Science.gov

Sample records for lithuania early closure

  1. Challenges for Lithuania: Ignalina NPP Early Closure

    SciTech Connect

    Teskeviciene, Birute

    2008-01-15

    thereby reducing operating costs and the final quantity of spent fuel. Design and construction of the facilities for spent fuel storage, waste processing and free-release is ongoing. The siting of the Near Surface Repository is now in the final stages of approval and construction of the landfill facility is under tendering. In order to facilitate the approval process and minimize the transport of waste, both disposal facilities will be within the boundary of the NPP site. Approximately 450 staff are employed at the shutdown Unit 1 for the safe maintenance of essential systems. The total staffing level at the plant is currently being reduced by around 200 each year, with a larger release to take place at the closure of Unit 2. It is envisaged that 2000 staff will be required for the dismantling operations. Although Ignalina NPP is still in the early stages of closure and decommissioning, some important lessons have already been learnt: Firstly, the importance considering social and financial issues as well as technical factors in deciding the decommissioning strategy. This should be done before the preparation is started of the FDP. The same broad consideration should also be given to the economic restructuring of the local area. Consultation is necessary with local and national authorities, and other stakeholders up to ensure a common vision. At Ignalina NPP it was considered essential to staff morale and the maintenance of a strong safety culture to guarantee the special social and employment benefits to dismissed staff in law [9]. At the same time, measures were also adopted to encourage certain key personnel to remain at the plant until closure. The case of Lithuania, which at independence had no legislative framework or management infrastructure for radioactive waste, may be exceptional; however, for all decommissioning projects it is necessary to have, from the outset, a clear strategy on waste storage and disposal. Finally, coordination at all levels must be assured

  2. Incidence of prostate cancer in Lithuania after introduction of the Early Prostate Cancer Detection Programme.

    PubMed

    Smailyte, G; Aleknaviciene, B

    2012-12-01

    In Lithuania, prostate-specific antigen (PSA) testing is offered to healthy asymptomatic men as a screening test in the population-based Early Prostate Cancer Detection Programme (EPCDP). The aim of this study was to analyse the incidence of prostate cancer before and after introduction of the EPCDP in Lithuania. Prostate cancer incidence and mortality data from the Lithuanian Cancer Registry were analysed for the period 1990-2008. Age-specific incidence and mortality data were adjusted to the European Standard Population. There have been extraordinary changes in the incidence of prostate cancer in Lithuania following introduction of the EPCDP, and there is strong evidence that these changes are the result of increased detection rates, especially in men of screening age. Further observation of changes in prostate cancer incidence and mortality in Lithuania may help to determine the extent to which PSA testing at the population level influences incidence and mortality in the general population.

  3. Early Childhood Education and Care in Europe: Tackling Social and Cultural Inequalities. Lithuania

    ERIC Educational Resources Information Center

    Seibokiene, Grazina

    2008-01-01

    In Lithuania early childhood education and care embraces children of the age from one to seven and is an integrated part of the education system. According to Lithuanian education classification, it belongs to the zero level of education. Though defined as pre-school education yet this stage is composed of two parts--pre-school education of…

  4. Comparison of Outcomes between Early Fascial Closure and Delayed Abdominal Closure in Patients with Open Abdomen: A Systematic Review and Meta-Analysis

    PubMed Central

    Chen, Yu; Ye, Jinning; Song, Wu; Chen, Jianhui; Yuan, Yujie; Ren, Jianan

    2014-01-01

    Up to the present, the optimal time to close an open abdomen remains controversial. This study was designed to evaluate whether early fascial abdominal closure had advantages over delayed approach for open abdomen populations. Medline, Embase, and Cochrane Library were searched until April 2013. Search terms included “open abdomen,” “abdominal compartment syndrome,” “laparostomy,” “celiotomy,” “abdominal closure,” “primary,” “delayed,” “permanent,” “fascial closure,” and “definitive closure.” Open abdomen was defined as “fail to close abdominal fascia after a laparotomy.” Mortality, complications, and length of stay were compared between early and delayed fascial closure. In total, 3125 patients were included for final analysis, and 1942 (62%) patients successfully achieved early fascial closure. Vacuum assisted fascial closure had no impact on pooled fascial closure rate. Compared with delayed abdominal closure, early fascial closure significantly reduced mortality (12.3% versus 24.8%, RR, 0.53, P < 0.0001) and complication incidence (RR, 0.68, P < 0.0001). The mean interval from open abdomen to definitive closure ranged from 2.2 to 14.6 days in early fascial closure groups, but from 32.5 to 300 days in delayed closure groups. This study confirmed clinical advantages of early fascial closure over delayed approach in treatment of patients with open abdomen. PMID:24987411

  5. Acceptable results of early closure of loop ileostomy to protect low rectal anastomosis.

    PubMed

    Perdawid, Sharafaden Karim; Andersen, Ole Bjørn

    2011-06-01

    This was a pilot project performed prior to full implementation of early loop ileostomy closure (within two weeks) following low anterior resection of the rectum in a group of patients selected according to previously recommended criteria for safe, early ileostomy closure. Retrospective review of medical records. Patients undergoing loop ileostomy closure between December 2009 and October 2010 were analyzed. Data were collected on demographics, tumour characteristics, information about the perioperative period, operative details, postoperative complications, closure operation, the postoperative closure period and follow-up. Eleven patients were included (men, n = 4) with a median age of 58 years (range 47-79 years). Ileostomy closure was performed at a median of ten days (range 8-13 days) following rectum resection. The median hospital stay was 16 days (range 14-24 days). No re-laparotomies were performed. One patient developed a pelvic pus collection ten days post closure and was treated conservatively. One patient died 32 days after closure for reasons not related to surgery. The results of this small retrospective study show morbidity rates associated with early loop ileostomy closure that are probably acceptable. Safety, feasibility, timing and selection criteria should be clarified in large randomized studies. not relevant. not relevant.

  6. [Early migration of the device for transcatheter closure of atrial septal defect. Case report].

    PubMed

    Santos, Nelson; Guerra, Miguel; Neves, Fátima; Gonçalves, Manuel; Gama, Vasco; Mota, João; Vouga, Luis

    2007-01-01

    The transcatheter closure of the atrial septal defect (ASD) has been proposed as an alternative to surgical therapy for the ostium secundum ASD. It is considered an effective and safe procedure, although rare but potentially fatal complications have been reported. The authors report a case of early migration of a device for transcatheter closure of an ASD to the right pulmonary artery.

  7. Techniques for Abdominal Wall Closure after Damage Control Laparotomy: From Temporary Abdominal Closure to Early/Delayed Fascial Closure—A Review

    PubMed Central

    Huang, Qian; Li, Jieshou; Lau, Wan-yee

    2016-01-01

    Open abdomen (OA) has been an effective treatment for abdominal catastrophes in traumatic and general surgery. However, management of patients with OA remains a formidable task for surgeons. The central goal of OA is closure of fascial defect as early as is clinically feasible without precipitating abdominal compartment syndrome. Historically, techniques such as packing, mesh, and vacuum-assisted closure have been developed to assist temporary abdominal closure, and techniques such as components separation, mesh-mediated traction, bridging fascial defect with permanent synthetic mesh, or biologic mesh have also been attempted to achieve early primary fascial closure, either alone or in combined use. The objective of this review is to present the challenges of these techniques for OA with a goal of early primary fascial closure, when the patient's physiological condition allows. PMID:26819597

  8. Early Closure of Gastroschisis After Silo Placement Correlates with Earlier Enteral Feeding

    PubMed Central

    Harris, Jamie; Poirier, Jennifer; Selip, Debra; Pillai, Srikumar; N. Shah, Ami; Jackson, Carl-Christian; Chiu, Bill

    2015-01-01

    Objectives: Gastroschisis is a congenital anomaly affecting 2.3-4.4/10,000 births. Previous studies show initiation of early enteral feeds predicts improved outcomes. We hypothesize that earlier definitive closure after silo placement; can lead to earlier enteral feed initiation. Design/ Setting/ Duration: Retrospective review of patients with gastroschisis from 2005 and 2014 at a single institution. Material and Methods: The data, including ethnicity, gestational age, birth weight, time to definitive closure, and time of first and full feeds, were analyzed using both Spearman’s rho and the Kruskal-Wallis rank sum test where appropriate; a p value less than 0.05 was considered significant. Results: Forty-three patients (24 males, 19 females) born with gastroschisis were identified. Overall survival rate was 88% (38/43). Forty of the 43 patients had a silo placed prior to definitive closure. Median days to closure were 6 (0 to 85) days. First feeds on average began on day of life (DOL) 17, and full feeds on DOL 25. Earlier closure of gastroschisis correlated with early initiation of feeds (p=0.0001) and shorter time to full feeds (p=0.018), closure by DOL4 showed a trend toward earlier feeding (p=0.13). Conclusion: Earlier closure of gastroschisis after silo placement was associated with earlier feed initiation and shorter time to full feeds. PMID:26290810

  9. Effect of lip closure on early maxillary growth in patients with cleft lip and palate.

    PubMed

    Rousseau, Pascal; Metzger, Marc; Frucht, Sibylle; Schupp, Wipke; Hempel, Mareike; Otten, Jörg-Elard

    2013-01-01

    Debate continues about the cause of midfacial growth disturbance in patients with facial clefts. To evaluate the functional effect of surgical closure of the lip before palatal closure according to the technique by Delaire on early maxillary growth in patients with complete unilateral cleft lip and palate. Twenty-two patients with unilateral cleft lip and palate were studied using plaster casts obtained at the time of cheilorhinoplasty and 6 months later before palatal closure. The interrupted lateral muscles were anatomically repositioned using the surgical technique by Delaire. No patients had received preoperative orthodontic treatment or a passive palatal plate. Cast analyses were performed using a digital caliper. Landmark positioning was performed 3 times by 2 different examiners to define intraobserver and interobserver differences. The final maxilla dimensions were recorded as the distances between the mean landmark positions. Using the t test, dimensions obtained before palatal closure were compared with dimensions obtained before lip closure. The method allowed good reproducibility. Functional closure of the lip significantly narrowed the transverse anterior cleft areas by -2.36 mm (P < .05). Sagittal variables were increased by 1.68 mm on the nonaffected side and by 1.48 mm on the affected side (P < .05 for both). Functional closure according to the technique by Delaire narrows the transverse dimensions of the maxilla, while simultaneously preserving initial sagittal growth. 4.

  10. Lower early postnatal oxygen saturation target and risk of ductus arteriosus closure failure.

    PubMed

    Inomata, Kei; Taniguchi, Shinji; Yonemoto, Hiroki; Inoue, Takeshi; Kawase, Akihiko; Kondo, Yuichi

    2016-11-01

    Early postnatal hyperoxia is a major risk factor for retinopathy of prematurity (ROP) in extremely premature infants. To reduce the occurrence of ROP, we adopted a lower early postnatal oxygen saturation (SpO2 ) target range (85-92%) from April 2011. Lower SpO2 target range, however, may lead to hypoxemia and an increase in the risk of ductus arteriosus (DA) closure failure. The aim of this study was therefore to determine whether a lower SpO2 target range, during the early postnatal stage, increases the risk of DA closure failure. Infants born at <28 weeks' gestation were enrolled in this study. Oxygen saturation target range during the first postnatal 72 h was 84-100% in study period 1 and 85-92% in period 2. Eighty-two infants were included in period 1, and 61 were included in period 2. The lower oxygen saturation target range increased the occurrence of hypoxemia during the first postnatal 72 h. Prevalence of DA closure failure in period 2 (21%) was significantly higher than that in period 1 (1%). On multivariate logistic regression analysis, the lower oxygen saturation target range was an independent risk factor for DA closure failure. Lower early postnatal oxygen saturation target range increases the risk of DA closure failure. © 2016 Japan Pediatric Society.

  11. Residential lighting in Lithuania

    SciTech Connect

    Kazakevicius, Eduardas; Gadgil, Ashok; Vorsatz, Diana

    1998-09-01

    A wider use of compact fluorescent lamps (CFLs) offers a significant opportunity for Lithuania in reducing wasteful electricity consumption, and making progress towards retiring the Chernobyl-type Ignalina nuclear power reactors. The authors evaluate the conservation potential of compact fluorescent lamps for managing the residential electrical energy demand in Lithuania. The analysis is undertaken from the three-separate perspectives of (1) the national economy, (2) the consumers and (3) the utilities. In their analysis they use the most recent available data on Lithuanian residential lighting. The costs of conserved energy of 15 and 23 W CFLs range from $0.007 to 0.031 per kW-h depending on CFL price and assuming 4-hour daily lamp use. Replacing only the two most used 60 W incandescent lamps per household with CFLs would save 190 GW-h of electrical energy for Lithuania annually worth 12 million US dollars at the long run2048ginal cost. The authors compare the current residential lighting situation in Lithuania with that in Hungary and Poland, where introduction of CFLs has been much more successful. They then discuss factors that could explain the much higher CFL penetration in Hungary and Poland, barriers to immediate large-scale introduction of CFLs in Lithuania, and policy instruments that could be used for promoting the diffusion of CFLs in the residential sector of Lithuania. They conclude that future success of CFL penetration in Lithuania will depend on aggressive information and promotion efforts by at least the CFL manufacturers, and/or by any of the stakeholder institutions, (e.g., the state agencies responsible for energy and environment, electric utilities, international agencies, etc.).

  12. Elevated risk of early reoperation in total hip replacement during the stage of unit closure

    PubMed Central

    Peltola, Mikko; Malmivaara, Antti; Paavola, Mika; Seitsalo, Seppo

    2016-01-01

    Background and purpose — The effects of launch or closure of an entire arthroplasty unit on the first or last patients treated in these units have not been studied. Using a 3-year follow-up, we investigated whether patients who were treated at the launch or closure stage of an arthroplasty unit of a hospital would have a higher risk of reoperation than patients treated in-between at the same units. Patients and methods — From the Finnish Arthroplasty Register, we identified all the units that had performed total joint arthroplasty and the units that were launched or closed in Finland between 1998 and 2011. The risks of reoperation within 3 years for the 41,748 total hip and knee replacements performed due to osteoarthritis in these units were modeled with Cox proportional-hazards regression, separately for hip and knee and for the launch and the closure stage. Results — The unadjusted and adjusted hazard ratios (HRs) for total hip and knee replacements performed in the initial stage of activity of the units that were launched were similar to the reoperation risks in patients who were operated in these units after the early stage of activity. The unadjusted and risk-adjusted HRs for early reoperation after total hip replacement (THR) were increased at the closure stage (adjusted HR = 1.8, 95% CI: 1.2–2.8). The reoperation risk at the closure stage after total knee replacement (TKR) was not increased. Interpretation — The results indicate that closure of units performing total hip replacements poses an increased risk of reoperation. Closures need to be managed carefully to prevent the quality from deteriorating when performing the final arthroplasties. PMID:26541178

  13. Cancer education in Lithuania

    PubMed Central

    Mineikyte, Ramune; Janulionis, Ernestas; Liutkeviciute-Navickiene, Jurgita; Atkocius, Vydmantas

    2014-01-01

    The aim of this article is to describe cancer education in Lithuania according to the data of 2013. In Lithuania, there are the following stages of education for physicians: basic education through integrated studies of medicine (six years), postgraduate education through residency studies (four to five years), and continuing professional development. In recent years, integrated studies of medicine have been the most popular specialty. Oncology is incorporated into the teaching courses in medicine programmes. In each university, an oncology course is mandatory during these studies. In Lithuania, there are two types of specialists related to oncology: medical oncologists and radiation oncologists. These oncologists complete multidisciplinary residency study programmes in the clinics. To receive a doctoral degree, specialists may join PhD programmes at any of the accredited universities. In recent years the number of dissertations in oncology has grown. Notably, oncology is chosen not only by students in the field of medicine. It also becomes the choice of those seeking a doctorate in the fields of nursing, public health, biochemistry, and physics. The professional development of oncologists is a lifelong commitment. In Lithuania, continuing specialist medical training is mandatory. This requirement is ensured with the process of licensing of medical practice. All Lithuanian study programmes are certificated by an independent public agency and are recognised by a number of other countries as well. PMID:25525465

  14. Teaching Negotiation in Lithuania

    ERIC Educational Resources Information Center

    Groth, Brian Ibbotson

    2007-01-01

    In this article, the author describes his experiences and the lessons he learned from a 2-week stint teaching negotiation in Lithuania. He learned that for anyone older than about 25, and that constituted most of the class, being part of the Soviet Union for more than half a century seems to have left deep wounds that have not yet healed.…

  15. Investing in Youth: Lithuania

    ERIC Educational Resources Information Center

    OECD Publishing, 2016

    2016-01-01

    The series Investing in Youth builds on the expertise of the Organisation for Economic Cooperation and Development (OECD) on youth employment, social support and skills. It covers both OECD countries and countries in the process of accession to the OECD, as well as some emerging economies. The present report on Lithuania is the fourth of a new…

  16. Investing in Youth: Lithuania

    ERIC Educational Resources Information Center

    OECD Publishing, 2016

    2016-01-01

    The series Investing in Youth builds on the expertise of the Organisation for Economic Cooperation and Development (OECD) on youth employment, social support and skills. It covers both OECD countries and countries in the process of accession to the OECD, as well as some emerging economies. The present report on Lithuania is the fourth of a new…

  17. Teaching Negotiation in Lithuania

    ERIC Educational Resources Information Center

    Groth, Brian Ibbotson

    2007-01-01

    In this article, the author describes his experiences and the lessons he learned from a 2-week stint teaching negotiation in Lithuania. He learned that for anyone older than about 25, and that constituted most of the class, being part of the Soviet Union for more than half a century seems to have left deep wounds that have not yet healed.…

  18. Early decision-analytic modeling - a case study on vascular closure devices.

    PubMed

    Brandes, Alina; Sinner, Moritz F; Kääb, Stefan; Rogowski, Wolf H

    2015-10-27

    As economic considerations become more important in healthcare reimbursement, decisions about the further development of medical innovations need to take into account not only medical need and potential clinical effectiveness, but also cost-effectiveness. Already early in the innovation process economic evaluations can support decisions on development in specific indications or patient groups by anticipating future reimbursement and implementation decisions. One potential concept for early assessment is value-based pricing. The objective is to assess the feasibility of value-based pricing and product design for a hypothetical vascular closure device in the pre-clinical stage which aims at decreasing bleeding events. A deterministic decision-analytic model was developed to estimate the cost-effectiveness of established vascular closure devices from the perspective of the Statutory Health Insurance system. To identify early benchmarks for pricing and product design, three strategies of determining the product's value are explored: 1) savings from complications avoided by the new device; 2) valuation of the avoided complications based on an assumed willingness-to-pay-threshold (the efficiency frontier approach); 3) value associated with modifying the care pathways within which the device would be applied. Use of established vascular closure devices is dominated by manual compression. The hypothetical vascular closure device reduces overall complication rates at higher costs than manual compression. Maximum cost savings of only about €4 per catheterization could be realized by applying the hypothetical device. Extrapolation of an efficiency frontier is only possible for one subgroup where vascular closure devices are not a dominated strategy. Modifying care in terms of same-day discharge of patients treated with vascular closure devices could result in cost savings of €400-600 per catheterization. It was partially feasible to calculate value-based prices for the

  19. Does surgical closure technique affect early mammographic detection of tumor recurrence after breast-conserving therapy?

    PubMed

    Newlin, Heather E; Indelicato, Daniel J; Abbitt, Patricia; Marshall, Julia; Wymer, David; Grobmyer, Stephen; Haigh, Linda; Copeland, Edward; Morris, Christopher G; Mendenhall, Nancy P

    2009-10-01

    Scarring in the tumor bed may mask or mimic local recurrence of tumor on surveillance mammography. Type of surgical closure technique used during lumpectomy may impact the pattern or density of scar tissue apparent in the tumor bed on mammography. This study sought to determine whether surgical closure type affects tumor-bed scar formation and impacts interpretation of surveillance mammography in women treated with breast-conserving therapy for early-stage breast cancer. One hundred women who received breast-conserving therapy were selected; 99 of them had 2-year post-treatment mammograms for the treated breast. Craniocaudal and mediolateral oblique views were reviewed by 3 subspecialty radiologists who routinely read mammograms. The mammograms were scored on 5-point scales for overall breast density and scarring within the tumor bed. The analyses did not demonstrate greater scarring or density in breast status post superficial closure compared with breast status post full-thickness closure, or vice versa (P > 0.05 for scarring and density). There were no detectable differences between the 2 closure techniques either within the data from individual reviewers, within the composite data for the entire group of reviewers, or in instances where 2 of 3 reviewers agreed (P > 0.05). There was significant interobserver variability in scoring among the mammographers for both scarring (P = 0.001) and density (P < 0.0001). Based on our study of the 2-year post-treatment mammograms, there was no evidence that closure technique impacts degree of scarring in the tumor bed. However, striking interobserver variability in scoring density and scarring was noted.

  20. Priming of Early Closure: Evidence for the Lexical Boost during Sentence Comprehension

    PubMed Central

    Traxler, Matthew J.

    2014-01-01

    Two self-paced reading experiments investigated priming in sentences containing “early” vs. “late closure” ambiguities. Early closure sentences impose relatively large processing costs at the point of syntactic disambiguation (Frazier & Rayner, 1982). The current study investigated a possible way to reduce processing costs. Target sentences were temporarily ambiguous and were disambiguated towards either the preferred “late” closure analysis or the dispreferred “early” closure analysis. Each target sentence was preceded by a prime that was either structurally identical or that required a different syntactic analysis. In Experiment 1, all of the prime sentences shared the same critical verb as the target (Arai et al., 2007; Carminati et al., 2008; Tooley et al., 2009, in press; Traxler et al., in press; Weber & Indefrey, 2009). In Experiment 2, verb repetition was eliminated by reorganizing the stimuli from Experiment 1. In Experiment 1, processing of the disambiguating verb was facilitated when an “early” closure target sentence followed an “early” closure prime. In Experiment 2, there were no significant priming effects, although an overall difference in processing time favored “late closure” targets. Combined analyses verified that the pattern of results in Experiment 1 differed significantly from Experiment 2. These experiments provide the first indication that “early” closure analyses can be primed and that such priming is more robust when a critical verb appears in both the prime and the target sentence. The results add to the body of data indicating a “lexical boost” for syntactic priming effects during comprehension. They have implications for theories of syntactic representation and processing (e.g., Boland & Blodgett, 2006; Vosse & Kempen, 2009; Sag et al., 2003). PMID:25750915

  1. Early hard palate closure using a vomer flap in unilateral cleft lip and palate: effects on cleft width.

    PubMed

    de Jong, Johanna P; Breugem, Corstiaan C

    2014-05-01

    Although no universal consensus exists on treatment of cleft palates, early hard palate closure is commonly performed. The aim of the present study was to determine the influence of a vomer flap for early hard palate closure on residual palatal cleft width in patients with a unilateral complete cleft lip and palate (UCLP). Forty-seven UCLP patients were retrospectively divided into two groups. Group A consisted of 25 patients who underwent early lip closure and simultaneous hard palate closure using a vomer flap. Group B included 22 patients who had lip closure only at first surgery. Palatal cleft widths of both groups were measured at two time points and were compared using the Mann-Whitney U test to examine the influence of vomerplasty in this very early stage. No significant difference of baseline characteristics between the groups was found, and comparison of age at the time of surgeries was not significantly different. Mean age at the time of vomerplasty was 4.0 months. After the first surgery, a significantly greater total cleft width reduction of 5.0 mm average was found in group A compared to only 1.5 mm reduction in group B. This reduction took place after an average of 7.1 and 7.0 months, respectively. Lip closure accompanied by early hard palate closure using a vomer flap is associated with a significant postoperative reduction of the residual cleft when compared to lip closure only. This study shows another great advantage of performing early hard palate closure using a vomer flap.

  2. Biogeochemical Changes at Early Stage After the Closure of Radioactive Waste Geological Repository in South Korea

    SciTech Connect

    Choung, Sungwook; Um, Wooyong; Choi, Seho; Francis, Arokiasamy J.; Kim, Sungpyo; Park, Jin beak; Kim, Suk-Hoon

    2014-09-01

    Permanent disposal of low- and intermediate-level radioactive wastes in the subterranean environment has been the preferred method of many countries, including Korea. A safety issue after the closure of a geological repository is that biodegradation of organic materials due to microbial activities generates gases that lead to overpressure of the waste containers in the repository and its disintegration with the release of radionuclides. As part of an ongoing large-scale in situ experiment using organic wastes and groundwater to simulate geological radioactive waste repository conditions, we investigated the geochemical alteration and microbial activities at an early stage (~63 days) intended to be representative of the initial period after repository closure. The increased numbers of both aerobes and facultative anaerobes in waste effluents indicate that oxygen content could be the most significant parameter to control biogeochemical conditions at very early periods of reaction (<35 days). Accordingly, the values of dissolved oxygen and redox potential were decreased. The activation of anaerobes after 35 days was supported by the increased concentration to ~50 mg L-1 of ethanol. These results suggest that the biogeochemical conditions were rapidly altered to more reducing and anaerobic conditions within the initial 2 months after repository closure. Although no gases were detected during the study, activated anaerobic microbes will play more important role in gas generation over the long term.

  3. Early Canadian Multicenter Experience With WATCHMAN for Percutaneous Left Atrial Appendage Closure.

    PubMed

    Saw, Jacqueline; Fahmy, Peter; Azzalini, Lorenzo; Marquis, Jean-Francois; Hibbert, Benjamin; Morillo, Carlos; Carrizo, Aldo; Ibrahim, Reda

    2017-04-01

    There are limited data with WATCHMAN (Boston Scientific Corporation, Natick, MA, USA) for left atrial appendage (LAA) closure in patients with nonvalvular atrial fibrillation (AF) and contraindications to anticoagulation. The purpose of this study was to evaluate the safety and efficacy of WATCHMAN in our early Canadian experience. We report our pooled consecutive series of patients who underwent WATCHMAN implantation at four major Canadian centers. Indications for LAA closure were CHADS2 ≥ 1 or CHA2 DS2 -VASc ≥ 2, and contraindication/intolerance to or failure on anticoagulation. Follow-up imaging was typically performed 1-6 months postprocedure. One hundred and six patients underwent LAA closure with WATCHMAN from May 2013 to October 2015. The mean age was 74.8 ± 7.7, mean CHADS2 score was 2.8 ± 1.2, CHA2 DS2 -VASc score was 4.3 ± 1.5, and HASBLED score was 3.2 ± 1.2. Permanent AF was present in 67.9% and paroxysmal AF in 32.1%. Indications for LAA closure were prior bleeding 89.6% (87 major bleeding and 8 minor bleeding), 9.4% were deemed high risk for bleeding, and 0.9% with recurrent strokes on warfarin. Procedural success was 97.2% (103 of 106), with one device embolization (snared percutaneously), one implant failure due to inadequate LAA depth, and one cardiac perforation requiring surgical repair before WATCHMAN implantation. The composite major safety event-rate was 1.9% (1 death and 1 device embolization). Mean hospital stay was 1.8 ± 4.7 days. Antithrombotic therapy postimplant included dual antiplatelet therapy in 76 of 103 (73.8%). Mean follow-up was 210 ± 182 days; there were two transient ischemic attacks, with estimated 66% reduction in thromboembolic events relative to CHADS2 predicted risk. In our early Canadian experience, WATCHMAN for LAA closure in patients contraindicated to anticoagulation appeared safe and effective. © 2017 Wiley Periodicals, Inc.

  4. Homicide Rates in Lithuania.

    PubMed

    Chmieliauskas, Sigitas; Laima, Sigitas; Andriuskeviciute, Gerda; Jurolaic, Eleonora; Jasulaitis, Algimantas

    2017-08-15

    Homicide rate in Lithuania between 2004 and 2013 decreased and reached an average of 6.7 per 100,000 people in 2013. The data regarding forensic autopsies of intentional homicide victims were obtained from the State Forensic Medicine Service. Spearman's correlation test was used to assess trends in the homicide rates. A significant correlation was observed between homicide distribution and the following variables: Lithuania's gross domestic product (r = -0.85, p = 0.003), the number of alcohol intoxication cases of victims (r = 0.97, p < 0.05). After regression model adjustments, these variables remained significantly associated with the homicide distribution (p < 0.05). 73% of victims were men, with a mean age of 45.5 ± 15. Alcohol intoxication was present in 58% of victims. 66% of homicides were carried out indoors, 57% in urban area. The presented findings help decide which prevention programs may be the most effective in homicide rate reduction. © 2017 American Academy of Forensic Sciences.

  5. Early closure of the patent ductus arteriosus in very low-birth-weight infants: a controlled trial.

    PubMed

    Merritt, T A; Harris, J P; Roghmann, K; Wood, B; Campanella, V; Alexson, C; Manning, J; Shapiro, D L

    1981-08-01

    A controlled clinical trial comparing early closure (mean = 48.8 hours) of the patent ductus arteriosus using indomethacin to conventional medical management, with intervention only after cardiopulmonary decompensation (mean = 167.4 hours), was undertaken in 24 preterm infants with severe respiratory distress syndrome and evidence of PDA. An interval analysis of one-half the projected sample revealed that infants undergoing early closure of the PDA had significantly reduced occurrence of BPD or mortality by 6 months of age. A comparison of birth weight, Apgar scores, gestational age, age of initial PDA diagnosis, and fluid therapy during the first seven days of life showed no significant differences between early intervention and control groups. At the time of the interval analysis, there were no differences between the groups in duration of intermittent mandatory ventilation or oxygen exposure. Studies will be required to determine whether these and other variables can be altered by early closure of the PDA.

  6. Lithuania: health system review.

    PubMed

    Murauskiene, Liubove; Janoniene, Raimonda; Veniute, Marija; van Ginneken, Ewout; Karanikolos, Marina

    2013-01-01

    This analysis of the Lithuanian health system reviews the developments in organization and governance, health financing, health-care provision, health reforms and health system performance since 2000.The Lithuanian health system is a mixed system, predominantly funded from the National Health Insurance Fund through a compulsory health insurance scheme, supplemented by substantial state contributions on behalf of the economically inactive population amounting to about half of its budget. Public financing of the health sector has gradually increased since 2004 to 5.2 per cent of GDP in 2010.Although the Lithuanian health system was tested by the recent economic crisis, Lithuanias counter-cyclical state health insurance contribution policies (ensuring coverage for the economically inactive population) helped the health system to weather the crisis, and Lithuania successfully used the crisis as a lever to reduce the prices of medicines.Yet the future impact of cuts in public health spending is a cause for concern. In addition, out-of-pocket payments remain high (in particular for pharmaceuticals) and could threaten health access for vulnerable groups.A number of challenges remain. The primary care system needs strengthening so that more patients are treated instead of being referred to a specialist, which will also require a change in attitude by patients. Transparency and accountability need to be increased in resource allocation, including financing of capital investment and in the payer provider relationship. Finally, population health,albeit improving, remains a concern, and major progress can be achieved by reducing the burden of amenable and preventable mortality. World Health Organization 2013 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies).

  7. Prediction of early-onset atrial tachyarrhythmia after successful trans-catheter device closure of atrial septal defect

    PubMed Central

    Park, Kyoung-Min; Hwang, Jin Kyung; Chun, Kwang Jin; Park, Seung-Jung; On, Young Keun; Kim, June Soo; Park, Seung Woo; Kang, I-Seok; Song, Jinyoung; Huh, June

    2016-01-01

    Abstract Atrial tachyarrhythmia is a well-known long-term complication of atrial septal defect (ASD) in adults, even after successful trans-catheter closure. However, the risk factors for early-onset atrial tachyarrhythmia after trans-catheter closure remain unclear. This retrospective study enrolled adults with secundum ASD undergoing trans-catheter closure from January 2000 to March 2014. We analyzed the clinical characteristics of patients and assessed risk factors for new-onset atrial tachyarrhythmia defined as a composite of atrial fibrillation or flutter (AF/AFL) after ASD closure. We enrolled a total of 427 patients; 123 were male (28.8%) and the median age was 37.0 (interquartile range [IQR]: 18.3–49.0). Nineteen (4.4%) patients had documented atrial tachyarrhythmia during the follow-up period (median: 11.4 months [IQR: 5.4–24]). Patients with transient AF/AFL during closure showed a greater incidence of new-onset atrial tachyarrhythmia during the follow-up period than patients with consistent sinus rhythm during closure (27.3% vs 3.8%; P = 0.01). Most new-onset atrial tachyarrhythmias were documented within 6 months (median: 2.6 [IQR: 1.2–4.1] months) of closure. In the multivariate analysis, the risk for new-onset atrial tachyarrhythmia was significant in patients with AF/AFL during closure (hazard ratio [HR]: 9.90, 95% confidence interval [CI]: 2.86–34.20; P < 0.001), deficient posteroinferior rim (HR: 5.48, 95% CI: 1.15–25.72; P = 0.04), and age of closure over 48 years (HR: 3.30, 95% CI: 1.30–8.38; P = 0.01). In conclusion, transient AF/AFL during trans-catheter closure of ASD as well as deficient posteroinferior rim and age of closure over 48 years may be useful for predicting early new-onset atrial tachyarrhythmia after device closure. PMID:27583905

  8. Autism as the Early Closure of a Neuroplastic Critical Period Normally Seen in Adolescence

    PubMed Central

    Berger, Julia Marie; Rohn, Troy T.; Oxford, Julia Thom

    2013-01-01

    The most severe cases of autism are diagnosed by extreme social dysfunction and other behavioral abnormalities. A number of genetic studies have been conducted to correlate behavioral phenotypes to genetic dysfunctions, but no “autism gene” has yet been discovered. In addition, environmental factors have been found to influence the development of autistic traits with high probability. This review will examine the role of a shortened period of neuroplasticity as a unifying feature of the autistic phenotype. The neuroplastic period of interest normally extends into adolescence, allowing for neural integration and the development of language and social skills. Early closure of this period may result in a shortened period of development, forcing the brain to rely on underdeveloped structures. PMID:24353985

  9. Early experience of percutaneous paravalvular leak closure using a novel Occlutech occluder.

    PubMed

    Goktekin, Omer; Vatankulu, Mehmet Akif; Ozhan, Hakan; Ay, Yasin; Ergelen, Mehmet; Tasal, Abdurrahman; Aydin, Cemalettin; İsmail, Ziya; Ates, İsmail; Hijazi, Ziyad

    2016-02-01

    Paravalvular regurgitation is an important complication of mitral valve replacement. Although surgical repair is mostly recommended, it is associated with significant morbidity. On the other hand, percutaneous closure is a less invasive alternative approach. Percutaneous approaches to treatment of paravalvular prosthetic regurgitation have emerged recently. One of them is the Occlutech Paravalvular Leak Device. The aim of this study was to evaluate early and midterm outcomes of percutaneous paravalvular leak closure utilising a novel occluder. Twenty-one consecutive symptomatic patients who had moderate or severe paravalvular prosthetic regurgitation on transoesophageal echocardiography were included in the study. All the patients were clinically evaluated and found inoperable for surgery. They underwent transapical repair with the Occlutech Paravalvular Leak Device. The patients were followed for 17±5 months. Attempts were made to rectify 41 defects in 21 patients with 100% success. Mean procedure time was 76±40 min and fluoro-scopy time was 44±37 min. Early post-procedural outcome was uneventful in all cases, with ≥1 grade reduction in regurgitation in all of the patients. There was no mortality during hospital stay. There was one case of haemothorax in one patient and one case of pneumothorax in another. Post-implantation 90-day follow-up data were obtained for 19 patients, and 12-month data were obtained for 12 patients. No deaths due to any cause, stroke or surgery for prosthetic impingement, worsening or relapse of paravalvular leak during follow-up were recorded. One patient underwent reintervention and was treated successfully with the same occluder 11 months after the index procedure. The novel Occlutech Paravalvular Leak Device, which was designed specifically for mitral and aortic paravalvular regurgitation, is an additional, useful tool in the device armamentarium for the treatment of PVL.

  10. Early Surgical Management of Large Scalp Infantile Hemangioma Using the TopClosure® Tension-Relief System

    PubMed Central

    Zhu, Zhanyong; Yang, Xilin; Zhao, Yueqiang; Fan, Huajun; Yu, Mosheng; Topaz, Moris

    2015-01-01

    Abstract Infantile hemangiomas (IHs) are the most common benign vascular neoplasms of infancy and childhood. The majority do not need medical intervention. However, large ulcerated scalp IHs may lead to fatal bleeding as well as severe cosmetic disfigurement that indicate early surgical excision, inflicting substantial surgical risks, with short- and long-term morbidity. The TopClosure Tension-Relief System (TRS) is an innovative skin stretching and wound closure-secure system that facilitates primary closure of relatively large skin defects. This system has been shown as a substitute for skin grafts, flaps, or tissue expanders. We describe a case of a giant IH of the scalp usually requiring a complex surgical approach, which was immediately primarily closed applying the TRS. A 3-day-old female infant presented with a giant scalp hemangioma at birth that rapidly grew in the neonatal period with early signs of ulceration. The patient underwent surgical resection of the giant scalp hemangioma with immediate primary closure of the defect using the TRS. Surgical procedure and postoperative period were uneventful. Early surgical resections of IHs at infancy carry substantial surgical risks and morbidity. This is the first reported case of early resection of a scalp hemangioma in the neonatal period, with successful immediate primary closure by application of stress-relaxation technique through the TRS. The application of the TopClosure TRS in this age group has significant advantages. It reduces the complexity and length of surgery, reducing blood loss, eliminating donor site morbidity, improving wound aesthetics, and minimizing the need for future reconstructive procedures. PMID:26632734

  11. Early Surgical Management of Large Scalp Infantile Hemangioma Using the TopClosure® Tension-Relief System.

    PubMed

    Zhu, Zhanyong; Yang, Xilin; Zhao, Yueqiang; Fan, Huajun; Yu, Mosheng; Topaz, Moris

    2015-11-01

    Infantile hemangiomas (IHs) are the most common benign vascular neoplasms of infancy and childhood. The majority do not need medical intervention. However, large ulcerated scalp IHs may lead to fatal bleeding as well as severe cosmetic disfigurement that indicate early surgical excision, inflicting substantial surgical risks, with short- and long-term morbidity.The TopClosure Tension-Relief System (TRS) is an innovative skin stretching and wound closure-secure system that facilitates primary closure of relatively large skin defects. This system has been shown as a substitute for skin grafts, flaps, or tissue expanders.We describe a case of a giant IH of the scalp usually requiring a complex surgical approach, which was immediately primarily closed applying the TRS.A 3-day-old female infant presented with a giant scalp hemangioma at birth that rapidly grew in the neonatal period with early signs of ulceration. The patient underwent surgical resection of the giant scalp hemangioma with immediate primary closure of the defect using the TRS. Surgical procedure and postoperative period were uneventful.Early surgical resections of IHs at infancy carry substantial surgical risks and morbidity. This is the first reported case of early resection of a scalp hemangioma in the neonatal period, with successful immediate primary closure by application of stress-relaxation technique through the TRS. The application of the TopClosure TRS in this age group has significant advantages. It reduces the complexity and length of surgery, reducing blood loss, eliminating donor site morbidity, improving wound aesthetics, and minimizing the need for future reconstructive procedures.

  12. [Experimental studies on the early treatment of soft tissue explosion injury by vacuum-assisted closure].

    PubMed

    Song, Peng; Xue, Yun; Ge, Bao-feng; Chen, Ke-ming; Zhao, Dong-hua; Han, Gui-qiu; Wang, Yong

    2011-07-01

    To investigate the effect on early treatment with vacuum-assisted closure(VAC) to wound healing of acute explosion injury in pigs, and provide a new way for early treatment of battle wounds. Eight healthy 3-month Landrace pigs of both sexes with the body mass of (50 +/- 5) kg were selected in the study. Sixteen battle wounds were made by explosion of same type detonator (pattern number: 660929F48840-55, included DDNP 0.3 g, RDX 0.7 g) in hibateral skin of buttock of 8 pigs, which were divided into experimental group and control group (pair wounds of left and right). The raw sufaces were thorough debrided at 3 h after exposure, according to the characteristics of treatment on the battlefield, experimental group was treated with VAC under the pressure of (-50 +/- 5) Kpa after debridement and sterilization and control group was treated with routine dry sterile gauze draping. Results of bacteriology (bacterial counts and the proportion of G+ bacteria) and pathology (HE stain and Masson stain) were detected at every wound before and after treatment. At the 3 days after treatment,the bacterial number in the experimental group was [(7.82 +/- 0.55) x 10(4) ] CFU/g, in control group was [(1.07 +/- 0.14) x 10(6)] CFU/g. There was significant difference between two groups. The proportion of G+ bacteria in experimental group was significantly increased. The raw surface in experimental group was clean with affluent and neoformative granulation tissue, blood vessels and collagen, necrotic tissue decreased obviously by pathological observation. VAC could reduce the quantity of bacteria, improve the proportion of G+ bacteria, and promote the formation of granulation tissue and the healing of wound. The VAC for the treatment of battle wounds has a positive effect.

  13. Usefulness of early diastolic mitral annular velocity to predict plasma levels of brain natriuretic peptide and transient heart failure development after device closure of atrial septal defect.

    PubMed

    Masutani, Satoshi; Taketazu, Mio; Mihara, Chihiro; Mimura, Yuko; Ishido, Hirotaka; Matsunaga, Tamotsu; Kobayashi, Toshiki; Senzaki, Hideaki

    2009-12-15

    Device closure of atrial septal defect (ASD) is sometimes followed by elevation of plasma brain natriuretic peptide (BNP), a marker of heart failure, and progression to heart failure. This study tested the hypothesis that the underlying diastolic dysfunction, assessed on tissue Doppler images (TDI) before device closure, can predict BNP level after ASD closure. The study subjects were 39 consecutive patients (age 27.5 +/- 16.3 years, range 5 to 63) who underwent device closure for ASD. Echocardiographic evaluation using TDI and 2-dimensional and pulse wave Doppler were performed, together with plasma BNP measurement 1 day before and 2 days after ASD closure. Before ASD closure, an age-dependent decrease was noted in left ventricular relaxation, assessed by early diastolic mitral annular velocity. ASD closure resulted in a decrease in early diastolic mitral annular velocity (from 14.7 to 12.3 cm/s, p <0.05) despite an increase in the left ventricular dimension (84% to 92% vs normal, p <0.05). These changes were associated with a parallel increase in BNP (17.9 to 48.4 pg/ml, p <0.05). Stepwise multivariate linear regression identified early diastolic mitral annular velocity before ASD closure and age as independent predictors of BNP levels after ASD closure (p <0.05). Consistent with this result, 2 patients with the lowest early diastolic mitral annular velocity developed exertional dyspnea after the procedure. In conclusion, our results indicate that TDI measurements could be useful to detect underlying diastolic dysfunction that can potentially cause heart failure after ASD closure and emphasize the importance of ASD closure at a young age before impairment of left ventricular relaxation.

  14. Effect of the knee position during wound closure after total knee arthroplasty on early knee function recovery

    PubMed Central

    2014-01-01

    Objective This study investigated the effect of the knee position during wound closure on early knee function recovery after total knee arthroplasty (TKA). Methods This study included 80 primary total knee arthroplasties due to osteoarthritis. The patients were randomized according to the type of wound closure: extension group for full extension and flexion group for 90° flexion. The incision of articular capsule was marked for precise wound alignment. In the flexion group, the knee was kept in high flexion for 1 to 2 min after wound closure. The two groups were treated with the same postoperative rehabilitation exercises. The range of motion (ROM), visual analogue scale (VAS) score of anterior knee pain, Knee Society Score (KSS) and postoperative complications were assessed at 6 weeks, 3 months and 6 months, postoperatively. Results At 6 weeks and 3 months postoperatively, the ROM in flexion group was 98.95 ± 10.33° and 110.05 ± 4.93° respectively, with 87.62 ± 8.92° and 95.62 ± 6.51° in extension group, respectively; The VAS score of anterior knee pain in flexion group was 2.02 ± 1.38 and 2.21 ± 0.87, respectively, with 2.57 ± 1.07 and 2.87 ± 0.83 in extension group, respectively. The ROM and VAS pain score of the two groups were significantly different at these two time points, with no significant difference at 6 months postoperatively. The two groups were not significantly different in KSS, and no apparent complication was observed at three time points. Conclusion Marking the articular capsule incision, wound closure in flexion and high flexion after wound closure can effectively decrease anterior knee pain after TKA and promote the early recovery of ROM. PMID:25149657

  15. Combined ionizing radiation and thermal injury in the rat. Evaluation of early excision and closure of the burn wound.

    PubMed

    Hirsch, E F; Vezina, R; Corbett, S; LaMorte, W; Feldman, M

    1990-01-01

    The present study was undertaken to establish an animal model of combined whole-body irradiation and thermal injury and to determine the effectiveness of early excision and closure of the burn wound in such a model. Whole-body irradiation over a range of doses resulted in a predictable mortality rate, with an LD50/30 of 783 rad with 95% confidence limits of 737 and 823 rad. A controlled 10% body surface area full-thickness thermal injury resulted in no deaths in 30 animals. When combined with a standard nonlethal 10% thermal injury, varying doses of whole-body irradiation resulted in widely differing LD50/30 values in three separate cohorts of rats. Excision and closure of a 10% burn 24 hours after exposure to 200 rads did not improve survival. (J BURN CARE REHABIL 1990;11:42-5)

  16. Language Planning and Personal Naming in Lithuania

    ERIC Educational Resources Information Center

    Ramoniene, Meilute

    2007-01-01

    This paper deals with the issues of language planning and naming in Lithuania since the restoration of independence in 1990. The aim of the paper is to analyse the challenges of corpus planning with the focus on the use and standardisation of personal names. The paper first presents the historical context of the formation of names in Lithuania and…

  17. Implementing a National Qualifications Framework in Lithuania

    ERIC Educational Resources Information Center

    Tutlys, Vidmantas; Spudyte, Irma

    2011-01-01

    The design of the national qualifications framework (NQF) in Lithuania started in 2006. The NQF was officially approved by the government decree in May 2010. This article explores the influence of the processes of institutional change on the reform of the national system of qualifications in Lithuania through the implementation of the NQF, looking…

  18. Implementing a National Qualifications Framework in Lithuania

    ERIC Educational Resources Information Center

    Tutlys, Vidmantas; Spudyte, Irma

    2011-01-01

    The design of the national qualifications framework (NQF) in Lithuania started in 2006. The NQF was officially approved by the government decree in May 2010. This article explores the influence of the processes of institutional change on the reform of the national system of qualifications in Lithuania through the implementation of the NQF, looking…

  19. Predictors of Early (1-Week) Outcomes Following Left Atrial Appendage Closure With Amplatzer Devices.

    PubMed

    Koskinas, Konstantinos C; Shakir, Samera; Fankhauser, Máté; Nietlispach, Fabian; Attinger-Toller, Adrian; Moschovitis, Aris; Wenaweser, Peter; Pilgrim, Thomas; Stortecky, Stefan; Praz, Fabien; Räber, Lorenz; Windecker, Stephan; Meier, Bernhard; Gloekler, Steffen

    2016-07-11

    The aim of this study was to assess predictors of adverse 1-week outcomes and determine the effect of left atrial appendage (LAA) morphology following LAA closure (LAAC) with Amplatzer devices. Percutaneous LAAC is a valuable treatment option for stroke prevention in patients with atrial fibrillation. Determinants of procedural safety events with Amplatzer occluders are not well established, and the possibly interrelating effect of LAA anatomy is unknown. Between 2009 and 2014, 500 consecutive patients with atrial fibrillation ineligible or at high risk for oral anticoagulation underwent LAAC using Amplatzer devices. Procedure- and device-related major adverse events (MAEs) were defined as the composite of death, stroke, major or life-threatening bleeding, serious pericardial effusion, device embolization, major access-site vascular complication, or need for cardiovascular surgery within 7 days following the intervention. Patients (mean age 73.9 ± 10.1 years) were treated with Amplatzer Cardiac Plug (n = 408 [82%]) or Amulet (n = 92 [18%]) devices. Early procedural success was 97.8%, and MAEs occurred in 29 patients (5.8%). Independent predictors of MAEs included device repositioning (odds ratio: 9.13; 95% confidence interval: 2.85 to 33.54; p < 0.001) and left ventricular ejection fraction <30% (odds ratio: 4.08; 95% confidence interval: 1.49 to 11.20; p = 0.006), with no effect of device type or size. Angiographic LAA morphology, characterized as cauliflower (33%), cactus (32%), windsock (20%), or chicken wing (15%), was not associated with procedural success (p = 0.51) or the occurrence of MAEs (p = 0.78). In this nonrandomized study, procedural success of LAAC using Amplatzer devices was high. MAEs within 7 days were predicted by patient- and procedure-related factors. Although LAA morphology displayed substantial heterogeneity, outcomes were comparable across the spectrum of LAA anatomies. Copyright © 2016 American College of Cardiology Foundation

  20. Laboratory medicine education in Lithuania.

    PubMed

    Kucinskiene, Zita Ausrele; Bartlingas, Jonas

    2011-01-01

    In Lithuania there are two types of specialists working in medical laboratories and having a university degree: laboratory medicine physicians and medical biologists. Both types of specialists are officially being recognized and regulated by the Ministry of Health of Lithuania. Laboratory medicine physicians become specialists in laboratory medicine after an accredited 4-year multidisciplinary residency study program in Laboratory Medicine. The residency program curriculum for laboratory medicine physicians is presented. On December 9, 2009 the Equivalence of Standards for medical specialists was accepted and Lithuanian medical specialists in Clinical Chemistry and Laboratory Medicine can now apply for EC4 registration. Medical biologists become specialists in laboratory medicine after an accredited 2-year master degree multidisciplinary study program in Medical Biology, consisting of 80 credits. Various postgraduate advanced training courses for the continuous education of specialists in laboratory medicine were first introduced in 1966. Today it covers 1-2-week courses in different subspecialties of laboratory medicine. They are obligatory for laboratory medicine physicians for the renewal of their license. It is not compulsory for medical biologists to participate in these courses. The Centre of Laboratory Diagnostics represents a place for the synthesis and application of the basic sciences, the performance of research in various fields of laboratory medicine, as well as performance of thousands of procedures daily and provision of specific teaching programs.

  1. Curonian Spit, Lithuania and Russia

    NASA Technical Reports Server (NTRS)

    2007-01-01

    The Curonian Spit in Lithuania and the Russian Federation was inscribed as a UNESCO World Heritage Site in 2000. Human habitation of this elongated sand dune peninsula, 98 km long and 0.4-4 km wide, dates back to prehistoric times. Throughout this period it has been threatened by the natural forces of wind and waves. Its survival to the present day has been made possible only as a result of ceaseless human efforts to combat erosion through stabilization and reforestation projects.

    The image covers an area of 55.8 x 109.5 km, was acquired on July 25, 2006, and is located near 55.3 degrees north latitude, 20.9 degrees east longitude.

    The U.S. science team is located at NASA's Jet Propulsion Laboratory, Pasadena, Calif. The Terra mission is part of NASA's Science Mission Directorate.

  2. Curonian Spit, Lithuania and Russia

    NASA Technical Reports Server (NTRS)

    2007-01-01

    The Curonian Spit in Lithuania and the Russian Federation was inscribed as a UNESCO World Heritage Site in 2000. Human habitation of this elongated sand dune peninsula, 98 km long and 0.4-4 km wide, dates back to prehistoric times. Throughout this period it has been threatened by the natural forces of wind and waves. Its survival to the present day has been made possible only as a result of ceaseless human efforts to combat erosion through stabilization and reforestation projects.

    The image covers an area of 55.8 x 109.5 km, was acquired on July 25, 2006, and is located near 55.3 degrees north latitude, 20.9 degrees east longitude.

    The U.S. science team is located at NASA's Jet Propulsion Laboratory, Pasadena, Calif. The Terra mission is part of NASA's Science Mission Directorate.

  3. Nontemplate-driven polymers: clues to a minimal form of organization closure at the early stages of living systems.

    PubMed

    Freire, Miguel Ángel

    2015-06-01

    The emergence of the first polymers played an essential role in the transition from the physicochemical to the biological domain, a perception that embodied many different world paradigms relying on only one primal polymer. However, biological complexity would have appeared with an increasing set of associated chemistries and molecular interactions of many different macromolecules. In agreement with this notion, here, the purpose is to focus specific attention on current knowledge of modern biochemistry of a set of widespread polymers likely present in the Last Universal Common Ancestor synthesized by nontemplate-driven reactions with references to their abiotic synthesis. The proposed overview describes the manner in which these polymers could have organized around two polymerization reaction cycles and integrated into a minimal organizational closure at the early stages of living systems, independently of template replication processes. This hypothesis could provide an alternative conceptual framework to evaluate a plausible scenario addressing the transition from nonliving to protocellular systems.

  4. Expression of Drosophila Cabut during early embryogenesis, dorsal closure and nervous system development.

    PubMed

    Belacortu, Yaiza; Weiss, Ron; Kadener, Sebastian; Paricio, Nuria

    2011-01-01

    cabut (cbt) encodes a transcription factor involved in Drosophila dorsal closure (DC), and it is expressed in embryonic epithelial sheets and yolk cell during this process upon activation of the Jun N-terminal kinase (JNK) signaling pathway. Additional studies suggest that cbt may have a role in multiple developmental processes. To analyze Cbt localization through embryogenesis, we generated a Cbt specific antibody that has allowed detecting new Cbt expression patterns. Immunohistochemical analyses on syncytial embryos and S2 cells reveal that Cbt is localized on the surface of mitotic chromosomes at all mitotic phases. During DC, Cbt is expressed in the yolk cell, in epidermal cells and in the hindgut, but also in amnioserosal cells, which also contribute to the process, albeit cbt transcripts were not detected in that tissue. At later embryonic stages, Cbt is expressed in neurons and glial cells in the central nervous system, and is detected in axons of the central and peripheral nervous systems. Most of these expression patterns are recapitulated by GFP reporter gene constructs driven by different cbt genomic regions. Moreover, they have been further validated by immunostainings of embryos from other Drosophila species, thus suggesting that Cbt function during embryogenesis appears to be conserved in evolution.

  5. Survival of women with breast cancer in Kaunas Region, Lithuania.

    PubMed

    Ivanauskienė, Rugilė; Gedminaitė, Jurgita; Juozaitytė, Elona; Vanagas, Giedrius; Simoliūnienė, Renata; Padaiga, Zilvinas

    2012-01-01

    OBJECTIVE. The assessment of breast cancer survival rates and comparison with those of other countries may help to deepen knowledge among decision makers in the health care system and to improve the inequalities in accessibility to early detection and effective treatment. The aim of this study was to evaluate breast cancer survival rates in Kaunas region, Lithuania, and to compare them with those in the selected European countries. MATERIAL AND METHODS. A retrospective study was carried out using medical records and data gathered from the Lithuanian Cancer Registry. A group of 240 patients with primary breast cancer diagnosed in 2008 in Kaunas region was analyzed. All causes of death were included in the analysis. The closing date of follow-up was September 30, 2010. Survival was determined using the life-table method and the Kaplan-Meier method. Cox proportional hazard models were used to estimate the effects of prognostic risk factors on survival. RESULTS. The median age of the patients was 63 years (range, 28-95). The 1-year and 2-year cumulative survival for breast cancer patients in Kaunas region, Lithuania, was 94.2% and 90.1%, respectively. As expected, the survival of patients with diagnosed advanced disease (stage III and IV) was significantly worse than that of patients with stage I (P<0.001) and II (P=0.003) disease. The screening group (aged 50-69 years) showed better survival in comparison with the group older than 69 years. Age, T4 tumor, and distant metastasis were the prognostic factors significantly associated with an increased relative mortality risk of breast cancer. CONCLUSIONS. Compared to the European survival rates, the 1-year and 2-year survival of patients with breast cancer in Lithuania was found to be similar to most European countries.

  6. Did India-Asia plate velocity increase and Neo-Tethys closure contribute to the Early Eocene Climatic Optimum?

    NASA Astrophysics Data System (ADS)

    Hoareau, G.; Carry, N.; Marquer, D.; Vrielynck, B.; van Hinsbergen, D. J. J.; Behar, F.; Walter-Simonnet, A.-V.

    2012-04-01

    The 60-50 Ma interval was characterized by a long-term increase of global temperatures (+4 to +6° C), which culminated during the Early Eocene Climatic Optimum (EECO, 53-50 Ma), the warmest interval of the Cenozoic [1]. Geochemical proxies and modelling claim high CO2 atmospheric concentrations prevailing at this time [e.g., 2]. Processes explaining sustained high greenhouse gas concentrations may relate either to volcanic degassing (NAIP, [3]) or to CO2/CH4 release during metamorphism in extensional (NW American Cordillera [4]) or compressional tectonic regimes (India-Asia collision, [5]; Gulf of Alaska, [6]). More recently, it has been suggested that Tethyan closure may have strongly controlled Cretaceous and Eocene climates, through the subduction of large amounts of pelagic carbonates and their recycling as CO2 at arc volcanoes ("subduction factory") [7,8,9]. In order to detail the impact of the Tethys closure on the EECO, we have built a model to calculate the volume of subducted sediments and the amount of CO2 and CH4 emitted at active arc volcanoes along the northern Tethys margin. The model takes into account the sediment thickness, carbonate and organic matter content, the mean subduction velocities of the Indian, Arabian and African plates and the decarbonation efficiency at arc volcanoes. The effect of the India-Asia collision was also modelled using a simple Indian passive margin geometry. Our first results indicate that the mean subduction rate (controlling the volume of subducted sediments) increased from 4.5 cm/yr on late Maastrichtian to a maximum value of 7 cm/yr during the EECO, mainly owing to a dramatic India-Asia plate convergence increase. If a minimal decarbonation efficiency at arc volcanoes of 20% is considered, pelagic carbonate-rich sediments (CaCO3 = 90 wt%) must reach a minimal thickness of 450 m to allow the release of 1018mol/Ma between 60 and 50 Ma, a minimal value to account for Late Paleocene/Early Eocene warming [10]. A

  7. Closure of Tethys and early stages of Himalayan evolution: constraints from the detrital record, Ladakh, India

    NASA Astrophysics Data System (ADS)

    Jenks, D.; Najman, Y.; Godin, L.; Parrish, R.; Horstwood, M.; Green, O.; Bown, P.; Garzanti, E.; Willems, H.

    2009-04-01

    Closure of Tethys marks initiation of collision between India and Asia, and the start of Himalayan orogenesis. A clear understanding of when this occurred is paramount to understanding the tectonic and denudational processes that have occurred since collision. A number of methods and datasets have been used to constrain the initiation of collision, from faunal mixing at 65 Ma [1] to the timing at which Indian rocks reached UHP depths at 57 Ma [2], to a reduction in northward drift of the Indian plate at 55 Ma [3]. New interpretations have placed collision as late as 38 Ma [4]. The extent of diachroneity is also disputed, varying from slight [5] to substantial [6]. Two approaches are used here to determine collision, 1) the timing of closure of the Tethys Ocean [7], based on stratigraphic succession, 2) first evidence of Asian derived material deposited on the Indian plate [8], using U-Pb ages of detrital zircon to assess provenance. In Ladakh, Indian plate passive margin limestones of the Mid-Late Paleocene Dibling Formation [9] are overlain by the youngest marine facies of the region, the marine siltstones of the Kong Fm. and the fluvio-deltaic facies of the Chulung La Fm. [8]. The age of the Kong and Chulung La formations is disputed, ranging from P5/6 (56 Ma) [10] to P8 (50.5 Ma) [8]. The provenance is also debated, considered either to be eroded from ophiolitic material from the Indian plate [10] or containing detritus from the Trans-Himalayan arc of the Asian plate [8,11]. We applied biostratigraphy, and U-Pb dating on detrital zircon, to samples from the Kong and Chulung La Formations to define depositional age and provenance. Biostratigraphy identified Asselines A. placentula grande and A. pomeroli, from the SBZ 10 (50.5 to 52.5 Ma) and SBZ 9 (53 Ma) zones respectively, thereby defining a minimum age of collision at 50.5 Ma, based on cessation of marine facies. However, the possibility that these fossils are reworked will be discussed. U-Pb dating of

  8. Puumala Virus in Bank Voles, Lithuania

    PubMed Central

    Straková, Petra; Jagdmann, Sandra; Balčiauskas, Linas; Balčiauskienė, Laima; Drewes, Stephan

    2017-01-01

    Little is known about the presence of human pathogenic Puumala virus (PUUV) in Lithuania. We detected this virus in bank voles (Myodes glareolus) in a region of this country in which previously PUUV-seropositive humans were identified. Our results are consistent with heterogeneous distributions of PUUV in other countries in Europe. PMID:27983939

  9. Vocational Education and Training Reform in Lithuania.

    ERIC Educational Resources Information Center

    European Training Foundation, Turin (Italy).

    This report on vocational education and training (VET) reform in Lithuania is one of a series of country reports by the European Training Foundation on the reform process in partner countries. Chapter 1 provides basic data on the country. Chapter 2 describes the present situation and recent developments in VET. It covers main features of the…

  10. Emerging Language and Education Policies in Lithuania.

    ERIC Educational Resources Information Center

    Hogan-Brun, Gabrielle; Ramoniene, Meilute

    2003-01-01

    Describes the development of language policy in Lithuania, with the goal of raising the status of the once-oppressed titular national language without trampling on the rights of linguistic minorities. Lithuanian language and education policies have been successful in promoting social integration while safeguarding cultural and linguistic…

  11. OECD Reviews of School Resources: Lithuania

    ERIC Educational Resources Information Center

    Shewbridge, Claire; Godfrey, Katrina; Hermann, Zoltán; Nusche, Deborah

    2016-01-01

    This report for Lithuania forms part of the OECD Review of Policies to Improve the Effectiveness of Resource Use in Schools. The purpose of the review is to explore how school resources can be governed, distributed, utilised and managed to improve the quality, equity and efficiency of school education. School resources are understood in a broad…

  12. Puumala Virus in Bank Voles, Lithuania.

    PubMed

    Straková, Petra; Jagdmann, Sandra; Balčiauskas, Linas; Balčiauskienė, Laima; Drewes, Stephan; Ulrich, Rainer G

    2017-01-01

    Little is known about the presence of human pathogenic Puumala virus (PUUV) in Lithuania. We detected this virus in bank voles (Myodes glareolus) in a region of this country in which previously PUUV-seropositive humans were identified. Our results are consistent with heterogeneous distributions of PUUV in other countries in Europe.

  13. OECD Reviews of School Resources: Lithuania

    ERIC Educational Resources Information Center

    Shewbridge, Claire; Godfrey, Katrina; Hermann, Zoltán; Nusche, Deborah

    2016-01-01

    This report for Lithuania forms part of the OECD Review of Policies to Improve the Effectiveness of Resource Use in Schools. The purpose of the review is to explore how school resources can be governed, distributed, utilised and managed to improve the quality, equity and efficiency of school education. School resources are understood in a broad…

  14. Emergency evacuation/transportation plan update: Traffic model development and evaluation of early closure procedures. Final report

    SciTech Connect

    1993-10-28

    Prolonged delays in traffic experienced by Laboratory personnel during a recent early dismissal in inclement weather, coupled with reconstruction efforts along NM 502 east of the White Rock Wye for the next 1 to 2 years, has prompted Los Alamos National Laboratory (LANL) to re-evaluate and improve the present transportation plan and its integration with contingency plans maintained in other organizations. Facilities planners and emergency operations staff need to evaluate the transportation system`s capability to inefficiently and safely evacuate LANL under different low-level emergency conditions. A variety of potential procedures governing the release of employees from the different technical areas (TAs) requires evaluation, perhaps with regard to multiple emergency-condition scenarios, with one or more optimal procedures ultimately presented for adoption by Lab Management. The work undertaken in this project will hopefully lay a foundation for an on-going, progressive transportation system analysis capability. It utilizes microscale simulation techniques to affirm, reassess and validate the Laboratory`s Early Dismissal/Closure/Delayed Opening Plan. The Laboratory is required by Federal guidelines, and compelled by prudent practice and conscientious regard for the welfare of employees and nearby residents, to maintain plans and operating procedures for evacuation if the need arises. The tools developed during this process can be used outside of contingency planning. It is anticipated that the traffic models developed will allow site planners to evaluate changes to the traffic network which could better serve the normal traffic levels. Changes in roadway configuration, control strategies (signalization and signing), response strategies to traffic accidents, and patterns of demand can be modelled using the analysis tools developed during this project. Such scenarios typically are important considerations in master planning and facilities programming.

  15. Renal anemia control in Lithuania: influence of local conditions and local guidelines.

    PubMed

    Ziginskiene, Edita; Kuzminskis, Vytautas; Petruliene, Kristina; Vaiciuniene, Ruta; Stankuviene, Asta; Bumblyte, Inga Arune

    2013-01-01

    Erythropoietin stimulating agents had a long haul in Lithuania--we had no epoetin till 1994 and there was no intravenous iron in 2001-2004. The aim of this study was to assess the changes of renal anemia control in hemodialysis patients from early independence of Lithuania till nowadays and to evaluate the link of anemia with hospitalization rates and survival and hemoglobin variability in association with mortality. In December of each year since 1996 all hemodialysis centers have been visited and data has been collected using special questionnaires. The history of renal anemia control in Lithuania was complicated; however, a significant improvement was achieved: 54.7% of hemodialysis patients reached the target hemoglobin; all patients have a possibility of treatment with epoetin and intravenous iron. The involuntary experiment with an intravenous iron occurred in Lithuania because of economic reasons and confirmed the significant role of intravenous iron in the management of renal anemia. Hemoglobin below 100 g/L was associated with a 2.5-fold increase in relative risk of death and 1.7-fold increase in relative risk of hospitalization in Lithuanian hemodialysis patients. Although hemoglobin variability was common in Lithuanian hemodialysis patients, we did not find the association between hemoglobin variability and all-cause mortality in our study.

  16. Limited dissection and early primary closure of the tracheostomy stoma in head and neck oncology operations: a retrospective study of 158 cases.

    PubMed

    Hammarfjord, O; Ekanayake, K; Norton, J; Stassen, L F A

    2015-03-01

    Tracheostomy is an efficient and widely used method to secure a patent airway in patients undergoing major oral and maxillofacial oncology operations. The inferiorly based Björk flap technique, through a limited incision, followed by early primary skin closure, has been the preferred method in our unit. Patients who underwent tracheostomy for major oral and maxillofacial oncology operations during the period June 2005 to December 2012 were reviewed. Age, gender, preoperative diagnosis, duration the tracheostomy tube was in situ, tracheostomy-associated complications, and long-term sequelae were evaluated. A total 158 tracheostomies were performed using the same surgical approach in patients aged 18-84 years (median 59, mean 58.2, standard deviation 14.24 years). The time the tracheostomy tube was in situ ranged from 3 to 40 days (median 7, mean 9.0, standard deviation 6.52 days). The complication rate was 5.06% (8/158 patients). A major concern highlighted in previous publications is the risk of surgical emphysema with early closure. In this study, no patients developed surgical emphysema, tracheal fistula, clinical tracheal stenosis, or cosmetically unacceptable scarring of the neck. No patient died of a tracheostomy-related cause. In summary, the Björk flap with early primary closure of the skin by simple sutures provides a safe and easily managed approach, causing minimal postoperative morbidity.

  17. The changes of radiotherapy in Lithuania: infrastructure, utilization rate, and cost

    PubMed Central

    Mineikytė, Ramunė; Janulionis, Ernestas; Atkočius, Vydmantas; Jaruševičius, Laimonas; Plieskienė, Aista; Gečas, Jonas

    2016-01-01

    Background. The aim of this study was to evaluate radiation therapy (RT) productivity, capacity, and cost in Lithuania. Materials and methods. An electronic questionnaire was prepared and sent to the country’s RT centres. The data was collected for the years 2011–2014. The early data of the RT infrastructure was obtained from the QUARTS Project (2001). Results. In Lithuania the external beam RT was applied to 32.6% of new cancer cases (non-melanomatous skin cancer and benign conditions were excluded). In 2014, RT was more frequently applied for breast and prostate carcinomas, 23 and 20%, respectively. The country owned 11 units of linear accelerators (linacs) and this accounts for 3.7 linacs per one million population. 3D conformal RT is the standard approach in all four RT centres in Lithuania. IMRT practices were established in three centers and VMAT or stereotactic RT in two of them. 73% of linacs were capable of IGRT, while only 27% were equipped with CBCT. The average linac workload was 567 patients per year and showed a 10% decrease compared with the 2011 data. During a ten-year period, the average cost per patient for RT treatment increased 7.6 times – from EUR 129 to 974. The reimbursement system in Lithuania is not favourable for application of RT. Conclusions. During the recent thirteen years, RT services in Lithuania have dramatically improved, but we are still behind the average of European countries and benchmark rates. It is important to continue optimising the efficiency of RT services, and further evidence-based studies on RT infrastructure assessment and planning are needed. PMID:28356788

  18. Space plant biology research in Lithuania.

    PubMed

    Ričkienė, Aurika

    2012-09-01

    In 1957, the Soviet Union launched the first artificial Earth satellite, initiating its space exploration programs. Throughout the rest of the twentieth century, the development of these space programs received special attention from Soviet Union authorities. Scientists from the former Soviet Republics, including Lithuania, participated in these programs. From 1971 to 1990, Lithuanians designed more than 20 experiments on higher plant species during space flight. Some of these experiments had never before been attempted and, therefore, made scientific history. However, the formation and development of space plant biology research in Lithuania or its origins, context of formation, and placement in a worldwide context have not been explored from a historical standpoint. By investigating these topics, this paper seeks to construct an image of the development of a very specific field of science in a small former Soviet republic. Copyright © 2012 Elsevier Ltd. All rights reserved.

  19. Mapping ecosystem services potential in Lithuania

    NASA Astrophysics Data System (ADS)

    Depellegrin, Daniel; Misiune, Ieva; Pereira, Paulo

    2016-04-01

    Ecosystem services (ES) are understood as the benefits that humans get from ecosystems functions. They are divided in providing, regulating, supporting and cultural. The correct management of ES is fundamental to achieve sustainable development goals. A good assessment of ES potential can be obtained using GIS techniques, in order to have a spatial dimension of ES distribution. This will help to have a better territorial planning, improve ES capacity, and have more benefits. ES potential analysis can be carried out based on the ES matrix developed by Burkhard et al. (2009). This method is based on the attribution a rank from 0 to 5 (0= no capacity to 5=very high relevant capacity) to the land use classes of the corine land cover (CLC). This represents an important advantage since a determined land use can be related with a certain number of services. The objective of this work is to Map the ES potential in Lithuania. The results showed that Lithuania has a high potential for regulating services, followed by cultural and provisioning services. Urban areas provide a very small amount of services, contrary to forest, where the highest potential is observed. The most comon land covers in Lithuania are non-irrigated arable land, complex cultivation patterns, mixed and coniferous forest. Total and regulating and cultural ES had dispersed pattern showing that they are scattered in the territory. They are located mainly in forested and coastal areas. In relation to provisioning services they had a clustered distribution, and they were mainly observed in the central part of Lithuania. References Burkhard B, Kroll F, Müller F, Windhorst W. 2009. Landscapes' capacities to provide ecosystem services - a concept for land-cover based assessments. Landsc. Online. 15:1-22

  20. Health behavior among Lithuania's adolescents in context of European Union.

    PubMed

    Zaborskis, Apolinaras; Lenciauskiene, Ilona

    2006-04-01

    To compare health behavior patterns of adolescents in Lithuania with health behavior of adolescents in European Union (EU) in 2001/2002. The study was carried out in conformity with the methodology of Health Behavior in School-aged Children: a World Health Organization cross-national study. Three country representative samples of schoolchildren, aged 11, 13, and 15, were surveyed in 25 EU countries and regions in 2001/2002 school year. The study instrument was a standardized questionnaire that included questions on alcohol consumption, smoking, illegal drugs use, physical activity, and other patterns of health behavior. The rate or mean values of the targeted health behavior of Lithuanian students were assessed and compared to those calculated as an average for the EU countries and regions. We found an early onset of alcohol consumption among Lithuanian boys. Lithuanian boys and girls across all age groups reported being drunk two and more times more often than their peers from other EU member states. Lithuanian 15-year-old boys smoked more often that did their European peers, while girls smoke more rarely. The prevalence of drugs (marihuana group) use among Lithuanian students is relatively low: the prevalence of drug use among 15-year-olds in Lithuania is two times lower than the prevalence in other EU countries and regions (11.2% vs 24.5% for boys and 4.5% vs 18.3% for girls, respectively). Physical activity of Lithuanian adolescents is rather high in comparison with their EU peers, although many students watch television for > or =4 hours a day. Lithuanian students did not eat sweets often, or drank soft drinks (Coca Cola and other), and they ate fruits and had breakfast every school day. With respect to hygienic habits, approximately only one in 3 boys and every second girl brushed their teeth more than once a day. There are health behavior differences between adolescents in Lithuania and those in other EU countries. The disparities among health behavior of

  1. Early Complications After Percutaneous Closure of Atrial Septal Defect in Infants with Procedural Weight Less than 15 kg.

    PubMed

    Tanghöj, Gustaf; Odermarsky, Michal; Naumburg, Estelle; Liuba, Petru

    2017-02-01

    Atrial septal defect (ASD) is the most common congenital cardiac lesion accounting for 10-15% of all cardiac malformations. In the majority of cases, the secundum type of the ASD is closed percutaneously in the catheterization laboratory. Although transcatheter closure of ASD is considered safe and effective in pediatric patients, there are limited data regarding the efficacy and safety of device ASD closure in smaller infants. The aim of this study was to determine risk of complications within 72 h following device closure of ASD in children of body weight <15 kg compared to larger children. Overall 252 children who underwent transcatheter closure of ASD at Children's Heart Centre in Lund, Sweden, between 1998 and 2015 were included. Data regarding demographics, comorbidity and complications occurring during and after device procedure until discharge were retrieved from the hospital's databases. Echocardiographic data were obtained from the digital and videotape recordings. Nearly half of the study cohort (n = 112; 44%) had a procedural weight <15 (median 11.3) kg with a median procedural age of 2.02 years. Among this study group, 22 (9%) children had post-procedural in-hospital complications, of which 16 (7%) were considered as major and six (2%) considered as minor. No deaths occurred. There was no significant difference in of the occurrence of major or minor complications between the two groups (p = 0.32). Larger ASD was more often associated with minor complications, OR 1.37 (95% CI 0.99-1.89), which most often consisted of transient arrhythmias during or after the procedure. Percutaneous ASD device closure can be performed safely in low-weight infants with a risk of post-procedural in-hospital complications comparable to larger/older children. Nevertheless, careful considerations of the indications to device closure is needed, particularly in children with larger ASD, as recommended by the current international guidelines for ASD closure.

  2. A checklist of the centipedes (Chilopoda) of Lithuania.

    PubMed

    Tuf, Ivan Hadrián; Ivinskis, Povilas; Rimšaitė, Jolanta

    2015-12-03

    Only 4 species of centipedes were previously reported for Lithuania. Here we present current distributional data for a total of 20 species (12 species of Lithobiomorpha and 8 species of Geophilomorpha) collected mainly during 7 years conducting ecological research at Curonian Spit, drawing on samples from the central, eastern and north-western parts of Lithuania.

  3. [Early deambulation following cardiac catheterization by the use of 6 Fr Angio-Seal, a new hemostatic percutaneous puncture closure device].

    PubMed

    Díaz De La Llera, L S; Fournier Andray, J A

    2001-12-01

    Efficacy of the hemostatic puncture closure 8 Fr Angio-Seal device for percutaneous puncture closure after a catheterism has been previously demonstrated, but the experience provided has been obtained with 8 Fr devices. At present the device has been modified and its size reduced to 6 Fr. In this pilot study we evaluate the efficacy of the new hemostatic 6 Fr Angio-Seal device and its safety when early deambulation post-diagnostic and/or therapeutic catheterization is established. Prospective study of 150 consecutive patients randomized either for application of the 6 Fr Angio-Seal device (group A; n = 75), in which early ambulation was indicated, or manual compression (group B; n = 75), with ambulation 12 h after cardiac catheterization. Basal data, including clinical and angiographic characteristics and previous treatment with heparin and platelet aggregation inhibitors were similar in both groups. The time of hemostasia was significantly shorter in group A than in group B (118 +/- 210 s in A vs 1320 +/- 370 s in B; p (3/4) 0,001), and with early ambulation (3,1 +/- 0,4 h in A vs 12,3 +/- 3,1 h in B; p (3/4) 0,001) no local complications were observed. The 6 Fr Angio-Seal hemostatic device diminished the hemostasia time and early ambulation could be achieved. In this pilot study no complications due to early movilization were observed, but the safety of the new hemostatic device after diagnostic or therapeutic catheterizations needs to be evaluated in greater series.

  4. Visual Closure.

    ERIC Educational Resources Information Center

    Groffman, Sidney

    An experimental test of visual closure based on an information-theory concept of perception was devised to test the ability to discriminate visual stimuli with reduced cues. The test is to be administered in a timed individual situation in which the subject is presented with sets of incomplete drawings of simple objects that he is required to name…

  5. The residential space heating problem in Lithuania

    SciTech Connect

    Kazakevicius, E.; Schipper, L.; Meyers, S.

    1996-02-01

    This report gives preliminary data on housing in Lithuania. We focus on the actual housing structure now that much of the stock has been privatized-an action that carries with it uncertainty regarding who is responsible for heating energy use, who is responsible for conservation measures and retrofitting, and who benefits from these actions. The paper then discusses some of the measures undertaken by both property owners and by governmental agencies to ameliorate poor heating conditions. The report summarizes results from a number of recent studies of the potential for energy savings in heating Lithuanian multifamily buildings. In closing we recommend actions that should be taken soon to ensure that Lithuanian housing moves along a path to greater energy efficiency. Some signals as to where this path should go can be taken from European countries with similar climatic conditions.

  6. [Lithuania: the need for a better intergovernmental collaboration].

    PubMed

    Caplinskas, S

    1996-01-01

    An interview is presented with Saulius Caplinskas, a virologist serving as director of Lithuania's National Center to Combat AIDS and president of the AIDS Foundation, a nongovernmental organization (NGO). AIDS is viewed principally as a health issue in Lithuania, but other institutions are gradually becoming involved. Dr. Caplinskas simultaneously heads both a governmental and nongovernmental organization because some of the activities developed with risk groups are at the margin of existing laws. The NGO allows the government to be spared direct involvement in actions that the society is not yet ready to accept. Prevention programs are lacking in Lithuania because health education and promotion were a low priority of the former Soviet Union, and discussion of homosexuality, drug addiction, and prostitution was forbidden. Social workers are nonexistent in Lithuania. Government AIDS control programs in the region have been medically oriented. Lithuania's government program has a diagnostic laboratory and a department for medical, social, and psychological support of the seropositive. An AIDS hotline and an IEC section working with the general population, mass media, and specific target groups are other activities. NGOs working in the area of AIDS receive only indirect assistance, such as use of meeting rooms. NGOs are a new development in Lithuania, and the official attitude toward them remains cautious. The first priority of the AIDS program is to increase collaboration between specialists in sexually transmitted diseases, drug use, health education, and other relevant areas. A multisectorial approach should be developed to prepare for collaboration with the NGOs.

  7. Implementation of a national electronic reporting system in Lithuania.

    PubMed

    Domeika, M; Kligys, G; Ivanauskiene, O; Mereckiene, J; Bakasenas, V; Morkunas, B; Berescianskis, D; Wahl, T; Stenqvist, K

    2009-04-02

    Electronic reporting systems improve the quality and timeliness of the surveillance of communicable diseases. The aim of this paper is to present the process of the implementation and introduction of an electronic reporting system for the surveillance of communicable diseases in Lithuania. The project which started in 2002 was performed in collaboration between Lithuania and Sweden and was facilitated by the parallel process of adapting the surveillance system to European Union (EU) standards. The Lotus-based software, SmittAdm, was acquired from the Department of Communicable Diseases Control and Prevention of Stockholm County in Sweden and adopted for Lithuania, resulting in the Lithuanian software, ULISAS. A major advantage of this program for Lithuania was the possibility to work offline. The project was initiated in the two largest counties in Lithuania where ULISAS had been installed and put in use by January 2005. The introduction was gradual, the national level was connected to the system during late 2005, and all remaining counties were included during 2006 and 2007. The reporting system remains to be evaluated concerning timeliness and completeness of the surveillance. Further development is needed, for example the inclusion of all physicians and laboratories and an alert system for outbreaks. The introduction of this case-based, timely electronic reporting system in Lithuania allows better reporting of data to the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization (WHO) compared to the former reporting system with paper-based, aggregated data.

  8. Duct closure

    DOEpatents

    Vowell, Kennison L.

    1987-01-01

    A closure for an inclined duct having an open upper end and defining downwardly extending passageway. The closure includes a cap for sealing engagement with the open upper end of the duct. Associated with the cap are an array of vertically aligned plug members, each of which has a cross-sectional area substantially conforming to the cross-sectional area of the passageway at least adjacent the upper end of the passageway. The plug members are interconnected in a manner to provide for free movement only in the plane in which the duct is inclined. The uppermost plug member is attached to the cap means and the cap means is in turn connected to a hoist means which is located directly over the open end of the duct.

  9. Closure device

    SciTech Connect

    Sable, D. E.

    1985-06-11

    A closure device connectible to a well head through which the polished rod of a rod string extends into a well tubing for operating pump means for moving well fluids to a surface flow conductor, the closure device having a tubular ram provided with a packing or plug for closing an annular passage between the polished rod and a tubular body connected to the well head above a lateral port of the tubular body, the tubular ram and the tubular body having thread means for moving the plug between an operative lower position wherein it closes the annular passage when the rod string is stationary and on inoperative upper position; seal means between the ram and the polished rod spaced above the plug; and a plurality of independent seal means between the ram and the tubular body operative when the plug is in its inoperative position. The plug of the closure device is especially adapted to operate under high temperature and pressure conditions of the well, as during steam injection operations when the rod string is stationary, to protect the seal means from high pressures and temperatures as well as any fluids which may be corrosive or otherwise deleterious to the substance of which the seal means are made.

  10. Evaluation of hydorhermal resources of Lithuania, the well specific approach

    NASA Astrophysics Data System (ADS)

    Sliaupa, Saulius; Sliaupiene, Rasa

    2017-04-01

    Lithuania is located in the eastern part of the Baltic sedimentary basin. The thickness of the sedimentary pile changes from 200 m in the southeast to 2300 m in west Lithuania. Two major geothermal aquifers are defined, referred to as Cambrian (30-70 m thick) and Lower Devonian (up to 120 m thick) dominated by sands and loosely cemented sandstones with subordinate shales and siltstones. The geothermal potential of different layers is different owing to different reservoir properties, thickness, and temperature. The latter parameter is controlled by depth and heat flow intensity which is twice as high in west Lithuania (70-80 mW/m2) as that in east Lithuania (40-50 mW/sq.m) The highest temperature close to 100degC is registered in Middle Cambrian sandstones of southwest Lithuania. The methodology of the heat potential calculation was developed that is based on well specific parameters evaluation. It owes to dense distribution of deep wells in Lithuania that allows rather detailed heat potential mapping. The heat potential (MWth) is calculated for the well duplet (production-injection) for each well site (or well group site). It allows compilation of the heat potential map (MWth) for prospective geothermal aquifers in a country scale. Aquifers of temperature exceeding 35degC were considered as potential formations for district heating application. The Cambrian geothermal aquifer covers the largest (29,800 km2) area in Lithuania. The most prospective area is confined to temperature range 35-65degC. A severe quartz cementation, dramatically reducing reservoir properties of Cambrian sandstones, occurs at higher temperatures, while average porosities are in the range of 22-15% within 35-65degC temperature interval. Assessment of geothermal resources show that 1-2 well doublets cover heating needs of individual towns. The well doublet extracted heat potential is estimated to range from 0.5 to 6.5 MWt. The depth in the potential area varies from 1 km in middle Lithuania to

  11. Expression of the Celsr/flamingo homologue, c-fmi1, in the early avian embryo indicates a conserved role in neural tube closure and additional roles in asymmetry and somitogenesis.

    PubMed

    Formstone, Caroline J; Mason, Ivor

    2005-02-01

    Flamingo is one of a core group of proteins that regulate planar cell polarity of epithelial structures within the Drosophila embryo while their vertebrate counterparts have been implicated in the coordination of convergent extension movements during gastrulation and in neural tube closure, suggesting that planar polarity mechanisms also function in these processes. Failure of neural tube closure is one of the most common human birth defects, and a murine flamingo (fmi) homologue, Celsr1/fmi-1, was identified as the defective gene in two mouse mutants exhibiting failure of closure 1 of the neural tube. This failure resulted in craniorachischisis in which the neural tube is open from the midbrain posteriorly. The avian embryo provides a tractable system to study neural tube closure. We have identified a chick Celsr1/fmi-1 orthologue, c-fmi1 and provide the first study of expression of an avian flamingo gene. We show that expression is highly dynamic in the early embryo and that c-fmi1 transcripts become enriched within the avian neural epithelium at the initiation of neural tube closure, suggesting a conserved function for Flamingo proteins in this process. Our data also suggest a role for c-fmi1 in myotome development.

  12. The effectiveness of early lens extraction with intraocular lens implantation for the treatment of primary angle-closure glaucoma (EAGLE): study protocol for a randomized controlled trial

    PubMed Central

    2011-01-01

    Background Glaucoma is the leading cause of irreversible blindness. Although primary open-angle glaucoma is more common, primary angle-closure glaucoma (PACG) is more likely to result in irreversible blindness. By 2020, 5·3 million people worldwide will be blind because of PACG. The current standard care for PACG is a stepped approach of a combination of laser iridotomy surgery (to open the drainage angle) and medical treatment (to reduce intraocular pressure). If these treatments fail, glaucoma surgery (eg, trabeculectomy) is indicated. It has been proposed that, because the lens of the eye plays a major role in the mechanisms leading to PACG, early clear lens extraction will improve glaucoma control by opening the drainage angle. This procedure might reduce the need for drugs and glaucoma surgery, maintain good visual acuity, and improve quality of life compared with standard care. EAGLE aims to evaluate whether early lens extraction improves patient-reported, clinical outcomes, and cost-effectiveness, compared with standard care. Methods/Design EAGLE is a multicentre pragmatic randomized trial. All people presenting to the recruitment centres in the UK and east Asia with newly diagnosed PACG and who are at least 50 years old are eligible. The primary outcomes are EQ-5D, intraocular pressure, and incremental cost per quality adjusted life year (QALY) gained. Other outcomes are: vision and glaucoma-specific patient-reported outcomes, visual acuity, visual field, angle closure, number of medications, additional surgery (e.g., trabeculectomy), costs to the health services and patients, and adverse events. A single main analysis will be done at the end of the trial, after three years of follow-up. The analysis will be based on all participants as randomized (intention to treat). 400 participants (200 in each group) will be recruited, to have 90% power at 5% significance level to detect a difference in EQ-5D score between the two groups of 0·05, and a mean

  13. Early lens extraction with intraocular lens implantation for the treatment of primary angle closure glaucoma: an economic evaluation based on data from the EAGLE trial

    PubMed Central

    Javanbakht, Mehdi; Azuara-Blanco, Augusto; Burr, Jennifer M; Ramsay, Craig; Cooper, David; Cochran, Claire; Norrie, John; Scotland, Graham

    2017-01-01

    Objective To investigate the cost-effectiveness of early lens extraction with intraocular lens implantation for the treatment of primary angle closure glaucoma (PACG) compared to standard care. Design Cost-effectiveness analysis alongside a multicentre pragmatic two-arm randomised controlled trial. Patients were followed-up for 36 months, and data on health service usage and health state utility were collected and analysed within the trial time horizon. A Markov model was developed to extrapolate the results over a 5-year and 10-year time horizon. Setting 22 hospital eye services in the UK. Population Males and females aged 50 years or over with newly diagnosed PACG or primary angle closure (PAC). Interventions Lens extraction compared to standard care (ie, laser iridotomy followed by medical therapy and glaucoma surgery). Outcome measures Costs of primary and secondary healthcare usage (UK NHS perspective), quality-adjusted life years (QALYs) and the incremental cost-effectiveness ratio (ICER) for lens extraction versus standard care. Results The mean age of participants was 67.5 (8.42), 57.5% were women, 44.6% had both eyes eligible, 1.4% were of Asian ethnicity and 35.4% had PAC. The mean health service costs were higher in patients randomised to lens extraction: £2467 vs £1486. The mean adjusted QALYs were also higher with early lens extraction: 2.602 vs 2.533. The ICER for lens extraction versus standard care was £14 284 per QALY gained at three years. Modelling suggests that the ICER may drop to £7090 per QALY gained by 5 years and that lens extraction may be cost saving by 10 years. Our results are generally robust to changes in the key input parameters and assumptions. Conclusions We find that lens extraction has a 67–89% chance of being cost-effective at 3 years and that it may be cost saving by 10 years. Trial registration number ISRCTN44464607; Results. PMID:28087548

  14. CLOSURE DEVICE

    DOEpatents

    Linzell, S.M.; Dorcy, D.J.

    1958-08-26

    A quick opening type of stuffing box employing two banks of rotatable shoes, each of which has a caraming action that forces a neoprene sealing surface against a pipe or rod where it passes through a wall is presented. A ring having a handle or wrench attached is placed eccentric to and between the two banks of shoes. Head bolts from the shoes fit into slots in this ring, which are so arranged that when the ring is rotated a quarter turn in one direction the shoes are thrust inwardly to cramp the neopnrene about the pipe, malting a tight seal. Moving the ring in the reverse direction moves the shoes outwardly and frees the pipe which then may be readily removed from the stuffing box. This device has particular application as a closure for the end of a coolant tube of a neutronic reactor.

  15. Early Miocene chondrichthyans from the Culebra Formation, Panama: A window into marine vertebrate faunas before closure the Central American Seaway

    NASA Astrophysics Data System (ADS)

    Pimiento, Catalina; Gonzalez-Barba, Gerardo; Hendy, Austin J. W.; Jaramillo, Carlos; MacFadden, Bruce J.; Montes, Camilo; Suarez, Sandra C.; Shippritt, Monica

    2013-03-01

    The newly described chondrichthyan fauna of the early Miocene Culebra Formation of Panama provides insight into the marine vertebrates occupying shallow seas adjacent to the Central American Seaway, prior to the rise of the Isthmus of Panama. This study takes advantage of a time-limited and unique opportunity to recover fossil from renewed excavations of the Panama Canal. The chondrichthyan fauna of the Culebra Formation is composed of teeth and vertebral centra representing 12 taxa. The species found possessed a cosmopolitan tropical and warm-temperate distribution during the early Neogene and are similar to other assemblages of the tropical eastern Pacific and southern Caribbean. The taxa described suggest a neritic environment, and is in contrast with other interpretations that proposed bathyal water depths for the upper member of the Culebra Formation. The wide depth range of the most common species, Carcharocles chubutensis, and the habitat preference of Pristis sp., suggests varied marine environments, from deep, to shallow waters, close to emerged areas of the evolving isthmus.

  16. Residential energy use in Lithuania: The prospects for energy efficiency

    SciTech Connect

    Vine, E.; Kazakevicius, E.

    1998-06-01

    While the potential for saving energy in Lithuania`s residential sector (especially, space heating in apartment buildings) is large, significant barriers (financial, administration, etc.) to energy efficiency remain. Removing or ameliorating these barriers will be difficult since these are systematic barriers that require societal change. Furthermore, solutions to these problems will require the cooperation and, in some cases, active participation of households and homeowner associations. Therefore, prior to proposing and implementing energy-efficiency solutions, one must understand the energy situation from a household perspective.

  17. The physiology and proteomics of drought tolerance in maize: early stomatal closure as a cause of lower tolerance to short-term dehydration?

    PubMed

    Benešová, Monika; Holá, Dana; Fischer, Lukáš; Jedelský, Petr L; Hnilička, František; Wilhelmová, Naďa; Rothová, Olga; Kočová, Marie; Procházková, Dagmar; Honnerová, Jana; Fridrichová, Lenka; Hniličková, Helena

    2012-01-01

    Understanding the response of a crop to drought is the first step in the breeding of tolerant genotypes. In our study, two maize (Zea mays L.) genotypes with contrasting sensitivity to dehydration were subjected to moderate drought conditions. The subsequent analysis of their physiological parameters revealed a decreased stomatal conductance accompanied by a slighter decrease in the relative water content in the sensitive genotype. In contrast, the tolerant genotype maintained open stomata and active photosynthesis, even under dehydration conditions. Drought-induced changes in the leaf proteome were analyzed by two independent approaches, 2D gel electrophoresis and iTRAQ analysis, which provided compatible but only partially overlapping results. Drought caused the up-regulation of protective and stress-related proteins (mainly chaperones and dehydrins) in both genotypes. The differences in the levels of various detoxification proteins corresponded well with the observed changes in the activities of antioxidant enzymes. The number and levels of up-regulated protective proteins were generally lower in the sensitive genotype, implying a reduced level of proteosynthesis, which was also indicated by specific changes in the components of the translation machinery. Based on these results, we propose that the hypersensitive early stomatal closure in the sensitive genotype leads to the inhibition of photosynthesis and, subsequently, to a less efficient synthesis of the protective/detoxification proteins that are associated with drought tolerance.

  18. The Physiology and Proteomics of Drought Tolerance in Maize: Early Stomatal Closure as a Cause of Lower Tolerance to Short-Term Dehydration?

    PubMed Central

    Benešová, Monika; Holá, Dana; Fischer, Lukáš; Jedelský, Petr L.; Hnilička, František; Wilhelmová, Naďa; Rothová, Olga; Kočová, Marie; Procházková, Dagmar; Honnerová, Jana; Fridrichová, Lenka; Hniličková, Helena

    2012-01-01

    Understanding the response of a crop to drought is the first step in the breeding of tolerant genotypes. In our study, two maize (Zea mays L.) genotypes with contrasting sensitivity to dehydration were subjected to moderate drought conditions. The subsequent analysis of their physiological parameters revealed a decreased stomatal conductance accompanied by a slighter decrease in the relative water content in the sensitive genotype. In contrast, the tolerant genotype maintained open stomata and active photosynthesis, even under dehydration conditions. Drought-induced changes in the leaf proteome were analyzed by two independent approaches, 2D gel electrophoresis and iTRAQ analysis, which provided compatible but only partially overlapping results. Drought caused the up-regulation of protective and stress-related proteins (mainly chaperones and dehydrins) in both genotypes. The differences in the levels of various detoxification proteins corresponded well with the observed changes in the activities of antioxidant enzymes. The number and levels of up-regulated protective proteins were generally lower in the sensitive genotype, implying a reduced level of proteosynthesis, which was also indicated by specific changes in the components of the translation machinery. Based on these results, we propose that the hypersensitive early stomatal closure in the sensitive genotype leads to the inhibition of photosynthesis and, subsequently, to a less efficient synthesis of the protective/detoxification proteins that are associated with drought tolerance. PMID:22719860

  19. Forensic anthropology and mortuary archaeology in Lithuania.

    PubMed

    Jankauskas, Rimantas

    2009-12-01

    Forensic anthropology (in Lithuania, as everywhere in Eastern Europe, traditionally considered as a narrower field--forensic osteology) has a long history, experience being gained both during exhumations of mass killings during the Second World War and the subsequent totalitarian regime, investigations of historical mass graves, identification of historical personalities and routine forensic work. Experts of this field (usually a branch of forensic medicine) routinely are solving "technical" questions of crime investigation, particularly identification of (usually dead) individuals. Practical implementation of the mission of forensic anthropology is not an easy task due to interdisciplinary character of the field. On one hand, physical anthropology has in its disposition numerous scientifically tested methods, however, their practical value in particular legal processes is limited. Reasons for these discrepancies can be related both to insufficient understanding of possibilities and limitations of forensic anthropology and archaeology by officials representing legal institutions that perform investigations, and sometimes too "academic" research, that is conducted at anthropological laboratories, when methods developed are not completely relevant to practical needs. Besides of answering to direct questions (number of individuals, sex, age, stature, population affinity, individual traits, evidence of violence), important humanitarian aspects--the individual's right for identity, the right of the relatives to know the fate of their beloved ones--should not be neglected. Practical use of other identification methods faces difficulties of their own (e.g., odontology--lack of regular dental registration system and compatible database). Two examples of forensic anthropological work of mass graves, even when the results were much influenced by the questions raised by investigators, can serve as an illustration of the above-mentioned issues.

  20. National burden of colorectal cancer in Lithuania and the ranking of Lithuania within the 45 European nations.

    PubMed

    Lunevicius, Raimundas; Poskus, Tomas; Samalavicius, Narimantas E

    2015-07-01

    The aim of the present paper was to assess the national burden of colorectal cancer in Lithuania, and to determine the performance of Lithuania for the control of colorectal cancer compared with 45 European nations by ranking. Seven sources of data and information were used. The majority of the findings on disease burden are reported in the present study in the form of the crude and age-standardised incidence, age-specific and age-standardised mortality, disability adjusted life years (DALYs), years lived with disability (YLDs) and years of life lost (YLLs) per 100,000 individuals per year by gender and in the two genders combined between 1990 and 2011. Colorectal cancer was ranked as the 3rd leading cause of disease burden out of all malignancies. Overall, the crude incidence was 35 per 100,000 individuals in 2001 and 51 per 100,000 individuals in 2011 in Lithuania. Incidence and mortality from colorectal cancer varied markedly within Lithuania. The number of DALYs and YLLs slightly declined between 2005 and 2010. YLLs contributed 97% of the total burden due to colorectal cancer in 1990, and 96% in 2010. The mortality rate was 4-5 times higher in males aged 50-54 years than in males aged 45-49. The YLDs per 100,000 individuals per year in Lithuania increased by 61.1% between 1990 and 2010. However, Lithuania was below the average of the Central & Eastern, Southern, Northern and Western regions of Europe. It was concluded that the national colorectal cancer service provision should be amplified and that a programme for the prevention and control of colorectal cancer is required.

  1. Safety and efficacy of early anticoagulation drug regimens after WATCHMAN left atrial appendage closure: three-month data from the EWOLUTION prospective, multicentre, monitored international WATCHMAN LAA closure registry.

    PubMed

    Bergmann, Martin W; Betts, Timothy R; Sievert, Horst; Schmidt, Boris; Pokushalov, Evgeny; Kische, Stephan; Schmitz, Thomas; Meincke, Felix; Stein, Kenneth M; Boersma, Lucas V A; Ince, Hüseyin

    2017-09-20

    While LAA closure has recently been incorporated into both European and US guidelines for stroke prevention, uncertainties regarding post-procedural drug therapy so far limit its adoption. The aim of this analysis is to compare real-world outcome data stratified for the post-procedural drug regimen employed. One thousand and five patients were implanted with a WATCHMAN device in the prospective EWOLUTION study at 47 centres; 73.5% of the patients were deemed contraindicated for long-term OAC therapy. Here we report on three-month data including the first follow-up TOE exam for 94% of the study population. Following LAA closure, patients received DAPT, VKA, NOAC, single antiplatelet or no therapy (60.3%, 15.4%, 10.9%, 7% and 6.5%, respectively). Device thrombus (2.6%), stroke (0.4%) and major bleeding SAE (2.6%) rates were low overall and did not vary by post-implantation medication strategy. Patients on NOAC had the lowest bleeding rate, without an increase in device thrombus or stroke rates. LAA closure with the WATCHMAN device is feasible in patients with a relative or absolute contraindication to oral anticoagulation. Neither DAPT nor NOAC therapy leads to a significant increase in device thrombus, stroke or bleeding compared to the standard VKA regimen. Numerically, NOAC therapy had the lowest event rate.

  2. Early results of first versus second generation Amplatzer occluders for left atrial appendage closure in patients with atrial fibrillation.

    PubMed

    Gloekler, Steffen; Shakir, Samera; Doblies, Janosch; Khattab, Ahmed A; Praz, Fabien; Guerios, Ênio; Koermendy, Dezsoe; Stortecky, Stefan; Pilgrim, Thomas; Buellesfeld, Lutz; Wenaweser, Peter; Windecker, Stephan; Moschovitis, Aris; Jaguszewski, Milosz; Landmesser, Ulf; Nietlispach, Fabian; Meier, Bernhard

    2015-08-01

    Transcatheter left atrial appendage (LAA) occlusion has been proven to be an effective treatment for stroke prophylaxis in patients with atrial fibrillation. For this purpose, the Amplatzer cardiac plug (ACP) was introduced. Its second generation, the Amulet, was developed for easier delivery, better coverage, and reduction of complications. To investigate the safety and efficacy of first generation versus second generation Amplatzer occluders for LAA occlusion. Retrospective analysis of prospectively collected data from the LAA occlusion registries of the Bern and Zurich university hospitals. Comparison of the last consecutive 50 ACP cases versus the first consecutive 50 Amulet cases in patients with non-valvular atrial fibrillation. For safety, a periprocedural combined endpoint, which is composed of death, stroke, cardiac tamponade, and bailout by surgery was predefined. For efficacy, the endpoint was procedural success. There were no differences between the two groups in baseline characteristics. The percentage of associated interventions during LAA occlusion was high in (78% with ACP vs. 70% with Amulet p = ns). Procedural success was similar in both groups (98 vs. 94%, p = 0.61). The combined safety endpoint for severe adverse events was reached by a similar rate of patients in both groups (6 vs. 8%, p = 0.7). Overall complication rate was insignificantly higher in the ACP group, which was mainly driven by clinically irrelevant pericardial effusions (24 vs. 14%, p = 0.31). Death, stroke, or tamponade were similar between the groups (0 vs. 2%, 0 vs. 0%, or 6 vs. 6%, p = ns). Transcatheter LAA occlusion for stroke prophylaxis in patients with atrial fibrillation can be performed with similarly high success rates with first and second generations of Amplatzer occluders. According to this early experience, the Amulet has failed to improve results of LAA occlusion. The risk for major procedural adverse events is acceptable but has to be taken into account when

  3. Onshore Wind Farms: Value Creation for Stakeholders in Lithuania

    NASA Astrophysics Data System (ADS)

    Burinskienė, Marija; Rudzkis, Paulius; Kanopka, Adomas

    With the costs of fossil fuel consistently rising worldwide over the last decade, the development of green technologies has become a major goal in many countries. Therefore the evaluation of wind power projects becomes a very important task. To estimate the value of the technologies based on renewable resources also means taking into consideration social, economic, environmental, and scientific value of such projects. This article deals with economic evaluation of electricity generation costs of onshore wind farms in Lithuania and the key factors that have influence on wind power projects and offer a better understanding of social-economic context behind wind power projects. To achieve these goals, this article makes use of empirical data of Lithuania's wind power farms as well as data about the investment environment of the country.Based on empirical data of wind power parks, the research investigates the average wind farm generation efficiency in Lithuania. Employing statistical methods the return on investments of wind farms in Lithuania is calculated. The value created for every party involved and the total value of the wind farm is estimated according to Stakeholder theory.

  4. Pre-School Education in Lithuania: Historical Interpretation.

    ERIC Educational Resources Information Center

    Montvilaite, Sigita

    During the 20th century, preschool education in Lithuania evolved within a context of a changing society, ideology, and politics, including the experience of national independence, two world wars, political exile and occupation, and regained independence. This paper demonstrates the connection between past and present preschool educational…

  5. Reviews of National Policies for Education: Lithuania. Education and Skills.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France).

    Reform of education, training, and human resource development is an integral part of the transition to a democratic society and market economy. The talents, skills, and knowledge base of the Lithuanian population are crucial in this process, motivating the ambitious scale and urgency of the reforms being advanced for education. Lithuania has made…

  6. Legal assessment of current situation on orphan patients in Lithuania.

    PubMed

    Spokiene, Indre

    2008-01-01

    After Lithuania joined the European Union, the Regulation (EC) No. 141/2000 on orphan medicinal products and Commission Regulation (EC) No. 847/2000 came into force as part of national legislation. Member States must adopt specific measures to increase knowledge on rare diseases and to improve their detection, diagnosis, and treatment. The aim of this article was to present and to assess the current legal situation on orphan patients and their treatment in Lithuania, to identify legislation gaps, and to propose some ideas how to facilitate the solution of the existing problems in this field. For this purpose, European Union and Lithuanian legal documents on rare medicinal products are examined using a comparative method. With reference to inventory of Member States' incentives for rare diseases in national level, the most important issues, which orphan patients face to in Lithuania, are singled out. In Lithuania, the situation of orphan patients in terms of protection of patient rights is insufficiently determined. The access to effective health care services or approved therapies in some cases is restricted. Working relationships between genetic services and various clinical specialists as well as with those in primary care are not legally determined; the number of clinical trials aimed at orphan medicinal products is low. These results suggest a need for awareness raising among Lithuanian Government, health care specialists, patient organizations about the importance to improve practical implementation of European Union legislation and progressive experience of some European countries in this field.

  7. Information Needs Research in Russia and Lithuania, 1965-2003

    ERIC Educational Resources Information Center

    Maceviciute, Elena

    2006-01-01

    Introduction: The invisibility of research on information needs from the East and Central Europe in the West suggested an exploration of the published research output from Lithuania and Russia from 1965 to 2003. Method: The data were collected from the abstracting journal Informatika-59. The publications were retrieved from Lithuanian and Russian…

  8. Giftedness Perceptions and Practices of Teachers in Lithuania

    ERIC Educational Resources Information Center

    Leavitt, Monita; Geake, John

    2009-01-01

    This article reports on two of the first studies of post-Soviet reforms of gifted education in Lithuania. After a professional development (PD) programme was provided Lithuanian teachers to help them develop a list of characteristics of gifted children, define giftedness, and design a procedure for gifted identification, two qualitative studies…

  9. Perspectives on Language Attitudes and Use in Lithuania's Multilingual Setting

    ERIC Educational Resources Information Center

    Hogan-Brun, Gabrielle; Ramoniene, Meilute

    2005-01-01

    EU accession negotiations have impacted on and generated ongoing interest in Baltic language and citizenship legislation. There is however no detailed knowledge of prevailing language attitudes amongst mainstream and minority populations in Lithuania. This paper investigates attitudes to minority language use and to the (officially reinstated)…

  10. Internet Banking Adoption: Case of Lithuania and Latvia

    ERIC Educational Resources Information Center

    Gaile-Sarkane, Elina; Jureviciene, Diva; Skvarciany, Viktorija; Iljins, Juris

    2017-01-01

    The banking sector has developed and extended usage of different services at a distance using the internet in the last decade. Internet-based banking services dominate over other historically provided alternatives. This paper explores the adoption of internet banking in Lithuania and Latvia. Internet banking success model was developed based on…

  11. Lessons from Lithuania: A Pedagogical Approach in Teaching Improvisation

    ERIC Educational Resources Information Center

    Hedden, Debra

    2017-01-01

    The purpose of this study was to uncover the approach that a professor in Lithuania utilized in successfully teaching undergraduate music education majors how to improvise during a one-semester course. The research questions focused on the participant's philosophy of teaching and learning, his methods for motivating students, the learning…

  12. [Health resorts and development of the health resort medicine in Lithuania].

    PubMed

    Krisciūnas, Aleksandras

    2005-01-01

    Lithuanian health resorts are national resources of this country. Body hardening, health promotion, disease prevention and rehabilitation by means of applying natural factors are linked for centuries with the names of health resorts such as Druskininkai and Birstonas. The effect of natural factors is multiplex and depends on many parameters the study of which in concrete health resorts is indispensable in order to individualize the treatment at the health resorts and avoid undesirable side effects. As the contingent of the patients being referred to the sanatoria is changing--the number of severe patients after acute disorders and traumas is increasing constantly--the need of such studies becomes relevant. However, after renewal of independence of Lithuania in 1990, the policy of health resort development on the national scale has not been carried out yet. Besides, the number of localities that aim for becoming health resorts is increasing, however, such localities often do not meet the required criteria. The article reviews the status of health resorts and their localities together with their regulations in Lithuania, their development, specificity, the effects of the health resort natural factors (climatotherapy, balneotherapy, pelotherapy) on the healthy body and patients. The data are presented on the development of research studies concerning health resorts and main trends of health resort medicine: health promotion, prevention of disorders, early health resort rehabilitation, health resort tourism, treatment and health resort etiology. Possibilities of revival of studies concerning the effects of health resort factors on the rehabilities are discussed.

  13. Sampling and monitoring for closure

    USGS Publications Warehouse

    McLemore, Virginia T.; Smith, Kathleen S.; Russell, Carol C.

    2007-01-01

    An important aspect of planning a new mine or mine expansion within the modern regulatory framework is to design for ultimate closure. Sampling and monitoring for closure is a form of environmental risk management. By implementing a sampling and monitoring program early in the life of the mining operation, major costs can be avoided or minimized. The costs for treating mine drainage in perpetuity are staggering, especially if they are unanticipated. The Metal Mining Sector of the Acid Drainage Technology Initiative (ADTI-MMS), a cooperative government-industry-academia organization, was established to address drainage-quality technologies of metal mining and metallurgical operations. ADTI-MMS recommends that sampling and monitoring programs consider the entire mine-life cycle and that data needed for closure of an operation be collected from exploration through postclosure.

  14. Closure of the open abdomen.

    PubMed

    Björck, Martin; D'Amours, Scott K; Hamilton, A E Ricardo

    2011-07-01

    The open abdomen is a valuable tool in the management of patients with intra-abdominal hypertension and abdominal compartment syndrome. The longer an abdomen is left open, the greater the potential morbidity, however. From the very start, specific measures should be considered to increase the likelihood of definitive closure and prevent the development of visceral adhesions, lateralization, and/or loss of skin and fascia, ileus, fistulae, and malnutrition. Early definitive closure of all abdominal wall layers is the short-term goal of management once the need for the open abdomen has resolved. Several devices and strategies improve the chances for definitive closure. If a frozen abdomen develops, split-thickness skin grafting of a granulating open abdominal wound base is an alternative. Early coverage of the exposed viscera and acceptance of a large abdominal hernia permit earlier reversal of the catabolic state and lower the risk of fistula formation. When a stoma is required, sealing and separation can become problematic. If a fistula develops, a more complex situation prevails, requiring specific techniques to isolate its output and a longer-term strategy to restore intestinal continuity. Planning the closure of an open abdomen is a process that starts on the first day that the abdomen is opened. Multiple factors need to be addressed, optimized, and controlled to achieve the best outcome.

  15. Current practice and shortcomings of EIA in Lithuania

    SciTech Connect

    Kruopiene, Jolita; Zidoniene, Sigita; Dvarioniene, Jolanta

    2009-09-15

    The paper provides an overview of EIA system applications and assesses its effectiveness in Lithuania. A combination of archival research and quantitative/qualitative analysis was used to identify the main shortcomings of the EIA process in Lithuania: subjectivity in forecasting environmental effects, insufficient consideration of alternatives, politicisation of the process and incompetence of authorities involved. The research revealed that a thorough knowledge of EIA procedures and legal requirements may be a solution to these problems, especially when the stages related to forecasting the effects and evaluating the results are strictly reserved for recognized experts. The work concludes on the suggestions to involve in EIA process relevant authorities and to increase the competence of EIA practitioners.

  16. Unusually well preserved casts of halite crystals: A case from the Upper Frasnian of northern Lithuania

    NASA Astrophysics Data System (ADS)

    Rychliński, Tomasz; Jaglarz, Piotr; Uchman, Alfred; Vainorius, Julius

    2014-07-01

    Upper Frasnian carbonate-siliciclastics of the Stipinai Formation (northern Lithuania) comprise a bed of calcareous silty arenite with casts of halite crystals, including hopper crystals. Unusually well-preserved casts occur on the lower surface of the bed, while poorly-preserved casts are present on the upper bedding surface. The casts originated as the result of the dissolution of halite crystals which grew in the sediment. The dissolution took place during early stages of diagenesis, when host sediment was soft. Unstable cavities after crystal dissolution were filled by overlying sediment forming their casts. The collapsing sediment form sink-hole deformation structures which disturb wave-ripple cross lamination from the upper part of the bed. Dewatering pipe structures are also present. The casts and accompanying sink-hole and dewatering pipes are classified as the postdepositional deformation structures caused by haloturbation.

  17. Comparisons organized by Ionizing Radiation Metrology Laboratory of FTMC, Lithuania.

    PubMed

    Gudelis, A; Gorina, I

    2016-03-01

    The newly established Ionizing Radiation Metrology Laboratory of the National Metrology Institute (FTMC) in Lithuania organized four comparisons in the field of low-level radioactivity measurements in water. For gamma-ray emitters, the activity concentration in the samples was in the range 1-25Bq/kg, while for tritium it was around 2Bq/g. The assigned values of all comparisons were traceable to the primary standards of the Czech Metrology Institute (CMI).

  18. Study on Customer Satisfaction with Facilities Management Services in Lithuania

    NASA Astrophysics Data System (ADS)

    Lepkova, Natalija; Žūkaitė-Jefimovienė, Giedrė

    2012-12-01

    The article introduces the concept and content of facilities management (FM) services. The paper presents the concept of customer satisfaction and discusses the key factors which influence the opinions of customers and their satisfaction or dissatisfaction with the services provided. The article presents two studies: a brief survey of several FM service providers and a survey of customer satisfaction with FM services in Lithuania. The conclusions are given at the end of the article.

  19. Epidemiology of basal cell carcinoma in Lithuania, 1996-2010.

    PubMed

    Jurciukonyte, R; Vincerzevskiene, I; Krilaviciute, A; Bylaite, M; Smailyte, G

    2013-11-01

    Nonmelanoma skin cancer is the most common cancer among the white population. To describe the epidemiology of basal cell carcinoma (BCC) in Lithuania by analysing population-based incidence, with special emphasis on sex- and subsite-specific changes over time. Data from the Lithuanian Cancer Registry for the period 1996-2010 were used to analyse trends in the incidence rates for BCC. Only the first case of BCC per patient was included in this analysis. Age-standardized rates were calculated for both sexes. Standardization was performed using the direct method (European standard population). Since 1996, overall BCC incidence rates have increased from 27.4 to 46.0 cases per 100,000 in Lithuania. In 1996, the incidence of BCC was higher among women than men (28.2 vs. 27.6 per 100,000, respectively). Incidence of BCC during the study period increased faster among men than among women (by 3.3% and 2.6% per year, respectively), while the incidence among both sexes in 2010 became almost equal -46.4 among men and 47.4 among women per 100,000. The head and neck was the most common site of BCCs for both sexes (31.0 and 32.9 per 100,000 among men and women, respectively). The incidence of BCC in Lithuania is lower than that reported in Northern and Western Europe. The population-based data for BCC from Lithuania are closely comparable, with regard to age, tumour localization and place of residence, with the existing literature from other European cancer registries. © 2013 British Association of Dermatologists.

  20. Retaining physicians in Lithuania: integrating research and health policy.

    PubMed

    Starkiene, Liudvika; Macijauskiene, Jurate; Riklikiene, Olga; Stricka, Marius; Padaiga, Zilvinas

    2013-04-01

    Many of the strategic planning studies worldwide have made recommendations to the policy makers on the steps to be taken in eliminating the perceived shortages of physician workforce or in improving their distribution and retention. Policy makers have also considered various policy interventions to ensure adequate numbers of physicians. This study reviewed the research evidence and health policy decisions taken from 2000 to 2010 in Lithuania and evaluated the chronological links over time between scientific recommendations and policy decisions. From the analysis it would seem that Lithuania's success in retaining physicians between 2000 and 2010 was influenced by the timely implementation of particular research recommendations, such as increased salaries and increased enrolment to physician training programmes. In addition were the health policy interventions such as health sector reform, change in the legal status of medical residents and establishment of professional re-entry programmes. Based on this evidence it is recommended that policy makers in Lithuania as well as in other countries should consider comprehensive and systematic health policy approaches that combine and address various aspects of physician training, retention, geographic mal-distribution and emigration. Implementation of such an inclusive policy however is impossible without the integration of research into strategic decision making in workforce planning and effective health policy interventions.

  1. Bartonella infection in small mammals and their ectoparasites in Lithuania.

    PubMed

    Lipatova, Indre; Paulauskas, Algimantas; Puraite, Irma; Radzijevskaja, Jana; Balciauskas, Linas; Gedminas, Vaclovas

    2015-01-01

    The Bartonella pathogen is an emerging zoonotic agent. Epidemiological studies worldwide have demonstrated that small mammals are reservoir hosts of Bartonella spp. and their ectoparasites are potential vectors. The aim of this study was to investigate the prevalence of Bartonella infections in small mammals (Rodentia, Insectivora) and their ectoparasites (fleas and ticks) in Lithuania. A total of 430 small mammals representing nine species were captured with live-traps in Lithuania during 2013-2014. A total of 151 fleas representing eight species were collected from 109 (25.8%) small mammals. Five hundred and seventy ticks (Ixodes ricinus) were collected from 68 (16.1%) small mammals. Bartonella DNA was detected in 102 (23.7%) small mammals, 44 (29.1%) fleas and five (3.7%) pooled tick samples. Sequence analysis of 16S-23S rRNA ITS region showed that sequences were identical or similar to Bartonella grahamii, Bartonella taylorii and Bartonella rochalimae. This study is the first investigating the distribution and diversity of Bartonella species in small mammals and their ectoparasites in Lithuania. B. grahamii, B. taylorii, and B. rochalimae were detected in small mammals and their fleas, and B. grahamii in ticks obtained from small mammals.

  2. Overturn of the proposed alcohol advertising ban in Lithuania.

    PubMed

    Paukštė, Ernesta; Liutkutė, Vaida; Stelemėkas, Mindaugas; Goštautaitė Midttun, Nijolė; Veryga, Aurelijus

    2014-05-01

    In response to the dramatic increase in alcohol-related problems in Lithuania, policy measures, including alcohol advertising and availability restrictions combined with taxation increase, were implemented in 2007-08. Simultaneously, a full alcohol advertising ban was adopted to take effect from 1 January 2012. Therefore, the alcohol industry responded with extensive lobbying aiming to revoke this ban, and ultimately they succeeded at the end of December 2011. To document and analyse actions of stakeholders and events during the alcohol advertising ban cancellation process in Lithuania. Policy analysis includes a development of event time-line, description of key stakeholders' actions and a review of policy context. The alcohol industry in Lithuania used similar tactics as the tobacco industry globally, such as creating strong and diverse opposing groups. The industry successfully exerted pressure to change alcohol control legislation, while non-governmental organizations had the important role of a watchdog, blunting industry's efforts. Unequal power distribution made it difficult to withstand combined local and international lobbying to cancel the ban. Given the global nature of the alcohol industry, there is a need for international regulation to limit the influence of vested interests on national lawmaking. © 2014 Society for the Study of Addiction.

  3. Origins of Early Mesozoic granitoids and their enclaves from West Kunlun, NW China: implications for evolving magmatism related to closure of the Paleo-Tethys ocean

    NASA Astrophysics Data System (ADS)

    Wang, Chao; Liu, Liang; Korhonen, Fawna; Yang, Wen-Qiang; Cao, Yu-Ting; He, Shi-Ping; Zhu, Xiao-Hui; Liang, Wen-Tian

    2016-04-01

    younging of Mesozoic granitoids in the West Kunlun records a transition from shallow level, mid-crustal melting to deeper level, lower-crustal melting. The post-collisional granitoids show significant mantle input increasing from northwest to southeast, which was closely associated with mafic magma-driven partial melting of mantle and crustal sources as a consequence of slab break-off. Syn- to post-collisional Early Mesozoic granites emplaced along the Mazar-Kangxiwar suture zone suggest that these tectonomagmatic processes followed the closure of the Paleo-Tethys ocean during the Tarim and Karakorum-Qiangtang continental collision.

  4. Geological research for public outreach and education in Lithuania

    NASA Astrophysics Data System (ADS)

    Skridlaite, Grazina; Guobyte, Rimante

    2013-04-01

    Successful IYPE activities and implementation of Geoheritage day in Lithuania increased public awareness in geology. A series of projects introducing geology to the general public and youth, supported by EU funds and local communities, were initiated. Researchers from the scientific and applied geology institutions of Lithuania participated in these projects and provided with the geological data. In one case, the Lithuanian Survey of Protected Areas supported the installation of a series of geological exhibitions in several regional and national parks. An animation demonstrating glacial processes was chosen for most of these because the Lithuanian surface is largely covered with sedimentary deposits of the Nemunas (Weichselian) glaciation. Researchers from the Lithuanian Geological Survey used the mapping results to demonstrate real glacial processes for every chosen area. In another case, 3D models showing underground structures of different localities were based on detailed geological maps and profiles obtained for that area. In case of the Sartai regional park, the results of previous geological research projects provided the possibility to create a movie depicting the ca. 2 Ga geological evolution of the region. The movie starts with the accretion of volcanic island arcs on the earlier continental margin at ca. 2 Ga and deciphers later Precambrian tectonic and magmatic events. The reconstruction is based on numerous scientific articles and interpretation of geophysical data. Later Paleozoic activities and following erosion sculptured the surface which was covered with several ice sheets in Quaternary. For educational purpose, a collection of minerals and rocks at the Forestry Institute was used to create an exhibition called "Cycle of geological processes". Forestry scientists and their students are able to study the interactions of geodiversity and biodiversity and to understand ancient and modern geological processes leading to a soil formation. An aging

  5. An early I-Xe age for CB chondrite chondrule formation, and a re-evaluation of the closure age of Shallowater enstatite

    NASA Astrophysics Data System (ADS)

    Gilmour, J. D.; Crowther, S. A.; Busfield, A.; Holland, G.; Whitby, J. A.

    2009-05-01

    The iodine-xenon system has been analyzed in samples of 7 chondrules from the CB chondrites Gujba and Hammadah al Hamra (HaH) 237. One sample from Gujba defined a high temperature iodine-xenon isochron corresponding to closure 1.87 ± 0.4 Ma before closure of Shallowater enstatite. Motivated by this result, we employ outlier rejection to re-evaluate the Shallowater age, leading to a modified value of 4562.3 ± 0.4 Ma (1σ). In this process, the datum obtained by combining our I-Xe age for Gujba with the literature Pb-Pb age is rejected as an outlier, indicating that in this sample the I-Xe system closed earlier than the accepted Pb-Pb age of chondrules from CB chondrites. The need for a formation environment distinct from that of chondrules from other meteorites is thus reduced.

  6. The Revival of Agrarian Youth Organizations in the Former Soviet Union: Lithuania--One Country's Story.

    ERIC Educational Resources Information Center

    Edwards, M. Craig; Thuemmel, William L.; Kisieliene, Sonata

    2000-01-01

    Provides an historical sketch of the origin of young farmers' organizations in Lithuania during the 1920s and 1930s and their second beginning since the fall of communism, the demise of the Soviet Union, and the regaining of Lithuania's independence in the 1990s. (Author/JOW)

  7. Language and Education Orientations in Lithuania: A Cross-Baltic Perspective Post-EU Accession

    ERIC Educational Resources Information Center

    Bulajeva, Tatjana; Hogan-Brun, Gabrielle

    2008-01-01

    This paper presents an up-to-date overview of language policies and practices in Lithuania, paying particular attention to the latest developments that have taken place in national educational contexts. Against the background of recent sociodemographic changes in the three Baltic republics, Lithuania, Latvia and Estonia, it analyzes issues…

  8. How Do Students Studying Turkish in Lithuania Describe Turkish Culture and People?

    ERIC Educational Resources Information Center

    Varisoglu, M. Celal

    2017-01-01

    The aim of this paper is to describe ideas that students learning Turkish in Lithuania have about Turkish culture and Turkish people. A descriptive method was used in the research. The data for the research was collected from 15 students who learn Turkish at Vilnius University in Vilnius, Lithuania. For the participating in the research students,…

  9. Language and Education Orientations in Lithuania: A Cross-Baltic Perspective Post-EU Accession

    ERIC Educational Resources Information Center

    Bulajeva, Tatjana; Hogan-Brun, Gabrielle

    2008-01-01

    This paper presents an up-to-date overview of language policies and practices in Lithuania, paying particular attention to the latest developments that have taken place in national educational contexts. Against the background of recent sociodemographic changes in the three Baltic republics, Lithuania, Latvia and Estonia, it analyzes issues…

  10. Environmental studies in the Nemunas River Basin, Lithuania

    SciTech Connect

    Thurston, R.V.

    1994-09-01

    Scientists from Lithuania and the United States have been involved in a joint research program since 1988 on the fate and effects of pollutants in the environment. Research under this cooperative effort has developed in five technical areas: (1) Identification of organic and inorganic chemical pollutants and monitoring of chemical and biological parameters in Lithuanian surface and ground waters: (2) Ecological and water quality modeling, including evaluation of assumptions for modeling fate and effects of pollutants; (3) Measurement of transformation and equilibrium constants for predicting fate of pollutants; (4) Investigation of microbiological transformation processes; (5) Toxicity testing of identified pollutants in biological species indigenous to the Baltic Republics.

  11. Modification of closure depths by synchronisation of severe seas and high water levels

    NASA Astrophysics Data System (ADS)

    Soomere, Tarmo; Männikus, Rain; Pindsoo, Katri; Kudryavtseva, Nadezhda; Eelsalu, Maris

    2017-02-01

    The closure depth indicates the depth down to which storm waves maintain a universal shape of the coastal profile. It is thus a key parameter of the coastal zones for a variety of engineering and ecosystem applications. Its values are commonly estimated with respect to the long-term mean water level. The present study re-evaluates closure depths for microtidal water bodies where the wave loads are highly correlated with the course of the water level. The test area is the eastern Baltic Sea. The closure depth is calculated for the eastern Baltic Sea coast with a resolution of 5.5 km and the vicinity of Tallinn Bay with a resolution of 0.5 km. While the classic values of closure depth are extracted from statistics of the roughest seas, the present analysis is based on single values of a proxy of the instantaneous closure depth. These values are evaluated from numerically simulated time series of wave properties and water levels. The water level-adjusted closure depths are almost equal to the classic values at the coasts of Lithuania but are up to 10% smaller at the Baltic Proper coasts of Latvia and Estonia. The difference is up to 20% in bayheads of the Gulf of Finland.

  12. Quantitative reconstruction of climate variability during the Eemian (Merkinė) and Weichselian (Nemunas) in Lithuania

    NASA Astrophysics Data System (ADS)

    Šeirienė, Vaida; Kühl, Norbert; Kisielienė, Dalia

    2014-07-01

    Little is known concerning climate changes in the Eastern Baltic region during the last interglacial-glacial cycle and in particular, climate changes during the Weichselian. In this study, a quantitative reconstruction of the mean January and July temperature for the Medininkai-117 site in Lithuania is presented. The reconstruction is based on pollen and plant macrofossils from this site, which reveal that the vegetation was characteristic of many northern Europe sites during the Eemian and Early Weichselian. Gradual evolution of the vegetation suggests that relatively uniform climate conditions existed during the Eemian. Our reconstructions support the view of a relatively stable Eemian, with short cooling phases of low amplitude. A strong increase in temperature was apparent during the beginning of the interglacial and decrease during the transition to the Weichselian. Reconstructed July temperatures of the Eemian interglacial were approximately 2 °C higher than today (18.5 °C; today: 16.2 °C) and were similar to today for January (- 5.2 °C; today: - 5.1 °C). July temperatures during the Early Weichselian were only ~ 2°C lower than during the Eemian, whereas the January temperatures gradually decreased. Winter temperatures were relatively high (above - 10 °C) during the Early Weichselian.

  13. Epidemiological situation of rabies in Lithuania from 1990 to 2000.

    PubMed

    Zienius, D; Bagdonas, J; Dranseika, A

    2003-05-19

    The epidemiological situation of rabies was investigated in Lithuania. Over the last decade, 2277 cases of rabies were registered among wild and domestic animals (mean number of cases per districts was 44). The highest distribution of rabies was found in the districts of Lazdijai and Utena (116 and 81 cases, respectively), and the lowest in the Svencioniai and Zarasai districts (one and eight cases, respectively). It was found that rabies among wildlife comprised 54% with the majority of cases being registered in foxes (626 cases, 27%) followed by raccoon dogs (470 cases, 21%). Within the last 3 years, cases of rabies among foxes and raccoon dogs increased significantly (three and six times, respectively), compared with the period from 1990 to 1997. Among domestic animals, 46% cases of rabies were registered, with cattle comprising 27%, and the cases among cats and dogs at 9 and 8%, respectively. During the period from 1993 to 1997 in Lithuania, 11,385 of humans were attacked by domestic and wild animals, and 21,173 humans were vaccinated against rabies for prophylactic reasons. Our survey has shown that, during the period from 1997 to 2000, the number of people attacked has increased drastically-31,348 (60%), but only 8021 (18%) of them were vaccinated.

  14. Citizen empowerment in the domestic waste policy development in Lithuania

    NASA Astrophysics Data System (ADS)

    Stasiukynas, Andrius; Survila, Arvydas; Smalskys, Vainius

    2017-04-01

    Lithuania offers an interesting case of lagging in terms of domestic waste recycling in the European context. Despite the adoption of all relevant EU regulation, including a pricing system, which is designed to be more conducive for recycling. One important group of policy instruments which in the application of which Lithuania needs to improve, is public participation in environmental governance. The objective of this study is to relate the means of public participation and the decision-making on waste management and recycling outcomes. The study consisted of two stages. Stage one: key decision-making public agencies responsible for policy formulation and implementation of domestic waste management were identified. Later, an analysis of public available documentation covering decision-making in these institutions was conducted with the aim to measure the level of citizen engagement. Stage two: agency managers and staff responsible for citizen engagement were interviewed with the goal of evaluating their attitudes. Attitudes of officials are a crucial for a successful citizen engagement. The results showed that officials recognized very little the value of citizen engagement. They perceived contribution as an the creation of additional challenges to be tackled with, rather than help to lower service delivery costs and improve policy effectiveness. This renders the government with a depleted number of options of improving domestic waste management to "top-down" measures and imposition of financial incentives or costs.

  15. Trends in maternal health in Lithuania 1995–2014

    PubMed Central

    Gražina Stanislava, Drąsutienė; Nijolė, Drazdienė; Audronė, Arlauskienė; Diana, Ramašauskaitė; Jolita, Zakarevičienė; Edita, Kazėnaitė; Vytautas, Basys; Jonas, Drąsutis; Indrė, Sakalauskaitė; Vilija, Sniečkuvienė

    2016-01-01

    Background. The Lithuanian Perinatology Program, orders issued by the Ministry of Health, regulating the care and treatment of mothers and their infants, and the well-running perinatal care system helped to improve the diagnostics and treatment of pregnancy pathology. Over the last 20 years, Lithuania has experienced significant improvements in the maternal and perinatal health. Materials and methods. Data was collected from the official statistics database, Medical Data of Births, provided by the Institute of Hygiene Health Information Centre, Vilnius University Faculty of Medicine, and the Vilnius University Centre of Neonatology in 1995–2014. Results. The average maternal age at delivery ranged from 25.8 years in 1995 to 28.8 years in 2014. The comparison of 2001 and 2014 data shows that the incidence of gestational diabetes increased by 6.7 times due to the improved diagnosis. The percentage of hypertensive disorders decreased from 6.1% in 1997 to 3.2% in 2014. Between 1995 and 2014, the prevalence of anemia among pregnant women declined by half. The marked decrease in respiratory, urinary, genital and other diseases was observed among pregnant women. From 1995 to 2014, in Lithuania there were 67 maternal deaths related to pregnancy and childbirth. Hemorrhage and infections during pregnancy, delivery and the postpartum period are considered the most common causes of maternal death. PMID:28356798

  16. Trends in maternal health in Lithuania 1995-2014.

    PubMed

    Drąsutienė, Gražina Stanislava; Drazdienė, Nijolė; Arlauskienė, Audronė; Ramašauskaitė, Diana; Zakarevičienė, Jolita; Kazėnaitė, Edita; Basys, Vytautas; Drąsutis, Jonas; Sakalauskaitė, Indrė; Sniečkuvienė, Vilija

    2016-01-01

    The Lithuanian Perinatology Program, orders issued by the Ministry of Health, regulating the care and treatment of mothers and their infants, and the well-running perinatal care system helped to improve the diagnostics and treatment of pregnancy pathology. Over the last 20 years, Lithuania has experienced significant improvements in the maternal and perinatal health. Data was collected from the official statistics database, Medical Data of Births, provided by the Institute of Hygiene Health Information Centre, Vilnius University Faculty of Medicine, and the Vilnius University Centre of Neonatology in 1995-2014. The average maternal age at delivery ranged from 25.8 years in 1995 to 28.8 years in 2014. The comparison of 2001 and 2014 data shows that the incidence of gestational diabetes increased by 6.7 times due to the improved diagnosis. The percentage of hypertensive disorders decreased from 6.1% in 1997 to 3.2% in 2014. Between 1995 and 2014, the prevalence of anemia among pregnant women declined by half. The marked decrease in respiratory, urinary, genital and other diseases was observed among pregnant women. From 1995 to 2014, in Lithuania there were 67 maternal deaths related to pregnancy and childbirth. Hemorrhage and infections during pregnancy, delivery and the postpartum period are considered the most common causes of maternal death.

  17. Conservation of geo- and -biodiversity in Lithuania: are there conflicts?

    NASA Astrophysics Data System (ADS)

    Skridlaite, Grazina; Motiejunaite, Jurga

    2014-05-01

    Lithuanian surface is sculptured by more than five glaciers, which retreated c. 10 000 years ago. After the ice sheets melted in Lithuania, Latvia and Poland, and other neighbouring countries, they left numerous erratic boulders and boulder fields. Hundreds of single boulders and boulder fields are declared as natural monuments in Lithuania and other countries and are variably protected. Tens of single boulders and boulder fields are included into the Geosites database at the Lithuanian Geological Survey. Rapid weather changes in Lithuania cause the weathering of erratic boulders. However, the fastest erosion is by overgrowing cryptogams: lichenized and non-lichenized fungi, algae, cyanobacteria and bryophytes. Lichens are among the first colonizers of rock surfaces, and their impact on stonework heritage is rather well documented. Hard rocks (e.g. granites) are weathering considerably slower than soft or relatively soft sandstones, dolomites or marbles; however serious impact is visible on stones with inscriptions, drawings and open surfaces of the protected nature monuments. Lichens gradually cover whole boulder surfaces obscuring their geological value and contributing to the surface weathering in Lithuania and neighbouring countries where numerous protected stony nature monuments occur. The 73 of the 723 species of lichenized and allied fungi in Lithuania are confined to hard acid rocks. Eight of these acid rock-dwelling species are included in the Lithuanian Red Data Book, some of them have high threat category or are thought to be extinct now. There is no conservation conflict between the red-listed saxicolous lichens and their substrate where the species are confined to wild boulder meadows. Here lichens and their boulder substrate suffer from excessive growth and overshadowing from surrounding vascular plants, also from pollution which change stone surface properties and induce encroachment of more aggressive species than the usual slow-growing acid rock

  18. Evolution of Fascial Closure Optimization in Damage Control Laparotomy.

    PubMed

    Lauerman, Margaret H; Dubose, Joseph J; Stein, Deborah M; Galvagno, Samuel M; Bradley, Matthew J; Diaz, Jose; Scalea, Thomas M

    2016-12-01

    Management of patients undergoing damage control laparotomy (DCL) involves many surgical, medical, and logistical factors. Ideal patient management optimizing fascial closure with regard to timing and closure techniques remains unclear. A retrospective review of patients undergoing DCL from 2000 to 2012 at an urban Level I trauma center was undertaken. Mortality of DCL decreased over the study period from 62.5 to 34.6 per cent, whereas enterocutaneous fistula rate decreased from 12.5 to 3.8 per cent. Delayed primary fascial closure rate improved from 22.2 to 88.2 per cent. Time to closure (P < 0.001), time to first attempted closure (P < 0.001), and number of explorations (P < 0.001) were associated with ability to achieve delayed primary fascial closure. In subgroup analysis, achievement of delayed primary fascial closure was decreased with time to closure after one week (91.7% vs 52.0%, P = 0.002) and time to first attempted closure after two days (86.5% vs 70.0%, P = 0.042). In multivariate analysis, time to closure (odds ratio: 0.13, 95% confidence interval: 0.04-0.39; P < 0.001) and time to first attempted closure (odds ratio: 0.61, 95% confidence interval: 0.37-0.99; P = 0.046) were the only factors associated with achieving delayed primary fascial closure. Timing of attempted closure plays a significant role in attaining delayed primary fascial closure, highlighting the importance of early re-exploration.

  19. Failed exstrophy closure.

    PubMed

    Novak, Thomas E

    2011-05-01

    Children with bladder exstrophy present a formidable surgical challenge. Like all major reconstructive surgeries, the best hope for a favorable outcome lies in achieving success in the first operative attempt. Regardless of the surgical approach, however, complications do occur. A failed exstrophy closure is a major complication with significant implications on the long-term surgical outcome and ultimate fate of the urinary tract. Successful repeat exstrophy closure can be accomplished in most cases when performed in conjunction with pelvic osteotomy and proper postoperative immobilization. Modern staged repair of exstrophy, complete primary repair of exstrophy, and immediate continent urinary diversion have been advocated by different groups in the management of a failed exstrophy closure. It is apparent that compared with children who undergo successful primary closure, a failed closure with subsequent successful repeat closure makes the child much less likely to achieve sufficient bladder growth to be considered for bladder neck reconstruction, and furthermore, makes them less likely to have a successful bladder neck reconstruction even when they are an acceptable candidate. Although acceptable dryness rates after repeat closure can ultimately be obtained, they are typically at the expense of a commitment to intermittent catheterization and continent diversion. Published by Elsevier Inc.

  20. PERFORMANCE OF A CONTAINMENT VESSEL CLOSURE FOR RADIOACTIVE GAS CONTENTS

    SciTech Connect

    Blanton, P.; Eberl, K.

    2010-07-09

    This paper presents a summary of the design and testing of the containment vessel closure for the Bulk Tritium Shipping Package (BTSP). This package is a replacement for a package that has been used to ship tritium in a variety of content configurations and forms since the early 1970s. The containment vessel closure incorporates features specifically designed for the containment of tritium when subjected to the normal and hypothetical conditions required of Type B radioactive material shipping Packages. The paper discusses functional performance of the containment vessel closure of the BTSP prototype packages and separate testing that evaluated the performance of the metallic C-Rings used in a mock BTSP closure.

  1. Ethnomedicinal Uses of Honeybee Products in Lithuania: The First Analysis of Archival Sources

    PubMed Central

    Bernatoniene, Jurga; Simaitiene, Zenona; Pranskunas, Andrius; Mekas, Tauras

    2016-01-01

    Lithuania has old ethnomedicine traditions, consisting of many recipes with herbal, animal, and mineral original ingredients. All these findings were mostly collected in Lithuanian language, often in local community's dialects, and stored only in archives. We analyzed archival sources about honeybee and its products used for medicinal purposes dated from 1886 till 1992 in different parts of Lithuania. We systematized and presented the most important information about bees and their products: indication for usage, ingredients used in the recipe, their preparation techniques, and application for therapeutic purposes. Researchers in Lithuania are now looking for new evidence based indications and preparation and standardization methods of bee products. Archival sources are a foundation for studies in Lithuania. The results can be integrated into scientifically approved folk medicine practices into today's healthcare. PMID:27642360

  2. Identification of viral and phytoplasmal agents responsible for diseases affecting plants of Gaillardia Foug. in Lithuania

    USDA-ARS?s Scientific Manuscript database

    Gaillardia plants exhibiting symptoms characteristic of viral and phytoplasmal diseases were collected at botanical gardens and floriculture farms in Lithuania. Cucumber mosaic virus was isolated from diseased plants exhibiting symptoms characterized stunting, color breaking and malformation of flo...

  3. Sternal exploration or closure

    MedlinePlus

    ... Chronic pain Decreased lung function Increased risk of death More infections Need to repeat or revise the procedure Alternative Names VAC - vacuum-assisted closure - sternal wound; Sternal dehiscence; Sternal infection References ...

  4. Quick actuating closure

    NASA Technical Reports Server (NTRS)

    White, III, Dorsey E. (Inventor); Updike, deceased, Benjamin T. (Inventor); Allred, Johnny W. (Inventor)

    1989-01-01

    A quick actuating closure for a pressure vessel 80 in which a wedge ring 30 with a conical outer surface 31 is moved forward to force shear blocks 40, with conical inner surfaces 41, radially outward to lock an end closure plug 70 within an opening 81 in the pressure vessel 80. A seal ring 60 and a preload ramp 50 sit between the shear blocks 40 and the end closure plug 70 to provide a backup sealing capability. Conical surfaces 44 and 55 of the preload ramp 50 and the shear blocks 40 interact to force the seal ring 60 into shoulders 73 and 85 in the end closure plug 70 and opening 81 to form a tight seal. The end closure plug 70 is unlocked by moving the wedge ring 30 rearward, which causes T-bars 32 of the wedge ring 30 riding within T -slots 42 of the shear blocks 40 to force them radially inward. The end closure plug 70 is then removed, allowing access to the interior of the pressure vessel 80.

  5. An Energy Overview of the Republic of Lithuania

    SciTech Connect

    anon.

    2003-10-20

    The DOE Office of Fossil Energy is maintaining a web site that is meant to provide useful business- and energy-related information about countries and regions of the world for exporters, project developers, and researchers. The site consists of more than 130 country pages (organized into seven different world regions), with each country page having its own set of links to information sources about that country. There are also more than 30 Country Energy Overviews at the web site -- each of these is a comprehensive review of a specific country's entire energy situation, including sections on Energy Policy, Oil, Natural Gas, Coal, Hydroelectric/Renewables, Nuclear Power, Energy Transmission Infrastructure, Electricity, Electric Industry Overview, Environmental Activities, Privatization, Trade, and Economic Situation. The specific country highlighted in this Country Energy Overview is Lithuania. The site is designed to be dynamic. Updates to the overviews will be made as need and resources permit.

  6. Metals Are Important Contact Sensitizers: An Experience from Lithuania

    PubMed Central

    Linauskienė, Kotryna; Blažienė, Audra

    2017-01-01

    Background. Metals are very frequent sensitizers causing contact allergy and allergic contact dermatitis worldwide; up-to-date data based on patch test results has proved useful for the identification of a problem. Objectives. In this retrospective study prevalence of contact allergy to metals (nickel, chromium, palladium, gold, cobalt, and titanium) in Lithuania is analysed. Patients/Methods. Clinical and patch test data of 546 patients patch tested in 2014–2016, in Vilnius University Hospital Santariskiu Klinikos, was analysed and compared with previously published data. Results. Almost third of tested patients (29.56%) were sensitized to nickel. Younger women were more often sensitized to nickel than older ones (36% versus 22.8%, p = 0.0011). Women were significantly more often sensitized to nickel than men (33% versus 6.1%, p < 0.0001). Younger patients were more often sensitized to cobalt (11.6% versus 5.7%, p = 0.0183). Sensitization to cobalt was related to sensitization to nickel (p < 0.0001). Face dermatitis and oral discomfort were related to gold allergy (28% versus 6.9% dermatitis of other parts, p < 0.0001). Older patients were patch test positive to gold(I) sodium thiosulfate statistically significantly more often than younger ones (44.44% versus 21.21%, p = 0.0281). Conclusions. Nickel, gold, cobalt, and chromium are leading metal sensitizers in Lithuania. Cobalt sensitization is often accompanied by sensitization to nickel. Sensitivity rate to palladium and nickel indicates possible cross-reactivity. No sensitization to titanium was found. PMID:28401153

  7. Comprehensive BRCA1 and BRCA2 mutational profile in Lithuania.

    PubMed

    Janavičius, Ramūnas; Rudaitis, Vilius; Mickys, Ugnius; Elsakov, Pavel; Griškevičius, Laimonas

    2014-05-01

    There is limited knowledge about the BRCA1/2 mutational profile in Lithuania. We aimed to define the full BRCA1 and BRCA2 mutational spectrum and the clinically relevant prevalence of these gene mutations in Lithuania. A data set of 753 unrelated probands, recruited through a clinical setting, was used and consisted of 380 female breast cancer cases, 213 epithelial ovarian cancer cases, 20 breast and ovarian cancer cases, and 140 probands with positive family history of breast or ovarian cancer. A comprehensive mutation analysis of the BRCA1/2 genes by high resolution melting analysis coupled with Sanger sequencing and multiplex ligation-dependent probe amplification analysis was performed. Genetic analysis revealed 32 different pathogenic germline BRCA1/2 mutations: 20 in the BRCA1 gene and 12 in the BRCA2 gene, including four different large genomic rearrangements in the BRCA1 gene. In all, 10 novel BRCA1/2 mutations were found. Nine different recurrent BRCA1 mutations and two recurrent BRCA2 mutations were identified, which comprised 90.4% of all BRCA1/2 mutations. BRCA1 exon 1-3 deletion and BRCA2 c.658_659del are reported for the first time as recurrent mutations, pointing to a possible Baltic founder effect. Approximately 7% of breast cancer and 22% of ovarian cancer patients without family history and an estimated 0.5-0.6% of all Lithuanian women were found to be carriers of mutations in the BRCA1 or BRCA2 gene.

  8. Metals Are Important Contact Sensitizers: An Experience from Lithuania.

    PubMed

    Linauskienė, Kotryna; Malinauskienė, Laura; Blažienė, Audra

    2017-01-01

    Background. Metals are very frequent sensitizers causing contact allergy and allergic contact dermatitis worldwide; up-to-date data based on patch test results has proved useful for the identification of a problem. Objectives. In this retrospective study prevalence of contact allergy to metals (nickel, chromium, palladium, gold, cobalt, and titanium) in Lithuania is analysed. Patients/Methods. Clinical and patch test data of 546 patients patch tested in 2014-2016, in Vilnius University Hospital Santariskiu Klinikos, was analysed and compared with previously published data. Results. Almost third of tested patients (29.56%) were sensitized to nickel. Younger women were more often sensitized to nickel than older ones (36% versus 22.8%, p = 0.0011). Women were significantly more often sensitized to nickel than men (33% versus 6.1%, p < 0.0001). Younger patients were more often sensitized to cobalt (11.6% versus 5.7%, p = 0.0183). Sensitization to cobalt was related to sensitization to nickel (p < 0.0001). Face dermatitis and oral discomfort were related to gold allergy (28% versus 6.9% dermatitis of other parts, p < 0.0001). Older patients were patch test positive to gold(I) sodium thiosulfate statistically significantly more often than younger ones (44.44% versus 21.21%, p = 0.0281). Conclusions. Nickel, gold, cobalt, and chromium are leading metal sensitizers in Lithuania. Cobalt sensitization is often accompanied by sensitization to nickel. Sensitivity rate to palladium and nickel indicates possible cross-reactivity. No sensitization to titanium was found.

  9. The influence of deficient retro-aortic rim on technical success and early adverse events following device closure of secundum atrial septal defects: An Analysis of the IMPACT Registry(®).

    PubMed

    O'Byrne, Michael L; Gillespie, Matthew J; Kennedy, Kevin F; Dori, Yoav; Rome, Jonathan J; Glatz, Andrew C

    2017-01-01

    Concern regarding aortic erosion has focused attention on the retro-aortic rim in patients undergoing device closure of atrial septal defects (ASD), but its effect on early outcomes is not well studied. A multicenter retrospective cohort study of patients undergoing device occlusion of ASD between 1/2011-10/2014 was performed, using data from the IMproving Pediatric and Adult Congenital Treatment Registry. Subjects were divided between those with retro-aortic rim <5 and ≥5 mm. Primary outcomes were technical failure and major early adverse events. Case times were measured as surrogates of technical complexity. The effect of deficient retro-aortic rim on primary outcomes was assessed using hierarchical logistic regression, adjusting for other suspected covariates and assessing whether they represent independent risk factors RESULTS: 1,564 subjects (from 77 centers) were included, with deficient retro-aortic rim present in 40%. Technical failure occurred in 91 subjects (5.8%) and a major early adverse event in 64 subjects (4.1%). Adjusting for known covariates, the presence of a deficient retro-aortic rim was not significantly associated with technical failure (OR: 1.3, 95% CI: 0.9-2.1) or major early adverse event (OR: 0.7, 95% CI: 0.4-1. 2). Total case (P = 0.01) and fluoroscopy time (P = 0.02) were greater in subjects with deficient rim, but sheath time was not significantly different (P = 0.07). Additional covariates independently associated with these outcomes were identified. Deficient retro-aortic rim was highly prevalent but not associated with increased risk of technical failure or early adverse events. Studies with longer follow-up are necessary to assess other outcomes, including device erosion. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  10. Too much vacuum-assisted closure.

    PubMed

    Dieu, Tam; Leung, Michael; Leong, James; Morrison, Wayne; Cleland, Heather; Archer, Brett; Oppy, Andrew

    2003-12-01

    There has been an explosion in the use of the vacuum-assisted closure device since 1997. Selectively and judiciously used, it is a valuable tool. However, we are concerned by the expanding list of 'indications' for its use. Prolonged applications, frequently several weeks, at the expense of early surgical reconstruction, might compromise the outcome in selected cases. We report four cases that illustrate this problem and stress the importance of timely surgical reconstruction utilizing the range of reconstructive techniques available as well as vacuum-assisted closure dressing.

  11. Quantifying dorsal closure in three dimensions

    PubMed Central

    Lu, Heng; Sokolow, Adam; Kiehart, Daniel P.; Edwards, Glenn S.

    2016-01-01

    Dorsal closure is an essential stage of Drosophila embryogenesis and is a powerful model system for morphogenesis, wound healing, and tissue biomechanics. During closure, two flanks of lateral epidermis close an eye-shaped dorsal opening that is filled with amnioserosa. The two flanks of lateral epidermis are zipped together at each canthus (“corner” of the eye). Actomyosin-rich purse strings are localized at each of the two leading edges of lateral epidermis (“lids” of the eye). Here we report that each purse string indents the dorsal surface at each leading edge. The amnioserosa tissue bulges outward during the early-to-mid stages of closure to form a remarkably smooth, asymmetric dome indicative of an isotropic and uniform surface tension. Internal pressure of the embryo and tissue elastic properties help to shape the dorsal surface. PMID:27798232

  12. Spontaneous closure of stoma.

    PubMed

    Pandit, Narendra; Singh, Harjeet; Kumar, Hemanth; Gupta, Rajesh; Verma, G R

    2016-11-01

    Intestinal loop stoma is a common surgical procedure performed for various benign and malignant abdominal problems, but it rarely undergoes spontaneous closure, without surgical intervention. Two male patients presented to our emergency surgical department with acute abdominal pain. One of them was diagnosed as having rectosigmoid perforation and underwent diversion sigmoid loop colostomy after primary closure of the perforation. The other was a known case of carcinoma of the rectum who had already undergone low anterior resection with covering loop ileostomy; the patient underwent second loop ileostomy, this time for complicated intestinal obstruction. To our surprise, both the loop colostomy and ileostomy closed spontaneously at 8 weeks and 6 weeks, respectively, without any consequences. Spontaneous stoma closure is a rare and interesting event. The exact etiology for spontaneous closure remains unknown, but it may be hypothesized to result from slow retraction of the stoma, added to the concept of a tendency towards spontaneous closure of enterocutaneous fistula. © The Author(s) 2015. Published by Oxford University Press and the Digestive Science Publishing Co. Limited.

  13. Simulating school closure policies for cost effective pandemic decision making

    PubMed Central

    2012-01-01

    Background Around the globe, school closures were used sporadically to mitigate the 2009 H1N1 influenza pandemic. However, such closures can detrimentally impact economic and social life. Methods Here, we couple a decision analytic approach with a mathematical model of influenza transmission to estimate the impact of school closures in terms of epidemiological and cost effectiveness. Our method assumes that the transmissibility and the severity of the disease are uncertain, and evaluates several closure and reopening strategies that cover a range of thresholds in school-aged prevalence (SAP) and closure durations. Results Assuming a willingness to pay per quality adjusted life-year (QALY) threshold equal to the US per capita GDP ($46,000), we found that the cost effectiveness of these strategies is highly dependent on the severity and on a willingness to pay per QALY. For severe pandemics, the preferred strategy couples the earliest closure trigger (0.5% SAP) with the longest duration closure (24 weeks) considered. For milder pandemics, the preferred strategies also involve the earliest closure trigger, but are shorter duration (12 weeks for low transmission rates and variable length for high transmission rates). Conclusions These findings highlight the importance of obtaining early estimates of pandemic severity and provide guidance to public health decision-makers for effectively tailoring school closures strategies in response to a newly emergent influenza pandemic. PMID:22713694

  14. The myth of closure.

    PubMed

    Boss, Pauline; Carnes, Donna

    2012-12-01

    Therapies for grief and loss have traditionally focused on the work of grieving. The goal was to reach an endpoint, now popularly called closure. There are, however, many people who, through no fault of their own, find a loss so unclear that there can be no end to grief. They have not failed in the work of grieving, but rather have suffered ambiguous loss, a type of loss that is inherently open ended. Instead of closure, the therapeutic goal is to help people find meaning despite the lack of definitive information and finality. Hope lies in increasing a family's tolerance for ambiguity, but first, professionals must increase their own comfort with unanswered questions. In this article, the authors, one a poet, the other a family therapist and theorist, offer a unique blending of theory, reflection, and poetry to experientially deepen the process of self-reflection about a kind of loss that defies closure. © FPI, Inc.

  15. Achieving closure at Fernald

    SciTech Connect

    Bradburne, John; Patton, Tisha C.

    2001-02-25

    When Fluor Fernald took over the management of the Fernald Environmental Management Project in 1992, the estimated closure date of the site was more than 25 years into the future. Fluor Fernald, in conjunction with DOE-Fernald, introduced the Accelerated Cleanup Plan, which was designed to substantially shorten that schedule and save taxpayers more than $3 billion. The management of Fluor Fernald believes there are three fundamental concerns that must be addressed by any contractor hoping to achieve closure of a site within the DOE complex. They are relationship management, resource management and contract management. Relationship management refers to the interaction between the site and local residents, regulators, union leadership, the workforce at large, the media, and any other interested stakeholder groups. Resource management is of course related to the effective administration of the site knowledge base and the skills of the workforce, the attraction and retention of qualified a nd competent technical personnel, and the best recognition and use of appropriate new technologies. Perhaps most importantly, resource management must also include a plan for survival in a flat-funding environment. Lastly, creative and disciplined contract management will be essential to effecting the closure of any DOE site. Fluor Fernald, together with DOE-Fernald, is breaking new ground in the closure arena, and ''business as usual'' has become a thing of the past. How Fluor Fernald has managed its work at the site over the last eight years, and how it will manage the new site closure contract in the future, will be an integral part of achieving successful closure at Fernald.

  16. Tank closure reducing grout

    SciTech Connect

    Caldwell, T.B.

    1997-04-18

    A reducing grout has been developed for closing high level waste tanks at the Savannah River Site in Aiken, South Carolina. The grout has a low redox potential, which minimizes the mobility of Sr{sup 90}, the radionuclide with the highest dose potential after closure. The grout also has a high pH which reduces the solubility of the plutonium isotopes. The grout has a high compressive strength and low permeability, which enhances its ability to limit the migration of contaminants after closure. The grout was designed and tested by Construction Technology Laboratories, Inc. Placement methods were developed by the Savannah River Site personnel.

  17. Ion parallel closures

    NASA Astrophysics Data System (ADS)

    Ji, Jeong-Young; Lee, Hankyu Q.; Held, Eric D.

    2017-02-01

    Ion parallel closures are obtained for arbitrary atomic weights and charge numbers. For arbitrary collisionality, the heat flow and viscosity are expressed as kernel-weighted integrals of the temperature and flow-velocity gradients. Simple, fitted kernel functions are obtained from the 1600 parallel moment solution and the asymptotic behavior in the collisionless limit. The fitted kernel parameters are tabulated for various temperature ratios of ions to electrons. The closures can be used conveniently without solving the kinetic equation or higher order moment equations in closing ion fluid equations.

  18. Comparison of fasciotomy wound closures using traditional dressing changes and the vacuum-assisted closure device.

    PubMed

    Zannis, John; Angobaldo, Jeff; Marks, Malcolm; DeFranzo, Anthony; David, Lisa; Molnar, Joseph; Argenta, Louis

    2009-04-01

    Fasciotomy wounds can be a major contributor to length of stay for patients as well as a difficult reconstructive challenge. Once the compartment pressure has been relieved and stabilized, the wound should be closed as quickly and early as possible to avoid later complications. Skin grafting can lead to morbidity and scarring at both the donor and fasciotomy site. Primary closure results in a more functional and esthetic outcome with less morbidity for the patient, but can often be difficult to achieve secondary to edema, skin retraction, and skin edge necrosis. Our objective was to examine fasciotomy wound outcomes, including time to definitive closure, comparing traditional wet-to-dry dressings, and the vacuum-assisted closure (VAC) device. This retrospective chart review included a consecutive series of patients over a 10-year period. This series included 458 patients who underwent 804 fasciotomies. Of these fasciotomy wounds, 438 received exclusively VAC. dressings, 270 received only normal saline wet-to-dry dressings, and 96 were treated with a combination of both. Of the sample, 408 patients were treated with exclusively VAC therapy or wet-to-dry dressings and 50 patients were treated with a combination of both. In comparing all wounds, there was a statistically significant higher rate of primary closure using the VAC versus traditional wet-to-dry dressings (P < 0.05 for lower extremities and P < 0.03 for upper extremities). The time to primary closure of wounds was shorter in the VAC. group in comparison with the non-VAC group. This study has shown that the use of the VAC for fasciotomy wound closure results in a higher rate of primary closure versus traditional wet-to-dry dressings. In addition, the time to primary closure of wounds or time to skin grafting is shorter when the VAC was employed. The VAC used in the described settings decreases hospitalization time, allows for earlier rehabilitation, and ultimately leads to increased patient satisfaction.

  19. ROCKET PORT CLOSURE

    DOEpatents

    Mattingly, J.T.

    1963-02-12

    This invention provides a simple pressure-actuated closure whereby windowless observation ports are opened to the atmosphere at preselected altitudes. The closure comprises a disk which seals a windowless observation port in rocket hull. An evacuated instrument compartment is affixed to the rocket hull adjacent the inner surface of the disk, while the outer disk surface is exposed to the atmosphere through which the rocket is traveling. The pressure differential between the evacuated instrument compartment and the relatively high pressure external atmosphere forces the disk against the edge of the observation port, thereby effecting a tight seai. The instrument compartment is evacuated to a pressure equal to the atmospheric pressure existing at the altitude at which it is desiretl that the closure should open. When the rocket reaches this preselected altitude, the inwardly directed atmospheric force on the disk is just equaled by the residual air pressure force within the instrument compartment. Consequently, the closure disk falls away and uncovers the open observation port. The separation of the disk from the rocket hull actuates a switch which energizes the mechanism of a detecting instrument disposed within the instrument compartment. (AE C)

  20. Leading a hospital closure.

    PubMed

    Lucey, Paula A

    2002-01-01

    Hospital closures have become more common. The challenges facing a nursing leader in this situation are complex and difficult. This author suggests that looking for new beginnings rather than focusing on endings created an approach to closing a public hospital. The article includes approaches to employee morale, staffing, and patient care.

  1. "No Posttraumatic Stress Disorder in Lithuania": National Health Care Fails to Identify PTSD.

    PubMed

    Kazlauskas, Evaldas; Zelviene, Paulina; Eimontas, Jonas

    2017-02-01

    Lithuanian National Health Insurance (NHI) registry data from 2014 and 2015 were used to estimate the annual rates of posttraumatic stress disorder (PTSD) and other stress-related disorders in Lithuania. A large gap was found between 12-month PTSD prevalence based on epidemiological data and annual PTSD rates based on health care service utilization in Lithuania. Estimations from the health care service's utilization data revealed that only about 0.01% to 0.02% of the population in Lithuania is diagnosed with PTSD annually, indicating that the national health care system identifies only about 1% of potential PTSD cases in Lithuania. The low rates of PTSD diagnoses in the health care system seem to indicate a lack of recognition of psychological trauma among general practitioners and mental health professionals in Lithuania. The lack of visibility of PTSD in the national health care system could be a major barrier to the treatment of PTSD in the country. The study indicates the importance of social factors, especially the recognition of trauma and PTSD, among health care professionals.

  2. Molecular identification of Phytoplasmas infecting diseased pine trees in the UNESCO-protected Curonian Spit of Lithuania

    USDA-ARS?s Scientific Manuscript database

    Although mainly known as pathogens that affect angiosperms, phytoplasmas have recently been detected in diseased coniferous plants. In 2008-2014, we observed, in the Curonian Spit of western Lithuania and in forests of southern Lithuania (Varena district), diseased trees of Scots pine (Pinus sylvest...

  3. Ring closure in actin polymers

    NASA Astrophysics Data System (ADS)

    Sinha, Supurna; Chattopadhyay, Sebanti

    2017-03-01

    We present an analysis for the ring closure probability of semiflexible polymers within the pure bend Worm Like Chain (WLC) model. The ring closure probability predicted from our analysis can be tested against fluorescent actin cyclization experiments. We also discuss the effect of ring closure on bend angle fluctuations in actin polymers.

  4. [Risk of malignant disease among female textile workers in Lithuania].

    PubMed

    Kuzmickiene, I H; Stukonis, M K

    2009-01-01

    The aim of this study is to assess cancer risk among the workers at two Lithuanian textile mills vis-a-vis occupational hazards and professional status. Our retrospective investigation included 12,602 females who had been followed up in 1978-2002. Cancer risk was evaluated using a standardized incidence ratio and a relative one - on the basis of confidential interviews. Overall cancer risk for textile workers in Lithuania was lower than that of the general population (SIR 0.91; 95% CI 0.81-0.99). However, excess risk of thyroid cancer was reported among females at the linen finishing unit (SIR 5.85; 95% CI 1.21-17.2) cotton one (SIR 3.24; 95% CI 1.19-7.06). An inverse correlation was shown between cumulative exposure to cotton dust and risk at all occupational sites (p=0.03). Our results point to a link between probability occupational factors in a variety of textile industry jobs and risk of cancer. Further research is required to better understand the potential of professional factor influence.

  5. Epidermal closure regulates histolysis during mammalian (Mus) digit regeneration

    PubMed Central

    Simkin, Jennifer; Sammarco, Mimi C.; Dawson, Lindsay A.; Tucker, Catherine; Taylor, Louis J.; Van Meter, Keith

    2015-01-01

    Abstract Mammalian digit regeneration progresses through consistent stages: histolysis, inflammation, epidermal closure, blastema formation, and finally redifferentiation. What we do not yet know is how each stage can affect others. Questions of stage timing, tissue interactions, and microenvironmental states are becoming increasingly important as we look toward solutions for whole limb regeneration. This study focuses on the timing of epidermal closure which, in mammals, is delayed compared to more regenerative animals like the axolotl. We use a standard wound closure device, Dermabond (2‐octyl cyanoacrylate), to induce earlier epidermal closure, and we evaluate the effect of fast epidermal closure on histolysis, blastema formation, and redifferentiation. We find that fast epidermal closure is reliant upon a hypoxic microenvironment. Additionally, early epidermal closure eliminates the histolysis stage and results in a regenerate that more closely replicates the amputated structure. We show that tools like Dermabond and oxygen are able to independently influence the various stages of regeneration enabling us to uncouple histolysis, wound closure, and other regenerative events. With this study, we start to understand how each stage of mammalian digit regeneration is controlled. PMID:27499872

  6. Ontogenetic Change in the Temporal Region of the Early Permian Parareptile Delorhynchus cifellii and the Implications for Closure of the Temporal Fenestra in Amniotes

    PubMed Central

    Macdougall, Mark J.; Scott, Diane; Reisz, Robert R.

    2016-01-01

    A juvenile specimen of Delorhynchus cifellii, collected from the Early Permian fissure-fill deposits of Richards Spur, Oklahoma, permits the first detailed study of cranial ontogeny in this parareptile. The specimen, consisting of a partially articulated skull and mandible, exhibits several features that identify it as juvenile. The dermal tuberosities that ornament the dorsal side and lateral edges of the largest skull of D. cifellii specimens, are less prominent in the intermediate sized holotype, and are absent in the new specimen. This indicates that the new specimen represents an earlier ontogenetic stage than all previously described members of this species. In addition, the incomplete interdigitation of the sutures, most notably along the fronto-nasal contact, plus the proportionally larger sizes of the orbit and temporal fenestrae further support an early ontogenetic stage for this specimen. Comparisons between this juvenile and previously described specimens reveal that the size and shape of the temporal fenestra in Delorhynchus appear to vary through ontogeny, due to changes in the shape and size of the bordering cranial elements. The jugal of the juvenile specimen is tri-radiate and similar in outline with those found in other amniotes with temporal fenestrae. The available growth series of D. cifellii shows that the jugal gradually becomes a more robust, tetra-radiate element, as the proportionate size of the temporal fenestra is reduced. Ontogenetic changes of other elements that form the border of the fenestra also contribute to its reduction. This growth series provides valuable new information regarding the ontogenetic trajectory of the temporal fenestra in a Palaeozoic reptile, which may be applicable to the evolutionary event of loss of temporal fenestration in other amniotes. PMID:27907071

  7. Tectonic setting of the South China Block in the early Paleozoic: Resolving intracontinental and ocean closure models from detrital zircon U-Pb geochronology

    NASA Astrophysics Data System (ADS)

    Wang, Yuejun; Zhang, Feifei; Fan, Weiming; Zhang, Guowei; Chen, Shiyue; Cawood, Peter A.; Zhang, Aimei

    2010-12-01

    Zircon U-Pb geochronological data on over 900 zircon grains for Cambrian to Silurian sandstone samples from the South China Block constrain the pre-Devonian tectonic setting of, and the interrelationships between, the constituent Cathaysia and Yangtze blocks. Zircons range in age from 3335 to 465 Ma. Analyses from the Cathaysia sandstone samples yield major age clusters at ˜2560, ˜1850, ˜1000, and 890-760 Ma. Zircons from the eastern and central Yangtze sandstone samples show a similar age distribution with clusters at ˜2550, ˜1860, ˜1100, and ˜860-780 Ma. A minor peak at around 1450 Ma is also observed in the Cathaysia and central Yangtze age spectra, and a peak at ˜490 Ma represents magmatic zircons from Middle Ordovician sandstone in the eastern Yangtze and Cathaysia blocks. The Cambrian and Ordovician strata show a transition from a carbonate-dominated succession in the central Yangtze Block, to an interstratified carbonate-siliciclastic succession in the eastern Yangtze Block, to a neritic siliciclastic succession in the Cathaysia Block. Paleocurrent data across this succession consistently indicate directions toward the W-NNW, from the Cathaysia Block to the Yangtze Block. Our data, together with other geological constraints, suggest that the Cathaysia Block constitutes a fragment on the northern margin of east Gondwana and both Cathaysia and east Gondwana constituted the source for the analyzed early Paleozoic samples. The similar age spectra for the Cambrian to Silurian sandstone samples from the Yangtze and Cathaysia blocks argue against the independent development and spatial separation of these blocks in the early Paleozoic but rather suggest that the sandstone units accumulated in an intracontinental basin that spanned both blocks. Subsequent basin inversion and Kwangsian orogenesis possibly at 400-430 Ma also occurred in an intracontinental setting probably in response to the interaction of the South China Block with the Australian

  8. Hospital closure and economic efficiency.

    PubMed

    Capps, Cory; Dranove, David; Lindrooth, Richard C

    2010-01-01

    We present a new framework for assessing the effects of hospital closures on social welfare and the local economy. While patient welfare necessarily declines when patients lose access to a hospital, closures also tend to reduce costs. We study five hospital closures in two states and find that urban hospital bailouts reduce aggregate social welfare: on balance, the cost savings from closures more than offset the reduction in patient welfare. However, because some of the cost savings are shared nationally, total surplus in the local community may decline following a hospital closure.

  9. Recommendations for managing hospital closure.

    PubMed

    van der Wal, R; Bouthillette, F; Havlovic, S J

    1998-01-01

    An acute care hospital was closed by the British Columbia Ministry of Health in 1993. A research study was conducted to investigate the ways closure of the hospital affected hospital employees and to identify ways to facilitate the closure/reorganization process. Unstructured interviews were conducted with 25 employees around the time of closure and six months after the closure. In the category Living with Closure, six themes arose from the qualitative analysis. They related to (1) provision of information; (2) effect of closure on the working environment and colleagues; (3) perceived stress; (4) recognition of one's worth; (5) provision of support services; and (6) the process of having a new job. The authors offer recommendations stemming from the analysis, which are intended to assist others planning for future hospital reorganizations or closures.

  10. Base Closure: A Road Map for Completion

    DTIC Science & Technology

    1991-03-22

    include, but not be limited to: 1) openness to team members’ suggestions and functional expertise, .2) confidence in team members’ abilities, 6 3) immediate...challenge while presenting the news of base closure. Fortunately, there are success stories of civilian reuse of closed military bases. 6 The Department of...and the Department of the Army Relocation Services for Employees (DARSE).15 OPM can authorize early retirement during a BRAC action. 1 6 The CPO must

  11. First report of swine-associated methicillin-resistant Staphylococcus aureus ST398 in Lithuania.

    PubMed

    Ruzauskas, M; Couto, N; Belas, A; Klimiene, I; Siugzdiniene, R; Pomba, C

    2013-01-01

    During 2011, 160 nasal samples were taken from pigs on 8 different farms in Lithuania. Four methicillin-resistant Staphylococcus aureus (MRSA) isolates were obtained. The isolates were ST398, spa type t011 and SCCmec V and none carried the lukF/lukS genes. Strains were resistant to tetracycline, attributed to tetK and tetM genes, and to erythromycin owing to the ermB gene. One MRSA strain was resistant to trimethoprim/sulfamethoxazole and carried the dfrK gene. This is the first report on the presence and characteristics of livestock-associated MRSA isolated from pigs in Lithuania.

  12. Tuberculosis infection control in health facilities in Lithuania: lessons learnt from a capacity support project.

    PubMed

    Turusbekova, N; Ljungqvist, I; Davidavičiene, E; Mikaityte, J; van der Werf, M J

    2016-03-21

    Tuberculosis (TB) infection control (IC) is key in controlling TB transmission in health facilities in Lithuania. This article presents a project that aimed at supporting health care facilities in Lithuania in implementing TB-IC. The project consisted of 1) facility TB-IC assessments, 2) development of facility TB-IC plans, 3) TB-IC training and 4) site visits. We assessed the impact of these activities through a self-assessment questionnaire. The project resulted in limited improvements. Most progress was seen in administrative and managerial activities. Possible reasons for the limited improvements are challenges with funding and the lack of supportive legislation and a national TB-IC plan.

  13. Spacesuit torso closure

    NASA Technical Reports Server (NTRS)

    Webbon, B. W.; Vykukal, H. C. (Inventor)

    1978-01-01

    A simple, economical and reliable entry closure is described for joining opposite halves of a torso section for a pressure suit in a manner which simplifies self-donning. A single coupling joins coaxially aligned, axially separable, tubular segments of a hard spacesuit along an angulated zone of separation, adapted to be mated in an hermetrically sealing relation. A releasable C section clamp secures the members in their mated relationship.

  14. Characterization of Staphylococcus pseudintermedius isolated from diseased dogs in Lithuania.

    PubMed

    Ruzauskas, M; Couto, N; Pavilonis, A; Klimiene, I; Siugzdiniene, R; Virgailis, M; Vaskeviciute, L; Anskiene, L; Pomba, C

    2016-01-01

    The aim of this study was to characterize Staphylococcus pseudintermedius for its antimicrobial resistance and virulence factors with a special focus on methicillin-resistant (MRSP) strains isolated from sick dogs in Lithuania. Clinically sick adult dogs suffering from infections (n=214) and bitches with reproductive disorders (n=36) from kennels were selected for the study. Samples (n=192) from the 250 tested (76.8%) dogs were positive for Staphylococcus spp. Molecular profiling using the species-specific nuc gene identified 51 isolates as S. pseudintermedius (26.6% from a total number of isolated staphylococci) of which 15 isolates were identified as MRSP. Ten MRSP isolates were isolated from bitches with reproductive disorders from two large breeding kennels. Data on susceptibility of S. pseudintermedius to different antimicrobials revealed that all isolates were susceptible to vancomycin, daptomycin and linezolid. Two isolates (3.9%) were resistant to rifampicin. A high resistance was seen towards penicillin G (94.1%), tetracycline (64.7%) and macrolides (68.7%). Resistance to fluoroquinolones ranged from 25.5% (gatifloxacin) to 31.4% (ciprofloxacin). The most prevalent genes encoding resistance included blaZ, aac(6')-Ie-aph(2'')-Ia, mecA, and tet(M). The Luk-I gene encoding a leukotoxin was detected in 29% of the isolates, whereas the siet gene encoding exfoliative toxin was detected in 69% of the S. pseudintermedius isolates. This report of MRSP in companion animals represents a major challenge for veterinarians in terms of antibiotic therapy and is a concern for both animal and public health.

  15. Epidemiology of burns in Lithuania during 1991-2004.

    PubMed

    Rimdeika, Rytis; Kazanavicius, Mindaugas; Kubilius, Darius

    2008-01-01

    The objective of this article is to overview and present the burn incidence and burn care in Lithuania. In this study, data from the period of 1991-2004 were collected from the Lithuanian Department of Statistics, Department of Fire and Rescue, Lithuanian Health Information Center, State Patient Fund, health care institutions, burn care facilities. In the 14-year period, 9459 persons per year (2.6/1000 population) in average sustained burn injuries. The majority of burned patients (74.8%) were adults and 25.2% were children; 21.5% of all burned patients were hospitalized (2013 inpatients per year). The number of hospitalizations per 100 000 individuals has decreased from 65.6 to 39.5, but it is still very high and worrying. Among all the patients admitted to hospitals, 67% were males and 33% females, with a male-to-female ratio of 2:1. The length of hospitalization decreased from 16.2 to 12.7 days. The number of fire-related deaths for the 14-year period was 289 deaths per year (8 per 100 000 persons). The number of deaths among inpatients was 63.6 deaths per year, the age being an important factor in mortality rates. Although the mortality of inpatients has increased in recent years, the mortality in the age group up to 14 years has decreased to 0. Children made up 24.6% of burn patients; among those admitted to hospital, they accounted for 41.1%. Mortality rates for males and females were almost the same. The number of burns is decreasing. The hospitalization rate and hospitalization time are becoming shorter. In the last few years, patients suffer from more severe burns, while children sustain more severe burns requiring hospitalization. Children and working-age persons make up 91.9% of hospitalized burn patients. Number of deaths in fire accidents is increasing.

  16. Influenza A(H1N1)pdm09 and postpandemic influenza in Lithuania

    PubMed Central

    Ambrozaitis, Arvydas; Radzišauskienė, Daiva; Kuprevičienė, Nerija; Gravenstein, Stefan; Jančorienė, Ligita

    2016-01-01

    Abstract The objective of this study is to describe the clinical and epidemiological characteristics of patients hospitalized in Lithuania who are infected with influenza A(H1N1)pdm09 and to compare pandemic A(H1N1) pdm09 infection with postpandemic. In total, 146 subjects hospitalized with influenza A(H1N1) pdm09 were identified from 2009–2011. There were 53 during the initial pandemic wave in the summer of 2009, 69 during the peak pandemic period, and 24 during the “postpandemic” period that we included in this study. There were 22 subjects who died after laboratory confirmation of influenza A(H1N1)pdm09. No deaths were documented during the first wave. Subjects presenting during the peak of pandemic influenza had a greater incidence of fever (100% vs 77.4%; p<0.001), dry cough (95.7% vs 82.7%; p=0.01), and vomiting (26.1% vs 1.9%, p<0.001) as compared with patients infected during the first wave. The rate of bacterial pneumonia was 18.8% (13/69) during the peak pandemic period and 12.5% (3/24, p=0.754) during the postpandemic period. None of the postpandemic influenza subjects’ intensive care unit stays were due to pneumonia. The hospitalized early 2009 H1N1 pandemic cases and postpandemic cases were milder compared with those at the peak of pandemic activity. PMID:28352819

  17. Response of deciduous trees spring phenology to recent and projected climate change in Central Lithuania

    NASA Astrophysics Data System (ADS)

    Juknys, Romualdas; Kanapickas, Arvydas; Šveikauskaitė, Irma; Sujetovienė, Gintarė

    2016-10-01

    The analysis of long-term time series of spring phenology for different deciduous trees species has shown that leaf unfolding for all the investigated species is the most sensitive to temperatures in March and April and illustrates that forcing temperature is the main driver of the advancement of leaf unfolding. Available chilling amount has increased by 22.5 % over the last 90 years, indicating that in the investigated geographical region there is no threat of chilling shortage. The projection of climatic parameters for Central Lithuania on the basis of three global circulation models has shown that under the optimistic climate change scenario (RCP 2.6) the mean temperature tends to increase by 1.28 °C and under the pessimistic scenario (RCP 8.5) by 5.03 °C until the end of the current century. Recently, different statistical models are used not only to analyze but also to project the changes in spring phenology. Our study has shown that when the data of long-term phenological observations are available, multiple regression models are suitable for the projection of the advancement of leaf unfolding under the changing climate. According to the RCP 8.5 scenario, the projected advancement in leaf unfolding for early-season species birch consists of almost 15 days as an average of all three used GSMs. Markedly less response to the projected far future (2071-2100), climate change is foreseen for other investigated climax species: -9 days for lime, 10 days for oak, and 11 days for maple.

  18. Response of deciduous trees spring phenology to recent and projected climate change in Central Lithuania.

    PubMed

    Juknys, Romualdas; Kanapickas, Arvydas; Šveikauskaitė, Irma; Sujetovienė, Gintarė

    2016-10-01

    The analysis of long-term time series of spring phenology for different deciduous trees species has shown that leaf unfolding for all the investigated species is the most sensitive to temperatures in March and April and illustrates that forcing temperature is the main driver of the advancement of leaf unfolding. Available chilling amount has increased by 22.5 % over the last 90 years, indicating that in the investigated geographical region there is no threat of chilling shortage. The projection of climatic parameters for Central Lithuania on the basis of three global circulation models has shown that under the optimistic climate change scenario (RCP 2.6) the mean temperature tends to increase by 1.28 °C and under the pessimistic scenario (RCP 8.5) by 5.03 °C until the end of the current century. Recently, different statistical models are used not only to analyze but also to project the changes in spring phenology. Our study has shown that when the data of long-term phenological observations are available, multiple regression models are suitable for the projection of the advancement of leaf unfolding under the changing climate. According to the RCP 8.5 scenario, the projected advancement in leaf unfolding for early-season species birch consists of almost 15 days as an average of all three used GSMs. Markedly less response to the projected far future (2071-2100), climate change is foreseen for other investigated climax species: -9 days for lime, 10 days for oak, and 11 days for maple.

  19. Reversible Closure of the Ductus Arteriosus.

    PubMed

    Pozzi, Marco; Quarti, Andrea; Iezzi, Federica

    2016-01-01

    There are cases in which ligation of the ductus arteriosus is part of a palliative or reparative procedure where the opportunity to reopen the ductus in the early period after surgery could be beneficial. This applies, particularly, to patients with borderline left ventricle in whom a biventricular repair is performed or in small babies in whom a modified Blalock-Taussig shunt is performed, particularly when a very small polytetrafluoroethylene graft is used. Conventional ductal ligation is generally irreversible. We describe a technique of ductal closure that allows easy reopening of the duct in the early postoperative period.

  20. Spatial variation of male alcohol-related mortality in Belarus and Lithuania.

    PubMed

    Grigoriev, Pavel; Jasilionis, Domantas; Shkolnikov, Vladimir M; Meslé, France; Vallin, Jacques

    2016-02-01

    Numerous studies have addressed the problem of hazardous alcohol consumption, alcohol-related causes of death and their relationship to persisting excess male mortality in the countries of the former USSR. Yet relatively little is known about the geographical patterns of alcohol-related mortality within these countries and the cross-border continuities of such patterns. This study aims at identifying the spatial distribution and the cross-border patterns of adult male mortality from alcohol poisonings and liver cirrhosis in Belarus and Lithuania. We use cause-specific mortality data for 2003-2007. We employ spatial econometric techniques to detect 'hot spots' of alcohol-related mortality across the combined territory of the two countries. Specific patterns associated with extremely high rates of mortality from alcohol poisoning can be observed in Belarus, particularly in the areas bordering Russia and Lithuania. Meanwhile, patterns of alcohol-induced liver disease dominate in Lithuania, and continue across the border from eastern Lithuania into north-western Belarus. The districts located along the Belarusian-Lithuanian border appear to be especially problematic, as they suffer from an enormous burden of alcohol consumption. The situation is particularly severe on the Belarusian side, where there are extremely high levels of mortality from both alcohol poisoning and liver cirrhosis. These areas should be considered primary targets for antialcohol policies. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  1. Arts and Cultural Education at School in Europe. Lithuania 2007/08

    ERIC Educational Resources Information Center

    Siaulytiene, Dalia

    2008-01-01

    Artistic education at general education schools in Lithuania is organised by teaching separate art subjects. Art education based on the integrated approach or project method may be organized at primary school, in grades one to four, according to the individual curriculum prepared by the teacher. Arts subjects included in Lithuanian arts curriculum…

  2. Philosophy of Education in Post-Soviet Societies of Eastern Europe: Poland, Lithuania and Slovenia

    ERIC Educational Resources Information Center

    Godon, Rafal; Juceviciene, Palmira; Kodelja, Zdenko

    2004-01-01

    This article explores the role of philosophy of education in three post-Soviet societies of Eastern Europe: Poland, Lithuania and Slovenia. The characteristic themes and approaches of philosophical reflection about education in these societies are explored with reference to three periods: the pre-Soviet, Soviet and post-Soviet periods.

  3. Economic, Educational and Cultural Predictors of Science Learning in Lithuania and Estonia

    ERIC Educational Resources Information Center

    Mikk, Jaan

    2007-01-01

    The aim of the research was to assess the economic, educational and cultural predictors of the TIMSS 2003 science test results in Lithuania and Estonia. The data for the research were received from the TIMSS 2003 User Guide for the International Database. The Spearman rank correlation coefficients, calculated on the students' level and the schools…

  4. Evolution of Competence Concept in Lithuania: From VET Reform to Development of National Qualifications System

    ERIC Educational Resources Information Center

    Lauzackas, Rimantas; Tutlys, Vidmantas; Spudyte, Irma

    2009-01-01

    Purpose: This paper aims to explore the development of the concept of competence in Lithuania beginning from the period of transition from the Soviet planned economy and post-totalitarian regime to the market economy and democratic society and ending with the designing and implementation of the National Qualifications System and Qualifications…

  5. Parenting Dimensions in Relation to Pre-Schoolers' Behaviour Problems in Latvia and Lithuania

    ERIC Educational Resources Information Center

    Sebre, Sandra B.; Jusiene, Roma; Dapkevice, Egle; Skreitule-Pikse, Inga; Bieliauskaite, Rasa

    2015-01-01

    The aim of the present study was to examine associations between parenting and child behaviour problems in two neighbouring countries with subtle, yet apparent cultural differences. Participants were mothers and fathers of preschool-age children from Latvia and Lithuania. Parents completed a measure of child-rearing attitudes and reported on their…

  6. "Lyderiu Laikas" (Time for Leaders): Lithuania's Response to Changing Leadership and Learning in Their Schools

    ERIC Educational Resources Information Center

    Jackson, Coleen; Blandford, Sonia; Pranckuniene, Egle; Vildziuniene, Marina

    2011-01-01

    This paper examines how the Ministry of Education in Lithuania has approached policy change to the leadership of their schools. The aim of the Time for Leaders Project and subsequent policy is to recapture the enthusiasm of teachers and school leaders that had been in evidence immediately after the country regaining independence in 1990. The Time…

  7. National Testing of Pupils in Europe: Objectives, Organisation and Use of Results. Lithuania 2009

    ERIC Educational Resources Information Center

    Bigeliene, Daiva; Gudynas, Pranas; Ranonyte, Asta; Uginciene, Egle

    2009-01-01

    The guiding principles of assessment policy and practice in Lithuania are described in the Law on Education (2003), General Curriculum and Educational Standards for Pre-school, Primary and Basic education (2003) and General Education Plans (2008-2009) as well as the special policy document on assessment called The Concept of Assessment of Pupils'…

  8. On Ideology, Language, and Identity: Language Politics in the Soviet and Post-Soviet Lithuania

    ERIC Educational Resources Information Center

    Balockaite, Rasa

    2014-01-01

    The paper illuminates links between state politics and language politics in Lithuania during different historical periods: (a) the thaw period, (b) the stagnation period, (c) the liberalization periods of Soviet socialism, and (d) the two post-Soviet decades characterized by both nationalism and liberalization. Based on analysis of the texts by…

  9. National Testing of Pupils in Europe: Objectives, Organisation and Use of Results. Lithuania 2009

    ERIC Educational Resources Information Center

    Bigeliene, Daiva; Gudynas, Pranas; Ranonyte, Asta; Uginciene, Egle

    2009-01-01

    The guiding principles of assessment policy and practice in Lithuania are described in the Law on Education (2003), General Curriculum and Educational Standards for Pre-school, Primary and Basic education (2003) and General Education Plans (2008-2009) as well as the special policy document on assessment called The Concept of Assessment of Pupils'…

  10. Parenting Dimensions in Relation to Pre-Schoolers' Behaviour Problems in Latvia and Lithuania

    ERIC Educational Resources Information Center

    Sebre, Sandra B.; Jusiene, Roma; Dapkevice, Egle; Skreitule-Pikse, Inga; Bieliauskaite, Rasa

    2015-01-01

    The aim of the present study was to examine associations between parenting and child behaviour problems in two neighbouring countries with subtle, yet apparent cultural differences. Participants were mothers and fathers of preschool-age children from Latvia and Lithuania. Parents completed a measure of child-rearing attitudes and reported on their…

  11. Gap Year Students in Lithuania: The Value Orientations of Children from Wealthy Social Groups

    ERIC Educational Resources Information Center

    Leonavicius, Vylius; Ozolinciute, Egle

    2015-01-01

    The paper seeks to understand the trajectories of students who defer entry to university. The study was conducted in Lithuania, a former Soviet Union republic. The phenomenon of a "gap year" is usually associated with young people, who decide not to enter higher education schools immediately after receiving secondary education, instead…

  12. Evolution of Competence Concept in Lithuania: From VET Reform to Development of National Qualifications System

    ERIC Educational Resources Information Center

    Lauzackas, Rimantas; Tutlys, Vidmantas; Spudyte, Irma

    2009-01-01

    Purpose: This paper aims to explore the development of the concept of competence in Lithuania beginning from the period of transition from the Soviet planned economy and post-totalitarian regime to the market economy and democratic society and ending with the designing and implementation of the National Qualifications System and Qualifications…

  13. "Lyderiu Laikas" (Time for Leaders): Lithuania's Response to Changing Leadership and Learning in Their Schools

    ERIC Educational Resources Information Center

    Jackson, Coleen; Blandford, Sonia; Pranckuniene, Egle; Vildziuniene, Marina

    2011-01-01

    This paper examines how the Ministry of Education in Lithuania has approached policy change to the leadership of their schools. The aim of the Time for Leaders Project and subsequent policy is to recapture the enthusiasm of teachers and school leaders that had been in evidence immediately after the country regaining independence in 1990. The Time…

  14. Russian as a Commodity: Medical Tourism and the Healthcare Industry in Post-Soviet Lithuania

    ERIC Educational Resources Information Center

    Muth, Sebastian

    2017-01-01

    The focus of this paper is on Lithuania, where government policies continue to limit the use of Russian in education, the public space and the media, while the local economy has recognized proficiency in Russian as a commodity. This is particularly salient in the healthcare industry that grew significantly in the past years with patients from…

  15. Harmonization of Higher Education System in Lithuania--Prerequisite for Quality Improvement of Studies

    ERIC Educational Resources Information Center

    Zibeniene, Gintaute; Targamadze, Vilija

    2006-01-01

    The article examines harmonization of higher education as an prerequisite of improvement of study quality in Lithuania. It overviews the development of higher education and criteria of university and higher non-university study programmes. An assumption is made that higher university and higher non-university studies are poorly harmonized and the…

  16. Gap Year Students in Lithuania: The Value Orientations of Children from Wealthy Social Groups

    ERIC Educational Resources Information Center

    Leonavicius, Vylius; Ozolinciute, Egle

    2015-01-01

    The paper seeks to understand the trajectories of students who defer entry to university. The study was conducted in Lithuania, a former Soviet Union republic. The phenomenon of a "gap year" is usually associated with young people, who decide not to enter higher education schools immediately after receiving secondary education, instead…

  17. Arts and Cultural Education at School in Europe. Lithuania 2007/08

    ERIC Educational Resources Information Center

    Siaulytiene, Dalia

    2008-01-01

    Artistic education at general education schools in Lithuania is organised by teaching separate art subjects. Art education based on the integrated approach or project method may be organized at primary school, in grades one to four, according to the individual curriculum prepared by the teacher. Arts subjects included in Lithuanian arts curriculum…

  18. On Ideology, Language, and Identity: Language Politics in the Soviet and Post-Soviet Lithuania

    ERIC Educational Resources Information Center

    Balockaite, Rasa

    2014-01-01

    The paper illuminates links between state politics and language politics in Lithuania during different historical periods: (a) the thaw period, (b) the stagnation period, (c) the liberalization periods of Soviet socialism, and (d) the two post-Soviet decades characterized by both nationalism and liberalization. Based on analysis of the texts by…

  19. Nevada Test Site closure program

    SciTech Connect

    Shenk, D.P.

    1994-08-01

    This report is a summary of the history, design and development, procurement, fabrication, installation and operation of the closures used as containment devices on underground nuclear tests at the Nevada Test Site. It also addresses the closure program mothball and start-up procedures. The Closure Program Document Index and equipment inventories, included as appendices, serve as location directories for future document reference and equipment use.

  20. Temporal factors in school closure policy for mitigating the spread of influenza.

    PubMed

    Zhang, Tianyou; Fu, Xiuju; Kwoh, Chee Keong; Xiao, Gaoxi; Wong, Limsoon; Ma, Stefan; Soh, Harold; Lee, Gary Kee Khoon; Hung, Terence; Lees, Michael

    2011-05-01

    Is school closure effective in mitigating influenza outbreaks? For Singapore, we developed an individual-based simulation model using real-life contact data. We evaluated the impacts of temporal factors - trigger threshold and duration - on the effectiveness of school closure as a mitigation policy. We found an upper bound of the duration of school closure, where further extension beyond which will not bring additional benefits to suppressing the attack rate and peak incidence. For school closure with a relatively short duration (< 6 weeks), it is more effective to start closure after a relatively longer delay from the first day of infection; if the duration of school closure is long (>6 weeks), however, it is better to start it as early as reasonable. Our studies reveal the critical importance of timing in school closure, especially in cost-cautious situations. Our studies also demonstrate the great potential of a properly developed individual-based simulation model in evaluating various disease control policies.

  1. Orbiter door closure tools

    NASA Technical Reports Server (NTRS)

    Acres, W. R.

    1980-01-01

    Safe reentry of the shuttle orbiter requires that the payload bay doors be closed and securely latched. Since a malfunction in the door drive or bulkhead latch systems could make safe reentry impossible, the requirement to provide tools to manually close and secure the doors was implemented. The tools would disconnect a disabled door or latch closure system and close and secure the doors if the normal system failed. The tools required to perform these tasks have evolved into a set that consists of a tubing cutter, a winch, a latching tool, and a bolt extractor. The design, fabrication, and performance tests of each tool are described.

  2. Study of Local Seismic Events in Lithuania and Adjacent Areas Using Data from the PASSEQ Experiment

    NASA Astrophysics Data System (ADS)

    Janutyte, Ilma; Kozlovskaya, Elena; Motuza, Gediminas

    2013-05-01

    The territory of Lithuania and adjacent areas of the East European Craton have always been considered a region of low seismicity. Two recent earthquakes with magnitudes of more than 5 in the Kaliningrad District (Russian Federation) on 21 September 2004 motivated re-evaluation of the seismic hazard in Lithuania and adjacent territories. A new opportunity to study seismicity in the region is provided by the PASSEQ (Pasive Seismic Experiment) project that aimed to study the lithosphere-asthenosphere structure around the Trans-European Suture Zone. Twenty-six seismic stations of the PASSEQ temporary seismic array were installed in the territory of Lithuania. The stations recorded a number of local and regional seismic events originating from Lithuania and adjacent areas. This data can be used to answer the question of whether there exist seismically active tectonic zones in Lithuania that could be potentially hazardous for critical industrial facilities. Therefore, the aim of this paper is to find any natural tectonic seismic events in Lithuania and to obtain more general view of seismicity in the region. In order to do this, we make a manual review of the continuous data recorded by the PASSEQ seismic stations in Lithuania. From the good quality data, we select and relocate 45 local seismic events using the well-known LocSAT and VELEST location algortithms. In order to discriminate between possible natural events, underwater explosions and on-shore blasts, we analyse spatial distribution of epicenters and temporal distribution of origin times and perform both visual analysis of waveforms and spectral analysis of recordings. We show that the relocated seismic events can be grouped into five clusters (groups) according to their epicenter coordinates and origin and that several seismic events might be of tectonic origin. We also show that several events from the off-shore region in the Baltic Sea (at the coasts of the Kaliningrad District of the Russian Federation) are

  3. System for closure of a physical anomaly

    SciTech Connect

    Bearinger, Jane P; Maitland, Duncan J; Schumann, Daniel L; Wilson, Thomas S

    2014-11-11

    Systems for closure of a physical anomaly. Closure is accomplished by a closure body with an exterior surface. The exterior surface contacts the opening of the anomaly and closes the anomaly. The closure body has a primary shape for closing the anomaly and a secondary shape for being positioned in the physical anomaly. The closure body preferably comprises a shape memory polymer.

  4. Teamwork in primary care: perspectives of general practitioners and community nurses in Lithuania

    PubMed Central

    2013-01-01

    Background A team approach in primary care has proven benefits in achieving better outcomes, reducing health care costs, satisfying patient needs, ensuring continuity of care, increasing job satisfaction among health providers and using human health care resources more efficiently. However, some research indicates constraints in collaboration within primary health care (PHC) teams in Lithuania. The aim of this study was to gain a better understanding of the phenomenon of teamwork in Lithuania by exploring the experiences of teamwork by general practitioners (GPs) and community nurses (CNs) involved in PHC. Methods Six focus groups were formed with 29 GPs and 27 CNs from the Kaunas Region of Lithuania. Discussions were recorded and transcribed verbatim. A thematic analysis of these data was then performed. Results The analysis of focus group data identified six thematic categories related to teamwork in PHC: the structure of a PHC team, synergy among PHC team members, descriptions of roles and responsibilities of team members, competencies of PHC team members, communications between PHC team members and the organisational background for teamwork. These findings provide the basis for a discussion of a thematic model of teamwork that embraces formal, individual and organisational factors. Conclusions The need for effective teamwork in PHC is an issue receiving broad consensus; however, the process of teambuilding is often taken for granted in the PHC sector in Lithuania. This study suggests that both formal and individual behavioural factors should be targeted when aiming to strengthen PHC teams. Furthermore, this study underscores the need to provide explicit formal descriptions of the roles and responsibilities of PHC team members in Lithuania, which would include establishing clear professional boundaries. The training of team members is an essential component of the teambuilding process, but not sufficient by itself. PMID:23945286

  5. Teamwork in primary care: perspectives of general practitioners and community nurses in Lithuania.

    PubMed

    Jaruseviciene, Lina; Liseckiene, Ida; Valius, Leonas; Kontrimiene, Ausrine; Jarusevicius, Gediminas; Lapão, Luís Velez

    2013-08-15

    A team approach in primary care has proven benefits in achieving better outcomes, reducing health care costs, satisfying patient needs, ensuring continuity of care, increasing job satisfaction among health providers and using human health care resources more efficiently. However, some research indicates constraints in collaboration within primary health care (PHC) teams in Lithuania. The aim of this study was to gain a better understanding of the phenomenon of teamwork in Lithuania by exploring the experiences of teamwork by general practitioners (GPs) and community nurses (CNs) involved in PHC. Six focus groups were formed with 29 GPs and 27 CNs from the Kaunas Region of Lithuania. Discussions were recorded and transcribed verbatim. A thematic analysis of these data was then performed. The analysis of focus group data identified six thematic categories related to teamwork in PHC: the structure of a PHC team, synergy among PHC team members, descriptions of roles and responsibilities of team members, competencies of PHC team members, communications between PHC team members and the organisational background for teamwork. These findings provide the basis for a discussion of a thematic model of teamwork that embraces formal, individual and organisational factors. The need for effective teamwork in PHC is an issue receiving broad consensus; however, the process of teambuilding is often taken for granted in the PHC sector in Lithuania. This study suggests that both formal and individual behavioural factors should be targeted when aiming to strengthen PHC teams. Furthermore, this study underscores the need to provide explicit formal descriptions of the roles and responsibilities of PHC team members in Lithuania, which would include establishing clear professional boundaries. The training of team members is an essential component of the teambuilding process, but not sufficient by itself.

  6. FINAL CLOSURE PLAN SURFACE IMPOUNDMENTS CLOSURE, SITE 300

    SciTech Connect

    Lane, J E; Scott, J E; Mathews, S E

    2004-09-29

    Lawrence Livermore National Laboratory of the University of California (LLNL) operates two Class II surface impoundments that store wastewater that is discharged from a number of buildings located on the Site 300 Facility (Site 300). The wastewater is the by-product of explosives processing. Reduction in the volume of water discharged from these buildings over the past several years has significantly reduced the wastewater storage needs. In addition, the impoundments were constructed in 1984, and the high-density polyethylene (HDPE) geomembrane liners are nearing the end of their service life. The purpose of this project is to clean close the surface impoundments and provide new wastewater storage using portable, above ground storage tanks at six locations. The tanks will be installed prior to closure of the impoundments and will include heaters for allowing evaporation during relatively cool weather. Golder Associates (Golder) has prepared this Final Closure Plan (Closure Plan) on behalf of LLNL to address construction associated with the clean closure of the impoundments. This Closure Plan complies with State Water Resources Control Board (SWRCB) Section 21400 of the California Code of Regulations Title 27 (27 CCR {section}21400). As required by these regulations and guidance, this Plan provides the following information: (1) A site characterization, including the site location, history, current operations, and geology and hydrogeology; (2) The regulatory requirements relevant to clean closure of the impoundments; (3) The closure procedures; and, (4) The procedures for validation and documentation of clean closure.

  7. Transcatheter closure of post-myocardial infarction ventricular septal rupture.

    PubMed

    Assenza, Gabriele Egidy; McElhinney, Doff B; Valente, Anne Marie; Pearson, Disty D; Volpe, Massimo; Martucci, Giuseppe; Landzberg, Michael J; Lock, James E

    2013-02-01

    Ventricular septal rupture (VSR) after acute myocardial infarction (AMI) is a potentially lethal mechanical complication of acute coronary syndromes. Given high surgical mortality, transcatheter closure has emerged as a potential strategy in selected cases. We report our single-center experience with double-umbrella device percutaneous closure of post-AMI VSR. In this single-center, retrospective, cohort study, patients who underwent transcatheter closure of post-AMI VSR between 1988 and 2008 at Boston Children's Hospital were included. Data were analysed according to whether the patients underwent direct percutaneous VSR closure or closure of a residual VSR after a previous surgical approach. Primary outcome was mortality rate at 30 days. Clinical predictors of primary outcome were investigated using univariate logistic regression. Thirty patients were included in the study (mean age, 67±8 years). A total of 40 closure devices were implanted. Major periprocedural complications occurred in 4 (13%) patients. Cardiogenic shock, increasing pulmonary/systemic flow ratio, and the use of the new generation (6-arm) STARFlex device all were associated with higher risk of mortality. The Model for End-Stage Liver Disease Excluding international normalized ratio (MELD-XI) score at the time of VSR closure seemed to be most strongly associated with death (odds ratio, 1.6; confidence interval, 1.1-2.2; P<0.001). Transcatheter closure of post-AMI VSR using CardioSEAL or STARFlex devices is feasible and effective. The MELD-XI score, a marker of multiorgan dysfunction, is a promising risk stratifier in this population of patients. Early closure of post-AMI VSR is advisable before establishment of multiorgan failure.

  8. 27 CFR 26.231 - Affixing closures.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... OF THE TREASURY LIQUORS LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Closures for Distilled Spirits From the Virgin Islands General § 26.231 Affixing closures. Closures or other devices...

  9. 27 CFR 26.231 - Affixing closures.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... OF THE TREASURY LIQUORS LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Closures for Distilled Spirits From the Virgin Islands General § 26.231 Affixing closures. Closures or other devices...

  10. 27 CFR 26.136 - Affixing closures.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... OF THE TREASURY LIQUORS LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Closures for Distilled Spirits From Puerto Rico § 26.136 Affixing closures. Closures or other devices shall be securely...

  11. 27 CFR 26.136 - Affixing closures.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... OF THE TREASURY LIQUORS LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Closures for Distilled Spirits From Puerto Rico § 26.136 Affixing closures. Closures or other devices shall be securely...

  12. 27 CFR 26.136 - Affixing closures.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... OF THE TREASURY LIQUORS LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Closures for Distilled Spirits From Puerto Rico § 26.136 Affixing closures. Closures or other devices shall be securely...

  13. 27 CFR 26.136 - Affixing closures.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... OF THE TREASURY ALCOHOL LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Closures for Distilled Spirits From Puerto Rico § 26.136 Affixing closures. Closures or other devices shall be securely...

  14. 27 CFR 26.136 - Affixing closures.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... OF THE TREASURY ALCOHOL LIQUORS AND ARTICLES FROM PUERTO RICO AND THE VIRGIN ISLANDS Closures for Distilled Spirits From Puerto Rico § 26.136 Affixing closures. Closures or other devices shall be securely...

  15. Closedure - Mine Closure Technologies Resource

    NASA Astrophysics Data System (ADS)

    Kauppila, Päivi; Kauppila, Tommi; Pasanen, Antti; Backnäs, Soile; Liisa Räisänen, Marja; Turunen, Kaisa; Karlsson, Teemu; Solismaa, Lauri; Hentinen, Kimmo

    2015-04-01

    Closure of mining operations is an essential part of the development of eco-efficient mining and the Green Mining concept in Finland to reduce the environmental footprint of mining. Closedure is a 2-year joint research project between Geological Survey of Finland and Technical Research Centre of Finland that aims at developing accessible tools and resources for planning, executing and monitoring mine closure. The main outcome of the Closedure project is an updatable wiki technology-based internet platform (http://mineclosure.gtk.fi) in which comprehensive guidance on the mine closure is provided and main methods and technologies related to mine closure are evaluated. Closedure also provides new data on the key issues of mine closure, such as performance of passive water treatment in Finland, applicability of test methods for evaluating cover structures for mining wastes, prediction of water effluents from mine wastes, and isotopic and geophysical methods to recognize contaminant transport paths in crystalline bedrock.

  16. The hill forts and castle mounds in Lithuania: interaction between geodiversity and human-shaped landscape

    NASA Astrophysics Data System (ADS)

    Skridlaite, Grazina; Guobyte, Rimante; Satkunas, Jonas

    2015-04-01

    Lithuania is famous for its abundant, picturesque hill forts and castle mounds of natural origin. In Lithuania as well as in whole Europe the fortified hills were used as the society dwelling place since the beginning of the Late Bronze Age. Their importance increased when Livonian and Teutonic Orders directed a series of military campaigns against Lithuania with the aim of expansion of Christianity in the region at the end of 1st millennium AD, and they were intensively used till the beginning of the 15th c. when most of them were burned down during fights with the Orders or just abandoned due to the changing political and economical situation. What types of the geodiversity were used for fortified dwellings? The choice in a particular area depended on a variety of geomorphology left behind the retreating ice sheets. High spots dominating their surroundings were of prime interest. In E and SE Lithuania, the Baltic Upland hills marking the eastern margin of the last Weichselian glacier hosted numerous fortified settlements from the end of 2nd millennium BC to the Medieval Ages (Narkunai, Velikuskes etc). In W Lithuania, plateau-like hills of the insular Samogitian Upland had been repeatedly fortified from the beginning of 1st millennium AD to the 14th century (Satrija, Medvegalis etc). Chains of hill forts and castle mounds feature the slopes of glaciofluvial valleys of Nemunas, Neris and other rivers where the slopes were dissected by affluent rivulets and ravines and transformed into isolated, well protected hills (Kernave, Punia, Veliuona etc). Peninsulas and headlands formed by the erosion of fluvial and lacustrine deposits were used in the lowlands, e.g. in central and N Lithuania (Paberze, Mezotne etc). How much the landscape was modified for defense purposes? Long-term erosion and overgrowing vegetation damaged the former fortified sites, however some remains and the archeological excavations allowed their reconstruction. The fortified Bronze Age settlements

  17. Spontaneous ileostomy closure

    PubMed Central

    Alyami, Mohammad S.; Lundberg, Peter W.; Cotte, Eddy G.; Glehen, Olivier J.

    2016-01-01

    Iatrogenic ileostomies are routinely placed during colorectal surgery for the diversion of intestinal contents to permit healing of the distal anastomosis prior to elective reversal. We present an interesting case of spontaneous closure of a diverting ileostomy without any adverse effects to the patient. A 65-year-old woman, positive for hereditary non-polyposis colorectal cancer type-I, with locally invasive cancer of the distal colon underwent en-bloc total colectomy, hysterectomy, and bilateral salpingoophorectomy with creation of a proximal loop ileostomy. The ostomy temporarily closed without reoperation at 10 weeks, after spontaneously reopening, it definitively closed, again without surgical intervention at 18 weeks following the original surgery. This rare phenomenon has occurred following variable colorectal pathology and is poorly understood, particularly in patients with aggressive disease and adjunct perioperative interventions. PMID:27279518

  18. CPT-hole closure

    USGS Publications Warehouse

    Noce, T.E.; Holzer, T.L.

    2003-01-01

    The long-term stability of deep holes 1.75 inches. (4.4 cm) in diameter by 98.4 feet (30 m) created by cone penetration testing (CPT) was monitored at a site in California underlain by Holocene and Pleistocene age alluvial fan deposits. Portions of the holes remained open both below and above the 28.6-foot (8.7 m)-deep water table for approximately three years, when the experiment was terminated. Hole closure appears to be a very slow process that may take decades in the stiff soils studied here. Other experience suggests holes in softer soils may also remain open. Thus, despite their small diameter, CPT holes may remain open for years and provide paths for rapid migration of contaminants. The observations confirm the need to grout holes created by CPT soundings as well as other direct-push techniques in areas where protection of shallow ground water is important.

  19. Angle closure in younger patients.

    PubMed Central

    Chang, Brian M; Liebmann, Jeffrey M; Ritch, Robert

    2002-01-01

    PURPOSE: Angle-closure glaucoma is rare in children and young adults. Only scattered cases associated with specific clinical entities have been reported. We evaluated the findings in patients in our database aged 40 or younger with angle closure. METHODS: Our database was searched for patients with angle closure who were 40 years old or younger. Data recorded included age at initial consultation; age at the time of diagnosis; gender; results of slit-lamp examination, gonioscopy, and ultrasound biomicroscopy (from 1993 onward); clinical diagnosis; and therapy. Patients with previous incisional surgery were excluded, as were patients with anterior chamber proliferative mechanisms leading to angle closure. RESULTS: Sixty-seven patients (49 females, 18 males) met entry criteria. Mean age (+/- SD) at the time of consultation was 34.4 +/- 9.4 years (range, 3-68 years). Diagnoses included plateau iris syndrome (35 patients), iridociliary cysts (8 patients), retinopathy of prematurity (7 patients), uveitis (5 patients), isolated nanophthalmos (3 patients), relative pupillary block (2 patients), Weill-Marchesani syndrome (3 patients), and 1 patient each with Marfan syndrome, miotic-induced angle closure, persistent hyperplastic primary vitreous, and idiopathic lens subluxation. CONCLUSION: The etiology of angle closure in young persons is different from that in the older population and is typically associated with structural or developmental ocular anomalies rather than relative pupillary block. Following laser iridotomy, these eyes should be monitored for recurrent angle closure and the need for additional laser or incisional surgical intervention. PMID:12545694

  20. Evaluation of Container Closure System Integrity for Frozen Storage Drug Products.

    PubMed

    Nieto, Alejandra; Roehl, Holger; Brown, Helen; Nikoloff, Jonas; Adler, Michael; Mahler, Hanns-Christian

    2016-01-01

    Sometimes, drug product for parenteral administration is stored in a frozen state (e.g., -20 °C or -80 °C), particularly during early stages of development of some biotech molecules in order to provide sufficient stability. Shipment of frozen product could potentially be performed in the frozen state, yet possibly at different temperatures, for example, using dry ice (-80 °C). Container closure systems of drug products usually consist of a glass vial, rubber stopper, and an aluminum crimped cap. In the frozen state, the glass transition temperature (Tg) of commonly used rubber stoppers is between -55 and -65 °C. Below their Tg, rubber stoppers are known to lose their elastic properties and become brittle, and thus potentially fail to maintain container closure integrity in the frozen state. Leaks during frozen temperature storage and transportation are likely to be transient, yet, can possibly risk container closure integrity and lead to microbial contamination. After thawing, the rubber stopper is supposed to re-seal the container closure system. Given the transient nature of the possible impact on container closure integrity in the frozen state, typical container closure integrity testing methods (used at room temperature conditions) are unable to evaluate and thus confirm container closure integrity in the frozen state. Here we present the development of a novel method (thermal physical container closure integrity) for direct assessment of container closure integrity by a physical method (physical container closure integrity) at frozen conditions, using a modified He leakage test. In this study, different container closure systems were evaluated with regard to physical container closure integrity in the frozen state to assess the suitability of vial/stopper combinations and were compared to a gas headspace method. In summary, the thermal physical container closure integrity He leakage method was more sensitive in detecting physical container closure

  1. 40 CFR 265.280 - Closure and post-closure.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... contaminants caused by wind erosion; and (4) Compliance with § 265.276 concerning the growth of food-chain... unit as appropriate for its post-closure use; (3) Assure that growth of food chain crops complies with...

  2. 40 CFR 265.280 - Closure and post-closure.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... contaminants caused by wind erosion; and (4) Compliance with § 265.276 concerning the growth of food-chain... unit as appropriate for its post-closure use; (3) Assure that growth of food chain crops complies with...

  3. 40 CFR 265.280 - Closure and post-closure.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... contaminants caused by wind erosion; and (4) Compliance with § 265.276 concerning the growth of food-chain... unit as appropriate for its post-closure use; (3) Assure that growth of food chain crops complies with...

  4. 40 CFR 265.280 - Closure and post-closure.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... contaminants caused by wind erosion; and (4) Compliance with § 265.276 concerning the growth of food-chain... unit as appropriate for its post-closure use; (3) Assure that growth of food chain crops complies with...

  5. The preliminary data on the Aeronian (Silurian) machaerids from Lithuania (Baltic Basin)

    NASA Astrophysics Data System (ADS)

    Radzevičius, S.; Ekleris, A.

    2012-04-01

    Machaerids are stem-Lophotrochozoans, closely related to the Annelids, and known from the Early Ordovician to Middle Permian. Machaerids is a group of worm-like benthic marine, bilaterally symmetrical, armoured invertebrate. Their body is covered by an external scleritome. The scleritome is imbricated of longitudinally arranged series of plates or sclerites. Completely articulated specimens of machaeridians are very rare, yet the systematic position of machaerids is controversial. Machaeridians had been assigned to different groups, such as barnacles, mollusks, echinoderms and annelids. The latter is prevailing, however their exact place within the annelids still remains unresolved. New findings of disarticulated Silurian machaerids have been recorded in western Lithuania, Geniai-1 core. This well has been drilled with exploration purposes regarding the Cambrian oil reservoir; therefore the biggest part of the Silurian core has not been collected. The exceptions are some parts of the Llandovery and Ludlow, which have partially recovered well core, but the identification of the precise stratigraphical position is complicated. Disarticulated sclerites of machaeridians have been found at the 1756.4 m depth, in the argillite, together with some graptolites and brachiopods. Several rhabdosome fragments of Normalograptus scalaris (Hisinger) were found together with the machaenid sclerites as well. N. scalaris has wide biostratigraphical distribution from the Rhudanian to the lower part of Telychian, which comprises the convolutus - triangulates graptolite biozones, corresponding to the 1756.8 - 1756 m depth. Convolutus - triangulates biozones represent Aeronian, and the machaeridian sclerites come from this interval, together with the Jonsea grayi (Davidson) brachiopod shells, which are very common and correspond to the BA 5-6 benthic assemblage, as well as do the graptolites found together. In previous studies, two orders of machaerids have been recognized: the

  6. Robotic atrial septal defect closure.

    PubMed

    Senay, Sahin; Gullu, Ahmet Umit; Kocyigit, Muharrem; Degirmencioglu, Aleks; Karabulut, Hasan; Alhan, Cem

    2014-01-01

    Atrial septal defect (ASD) is one of the most common congenital cardiac diseases. This pathology can be treated with percutaneous devices. However, some of the ASDs are not suitable for device closure. Also, there may be device-related late complications of transcatheter ASD closure. Currently, robotic surgical techniques allow surgeons to close ASDs in a totally endoscopic fashion with a high success rate and a low complication rate. This study demonstrates the basic concepts and technique of robotic ASD closure. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  7. Closure report for N Reactor

    SciTech Connect

    Not Available

    1994-01-01

    This report has been prepared to satisfy Section 3156(b) of Public Law 101-189 (Reports in Connection with Permanent Closures of Department of Energy Defense Nuclear Facilities), which requires submittal of a Closure Report to Congress by the Secretary of Energy upon the permanent cessation of production operations at a US Department of Energy (DOE) defense nuclear facility (Watkins 1991). This closure report provides: (1) A complete survey of the environmental problems at the facility; (2) Budget quality data indicating the cost of environmental restoration and other remediation and cleanup efforts at the facility; (3) A proposed cleanup schedule.

  8. The development of medical sociology in the post-Soviet society: the case of Lithuania.

    PubMed

    Kaminskas, Raimundas; Peicius, Eimantas

    2007-06-01

    This article explores the historical development of medical sociology and analyses the social problems that have had impacted the changes of health care institutionalization particularly in Lithuania during the Soviet and post-soviet period. Approaching the interaction between sociology and public health sciences, it is intended to apply the concept of medical sociology and its determinants in the context of health care and education systems. By analyzing the case past of medical sociology in Lithuania, we claim that its prospects should be associated with the study of new challenges in the biomedical sciences. In order to improve the importance of medical sociology in developing democracies we should focus on the questions, for instance, to what extent modern biotechnologies should be applied, how to improve the situation with patients' rights, and how to combine the knowledge of social sciences and biomedicine in order to improve the quality of healthcare services and to ensure better functioning of the healthcare system in particular district.

  9. Potential of energy and nutrient recovery from biodegradable waste by co-treatment in Lithuania.

    PubMed

    Havukainen, Jouni; Zavarauskas, Kestutis; Denafas, Gintaras; Luoranen, Mika; Kahiluoto, Helena; Kuisma, Miia; Horttanainen, Mika

    2012-02-01

    Biodegradable waste quantities in Lithuania and their potential for the co-treatment in renewable energy and organic fertilizer production were investigated. Two scenarios were formulated to study the differences of the amounts of obtainable energy and fertilizers between different ways of utilization. In the first scenario, only digestion was used, and in the second scenario, materials other than straw were digested, and straw and the solid fraction of sewage sludge digestate were combusted. As a result, the amounts of heat and electricity, as well as the fertilizer amounts in the counties were obtained for both scenarios. Based on this study, the share of renewable energy in Lithuania could be doubled by the co-treatment of different biodegradable materials.

  10. Insight into variability of spring and flash flood events in Lithuania

    NASA Astrophysics Data System (ADS)

    Meilutytė-Lukauskienė, Diana; Akstinas, Vytautas; Kriaučiūnienė, Jūratė; Šarauskienė, Diana; Jurgelėnaitė, Aldona

    2017-01-01

    In this research, variability of spring (from 1 March to 30 May) and flash (from 1 June to 30 November) floods in rivers of different regions was analysed. The territory of Lithuania is divided into three regions according to hydrological regime of the rivers: Western, Central, and Southeastern. The maximum river discharge data of spring and flash floods [a total of 31 water gauging stations (WGS)] were analysed. Comparison of the data of four periods (1922-2013, 1941-2013, 1961-2013, and 1991-2013) with the data of the reference period (1961-1990) was performed. Analysis included the longest discharge data set of the Nemunas River at Smalininkai WGS (1812-2013) as well. Mixed patterns of flood changes in Lithuanian rivers were detected. The analysis of flood discharges of the Nemunas River indicated that both spring and flash floods in Lithuania were getting smaller.

  11. Trends and social differences in alcohol consumption during the postcommunist transition in Lithuania.

    PubMed

    Klumbiene, Jurate; Kalasauskas, Darius; Petkeviciene, Janina; Veryga, Aurelijus; Sakyte, Edita

    2012-01-01

    The aim of the study was to evaluate the trends and social differences in consumption of various types of alcoholic beverages in Lithuania over the postcommunist transition period (1994-2010). The data were obtained from nine nationally representative postal surveys of Lithuanian population aged 20-64 conducted every second year (n = 17154). Prevalence of regular (at least once a week) consumption of beer, wine, or strong alcoholic beverages and the amount of alcohol consumed per week were examined. Regular beer drinking as well as the amounts consumed increased considerably in both genders. The increase in regular consumption of strong alcohol was found among women. Sociodemographic patterning of regular alcohol drinking was more evident in women than in men. In women, young age and high education were associated with frequent regular drinking of wine and beer. Social differences in regular alcohol drinking should be considered in further development of national alcohol control policy in Lithuania.

  12. Distribution and chemical polymorphism of the essential oils of Achillea cartilaginea growing wild in Lithuania.

    PubMed

    Gudaitytė, O; Venskutonis, P R; Maždžierienė, R

    2012-01-01

    The essential oils from 14 Achillea cartilaginea samples (leaves and flowers) collected from natural habitats in Lithuania were analysed by GC-MS. In total, 97 compounds were identified, 69 of which have not been reported previously in this species. In general, the essential oils of A. cartilaginea were rich in oxygenated monoterpenes. Remarkable chemical polymorphism was observed within the population of A. cartilaginea in Lithuania. It was observed that 1,8-cineole, camphor, cis-chrysanthenol, β-thujone, sabinol, chrysanthenone, terpinen-4-ol, bornyl acetate and β-sesquiphellandrene were the major constituents in the oils of the analysed plants. Hierarchical cluster analysis, which was based on the 19 major components exceeding 5% in the total oil, indicates the presence of several main chemical groups in the analysed plant populations.

  13. Evolution of Helicobacter pylori susceptibility to antibiotics during a 10-year period in Lithuania.

    PubMed

    Kupcinskas, Limas; Rasmussen, Lone; Jonaitis, Laimas; Kiudelis, Gediminas; Jørgensen, Marianne; Urbonaviciene, Neringa; Tamosiunas, Vytas; Kupcinskas, Juozas; Miciuleviciene, Jolanta; Kadusevicius, Edmundas; Berg, Douglas; Andersen, Leif P

    2013-05-01

    The study evaluated the changes in the prevalence of Helicobacter pylori strains with primary resistance to antibiotics during the last 10 years in Lithuania. H. pylori susceptibilities to antibiotics were tested in 89 patients in 1998, in 81 patients in 2001 and in 90 patients in 2007/2008. Susceptibility to metronidazole, clarithromycin, amoxicillin and tetracycline was tested using E-test or agar dilution method. Susceptibility to ciprofloxacin was only tested in 2007/2008. Data about utilization of all authorized and available on market macrolides and clindamycin in Lithuania during 2003-2007 were evaluated using WHO ATC/DDD methodology. A total of 260 H. pylori strains cultured from untreated adult patients were investigated. Primary resistance rates (1998, 2001 and 2007/2008) for metronidazole were 24.7%, 33.3%, and 35.6%, for clarithromycin 1.1%, 3.7%, and 3.3% and for tetracycline 0%, 2.5% and 0% respectively. No cases of amoxicillin resistance have been detected. The resistance rate for ciprofloxacin was 5.6% in 2007/2008. Data of total macrolides and clarithromycin utilization in Lithuania revealed that despite an increase of consumption of these drugs in Lithuania during 2003-2007 in 1.5 times, the total macrolide consumption remains one of the lowest in Europe. We have not observed any significant changes in the susceptibility of H. pylori to the most widely used antibiotics during the recent 10-year period. The low resistance rate to clarithromycin might be related to the policy to avoid use of macrolides as first-line treatment for pulmonary and other infections. © 2012 The Authors APMIS © 2012 APMIS.

  14. The impact of Nordic adult education ideas on the development of a democratic society in Lithuania

    NASA Astrophysics Data System (ADS)

    Teresevičienė, Margarita; Trepulė, Elena; Trečiokienė, Edita

    2017-02-01

    This article analyses the role of the cooperation with and the influence of the Nordic countries on the development of a democratic society in Lithuania through adult education since the reinstatement of its independence from Soviet regime in March 1990 to the present. The authors focus on three main areas: (1) the training of Lithuanian adult educators; (2) the establishment and development of NGOs; and (3) the implications for a Lithuanian policy of adult education. Within the framework of Nordic-Baltic cooperation established among five Nordic and three Baltic countries (NB8) in 1992, Lithuanian adult educators seized the opportunity to visit Scandinavian institutions and projects. Experiencing Nordic adult education ideas has resulted in a marked shift in Lithuanian adult educators' values, methodology and careers; and in the establishment of a series of very influential umbrella associations as well as hundreds of NGOs in Lithuania which work with adults and support functioning democratic values in society. This shift is related to the civic responsibility and active participation growing out of the bottom-up approaches of group work, cooperation, discussions and learning circles which are so inherent in the Nordic tradition of adult education. The internalisation of new democratic values was more complicated than expected for many Lithuanian politicians, adult educators and NGO leaders in terms of how political decisions were perceived and implemented. Furthermore, the influence of the Nordic-Baltic cooperation in adult education may also be traced in adult education policy implications in Lithuania. Some changes in the policies of contemporary Lithuania have not been successful and even failed to promote a democratic society.

  15. Lithuanian Energy Security: Lithuania’s Dependence on Energy Supply From Russia

    DTIC Science & Technology

    2011-03-16

    unsuccessful aspirations to purchase the oil refinery Mazeikiu nafta , which provides vitally needed tax revenue for Lithuania (accounting for 10 percent...and oil is used as a means of bribing and blackmail against Eastern European countries. This monopoly assists Moscow in creating alternative transit...great energy resources – its territory contains 1/3 of the world natural gas reserves, 1/10 of oil reserves, 1/5 of coal reserves and 14 % of uranium

  16. Teaching ethics in a Masters Program in Public Health in Lithuania

    PubMed Central

    Jakusovaite, Irayda; Bankauskaite, Vaida

    2007-01-01

    This article aims to present 10 years of experience of teaching ethics in a Masters Program in Public Health in Lithuania, and to discuss the content, skills, teaching approach and tools of this programme. In addition, the article analyses the links between ethics and law, identifies the challenges of the teaching process and suggests future teaching strategies. The important role of teaching ethics in countries that are in transition owing to a radically changing value system is emphasised. PMID:17601872

  17. Barbed versus standard sutures for closure in total knee arthroplasty: a multicenter prospective randomized trial.

    PubMed

    Gililland, Jeremy M; Anderson, Lucas A; Barney, Jacob K; Ross, Hunter L; Pelt, Christopher E; Peters, Christopher L

    2014-09-01

    Barbed suture has been associated with improved closure efficiency and safety in TKA in prior studies. We performed a multicenter randomized controlled trial to determine the efficiency and safety of this technology in TKA. We prospectively randomized 411 patients undergoing primary TKA to either barbed running (n=191) or knotted interrupted suture closure (n=203). Closure time was measured intra-operatively. Cost analysis was based on suture and OR time costs. Closure time was shorter with barbed suture (9.8 vs. 14.5 min, p<0.001). Total closure cost was less with barbed suture ($324 vs. $419, p<0.001). Early complications and outcomes were similar between groups. The use of barbed suture in TKA is associated with shorter closure time, lower cost and similar outcomes and complications when compared with standard sutures. Published by Elsevier Inc.

  18. Pinhole closure measurements

    NASA Astrophysics Data System (ADS)

    Milam, David; Murray, James E.; Estabrook, Kent G.; Boley, Charles D.; Sell, Walter D.; Nielsen, Norman D.; Kirkwood, R. K.; Zakharenkov, Yuri A.; Afeyan, Bedros B.

    1999-07-01

    Spatial-filter pinholes and knife-edge samples were irradiated in vacuum by 1053-nm, 5-20 ns pulses at intensities to 500 GW/cm2. The knife-edge samples were fabricated of plastic, carbon, aluminum, stainless steel, molybdenum, tantalum, gold, and an absorbing glass. Time- resolved two-beam interferometry with a 40-ns probe pulse was used to observe phase shifts in the expanding laser- induced plasma. For al of these materials, at any time during square-pulse irradiation, the phase shift fell exponentially with distance from the edge of the sample.. The expansion was characterized by the propagation velocity V2(pi ) of the contour for a 2(pi) phase shift. To within experimental error, V2(pi ) was constant during irradiation at a particular intensity, and it increased linearly with intensity for intensities < 300 GW/cm2. For metal samples V2(pi ) exhibited an approximate M-0.5 dependence where M is the atomic mass. Plasmas of plastic, carbon, and absorbing glass produced larger phase shifts, and expanded more rapidly, than plasmas of heavy metals. The probe beam and interferometer were also used to observe the closing of pinholes. With planar pinholes, accumulation of on-axis plasma was observed along with the advance of plasma away from the edge of the hole. On-axis closure was not observed in square, 4-leaf pinholes.

  19. Isotope geochemistry and modelling of the multi-aquifer system in the eastern part of Lithuania

    NASA Astrophysics Data System (ADS)

    Mokrik, Robert; Juodkazis, Vytautas; Štuopis, Anicetas; Mažeika, Jonas

    2014-06-01

    A steady-state groundwater flow model of three Quaternary intertill aquifers in the eastern part of Lithuania has been compiled. The distinction of separate modelled layers is based on hydraulic and isotope-hydrochemistry data criteria. 3H data were used to estimate the corrected groundwater age and were coupled with a groundwater-flow-dynamics model of the Quaternary aquifer system along a cross-section flow pathway from the Baltic Upland recharge area in eastern Lithuania towards the discharge area in the lowlands near the city of Kaunas in central Lithuania. The bicarbonate content in groundwater (214-462 mg/l) increases downgradient towards the lowland area. The other major constituents and total dissolved solids (TDS) have a trend analogous to the bicarbonate. The 14C activity of dissolved inorganic carbon (DIC) in the groundwater ranges from 41.4 to 85.7 pMC. With aquifer-system depth, active precipitation of aqueous solution takes place by dissolving minerals of calcite and dolomite and leakage of "old" groundwater from lower aquifers; the process is also traced by lower 14C and 3H activities and by more positive δ18O values in lowland areas.

  20. Closure and Sealing Design Calculation

    SciTech Connect

    T. Lahnalampi; J. Case

    2005-08-26

    The purpose of the ''Closure and Sealing Design Calculation'' is to illustrate closure and sealing methods for sealing shafts, ramps, and identify boreholes that require sealing in order to limit the potential of water infiltration. In addition, this calculation will provide a description of the magma that can reduce the consequences of an igneous event intersecting the repository. This calculation will also include a listing of the project requirements related to closure and sealing. The scope of this calculation is to: summarize applicable project requirements and codes relating to backfilling nonemplacement openings, removal of uncommitted materials from the subsurface, installation of drip shields, and erecting monuments; compile an inventory of boreholes that are found in the area of the subsurface repository; describe the magma bulkhead feature and location; and include figures for the proposed shaft and ramp seals. The objective of this calculation is to: categorize the boreholes for sealing by depth and proximity to the subsurface repository; develop drawing figures which show the location and geometry for the magma bulkhead; include the shaft seal figures and a proposed construction sequence; and include the ramp seal figure and a proposed construction sequence. The intent of this closure and sealing calculation is to support the License Application by providing a description of the closure and sealing methods for the Safety Analysis Report. The closure and sealing calculation will also provide input for Post Closure Activities by describing the location of the magma bulkhead. This calculation is limited to describing the final configuration of the sealing and backfill systems for the underground area. The methods and procedures used to place the backfill and remove uncommitted materials (such as concrete) from the repository and detailed design of the magma bulkhead will be the subject of separate analyses or calculations. Post-closure monitoring will not

  1. Characterization of aerosol particles at the forested site in Lithuania

    NASA Astrophysics Data System (ADS)

    Rimselyte, I.; Garbaras, A.; Kvietkus, K.; Remeikis, V.

    2009-04-01

    monitoring station (55˚ 26'26"N; 26˚ 03'60"E) in the eastern part of Lithuania in the Aukštaitija national park during 2-24 July, 2008. The Rugšteliškis station is located in a remote relatively clean forested area. An aerosol mass spectrometer (AMS), developed at Aerodyne Research, was used to obtain real-time quantitative information on particle size-resolved mass loadings for volatile and semi-volatile chemical components present in/on ambient aerosol. The AMS inlet system allows 100 % transmission efficiency for particles with size diameter between 60 to 600 nm and partial transmission down to 20 nm and up to 2000 nm. The aerosol sampling was also carried out using a Micro-Orifice Uniform Deposit Impactor (MOUDI) model 110. The flow rate was 30 l/min, and the 50% aerodynamic cutoff diameters of the 10 stages were 18, 10, 5.6, 3.2, 1.8, 1.0, 0.56, 0.32, 0.18, 0.10 and 0.056 m. Aluminum foil was used as the impaction surface. The aerosol samples were analyzed for total carbon using the elemental analyzer (Flash EA1112). Besides, samples were analyzed for ^13C/12C ratio by the isotopic ratio mass spectrometer (Thermo Finnigan Delta Plus Advantage) (Norman et al., 1999; Garbaras et al., 2008). During campaign the dynamic behavior of aerosols was measured and quantitatively compared with meteorological conditions and air mass transport. The submicron aerosol was predominately sulphate and organic material. The AMS was able to discriminate and quantify mixed organic/inorganic accumulation mode particles (300 - 400 nm), which appeared to be dominated by regional sources and were of the origin similar to those seen in the more remote areas. The particulate organic fraction was also investigated in detail using the mass spectral data. By combining the organic matter size distribution (measured with AMS) with the total carbon (TC) size distribution (measured with MOUDI) we were able to report organic carbon to total carbon (OC/TC) ratio in different size particles

  2. RCRA closure of mixed waste impoundments

    SciTech Connect

    Blaha, F.J.; Greengard, T.C.; Arndt, M.B.

    1989-11-01

    A case study of a RCRA closure action at the Rocky Flats Plant is presented. Closure of the solar evaporation ponds involves removal and immobilization of a mixed hazardous/radioactive sludge, treatment of impounded water, groundwater monitoring, plume delineation, and collection and treatment of contaminated groundwater. The site closure is described within the context of regulatory negotiations, project schedules, risk assessment, clean versus dirty closure, cleanup levels, and approval of closure plans and reports. Lessons learned at Rocky Flats are summarized.

  3. Geosites of Lithuania as an environment for dwelling of specific biota: geo- and biodiversity interactions

    NASA Astrophysics Data System (ADS)

    Skridlaite, Grazina; Motiejunaite, Jurga; Jukoniene, Ilona; Prigodina Lukosiene, Ingrida

    2016-04-01

    Surface of Lithuania and surrounding countries is sculptured by five glaciations, which left behind morainic tills and melt water deposits, modified by erosion and later used for agriculture or overgrown by wild meadows or forests. The glaciations also left numerous erratic boulders and boulder fields that are declared as natural monuments in Lithuania and surrounding countries. Tens of single boulders and boulder fields are included into the Geosites database at the Lithuanian Geological Survey. Though sparse, but of high scientific value, Devonian, Permian, Triassic and Jurassic outcrops and quarries of Lithuania are variably protected. Quaternary scientists attempted to use single erratic boulders, their fields and abundances in tills to imply glacier dynamics. Some erratics came from known localities in Scandinavia and are called indicator boulders because they show the source and directions of ice sheet movements. Huge single boulders (e.g. 7 m long and 6 m high Puntukas, Anyksciai Regional Park) and wild boulder fields are natural monuments and attractive sites for visitors. Outcrops and quarries of Devonian dolomites and gypsium, Permian limestones and Jurassic sandstones widely used for a scientific research are parts of the protected geo-diversity in the Venta and Birzai regional parks, N and NW Lithuania. On the other hand, a large part of the c. 700 species of lichenized and allied fungi and of c. 500 bryophytes known in Lithuania are confined to natural or semi-natural (quarries) rocky habitats. Eight rock-dwelling lichen and nine bryophyte species are included in the Lithuanian Red Data Book, some of them are known from 1-2 localities or are thought to be extinct now. Besides, the recent investigations of dolomite quarries revealed them to be habitats for 7 bryophyte, 8 lichenized and lichenicolous species, previously unknown for Lithuania. One new lichenicolous species was discovered (Khodosovtsev et al., 2012). Some of the newfinds are rare or absent

  4. Distribution and source of (129)I, (239)(,240)Pu, (137)Cs in the environment of Lithuania.

    PubMed

    Ežerinskis, Ž; Hou, X L; Druteikienė, R; Puzas, A; Šapolaitė, J; Gvozdaitė, R; Gudelis, A; Buivydas, Š; Remeikis, V

    2016-01-01

    Fifty five soil samples collected in the Lithuania teritory in 2011 and 2012 were analyzed for (129)I, (137)Cs and Pu isotopes in order to investigate the level and distribution of artificial radioactivity in Lithuania. The activity and atomic ratio of (238)Pu/((239,24)0)Pu, (129)I/(127)I and (131)I/(137)Cs were used to identify the origin of these radionuclides. The (238)Pu/(239+240)Pu and (240)Pu/(239)Pu ratios in the soil samples analyzed varied in the range of 0.02-0.18 and 0.18-0.24, respectively, suggesting the global fallout as the major source of Pu in Lithuania. The values of 10(-9) to 10(-6) for (129)I/(127)I atomic ratio revealed that the source of (129)I in Lithuania is global fallout in most cases though several sampling sites shows a possible impact of reprocessing releases. Estimated (129)I/(131)I ratio in soil samples from the southern part of Lithuania shows negligible input of the Chernobyl fallout. No correlation of the (137)Cs and Pu isotopes with (129)I was observed, indicating their different sources terms. Results demonstrate uneven distribution of these radionuclides in the Lithuanian territory and several sources of contamination i.e. Chernobyl accident, reprocessing releases and global fallout.

  5. Advocating for Children and Families in an Emerging Democracy: The Post-Soviet Experience in Lithuania. A Volume in Research in Global Child Advocacy.

    ERIC Educational Resources Information Center

    Kugelmass, Judy W., Ed.; Ritchie, Dennis J., Ed.

    The articles in this collection seek to provide a unique and important description about the transition of society in Lithuania and offer insights about how to approach advocacy for children to create opportunities to fulfill their potential. Following the introduction, articles in the collection are: (1) "The Emerging Democracy of Lithuania:…

  6. Advocating for Children and Families in an Emerging Democracy: The Post-Soviet Experience in Lithuania. A Volume in Research in Global Child Advocacy.

    ERIC Educational Resources Information Center

    Kugelmass, Judy W., Ed.; Ritchie, Dennis J., Ed.

    The articles in this collection seek to provide a unique and important description about the transition of society in Lithuania and offer insights about how to approach advocacy for children to create opportunities to fulfill their potential. Following the introduction, articles in the collection are: (1) "The Emerging Democracy of Lithuania:…

  7. Temporary closure of open abdominal wounds: the vacuum pack.

    PubMed

    Brock, W B; Barker, D E; Burns, R P

    1995-01-01

    Temporary closure of abdominal surgical wounds is occasionally required when conditions of the abdominal wall or peritoneal cavity prevent closure or when early re-exploration is planned. The optimal temporary closure should contain and protect the contents of the peritoneal cavity from external contamination and injury; preserve the integrity of the abdominal wall; be simple to perform and maintain; provide ease of reentry; and have minimal adverse physiologic effects. Based on these criteria, a method of temporary abdominal wound closure (termed the vacuum pack) has been designed and evaluated. The operative technique includes 1) placement of a fenestrated polyethylene sheet between the abdominal viscera and anterior parietal peritoneum; 2) placement of a moist, sterile laparotomy towel over the polyethylene sheet; 3) placement of two closed suction drains over the towel; 4) placement of an adhesive backed drape over the entire wound, including a wide margin of surrounding skin; and 5) suction applied to the drains, creating a vacuum and rigid compression of the layers of closure material. This creates a tight, external seal of the adhesive backed drape and facilitates drainage of the peritoneal cavity. From April 1992-December 1993, this temporary abdominal wound closure was performed 56 times in 28 patients, ages 6-78 years, for periods of 1-11 days. The procedure was used in 17 trauma patients and 11 non-trauma patients. Indications for use included increased intra-abdominal pressure in nine, mandatory re-exploration in 10, and a combination of these indications in nine patients. Pre- and postprocedural airway and systemic blood pressures were unaffected by this closure.(ABSTRACT TRUNCATED AT 250 WORDS)

  8. Linearly exact parallel closures for slab geometry

    NASA Astrophysics Data System (ADS)

    Ji, Jeong-Young; Held, Eric D.; Jhang, Hogun

    2013-08-01

    Parallel closures are obtained by solving a linearized kinetic equation with a model collision operator using the Fourier transform method. The closures expressed in wave number space are exact for time-dependent linear problems to within the limits of the model collision operator. In the adiabatic, collisionless limit, an inverse Fourier transform is performed to obtain integral (nonlocal) parallel closures in real space; parallel heat flow and viscosity closures for density, temperature, and flow velocity equations replace Braginskii's parallel closure relations, and parallel flow velocity and heat flow closures for density and temperature equations replace Spitzer's parallel transport relations. It is verified that the closures reproduce the exact linear response function of Hammett and Perkins [Phys. Rev. Lett. 64, 3019 (1990)] for Landau damping given a temperature gradient. In contrast to their approximate closures where the vanishing viscosity coefficient numerically gives an exact response, our closures relate the heat flow and nonvanishing viscosity to temperature and flow velocity (gradients).

  9. Towards a mesoscale eddy closure

    NASA Astrophysics Data System (ADS)

    Eden, Carsten; Greatbatch, Richard J.

    A turbulence closure for the effect of mesoscale eddies in non-eddy-resolving ocean models is proposed. The closure consists of a prognostic equation for the eddy kinetic energy (EKE) that is integrated as an additional model equation, and a diagnostic relation for an eddy length scale ( L), which is given by the minimum of Rhines scale and Rossby radius. Combining EKE and L using a standard mixing length assumption gives a diffusivity ( K), corresponding to the thickness diffusivity in the [Gent, P.R., McWilliams, J.C. 1990. Isopycnal mixing in ocean circulation models. J. Phys. Oceanogr. 20, 150-155] parameterisation. Assuming downgradient mixing of potential vorticity with identical diffusivity shows how K is related to horizontal and vertical mixing processes in the horizontal momentum equation, and also enables us to parameterise the source of EKE related to eddy momentum fluxes. The mesoscale eddy closure is evaluated using synthetic data from two different eddy-resolving models covering the North Atlantic Ocean and the Southern Ocean, respectively. The diagnosis shows that the mixing length assumption together with the definition of eddy length scales is valid within certain limitations. Furthermore, implementation of the closure in non-eddy-resolving models of the North Atlantic and the Southern Ocean shows consistently that the closure has skill at reproducing the results of the eddy-resolving model versions in terms of EKE and K.

  10. Fast-Tracking Colostomy Closures.

    PubMed

    Nanavati, Aditya J; Prabhakar, Subramaniam

    2015-12-01

    There have been very few studies on applying fast-track principles to colostomy closures. We believe that outcome may be significantly improved with multimodal interventions in the peri-operative care of patients undergoing this procedure. A retrospective study was carried out comparing patients who had undergone colostomy closures by the fast-track and traditional care protocols at our centre. We intended to analyse peri-operative period and recovery in colostomy closures to confirm that fast-track surgery principles improved outcomes. Twenty-six patients in the fast-track arm and 24 patients in the traditional care arm had undergone colostomy closures. Both groups were comparable in terms of their baseline parameters. Patients in the fast-track group were ambulatory and accepted oral feeding earlier. There was a significant reduction in the duration of stay (4.73 ± 1.43 days vs. 7.21 ± 1.38 days, p = 0.0000). We did not observe a rise in complications or 30-day re-admissions. Fast-track surgery can safely be applied to colostomy closures. It shows earlier ambulation and reduction in length of hospital stay.

  11. Cabled butterfly closure: a novel technique for sternal closure.

    PubMed

    Jolly, Shashank; Flom, Beau; Dyke, Cornelius

    2012-10-01

    Impaired sternal wound healing remains problematic after median sternotomy and can lead to significant morbidity after cardiac surgical procedures. Although metal plating systems exist for closing the sternum, their use is limited by expense and practicality, and simple wire closure remains the most common technique to close the sternum. We describe a cabling technique for sternal closure that is secure, uses standard sternal wire, and may be used on every patient. We have used the technique routinely in 291 patients with no sternal dehiscence or wound healing problems.

  12. Closure of Building 624 incinerator

    SciTech Connect

    Ridley, M.N.; Hallisey, M.L.; Terusaki, S.; Steverson, M.

    1992-06-01

    The Building 624 incinerator was a Resource Conservation Recovery Act (RCRA) mixed waste incinerator at Lawrence Livermore National Laboratory (LLNL). This incinerator was in operation from 1978 to 1989. The incinerator was to be closed as a mixed waste incinerator, but was to continue burning classified nonhazardous solid waste. The decision was later made to discontinue all use of the incinerator. Closure activities were performed from June 15 to December 15, 1991, when a clean closure was completed. The main part of the closure was the characterization, which included 393 samples and 30 blanks. From these 393 samples, approximately 13 samples indicated the need for further investigation, such as an isotopic scan; however, none of the samples was concluded to be hazardous or radioactive.

  13. Fundamental base closure environmental principles

    SciTech Connect

    Yim, R.A.

    1994-12-31

    Military base closures present a paradox. The rate, scale and timing of military base closures is historically unique. However, each base itself typically does not present unique problems. Thus, the challenge is to design innovative solutions to base redevelopment and remediation issues, while simultaneously adopting common, streamlined or pre-approved strategies to shared problems. The author presents six environmental principles that are fundamental to base closure. They are: remediation not clean up; remediation will impact reuse; reuse will impact remediation; remediation and reuse must be coordinated; environmental contamination must be evaluated as any other initial physical constraint on development, not as an overlay after plans are created; and remediation will impact development, financing and marketability.

  14. [Endoscopic vacuum-assisted closure].

    PubMed

    Wedemeyer, J; Lankisch, T

    2013-03-01

    Anastomotic leakage in the upper and lower intestinal tract is associated with high morbidity and mortality. Within the last 10 years endoscopic treatment options have been accepted as sufficient treatment option of these surgical complications. Endoscopic vacuum assisted closure (E-VAC) is a new innovative endoscopic therapeutic option in this field. E-VAC transfers the positive effects of vacuum assisted closure (VAC) on infected cutaneous wounds to infected cavities that can only be reached endoscopically. A sponge connected to a drainage tube is endoscopically placed in the leakage and a continuous vacuum is applied. Sponge and vacuum allow removal of infected fluids and promote granulation of the leakage. This results in clean wound grounds and finally allows wound closure. Meanwhile the method was also successfully used in the treatment of necrotic pancreatitis.

  15. Management of Secondary Angle Closure Glaucoma.

    PubMed

    Parivadhini, Annadurai; Lingam, Vijaya

    2014-01-01

    Secondary angle closure glaucomas are a distinct entity from primary angle closure glaucoma (PACG). Unlike PACG, secondary angle closure glaucoma's have an identifable contributory factor/s for angle closure and obstruction of aqueous fow which is usually unrelieved by iridotomy. The treatment of each type of secondary angle closure glaucoma is varied, so identification of the primary cause aids in its effective management. How to cite this article: Annadurai P, Vijaya L. Management of Secondary Angle Closure Glaucoma. J Current Glau Prac 2014;8(1):25-32.

  16. Closure phase and lucky imaging.

    PubMed

    Rhodes, William T

    2009-01-01

    Since its introduction by Jennison in 1958, the closure-phase method for removing the effects of electrical path-length errors in radio astronomy and of atmospheric turbulence in optical astronomy has been based on the non-redundant-spacing triple interferometer. It is shown that through application of lucky imaging concepts it is possible to relax this condition, making closure-phase methods possible with redundantly spaced interferometer configurations and thereby widening their range of application. In particular, a quadruple-interferometer can, under lucky imaging conditions, be treated as though it were a triple interferometer. The slit-annulus aperture is investigated as a special case.

  17. Alarm sensor apparatus for closures

    DOEpatents

    Carlson, J.A.; Stoddard, L.M.

    1984-01-31

    An alarm sensor apparatus for closures such as doors and windows, and particularly for closures having loose tolerances such as overhead doors, garage doors or the like, the sensor apparatus comprising a pair of cooperating bracket members, one being attached to the door facing or framework and the other to the door member, two magnetic sensor elements carried by said bracket members, the bracket members comprising a pair of cooperating orthogonal guide slots and plates and a stop member engageable with one of the sensors for aligning the sensors with respect to each other in all three orthogonal planes when the door is closed.

  18. Alarm sensor apparatus for closures

    DOEpatents

    Carlson, James A.; Stoddard, Lawrence M.

    1986-01-01

    An alarm sensor apparatus for closures such as doors and windows, and particularly for closures having loose tolerances such as overhead doors, garage doors or the like, the sensor apparatus comprising a pair of cooperating bracket members, one being attached to the door facing or frame work and the other to the door member, two magnetic sensor elements carried by said bracket members, the bracket members comprising a pair of cooperating orthogonal guide slots and plates and a stop member engageable with one of the sensors for aligning the sensors with respect to each other in all three orthogonal planes when the door is closed.

  19. Tornadoes in Lithuania in the period of 1950-2002 including analysis of the strongest tornado of 29 May 1981

    NASA Astrophysics Data System (ADS)

    Marcinoniene, Izolda

    Lithuania is a small European country situated on the eastern coast of the Baltic Sea. The main "weather factory" in these middle latitudes is the Atlantic Ocean. On the other hand, being close to continental weather conditions in the east, Lithuania encounters a variety of weather patterns. According to the data of Lithuanian Hydrometeorological Service, there were 23 tornadoes recorded in Lithuania in the period of 1950-2002. It has been established that tornadoes occur mostly in the warm period of the year—in spring and summer. The afternoon, between 12 and 15 UTC, is the most favorable part of the day for tornadoes to occur. Synoptic situation of the very strongest tornado (F2 on the Fujita Scale) of 29 May 1981 in the eastern part of the country was typical for most of the tornadoes there. A cold front was moving from the southwest of Lithuania to the northeast alongside a low, passing in parallel to the upper level flow. A closed surface low developed along the front. Convergence at the surface level, associated with divergence at higher levels, was the main cause of upward vertical motion. The powerful storm formed over the Eastern Lithuania at the point of coincidence of the wet bulb maximum potential temperature and the strongest convergence. Unfortunately, there was no good proximity sounding to the tornado. The Kaunas upper air station's data did not fully represent the convection process, as Kaunas was already in the cold air mass when the tornado developed in the warm air, so the Minsk (Belarus) data was analyzed in addition and compared to the Kaunas soundings. The analysis of tornadoes in Lithuania shows their initiation conditions to be similar to those in the rest of Europe and the USA.

  20. 40 CFR 265.113 - Closure; time allowed for closure.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... section, at a hazardous waste management unit or facility, or within 90 days after approval of the closure...) The hazardous waste management unit or facility has the capacity to receive additional hazardous... another person will recommence operation of the hazardous waste management unit or the facility within...

  1. [WILD MAMMALS OF THE GRAND DUCHY OF LITHUANIA IN THE WORKS OF JEAN-EMMANUEL GILIBERT].

    PubMed

    Samojlik, Tomasz; Daszkiewicz, Piotr

    2015-01-01

    Among the many topics of lively scientific work that Jean Emmanuel Gilibert (1741-1814) conducted in Grodno and Vilnius, an important place is occupied by his observations of wild mammals. Royal patronage and care from Antoni Tyzenhauz, Treasurer of the Grand Duchy of Lithuania and the governor of Grodno, allowed Gilibert to keep and observe wild fauna captured by royal services in royal forests, including Białowieża Primeval Forest. Such was an origin of a female bison kept by Gilibert in Grodno. Its description, published in Indagatores naturae in Lithuania (Vilnius 1781) for decades became the primary source of information about the behaviour, food preferences and the anatomy of European bison. European science has just begun to take interest in European bison, therefore Gilibert's account entered scientific circulation by way of French natural history encyclopaedias (mainly Georges Buffon's Histoire naturelle) and works by Georges Cuvier or Étienne Geoffroy Saint-Hilaire. Apart from the description of European bison, Gilibert left an entire series of observations of wild mammals inhabiting the forests of the Grand Duchy of Lithuania. His accounts of moose were important in building a knowledge base for this species. In the first half of the 18th century, moose was known mainly from fantastic descriptions in Renaissance works and from prescriptions devoted to using moose hoof as the epilepsy treatment. Gilibert's observations helped to overthrow such superstitions. Similarly, Gilibert's first-hand information verified the widespread legends concerning brown bear (e.g. the belief that white bears, belonging to other species than polar bears, occur in Lithuania) . List of species kept and thoroughly watched by the scholar is much longer and includes lynx, wolf (and hybrids of wolves and dogs), beaver, badger, fox, hedgehog, and even white mouse. Also his comments on the species of mammals then absent in Lithuania but known either from farming or from the fur

  2. Effect of short-term school closures on the H1N1 pandemic in Japan: a comparative case study.

    PubMed

    Uchida, M; Tsukahara, T; Kaneko, M; Washizuka, S; Kawa, S

    2012-10-01

    The 2009 worldwide influenza A/H1N1 pandemic particularly affected younger people, including schoolchildren. We assessed the effects of class/school closure during the pandemic on the spread of H1N1 infection in Japan. We prospectively monitored 2,141 schoolchildren in 57 classes at two elementary schools and two junior high schools in Japan, and evaluated the effects of class/school closures on the spread of H1N1 using descriptive epidemiological methods. The cumulative rate of H1N1 infection among these children was 40.9% (876 children). There was a total of 53 closures of 40 classes, including school closures, during the pandemic. Time-course changes in the epidemic curve showed that school closure reduced the following epidemic peak more than class closure. A Poisson regression model showed that a longer duration of closure was significantly related to decreased H1N1 occurrence after the resumption of classes. School closure more effectively inhibits subsequent epidemic outbreaks than class closure. Longer school closures are effective in reducing the spread of infection, and school closure should be implemented as early as possible.

  3. 76 FR 20633 - Record of Decision (ROD) for the Base Closure and Realignment (BRAC) 2005 Actions at Fort...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-13

    ...The Department of the Army announces the availability of the ROD, which summarizes the decision on how to implement property disposal in accordance with the Defense Base Closure and Realignment Act of 1990 (the Base Closure Act), Public Law 101-510, as amended, following the closure of Fort McPherson, Georgia. The Army has decided to implement its preferred alternative of early transfer of......

  4. [Professional associations of pharmacists in Lithuania: history and directions of activity].

    PubMed

    Gudiene, Vilma; Kripaityte, Aurima

    2002-01-01

    The aim of this study was to describe the historical development of pharmaceutical organisations, their tasks and ability to fulfill them. In the XIXth century a rapid development of the science of pharmacy influenced a need for scientific collaboration. Thus, in 1819 Department of Pharmacy of Vilnius Medical Society was founded by Vilnius chemists. The main directions of the activity of the members of this department were the following: scientific investigations, solution of practical tasks, spreading of pharmaceutical information, popularization of the knowledge of pharmaceutical science. However, a progressive dynamic development of pharmacy was hindered by unfavorable political and economic factors. In 1917, Lithuanians working in Russia united in a "Society of Lithuanian Pharmacists". The operation of the society was concerned with nationality, which was the main and the only direction of activity. There were four pharmaceutical organizations acting in the Independent Republic of Lithuania (1918-1940). In 1940, after Lithuania's annexation to the USSR, all pharmaceutical professional associations were eliminated. In 1948, Lithuanian Scientific Society of Pharmacists was founded. Despite its professional tasks it had also to proclaim ideological aims. Professional activity was influenced by unfavorable political conditions in the country. Independence of social professional associations was limited by czarist Russia, as well as by Soviet authorities. Department of Pharmacy of Vilnius Medical Society had a great influence upon the progress of pharmacy of that time. Associations acting in the Independent Republic of Lithuania were able to defend their business interests, participate in international activity, deal with the affairs of science, the heritage of the pharmacy, and representation of their profession.

  5. Public Knowledge, Beliefs and Behavior on Antibiotic Use and Self-Medication in Lithuania.

    PubMed

    Pavydė, Eglė; Veikutis, Vincentas; Mačiulienė, Asta; Mačiulis, Vytautas; Petrikonis, Kęstutis; Stankevičius, Edgaras

    2015-06-17

    Irrational antibiotic use has led society to antibiotic resistance-a serious health problem worldwide. This study aimed to assess public knowledge, beliefs, and behavior concerning antibiotic use and self-medication in Lithuania. The cross-sectional survey method was processed using a validated questionnaire in different regions of Lithuania. In total, 1005 adults completed the questionnaire and were included in the study. More than half of the respondents (61.1%) had poor knowledge of antibiotics. Almost half of the respondents incorrectly identified antibiotics as being effective either against viral (26.0%) or mixed (bacterial and viral) infections (21.7%). The respondents with lower educational qualifications (OR = 2.515; 95% CI 1.464-4.319; p = 0.001) and those from rural areas (OR = 1.765; 95% CI 1.041-2.991; p = 0.035) were significantly less knowledgeable of antibiotics. There was no significant difference between genders, different age groups, or different parenthood status. The determined level of self-medication with antibiotics was 31.0%. The men (OR = 1.650; 95% CI 1.120-2.430; p = 0.011), the respondents from rural areas (OR = 2.002; 95% CI 1.343-2.985; p = 0.001), and those without children (OR = 2.428; 95% CI 1.477-3.991; p < 0.001) were more likely to use antibiotics in self-medication. Lithuanian residents' knowledge of antibiotics is insufficient. More information about antibiotic use should be provided by physicians and pharmacists. Self-medication with antibiotics is a serious problem in Lithuania and requires considerable attention.

  6. Public Knowledge, Beliefs and Behavior on Antibiotic Use and Self-Medication in Lithuania

    PubMed Central

    Pavydė, Eglė; Veikutis, Vincentas; Mačiulienė, Asta; Mačiulis, Vytautas; Petrikonis, Kęstutis; Stankevičius, Edgaras

    2015-01-01

    Irrational antibiotic use has led society to antibiotic resistance—a serious health problem worldwide. This study aimed to assess public knowledge, beliefs, and behavior concerning antibiotic use and self-medication in Lithuania. The cross-sectional survey method was processed using a validated questionnaire in different regions of Lithuania. In total, 1005 adults completed the questionnaire and were included in the study. More than half of the respondents (61.1%) had poor knowledge of antibiotics. Almost half of the respondents incorrectly identified antibiotics as being effective either against viral (26.0%) or mixed (bacterial and viral) infections (21.7%). The respondents with lower educational qualifications (OR = 2.515; 95% CI 1.464–4.319; p = 0.001) and those from rural areas (OR = 1.765; 95% CI 1.041–2.991; p = 0.035) were significantly less knowledgeable of antibiotics. There was no significant difference between genders, different age groups, or different parenthood status. The determined level of self–medication with antibiotics was 31.0%. The men (OR = 1.650; 95% CI 1.120–2.430; p = 0.011), the respondents from rural areas (OR = 2.002; 95% CI 1.343–2.985; p = 0.001), and those without children (OR = 2.428; 95% CI 1.477–3.991; p < 0.001) were more likely to use antibiotics in self-medication. Lithuanian residents’ knowledge of antibiotics is insufficient. More information about antibiotic use should be provided by physicians and pharmacists. Self-medication with antibiotics is a serious problem in Lithuania and requires considerable attention. PMID:26090612

  7. Initial results of the National Colorectal Cancer Screening Program in Lithuania.

    PubMed

    Poskus, Tomas; Strupas, Kestutis; Mikalauskas, Saulius; Bitinaitė, Dominyka; Kavaliauskas, Augustas; Samalavicius, Narimantas E; Saladzinskas, Zilvinas

    2015-03-01

    The aim of the present study was to review the National Colorectal Cancer Screening Program (the Program) in Lithuania according to the criteria set by the European Union. In Lithuania, screening services are provided free of charge to the population. The National Health Insurance Fund (NHIF) reimburses the institutions for performing each service; each procedure within the Program has its own administrative code. All the information about the performance of the Program is collected in one institution - the NHIF. The results of the Program were retrieved from the database of NHIF from the start of the Program from 1 July 2009 to 1 July 2012. Descriptive analysis of epidemiological indicators was carried out. Results were compared with the references in the guidelines of the European Union for quality assurance in colorectal cancer (CRC) screening and diagnosis. Information service [which involves fecal immunochemical test (FIT)] was provided to 271,396 of 890,309 50-74-year-old residents. The screening uptake was 46.0% over 3 years. During this period, 19,455 (7.2%) FITs were positive and 251,941 (92.8%) FITs were negative. Referral for colonoscopy was performed in 10,190 (52.4%) patients. Colonoscopy was performed in 12,864 (66.1%) patients. Colonoscopy did not indicate any pathological findings in 8613 (67.0%) patients. Biopsies were performed in 4251 (33.0%) patients. The rate of high-grade neoplasia reported by pathologists was 3.9%; the rate of cancer was 3.1% of all colonoscopies. The rate of CRC detected by the Program was 0.2%. The CRC screening program in Lithuania meets most of the requirements for standardized CRC screening programs. The invitation coverage and rate of referral for colonoscopy after positive FIT should be improved.

  8. Analysis of high allergenicity airborne pollen dispersion: common ragweed study case in Lithuania.

    PubMed

    Šaulienė, Ingrida; Veriankaitė, Laura

    2012-01-01

    The appearance of ragweed pollen in the air became more frequent in northerly countries. Attention of allergologists and aerobiologists in these countries is focused on the phenomenon that Ambrosia plants found relatively sporadic but the amount of pollen is high in particular days. Over the latter decade, a matter of particular concern has been Ambrosia pollen, whose appearance in the air is determined by the plants dispersing it and meteorological processes that alter pollen release, dissemination, transport or deposition on surfaces. Pollen data used in this study were collected in three pollen-trapping sites in Lithuania. The data corresponding to 2006-2011 years of pollen monitoring were documented graphically and evaluated statistically. Analysis of the pollen data suggests that although the number of ragweed plants identified has not increased over the latter decade, the total pollen count has been on the increase during the recent period. The highest atmospheric pollen load is established on the last days of August and first days of September. The estimated effect of meteorological parameters on pollen dispersal in the air showed that in Lithuania ragweed pollen is recorded when the relative air humidity is about 70%, and the minimal air temperature is not less than 12°C. Analysis of wind change effect on pollen count indicates that pollen is most often recorded in the air when the changes in wind speed are low (1-2 m/s). We have established a regularity exhibiting an increase in ragweed pollen count conditioned by south-eastern winds in Lithuania.

  9. Fleas (Siphonaptera) in the Nests of Dormice (Gliridae: Rodentia) in Lithuania.

    PubMed

    Lipatova, I; Stanko, M; Paulauskas, A; Spakovaite, S; Gedminas, V

    2015-05-01

    Negative effects of flea (Siphonaptera) parasitism on the host may be expressed in different ways. The aim of this study was to assess distribution of the flea fauna in nests of dormice in Lithuania. Nests of Glis glis (L.), Dryomys nitedula (Pallas), and Muscardinus avellanarius (L.) were collected from nest boxes in 2012 and 2013. Fleas were collected from nests in the laboratory and put into plastic tubes with 70% ethanol. Flea species were identified using morphological keys. From 400 nest boxes, 112 nests of dormice were collected from eight sites from mixed forests of central Lithuania. Twenty-three nests of G. glis were collected from nest boxes, with 16 of them containing 286 fleas belonging to four species: Ceratophyllus sciurorum (Schrank) (259), C. gallinae (Schrank) (23), Hystrichopsylla talpae (Curtis) (3), and Megabothris turbidus (Rothschild) (1). Fourteen nests of M. avellanarius were collected from nest boxes, 4 of which contained 224 fleas belonging to two species: C. sciurorum (221) and C. gallinae (3). Twenty-four nests of D. nitedula were collected from nest boxes, including 17 containing 207 fleas belonging to two species: C. sciurorum (205) and C. gallinae (2). Fifty-one nests of undetermined dormice species also were collected from nest boxes, 12 of them contained 395 fleas belonging to three species: C. sciurorum (374), Ctenophthalmus agyrtes (Heller) (19), and Ctenophthalmus assimilis (Taschenberg) (2). C. sciurorum was a predominant species in the nests of dormice. The occurrence of C. gallinae was documented in Lithuania for the first time. © The Authors 2015. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  10. Radical scavenging activity and composition of raspberry (Rubus idaeus) leaves from different locations in Lithuania.

    PubMed

    Venskutonis, P R; Dvaranauskaite, A; Labokas, J

    2007-02-01

    Raspberry (Rubus idaeus) leaves, collected in different locations of Lithuania were extracted with ethanol and the extracts were tested for their antioxidant activity (AA) by using ABTS(.)(+) decolourisation and DPPH(.) scavenging methods. All extracts were active, with radical scavenging capacity at the used concentrations from 20.5 to 82.5% in DPPH(.) reaction system and from 8.0 to 42.7% in ABTS(.)(+) reaction. The total amount of phenolic compounds in the leaves varied from 4.8 to 12.0 mg of gallic acid equivalents (GAE) in 1 g of plant extract. Quercetin glucuronide, quercetin-3-O-glucoside and rutin were identified in the extracts.

  11. Rhipidocotyle fennica (Digenea: Bucephalidae) from Anodonta anatina and pike Esox lucius in Lithuania.

    PubMed

    Stunžėnas, Virmantas; Petkevičiūtė, Romualda; Stanevičiūtė, Gražina; Binkienė, Rasa

    2014-10-01

    Ribosomal DNA sequences of Rhipidocotyle sp. adults from Esox lucius were shown to be identical to sequences of larval Rhipidocotyle fennica, occurring in Anodonta anatina in Lake Vilkokšnis, Lithuania. Morphological features and host specificity of this adult worm correspond with that, determinate in the first description of R. fennica in Finland. These data give the first evidence that a viable population of R. fennica exists in east central Europe. Bucephalus polymorphus which was reported in unionids in all previous publications is probably R. fennica.

  12. DNAPL Remediation: Selected Projects Approaching Regulatory Closure

    EPA Pesticide Factsheets

    This paper is a status update on the use of DNAPL source reduction remedial technologies, and provides information about recent projects where regulatory closure has been reached or projects are approaching regulatory closure, following source reduction.

  13. CIRSE Vascular Closure Device Registry

    SciTech Connect

    Reekers, Jim A.; Mueller-Huelsbeck, Stefan; Libicher, Martin; Atar, Eli; Trentmann, Jens; Goffette, Pierre; Borggrefe, Jan; Zelenak, Kamil; Hooijboer, Pieter; Belli, Anna-Maria

    2011-02-15

    Purpose: Vascular closure devices are routinely used after many vascular interventional radiology procedures. However, there have been no major multicenter studies to assess the safety and effectiveness of the routine use of closure devices in interventional radiology. Methods: The CIRSE registry of closure devices with an anchor and a plug started in January 2009 and ended in August 2009. A total of 1,107 patients were included in the registry. Results: Deployment success was 97.2%. Deployment failure specified to access type was 8.8% [95% confidence interval (95% CI) 5.0-14.5] for antegrade access and 1.8% (95% CI 1.1-2.9) for retrograde access (P = 0.001). There was no difference in deployment failure related to local PVD at the access site. Calcification was a reason for deployment failure in only <0.5% of patients. Postdeployment bleeding occurred in 6.4%, and most these (51.5%) could be managed with light manual compression. During follow-up, other device-related complications were reported in 1.3%: seven false aneurysms, three hematoma >5.9 cm, and two vessel occlusions. Conclusion: The conclusion of this registry of closure devices with an anchor and a plug is that the use of this device in interventional radiology procedures is safe, with a low incidence of serious access site complications. There seems to be no difference in complications between antegrade and retrograde access and other parameters.

  14. TECHNOLOGY NEEDS AND STATUS ON CLOSURE OF DOE RADIOACTIVE WASTE TANK ANCILLARY SYSTEMS

    SciTech Connect

    Burns, H; Sharon Marra, S; Christine Langton, C

    2009-01-21

    This paper summarizes the current state of art of sampling, characterizing, retrieving, transferring and treating the incidental waste and stabilizing the void space in tank ancillary systems and the needs involved with closure of these systems. The overall effort for closing tank and ancillary systems is very large and is in the initial stages of being addressed in a systematic manner. It was recognized in doing this effort, that gaps in both technology and material application for characterization and removal of residual waste and closure of ancillary systems would be identified. Great efficiencies are to be gained by defining the technology need areas early in the closure process and providing recommendations for technical programs to improve the closure strategies. Therefore, this paper will not only summarize the state of closure of ancillary systems but also provide recommendations to address the technology gaps identified in this assessment.

  15. Preparation for Early Termination of Ignalina NPP Operation

    SciTech Connect

    Poskas, P.; Poskas, R.

    2003-02-26

    Seimas (Parliament of Lithuania) approved updated National Energy strategy where it is indicated that first Unit will be shutdown before the year 2005 and second Unit in 2009 if funding for decommissioning is available from EU and other donors. In accordance to Ignalina NPP Unit 1 Closure Law the Government of Lithuania approved the Ignalina NPP Unit 1 Decommissioning Program until year 2005. For enforcement of this program, the plan of measures for implementation of the program was prepared and approved by the Minister of Economy. The plan consists of two parts, namely technical- environmental and social-economic. Technical-environmental measures are mostly oriented to the safe management of spent nuclear fuel and operational radioactive waste stored at the plant and preparation of licensing documents for Unit 1 decommissioning. Social-economic measures are oriented to mitigate negative social and economic impact on Lithuania, inhabitants of the region, and, particularly, o n the staff of Ignalina NPP by means of creating favorable conditions for a balanced social and economic development of the region. In this paper analysis of planned activities, licensing requirements for decommissioning, progress in preparation of the Final Decommissioning Plan is discussed.

  16. Insomnia symptoms and mortality: a register-linked study among women and men from Finland, Norway and Lithuania.

    PubMed

    Lallukka, Tea; Podlipskytė, Aurelija; Sivertsen, Børge; Andruškienė, Jurgita; Varoneckas, Giedrius; Lahelma, Eero; Ursin, Reidun; Tell, Grethe S; Rahkonen, Ossi

    2016-02-01

    Evidence on the association between insomnia symptoms and mortality is limited and inconsistent. This study examined the association between insomnia symptoms and mortality in cohorts from three countries to show common and unique patterns. The Finnish cohort comprised 6605 employees of the City of Helsinki, aged 40-60 years at baseline in 2000-2002. The Norwegian cohort included 6236 participants from Western Norway, aged 40-45 years at baseline in 1997-1999. The Lithuanian cohort comprised 1602 participants from the City of Palanga, aged 35-74 years at baseline in 2003. Mortality data were derived from the Statistics Finland and Norwegian Cause of Death Registry until the end of 2012, and from the Lithuanian Regional Mortality Register until the end of 2013. Insomnia symptoms comprised difficulties initiating sleep, nocturnal awakenings, and waking up too early. Covariates were age, marital status, education, smoking, alcohol, physical inactivity, obesity, diabetes, cardiovascular diseases, depression, shift work, sleep duration, and self-rated health. Cox regression analysis was used. Frequent difficulties initiating sleep were associated with all-cause mortality among men after full adjustments in the Finnish (hazard ratio 2.51; 95% confidence interval 1.07-5.88) and Norwegian (hazard ratio 3.42; 95% confidence interval 1.03-11.35) cohorts. Among women and in Lithuania, insomnia symptoms were not statistically significantly associated with all-cause mortality after adjustments. In conclusion, difficulties initiating sleep were associated with mortality among Norwegian and Finnish men. Variation and heterogeneity in the association between insomnia symptoms and mortality highlights that further research needs to distinguish between men and women, specific symptoms and national contexts, and focus on more chronic insomnia.

  17. 40 CFR 146.71 - Closure.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Waste Injection Wells § 146.71 Closure. (a) Closure Plan. The owner or operator of a Class I hazardous waste injection well shall prepare, maintain, and comply with a plan for closure of the well that meets... injection well who ceases injection temporarily, may keep the well open provided he: (i) Has received...

  18. 40 CFR 146.71 - Closure.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Waste Injection Wells § 146.71 Closure. (a) Closure Plan. The owner or operator of a Class I hazardous waste injection well shall prepare, maintain, and comply with a plan for closure of the well that meets... injection well who ceases injection temporarily, may keep the well open provided he: (i) Has received...

  19. 40 CFR 146.71 - Closure.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Waste Injection Wells § 146.71 Closure. (a) Closure Plan. The owner or operator of a Class I hazardous waste injection well shall prepare, maintain, and comply with a plan for closure of the well that meets... injection well who ceases injection temporarily, may keep the well open provided he: (i) Has received...

  20. 40 CFR 146.71 - Closure.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Waste Injection Wells § 146.71 Closure. (a) Closure Plan. The owner or operator of a Class I hazardous waste injection well shall prepare, maintain, and comply with a plan for closure of the well that meets... injection well who ceases injection temporarily, may keep the well open provided he: (i) Has received...

  1. 40 CFR 146.71 - Closure.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Waste Injection Wells § 146.71 Closure. (a) Closure Plan. The owner or operator of a Class I hazardous waste injection well shall prepare, maintain, and comply with a plan for closure of the well that meets... injection well who ceases injection temporarily, may keep the well open provided he: (i) Has received...

  2. Weighted Case Closure and Counselor Performance

    ERIC Educational Resources Information Center

    Worrall, John D.

    1978-01-01

    Use of the 26 closure may lead to serious problems in the evaluation of counselor performance. This article examines some of the shortcomings, briefly reviews several suggestions for weighting case closure, and introduces two possible weighting methods for case closure. (Author)

  3. Spontaneous closure of midline diastema following frenectomy.

    PubMed

    Koora, Kiran; Muthu, M S; Rathna, Prabhu V

    2007-03-01

    Maxillary midline diastema is a common aesthetic problem in mixed and early permanent dentitions. The space can occur either as a transient malocclusion or created by developmental, pathological or iatrogenical factors. Many innovative therapies varying from restorative procedures such as composite build-up to surgery (frenectomies) and orthodontics are available. Although literature says every frenectomy procedure should be preceded by orthodontic treatment, we opted for frenectomy technique without any orthodontic intervention. Presented herewith is a case report of a 9-year-old girl with a high frenal attachment that had caused spacing of the maxillary central incisors. A spontaneous closure of the midline diastema was noted within 2 months following frenectomy. The patient was followed up for 4 months after which the space remained closed and there was no necessity for an orthodontic treatment at a later stage.

  4. 40 CFR 258.61 - Post-closure care requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Post-closure care requirements. 258.61... FOR MUNICIPAL SOLID WASTE LANDFILLS Closure and Post-Closure Care § 258.61 Post-closure care requirements. (a) Following closure of each MSWLF unit, the owner or operator must conduct post-closure...

  5. 40 CFR 265.112 - Closure plan; amendment of plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Closure plan; amendment of plan. 265... DISPOSAL FACILITIES Closure and Post-Closure § 265.112 Closure plan; amendment of plan. (a) Written plan... have a written closure plan. Until final closure is completed and certified in accordance with §...

  6. 40 CFR 265.112 - Closure plan; amendment of plan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 26 2014-07-01 2014-07-01 false Closure plan; amendment of plan. 265... DISPOSAL FACILITIES Closure and Post-Closure § 265.112 Closure plan; amendment of plan. (a) Written plan... have a written closure plan. Until final closure is completed and certified in accordance with §...

  7. Acute Angle Closure Glaucoma with Capilllary Leak Syndrome Following Snake Bite

    PubMed Central

    George, Twinkle Ann; AV, Asha; Ravindran, Risha

    2014-01-01

    Introduction: Acute angle closure glaucoma is rarely seen as complication of snake bite.We report three cases of bilateral acute angle closure glaucoma with capillary leak syndrome and acute renal failure secondary to hematotoxic snake bites. We are also briefly discussing the association of capillary leak syndrome and angle closure glaucoma in hematotoxic snake bite. This is the first time an association between angle closure and capillary leak syndrome following snake bite is reported. Study type: Descriptive case series. Materials and Methods: Records of all patients admitted to ICU with snake bite were reviewed to identify cases developing acute angle closure glaucoma. These cases with acute angle closure glaucoma are analysed in detail for systemic condition. Diagnosis, management and outcome of cases are described Results: Of the 119 snake bites admitted, 47 patients had confirmed hematotoxic snake bite. Fifteen of these patients underwent hemodialysis for acute renal failure. Seven of them were diagnosed to have capillary leak syndrome and all of them complained of decreased vision. Three of the 7 cases had acute angle closure glaucoma on the second day of bite. One of the patients expired and other two recovered fully, both of them had normal IOP and good vision at one month follow-up. Conclusion: Acute angle closure glaucoma seems to be associated with systemic capillary leak syndrome in hematotoxic snake bite. High suspicion, early recognition, timely and appropriate treatment can prevent visual loss in this rare complication. PMID:25478432

  8. Prevalence and genetic diversity of enteropathogenic Yersinia spp. in pigs at farms and slaughter in Lithuania.

    PubMed

    Novoslavskij, Aleksandr; Šernienė, Loreta; Malakauskas, Alvydas; Laukkanen-Ninios, Riikka; Korkeala, Hannu; Malakauskas, Mindaugas

    2013-04-01

    The prevalence of enteropathogenic Yersinia spp. in pigs at farms and slaughter in relation to potential farming risk factors in Lithuania was examined. Pig faeces and carcase swab samples from 11 farms were studied at slaughterhouses. Nine of the 11 farms were visited again 3-5 months later, and pooled feacal samples and environmental samples were collected. Pathogenic Yersinia enterocolitica was found in 64% and Yersinia pseudotuberculosis in 45% of the sampled pig farms. All obtained isolates belonged to bioserotypes 4/O:3 and 2/O:3, respectively. Low biosecurity level was associated with a high prevalence of Y. enterocolitica on farms. Characterization with PFGE of 64 Y. enterocolitica and 27 Y. pseudotuberculosis isolates revealed seven and two different genotypes, respectively. Dominant enteropathogenic Yersinia spp. genotypes were obtained in both pig feacal and carcase samples. The high contamination of pig carcases (25%) with enteropathogenic Yersinia spp. may be an important factor contributing to the high incidence of human yersiniosis in Lithuania. Copyright © 2012 Elsevier Ltd. All rights reserved.

  9. Postgraduate Cancer Education and Training in Lithuania: Harmonization According to the EU Rules.

    PubMed

    Samalavicius, Narimantas Evaldas; Mineikyte, Ramune; Janulionis, Ernestas; Liutkeviciute-Navickiene, Jurgita; Atkocius, Vydmantas

    2015-06-01

    The purpose of this article is to discuss Lithuanian postgraduate cancer education according to the data of 2013. In Lithuania, a specialization in an area called clinical oncology is absent; as independent specialities in oncology, there are both medical oncologists and radiation oncologists. These types of oncologists complete rigorous residency training in the clinics. Separate courses are provided in different residency programmes. Currently, there are two medical oncology and radiation oncology programmes for 3rd-, 4th- and 5th-year residents, one at the National Cancer Institute and another at the Lithuanian University of Health Sciences and Kaunas Clinics. Today, there are only 45 radiation oncologists and 56 medical oncologists licensed in Lithuania. This means that each radiation oncologist and medical oncologist is providing for 397 and 319 new cancer cases per year, respectively, or there are 0.3 practising in the major specialties of oncology per 10,000 population. Most other medical residency programmes expose their trainees to oncology for only 1 month either in the 1st or the 2nd year of residency. Due to the growing number of new cancer cases worldwide, these programmes have to be extended, especially for family and internal medicine residents. Lithuanian postgraduate cancer education and training is in the process of harmonization according to the EU rules. All the Lithuanian residency programmes are certificated by an independent public agency and are recognized by a number of countries, including all the countries of the EU.

  10. Challenges and opportunities of health care for the aging community in Lithuania.

    PubMed

    Lesauskaite, Vita; Macijauskiene, Jurate; Rader, Erin

    2006-01-01

    The aim of this paper is to present the Lithuanian experience in creating a geriatric care system with the hope that it can be of some use to other countries undergoing similar transitions and changes. The Lithuanian population is old with 20% of the population being 60 years and older, and 15% being 65 years and older, with the trend toward a rapidly aging society. In 1990, Soviet rule in Lithuania ceased and the country regained its independence. With its recent acceptance into the European Union, the nation has set goals to meet the recommended requirements for the care of the elderly. The changes began with specialist training in gerontology and geriatrics, and were an essential first step to bridge the gap between the real and the future needs. Later, the Geriatric Care System Development Program was approved by the Ministry of Health. Despite its difficult past, Lithuania is confronting the challenges of health and social care of the aging population. It is embracing the opportunities to initiate policies and related measures to meet these challenges, and is potentially setting an example of good practice as a new European community.

  11. Occupational characteristics of respiratory cancer patients exposed to asbestos in Lithuania

    NASA Astrophysics Data System (ADS)

    Everatt, R. Petrauskaitdot e.; Smolianskiedot n, G.; Tossavainen, A.; Cicdot enas, S.; Jankauskas, R.

    2009-02-01

    Objective: To assess characteristics of asbestos exposure in respiratory cancer patients in Lithuania. Methods. Information on occupational exposure to asbestos was collected by personal interviews and occupational characteristics were evaluated among 183 lung cancer and mesothelioma patients with cumulative asbestos exposure >=0.01 fibre years hospitalized at the Institute of Oncology, Vilnius. Additionally, some results of workplace air measurements were reviewed. Results. Cases with estimated cumulative exposure >=5 fibre years had worked mainly in the construction industry (49%), installation and maintenance (13%), foundry and metal products manufacturing (6%), heating trades and boilerhouses (6%) as fitters/maintenance technicians, construction workers, welders, electricians or foremen. Typical asbestos materials used by the patients were asbestos powder, asbestos cement sheets and pipes, asbestos cord, brake and clutch linings. Patients were exposed to asbestos when insulating boilers, furnaces, pipes in power stations, industrial facilities, ships, locomotives, buildings, while covering and repairing roofs, at the asbestos cement plant or unloading asbestos products. Most patients with estimated cumulative exposure of >=0.01-4.9 fibre years worked as lorry, bus or tractor drivers and motor vehicle mechanics. In 2002-2007 workplace air asbestos concentrations exceeded the limit value of 0.1 f/cm3 in 11 samples out of 208 measurements. Conclusion. The results of this study indicate that since the 1960s occupational exposure to chrysotile asbestos was extensive in Lithuania.

  12. Pharmacology in Estonia, Latvia and Lithuania: From historical roots to nowadays achievements.

    PubMed

    Jansone, Baiba; Kuum, Malle; Maciulaitis, Romaldas

    2016-11-01

    This Info article offers an overview on the main historical facts and the current perspectives of the scientific and educational competence in field of pharmacology in three European countries on Baltic sea East coast: Estonia, Latvia and Lithuania. The research areas have changed constantly due to economical and political reasons during the last 200 years and today do cover quite different pharmacological areas in each of Baltic countries and are recognized internationally. Today the main topics of studies in Estonia are the pharmacology of neurodegenerative diseases, mood disorders and brain plasticity; the role of mitochondria in neurodegenerative diseases, and the epigenetics of drug dependence. In Latvia, the primary research areas include molecular, neuropharmacology, particularly search for novel medicines capable to halt neurodegenerative diseases as well as cardiovascular pharmacology. In Lithuania the main focus is on clinical pharmacology, rational use of drugs, pharmacoepidemiology and pharmacoeconomy, in experimental pharmacology on regenerative medicine and nephropharmacology. All three countries have their own active Societies of Pharmacology. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. Inequalities in mortality by education and socio-economic transition in Lithuania: equal opportunities?

    PubMed

    Kalediene, R; Petrauskiene, J

    2005-09-01

    The aim of this study was to examine the changes in mortality differentials by level of education during the period of socio-economic transition in Lithuania. This analysis was based on routine mortality statistics and census data for 1989 and 2001 for the entire country. Despite a general improvement in the level of education in the Lithuanian population, some negative educational patterns were observed amongst its young members. Increasing inequalities in mortality by education have occurred due to a declining mortality rate in people with higher educational achievements and, conversely, an increasing mortality rate in people with a low level of education. Mortality inequalities by education amongst females exceeded those amongst males in 2001, particularly in middle-aged groups and due to external causes. The results of this survey predict an unfavourable forecast of increasing health inequalities in Lithuania in the near future. General policies for health promotion and disease prevention should be based on the realities faced by lower educated groups, rather than on experiences that are general for the total population or the class of society that has at least achieved an average education. Inequalities in health by the level of education should plateau as the society-at-large enters into a more stable stage of social and economic development.

  14. Four magnetite generations in the Precambrian Varena Iron Ore deposit, SE Lithuania, as a result of rock-fluid interactions

    NASA Astrophysics Data System (ADS)

    Skridlaite, Grazina; Prusinskiene, Sabina; Siliauskas, Laurynas

    2017-04-01

    Iron ores in Precambrian crystalline basement of the Varena area, SE Lithuania, were discovered during the detail geological-geophysical exploration in 1982-1992. They are covered with 210-500 m thick sediments. The Varena Iron Ore deposit (VIOD) may yield from 71 to 219.6 million tons of iron ore according to different economic evaluations (Marfin, 1996). They were assumed to be of metasomatic and hydrothermal origin, however several other hypotheses explaining the VIOZ origin, e.g. as a layered mafic or carbonatite intrusions were also suggested. Magnetites of the VIOD were thoroughly investigated by the Cameca SX100 microprobe at the Warsaw University and by the Quanta 250 Energy Dispersive Spectroscopy (EDS) at the Nature Research Centre in Vilnius, Lithuania. Four generations of magnetite were distinguished in the studied serpentine-magnetite ores (D8 drilling) and were compared with the earlier studied and reference magnetites. The earliest, spinel inclusion-rich magnetite cores (Mag-1) have the highest trace element contents (in wt%): Si (0.032), Al (0.167-0.248), Mg (0.340-0.405), Ti (0.215-0.254), V (0.090-0.138) etc. They might have formed during an early metamorphism and/or related skarn formation. Voluminous second magnetite (Mag-2) replacing olivine, pyroxenes, spinel and other skarn minerals at c. 540o C (Magnetite-Ilmenite geothermometer) has much lower trace element abundances, probably washed out by hydrothermal fluids. The latest magnetites (Mag-3 and Mag-4) overgrow the earlier ones and occur near or within the sulfide veins (Mag-4). As was observed from microtextures, the Mag-3 and Mag-4 have originated from the late thermal reworking by dissolution-reprecipitation processes. To imply an origin of the studied magnetites, they were compared to the earlier studied magmatic-metamorphic (1058 drilling), presumably skarn (982 drilling) magnetites from the studied area and plotted in the major magnetite ore type fields according to Dupuis and Beaudoin

  15. Detection and molecular characterization of canine babesiosis causative agent Babesia canis in the naturally infected dog in Lithuania.

    PubMed

    Paulauskas, Algimantas; Radzijevskaja, Jana; Karvelienė, Birutė; Grigonis, Aidas; Aleksandravičienė, Asta; Zamokas, Gintaras; Babickaitė, Lina; Sabūnas, Vytautas; Petkevičius, Saulius

    2014-10-15

    Canine babesiosis caused by Babesia canis is an emerging infectious disease in Europe. Although previously uncommon, canine babesiosis has become quite frequent in Lithuania during the past decade. In the last few years an increasing number of cases with a wide variety of clinical signs have been recorded throughout the country. In Lithuania the identification of the disease agent in veterinarian clinics is based on a microscopic analysis of size and morphology. To date, no data on the genetic characterization of Babesia species in dogs have been documented for Lithuania. A total of 123 blood samples from dogs showing clinical signs of babesiosis on the basis of veterinary examination were tested for the presence of babesial parasites. Babesia isolated from dogs were detected and characterized by nested-PCR and sequence analysis of a fragment of the 18S rRNA gene. Babesia parasites were detected in blood smears of 94 dogs (76.4%). The molecular analysis revealed the presence of B. canis in 108 dogs (87.8%). Two genotypes of B. canis were distinguished on the basis on two nucleotide (GA → AG) substitutions observed in 18S rRNA gene sequences. The results of the present study provide knowledge of the distribution of B. canis genotypes in dogs in Lithuania, and show the necessity to use a molecular analysis for an accurate diagnosis of canine babesiosis.

  16. "Profits to the Danes, for Us--Hog Stench?" The Campaign against Danish Swine CAFOs in Rural Lithuania

    ERIC Educational Resources Information Center

    Juska, Arunas

    2010-01-01

    The paper analyzes a grass-roots campaign to limit the expansion of Danish-owned industrial hog operator Saerimner in Lithuania. The industrialization of livestock production as well as local responses to the restructuring of meat production are interpreted within the broader context of the incorporation of peripheral regions into global agro-food…

  17. "Profits to the Danes, for Us--Hog Stench?" The Campaign against Danish Swine CAFOs in Rural Lithuania

    ERIC Educational Resources Information Center

    Juska, Arunas

    2010-01-01

    The paper analyzes a grass-roots campaign to limit the expansion of Danish-owned industrial hog operator Saerimner in Lithuania. The industrialization of livestock production as well as local responses to the restructuring of meat production are interpreted within the broader context of the incorporation of peripheral regions into global agro-food…

  18. Generalized Convective Quasi-Equilibrium Closure

    NASA Astrophysics Data System (ADS)

    Yano, Jun-Ichi; Plant, Robert

    2016-04-01

    Arakawa and Schubert proposed convective quasi-equilibrium as a basic principle for closing their spectrum mass-flux convection parameterization. In deriving this principle, they show that the cloud work function is a key variable that controls the growth of convection. Thus, this closure hypothesis imposes a steadiness of the cloud work function tendency. This presentation shows how this principle can be generalized so that it can also encompasses both the CAPE and the moisture-convergence closures. Note that the majority of the current mass-flux convection parameterization invokes a CAPE closure, whereas the moisture-convergence closure was extremely popular historically. This generalization, in turn, includes both closures as special cases of convective quasi-equilibrium. This generalization further suggests wide range of alternative possibilities for convective closure. In general, a vertical integral of any function depending on both large-scale and convective-scale variables can be adopted as an alternative closure variables, leading to an analogous formulation as Arakawa and Schubert's convective quasi-equilibrium formulation. Among those, probably the most fascinating possibility is to take a vertical integral of the convective-scale moisture for the closure. Use of a convective-scale variable for closure has a particular appeal by not suffering from a loss of predictability of any large-scale variables. That is a main problem with any of the current convective closures, not only for the moisture-convergence based closure as often asserted.

  19. Delayed spontaneous perforation of polyvinyl alcohol membrane-Covered atrial septal defect closure devices.

    PubMed

    Labombarda, Fabien; Roule, Vincent; Beygui, Farzin

    2017-03-01

    Percutaneous device closure has become the first choice for secundum atrial septal defect (ASD) closure when feasible in case of favorable anatomy. The Ultrasept II ASD occluder® device (Cardia Inc, Eagan, MN) is made of two nitinol disc frames covered with polyvinyl alcohol membranes, a synthetic polymer with a large application in the biomedical field. Four relatively early malfunctions of the polyvinyl alcohol membrane were observed in a series of six consecutive patients treated with ASD Ultrasept II closure device in our institution. Operators have to be aware of this apparently rare complication that is likely to be underestimated, associated with such devices. © 2016 Wiley Periodicals, Inc.

  20. [Laparotomy closure in advanced peritonitis].

    PubMed

    Bensman, V M; Savchenko, Yu P; Shcherba, S N; Golikov, I V; Triandafilov, K V; Chaykin, V V; Pyatakov, S N; Saakyan, A S; Saakyan, E A

    to improve the results of advanced peritonitis management. 743 patients with advanced peritonitis were studied. Patients were divided into 2 groups depending on treatment strategy. Programmed relaparotomy combined with removable draining musculoaponeurotic seams during laparotomy closure decreased mortality from 47.8±2.7% to 24.1±2.3% (p<0.001) and provided 4-fold reduction of postoperative suppuration incidence (p<0.001). Refusal from removable draining musculoaponeurotic seams and use of only cutaneous seams in persistent abdominal hypertension were associated with further decrease of mortality to 15.8±2.7% (p<0.05). Programmed relaparotomy combined with removable draining musculoaponeurotic seams are advisable for advanced peritonitis management. Laparotomy closure with only cutaneous seams is indicated in case of persistent abdominal hypertension. Large eventration always requires abdominal wall repair. APACHE-III scale scores have significant prognostic value in patients with advanced peritonitis.

  1. Military Base Closure: Socioeconomic Impacts

    DTIC Science & Technology

    2005-05-18

    RS22147 May 18, 2005 Military Base Closure: Socioeconomic Impacts Tadlock Cowan Analyst in Rural and Regional Development Policy Resources, Science, and...dire effects that many communities expected. For rural areas, however, the impacts can be greater and the economic recovery much slower. Drawing...from existing studies, this report assesses the potential community impacts and proposals for minimizing those impacts . Background. To better confront

  2. Repository Closure and Sealing Approach

    SciTech Connect

    A.T. Watkins

    2000-06-28

    The scope of this analysis will be to develop the conceptual design of the closure seals and their locations in the Subsurface Facilities. The design will be based on the recently established program requirements for transitioning to the Site Recommendation (SR) design as outlined by ''Approach to Implementing the Site Recommendation Baseline'' (Stroupe 2000) and the ''Monitored Geologic Repository Project Description Document'' (CRWMS M&O 1999b). The objective of this analysis will be to assist in providing a description for the Subsurface Facilities System Description Document, Section 2 and finally to document any conclusions reached in order to contribute and provide support to the SR. This analysis is at a conceptual level and is considered adequate to support the SR design. The final closure barriers and seals for the ventilation shafts, and the north and south ramps will require these openings to be permanently sealed to limit excessive air and water inflows and prevent human intrusion. The major tasks identified with closure in this analysis are: (1) Developing the overall subsurface seal layout and identifying design and operational interfaces for the Subsurface Facilities. (2) Summarizing the general site conditions and general rock characteristic with respect to seal location and describing the seal selected. (3) Identify seal construction materials, methodology of construction and strategic locations including design of the seal and plugs. (4) Discussing methods to prevent human intrusion.

  3. Sampling and monitoring for closure

    USGS Publications Warehouse

    McLemore, V.T.; Russell, C.C.; Smith, K.S.

    2004-01-01

    The Metals Mining Sector of the Acid Drainage Technology Initiative (ADTI-MMS) addresses technical drainage-quality issues related to metal mining and related metallurgical operations, for future and active mines, as well as, for historical mines and mining districts. One of the first projects of ADTI-MMS is to develop a handbook describing the best sampling, monitoring, predicting, mitigating, and modeling of drainage from metal mines, pit lakes and related metallurgical facilities based upon current scientific and engineering practices. One of the important aspects of planning a new mine in today's regulatory environment is the philosophy of designing a new or existing mine or expansion of operations for ultimate closure. The holistic philosophy taken in the ADTI-MMS handbook maintains that sampling and monitoring programs should be designed to take into account all aspects of the mine-life cycle. Data required for the closure of the operation are obtained throughout the mine-life cycle, from exploration through post-closure.

  4. Preparing a base realignment and closure cleanup plan

    SciTech Connect

    Diecidue, A.M.; Bandrowsky, M.; Wooldridge, P.

    1994-12-31

    Every Department of Defense (DoD) installation subject to closure or realignment is evaluating and implementing strategies for environmental response actions to facilitate the transfer of real property at the installation. The closure and realignment process is conducted pursuant to the Base Closure and Realignment Act of 1988 (Public Law 100-526, 102 Stat. 2623) (BRAC 88) or the Defense Base Closure and Realignment Act of 1990 (Public Law 101-510, 104 Stat. 1808) (BRAC 91, 93, and 95). On July 2, 1993, the President announced a five-part program to speed the economic recovery of communities where military bases are slated to close. DoD subsequently issued a policy memorandum on September 9, 1993 that provides guidance on implementing ``fast-track`` cleanup initiatives at those bases. The guidance introduces the use of BRAC cleanup teams (BCT) and the development of BRAC cleanup plans (BCP) as part of fast-track cleanup. The BCT is responsible for developing the BCP. The BCP serves as the road map for expeditious cleanup. This paper will focus on two areas: forming and working with the BCT and preparing the BCP. The paper will discuss the make-up of the BCT and how to build trust and achieve early consensus on the many issues to be addressed by the BCT. The paper also will discuss tips for forming the BCT and preparing the BCP based on the authors` experiences.

  5. Familial determinants of current smoking among adolescents of Lithuania: a cross-sectional survey 2014.

    PubMed

    Zaborskis, Apolinaras; Sirvyte, Dainora

    2015-09-14

    Understanding the role of the family in shaping adolescent health risk behaviours has recently been given increased attention. This study investigated association between current smoking and a range of familial factors in a representative sample of Lithuanian adolescents. Study subjects (N = 3696) were adolescents aged 13- and 15-years from the schools in Lithuania who were surveyed in Spring 2014 according to the methodology of the cross-national Health Behaviour in School-aged Children (HBSC). A standard HBSC international questionnaire was translated into Lithuanian and used anonymously to obtain information about current smoking patterns and family life (family structure, quality of communication in family, parental monitoring, bonding, parenting style, family time, etc.). Logistic regression was used to assess association between smoking and familial variables. The prevalence of current smoking was 16.5 % (20.8 % in boys and 11.9 % in girls; P < 0.001). Adjusting for gender, age and family affluence, adolescents from non-intact families were significantly more likely to be current smokers (OR = 2.10; 95 % CI: 1.74-2.54) compared with intact families. Five independent familial factors were significantly related to increased risk for adolescent smoking: low maternal monitoring (OR = 2.79; 95 % CI: 1.98-3.92), low satisfaction with family relationships (OR = 1.89; 95 % CI: 1.27-2.83), low school-related parental support (OR = 1.40; 95 % CI: 1.01-1.95), easy communication with the father (OR = 0.56; 95 % CI: 0.38-0.80) and often use of electronic media for communication with parents (OR = 0.66; 95 % CI: 0.50-0.88). The last two determinants showed an inverse effect than it was hypothesized. Higher prevalence of smoking among adolescents of Lithuania is associated with a non- intact family structure as well as weaker parental support and bonding. Family life practices are critical components to be incorporated in prevention and intervention programs for adolescent

  6. Cache Creek ocean: Closure or enclosure?

    NASA Astrophysics Data System (ADS)

    Nelson, Joanne; Mihalynuk, Mitch

    1993-02-01

    Exotic Tethyan faunas within the Cache Creek terrane contrast markedly with faunas and lithologic associations in the adjacent Quesnel and Stikine terranes. In northern British Columbia and southeast Yukon, all three terranes are enveloped in the north by pericontinental rocks of the Yukon-Tanana terrane, a geometry that imposes severe constraints on terrane assembly models for the northern Canadian Cordillera. Our solution to the problem invokes a northern join between the Stikinia and Quesnellia arcs through the Yukon-Tanana terrane, forming an orocline that encloses the Cache Creek terrane. This model involves (1) collision of a linear oceanic plateau at the cusp between Quesnellia and Stikinia, (2) anticlockwise rotation of Stikinia about an axis in the Yukon-Tanana terrane, (3) simultaneous enclosure of the Cache Creek ocean, and (4) emplacement of Quesnellia onto the margin of ancestral North America and the Cache Creek terrane onto Stikinia during final closure of the orocline. Early Mesozoic Paleomagnetic declinations in Stikinia are permissive of the large anticlockwise rotations predicted by the model. Similar large-scale rotations and ocean-basin enclosure are common features in the southwest Pacific. This model accounts for Paleozoic and younger linkages between Yukon-Tanana and both northern Stikinia and Quesnellia, the striking similarity between Triassic-Jurassic arcs east and west of the Cache Creek terrane, and the profound early Mesozoic deformational event in the Yukon-Tanana terrane.

  7. Middle Miocene closure of the Central American Seaway

    NASA Astrophysics Data System (ADS)

    Montes, C.; Cardona, A.

    2014-12-01

    The final closure of the Panama Isthmus and permanent separation of Caribbean and Pacific waters is thought to have modified their salinity, faunistic assemblages, and ultimately, ocean circulation patterns and global climate. The Great American Biotic Interchange (GABI) is thought to have been the result of Plio-Pleistocene closure of the Isthmus that allowed land animals to massively cross the Isthmus. Similarly, the separation of Caribbean and Pacific waters by a rising Isthmus is thougth to be a prime example of vicariance. The role of Isthmus closure on global changes, however, remains controversial due in part to the difficulty of establishing a precise chronology of seaway closure. While timing of glaciation is well established, new data on the chronology of Isthmus emergence suggests that the process of closure is more complex, long, and old than previously thought. We sampled fluvial and shallow marine strata in northwesternmost South America to recover zircon grains for provenance analyses in the immediate vicinity of the docking site. Because the ages of magmatic provinces in northwestern South America and the Panama Isthmus are mutually exclusive, detrital zircon analyses provides a tool to evaluate land connections. We found that an uniquely Panamanian, 40-45 Ma (early Lutetian) detrital zircon fingerprint is abundant in middle Miocene strata, but absent in underlying lower Miocene and Oligocene strata of the northern Andes. This fingerprint represents the beginning of fluvial detrital exchange between the Panama arc and South America, and therefore marks the time of docking and the end of deep-water, and probably shallow-water connections by middle Miocene times.

  8. Identification and intraspecific genetic diversity of Sarcocystis rileyi from ducks, Anas spp., in Lithuania and Finland.

    PubMed

    Prakas, P; Oksanen, A; Butkauskas, D; Sruoga, A; Kutkienė, L; Švažas, S; Isomursu, M; Liaugaudaitė, S

    2014-10-01

    Macroscopic Sarcocystis cysts were detected in the muscles of 28 Mallards ( Anas platyrhynchos ), 1 Eurasian Wigeon ( Anas penelope ), and 1 Common Teal ( Anas crecca ) hunted in Lithuania and Finland. According to the sequences of the 18S rRNA gene, 28S rRNA gene, and ITS-1 region, the macrocysts examined from all 30 ducks belonged to Sarcocystis rileyi. This parasite was found in the Eurasian Wigeon and the Common Teal for the first time. All S. rileyi isolates examined were identical to each other and differed from 2 S. rileyi isolates previously reported from 2 Mallards from the United States only by 1 nucleotide substitution within the ITS-1 region.

  9. Traffic injury mortality trends in children and adolescents in Lithuania among road users.

    PubMed

    Strukcinskiene, Birute; Uğur-Baysal, Serpil; Raistenskis, Juozas

    2014-01-01

    This study analyzes traffic mortality trends among road users from 1998 to 2012 in children and adolescents aged 0-19 years in Lithuania. National mortality data of pedestrians, cyclists, motorcyclists, and car occupants were used to compare trend lines. The study revealed that 56% of the deceased in road traffic crashes were car occupants, while 24% were pedestrians. The incidence of death from traffic injury was 2.5 times higher in boys than girls. Traffic injury mortality and pedestrian mortality rates declined significantly in the total group. There was also a significant decline in mortality among cyclists for the total group and female subgroup. Trends in mortality rates among motorcyclists and car occupants showed no significant changes. A long-term decline is more likely to be affected by efforts in the promotion of sustainable and permanent road safety. The reduced risk exposure may also have been influenced by the economic recession.

  10. Cancer incidence in the workers cohort of textile manufacturing factory in Alytus, Lithuania.

    PubMed

    Kuzmickiene, Irena; Didziapetris, Remigijus; Stukonis, Mecys

    2004-02-01

    Altogether 14,650 workers employed at least for 1 year a the textile factory in Alytus, Lithuania, were included in the cohort and followed during the period from 1978 to 1997. The standardized incidence ratio (SIR) for men was 1.28. The incidence of esophagus cancer was significant higher (SIR 3.42). It increased only slightly for lung (SIR 1.35). In the women cohort, SIR was 1.05. However, there was a significant increase of the incidence of gallbladder cancer (SIR 3.19). Among textile-processing (spinning and weaving departments) women workers, we found elevated total cancer incidence (SIR 1.35), incidence of breast cancer (SIR 1.49), and cervical cancer (SIR 1.82). In this cohort increased SIR values were observed for more than 10 years since first exposure for all cancer (SIR 1.70) and cervical cancer (SIR 2.44).

  11. Primary psychosis and Borna disease virus infection in Lithuania: a case control study.

    PubMed

    Zaliunaite, Violeta; Steibliene, Vesta; Bode, Liv; Podlipskyte, Aurelija; Bunevicius, Robertas; Ludwig, Hanns

    2016-11-03

    The hypothesis that microbial infections may be linked to mental disorders has long been addressed for Borna disease virus (BDV), but clinical and epidemiological evidence remained inconsistent due to non-conformities in detection methods. BDV circulating immune complexes (CIC) were shown to exceed the prevalence of serum antibodies alone and to comparably screen for infection in Europe (DE, CZ, IT), the Middle East (IR) and Asia (CN), still seeking general acceptance. We used CIC and antigen (Ag) tests to investigate BDV infection in Lithuania through a case-control study design comparing in-patients suffering of primary psychosis with blood donors. One hundred and six acutely psychotic in-patients with no physical illness, consecutively admitted to the regional mental hospital, and 98 blood donors from the Blood Donation Centre, Lithuania, were enrolled in the study. The severity of psychosis was assessed twice, prior and after acute antipsychotic therapy, by the Brief Psychiatric Rating Scale (BPRS). BDV-CIC and Ag markers were tested once after therapy was terminated. What we found was a significantly higher prevalence of CIC, indicating a chronic BDV infection, in patients with treated primary psychosis than in blood donor controls (39.6 % vs. 22.4 %, respectively). Free BDV Ag, indicating currently active infection, did not show significant differences among study groups. Higher severity of psychosis prior to treatment was inversely correlated to the presence of BDV Ag (42.6 vs. 34.1 BPRS, respectively; p = 0.022). The study concluded significantly higher BDV infection rates in psychotic than in healthy Lithuanians, thus supporting similar global trends for other mental disorders. The study raised awareness to consider the integration of BDV infection surveillance in psychiatry research in the future.

  12. Bullying behavior and mental health in healthcare and educational sectors in Kaunas, Lithuania.

    PubMed

    Bernotaite, Lina; Malinauskiene, Vilija; Leisyte, Palmira

    2017-05-16

    Investigations on workplace bullying in the countries of Eastern Europe are yet not too extensive. The aim of the study has been to identify the most frequent bullying behavior and to explore the associations with psychological distress and post-traumatic stress symptoms in 3 female-dominated occupations in Kaunas, Lithuania. This crosssectional study employed 517 teachers (response rate (RR) = 71.3%), 174 family physicians (RR = 65.7%) and 311 internal medicine department nurses (RR = 69.1%). The twenty-two-item Negative Acts Questionnaire was used for measuring the exposure to bullying behavior, Goldberg 12-item General Health Questionnaire (GHQ-12) - psychological distress, Event Scale-Revised (IES-R) inventory - post-traumatic stress symptoms, Karasek & Theorell Demand-Control questionnaire - psychosocial job characteristics. The International Business Machines Corporation (IBM) SPSS Statistics version 20.0 was used for performing the statistical analysis. Logistic regression was used for assessing the associations among 22 negative acts as continuous variable and mental health outcomes adjusting to age, psychosocial factors at work and everyday life. Exposure to workplace bullying behavior on a weekly/daily basis was prevalent among family physicians at the rate of 19%, among nurses - 12.9%, among teachers - 4.1%. Even after adjustment to age, psychosocial job characteristics and threatening life events, the exposure to 22 negative acts as continuous variable was significantly associated with psychological distress and post-traumatic stress symptoms for all 3 occupations. Health care sector is particularly affected by workplace bullying. Exposure to bullying behavior was associated with mental health problems for all 3 occupations. Preventive measures are necessary to improve psychosocial work environment conditions in healthcare and educational institutions in Lithuania. Med Pr 2017;68(3):307-314.

  13. Work related risk factors for musculoskeletal complaints in the spinning industry in Lithuania.

    PubMed

    Gamperiene, M; Stigum, H

    1999-06-01

    To describe the prevalence of self reported musculoskeletal complaints in the back, arms or neck, and legs among workers in the spinning industry, and to investigate the relations between these complaints and work related variables. An interview based questionnaire survey was carried out in two spinning industry factories in Lithuania. The study group consisted of all workers in production (n = 363). Symptoms of the legs were the musculoskeletal symptom reported most often (61%). Many subjects had arms or neck (55%) or back problems (28%). 20% had experienced pain from all three sites. Almost 25% had had musculoskeletal pain every day and 16% had experienced constant pain during previous year. Packers had the highest risk of arms or neck problems whereas spinners had the highest risk of back or leg problems. Working in a strained posture (bending, work with arms raised up above shoulder level, and repetitive movements of the fingers) was associated with all three complaints. Only arms or neck complaints were associated with age. Musculoskeletal disorders are a common problem among workers producing gobelin or synthetic thread in Lithuania and working in a strained posture is a risk factor for developing musculoskeletal disorders in three body sites: legs, arms or neck, and back. To better understand the different aspects of physical load as risk factors, a more detailed study of the frequency of postural changes as well as an observation of individually adopted postures would be necessary. This applies to intervention studies in factories of the spinning industry to prevent complaints of the legs and shoulders.

  14. Work related risk factors for musculoskeletal complaints in the spinning industry in Lithuania

    PubMed Central

    Gamperiene, M.; Stigum, H.

    1999-01-01

    OBJECTIVES: To describe the prevalence of self reported musculoskeletal complaints in the back, arms or neck, and legs among workers in the spinning industry, and to investigate the relations between these complaints and work related variables. METHODS: An interview based questionnaire survey was carried out in two spinning industry factories in Lithuania. RESULTS: The study group consisted of all workers in production (n = 363). Symptoms of the legs were the musculoskeletal symptom reported most often (61%). Many subjects had arms or neck (55%) or back problems (28%). 20% had experienced pain from all three sites. Almost 25% had had musculoskeletal pain every day and 16% had experienced constant pain during previous year. Packers had the highest risk of arms or neck problems whereas spinners had the highest risk of back or leg problems. Working in a strained posture (bending, work with arms raised up above shoulder level, and repetitive movements of the fingers) was associated with all three complaints. Only arms or neck complaints were associated with age. CONCLUSIONS: Musculoskeletal disorders are a common problem among workers producing gobelin or synthetic thread in Lithuania and working in a strained posture is a risk factor for developing musculoskeletal disorders in three body sites: legs, arms or neck, and back. To better understand the different aspects of physical load as risk factors, a more detailed study of the frequency of postural changes as well as an observation of individually adopted postures would be necessary. This applies to intervention studies in factories of the spinning industry to prevent complaints of the legs and shoulders.   PMID:10474538

  15. Risk factors for child mental health problems in Lithuania: The role of parental nationality.

    PubMed

    Kovess Masfety, Viviane; Lesinskiene, Sigita; Husky, Mathilde M; Boyd, Anders; Ha, Phuong; Fermanian, Christophe; Pez, Ondine

    2017-02-01

    We compare the mental health status of children who reside in Lithuania with parents who are either Lithuanian nationals or non-Lithuanian nationals. Data were drawn from the School Child Mental Health Europe survey (SCMHE), a cross-sectional survey of school children aged 6-11years. A total of 1152 Lithuanian children participated, among them 11.7% from a non-Lithuanian family. Child mental health was assessed using the Dominique Interactive (DI) and the parent- and teacher Strength and Difficulties Questionnaire (SDQ). Parental attitudes were evaluated, and socio-demographics were collected. Overall 26.7% of non-Lithuanian versus 17.2% of Lithuanian children reported having an internalizing disorder (p=0.01) mainly due to separation anxiety (16.4% versus 10.2%, p=0.04). Odds ratio (OR) for child-reported internalizing disorders was 1.86 (95% CI=1.17-2.96) once adjusted for other factors including being a girl, to be younger, parental unemployment and low caring and low autonomy parental attitudes which were associated with greater odds of internalizing disorders. In addition, 31.9% of non-Lithuanian reported suicidal thoughts versus 22.0% of Lithuanian children p=.02); OR=1.60 (95% CI=1.04-2.46) once adjusted for single parent, parental unemployment, parental alcohol problems and overreactivity attitude. Being a non-national minority in Lithuania is a risk factor for child mental health. These findings suggest that further studies are needed to inform local policy-makers on targeted prevention and intervention programs in these children. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Nosocomial dissemination of VIM-2-producing ST235 Pseudomonas aeruginosa in Lithuania.

    PubMed

    Mikucionyte, G; Zamorano, L; Vitkauskiene, A; López-Causapé, C; Juan, C; Mulet, X; Oliver, A

    2016-02-01

    Pseudomonas aeruginosa multidrug resistance, and particularly the production of carbapenemases linked to international high-risk clones, is of growing concern. While high levels of carbapenem resistance (>60 %) have been reported in Lithuania, so far, there is no information on the underlying mechanisms. Thus, the aim of this work was to determine the molecular epidemiology and prevalence of acquired carbapenemases among 73 carbapenem-resistant P. aeruginosa isolates recovered in a hospital from Kaunas, Lithuania in 2011-2012. The presence of acquired carbapenemases was evaluated through phenotypic (modified Hodge test, cloxacillin inhibition test, double-disc synergy test) and genetic methods [polymerase chain reaction (PCR) and sequencing]. Clonal relatedness was assessed by pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST). Acquired β-lactamases were detected in 19 (26 %) of the isolates, whereas resistance was exclusively chromosomal (OprD inactivation ± AmpC hyperproduction) in the remaining 54 (74 %) isolates. The acquired β-lactamases detected included 16 VIM-2, one PER-1 and two GES enzymes. PFGE revealed that 15 of the 16 VIM-2 isolates belonged to a single clone, identified as the international high-risk clone ST235 by MLST. bla VIM-2 was preceded by aacA7 in a class I integron, similar to epidemic ST235 isolates described in nearby countries. Additionally, sequencing of bla GES revealed the presence of the carbapenem-hydrolysing enzyme GES-5 in one of the isolates and a novel GES variant, designated GES-27, in the other. GES-27 differed from GES-5 by a single amino acid substitution, proline 167, that was replaced by glutamine. Increasing emergence and dissemination of concerning resistance mechanisms and international clones warrants global surveillance and control strategies.

  17. Helminths of red foxes (Vulpes vulpes) and raccoon dogs (Nyctereutes procyonoides) in Lithuania.

    PubMed

    Bružinskaitė-Schmidhalter, Rasa; Šarkūnas, Mindaugas; Malakauskas, Alvydas; Mathis, Alexander; Torgerson, Paul R; Deplazes, Peter

    2012-01-01

    Red foxes and raccoon dogs are hosts for a wide range of parasites including important zoonotic helminths. The raccoon dog has recently invaded into Europe from the east. The contribution of this exotic species to the epidemiology of parasitic diseases, particularly parasitic zoonoses is unknown. The helminth fauna and the abundance of helminth infections were determined in 310 carcasses of hunted red foxes and 99 of raccoon dogs from Lithuania. Both species were highly infected with Alaria alata (94·8% and 96·5% respectively) and Trichinella spp. (46·6% and 29·3%). High and significantly different prevalences in foxes and raccoon dogs were found for Eucoleus aerophilus (97·1% and 30·2% respectively), Crenosoma vulpis (53·8% and 15·1%), Capillaria plica (93·3% and 11·3%), C. putorii (29·4% and 51·5%), Toxocara canis (40·5% and 17·6%) and Uncinaria stenocephala (76·9% and 98·8%). The prevalences of the rodent-transmitted cestodes Echinococcus multilocularis, Taenia polyacantha, T. crassiceps and Mesocestoides spp. were significantly higher in foxes than in raccoon dogs. The abundances of E. multilocularis, Mesocestoides, Taenia, C. plica and E. aerophilus were higher in foxes than those in raccoon dogs. A. alata, U. stenocephala, C. putorii and Echinostomatidae had higher abundances in raccoon dogs. The difference in prevalence and abundance of helminths in both animals may reflect differences in host ecology and susceptibility. The data are consistent with red foxes playing a more important role than raccoon dogs in the transmission of E. multilocularis in Lithuania.

  18. Health care reform and job satisfaction of primary health care physicians in Lithuania

    PubMed Central

    Buciuniene, Ilona; Blazeviciene, Aurelija; Bliudziute, Egle

    2005-01-01

    Background The aim of this research paper is to study job satisfaction of physicians and general practitioners at primary health care institutions during the health care reform in Lithuania. Methods Self-administrated anonymous questionnaires were distributed to all physicians and general practitioners (N = 243, response rate – 78.6%), working at Kaunas primary health care level establishments, in October – December 2003. Results 15 men (7.9%) and 176 women (92.1%) participated in the research, among which 133 (69.6%) were GPs and 58 (30.4%) physicians. Respondents claimed to have chosen to become doctors, as other professions were of no interest to them. Total job satisfaction of the respondents was 4.74 point (on a 7 point scale). Besides 75.5% of the respondents said they would not recommend their children to choose a PHC level doctor's profession. The survey also showed that the respondents were most satisfied with the level of autonomy they get at work – 5.28, relationship with colleagues – 5.06, and management quality – 5.04, while compensation (2.09), social status (3.36), and workload (3.93) turned to be causing the highest dissatisfaction among the respondents. The strongest correlation (Spearmen's ratio) was observed between total job satisfaction and such factors as the level of autonomy – 0.566, workload – 0.452, and GP's social status – 0.458. Conclusion Total job satisfaction of doctors working at primary health care establishments in Lithuania is relatively low, and compensation, social status, and workload are among the key factors that condition PHC doctors' dissatisfaction with their job. PMID:15748299

  19. Organizational changes in the course of the PHC reform in Lithuania from 1994 to 2010.

    PubMed

    Liseckiene, Ida; Miseviciene, Irena; Dudonis, Mindaugas

    2012-08-01

    To assess the organizational changes in Lithuanian Primary Health Care (PHC) in the period from 1994 to 2010, and to highlight the differences with respect to the background of family physicians, the level of urbanization and the type of PHC centers. Three cross-sectional, comparative questionnaire surveys were conducted before the start of the PHC reform (in 1994) and in the course of the PHC reform (in 2004 and 2010) in Lithuania. The anonymous questionnaires were sent by mail to district physicians (i.e. internists, who provided health care for adults, and pediatricians, who provided care for children younger than 18 years old) in 1994, and to family physicians (i.e. retrained district physicians and family physicians-graduates from residency in family medicine) in 2004 and 2010. The differences observed in 1994 between former district physicians and those who had completed residency in family medicine, private and public PHC centers and different level of urbanization dissolved in the years of the PHC reform. Physicians' age tended to be higher in the course of the PHC reform. Numbers of patients' consultations were increasing in the period after 1994 till 2010, though numbers of CME hours and home visits were decreasing. The idea to retrain district physicians into family physicians was a valuable decision. In the years of the PHC reform the workload of family physicians in Lithuania approached the level existing in the EU. The aging of workforce, high workload and reduction of CME hours are the major concerns for future PHC policy. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  20. Sustained eye closure slows saccades

    PubMed Central

    Shaikh, Aasef G.; Wong, Aaron L.; Optican, Lance M.; Miura, Kenichiro; Solomon, David; Zee, David S.

    2010-01-01

    Saccadic eye movements rapidly orient the line of sight towards the object of interest. Pre-motor burst neurons (BNs) controlling saccades receive excitation from superior colliculus and cerebellum, but inhibition by omnipause neurons (OPNs) prevents saccades. When the OPNs pause, BNs begin to fire. It has been presumed that part of the BN burst comes from post-inhibitory rebound (PIR). We hypothesized that in the absence of prior inhibition from OPNs there would be no PIR, and thus the increase in initial firing rate of BNs would be reduced. Consequently, saccade acceleration would be reduced. We measured eye movements and showed that sustained eye closure, which inhibits the activity of OPNs and thus hypothetically should weaken PIR, reduced the peak velocity, acceleration, and deceleration of saccades in healthy human subjects. Saccades under closed eyelids also had irregular trajectories; the frequency of the oscillations underlying this irregularity was similar to that of high-frequency ocular flutter (back-to-back saccades) often seen in normal subjects during attempted fixation at straight ahead while eyes are closed. Saccades and quick phases of nystagmus are generated by the same pre-motor neurons, and we found that the quick-phase velocity of nystagmus was also reduced by lid closure. These changes were not due to a mechanical hindrance to the eyes, because lid closure did not affect the peak velocities or accelerations of the eyes in the “slow-phase” response to rapid head movements of comparable speeds to those of saccades. These results indicate a role for OPNs in generating the abrupt onset and high velocities of saccades. We hypothesize that the mechanism involved is PIR in pre-motor burst neurons. PMID:20573593

  1. Modeling the effect of school closures in a pandemic scenario: exploring two different contact matrices.

    PubMed

    Fung, Isaac Chun-Hai; Gambhir, Manoj; Glasser, John W; Gao, Hongjiang; Washington, Michael L; Uzicanin, Amra; Meltzer, Martin I

    2015-05-01

    School closures may delay the epidemic peak of the next influenza pandemic, but whether school closure can delay the peak until pandemic vaccine is ready to be deployed is uncertain. To study the effect of school closures on the timing of epidemic peaks, we built a deterministic susceptible-infected-recovered model of influenza transmission. We stratified the U.S. population into 4 age groups (0-4, 5-19, 20-64, and ≥ 65 years), and used contact matrices to model the average number of potentially disease transmitting, nonphysical contacts. For every week of school closure at day 5 of introduction and a 30% clinical attack rate scenario, epidemic peak would be delayed by approximately 5 days. For a 15% clinical attack rate scenario, 1 week closure would delay the peak by 9 days. Closing schools for less than 84 days (12 weeks) would not, however, reduce the estimated total number of cases. Unless vaccine is available early, school closure alone may not be able to delay the peak until vaccine is ready to be deployed. Conversely, if vaccination begins quickly, school closure may be helpful in providing the time to vaccinate school-aged children before the pandemic peaks. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2015. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  2. Using a continuum model to predict closure time of gaps in intestinal epithelial cell layers

    PubMed Central

    Arciero, Julia C.; Mi, Qi; Branca, Maria; Hackam, David; Swigon, David

    2016-01-01

    A two-dimensional continuum model of collective cell migration is used to predict the closure of gaps in intestinal epithelial cell layers. The model assumes cell migration is governed by lamellipodia formation, cell-cell adhesion, and cell-substrate adhesion. Model predictions of the gap edge position and complete gap closure time are compared with experimental measures from cell layer scratch assays (also called scratch wound assays). The goal of the study is to combine experimental observations with mathematical descriptions of cell motion to identify effects of gap shape and area on closure time and to propose a method that uses a simple measure (e.g., area) to predict overall gap closure time early in the closure process. Gap closure time is shown to increase linearly with increasing gap area; however, gaps of equal areas but different aspect ratios differ greatly in healing time. Previous methods that calculate overall healing time according to the absolute or percent change in gap area assume that the gap area changes at a constant rate and typically underestimate gap closure time. In this study, data from scratch assays suggest that the rate of change of area is proportional to the first power or square root power of area. PMID:23421747

  3. Systolic closure of aortic valve in patients with prosthetic mitral valves.

    PubMed Central

    Eldar, M; Motro, M; Rath, S; Schy, N; Neufeld, H N

    1982-01-01

    Systolic closure of the aortic valve was found in 10 of 36 patients who underwent mitral valve replacement. Eight patients had early systolic closure, and two had mid-systolic closure. The left ventricular outflow tract dimension on M-mode and two dimensional echocardiograms, left ventricular posterior wall and septal thickness, left ventricular dimensions in systole and diastole, aortic valve opening, and mitral to aortic valve distance were not significantly different between patients with and without systolic closure of the aortic valve. Two of the 10 patients with systolic aortic valve closure were catheterised and in neither was there a gradient between the left ventricle and the aorta. The two patients with mid-systolic closure, however, were the patients who had the narrowest left ventricular outflow tract which could cause significant distortion of blood flow. Systolic closure of the aortic valve in patients with mitral valve replacement is probably not caused by left ventricular outflow tract obstruction, though abnormalities in laminar flow from the left ventricular outflow tract may be involved. Images PMID:7082513

  4. Clamshell closure for metal drum

    DOEpatents

    Blanton, Paul S

    2014-09-30

    Closure ring to retain a lid in contact with a metal drum in central C-section conforming to the contact area between a lid and the rim of a drum and further having a radially inwardly directed flange and a vertically downwardly directed flange attached to the opposite ends of the C-section. The additional flanges reinforce the top of the drum by reducing deformation when the drum is dropped and maintain the lid in contact with the drum. The invention is particularly valuable in transportation and storage of fissile material.

  5. Closure constraints for hyperbolic tetrahedra

    NASA Astrophysics Data System (ADS)

    Charles, Christoph; Livine, Etera R.

    2015-07-01

    We investigate the generalization of loop gravity's twisted geometries to a q-deformed gauge group. In the standard undeformed case, loop gravity is a formulation of general relativity as a diffeomorphism-invariant SU(2) gauge theory. Its classical states are graphs provided with algebraic data. In particular, closure constraints at every node of the graph ensure their interpretation as twisted geometries. Dual to each node, one has a polyhedron embedded in flat space {{{R}}3}. One then glues them, allowing for both curvature and torsion. It was recently conjectured that q-deforming the gauge group SU(2) would allow us to account for a non-vanishing cosmological constant Λ \

  6. A study of crack closure in fatigue

    NASA Technical Reports Server (NTRS)

    Shih, T. T.; Wei, R. P.

    1973-01-01

    Crack closure phenomenon in fatigue was studied by using a Ti-6Al-4V titanium alloy. The occurrence of crack closure was directly measured by an electrical-potential method, and indirectly by load-strain measurement. The experimental results showed that the onset of crack closure depends on both the stress ratio, and the maximum stress intensity factor. No crack closure was observed for stress ratio, greater than 0.3 in this alloy. A two-dimensional elastic model was used to explain the behavior of the recorded load-strain curves. Closure force was estimated by using this model. Yield level stress was found near the crack tip. Based on this estimated closure force, the crack opening displacement was calculated. This result showed that onset of crack closure detected by electrical-potential measurement and crack-opening-displacement measurement is the same. The implications of crack closure on fatigue crack are considered. The experimental results show that crack closure cannot fully account for the effect of stress ratio, on crack growth, and that it cannot be regarded as the sole cause for delay.

  7. 100-D Ponds closure plan. Revision 1

    SciTech Connect

    Petersen, S.W.

    1997-09-01

    The 100-D Ponds is a Treatment, Storage, and Disposal (TSD) unit on the Hanford Facility that received both dangerous and nonregulated waste. This Closure Plan (Rev. 1) for the 100-D Ponds TSD unit consists of a RCRA Part A Dangerous Waste Permit Application (Rev. 3), a RCRA Closure Plan, and supporting information contained in the appendices to the plan. The closure plan consists of eight chapters containing facility description, process information, waste characteristics, and groundwater monitoring data. There are also chapters containing the closure strategy and performance standards. The strategy for the closure of the 100-D Ponds TSD unit is clean closure. Appendices A and B of the closure plan demonstrate that soil and groundwater beneath 100-D Ponds are below cleanup limits. All dangerous wastes or dangerous waste constituents or residues associated with the operation of the ponds have been removed, therefore, human health and the environment are protected. Discharges to the 100-D Ponds, which are located in the 100-DR-1 operable unit, were discontinued in June 1994. Contaminated sediment was removed from the ponds in August 1996. Subsequent sampling and analysis demonstrated that there is no contamination remaining in the ponds, therefore, this closure plan is a demonstration of clean closure.

  8. Spontaneous closure of congenital coronary artery fistulas.

    PubMed

    Schleich, J M; Rey, C; Gewillig, M; Bozio, A

    2001-04-01

    Six cases of full spontaneous closure of congenital coronary artery fistulas, and one case of near closure, as seen by colour Doppler echocardiography, are presented. It is worth reconsidering the classical view that nearly all cases of spontaneous closure are eligible for surgical or percutaneous correction to prevent the development of significant and potentially fatal complications. As the natural course of coronary artery fistulas is still poorly defined, asymptomatic patients, especially those under 7 years old with small shunts, should be periodically followed up by echocardiography rather than be subjected to operative closure, even by catheterisation.

  9. 40 CFR 264.112 - Closure plan; amendment of plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Closure plan; amendment of plan. 264... Closure and Post-Closure § 264.112 Closure plan; amendment of plan. (a) Written plan. (1) The owner or operator of a hazardous waste management facility must have a written closure plan. In addition,...

  10. 40 CFR 264.112 - Closure plan; amendment of plan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 26 2014-07-01 2014-07-01 false Closure plan; amendment of plan. 264... Closure and Post-Closure § 264.112 Closure plan; amendment of plan. (a) Written plan. (1) The owner or operator of a hazardous waste management facility must have a written closure plan. In addition,...

  11. Is size the only determinant of delayed abdominal closure in pediatric liver transplant?

    PubMed

    Khorsandi, Shirin Elizabeth; Day, Arthur William Raven; Cortes, Miriam; Deep, Akash; Dhawan, Anil; Vilca-Melendez, Hector; Heaton, Nigel

    2017-03-01

    The aim was to determine the factors associated with the use of delayed abdominal closure in pediatric liver transplantation (LT) and whether this affected outcome. From a prospectively maintained database, transplants performed in children (≤18 years) were identified (October 2010 to March 2015). Primary abdominal closure was defined as mass closure performed at time of transplant. Delayed abdominal closure was defined as mass closure not initially performed at the same time as transplant; 230 children underwent LT. Of these, 176 (76.5%) had primary closure. Age was similar between the primary and delayed groups (5.0 ± 4.9 versus 3.9 ± 5.0 years; P = 0.13). There was no difference in the graft-to-recipient weight ratio (GRWR) in the primary and delayed groups (3.4 ± 2.8 versus 4.1 ± 2.1; P = 0.12). Children with acute liver failure (ALF) were more likely to experience delayed closure then those with chronic liver disease (CLD; P < 0.001). GRWR was similar between the ALF and CLD (3.4 ± 2.4 versus 3.6 ± 2.7; P = 0.68). Primary closure children had a shorter hospital stay (P < 0.001), spent fewer days in pediatric intensive care unit (PICU; P = 0.001), and required a shorter duration of ventilation (P < 0.001). Vascular complications (arterial and venous) were similar (primary 8.2% versus delayed 5.6%; P = 0.52). Graft (P = 0.42) and child survival (P = 0.65) in the primary and delayed groups were similar. Considering timing of mass closure after transplant, patients in the early delayed closure group (<6 weeks) were found to experience a shorter time of ventilation (P = 0.03) and in PICU (P = 0.003). In conclusion, ALF was the main determinant of delayed abdominal closure rather than GRWR. The optimal time for delayed closure is within 6 weeks. The use of delayed abdominal closure does not adversely affect graft/child survival. Liver Transplantation 23 352-360 2017 AASLD. © 2016 by the

  12. Perioperative closure-related complication rates and cost analysis of barbed suture for closure in TKA.

    PubMed

    Gililland, Jeremy M; Anderson, Lucas A; Sun, Grant; Erickson, Jill A; Peters, Christopher L

    2012-01-01

    The use of barbed suture for surgical closure has been associated with lower operative times, equivalent wound complication rate, and comparable cosmesis scores in the plastic surgery literature. Similar studies would help determine whether this technology is associated with low complication rates and reduced operating times for orthopaedic closures. We compared a running barbed suture with an interrupted standard suture technique for layered closure in primary TKA to determine if the barbed suture would be associated with (1) shorter estimated closure times; (2) lower cost; and (3) similar closure-related perioperative complication rates. We retrospectively compared two-layered closure techniques in primary TKA with either barbed or knotted sutures. The barbed group consisted of 104 primary TKAs closed with running barbed suture. The standard group consisted of 87 primary TKAs closed with interrupted suture. Cost analysis was based on cost of suture and operating room time. Clinical records were assessed for closure-related complications within the 6-week perioperative period. Average estimated closure time was 2.3 minutes shorter with the use of barbed suture. The total closure cost was similar between the groups. The closure-related perioperative complication rates were similar between the groups. Barbed suture is associated with a slightly shorter estimated closure time, although this small difference is of questionable clinical importance. With similar overall cost and no difference in perioperative complications in primary TKA, this closure methodology has led to more widespread use at our institution.

  13. Identification of Selected Child-Resistant Closures (Continuous Thread, Lug-Bayonet, and Snap Closures).

    ERIC Educational Resources Information Center

    Gross, Rosalind L.; White, Harry E.

    This publication describes a selected group of child-resistant closures used in packaging five categories of medicine and household products. The material in the document was collected to train survey personnel to identify closures for a planned household study of the effectiveness of child-resistant packaging. The 39 closures described are of…

  14. 40 CFR 265.1202 - Closure and post-closure care.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... post-closure care. (a) At closure of a magazine or unit which stored hazardous waste under this subpart... estimates for closure, and financial responsibility for magazines or units must meet all of the requirements... as long as it remains in service as a munitions or explosives magazine or storage unit. (b) If,...

  15. 40 CFR 265.1202 - Closure and post-closure care.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... post-closure care. (a) At closure of a magazine or unit which stored hazardous waste under this subpart... estimates for closure, and financial responsibility for magazines or units must meet all of the requirements... as long as it remains in service as a munitions or explosives magazine or storage unit. (b) If,...

  16. 40 CFR 265.1202 - Closure and post-closure care.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... post-closure care. (a) At closure of a magazine or unit which stored hazardous waste under this subpart... estimates for closure, and financial responsibility for magazines or units must meet all of the requirements... as long as it remains in service as a munitions or explosives magazine or storage unit. (b) If,...

  17. Identification of Selected Child-Resistant Closures (Continuous Thread, Lug-Bayonet, and Snap Closures).

    ERIC Educational Resources Information Center

    Gross, Rosalind L.; White, Harry E.

    This publication describes a selected group of child-resistant closures used in packaging five categories of medicine and household products. The material in the document was collected to train survey personnel to identify closures for a planned household study of the effectiveness of child-resistant packaging. The 39 closures described are of…

  18. 40 CFR 265.197 - Closure and post-closure care.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... DISPOSAL FACILITIES Tank Systems § 265.197 Closure and post-closure care. (a) At closure of a tank system, the owner or operator must remove or decontaminate all waste residues, contaminated containment system components (liners, etc.), contaminated soils, and structures and equipment contaminated with waste, and...

  19. 40 CFR 264.197 - Closure and post-closure care.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Tank Systems § 264.197 Closure and post-closure care. (a) At closure of a tank system, the owner or operator must remove or decontaminate all waste residues, contaminated containment system components (liners, etc.), contaminated soils, and structures and equipment contaminated with waste, and manage them...

  20. Accelerating cleanup: Paths to closure

    SciTech Connect

    Edwards, C.

    1998-06-30

    This document was previously referred to as the Draft 2006 Plan. As part of the DOE`s national strategy, the Richland Operations Office`s Paths to Closure summarizes an integrated path forward for environmental cleanup at the Hanford Site. The Hanford Site underwent a concerted effort between 1994 and 1996 to accelerate the cleanup of the Site. These efforts are reflected in the current Site Baseline. This document describes the current Site Baseline and suggests strategies for further improvements in scope, schedule and cost. The Environmental Management program decided to change the name of the draft strategy and the document describing it in response to a series of stakeholder concerns, including the practicality of achieving widespread cleanup by 2006. Also, EM was concerned that calling the document a plan could be misconstrued to be a proposal by DOE or a decision-making document. The change in name, however, does not diminish the 2006 vision. To that end, Paths to Closure retains a focus on 2006, which serves as a point in time around which objectives and goals are established.

  1. Transitional nuclei near shell closures

    SciTech Connect

    Mukherjee, G.

    2014-08-14

    High spin states in Bismuth and Thallium nuclei near the Z = 82 shell closure and Cesium nuclei near the N = 82 shell closure in A = 190 and A = 130 regions, respectively, have been experimentally investigated using heavy-ion fusion evaporation reaction and by detecting the gamma rays using the Indian National Gamma Array (INGA). Interesting shape properties in these transitional nuclei have been observed. The results were compared with the neighboring nuclei in these two regions. The total Routhian surface (TRS) calculations have been performed for a better understanding of the observed properties. In mass region A = 190, a change in shape from spherical to deformed has been observd around neutron number N = 112 for the Bi (Z = 83) isotopes with proton number above the magic gap Z = 82, whereas, the shape of Tl (Z = 81) isotopes with proton number below the magic gap Z = 82 remains stable as a function of neutron number. An important transition from aplanar to planar configuration of angular momentum vectors leading to the occurance of nuclar chirality and magnetic rotation, respectively, has been proposed for the unique parity πh{sub 11/2}⊗νh{sub 11/2} configuration in Cs isotopes in the mass region A ∼ 130 around neutron number N = 79. These results are in commensurate with the TRS calculations.

  2. Higher order turbulence closure models

    NASA Technical Reports Server (NTRS)

    Amano, Ryoichi S.; Chai, John C.; Chen, Jau-Der

    1988-01-01

    Theoretical models are developed and numerical studies conducted on various types of flows including both elliptic and parabolic. The purpose of this study is to find better higher order closure models for the computations of complex flows. This report summarizes three new achievements: (1) completion of the Reynolds-stress closure by developing a new pressure-strain correlation; (2) development of a parabolic code to compute jets and wakes; and, (3) application to a flow through a 180 deg turnaround duct by adopting a boundary fitted coordinate system. In the above mentioned models near-wall models are developed for pressure-strain correlation and third-moment, and incorporated into the transport equations. This addition improved the results considerably and is recommended for future computations. A new parabolic code to solve shear flows without coordinate tranformations is developed and incorporated in this study. This code uses the structure of the finite volume method to solve the governing equations implicitly. The code was validated with the experimental results available in the literature.

  3. Late onset iatrogenic limb ischaemia after deployment of an Angio-Seal vascular closure device.

    PubMed

    Krishna, Rama K; Kherada, Nisharahmed; Beohar, Nirat

    2015-04-26

    It is common practice to deploy a vascular closure device for access site closure after percutaneous angiography or cardiovascular interventions for immediate haemostasis and to facilitate early discharge. We encountered two octogenarian women who underwent and had subsequent vascular access site closure with Angio-Seal (St Jude) and who later presented with limb ischaemia needing surgical revascularisation. Our patients had undergone uneventful deployment of the Angio-Seal vascular closure device (VCD) at the right common femoral artery (CFA) access site with successful haemostasis. About 3 weeks later they presented with features of limb ischaemia needing further diagnostic work-up including repeat angiography, which revealed subtotal occlusion of right common femoral artery at the level of prior access and Angio-Seal deployment site. Both the patients underwent successful surgical repair with restoration of distal flow and resolution of symptoms. These cases illustrate the late presentation of VCD-related complications with limb ischaemia, needing surgical revascularisation.

  4. Postoperative neuromuscular blocker use is associated with higher primary fascial closure rates after damage control laparotomy.

    PubMed

    Abouassaly, Chadi T; Dutton, William D; Zaydfudim, Victor; Dossett, Lesly A; Nunez, Timothy C; Fleming, Sloan B; Cotton, Bryan A

    2010-09-01

    Failure to achieve fascial primary closure after damage control laparotomy (DCL) is associated with increased morbidity, higher healthcare expenditures, and a reduction in quality of life. The use of neuromuscular blocking agents (NMBA) to facilitate closure remains controversial and poorly studied. The purpose of this study was to determine whether exposure to NMBA is associated a higher likelihood of primary fascial closure. All adult trauma patients admitted between January 2002 and May 2008 who (1) went directly to the operating room, (2) were managed initially by DCL, and (3) survived to undergo a second laparotomy. Study group (NMBA+): those receiving NMBA in the first 24 hours after DCL. Comparison group (NMBA-): those not receiving NMBA in the first 24 hours after DCL. Primary fascial closure defined as fascia-to-fascia approximation by hospital day 7. One hundred ninety-one patients met inclusion (92 in NMBA+ group, 99 in NMBA- group). Although the NMB+ patients were younger (31 years vs. 37 years, p = 0.009), there were no other differences in demographics, severity of injury, or lengths of stay between the groups. However, NMBA+ patients achieved primary closure faster (5.1 days vs. 3.5 days, p = 0.046) and were more likely to achieve closure by day 7 (93% vs. 83%, p = 0.023). After controlling for age, gender, race, mechanism, and severity of injury, logistic regression identified NMBA use as an independent predictor of achieving primary fascial closure by day 7 (OR, 3.24, CI: 1.15-9.16; p = 0.026). Early NMBA use is associated with faster and more frequent achievement of primary fascial closure in patients initially managed with DCL. Patients exposed to NMBA had a three times higher likelihood of achieving primary fascial closure by hospital day 7.

  5. Suitable closure for post-duodenal endoscopic resection taking medical costs into consideration.

    PubMed

    Mori, Hirohito; Ayaki, Maki; Kobara, Hideki; Fujihara, Shintaro; Nishiyama, Noriko; Matsunaga, Tae; Yachida, Tatsuo; Masaki, Tsutomu

    2015-05-07

    To compare closure methods, closure times and medical costs between two groups of patients who had post-endoscopic resection (ER) artificial ulcer floor closures. Nineteen patients with duodenal adenoma, early duodenal cancer, and subepithelial tumors that received ER between September 2009 and September 2014 at Kagawa University Hospital and Ehime Rosai Hospital, an affiliated hospital of Kagawa University, were included in the study. We retrospectively compared two groups of patients who received post-ER artificial ulcer floor closure: the conventional clip group vs the over-the-scope clip (OTSC) group. Delayed bleeding, procedure time of closure, delayed perforation, total number of conventional clips and OTSCs and medical costs were analyzed. Although we observed delayed bleeding in three patients in the conventional clip group, we observed no delayed bleeding in the OTSC group (P = 0.049). We did not observe perforation in either group. The mean procedure times for ulcer closure were 33.26 ± 12.57 min and 9.71 ± 2.92 min, respectively (P = 0.0001). The resection diameters were 18.8 ± 1.30 mm and 22.9 ± 1.21 mm for the conventional clip group and the OTSC group, respectively, with significant difference (P = 0.039). As for medical costs, the costs of all conventional clips were USD $1257 and the costs of OTSCs were $7850 (P = 0.005). If the post-ER ulcer is under 20 mm in diameter, a conventional clip closure may be more suitable with regard to the prevention of delayed perforation and to medical costs. If the post-ER ulcer is over 20 mm, the OTSC closure should be selected with regard to safety and reliable closure even if there are high medical costs.

  6. The influence of the rulings of the Constitutional Court on the development of health law in Lithuania.

    PubMed

    Birmontiene, Toma

    2007-12-01

    This article highlights some recent developments in the constitutional doctrine of the right to health care in Lithuania, and more in particular the impact of the decisions of the Constitutional Court of Lithuania on the development of health law. The right to health care, enshrined in the Constitution, is both an obligation of the state and an individual right. The Constitutional Court has developed a doctrine of the right to health care, as well a doctrine of certain other constitutional social rights, which is based on the understanding of the close interrelation between the different constitutional rights, the principle of indivisibility and equal importance of these rights, and the presumption of justiciability of social rights. The analysis is based on the jurisprudence of the Constitutional Court. Two cases on the disputes of the legal regulation concerning the pharmaceutical activities are presented in more detail.

  7. Activity measurement of gamma-ray emitters in aerosol filters exposed in Lithuania, in March-April 2011.

    PubMed

    Gudelis, A; Gorina, I; Nedveckaitė, T; Kovař, P; Dryak, P; Suran, J

    2013-11-01

    Two aerosol sampling stations in Lithuania were simultaneously used for assessing consequences of the accident at the Fukushima Dai-ichi nuclear power plant. The maximum activity concentrations of (129 m)Te, (131)I, (134)Cs and (137)Cs were 0.59 ± 0.06, 3.5 ± 0.3, 0.90 ± 0.08, 0.90 ± 0.07 mBq m(-3) at station #1 in Vilnius, and 0.29 ± 0.03, 1.0 ± 0.1, 0.41 ± 0.04, 0.41 ± 0.0 4 mBq m(-3) at station #2 in northeastern part of Lithuania, respectively.

  8. Demonstration of persistent strains of Campylobacter jejuni within broiler farms over a 1-year period in Lithuania.

    PubMed

    Kudirkiene, E; Malakauskas, M; Malakauskas, A; Bojesen, A M; Olsen, J E

    2010-03-01

    The aim of the study was to investigate the flock prevalence of Campylobacter jejuni and Campylobacter coli in broiler farms in Lithuania and to identify possible persistent strains of Camp. jejuni using amplified fragment length polymorphism (AFLP) typing method. During 1 year, 42 broiler flocks from 9 broiler farms were examined to determine the prevalence of Campylobacter-positive broiler flocks in Lithuania. Among 42 broiler flocks examined, 31 flocks (73.8%) were positive for Camp. jejuni and 17 flocks (40.48%) for Camp. coli. Campylobacter jejuni isolates were genotyped by AFLP method using BspDI and BglII restriction enzymes. Typing of 190 isolates generated 50 AFLP genotypes with the highest diversity of strains found in the summer season. Each farm showed one or more predominant AFLP types, and one AFLP type (A32) was found in five broiler farms over a 1-year period. Campylobacter jejuni and Camp. coli are highly prevalent in broiler farms in Lithuania. Farm-specific genotypes were identified in all farms examined. Type A32 was present and persisted in different broiler farms, and a common source of transmission of Camp. jejuni was suspected. For the first time, Camp. jejuni in broiler flocks has been genetically characterized in Lithuania. Persistent strains of Camp. jejuni were detected over one period at the beginning of broiler meat production chain and, therefore, the identification of contamination source of such strains and the mechanism of their particular ability to persist are crucial to establish effective control measures against Camp. jejuni infection in broiler farms.

  9. Body image and weight control among adolescents in Lithuania, Croatia, and the United States in the context of global obesity.

    PubMed

    Zaborskis, Apolinaras; Petronyte, Gintare; Sumskas, Linas; Kuzman, Marina; Iannotti, Ronald J

    2008-04-01

    To compare body image and weight control behavior among adolescents in Lithuania, Croatia, and the United States (US), the countries with striking contrasts in the prevalence of overweight among adolescents. The study was carried out according to the methodology of the Health Behavior in School-aged Children collaborative survey. Nationally-representative samples of students, aged 13 and 15, were surveyed in Lithuania (3778 respondents), Croatia (2946 respondents), and the US (3546 respondents) in the 2001/2002 school year. In all three countries, girls perceived themselves as being "too fat" more frequently than boys (37.0% vs 19.7%, P<0.001, z test). The prevalence of this perception increased with age among girls (32.7% vs 41.1%, P<0.001, z test) and decreased among boys (21.4% vs 17.9%, P=0.005, z test). Lithuanian adolescents were least likely to perceive themselves as "too fat;" this perception was significantly more frequent in Croatia and the US (24.2%, 27.5%, and 34.3%, respectively; P<0.001, chi(2) test). With the exception of 15-year-old Lithuanian boys, in all respondents the proportion of adolescents with body mass index (BMI) > or =85th percentile who perceived themselves as "too fat" was significantly higher (up to 3.13 times among 15-year-old US girls) than the proportion of adolescents with BMI < or =15th percentile who perceived themselves as "too thin." The highest proportion of overweight boys and girls on a diet or doing something else to lose weight was found in the US. Boys in Lithuania were most likely to be satisfied with their weight regardless of their weight status. Perceived body image and weight control behavior differ among adolescents in Lithuania, Croatia, and the US. Cross-cultural, age, and sex influences moderate body image and weight control behavior in underweight and overweight adolescents.

  10. Infant mortality gap in the Baltic region - Latvia, Estonia, and Lithuania - in relation to macroeconomic factors in 1996-2010.

    PubMed

    Ebela, Inguna; Zile, Irisa; Ebela, Danute Razuka; Rozenfelde, Ingrida Rumba

    2013-01-01

    BACKGROUND AND OBJECTIVE. A constant gap has appeared in infant mortality among the 3 Baltic States - Latvia, Estonia, and Lithuania - since the restoration of independence in 1991. The aim of the study was to compare infant mortality rates in all the 3 Baltic countries and examine some of the macro- and socioeconomic factors associated with infant mortality. MATERIAL AND METHODS. The data were obtained from international databases, such as World Health Organization and EUROSTAT, and the national statistical databases of the Baltic States. The time series data sets (1996-2010) were used in the regression and correlation analysis. RESULTS. In all the 3 Baltic States, a strong and significant correlation was found: Latvia (r=-0.81, P<0.01), Lithuania (r=-0.93, P<0.01), and Estonia (r=-0.91, P<0.01). There was also a correlation between infant mortality and healthcare expenditure in local currency per capita: Latvia (r=-0.81, P<0.01); Lithuania (r=-0.90, P<0.01) and Estonia (r=-0.88, P<0.01). In Latvia (r=0.87, P<0.01) and Estonia (r=0.70; P<0.01), a significant correlation between infant mortality and unemployment levels was observed from 1996 to 2008, whereas the statistical significance disappeared in the period from 1996 to 2010. In Lithuania, the relationship was not significant. CONCLUSIONS. Higher infant mortality rates and a less stable decreasing tendency in Latvia are apparently explained by less successful adaptation to a new political and economic situation and limited skills in adjusting the healthcare system to the reality of life.

  11. 2005 Base Closure and Realignment Commission Report

    EPA Pesticide Factsheets

    The 2005 Defense Base Closure and Realignment Commission is proud to present its Final Report for your consideration. As required by law, the Commission thoroughly and objectively reviewed the domestic installation closure and realignment recommendations proposed by the Secretary of Defense on May 13, 2005.

  12. 50 CFR 20.26 - Emergency closures.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... wildlife conservation agency, and announcement on local radio and television. (b) Any such closure or... 50 Wildlife and Fisheries 9 2012-10-01 2012-10-01 false Emergency closures. 20.26 Section 20.26 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED...

  13. 50 CFR 20.26 - Emergency closures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... wildlife conservation agency, and announcement on local radio and television. (b) Any such closure or... 50 Wildlife and Fisheries 9 2013-10-01 2013-10-01 false Emergency closures. 20.26 Section 20.26 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED...

  14. 50 CFR 20.26 - Emergency closures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... wildlife conservation agency, and announcement on local radio and television. (b) Any such closure or... 50 Wildlife and Fisheries 8 2011-10-01 2011-10-01 false Emergency closures. 20.26 Section 20.26 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED...

  15. 50 CFR 20.26 - Emergency closures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... wildlife conservation agency, and announcement on local radio and television. (b) Any such closure or... 50 Wildlife and Fisheries 9 2014-10-01 2014-10-01 false Emergency closures. 20.26 Section 20.26 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED...

  16. 40 CFR 265.404 - Closure.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) INTERIM STATUS STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Chemical, Physical, and Biological Treatment § 265.404 Closure. At closure, all hazardous waste and hazardous...

  17. 40 CFR 265.404 - Closure.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) INTERIM STATUS STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Chemical, Physical, and Biological Treatment § 265.404 Closure. At closure, all hazardous waste and hazardous...

  18. 40 CFR 265.404 - Closure.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) INTERIM STATUS STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Chemical, Physical, and Biological Treatment § 265.404 Closure. At closure, all hazardous waste and hazardous...

  19. 40 CFR 265.404 - Closure.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) INTERIM STATUS STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Chemical, Physical, and Biological Treatment § 265.404 Closure. At closure, all hazardous waste and hazardous...

  20. 33 CFR 52.32 - Administrative closure.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Closure § 52.32 Administrative closure. (a) The Chair may administratively close a case after it has been docketed and at any time prior to its consideration by the Board if the Chair determines that: (1) The... been administratively closed by the Chair may resubmit their applications with a request for further...

  1. 33 CFR 52.32 - Administrative closure.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Closure § 52.32 Administrative closure. (a) The Chair may administratively close a case after it has been docketed and at any time prior to its consideration by the Board if the Chair determines that: (1) The... been administratively closed by the Chair may resubmit their applications with a request for further...

  2. 33 CFR 52.32 - Administrative closure.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Closure § 52.32 Administrative closure. (a) The Chair may administratively close a case after it has been docketed and at any time prior to its consideration by the Board if the Chair determines that: (1) The... been administratively closed by the Chair may resubmit their applications with a request for further...

  3. 33 CFR 52.32 - Administrative closure.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Closure § 52.32 Administrative closure. (a) The Chair may administratively close a case after it has been docketed and at any time prior to its consideration by the Board if the Chair determines that: (1) The... been administratively closed by the Chair may resubmit their applications with a request for further...

  4. 33 CFR 52.32 - Administrative closure.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Closure § 52.32 Administrative closure. (a) The Chair may administratively close a case after it has been docketed and at any time prior to its consideration by the Board if the Chair determines that: (1) The... been administratively closed by the Chair may resubmit their applications with a request for further...

  5. 50 CFR 20.26 - Emergency closures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... wildlife conservation agency, and announcement on local radio and television. (b) Any such closure or... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Emergency closures. 20.26 Section 20.26 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED...

  6. School Closures in Rural Finnish Communities

    ERIC Educational Resources Information Center

    Autti, Outi; Hyry-Beihammer, Eeva Kaisa

    2014-01-01

    The network of small rural schools in Finland has been radically weakened since the global recession of the 1990s. This article focuses on the social role of rural schools and the phenomenon of school closures. Our aim is to look at rural schools from the viewpoint of local residents and examine how they experience school closures. We seek to hear…

  7. 40 CFR 265.381 - Closure.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Thermal Treatment § 265.381 Closure. At closure, the owner or operator must remove all hazardous waste and hazardous waste residues (including, but not limited to, ash) from the thermal treatment process or equipment....

  8. 40 CFR 265.381 - Closure.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Thermal Treatment § 265.381 Closure. At closure, the owner or operator must remove all hazardous waste and hazardous waste residues (including, but not limited to, ash) from the thermal treatment process or equipment....

  9. Variations on the Closure of a Set

    ERIC Educational Resources Information Center

    Francis, Richard L.

    1975-01-01

    The author observes that checking the closure property is redundant for most number systems and therefore hard for students to understand. He defines several systems which are not closed, develops two concepts related to closure, and provides many related examples. (SD)

  10. Bilateral angle closure glaucoma following general anaesthesia.

    PubMed

    Raj, K Mohan; Reddy, P Arun Subhash; Kumar, Vikram Chella

    2015-04-01

    Angle closure glaucoma is one of the ophthalmic emergencies and treatment has to be given at the earliest. It is a rare complication of general anesthesia. A female patient underwent Hysterectomy under general anesthesia. Following this, patient developed bilateral angle closure glaucoma. This patient was treated with antiglaucoma medications followed by YAG laser iridotomy and patient regained vision.

  11. A new device for paravalvular leak closure

    PubMed Central

    Ercan, Ertugrul; Tengiz, Istemihan; Turk, Ugur; Ozyurtlu, Ferhat; Alioglu, Emin

    2015-01-01

    Percutaneous closure of a prosthetic paravalvular leak (PVL) is a challenging procedure. Operators must use devices constructed for other applications. We present the use of a device which is specifically designed for PVL closure. To the best of our knowledge, there is no publication in MEDLINE reporting the use of the device. PMID:25870623

  12. Key financial ratios can foretell hospital closures.

    PubMed

    Lynn, M L; Wertheim, P

    1993-11-01

    An analysis of various financial ratios sampled from open and closed hospitals shows that certain leverage, liquidity, capital efficiency, and resource availability ratios can predict hospital closure up to two years in advance of the closure with an accuracy of nearly 75 percent.

  13. Hospital closure: Phoenix, Hydra or Titanic?

    PubMed

    Dunne, T; Davis, S

    1996-01-01

    Very little has been published about the effects of hospital closure in terms of the service, financial or management issues of the process. Attempts through a case-study format to redress the balance and as such represents the reflections of practitioners who have recently undergone the experience of hospital closure and the often neglected issues arising both during and after the process.

  14. PLAN FOR CLOSURE OF HANFORDS CENTRAL PLATEAU

    SciTech Connect

    AUSTIN, B.A.

    2004-12-15

    This paper summarizes an approach to reduce risk to the public and environment through accelerated closure of Hanford's Central Plateau, based on a plan developed by Fluor Hanford and submitted to the Department of Energy (DOE)-Richland Office, for consideration, in September, 2004. This plan provides a framework and starting point for discussions with regulators and further planning for closure activities on the Plateau. The closure strategy and approach required developing a full inventory of items needing closure as well as identifying and defining technical and regulatory approaches that were compatible with current regulatory processes, reduce risks, and met DOE objectives. This effort, and the paper that follows, integrates closure activities among several contractors and two DOE field offices.

  15. Closure for milliliter scale bioreactor

    DOEpatents

    Klein, David L.; Laidlaw, Robert D.; Andronaco, Gregory; Boyer, Stephen G.

    2010-12-14

    A closure for a microreactor includes a cap that is configured to be inserted into a well of the microreactor. The cap, or at least a portion of the cap, is compliant so as to form a seal with the well when the cap is inserted. The cap includes an aperture that provides an airway between the inside of the well to the external environment when the cap is inserted into the well. A porous plug is inserted in the aperture, e.g., either directly or in tube that extends through the aperture. The porous plug permits gas within the well to pass through the aperture while preventing liquids from passing through to reduce evaporation and preventing microbes from passing through to provide a sterile environment. A one-way valve may also be used to help control the environment in the well.

  16. Geology for youth in Lithuania: International Year of Planet Earth-related and other activities

    NASA Astrophysics Data System (ADS)

    Skridlaite, Grazina; Guobyte, Rimante; Skrinskas, Skirmantas; Nemaniene, Jurgita

    2010-05-01

    A great number of Lithuanian secondary and high schools devoted a range of activities to Earth sciences on September 22 (autumn equinox), 2008 proclaimed by the Lithuanian National Committee for IYPE and Ministry of Education and Science of Lithuania as "Earth's day". Beforehand, the 11 IYPE brochures were translated, supplemented with relevant Lithuanian data and placed on the website www.zemesmetai.lt. The activities comprised lessons, competitions, performances, field trips, seminars, excursions to museums and nature sites, meetings with geologists and naturalists etc. In many schools the 10 scientific themes were expanded, transformed and included into different school programmes such as geography, chemistry, physics, biology, Lithuanian language etc. The other schools preferred to organise discussions, performances and concerts where children expressed their concern about future of the Earth and suggested ways to save it. Several schools invited geologists, ecologists or other representatives of Earth sciences or local authorities to provide with information on environmental and geological issues in Lithuania and their own surroundings. Several museums and nature sites were visited. The "Earth's day" was advertised and broadcasted on TV and radio, reflected in the press. The reports from schools were placed on the Lithuanian IYPE website. The Board acknowledged the best participants with special letter of thanks. It turned out that despite the provided information on different subjects of geology only few of them were chosen. School teachers encountered some problems relating the Earth's interior with its surface, recognising modern geological processes etc. They found some brochures to be too complicated for non-specialists. Biodiversity was much easier to explain and present as geodiversity. Nevertheless, everybody admitted the great importance of geosciences in society and insufficient knowledge, and greatly acknowledged the initiative of the IYPE. The

  17. A Cell-Level Biomechanical Model of Drosophila Dorsal Closure

    PubMed Central

    Wang, Qiming; Feng, James J.; Pismen, Len M.

    2012-01-01

    We report a model describing the various stages of dorsal closure of Drosophila. Inspired by experimental observations, we represent the amnioserosa by 81 hexagonal cells that are coupled mechanically through the position of the nodes and the elastic forces on the edges. In addition, each cell has radial spokes representing actin filaments on which myosin motors can attach and exert contractile forces on the nodes, the attachment being controlled by a signaling molecule. Thus, the model couples dissipative cell and tissue motion with kinetic equations describing the myosin and signal dynamics. In the early phase, amnioserosa cells oscillate as a result of coupling among the chemical signaling, myosin attachment/detachment, and mechanical deformation of neighboring cells. In the slow phase, we test two ratcheting mechanisms suggested by experiments: an internal ratchet by the apical and junctional myosin condensates, and an external one by the supracellular actin cables encircling the amnioserosa. Within the range of parameters tested, the model predictions suggest the former as the main contributor to cell and tissue area reduction in this stage. In the fast phase of dorsal closure, cell pulsation is arrested, and the cell and tissue areas contract consistently. This is realized in the model by gradually shrinking the resting length of the spokes. Overall, the model captures the key features of dorsal closure through the three distinct phases, and its predictions are in good agreement with observations. PMID:23283225

  18. School closure as an influenza mitigation strategy: how variations in legal authority and plan criteria can alter the impact

    PubMed Central

    2012-01-01

    Background States’ pandemic influenza plans and school closure statutes are intended to guide state and local officials, but most faced a great deal of uncertainty during the 2009 influenza H1N1 epidemic. Questions remained about whether, when, and for how long to close schools and about which agencies and officials had legal authority over school closures. Methods This study began with analysis of states’ school-closure statutes and pandemic influenza plans to identify the variations among them. An agent-based model of one state was used to represent as constants a population’s demographics, commuting patterns, work and school attendance, and community mixing patterns while repeated simulations explored the effects of variations in school closure authority, duration, closure thresholds, and reopening criteria. Results The results show no basis on which to justify statewide rather than school-specific or community-specific authority for school closures. Nor do these simulations offer evidence to require school closures promptly at the earliest stage of an epidemic. More important are criteria based on monitoring of local case incidence and on authority to sustain closure periods sufficiently to achieve epidemic mitigation. Conclusions This agent-based simulation suggests several ways to improve statutes and influenza plans. First, school closure should remain available to state and local authorities as an influenza mitigation strategy. Second, influenza plans need not necessarily specify the threshold for school closures but should clearly define provisions for early and ongoing local monitoring. Finally, school closure authority may be exercised at the statewide or local level, so long as decisions are informed by monitoring incidence in local communities and schools. PMID:23148556

  19. Blood donors' motivation and attitude to non-remunerated blood donation in Lithuania.

    PubMed

    Buciuniene, Ilona; Stonienë, Laimutë; Blazeviciene, Aurelija; Kazlauskaite, Ruta; Skudiene, Vida

    2006-06-22

    In the Soviet period, the blood donation system operated in Lithuania exclusively on a remunerative basis. After joining the EU, Lithuania committed itself to meeting the EU requirements to provide all consumers within its boundaries with safe blood products made from voluntary unpaid blood donations. However, the introduction of a non-remunerated donation system may considerably affect donors' motivation and retention. Thus the aim of the current research was to determine blood donation motives among the present donors and investigate their attitude towards non-remunerated donation. A questionnaire survey of 400 blood donors. Survey data processed using SPSS statistical analysis package. Statistical data reliability checked using Fisher's exact test (p < 0.05). Paid donors comprised 89.9%, while non-paid ones made 10.1% of the respondents. Research findings show that 93 per cent of the paid donors give blood on a regular basis; while among the non-remunerated donors the same figure amounted merely to 20.6 per cent. The idea of the remuneration necessity is supported by 78.3 per cent of the paid donors, while 64.7 per cent of the non-remunerated respondents believe that remuneration is not necessary. The absolute majority of the paid donors (92%) think they should be offered a monetary compensation for blood donation, while more than half of the non-remunerated donors (55.9) claim they would be content with a mere appreciation of the act. Provided no remuneration were offered, 28.44 per cent of the respondents would carry on doing it, 29.6 per cent would do it only in emergency, 29.6 per cent would donate blood merely for their family or friends, and 12.3 per cent would quit it completely. Most respondents admitted having donated blood for the following reasons: willingness to help the ill or monetary compensation. Majority would consent to free blood donation only in case of emergency or as a family replacement, which leads to a conclusion that provided monetary

  20. Perinatal injury of the central nervous system in Lithuania from 1997 to 2014

    PubMed Central

    Vytautas, Basys; Nijolė, Drazdienė; Nijolė, Vezbergienė; Jelena, Isakova

    2016-01-01

    Background. Perinatal CNS injuries are significant for the health of neonates and for child development at a later period. The aim of this study was to evaluate the dynamics of the frequency of perinatal CNS lesions (corresponding to ICD 10 code P91) over a 20-year period, using the data collected from the Lithuanian Medical Data of Births (Registry of Births). Material and methods. In total, data of 559,164 newborns were analyzed. Results. During the period from 1997 to 2014, the frequency of term newborns with perinatal CNS injury decreased almost two times, from 20.4/1000 live births in 1997 to 15.5/1000 live births in 2014, or from 3.12% (95% CI 2.95; 3.31) to 1.46% (95% CI 1.32; 1.61). In 18 years, the rate of infant mortality from perinatal CNS injury decreased by more than four times and in 2014 it was 0.3/1000 births; it accounts for 11% of neonatal mortality (2.6/1000 live births). The largest decrease of CNS injury was seen after a caesarean birth (from 13.7% in 1999 to 1.7% in 2014) and breech delivery (from 9.7% in 1999 to 0.8% in 2014). Analysis of the dynamics of perinatal CNS injury in preterm births in selected groups did not identify a significant positive shift during the period. When evaluating the level of childbirth services in different-level maternity hospitals, CNS injury is undoubtedly diminished in 2B-level maternity hospitals (regional). Also, positive dynamics was observed in the data of 2A-level maternity hospitals, while in 3-level maternity hospitals (university hospitals), which deal with the most complicated obstetrical pathology and preterm newborns, positive dynamics was not observed. It is estimated that the frequency of hypoxic-ischemic encephalopathy was 0.63/1000 live births in Lithuania in 1993. Conclusions. The frequency of perinatal CNS injury and its positive dynamics in over 18 years shows a progressive and scientifically-based perinatal health care organization in Lithuania.

  1. Probabilistic models for assessment of extreme temperatures and relative humidity in Lithuania

    NASA Astrophysics Data System (ADS)

    Alzbutas, Robertas; Šeputytė, Ilona

    2015-04-01

    Extreme temperatures are fairly common natural phenomenon in Lithuania. They have mainly negative effects both on the environment and humans. Thus there are important to perform probabilistic and statistical analyzes of possibly extreme temperature values and their time-dependant changes. This is especially important in areas where technical objects (sensitive to the extreme temperatures) are foreseen to be constructed. In order to estimate the frequencies and consequences of possible extreme temperatures, the probabilistic analysis of the event occurrence and its uncertainty has been performed: statistical data have been collected and analyzed. The probabilistic analysis of extreme temperatures in Lithuanian territory is based on historical data taken from Lithuanian Hydrometeorology Service, Dūkštas Meteorological Station, Lithuanian Energy Institute and Ignalina NNP Environmental Protection Department of Environmental Monitoring Service. The main objective of performed work was the probabilistic assessment of occurrence and impact of extreme temperature and relative humidity occurring in whole Lithuania and specifically in Dūkštas region where Ignalina Nuclear Power Plant is closed for decommissioning. In addition, the other purpose of this work was to analyze the changes of extreme temperatures. The probabilistic analysis of extreme temperatures increase in Lithuanian territory was based on more than 50 years historical data. The probabilistic assessment was focused on the application and comparison of Gumbel, Weibull and Generalized Value (GEV) distributions, enabling to select a distribution, which has the best fit for data of extreme temperatures. In order to assess the likelihood of extreme temperatures different probabilistic models were applied to evaluate the probability of exeedance of different extreme temperatures. According to the statistics and the relationship between return period and probabilities of temperatures the return period for 30

  2. Varena suite in the crystalline crust of the Southern Lithuania: implication to the genesis and mineralization

    NASA Astrophysics Data System (ADS)

    Kirkliauskaite, Vaida; Motuza, Gediminas; Skipityte, Raminta

    2016-04-01

    Keywords: Lithuania, Proterozoic, Varena suite, rare earth elements, metasomatosis. Crystalline crust in Southern Lithuania is covered by 200-500 m thick sedimentary cover and is investigated by potential field mapping and drilling. It is composed by amphibolites (metabasalts), biotite-quartz-plagioclase gneisses (metapsammites and porphyry metadacite and metaandesite) of Orosirian period. Each lithology is predominant in alternating bands extended NNE-SSW. Supracrustals are metamorphosed on the level of amphibolite facies and migmatized. Intrusive rocks are represented by coeval rare bodies of gabbro, peridotite and widespread Calymmian granitic plutons. Varena suite comprises olivine, enstatite, diopside, olivine-magnetite, magnetite, apatite-bearing, and presumably also dolomite rocks. They form integrated bodies few sq. km large, concentrated in the ˜300 km2area extended in N-S direction.Bodies of particular rocks from Varena suite fixed in the boreholes are few tenths up to few hundred meters thick, except apatite-bearing rocks, forming decimeter up to meter scale lenses and veins. Rocks of Varena suite are affected by strong metasomatic alteration. Olivine is substituted by serpentine, and phlogopite, pyroxenes with amphibols (hornblende, actinolite, tremolite, rarely richterite). The country rocks (amphibolites, metaporphyres) also affected by alkaline (mainly sodic) metasomatosis manifested by formation of scapolite, albite, clynopyroxene (often sodic), phlogopite, carbonates. The mineralization of REE (up to 2759-3100 ppm of La and Ce respectively), Th, U, P hosted by monazite, apatite, allanite is spatially related to the Varena suite and some metasomatized supracrustals. The views on the genesis of Varena suite are contradicting. By various authors they are regarded as skarns, presuming metasomatic origin, as layered intrusions or products of alkaline and carbonatitic magmatism. In this presentation the genetic model is reviewed based on

  3. Sustainable development of deep-water seaport: the case of Lithuania.

    PubMed

    Burskyte, Vilma; Belous, Olga; Stasiskiene, Zaneta

    2011-06-01

    In 2003, the Japan International Cooperation Agency carried out a development feasibility study of Klaipeda Seaport (Lithuania). The focus in this study was the evaluation of environmental impacts of the port expansion because it is located in an ecologically sensitive area. While the Japanese researchers focused on the environmental impact analysis, they did not provide unambiguous conclusions. The problems remained unresolved and required further, more detailed consideration and deeper analysis. Environmental sustainability in seaports is an issue of timely importance in many countries given the rapid increase in port-to-port traffic and harbor capacity. This paper explores the situation in Klaipeda Seaport (Lithuania) which is the northernmost ice-free port on the Eastern coast of the Baltic Sea and its challenges in terms of environmental aspects and current pollution situation. This port plays an important role in the economic development of the region and in creating a sustainable society, i.e., a society that continues to develop economically without increasing its impact on our living environment and where the possible reduction of its current impact can be huge due to the fact that the seaport is a place where transport and logistics intersect and constitute large-scale industrial estates. Increasingly, they also turn towards sustainability. Society faces the need for radical change because of increasing technological progress and increasing environmental impact. Environmental and public issues must be addressed by a systemic approach to find harmony among all the subsystems. Therefore, the authors of the article performed an assessment of the deep-water port of Klaipeda sustainable development opportunities tackling the following tasks: (1) Assessing Klaipeda port and the projected deep-water port of the current environment state; (2) Assessing the impact of the water quality of Klaipeda port, depending on the intensity of activity; (3) Assessing the

  4. Blood donors' motivation and attitude to non-remunerated blood donation in Lithuania

    PubMed Central

    Buciuniene, Ilona; Stonienë, Laimutë; Blazeviciene, Aurelija; Kazlauskaite, Ruta; Skudiene, Vida

    2006-01-01

    Background In the Soviet period, the blood donation system operated in Lithuania exclusively on a remunerative basis. After joining the EU, Lithuania committed itself to meeting the EU requirements to provide all consumers within its boundaries with safe blood products made from voluntary unpaid blood donations. However, the introduction of a non-remunerated donation system may considerably affect donors' motivation and retention. Thus the aim of the current research was to determine blood donation motives among the present donors and investigate their attitude towards non-remunerated donation. Methods A questionnaire survey of 400 blood donors. Survey data processed using SPSS statistical analysis package. Statistical data reliability checked using Fisher's exact test (p < 0.05). Results Paid donors comprised 89.9%, while non-paid ones made 10.1% of the respondents. Research findings show that 93 per cent of the paid donors give blood on a regular basis; while among the non-remunerated donors the same figure amounted merely to 20.6 per cent. The idea of the remuneration necessity is supported by 78.3 per cent of the paid donors, while 64.7 per cent of the non-remunerated respondents believe that remuneration is not necessary. The absolute majority of the paid donors (92%) think they should be offered a monetary compensation for blood donation, while more than half of the non-remunerated donors (55.9) claim they would be content with a mere appreciation of the act. Provided no remuneration were offered, 28.44 per cent of the respondents would carry on doing it, 29.6 per cent would do it only in emergency, 29.6 per cent would donate blood merely for their family or friends, and 12.3 per cent would quit it completely. Conclusion Most respondents admitted having donated blood for the following reasons: willingness to help the ill or monetary compensation. Majority would consent to free blood donation only in case of emergency or as a family replacement, which leads to

  5. Analytic closures for M1 neutrino transport

    DOE PAGES

    Murchikova, E. M.; Abdikamalov, E.; Urbatsch, T.

    2017-04-25

    Carefully accounting for neutrino transport is an essential component of many astrophysical studies. Solving the full transport equation is too expensive for most realistic applications, especially those involving multiple spatial dimensions. For such cases, resorting to approximations is often the only viable option for obtaining solutions. One such approximation, which recently became popular, is the M1 method. It utilizes the system of the lowest two moments of the transport equation and closes the system with an ad hoc closure relation. The accuracy of the M1 solution depends on the quality of the closure. Several closures have been proposed in themore » literature and have been used in various studies. We carry out an extensive study of these closures by comparing the results of M1 calculations with precise Monte Carlo calculations of the radiation field around spherically symmetric protoneutron star models. We find that no closure performs consistently better or worse than others in all cases. The level of accuracy that a given closure yields depends on the matter configuration, neutrino type and neutrino energy. As a result, given this limitation, the maximum entropy closure by Minerbo on average yields relatively accurate results in the broadest set of cases considered in this work.« less

  6. Analytic closures for M1 neutrino transport

    NASA Astrophysics Data System (ADS)

    Murchikova, E. M.; Abdikamalov, E.; Urbatsch, T.

    2017-08-01

    Carefully accounting for neutrino transport is an essential component of many astrophysical studies. Solving the full transport equation is too expensive for most realistic applications, especially those involving multiple spatial dimensions. For such cases, resorting to approximations is often the only viable option for obtaining solutions. One such approximation, which recently became popular, is the M1 method. It utilizes the system of the lowest two moments of the transport equation and closes the system with an ad hoc closure relation. The accuracy of the M1 solution depends on the quality of the closure. Several closures have been proposed in the literature and have been used in various studies. We carry out an extensive study of these closures by comparing the results of M1 calculations with precise Monte Carlo calculations of the radiation field around spherically symmetric protoneutron star models. We find that no closure performs consistently better or worse than others in all cases. The level of accuracy that a given closure yields depends on the matter configuration, neutrino type and neutrino energy. Given this limitation, the maximum entropy closure by Minerbo on average yields relatively accurate results in the broadest set of cases considered in this work.

  7. Factors Associated with Increasing Nursing Home Closures

    PubMed Central

    Castle, Nicholas G; Engberg, John; Lave, Judith; Fisher, Andrew

    2009-01-01

    Purpose We determine the rate of nursing home closures for 7 years (1999–2005) and examine internal (e.g., quality), organizational (e.g., chain membership), and external (e.g., competition) factors associated with these closures. Design and Method The names of the closed facilities and dates of closure from state regulators in all 50 states were obtained. This information was linked to the Online Survey, Certification, and Reporting data, which contains information on internal, organizational, and market factors for almost all nursing homes in the United States. Results One thousand seven hundred and eighty-nine facilities closed over this time period (1999–2005). The average annual rate of closure was about 2 percent of facilities, but the rate of closure was found to be increasing. Nursing homes with higher rates of deficiency citations, hospital-based facilities, chain members, small bed size, and facilities located in markets with high levels of competition were more likely to close. High Medicaid occupancy rates were associated with a high likelihood of closure, especially for facilities with low Medicaid reimbursement rates. Implications As states actively debate about how to redistribute long-term care services/dollars, our findings show that they should be cognizant of the potential these decisions have for facilitating nursing home closures. PMID:19674434

  8. The impact of a needle exchange's closure.

    PubMed

    Broadhead, R S; van Hulst, Y; Heckathorn, D D

    1999-01-01

    The Windham, Connecticut, needle exchange closed in May 1997 after becoming embroiled in a public controversy in which it was blamed for the city's drug problem, discarded syringes, and even the economic decline of the city itself. The authors interviewed injection drug users and conducted a community survey of discarded drug paraphernalia to explore the effects of the needle exchange's closure. After the needle exchange was closed in March 1997, the authors re-recruited former participants in an AIDS prevention research project, the majority of whom were clients of the needle exchange. The authors analyzed responses from these respondents' pre-closure interviews and from III post-closure initial interviews and 78 post-closure follow-up interviews as well as data on discarded syringes and "dope bags". Following the closure of the needle exchange, significant increases were found in the percentage of respondents who reported an unreliable source as their primary source of syringes, in respondents' reports of the frequency of reusing syringes, and in the percentage of respondents who reported sharing of syringes. Surveys of outdoor drug-use areas found that the closure of the needle exchange did not reduce the volume of discarded syringes and other drug-injection debris. The problems in Windham that led to the closure of the exchange still remain, and the city's drug injectors are engaging in higher levels of HIV risk behavior.

  9. Osteoporotic risk and physeal closure in prepubertal ovariohysterectomized cats.

    PubMed

    Uçmak, Melih; Yılmaz, Özge Turna; Gündüz, Mehmet Can; Uçmak, Zeynep Günay; Duzgun, Oktay; Eskiyurt, Nurten; Oruç, Coşkun Umut; Genç, Sema; Erzengin, Ömer Mehmet; Karaçam, Esra

    2015-10-01

    We aimed to examine the early effects of prepubertal ovariohysterectomy (P-OHE) on bone loss and proximal physeal closure in cats. Fourteen kittens randomly underwent P-OHE or sham operations (S-OP) at three months (mo) of age and were allocated to group I and group II. Each mo between four and nine mo of age, dual-energy X-ray absorptiometry (DEXA) scans were performed to determine the total body bone mineral density (BMD) and bone mineral content (BMC). Proximal radial physeal closure and radial length were determined by radiography. Bone-specific alkaline phosphatase (BAP), carboxy-terminal collagen teleopeptide (CTX), 17-β estradiol, progesterone, calcium (Ca) and phosphorus (P) were measured in the serum samples. No significant differences were observed between the groups in terms of BMD, BMC, BAP, BAP/CTX, P, progesterone and body weight (BW) (between 4 and 9mo) and for Ca (between 5 and 9mo) and for CTX levels (between 4 and 8mo). The 17-β estradiol was significantly higher at 6, 8 and 9mo of age in the S-OP group due to puberty (P=0.02, P=0.03 and P=0.02 respectively). Although there was a significant difference (P=0.0002) between the P-OHE and S-OP groups in terms of the proximal radial physeal closure times (7.43±0.20mo and 6.14±0.14mo, respectively), no significant difference was observed for the mean radius length (10.59±0.10cm and 10.06±0.27cm, respectively) at the last evaluation time. In conclusion, prepubertal ovariohysterectomized cats do not have any osteoporotic risks until nine mo of age and exhibit a delayed physeal closure time without a change in radius length.

  10. Primary closure versus delayed closure for non bite traumatic wounds within 24 hours post injury.

    PubMed

    Eliya, Martha C; Banda, Grace W

    2011-09-07

    Acute traumatic wounds are one of the common reasons why people present to the emergency department. Primary closure has traditionally been reserved for traumatic wounds presenting within six hours of injury and considered 'clean' by the attending surgeon, with the rest undergoing delayed primary closure as a means of controlling wound infection. Primary closure has the potential benefit of rapid wound healing but poses the potential threat of increased wound infection. There is currently no evidence to guide clinical decision-making on the best timing for closure of traumatic wounds. To determine the effect on time to healing of primary closure versus delayed closure for non bite traumatic wounds presenting within 24 hours post injury. To explore the adverse effects of primary closure compared with delayed closure for non bite traumatic wounds presenting within 24 hours post injury. We searched the Cochrane Wounds Group Specialised Register (searched 14 July 2011); the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2011, Issue 3); Ovid MEDLINE (1950 to July Week 1 2011); Ovid MEDLINE (In-Process & Other Non-Indexed Citations, July 13, 2011); Ovid EMBASE (1980 to 2011 Week 27); and EBSCO CINAHL (1982 to 14 July 2011). There were no restrictions with respect to language, date of publication or study setting. Randomised controlled trials comparing primary closure with delayed closure of non bite traumatic wounds. Two review authors independently evaluated the results of the searches against the inclusion criteria. No studies met the inclusion criteria for this review. Since no studies met the inclusion criteria, neither a meta-analysis nor a narrative description of studies was possible. There is currently no systematic evidence to guide clinical decision-making regarding the timing for closure of traumatic wounds. There is a need for robust research to investigate the effect of primary closure compared with delayed closure for non

  11. Primary closure versus delayed closure for non bite traumatic wounds within 24 hours post injury.

    PubMed

    Eliya-Masamba, Martha C; Banda, Grace W

    2013-10-22

    Acute traumatic wounds are one of the common reasons why people present to the emergency department. Primary closure has traditionally been reserved for traumatic wounds presenting within six hours of injury and considered 'clean' by the attending surgeon, with the rest undergoing delayed primary closure as a means of controlling wound infection. Primary closure has the potential benefit of rapid wound healing but poses the potential threat of increased wound infection. There is currently no evidence to guide clinical decision-making on the best timing for closure of traumatic wounds. To determine the effect on time to healing of primary closure versus delayed closure for non bite traumatic wounds presenting within 24 hours post injury. To explore the adverse effects of primary closure compared with delayed closure for non bite traumatic wounds presenting within 24 hours post injury. In May 2013, for this first update we searched the Cochrane Wounds Group Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid MEDLINE (In-Process & Other Non-Indexed Citations); Ovid EMBASE; and EBSCO CINAHL. There were no restrictions with respect to language, date of publication or study setting. Randomised controlled trials comparing primary closure with delayed closure of non bite traumatic wounds. Two review authors independently evaluated the results of the searches against the inclusion criteria. No studies met the inclusion criteria for this review. Since no studies met the inclusion criteria, neither a meta-analysis nor a narrative description of studies was possible. There is currently no systematic evidence to guide clinical decision-making regarding the timing for closure of traumatic wounds. There is a need for robust research to investigate the effect of primary closure compared with delayed closure for non bite traumatic wounds presenting within 24 hours of injury.

  12. Catch rates, composition and fish size from reefs managed with periodically-harvested closures.

    PubMed

    Cohen, Philippa Jane; Alexander, Timothy J

    2013-01-01

    Periodically-harvested closures are commonly employed within co-management frameworks to help manage small-scale, multi-species fisheries in the Indo-Pacific. Despite their widespread use, the benefits of periodic harvesting strategies for multi-species fisheries have, to date, been largely untested. We examine catch and effort data from four periodically-harvested reef areas and 55 continuously-fished reefs in Solomon Islands. We test the hypothesis that fishing in periodically-harvested closures would yield: (a) higher catch rates, (b) proportionally more short lived, fast growing, sedentary taxa, and (c) larger finfish and invertebrates, compared to catches from reefs continuously open to fishing. Our study showed that catch rates were significantly higher from periodically-harvested closures for gleaning of invertebrates, but not for line and spear fishing. The family level composition of catches did not vary significantly between open reefs and periodically-harvested closures. Fish captured from periodically-harvested closures were slightly larger, but Trochus niloticus were significantly smaller than those from continuously open reefs. In one case of intense and prolonged harvesting, gleaning catch rates significantly declined, suggesting invertebrate stocks were substantially depleted in the early stages of the open period. Our study suggests periodically-harvested closures can have some short term benefits via increasing harvesting efficiency. However, we did not find evidence that the strategy had substantially benefited multi-species fin-fisheries.

  13. Catch Rates, Composition and Fish Size from Reefs Managed with Periodically-Harvested Closures

    PubMed Central

    Cohen, Philippa Jane; Alexander, Timothy J.

    2013-01-01

    Periodically-harvested closures are commonly employed within co-management frameworks to help manage small-scale, multi-species fisheries in the Indo-Pacific. Despite their widespread use, the benefits of periodic harvesting strategies for multi-species fisheries have, to date, been largely untested. We examine catch and effort data from four periodically-harvested reef areas and 55 continuously-fished reefs in Solomon Islands. We test the hypothesis that fishing in periodically-harvested closures would yield: (a) higher catch rates, (b) proportionally more short lived, fast growing, sedentary taxa, and (c) larger finfish and invertebrates, compared to catches from reefs continuously open to fishing. Our study showed that catch rates were significantly higher from periodically-harvested closures for gleaning of invertebrates, but not for line and spear fishing. The family level composition of catches did not vary significantly between open reefs and periodically-harvested closures. Fish captured from periodically-harvested closures were slightly larger, but Trochus niloticus were significantly smaller than those from continuously open reefs. In one case of intense and prolonged harvesting, gleaning catch rates significantly declined, suggesting invertebrate stocks were substantially depleted in the early stages of the open period. Our study suggests periodically-harvested closures can have some short term benefits via increasing harvesting efficiency. However, we did not find evidence that the strategy had substantially benefited multi-species fin-fisheries. PMID:24066044

  14. New dynamical mean-field dynamo theory and closure approach.

    PubMed

    Blackman, Eric G; Field, George B

    2002-12-23

    We develop a new nonlinear mean field dynamo theory that couples field growth to the time evolution of the magnetic helicity and the turbulent electromotive force, E. We show that the difference between kinetic and current helicities emerges naturally as the growth driver when the time derivative of E is coupled into the theory. The solutions predict significant field growth in a kinematic phase and a saturation rate/strength that is magnetic Reynolds number dependent/independent in agreement with numerical simulations. The amplitude of early time oscillations provides a diagnostic for the closure.

  15. Changes in total concentrations and assessed background concentrations of heavy metals in moss in Lithuania and the Czech Republic between 1995 and 2005.

    PubMed

    Sakalys, J; Kvietkus, K; Sucharová, J; Suchara, I; Valiulis, D

    2009-06-01

    Data on concentrations of heavy metals (As, Cd, Cr, Cu, Fe, Hg, Mn, Ni, Pb, V and Zn) in moss collected on the lightly industrialized territory of Lithuania and on the highly industrialized territory of the Czech Republic in 1995, 2000 and 2005 is used to separate the background and anthropogenic contributions to heavy metal concentrations in moss. The distribution of the concentration logarithms allowed us to determine a background mode, and to estimate the background concentration of heavy metals from this mode. The method was then applied for an estimation of the contribution of local sources to the total pollution level in both countries. The average concentrations and the background modes of heavy metals in Lithuania and in the Czech Republic were very similar, except in the case of vanadium, where the background concentration was higher in Lithuania than in the Czech Republic. For most elements, the background concentration in moss had a decreasing tendency in Lithuania and in the Czech Republic between 1995 and 2005, though the concentration of Cu and Hg increased in Lithuania. The variability of chromium concentration in moss differed from the remaining investigated elements in the Czech Republic, and it was expressed as a bimodal lognormal distribution. This variability may be due to simultaneous contamination of moss by chromium from soil and from industrial sources of pollution.

  16. Yucca Mountain Waste Package Closure System

    SciTech Connect

    Herschel Smartt; Arthur Watkins; David Pace; Rodney Bitsoi; Eric Larsen; Timothy McJunkin; Charles Tolle

    2006-04-01

    The current disposal path for high-level waste is to place the material into secure waste packages that are inserted into a repository. The Idaho National Laboratory has been tasked with the development, design, and demonstration of the waste package closure system for the repository project. The closure system design includes welding three lids and a purge port cap, four methods of nondestructive examination, and evacuation and backfill of the waste package, all performed in a remote environment. A demonstration of the closure system will be performed with a full-scale waste package.

  17. Yucca Mountain Waste Package Closure System

    SciTech Connect

    shelton-davis; Colleen Shelton-Davis; Greg Housley

    2005-10-01

    The current disposal path for high-level waste is to place the material into secure waste packages that are inserted into a repository. The Idaho National Laboratory has been tasked with the development, design, and demonstration of the waste package closure system for the repository project. The closure system design includes welding three lids and a purge port cap, four methods of nondestructive examination, and evacuation and backfill of the waste package, all performed in a remote environment. A demonstration of the closure system will be performed with a full-scale waste package.

  18. Three-dimensional crack closure behavior

    NASA Technical Reports Server (NTRS)

    Dawicke, D. S.; Grandt, A. F., Jr.; Newman, J. C., Jr.

    1990-01-01

    A crack closure measurement technique involving fatigue striations was used to produce a three-dimensional crack opening load profile for 2024-T351 aluminum alloy. The crack opening load profile, determined through the specimen thickness, was compared with crack opening load measurements made with strain gages and displacement gages. The results of this study indicate that a significant three-dimensional variation in crack closure behavior occurs in the alloy examined. An understanding of this phehomenon is important in understanding crack growth behavior, predicting crack shape changes, and interpreting 'standard' crack closure measurement techniques.

  19. Treatment of Angio-Seal® Vascular Closure Device-Induced Acute Femoral Artery Occlusion with SilverHawk® Directional Atherectomy

    PubMed Central

    Sharma, Rishi; Vamanan, Karthik

    2016-01-01

    Vascular closure devices provide a safe and cost-effective method to achieve rapid hemostasis and early ambulation after angiographic procedures. Rarely, they can result in arterial injury with resultant stenosis or acute arterial closure requiring open surgical intervention. We report an Angio-Seal® vascular closure device-induced acute arterial closure successfully treated percutaneously with the SilverHawk® plaque excision system. This report discusses the possible mechanisms of Angio-Seal® induced arterial occlusion and various percutaneous options for treatment. PMID:28083454

  20. Individual Meaning-Centered Psychotherapy for palliative cancer patients in Lithuania. A case report.

    PubMed

    Sutkevičiūtė, Meda; Stančiukaitė, Monika; Bulotienė, Giedrė

    2017-01-01

    Patients with oncological diseases, especially palliative care patients, suffer from physical and psychological difficulties. The quality of life of such patients is bad, they do not have purpose to live and they feel anxiety and distress. In 1959 Victor Frankl wrote the book Man's Search for Meaning in which he stated that the driving force of human life lay in the ability to discern the meaning of faith and spirituality. Inspired by Frankl's ideas, the American psychiatrist William Breitbart with colleagues have developed both an individual and group model of Meaning-Centered Psychotherapy. Studies show that this therapy helps patients to cope with distress, to discover the meaning of life in palliative care patients, and to find the strength to look at life positively; also, it relieves the symptoms of illness. The Meaning-Centered Psychotherapy is integrated in various countries and has recently been initiated for palliative patients in Lithuania. The individual Meaning-Centered Psychotherapy was used in the case reviewed in this paper.

  1. Individual Meaning-Centered Psychotherapy for palliative cancer patients in Lithuania. A case report

    PubMed Central

    Sutkevičiūtė, Meda; Stančiukaitė, Monika; Bulotienė, Giedrė

    2017-01-01

    Patients with oncological diseases, especially palliative care patients, suffer from physical and psychological difficulties. The quality of life of such patients is bad, they do not have purpose to live and they feel anxiety and distress. In 1959 Victor Frankl wrote the book Man’s Search for Meaning in which he stated that the driving force of human life lay in the ability to discern the meaning of faith and spirituality. Inspired by Frankl’s ideas, the American psychiatrist William Breitbart with colleagues have developed both an individual and group model of Meaning-Centered Psychotherapy. Studies show that this therapy helps patients to cope with distress, to discover the meaning of life in palliative care patients, and to find the strength to look at life positively; also, it relieves the symptoms of illness. The Meaning-Centered Psychotherapy is integrated in various countries and has recently been initiated for palliative patients in Lithuania. The individual Meaning-Centered Psychotherapy was used in the case reviewed in this paper. PMID:28630594

  2. Self-reported oral health behavior and attitudes of dental and technology students in Lithuania.

    PubMed

    Pacauskiene, Ingrida M; Smailiene, Dalia; Siudikienė, Jolanta; Savanevskyte, Julija; Nedzelskiene, Irena

    2014-01-01

    The aim of the present study was to assess self-reported oral health habits, attitudes, lifestyle between the sample groups of preclinical and clinical dental and technology students in Lithuania using the Hiroshima University Dental Behavioral Inventory (HU-DBI), and to evaluate the impact of education on their behavior and self-reported oral health. A sample of 183 dental and 75 technology students at the Lithuanian University of Health Sciences, Medical Academy, Faculty of Odontology, and Kaunas University of Technology completed the Lithuanian version the HU-DBI questionnaire with 11 additional items. The data were analyzed using the "SPSS 19.0 for Windows" software package. The mean HU-DBI score of clinical final-year dentistry students was significantly higher (p=0.001) than the score of the preclinical group (6.81 (1.2) and 5.96 (1.5), respectively). The mean scores of both groups of dental students were significantly (p<0.05) higher than that of the technology group (5.37 (1.8)). Oral health behaviors and knowledge were superior in dental students. Dental education had a significant positive impact on the oral health and behavior improvement. The attitudes of the Lithuanian dental students should be further improved by initiating a comprehensive program that would emphasize the importance of oral hygiene before the clinical program starts.

  3. Soil-surface genotoxicity of military and urban territories in Lithuania, as revealed by Tradescantia bioassays.

    PubMed

    Cesniene, Tatjana; Kleizaite, Violeta; Ursache, Robertas; Zvingila, Donatas; Radzevicius, Alfredas; Patamsyte, Jolanta; Rancelis, Vytautas

    2010-03-29

    The soil surface is a major natural system that accumulates pollutants and allows researchers to disclose the history and the present state of contamination of an area with toxic pollutants. This conclusion is based on the comparison of genotoxicity of aqueous extracts and DMSO extracts of topsoil from military territories in various locations left behind after the retreat of the Soviet Army from Lithuania, and several sites in the city of Vilnius, characterized by different history and current traffic intensity. The specific character of the soil-surface contamination was shown in a series of Tradescantia micronucleus (Trad-MN) and stamen-hair mutation (Trad-SHM) bioassays and tests. The most effective ones were the Trad-MN and, unexpectedly, the branched-hair tests. A preliminary result of the study is the somaclonal variation of individual Tradescantia plants revealed by the RAPD method of DNA analysis. A comparison of aqueous extracts and DMSO extracts of the soil showed the permanent character of the mobile forms of genotoxic pollutants in the soil surface, despite the fact that several military territories were already closed 20 years ago.

  4. Investigations of the unsaturated zone at two radioactive waste disposal sites in Lithuania.

    PubMed

    Skuratovič, Žana; Mažeika, Jonas; Petrošius, Rimantas; Martma, Tõnu

    2016-01-01

    The unsaturated zone is an important part of the water cycle, governed by many hydrological and hydrogeological factors and processes and provide water and nutrients to the terrestrial ecosystem. Besides, the soils of the unsaturated zone are regarded as the first natural barrier to a large extent and are able to limit the spread of contaminants depending on their properties. The unsaturated zone provides a linkage between atmospheric moisture, groundwater, and seepage of groundwater to streams, lakes, or other surface water bodies. The major difference between water flow in saturated and unsaturated soils is that the hydraulic conductivity, which is conventionally assumed to be a constant in saturated soils, is a function of the degree of saturation or matrix suction in the unsaturated soils. In Lithuania, low and intermediate level radioactive wastes generated from medicine, industry and research were accumulated at the Maisiagala radioactive waste repository. Short-lived low and intermediate levels radioactive waste, generated during the operation of the Ignalina Nuclear Power Plant (INPP) and arising after the INPP decommissioning will be disposed of in the near surface repository close to the INPP (Stabatiske site). Extensive data sets of the hydraulic properties and water content attributed to unsaturated zone soil profiles of the two radioactive waste disposal sites have been collected and summarized. Globally widespread radionuclide tritium ((3)H) and stable isotope ratio ((18)O/(16)O and (2)H/(1)H) distribution features were determined in precipitation, unsaturated zone soil moisture profiles and groundwater.

  5. Experimental Infection of Domestic Pigs with African Swine Fever Virus Lithuania 2014 Genotype II Field Isolate.

    PubMed

    Gallardo, C; Soler, A; Nieto, R; Cano, C; Pelayo, V; Sánchez, M A; Pridotkas, G; Fernandez-Pinero, J; Briones, V; Arias, M

    2017-02-01

    An experimental infection was conducted to evaluate horizontal transmission, clinical, virological and humoral response induced in domestic pigs infected with African swine fever (ASF) genotype II virus circulating in 2014 into the European Union (EU). Ten naive pigs were placed in contact with eight pigs experimentally inoculated with the Lithuanian LT14/1490 ASF virus (ASFV) responsible for the first ASF case detected in wild boar in Lithuania in January 2014. Clinical examination and rectal temperature were recorded each day. Blood sampling from every animal was carried out twice weekly. Blood samples were examined for presence of ASF virus-specific antibodies and for determining the ASFV viral load. From the obtained results, it was concluded that the Lithuanian ASFV induced an acute disease which resulted in 94, 5% mortality. The disease was easily detected by real-time PCR prior to the onset of clinical signs and 33% of the animals seroconverted. All findings were in accordance with observations previously made in domestic pigs and wild boar when infected with ASF genotype II viruses characterized by a high virulence. One in-contact pig remained asymptomatic and survived the infection. The role of such animals in virus transmission would need further investigation. © 2015 Blackwell Verlag GmbH.

  6. Land use impacts on lake water quality in Alytus region (Lithuania)

    NASA Astrophysics Data System (ADS)

    Pereira, Paulo; Laukonis, Rymvidas

    2016-04-01

    Land use has important impacts on soils, surface and ground water quality. Urban agricultural areas are an important source of pollutants, which can reach lakes through surface runoff and underground circulation. Human intervention in the landscape is one of the major causes pollution and land degradation, thus it is very important to understand the impacts of and use on environment and if they have some spatial pattern (Pereira et al., 2013, 2015; Brevik et al., 2016). The identification of the spatial pattern of lakes pollution is in Alytus area (Lithuania) is fundamental, since they provide an important range of ecosystem services to local communities, including food and recreational activities. Thus, the degradation of these environments can induce important economic losses. In this context, it is import to identify the areas with high pollutant accumulation and the environmental and human factors responsible for it. The objective of this work is to study identify the amount of some important nutrients resultant from human activities in lake water quality in Alytus region (Lithuania). Alytus region is located in southern part of Lithuania and has an approximate area of 40 km2. Inside this region we analyzed several water quality parameters of 55 lakes, including, pH, electrical conductivity (EC), suspended materials (SM), water clarity (WC) biochemical oxygen demand (BDO), total phosphorous (TP), total Nitrogen (TN), dissolved organic carbon (DOC), as other environmental variables as altitude, lake maximum deep (MD), lake area and land use according Corine land cover classification (CLC2006). Previous to data analysis, data normality and homogeneity of the variances, was assessed with the Shapiro-wilk and Leven's test, respectively. The majority of the data did not respect the Gaussian distribution and the heteroscedasticity, even after a logarithmic, and box-cox transformation. Thus, in this work we used the logarithmic transformed data to do a principal

  7. The groundwater age in the Middle-Upper Devonian aquifer system, Lithuania

    NASA Astrophysics Data System (ADS)

    Mokrik, R.; Mažeika, J.; Baublytė, A.; Martma, T.

    2009-06-01

    3H, δ13C and hydrochemical data were used to estimate the corrected groundwater age derived from conventional 14C age of dissolved inorganic carbon (DIC). The Middle-Upper Devonian aquifer system from the Baltic upland recharge area in eastern Lithuania towards the discharge area on the Baltic Sea coast in the west was considered. The concentration of total dissolved solids (TDS) in groundwater changes from 300 to 24,000 mg/L and increases downgradient towards the coast. The other major constituents have the same trend as the TDS. The hydrochemical facies of groundwater vary from an alkali-earth carbonates facies at the eastern upland area to an alkali-earth carbonate-sulfate and chloride facies at transit and discharge areas. Meteoric water percolating through the Quaternary and Devonian aquifers regulate the initial 14C activities of groundwater involving two main members of DIC: soil CO2 with modern 14C activity uptake and dissolution of 14C-free aquifer carbonates. Other sources of DIC are less common. 14C activity of DIC in the groundwater ranged from 60 to 108 pMC at the shallow depths. With an increase of the aquifers depth the dolomitization of aqueous solution and leakage of the “old” groundwater from lower aquifers take place, traced by lower activities (7-30 pMC).

  8. Fan type end moraine related glaciofluvial deposits of Last Glaciation from Lithuania

    NASA Astrophysics Data System (ADS)

    Šinkūnė, Eglė; Šinkūnas, Petras

    2015-04-01

    Several alluvial-fan type end moraine related sites were chosen for detailed sedimentological analyses in ice marginal zone of the last glaciation in Lithuania. Such glaciofluvial ice-marginal fans are formed close to linear ice-sheet front and have semi-conical form or represent simple asymmetric hill forms or more complex ridges with steep proximal and gentler distal slopes. Sedimentary sequences of ice-marginal fans studied consist mainly of waterlain sandy and gravelly deposits with pebbles and boulders. In some sequences a debris-flow deposits are observed as well as beds of sorted material interbedded with dominating high energy sheetflow deposits. Sediment grain size, sorting, structure and bedding characteristics dependent on ice proximity and hydrodynamic conditions were analysed. Highly pulsatory water discharge can be interpreted from depositional architecture of the end moraine related fans. The inferred character of sedimentation suggests that landforms consisting of deposits studied are genetically similar to the alluvial fans. According to the sedimentation features the investigated landforms are an intermediate between the marginal glaciofluvial ridges and sandur fans. Are they a transition zone of sedimentation between the end moraines and proximal outwash plains, or can be the end moraine related fans distinguished as a separate type of glaciofluvial deposits? This question is still open.

  9. Forecasting medical waste generation using short and extra short datasets: Case study of Lithuania.

    PubMed

    Karpušenkaitė, Aistė; Ruzgas, Tomas; Denafas, Gintaras

    2016-04-01

    The aim of the study is to evaluate the performance of various mathematical modelling methods, while forecasting medical waste generation using Lithuania's annual medical waste data. Only recently has a hazardous waste collection system that includes medical waste been created and therefore the study access to gain large sets of relevant data for its research has been somewhat limited. According to data that was managed to be obtained, it was decided to develop three short and extra short datasets with 20, 10 and 6 observations. Spearman's correlation calculation showed that the influence of independent variables, such as visits at hospitals and other medical institutions, number of children in the region, number of beds in hospital and other medical institutions, average life expectancy and doctor's visits in that region are the most consistent and common in all three datasets. Tests on the performance of artificial neural networks, multiple linear regression, partial least squares, support vector machines and four non-parametric regression methods were conducted on the collected datasets. The best and most promising results were demonstrated by generalised additive (R(2) = 0.90455) in the regional data case, smoothing splines models (R(2) = 0.98584) in the long annual data case and multilayer feedforward artificial neural networks in the short annual data case (R(2) = 0.61103).

  10. Age and sedimentary record of inland eolian sediments in Lithuania, NE European Sand Belt

    NASA Astrophysics Data System (ADS)

    Kalińska-Nartiša, Edyta; Thiel, Christine; Nartišs, Māris; Buylaert, Jan-Pieter; Murray, Andrew S.

    2015-07-01

    We present a study based on four inland eolian locations in Eastern, Central and Southeastern Lithuania belonging to the northeastern part of the 'European Sand Belt' (ESB). Although there have been several previous studies of the ESB, this north-eastern extension has not been investigated before in any detail. The sedimentary structural-textural features are investigated and a chronology was derived using optically stimulated luminescence on both quartz and feldspar. The sedimentary structures and the rounding and surface characteristics of the quartz grains argue for a predominance of eolian transport. Additionally, some structural alternations and a significant contribution of non-eolian grains are interpreted as inherited local glacial/glaciofluvial-bearing lithologies. Three main (glaciolacustrine-) eolian phases are distinguished based on the position in the landscape and the luminescence ages: (1) An older eolian series around 15 to 16 ka, possibly correlated with the cold GS-2a event according to the GRIP stratigraphy, and (2) a younger eolian series around 14.0 ka, possibly representing the GI-1d and 1c events. The older eolian series is underlain by (3) a glaciolacustrine-eolian series for which the period of deposition remains uncertain due to the significant discrepancy between the ages based on quartz and feldspar.

  11. Methodology for mapping shallow groundwater quality in urbanized areas: A case study from Lithuania

    NASA Astrophysics Data System (ADS)

    Klimas, A. A.

    1996-06-01

    Cities have a negative impact on the quality of shallow groundwater. Many of Lithuania's urban residents drink water from dug wells. Moreover, polluted shallow groundwater contaminates deeper aquifers of fresh drinking water. Therefore, this situation should be controlled and managed, as far as possible. In order to evaluate the quality of shallow groundwater in an urban area and to create an optimal monitoring system, an original methodology for groundwater mapping has been proposed. It resembles the GIS (geographical information system) technologies. The set of maps, laid one over another, consists of the following: (1) urbanization map, (2) geological-hydrogeological map, (3) groundwater chemistry map, (4) resulting groundwater chemistry factorial analysis map, and (5) pollution and pollutant transport map. The data obtained from studies on dug and geotechnical wells have been used for compilation of the maps. The system for shallow groundwater monitoring in the city with an area of 70 sq km and a population of 140,000 is proposed to consist of about 30 monitoring wells and several dug wells.

  12. Epidemiology of mandibular fractures treated at Kaunas University of Medicine Hospital, Lithuania.

    PubMed

    Kubilius, Ricardas; Keizeris, Tadas

    2009-01-01

    Fractures of the mandible are one of the most common maxillofacial injuries. Because the pattern and incidence of mandibular fractures vary in different countries, there is a need to evaluate aspects of mandibular trauma in Lithuania's population. In this retrospective study hospital files of Oral and maxillofacial surgery unit of Kaunas University of Medicine Hospital were examined. The data that we collected included age, gender, hospitalization time, trauma mechanism, site of fracture, associated injuries, diagnostic and treatment methods. 87.1% of patients were male and they predominated in all age groups with a male to female ratio of 6.8:1. The highest incidence of mandibular fractures in male patients was in the 16-30 year age group and 31-45 year group for females. Interpersonal violence was the main cause of mandibular fractures, followed by falls and road traffic accidents. The incidence of falls in the <16 year age group was higher than expected. The angle was the most common fracture site (34.8%) and 51.7% patients experienced multiple fractures. The mean hospitalization time was 7.34+/-9.02 days. 55% of patients required Kirschner wire osteosynthesis, open reduction with miniplate osteosynthesis or a combination of both methods.

  13. Association between health behaviour and self-reported health in Estonia, Finland, Latvia and Lithuania.

    PubMed

    Kasmel, Anu; Helasoja, Ville; Lipand, Andrus; Prättälä, Ritva; Klumbiene, Jurate; Pudule, Iveta

    2004-03-01

    The aim of the present study is to examine the associations of the selected health behaviours (daily smoking, frequent strong alcohol use, consumption of fresh vegetables less than 3 days a week and leisure time physical activity less than two/three times a week) to the self-assessed health after adjustment to the age and education in Estonia, Finland, Latvia and Lithuania. Data from cross-sectional surveys carried out in all the above-mentioned countries were used. The methodology and questionnaires of the surveys were standardized between the participating countries within the Finbalt Health Monitor System. Logistic regression was used to assess the effect of self-perceived health status on prevalence of health behaviours. In Finland both women and men rated their health better than both genders in all the Baltic countries. In Finland self-assessment of health is significantly associated with most health behaviours, but in the Baltic counties the associations are weak or unstable. The results suggest that in Finland as in many other stable countries self-assessed health status was related to health behaviours and can be used as an indicator of health behaviours. In the Baltic countries, factors other than health behaviours may be more relevant to the self assessment of health status.

  14. Family Social Environment and Parenting Predictors of Alcohol Use among Adolescents in Lithuania.

    PubMed

    Šumskas, Linas; Zaborskis, Apolinaras

    2017-09-08

    The role of the family as the social environment in shaping adolescent lifestyle has recently received substantial attention. This study was focused on investigating the association between familial and parenting predictors and alcohol use in school-aged children. Adolescents aged 13- and 15-year from a representative sample (N = 3715) of schools in Lithuania were surveyed during the spring of 2014. The methodology of the cross-national Health Behaviour in School-aged Children (HBSC) study was applied. HBSC international questionnaires were completed in the classroom anonymously for obtaining information about drinking of alcoholic beverages and family characteristics-family's affluence and structure, style of communication in the family, parenting style, parental monitoring, family time together, etc. Univariate and multivariate logistic regression analysis was applied for assessment of the association between familial variables and weekly alcohol use. Analysis has demonstrated that adolescents from non-intact families tended to show significantly higher risk of being weekly drinkers (OR = 1.69; 95% CI: 1.30-2.19). The following parenting factors were associated with weekly use of alcohol: father's and mother's low monitoring, father's authoritarian-repressive and mother's permissive-neglectful parenting style. Frequent family time together and frequent electronic media communication with parents showed an inverse negative effect than was predicted. The study suggests that alcohol misuse among adolescents could be associated with a non-intact family structure as well as with complex family and parenting determinants which should be investigated more thoroughly by further studies.

  15. Echinococcosis in pigs and intestinal infection with Echinococcus spp. in dogs in southwestern Lithuania.

    PubMed

    Bruzinskaite, R; Sarkūnas, M; Torgerson, P R; Mathis, A; Deplazes, P

    2009-03-23

    Cystic echinococcosis is a major emerging zoonosis in many Eastern European and Asian countries. Post slaughter examinations of 684 pig livers in Lithuania revealed significantly higher numbers of Echinococcus granulosus infections in animals from family farms (13.2%; 95% CI 10.7-16.2) as compared with those from industrial farms (4.1%; 95% CI 0.8-11.5). The prevalence was also significantly higher in pigs older than 1 year than in younger ones. In addition, in 0.5% of the pigs from the family farms, infertile and calcified E. multilocularis lesions were identified by PCR. Faecal samples from rural dogs (n=240) originating from 177 family farms in 12 villages were investigated for taeniid eggs with two methods. Significantly more dogs excreting taeniid eggs were diagnosed with the flotation/sieving method (n=34) as compared to the modified McMaster method (n=12). Multiplex PCR performed with DNA from taeniid eggs isolated from faeces of 34 dogs revealed 26 infections with Taenia spp., 9 with E. granulosus and 2 with E. multilocularis (4 cases with concurrent Taenia spp. and E. granulosus or E. multilocularis infections). Genotyping of E. granulosus cyst tissues from 7 pigs, 1 head of cattle and from E. granulosus eggs from 8 dog faeces revealed the genotype G6/7 ('pig/camel strain') in all cases. The high infection pressure with Echinococcus spp. in family farms necessitates initiating control programs.

  16. The Process of Creating Integrated Home Care in Lithuania: from Idea to Reality

    PubMed Central

    Jurkuvienė, Ramunė; Butkevičienė, Rūta; Gajdosikienė, Indrė

    2016-01-01

    Background: The article presents an analysis of the formulation and implementation of a social innovation: integrated home care (IHC) in post-soviet Lithuania. From 1998 a series of top-down orders to implement IHC were issued, however, home nursing did not start. In 2011 the Ministry of Social Security and Labour began a process to develop integrated home care using new, collaborative processes. The result was 21 pilot projects with well-conceptualized IHC services. Method: Using data from focus groups, interviews, and recorded observations, the research team systematically documented the innovation process, including themes and deviations, employing Smale’s Innovation Trinity framework to organize the larger picture. Results: In the Lithuanian post-totalitarian context, top-down communication was found to be prevalent. Not only IHC, but also openness to change and dialogue at high levels were innovations. Patient-centered practice at local levels could only occur when a new attitude of mind was reached through dialogue with officials at higher levels and between peers. Conclusions: The enactment, rather than the mask of dialogue, participatory program development were critical in the success of IHC innovation. This is difficult to achieve in the light of antiquated public bureaucracies, but in this case, the Ministry team, rather than avoiding the expectation of top-down communication, made it into an asset through promotion of collaboration. PMID:28435419

  17. Low complication rate after stoma closure. Consultants attended 90% of the operations.

    PubMed

    Faunø, L; Rasmussen, C; Sloth, K K; Sloth, A M; Tøttrup, A

    2012-08-01

    To evaluate complications after stoma closure. Using a retrospective review of 997 medical records, data were collected from all patients undergoing stoma closure at the Department of Surgery P, Aarhus University Hospital, Denmark, from 1996 to 2010. Patient data after Hartmann reversal and loop-ileostomy closure were compared. Data regarding the grade of the operating surgeon and assistant were extracted. Out of 997 patients, 700 (70.6%) had a loop-ileostomy closure and 172 (17.4%) had a Hartmann reversal. Postoperative mortality was 0.5%. Seven patients required re-operation (0.7%). Morbidity was registered in 31.9% of the patients, with 131 (13.1%) having early complications and 187 (18.8%) having late complications. Wound infection was the most frequent early complication, which occurred in 31 patients (3.1%). Only 10 patients (1%) had an anastomotic leak. Incisional hernia was the most frequent late complication, occurring in 92 patients (9.3%). A consultant attended 90% of the operations. Junior surgeons never performed stoma closure without supervision. Body mass index was significantly associated with the development of incisional hernia. Hartmann reversal was associated with higher rates of complications compared with loop-ileostomy closure. In patients with Hartmann reversal, stapled anastomosis was associated with stricture in 12 out of 95 cases (12.6%), whereas hand-sewn anastomosis was not associated with stricture (0 out of 64 patients; 0%; P < 0.05). Stoma closure is associated with low rates of leakage. A favourable case mix and high degree of consultant attendance may explain the good results. © 2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.

  18. Extender for securing a closure

    DOEpatents

    Thomas, II, Patrick A.

    2012-10-02

    An apparatus for securing a closure such as door or a window that opens and closes by movement relative to a fixed structure such as a wall or a floor. Many embodiments provide a device for relocating a padlock from its normal location where it secures a fastener (such as a hasp) to a location for the padlock that is more accessible for locking and unlocking the padlock. Typically an extender is provided, where the extender has a hook at a first end that is disposed through the eye of the staple of the hasp, and at an opposing second end the extender has an annulus, such as a hole in the extender or a loop or ring affixed to the extender. The shackle of the padlock may be disposed through the annulus and may be disposed through the eye of a second staple to secure the door or window in a closed or open position. Some embodiments employ a rigid sheath to enclose at least a portion of the extender. Typically the rigid sheath has an open state where the hook is exposed outside the sheath and a closed state where the hook is disposed within the sheath.

  19. Closure of patent foramen ovale versus medical therapy after cryptogenic stroke.

    PubMed

    Carroll, John D; Saver, Jeffrey L; Thaler, David E; Smalling, Richard W; Berry, Scott; MacDonald, Lee A; Marks, David S; Tirschwell, David L

    2013-03-21

    Whether closure of a patent foramen ovale is effective in the prevention of recurrent ischemic stroke in patients who have had a cryptogenic stroke is unknown. We conducted a trial to evaluate whether closure is superior to medical therapy alone in preventing recurrent ischemic stroke or early death in patients 18 to 60 years of age. In this prospective, multicenter, randomized, event-driven trial, we randomly assigned patients, in a 1:1 ratio, to medical therapy alone or closure of the patent foramen ovale. The primary results of the trial were analyzed when the target of 25 primary end-point events had been observed and adjudicated. We enrolled 980 patients (mean age, 45.9 years) at 69 sites. The medical-therapy group received one or more antiplatelet medications (74.8%) or warfarin (25.2%). Treatment exposure between the two groups was unequal (1375 patient-years in the closure group vs. 1184 patient-years in the medical-therapy group, P=0.009) owing to a higher dropout rate in the medical-therapy group. In the intention-to-treat cohort, 9 patients in the closure group and 16 in the medical-therapy group had a recurrence of stroke (hazard ratio with closure, 0.49; 95% confidence interval [CI], 0.22 to 1.11; P=0.08). The between-group difference in the rate of recurrent stroke was significant in the prespecified per-protocol cohort (6 events in the closure group vs. 14 events in the medical-therapy group; hazard ratio, 0.37; 95% CI, 0.14 to 0.96; P=0.03) and in the as-treated cohort (5 events vs. 16 events; hazard ratio, 0.27; 95% CI, 0.10 to 0.75; P=0.007). Serious adverse events occurred in 23.0% of the patients in the closure group and in 21.6% in the medical-therapy group (P=0.65). Procedure-related or device-related serious adverse events occurred in 21 of 499 patients in the closure group (4.2%), but the rate of atrial fibrillation or device thrombus was not increased. In the primary intention-to-treat analysis, there was no significant benefit associated

  20. The TopClosure® 3S System, for skin stretching and a secure wound closure.

    PubMed

    Topaz, Moris; Carmel, Narin-Nard; Silberman, Adi; Li, Ming Sen; Li, Yong Zhong

    2012-07-01

    The principle of stretching wound margins for primary wound closure is commonly practiced and used for various skin defects, leading at times to excessive tension and complications during wound closure. Different surgical techniques, skin stretching devices and tissue expanders have been utilized to address this issue. Previously designed skin stretching devices resulted in considerable morbidity. They were invasive by nature and associated with relatively high localized tissue pressure, frequently leading to necrosis, damage and tearing of skin at the wound margins. To assess the clinical effectiveness and performance and, to determine the safety of TopClosure® for gradual, controlled, temporary, noninvasive and invasive applications for skin stretching and secure wound closing, the TopClosure® device was applied to 20 patients for preoperative skin lesion removal and to secure closure of a variety of wound sizes. TopClosure® was reinforced with adhesives, staples and/or surgical sutures, depending on the circumstances of the wound and the surgeon's judgment. TopClosure® was used prior to, during and/or after surgery to reduce tension across wound edges. No significant complications or adverse events were associated with its use. TopClosure® was effectively used for preoperative skin expansion in preparation for dermal resection (e.g., congenital nevi). It aided closure of large wounds involving significant loss of skin and soft tissue by mobilizing skin and subcutaneous tissue, thus avoiding the need for skin grafts or flaps. Following surgery, it was used to secure closure of wounds under tension, thus improving wound aesthetics. A sample case study will be presented. We designed TopClosure®, an innovative device, to modify the currently practiced concept of wound closure by applying minimal stress to the skin, away from damaged wound edges, with flexible force vectors and versatile methods of attachment to the skin, in a noninvasive or invasive manner.

  1. TECHNICAL ASPECTS OF UNDERGROUND STORAGE TANK CLOSURE

    EPA Science Inventory

    The overall objective of the study was to develop a deeper understanding of UST residuals at closure: their quantities, origins, physical/chemical properties, ease of removal by various cleaning methods, and their environmental mobility and persistence. The investigation covered ...

  2. Plasma-cathode-initiated vacuum gap closure

    SciTech Connect

    Sampayan, S.E.; Gurbaxani, S.H. ); Buttram, M.T. )

    1990-09-01

    The properties of vacuum gap closure initiated by a plasma cathode are presented. The plasma cathode consisted of approximately 60 surface flashover sites distributed over a 10-cm{sup 2} area. Vacuum gap dimensions were 1{times}7.5 cm in diameter. Faraday cup measurements indicated an ion density greater than 10{sup 12} cm{sup {minus}3}, which was controllable by the amplitude of the initiating high-voltage pulse. Although the field-free expansion velocity of the plasma was measured to be 7 cm/{mu}s, plasma-cathode-initiated closure of the vacuum gap indicated closure speeds on the order of 0.5 cm/{mu}s. Also, increased injected ion density and increased anode-cathode potential resulted in increased closure velocity.

  3. 33 CFR 154.520 - Closure devices.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) POLLUTION FACILITIES TRANSFERRING OIL OR HAZARDOUS MATERIAL IN BULK Equipment Requirements § 154.520 Closure... must have enough butterfly valves, wafer-type resilient seated valves, blank flanges, or other means...

  4. Cavity closure arrangement for high pressure vessels

    DOEpatents

    Amtmann, Hans H.

    1981-01-01

    A closure arrangement for a pressure vessel such as the pressure vessel of a high temperature gas-cooled reactor wherein a liner is disposed within a cavity penetration in the reactor vessel and defines an access opening therein. A closure is adapted for sealing relation with an annular mounting flange formed on the penetration liner and has a plurality of radially movable locking blocks thereon having outer serrations adapted for releasable interlocking engagement with serrations formed internally of the upper end of the penetration liner so as to effect high strength closure hold-down. In one embodiment, ramping surfaces are formed on the locking block serrations to bias the closure into sealed relation with the mounting flange when the locking blocks are actuated to locking positions.

  5. Reliability assessment of underground shaft closure

    SciTech Connect

    Fossum, A.F.

    1994-12-31

    The intent of the WIPP, being constructed in the bedded geologic salt deposits of Southeastern New Mexico, is to provide the technological basis for the safe disposal of radioactive Transuranic (TRU) wastes generated by the defense programs of the United States. In determining this technological basis, advanced reliability and structural analysis techniques are used to determine the probability of time-to-closure of a hypothetical underground shaft located in an argillaceous salt formation and filled with compacted crushed salt. Before being filled with crushed salt for sealing, the shaft provides access to an underground facility. Reliable closure of the shaft depends upon the sealing of the shaft through creep closure and recompaction of crushed backfill. Appropriate methods are demonstrated to calculate cumulative distribution functions of the closure based on laboratory determined random variable uncertainty in salt creep properties.

  6. Options for Closure of the Infected Abdomen

    PubMed Central

    Campbell, Chris A.; Rosenberger, Laura H.; Politano, Amani D.; Davies, Stephen W.; Riccio, Lin M.; Sawyer, Robert G.

    2012-01-01

    Abstract Background The infected abdomen poses substantial challenges to surgeons, and often, both temporary and definitive closure techniques are required. We reviewed the options available to close the abdominal wall defect encountered frequently during and after the management of complicated intra-abdominal infections. Methods A comprehensive review was performed of the techniques and literature on abdominal closure in the setting of intra-abdominal infection. Results Temporary abdominal closure options include the Wittmann Patch, Bogota bag, vacuum-assisted closure (VAC), the AbThera™ device, and synthetic or biologic mesh. Definitive reconstruction has been described with mesh, components separation, and autologous tissue transfer. Conclusion Reconstructing the infected abdomen, both temporarily and definitively, can be accomplished with various techniques, each of which is associated with unique advantages and disadvantages. Appropriate judgment is required to optimize surgical outcomes in these complex cases. PMID:23216525

  7. Total knee arthroplasty closure with barbed sutures.

    PubMed

    Eickmann, Tom; Quane, Erika

    2010-09-01

    Bidirectional barbed sutures, which do not require the tying of knots, have the potential to reduce closure times of total knee arthroplasty (TKA) wounds without adverse effect to wound security, cosmesis, or infection risk. In this retrospective study, data were reviewed from TKAs performed between January 2007 and September 2008. For 88 of these procedures, conventional absorbable sutures were used for interrupted closure of the retinacular and subcutaneous layers and for running closure of the subcuticular layer. For 90 procedures, bidirectional barbed absorbable sutures were used for running closure of the retinacular and subcutaneous layers. Surgeries performed with barbed sutures were significantly faster than those performed with conventional sutures (mean times of 74.3 minutes and 85.8 minutes, respectively, p < 0.001) with no detrimental clinical effects.

  8. TECHNICAL ASPECTS OF UNDERGROUND STORAGE TANK CLOSURE

    EPA Science Inventory

    The overall objective of the study was to develop a deeper understanding of UST residuals at closure: their quantities, origins, physical/chemical properties, ease of removal by various cleaning methods, and their environmental mobility and persistence. The investigation covered ...

  9. Entropy production and collisionless fluid closure

    NASA Astrophysics Data System (ADS)

    Sarazin, Y.; Dif-Pradalier, G.; Zarzoso, D.; Garbet, X.; Ghendrih, Ph; Grandgirard, V.

    2009-11-01

    A novel method is proposed to construct collisionless fluid closures accounting for some kinetic properties. The idea consists in optimizing the agreement between the fluid and kinetic quasi-linear entropy production rates, so as to constrain the closure coefficients. This procedure is applied to the slab branch of the ion temperature gradient driven instability. Focusing on the kinetic regime characterized by slow waves, the closure proposed by Hammett and Perkins (Hammett and Perkins 1990 Phys. Rev. Lett. 64 3019) naturally emerges from the systematic identification of the kinetic and fluid entropy production rates. This closure is revealed to be extremely powerful well beyond the kinetic regime. Besides, it reconciles the fluid and kinetic linear stability diagrams in the two-dimensional space of the density and temperature gradient lengths. Such a method is systematic and generic. As such, it is applicable to other models and classes of instabilities.

  10. Occupancy estimation and the closure assumption

    USGS Publications Warehouse

    Rota, Christopher T.; Fletcher, Robert J.; Dorazio, Robert M.; Betts, Matthew G.

    2009-01-01

    1. Recent advances in occupancy estimation that adjust for imperfect detection have provided substantial improvements over traditional approaches and are receiving considerable use in applied ecology. To estimate and adjust for detectability, occupancy modelling requires multiple surveys at a site and requires the assumption of 'closure' between surveys, i.e. no changes in occupancy between surveys. Violations of this assumption could bias parameter estimates; however, little work has assessed model sensitivity to violations of this assumption or how commonly such violations occur in nature. 2. We apply a modelling procedure that can test for closure to two avian point-count data sets in Montana and New Hampshire, USA, that exemplify time-scales at which closure is often assumed. These data sets illustrate different sampling designs that allow testing for closure but are currently rarely employed in field investigations. Using a simulation study, we then evaluate the sensitivity of parameter estimates to changes in site occupancy and evaluate a power analysis developed for sampling designs that is aimed at limiting the likelihood of closure. 3. Application of our approach to point-count data indicates that habitats may frequently be open to changes in site occupancy at time-scales typical of many occupancy investigations, with 71% and 100% of species investigated in Montana and New Hampshire respectively, showing violation of closure across time periods of 3 weeks and 8 days respectively. 4. Simulations suggest that models assuming closure are sensitive to changes in occupancy. Power analyses further suggest that the modelling procedure we apply can effectively test for closure. 5. Synthesis and applications. Our demonstration that sites may be open to changes in site occupancy over time-scales typical of many occupancy investigations, combined with the sensitivity of models to violations of the closure assumption, highlights the importance of properly addressing

  11. 40 CFR 258.61 - Post-closure care requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 25 2014-07-01 2014-07-01 false Post-closure care requirements. 258.61 Section 258.61 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES CRITERIA FOR MUNICIPAL SOLID WASTE LANDFILLS Closure and Post-Closure Care § 258.61 Post-closure...

  12. 40 CFR 258.61 - Post-closure care requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 25 2011-07-01 2011-07-01 false Post-closure care requirements. 258.61 Section 258.61 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES CRITERIA FOR MUNICIPAL SOLID WASTE LANDFILLS Closure and Post-Closure Care § 258.61 Post-closure...

  13. 40 CFR 258.61 - Post-closure care requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 26 2012-07-01 2011-07-01 true Post-closure care requirements. 258.61 Section 258.61 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES CRITERIA FOR MUNICIPAL SOLID WASTE LANDFILLS Closure and Post-Closure Care § 258.61 Post-closure...

  14. 40 CFR 264.119 - Post-closure notices.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 27 2013-07-01 2013-07-01 false Post-closure notices. 264.119 Section... and Post-Closure § 264.119 Post-closure notices. (a) No later than 60 days after certification of... the first hazardous waste disposal unit and within 60 days of certification of closure of the last...

  15. 40 CFR 267.117 - How do I certify closure?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 26 2010-07-01 2010-07-01 false How do I certify closure? 267.117 Section 267.117 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES... PERMIT Closure § 267.117 How do I certify closure? Within 60 days of the completion of final closure...

  16. 40 CFR 267.117 - How do I certify closure?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 27 2011-07-01 2011-07-01 false How do I certify closure? 267.117 Section 267.117 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES... PERMIT Closure § 267.117 How do I certify closure? Within 60 days of the completion of final closure...

  17. 40 CFR 267.117 - How do I certify closure?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 28 2012-07-01 2012-07-01 false How do I certify closure? 267.117 Section 267.117 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES... PERMIT Closure § 267.117 How do I certify closure? Within 60 days of the completion of final closure...

  18. Why does acute primary angle closure happen? Potential risk factors for acute primary angle closure.

    PubMed

    Zhang, Xiulan; Liu, Yaoming; Wang, Wei; Chen, Shida; Li, Fei; Huang, Wenbin; Aung, Tin; Wang, Ningli

    Acute primary angle closure is an ocular emergency and requires immediate management to avoid blindness. Narrow anterior chamber angle, advanced age, female gender, and Asian ethnic background are considered risk factors for acute primary angle closure. The predictive power of these factors is, however, relatively poor, and many questions remain unanswered because acute primary angle closure eventually develops in only a relatively small proportion of anatomically predisposed eyes. We summarize the potential roles of various factors in the pathogenesis of acute primary angle closure. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Primary closure for postoperative mediastinitis in children.

    PubMed

    Ohye, Richard G; Maniker, Robert B; Graves, Holly L; Devaney, Eric J; Bove, Edward L

    2004-09-01

    Mediastinitis affects approximately 1% of children undergoing median sternotomy. Conventional therapy involves debridement followed by open wound care with delayed closure, days to weeks of closed suction or antimicrobial irrigation, and vacuum-assisted closure or muscle flap closure. We hypothesized that primary closure without prolonged suction or irrigation is an effective, less traumatic treatment for mediastinitis in children. From January 1986 to July 2002, 6705 procedures involving median sternotomy were performed at the C. S. Mott Children's Hospital, resulting in 57 cases of mediastinitis (0.85%). Cases were divided into 2 groups, with 42 cases treated with primary closure and 15 cases treated with delayed or muscle flap closure. The 42 cases of primary closure comprised the primary study group of this institutional review board-approved, retrospective analysis. Patient demographics, surgical variables, mediastinitis-related parameters, and outcomes were evaluated. One patient had recurrent mediastinitis for an overall infection eradication rate of 97% (40/41). Three patients (7%) required re-exploration for suspected ongoing infection. Of these re-explorations, 1 patient had evidence of continued mediastinitis. The remaining 2 patients with sepsis of unclear cause had no clinical or culture evidence of recurrent infection. One of these patients ultimately died of sepsis without active mediastinitis for a hospital survival of 97% (41/42). No significant differences could be detected between the treatment successes and failures in this small cohort of patients. Simple primary closure is an effective means to treat selected cases of postoperative mediastinitis in children. The results compare favorably with other more lengthy or debilitating treatments.

  20. Fatigue Growth and Closure of Short Cracks

    DTIC Science & Technology

    1989-06-03

    TESTS 87 4.5 SHORT CRACK FATIGUE TESTS IN NOTCHED SPECIMENS 101 5. DISCUSSION 5.1 DURABILITY ANALYSIS - EQUIVALENT INITIAL FLAW SIZE 232 5.2 SHORT... equivalent initial flaw size approach, (2) effects of plasticity, (3) crack closure response of long cracks and (4) crack closure response of short...cracks. 5.1 EQUIVALENT INITIAL FLAW SIZE - DURABILITY ANALYSIS Aerospace structures were Initially designed on a safe-life approach. The underlying

  1. The age and tectonic setting of the Puncoviscana Formation in northwestern Argentina: An accretionary complex related to Early Cambrian closure of the Puncoviscana Ocean and accretion of the Arequipa-Antofalla block

    NASA Astrophysics Data System (ADS)

    Escayola, Mónica P.; van Staal, Cees R.; Davis, William J.

    2011-12-01

    TIMS and SHRIMP U-Pb zircon geochronology of selected parts of the Puncoviscana Formation suggest its deposition took place mainly during the Early Cambrian, coeval with 540-535 Ma calc-alkaline Pampean arc volcanism mainly preserved as tuff beds in the oldest identified parts of this unit. Syn- to post-tectonic plutons constrains the Tilcarian-Pampean orogeny to have occurred between ca. 530 Ma and deposition of the unconformably overlying Middle-Upper Cambrian Meson Group. Deposition of the Puncoviscana Formation continued after the onset of the Tilcarian-Pampean orogeny. We propose that the Puncoviscana Formation rocks older than 530 Ma were deposited in the arc-trench gap of the west-facing Pampean arc and/or the associated trench, whereas the rocks younger than 530 Ma were deposited in a syn-collision foreland basin. The Puncoviscana Formation rocks were progressively assembled into a west-younging accretionary complex, consistent with the style of deformation and low-grade metamorphism. The age of the syn-collision plutons (≤530 Ma) suggest the foredeep deposits record the transition from trench to foreland basin, due to arrival of the Arequipa-Antofalla block at the west-facing trench at ca. 530 Ma. Our geochronological and Pb-isotope investigations suggest that the Arequipa-Antofalla terrane was a coherent, ribbon-shaped crustal block that also included the western part of the Pampia terrane. A compilation of existing U-Pb zircon studies suggests that the Pampean arc extended along the length of the proto-Andean margin of West Gondwana, represented by the previously amalgamated Amazonia and Rio de La Plata cratons, and probably was initiated during the late Ediacaran after 600 Ma. Following earlier workers, we reaffirm that the Arequipa-Antofalla block was originally separating Laurentia and Amazonia in Rodinia. It probably rifted from Laurentia during the Ediacaran between 600 and 570 Ma, following an earlier departure of Amazonia (˜650 Ma?). The

  2. The Determinants of Care Home Closure

    PubMed Central

    Allan, Stephen; Forder, Julien

    2015-01-01

    This study investigates the causes of full closure of care homes in the English care home/nursing home market. We develop theoretical arguments about two causes for closure that are triggered by errors or external shocks: poor economic sustainability and regulatory action. Homes aiming to operate with lower quality in the market are argued for a number of reasons to be more susceptible to errors/shocks in setting quality, especially negative errors, leading to an empirical hypothesis that observed quality should negatively affect closure chance. In addition, given quality, homes facing relatively high levels of local competition should also have an increased chance of closure. We use a panel of care homes from 2008 and 2010 to examine factors affecting their closure status in subsequent years. We allow for the potential endogeneity of home quality and use multiple imputation to replace missing data. Results suggest that homes with comparatively higher quality and/or lower levels of competition have less chance of closure than other homes. We discuss that the results provide some support for the policy of regulators providing quality information to potential purchasers in the market. © 2015 The Authors. Health Economics published by John Wiley & Sons Ltd. PMID:25760588

  3. Ultrasonic characterization of fatigue crack closure

    SciTech Connect

    Thompson, R.B.; Buck, O.; Rehbein, D.K.

    1991-01-01

    The characterization of fatigue crack closure is an important objective because of its influence on fatigue crack propagation, particularly under conditions of variable amplitude loading. This paper describes a nontraditional technique for characterizing closure, in which ultrasonic scattering measurements are used to obtain estimates of the number density and size of asperities bridging the crack faces, with subsequent estimates of the crack tip shielding being based on those geometrical parameters. The paper first reviews the experimental configuration and the basic elasto-dynamic theory underlying the technique. It then presents recent results obtained in studies of the influence of block overloads and load shedding on the growth of fatigue cracks in aluminum alloys. In both cases, the change in the closure state after the overload can be unambiguously seen even in the raw data. Moreover, data analysis suggests that it may be possible to predict when the crack will reinitiate based on more subtle changes in the ultrasonically inferred closure state. In the case of load shedding, a massive closure region is observed, whose characteristics appear consistent with the notion that threshold phenomena can be explained in terms of crack closure. 20 refs., 10 figs.

  4. Substantial Impact of School Closure on the Transmission Dynamics during the Pandemic Flu H1N1-2009 in Oita, Japan

    PubMed Central

    2015-01-01

    Background School closure is considered as an effective measure to prevent pandemic influenza. Although Japan has implemented many class, grade, and whole school closures during the early stage of the pandemic 2009, the effectiveness of such a school closure has not been analysed appropriately. In addition, analysis based on evidence or data from a large population has yet to be performed. We evaluated the preventive effect of school closure against the pandemic (H1N1) 2009 and examined efficient strategies of reactive school closure. Materials and Methods Data included daily reports of reactive school closures and the number of infected students in the pandemic in Oita City, Japan. We used a regression model that incorporated a time delay to analyse the daily data of school closure based on a time continuous susceptible-exposed-infected-removed model of infectious disease spread. The delay was due to the time-lag from transmission to case reporting. We simulated the number of students infected daily with and without school closure and evaluated the effectiveness. Results The model with a 3-day delay from transmission to reporting yielded the best fit using R2 (the coefficient of determination). This result suggests that the recommended period of school closure is more than 4 days. Moreover, the effect of school closure in the simulation of school closure showed the following: the number of infected students decreased by about 24% at its peak, and the number of cumulative infected students decreased by about 8.0%. Conclusions School closure was an effective intervention for mitigating the spread of influenza and should be implemented for more than 4 days. School closure has a remarkable impact on decreasing the number of infected students at the peak, but it does not substantially decrease the total number of infected students. PMID:26669757

  5. Substantial Impact of School Closure on the Transmission Dynamics during the Pandemic Flu H1N1-2009 in Oita, Japan.

    PubMed

    Kawano, Shoko; Kakehashi, Masayuki

    2015-01-01

    School closure is considered as an effective measure to prevent pandemic influenza. Although Japan has implemented many class, grade, and whole school closures during the early stage of the pandemic 2009, the effectiveness of such a school closure has not been analysed appropriately. In addition, analysis based on evidence or data from a large population has yet to be performed. We evaluated the preventive effect of school closure against the pandemic (H1N1) 2009 and examined efficient strategies of reactive school closure. Data included daily reports of reactive school closures and the number of infected students in the pandemic in Oita City, Japan. We used a regression model that incorporated a time delay to analyse the daily data of school closure based on a time continuous susceptible-exposed-infected-removed model of infectious disease spread. The delay was due to the time-lag from transmission to case reporting. We simulated the number of students infected daily with and without school closure and evaluated the effectiveness. The model with a 3-day delay from transmission to reporting yielded the best fit using R2 (the coefficient of determination). This result suggests that the recommended period of school closure is more than 4 days. Moreover, the effect of school closure in the simulation of school closure showed the following: the number of infected students decreased by about 24% at its peak, and the number of cumulative infected students decreased by about 8.0%. School closure was an effective intervention for mitigating the spread of influenza and should be implemented for more than 4 days. School closure has a remarkable impact on decreasing the number of infected students at the peak, but it does not substantially decrease the total number of infected students.

  6. 77 FR 75186 - Notice of Closure, Target Shooting Public Safety Closure on the Lake Mountains in Utah County, UT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-19

    ... Bureau of Land Management Notice of Closure, Target Shooting Public Safety Closure on the Lake Mountains... shooting to protect public safety. This closure does not restrict other public activities or access to the Lake Mountains area. DATES: This target shooting closure within the described area will remain in...

  7. NPAR- products, applications and closure

    SciTech Connect

    Vora, J.P.

    1995-04-01

    Almost a decade ago the Office of Nuclear Regulatory Research (RES) developed and implemented a comprehensive research program (NUREG-1144) widely known as NPAR or Nuclear Plant Aging Research. The NPAR program is a structured research program specifically oriented to understanding significant age-related degradation mechanisms and their long term effects on properties and performance of important components and systems and ways to mitigate detrimental effects of aging. It provided a road map and a phased approach to research that is applicable to any structure, system, or component of interest. This hardware-oriented engineering research program led the industry worldwide and communicated a need to understand and manage age-related degradation effects in selected but important structures and components. At the conclusion (1995) of the NPAR program, 22 electrical and mechanical components, 13 safety-related systems, and 10 special topics will have been studied and results summarized in 160 technical reports. This reference library of information listed and summarized in NUREG-1377, Rev. No. 4 provides a foundation upon which individual programs can be built for the specific needs of a utility, a regulator, or equipment manufacturers. During the life of the NPAR program, it has provided technical bases and support for license renewal, codes and standards, resolution of generic safety issues, information notices, regulatory guides and the standard Review Plan, as well as the Office of Nuclear Reactor Regulation and The NRC Regions. All ongoing NPAR activities will either be completed or terminated by the end of 1995. No new initiative will be undertaken. This paper summarizes NPAR products and accomplishments, application of the research results, and its status and closure.

  8. Accelerating cleanup: Paths to closure

    SciTech Connect

    1998-06-01

    This report describes the status of Environmental Management`s (EM`s) cleanup program and a direction forward to complete achievement of the 2006 vision. Achieving the 2006 vision results in significant benefits related to accomplishing EM program objectives. As DOE sites accelerate cleanup activities, risks to public health, the environment, and worker safety and health are all reduced. Finding more efficient ways to conduct work can result in making compliance with applicable environmental requirements easier to achieve. Finally, as cleanup activities at sites are completed, the EM program can focus attention and resources on the small number of sites with more complex cleanup challenges. Chapter 1 describes the process by which this report has been developed and what it hopes to accomplish, its relationship to the EM decision-making process, and a general background of the EM mission and program. Chapter 2 describes how the site-by-site projections were constructed, and summarizes, for each of DOE`s 11 Operations/Field Offices, the projected costs and schedules for completing the cleanup mission. Chapter 3 presents summaries of the detailed cleanup projections from three of the 11 Operations/Field Offices: Rocky Flats (Colorado), Richland (Washington), and Savannah River (South Carolina). The remaining eight Operations/Field Office summaries are in Appendix E. Chapter 4 reviews the cost drivers, budgetary constraints, and performance enhancements underlying the detailed analysis of the 353 projects that comprise EM`s accelerated cleanup and closure effort. Chapter 5 describes a management system to support the EM program. Chapter 6 provides responses to the general comments received on the February draft of this document.

  9. Response of the Florida basement to continental closure

    SciTech Connect

    Smith, D.L. . Dept. of Geology)

    1993-03-01

    The major components of the Florida basement (early Cambrian Osceola Complex, Ordovician-Devonian Suwannee Basin sedimentary sequence, and Mesozoic volcanic rocks of south Florida) and interpreted structural features (South Georgia Rift and Jay Fault-Bahamas Fracture Zone) have been described as evidence for an original assemblage of Florida with the leading edge of the African-South American landmass which experienced continental closure as part of the Alleghenian Orogeny and early Mesozoic rifting to isolate the Florida Plateau and leave it appended to North America. The presently interpreted distribution of the basement components, however, is not compatible with probable displacement orientations accommodating Mesozoic rifting and cannot be attributed to that process. An adjusting mechanism of lateral faulting is described as a response within the leading edge of the Gondwana landmass during its late Paleozoic closure with North America. Initial left lateral displacement developed beneath northeast Florida--southeast Georgia, but as clockwise rotation occurred about the Alabama Promontory, a series of right lateral faults, including the precursors to the multi-fault Jay Fault system, progressively developed to the west and accommodated a Gondwana displacement to the Ouachita region. Subsequent Mesozoic rifting promoted left lateral displacement along reactivated fault traces, and the pattern of the South Georgia Rift was constrained by the configuration of basement blocks and boundary faults which was established in the late Paleozoic.

  10. Educational differences in incidence of cancer in Lithuania, 2001-2009: evidence from census-linked cancer registry data.

    PubMed

    Smailyte, Giedre; Jasilionis, Domantas; Vincerzevskiene, Ieva; Krilaviciute, Agne; Ambrozaitiene, Dalia; Stankuniene, Vladislava; Shkolnikov, Vladimir M

    2015-05-01

    This study used population-based census-linked cancer incidence data to identify patterns of educational differentials in the risk of cancer by detailed sites of cancer in Lithuania. The study is based on the linkage between all records of the 2001 population census, all records from the Lithuanian Cancer Registry (cancer incidence), and all death and emigration records from Statistics Lithuania for the period between 6 April 2001 and 31 December 2009. The study population (cohort) includes all permanent residents of Lithuania aged 30-74 years on the day of the census (6 April 2001). The study found that cancers of the lip, mouth, and pharynx, esophagus, stomach, larynx, urinary bladder, pancreas, and lung for men and cancers of the cervix uteri, lung, and colon for women show a statistically significant inverse educational gradient with excess incidence in the lowest educational group. At the same time, a reversed cancer risk gradient with the highest incidence for the higher education group was observed for thyroid cancer, melanoma, nonmelanoma skin cancers, and non-Hodgkin lymphomas. This group also includes prostate cancer, kidney cancer, and multiple myeloma for men and cancer of the pancreas, breast cancer, cancer of the colon, and cancer of the uterus for women. The associations between education and cancer incidence observed in this study reflect the concordance between social status and lifestyle-related risk factors for cancer. Cancer awareness in society has also contributed toward the observed higher risk of cancer, which is usually promoted more by patients with higher education.

  11. Prevalence and familial predictors of suicidal behaviour among adolescents in Lithuania: a cross-sectional survey 2014.

    PubMed

    Zaborskis, Apolinaras; Sirvyte, Dainora; Zemaitiene, Nida

    2016-07-12

    In the past decades Lithuania has been experiencing a very high suicide rate among young people and there are scarce data on the role of the family in shaping these people suicidal behaviour. This study investigated the prevalence of suicidal ideation and attempts, as well as their association with a range of familial factors in a representative sample of Lithuanian adolescents. Study subjects (N = 3572) were adolescents aged 13- and 15-years from the schools in Lithuania who were surveyed in Spring 2014 according to the methodology of the cross-national Health Behaviour in School-aged Children (HBSC). A standard HBSC international questionnaire was translated into Lithuanian and used anonymously to obtain information about suicidal behaviour (stopped doing activities, considered suicide, planned suicide, and suicide attempts) and family life (family structure, quality of communication in family, parental monitoring and bonding, parenting style, family time, etc.). Logistic regression was used to assess association between suicidal behaviours and familial variables. Forty three percents of surveyed adolescents reported presence of emotions that stopped doing activities during the last 12 months, 23.8 % seriously considered attempting suicide, 13.7 % made a suicide plan, 13.2 % attempted suicide, and 4.1 % needed treatment because of suicide attempt in the previous year. Adolescents from non-intact families reported more suicidal ideation (OR ranged from 1.32 to 1.35, P < 0.05) and more suicide attempts (OR = 1.70, 95 % CI 1.38-2.09, P < 0.001). Among adolescents from intact families, some manisfestations of suicidal behaviour were significantly associated with low satisfaction in family relationships, low father's and mother's emotional support, low mother's monitoring, low school-related parental support, authoritarian-repressive father's parenting style and permissive-neglectful mother's parenting style, but rare family time together and

  12. The River Corridor Closure Contract How Washington Closure Hanford is Closing A Unique Department of Energy Project - 12425

    SciTech Connect

    Feist, E.T.

    2012-07-01

    Cleanup of the Hanford River Corridor has been one of Hanford Site's top priorities since the early 1990's. This urgency is due to the proximity of hundreds of waste sites to the Columbia River and the groundwater that continues to threaten the Columbia River. In April 2005, the U.S. Department of Energy, Richland Operations Office (DOE-RL) awarded the Hanford River Corridor Closure Contract (RCCC), a cost-plus incentive-fee closure contract with a 2015 end date and first of its kind at Hanford Site, to Washington Closure Hanford (WCH), a limited-liability company owned by URS, Bechtel National, and CH2M HILL. WCH is a single-purpose company whose goal is to safely, compliantly, and efficiently accelerate cleanup in the Hanford River Corridor and reduce or eliminate future obligations to DOE-RL for maintaining long-term stewardship over the site. Accelerated performance of the work-scope while keeping a perspective on contract completion presents challenges that require proactive strategies to support the remaining work-scope through the end of the RCCC. This paper outlines the processes to address the challenges of completing work-scope while planning for contract termination. WCH is responsible for cleanup of the River Corridor 569.8 km{sup 2} (220 mi{sup 2}) of the 1,517.7 km{sup 2} (586 mi{sup 2}) Hanford Site's footprint reduction. At the end of calendar year 2011, WCH's closure implementation is well underway. Fieldwork is complete in three of the largest areas within the RCCC scope (Segments 1, 2, and 3), approximately 44.5% of the River Corridor (Figure 3). Working together, DOE-RL and WCH are in the process of completing the 'paper work' that will document the completion of the work-scope and allow DOE-RL to relieve WCH of contractual responsibilities and transition the completed areas to the Long-Term Stewardship Program, pending final action RODs. Within the next 4 years, WCH will continue to complete cleanup of the River Corridor following the

  13. An eddy closure for potential vorticity

    SciTech Connect

    Ringler, Todd D

    2009-01-01

    The Gent-McWilliams (GM) parameterization is extended to include a direct influence in the momentum equation. The extension is carried out in two stages; an analysis of the inviscid system is followed by an analysis of the viscous system. In the inviscid analysis the momentum equation is modified such that potential vorticity is conserved along particle trajectories following a transport velocity that includes the Bolus velocity in a manner exactly analogous to the continuity and tracer equations. In addition (and in contrast to traditional GM closures), the new formulation of the inviscid momentum equation results in a conservative exchange between potential and kinetic forms of energy. The inviscid form of the eddy closure conserves total energy to within an error proportional to the time derivative of the Bolus velocity. The hypothesis that the viscous term in the momentum equation should give rise to potential vorticity being diffused along isopycnals in a manner analogous to other tracers is examined in detail. While the form of the momentum closure that follows from a strict adherence to this hypothesis is not immediately interpretable within the constructs of traditional momentum closures, three approximations to this hypothesis results in a form of dissipation that is consistent with traditional Laplacian diffusion. The first two approximations are that relative vorticity, not potential vorticity, is diffused along isopyncals and that the flow is in approximate geostrophic balance. An additional approximation to the Jacobian term is required when the dissipation coefficient varies in space. More importantly, the critique of this hypothesis results in the conclusion that the viscosity parameter in the momentum equation should be identical to the tradition GM closure parameter {Kappa}. Overall, we deem the viscous form of the eddy closure for potential vorticity as a viable closure for use in ocean circulation models.

  14. Y-12 centralized sanitary landfill II closure/post-closure plan

    SciTech Connect

    Not Available

    1992-02-24

    The following text details closure and post-closure activities to be conducted at the Y-12 Centralized Sanitary Landfill II, a landfill for nonhazardous and nonradioactive wastes. This report describes containment, drainage, groundwater monitoring, methane gas monitoring costs, and quality assurance.

  15. Y-12 centralized sanitary landfill II closure/post-closure plan. Revision 1

    SciTech Connect

    Not Available

    1992-02-24

    The following text details closure and post-closure activities to be conducted at the Y-12 Centralized Sanitary Landfill II, a landfill for nonhazardous and nonradioactive wastes. This report describes containment, drainage, groundwater monitoring, methane gas monitoring costs, and quality assurance.

  16. 40 CFR 265.1102 - Closure and post-closure care.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    .... (b) If, after removing or decontaminating all residues and making all reasonable efforts to effect... with the closure and post-closure requirements that apply to landfills (§ 265.310). In addition, for... then considered to be a landfill, and the owner or operator must meet all of the requirements...

  17. 40 CFR 264.1102 - Closure and post-closure care.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... removing or decontaminating all residues and making all reasonable efforts to effect removal or... closure and post-closure requirements that apply to landfills (§ 264.310). In addition, for the purposes... considered to be a landfill, and the owner or operator must meet all of the requirements for...

  18. 40 CFR 264.1102 - Closure and post-closure care.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... removing or decontaminating all residues and making all reasonable efforts to effect removal or... closure and post-closure requirements that apply to landfills (§ 264.310). In addition, for the purposes... considered to be a landfill, and the owner or operator must meet all of the requirements for...

  19. 40 CFR 265.1102 - Closure and post-closure care.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    .... (b) If, after removing or decontaminating all residues and making all reasonable efforts to effect... with the closure and post-closure requirements that apply to landfills (§ 265.310). In addition, for... then considered to be a landfill, and the owner or operator must meet all of the requirements...

  20. 40 CFR 265.1102 - Closure and post-closure care.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    .... (b) If, after removing or decontaminating all residues and making all reasonable efforts to effect... with the closure and post-closure requirements that apply to landfills (§ 265.310). In addition, for... then considered to be a landfill, and the owner or operator must meet all of the requirements...

  1. 40 CFR 264.1102 - Closure and post-closure care.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... removing or decontaminating all residues and making all reasonable efforts to effect removal or... closure and post-closure requirements that apply to landfills (§ 264.310). In addition, for the purposes... considered to be a landfill, and the owner or operator must meet all of the requirements for...

  2. 40 CFR 264.1102 - Closure and post-closure care.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... removing or decontaminating all residues and making all reasonable efforts to effect removal or... closure and post-closure requirements that apply to landfills (§ 264.310). In addition, for the purposes... considered to be a landfill, and the owner or operator must meet all of the requirements for...

  3. 40 CFR 265.1102 - Closure and post-closure care.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    .... (b) If, after removing or decontaminating all residues and making all reasonable efforts to effect... with the closure and post-closure requirements that apply to landfills (§ 265.310). In addition, for... then considered to be a landfill, and the owner or operator must meet all of the requirements...

  4. The gender base of institutional support in Lithuania, Ukraine and Russia.

    PubMed

    Hesli, V L; Miller, A H

    1993-01-01

    This literature review pertains to women's status in Soviet society. This study examined the degree to which attitudes toward established institutions, support for the reform process, and generalized political orientations significantly reflect gender differences. Regression models were tested among Russians, Ukrainians, and Orthodox believers in Russia. Gender differences were apparent in the evaluations of the Communist Party. Ukrainian women were more supportive of the Communist Party. Age was the only significant factor in Russia; increased age was associated with more positive attitudes toward the Communists. More Ukrainian and Russian women than Orthodox women believed that political reform is moving too rapidly. Less educated and higher income women were more likely to believe that reform is proceeding too rapidly. Russian men were more likely to have participated in a political rally than Russian women in the model which includes socioeconomic controls. Russians with higher education were more frequent participants in political demonstrations than Russians with less education. Ukrainian women were more likely than men to be pacifists. Over 20% of the variance in pacifism scores was explained by sex and sociodemographic factors. The author concluded that gender differences are apparent in the strength of pacifism, the frequency of participation in demonstrations, attitudes toward reform, and evaluations of the Communist Party. Russian women compared to US women did not necessarily support liberal, democratic reforms. Lithuanian women and urban women were less supportive of the status quo and established economic and political institutions compared to Russian, Ukrainian, or rural women. Women and men responded similarly at the same educational levels. Women had a more humanitarian view of the environment and peace. A four-stage stratified sample of 2336 individuals (796 in Russia, 826 in the Ukraine, and 714 in Lithuania) was used. The survey instrument was

  5. Smoking and attitudes towards its cessation among native and international dental students in Lithuania.

    PubMed

    Zaborskis, Apolinaras; Volkyte, Aiste; Narbutaite, Julija; Virtanen, Jorma I

    2017-07-11

    Dental professionals are uniquely positioned to discourage smoking among their patients. However, little is known about the role of cultural background and attitudes towards smoking in the education of these professionals. Our study aimed to compare native Lithuanian and international dental students' smoking habits, knowledge about the harmfulness of smoking and attitudes towards smoking cessation. We conducted a cross-sectional survey of smoking and its cessation among dental students at the Lithuanian University of Health Sciences (Kaunas, Lithuania) in 2012. All Lithuanian and international dental students in each year of dental school were invited to participate in the survey during a compulsory practical class or seminar. Altogether 606 students participated in the survey with a response rate of 84.2%. Explanatory factorial analysis (EFA), multivariate Discriminant Analysis (DA) and Binary Logistic Regression (BLR) served for the statistical analyses. The percentages of occasional/current regular smokers were 41.1% and 55.7% (p = 0.068) among Lithuanian and international male students, and 22.7% and 22.9% (p = 0.776) among Lithuanian and international female students, respectively. The international dental students had a deeper knowledge of the harmfulness/addictiveness of smoking and held more positive attitudes towards smoking cessation among their patients than did the native Lithuanian dental students. The findings of the study underscored the need to properly incorporate tobacco cessation training into the curriculum of dental education. However, consideration of the cultural background of dental students in building up their capacity and competence for intervening against smoking is essential.

  6. Institutionalizing environmental protection through self-regulation: the case of environmental standards adoption in Lithuania.

    NASA Astrophysics Data System (ADS)

    Bileisis, Mantas; Misiune, Ieva

    2017-04-01

    The impacts of human activity in the environment have a global dimension, but there are no effective global governance instruments to enforce environmental standards. At the same time, many national governments lack incentives to pursue strict environmental policies. In this context, self-regulation is seen as an alternative venue to address environmental challenges. This work aims to identify factors that influence companies to engage in environmental self-regulation? For this aim in March 2015 a survey of 482 companies was conducted. The target group were companies operating in Lithuania that hold ISO14001 certificates - one of the most prolific instruments for self-regulation. The questionnaire was designed to test assumptions developed in new institutionalist literature which claim that common practices can emerge through isomorphism.- The results showed that the main motive for environmental self-regulation is the desire to improve company image, rather than protecting the environment per se. Another important finding was that the main source of pressure to adopt self-regulation was based less on the perceived demands but the customers. Rather the driver for the adoption was a feeling of a need no to fall behind industry leaders. Thus, normative isomorphism is the main mechanism through which environmental self-regulation proliferates. We claim for a rapid proliferation of environmental self-regulation perceived industry leaders need to be identified and they need to be persuaded that environmental standards are key for the development of the industry. However, this also raises questions of sustainability. Few industries have long standing leaders, and through successful investment and technological development new actors can arise and this may risk stalling or even reversing self-regulation.

  7. Supply and demand for radiographers in Lithuania: a prognosis for 2012-2030.

    PubMed

    Vanckaviciene, Aurika; Starkiene, Liudvika; Macijauskiene, Jūrate

    2014-07-01

    This is the first ever study on the planning of the supply and demand for radiographers in Lithuania. The aim of this study was to analyze the supply and demand for radiographers in the labor market with respect to their number, structure, and services, and to provide a prognosis for the period of 2012-2030. Supply was calculated using two scenarios with differing duration of studies, annual student drop-out rates, rates of failure to start working, the annual number of new entrants into the labor market, and emigration rates. Annual mortality rates, the number of first-year students, and retirement rates were evaluated equally in both scenarios. Two projections of the demand for radiographers, based on the population's differing (by age and gender), need for outpatient radiology services, computed tomography, and magnetic resonance scans. Subsequently, the supply and demand scenarios were compared. Evaluation of the perspective supply and demand scenarios - which are the most probable - revealed a gap forming during the analyzed period, the predicted specialist shortage will reach 0.13 full-time equivalents per 10,000 population, and in 2030-0.37 full-time equivalents per 10,000 population. Considering the changes in education of radiographers, the socio-demographic characteristics of the staff, and the increasing need for radiographers' services, the supply of radiographers during the next two decades will be insufficient. To meet the forecasted demand for radiographers in the perspective scenario, the number of students choosing this specialty from 2013 on should increase by up to 30%. Copyright © 2014 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  8. Radionuclides from the Fukushima accident in the air over Lithuania: measurement and modelling approaches.

    PubMed

    Lujanienė, G; Byčenkienė, S; Povinec, P P; Gera, M

    2012-12-01

    Analyses of (131)I, (137)Cs and (134)Cs in airborne aerosols were carried out in daily samples in Vilnius, Lithuania after the Fukushima accident during the period of March-April, 2011. The activity concentrations of (131)I and (137)Cs ranged from 12 μBq/m(3) and 1.4 μBq/m(3) to 3700 μBq/m(3) and 1040 μBq/m(3), respectively. The activity concentration of (239,240)Pu in one aerosol sample collected from 23 March to 15 April, 2011 was found to be 44.5 nBq/m(3). The two maxima found in radionuclide concentrations were related to complicated long-range air mass transport from Japan across the Pacific, the North America and the Atlantic Ocean to Central Europe as indicated by modelling. HYSPLIT backward trajectories and meteorological data were applied for interpretation of activity variations of measured radionuclides observed at the site of investigation. (7)Be and (212)Pb activity concentrations and their ratios were used as tracers of vertical transport of air masses. Fukushima data were compared with the data obtained during the Chernobyl accident and in the post Chernobyl period. The activity concentrations of (131)I and (137)Cs were found to be by 4 orders of magnitude lower as compared to the Chernobyl accident. The activity ratio of (134)Cs/(137)Cs was around 1 with small variations only. The activity ratio of (238)Pu/(239,240)Pu in the aerosol sample was 1.2, indicating a presence of the spent fuel of different origin than that of the Chernobyl accident. Copyright © 2011 Elsevier Ltd. All rights reserved.

  9. Multidisciplinary Assessment in Optimising Results of Percutaneous Patent Foramen Ovale Closure.

    PubMed

    Davies, Allan; Ekmejian, Avedis; Collins, Nicholas; Bhagwandeen, Rohan

    2017-03-01

    Amplatzer device used in 83 cases (74.1%). Early residual shunting was visible in seven patients (6.3%), however on follow-up agitated saline study only two patients had residual shunt (1.8%). The annual risk of recurrent stroke or TIA was 0.21%. Percutaneous patent foramen ovale closure can be performed safely and effectively in patients with paradoxical embolism. In selected patients, following appropriate multidisciplinary specialist pre-procedural assessment, excellent long-term results with low incidence of recurrent events may be achieved. Copyright © 2016 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

  10. Echocardiographic Follow-Up of Patent Foramen Ovale and the Factors Affecting Spontaneous Closure.

    PubMed

    Yildirim, Ali; Aydin, Alperen; Demir, Tevfik; Aydin, Fatma; Ucar, Birsen; Kilic, Zubeyir

    2016-11-01

    The aim of the present study was to evaluate the echocardiographic follow-up of patent foramen ovale, which is considered a potential etiological factor in various diseases, and to determine the factors affecting spontaneous closure. Between January 2000 and June 2012, records of 918 patients with patent foramen ovale were retrospectively reviewed. Patency of less than 3 mm around the fossa ovalis is called patent foramen ovale. Patients with cyanotic congenital heart diseases, severe heart valve disorders and severe hemodynamic left to right shunts were excluded from the study. The patients were divided into three groups based on age; 1 day-1 month in group 1, 1 month-12 months in group 2, and more than 12 months in group 3. Of the 918 patients, 564 (61.4%) had spontaneous closure, 328 (35.8%) had patent foramen ovale continued, 15 (1.6%) patients had patent foramen ovale enlarged to 3-5 mm, 6 patients were enlarged to 5-8 mm, and in one patient patent foramen ovale reached to more than 8 mm size. Defect was spontaneously closed in 65.9% of the patients in group 1, 66.7% of the patients in group 2, and 52.3% of the patients in group 3. There was a negative correlation between the age of diagnosis and spontaneous closure (p < 0.05). Gender, prematurity and coexisting malformations such as patent ductus arteriosus and atrial septal aneurysm did not have any effect on spontaneous closure of patent foramen ovale (p > 0.05). However, ventricular septal defect and spontaneous closure of patent foramen ovale had a positive correlation (p < 0.01). No correlation was noted between the existence of atrial septal aneurysm, prematurity, and maturity of the patients. The present study demonstrated that spontaneous closure rate of patent foramen ovale is high. Furthermore, a positive correlation was found between spontaneous closure of patent foramen ovale with early diagnosis and small defect size.

  11. Patent foramen ovale closure with the Gore septal occluder: initial UK experience.

    PubMed

    Thomson, John D; Hildick-Smith, David; Clift, Paul; Morgan, Gareth; Daniels, Matthew; Henderson, Robert; Spence, Mark S; Mahadevan, Vaikom S; Crossland, David; Ormerod, Oliver

    2014-02-15

    To report procedural outcome and short-term follow-up data for the Gore septal occluder (GSO), a new device for closure of patent foramen ovale (PFO). Transcatheter closure of PFO is an established treatment modality but no current device provides a perfect solution. The GSO has a number of design features, which make it potentially attractive for closure of defects in the atrial septum. Data from 9 centers in the United Kingdom implanting the GSO device, submitted to an electronic registry for evaluation. Two hundred twenty-nine patients undergoing PFO closure from June 2011 to October 2012 were included. Indications for closure were secondary prevention of paradoxical cerebral emboli (83.4%), migraine (2.1%), platypnoea orthodeoxia (3.9%), and other (10.5%). Median PFO size was 8 mm and 34 and 39%, respectively, had long tunnel anatomy or atrial septal aneurysms. A GSO was successfully implanted in all cases. A single device was used in 98% but in 4 patients the initial device was removed and a second device required. Procedural complications occurred in 3% and later complications (e.g., atrial fibrillation, atrial ectopics, and device thrombus) in 5.7% of cases. All patients have undergone clinical and echocardiographic follow-up and all devices remain in position. Early bubble studies (median 0 months) with Valsalva maneuver in 67.2% were negative in 89%. The GSO is an effective occlusion device for closure of PFO of all types. Longer-term follow-up particularly to document later closure rates are required. Copyright © 2013 Wiley Periodicals, Inc.

  12. Intraoperative device closure of atrial septal defects in the Older Population

    PubMed Central

    2011-01-01

    Objective This study sought to prove the safety and feasibility of intraoperative device closure of atrial septal defect (ASD) with transthoracic minimal invasion in the older patients. Methods From January 2006 to December 2009, 47 patients aged 50 years or more and suffered from atrial septal defect were enrolled in our institution. Patients were divided into two groups, 27 of which in group I with intraoperative device closure and the other 20 in group II with surgical closure. In group I, the method involved a minimal intercostal incision, which was performed after full evaluation of the atrial septal defect by transthoracic echocardiography, and the insertion of the device through the delivery sheath to occlude the atrial septal defect. Results In group I, implantation was ultimately successful in all patients. The complete closure rate at 24 hours and 1 year were 81.5% and 100% respectively. In 6 of 27 patients, minor complications occurred: transient arrhythmia (n = 5) and blood transfusion (n = 3). In group II, all patients were closured successfully; almost all of them needed blood transfusion and suffered from various minor complications though. During a follow-up period of 1 to 5 years, no residual shunt, noticeable mitral regurgitation, significant arrhythmias, thrombosis, or device failure were found. In our comparative studies, group II had significantly longer ICU stay and hospital stay than group I (p < 0.05). The cost of group I was less than that of group II(p < 0.05). Conclusions Minimally invasive transthoracic device closure of the atrial septal defect at advanced age with a domestically made device without cardiopulmonary bypass is safe and feasible under transthoracic echocardiographic guidance. It was cost-savings, yielding better cosmetic results and leaving fewer traumas than surgical closure. Early and mid-term results are encouraging. However, it is necessary to evaluate the long-term results. PMID:21958758

  13. Development of Infrared Phase Closure Capability in the Infrared-Optical Telescope Array (IOTA)

    NASA Technical Reports Server (NTRS)

    Traub, Wesley A.

    2002-01-01

    We completed all major fabrication and testing for the third telescope and phase-closure operation at the Infrared-Optical Telescope Array (IOTA) during this period. In particular we successfully tested the phase-closure operation, using a laboratory light source illuminating the full delay-line optical paths, and using an integrated-optic beam combiner coupled to our Picnic-detector camera. This demonstration is an important and near-final milestone achievement. As of this writing, however, several tasks yet remain, owing to development snags and weather, so the final proof of success, phase-closure observation of a star, is now expected to occur in early 2002, soon after this report has been submitted.

  14. Abnormal vasculature interferes with optic fissure closure in lmo2 mutant zebrafish embryos.

    PubMed

    Weiss, Omri; Kaufman, Rivka; Michaeli, Natali; Inbal, Adi

    2012-09-15

    Ocular coloboma is a potentially blinding congenital eye malformation caused by failure of optic fissure closure during early embryogenesis. The optic fissure is a ventral groove that forms during optic cup morphogenesis, and through which hyaloid artery and vein enter and leave the developing eye, respectively. After hyaloid artery and vein formation, the optic fissure closes around them. The mechanisms underlying optic fissure closure are poorly understood, and whether and how this process is influenced by hyaloid vessel development is unknown. Here we show that a loss-of-function mutation in lmo2, a gene specifically required for hematopoiesis and vascular development, results in failure of optic fissure closure in zebrafish. Analysis of ocular blood vessels in lmo2 mutants reveals that some vessels are severely dilated, including the hyaloid vein. Remarkably, reducing vessel size leads to rescue of optic fissure phenotype. Our results reveal a new mechanism leading to coloboma, whereby malformed blood vessels interfere with eye morphogenesis.

  15. A nonlocal fluid closure for antiparallel reconnection

    NASA Astrophysics Data System (ADS)

    Ng, J.; Hakim, A.; Bhattacharjee, A.

    2016-12-01

    The integration of kinetic effects in fluid models is an important problem in global simulations of the Earth's magnetosphere and space weather modelling. In particular, it has been shown that ion kinetics play an important role in the dynamics of large reconnecting systems, and that fluid models can account of some of these effects[1,2] . Here we introduce a new fluid model and closure for collisionless magnetic reconnection and more general applications. Taking moments of the kinetic equation, we evolve the full pressure tensor for electrons and ions, which includes the off diagonal terms necessary for reconnection. Kinetic effects are recovered by using a nonlocal heat flux closure, which approximates linear Landau damping in the fluid framework [3]. Using the island coalescence problem as a test, we show how the nonlocal ion closure improves on the typical collisional closures used for ten-moment models and circumvents the need for a colllisional free parameter. Finally, we extend the closure to study guide-field reconnection and discuss the implementation of a twenty-moment model.[1] A. Stanier et al. Phys Rev Lett (2015)[2] J. Ng et al. Phys Plasmas (2015)[3] G. Hammett et al. Phys Rev Lett (1990)

  16. Space Station evolution study oxygen loop closure

    NASA Technical Reports Server (NTRS)

    Wood, M. G.; Delong, D.

    1993-01-01

    In the current Space Station Freedom (SSF) Permanently Manned Configuration (PMC), physical scars for closing the oxygen loop by the addition of oxygen generation and carbon dioxide reduction hardware are not included. During station restructuring, the capability for oxygen loop closure was deferred to the B-modules. As such, the ability to close the oxygen loop in the U.S. Laboratory module (LAB A) and the Habitation A module (HAB A) is contingent on the presence of the B modules. To base oxygen loop closure of SSF on the funding of the B-modules may not be desirable. Therefore, this study was requested to evaluate the necessary hooks and scars in the A-modules to facilitate closure of the oxygen loop at or subsequent to PMC. The study defines the scars for oxygen loop closure with impacts to cost, weight and volume and assesses the effects of byproduct venting. In addition, the recommended scenarios for closure with regard to topology and packaging are presented.

  17. Community perceptions of rural hospital closure.

    PubMed

    Muus, K J; Ludtke, R L; Gibbens, B

    1995-02-01

    Hospital closure, a devastating event in the life of small communities, can have long-lasting medical, economic, and psychological consequences. This study focuses on a 1991 closure that occurred in the rural North Dakota town of Beach that left local residents 40 and 61 miles away from the nearest hospitals. Two hundred residents of the hospital's former service area were selected via systematic random sampling to share their perceptions on the causes and effects of closing their local hospital. According to respondents, this hospital closure was caused by a number of influences, with the most commonly cited being under-utilization of services by local residents, exacting government rules and regulations, doleful economic climate, dwindling population, poor and unstable local physician care, and poor management of hospital matters. Findings further indicated that Beach area residents were most concerned with poor access to emergency medical care as a result of the closing. Area dwellers perceived that the hospital closure's aftermath would include the loss of local jobs, further declines in the local economy, the suffering of elderly and children, transportation problems, and out-migration of some area residents. These concerns, coupled with the notable decrease in hospital care access, motivated many area residents to think of solutions to these problems rather than to place blame on others for the closure.

  18. A nonlocal fluid closure for antiparallel reconnection

    NASA Astrophysics Data System (ADS)

    Ng, Jonathan; Hakim, A.; Bhattacharjee, A.

    2016-10-01

    The integration of kinetic effects in fluid models is an important problem in global simulations of the Earth's magnetosphere and space weather modelling. In particular, it has been shown that ion kinetics play an important role in the dynamics of large reconnecting systems, and that fluid models can account of some of these effects. Here we introduce a new fluid model and closure for collisionless magnetic reconnection and more general applications. Taking moments of the kinetic equation, we evolve the full pressure tensor for electrons and ions, which includes the off diagonal terms necessary for reconnection. Kinetic effects are recovered by using a nonlocal heat flux closure, which approximates linear Landau damping in the fluid framework. Using the island coalescence problem as a test, we show how the nonlocal ion closure improves on the typical collisional closures used for ten-moment models and circumvents the need for a colllisional free parameter. Finally, we extend the closure to study guide-field reconnection and discuss the implementation of a twenty-moment model. Supported by: NSF Grant No. AGS-1338944, DOE Contract DE-AC02-09CH11466.

  19. A unified physical model to explain Supercavity closure

    NASA Astrophysics Data System (ADS)

    Arndt, Roger; Karn, Ashish; Hong, Jiarong

    2014-11-01

    An insight into underlying physics behind supercavity closure is an important issue for the operation of underwater vehicles for a number of reasons viz. associated gas flow requirement with each closure regime, effect of cavity closure on the overall cavity behavior and collapse, differences between natural and ventilated supercavity closure etc. There have been several reports on supercavity closure since the 1950s and many empirical relationships governing different closure modes have been proposed by different authors. Yet, there is no universal agreement between results obtained at different experimental facilities. In some cases, contradictory observations have been made. In this talk, systematic investigations conducted into supercavity closure across a wide range of experimental conditions at the Saint Anthony Falls Laboratory (SAFL) are presented. A variety of closure mechanisms were observed including the ones widely reported in the literature, viz. twin vortex, re-entrant jet; new stable closure modes viz. quad vortex and interacting vortex and a host of transition closure modes. A hypothesis on the physical mechanism based on the pressure gradient across the cavity that determines the closure modes is proposed. Using this hypothesis and the control volume analysis at supercavity closure, we explain the observations from SAFL experiments as well as reconcile the observations reported by different researchers. The hypothesis explains the supercavity closure across different experimental facilities, at different blockage ratios and at different flow conditions. Thus, a unified understanding into supercavity closure from the viewpoint of fundamental physics is attempted. Supported by the Office Of Naval Research.

  20. An Abscisic Acid-Independent Oxylipin Pathway Controls Stomatal Closure and Immune Defense in Arabidopsis

    PubMed Central

    Mondy, Samuel; Tranchimand, Sylvain; Rumeau, Dominique; Boudsocq, Marie; Garcia, Ana Victoria; Douki, Thierry; Bigeard, Jean; Laurière, Christiane; Chevalier, Anne; Castresana, Carmen; Hirt, Heribert

    2013-01-01

    Plant stomata function in innate immunity against bacterial invasion and abscisic acid (ABA) has been suggested to regulate this process. Using genetic, biochemical, and pharmacological approaches, we demonstrate that (i) the Arabidopsis thaliana nine-specific-lipoxygenase encoding gene, LOX1, which is expressed in guard cells, is required to trigger stomatal closure in response to both bacteria and the pathogen-associated molecular pattern flagellin peptide flg22; (ii) LOX1 participates in stomatal defense; (iii) polyunsaturated fatty acids, the LOX substrates, trigger stomatal closure; (iv) the LOX products, fatty acid hydroperoxides, or reactive electrophile oxylipins induce stomatal closure; and (v) the flg22-mediated stomatal closure is conveyed by both LOX1 and the mitogen-activated protein kinases MPK3 and MPK6 and involves salicylic acid whereas the ABA-induced process depends on the protein kinases OST1, MPK9, or MPK12. Finally, we show that the oxylipin and the ABA pathways converge at the level of the anion channel SLAC1 to regulate stomatal closure. Collectively, our results demonstrate that early biotic signaling in guard cells is an ABA-independent process revealing a novel function of LOX1-dependent stomatal pathway in plant immunity. PMID:23526882

  1. Primary angle closure glaucoma: What we know and what we don't know.

    PubMed

    Sun, Xinghuai; Dai, Yi; Chen, Yuhong; Yu, Dao-Yi; Cringle, Stephen J; Chen, Junyi; Kong, Xiangmei; Wang, Xiaolei; Jiang, Chunhui

    2017-03-01

    Primary angle-closure glaucoma (PACG) is a common cause of blindness. Angle closure is a fundamental pathologic process in PAGC. With the development of imaging devices for the anterior segment of the eye, a better understanding of the pathogenesis of angle closure has been reached. Aside from pupillary block and plateau iris, multiple-mechanisms are more common contributors for closure of the angle such as choroidal thickness and uveal expansion, which may be responsible for the presenting features of PACG. Recent Genome Wide Association Studies identified several new PACG loci and genes, which may shed light on the molecular mechanisms of PACG. The current classification systems of PACG remain controversial. Focusing the anterior chamber angle is a principal management strategy for PACG. Treatments to open the angle or halt the angle closure process such as laser peripheral iridotomy and/or iridoplasty, as well as cataract extraction, are proving their effectiveness. PACG may be preventable in the early stages if future research can identify which kind of angles and/or persons are more likely to benefit from prophylactic treatment. New treatment strategies like adjusting the psychological status and balancing the sympathetic-parasympathetic nerve activity, and innovative medicines are needed to improve the prognosis of PACG. In this review, we intend to describe current understanding and unknown aspects of PACG, and to share the clinical experience and viewpoints of the authors.

  2. Shroom induces apical constriction and is required for hingepoint formation during neural tube closure.

    PubMed

    Haigo, Saori L; Hildebrand, Jeffrey D; Harland, Richard M; Wallingford, John B

    2003-12-16

    The morphogenetic events of early vertebrate development generally involve the combined actions of several populations of cells, each engaged in a distinct behavior. Neural tube closure, for instance, involves apicobasal cell heightening, apical constriction at hingepoints, convergent extension of the midline, and pushing by the epidermis. Although a large number of genes are known to be required for neural tube closure, in only a very few cases has the affected cell behavior been identified. For example, neural tube closure requires the actin binding protein Shroom, but the cellular basis of Shroom function and how it influences neural tube closure remain to be elucidated. We show here that expression of Shroom is sufficient to organize apical constriction in transcriptionally quiescent, naive epithelial cells but not in non-polarized cells. Shroom-induced apical constriction was associated with enrichment of apically localized actin filaments and required the small GTPase Rap1 but not Rho. Endogenous Xenopus shroom was found to be expressed in cells engaged in apical constriction. Consistent with a role for Shroom in organizing apical constriction, disrupting Shroom function resulted in a specific failure of hingepoint formation, defective neuroepithelial sheet-bending, and failure of neural tube closure. These data demonstrate that Shroom is an essential regulator of apical constriction during neurulation. The finding that a single protein can initiate this process in epithelial cells establishes that bending of epithelial sheets may be patterned during development by the regulation of expression of single genes.

  3. Oblique closure of the northeastern Paleo-Tethys in central China

    NASA Astrophysics Data System (ADS)

    Liu, Shaofeng; Qian, Tao; Li, Wangpeng; Dou, Guoxing; Wu, Peng

    2015-03-01

    A branch of the Paleo-Tethys Ocean once separated the north China plate from the south China plate. However, the mode of closure of the northeastern Paleo-Tethys Ocean during the Late Paleozoic to Early Mesozoic has been debated. One reason for this debate is that the collisional suture zone was later buried by large-scale thrust faults in the southern Qinling-Dabieshan orogen, which made it difficult to reconstruct the amalgamation of the supercontinent in central China. New regional geologic mapping provides stratigraphic and structural constraints on the mechanism of this ocean closure. Our results indicate that dextral transpressional suturing in the southern Qinling-Dabieshan foreland fold-thrust belt resulted in the formation of the northern Yangtze foreland basin, where the stratigraphy precisely shows the time-transgressive closure of the ocean, and the orogenic sediments shed over 1000 km westward from eastern China to the closing Paleo-Tethys. Therefore, we propose an oblique subduction model to describe the closure of the Paleo-Tethys Ocean. Our findings suggest that prolonged slab pull during the oblique subduction of the oceanic plate continued to drive deep continental subduction, thereby forming high- and ultrahigh-pressure metamorphic rocks and leading to sustained ocean closure.

  4. Synthetic antifibrinolytics are not associated with an increased incidence of baffle fenestration closure after the modified Fontan procedure.

    PubMed

    Gruber, E M; Shukla, A C; Reid, R W; Hickey, P R; Hansen, D D

    2000-06-01

    To determine if the lysine analog antifibrinolytic agents, epsilon-aminocaproic acid and tranexamic acid, are associated with early closure of the baffle fenestration after the modified Fontan procedure. Retrospective chart review. University hospital. Seventy-four successive patients underwent the modified Fontan procedure. Three patients received aprotinin and were excluded. A total of 71 patients were analyzed. Charts were examined for variables known to be associated with baffle fenestration closure in the modified Fontan procedure. Occurrence of baffle fenestration closure, oxygen saturation, central venous pressure, left atrial pressure, transpulmonary gradient, chest tube drainage volume, chest tube drainage duration, intensive care unit (ICU) duration, and total inpatient duration were compared between the 33 patients who received antifibrinolytics and the 38 patients who did not. One patient of 71 had baffle fenestration closure in the first 48 hours after surgery. Oxygen saturation, central venous pressure, left atrial pressure, transpulmonary gradient, chest tube drainage volume, chest tube drainage duration, days in ICU, and total inpatient duration were not significantly different between the two groups. Use of epsilon-aminocaproic acid and tranexamic acid is not associated with early baffle fenestration closure after the modified Fontan procedure. It is concluded that these agents can be used without increasing the risk of spontaneous baffle fenestration closure.

  5. Modeling of radionuclide releases from the geological repository for RBMK-1500 spent nuclear fuel in crystalline rocks in Lithuania

    SciTech Connect

    Poskas, Povilas; Brazauskaite, Asta

    2007-07-01

    During 2002-2005 the assessment of possibilities for disposal of spent nuclear fuel (SNF) in Lithuania was performed with support of Swedish experts. Potential geological formations for disposal of SNF were selected, disposal concept was developed, reference disposal site was defined and preliminary generic safety assessment was performed. Performing safety assessment the analysis of radionuclides migration from the repository as well as their impact to human and environment were also very important issues. In this paper results on the analysis of the radionuclide releases from the reference geological repository site for RBMK-1500 SNF in crystalline rocks in Lithuania are presented. For radionuclide migration in the near field region of the repository integrated finite difference method and the concept of compartments were used. For radionuclide migration in the far field the discrete channel network concept was used. The assessment of radionuclide migration in the near and far field region was performed using computer codes AMRER4.5 and CHAN3D. The results of analysis show that most of safety relevant radionuclides of RBMK-1500 SNF are effectively retarded in the near field region. The exposure due to possible release of the radionuclides from the crystalline rocks would be dominated by 1291 firstly while after approx. 250 thousand years {sup 226}Ra is dominating already. (authors)

  6. Suicidal ideation, risk factors, and communication with parents. An HBSC study on school children in Estonia, Lithuania, and Luxembourg.

    PubMed

    Mark, Lauraliisa; Samm, Algi; Tooding, Liina-Mai; Sisask, Merike; Aasvee, Katrin; Zaborskis, Apolinaras; Zemaitiene, Nida; Värnik, Airi

    2013-01-01

    Suicide is a leading cause of death among youth. In the year 2002, Lithuania had the 2nd, Luxembourg the 5th, and Estonia the 9th highest suicide rates among 15- to 19-year-olds across 90 countries worldwide. Suicidal ideation is a significant precursor to suicide. To report on the prevalence of and associations between suicidal ideation, smoking, alcohol consumption, physical fighting, bullying, and communication with parents among 15-year-old schoolchildren. The survey analyzes data from the 2005/2006 HBSC study from Estonia, Lithuania, and Luxembourg (N = 4,954). The risk factors were calculated through multinomial logistic regression analyses. The overall prevalence of suicidal ideation in the preceding year was 17%. Suicidal thoughts were associated with communication difficulties with parents (OR from 2.0 to 4.6) and other risk factors, especially multiple risks (OR for 4-5 concurrent risk factors from 4.5 to 13.6). Parent-child communication had a significant mediating effect by decreasing the odds for suicidality and multiple risks. The prevalence estimates were obtained by self-reports. The causal relationships need further investigation. The risk factors studied, particularly multiple risks, were associated with higher odds for suicidal ideation. Good parent-child communication is a significant resource for decreasing suicidal ideation among adolescents.

  7. Using soil and Quaternary geological information to assess the intrinsic groundwater vulnerability of shallow aquifers: an example from Lithuania

    NASA Astrophysics Data System (ADS)

    Holman, I.; Palmer, R.; Leonavičiūtė, N.

    2000-12-01

    Lithuania, in the Baltic region of northern Europe, is heavily dependent on groundwater resources for its public water supply, with a large proportion, especially in rural areas, derived from shallow Quaternary aquifers. A national groundwater-vulnerability methodology, based upon the UK approach, has been developed on behalf of the Lithuanian Ministry of Environmental Protection as a possible basis for the future protection of shallow groundwater resources for the rural inhabitants. Some modifications to the UK methodology were required to enable archive data to be used. The four aquifer classes depicted on the final groundwater vulnerability map are based upon the assessed relative permeabilities of the uppermost Quaternary deposits. The derivation of the classification of soil-leaching potential required a reassessment of Soviet-based soil wetness and particle-size classes and a calculation of subsoil-saturated hydraulic conductivity. A preliminary validation of the final maps against available shallow groundwater samples suggests that the methodology satisfactorily predicts the intrinsic groundwater vulnerability. The final methodology, based upon its low-cost approach using archive data, is relevant to the current needs of Lithuania and can be applied in other regions of similar geology and climate.

  8. Biological constraints do not entail cognitive closure.

    PubMed

    Vlerick, Michael

    2014-12-01

    From the premise that our biology imposes cognitive constraints on our epistemic activities, a series of prominent authors--most notably Fodor, Chomsky and McGinn--have argued that we are cognitively closed to certain aspects and properties of the world. Cognitive constraints, they argue, entail cognitive closure. I argue that this is not the case. More precisely, I detect two unwarranted conflations at the core of arguments deriving closure from constraints. The first is a conflation of what I will refer to as 'representation' and 'object of representation'. The second confuses the cognitive scope of the assisted mind for that of the unassisted mind. Cognitive closure, I conclude, cannot be established from pointing out the (uncontroversial) existence of cognitive constraints. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. On Subsurface Fracture Opening and Closure

    NASA Astrophysics Data System (ADS)

    Wang, Y.

    2016-12-01

    Mechanistic understanding of fracture opening and closure in geologic media is of significant importance to nature resource extraction and waste management, such as geothermal energy extraction, oil/gas production, radioactive waste disposal, and carbon sequestration and storage). A dynamic model for subsurface fracture opening and closure has been formulated. The model explicitly accounts for the stress concentration around individual aperture channels and the stress-activated mineral dissolution and precipitation. A preliminary model analysis has demonstrated the importance of the stress-activated dissolution mechanism in the evolution of fracture aperture in a stressed geologic medium. The model provides a reasonable explanation for some key features of fracture opening and closure observed in laboratory experiments, including a spontaneous switch from a net permeability reduction to a net permeability increase with no changes in a limestone fracture experiment.

  10. Independently owned pharmacy closures in rural America.

    PubMed

    Boyle, Kaitlin; Ullrich, Fred; Mueller, Keith

    2012-07-01

    The closure of rural independently owned pharmacies, including pharmacies that are the sole source of access to local pharmacy services, from 2003 through 2011 coincides with the implementation of two major policies related to payment for prescription medications: (1) Medicare prescription drug discount cards were introduced on January 1, 2004; and (2) the Medicare prescription drug benefit (Part D) began on January 1, 2006. In this brief, we focus on rural pharmacy closure because of the potential threat such closures present to access to any local pharmacy services in a community. Services include providing medications from local stock without delay or travel, overseeing administration of medications to nursing homes and hospitals, and patient consultation.

  11. Hanford Patrol Academy demolition sites closure plan

    SciTech Connect

    Not Available

    1993-09-30

    The Hanford Site is owned by the U.S. Government and operated by the U.S. Department of Energy, Richland Operations Office. Westinghouse Hanford Company is a major contractor to the U.S. Department of Energy, Richland Operations Office and serves as co-operator of the Hanford Patrol Academy Demolition Sites, the unit addressed in this paper. This document consists of a Hanford Facility Dangerous Waste Part A Permit Application, Form 3 (Revision 4), and a closure plan for the site. An explanation of the Part A Form 3 submitted with this closure plan is provided at the beginning of the Part A section. This Hanford Patrol Academy Demolition Sites Closure Plan submittal contains information current as of December 15, 1994.

  12. Turbulence processes and simple closure schemes

    NASA Technical Reports Server (NTRS)

    Deissler, R. G.

    1977-01-01

    The problem of closure in turbulence in the case of two-point correlations resides in the existence of two unknowns E and W, the energy spectrum function and the transfer function, respectively, in the spectrum equation. In the case of weak turbulence, W is negligible. In case of higher correlations, closure can be effective by neglecting the inertia term in the highest order term used. Specifying a certain number of spectra at an initial time is also a way of getting around the closure problem. A simple case of turbulent shear flow is then considered, where two-point correlation equations are used and the velocity is broken into mean and fluctuating components. This yields a differential equation for the energy spectrum, the three terms of which are the energy spectrum, production term and dissipation term. They are plotted for a particular time. Similar analyses and comparisons with experiment are made for pipe and boundary layer flows.

  13. Spontaneous closure of traumatic macular holes.

    PubMed

    Faghihi, Hooshang; Ghassemi, Fariba; Falavarjani, Khalil Ghasemi; Saeedi Anari, Ghasem; Safizadeh, Mona; Shahraki, Kourosh

    2014-08-01

    To present a series of cases with spontaneous closure of traumatic macular hole. Case series. Six eyes of 6 patients with traumatic macular hole. The characteristics of eyes with macular hole secondary to blunt trauma in which the macular hole closed spontaneously without surgical manipulation were reviewed. Patient age range was 13 to 55 years. There were 4 full-thickness and 2 lamellar macular holes. Spontaneous closure occurred after 1 to 6 months of observation. Best corrected visual acuity improved in 5 eyes and remained unchanged in the other eye. Spontaneous closure of traumatic macular holes may occur within 6 months after initial presentation. Copyright © 2014 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

  14. Closure device for lead-acid batteries

    DOEpatents

    Ledjeff, Konstantin

    1983-01-01

    A closure device for lead-acid batteries includes a filter of granulated activated carbon treated to be hydrophobic combined with means for preventing explosion of emitted hydrogen and oxygen gas. The explosion prevention means includes a vertical open-end tube within the closure housing for maintaining a liquid level above side wall openings in an adjacent closed end tube. Gases vent from the battery through a nozzle directed inside the closed end tube against an impingement surface to remove acid droplets. The gases then flow through the side wall openings and the liquid level to quench any possible ignition prior to entering the activated carbon filter. A wick in the activated carbon filter conducts condensed liquid back to the closure housing to replenish the liquid level limited by the open-end tube.

  15. Novafil. A dynamic suture for wound closure.

    PubMed Central

    Rodeheaver, G T; Nesbit, W S; Edlich, R F

    1986-01-01

    Abdominal wound dehiscence was quantitatively studied in a rat model. Polybutester suture is a new monofilament nonabsorbable suture that has unique stress-strain properties that are potentially beneficial for abdominal wound closure. The abdominal volume at the moment of wound dehiscence was correlated with the extensibility of the suture material used for closure. Interrupted sutures of polybutester cut through the tissues at a mean abdominal volume of 212 +/- 3 ml. This volume was significantly (p less than or equal to 0.005) greater than the mean volumes reached with nylon (197 +/- 3 ml) or polyglycolic acid (187 +/- 4 ml). Closure of abdomens with continuous polybutester suture resulted in a mean rupture volume of 218 +/- 3 ml, which was significantly (p less than or equal to 0.005) greater than that achieved with the same suture employed as simple interrupted sutures (212 +/- 4 ml). The influence of width of tissue bite, suture size, and needle configuration was also evaluated. PMID:3017248

  16. APPARATUS AND METHOD FOR WELDING END CLOSURE TO CONTAINER

    DOEpatents

    Frantz, C.E.; Correy, T.B.

    1959-08-01

    A semi-automatic apparatus is described for welding a closure to the open end of a can containing a nuclear fuel slug. An arc is struck at the center of the closure and is shifted to a region near its periphery. Then the assembly of closure, can, and fuel slug is rotated so that the peripheral region of the closure is preheated. Next the arc is shifted to the periphery itself of the closure, and the assembly is rotated so that the closure is welded to the can.

  17. 2401-W Waste storage building closure plan

    SciTech Connect

    LUKE, S.M.

    1999-07-15

    This plan describes the performance standards met and closure activities conducted to achieve clean closure of the 2401-W Waste Storage Building (2401-W) (Figure I). In August 1998, after the last waste container was removed from 2401-W, the U.S. Department of Energy, Richland Operations Office (DOE-RL) notified Washington State Department of Ecology (Ecology) in writing that the 2401-W would no longer receive waste and would be closed as a Resource Conservation and Recovery Act (RCRA) of 1976 treatment, storage, and/or disposal (TSD) unit (98-EAP-475). Pursuant to this notification, closure activities were conducted, as described in this plan, in accordance with Washington Administrative Code (WAC) 173-303-610 and completed on February 9, 1999. Ecology witnessed the closure activities. Consistent with clean closure, no postclosure activities will be necessary. Because 2401-W is a portion of the Central Waste Complex (CWC), these closure activities become the basis for removing this building from the CWC TSD unit boundary. The 2401-W is a pre-engineered steel building with a sealed concrete floor and a 15.2-centimeter concrete curb around the perimeter of the floor. This building operated from April 1988 until August 1998 storing non-liquid containerized mixed waste. All waste storage occurred indoors. No potential existed for 2401-W operations to have impacted soil. A review of operating records and interviews with cognizant operations personnel indicated that no waste spills occurred in this building (Appendix A). After all waste containers were removed, a radiation survey of the 2401-W floor for radiological release of the building was performed December 17, 1998, which identified no radiological contamination (Appendix B).

  18. Curriculum Change and Social Inclusion: Perspectives from the Baltic and Scandinavian Countries. Final Report of the Regional Seminar (Vilnius, Lithuania, December 5-8, 2001).

    ERIC Educational Resources Information Center

    Tawil, Sobhi, Ed.

    The main objectives of a Vilnius, Lithuania, seminar were to share experiences in curriculum reform to promote life skills for social inclusion. This was to be achieved through an exchange on principles, approaches and methodologies that inform processes of curriculum reform in life skills education. Most of the participants were senior education…

  19. First report of ‘Candidatus Phytoplasma asteris’ subgroup 16SrI-A associated with a disease of potato (Solanum tuberosum) in Lithuania

    USDA-ARS?s Scientific Manuscript database

    Symptoms of little leaf, witches’-broom, and abnormally small and deformed potatoes, suggestive of possible phytoplasmal infection, were observed in diseased potato (Solanum tuberosum var. Hannibal arba Kestrel) in the Vilnius region of Lithuania. DNA extracted from symptomatic leaves and shoots we...

  20. Final Clean Closure Report Site 300 Surface Impoundments Closure Lawrence Livermore National Laboratory Livermore, California

    SciTech Connect

    Haskell, K

    2006-02-14

    Lawrence Livermore National Laboratory operated two Class II surface impoundments that stored wastewater that was discharged from a number of buildings located on the Site 300 Facility (Site 300). The wastewater was the by-product of explosives processing. Reduction in the volume of water discharged from these buildings over the past several years significantly reduced the wastewater storage needs. In addition, the impoundments were constructed in 1984, and the high-density polyethylene (HDPE) geomembrane liners were nearing the end of their service life. The purpose of this project was to clean close the surface impoundments and provide new wastewater storage using above ground storage tanks at six locations. The tanks were installed and put into service prior to closure of the impoundments. This Clean Closure Report (Closure Report) complies with State Water Resources Control Board (SWRCB) Section 21400 of the California Code of Regulations Title 27 (27 CCR section 21400). As required by these regulations and guidance, this Closure Report provides the following information: (1) a brief site description; (2) the regulatory requirements relevant to clean closure of the impoundments; (3) the closure procedures; and (4) the findings and documentation of clean closure.

  1. Closure properties of Watson-Crick grammars

    NASA Astrophysics Data System (ADS)

    Zulkufli, Nurul Liyana binti Mohamad; Turaev, Sherzod; Tamrin, Mohd Izzuddin Mohd; Azeddine, Messikh

    2015-12-01

    In this paper, we define Watson-Crick context-free grammars, as an extension of Watson-Crick regular grammars and Watson-Crick linear grammars with context-free grammar rules. We show the relation of Watson-Crick (regular and linear) grammars to the sticker systems, and study some of the important closure properties of the Watson-Crick grammars. We establish that the Watson-Crick regular grammars are closed under almost all of the main closure operations, while the differences between other Watson-Crick grammars with their corresponding Chomsky grammars depend on the computational power of the Watson-Crick grammars which still need to be studied.

  2. Patent Foramen Ovale: Stroke and Device Closure.

    PubMed

    Suradi, Hussam S; Hijazi, Ziyad M

    2016-05-01

    Patent foramen ovale (PFO) is a common finding in healthy adults and has long been implicated in cryptogenic stroke. The pathogenesis is hypothesized to be caused by microemboli gaining access into the systemic circulation via a PFO. Proposed treatment options include medical therapy and/or PFO closure. Despite numerous studies and several randomized trials, much debate persists regarding the efficacy of this approach in reducing the risk of recurrent stroke in cryptogenic stroke patients. This article reviews the association between PFO and cryptogenic stroke, as well as current evidence for PFO device closure. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Ion closure theory for high collisionality revisited

    SciTech Connect

    Ji, Jeong-Young Held, Eric D.

    2015-06-15

    According to analytical calculations of the ion collision operator, the ion-electron collision terms could be larger than the ion-ion collision terms. In the previous work [J.-Y. Ji and E. D. Held, Phys. Plasmas 20, 042114 (2013)], the ion-electron collision effects are diminished by the ion temperature change terms introduced from unlikely assumptions. In this work, the high-collisionality closures for ions are calculated without the temperature change terms. The ion-electron collision terms significantly modify existing closure coefficients.

  4. Residual angle closure one year after laser peripheral iridotomy in primary angle closure suspects.

    PubMed

    Baskaran, Mani; Yang, Elizabeth; Trikha, Sameer; Kumar, Rajesh S; Wong, Hon Tym; He, Mingguang; Chew, Paul Tk; Foster, Paul J; Friedman, David; Aung, Tin

    2017-09-05

    To determine the incidence and baseline clinical and anterior segment optical coherence tomography (AS-OCT) predictors associated with residual angle closure as assessed by gonioscopy 1 year after laser peripheral iridotomy (LPI) in primary angle closure suspects (PACS). Sub-analysis of randomized controlled trial data METHODS: AS-OCT images (Visante, Carl Zeiss Meditec, Dublin, CA) from 181 PACS subjects ≥ 50 years of age, were analyzed using customized software, prior to, and 1 year after LPI. Other parameters assessed were intraocular pressure (IOP) and axial length (Axl). Residual angle closure was defined as the inability to see the posterior trabecular meshwork for at least 2 quadrants on gonioscopy after LPI. Multivariate regression analysis determined the baseline predictors of residual angle closure 1 year after LPI. The mean age of participants was 62.4 (SD 9.9) years. The majority were female (137, 75.7%) and Chinese 174, 96.1%). At 1 year post LPI, 148 (81.8%) subjects had gonioscopic residual angle closure. Univariate analysis showed that baseline Axl, anterior chamber area, anterior chamber volume, angle opening distance at 750 microns from the scleral spur and angle recess area were smaller while baseline lens vault and iris curvature were larger in residual angle closure subjects (all p<0.05). Multivariate analysis revealed that baseline iris volume (B=-0.08, P=0.035) and baseline IOP (B=0.23, p=0.032) were predictors for residual angle closure. One year after LPI, >80% of PACS had gonioscopic residual angle closure. Greater baseline iris volume and higher IOP at baseline are independent risk factors for residual gonioscopic angle closure. Copyright © 2017. Published by Elsevier Inc.

  5. Tensile strength of wound closure with cyanoacrylate glue.

    PubMed

    Shapiro, A J; Dinsmore, R C; North, J H

    2001-11-01

    2-Octyl cyanoacrylate tissue adhesive is increasingly being used for closure of traumatic lacerations. Data regarding the strength of incisions closed with 2-octyl cyanoacrylate are limited. We compared the strength of disruption of closure with glue with that of more conventional methods of wound closure. Segments of fresh porcine skin measuring 3.5 x 10 cm were approximated by one of four methods: 1) 2-octyl cyanoacrylate glue, 2) surgical staples, 3) 0.5 inch Steri-Strips, and 4) interrupted 4-0 poliglecaprone 25 sutures in a subcuticular fashion. Fifteen specimens were used to test each type of closure. The strength of closure was tested on an Instron 4502 tensionometer. The peak force required for disruption of the closure was recorded and the strength of the closure was compared. Staples provided the strongest closure. Skin glue proved superior to Steri-Strips but inferior to stapled closure. The difference between skin glue and suture closure was not statistically significant (P = 0.12). Patterns of failure differed between the groups. Skin glue failed because of disruption of the skin-glue interface. 2-Octyl cyanoacrylate glue provides a wound closure that is similar to closure with an interrupted subcuticular absorbable suture. This study validates the clinical use of skin glue for closure of surgical incisions. The technique should be used with caution in areas of the body that are subject to tension.

  6. Intrinsic bioremediation modeling to support Superfund site closure

    SciTech Connect

    Bedard, A.H.; Day, M.J.; Johnson, R.H.; Ritter, K.J.; Stancel, S.G.; Thomson, J.A.M.

    1997-09-01

    Closure of the groundwater component of a major Superfund site has been accomplished by a combination of source control, engineered in-situ bioremediation, and subsequent long-term intrinsic bioremediation. Engineered bioremediation outside the source control area resulted in very significant contaminant mass removal. This allowed intrinsic bioremediation to be considered as a passive remedial management method of achieving cleanup objectives after active remediation needed. Modeling demonstrated that intrinsic bioremediation would achieve cleanup objectives (for this site, Federal drinking water standards) within ten years of shutdown of the active bioremediation system. Modeling showed that residual electron acceptors and nutrients distributed in the aquifer during engineered bioremediation greatly enhance the intrinsic bioremediation process. The results of the modeling effort led to the active system being shut down a year ahead of schedule, allowing the project to move into a low-maintenance intrinsic bioremediation and long-term monitoring phase. The modeling demonstration coupled Visual MODFLOW{copyright} and BioTrans{copyright} to simulate groundwater flow, solute transport, and oxygen-limited, multi-species biodegradation. Regional flow evaluation, detailed model sensitivity analyses, and subarea modeling were employed to provide support to model predictions. Predictions will be tested by subsequent progress and compliance monitoring. Site closure began in early 1996.

  7. Surgical management of complications caused by transcatheter ASD closure.

    PubMed

    Mellert, F; Preusse, C J; Haushofer, M; Winkler, K; Nill, C; Pfeiffer, D; Redel, D; Lüderitz, B; Welz, A

    2001-12-01

    Transcatheter occlusion of uncomplicated atrial septum defects (ASD) is recognized as an effective and minimally invasive method. Sometimes, serious early and late complications require surgical intervention. We therefore investigated reasons and outcomes of the secondary surgical approach. 5 patients (aged 5-73 yrs) were admitted to our institution for device explantation and surgical ASD closure. ASDOS devices (A devices) had to be explanted in 4 patients and a SIDERIS "buttoned" occluder (S device) had to be explanted in 1 patient. The period from transcatheter implantation to surgical explantation ranged from 1 hour to 3 years. 3 patients (60 %) had to be operated in an emergency setting. In our youngest patient (5 yrs), the A device separated and embolized into the aorta and pulmonary artery. A pregnant women who needed emergent cesarean section developed hemopericard and tamponade due to atrial perforation by a fractured leg of an A device. In another A device, a suspect endocarditis caused membrane perforation. Malpositioning of an S device was the reason for operation. All patients recovered well without neurological symptoms. Transcatheter closure of uncomplicated ASD is a feasible alternative but surgical stand-by is essential. Nevertheless more complicated ASD should be operated, especially since the cosmetically satisfactory techniques of minimal invasive heart surgery are available.

  8. Evolutionary Conservation of ABA Signaling for Stomatal Closure in Ferns.

    PubMed

    Cai, Shengguan; Chen, Guang; Wang, Yuanyuan; Huang, Yuqing; Marchant, Blaine; Wang, Yizhou; Yang, Qian; Dai, Fei; Hills, Adrian; Franks, Peter J; Nevo, Eviatar; Soltis, Doug; Soltis, Pamela; Sessa, Emily; Wolf, Paul G; Xue, Dawei; Zhang, Guoping; Pogson, Barry J; Blatt, Mike R; Chen, Zhong-Hua

    2017-02-23

    ABA-driven stomatal regulation reportedly evolved after the divergence of ferns, during the early evolution of seed plants approximately 360 Mya. This hypothesis is based on the observation that the stomata of certain fern species are unresponsive to ABA, but exhibit passive hydraulic control. However, ABA-induced stomatal closure was detected in some mosses and lycophytes. Here, we observed that a number of ABA signaling and membrane transporter protein families diversified over the evolutionary history of land plants. The aquatic ferns Azolla filiculoides and Salvinia cucullata have representatives of 23 families of proteins orthologous to those of Arabidopsis thaliana and all other land plant species studied. Phylogenetic analysis of the key ABA signaling proteins indicates an evolutionarily conserved stomatal response to ABA. Moreover, comparative transcriptomic analysis has identified a suite of ABA responsive genes that differentially expressed in a terrestrial fern species, Polystichum proliferum. These genes encode proteins associated with ABA biosynthesis, transport, reception, transcription, signaling, and ion and sugar transport, which fit the general ABA signaling pathway constructed from Arabidopsis thaliana and Hordeum vulgare. The retention of these key ABA-responsive genes could have had a profound effect on the adaptation of ferns to dry conditions. Furthermore, stomatal assays have shown the primary evidence for ABA-induced closure of stomata in two terrestrial fern species P. proliferum and Nephrolepis exaltata. In summary, we report new molecular and physiological evidence for the presence of active stomatal control in ferns.

  9. Gestalt grouping via closure degrades suprathreshold depth percepts.

    PubMed

    Deas, Lesley M; Wilcox, Laurie M

    2014-08-19

    It is well known that the perception of depth is susceptible to changes in configuration. For example, stereoscopic precision for a pair of vertical lines can be dramatically reduced when these lines are connected to form a closed object. Here, we extend this paradigm to suprathreshold estimates of perceived depth. Using a touch-sensor, observers made quantitative estimates of depth between a vertical line pair presented in isolation or as edges of a closed rectangular object with different figural interpretations. First, we show that the amount of depth estimated within a closed rectangular object is consistently reduced relative to the vertical edges presented in isolation or when they form the edges of two segmented objects. We then demonstrate that the reduction in perceived depth for closed objects is modulated by manipulations that influence perceived closure of the central figure. Depth percepts were most disrupted when the horizontal connectors and vertical lines matched in color. Perceived depth increased slightly when the connectors had opposite contrast polarity, but increased dramatically when flankers were added. Thus, as grouping cues were added to counter the interpretation of a closed object, the depth degradation effect was systematically eliminated. The configurations tested here rule out explanations based on early, local interactions such as inhibition or cue conflict; instead, our results provide strong evidence of the impact of Gestalt grouping, via closure, on depth magnitude percepts from stereopsis. © 2014 ARVO.

  10. Evolutionary Conservation of ABA Signaling for Stomatal Closure1[OPEN

    PubMed Central

    Huang, Yuqing; Dai, Fei; Franks, Peter J.; Nevo, Eviatar; Soltis, Douglas E.; Soltis, Pamela S.; Xue, Dawei; Zhang, Guoping; Pogson, Barry J.

    2017-01-01

    Abscisic acid (ABA)-driven stomatal regulation reportedly evolved after the divergence of ferns, during the early evolution of seed plants approximately 360 million years ago. This hypothesis is based on the observation that the stomata of certain fern species are unresponsive to ABA, but exhibit passive hydraulic control. However, ABA-induced stomatal closure was detected in some mosses and lycophytes. Here, we observed that a number of ABA signaling and membrane transporter protein families diversified over the evolutionary history of land plants. The aquatic ferns Azolla filiculoides and Salvinia cucullata have representatives of 23 families of proteins orthologous to those of Arabidopsis (Arabidopsis thaliana) and all other land plant species studied. Phylogenetic analysis of the key ABA signaling proteins indicates an evolutionarily conserved stomatal response to ABA. Moreover, comparative transcriptomic analysis has identified a suite of ABA-responsive genes that differentially expressed in a terrestrial fern species, Polystichum proliferum. These genes encode proteins associated with ABA biosynthesis, transport, reception, transcription, signaling, and ion and sugar transport, which fit the general ABA signaling pathway constructed from Arabidopsis and Hordeum vulgare. The retention of these key ABA-responsive genes could have had a profound effect on the adaptation of ferns to dry conditions. Furthermore, stomatal assays have shown the primary evidence for ABA-induced closure of stomata in two terrestrial fern species P. proliferum and Nephrolepis exaltata. In summary, we report, to our knowledge, new molecular and physiological evidence for the presence of active stomatal control in ferns. PMID:28232585

  11. Ionizing radiation exposure in interventional cardiology: current radiation protection practice of invasive cardiology operators in Lithuania.

    PubMed

    Valuckiene, Zivile; Jurenas, Martynas; Cibulskaite, Inga

    2016-09-01

    Ionizing radiation management is among the most important safety issues in interventional cardiology. Multiple radiation protection measures allow the minimization of x-ray exposure during interventional procedures. Our purpose was to assess the utilization and effectiveness of radiation protection and optimization techniques among interventional cardiologists in Lithuania. Interventional cardiologists of five cardiac centres were interviewed by anonymized questionnaire, addressing personal use of protective garments, shielding, table/detector positioning, frame rate (FR), resolution, field of view adjustment and collimation. Effective patient doses were compared between operators who work with and without x-ray optimization. Thirty one (68.9%) out of 45 Lithuanian interventional cardiologists participated in the survey. Protective aprons were universally used, but not the thyroid collars; 35.5% (n  =  11) operators use protective eyewear and 12.9% (n  =  4) wear radio-protective caps; 83.9% (n  =  26) use overhanging shields, 58.1% (n  =  18)-portable barriers; 12.9% (n  =  4)-abdominal patient's shielding; 35.5% (n  =  11) work at a high table position; 87.1% (n  =  27) keep an image intensifier/receiver close to the patient; 58.1% (n  =  18) reduce the fluoroscopy FR; 6.5% (n  =  2) reduce the fluoro image detail resolution; 83.9% (n  =  26) use a 'store fluoro' option; 41.9% (N  =  13) reduce magnification for catheter transit; 51.6% (n  =  16) limit image magnification; and 35.5% (n  =  11) use image collimation. Median effective patient doses were significantly lower with x-ray optimization techniques in both diagnostic and therapeutic interventions. Many of the ionizing radiation exposure reduction tools and techniques are underused by a considerable proportion of interventional cardiology operators. The application of basic radiation protection tools and

  12. Before-closure analysis of fracture calibration test

    NASA Astrophysics Data System (ADS)

    Liu, Guoqing

    Since injection falloff fracture calibration test is generally accepted as a reliable way to obtain several key formation parameters, it is one of the essential parts of hydraulic fracturing design. While several abnormal behaviors have been described qualitatively and are frequently observed in an injection falloff fracture calibration test, the only quantitative model for before-closure behavior accounts only for normal leakoff which usually seldom happens in practice. This paper describes several new analytical and semi-analytical models to simulate and quantify abnormal leakoff behaviors such as tip extension, pressure dependent leakoff (PDL), multiple apparent closures and transverse storage. Based on material balance, we model pressure change with time considering the fracture geometry and leakoff volume under various leakoff mechanisms. Then, we show that the appearance of the modeled mechanisms both on the standard Nolte plot and on the log-log diagnostic Bourdet derivative presentation qualitatively matches behavior seen in previously published field data examples. Results suggest that the early 1/2-slope occasionally observed on the log-log diagnostic plot is probably fracture linear flow. When present it can mask all or part of a wellbore storage effect. Natural fractures have a significant impact on the pressure falloff behavior when they are opened during treatment. Depending on the properties of the natural fracture system, the pressure response can behave as pressure-dependent leakoff (PDL), transverse storage, multiple closures or even normal leakoff in some cases. In addition, if tip extension or PDL behavior are observed, propagation pressure or natural fissures opening pressure can be estimated respectively. The flow regime models are combined to provide a global model for the closure behavior. When shown on the log-log diagnostic plot, the various model features can be identified and used to estimate parameters to which each model is sensitive

  13. The recent economic recession and self-rated health in Estonia, Lithuania and Finland: a comparative cross-sectional study in 2004-2010.

    PubMed

    Reile, Rainer; Helakorpi, Satu; Klumbiene, Jurate; Tekkel, Mare; Leinsalu, Mall

    2014-11-01

    The late-2000s financial crisis had a severe impact on the national economies on a global scale. In Europe, the Baltic countries were among those most affected with more than a 20% decrease in per capita gross domestic product in 2008-2009. In this study, we explored the effects of economic recession on self-rated health in Estonia and Lithuania using Finland, a neighbouring Nordic welfare state, as a point of reference. Nationally representative cross-sectional data for Estonia (n=10 966), Lithuania (n=7249) and Finland (n=11 602) for 2004-2010 were analysed for changes in age-standardised prevalence rates of less-than-good self-rated health and changes in health inequalities using logistic regression analysis. The prevalence of less-than-good self-rated health increased slightly (albeit not statistically significantly) in all countries during 2008-2010. This was in sharp contrast to the statistically significant decline in the prevalence of less-than-good health in 2004-2008 in Estonia and Lithuania. Health disparities were larger in Estonia and Lithuania when compared to Finland, but decreased in 2008-2010 (in men only). In Finland, both the prevalence of less-than-good health and health disparities remained fairly stable throughout the period. Despite the rapid economic downturn, the short-term health effects in Estonia and Lithuania did not differ from those in Finland, although the recession years marked the end of the previous positive trend in self-rated health. The reduction in health disparities during the recession indicates that different socioeconomic groups were affected disproportionately; however, the reasons for this require further research. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  14. Long-Term Outcomes of Patent Foramen Ovale Closure or Medical Therapy after Stroke.

    PubMed

    Saver, Jeffrey L; Carroll, John D; Thaler, David E; Smalling, Richard W; MacDonald, Lee A; Marks, David S; Tirschwell, David L

    2017-09-14

    Whether closure of a patent foramen ovale reduces the risk of recurrence of ischemic stroke in patients who have had a cryptogenic ischemic stroke is unknown. In a multicenter, randomized, open-label trial, with blinded adjudication of end-point events, we randomly assigned patients 18 to 60 years of age who had a patent foramen ovale (PFO) and had had a cryptogenic ischemic stroke to undergo closure of the PFO (PFO closure group) or to receive medical therapy alone (aspirin, warfarin, clopidogrel, or aspirin combined with extended-release dipyridamole; medical-therapy group). The primary efficacy end point was a composite of recurrent nonfatal ischemic stroke, fatal ischemic stroke, or early death after randomization. The results of the analysis of the primary outcome from the original trial period have been reported previously; the current analysis of data from the extended follow-up period was considered to be exploratory. We enrolled 980 patients (mean age, 45.9 years) at 69 sites. Patients were followed for a median of 5.9 years. Treatment exposure in the two groups was unequal (3141 patient-years in the PFO closure group vs. 2669 patient-years in the medical-therapy group), owing to a higher dropout rate in the medical-therapy group. In the intention-to-treat population, recurrent ischemic stroke occurred in 18 patients in the PFO closure group and in 28 patients in the medical-therapy group, resulting in rates of 0.58 events per 100 patient-years and 1.07 events per 100 patient-years, respectively (hazard ratio with PFO closure vs. medical therapy, 0.55; 95% confidence interval [CI], 0.31 to 0.999; P=0.046 by the log-rank test). Recurrent ischemic stroke of undetermined cause occurred in 10 patients in the PFO closure group and in 23 patients in the medical-therapy group (hazard ratio, 0.38; 95% CI, 0.18 to 0.79; P=0.007). Venous thromboembolism (which comprised events of pulmonary embolism and deep-vein thrombosis) was more common in the PFO closure group

  15. 49 CFR 178.360-4 - Closure devices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Transportation Other Regulations Relating to Transportation PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION HAZARDOUS MATERIALS REGULATIONS SPECIFICATIONS FOR PACKAGINGS Specifications for Packagings for Class 7 (Radioactive) Materials § 178.360-4 Closure devices. (a) Each closure...

  16. 78 FR 1206 - Second Extension of Hearing Record Closure Date

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-08

    ... From the Federal Register Online via the Government Publishing Office DEFENSE NUCLEAR FACILITIES SAFETY BOARD Second Extension of Hearing Record Closure Date AGENCY: Defense Nuclear Facilities Safety Board. ACTION: Second extension of hearing record closure date. SUMMARY: The Defense Nuclear...

  17. 105-DR Large Sodium Fire Facility closure activities evaluation report

    SciTech Connect

    Adler, J.G.

    1996-04-11

    This report evaluates the closure activities at the 105-DR Large Sodium Fire Facility. The evaluation compares these activities to the regulatory requirements and closure plan requirements. The report concludes that the areas identified in the closure plan can be clean closed. This report summarizes and evaluates the closure activities performed in support of partial closure of the 105-DR Large Sodium Fire Facility (LSFF). This evaluation will be used in assessing the condition of the 105-DR LSFF for the purpose of meeting the partial clean closure conditions described in the 105-DR Large Sodium Fire Facility Closure Plan (DOE-RL 1995). Based on the evaluation of the decontamination activities, sampling activities, and sample data, it is has been determined that the partial clean closure conditions for the 105-DR LSFF have been met.

  18. 49 CFR 179.100-17 - Closures for openings.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... TANK CARS Specifications for Pressure Tank Car Tanks (Classes DOT-105, 109, 112, 114 and 120) § 179.100-17 Closures for openings. (a) Closures shall be of approved design and made of metal not subject...

  19. Scalping of light volatile sulfur compounds by wine closures.

    PubMed

    Silva, Maria A; Jourdes, Michaël; Darriet, Philippe; Teissedre, Pierre-Louis

    2012-11-07

    Closures have an important influence on wine quality during aging in a bottle. Closures have a direct impact on oxygen exposure and on volatiles scavenging in wine. Model wine solution soaking assays of several types of closures (i.e., natural and technical cork stoppers, synthetic closures, screw caps) with two important wine volatile sulfur compounds led to a considerable reduction in their levels. After 25 days, cork closures and synthetic closures, to a lesser extent, have significantly scavenged hydrogen sulfide and dimethyl sulfide. These compounds have a determinant impact on wine aging bouquet, being largely responsible for "reduced off-flavors". Hydrogen sulfide levels are often not well correlated with the exposure of wine to oxygen or with the permeability of the closure. Its preferential sorption by some types of closures may explain that behavior. Scalping phenomenon should be taken into account when studying wine post-bottling development.

  20. Eye closure enhances dark night perceptions

    PubMed Central

    Brodoehl, Stefan; Klingner, Carsten M.; Witte, Otto W.

    2015-01-01

    We often close our eyes when we explore objects with our fingers to reduce the dominance of the visual system over our other senses. Here we show that eye closure, even in complete darkness, results in improved somatosensory perception due to a switch from visual predominance towards a somatosensory processing mode. Using a tactile discrimination task and functional neuroimaging (fMRI) data were acquired from healthy subjects with their eyes opened and closed in two environments: under ambient light and in complete darkness. Under both conditions the perception threshold decreased when subjects closed their eyes, and their fingers became more sensitive. In complete darkness, eye closure significantly increased occipital blood-oxygen-level-dependent (BOLD) activity in the somatosensory and secondary visual processing areas. This change in brain activity was associated with enhanced coupling between the sensory thalamus and somatosensory cortex; connectivity between the visual and somatosensory areas decreased. The present study demonstrates that eye closure improves somatosensory perception not merely due to the lack of visual signals; instead, the act of closing the eyes itself alters the processing mode in the brain: with eye closure the brain switches from thalamo-cortical networks with visual dominance to a non-visually dominated processing mode. PMID:26012706