Dislocations (8.8%) were observed more frequently in patients who had undergone more than 2 procedures prior to the revision (p<0.05) (4.8% of the dislocations in patients undergoing a first revision procedure and 14.3% in the others). In addition, peroperative blood loss and duration of the procedure were significantly greater in case of bipolar replacement than for isolated acetabular replacement (sigma > 1.96). Our experience and data in the literature point to the important age factor in the development of complications. Preservation of a well-fixed femoral component does not appear to worsen prognosis and leads to fewer complications than bipolar changes. The decision to revise a THA must take into consideration the functional impairment but also the risks inherent in revision procedures, particularly in old patients who have undergone several procedures. Revising the acetabular component alone can be an interesting option if the femoral component remains well-fixed although our follow-up is insufficient to determine whether this attitude provides better long-term outcome than complete biopolar revision. Better patient selection and improved operative technique, in particular in femur preparation, should help reduce morbidity and mortality in this type of procedure.

Comparison of Revision Rates of Anterior- and Posterior-Approach Ptosis Surgery: A Retrospective Review of 1519 Cases.

PubMed

Chou, Eva; Liu, Jun; Seaworth, Cathleen; Furst, Meredith; Amato, Malena M; Blaydon, Sean M; Durairaj, Vikram D; Nakra, Tanuj; Shore, John W

To compare revision rates for ptosis surgery between posterior-approach and anterior-approach ptosis repair techniques. This is the retrospective, consecutive cohort study. All patients undergoing ptosis surgery at a high-volume oculofacial plastic surgery practice over a 4-year period. A retrospective chart review was conducted of all patients undergoing posterior-approach and anterior-approach ptosis surgery for all etiologies of ptosis between 2011 and 2014. Etiology of ptosis, concurrent oculofacial surgeries, revision, and complications were analyzed. The main outcome measure is the ptosis revision rate. A total of 1519 patients were included in this study. The mean age was 63 ± 15.4 years. A total of 1056 (70%) of patients were female, 1451 (95%) had involutional ptosis, and 1129 (74.3%) had concurrent upper blepharoplasty. Five hundred thirteen (33.8%) underwent posterior-approach ptosis repair, and 1006 (66.2%) underwent anterior-approach ptosis repair. The degree of ptosis was greater in the anterior-approach ptosis repair group. The overall revision rate for all patients was 8.7%. Of the posterior group, 6.8% required ptosis revision; of the anterior group, 9.5% required revision surgery. The main reason for ptosis revision surgery was undercorrection of one or both eyelids. Concurrent brow lifting was associated with a decreased, but not statistically significant, rate of revision surgery. Patients who underwent unilateral ptosis surgery had a 5.1% rate of Hering's phenomenon requiring ptosis repair in the contralateral eyelid. Multivariable logistic regression for predictive factors show that, when adjusted for gender and concurrent blepharoplasty, the revision rate in anterior-approach ptosis surgery is higher than posterior-approach ptosis surgery (odds ratio = 2.08; p = 0.002). The overall revision rate in patients undergoing ptosis repair via posterior-approach or anterior-approach techniques is 8.7%. There is a statistically higher rate of revision with anterior-approach ptosis repair.

Metrics for Original Research Articles in the AJR: From First Submission to Final Publication.

PubMed

Rosenkrantz, Andrew B; Harisinghani, Mukesh

2015-06-01

The objective of our study was to evaluate manuscript metrics pertaining to AJR submissions, assessing the pathway from manuscript submission to publication, including the reviewer allocation time, decisions rendered, timing of decisions rendered, and time to publication. Six hundred ninety-six unsolicited Original Research manuscripts submitted to the AJR between July 1, 2012, and December 21, 2012, were included in this retrospective analysis. Metrics pertaining to manuscripts' decision status and associated timelines were extracted by journal editorial staff and assessed using standard summary statistics. For new submissions, decisions rendered were as follows: Accept, 0.3%; Minor Revision, 8.5%; Major Revision, 19.7%; Reject, 65.1%; and Reject Without Review, 6.5%. For first and second resubmissions, 40.0-55.2% of manuscripts representing a Major Revision and 91.5-94.7% of manuscripts representing a Minor Revision were accepted; 100% of manuscripts undergoing a third resubmission were accepted; 98.3% and 84.7% of manuscripts receiving at first submission a decision of Minor Revision and Major Revision, respectively, ultimately achieved acceptance. The time (mean ± SD) to review a new submission was 30.5 ± 43.1 days (Accept), 42.7 ± 27.4 days (Minor Revision), 39.4 ± 17.6 days (Major Revision), and 40.2 ± 20.3 days (Reject) and decreased with each subsequent resubmission to 6.3 ± 6.3 days (Accept) for third resubmissions. The mean days for authors to submit a first resubmission was 21.1 ± 15.3 days (Minor Revision) and 73.7 ± 65.1 days (Major Revision) and decreased with each subsequent resubmission to 9.8 ± 11.3 days (Minor Revision) and 27.0 ± 0.0 days (Major Revision) for third resubmissions. The mean time from acceptance to publication was 242.5 ± 47.5 days. The observed metrics may provide valuable insights for authors and for AJR editorial staff in ongoing efforts to shorten turnaround times from manuscript submission to publication.

Defining the Relationship between Seismicity and Deformation at Regional and Local Scales

NASA Astrophysics Data System (ADS)

Williams, Nneka Njeri Akosua

In this thesis, I use source inversion methods to improve understanding of crustal deformation along the Nyainquentanglha (NQTL) Detachment in Southern Tibet and the Piceance Basin in northwestern Colorado. Broadband station coverage in both regions is sparse, necessitating the development of innovative approaches to source inversion for the purpose of studying local earthquakes. In an effort to study the 2002-2003 earthquake swarm and the 2008 M w 6.3 Damxung earthquake and aftershocks that occurred in the NQTL region, we developed a single station earthquake location inversion method called the SP Envelope method, to be used with data from LHSA at Lhasa, a broadband seismometer located 75 km away. A location is calculated by first rotating the seismogram until the azimuth at which the envelope of the P-wave arrival on the T-component is smallest (its great circle path) is found. The distance at which to place the location along this azimuth is measured by calculating the S-P distance from arrivals on the seismogram. When used in conjunction with an existing waveform modeling based source inversion method called Cut and Paste (CAP), a catalog of 40 regional earthquakes was generated. From these 40 earthquakes, a catalog of 30 earthquakes with the most certain locations was generated to study the relationship of seismicity and NQTL region faults mapped in Google Earth™ and in Armijo et al., 1986 and Kapp et al., 2005. Using these faults and focal mechanisms, a fault model of the NQTL Region was generated using GOCAD, a 3D modeling suite. By studying the relationship of modeled faults to mapped fault traces at the surface, the most likely fault slip plane was chosen. These fault planes were then used to calculate slip vectors and a regional bulk stress tensor, with respect to which the low-angle NQTL Detachment was found to be badly misoriented. The formation of low-angle normal faults is inconsistent with the Anderson Theory of faulting, and the presence of the NQTL Detachment in a region with such an incongruous stress field supports the notion that such faults are real. The timing and locations of the earthquakes in this catalog with respect to an anomalous increase in the eastward component of velocity readings at the single cGPS station in Lhasa (LHAS) were analyzed to determine the relationship between plastic and brittle deformation in the region. The fact that cGPS velocities slow significantly after the 2002-2003 earthquake swarm suggests that this motion is tectonic in nature, and it has been interpreted as only the second continental slow slip event (SSE) ever to be observed. The observation of slow slip followed by an earthquake swarm within a Tibetan rift suggests that other swarms observed within similar rifts in the region are related to SSEs. In the Piceance Basin, CAP was used to determine source mechanisms of microearthquakes triggered as a result of fracture stimulation within a tight gas reservoir. The expense of drilling monitor wells and installing borehole geophones reduces the azimuthal station coverage, thus making it difficult to determine source mechanisms of microearthquakes using more traditional methods. For high signal to noise ratio records, CAP produced results on par with those obtained in studies of regional earthquakes. This finding suggests that CAP could successfully be applied in studies of microseismicity when data quality is high.

Mesozoic to Cenozoic magmatic history of the Pamir

NASA Astrophysics Data System (ADS)

Chapman, James B.; Scoggin, Shane H.; Kapp, Paul; Carrapa, Barbara; Ducea, Mihai N.; Worthington, James; Oimahmadov, Ilhomjon; Gadoev, Mustafo

2018-01-01

New geochronologic, geochemical, and isotopic data for Mesozoic to Cenozoic igneous rocks and detrital minerals from the Pamir Mountains help to distinguish major regional magmatic episodes and constrain the tectonic evolution of the Pamir orogenic system. After final accretion of the Central and South Pamir terranes during the Late Triassic to Early Jurassic, the Pamir was largely amagmatic until the emplacement of the intermediate (SiO2 > 60 wt.%), calc-alkaline, and isotopically evolved (-13 to -5 zircon εHf(t)) South Pamir batholith between 120-100 Ma, which is the most volumetrically significant magmatic complex in the Pamir and includes a high flux magmatic event at ∼105 Ma. The South Pamir batholith is interpreted as the northern (inboard) equivalent of the Cretaceous Karakoram batholith and the along-strike equivalent of an Early Cretaceous magmatic belt in the northern Lhasa terrane in Tibet. The northern Lhasa terrane is characterized by a similar high-flux event at ∼110 Ma. Migration of continental arc magmatism into the South Pamir terrane during the mid-Cretaceous is interpreted to reflect northward directed, low-angle to flat-slab subduction of the Neo-Tethyan oceanic lithosphere. Late Cretaceous magmatism (80-70 Ma) in the Pamir is scarce, but concentrated in the Central and northern South Pamir terranes where it is comparatively more mafic (SiO2 < 60 wt.%), alkaline, and isotopically juvenile (-2 to +2 zircon εHf(t)) than the South Pamir batholith. Late Cretaceous magmatism in the Pamir is interpreted here to be the result of extension associated with roll-back of the Neotethyan oceanic slab, which is consistent with similarly aged extension-related magmatism in the Karakoram terrane and Kohistan. There is an additional pulse of magmatism in the Pamir at 42-36 Ma that is geographically restricted (∼150 km diameter ellipsoidal area) and referred to as the Vanj magmatic complex. The Vanj complex comprises metaluminous, high-K calc-alkaline to shoshonitic monzonite, syenite, and granite that is adakitic (La/YbN = 13 to 57) with low Mg# (35-41). The Vanj complex displays a range of SiO2 (54-75 wt.%) and isotopic compositions (-7 to -3 εNd(i), 0.706 to 0.710 87Sr/86Sr(i), -3 to +1 zircon εHf(i), 6.0 to 7.6‰ zircon δ18OVSMOW), which reflects some juvenile mantle input and subsequent assimilation or mixing with the Central/South Pamir terrane lower crust. The Vanj complex is speculatively interpreted to be the consequence of a mantle drip or small delamination event that was induced by India-Asia collision. The age, geochemistry, outcrop pattern, and tectonic position of the Vanj magmatic complex suggest that it is part of a series of magmatic complexes that extend for >2500 km across the Pamir and northern Qiangtang terrane in Tibet. All of these complexes are located directly south of the Tanymas-Jinsha suture zone, an important lithospheric and rheological boundary that focused mantle lithosphere deformation after India-Asia collision. Miocene magmatism (20-10 Ma) in the Pamir includes: 1) isotopically evolved migmatite and leucogranite related to crustal anataxis and decompression melting within extensional gneiss domes, and; 2) localized intra-continental magmatism in the Dunkeldik/Taxkorgan complex.

[Clinical evaluation of the revised International Prognostic Score of Thrombosis for essential thrombocythemia (IPSET-thrombosis) in a cohort of 746 Chinese adult patients].

PubMed

Fu, R F; Li, H Y; Xue, F; Liu, X F; Liu, W; Huang, Y T; Chen, Y F; Zhang, L Y; Zhang, L; Yang, R C

2017-02-14

Objective: To evaluate the role of the revised International Prognostic Score of Thrombosis (IPSET-thrombosis) in predicting the occurrence of thrombotic events in Chinese patients with essential thrombocythemia (ET) and to develop a thrombosis predicting model more applicable to Chinese ET patients. Methods: Medical records of 746 adult patients with an initial diagnosis of ET were retrospectively analyzed. Results: The median age at diagnosis was 52 (18-87) years, with 305 males and 441 females. According to the revised IPSET-thrombosis model, the number of very low-, low-, intermediate-, and high-risk patients were 271 (36.3%) , 223 (29.9%) , 63 (8.4%) and 189 (25.3%) , respectively. The four groups exhibited significantly different thrombosis-free survival ( χ (2)=72.301, P <0.001) . Thirty-six patients were reclassified as intermediate-risk according to the revised IPSET-thrombosis instead of low-risk as per the original IPSET-thrombosis. Nineteen intermediate-risk patients as per the original IPSET-thrombosis were upgraded to high-risk according to the revised IPSET-thrombosis. Fifty-one high-risk patients as per the original IPSET-thrombosis were reclassified as low-risk in the revised IPSET-thrombosis. It suggests that the revised IPSET-thrombosis potentially avoids over- or under-treatment. In low-risk patients as per the revised IPSET-thrombosis, the rate of thrombosis in patients with cardiovascular risk factors (CVF) was higher than that in those without (16.3% vs 5.2%, χ (2)=5.264, P =0.022) , and comparable with intermediate-risk patients as per the revised IPSET-thrombosis (16.3% vs 14.3%, χ (2)=0.089, P =0.765) . As a result, a new revised IPSET-thrombosis model more applicable to Chinese ET patients was developed in which patients with CVF in the low-risk group as per the revised IPSET-thrombosis were reclassified as intermediate-risk group. Conclusion: For predicting the occurrence of thrombotic events, the revised IPSET-thrombosis model was better than the original IPSET-thrombosis model. The revised IPSET-thrombosis was optimized and a new revised IPSET-thrombosis model more applicable to Chinese ET patients was developed, and the new evidence for risk stratification and treatment of ET in Chinese was provided.

The Epidemiology of Revision Anterior Cruciate Ligament Reconstruction in Adults from Ontario, Canada

PubMed Central

Leroux, Timothy; Wasserstein, David; Dwyer, Tim; Ogilvie-Harris, Darrell; Marks, Paul H.; Bach, Bernard R.; Townley, John; Mahomed, Nizar; Chahal, Jaskarndip

2015-01-01

Objectives: The morbidity associated with revision anterior cruciate ligament reconstruction (ACLR) is largely unknown. The objective of this study was to determine the rate of and risk factors for re-revision, re-operation, and re-admission following revision ACLR in the general population. Methods: All patients who underwent first revision ACLR in Ontario, Canada from January 2004 to December 2010 were identified and followed to December 2012. Exclusions included age (<16 years), previous osteotomy, or multi-ligament knee reconstruction. The main outcome was re-revision ACLR. Secondary outcomes included re-operation [irrigation and debridement (I&D), meniscectomy, manipulation under anesthesia (MUA), contralateral ACLR, and total knee arthroplasty (TKA)], and re-admission within 90 days of surgery. Survival to re-revision was determined using the Kaplan-Meier (KM) approach. A Cox proportional hazards model or logistic regression were used to determine the influence of patient factors (age, sex, neighborhood income quintile, and comorbidity), surgical factors (graft choice, concurrent meniscal procedure, and fixation method), and provider factors (surgeon volume, surgeon years in practice, and hospital status) on outcomes. A post-hoc analysis was performed to determine the influence of the aforementioned factors on overall post-operative infection risk, including both operative and non-operative cases. Results: Overall, 827 patients were included (median age: 30 years; 58.8% males). Single stage revisions comprised 92.9% of cases, and a meniscal procedure (repair or debridement) was performed in 45.3% of cases. The re-revision rate at a mean follow-up of 4.8±2.2 years was 4.4%, and the five-year survival rate was 95.4% (Figure 1). The rates of I&D, meniscectomy, contralateral ACLR, and re-admission were 0.8%, 3.1%, 3.4%, and 4.1%, respectively. MUA and TKA were rare. Young age significantly increased contralateral ACLR risk (risk decreased by 5.1% with each year of age above 16 years, p=0.02), but not re-revision ACLR risk. Low surgeon annual volume of revision ACLR [<4 revisions/year: odds ratio (OR) 1.2, p=0.02)] and male sex (OR 13.3, p=0.01) significantly increased overall infection risk, while male sex also influenced I&D risk. No other factors significantly influenced re-revision, re-operation, or re-admission risk. Conclusion: Re-revision, re-operation, and re-admission rates following revision ACLR are low. The risk of I&D, overall infection, and contralateral ACLR were influenced by male sex, low surgeon volume, and young age, respectively. This is the first study of this magnitude to determine rates of and risk factors for morbidity following revision ACLR, providing clinicians with reference data from the general population.

An electrocardiographic scoring system for distinguishing right ventricular outflow tract arrhythmias in patients with arrhythmogenic right ventricular cardiomyopathy from idiopathic ventricular tachycardia.

PubMed

Hoffmayer, Kurt S; Bhave, Prashant D; Marcus, Gregory M; James, Cynthia A; Tichnell, Crystal; Chopra, Nagesh; Moxey, Laura; Krahn, Andrew D; Dixit, Sanjay; Stevenson, William; Calkins, Hugh; Badhwar, Nitish; Gerstenfeld, Edward P; Scheinman, Melvin M

2013-04-01

Ventricular arrhythmias in patients with arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) and idiopathic ventricular tachycardia (VT) can share a left bundle branch block/inferior axis morphology. We previously reported electrocardiogram characteristics during outflow tract ventricular arrhythmias that helped distinguish VT related to ARVD/C from idiopathic VT. To prospectively validate these criteria. We created a risk score by using a derivation cohort. Two experienced electrophysiologists blinded to the diagnosis prospectively scored patients with VT/premature ventricular contractions (PVCs) with left bundle branch block/inferior axis pattern in a validation cohort of 37 ARVD/C tracings and 49 idiopathic VT tracings. All patients with ARVD/C had their diagnosis confirmed based on the revised task force criteria. Patients with idiopathic VT were selected based on structurally normal hearts with documented right ventricular outflow tract VT successfully treated with ablation. The scoring system provides 3 points for sinus rhythm anterior T-wave inversions in leads V1-V3 and during ventricular arrhythmia: 2 points for QRS duration in lead I≥120 ms, 2 points for QRS notching, and 1 point for precordial transition at lead V5 or later. A score of 5 or greater was able to correctly distinguish ARVD/C from idiopathic VT 93% of the time, with a sensitivity of 84%, specificity of 100%, positive predictive value of 100%, and negative predictive value of 91%. We describe a simple scoring algorithm that uses 12-lead electrocardiogram characteristics to effectively distinguish right ventricular outflow tract arrhythmias originating from patients with ARVD/C versus patients with idiopathic VT. Copyright © 2013 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.

Associations Between Sleep Duration Patterns and Behavioral/Cognitive Functioning at School Entry

PubMed Central

Touchette, Évelyne; Petit, Dominique; Séguin, Jean R.; Boivin, Michel; Tremblay, Richard E.; Montplaisir, Jacques Y.

2007-01-01

Objective: The aim of the study was to investigate the associations between longitudinal sleep duration patterns and behavioral/cognitive functioning at school entry. Design, Setting, and Participants: Hyperactivity-impulsivity (HI), inattention, and daytime sleepiness scores were measured by questionnaire at 6 years of age in a sample of births from 1997 to 1998 in a Canadian province (N=1492). The Peabody Picture Vocabulary Test - Revised (PPVT-R) was administered at 5 years of age and the Block Design subtest (WISC-III) was administered at 6 years of age. Sleep duration was reported yearly by the children's mothers from age 2.5 to 6 years. A group-based semiparametric mixture model was used to estimate developmental patterns of sleep duration. The relationships between sleep duration patterns and both behavioral items and neurodevelopmental tasks were tested using weighted multivariate logistic regression models to control for potentially confounding psychosocial factors. Results: Four sleep duration patterns were identified: short persistent (6.0%), short increasing (4.8%),10-hour persistent (50.3%), and 11-hour persistent (38.9%). The association of short sleep duration patterns with high HI scores (P=0.001), low PPVT-R performance (P=0.002), and low Block Design subtest performance (P=0.004) remained significant after adjusting for potentially confounding variables. Conclusions: Shortened sleep duration, especially before the age of 41 months, is associated with externalizing problems such as HI and lower cognitive performance on neurodevelopmental tests. Results highlight the importance of giving a child the opportunity to sleep at least 10 hours per night throughout early childhood. Citation: Touchette E; Petit D; Séguin JR; Boivin M; Tremblay RE; Montplaisir JY. Associations between sleep duration patterns and behavioral/cognitive functioning at school entry. SLEEP 2007;30(9):1213-1219. PMID:17910393

Late Reduction of Cocaine Cravings in a Randomized, Double-Blind Trial of Aripiprazole vs Perphenazine in Schizophrenia and Comorbid Cocaine Dependence.

PubMed

Beresford, Thomas; Buchanan, Jennifer; Thumm, Elizabeth Brie; Emrick, Chad; Weitzenkamp, David; Ronan, Patrick J

2017-12-01

Co-occurring schizophrenia spectrum disorder and International Statistical Classification of Diseases, 10th Revision cocaine dependence present a particularly destructive constellation that is often difficult to treat. Both conditions raise dopamine transmission effects in the brain. Traditional neuroleptics block dopamine receptors, whereas aripiprazole modulates dopamine activity as an agonist/antagonist. We tested whether dopamine modulation is superior to dopamine blocking in dual-diagnosis patients. In a randomized, double-blind, comparison design, cocaine-dependent schizophrenic subjects actively using cocaine received either aripiprazole or perphenazine in an 8-week trial. Primary outcome targeted cocaine-free urine sample proportions, whereas cocaine craving scores were a secondary variable. Subjects (N = 44) randomized (n = 22 per group) did not differ at baseline. The proportion of cocaine-free urine samples did not differ by medication group. Contrasting weeks 3 to 5 vs 6 to 8 revealed significant late reductions in craving with aripiprazole. On the respective 5-point subscales, craving intensity decreased by 1.53 ± 0.43 (P < 0.0005) points, craving frequency by 1.4 ± 0.40 (P > 0.0004) points, and craving duration by 1.76 ± 0.44 (P > 0.0001) points. A drug effect of aripiprazole on craving items appeared at week 6 of treatment, on average, and was not seen before that length of drug exposure. The data suggest that dopamine modulation reduces cocaine cravings but requires an acclimation period. To understand the mechanism of action better, a trial of depot aripiprazole may be useful. Clinically, a reduction in craving potentially offers a clearer focus for ongoing behavioral treatment. It may also offer a longer-term treatment effect with respect to the severity of relapse.

Is subjective memory specific for memory performance or general across cognitive domains? Findings from the Seattle Longitudinal Study.

PubMed

Hülür, Gizem; Willis, Sherry L; Hertzog, Christopher; Schaie, K Warner; Gerstorf, Denis

2018-05-01

A growing body of research has examined whether people's judgments of their own memory functioning accurately reflect their memory performance at cross-section and over time. Relatively less is known about whether these judgments are specifically based on memory performance, or reflect general cognitive change. The aim of the present study was to examine longitudinal associations of subjective memory with performance in tests of episodic memory and a wide range of other cognitive tests, including the Wechsler Adult Intelligence Scale-Revised (WAIS-R) Block Design, Comprehension, Digit Span, Digit Symbol, and Vocabulary subtests. We applied latent growth curve models to five occasions over up to 16 years of neuropsychological assessments from 956 participants of the Seattle Longitudinal Study (SLS; 57% women; age at baseline: M = 65.1, SD = 11.4, 38 - 96 years). Results revealed that lower self-reported Frequency of Forgetting was significantly associated with better performance in all cognitive domains at baseline. The baseline correlation of Frequency of Forgetting with memory performance was stronger than its correlations with performance in other cognitive tests. Furthermore, additional analyses with baseline data showed that a latent memory performance factor reliably predicted Frequency of Forgetting after controlling for a general cognitive factor. Over time, steeper increases in Frequency of Forgetting were associated with steeper declines in tests of memory performance and in the Block Design and Digit Symbol subtests. Taken together, these findings suggest that although self-reported Frequency of Forgetting reflects performance in a broad range of other cognitive domains, it also shows some specificity for memory performance. (PsycINFO Database Record (c) 2018 APA, all rights reserved).