Climatic control of bedrock river incision.

PubMed

Ferrier, Ken L; Huppert, Kimberly L; Perron, J Taylor

2013-04-11

Bedrock river incision drives the development of much of Earth's surface topography, and thereby shapes the structure of mountain belts and modulates Earth's habitability through its effects on soil erosion, nutrient fluxes and global climate. Although it has long been expected that river incision rates should depend strongly on precipitation rates, quantifying the effects of precipitation rates on bedrock river incision rates has proved difficult, partly because river incision rates are difficult to measure and partly because non-climatic factors can obscure climatic effects at sites where river incision rates have been measured. Here we present measurements of river incision rates across one of Earth's steepest rainfall gradients, which show that precipitation rates do indeed influence long-term bedrock river incision rates. We apply a widely used empirical law for bedrock river incision to a series of rivers on the Hawaiian island of Kaua'i, where mean annual precipitation ranges from 0.5 metres to 9.5 metres (ref. 12)-over 70 per cent of the global range-and river incision rates averaged over millions of years can be inferred from the depth of river canyons and the age of the volcanic bedrock. Both a time-averaged analysis and numerical modelling of transient river incision reveal that the long-term efficiency of bedrock river incision across Kaua'i is positively correlated with upstream-averaged mean annual precipitation rates. We provide theoretical context for this result by demonstrating that our measurements are consistent with a linear dependence of river incision rates on stream power, the rate of energy expenditure by the flow on the riverbed. These observations provide rare empirical evidence for the long-proposed coupling between climate and river incision, suggesting that previously proposed feedbacks among topography, climate and tectonics may occur.

Daily and Long Term Variations of Out-Door Gamma Dose Rate in Khorasan Province, Iran

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

Toossi, M. T. Bahreyni; Bayani, SH.

2008-08-07

In Iran before 1996, only a few hot spots had been identified, no systematic study had been envisaged. Since then preparation of out-door environmental gamma radiation map of Iran was defined as a long term goal in our center, at the same time simultaneous monitoring of outdoor gamma level in Khorasan was also proposed. A Rados area monitoring system (AAM-90) including 10 intelligent RD-02 detector and all associated components were purchased. From 2003 gradually seven stations have been setup in Khorasan. For all seven stations monthly average and one hour daily average on four time intervals have been computed. Statisticallymore » no significant differences have been observed. This is also true for monthly averages. The overall average dose rate for present seven stations varies from 0.11 {mu}Sv{center_dot}h{sup -1} for Ferdows, to 0.04 {mu}Sv{center_dot}h{sup -1} for Dargaz. Based on our data, 50 minutes sample in any time interval is an accurate sample size to estimate out door Gamma dose rate.« less

Long-term erosion rates of Panamanian drainage basins determined using in situ 10Be

NASA Astrophysics Data System (ADS)

Gonzalez, Veronica Sosa; Bierman, Paul R.; Nichols, Kyle K.; Rood, Dylan H.

2016-12-01

Erosion rates of tropical landscapes are poorly known. Using measurements of in situ-produced 10Be in quartz extracted from river and landslide sediment samples, we calculate long-term erosion rates for many physiographic regions of Panama. We collected river sediment samples from a wide variety of watersheds (n = 35), and then quantified 24 landscape-scale variables (physiographic, climatic, seismic, geologic, and land-use proxies) for each watershed before determining the relationship between these variables and long-term erosion rates using linear regression, multiple regression, and analysis of variance (ANOVA). We also used grain-size-specific 10Be analysis to infer the effect of landslides on the concentration of 10Be in fluvial sediment and thus on erosion rates. Cosmogenic 10Be-inferred, background erosion rates in Panama range from 26 to 595 m My- 1, with an arithmetic average of 201 m My- 1, and an area-weighted average of 144 m My- 1. The strongest and most significant relationship in the dataset was between erosion rate and silicate weathering rate, the mass of material leaving the basin in solution. None of the topographic variables showed a significant relationship with erosion rate at the 95% significance level; we observed weak but significant correlation between erosion rates and several climatic variables related to precipitation and temperature. On average, erosion rates in Panama are higher than other cosmogenically-derived erosion rates in tropical climates including those from Puerto Rico, Madagascar, Australia and Sri Lanka, likely the result of Panama's active tectonic setting and thus high rates of seismicity and uplift. Contemporary sediment yield and cosmogenically-derived erosion rates for three of the rivers we studied are similar, suggesting that human activities are not increasing sediment yield above long-term erosion rate averages in Panama. 10Be concentration is inversely proportional to grain size in landslide and fluvial samples from Panama; finer grain sizes from landslide material have lower 10Be concentration than fine-grained fluvial sediment. Large grains from both landslide and stream sediments have similarly low 10Be concentrations. These data suggest that fluvial gravel is delivered to the channel by landslides whereas sand is preferentially delivered by soil creep and bank collapse. Furthermore, the difference in 10Be concentration in sand-sized material delivered by soil creep and that delivered by landsliding suggests that the frequency and intensity of landslides influence basin scale erosion rates.

Effect of storms on Barrier Island dynamics, Core Banks, Cape Lookout National Seashore, North Carolina, 1960-2001

USGS Publications Warehouse

Riggs, Stanley R.; Ames, Dorothea V.

2007-01-01

The effect of storms on long-term dynamics of barrier islands was evaluated on Core Banks, a series of barrier islands that extend from Cape Lookout to Okracoke Inlet in the Cape Lookout National Seashore, North Carolina. Shoreline and elevation changes were determined by comparing 77 profiles and associated reference markers established by the U.S. Army Corps of Engineers (USACE) on Core Banks from June 1960 to July 1962 to a follow-up survey by Godfrey and Godfrey (G&G) in 1971 and a survey by the Department of Geology at East Carolina University (ECU) in 2001, in which 57 of the original 77 profiles were located. Evaluation of the baseline data associated with the USACE study supplies an important record of barrier island response to two specific storm events—Hurricane Donna in September 1960 and the Ash Wednesday extra-tropical cyclone in March 1962. The 1962 USACE survey was followed by 9 years characterized by no major storms; this low-energy period was captured by the G&G survey in 1971. The G&G survey was followed by 22 years characterized by occasional small to moderate storms. Starting in 1993, however, and continuing through 1999, the North Carolina coast experienced a major increase in storm activity, with seven major hurricanes impacting Core Banks. Both the USACE 1960–1962 and G&G 1962–1971 surveys produced short-term data sets that reflected very different sets of weather conditions. The ECU 2001 survey data were then compared with the USACE 1960 survey data to develop a long-term (41 years) data set for shoreline erosion on Core Banks. Those resulting long-term data were compared with the long-term (52 years) data sets by the North Carolina Division of Coastal Management (NCDCM) from 1940–1992 and 1946–1998; a strong positive correlation and very similar rates of average annual erosion resulted. However, the ECU and NCDCM long-term data sets did not correlate with either of the USACE and G&G short-term survey data and had very different average annual erosion rates. The average annual long-term rate of shoreline erosion for all of Core Banks and for both the ECU 1960–2001 and the NCDCM 1946–1998 surveys was -5 feet per year (ft/yr). These long-term rates of shoreline recession are in strong contrast with the short-term, storm-dominated rates of shoreline erosion for all of Core Banks developed by the USACE 1960–1961 and USACE 1961–1962 surveys, which have average annual erosion rates of -40 ft/yr and -26 ft/yr, respectively, and range from -226 feet (ft) to +153 ft. The combined short-term, storm-dominated shoreline erosion rate for the USACE surveys (1960–1962) was -36 ft/yr. In contrast, the average annual short-term, non-stormy period G&G 1962–1971 survey demonstrated shoreline accretion for all of Core Banks with an average annual rate of +12 ft/yr. In general, North Core Banks has higher erosion and accretion rates than South Core Banks. In the 1961 survey, the USACE installed 231 reference markers (RM-0 is closest to the ocean and RM-2 is farthest from the ocean) along the 77 profiles, as well as 33 reference markers labeled RM-4, RM-6, and RM-8 in the wider portions of the islands. The G&G survey recovered a total of 141 reference markers (61 percent), and the ECU survey recovered a total of 83 reference markers (36 percent) of the RM-0, RM-1, and RM-2 markers. The average ground elevation measured by the USACE in 1961 was RM-0 = +5.8 ft, RM-1 = +5.2 ft, and RM-2 = +4.8 ft. The G&G 1970 survey measured average ground elevations of RM-0 = +6.7 ft, RM-1 = +6.4 ft, and RM-2 = +6.1 ft, and the average ground elevation measured by ECU in 2001 was RM-0 = +10.1 ft, RM-1 = +9.1 ft, and RM-2 = +8.5 ft. The latter numbers represent approximately an overall 72-percent increase in island elevation from 1961 to 2001. Based on aerial photographic time-slice analyses, it is hypothesized that this increase in island elevation occurred during the post-1962 period with storm overwash systematically raising the island elevation through time, which in turn led to decreased numbers of overwash events. The latter processes and responses in turn led to a substantial increase in vegetative growth on the barrier island, as well as submerged aquatic vegetation on the back-barrier sand shoals. Integration of the USACE, G&G, ECU, and NCDCM shoreline erosion data for Core Banks shows several important points about shoreline recession. (1) The ECU and NCDCM data sets demonstrate that there is an ongoing net, long-term, but small-scale shoreline recession associated with Core Banks; (2) the USACE short-term data sets demonstrate that processes associated with individual storm events or sets of events produce extremely large-scale changes that include both erosion and accretion; (3) the short-term, non-stormy period data set of G&G demonstrates that if given enough time between storm events, barriers can rebuild to their pre-storm period conditions; and (4) the post-storm response generally tends to approach the pre-storm location, but rarely reaches it before the next storm or stormy period sets in. The result is the net long-term change documented by both the ECU 1960–2001 and NCDCM 1946–1998 Core Banks data sets that resulted in erosion rates ranging from 0 to -30 ft/yr with net annual average recession rates of -5 ft/yr. Analysis and comparison of these data sets supply important information for understanding the dynamics and responses of barrier island systems through time. In addition, the results of the present study on Core Banks supply essential process-response information that can be used to design and implement management plans for the Cape Lookout and Cape Hatteras National Seashores and for other seashores in the U.S. National Park Service system.

Impact of Infection Prevention and Control Initiatives on Acute Respiratory Infections in a Pediatric Long-Term Care Facility

PubMed Central

Murray, Meghan T.; Jackson, Olivia; Cohen, Bevin; Hutcheon, Gordon; Saiman, Lisa; Larson, Elaine; Neu, Natalie

2016-01-01

We evaluated the collective impact of several infection prevention and control initiatives aimed at reducing acute respiratory infections (ARIs) in a pediatric long-term care facility. ARIs did not decrease overall, though the proportion of infections associated with outbreaks and average number of cases per outbreak decreased. Influenza rates decreased significantly. PMID:27053088

Major floods, poor land use delay return of sedimentation to normal rates

Treesearch

Henry W. Anderson

1972-01-01

Recovery from flood-accelerated sedimentation affects both estimates of long-term average deposition and short-term monitoring of changes. "Years to return to normal" for 10 watersheds in northern California after a major flood accelerated sediment concentrations were analyzed. Returns to normalcy took from 0 to 9 years; rate of decline was related to both...

Massachusetts Shoreline Change Mapping and Analysis Project, 2013 Update

USGS Publications Warehouse

Thieler, E. Robert; Smith, Theresa L.; Knisel, Julia M.; Sampson, Daniel W.

2013-01-01

Information on rates and trends of shoreline change can be used to improve the understanding of the underlying causes and potential effects of coastal erosion on coastal populations and infrastructure and can support informed coastal management decisions. In this report, we summarize the changes in the historical positions of the shoreline of the Massachusetts coast for the 165 years from 1844 through 2009. The study area includes the Massachusetts coastal region from Salisbury to Westport, including Cape Cod, as well as Martha’s Vineyard, Nantucket, and the Elizabeth Islands. New statewide shoreline data were developed for approximately 1,804 kilometers (1,121 miles) of shoreline using color aerial orthoimagery from 2008 and 2009 and topographic lidar from 2007. The shoreline data were integrated with existing historical shoreline data from the U.S. Geological Survey (USGS) and Massachusetts Office of Coastal Zone Management (CZM) to compute long- (about 150 years) and short-term (about 30 years) rates of shoreline change. A linear regression method was used to calculate long- and short-term rates of shoreline change at 26,510 transects along the Massachusetts coast. In locations where shoreline data were insufficient to use the linear regression method, short-term rates were calculated using an end-point method. Long-term rates of shoreline change are calculated with (LTw) and without (LTwo) shorelines from the 1970s and 1994 to examine the effect of removing these data on measured rates of change. Regionally averaged rates are used to assess the general characteristics of the two-rate computations, and we find that (1) the rates of change for both LTw and LTwo are essentially the same; (2) including more data slightly reduces the uncertainty of the rate, which is expected as the number of shorelines increases; and (3) the data for the shorelines from the 1970s and 1994 are not outliers with respect to the long-term trend. These findings are true for regional averages, but may not hold at specific transects.

National Assessment of Shoreline Change Part 3: Historical Shoreline Change and Associated Coastal Land Loss Along Sandy Shorelines of the California Coast

USGS Publications Warehouse

Hapke, Cheryl J.; Reid, David; Richmond, Bruce M.; Ruggiero, Peter; List, Jeff

2006-01-01

Beach erosion is a chronic problem along many open-ocean shores of the United States. As coastal populations continue to grow and community infrastructures are threatened by erosion, there is increased demand for accurate information regarding past and present trends and rates of shoreline movement. There is also a need for a comprehensive analysis of shoreline movement that is consistent from one coastal region to another. To meet these national needs, the U.S. Geological Survey is conducting an analysis of historical shoreline changes along open-ocean sandy shores of the conterminous United States and parts of Hawaii and Alaska. One purpose of this work is to develop standard repeatable methods for mapping and analyzing shoreline movement so that periodic updates regarding coastal erosion and land loss can be made nationally that are systematic and internally consistent. In the case of this study, the shoreline being measured is the boundary between the ocean water surface and the sandy beach. This report on the California Coast represents the first of two reports on long-term sandy shoreline change for the western U.S., the second of which will include the coast of the Pacific NW, including Oregon and Washington. A report for the Gulf of Mexico shoreline was completed in 2004 and is available at: http://pubs.usgs.gov/of/2004/1043/. This report summarizes the methods of analysis, interprets the results, provides explanations regarding long-term and short-term trends and rates of change, and describes how different coastal communities are responding to coastal erosion. Shoreline change evaluations are based on comparing three historical shorelines digitized from maps, with a recent shoreline derived from lidar (Light Detection and Ranging) topographic surveys. The historical shorelines generally represent the following periods: 1800s, 1920s-1930s, and 1950s-1970s, whereas the lidar shoreline is from 1998-2002. Long-term rates of change are calculated using all four shorelines (1800s to lidar shoreline), whereas short-term rates of change are calculated for only the most recent period (1950s-1970s to lidar shoreline). The rates of change presented in this report represent past conditions and therefore are not intended for predicting future shoreline positions or rates of change. Due to the geomorphology of the California Coast (rocky coastline instead of beach) as well as to data gaps in some areas, this report presents beach erosion rates for 45% of California's 1100 km of coast. The average rate of long-term shoreline change for the State of California was 0.2?0.1 m/yr, an accretional trend. This is based on shoreline change rates averaged from 14,562 individual transects, of which 40% were eroding. Of the transects on which the shoreline was eroding, the long-term erosion rates were generally lowest in Southern California where coastal engineering projects have greatly altered the natural shoreline movement. On a regional scale, long-term accretion rates were either equal to (Central California) or greater than (Northern and Southern California) the long-term erosion rates, yielding the net accretional trend for the entire state. This accretional trend is most likely due to changes in the large volumes of sediment that are added to the system from large rivers and to the impact from coastal engineering and beach nourishment projects. The average rate of short-term shoreline change for the state was erosional. The net short-term rate as averaged along 16,142 transects was -0.2?0.4 m/yr. Of the transects used to measure short-term change, 66% had erosional trends. In addition erosion rates were higher in the short-term period, possibly related to the localized artificial nourishment that occurred over much of the 20th century but that has recently slowed or stopped (Flick, 1993; Wiegel, 1994). Short-term accretion rates were highest in Northern California where the overall magnitudes of shoreline change are systematically higher than in Central and Southern California. The most stable (low erosion and accretion rates) California beaches were most commonly found in Central California. Seawalls and/or riprap revetments have been constructed in all three sections of California, although many of these structures were built to protect houses and infrastructures from the erosion of coastal cliffs and bluffs rather than to protect against long-term beach erosion. California permits shoreline stabilization structures where homes, buildings or other community infrastructure are imminently threatened by erosion. A second California report that is following this publication will include analyses and reports on long-term coastal cliff erosion, as this hazard is of equal or greater concern to coastal communities in many areas along the California Coast.

Idiopathic bone cavities of the mandible: an update on recurrence rates and case report.

PubMed

Horne, Robert P; Meara, Daniel J; Granite, Edwin L

2014-02-01

Idiopathic bone cavities (IBCs) are usually an incidental finding, often found in long bones but also in the craniofacial skeleton. Typically solitary, IBCs can present at multiple sites. Surgical exploration alone has proved effective, although recurrence does occur, particularly in cases with multiple lesions. The average time necessary to observe either recurrence or complete healing has been reported to be more than 3 years. Previously reported low recurrence rates for IBCs in the craniofacial skeleton may have been artificially low because of insufficient long-term follow-up. Providers should be prepared for long-term follow-up and care of these patients. The case of the patient presented here supports the need for long-term follow-up. Copyright © 2014 Elsevier Inc. All rights reserved.

Statistical modeling of the Internet traffic dynamics: To which extent do we need long-term correlations?

NASA Astrophysics Data System (ADS)

Markelov, Oleg; Nguyen Duc, Viet; Bogachev, Mikhail

2017-11-01

Recently we have suggested a universal superstatistical model of user access patterns and aggregated network traffic. The model takes into account the irregular character of end user access patterns on the web via the non-exponential distributions of the local access rates, but neglects the long-term correlations between these rates. While the model is accurate for quasi-stationary traffic records, its performance under highly variable and especially non-stationary access dynamics remains questionable. In this paper, using an example of the traffic patterns from a highly loaded network cluster hosting the website of the 1998 FIFA World Cup, we suggest a generalization of the previously suggested superstatistical model by introducing long-term correlations between access rates. Using queueing system simulations, we show explicitly that this generalization is essential for modeling network nodes with highly non-stationary access patterns, where neglecting long-term correlations leads to the underestimation of the empirical average sojourn time by several decades under high throughput utilization.

Long-term predictive capability of erosion models

NASA Technical Reports Server (NTRS)

Veerabhadra, P.; Buckley, D. H.

1983-01-01

A brief overview of long-term cavitation and liquid impingement erosion and modeling methods proposed by different investigators, including the curve-fit approach is presented. A table was prepared to highlight the number of variables necessary for each model in order to compute the erosion-versus-time curves. A power law relation based on the average erosion rate is suggested which may solve several modeling problems.

Radiologically Guided Placement of Mushroom-retained Gastrostomy Catheters: Long-term Outcomes of Use in 300 Patients at a Single Center.

PubMed

Ahmed, Osman; Jilani, Danial; Sheth, Sujay; Giger, Maryellen; Funaki, Brian

2015-08-01

To assess long-term outcomes including risk of complications and nutritional benefits of mushroom-retained (pull-type) gastrostomy catheters placed in patients by interventional radiologists. All patients who received pull-type gastrostomy tubes between 2010 and 2013 were retrospectively reviewed, including 142 men (average weight, 169.6 lb [76.32 kg]; mean age, 65.2 years; range, 22-92 years) and 158 women (average weight, 150.4 lb [67.68 kg]; mean age, 65.2 years; range, 18-98 years). Indications for placement were cerebrovascular accident (n = 80), failure to thrive (n = 71), other central nervous system disorder (n = 51), head and neck cancer (n = 47), and other malignancy (n = 51). Complications were recorded per Society of Interventional Radiology practice guidelines. Patient weight was documented at specific follow-up intervals. Statistical analysis was performed by using the Student t test and one-way analysis of variance for the effects of sex and indication for placement, respectively, on average weight change. The technical success rate was 98.4% (300 of 305 patients). Major and minor complications occurred at a rate of 3.7% (n = 11) and 13% (n = 39), respectively. Follow-up weight during the early (≤45 days), intermediate (≤180 days), and long-term (>180 days) periods was available for 71% (n = 214), 36% (n = 108), and 15% (n = 44) of the 300 patients, respectively. Weight gain occurred in 77% (160 of 214), 60% (65 of 108), and 73% (32 of 44) of the patients, respectively. Patients who gained weight gained 6.7, 10.6, and 16.3 lb (3.02, 4.77, and 7.34 kg) during each follow-up period, respectively. Average weight gain at follow-up in all patients was 4.2, 0.6, and 5.4 lb (1.89, 0.27, and 2.43 kg), respectively. No significant differences in average weight change were seen among groups when they were classified according to sex or indication for placement. Placement of mushroom-retained gastrostomy catheters is a viable long-term treatment option for enteral nutrition, with complication rates similar to those reported for other gastrostomy techniques. Improvement in nutrition status measured as weight gain was seen in most patients in both early and long-term periods. (©) RSNA, 2015.

Long-Term Retrospective Clinical and Radiographic Follow-up of 205 Brånemark System Mk III TiUnite Implants Submitted to Either Immediate or Delayed Loading.

PubMed

Imburgia, Mario; Del Fabbro, Massimo

2015-10-01

Studies are needed to evaluate long-term performance of immediately loaded implants with moderately rough surface. This retrospective study evaluated long-term survival and periimplant soft and hard tissue conditions in patients treated with TiUnite implants. Forty-one consecutive patients (mean age, 52.6 years) received 205 Brånemark System Mk III TiUnite implants (145 maxillary, 60 mandibular). The indication was single tooth (n = 7 implants), partial (n = 94), or full arches (n = 104). One hundred thirteen implants were immediately loaded. Cumulative survival rate (CSR) of implants was assessed. Long-term marginal bone remodeling, probing pocket depth (PPD), and periimplant mucosa conditions were assessed. Follow-up averaged 8.8 years (range, 6.6-10.6 years). Eight implants in 5 patients failed. CSR was 96.1% (implant basis) and 87.8% (patient basis) up to 10 years. At the longest follow-up, bone loss averaged 0.43 ± 1.15 mm (n = 173), PPD averaged 3.64 ± 0.74 mm, and periimplant mucosa was healthy in 74.6% of cases. Furthermore, 50.3% and 35.5% of implants scored negative for plaque and bleeding, respectively. No significant difference in CSR and hard and soft tissue conditions was found in the long term between immediately and delayed loaded implants. Implants with TiUnite surface demonstrated excellent long-term survival, marginal bone response, and soft tissue conditions, despite a nonoptimal level of oral hygiene.

Denudation rates determined from the accumulation of in situ-produced 10Be in the luquillo experimental forest, Puerto Rico

USGS Publications Warehouse

Brown, Erik Thorson; Stallard, Robert F.; Larsen, Matthew C.; Raisbeck, Grant M.; Yiou, Francoise

1995-01-01

We present a simple method for estimation of long-term mean denudation rates using in situ-produced cosmogenic 10Be in fluvial sediments. Procedures are discussed to account for the effects of soil bioturbation, mass wasting and attenuation of cosmic rays by biomass and by local topography. Our analyses of 10Be in quartz from bedrock outcrops, soils, mass-wasting sites and riverine sediment from the Icacos River basin in the Luquillo Experimental Forest, Puerto Rico, are used to characterize denudation for major landform elements in that basin. The 10Be concentration of a discharge-weighted average of size classes of river sediment corresponds to a long-term average denudation of ≈ 43 m Ma −1, consistent with mass balance results. 

Chemical matricectomy with sodium hydroxide: long-term follow-up results.

PubMed

Bostanci, Seher; Kocyigit, Pelin; Parlak, Nehir; Gungor, Hilayda Karakok

2014-11-01

Chemical matricectomy with sodium hydroxide is a method being used successfully in the treatment of ingrown toenail. In this study, it was aimed to evaluate long-term recurrence rates after chemical matricectomy using sodium hydroxide application of different durations. Two hundred two patients with ingrown nail edges were treated with either 1-minute (Group 1) or 2-minute (Group 2) applications of sodium hydroxide matricectomy. All patients were followed for at least 2 years. Chemical matricectomy with sodium hydroxide was applied to a total of 585 nail edges of 202 cases. The overall recurrence rates in Group 1 and Group 2 were 6.4% and 7.1%, respectively, during the average 7.5-year follow-up period. No statistically significant differences were detected in terms of recurrence between the 2 groups (p = .73). Chemical matricectomy with sodium hydroxide is an easy method in the treatment of ingrown nails, with low morbidity and high success rates. There was no difference between 1-minute and 2-minute applications in terms of recurrence during the long-term follow-up. Chemical matricectomy with 1-minute application of sodium hydroxide showed high success in terms of long-term follow-up results.

Design and performance of limestone drains to increase pH and remove metals from acidic mine drainage, Chapter 2

USGS Publications Warehouse

Cravotta,, Charles A.; Watzlaf, George R.

2002-01-01

Data on the construction characteristics and the composition of influent and effluent at 13 underground, limestone-filled drains in Pennsylvania and Maryland are reported to evaluate the design and performance of limestone drains for the attenuation of acidity and dissolved metals in acidic mine drainage. On the basis of the initial mass of limestone, dimensions of the drains, and average flow rates, the initial porosity and average detention time for each drain were computed. Calculated porosity ranged from 0.12 to 0.50 with corresponding detention times at average flow from 1.3 to 33 h. The effectiveness of treatment was dependent on influent chemistry, detention time, and limestone purity. At two sites where influent contained elevated dissolved Al (>5 mg/liter), drain performance declined rapidly; elsewhere the drains consistently produced near-neutral effluent, even when influent contained small concentrations of dissolved Fe^+ (<5 mg/liter). Rates of limestone dissolution computed on the basis of average long-term Ca ion flux normalized by initial mass and purity of limestone at each of the drains ranged from 0.008 to 0.079 year-1. Data for alkalinity concentration and flux during 11-day closed-container tests using an initial mass of 4kg crushed limestone and a solution volume of 2.3 liter yielded dissolution rate constants that were comparable to these long-term field rates. An analytical method is proposed using closed-container test data to evaluate long-term performance (longevity) or to estimate the mass of limestone needed for a limestone treatment. This method condisers flow rate, influent alkalinity, steady-state alkalinity of effluent, and desired effluent alkalinity or detention time at a future time(s) and aplies first-order rate laws for limestone dissolution (continuous) and production of alkalinity (bounded).

Potential breeding distributions of U.S. birds predicted with both short-term variability and long-term average climate data

Treesearch

Brooke L. Bateman; Anna M. Pidgeon; Volker C. Radeloff; Curtis H. Flather; Jeremy VanDerWal; H. Resit Akcakaya; Wayne E. Thogmartin; Thomas P. Albright; Stephen J. Vavrus; Patricia J. Heglund

2016-01-01

Climate conditions, such as temperature or precipitation, averaged over several decades strongly affect species distributions, as evidenced by experimental results and a plethora of models demonstrating statistical relations between species occurrences and long-term climate averages. However, long-term averages can conceal climate changes that have occurred in...

Geothermal production and reduced seismicity: Correlation and proposed mechanism

NASA Astrophysics Data System (ADS)

Cardiff, Michael; Lim, David D.; Patterson, Jeremy R.; Akerley, John; Spielman, Paul; Lopeman, Janice; Walsh, Patrick; Singh, Ankit; Foxall, William; Wang, Herbert F.; Lord, Neal E.; Thurber, Clifford H.; Fratta, Dante; Mellors, Robert J.; Davatzes, Nicholas C.; Feigl, Kurt L.

2018-01-01

At Brady Hot Springs, a geothermal field in Nevada, heated fluids have been extracted, cooled, and re-injected to produce electrical power since 1992. Analysis of daily pumping records and catalogs of microseismicity between 2010 and 2015 indicates a statistically significant correlation between days when the daily volume of production was at or above its long-term average rate and days when no seismic event was detected. Conversely, shutdowns in pumping for plant maintenance correlate with increased microseismicity. We hypothesize that the effective stress in the subsurface has adapted to the long-term normal operations (deep extraction) at the site. Under this hypothesis, extraction of fluids inhibits fault slip by increasing the effective stress on faults; in contrast, brief pumping cessations represent times when effective stress is decreased below its long-term average, increasing the likelihood of microseismicity.

Long-term outcomes of anterior spinal fusion for treating thoracic adolescent idiopathic scoliosis curves: average 15-year follow-up analysis.

PubMed

Sudo, Hideki; Ito, Manabu; Kaneda, Kiyoshi; Shono, Yasuhiro; Takahata, Masahiko; Abumi, Kuniyoshi

2013-05-01

Retrospective review. To assess the long-term outcomes of anterior spinal fusion (ASF) for treating thoracic adolescent idiopathic scoliosis (AIS). Although ASF is reported to provide good coronal and sagittal correction of the main thoracic (MT) AIS curves, the long-term outcomes of ASF is unknown. A consecutive series of 25 patients with Lenke 1 MT AIS were included. Outcome measures comprised radiographical measurements, pulmonary function, and Scoliosis Research Society outcome instrument (SRS-30) scores (preoperative SRS-30 scores were not documented). Postoperative surgical revisions and complications were recorded. Twenty-five patients were followed-up for 12 to 18 years (average, 15.2 yr). The average MT Cobb angle correction rate and the correction loss at the final follow-up were 56.7% and 9.2°, respectively. The average preoperative instrumented level of kyphosis was 8.3°, which significantly improved to 18.6° (P = 0.0003) at the final follow-up. The average percent-predicted forced vital capacity and forced expiratory volume in 1 second were significantly decreased during long-term follow-up measurements (73% and 69%; P = 0.0004 and 0.0016, respectively). However, no patient had complaints related to pulmonary function. The average total SRS-30 score was 4.0. Implant breakage was not observed. All patients, except 1 who required revision surgery, demonstrated solid fusion. Late instrumentation-related bronchial problems were observed in 1 patient who required implant removal and bronchial tube repair, 13 years after the initial surgery. Overall radiographical findings and patient outcome measures of ASF for Lenke 1 MT AIS were satisfactory at an average follow-up of 15 years. ASF provides significant sagittal correction of the main thoracic curve with long-term maintenance of sagittal profiles. Percent-predicted values of forced vital capacity and forced expiratory volume in 1 second were decreased in this cohort; however, no patient had complaints related to pulmonary function.

Impact of Infection Prevention and Control Initiatives on Acute Respiratory Infections in a Pediatric Long-Term Care Facility.

PubMed

Murray, Meghan T; Jackson, Olivia; Cohen, Bevin; Hutcheon, Gordon; Saiman, Lisa; Larson, Elaine; Neu, Natalie

2016-07-01

We evaluated the collective impact of several infection prevention and control initiatives aimed at reducing acute respiratory infections (ARIs) in a pediatric long-term care facility. ARIs did not decrease overall, though the proportion of infections associated with outbreaks and average number of cases per outbreak decreased. Influenza rates decreased significantly. Infect Control Hosp Epidemiol 2016;37:859-862.

Long-term results of hearing preservation cochlear implant surgery in patients with residual low frequency hearing.

PubMed

Moteki, Hideaki; Nishio, Shin-Ya; Miyagawa, Maiko; Tsukada, Keita; Iwasaki, Satoshi; Usami, Shin-Ichi

2017-05-01

Differences were found between patients with stable hearing and those with progressive hearing loss in the lower frequencies with respect to the rate of progression in the contralateral ear. It is suggested that the electric acoustic stimulation (EAS) can provide improvement in hearing ability over the long-term if residual hearing might be lost to some extent. To evaluate the long-term threshold changes in the low frequency hearing of the implanted ear as compared with the non-implanted ear, and the hearing abilities with EAS along with the extent of residual hearing. Seventeen individuals were enrolled and received the EAS implant with a 24-mm FLEXeas electrode array. Hearing thresholds and speech perception were measured pre- and post-operatively for 1-5 years. Post-operative hearing preservation (HP) rates were calculated using the preservation numerical scale. The average linear regression coefficient for the decline in hearing preservation score was -6.9 for the implanted ear and the patients were subsequently categorized into two groups: those with better than average, stable hearing; and those with worse than average, progressive hearing loss. EAS showed better results than electric stimulation alone, in spite of an absence of speech perception with acoustic stimulation.

The Safe Yield and Climatic Variability: Implications for Groundwater Management.

PubMed

Loáiciga, Hugo A

2017-05-01

Methods for calculating the safe yield are evaluated in this paper using a high-quality and long historical data set of groundwater recharge, discharge, extraction, and precipitation in a karst aquifer. Consideration is given to the role that climatic variability has on the determination of a climatically representative period with which to evaluate the safe yield. The methods employed to estimate the safe yield are consistent with its definition as a long-term average extraction rate that avoids adverse impacts on groundwater. The safe yield is a useful baseline for groundwater planning; yet, it is herein shown that it is not an operational rule that works well under all climatic conditions. This paper shows that due to the nature of dynamic groundwater processes it may be most appropriate to use an adaptive groundwater management strategy that links groundwater extraction rates to groundwater discharge rates, thus achieving a safe yield that represents an estimated long-term sustainable yield. An example of the calculation of the safe yield of the Edwards Aquifer (Texas) demonstrates that it is about one-half of the average annual recharge. © 2016, National Ground Water Association.

Geothermal production and reduced seismicity: Correlation and proposed mechanism

DOE PAGES

Cardiff, Michael; Lim, David D.; Patterson, Jeremy R.; ...

2018-01-15

At Brady Hot Springs, a geothermal field in Nevada, heated fluids have been extracted, cooled, and re-injected to produce electrical power since 1992. Analysis of daily pumping records and catalogs of microseismicity between 2010 and 2015 indicates a statistically significant correlation between days when the daily volume of production was at or above its long-term average rate and days when no seismic event was detected. Conversely, shutdowns in pumping for plant maintenance correlate with increased microseismicity. Our hypothesis is that the effective stress in the subsurface has adapted to the long-term normal operations (deep extraction) at the site. Under thismore » hypothesis, extraction of fluids inhibits fault slip by increasing the effective stress on faults; in contrast, brief pumping cessations represent times when effective stress is decreased below its long-term average, increasing the likelihood of microseismicity.« less

Geothermal production and reduced seismicity: Correlation and proposed mechanism

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

Cardiff, Michael; Lim, David D.; Patterson, Jeremy R.

At Brady Hot Springs, a geothermal field in Nevada, heated fluids have been extracted, cooled, and re-injected to produce electrical power since 1992. Analysis of daily pumping records and catalogs of microseismicity between 2010 and 2015 indicates a statistically significant correlation between days when the daily volume of production was at or above its long-term average rate and days when no seismic event was detected. Conversely, shutdowns in pumping for plant maintenance correlate with increased microseismicity. Our hypothesis is that the effective stress in the subsurface has adapted to the long-term normal operations (deep extraction) at the site. Under thismore » hypothesis, extraction of fluids inhibits fault slip by increasing the effective stress on faults; in contrast, brief pumping cessations represent times when effective stress is decreased below its long-term average, increasing the likelihood of microseismicity.« less

Timescales for determining temperature and dissolved oxygen trends in the Long Island Sound (LIS) estuary

NASA Astrophysics Data System (ADS)

Staniec, Allison; Vlahos, Penny

2017-12-01

Long-term time series represent a critical part of the oceanographic community's efforts to discern natural and anthropogenically forced variations in the environment. They provide regular measurements of climate relevant indicators including temperature, oxygen concentrations, and salinity. When evaluating time series, it is essential to isolate long-term trends from autocorrelation in data and noise due to natural variability. Herein we apply a statistical approach, well-established in atmospheric time series, to key parameters in the U.S. east coast's Long Island Sound estuary (LIS). Analysis shows that the LIS time series (established in the early 1990s) is sufficiently long to detect significant trends in physical-chemical parameters including temperature (T) and dissolved oxygen (DO). Over the last two decades, overall (combined surface and deep) LIS T has increased at an average rate of 0.08 ± 0.03 °C yr-1 while overall DO has dropped at an average rate of 0.03 ± 0.01 mg L-1yr-1 since 1994 at the 95% confidence level. This trend is notably faster than the global open ocean T trend (0.01 °C yr-1), as might be expected for a shallower estuarine system. T and DO trends were always significant for the existing time series using four month data increments. Rates of change of DO and T in LIS are strongly correlated and the rate of decrease of DO concentrations is consistent with the expected reduced solubility of DO at these higher temperatures. Thus, changes in T alone, across decadal timescales can account for between 33 and 100% of the observed decrease in DO. This has significant implications for other dissolved gases and the long-term management of LIS hypoxia.

Comparison of Long-term Differences in Dysphagia: Cervical Arthroplasty and Anterior Cervical Fusion.

PubMed

Smucker, Joseph D; Bassuener, Scott R; Sasso, Rick C; Riew, K Daniel

2017-10-01

Retrospective cohort study. This study investigates the incidence of long-term dysphagia in cervical disc arthroplasty, and anterior cervical discectomy and fusion (ACDF) patients. No long-term comparison of dysphagia between cervical arthroplasty and fusion patients has been published. Widely variable short-term postsurgical dysphagia rates have been reported. Cohorts for this study are patients with single-level cervical degenerative disc disease previously enrolled in a randomized clinical trial comparing cervical arthroplasty and ACDF. Subjective modified Bazaz Dysphagia Severity questionnaires were distributed to each patient at a minimum of 5 years postoperative for the long-term assessment. Dysphagia severity data were pooled to compare the rate of patients with dysphagia (grade>1) to asymptomatic (grade=1). In the arthroplasty cohort, 15 of 22 (68%) patients completed long-term swallowing questionnaires with no reports of dysphagia. Eighteen of 25 (72%) ACDF patients completed questionnaires, with 5 of 18 (28%) reporting dysphagia. This is a statistically significant difference (P=0.042) favoring lower rates of long-term dysphagia after cervical arthroplasty at an average interval of 7 years postoperative (range, 5.5-8.5 y). No significant difference between rates of self-reported short-term dysphagia was noted with 12% (3/25) and 9% (2/22) in the ACDF and arthroplasty groups, respectively (P=0.56). All short-term dysphagia cases in the arthroplasty cohort reported complete resolution of symptoms within 12 months postoperative. In the ACDF cohort, persistent symptoms at 7 years were noted in all responding patients. Three ACDF patients reported new late-onset, which was not noted in the arthroplasty cohort. To date, these findings represent the longest reported follow-up interval comparing rates of dysphagia between randomized cohorts of cervical arthroplasty and fusion patients. Our study suggests that cervical arthroplasty is less likely than ACDF to cause sustained long-term or late-presenting dysphagia.

Use of a mobile device by nursing home residents for long-term care comprehensive geriatric self-assessment: a feasibility study.

PubMed

Huang, Fanpin; Chang, Polun; Hou, I-Ching; Tu, Ming-Hsiang; Lan, Chung-Fu

2015-01-01

Long-term-care comprehensive geriatric assessments, such as the Minimum Data Set 3.0, are used to evaluate the clinical, psychological, and personal status of residents in long-term-care nursing facilities. Nursing staff conducts assessment interviews, thereby increasing the workload of nurses and the cost of patient care. This study explored the ability of nursing home residents to use two different mobile devices for a geriatric self-assessment. Study participants were residents of long-term-care nursing homes. A modified Minimum Data Set 3.0 was converted to a format for use with a 6-inch mobile pad and a 3.7-inch mobile smartphone. The survey completion rate and the response time were measured. A Technology Assessment Model questionnaire analyzed the participants' experience. All participants were able to use a 6-inch pad, with an average completion rate of 92.9% and an average time for completion of 21 minutes. Only 20% of the participants could complete the assessment with the 3.7-inch smartphone. The participants found the 6-inch pad easier to use than the 3.7-inch smartphone. This exploratory study suggests that nursing home residents are able to use a mobile device to perform a geriatric self-assessment and delineates the importance of the ergonomics of the device.

Long-Term Natural History of Adult Wolff-Parkinson-White Syndrome Patients Treated With and Without Catheter Ablation.

PubMed

Bunch, T Jared; May, Heidi T; Bair, Tami L; Anderson, Jeffrey L; Crandall, Brian G; Cutler, Michael J; Jacobs, Victoria; Mallender, Charles; Muhlestein, Joseph B; Osborn, Jeffrey S; Weiss, J Peter; Day, John D

2015-12-01

There are a paucity of data about the long-term natural history of adult Wolff-Parkinson-White syndrome (WPW) patients in regard to risk of mortality and atrial fibrillation. We sought to describe the long-term outcomes of WPW patients and ascertain the impact of ablation on the natural history. Three groups of patients were studied: 2 WPW populations (ablation: 872, no ablation: 1461) and a 1:5 control population (n=11 175). Long-term mortality and atrial fibrillation rates were determined. The average follow-up for the WPW group was 7.9±5.9 (median: 6.9) years and was similar between the ablation and nonablation groups. Death rates were similar between the WPW group versus the control group (hazard ratio, 0.96; 95% confidence interval, 0.83-1.11; P=0.56). Nonablated WPW patients had a higher long-term death risk compared with ablated WPW patients (hazard ratio, 2.10; 95% confidence interval: 1.50-20.93; P<0.0001). Incident atrial fibrillation risk was higher in the WPW group compared with the control population (hazard ratio, 1.55; 95% confidence interval, 1.29-1.87; P<0.0001). Nonablated WPW patients had lower risk than ablated patients (hazard ratio, 0.39; 95% confidence interval, 0.28-0.53; P<0.0001). Long-term mortality rates in WPW patients are low and similar to an age-matched and gender-matched control population. WPW patients that underwent the multifactorial process of ablation had a lower mortality compared to nonablated WPW patients. Atrial fibrillation rates are high long-term, and ablation does not reduce this risk. © 2015 American Heart Association, Inc.

Individual health discount rate in patients with ulcerative colitis.

PubMed

Waljee, Akbar K; Morris, Arden M; Waljee, Jennifer F; Higgins, Peter D R

2011-06-01

In cost-effectiveness analysis, discount rates are used in calculating the value of future costs and benefits. However, standard discount rates may not accurately describe the decision-making of patients with ulcerative colitis (UC). These patients often choose the long-term risks of immunosuppressive therapy over the short-term risks of colectomy, demonstrating very high discount rates for future health. In this study we aimed to measure the discount rate in UC patients and identify variables associated with the discount rate. We surveyed patients with UC and patients who were postcolectomy for UC to measure their valuations of UC and colectomy health states. We used Standard Gamble (SG) and Time-Trade-Off (TTO) methods to assess current and future health state valuations and calculated the discount rate. Participants included 150 subjects with UC and 150 subjects who were postcolectomy for UC. Adjusted discount rates varied widely (0%-100%), with an overall median rate of 55.0% (interquartile range [IQR] 20.6-100), which was significantly higher than the standard rate of 5%. Within the normal range of discount rates, patients' expected discount rate increased by 0.80% for each additional year of age, and female patients had discount rates that averaged ≈ 8% less than their age-matched counterparts and approached statistical significance. The accepted discount rate of 5% grossly underestimates UC patients' preference for long-term over short-term risk. This might explain UC patients' frequent choice of the long-term risks of immunosuppressive medical therapy over the short-term risks of colectomy. Copyright © 2010 Crohn's & Colitis Foundation of America, Inc.

40 CFR 439.22 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2013 CFR

2013-07-01

... average limitation for BOD5 that is less than the equivalent of 45 mg/L. (1) The long-term average daily... subject to this subpart, calculation of the long-term average daily BOD5 load in the influent to the... this section is higher than a concentration value reflecting a reduction in the long-term average daily...

40 CFR 439.22 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2014 CFR

2014-07-01

... average limitation for BOD5 that is less than the equivalent of 45 mg/L. (1) The long-term average daily... subject to this subpart, calculation of the long-term average daily BOD5 load in the influent to the... this section is higher than a concentration value reflecting a reduction in the long-term average daily...

40 CFR 439.22 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2012 CFR

2012-07-01

... average limitation for BOD5 that is less than the equivalent of 45 mg/L. (1) The long-term average daily... subject to this subpart, calculation of the long-term average daily BOD5 load in the influent to the... this section is higher than a concentration value reflecting a reduction in the long-term average daily...

Long-term Hearing Preservation After Resection of Vestibular Schwannoma: A Systematic Review and Meta-analysis.

PubMed

Ahsan, Syed F; Huq, Farhan; Seidman, Michael; Taylor, Andrew

2017-12-01

The objective is to perform a systematic review and meta-analysis of the literature on the long-term results of hearing preservation after vestibular schwannoma resection. Ovid/Medline, PubMed, Embase, and the Cochrane library from January 1980 to January 2015. Inclusion criteria: age ≥18 years, minimum 10 patients in the treatment group, hearing preserving microsurgery, no previous radiation treatment, serviceable hearing at immediate postop follow-up, hearing outcomes reported using Gardner Robinson or the American Academy of Otolaryngology-Head and Neck Surgeons hearing grading scales, and average follow-up of 5 years. Preoperative, immediate postoperative, and last follow-up audiograms were required. Exclusion criteria included neurofibromatosis type 2 patients and surgery for salvage therapy or decompression. Quality evaluated using Methodological Index for Non-Randomized Studies. Meta-analysis was performed using R v3.2.2, Metafor package v 1.9-7. Cohen's D was used to determine effect size. Ten reports had at least 5-year follow-up and used standardized hearing grading scales. The systematic review found that if hearing was preserved at Class A or B at early postop visit, the chance of preserving hearing at 5 years was excellent. Those who maintained speech discrimination score ≥ 89% at the early postoperative follow-up had better long-term hearing preservation. The meta-analysis reveals that only preoperative and postoperative pure-tone average was associated with long-term hearing preservation. Long-term (>5 yr) hearing durability rates are generally very good. Most studies do not report patient and tumor characteristics, therefore precluding combining studies for meta-analysis. Only preoperative and postoperative postoperative pure-tone average was associated with long-term hearing durability.

18 CFR 2.15 - Specified reasonable rate of return.

Code of Federal Regulations, 2011 CFR

2011-04-01

... average cost of long-term debt and preferred stock for the year, and the cost of common equity shall be... 18 Conservation of Power and Water Resources 1 2011-04-01 2011-04-01 false Specified reasonable rate of return. 2.15 Section 2.15 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY...

Ups and downs in western Crete (Hellenic subduction zone)

PubMed Central

Tiberti, Mara Monica; Basili, Roberto; Vannoli, Paola

2014-01-01

Studies of past sea-level markers are commonly used to unveil the tectonic history and seismic behavior of subduction zones. We present new evidence on vertical motions of the Hellenic subduction zone as resulting from a suite of Late Pleistocene - Holocene shorelines in western Crete (Greece). Shoreline ages obtained by AMS radiocarbon dating of seashells, together with the reappraisal of shoreline ages from previous works, testify a long-term uplift rate of 2.5–2.7 mm/y. This average value, however, includes periods in which the vertical motions vary significantly: 2.6–3.2 mm/y subsidence rate from 42 ka to 23 ka, followed by ~7.7 mm/y sustained uplift rate from 23 ka to present. The last ~5 ky shows a relatively slower uplift rate of 3.0–3.3 mm/y, yet slightly higher than the long-term average. A preliminary tectonic model attempts at explaining these up and down motions by across-strike partitioning of fault activity in the subduction zone. PMID:25022313

Mid- to long-term outcomes of posterior decompression with instrumented fusion for thoracic ossification of the posterior longitudinal ligament.

PubMed

Koda, Masao; Furuya, Takeo; Okawa, Akihiko; Inada, Taigo; Kamiya, Koshiro; Ota, Mitsutoshi; Maki, Satoshi; Takahashi, Kazuhisa; Yamazaki, Masashi; Aramomi, Masaaki; Ikeda, Osamu; Mannoji, Chikato

2016-05-01

Posterior decompression with instrumented fusion (PDF) surgery has been previously reported as a relatively safe surgical procedure for any type of thoracic ossification of the longitudinal ligament (OPLL). However, mid- to long-term outcomes are still unclear. The aim of the present study was to elucidate the mid- to long-term clinical outcome of PDF surgery for thoracic OPLL patients. The present study included 20 patients who had undergone PDF for thoracic OPLL and were followed for at least 5years. Increment change and recovery rate of the Japanese Orthopaedic Association (JOA) score were assessed. Revision surgery during the follow-up period was also recorded. Average JOA scores were 3.5 preoperatively and 7.1 at final follow-up. The average improvement in JOA score was 3.8 points and the average recovery rate was 47.0%. The JOA score showed gradual increase after surgery, and took 9months to reach peak recovery. As for neurological complications, two patients suffered postoperative paralysis, but both recovered without intervention. Six revision surgeries in four patients were related to OPLL. Additional anterior thoracic decompression for remaining ossification at the same level of PDF surgery was performed in one patient. Decompression surgery for deterioration of symptoms of pre-existing cervical OPLL was performed in three patients. One patient had undergone lumbar and cervical PDF surgery for de novo ossification foci of the lumbar and cervical spine. PDF surgery for thoracic OPLL is thus considered a relatively safe and stable surgical procedure considering the mid- to long-term outcomes. Copyright © 2015 Elsevier Ltd. All rights reserved.

Percutaneous laser-assisted recanalization of long chronic iliac artery occlusions: primary and mid-term results.

PubMed

Balzer, Jörn O; Gastinger, Verena; Thalhammer, Axel; Ritter, Ralf G; Lindhoff-Last, Edelgard; Schmitz-Rixen, Thomas; Vogl, Thomas J

2006-02-01

We report the primary and mid-term outcome of patients with long chronic iliac artery occlusions after percutaneous excimer-laser-assisted interventional recanalization. Between 2000 and 2001, 43 patients with 46 chronic occlusions of either the common iliac artery (n=27), the external iliac artery ( n=13) or both (n=3) underwent laser-assisted percutaneous transluminal angioplasty and implantation of stents. The average length of the occlusion was 57.1+/-26 mm. After laser-assisted angioplasty and implantation of a total of 60 stents, the patients were followed up for up to 4 years. Patency rates were analyzed by ankle-brachial index (ABI) measurement and duplex ultrasound. The primary technical success rate was 95.3%, with a major complication rate of 6.9%. Clinical improvement as categorized by the Rutherford guidelines could be observed in 97.6% of cases. The ABI of all patients improved from an average of 0.46+/-0.08 before intervention to 0.97+/-0.13 at the end of the follow-up period. The overall primary patency rate was 86.1%. Four reinterventions were successful (secondary patency rate 95.4%). The mid-term results of the percutaneous recanalization of iliac artery occlusions with primary and secondary patency rates of 86.1 and 95.4% are similar to those of the treatment of short stenoses.

Covariation of climate and long-term erosion rates acrossa steep rainfall gradient on the Hawaiian island of Kaua'i

USGS Publications Warehouse

Ken Ferrier,; J. Taylor Perron,; Sujoy Mukhopadhyay,; Matt Rosener,; Stock, Jonathan; Slosberg, Michelle; Kimberly L. Huppert,

2013-01-01

Erosion of volcanic ocean islands creates dramatic landscapes, modulates Earth’s carbon cycle, and delivers sediment to coasts and reefs. Because many volcanic islands have large climate gradients and minimal variations in lithology and tectonic history, they are excellent natural laboratories for studying climatic effects on the evolution of topography. Despite concerns that modern sediment fluxes to island coasts may exceed long-term fluxes, little is known about how erosion rates and processes vary across island interiors, how erosion rates are influenced by the strong climate gradients on many islands, and how modern island erosion rates compare to long-term rates. Here, we present new measurements of erosion rates over 5 yr to 5 m.y. timescales on the Hawaiian island of Kaua‘i, across which mean annual precipitation ranges from 0.5 to 9.5 m/yr. Eroded rock volumes from basins across Kaua‘i indicate that million-year-scale erosion rates are correlated with modern mean annual precipitation and range from 8 to 335 t km–2 yr–1. In Kaua‘i’s Hanalei River basin, 3He concentrations in detrital olivines imply millennial-scale erosion rates of >126 to >390 t km–2 yr–1 from olivine-bearing hillslopes, while fluvial suspended sediment fluxes measured from 2004 to 2009 plus estimates of chemical and bed-load fluxes imply basin-averaged erosion rates of 545 ± 128 t km–2 yr–1. Mapping of landslide scars in satellite imagery of the Hanalei basin from 2004 and 2010 implies landslide-driven erosion rates of 30–47 t km–2 yr–1. These measurements imply that modern erosion rates in the Hanalei basin are no more than 2.3 ± 0.6 times faster than millennial-scale erosion rates, and, to the extent that modern precipitation patterns resemble long-term patterns, they are consistent with a link between precipitation rates and long-term erosion rates.

Potential breeding distributions of U.S. birds predicted with both short-term variability and long-term average climate data.

PubMed

Bateman, Brooke L; Pidgeon, Anna M; Radeloff, Volker C; Flather, Curtis H; VanDerWal, Jeremy; Akçakaya, H Resit; Thogmartin, Wayne E; Albright, Thomas P; Vavrus, Stephen J; Heglund, Patricia J

2016-12-01

Climate conditions, such as temperature or precipitation, averaged over several decades strongly affect species distributions, as evidenced by experimental results and a plethora of models demonstrating statistical relations between species occurrences and long-term climate averages. However, long-term averages can conceal climate changes that have occurred in recent decades and may not capture actual species occurrence well because the distributions of species, especially at the edges of their range, are typically dynamic and may respond strongly to short-term climate variability. Our goal here was to test whether bird occurrence models can be predicted by either covariates based on short-term climate variability or on long-term climate averages. We parameterized species distribution models (SDMs) based on either short-term variability or long-term average climate covariates for 320 bird species in the conterminous USA and tested whether any life-history trait-based guilds were particularly sensitive to short-term conditions. Models including short-term climate variability performed well based on their cross-validated area-under-the-curve AUC score (0.85), as did models based on long-term climate averages (0.84). Similarly, both models performed well compared to independent presence/absence data from the North American Breeding Bird Survey (independent AUC of 0.89 and 0.90, respectively). However, models based on short-term variability covariates more accurately classified true absences for most species (73% of true absences classified within the lowest quarter of environmental suitability vs. 68%). In addition, they have the advantage that they can reveal the dynamic relationship between species and their environment because they capture the spatial fluctuations of species potential breeding distributions. With this information, we can identify which species and guilds are sensitive to climate variability, identify sites of high conservation value where climate variability is low, and assess how species' potential distributions may have already shifted due recent climate change. However, long-term climate averages require less data and processing time and may be more readily available for some areas of interest. Where data on short-term climate variability are not available, long-term climate information is a sufficient predictor of species distributions in many cases. However, short-term climate variability data may provide information not captured with long-term climate data for use in SDMs. © 2016 by the Ecological Society of America.

The Individual Health Discount Rate in Patients with Ulcerative Colitis

PubMed Central

Waljee, Akbar K.; Morris, Arden M.; Waljee, Jennifer F.; Higgins, Peter D.R.

2015-01-01

Background In cost-effectiveness analysis, discount rates are used in calculating the value of future costs and benefits. However, standard discount rates may not accurately describe the decision-making of patients with Ulcerative Colitis (UC). These patients often choose the long-term risks of immunosuppressive therapy over the short-term risks of colectomy, demonstrating very high discount rates for future health. In this study, we aimed to measure the discount rate in UC patients and identify variables associated with the discount rate. Methods We surveyed patients with UC and patients who were post-colectomy for UC to measure their valuations of UC and colectomy health states. We used Standard Gamble(SG) and Time-Trade-Off(TTO) methods to assess current and future health state valuations, and calculated the discount rate. Results Participants included 150 subjects with UC and 150 subjects who were post-colectomy for UC. Discount rates varied widely (20.6%–100%) with an overall median rate of 55.0%, which was significantly higher than the standard rate of 5%. Older age and male gender and predicted high discount rates (aversion to immediate risk in favor of distant future risk). For each additional decade of age, patients’ expected discount rate increased by 0.77%. Female gender was the only predictor of very low discount rates. Female patients’ discount rates averaged 8.1% less than age-matched males. Conclusions The accepted discount rate of 5% grossly underestimates UC patients’ preference for long-term over short-term risk. This might explain UC patients’ frequent choice of the long-term risks of immunosuppressive medical therapy over the short-term risks of colectomy. PMID:21560195

Rainfall-induced slope failures near Los Angeles detected by time series of high-resolution satellite imagery

NASA Astrophysics Data System (ADS)

McKinney, E.; Moon, S.

2017-12-01

Tectonically active, soil mantled, and often fire-scorched landscapes of the Los Angeles region are susceptible to slope failures, such as mudflow and landslides, during high-intensity precipitation events. During 2016-2017, this area received a precipitation rate that was 90 mm higher than the long-term precipitation rates averaged over 30 years. These precipitation rates were 24 % higher than the long-term averages and 245 % higher than those over the 2011-2016 period of drought. In this study, we examined the occurrences of slopes failures near Los Angeles in response to high rainfall rates over 2016-2017. We composited time series of high-resolution Planetscope satellite images with resolutions of 3 - 4 m/pixel for 4 selected locations after reviewing 190,000 km2 area in total. We mapped the surface changes by comparing satellite images before and after the winter 2016-2017. Preliminary analysis using spectral bands highlighted the surface changes made by mudflows, landslides, lake levels and land developments. We compared these changes across 2016-2017 with those over a period of recent drought (2011-2016) to assess the influence of high rainfall rates on slope failures.

Challenges to Progress in Studies of Climate-Tectonic-Erosion Interactions

NASA Astrophysics Data System (ADS)

Burbank, D. W.

2016-12-01

Attempts to unravel the relative importance of climate and tectonics in modulating topography and erosion should compare relevant data sets at comparable temporal and spatial scales. Given that such data are uncommonly available, how can we compare diverse data sets in a robust fashion? Many erosion-rate studies rely on detrital cosmogenic nuclides. What time scales can such data address, and what landscape conditions do they require to provide accurate representations of long-term erosion rates? To what extent do large-scale, but infrequent erosional events impact long-term rates? Commonly, long-term erosion rates are deduced from thermochronologic data. What types of data are needed to test for consistency of rates across a given interval or change in rates through time? Similarly, spatial and temporal variability in precipitation or tectonics requires averaging across appropriate scales. How are such data obtained in deforming mountain belts, and how do we assess their reliability? This study describes the character and temporal duration of key variables that are needed to examine climate-tectonic-erosion interactions, explores the strengths and weaknesses of several study areas, and suggests the types of data requirements that will underpin enlightening "tests" of hypotheses related to the mutual impacts of climate, tectonics, and erosion.

Pilot of a Tailored Dance Intervention to Support Function in People With Cognitive Impairment Residing in Long-Term Care: A Brief Report

PubMed Central

O’Rourke, Hannah M.; Sidani, Souraya; Chu, Charlene H.; Fox, Mary; McGilton, Katherine S.; Collins, Jhonna

2017-01-01

Older adults who live in long-term care settings are at risk for functional decline, which may be mitigated by regular exercise. Using a single-group repeated measures design, this pilot study explored the feasibility, acceptability, and preliminary effects of a Waltz-based dance intervention delivered to 13 Canadian, English-speaking, long-term care residents with mild to moderate cognitive impairment. The findings supported intervention feasibility, based on a high completion rate (93%), level of attendance (M = 7.15 of 10 sessions) and level of engagement during dance sessions (M = 1.75 to 1.97 out of 2.00). On average, residents perceived dance sessions positively, and staff and family participants (N = 26) rated them as somewhat acceptable overall (M = 2.37, 0 to 4 scale). Additional research is needed to assess intervention efficacy in a larger sample. PMID:29085863

Pilot of a Tailored Dance Intervention to Support Function in People With Cognitive Impairment Residing in Long-Term Care: A Brief Report.

PubMed

O'Rourke, Hannah M; Sidani, Souraya; Chu, Charlene H; Fox, Mary; McGilton, Katherine S; Collins, Jhonna

2017-01-01

Older adults who live in long-term care settings are at risk for functional decline, which may be mitigated by regular exercise. Using a single-group repeated measures design, this pilot study explored the feasibility, acceptability, and preliminary effects of a Waltz-based dance intervention delivered to 13 Canadian, English-speaking, long-term care residents with mild to moderate cognitive impairment. The findings supported intervention feasibility, based on a high completion rate (93%), level of attendance ( M = 7.15 of 10 sessions) and level of engagement during dance sessions ( M = 1.75 to 1.97 out of 2.00). On average, residents perceived dance sessions positively, and staff and family participants ( N = 26) rated them as somewhat acceptable overall ( M = 2.37, 0 to 4 scale). Additional research is needed to assess intervention efficacy in a larger sample.

Long-term growth rates and effects of bleaching in Acropora hyacinthus

NASA Astrophysics Data System (ADS)

Gold, Zachary; Palumbi, Stephen R.

2018-03-01

Understanding the response of coral growth to natural variation in the environment, as well as to acute temperature stress under current and future climate change conditions, is critical to predicting the future health of coral reef ecosystems. As such, ecological surveys are beginning to focus on corals that live in high thermal stress environments to understand how future coral populations may adapt to climate change. We investigated the relationship between coral growth, thermal microhabitat, symbionts type, and thermal acclimatization of four species of the Acropora hyacinthus complex in back-reef lagoons in American Samoa. Coral growth was measured from August 2010 to April 2016 using horizontal planar area of coral colonies derived from photographs and in situ maximum width measurements. Despite marked intraspecific variation, we found that planar colony growth rates were significantly different among cryptic species. The highly heat tolerant A. hyacinthus variant "HE" increased in area an average of 2.9% month-1 (0.03 cm average mean radial extension month-1). By contrast, the three less tolerant species averaged 6.1% (0.07 cm average mean radial extension month-1). Planar growth rates were 40% higher on average in corals harboring Clade C versus Clade D symbiont types, although marked inter-colony variation in growth rendered this difference nonsignificant. Planar growth rates for all four species dropped to near zero following a 2015 bleaching event, independent of the visually estimated percent area of bleaching. Within 1 yr, growth rates recovered to previous levels, confirming previous studies that found sublethal effects of thermal stress on coral growth. Long-term studies of individual coral colonies provide an important tool to measure impacts of environmental change and allow integration of coral physiology, genetics, symbionts, and microclimate on reef growth patterns.

Long-term effectiveness and cost-effectiveness of smoking cessation interventions in patients with COPD.

PubMed

Hoogendoorn, Martine; Feenstra, Talitha L; Hoogenveen, Rudolf T; Rutten-van Mölken, Maureen P M H

2010-08-01

The aim of this study was to estimate the long-term (cost-) effectiveness of smoking cessation interventions for patients with chronic obstructive pulmonary disease (COPD). A systematic review was performed of randomised controlled trials on smoking cessation interventions in patients with COPD reporting 12-month biochemical validated abstinence rates. The different interventions were grouped into four categories: usual care, minimal counselling, intensive counselling and intensive counselling + pharmacotherapy ('pharmacotherapy'). For each category the average 12-month continuous abstinence rate and intervention costs were estimated. A dynamic population model for COPD was used to project the long-term (cost-) effectiveness (25 years) of 1-year implementation of the interventions for 50% of the patients with COPD who smoked compared with usual care. Uncertainty and one-way sensitivity analyses were performed for variations in the calculation of the abstinence rates, the type of projection, intervention costs and discount rates. Nine studies were selected. The average 12-month continuous abstinence rates were estimated to be 1.4% for usual care, 2.6% for minimal counselling, 6.0% for intensive counselling and 12.3% for pharmacotherapy. Compared with usual care, the costs per quality-adjusted life year (QALY) gained for minimal counselling, intensive counselling and pharmacotherapy were euro 16 900, euro 8200 and euro 2400, respectively. The results were most sensitive to variations in the estimation of the abstinence rates and discount rates. Compared with usual care, intensive counselling and pharmacotherapy resulted in low costs per QALY gained with ratios comparable to results for smoking cessation in the general population. Compared with intensive counselling, pharmacotherapy was cost saving and dominated the other interventions.

40 CFR 439.12 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2011 CFR

2011-07-01

... percent reduction in the long-term average daily BOD5 load of the raw (untreated) process wastewater, multiplied by a variability factor of 3.0. (1) The long-term average daily BOD5 load of the raw process... concentration value reflecting a reduction in the long-term average daily COD load in the raw (untreated...

40 CFR 439.12 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2010 CFR

2010-07-01

... percent reduction in the long-term average daily BOD5 load of the raw (untreated) process wastewater, multiplied by a variability factor of 3.0. (1) The long-term average daily BOD5 load of the raw process... concentration value reflecting a reduction in the long-term average daily COD load in the raw (untreated...

Long-term results with percutaneous interspinous process devices in the treatment of neurogenic intermittent claudication.

PubMed

Fransen, Patrick

2017-12-01

Neurogenic intermittent claudication (NIC) is the main symptom of degenerative lumbar spinal stenosis. Percutaneous interspinous process decompression devices (IPDs) have been designed as an alternative therapy to conservative treatment and to open decompressive surgery for patients suffering from NIC. Initial short-term results were encouraging. We present the long-term results of a group of patients that we followed to provide insight on long-term outcomes and effectiveness of this technique compared to other decompression methods. Fifteen patients operated for NIC by implantation of percutaneous IPDs have been prospectively monitored for reoperations or complications. Follow-up (FU) was interrupted if the patient was reoperated. Results were considered poor if the patient had to be reoperated at any stage of the FU or if the treatment failed to alleviate the pain after 6 months. Results were considered average if the patient still suffered some pain but did not require reoperation. The patients were followed up to 7 years after the initial surgery. The mean length of the FU was 3.53 years and all patients could be followed. At the end of the FU, the results were good in only 20.0% (3/15), average in 13.3% (2/15) and poor in 66.7% (10/15). Despite initial satisfactory results, long-term FU is disappointing, with 80% poor or average results. The long-term reoperation rate is high (66.6%), increases over time and is higher than after implantation of IPDs for decompression augmentation. Although this technique is simple and safe, its effectiveness seems short-lived. We recommend cautious use and informing patients about the risk of relatively early failure and recurrence.

The role of fire in the boreal carbon budget

USGS Publications Warehouse

Harden, J.W.; Trumbore, S.E.; Stocks, B.J.; Hirsch, A.; Gower, S.T.; O'Neill, K. P.; Kasischke, E.S.

2000-01-01

To reconcile observations of decomposition rates, carbon inventories, and net primary production (NPP), we estimated long-term averages for C exchange in boreal forests near Thompson, Manitoba. Soil drainage as defined by water table, moss cover, and permafrost dynamics, is the dominant control on direct fire emissions. In upland forests, an average of about 10-30% of annual NPP was likely consumed by fire over the past 6500 years since these landforms and ecosystems were established. This long-term, average fire emission is much larger than has been accounted for in global C cycle models and may forecast an increase in fire activity for this region. While over decadal to century times these boreal forests may be acting as slight net sinks for C from the atmosphere to land, periods of drought and severe fire activity may result in net sources of C from these systems.

Memory and subjective workload assessment

NASA Technical Reports Server (NTRS)

Staveland, L.; Hart, S.; Yeh, Y. Y.

1986-01-01

Recent research suggested subjective introspection of workload is not based upon specific retrieval of information from long term memory, and only reflects the average workload that is imposed upon the human operator by a particular task. These findings are based upon global ratings of workload for the overall task, suggesting that subjective ratings are limited in ability to retrieve specific details of a task from long term memory. To clarify the limits memory imposes on subjective workload assessment, the difficulty of task segments was varied and the workload of specified segments was retrospectively rated. The ratings were retrospectively collected on the manipulations of three levels of segment difficulty. Subjects were assigned to one of two memory groups. In the Before group, subjects knew before performing a block of trials which segment to rate. In the After group, subjects did not know which segment to rate until after performing the block of trials. The subjective ratings, RTs (reaction times) and MTs (movement times) were compared within group, and between group differences. Performance measures and subjective evaluations of workload reflected the experimental manipulations. Subjects were sensitive to different difficulty levels, and recalled the average workload of task components. Cueing did not appear to help recall, and memory group differences possibly reflected variations in the groups of subjects, or an additional memory task.

[Effects of long-term fertilization on microbial biomass carbon and nitrogen and on carbon source utilization of microbes in a red soil].

PubMed

Sun, Feng-xia; Zhang, Wei-hua; Xu, Ming-gang; Zhang, Wen-ju; Li, Zhao-qiang; Zhang, Jing-ye

2010-11-01

In order to explore the effects of long-term fertilization on the microbiological characters of red soil, soil samples were collected from a 19-year long-term experimental field in Qiyang of Hunan, with their microbial biomass carbon (MBC) and nitrogen (MBN) and microbial utilization ratio of carbon sources analyzed. The results showed that after 19-year fertilization, the soil MBC and MBN under the application of organic manure and of organic manure plus inorganic fertilizers were 231 and 81 mg x kg(-1) soil, and 148 and 73 mg x kg(-1) soil, respectively, being significantly higher than those under non-fertilization, inorganic fertilization, and inorganic fertilization plus straw incorporation. The ratio of soil MBN to total N under the application of organic manure and of organic manure plus inorganic fertilizers was averagely 6.0%, significantly higher than that under non-fertilization and inorganic fertilization. Biolog-ECO analysis showed that the average well color development (AWCD) value was in the order of applying organic manure plus inorganic fertilizers = applying organic manure > non-fertilization > inorganic fertilization = inorganic fertilization plus straw incorporation. Under the application of organic manure or of organic manure plus inorganic fertilizers, the microbial utilization rate of carbon sources, including carbohydrates, carboxylic acids, amino acids, polymers, phenols, and amines increased; while under inorganic fertilization plus straw incorporation, the utilization rate of polymers was the highest, and that of carbohydrates was the lowest. Our results suggested that long-term application of organic manure could increase the red soil MBC, MBN, and microbial utilization rate of carbon sources, improve soil fertility, and maintain a better crop productivity.

40 CFR 439.22 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2011 CFR

2011-07-01

... limitation for BOD5 that is less than the equivalent of 45 mg/L. (1) The long-term average daily BOD5 load of... to this subpart, calculation of the long-term average daily BOD5 load in the influent to the... this section is higher than a concentration value reflecting a reduction in the long-term average daily...

40 CFR 439.52 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2012 CFR

2012-07-01

..., kg) per day, must reflect not less than 74 percent reduction in the long-term average daily COD load... long-term average daily BOD5 or COD mass loading of the raw process wastewater (i.e., the base number..., calculation of the long-term average daily BOD5 or COD load in the influent to the wastewater treatment system...

40 CFR 439.22 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2010 CFR

2010-07-01

... limitation for BOD5 that is less than the equivalent of 45 mg/L. (1) The long-term average daily BOD5 load of... to this subpart, calculation of the long-term average daily BOD5 load in the influent to the... this section is higher than a concentration value reflecting a reduction in the long-term average daily...

40 CFR 439.52 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2014 CFR

2014-07-01

..., kg) per day, must reflect not less than 74 percent reduction in the long-term average daily COD load... long-term average daily BOD5 or COD mass loading of the raw process wastewater (i.e., the base number..., calculation of the long-term average daily BOD5 or COD load in the influent to the wastewater treatment system...

40 CFR 439.52 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2013 CFR

2013-07-01

..., kg) per day, must reflect not less than 74 percent reduction in the long-term average daily COD load... long-term average daily BOD5 or COD mass loading of the raw process wastewater (i.e., the base number..., calculation of the long-term average daily BOD5 or COD load in the influent to the wastewater treatment system...

40 CFR 439.12 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2013 CFR

2013-07-01

... than 90 percent reduction in the long-term average daily BOD5 load of the raw (untreated) process wastewater, multiplied by a variability factor of 3.0. (1) The long-term average daily BOD5 load of the raw..., calculation of the long-term average daily BOD5 load in the influent to the wastewater treatment system must...

40 CFR 439.12 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2012 CFR

2012-07-01

... than 90 percent reduction in the long-term average daily BOD5 load of the raw (untreated) process wastewater, multiplied by a variability factor of 3.0. (1) The long-term average daily BOD5 load of the raw..., calculation of the long-term average daily BOD5 load in the influent to the wastewater treatment system must...

40 CFR 439.12 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2014 CFR

2014-07-01

... than 90 percent reduction in the long-term average daily BOD5 load of the raw (untreated) process wastewater, multiplied by a variability factor of 3.0. (1) The long-term average daily BOD5 load of the raw..., calculation of the long-term average daily BOD5 load in the influent to the wastewater treatment system must...

Radioprotective effects of miso (fermented soy bean paste) against radiation in B6C3F1 mice: increased small intestinal crypt survival, crypt lengths and prolongation of average time to death.

PubMed

Ohara, M; Lu, H; Shiraki, K; Ishimura, Y; Uesaka, T; Katoh, O; Watanabe, H

2001-12-01

The radioprotective effect of miso, a fermentation product from soy bean, was investigated with reference to the survival time, crypt survival and jejunum crypt length in male B6C3F1 mice. Miso at three different fermentation stages (early-, medium- and long-term fermented miso) was mixed in MF diet into biscuits at 10% and was administered from 1 week before irradiation. Animal survival in the long-term fermented miso group was significantly prolonged as compared with the short-term fermented miso and MF cases after 8 Gy of 60Co-gamma-ray irradiation at a dose rate of 2Gy min(-1). Delay in mortality was evident in all three miso groups, with significantly increased survival. At doses of 10 and 12 Gy X-irradiation at a dose rate of 4 Gy min(-1), the treatment with long-term fermented miso significantly increased crypt survival. Also the protective influence against irradiation in terms of crypt lengths in the long-term fermented miso group was significantly greater than in the short-term or medium-term fermented miso and MF diet groups. Thus, prolonged fermentation appears to be very important for protection against radiation effects.

Wind Magnetic Clouds for the Period 2013 - 2015: Model Fitting, Types, Associated Shock Waves, and Comparisons to Other Periods

NASA Astrophysics Data System (ADS)

Lepping, R. P.; Wu, C.-C.; Berdichevsky, D. B.; Szabo, A.

2018-04-01

We give the results of parameter fitting of the magnetic clouds (MCs) observed by the Wind spacecraft for the three-year period 2013 to the end of 2015 (called the "Present" period) using the MC model of Lepping, Jones, and Burlaga ( J. Geophys. Res. 95, 11957, 1990). The Present period is almost coincident with the solar maximum of the sunspot number, which has a broad peak starting in about 2012 and extending to almost 2015. There were 49 MCs identified in the Present period. The modeling gives MC quantities such as size, axial attitude, field handedness, axial magnetic-field strength, center time, and closest-approach vector. Derived quantities are also estimated, such as axial magnetic flux, axial current density, and total axial current. Quality estimates are assigned representing excellent, fair/good, and poor. We provide error estimates on the specific fit parameters for the individual MCs, where the poor cases are excluded. Model-fitting results that are based on the Present period are compared to the results of the full Wind mission from 1995 to the end of 2015 (Long-term period), and compared to the results of two other recent studies that encompassed the periods 2007 - 2009 and 2010 - 2012, inclusive. We see that during the Present period, the MCs are, on average, slightly slower, slightly weaker in axial magnetic field (by 8.7%), and larger in diameter (by 6.5%) than those in the Long-term period. However, in most respects, the MCs in the Present period are significantly closer in characteristics to those of the Long-term period than to those of the two recent three-year periods. However, the rate of occurrence of MCs for the Long-term period is 10.3 year^{-1}, whereas this rate for the Present period is 16.3 year^{-1}, similar to that of the period 2010 - 2012. Hence, the MC occurrence rate has increased appreciably in the last six years. MC Type (N-S, S-N, All N, All S, etc.) is assigned to each MC; there is an inordinately large percentage of All S, by about a factor of two compared to that of the Long-term period, indicating many strongly tipped MCs. In 2005, there was a distinct change in variability and average value (viewed at 1/2 year averages) of the duration, MC speed, axial magnetic field strength, axial magnetic flux, and total current to lower values. In the Present period, upstream shocks occur for 43% of the 49 cases; for comparison, the Long-term rate is 56%.

Automatic multimodal detection for long-term seizure documentation in epilepsy.

PubMed

Fürbass, F; Kampusch, S; Kaniusas, E; Koren, J; Pirker, S; Hopfengärtner, R; Stefan, H; Kluge, T; Baumgartner, C

2017-08-01

This study investigated sensitivity and false detection rate of a multimodal automatic seizure detection algorithm and the applicability to reduced electrode montages for long-term seizure documentation in epilepsy patients. An automatic seizure detection algorithm based on EEG, EMG, and ECG signals was developed. EEG/ECG recordings of 92 patients from two epilepsy monitoring units including 494 seizures were used to assess detection performance. EMG data were extracted by bandpass filtering of EEG signals. Sensitivity and false detection rate were evaluated for each signal modality and for reduced electrode montages. All focal seizures evolving to bilateral tonic-clonic (BTCS, n=50) and 89% of focal seizures (FS, n=139) were detected. Average sensitivity in temporal lobe epilepsy (TLE) patients was 94% and 74% in extratemporal lobe epilepsy (XTLE) patients. Overall detection sensitivity was 86%. Average false detection rate was 12.8 false detections in 24h (FD/24h) for TLE and 22 FD/24h in XTLE patients. Utilization of 8 frontal and temporal electrodes reduced average sensitivity from 86% to 81%. Our automatic multimodal seizure detection algorithm shows high sensitivity with full and reduced electrode montages. Evaluation of different signal modalities and electrode montages paces the way for semi-automatic seizure documentation systems. Copyright © 2017 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.

Long-term results of a non-ramdomized prospective mono-centre study of 1000 laparoscopic totally extraperitoneal hernia repairs.

PubMed

Thill, V; Simoens, C; Smets, D; Ngongang, C; da Costa, P Mendes

2008-01-01

Information concerning short-term results for laparoscopic extraperitoneal hernia repair is available, but long-term results remain poorly documented. The purpose of this non-randomized prospective study was to evaluate recurrence and chronic pain after hernia repair over a period longer than 10 years. From 1995 to 2004, all patients aged 30 years or more, manifesting with inguinal hernia, were included in our study. Patients aged 20 to 30 years presenting with bilateral hernia, recurrent hernia, or who were heavy workers were also included. Patients who had pelvic irradiation, strangulated hernia, prostatic cancer resection, or a contra-indication to general anaesthesia were excluded. Of 1096 hernia repairs performed, 248 patients were excluded and underwent open repair and 848 patients (77.4%) were included in our prospective study, which corresponded to 1000 laparoscopic hernia repairs. The sex ratio (male : female) was 5:8, and the average age was 56 years. Seven hundred and fifty-three hernias (75.3%) were first repairs, 247 (24.7%) were recurrent hernias, and 161 were bilateral hernias. There were no mortalities. The conversion rate was 1.1%, and the global postoperative morbidity rate was 10.3%. Average follow-up was 39 months in 92.2% of the patients. Hernia recurrence rate was 1.5%. Chronic pain occurred in 2.9%. During this follow-up, 22 contra-lateral hernias appeared in those patients who initially had unilateral hernia repair (3.2%). All of these contra-lateral hernias could be successfully treated using a laparoscopic total extraperitoneal approach. The long-term results of this study demonstrate that preperitoneal laparoscopic hernia repair is a safe technique with a very low recurrence rate and low prevalence of chronic pain.

Contemporary and long-term erosion in the Kruger National Park, Lowveld Savanna, South Africa. First results.

NASA Astrophysics Data System (ADS)

Baade, Jussi; Rheinwarth, Bastian; Glotzbach, Christoph

2017-04-01

Human-induced soil erosion as a consequence of the transformation of landscapes to pasture or arable land is a function of natural conditions (relief and soil properties), natural drivers (climate) as well as land use and management. It is common understanding that humans have accelerated erosion of landscapes by modifying land surface characteristics, like vegetation cover and soil properties, among others. But the magnitude of the acceleration is not yet well established. Partly, the uncertainty about the magnitude of the problem is due to the fact that baseline values, i.e., data on rates of natural erosion from uncultivated land under current climate conditions, are difficult to find. Against this background, we conducted an assessment of contemporary and long-term erosion in the Kruger National Park (KNP), South Africa. The KNP has been set aside for the recovery of wildlife in the early 20th century and was spared from agricultural practices even before that. Concerning soil properties and vegetation cover the KNP can thus be considered to represent a rather pristine savanna environment. In order to secure water provision to wildlife a number of reservoirs was established in the 1930s to 1970s with catchment areas entirely within the KNP boundaries. The size of the catchments varies from 4 to 100 km2. Volumetric mapping and dry bulk density measurements of reservoir deposits provided average minimum sediment yield rates for observation periods of 30 to 80 years. Hydrological modelling was used to assess the trap efficiency of the reservoirs and to estimate the most likely sediment yield rates. At the same time this exercise provided evidence for the stochastic nature of runoff and erosion events in this semi-arid environment and the need to evaluate contemporary erosion based on long observation periods. Measuring cosmogenic 10Be in quartz sand samples collected at the inlet of the reservoirs provided the corresponding average long-term erosion rates for periods of a few 100,000 years. This presentation provides first results based on more than 10 investigated reservoirs and compares contemporary and long-term erosion rates.

Contrasting Modern and 10Be- derived erosion rates for the Southern Betic Cordillera, Spain

NASA Astrophysics Data System (ADS)

Bellin, N.; Vanacker, V.; Kubik, P.

2012-04-01

In Europe, Southeast Spain was identified as one of the regions with major treat of desertification in the context of future land use and climate change. During the last years, significant progress has been made to understand spatial patterns of modern erosion rates in these semi-arid degraded environments. Numerous European projects have contributed to the collection of modern erosion data at different spatial scales for Southeast Spain. However, these data are rarely analysed in the context of long-term changes in vegetation, climate and human occupation. In this paper, we present Modern and Holocene denudation rates for small river basins (1 to 10 km2) located in the Spanish Betic Cordillera. Long-term erosion data were derived from cosmogenic nuclide analyses of river-borne sediment. Modern erosion data were quantified through analysis of sediment deposition volumes behind check dams, and represent average erosion rates over the last 10 to 40 years. Modern erosion rates are surprisingly low (mean erosion rate = 0.048 mm y-1; n=36). They indicate that the steep, sparsely vegetated hillslopes in the Betic Cordillera cannot directly be associated with high erosion rates. 10Be -derived erosion rates integrate over the last 37500 to 3500 years, and are roughly of the same magnitude. They range from 0.013 to 0.243 mm y-1 (mean denudation rate = 0.062 mm y-1 ± 0.054; n=20). Our data suggest that the modern erosion rates are similar to the long-term erosion rates in this area. This result is in contrast with the numerous reports on human-accelerated modern erosion rates for Southeast Spain. Interestingly, our new data on long-term erosion rates show a clear spatial pattern, with higher erosion rates in the Sierra Cabrera and lower erosion rates in Sierra de las Estancias, and Sierra Torrecilla. Preliminary geomorphometric analyses suggest that the spatial variation that we observe in long-term erosion rates is related to the gradient in uplift rates of the Betic Cordillera.

Deciphering the driving forces of short-term erosion in glacially impacted landscapes, an example from the Western Alps

NASA Astrophysics Data System (ADS)

Glotzbach, Christoph; van der Beek, Peter; Carcaillet, Julien; Delunel, Romain

2013-04-01

Tectonic uplift is the main driver of long-term erosion, but climate changes can markedly affect the link between tectonics and erosion, causing transient variations in short-term erosion rate. Here we study the driving forces of short-term erosion rates in the French Western Alps as estimated from in-situ produced cosmogenic 10Be and detrital apatite fission-track thermochronology analysis of stream sediments. Short-term erosion rates from 10Be analyses vary between ~0.27 and ~1.33 mm/yr, similar to rates measured in adjacent areas of the Alps. Part of the data scales positively with elevation, while the full dataset shows a significant positive correlation with steepness index of streams and normalized geophysical relief. Mean long-term exhumation and short-term erosion rates are comparable in areas that are exhuming rapidly (>0.4 km/Myr), but short-term rates are on average two-three (and up to six) times higher than long-term rates in areas where the latter are slow (<0.4 km/Myr). These findings are supported by detrital apatite fission-track age distributions that appear to require similar variations in erosion rates. Major glaciations strongly impacted the external part of the Alps, increasing both long-term exhumation rates as well as relief (e.g. Glotzbach et al. 2011; Häuselmann et al. 2007; Valla et al.). Based on our data, it seems that glacial impact in the more slowly eroding internal part is mainly restricted to relief, which is reflected in high transient short-term erosion rates. The data further reveal that normalized steepness index and ridgeline geophysical relief are well correlated with (and could be used as proxies for) short-term erosion, in contrast to slope, corroborating studies in purely fluvial landscapes. Our study demonstrates that climate change, e.g. through occurrence of major glaciations, can markedly perturb landscapes short-term erosion patterns in regions of tectonically controlled long-term exhumation. Glotzbach C., P.A. van der Beek, C. Spiegel. (2011): Episodic exhumation and relief growth in the Mont Blanc massif, Western Alps from numerical modeling of thermochronology data. - Earth Planet. Sci. Lett. 304, 417-430. Häuselmann P., D.E. Granger, P.-Y. Jeanin, S.-E. Lauritzen (2007): Abrupt glacial valley incision at 0.8 Ma dated from cave deposits in Switzerland. - Geology 35, 143-146. Valla P.G., D.L. Shuster, P.A. van der Beek (2011): Significant increase in relief of the European Alps during mid-Pleistocene glaciations. - Nature Geosci. 4, 688-692.

Comparison of long-term outcomes between spousal transplants and other living unrelated donor transplants: single-center experience.

PubMed

Yoon, Hye Eun; Song, Joon Chang; Hyoung, Bok Jin; Hwang, Hyeon Seok; Lee, So Young; Jeon, Youn Joo; Park, Sun Cheol; Choi, Bum Soon; Kim, Yong Soo; Moon, In Sung; Yang, Chul Woo

2009-01-01

The greater use of living unrelated donors (LUDs) as kidney donors is a worldwide trend in the current era of organ shortage, and spouses are an important source of LUDs. This study was to compare the long-term outcomes of spousal donor grafts with other LUD grafts. Among 445 LUD grafts, 77 were spouses and 368 were other LUDs. The clinical characteristics and long-term survival rates for spousal transplants were compared with those for other LUD transplants, and risk factors affecting graft survival were assessed. Spousal donors had a significantly higher average number of human leukocyte antigen (HLA) mismatches (4.2 vs. 3.4, p < 0.001) and were older (41 vs. 33 years, p < 0.001) than LUDs. The 10-year survival rates for spousal donor grafts were 60.6%, similar to those for LUD grafts (58.5%, p = 0.61). The 10-year biopsy-proven acute rejection-free survival rates (85.5 vs. 89.6%, p = 0.45) and patient survival rates were also similar (84.3 vs. 79.6%, p = 0.35). The degree of HLA mismatching, the spousal donor type or donor age did not affect the graft survival. Renal transplants from spousal donors show similar long-term outcomes to those from better HLA-matched and younger LUDs. (c) 2009 S. Karger AG, Basel.

Impact cratering through geologic time

USGS Publications Warehouse

Shoemaker, E.M.; Shoemaker, C.S.

1998-01-01

New data on lunar craters and recent discoveries about craters on Earth permit a reassessment of the bombardment history of Earth over the last 3.2 billion years. The combined lunar and terrestrial crater records suggest that the long-term average rate of production of craters larger than 20 km in diameter has increased, perhaps by as much as 60%, in the last 100 to 200 million years. Production of craters larger than 70 km in diameter may have increased, in the same time interval, by a factor of five or more over the average for the preceding three billion years. A large increase in the flux of long-period comets appears to be the most likely explanation for such a long-term increase in the cratering rate. Two large craters, in particular, appear to be associated with a comet shower that occurred about 35.5 million years ago. The infall of cosmic dust, as traced by 3He in deep sea sediments, and the ages of large craters, impact glass horizons, and other stratigraphic markers of large impacts seem to be approximately correlated with the estimated times of passage of the Sun through the galactic plane, at least for the last 65 million years. Those are predicted times for an increased near-Earth flux of comets from the Oort Cloud induced by the combined effects of galactic tidal perturbations and encounters of the Sun with passing stars. Long-term changes in the average comet flux may be related to changes in the amplitude of the z-motion of the Sun perpendicular to the galactic plane or to stripping of the outer Oort cloud by encounters with large passing stars, followed by restoration from the inner Oort cloud reservoir.

Rating curve estimation of nutrient loads in Iowa rivers

USGS Publications Warehouse

Stenback, G.A.; Crumpton, W.G.; Schilling, K.E.; Helmers, M.J.

2011-01-01

Accurate estimation of nutrient loads in rivers and streams is critical for many applications including determination of sources of nutrient loads in watersheds, evaluating long-term trends in loads, and estimating loading to downstream waterbodies. Since in many cases nutrient concentrations are measured on a weekly or monthly frequency, there is a need to estimate concentration and loads during periods when no data is available. The objectives of this study were to: (i) document the performance of a multiple regression model to predict loads of nitrate and total phosphorus (TP) in Iowa rivers and streams; (ii) determine whether there is any systematic bias in the load prediction estimates for nitrate and TP; and (iii) evaluate streamflow and concentration factors that could affect the load prediction efficiency. A commonly cited rating curve regression is utilized to estimate riverine nitrate and TP loads for rivers in Iowa with watershed areas ranging from 17.4 to over 34,600km2. Forty-nine nitrate and 44 TP datasets each comprising 5-22years of approximately weekly to monthly concentrations were examined. Three nitrate data sets had sample collection frequencies averaging about three samples per week. The accuracy and precision of annual and long term riverine load prediction was assessed by direct comparison of rating curve load predictions with observed daily loads. Significant positive bias of annual and long term nitrate loads was detected. Long term rating curve nitrate load predictions exceeded observed loads by 25% or more at 33% of the 49 measurement sites. No bias was found for TP load prediction although 15% of the 44 cases either underestimated or overestimate observed long-term loads by more than 25%. The rating curve was found to poorly characterize nitrate and phosphorus variation in some rivers. ?? 2010 .

Associations between long-term exposure to chemical constituents of fine particulate matter (PM2.5) and mortality in Medicare enrollees in the eastern United States.

PubMed

Chung, Yeonseung; Dominici, Francesca; Wang, Yun; Coull, Brent A; Bell, Michelle L

2015-05-01

Several epidemiological studies have reported that long-term exposure to fine particulate matter (PM2.5) is associated with higher mortality. Evidence regarding contributions of PM2.5 constituents is inconclusive. We assembled a data set of 12.5 million Medicare enrollees (≥ 65 years of age) to determine which PM2.5 constituents are a) associated with mortality controlling for previous-year PM2.5 total mass (main effect); and b) elevated in locations exhibiting stronger associations between previous-year PM2.5 and mortality (effect modification). For 518 PM2.5 monitoring locations (eastern United States, 2000-2006), we calculated monthly mortality rates, monthly long-term (previous 1-year average) PM2.5, and 7-year averages (2000-2006) of major PM2.5 constituents [elemental carbon (EC), organic carbon matter (OCM), sulfate (SO42-), silicon (Si), nitrate (NO3-), and sodium (Na)] and community-level variables. We applied a Bayesian hierarchical model to estimate location-specific mortality rates associated with previous-year PM2.5 (model level 1) and identify constituents that contributed to the spatial variability of mortality, and constituents that modified associations between previous-year PM2.5 and mortality (model level 2), controlling for community-level confounders. One-standard deviation (SD) increases in 7-year average EC, Si, and NO3- concentrations were associated with 1.3% [95% posterior interval (PI): 0.3, 2.2], 1.4% (95% PI: 0.6, 2.4), and 1.2% (95% PI: 0.4, 2.1) increases in monthly mortality, controlling for previous-year PM2.5. Associations between previous-year PM2.5 and mortality were stronger in combination with 1-SD increases in SO42- and Na. Long-term exposures to PM2.5 and several constituents were associated with mortality in the elderly population of the eastern United States. Moreover, some constituents increased the association between long-term exposure to PM2.5 and mortality. These results provide new evidence that chemical composition can partly explain the differential toxicity of PM2.5.

Benign tracheobronchial stenoses: changes in short-term and long-term pulmonary function testing after expandable metallic stent placement.

PubMed

Gotway, Michael B; Golden, Jeffrey A; LaBerge, Jeanne M; Webb, W Richard; Reddy, Gautham P; Wilson, Mark W; Kerlan, Robert K; Gordon, Roy L

2002-01-01

To determine the short- and long-term improvement in airflow dynamics in patients undergoing tracheobronchial stent placement for benign airway stenoses. Twenty-two patients underwent 34 tracheal and/or bronchial stent placement procedures for benign airway stenoses and had the results of pulmonary function tests available. Stent placement indications included bronchomalacia after lung transplantation (n = 11), postintubation stenoses (n = 6), relapsing polychondritis (n = 2), and 1 each of tracheomalacia, tracheal compression, and histoplasmosis. Six patients underwent more than one stent placement procedure (range: 2-7 procedures). The mean forced expiratory volume in one second (FEV(1) ), forced expiratory flow rate in the midportion of the forced vital capacity curve (FEF(25-75) ), forced vital capacity, and peak flow (PF) rate obtained before stent placement were compared with those immediately after stent placement and with those measurements most remote from stent placement using the paired two-tailed test. All patients reported improved respiratory function immediately after stent placement. The mean FEV(1), FEF(25-75), and PF rate improved significantly (p < 0.001, p = 0.002, and p = 0.009, respectively) after stent placement. On long-term follow-up averaging 15 months after stent placement, these parameters declined despite patients' subjective sense of improvement. Segregating the population into transplant and nontransplant airway stenosis etiologies, however, FEF(25-75) and PF rate remained significantly improved (p = 0.045, p = 0.027, respectively), over the long term for the latter. FEV increased after subsequent stent placements for patients receiving multiple stents. Stent placement for benign tracheobronchial stenoses provides significant immediate improvement in airflow dynamics. Long-term improvement in airflow obstruction may be expected, and additional stent placements may further improve pulmonary function.

Pneumonia Mortality in Children Aged <5 Years in 56 Countries: A Retrospective Analysis of Trends from 1960 to 2012.

PubMed

Wu, Jie; Yang, Shigui; Cao, Qing; Ding, Cheng; Cui, Yuanxia; Zhou, Yuqing; Li, Yiping; Deng, Min; Wang, Chencheng; Xu, Kaijin; Ruan, Bing; Li, Lanjuan

2017-10-30

Pneumonia is now the second leading cause of death for children aged <5 years worldwide. However, analyses of the long-term evolution of under-5 mortality from pneumonia are still scarce in the literature. We aimed to explore long-term trends of under-5 mortality from pneumonia in 56 countries from 1960 to 2012. Data on under-5 mortality from pneumonia were extracted from the World Health Organization mortality database. Long-term trends were assessed for 56 countries and for 4 national income transition groups. We also used joinpoint regression analysis to detect distinct period segments of long-term trends and estimate the annual percent of changes of each period segment. The average mortality rate from pneumonia for children aged 0-4 years in 56 countries declined from 163.0 per 100000 children (95% confidence interval [CI], 119.4 to 212.8) in 1960 to 9.9 per 100000 children (95% CI, 6.4 to 13.4) in 2012, with an average annual percent of change of -5.6% (95% CI, -7.2% to -3.9%). The temporal trends of childhood mortality were different between national income transition groups. Our findings suggest a striking overall downward trend in under-5 mortality from pneumonia between 1960 and 2012. However, the rate and absolute terms of decline differ by national income transition group. These variable patterns between national income transition groups may inform further intervention setting and priority setting. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

High natural erosion rates are the backdrop for enhanced anthropogenic soil erosion in the Middle Hills of Nepal

NASA Astrophysics Data System (ADS)

West, A. J.; Arnold, M.; Aumaître, G.; Bourlès, D. L.; Keddadouche, K.; Bickle, M.; Ojha, T.

2014-08-01

Although agriculturally accelerated soil erosion is implicated in the unsustainable environmental degradation of mountain environments, such as in the Himalaya, the effects of land use can be difficult to quantify in many mountain settings because of the high and variable natural background rates of erosion. In this study, we present new long-term denudation rates, derived from cosmogenic 10Be analysis of quartz in river sediment from the Likhu Khola, a small agricultural river basin in the Middle Hills of central Nepal. Calculated long-term denudation rates, which reflect background natural erosion processes over 1000+ years prior to agricultural intensification, are similar to present-day sediment yields and to soil loss rates from terraces that are well-maintained. Similarity in short- and long-term catchment-wide erosion rates for the Likhu is consistent with data from elsewhere in the Nepal Middle Hills, but contrasts with the very large increases in short-term erosion rates seen in agricultural catchments in other steep mountain settings. Our results suggest that the large sediment fluxes exported from the Likhu and other Middle Hills rivers in the Himalaya are derived in large part from natural processes, rather than from soil erosion as a result of agricultural activity. Because of the high natural background rates, simple comparison of short- and long-term rates may not reveal unsustainable soil degradation, particularly if much of the catchment-scale erosion flux derives from mass wasting. Correcting for the mass wasting contribution in the Likhu implies minimum catchment-averaged soil production rates of ~0.25-0.35 mm yr-1. The deficit between these production rates and soil losses suggests that terraced agriculture in the Likhu may not be associated with a large systematic soil deficit, at least when terraces are well maintained, but that poorly managed terraces, forest and scrubland may lead to rapid depletion of soil resources.

Staying in School: A Proposal to Raise High School Graduation Rates. Discussion Paper 2012-07

ERIC Educational Resources Information Center

Messacar, Derek; Oreopoulos, Philip

2012-01-01

High school dropouts fare substantially worse than their peers on a wide variety of long-term economic outcomes. On average, a dropout earns less money, is more likely to be in jail, is less healthy, is less likely to be married, and is unhappier than a high school graduate. But despite this growing education gap, dropout rates have remained…

Does implied volatility of currency futures option imply volatility of exchange rates?

NASA Astrophysics Data System (ADS)

Wang, Alan T.

2007-02-01

By investigating currency futures options, this paper provides an alternative economic implication for the result reported by Stein [Overreactions in the options market, Journal of Finance 44 (1989) 1011-1023] that long-maturity options tend to overreact to changes in the implied volatility of short-maturity options. When a GARCH process is assumed for exchange rates, a continuous-time relationship is developed. We provide evidence that implied volatilities may not be the simple average of future expected volatilities. By comparing the term-structure relationship of implied volatilities with the process of the underlying exchange rates, we find that long-maturity options are more consistent with the exchange rates process. In sum, short-maturity options overreact to the dynamics of underlying assets rather than long-maturity options overreacting to short-maturity options.

Use of Anthropogenic Radioisotopes to Estimate Rates of Soil Redistribution by Wind

USDA-ARS?s Scientific Manuscript database

Wind erosion results in soil degradation and fugitive dust emissions. The temporal and spatial variability of aeolian processes makes local estimates of long-term average erosion costly and time consuming. Atmospheric testing of nuclear weapons during the 1950s and 1960s resulted in previously non...

EXPOSURE RECONSTRUCTION FOR REDUCING UNCERTAINTY IN RISK ASSESSMENT: EXAMPLE USING MTBE BIOMARKERS AND SIMPLE PHARMACOKINETIC MODEL

EPA Science Inventory

Adverse health risks from environmental agents are generally related to average (long term) exposures. We used results from a series of controlled human exposure tests and classical first order rate kinetics calculations to estimate how well spot measurements of methyl tertiary ...

Long-term follow-up of the surgical management of neuropathic arthropathy of the spine.

PubMed

Haus, Brian M; Hsu, Andrew R; Yim, Eugene S; Meter, Jeffrey J; Rinsky, Lawrence A

2010-06-01

No studies have discussed the long-term surgical management and outcomes of Charcot arthropathy of the spine. This case series presents nine patients treated over 30 years. The study hypothesis was that surgery would reduce instability, pain, recurrence, and the need for revision surgery in the long-term, given previous study findings of successful fusion of Charcot spine in the short-term. To evaluate the long-term outcomes of surgery for Charcot spine. Retrospective case series. Cases took place at Stanford University Medical Center and Santa Clara Valley Medical Center. All patients had either complete paraplegia or dense paraparesis with both major motor and sensory deficits. Seven patients developed Charcot spine after spinal instrumentation for trauma, one after scoliosis repair for meningomyelocele, and one after spinal instrumentation for neuromuscular scoliosis caused by birth injury resulting in C6-C7 quadraplegia. Average time between initial instrumentation and development of Charcot spine was 7.6 years. Two patients underwent posterior fusion alone, six had anterior-posterior fusion, and one was managed with thoracolumbar orthosis. Average follow-up was 14.3 years. Revisions were necessary in 75% (6 of 8) of patients for complications including nonunion, new Charcot joints, recurrent hardware failure, and osteomyelitis. Achieving fusion often required multiple operations, and there were no deaths or neurologic complications. Long-term follow-up showed a high rate of revision surgery. Solid fusions often resulted in late breakdown or new junctional Charcot arthropathies. Patients initially fused to the lumbar spine instead of the sacrum or pelvis had a higher rate of developing another Charcot joint. Fusion was often difficult with persistent nonunions and functional deficits because of decreased mobility. We recommend that Charcot spine well tolerated without skin, seating problems, or dysreflexia should be cautiously observed with conservative management. For surgical care, we recommend three-column stabilization with either combined anterior-posterior or all posterior approaches with anterior support to obtain and secure greater long-term stability. Copyright 2010 Elsevier Inc. All rights reserved.

Increased mitochondrial energy efficiency in skeletal muscle after long-term fasting: its relevance to animal performance.

PubMed

Bourguignon, Aurore; Rameau, Anaïs; Toullec, Gaëlle; Romestaing, Caroline; Roussel, Damien

2017-07-01

In the final stage of fasting, skeletal muscle mass and protein content drastically decrease when the maintenance of efficient locomotor activity becomes crucial for animals to reactivate feeding behaviour and survive a very long period of starvation. As mitochondrial metabolism represents the main physiological link between the endogenous energy store and animal performance, the aim of this study was to determine how a very long, natural period of fasting affected skeletal muscle mitochondrial bioenergetics in king penguin ( Aptenodytes patagonicus ) chicks. Rates of mitochondrial oxidative phosphorylation were measured in pectoralis permeabilized fibres and isolated mitochondria. Mitochondrial ATP synthesis efficiency and the activities of respiratory chain complexes were measured in mitochondria isolated from pectoralis muscle. Results from long-term (4-5 months) naturally fasted chicks were compared with those from short-term (10 day) fasted birds. The respiratory activities of muscle fibres and isolated mitochondria were reduced by 60% and 45%, respectively, on average in long-term fasted chicks compared with short-term fasted birds. Oxidative capacity and mitochondrial content of pectoralis muscle were lowered by long-term fasting. Bioenergetic analysis of pectoralis muscle also revealed that mitochondria were, on average, 25% more energy efficient in the final stage of fasting (4-5 months) than after 10 days of fasting (short-term fasted birds). These results suggest that the strong reduction in respiratory capacity of pectoralis muscle was partly alleviated by increased mitochondrial ATP synthesis efficiency. Such oxidative phosphorylation optimization can impact animal performance, e.g. the metabolic cost of locomotion or the foraging efficiency. © 2017. Published by The Company of Biologists Ltd.

Long-term outcomes of vertebral column resection for kyphosis in patients with cured spinal tuberculosis: average 8-year follow-up.

PubMed

Liu, Congcong; Lin, Li; Wang, Weixing; Lv, Guohua; Deng, Youwen

2016-05-01

OBJECTIVE The authors conducted a study to evaluate the long-term clinical and radiographic outcomes of vertebral column resection (VCR) for kyphosis in patients with cured spinal tuberculosis. METHODS This was a retrospective study. Between 2003 and 2009, 28 consecutive patients with cured spinal tuberculosis underwent VCR for kyphosis in which the target vertebra was removed completely. Autologous iliac crest bone graft or titanium mesh packed with autograft was placed into the osteotomy gap to reconstruct the spine for anterior column stability. Posterior pedicle screw fixation and fusion were typically performed. Radiographic parameters, including kyphosis angle and sagittal balance, were measured, and visual analog scale score, America Spinal Injury Association grade, Scoliosis Research Society outcome instrument (SRS-22) score, Oswestry Disability Index, patient satisfaction index, and long-term complications were evaluated. RESULTS This study included 12 males and 16 females, with an average age of 20.9 years at the time of surgery. The average follow-up was 96.9 months. No deaths occurred in this study. At the final follow-up, the kyphosis angle improved from the preoperative average of 70.7° to the final follow-up average of 30.2°, and the average kyphosis correction loss was 8.5°. The sagittal balance averaged 15.4 mm before surgery, 2.8 mm after surgery, and 5.4 mm at the final followup. Thirteen patients showed improvement of more than 1 America Spinal Injury Association grade. The visual analog scale, Oswestry Disability Index, and SRS-22 scores improved significantly, and the overall satisfaction rate was 92.9%. Adjacent-segment degeneration occurred in 3 patients. No severe instrumentation-related complications were observed. CONCLUSIONS The long-term safety and efficacy of the VCR technique for treating spinal tuberculosis-related kyphosis were favorable, and no severe late-stage complications appeared. Lumbar tubercular kyphosis showed a tendency for sagittal decompensation within the first 3 postoperative years. Cases of adjacent-segment degenerations were relatively few and mild without clinical symptoms.

Hip protector compliance: a 13-month study on factors and cost in a long-term care facility.

PubMed

Burl, Jeffrey B; Centola, James; Bonner, Alice; Burque, Colleen

2003-01-01

To determine if a high compliance rate for wearing external hip protectors could be achieved and sustained in a long-term care population. A 13-month prospective study of daytime use of external hip protectors in an at-risk long-term care population. One hundred-bed not-for-profit long-term care facility. Thirty-eight ambulatory residents having at least 1 of 4 risk factors (osteoporosis, recent fall, positive fall screen, previous fracture). The rehabilitation department coordinated an implementation program. Members of the rehabilitation team met with eligible participants, primary caregivers, families, and other support staff for educational instruction and a description of the program. The rehabilitation team assumed overall responsibility for measuring and ordering hip protectors and monitoring compliance. By the end of the third month, hip protector compliance averaged greater than 90% daily wear. The average number of falls per month in the hip protector group was 3.9 versus 1.3 in nonparticipants. Estimated total indirect staff time was 7.75 hours. The total cost of the study (hip protectors and indirect staff time) was 6,300 US dollars. High hip protector compliance is both feasible and sustainable in an at-risk long-term care population. Achieving high compliance requires an interdisciplinary approach with one department acting as a champion. The cost of protectors could be a barrier to widespread use. Facilities might be unable to cover the cost until the product is paid for by third-party payers.

Average Temperatures in the Southwestern United States, 2000-2015 Versus Long-Term Average

EPA Pesticide Factsheets

This indicator shows how the average air temperature from 2000 to 2015 has differed from the long-term average (1895??2015). To provide more detailed information, each state has been divided into climate divisions, which are zones that share similar climate features. For more information: www.epa.gov/climatechange/science/indicators

Conservative Management of Odontoid Peg Fractures, long term follow up.

PubMed

Osman, Aheed; Alageli, Nabil A; Short, D J; Masri, W S El

2017-01-01

The aim of the study was to look at the long-term effects of conservative management of odontoid peg fractures. We reviewed 48 consecutive patients with type II (32) and 16 type III, odontoid peg fractures. The clinical & radiological outcomes were assessed over an average period of follow up of 8 years. Union rate was determined and we discussed several factors that may affect it. Patients were treated conservatively with an average period of bed rest of 4 weeks followed by bracing for an average of 9 weeks. Bony union was established in 25 of 32 (78%) type II fractures. Of 7 cases of no bony union 4 were stable probably with fibrous union. 3 remained unstable. In 13 of 16(83%) type III fractures bony union was established. 2 of the 3 with no bony union were considered stable. Osseous non-union was higher in patients with displacement of >5 mm, but there is no correlation between union and age, gender or angulation of the fracture in both types.

ERROR IN ANNUAL AVERAGE DUE TO USE OF LESS THAN EVERYDAY MEASUREMENTS

EPA Science Inventory

Long term averages of the concentration of PM mass and components are of interest for determining compliance with annual averages, for developing exposure surrogated for cross-sectional epidemiologic studies of the long-term of PM, and for determination of aerosol sources by chem...

Characterization of the relationship between ceramic pot filter water production and turbidity in source water.

PubMed

Salvinelli, Carlo; Elmore, A Curt; Reidmeyer, Mary R; Drake, K David; Ahmad, Khaldoun I

2016-11-01

Ceramic pot filters represent a common and effective household water treatment technology in developing countries, but factors impacting water production rate are not well-known. Turbidity of source water may be principal indicator in characterizing the filter's lifetime in terms of water production capacity. A flow rate study was conducted by creating four controlled scenarios with different turbidities, and influent and effluent water samples were tested for total suspended solids and particle size distribution. A relationship between average flow rate and turbidity was identified with a negative linear trend of 50 mLh -1 /NTU. Also, a positive linear relationship was found between the initial flow rate of the filters and average flow rate calculated over the 23 day life of the experiment. Therefore, it was possible to establish a method to estimate the average flow rate given the initial flow rate and the turbidity in the influent water source, and to back calculate the maximum average turbidity that would need to be maintained in order to achieve a specific average flow rate. However, long-term investigations should be conducted to assess how these relationships change over the expected CPF lifetime. CPFs rejected fine suspended particles (below 75 μm), especially particles with diameters between 0.375 μm and 10 μm. The results confirmed that ceramic pot filters are able to effectively reduce turbidity, but pretreatment of influent water should be performed to avoid premature failure. Copyright © 2016 Elsevier Ltd. All rights reserved.

Development and implementation of a human accuracy program in patient foodservice.

PubMed

Eden, S H; Wood, S M; Ptak, K M

1987-04-01

For many years, industry has utilized the concept of human error rates to monitor and minimize human errors in the production process. A consistent quality-controlled product increases consumer satisfaction and repeat purchase of product. Administrative dietitians have applied the concepts of using human error rates (the number of errors divided by the number of opportunities for error) at four hospitals, with a total bed capacity of 788, within a tertiary-care medical center. Human error rate was used to monitor and evaluate trayline employee performance and to evaluate layout and tasks of trayline stations, in addition to evaluating employees in patient service areas. Long-term employees initially opposed the error rate system with some hostility and resentment, while newer employees accepted the system. All employees now believe that the constant feedback given by supervisors enhances their self-esteem and productivity. Employee error rates are monitored daily and are used to counsel employees when necessary; they are also utilized during annual performance evaluation. Average daily error rates for a facility staffed by new employees decreased from 7% to an acceptable 3%. In a facility staffed by long-term employees, the error rate increased, reflecting improper error documentation. Patient satisfaction surveys reveal satisfaction, for tray accuracy increased from 88% to 92% in the facility staffed by long-term employees and has remained above the 90% standard in the facility staffed by new employees.

New shoreline change data and analysis for the Massachusetts shore with emphasis on Cape Cod and the islands: Mid-1800s to 1994

USGS Publications Warehouse

O'Connell, James F.; Thieler, E. Robert; Schupp, Courtney

2002-01-01

That shorelines change, oftentimes dramatically in short periods of time, is an accepted fact for those who live along the shore. However, when two-thirds or approximately 512 miles of a state's ocean-facing shore exhibits a long-term erosional trend, in some locations eroding at an average annual rate of 12 feet per year, as is the case in Massachusetts, shoreline property owners, prospective shorefront property owners, and coastal managers need to pay particular attention to the future location of the shoreline to avoid physical and economic disasters. The Woods Hole Oceanographic Institution, Sea Grant Program, the U.S. Geological Survey, and the Cape Cod Cooperative Extension recently completed an update and statistical analysis of historical shoreline change along approximately 1,000 miles of Massachusetts' ocean-facing shore, of which 754 miles were statistically analyzed (Thieler, O'Connell and Schupp, 2001; Schupp, Thieler & O'Connell, 2001). The project was funded by the Massachusetts Office of Coastal Zone Management. In general, four to five shoreline positions mapped between the mid-1800s to 1994 were used to analyze changes along the Massachusetts shore. Seventy-six shoreline change maps with accompanying data tables and a Technical Report were produced. The results of this study reveal that approximately two-thirds of the Massachusetts shore is eroding, with 68% of the shore exhibiting a long-term erosional trend, 30% showing long-term accretion, and 2% showing no net change. ln some areas, erosion rates have accelerated based on a comparison study of previous data that was conducted in 1997 (O'Connell, 1997). Ironically, coastal property that commands some of the highest real estate values in the Commonwealth also exhibits the highest consistent long-term average annual erosion rates. This paper describes the data sources used to map historic shorelines in Massachusetts, the methodology used to both plot a new shoreline and analyze the long-term historical data, and describes cautions necessary when interpreting and applying shoreline change data, with site-specific examples along the Massachusetts shore.

Constraints on long-term carbon-climate feedbacks from spatially resolved CO2 growth rate fluctuations linked to temperature and precipitation

NASA Astrophysics Data System (ADS)

Keppel-Aleks, G.; Hoffman, F. M.

2014-12-01

Feedbacks between the global carbon cycle and climate represent one of the largest uncertainties in climate prediction. A promising method for reducing uncertainty in predictions of carbon-climate feedbacks is based on identifying an "emergent constraint" that leverages correlations between mechanistically linked long-term feedbacks and short-term variations within the model ensemble. By applying contemporary observations to evaluate model skill in simulating short-term variations, we may be able to better assess the probability of simulated long-term feedbacks. We probed the constraint on long-term terrestrial carbon stocks provided by climate-driven fluctuations in the atmospheric CO2 growth rate at contemporary timescales. We considered the impact of both temperature and precipitation anomalies on terrestrial ecosystem exchange and further separated the direct influence of fire where possible. When we explicitly considered the role of atmospheric transport in smoothing the imprint of climate-driven flux anomalies on atmospheric CO2 patterns, we found that the extent of temporal averaging of both the observations and ESM output leads to estimates for the long-term climate sensitivity of tropical land carbon storage that are different by a factor of two. In the context of these results, we discuss strategies for applying emergent constraints for benchmarking biogeochemical feedbacks in ESMs. Specifically, our results underscore the importance of selecting appropriate observational benchmarks and, for future model intercomparison projects, outputting fields that most closely correspond to available observational datasets.

Effect of metoprolol administration on renal sodium handling in experimental congestive heart failure.

PubMed

DiBona, G F; Sawin, L L

1999-07-06

Long-term metoprolol therapy improves cardiac performance and decreases mortality in patients with chronic congestive heart failure (CHF). This study examined the effect of long-term metoprolol therapy on renal sodium handling in an experimental rat model of CHF. Rats with left coronary ligation and myocardial infarction-induced CHF were treated with metoprolol (1.5 mg. kg-1. h-1) or vehicle for 3 weeks by osmotic minipump. They were then evaluated for their ability to excrete a short-term sodium load (5% body weight isotonic saline infusion over 30 minutes) and a long-term sodium load (change from low- to high-sodium diet over 8 days). All CHF rats had left ventricular end-diastolic pressure >10 mm Hg, and heart weight/body weight ratios averaged 0.68+/-0.02% (versus control of approximately 0.40%). Compared with vehicle CHF rats (n=19), metoprolol CHF rats (n=18) had lower basal values of mean arterial pressure (122+/-3 versus 112+/-3 mm Hg) and heart rate (373+/-14 versus 315+/-9 bpm) and decreased heart rate responses to intravenous doses of isoproterenol. During short-term isotonic saline volume loading, metoprolol CHF rats excreted 54+/-4% more of the sodium load than vehicle CHF rats. During long-term dietary sodium loading, metoprolol CHF rats retained 28+/-3% less sodium than vehicle CHF rats. Metoprolol treatment of rats with CHF results in an improved ability to excrete both short- and long-term sodium loads.

Long-Term Reduction of Sacroiliac Joint Pain With Peripheral Nerve Stimulation.

PubMed

Guentchev, Marin; Preuss, Christian; Rink, Rainer; Peter, Levente; Sailer, Martin H M; Tuettenberg, Jochen

2017-10-01

We recently demonstrated that 86% of the patients treated with peripheral nerve stimulation (PNS) for therapy-refractory sacroiliac joint (SIJ) pain were satisfied with the result after 1 year of treatment. To investigate the long-term (up to 4 years) response rate of this novel treatment. Sixteen consecutive patients with therapy-refractory SIJ pain were treated with PNS and followed for 4 years in 3 patients, 3 years in 6 patients, and 2 years in 1 patient. Quality of life, pain, and patient satisfaction were assessed using the Oswestry Disability Index 2.0, Visual Analog Scale (VAS), and International Patient Satisfaction Index. Patients reported a pain reduction from 8.8 to 1.6 (VAS) at 1 year ( P < .001), and 13 of 14 patients (92.9%) rated the therapy as effective (International Patient Satisfaction Index score ≤ 2). At 2 years, average pain score was 1.9 ( P < .001), and 9 of 10 patients (90.0%) considered the treatment a success. At 3 years, 8 of 9 patients (88.9%) were satisfied with the treatment results, reporting an average VAS of 2.0 ( P < .005). At 4 years, 2 of 3 patients were satisfied with the treatment results. We have shown for the first time that PNS is a successful long-term therapy for SIJ pain. Copyright © 2017 by the Congress of Neurological Surgeons

Short- and Long-Term Impacts of Neighborhood Built Environment on Self-Rated Health of Older Adults.

PubMed

Spring, Amy

2018-01-18

Proximity to health care, healthy foods, and recreation is linked to improved health in older adults while deterioration of the built environment is a risk factor for poor health. Yet, it remains unclear whether individuals prone to good health self-select into favorable built environments and how long-term exposure to deteriorated environments impacts health. This study uses a longitudinal framework to address these questions. The study analyzes 3,240 Americans aged 45 or older from the Panel Study of Income Dynamics with good self-reported health at baseline, and follows them from 1999 to 2013. At each biennial survey wave, individual data are combined with data on services in the neighborhood of residence (defined as the zip code) from the Economic Census. The analysis overcomes the problem of residential self-selection by employing marginal structural models and inverse probability of treatment weights. Logistic regression estimates indicate that long-term exposure to neighborhood built environments that lack health-supportive services (e.g., physicians, pharmacies, grocery stores, senior centers, and recreational facilities) and are commercially declined (i.e., have a high density of liquor stores, pawn shops, and fast food outlets) increases the risk of fair/poor self-rated health compared to more average neighborhoods. Short-term exposure to the same environments as compared to average neighborhoods has no bearing on self-rated health after adjusting for self-selection. Results highlight the importance of expanding individuals' access to health-supportive services prior to their reaching old age, and expanding access for people unlikely to attain residence in service-dense neighborhoods. © The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Long-term population dynamics of a managed burrowing owl colony

USGS Publications Warehouse

Barclay, John H.; Korfanta, Nicole M.; Kauffman, Matthew J.

2011-01-01

We analyzed the population dynamics of a burrowing owl (Athene cunicularia) colony at Mineta San Jose International Airport in San Jose, California, USA from 1990-2007. This colony was managed by using artificial burrows to reduce the occurrence of nesting owls along runways and within major airport improvement projects during the study period. We estimated annual reproduction in natural and artificial burrows and age-specific survival rates with mark-recapture techniques, and we estimated the relative contribution of these vital rates to population dynamics using a life table response experiment. The breeding colony showed 2 distinct periods of change: high population growth from 7 nesting pairs in 1991 to 40 pairs in 2002 and population decline to 17 pairs in 2007. Reproduction was highly variable: annual nesting success (pairs that raised =1 young) averaged 79% and ranged from 36% to 100%, whereas fecundity averaged 3.36 juveniles/pair and ranged from 1.43 juveniles/pair to 4.54 juveniles/pair. We estimated annual adult survival at 0.710 during the period of colony increase from 1996 to 2001 and 0.465 during decline from 2002 to 2007, but there was no change in annual survival of juveniles between the 2 time periods. Long-term population growth rate (lambda) estimated from average vital rates was lambdaa=1.072 with lambdai=1.288 during colony increase and lambdad=0.921 (DELTA lambda=0.368) during decline. A life table response experiment showed that change in adult survival rate during increasing and declining phases explained more than twice the variation in growth rate than other vital rates. Our findings suggest that management and conservation of declining burrowing owl populations should address factors that influence adult survival.

Long-term intake of nuts in relation to cognitive function in older women.

PubMed

O'Brien, J; Okereke, O; Devore, E; Rosner, B; Breteler, M; Grodstein, F

2014-05-01

Nuts contain nutrients that may benefit brain health; thus, we examined long-term intake of nuts in relation to cognition in older women. Population-based prospective cohort study. Academic research using data from the Nurses' Health Study. Nut intake was assessed in a food-frequency questionnaire beginning in1980, and approximately every four years thereafter. Between 1995-2001, 16,010 women age 70 or older (mean age = 74 years) without a history of stroke were administered 4 repeated telephone-based cognitive interviews over 6 years. Our final sample included 15,467 women who completed an initial cognitive interview and had complete information on nut intake. The Telephone Interview for Cognitive Status (TICS), a global score averaging the results of all tests (TICS, immediate and delayed verbal recall, category fluency, and attention), and a verbal memory score averaging the results of tests of verbal recall. In multivariable-adjusted linear regression models, higher long-term total nut intake was associated with better average cognitive status for all cognitive outcomes. For the global composite score combining all tests, women consuming at least 5 servings of nuts/week had higher scores than non-consumers (mean difference=0.08 standard units, 95% confidence interval 0.00-0.15; p-trend=0.003). This mean difference of 0.08 is equivalent to the mean difference we find between women 2 years apart in age. Long-term intake of nuts was not associated with rates of cognitive decline. Higher nut intake may be related to better overall cognition at older ages, and could be an easily-modifiable public health intervention.

Outcomes of Primary Transsphenoidal Surgery in Cushing Disease: Experience of a Tertiary Center.

PubMed

Keskin, Fatma Ela; Ozkaya, Hande Mefkure; Bolayirli, Murat; Erden, Secil; Kadioglu, Pınar; Tanriover, Necmettin; Gazioglu, Nurperi

2017-10-01

To report the initial and long-term remission rates and related factors, secondary treatments, and outcomes of a series of patients with Cushing disease (CD). We included 147 consecutive adult patients with CD who underwent primary transsphenoidal surgery (TSS) between 1998 and 2014 in this study. Eighty-two were followed up in the Cerrahpasa Medical Faculty Endocrinology and Metabolism outpatient clinic. Patients were requested to attend a long-term remission assessment; 55 could be contacted, and data for the remaining 27 patients' last visit to the outpatient clinics were reviewed for early and late remission. Six patients were excluded from the study. Magnetic resonance imaging (MRI) findings and pathologic results including mitosis, Ki-67 levels, and P53 in immunostaining of all patients were evaluated. Data of 82 patients with CD with an average age of 36 years [interquartile range: 29-47] were analyzed with a mean follow-up of 7.5 years [interquartile range: 5-10]. Overall initial remission rates were 72.3% after TSS. Among the 82 patients, 16 patients had Gamma Knife radiosurgery and 7 patients underwent adrenalectomy. After these additional treatments, the long-term remission rate was found as 69.7%. The highest remission rates were with microadenomas. Recurrence was most frequently seen in patients without tumor evidence on MRI. Patients with high Ki-67 levels had higher recurrence rates in long-term follow-up (P = 0.02). Life-long follow-up for patients with CD seems essential. Undetectable tumors on MRI before TSS and high Ki-67 immunopositivity were found as risk factors for tumor recurrence. Copyright © 2017 Elsevier Inc. All rights reserved.

Long-term therapeutic efficacy of photo-selective vaporization of prostate

NASA Astrophysics Data System (ADS)

Arum, Carl-Jørgen; Muller, Camilla; Romundstad, Pal; Stokkan, Inger; Mjønes, Jan

2010-02-01

OBJECTIVES: We evaluated the long term therapeutic efficacy of 80 watt photo-selective vaporization of the prostate (PVP) in patients suffering from lower urinary tract symptoms (LUTS) secondary to prostatic obstruction. MATERIAL & METHODS: 150 unselected patients at the average age 73 (range 51-92) and a mean American Society of Anesthesiologists score of 2.4 (median 2.0), of whom 33% were medicated with acetylsalicylic acid and 5% were anticoagulated with warfarin. Inclusion/exclusion criteria were the same as for TUR-P at our institution. First patient was operated March 2004 and yearly follow-up of all patients has been attempted for 5 years. Follow-up variables have included yearly creatinine, PSA, IPSS, ØOL, post-void residual urin and maximum/average urine flow rate. RESULTS: At 12 and 24 months postoperatively, the following parameters were significantly (p<0.001) improved: trans-rectal ultrasound, international prostate symptom score, quality of life score, post-void residual urine volume, flow max/average, opening pressure, pressure @ flow-max, and micturition resistance. At 48 and 60 months creatinine, PSA, IPSS, ØOL, post-void residual urin and maximum/average urine flow rates were still significantly (p<0.001) improved compared to pre-operative values. CONCLUSION: Up to 5 year follow-up reveals that 80 watt PVP provides significant and stable symptom relief as well as objective improvement in residual urine and flowmetric outcomes.

Nursing Home Cost Studies and Reimbursement Issues

PubMed Central

Bishop, Christine E.

1980-01-01

This review of nursing home cost function research shows that certain provider and service characteristics are systematically associated with differences in the average cost of care. This information can be used to group providers for reasonable cost related rate-setting or to adjust their rates or rate ceilings. However, relationships between average cost and such service characteristics as patient mix, service intensity, and quality of care have not been fully delineated. Therefore, econometric cost functions cannot yet provide rate-setters with predictions about the cost of the efficient provision of nursing home care appropriate to patient needs. In any case, the design of reimbursement systems must be founded not only on technical information but also on public policy goals for long-term care. PMID:10309223

Nursing home cost studies and reimbursement issues.

PubMed

Bishop, C E

1980-01-01

This review of nursing home cost function research shows that certain provider and service characteristics are systematically associated with differences in the average cost of care. This information can be used to group providers for reasonable cost related rate-setting or to adjust their rates or rate ceilings. However, relationships between average cost and such service characteristics as patient mix, service intensity, and quality of care have not been fully delineated. Therefore, econometric cost functions cannot yet provide rate-setters with predictions about the cost of the efficient provision of nursing home care appropriate to patient needs. In any case, the design of reimbursement systems must be founded not only on technical information but also on public policy goals for long-term care.

Confronting the Nation’s Fiscal Policy Challenges

DTIC Science & Technology

2011-09-13

Taxes Earned Income Tax Credit Reduced Rate of Taxation on Long-Term Capital Gains and Dividends Deduction of Mortgage Interest on...2010 tax act—including the extension of lower tax rates and expanded credits and deductions originally enacted in the Economic Growth and Tax...in the first four months of this year, more than double its average pace in 2010 (see Figure 2). However, employment growth has ebbed again

Mass balance, meteorology, area altitude distribution, glacier-surface altitude, ice motion, terminus position, and runoff at Gulkana Glacier, Alaska, 1996 balance year

USGS Publications Warehouse

March, Rod S.

2003-01-01

The 1996 measured winter snow, maximum winter snow, net, and annual balances in the Gulkana Glacier Basin were evaluated on the basis of meteorological, hydrological, and glaciological data. Averaged over the glacier, the measured winter snow balance was 0.87 meter on April 18, 1996, 1.1 standard deviation below the long-term average; the maximum winter snow balance, 1.06 meters, was reached on May 28, 1996; and the net balance (from August 30, 1995, to August 24, 1996) was -0.53 meter, 0.53 standard deviation below the long-term average. The annual balance (October 1, 1995, to September 30, 1996) was -0.37 meter. Area-averaged balances were reported using both the 1967 and 1993 area altitude distributions (the numbers previously given in this abstract use the 1993 area altitude distribution). Net balance was about 25 percent less negative using the 1993 area altitude distribution than the 1967 distribution. Annual average air temperature was 0.9 degree Celsius warmer than that recorded with the analog sensor used since 1966. Total precipitation catch for the year was 0.78 meter, 0.8 standard deviations below normal. The annual average wind speed was 3.5 meters per second in the first year of measuring wind speed. Annual runoff averaged 1.50 meters over the basin, 1.0 standard deviation below the long-term average. Glacier-surface altitude and ice-motion changes measured at three index sites document seasonal ice-speed and glacier-thickness changes. Both showed a continuation of a slowing and thinning trend present in the 1990s. The glacier terminus and lower ablation area were defined for 1996 with a handheld Global Positioning System survey of 126 locations spread out over about 4 kilometers on the lower glacier margin. From 1949 to 1996, the terminus retreated about 1,650 meters for an average retreat rate of 35 meters per year.

Stability of low-frequency residual hearing in patients who are candidates for combined acoustic plus electric hearing.

PubMed

Yao, Wai Na; Turner, Christopher W; Gantz, Bruce J

2006-10-01

The purpose of this study was to investigate the stability over time of low-frequency auditory thresholds to better determine if the new technique of using a short-electrode cochlear implant that preserves residual low-frequency acoustic hearing can be a long-term solution for those with severe-to-profound hearing loss at high frequencies. The present study determined the long-term rate of decline in acoustic hearing in patients who have a preexisting hearing loss yet have not been implanted with a cochlear implant. A retrospective analysis of patients' audiograms that fit into the range for candidacy for the short-electrode device was performed to calculate the rate of change of threshold over time. The analysis of adult patients' data indicated that there was an average of only 1.05 dB hearing deterioration per year in the low frequencies and that presbycusis accounted for approximately one third to one half of this decline. The average deterioration of hearing threshold for pediatric patients was 1.2 dB per year; however, the rates of change in pediatric patients were considerably more variable (across individuals and across frequencies) than in adults. These data provide support for the idea that the short-electrode cochlear implant may be a practical solution for most adults in the long run, but this may not be the case for all pediatric patients.

Changing trends of rainfall and sediment fluxes in the Kinta River catchment, Malaysia

NASA Astrophysics Data System (ADS)

Ismail, W. R.; Hashim, M.

2015-03-01

The Kinta River, draining an area of 2566 km2, originates in the Korbu Mountain in Perak, Malaysia, and flows through heterogeneous, mixed land uses ranging from extensive forests to mining, rubber and oil palm plantations, and urban development. A land use change analysis of the Kinta River catchment was carried out together with assessment of the long-term trend in rainfall and sediment fluxes. The Mann-Kendall test was used to examine and assess the long-term trends in rainfall and its relationship with the sediment discharge trend. The land use analysis shows that forests, water bodies and mining land declined whilst built and agricultural land use increased significantly. This has influenced the sediment flux of the catchment. However, most of the rainfall stations and river gauging stations are experiencing an increasing trends, except at Kinta river at Tg. Rambutan. Sediment flux shows a net erosion for the period from 1961 to 1969. The total annual sediment discharge in the Kinta River catchment was low with an average rate of 1,757 t/km2/year. From 1970 to 1985, the annual sediment yield rose to an average rate of 4062 t/km2/year. Afterwards, from 1986 to 1993, the total annual sediment discharge decreased to an average rate of 1,306 t/km2/year and increased back during the period 1994 to 2000 to 2109 t/km2/year. From 2001 to 2006 the average sediment flux rate declined to 865 t/km2/year. The decline was almost 80% from the 1970s. High sediment flux in the early 1970s is partly associated with reduced tin mining activities in the area. This decreasing trend in sediment delivery leaving the Kinta River catchment is expected to continue dropping in the future.

Title I Preschool Program in the Wake County Public School System (WCPSS): Short- and Long-Term Outcomes. Eye on Evaluation. E&R Report No.11.16

ERIC Educational Resources Information Center

Baenen, Nancy

2011-01-01

The longitudinal study of the 2005-06 preschool in Wake County Public School System (WCPSS) found short-term gains during the preschool year, but limited impact by kindergarten and no average impact by the end of 3rd grade on achievement, retention rates, special education placements, or attendance. Small sample sizes limit conclusions that can be…

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

Scott M. White Dept. Geological Sciences University of South Carolina Columbia, SC 29208; Joy A. Crisp Jet Propulsion Laboratory, California Institute of Technology Pasadena, CA 91109; Frank J. Spera Dept. Earth Science University of California, Santa Barbara Santa Barbara, CA 93106

A global compilation of 170 time-averaged volumetric volcanic output rates (Qe) is evaluated in terms of composition and petrotectonic setting to advance the understanding of long-term rates of magma generation and eruption on Earth. Repose periods between successive eruptions at a given site and intrusive:extrusive ratios were compiled for selected volcanic centers where long-term (>104 years) data were available. More silicic compositions, rhyolites and andesites, have a more limited range of eruption rates than basalts. Even when high Qe values contributed by flood basalts (9 ± 2 Å~ 10-1 km3/yr) are removed, there is a trend in decreasing average Qemore » with lava composition from basaltic eruptions (2.6 ± 1.0 Å~ 10-2 km3/yr) to andesites (2.3 ± 0.8 Å~ 10-3 km3/yr) and rhyolites (4.0 ± 1.4 Å~ 10-3 km3/yr). This trend is also seen in the difference between oceanic and continental settings, as eruptions on oceanic crust tend to be predominately basaltic. All of the volcanoes occurring in oceanic settings fail to have statistically different mean Qe and have an overall average of 2.8 ± 0.4 Å~ 10-2 km3/yr, excluding flood basalts. Likewise, all of the volcanoes on continental crust also fail to have statistically different mean Qe and have an overall average of 4.4 ± 0.8 Å~ 10-3 km3/yr. Flood basalts also form a distinctive class with an average Qe nearly two orders of magnitude higher than any other class. However, we have found no systematic evidence linking increased intrusive:extrusive ratios with lower volcanic rates. A simple heat balance analysis suggests that the preponderance of volcanic systems must be open magmatic systems with respect to heat and matter transport in order to maintain eruptible magma at shallow depth throughout the observed lifetime of the volcano. The empirical upper limit of Å`10-2 km3/yr for magma eruption rate in systems with relatively high intrusive:extrusive ratios may be a consequence of the fundamental parameters governing rates of melt generation (e.g., subsolidus isentropic decompression, hydration due to slab dehydration and heat transfer between underplated magma and the overlying crust) in the Earth« less

43 CFR 418.36 - Incentives for additional long term conservation.

Code of Federal Regulations, 2014 CFR

2014-10-01

... be reduced by the incremental amount of evaporation which occurs as a result of the increased surface area of the reservoir due to the additional storage. The evaporation rate used will be either the net evaporation measured or the net historical average after precipitation is taken into account. The method of...

43 CFR 418.36 - Incentives for additional long term conservation.

Code of Federal Regulations, 2013 CFR

2013-10-01

... be reduced by the incremental amount of evaporation which occurs as a result of the increased surface area of the reservoir due to the additional storage. The evaporation rate used will be either the net evaporation measured or the net historical average after precipitation is taken into account. The method of...

43 CFR 418.36 - Incentives for additional long term conservation.

Code of Federal Regulations, 2012 CFR

2012-10-01

... be reduced by the incremental amount of evaporation which occurs as a result of the increased surface area of the reservoir due to the additional storage. The evaporation rate used will be either the net evaporation measured or the net historical average after precipitation is taken into account. The method of...

76 FR 23459 - Federal Agricultural Mortgage Corporation Governance and Federal Agricultural Mortgage...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-27

... that cumulative loss rates should, at the very least, be no greater than those for comparably sized... identifying rural utilities credit loss risk, and Farmer Mac has offered no evidence to demonstrate that our... likely long-term average annual losses on an investment, in addition to fee loads to cover operating...

Time-weighted average water sampling with a solid-phase microextraction device.

PubMed

Ouyang, Gangfeng; Chen, Yong; Pawliszyn, Janusz

2005-11-15

A fiber-in-needle SPME device was developed and investigated for time-weighted average water sampling. The device was designed so that the overall mass-transfer resistance is contained within the static water inside the needle, which ensures that mass uptake could be predicted with Fick's first law of diffusion and the sampling rate is less affected by water turbulence. The device possesses all of the advantages of commercialized devices, in addition to needle filling and replacement ease. Laboratory calibration with deployment of the device to a flow-through system demonstrated that there was a linear mass uptake for up to 12 days, and the linear range could be longer. PDMS coating is assumed to be a perfect zero sink for most polycyclic aromatic hydrocarbons, except naphthalene. The effect of water temperature was also investigated. Under normal field conditions, the change of mass uptake rate with temperature was negligible. To facilitate the convenience for long-term water sampling, a new standard aqueous generator was introduced. This study extended the application of SPME technology for long-term water sampling.

A Randomized Clinical Trial Comparing the Effectiveness of Electroacupuncture versus Medium-Frequency Electrotherapy for Discogenic Sciatica.

PubMed

Zhang, Xue; Wang, Yang; Wang, Zhao; Wang, Chao; Ding, Wentao; Liu, Zhishun

2017-01-01

Objective . To investigate the short- and long-term effects of electroacupuncture (EA) compared with medium-frequency electrotherapy (MFE) on chronic discogenic sciatica. Methods . One hundred participants were randomized into two groups to receive EA ( n = 50) or MFE ( n = 50) for 4 weeks. A 28-week follow-up of the two groups was performed. The primary outcome measure was the average leg pain intensity. The secondary outcome measures were the low back pain intensity, Oswestry Disability Index (ODI), patient global impression (PGI), drug use frequency, and EA acceptance. Results . The mean changes in the average leg pain numerical rating scale (NRS) scores were 2.30 (1.86-2.57) and 1.06 (0.62-1.51) in the EA and MFE groups at week 4, respectively. The difference was significant ( P < 0.001). The long-term follow-up resulted in significant differences. The average leg pain NRS scores decreased by 2.12 (1.70-2.53) and 0.36 (-0.05-0.78) from baseline in the EA and MFE groups, respectively, at week 28. However, low back pain intensity and PGI did not differ significantly at week 4. No serious adverse events occurred. Conclusions . EA showed greater short-term and long-term benefits for chronic discogenic sciatica than MFE, and the effect of EA was superior to that of MFE. The study findings warrant verification. This trial was registered under identifier ChiCTR-IPR-15006370.

Heart Rate Variability Moderates the Association Between Separation-Related Psychological Distress and Blood Pressure Reactivity Over Time.

PubMed

Bourassa, Kyle J; Hasselmo, Karen; Sbarra, David A

2016-08-01

Divorce is a stressor associated with long-term health risk, though the mechanisms of this effect are poorly understood. Cardiovascular reactivity is one biological pathway implicated as a predictor of poor long-term health after divorce. A sample of recently separated and divorced adults (N = 138) was assessed over an average of 7.5 months to explore whether individual differences in heart rate variability-assessed by respiratory sinus arrhythmia-operate in combination with subjective reports of separation-related distress to predict prospective changes in cardiovascular reactivity, as indexed by blood pressure reactivity. Participants with low resting respiratory sinus arrhythmia at baseline showed no association between divorce-related distress and later blood pressure reactivity, whereas participants with high respiratory sinus arrhythmia showed a positive association. In addition, within-person variation in respiratory sinus arrhythmia and between-persons variation in separation-related distress interacted to predict blood pressure reactivity at each laboratory visit. Individual differences in heart rate variability and subjective distress operate together to predict cardiovascular reactivity and may explain some of the long-term health risk associated with divorce. © The Author(s) 2016.

Arthroscopic rotator cuff debridement without decompression for the treatment of tendinosis.

PubMed

Budoff, Jeffrey E; Rodin, Dennis; Ochiai, Derek; Nirschl, Robert P

2005-09-01

The treatment of rotator cuff injury in the absence of a full-thickness tear has traditionally consisted of acromioplasty. However, this disorder may also be treated by arthroscopic rotator cuff debridement without acromioplasty. Our previous study of 79 shoulders so treated reported 87% good or excellent results at an average 53-month follow-up. The purpose of this article is to report the long-term, average 9.5-year follow-up of this cohort. Long-term follow-up of case series. We retrospectively reviewed the records of 62 shoulders in 60 patients who had undergone arthroscopic rotator cuff debridement for partial-thickness rotator cuff tears. Demographic criteria, residual pain, and the ability to return to recreational athletics were noted. The UCLA Shoulder Score and the Simple Shoulder Test scores were determined and statistical analysis performed. Using the UCLA Shoulder Score, there were 79% excellent or good results at an average 114 months of follow-up. Patients with Workers' Compensation claims had significantly worse results, with only 40% rated good or excellent. Of the 60 patients, 77% had no or only minimal pain, 57% were still able to perform recreational athletics without difficulty, and 20% could participate at a lower level of intensity. Arthroscopic debridement of rotator cuff injury in the absence of a full-thickness tear has good long-term results and minimizes additional surgical trauma. Level IV, case series.

Long-Term Coarse Particulate Matter Exposure and Heart Rate Variability in the Multi-Ethnic Study of Atherosclerosis (MESA)

PubMed Central

Adhikari, Richa; D’Souza, Jennifer; Solimon, Elsayed Z.; Burke, Gregory L.; Daviglus, Martha; Jacobs, David R.; Park, Sung Kyun; Sheppard, Lianne; Thorne, Peter S.; Kaufman, Joel D.; Larson, Timothy V.; Adar, Sara D.

2017-01-01

Background Reduced heart rate variability, a marker of impaired cardiac autonomic function, has been linked to short-term exposure to airborne particles. This research adds to the literature by examining associations with long-term exposures to coarse particles (PM10-2.5). Methods Using electrocardiogram recordings from 2,780 participants (45-84 years) from three Multi-Ethnic Study of Atherosclerosis sites, we assessed the standard deviation of normal-to-normal intervals (SDNN) and root-mean square differences of successive normal-to-normal intervals (rMSSD) at a baseline (2000-2002) and follow-up (2010-2012) examination (mean visits/person=1.5). Annual average concentrations of PM10-2.5 mass, copper, zinc, phosphorus, silicon, and endotoxin were estimated using site-specific spatial prediction models. We assessed associations for baseline heart rate variability and rate of change in heart rate variability over time using multivariable mixed models adjusted for time, sociodemographic, lifestyle, health, and neighborhood confounders, including co-pollutants. Results In our primary models adjusted for demographic and lifestyle factors and site, PM10-2.5 mass was associated with 1.0% (95% CI: -4.1, 2.1%) lower SDNN levels per interquartile range of 2 μg/m3. Stronger associations, however, were observed prior to site adjustment and with increasing residential stablity. Similar patterns were found for rMSSD. We found little evidence for associations with other chemical species and with with the rate of change in heart rate variability, though endotoxin was associated with increasing heart rate variability over time. Conclusion We found only weak evidence that long-term PM10-2.5 exposures are associated with lowered heart rate variability. Stronger associations among residentially stable individuals suggest that confirmatory studies are needed. PMID:27035690

Resident smoking in long-term care facilities--policies and ethics.

PubMed Central

Kochersberger, G; Clipp, E C

1996-01-01

Objective: To characterize smoking behavior, facility policies related smoking, and administrators' views of smoking-related problems in Veterans Affairs nursing home care units nationwide. Methods: An anonymous mail survey of long-term care facilities was administered to 106 nursing home supervisors at VA Medical Centers with nursing home care units. The response rate was 82%. Results: Administrators from 106 VA nursing home units reported smoking rates ranging from 5% to 80% of long-term care residents, with an average of 22%. Half of the nursing homes had indoor smoking areas. Frequent complaints from nonsmokers about passive smoke exposure were reported in 23% of the nursing homes. The nursing administrators reported that patient safety was their greatest concern. Seventy- eight percent ranked health effects to the smokers themselves a "major concern," while 70% put health effects to exposed nonsmokers in that category. Smoking in the nursing home was described as a "right" by 59% of respondents and a ¿privilege¿ by 67%. Some individuals reported that smoking was both a right and a privilege. Conclusion: Smoking is relatively common among VA long-term care patients. The promotion of personal autonomy and individual resident rights stressed in the Omnibus Budget Reconciliation Act of 1987 may conflict with administrative concerns about the safety of nursing home smokers and those around them. PMID:8610194

Accounting for orphaned aftershocks in the earthquake background rate

USGS Publications Warehouse

Van Der Elst, Nicholas

2017-01-01

Aftershocks often occur within cascades of triggered seismicity in which each generation of aftershocks triggers an additional generation, and so on. The rate of earthquakes in any particular generation follows Omori's law, going approximately as 1/t. This function decays rapidly, but is heavy-tailed, and aftershock sequences may persist for long times at a rate that is difficult to discriminate from background. It is likely that some apparently spontaneous earthquakes in the observational catalogue are orphaned aftershocks of long-past main shocks. To assess the relative proportion of orphaned aftershocks in the apparent background rate, I develop an extension of the ETAS model that explicitly includes the expected contribution of orphaned aftershocks to the apparent background rate. Applying this model to California, I find that the apparent background rate can be almost entirely attributed to orphaned aftershocks, depending on the assumed duration of an aftershock sequence. This implies an earthquake cascade with a branching ratio (the average number of directly triggered aftershocks per main shock) of nearly unity. In physical terms, this implies that very few earthquakes are completely isolated from the perturbing effects of other earthquakes within the fault system. Accounting for orphaned aftershocks in the ETAS model gives more accurate estimates of the true background rate, and more realistic expectations for long-term seismicity patterns.

Accounting for orphaned aftershocks in the earthquake background rate

NASA Astrophysics Data System (ADS)

van der Elst, Nicholas J.

2017-11-01

Aftershocks often occur within cascades of triggered seismicity in which each generation of aftershocks triggers an additional generation, and so on. The rate of earthquakes in any particular generation follows Omori's law, going approximately as 1/t. This function decays rapidly, but is heavy-tailed, and aftershock sequences may persist for long times at a rate that is difficult to discriminate from background. It is likely that some apparently spontaneous earthquakes in the observational catalogue are orphaned aftershocks of long-past main shocks. To assess the relative proportion of orphaned aftershocks in the apparent background rate, I develop an extension of the ETAS model that explicitly includes the expected contribution of orphaned aftershocks to the apparent background rate. Applying this model to California, I find that the apparent background rate can be almost entirely attributed to orphaned aftershocks, depending on the assumed duration of an aftershock sequence. This implies an earthquake cascade with a branching ratio (the average number of directly triggered aftershocks per main shock) of nearly unity. In physical terms, this implies that very few earthquakes are completely isolated from the perturbing effects of other earthquakes within the fault system. Accounting for orphaned aftershocks in the ETAS model gives more accurate estimates of the true background rate, and more realistic expectations for long-term seismicity patterns.

Denudation rates derived from spatially-averaged cosmogenic nuclide analysis in Nelson catchments, South Island, New Zealand

NASA Astrophysics Data System (ADS)

Burdis, A.; Norton, K. P.; Ditchburn, B.; Zondervan, A.

2013-12-01

New Zealand's tectonically and climatically dynamic environment generates erosion rates that outstrip global averages by up to ten times in some locations. In order to assess recent changes in erosion rate, and also to predict future erosion dynamics, it is important to quantify long-term, background erosion. Current research on erosion in New Zealand predominantly covers short-term (100 yrs) erosion dynamics and Myr dynamics from thermochronological proxy data. Without medium-term denudation data for New Zealand, it is uncertain which variables (climate, anthropogenic disturbance of the landscape, tectonic uplift, lithological, or geomorphic characteristics) exert the dominant control on denudation in New Zealand. Spatially-averaged cosmogenic nuclide analysis can effectively offer this information by providing averaged rates of denudation on millennial timescales without the biases and limitations of short-term erosion methods. Basin-averaged denudation rates were obtained in the Nelson region, New Zealand, from analysis of concentrations of meteoric 10Be in clay and in-situ produced 10Be in quartz. The measured denudation rates integrate over ~8000 yrs (meteoric) and ~3000 yrs (in-situ). Not only do the 10Be records produce erosion rates that are remarkably consistent with each other, but they are also independent of topographic metrics. Denudation rates range from ~116 - 306 t km-2 yr-1, with the exception of one basin which is eroding at 789 t km-2 yr-1(derived from meteoric 10Be) and 644 t km-2 yr-1(derived from in-situ 10Be). The homogeneity of rates and absence of a significant correlation with geomorphic or lithological characteristics suggest another factor is exerting the dominant control on landscape denudation in the Nelson region. Storm variability is a likely driver of erosion in this setting. The background rates are higher than current short term rates (~50 - 200 t km-2 yr-1) due to the significant erosion caused by high magnitude, low frequency events. This is highlighted by sediment yields reaching ~2535 t km-2 yr-1 following storm events in the Nelson region (Basher et al., 2011). At least on the northern South Island of New Zealand, extreme climatic events appear to be the main driver of elevated denudation rates. Basher, L., Hicks, D., Clapp, B., & Hewitt, T. (2011). Sediment Yield Response to Large Storm Events and Forest Harvesting, Motueka River, New Zealand. New Zealand Journal ofMarine and Freshwater Research, Vol. 45, No. 3 , 333-356.

42 CFR 412.503 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... from a long-term care hospital based on clinical characteristics and average resource use, for... hospital based on clinical characteristics and average resource use, for prospective payment purposes for... PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Prospective Payment System for Long-Term Care...

42 CFR 412.503 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... from a long-term care hospital based on clinical characteristics and average resource use, for... hospital based on clinical characteristics and average resource use, for prospective payment purposes for... PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Prospective Payment System for Long-Term Care...

42 CFR 412.503 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... from a long-term care hospital based on clinical characteristics and average resource use, for... hospital based on clinical characteristics and average resource use, for prospective payment purposes for... PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Prospective Payment System for Long-Term Care...

42 CFR 412.503 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... from a long-term care hospital based on clinical characteristics and average resource use, for... hospital based on clinical characteristics and average resource use, for prospective payment purposes for... PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Prospective Payment System for Long-Term Care...

Identifying long term empirical relationships between storm characteristics and episodic groundwater recharge

USGS Publications Warehouse

Tashie, Arik; Mirus, Benjamin B.; Pavelsky, Tamlin

2016-01-01

Shallow aquifers are an important source of water resources and provide base flow to streams; yet actual rates of groundwater recharge are difficult to estimate. While climate change is predicted to increase the frequency and magnitude of extreme precipitation events, the resulting impact on groundwater recharge remains poorly understood. We quantify empirical relations between precipitation characteristics and episodic groundwater recharge for a wide variety of geographic and land use types across North Carolina. We extract storm duration, magnitude, average rate, and hourly weighted intensity from long-term precipitation records over periods of 12–35 years at 10 locations. Using time series of water table fluctuations from nearby monitoring wells, we estimate relative recharge to precipitation ratios (RPR) to identify statistical trends. Increased RPR correlates with increased storm duration, whereas RPR decreases with increasing magnitude, average rate, and intensity of precipitation. Agricultural and urban areas exhibit the greatest decrease in RPR due to increasing storm magnitude, average rate, and intensity, while naturally vegetated areas exhibit a larger increase in RPR with increased storm duration. Though RPR is generally higher during the winter than the summer, this seasonal effect is magnified in the Appalachian and Piedmont regions. These statistical trends provide valuable insights into the likely consequences of climate and land use change for water resources in subtropical climates. If, as predicted, growing seasons lengthen and the intensity of storms increases with a warming climate, decreased recharge in Appalachia, the Piedmont, and rapidly growing urban areas of the American Southeast could further limit groundwater availability.

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

Bahena, A.; Villasenor, L.

We describe a simple experimental setup to measure the rate of arrival of muons at the surface of the Earth by using a single water Cerenkov detector and home-made electronics. We find a strong anti-correlation between the muon rates averaged over one-hour periods and the atmospheric pressure, with a measured correlation coefficient of -0.67% per hPa. After applying this correction we achieve sufficient sensitivity to observe long term (hours) variations in the averaged muon rates which are greater than 2%. Forbush decreases as big as 4% have been observed with muon detectors located at similar magnetic rigidities compared to Morelia,more » therefore our experimental setup will detect Forbush decreases as soon as the Sun enters into a more active phase.« less

LONG-TERM INTAKE OF NUTS IN RELATION TO COGNITIVE FUNCTION IN OLDER WOMEN

PubMed Central

O’BRIEN, J.; OKEREKE, O.; DEVORE, E.; ROSNER, B.; BRETELER, M.; GRODSTEIN, F.

2014-01-01

Objective Nuts contain nutrients that may benefit brain health; thus, we examined long-term intake of nuts in relation to cognition in older women. Design Population-based prospective cohort study. Setting Academic research using data from the Nurses’ Health Study. Participants Nut intake was assessed in a food-frequency questionnaire beginning in1980, and approximately every four years thereafter. Between 1995–2001, 16,010 women age 70 or older (mean age = 74 years) without a history of stroke were administered 4 repeated telephone-based cognitive interviews over 6 years. Our final sample included 15,467 women who completed an initial cognitive interview and had complete information on nut intake. Main Outcome Measures The Telephone Interview for Cognitive Status (TICS), a global score averaging the results of all tests (TICS, immediate and delayed verbal recall, category fluency, and attention), and a verbal memory score averaging the results of tests of verbal recall. Results In multivariable-adjusted linear regression models, higher long-term total nut intake was associated with better average cognitive status for all cognitive outcomes. For the global composite score combining all tests, women consuming at least 5 servings of nuts/week had higher scores than non-consumers (mean difference=0.08 standard units, 95% confidence interval 0.00–0.15; p-trend=0.003). This mean difference of 0.08 is equivalent to the mean difference we find between women 2 years apart in age. Long-term intake of nuts was not associated with rates of cognitive decline. Conclusions Higher nut intake may be related to better overall cognition at older ages, and could be an easily-modifiable public health intervention. PMID:24886736

Costs, Staffing, and Services of Assisted Living in the United States: A Literature Review.

PubMed

Kisling-Rundgren, Amy; Paul, David P; Coustasse, Alberto

2016-01-01

Assisted-living facilities (ALFs), which provide a community for residents who require assistance throughout their day, are an important part of the long-term-care system in the United States. The costs of ALFs are paid either out of pocket, by Medicaid, or by long-term-care insurance. Monthly costs of ALFs have increased over the past 5 years on an average of 4.1%. The purpose of this research was to examine the future trends in ALFs in the United States to determine the impact of health care on costs. The methodology for this study was a literature review, and a total of 32 sources were referenced. Trends in monthly costs of ALFs have increased from 2004 to 2014. Within the past 5 years, there has been an increase on average of 4.1% in assisted-living costs. Medicaid is one payer for residents of ALFs, whereas another alternative is the use of long-term-care insurance. Unfortunately, Medicare does not pay for ALFs. Staffing concerns in ALFs are limited because of each state having different rules and regulations. Turnover and retention rates of nurses in ALFs are suggested to be high, whereas vacancy rate for nurses is suggested to be lower. The baby-boomer generation can be one contribution to the increase in costs. Over the years, there has been an increase in Alzheimer disease, which has had also an effect on cost in ALFs.

Fermi GBM: Results from the First Year +

NASA Technical Reports Server (NTRS)

Wilson-Hodge, Colleen A.

2009-01-01

Gamma-ray Burst Monitor (GBM) has performed well in the first year+. GBM triggers 353 Gamma-ray Bursts (GRBs), 168 SGR events, 18 TGFs, and 1 solar flare to date. Short GRBs appear contracted in time and shifted to higher energy than long GRBs. Pulsed persistent emission from SGR 1550-5418 detected. TGFs are shorter, have higher average photon energies, and much higher count rates than GRBs. GBM monitoring of accreting pulsars provides long-term spin-histories. GBM Earth occultation monitoring complements Swift.

Long-term erosion of plasma-facing materials with different surface roughness in ASDEX Upgrade

NASA Astrophysics Data System (ADS)

Hakola, A.; Karhunen, J.; Koivuranta, S.; Likonen, J.; Balden, M.; Herrmann, A.; Mayer, M.; Müller, H. W.; Neu, R.; Rohde, V.; Sugiyama, K.; The ASDEX Upgrade Team

2014-04-01

The effect of surface roughness on the long-term erosion patterns of tungsten coatings was investigated in the outer strike-point region of ASDEX Upgrade during its 2010-11 plasma operations. The net erosion rates of rough coatings (Ra = 5-6 μm) were three to seven times smaller than those of smooth coatings (Ra = 0.4-0.8 μm). This is because rough surfaces are largely modified and damaged in the microscopic scale but the material is re-deposited together with boron, deuterium and carbon on the shadowed sides of the most prominent surface features. In addition, we observed that W coatings were eroded on average at a rate of 0.03 nm s-1, which was three to four times smaller than the value for Cr, simulating here steel.

Recursive processes in self-affirmation: intervening to close the minority achievement gap.

PubMed

Cohen, Geoffrey L; Garcia, Julio; Purdie-Vaughns, Valerie; Apfel, Nancy; Brzustoski, Patricia

2009-04-17

A 2-year follow-up of a randomized field experiment previously reported in Science is presented. A subtle intervention to lessen minority students' psychological threat related to being negatively stereotyped in school was tested in an experiment conducted three times with three independent cohorts (N = 133, 149, and 134). The intervention, a series of brief but structured writing assignments focusing students on a self-affirming value, reduced the racial achievement gap. Over 2 years, the grade point average (GPA) of African Americans was, on average, raised by 0.24 grade points. Low-achieving African Americans were particularly benefited. Their GPA improved, on average, 0.41 points, and their rate of remediation or grade repetition was less (5% versus 18%). Additionally, treated students' self-perceptions showed long-term benefits. Findings suggest that because initial psychological states and performance determine later outcomes by providing a baseline and initial trajectory for a recursive process, apparently small but early alterations in trajectory can have long-term effects. Implications for psychological theory and educational practice are discussed.

Using chloride and chlorine-36 as soil-water tracers to estimate deep percolation at selected locations on the U.S. Department of Energy Hanford Site, Washington

USGS Publications Warehouse

Prych, Edmund A.

1998-01-01

A chloride mass-balance method and a chlorine-36 isotope bomb-pulse method were used to estimate long-term average rates of deep percolation at at the U.S. Department of Energy Hanford Site. Because the bomb-pulse method typically gives an upper limit and the mass-balance method may underestimate, estimates from both methods probably bracket actual rates.

Modeling Anthropogenic Impact on Sediment Balance and Relative Sea-Level Rise in Contemporary and Future Deltas

NASA Astrophysics Data System (ADS)

Tessler, Z. D.; Vorosmarty, C. J.; Overeem, I.; Syvitski, J. P.

2017-12-01

Modern deltas are dependent on human-mediated freshwater and sediment fluxes. Changes to these fluxes impact delta biogeophysical functioning, and affect the long-term sustainability of these landscapes for both human and natural systems. Here we present contemporary estimates of long-term mean sediment balance and relative sea-level rise across 46 global deltas. We model ongoing development and scenarios of future water resource management and hydropower infrastructure in upstream river basins to explore how changing sediment fluxes impact relative sea-level in coastal delta systems. Model results show that contemporary sediment fluxes, anthropogenic drivers of land subsidence, and sea-level rise result in relative sea-level rise rates in deltas that average 6.8 mm/year. Currently planned or under-construction dams can be expected to increase rates of relative sea-level rise on the order of 1 mm/year. Some deltas systems, including the Magdalena, Orinoco, and Indus, are highly sensitive to future impoundment of river basins, with RSLR rates increasing up to 4 mm/year in a high-hydropower-utilization scenario. Sediment fluxes may be reduced by up to 60% in the Danube and 21% in the Ganges-Brahmaputra-Megnha if all currently planned dams are constructed. Reduced sediment retention on deltas due to increased river channelization and local flood controls increases RSLR on average by nearly 2 mm/year. Long-term delta sustainability requires a more complete understanding of how geophysical and anthropogenic change impact delta geomorphology. Strategies for sustainable delta management that focus on local and regional drivers of change, especially groundwater and hydrocarbon extraction and upstream dam construction, can be highly impactful even in the context of global climate-induced sea-level rise.

Perioperative and Long-Term Smoking Behaviors in Cosmetic Surgery Patients.

PubMed

Van Slyke, Aaron C; Carr, Michael; Knox, Aaron D C; Genoway, Krista; Carr, Nicholas J

2017-09-01

Many plastic surgeons advocate smoking cessation before patients undergo cosmetic surgery with extensive soft-tissue dissection. Smoking cessation rates after cosmetic surgery are unknown. The preoperative consultation may be an opportunity to promote long-term smoking cessation. This is a retrospective, cross-sectional cohort study. All patients over an 8-year study period who smoked before their preoperative consultation; who quit 2 weeks before surgery; and who subsequently underwent rhytidectomy, abdominoplasty, or mastopexy were included. Patients were asked to complete a Web-based survey at long-term follow-up. Eighty-five smokers were included, and 47 patients completed the survey, for a response rate of 55.3 percent. Average follow-up was 63.3 months. Five respondents were social smokers and thus excluded. Of the 42 daily smokers, 17 patients (40.5 percent) were no longer smoking cigarettes on a daily basis at long-term follow-up. Of these 17 patients, 10 (23.8 percent) had not smoked since their operation. A total of 24 patients (57.1 percent) had reduced their cigarette consumption by any amount, and 70.8 percent (17 of 24) of these patients agreed that discussing adverse surgical outcomes related to smoking influenced their ability to quit/reduce. Twenty-one of 42 patients (50.0 percent) admitted that they were not compliant with the preoperative smoking cessation instructions. This is the first report to investigate long-term smoking cessation from a cosmetic surgery practice. The authors have shown a positive association between smoking cessation and cosmetic surgery. Requesting a period of cessation before cosmetic surgery may promote long-lasting smoking cessation.

Poor Long-Term Outcomes of Adult Liver Transplantation Involving Elderly Living Donors.

PubMed

Tokodai, K; Kawagishi, N; Miyagi, S; Nakanishi, C; Hara, Y; Fujio, A; Kashiwadate, T; Maida, K; Goto, H; Kamei, T; Ohuchi, N

2016-05-01

Donor hepatectomy requires particular care to ensure the safety of the donor and the success of the liver transplantation. The aim of this study was to evaluate the effect of donor age on the postoperative outcomes of liver transplant donors and the long-term graft survival rates. We retrospectively reviewed 56 consecutive adult patients who underwent living donor liver transplantation at our institution between April 2001 and August 2010. Donors and recipients were divided into 2 groups, based on the age of the donor: the elderly donor group (donor age ≥50 years) and the younger donor group (donor age <50 years). Perioperative variables, postoperative complication rates, and long-term graft survival rates were compared between the 2 groups. The average ages in the elderly donor group and younger donor group were 58 years and 32 years, respectively. Baseline data excluding the age of the donor did not differ between the groups, nor did the overall complication rates of the donors. Hospital stays were longer in the elderly donor group than in the younger donor group (25 vs 18 days, P < .05). The 1-, 3-, and 5-year graft survival rates were 80%, 60%, and 50% in the elderly donor group, and 89%, 87%, and 82% in the younger donor group, respectively (P = .0002). Donor hepatectomy can be performed safely in elderly patients. However, compared with younger donors, their hospital stays were longer and the graft survival rates were shorter. Copyright © 2016 Elsevier Inc. All rights reserved.

Psychopathology 8 1/2 years post parasuicide.

PubMed

Curran, S; Fitzgerald, M; Greene, V T

1999-01-01

There are few long-term follow-up studies of parasuicides incorporating face-to-face interviews. To date no study has evaluated the prevalence of psychiatric morbidity at long-term follow-up of parasuicides using diagnostic rating scales, nor has any study examined parental bonding issues in this population. We attempted a prospective follow-up of 85 parasuicide cases an average of 8 1/2 years later. Psychiatric morbidity, social functioning, and recollections of the parenting style of their parents were assessed using the Clinical Interview Schedule, the Social Maladjustment Scale, and the Parental Bonding Instrument, respectively. Thirty-nine persons in total were interviewed, 19 of whom were well and 20 of whom had psychiatric morbidity. Five and died during the follow-up period, 3 by suicide. Migration, refusals, and untraceability were common. Parasuicide was associated with parental overprotection during childhood. Long-term outcome is poor, especially among those who engaged in repeated parasuicides.

210Pb and 137Cs as chronometers for salt marsh accretion in the Venice Lagoon - links to flooding frequency and climate change.

PubMed

Bellucci, L G; Frignani, M; Cochran, J K; Albertazzi, S; Zaggia, L; Cecconi, G; Hopkins, H

2007-01-01

Five salt marsh sediment cores from different parts of the Venice Lagoon were studied to determine their depositional history and its relationship with the environmental changes occurred during the past approximately 100 years. X-radiographs of the cores show no disturbance related to particle mixing. Accretion rates were calculated using a constant flux model applied to excess (210)Pb distributions in the cores. The record of (137)Cs fluxes to the sites, determined from (137)Cs profiles and the (210)Pb chronologies, shows inputs from the global fallout of (137)Cs in the late 1950s to early 1960s and the Chernobyl accident in 1986. Average accretion rates in the cores are comparable to the long-term average rate of mean sea level rise in the Venice Lagoon ( approximately 0.25 cm y(-1)) except for a core collected in a marsh presumably affected by inputs from the Dese River. Short-term variations in accretion rate are correlated with the cumulative frequency of flooding, as determined by records of Acqua Alta, in four of the five cores, suggesting that variations in the phenomena causing flooding (such as wind patterns, storm frequency and NAO) are short-term driving forces for variations in marsh accretion rate.

Exploring synergistic benefits of Water-Food-Energy Nexus through multi-objective reservoir optimization schemes.

PubMed

Uen, Tinn-Shuan; Chang, Fi-John; Zhou, Yanlai; Tsai, Wen-Ping

2018-08-15

This study proposed a holistic three-fold scheme that synergistically optimizes the benefits of the Water-Food-Energy (WFE) Nexus by integrating the short/long-term joint operation of a multi-objective reservoir with irrigation ponds in response to urbanization. The three-fold scheme was implemented step by step: (1) optimizing short-term (daily scale) reservoir operation for maximizing hydropower output and final reservoir storage during typhoon seasons; (2) simulating long-term (ten-day scale) water shortage rates in consideration of the availability of irrigation ponds for both agricultural and public sectors during non-typhoon seasons; and (3) promoting the synergistic benefits of the WFE Nexus in a year-round perspective by integrating the short-term optimization and long-term simulation of reservoir operations. The pivotal Shihmen Reservoir and 745 irrigation ponds located in Taoyuan City of Taiwan together with the surrounding urban areas formed the study case. The results indicated that the optimal short-term reservoir operation obtained from the non-dominated sorting genetic algorithm II (NSGA-II) could largely increase hydropower output but just slightly affected water supply. The simulation results of the reservoir coupled with irrigation ponds indicated that such joint operation could significantly reduce agricultural and public water shortage rates by 22.2% and 23.7% in average, respectively, as compared to those of reservoir operation excluding irrigation ponds. The results of year-round short/long-term joint operation showed that water shortage rates could be reduced by 10% at most, the food production rate could be increased by up to 47%, and the hydropower benefit could increase up to 9.33 million USD per year, respectively, in a wet year. Consequently, the proposed methodology could be a viable approach to promoting the synergistic benefits of the WFE Nexus, and the results provided unique insights for stakeholders and policymakers to pursue sustainable urban development plans. Copyright © 2018 Elsevier B.V. All rights reserved.

Groundwater-level trends and forecasts, and salinity trends, in the Azraq, Dead Sea, Hammad, Jordan Side Valleys, Yarmouk, and Zarqa groundwater basins, Jordan

USGS Publications Warehouse

Goode, Daniel J.; Senior, Lisa A.; Subah, Ali; Jaber, Ayman

2013-01-01

Changes in groundwater levels and salinity in six groundwater basins in Jordan were characterized by using linear trends fit to well-monitoring data collected from 1960 to early 2011. On the basis of data for 117 wells, groundwater levels in the six basins were declining, on average about -1 meter per year (m/yr), in 2010. The highest average rate of decline, -1.9 m/yr, occurred in the Jordan Side Valleys basin, and on average no decline occurred in the Hammad basin. The highest rate of decline for an individual well was -9 m/yr. Aquifer saturated thickness, a measure of water storage, was forecast for year 2030 by using linear extrapolation of the groundwater-level trend in 2010. From 30 to 40 percent of the saturated thickness, on average, was forecast to be depleted by 2030. Five percent of the wells evaluated were forecast to have zero saturated thickness by 2030. Electrical conductivity was used as a surrogate for salinity (total dissolved solids). Salinity trends in groundwater were much more variable and less linear than groundwater-level trends. The long-term linear salinity trend at most of the 205 wells evaluated was not increasing, although salinity trends are increasing in some areas. The salinity in about 58 percent of the wells in the Amman-Zarqa basin was substantially increasing, and the salinity in Hammad basin showed a long-term increasing trend. Salinity increases were not always observed in areas with groundwater-level declines. The highest rates of salinity increase were observed in regional discharge areas near groundwater pumping centers.

Sediment Flux of Particulate Organic Phosphorus in the Open Black Sea

NASA Astrophysics Data System (ADS)

Parkhomenko, A. V.; Kukushkin, A. S.

2018-03-01

The interannual variation of the monthly average (weighted average) concentrations of particulate organic phosphorus (PPOM) in the photosynthetic layer, oxycline, redox zone, and H2S zone in the open Black Sea is estimated based on long-term observation data. The suspension sedimentation rates from the studied layers are assessed using model calculations and published data. The annual variation of PPOM sediment fluxes from the photosynthetic layer, oxycline, redox zone, and upper H2S zone to the anaerobic zone of the sea and the correspondingly annual average values are estimated for the first time. A regular decrease in the PPOM annual average flux with depth in the upper active layer is demonstrated. A correlation between the annual average values of PPOM sediment flux from the photosynthetic layer and ascending phosphate flux to this layer is shown, which suggests their balance in the open sea. The results are discussed in terms of the phosphorus biogeochemical cycle and the concept of new and regenerative primary production in the open Black Sea.

Radiofrequency ablation of hepatocellular carcinoma in difficult locations: Strategies and long-term outcomes

PubMed Central

Yang, Wei; Yan, Kun; Wu, Gong-Xiong; Wu, Wei; Fu, Ying; Lee, Jung-Chieh; Zhang, Zhong-Yi; Wang, Song; Chen, Min-Hua

2015-01-01

AIM: To investigate the treatment strategies and long-term outcomes of radiofrequency ablation (RFA) of hepatocellular carcinoma (HCC) in difficult locations and to compare the results with non-difficult HCC. METHODS: From 2004 to 2012, a total of 470 HCC patients underwent ultrasound-guided percutaneous RFA. Among these HCC patients, 382 with tumors located ≤ 5 mm from a major vessel/bile duct (n = 87), from peripheral important structures (n = 232) or from the liver capsule (n = 63) were regarded as difficult cases. There were 331 male patients and 51 female patients, with an average age of 55.3 ± 10.1 years old. A total of 235 and 147 patients had Child-Pugh class A and class B liver function, respectively. The average tumor size was 3.4 ± 1.2 cm. Individual treatment strategies were developed to treat these difficult cases. During the same period, 88 HCC patients with tumors that were not in difficult locations served as the control group. In the control group, 74 patients were male, and 14 patients were female, with an average age of 57.4 ± 11.8 years old. Of these, 62 patients and 26 patients had Child-Pugh class A and class B liver function, respectively. Regular follow-up after RFA was performed to assess treatment efficacy. Survival results were generated from Kaplan-Meier estimates, and multivariate analysis was performed using the Cox regression model. RESULTS: Early tumor necrosis rate in the difficult group was similar to that in the control group (97.6% vs 94.3%, P = 0.080). The complication rate in the difficult group was significantly higher than that in the control group (4.9% vs 0.8%, P = 0.041). The follow-up period ranged from 6 to 116 mo, with an average of 28 ± 22.4 mo. Local progression rate in the difficult group was significantly higher than that in the control group (12.7% vs 7.1%, P = 0.046). However, the 1-, 3-, 5-, and 7-year overall survival rates in the difficult group were not significantly different from those in the control group (84.3%, 54.4%, 41.2%, and 29.9% vs 92.5%, 60.3%, 43.2%, and 32.8%, respectively, P = 0.371). Additionally, a multivariate analysis revealed that tumor location was not a significant risk factor for survival. CONCLUSION: There was no significant difference in long-term overall survival between the two groups even though the local progression rate was higher in the difficult group. PMID:25663774

EARLY AND LATE COMPLICATIONS AMONG LONG-TERM COLORECTAL CANCER SURVIVORS WITH OSTOMY OR ANASTOMOSIS

PubMed Central

Liu, Liyan; Herrinton, Lisa J.; Hornbrook, Mark C.; Wendel, Christopher S.; Grant, Marcia; Krouse, Robert S.

2012-01-01

Purpose Among long-term (≥5 years) colorectal cancer survivors with permanent ostomy or anastomosis, we compared the incidence of medical and surgical complications and examined the relationship of complications with health-related quality of life. Background The incidence and effects of complications on long-term health-related quality of life among colorectal cancer survivors are not adequately understood. Methods Participants (284 ostomy/395 anastomosis) were long-term colorectal cancer survivors enrolled in an integrated health plan. Health-related quality of life was assessed via mailed survey questionnaire in 2002–2005. Information on colorectal cancer, surgery, co-morbidities, and complications was obtained from computerized data and analyzed using survival analysis and logistic regression. Results Ostomy and anastomosis survivors were followed an average 12.1 and 11.2 years, respectively. Within 30 days of surgery, 19% of ostomy and 10% of anastomosis survivors experienced complications (p<0.01). From 31 days on, the percentages were 69% and 67% (after adjustment, p<0.001). Bleeding and post-operative infection were common early complications. Common long-term complications included hernia, urinary retention, hemorrhage, skin conditions, and intestinal obstruction. Ostomy was associated with long-term fistula (odds ratio 5.4; 95% CI 1.4–21.2), and among ostomy survivors, fistula was associated with reduced health-related quality of life (p<0.05). Conclusions Complication rates remain high despite recent advances in surgical treatment methods. Survivors with ostomy have more complications early in their survivorship period, but complications among anastomosis survivors catch up after 20 years, when the two groups have convergent complication rates. Among colorectal cancer survivors with ostomy, fistula has especially important implications for health-related quality of life. PMID:20087096

Early and late complications among long-term colorectal cancer survivors with ostomy or anastomosis.

PubMed

Liu, Liyan; Herrinton, Lisa J; Hornbrook, Mark C; Wendel, Christopher S; Grant, Marcia; Krouse, Robert S

2010-02-01

Among long-term (>or=5 y) colorectal cancer survivors with permanent ostomy or anastomosis, we compared the incidence of medical and surgical complications and examined the relationship of complications with health-related quality of life. The incidence and effects of complications on long-term health-related quality of life among colorectal cancer survivors are not adequately understood. Participants (284 survivors with ostomies and 395 survivors with anastomoses) were long-term colorectal cancer survivors enrolled in an integrated health plan. Health-related quality of life was assessed via mailed survey questionnaires from 2002 to 2005. Information on colorectal cancer, surgery, comorbidities, and complications was obtained from computerized data and analyzed by use of survival analysis and logistic regression. Ostomy and anastomosis survivors were followed up for an average of 12.1 and 11.2 years, respectively. Within 30 days of surgery, 19% of ostomy survivors and 10% of anastomosis survivors experienced complications (P < .01). From 31 days on, the percentages were 69% and 67% (after adjustment, P < .001). Bleeding and postoperative infection were common early complications. Common long-term complications included hernia, urinary retention, hemorrhage, skin conditions, and intestinal obstruction. Ostomy was associated with long-term fistula (odds ratio, 5.4; 95% CI 1.4-21.2), and among ostomy survivors, fistula was associated with reduced health-related quality of life (P < .05). Complication rates remain high despite recent advances in methods of surgical treatment. Survivors with ostomy have more complications early in their survivorship period, but complications among anastomosis survivors catch up after 20 years, when the 2 groups have convergent complication rates. Among colorectal cancer survivors with ostomy, fistula has especially important implications for health-related quality of life.

Prospective long-term follow-up of the cementless bicontact hip stem with plasmapore coating.

PubMed

Ochs, U; Eingartner, C; Volkmann, R; Ochs, B G; Huber, C; Weller, S; Weise, K

2007-01-01

A prospective long-term study of the first 250 cementless Bicontact stems implanted in the BG Trauma Centre, Tuebingen, Germany. All of the patients in this series (treatment period June 1987 to April 1990) who were still contactable were invited for clinical and radiological follow-up. The radiographs were analysed for signs of loosening in the form of Gruen lysis zones, stress shielding, subsidence behaviour, heterotopic ossification and spot welds. The average follow-up period was 17.8 (16.7 - 19.5) years. The overall rate of follow-up was 65 % (162 of 250) and 91 % of patients who were still alive (162 of 179). The average patient age was 56.2 years at the time of operation and 74.0 years at follow-up. The average HHS was 81.6 points. In the course of the first 10 years (up to 03/1998), a total of 8 stem revisions had to be performed. In the period from 03/1998 to 01/2007, 2 cases of loosening requiring revision occurred in the patients still alive at the time of follow-up. The survival rate calculated was thus 95.6 %. These outstanding results provide enduring support for the philosophy of the cementless and bone-preserving fixation principles underlying the Bicontact hip stem with proximal intertrochanteric transmission of forces and high primary rotational stability.

Delayed coral recovery in a warming ocean.

PubMed

Osborne, Kate; Thompson, Angus A; Cheal, Alistair J; Emslie, Michael J; Johns, Kerryn A; Jonker, Michelle J; Logan, Murray; Miller, Ian R; Sweatman, Hugh P A

2017-09-01

Climate change threatens coral reefs across the world. Intense bleaching has caused dramatic coral mortality in many tropical regions in recent decades, but less obvious chronic effects of temperature and other stressors can be equally threatening to the long-term persistence of diverse coral-dominated reef systems. Coral reefs persist if coral recovery rates equal or exceed average rates of mortality. While mortality from acute destructive events is often obvious and easy to measure, estimating recovery rates and investigating the factors that influence them requires long-term commitment. Coastal development is increasing in many regions, and sea surface temperatures are also rising. The resulting chronic stresses have predictable, adverse effects on coral recovery, but the lack of consistent long-term data sets has prevented measurement of how much coral recovery rates are actually changing. Using long-term monitoring data from 47 reefs spread over 10 degrees of latitude on Australia's Great Barrier Reef (GBR), we used a modified Gompertz equation to estimate coral recovery rates following disturbance. We compared coral recovery rates in two periods: 7 years before and 7 years after an acute and widespread heat stress event on the GBR in 2002. From 2003 to 2009, there were few acute disturbances in the region, allowing us to attribute the observed shortfall in coral recovery rates to residual effects of acute heat stress plus other chronic stressors. Compared with the period before 2002, the recovery of fast-growing Acroporidae and of "Other" slower growing hard corals slowed after 2002, doubling the time taken for modest levels of recovery. If this persists, recovery times will be increasing at a time when acute disturbances are predicted to become more frequent and intense. Our study supports the need for management actions to protect reefs from locally generated stresses, as well as urgent global action to mitigate climate change. © 2017 John Wiley & Sons Ltd.

Mountain erosion over 10 yr, 10 k.y., and 10 m.y. time scales

Treesearch

James W. Kirchner; Robert C. Finkel; Clifford S. Riebe; Darryl E. Granger; James L. Clayton; John G. King; Walter F. Megahan

2001-01-01

We used cosmogenic 10Be to measure erosion rates over 10 k.y. time scales at 32 Idaho mountain catchments, ranging from small experimental watersheds (0.2 km2) to large river basins (35 000 km2). These long-term sediment yields are, on average, 17 times higher than stream sediment fluxes measured over...

Quantitative characterization of the Antarctic ozone hole

NASA Technical Reports Server (NTRS)

Ito, T.; Sakoda, Y.; Matsubara, K.; Takao, T.; Akagi, K.; Watanabe, Y.; Shibata, S.; Naganuma, H.

1994-01-01

The long-term evolution of the Antarctic ozone hole is studied based on the TOMS data and the JMA data-set of stratospheric temperature in relation with the possible role of polar stratospheric clouds (PSC's). The effective mass of depleted ozone in the ozone hole at its annual mature stage reached a historical maximum of 55 Mt in 1991, 4.3 times larger than in 1981. The ozone depletion rate during 30 days before the mature ozone hole does not show any appreciable long-term trend but the interannual fluctuations do, ranging from 0.169 to 0.689 Mt/day with the average of 0.419 Mt/day for the period of 1979 - 1991. The depleted ozone mass has the highest correlation with the region below 195 K on the 30 mb surface in June, whereas the ozone depletion rate correlates most strongly with that in August. The present result strongly suggests that the long-term evolution of the mature ozone hole is caused both by the interannual change of the latitudinal coverage of the early PSC's, which may control the latitude and date of initiation of ozone decrease, and by that of the spatial coverage of the mature PSC's which may control the ozone depletion rate in the Antarctic spring.

Comparative rates of violence in chimpanzees and humans.

PubMed

Wrangham, Richard W; Wilson, Michael L; Muller, Martin N

2006-01-01

This paper tests the proposal that chimpanzees (Pan troglodytes) and humans have similar rates of death from intraspecific aggression, whereas chimpanzees have higher rates of non-lethal physical attack (Boehm 1999, Hierarchy in the forest: the evolution of egalitarian behavior. Harvard University Press). First, we assembled data on lethal aggression from long-term studies of nine communities of chimpanzees living in five populations. We calculated rates of death from intraspecific aggression both within and between communities. Variation among communities in mortality rates from aggression was high, and rates of death from intercommunity and intracommunity aggression were not correlated. Estimates for average rates of lethal violence for chimpanzees proved to be similar to average rates for subsistence societies of hunter-gatherers and farmers. Second, we compared rates of non-lethal physical aggression for two populations of chimpanzees and one population of recently settled hunter-gatherers. Chimpanzees had rates of aggression between two and three orders of magnitude higher than humans. These preliminary data support Boehm's hypothesis.

DEVELOMENT AND EVALUATION OF A MODEL FOR ESTIMATING LONG-TERM AVERAGE OZONE EXPOSURES TO CHILDREN

EPA Science Inventory

Long-term average exposures of school-age children can be modelled using longitudinal measurements collected during the Harvard Southern California Chronic Ozone Exposure Study over a 12-month period: June, 1995-May, 1996. The data base contains over 200 young children with perso...

A long-term evaluation of biopsy darts and DNA to estimate cougar density

USGS Publications Warehouse

Beausoleil, Richard A.; Clark, Joseph D.; Maletzke, Benjamin T.

2016-01-01

Accurately estimating cougar (Puma concolor) density is usually based on long-term research consisting of intensive capture and Global Positioning System collaring efforts and may cost hundreds of thousands of dollars annually. Because wildlife agency budgets rarely accommodate this approach, most infer cougar density from published literature, rely on short-term studies, or use hunter harvest data as a surrogate in their jurisdictions; all of which may limit accuracy and increase risk of management actions. In an effort to develop a more cost-effective long-term strategy, we evaluated a research approach using citizen scientists with trained hounds to tree cougars and collect tissue samples with biopsy darts. We then used the DNA to individually identify cougars and employed spatially explicit capture–recapture models to estimate cougar densities. Overall, 240 tissue samples were collected in northeastern Washington, USA, producing 166 genotypes (including recaptures and excluding dependent kittens) of 133 different cougars (8-25/yr) from 2003 to 2011. Mark–recapture analyses revealed a mean density of 2.2 cougars/100 km2 (95% CI=1.1-4.3) and stable to decreasing population trends (β=-0.048, 95% CI=-0.106–0.011) over the 9 years of study, with an average annual harvest rate of 14% (range=7-21%). The average annual cost per year for field sampling and genotyping was US$11,265 ($422.24/sample or $610.73/successfully genotyped sample). Our results demonstrated that long-term biopsy sampling using citizen scientists can increase capture success and provide reliable cougar-density information at a reasonable cost.

Solar energy system economic evaluation: Contemporary Newman, Georgia

NASA Technical Reports Server (NTRS)

1980-01-01

An economic evaluation of performance of the solar energy system (based on life cycle costs versus energy savings) for five cities considered to be representative of a broad range of environmental and economic conditions in the United States is discussed. The considered life cycle costs are: hardware, installation, maintenance, and operating costs for the solar unique components of the total system. The total system takes into consideration long term average environmental conditions, loads, fuel costs, and other economic factors applicable in each of five cities. Selection criteria are based on availability of long term weather data, heating degree days, cold water supply temperature, solar insolation, utility rates, market potential, and type of solar system.

Solar energy system economic evaluation: Contemporary Newman, Georgia

NASA Astrophysics Data System (ADS)

1980-09-01

An economic evaluation of performance of the solar energy system (based on life cycle costs versus energy savings) for five cities considered to be representative of a broad range of environmental and economic conditions in the United States is discussed. The considered life cycle costs are: hardware, installation, maintenance, and operating costs for the solar unique components of the total system. The total system takes into consideration long term average environmental conditions, loads, fuel costs, and other economic factors applicable in each of five cities. Selection criteria are based on availability of long term weather data, heating degree days, cold water supply temperature, solar insolation, utility rates, market potential, and type of solar system.

Economic Indicators Selected Countries.

DTIC Science & Technology

1987-12-01

Earnings of all 1982 1986 7.4 Male Employees (a) Aug 1986 Aug 1987 4.8 Hourly Wace Rates 3 1979 1987 lt.2 Garden Island 1983 1987 6.7 Dockyards Dec...Canaca Hourly Earnings 24 1978 1986 7.2 in Manufacturing 1982 1986 3.9 Jun 1986 jun 1987 2.3 (a) As from September 1981, the method of compiling...average weekly earnings estimates has changed. Long term escalation rates are based on the old series. (u) As from January 1985, the method of compiling

Characterization of human passive muscles for impact loads using genetic algorithm and inverse finite element methods.

PubMed

Chawla, A; Mukherjee, S; Karthikeyan, B

2009-02-01

The objective of this study is to identify the dynamic material properties of human passive muscle tissues for the strain rates relevant to automobile crashes. A novel methodology involving genetic algorithm (GA) and finite element method is implemented to estimate the material parameters by inverse mapping the impact test data. Isolated unconfined impact tests for average strain rates ranging from 136 s(-1) to 262 s(-1) are performed on muscle tissues. Passive muscle tissues are modelled as isotropic, linear and viscoelastic material using three-element Zener model available in PAMCRASH(TM) explicit finite element software. In the GA based identification process, fitness values are calculated by comparing the estimated finite element forces with the measured experimental forces. Linear viscoelastic material parameters (bulk modulus, short term shear modulus and long term shear modulus) are thus identified at strain rates 136 s(-1), 183 s(-1) and 262 s(-1) for modelling muscles. Extracted optimal parameters from this study are comparable with reported parameters in literature. Bulk modulus and short term shear modulus are found to be more influential in predicting the stress-strain response than long term shear modulus for the considered strain rates. Variations within the set of parameters identified at different strain rates indicate the need for new or improved material model, which is capable of capturing the strain rate dependency of passive muscle response with single set of material parameters for wide range of strain rates.

Predicting Long-Term College Success through Degree Completion Using ACT[R] Composite Score, ACT Benchmarks, and High School Grade Point Average. ACT Research Report Series, 2012 (5)

ERIC Educational Resources Information Center

Radunzel, Justine; Noble, Julie

2012-01-01

This study compared the effectiveness of ACT[R] Composite score and high school grade point average (HSGPA) for predicting long-term college success. Outcomes included annual progress towards a degree (based on cumulative credit-bearing hours earned), degree completion, and cumulative grade point average (GPA) at 150% of normal time to degree…

Assessing Multivariate Constraints to Evolution across Ten Long-Term Avian Studies

PubMed Central

Teplitsky, Celine; Tarka, Maja; Møller, Anders P.; Nakagawa, Shinichi; Balbontín, Javier; Burke, Terry A.; Doutrelant, Claire; Gregoire, Arnaud; Hansson, Bengt; Hasselquist, Dennis; Gustafsson, Lars; de Lope, Florentino; Marzal, Alfonso; Mills, James A.; Wheelwright, Nathaniel T.; Yarrall, John W.; Charmantier, Anne

2014-01-01

Background In a rapidly changing world, it is of fundamental importance to understand processes constraining or facilitating adaptation through microevolution. As different traits of an organism covary, genetic correlations are expected to affect evolutionary trajectories. However, only limited empirical data are available. Methodology/Principal Findings We investigate the extent to which multivariate constraints affect the rate of adaptation, focusing on four morphological traits often shown to harbour large amounts of genetic variance and considered to be subject to limited evolutionary constraints. Our data set includes unique long-term data for seven bird species and a total of 10 populations. We estimate population-specific matrices of genetic correlations and multivariate selection coefficients to predict evolutionary responses to selection. Using Bayesian methods that facilitate the propagation of errors in estimates, we compare (1) the rate of adaptation based on predicted response to selection when including genetic correlations with predictions from models where these genetic correlations were set to zero and (2) the multivariate evolvability in the direction of current selection to the average evolvability in random directions of the phenotypic space. We show that genetic correlations on average decrease the predicted rate of adaptation by 28%. Multivariate evolvability in the direction of current selection was systematically lower than average evolvability in random directions of space. These significant reductions in the rate of adaptation and reduced evolvability were due to a general nonalignment of selection and genetic variance, notably orthogonality of directional selection with the size axis along which most (60%) of the genetic variance is found. Conclusions These results suggest that genetic correlations can impose significant constraints on the evolution of avian morphology in wild populations. This could have important impacts on evolutionary dynamics and hence population persistence in the face of rapid environmental change. PMID:24608111

Geomorphology-based interpretation of sedimentation rates from radiodating, lower Passaic River, New Jersey, USA.

PubMed

Erickson, Michael J; Barnes, Charles R; Henderson, Matthew R; Romagnoli, Robert; Firstenberg, Clifford E

2007-04-01

Analysis of site geomorphology and sedimentation rates as an indicator of long-term bed stability is central to the evaluation of remedial alternatives for depositional aquatic environments. In conjunction with various investigations of contaminant distribution, sediment dynamics, and bed stability in the Passaic River Estuary, 121 sediment cores were collected in the early 1990s from the lower 9.7 km of the Passaic River and analyzed for lead-210 (210Pb), cesium-137 (137Cs), and other analytes. This paper opportunistically uses the extensive radiochemical dataset to examine the spatial patterns of long-term sedimentation rates in, and associated geomorphic aspects of, this area of the river. For the purposes of computing sedimentation rates, the utility of the 210Pb and 137Cs depositional profiles was assessed to inform appropriate interpretation. Sedimentation rates were computed for 90 datable cores by 3 different methods, depending on profile utility. A sedimentation rate of 0 was assigned to 17 additional cores that were not datable and for which evidence of no deposition exists. Sedimentation patterns were assessed by grouping results within similar geomorphic areas, delineated through inspection of bathymetric data. On the basis of channel morphology, results reflect expected patterns, with the highest sedimentation rates observed along point bars and channel margins. The lowest rates of sedimentation (and the largest percentage of undatable cores) were observed in the areas along the outer banks of channel bends. Increasing sedimentation rates from upstream to downstream were noted. Average and median sedimentation rates were estimated to be 3.8 and 3.7 cm/y, respectively, reflecting the highly depositional nature of the Passaic River estuary. This finding is consistent with published descriptions of long-term geomorphology for Atlantic Coastal Plain estuaries.

Long-term cliff retreat and erosion hotspots along the central shores of the Monterey Bay National Marine Sanctuary

USGS Publications Warehouse

Moore, Laura J.; Griggs, Gary B.

2002-01-01

Quantification of cliff retreat rates for the southern half of Santa Cruz County, CA, USA, located within the Monterey Bay National Marine Sanctuary, using the softcopy/geographic information system (GIS) methodology results in average cliff retreat rates of 7–15 cm/yr between 1953 and 1994. The coastal dunes at the southern end of Santa Cruz County migrate seaward and landward through time and display net accretion between 1953 and 1994, which is partially due to development. In addition, three critically eroding segments of coastline with high average erosion rates ranging from 20 to 63 cm/yr are identified as erosion ‘hotspots’. These locations include: Opal Cliffs, Depot Hill and Manresa. Although cliff retreat is episodic, spatially variable at the scale of meters, and the factors affecting cliff retreat vary along the Santa Cruz County coastline, there is a compensation between factors affecting retreat such that over the long-term the coastline maintains a relatively smooth configuration. The softcopy/GIS methodology significantly reduces errors inherent in the calculation of retreat rates in high-relief areas (e.g. erosion rates generated in this study are generally correct to within 10 cm) by removing errors due to relief displacement. Although the resulting root mean squared error for erosion rates is relatively small, simple projections of past erosion rates are inadequate to provide predictions of future cliff position. Improved predictions can be made for individual coastal segments by using a mean erosion rate and the standard deviation as guides to future cliff behavior in combination with an understanding of processes acting along the coastal segments in question. This methodology can be applied on any high-relief coast where retreat rates can be measured.

Ministers of Health: short-term tenure for long-term goals?

PubMed

Ferraz, Marcos Bosi; Azevedo, Rafael Teixeira

2011-03-01

Healthcare investments should consider short and long-term demands. The objectives here were to compare the average tenures of ministers of health in Brazil and in another 22 countries and to evaluate the relationship between ministers' tenures and a number of indicators. Descriptive study conducted at Centro Paulista de Economia da Saúde (CPES). Twenty-two countries with the highest Human Development Indices (HDIs) and Brazil were included. The number of ministers over the past 20 years was investigated through each country's Ministry of Health website. Pearson's correlation coefficient was used to compare the number of ministers in each country with that country's indicators. The Mann-Whitney test was used to compare ministers' tenures in Brazil and other countries. The mean tenure (standard deviation, SD) of Brazilian ministers of health was 15 (12) months, a period that is statistically significantly shorter than the mean tenure of 33 (18) months in the other 22 countries (P < 0.05). There was a moderate and statistically significant positive correlation between the number of ministers and mortality rates for several conditions. The number of ministers also presented moderate and statistically significant negative correlations with per capita total healthcare expenditure (r = -0.567) and with per capita government healthcare expenditure (r = -0.530). On average, ministers of health have extremely short tenures. There is an urgent need to think and plan healthcare systems from a long-term perspective.

A hybrid procedure for MSW generation forecasting at multiple time scales in Xiamen City, China.

PubMed

Xu, Lilai; Gao, Peiqing; Cui, Shenghui; Liu, Chun

2013-06-01

Accurate forecasting of municipal solid waste (MSW) generation is crucial and fundamental for the planning, operation and optimization of any MSW management system. Comprehensive information on waste generation for month-scale, medium-term and long-term time scales is especially needed, considering the necessity of MSW management upgrade facing many developing countries. Several existing models are available but of little use in forecasting MSW generation at multiple time scales. The goal of this study is to propose a hybrid model that combines the seasonal autoregressive integrated moving average (SARIMA) model and grey system theory to forecast MSW generation at multiple time scales without needing to consider other variables such as demographics and socioeconomic factors. To demonstrate its applicability, a case study of Xiamen City, China was performed. Results show that the model is robust enough to fit and forecast seasonal and annual dynamics of MSW generation at month-scale, medium- and long-term time scales with the desired accuracy. In the month-scale, MSW generation in Xiamen City will peak at 132.2 thousand tonnes in July 2015 - 1.5 times the volume in July 2010. In the medium term, annual MSW generation will increase to 1518.1 thousand tonnes by 2015 at an average growth rate of 10%. In the long term, a large volume of MSW will be output annually and will increase to 2486.3 thousand tonnes by 2020 - 2.5 times the value for 2010. The hybrid model proposed in this paper can enable decision makers to develop integrated policies and measures for waste management over the long term. Copyright © 2013 Elsevier Ltd. All rights reserved.

Long-Term Results of Total Hip Arthroplasty with 28 millimeter Cobalt-Chromium Femoral Heads on Highly Cross-linked Polyethylene in Patients 50 years and Less

PubMed Central

Stambough, Jeffrey B.; Pashos, Gail; Bohnenkamp, Frank C.; Maloney, William J.; Martell, John M.; Clohisy, John C.

2016-01-01

Highly cross-linked polyethylene (HXLPE) is the most commonly used bearing surface in total hip arthroplasty (THA) because of its superior wear properties, but long-term results in young patients are limited. We report on the clinical outcome, radiographic wear patterns and survivorship of 72 patients ≤50 years old who had a 28-millimeter cobalt-chromium femoral head on HXLPE acetabular liner. Mean and median true linear wear rates at average ten-year follow-up were 0.0104 and 0.016 mm per year +/− 0.07 mm. Mean and median two-dimensional volumetric wear rates were 12.79 mm3 and 5.834 mm3 per year +/− 26.1mm3 as determined by Martell analysis. As a result of the minimal wear profile, there was no evidence of radiographic osteolysis and no wear-related revisions. PMID:26260785

Quantification of long-term erosion rates from root exposure/tree age relationships in an alpine meadow catchment

NASA Astrophysics Data System (ADS)

Scuderi, Louis A.

2017-04-01

Erosion rates derived using dendrogeomorphology have been used to quantify slope degradation in many localities globally. However, with the exception of the western United States, most of these estimates are derived from short-lived trees whose lifetimes may not adequately reflect the complete range of slope processes which can include erosion, deposition, impacts of extreme events and even long-term hiatuses. Erosion rate estimates at a given site using standard techniques therefore reflect censored local point erosion estimates rather than long-term rates. We applied a modified dendrogeomorphic approach to rapidly estimate erosion rates from dbh/age relationships to assess the difference between short and long-term rates and found that the mean short-term rate was 0.13 cm/yr with high variability, while the uncensored long-term rate was 0.06 cm/yr. The results indicate that rates calculated from short-lived trees, while possibly appropriate for local short-term point estimates of erosion, are highly variable and may overestimate regional long-term rates by > 50%. While these findings do not invalidate the use of dendrogeomorphology to estimate erosion rates they do suggest that care must be taken to select older trees that incorporate a range of slope histories in order to best approximate regional long-term rates.

Long-Term Marathon Running Is Associated with Low Coronary Plaque Formation in Women.

PubMed

Roberts, William O; Schwartz, Robert S; Kraus, Stacia Merkel; Schwartz, Jonathan G; Peichel, Gretchen; Garberich, Ross F; Lesser, John R; Oesterle, Stephen N; Wickstrom, Kelly K; Knickelbine, Thomas; Harris, Kevin M

2017-04-01

Marathon running is presumed to improve cardiovascular risk, but health benefits of high volume running are unknown. High-resolution coronary computed tomography angiography and cardiac risk factor assessment were completed in women with long-term marathon running histories to compare to sedentary women with similar risk factors. Women who had run at least one marathon per year for 10-25 yr underwent coronary computed tomography angiography, 12-lead ECG, blood pressure and heart rate measurement, lipid panel, and a demographic/health risk factor survey. Sedentary matched controls were derived from a contemporaneous clinical study database. CT scans were analyzed for calcified and noncalcified plaque prevalence, volume, stenosis severity, and calcium score. Women marathon runners (n = 26), age 42-82 yr, with combined 1217 marathons (average 47) exhibited significantly lower coronary plaque prevalence and less calcific plaque volume. The marathon runners also had less risk factors (smoking, hypertension, and hyperlipidemia); significantly lower resting heart rate, body weight, body mass index, and triglyceride levels; and higher high-density lipoprotein cholesterol levels compared with controls (n = 28). The five women runners with coronary plaque had run marathons for more years and were on average 12 yr older (65 vs 53) than the runners without plaque. Women marathon runners had minimal coronary artery calcium counts, lower coronary artery plaque prevalence, and less calcified plaque volume compared with sedentary women. Developing coronary artery plaque in long-term women marathon runners appears related to older age and more cardiac risk factors, although the runners with coronary artery plaque had accumulated significantly more years running marathons.

A model of water and sediment balance as determinants of relative sea level rise in contemporary and future deltas

NASA Astrophysics Data System (ADS)

Tessler, Zachary D.; Vörösmarty, Charles J.; Overeem, Irina; Syvitski, James P. M.

2018-03-01

Modern deltas are dependent on human-mediated freshwater and sediment fluxes. Changes to these fluxes impact delta biogeophysical functioning and affect the long-term sustainability of these landscapes for human and for natural systems. Here we present contemporary estimates of long-term mean sediment balance and relative sea level rise across 46 global deltas. We model scenarios of contemporary and future water resource management schemes and hydropower infrastructure in upstream river basins to explore how changing sediment fluxes impact relative sea level rise in delta systems. Model results show that contemporary sediment fluxes, anthropogenic drivers of land subsidence, and sea level rise result in delta relative sea level rise rates that average 6.8 mm/y. Assessment of impacts of planned and under-construction dams on relative sea level rise rates suggests increases on the order of 1 mm/y in deltas with new upstream construction. Sediment fluxes are estimated to decrease by up to 60% in the Danube and 21% in the Ganges-Brahmaputra-Meghna if all currently planned dams are constructed. Reduced sediment retention on deltas caused by increased river channelization and management has a larger impact, increasing relative sea level rise on average by nearly 2 mm/y. Long-term delta sustainability requires a more complete understanding of how geophysical and anthropogenic change impact delta geomorphology. Local and regional strategies for sustainable delta management that focus on local and regional drivers of change, especially groundwater and hydrocarbon extraction and upstream dam construction, can be highly impactful even in the context of global climate-induced sea level rise.

OK-432 sclerotherapy in head and neck lymphangiomas: long-term follow-up result.

PubMed

Yoo, Jae Chul; Ahn, Youngjin; Lim, Yune Syung; Hah, J Hun; Kwon, Tack-Kyun; Sung, Myung-Whun; Kim, Kwang Hyun

2009-01-01

Nonsurgical treatments, such as sclerotherapy have been attempted for head and neck lymphagiomas. Of the available sclerosing agents, picibanil has shown satisfactory short-term treatment results in many studies, but no study has presented long-term treatment results. Accordingly, in the present study, the authors retrospectively reviewed the long-term treatment results of picibanil sclerotherapy. Fifty-five lymphangioma patients who underwent picibanil sclerotherapy were enrolled. Data about initial and long-term response, recurrence, and excision rate were collected. Initial response rates were 83.5 percent and long-term response rates were 76.3 percent. Initial and the long-term response rate were equally good for lymphangioma.

Long-term durability of HT-PEM fuel cells based on thermally cross-linked polybenzimidazole

NASA Astrophysics Data System (ADS)

Søndergaard, Tonny; Cleemann, Lars Nilausen; Becker, Hans; Aili, David; Steenberg, Thomas; Hjuler, Hans Aage; Seerup, Larisa; Li, Qingfeng; Jensen, Jens Oluf

2017-02-01

Long-term durability of high temperature polymer electrolyte membrane fuel cells based on thermally cross-linked polybenzimidazole membranes was studied and compared with reference membranes based on linear polybenzimidazole. The test was conducted at 160 °C under constant load currents of 200 mA cm-2 for periods of 1000, 4400, and 13,000 h. Extensive beginning-of-life (BoL) and end-of-test (EoT) characterisation was carried out, and disturbance of the steady state operated cells was minimised by limiting in-line diagnostics to the low-invasive technique of electrochemical impedance spectroscopy (EIS). Up until the operating time of 9200 h, the cell equipped with the cross-linked membrane showed an average degradation rate of 0.5 μV h-1, compared to 2.6 μV h-1 for the reference membrane, though parallel tests for a shorter period of time showed deviations, likely due to malfunctioning contact between layers or cell components. For the full test period of 13,000 h, the average voltage decay rate was about 1.4 and 4.6 μV h-1 for cells equipped with cross-linked and linear polybenzimidazole membranes, respectively. EIS and post-test analysis revealed that the cross-linked membrane showed better stability in terms of area specific resistance due to improved acid retention characteristics.

Long-term effects of prescribed fire on mixed conifer forest structure in the Sierra Nevada, California

USGS Publications Warehouse

van Mantgem, Phillip J.; Stephenson, Nathan L.; Knapp, Eric; Keeley, Jon E.

2011-01-01

The capacity of prescribed fire to restore forest conditions is often judged by changes in forest structure within a few years following burning. However, prescribed fire might have longer-term effects on forest structure, potentially changing treatment assessments. We examined annual changes in forest structure in five 1 ha old-growth plots immediately before prescribed fire and up to eight years after fire at Sequoia National Park, California. Fire-induced declines in stem density (67% average decrease at eight years post-fire) were nonlinear, taking up to eight years to reach a presumed asymptote. Declines in live stem biomass were also nonlinear, but smaller in magnitude (32% average decrease at eight years post-fire) as most large trees survived the fires. The preferential survival of large trees following fire resulted in significant shifts in stem diameter distributions. Mortality rates remained significantly above background rates up to six years after the fires. Prescribed fire did not have a large influence on the representation of dominant species. Fire-caused mortality appeared to be spatially random, and therefore did not generally alter heterogeneous tree spatial patterns. Our results suggest that prescribed fire can bring about substantial changes to forest structure in old-growth mixed conifer forests in the Sierra Nevada, but that long-term observations are needed to fully describe some measures of fire effects.

Long-term climate and competition explain forest mortality patterns under extreme drought.

PubMed

Young, Derek J N; Stevens, Jens T; Earles, J Mason; Moore, Jeffrey; Ellis, Adam; Jirka, Amy L; Latimer, Andrew M

2017-01-01

Rising temperatures are amplifying drought-induced stress and mortality in forests globally. It remains uncertain, however, whether tree mortality across drought-stricken landscapes will be concentrated in particular climatic and competitive environments. We investigated the effects of long-term average climate [i.e. 35-year mean annual climatic water deficit (CWD)] and competition (i.e. tree basal area) on tree mortality patterns, using extensive aerial mortality surveys conducted throughout the forests of California during a 4-year statewide extreme drought lasting from 2012 to 2015. During this period, tree mortality increased by an order of magnitude, typically from tens to hundreds of dead trees per km 2 , rising dramatically during the fourth year of drought. Mortality rates increased independently with average CWD and with basal area, and they increased disproportionately in areas that were both dry and dense. These results can assist forest managers and policy-makers in identifying the most drought-vulnerable forests across broad geographic areas. © 2016 John Wiley & Sons Ltd/CNRS.

A short history of the development of the Turc-Mezentsev water balance formula

NASA Astrophysics Data System (ADS)

Andréassian, Vazken; Lebecherel, Laure

2013-04-01

In the 1950s, a formula linking long term average evaporation to long-term average precipitation and potential evaporation was quasi-simultaneously proposed in France and in the Soviet Union. However, because Turc and Mezentsev published in French and Russian respectively, their work has received limited attention, and the formula they proposed is often given different names. • Work of Lucien Turc in France (1954) Lucien Turc, a French soil scientist, worked at the Versailles soil science laboratory of the French National Agronomical Research Institute. For agronomic purposes, he was interested in developing a formula to estimate actual evapotranspiration from precipitation and temperature data. Since lysimeter data were so scarce at that time, he had the idea to derive such a formula from catchment water balance. With the help of the hydrologist Maurice Pardé, he assembled a set of data on 254 catchments from all over the world. He derived long-term average actual evapotranspiration (E) from estimates of long-term average precipitation (P) and long-term average discharge (Q). Then, Turc looked for a mathematical function linking two non-dimensional terms: the aridity index (the ratio of precipitation P and potential evapotranspiration E0) and the evapotranspiration rate (the ratio of E and E0). He proposed the following formulation: E/P=1/[1+(P/E0)**n]**(1/n) in which n is an exponent to estimate. Turc graphically looked for the most convenient value for n, and concluded that the best fit was "with n=3, or may be n=2" (Turc, 1954, p.563). • Work of Varfolomeï Mezentsev in the Soviet Union (1955) Mezentsev (1955) worked at the University of Omsk in Siberia. He started his analysis from a formula proposed by Bagrov (1953): dE/dP=1-(E/E0)**n (Eq.1) This formula presents the interesting property to integrate into the Schreiber (1904) water balance formula for n=1:and into the Ol'Dekop (1911) water balance formula for n=2. But it had no analytical solution for other values of n. Mezentsev (1955) complexified Bagrov's formula by rewriting it as follows: dE/dP=[1-(E/E0)**n]**(1+1/n) (Eq.2) which keeps the same interpretation as Eq. 1. Eq. 2 can be integrated analytically and yields Eq. 3: E/P=1/[1+(P/E0)**n]**(1/n) (Eq.3) which is identical to the general formulation proposed by Turc. Based on a set of 35 catchments of the Siberian plateau, Mezentsev suggested using the value of 2.3 for parameter n, which is close to the value advised by Turc. References Bagrov, N. A., 1953. O srednem mnogoletnem ispraeniiz c paverknosti sushi (on the average long-term evaporation from the land surface), Meteorologia i Gidrologia, 10, 20-25. Mezentsev, V., 1955. More on the computation of total evaporation (Yechio raz o rastchetie srednevo summarnovo ispareniia). Meteorologia i Gidrologia, 5: 24-26. Turc, L., 1954. Le bilan d'eau des sols: relation entre les précipitations, l'évaporation et l'écoulement. Annales Agronomiques, Série A(5): 491-595.

Lithium in drinking water and the incidence of bipolar disorder: A nation-wide population-based study.

PubMed

Kessing, Lars V; Gerds, Thomas A; Knudsen, Nikoline N; Jørgensen, Lisbeth F; Kristiansen, Søren M; Voutchkova, Denitza; Ernstsen, Vibeke; Schullehner, Jörg; Hansen, Birgitte; Andersen, Per K; Ersbøll, Annette K

2017-11-01

Animal data suggest that subtherapeutic doses, including micro doses, of lithium may influence mood, and lithium levels in drinking water have been found to correlate with the rate of suicide. It has never been investigated whether consumption of lithium may prevent the development of bipolar disorder (primary prophylaxis). In a nation-wide population-based study, we investigated whether long-term exposure to micro levels of lithium in drinking water correlates with the incidence of bipolar disorder in the general population, hypothesizing an inverse association in which higher long-term lithium exposure is associated with lower incidences of bipolar disorder. We included longitudinal individual geographical data on municipality of residence, data from drinking water lithium measurements and time-specific data from all cases with a hospital contact with a diagnosis of mania/bipolar disorder from 1995 to 2013 (N=14 820) and 10 age- and gender-matched controls from the Danish population (N= 140 311). Average drinking water lithium exposure was estimated for all study individuals. The median of the average lithium exposure did not differ between cases with a diagnosis of mania/bipolar disorder (12.7 μg/L; interquartile range [IQR]: 7.9-15.5 μg/L) and controls (12.5 μg/L; IQR: 7.6-15.7 μg/L; P=.2). Further, the incidence rate ratio of mania/bipolar disorder did not decrease with higher long-term lithium exposure, overall, or within age categories (0-40, 41-60 and 61-100 years of age). Higher long-term lithium exposure from drinking water was not associated with a lower incidence of bipolar disorder. The association should be investigated in areas with higher lithium levels than in Denmark. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Amygdala activity at encoding correlated with long-term, free recall of emotional information.

PubMed

Cahill, L; Haier, R J; Fallon, J; Alkire, M T; Tang, C; Keator, D; Wu, J; McGaugh, J L

1996-07-23

Positron emission tomography of cerebral glucose metabolism in adult human subjects was used to investigate amygdaloid complex (AC) activity associated with the storage of long-term memory for emotionally arousing events. Subjects viewed two videos (one in each of two separate positron emission tomography sessions, separated by 3-7 days) consisting either of 12 emotionally arousing film clips ("E" film session) or of 12 relatively emotionally neutral film clips ("N" film session), and rated their emotional reaction to each film clip immediately after viewing it. Three weeks after the second session, memory for the videos was assessed in a free recall test. As expected, the subjects' average emotional reaction to the E films was higher than that for the N films. In addition, the subjects recalled significantly more E films than N films. Glucose metabolic rate of the right AC while viewing the E films was highly correlated with the number of E films recalled. AC activity was not significantly correlated with the number of N films recalled. The findings support the view derived from both animal and human investigations that the AC is selectively involved with the formation of enhanced long-term memory associated with emotionally arousing events.

Reduced DNA methylation and psychopathology following endogenous hypercortisolism - a genome-wide study.

PubMed

Glad, Camilla A M; Andersson-Assarsson, Johanna C; Berglund, Peter; Bergthorsdottir, Ragnhildur; Ragnarsson, Oskar; Johannsson, Gudmundur

2017-03-16

Patients with Cushing's Syndrome (CS) in remission were used as a model to test the hypothesis that long-standing excessive cortisol exposure induces changes in DNA methylation that are associated with persisting neuropsychological consequences. Genome-wide DNA methylation was assessed in 48 women with CS in long-term remission (cases) and 16 controls matched for age, gender and education. The Fatigue impact scale and the comprehensive psychopathological rating scale were used to evaluate fatigue, depression and anxiety. Cases had lower average global DNA methylation than controls (81.2% vs 82.7%; p = 0.002). Four hundred and sixty-one differentially methylated regions, containing 3,246 probes mapping to 337 genes were identified. After adjustment for age and smoking, 731 probes in 236 genes were associated with psychopathology (fatigue, depression and/or anxiety). Twenty-four gene ontology terms were associated with psychopathology; terms related to retinoic acid receptor signalling were the most common (adjusted p = 0.0007). One gene in particular, COL11A2, was associated with fatigue following a false discovery rate correction. Our findings indicate that hypomethylation of FKBP5 and retinoic acid receptor related genes serve a potential mechanistic explanation for long-lasting GC-induced psychopathology.

A Long-term Slip Model for the San Ramón Fault, Santiago de Chile, from Tectonically Reconcilable Boundary Conditions

NASA Astrophysics Data System (ADS)

Aron, F.; Estay, N.; Cembrano, J. M.; Yanez, G. A.

2016-12-01

We constructed a 3D Boundary Elements model simulating subduction of the Nazca plate underneath South America, from 29° to 38° S, to compute long-term surface deformation and slip rates on crustal faults imbedded in the upper-plate wedge of the Andean orogen. We tested our model on the San Ramón Fault (SRF), a major E-dipping, thrust structure limiting the western front of the Main Cordillera with surface expression along the entire, 40 km long, extension of the Santiago de Chile basin. Long-lived thrusting has produced more than 2 km of differential uplift of the mountains. Given its proximity to the country's largest city, this potentially seismogenic fault —dormant during historic times— has drawn increasing public attention. We used earthquake hypocenters captured over a one-year seismic deployment, 2D resistivity profiles, and published geologic cross-sections to determine the geometry of the SRF. The base of the lithosphere and plate interface surfaces were defined based on average Andean values and the Slab1.0 model. The simulation reproduces plate convergence and mechanic decoupling of the lithospheric plates across the subduction seismic cycle using mixed boundary conditions. Relative plate motion is achieved prescribing uniform, far-field horizontal displacement over the depth extension of both the oceanic and continental lithospheric plates. Long-term deformation is carried out in two steps. First, the modeled surfaces are allowed to slip freely emulating continuous slip on the subduction megathrust; subsequently, zero displacement is prescribed on the locking zone of the megathrust down to 40 km depth, while keeping the rest of the surfaces traction free, mimicking interseismic conditions. Long-term slip rate fields obtained for the SRF range between 0.1 and 1% the plate convergence rate, with maximum values near the surface. Interestingly, at an estimated 76-77 mm/yr relative plate motion velocity, those rates agree well with what has been reported on studies at one paleoseismic trench site across the fault. These results might contribute to determining possible seismic scenarios for Santiago but perhaps more importantly, our approach could be use in estimations of long-term slip rates and surface deformation due to other crustal structures with unknown displacement history.

26 CFR 5c.1305-1 - Special income averaging rules for taxpayers otherwise required to compute tax in accordance with...

Code of Federal Regulations, 2013 CFR

2013-04-01

... subject to section 1256(a). Of that total, 40 percent is short term capital gain ($375,000) and 60 percent is long term capital gain ($562,500). Of the long term capital gain, 40 percent is taxable ($225,000... INCOME TAX REGULATIONS UNDER THE ECONOMIC RECOVERY TAX ACT OF 1981 § 5c.1305-1 Special income averaging...

26 CFR 5c.1305-1 - Special income averaging rules for taxpayers otherwise required to compute tax in accordance with...

Code of Federal Regulations, 2011 CFR

2011-04-01

... subject to section 1256(a). Of that total, 40 percent is short term capital gain ($375,000) and 60 percent is long term capital gain ($562,500). Of the long term capital gain, 40 percent is taxable ($225,000... INCOME TAX REGULATIONS UNDER THE ECONOMIC RECOVERY TAX ACT OF 1981 § 5c.1305-1 Special income averaging...

26 CFR 5c.1305-1 - Special income averaging rules for taxpayers otherwise required to compute tax in accordance with...

Code of Federal Regulations, 2010 CFR

2010-04-01

... subject to section 1256(a). Of that total, 40 percent is short term capital gain ($375,000) and 60 percent is long term capital gain ($562,500). Of the long term capital gain, 40 percent is taxable ($225,000... INCOME TAX REGULATIONS UNDER THE ECONOMIC RECOVERY TAX ACT OF 1981 § 5c.1305-1 Special income averaging...

26 CFR 5c.1305-1 - Special income averaging rules for taxpayers otherwise required to compute tax in accordance with...

Code of Federal Regulations, 2014 CFR

2014-04-01

... subject to section 1256(a). Of that total, 40 percent is short term capital gain ($375,000) and 60 percent is long term capital gain ($562,500). Of the long term capital gain, 40 percent is taxable ($225,000... INCOME TAX REGULATIONS UNDER THE ECONOMIC RECOVERY TAX ACT OF 1981 § 5c.1305-1 Special income averaging...

26 CFR 5c.1305-1 - Special income averaging rules for taxpayers otherwise required to compute tax in accordance with...

Code of Federal Regulations, 2012 CFR

2012-04-01

... subject to section 1256(a). Of that total, 40 percent is short term capital gain ($375,000) and 60 percent is long term capital gain ($562,500). Of the long term capital gain, 40 percent is taxable ($225,000... INCOME TAX REGULATIONS UNDER THE ECONOMIC RECOVERY TAX ACT OF 1981 § 5c.1305-1 Special income averaging...

To what extent do long-duration high-volume dam releases influence river-aquifer interactions? A case study in New South Wales, Australia

NASA Astrophysics Data System (ADS)

Graham, P. W.; Andersen, M. S.; McCabe, M. F.; Ajami, H.; Baker, A.; Acworth, I.

2015-03-01

Long-duration high-volume dam releases are unique anthropogenic events with no naturally occurring equivalents. The impact from such dam releases on a downstream Quaternary alluvial aquifer in New South Wales, Australia, is assessed. It is observed that long-duration (>26 days), high-volume dam releases (>8,000 ML/day average) result in significant variations in river-aquifer interactions. These variations include a flux from the river to the aquifer up to 6.3 m3/day per metre of bank (at distances of up to 330 m from the river bank), increased extent and volume of recharge/bank storage, and a long-term (>100 days) reversal of river-aquifer fluxes. In contrast, during lower-volume events (<2,000 ML/day average) the flux was directed from the aquifer to the river at rates of up to 1.6 m3/day per metre of bank. A groundwater-head prediction model was constructed and river-aquifer fluxes were calculated; however, predicted fluxes from this method showed poor correlation to fluxes calculated using actual groundwater heads. Long-duration high-volume dam releases have the potential to skew estimates of long-term aquifer resources and detrimentally alter the chemical and physical properties of phreatic aquifers flanking the river. The findings have ramifications for improved integrated management of dam systems and downstream aquifers.

Geologic controls on regional and local erosion rates of three northern Gulf of Mexico barrier-island systems

USGS Publications Warehouse

Twitchell, David C.; Flocks, James G.; Pendleton, Elizabeth; Baldwin, Wayne E.

2013-01-01

The stratigraphy of sections of three barrier island systems in the northeastern Gulf of Mexico (Apalachicola, Mississippi, and Chandeleur) have been mapped using geophysical and coring techniques to assess the influence of geologic variations in barrier lithosomes and adjoining inner shelf deposits on long-term rates of shoreline change at regional and local scales. Regional scale was addressed by comparing average geologic characteristics of the three areas with mean shoreline-change rates for each area. Regionally, differences in sand volume contained within the part of the barrier lithosome above sea level, sand volume on the inner shelf, and to a lesser extent, sediment grain size correlate with shoreline change rates. Larger sand volumes and coarser grain sizes are found where erosion rates are lower. Local scale was addressed by comparing alongshore variations in barrier island and inner shelf geology with alongshore variations in shoreline change. Locally, long-term shoreline change rates are highest directly shoreward of paleovalleys exposed on the inner shelf. While geology is not the sole explanation for observed differences in shoreline change along these three coastal regions, it is a significant contributor to change variability.

No difference in long-term trunk muscle strength, cross-sectional area, and density in patients with chronic low back pain 7 to 11 years after lumbar fusion versus cognitive intervention and exercises.

PubMed

Froholdt, Anne; Holm, Inger; Keller, Anne; Gunderson, Ragnhild B; Reikeraas, Olav; Brox, Jens I

2011-08-01

Reduced muscle strength and density observed at 1 year after lumbar fusion may deteriorate more in the long term. To compare the long-term effect of lumbar fusion and cognitive intervention and exercises on muscle strength, cross-sectional area, density, and self-rated function in patients with chronic low back pain (CLBP) and disc degeneration. Randomized controlled study with a follow-up examination at 8.5 years (range, 7-11 years). Patients with CLBP and disc degeneration randomized to either instrumented posterolateral fusion of one or both of the two lower lumbar levels or a 3-week cognitive intervention and exercise program were included. Isokinetic muscle strength was measured by a Cybex 6000 (Cybex-Lumex, Inc., Ronkonkoma, NY, USA). All patients had previous experience with the test procedure. The back extension (E) flexion (F) muscles were tested, and the E/F ratios were calculated. Cross-sectional area and density of the back muscles were measured at the L3-L4 segment by computed tomography. Patients rated their function by the General Function Score. Trunk muscle strength, cross-sectional area, density, and self-rated function. Fifty-five patients (90%) were included at long-term follow-up. There were no significant differences in cross-sectional area, density, muscle strength, or self-rated function between the two groups. The cognitive intervention and exercise group increased trunk muscle extension significantly (p<.05), and both groups performed significantly better on trunk muscle flexion tests (p<.01) at long-term follow-up. On average, self-rated function improved by 56%, cross-sectional area was reduced by 8.5%, and muscle density was reduced by 27%. Although this study did not assess the morphology of muscles likely damaged by surgery, trunk muscle strength and cross-sectional area above the surgical levels are not different between those who had lumbar fusion or cognitive intervention and exercises at 7- to 11-year follow-up. Copyright © 2011 Elsevier Inc. All rights reserved.

Radiation dose rates now and in the future for residents neighboring restricted areas of the Fukushima Daiichi Nuclear Power Plant

PubMed Central

Harada, Kouji H.; Niisoe, Tamon; Imanaka, Mie; Takahashi, Tomoyuki; Amako, Katsumi; Fujii, Yukiko; Kanameishi, Masatoshi; Ohse, Kenji; Nakai, Yasumichi; Nishikawa, Tamami; Saito, Yuuichi; Sakamoto, Hiroko; Ueyama, Keiko; Hisaki, Kumiko; Ohara, Eiji; Inoue, Tokiko; Yamamoto, Kanako; Matsuoka, Yukiyo; Ohata, Hitomi; Toshima, Kazue; Okada, Ayumi; Sato, Hitomi; Kuwamori, Toyomi; Tani, Hiroko; Suzuki, Reiko; Kashikura, Mai; Nezu, Michiko; Miyachi, Yoko; Arai, Fusako; Kuwamori, Masanori; Harada, Sumiko; Ohmori, Akira; Ishikawa, Hirohiko; Koizumi, Akio

2014-01-01

Radiation dose rates were evaluated in three areas neighboring a restricted area within a 20- to 50-km radius of the Fukushima Daiichi Nuclear Power Plant in August–September 2012 and projected to 2022 and 2062. Study participants wore personal dosimeters measuring external dose equivalents, almost entirely from deposited radionuclides (groundshine). External dose rate equivalents owing to the accident averaged 1.03, 2.75, and 1.66 mSv/y in the village of Kawauchi, the Tamano area of Soma, and the Haramachi area of Minamisoma, respectively. Internal dose rates estimated from dietary intake of radiocesium averaged 0.0058, 0.019, and 0.0088 mSv/y in Kawauchi, Tamano, and Haramachi, respectively. Dose rates from inhalation of resuspended radiocesium were lower than 0.001 mSv/y. In 2012, the average annual doses from radiocesium were close to the average background radiation exposure (2 mSv/y) in Japan. Accounting only for the physical decay of radiocesium, mean annual dose rates in 2022 were estimated as 0.31, 0.87, and 0.53 mSv/y in Kawauchi, Tamano, and Haramachi, respectively. The simple and conservative estimates are comparable with variations in the background dose, and unlikely to exceed the ordinary permissible dose rate (1 mSv/y) for the majority of the Fukushima population. Health risk assessment indicates that post-2012 doses will increase lifetime solid cancer, leukemia, and breast cancer incidences by 1.06%, 0.03% and 0.28% respectively, in Tamano. This assessment was derived from short-term observation with uncertainties and did not evaluate the first-year dose and radioiodine exposure. Nevertheless, this estimate provides perspective on the long-term radiation exposure levels in the three regions. PMID:24567380

The significance of some methodological effects on filtration and ingestion rates of the rotifer Brachionus plicatilis

NASA Astrophysics Data System (ADS)

Schlosser, H. J.; Anger, K.

1982-06-01

Filtration rate (F) and ingestion rate (I) were measured in the rotifer Brachionus plicatilis feeding on the flagellate Dunaliella spec. and on yeast cells (Saccharomyces cerevisiae). 60-min experiments in rotating bottles served as a standard for testing methodological effects on levels of F and I. A lack of rotation reduced F values by 40 %, and a rise in temperature from 18° to 23.5 °C increased them by 42 %. Ingestion rates increased significantly up to a particle (yeast) concentration of ca. 600-800 cells · μl-1; then they remained constant, whereas filtration rates decreased beyond this threshold. Rotifer density (up to 1000 ind · ml-1) and previous starvation (up to 40 h) did not significantly influence food uptake rates. The duration of the experiment proved to have the most significant effect on F and I values: in 240-min experiments, these values were on the average more than 90 % lower than in 15-min experiments. From this finding it is concluded that ingestion rates obtained from short-term experiments (60 min or less) cannot be used in energy budgets, because they severely overestimate the actual long-term feeding capacity of the rotifers. At the lower end of the particle size spectrum (2 to 3 µm) there are not only food cells, but apparently also contaminating faecal particles. Their number increased with increasing duration of experiments and lead to an underestimation of F and I. Elemental analyses of rotifers and their food suggest that B. plicatilis can ingest up to 0.6 mJ or ca. 14 % of its own body carbon within 15 min. The long term average was estimated as 3.4 mJ · ind-1 · d-1 or ca. 75 % of body carbon · d-1.

Effects of Long-Term Nitrogen Management on Nitrogen Budgets of Irrigated No-till Corn

USDA-ARS?s Scientific Manuscript database

Effects of nitrogen management on irrigated no-till (NT) corn (Zea Mays L) yields were studied from the 1999 to 2015 growing seasons in a Fort Collins clay loam soil at the CSU ARDEC near Fort Collins, CO. The NT N fertilizer rates averaged 0, 34, 67, 134, 202 and 246 kg N ha-1. Fifteen corn plants...

Recent range expansion of a terrestrial orchid corresponds with climate-driven variation in its population dynamics.

PubMed

van der Meer, Sascha; Jacquemyn, Hans; Carey, Peter D; Jongejans, Eelke

2016-06-01

The population dynamics and distribution limits of plant species are predicted to change as the climate changes. However, it remains unclear to what extent climate variables affect population dynamics, which vital rates are most sensitive to climate change, and whether the same vital rates drive population dynamics in different populations. In this study, we used long-term demographic data from two populations of the terrestrial orchid Himantoglossum hircinum growing at the northern edge of their geographic range to quantify the influence of climate change on demographic vital rates. Integral projection models were constructed to study how climate conditions between 1991 and 2006 affected population dynamics and to assess how projected future climate change will affect the long-term viability of this species. Based on the parameterised vital rate functions and the observed climatic conditions, one of the studied populations had an average population growth rate above 1 (λ = 1.04), while the other was declining at ca. 3 % year(-1) (λ = 0.97). Variation in temperature and precipitation mainly affected population growth through their effect on survival and fecundity. Based on UK Climate Projection 2009 estimates of future climate conditions for three greenhouse gas emission scenarios, population growth rates are expected to increase in one of the studied populations. Overall, our results indicate that the observed changes in climatic conditions appeared to be beneficial to the long-term survival of the species in the UK and suggest that they may have been the driving force behind the current range expansion of H. hircinum in England.

Longitudinal variation in pressure injury incidence among long-term aged care facilities.

PubMed

Jorgensen, Mikaela; Siette, Joyce; Georgiou, Andrew; Westbrook, Johanna I

2018-05-04

To examine variation in pressure injury (PI) incidence among long-term aged care facilities and identify resident- and facility-level factors that explain this variation. Longitudinal incidence study using routinely-collected electronic care management data. A large aged care service provider in New South Wales and the Australian Capital Territory, Australia. About 6556 people aged 65 years and older who were permanent residents in 60 long-term care facilities between December 2014 and November 2016. Risk-adjusted PI incidence rates over eight study quarters. Incidence density over the study period was 1.33 pressure injuries per 1000 resident days (95% confidence interval (CI) = 1.29-1.37). Funnel plots were used to identify variation among facilities. On average, 14% of facilities had risk-adjusted PI rates that were higher than expected in each quarter (above 95% funnel plot control limits). Ten percent of facilities had persistently high rates in any three or more consecutive quarters (n = 6). The variation between facilities was only partly explained by resident characteristics in multilevel regression models. Residents were more likely to have higher-pressure injury rates in facilities in regional areas compared with major city areas (adjusted incidence rate ratio = 1.25, 95% CI = 1.04-1.51), and facilities with persistently high rates were more likely to be located in areas with low socioeconomic status (P = 0.038). There is considerable variation among facilities in PI incidence. This study demonstrates the potential of routinely-collected care management data to monitor PI incidence and to identify facilities that may benefit from targeted intervention.

Autotransplantation of third molars with completely formed roots into surgically created sockets and fresh extraction sockets: a 10-year comparative study.

PubMed

Yu, H J; Jia, P; Lv, Z; Qiu, L X

2017-04-01

The aim of this study was to analyze and compare the long-term clinical outcomes of mature third molar autotransplantation in surgically created sockets and fresh extraction sockets with regard to survival and functional success rates. A total of 65 third molars with completely formed roots were autotransplanted in 60 patients (average age 33.1 years). Thirty-six of the teeth were autotransplanted into surgically created sockets with or without guided bone regeneration (GBR; delayed autotransplantation), while 29 were autotransplanted into fresh extraction sockets (immediate autotransplantation; control group). All patients underwent annual clinical and radiographic examinations (average follow-up 9.9 years, range 7-13 years). The survival rates for the control, GBR, and no GBR groups were 93.1%, 95.2%, and 80.0%, respectively, with no significant differences among the groups. There were no statistically significant differences among the groups with regard to the frequency of inflammatory root resorption or root ankylosis. Age did not influence the clinical outcomes. These results suggest that the autotransplantation of third molars with completely formed roots is effective in both surgically created and fresh extraction sockets and provides a high long-term success rate if cases are selected and treated appropriately. Copyright © 2016 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

A Functional Response Metric for the Temperature Sensitivity of Tropical Ecosystems

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

Keppel-Aleks, Gretchen; Basile, Samantha J.; Hoffman, Forrest M.

Earth system models (ESMs) simulate a large spread in carbon cycle feedbacks to climate change, particularly in their prediction of cumulative changes in terrestrial carbon storage. Evaluating the performance of ESMs against observations and assessing the likelihood of long-term climate predictions are crucial for model development. Here, we assessed the use of atmospheric CO 2 growth rate variations to evaluate the sensitivity of tropical ecosystem carbon fluxes to interannual temperature variations. We found that the temperature sensitivity of the observed CO 2 growth rate depended on the time scales over which atmospheric CO 2 observations were averaged. The temperature sensitivitymore » of the CO 2 growth rate during Northern Hemisphere winter is most directly related to the tropical carbon flux sensitivity since winter variations in Northern Hemisphere carbon fluxes are relatively small. This metric can be used to test the fidelity of interactions between the physical climate system and terrestrial ecosystems within ESMs, which is especially important since the short-term relationship between ecosystem fluxes and temperature stress may be related to the long-term feedbacks between ecosystems and climate. If the interannual temperature sensitivity is used to constrain long-term temperature responses, the inferred sensitivity may be biased by 20%, unless the seasonality of the relationship between the observed CO 2 growth rate and tropical fluxes is taken into account. Lastly, these results suggest that atmospheric data can be used directly to evaluate regional land fluxes from ESMs, but underscore that the interaction between the time scales for land surface processes and those for atmospheric processes must be considered.« less

A Functional Response Metric for the Temperature Sensitivity of Tropical Ecosystems

DOE PAGES

Keppel-Aleks, Gretchen; Basile, Samantha J.; Hoffman, Forrest M.

2018-04-23

Earth system models (ESMs) simulate a large spread in carbon cycle feedbacks to climate change, particularly in their prediction of cumulative changes in terrestrial carbon storage. Evaluating the performance of ESMs against observations and assessing the likelihood of long-term climate predictions are crucial for model development. Here, we assessed the use of atmospheric CO 2 growth rate variations to evaluate the sensitivity of tropical ecosystem carbon fluxes to interannual temperature variations. We found that the temperature sensitivity of the observed CO 2 growth rate depended on the time scales over which atmospheric CO 2 observations were averaged. The temperature sensitivitymore » of the CO 2 growth rate during Northern Hemisphere winter is most directly related to the tropical carbon flux sensitivity since winter variations in Northern Hemisphere carbon fluxes are relatively small. This metric can be used to test the fidelity of interactions between the physical climate system and terrestrial ecosystems within ESMs, which is especially important since the short-term relationship between ecosystem fluxes and temperature stress may be related to the long-term feedbacks between ecosystems and climate. If the interannual temperature sensitivity is used to constrain long-term temperature responses, the inferred sensitivity may be biased by 20%, unless the seasonality of the relationship between the observed CO 2 growth rate and tropical fluxes is taken into account. Lastly, these results suggest that atmospheric data can be used directly to evaluate regional land fluxes from ESMs, but underscore that the interaction between the time scales for land surface processes and those for atmospheric processes must be considered.« less

The Duration of Auditory Sensory Memory for Vowel Processing: Neurophysiological and Behavioral Measures.

PubMed

Yu, Yan H; Shafer, Valerie L; Sussman, Elyse S

2018-01-01

Speech perception behavioral research suggests that rates of sensory memory decay are dependent on stimulus properties at more than one level (e.g., acoustic level, phonemic level). The neurophysiology of sensory memory decay rate has rarely been examined in the context of speech processing. In a lexical tone study, we showed that long-term memory representation of lexical tone slows the decay rate of sensory memory for these tones. Here, we tested the hypothesis that long-term memory representation of vowels slows the rate of auditory sensory memory decay in a similar way to that of lexical tone. Event-related potential (ERP) responses were recorded to Mandarin non-words contrasting the vowels /i/ vs. /u/ and /y/ vs. /u/ from first-language (L1) Mandarin and L1 American English participants under short and long interstimulus interval (ISI) conditions (short ISI: an average of 575 ms, long ISI: an average of 2675 ms). Results revealed poorer discrimination of the vowel contrasts for English listeners than Mandarin listeners, but with different patterns for behavioral perception and neural discrimination. As predicted, English listeners showed the poorest discrimination and identification for the vowel contrast /y/ vs. /u/, and poorer performance in the long ISI condition. In contrast to Yu et al. (2017), however, we found no effect of ISI reflected in the neural responses, specifically the mismatch negativity (MMN), P3a and late negativity ERP amplitudes. We did see a language group effect, with Mandarin listeners generally showing larger MMN and English listeners showing larger P3a. The behavioral results revealed that native language experience plays a role in echoic sensory memory trace maintenance, but the failure to find an effect of ISI on the ERP results suggests that vowel and lexical tone memory traces decay at different rates. Highlights : We examined the interaction between auditory sensory memory decay and language experience. We compared MMN, P3a, LN and behavioral responses in short vs. long interstimulus intervals. We found that different from lexical tone contrast, MMN, P3a, and LN changes to vowel contrasts are not influenced by lengthening the ISI to 2.6 s. We also found that the English listeners discriminated the non-native vowel contrast with lower accuracy under the long ISI condition.

Groundwater depletion in the United States (1900−2008)

USGS Publications Warehouse

Konikow, Leonard F.

2013-01-01

A natural consequence of groundwater withdrawals is the removal of water from subsurface storage, but the overall rates and magnitude of groundwater depletion in the United States are not well characterized. This study evaluates long-term cumulative depletion volumes in 40 separate aquifers or areas and one land use category in the United States, bringing together information from the literature and from new analyses. Depletion is directly calculated using calibrated groundwater models, analytical approaches, or volumetric budget analyses for multiple aquifer systems. Estimated groundwater depletion in the United States during 1900–2008 totals approximately 1,000 cubic kilometers (km3). Furthermore, the rate of groundwater depletion has increased markedly since about 1950, with maximum rates occurring during the most recent period (2000–2008) when the depletion rate averaged almost 25 km3 per year (compared to 9.2 km3 per year averaged over the 1900–2008 timeframe).

Shift work and cognition in the Nurses' Health Study.

PubMed

Devore, Elizabeth E; Grodstein, Francine; Schernhammer, Eva S

2013-10-15

Rotating night-shift work, which can disrupt circadian rhythm, may adversely affect long-term health. Experimental studies indicate that circadian rhythm disruption might specifically accelerate brain aging; thus, we prospectively examined shift-work history at midlife as associated with cognitive function among older women in the Nurses' Health Study. Women reported their history of rotating night-shift work in 1988 and participated in telephone-based cognitive interviews between 1995 and 2001; interviews included 6 cognitive tests that were subsequently repeated 3 times, at 2-year intervals. We focused on shift work through midlife (here, ages 58-68 years) because cognitive decline is thought to begin during this period. Using multivariable-adjusted linear regression, we evaluated mean differences in both "average cognitive status" at older age (averaging cognitive scores from all 4 interviews) and rates of cognitive decline over time across categories of shift-work duration at midlife (none, 1-9, 10-19, or ≥20 years). There was little association between shift work and average cognition in later life or between shift work and cognitive decline. Overall, this study does not clearly support the hypothesis that shift-work history in midlife has long-term effects on cognition in older adults.

Nutrient loading to Lewisville Lake, north-central Texas, 1984-87

USGS Publications Warehouse

Gain, W.S.; Baldys, Stanley

1995-01-01

The estimated long-term (1974-89 water years) average annual total nitrogen load (excluding loads from sewage-treatment plants in ungaged areas) is 11,800 pounds per day. The estimated long-term (1974 89 water years) average annual total phosphorus load (excluding loads from sewage-treatment plants in ungaged areas) is 1,100 pounds per day.

Comparative ecologic relationships of saturated fat, sucrose, food groups, and a Mediterranean food pattern score to 50-year coronary heart disease mortality rates among 16 cohorts of the Seven Countries Study.

PubMed

Kromhout, Daan; Menotti, Alessandro; Alberti-Fidanza, Adalberta; Puddu, Paolo Emilio; Hollman, Peter; Kafatos, Anthony; Tolonen, Hanna; Adachi, Hisashi; Jacobs, David R

2018-05-17

We studied the ecologic relationships of food groups, macronutrients, eating patterns, and an a priori food pattern score (Mediterranean Adequacy Index: MAI) with long-term CHD mortality rates in the Seven Countries Study. Sixteen cohorts (12,763 men aged 40-59 years) were enrolled in the 1960s in seven countries (US, Finland, The Netherlands, Italy, Greece, former Yugoslavia: Croatia/Serbia, Japan). Dietary surveys were carried out at baseline and only in a subsample of each cohort. The average food consumption of each cohort was chemically analyzed for individual fatty acids and carbohydrates. Ecologic correlations of diet were computed across cohorts for 50-year CHD mortality rates; 97% of men had died in cohorts with 50-year follow-up. CHD death rates ranged 6.7-fold among cohorts. At baseline, hard fat was greatest in northern Europe, olive oil in Greece, meat in the US, sweet products in northern Europe and the US, and fish in Japan. The MAI was high in Mediterranean and Japanese cohorts. The 50-year CHD mortality rates of the cohorts were closely positively ecologically correlated (r = 0.68-0.92) with average consumption of hard fat, sweet products, animal foods, saturated fat, and sucrose, but not with naturally occurring sugars. Vegetable foods, starch, and the a priori pattern MAI were inversely correlated (r = -0.59 to -0.91) with CHD mortality rates. Long-term CHD mortality rates had statistically significant ecologic correlations with several aspects of diet consumed in the 1960s, the traditional Mediterranean and Japanese patterns being rich in vegetable foods, and low in sweet products and animal foods.

Simulation-based medical education training improves short and long-term competency in, and knowledge of central venous catheter insertion: A before and after intervention study.

PubMed

Cartier, Vanessa; Inan, Cigdem; Zingg, Walter; Delhumeau, Cecile; Walder, Bernard; Savoldelli, Georges L

2016-08-01

Multimodal educational interventions have been shown to improve short-term competency in, and knowledge of central venous catheter (CVC) insertion. To evaluate the effectiveness of simulation-based medical education training in improving short and long-term competency in, and knowledge of CVC insertion. Before and after intervention study. University Geneva Hospital, Geneva, Switzerland, between May 2008 and January 2012. Residents in anaesthesiology aware of the Seldinger technique for vascular puncture. Participants attended a half-day course on CVC insertion. Learning objectives included work organization, aseptic technique and prevention of CVC complications. CVC insertion competency was tested pretraining, posttraining and then more than 2 years after training (sustainability phase). The primary study outcome was competency as measured by a global rating scale of technical skills, a hand hygiene compliance score and a checklist compliance score. Secondary outcome was knowledge as measured by a standardised pretraining and posttraining multiple-choice questionnaire. Statistical analyses were performed using paired Student's t test or Wilcoxon signed-rank test. Thirty-seven residents were included; 18 were tested in the sustainability phase (on average 34 months after training). The average global rating of skills was 23.4 points (±SD 4.08) before training, 32.2 (±4.51) after training (P < 0.001 for comparison with pretraining scores) and 26.5 (±5.34) in the sustainability phase (P = 0.040 for comparison with pretraining scores). The average hand hygiene compliance score was 2.8 (±1.0) points before training, 5.0 (±1.04) after training (P < 0.001 for comparison with pretraining scores) and 3.7 (±1.75) in the sustainability phase (P = 0.038 for comparison with pretraining scores). The average checklist compliance was 14.9 points (±2.3) before training, 19.9 (±1.06) after training (P < 0.001 for comparison with pretraining scores) and 17.4 (±1.41) (P = 0.002 for comparison with pretraining scores). The percentage of correct answers in the multiple-choice questionnaire increased from 76.0% (±7.9) before training to 87.7% (±4.4) after training (P < 0.001). Simulation-based medical education training was effective in improving short and long-term competency in, and knowledge of CVC insertion.

Long-term exposure to airborne particles and arterial stiffness: the Multi-Ethnic Study of Atherosclerosis (MESA).

PubMed

O'Neill, Marie S; Diez-Roux, Ana V; Auchincloss, Amy H; Shen, Mingwu; Lima, João A; Polak, Joseph F; Barr, R Graham; Kaufman, Joel; Jacobs, David R

2011-06-01

Increased arterial stiffness could represent an intermediate subclinical outcome in the mechanistic pathway underlying associations between average long-term pollution exposure and cardiovascular events. We hypothesized that 20 years of exposure to particulate matter (PM) ≤ 2.5 and 10 μm in aerodynamic diameter (PM2.5 and PM10, respectively) would be positively associated with arterial stiffness in 3,996 participants from the Multi-Ethnic Study of Atherosclerosis (MESA) who were seen at six U.S. study sites. We assigned pollution exposure during two decades preceding a clinical exam (2000-2002) using observed PM10 from monitors nearest participants' residences and PM10 and PM2.5 imputed from a space-time model. We examined three log-transformed arterial stiffness outcome measures: Young's modulus (YM) from carotid artery ultrasound and large (C1) and small (C2) artery vessel compliance from the radial artery pulse wave. All associations are expressed per 10 μg/m3 increment in PM and were adjusted for weather, age, sex, race, glucose, triglycerides, diabetes, waist:hip ratio, seated mean arterial pressure, smoking status, pack-years, cigarettes per day, environmental tobacco smoke, and physical activity. C1 and C2 models were further adjusted for heart rate, weight, and height. Long-term average particle exposure was not associated with greater arterial stiffness measured by YM, C1, or C2, and the few associations observed were not robust across metrics and adjustment schemes. Long-term particle mass exposure did not appear to be associated with greater arterial stiffness in this study sample.

Comparing Background and Recent Erosion Rates in Degraded Areas of Southeastern Brazil

NASA Astrophysics Data System (ADS)

Fernandes, N.; Bierman, P. R.; Sosa-Gonzalez, V.; Rood, D. H.; Fontes, R. L.; Santos, A. C.; Godoy, J. M.; Bhering, S.

2014-12-01

Soil erosion is a major problem in northwestern Rio de Janeiro State where, during the last three centuries, major land-use changes took place, associated with the replacement of the original rainforest by agriculture and grazing. The combination of steep hillslopes, erodible soils, sparse vegetation, natural and human-induced fires, as well as downslope ploughing, led to an increase in surface runoff and surface erosion on soil-mantled hillslopes; together, these actions and responses caused a decline in soil productivity. In order to estimate changes in erosion rates over time, we compared erosion rates measured at different spatial and temporal scales, both background (natural) and short-term (human-induced during last few decades). Background long-term erosion rates were measured using in-situ produced cosmogenic 10Be in the sand fraction quartz of active river channel sediment in four basins in the northwestern portion of Rio de Janeiro State. In these basins, average annual precipitation varies from 1,200 to 1,300 mm, while drainage areas vary from 15 to 7,200 km2. Short-term erosion rates were measured in one of these basins from fallout 210Pb in soil samples collected along a hillslope transect located in an abandoned agriculture field. In this transect, 190 undisturbed soil samples (three replicates) were collected from the surface to 0.50 m depth (5 cm vertical intervals) in six soil pits. 10Be average background, basin-wide, erosion rates in the area are ~ 13 m/My; over the last decades, time-integrated (210Pb) average hillslope erosion rates are around 1450 m/Myr, with maximum values at the steepest portion of convex hillslopes of about 2000 m/Myr. These results suggest that recent hillslope erosion rates are about 2 orders of magnitude above background rates of sediment generation integrated over many millennia. This unsustainable rate of soil loss has severely decreased soil productivity eventually leading to the abandonment of farming activities in areas where soil loss is severe.

Long-term results with the Atlas IIIp elastic cementless acetabular component in total hip replacement.

PubMed

Lee, Paul Yuh Feng; Rachala, Madhu; Teoh, Kar Ho; Woodnutt, David John

2016-09-01

Modular cementless elastic acetabular systems have advantages over cemented and hard shell cementless acetabular systems. There are few reports on the medium-term and long-term follow up of this particular type of implant. This study describes our experience with the Atlas IIIp modular acetabular system, which is a thin shell cementless elastic acetabular implant for total hip replacement commercialized under this name in many countries. We prospectively followed 244 patients treated with Atlas IIIp acetabular system between 2001 and 2004. Minimum ten year follow up was available for 148 hips (139 patients) from the original cohort of 263 hips (244 patients). One hundred five patients had died from unrelated causes and were excluded from the results. Post-operative and follow up radiographs of patients were assessed; and Harris hip scores were used as clinical outcome. Revision for any reason was defined as the end point for survivorship analysis. The mean pre-operative Harris hip score was 48 (S.D. 16) and the average post-operative score was 82 (S.D. 12). The mean follow up in our series was 11.5 years, ranging from ten to 13.5 years. Thirteen hips required further surgery in our cohort; of which ten cases required cup revision. The 13-years cumulative implant survival was 91.2 % and the risk of implant revision was 8.8 % at 13 years in 148 hips (139 patients). Kaplan-Meier analysis showed the implant survival rate of 95.2 % at ten years for revision for any reason and 99.4 % for aseptic loosening. Our clinical experience with this acetabular cup suggests good long-term survival rates that are similar to other cups on the market. The clinical experience in this study shows long-term survival rates that are consistent, acceptable and good results achieved with a low revision rate. Therapeutic III; therapeutic study.

Long-Term Breastfeeding in African American Mothers.

PubMed

Gross, Tyra Toston; Davis, Marsha; Anderson, Alex K; Hall, Jori; Hilyard, Karen

2017-02-01

According to the Centers for Disease Control and Prevention, 39.1% of African American infants are breastfed at 6 months. However, few studies have explored the breastfeeding experiences of African American women who successfully breastfeed to 6 months or longer durations. Research aim: The goal of this qualitative study was to explore the long-term breastfeeding experiences of low-income African American women using the positive deviance approach. African American women with breastfeeding experience were recruited through Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) breastfeeding peer counselors. Eligibility criteria included being age 18 or older, currently participating in WIC, and having breastfed one child for at least 6 months in the past 2 years. Semistructured, in-depth interviews were conducted with 11 participants. Interviews were audio-recorded and professionally transcribed. Transcripts were then analyzed for emerging themes using thematic analysis in NVivo software. Participants had on average three children each, with an average length of breastfeeding of 10.5 months per child. Four main themes developed: (a) deciding to breastfeed, (b) initiating breastfeeding, (c) breastfeeding long-term, and (d) expanding breastfeeding support. Participants offered culturally tailored suggestions to improve breastfeeding support for other African American women: prenatal discussions of breastfeeding with health care providers, African American lactation support personnel and breastfeeding support groups, and African American breastfeeding promotion in print and digital media. Women who participated in this study breastfed for longer durations than the national average for African Americans. Findings can inform practice and research efforts to improve breastfeeding rates in this population using lessons learned from successful women.

Models of Disease Vector Control: When Can Aggressive Initial Intervention Lower Long-Term Cost?

PubMed

Oduro, Bismark; Grijalva, Mario J; Just, Winfried

2018-04-01

Insecticide spraying of housing units is an important control measure for vector-borne infections such as Chagas disease. As vectors may invade both from other infested houses and sylvatic areas and as the effectiveness of insecticide wears off over time, the dynamics of (re)infestations can be approximated by [Formula: see text]-type models with a reservoir, where housing units are treated as hosts, and insecticide spraying corresponds to removal of hosts. Here, we investigate three ODE-based models of this type. We describe a dual-rate effect where an initially very high spraying rate can push the system into a region of the state space with low endemic levels of infestation that can be maintained in the long run at relatively moderate cost, while in the absence of an aggressive initial intervention the same average cost would only allow a much less significant reduction in long-term infestation levels. We determine some sufficient and some necessary conditions under which this effect occurs and show that it is robust in models that incorporate some heterogeneity in the relevant properties of housing units.

Steady 10Be-derived paleoerosion rates across the Plio-Pleistocene climate transition, Fish Creek-Vallecito basin, California

NASA Astrophysics Data System (ADS)

Oskin, M. E.; Longinotti, N. E.; Peryam, T. C.; Dorsey, R. J.; DeBoer, C. J.; Housen, B. A.; Blisniuk, K. D.

2017-09-01

Rates of erosion over time provide a valuable tool for gauging tectonic and climatic drivers of landscape evolution. Here we measure 10Be archived in quartz sediment from the Fish Creek-Vallecito basin to resolve a time series of catchment-averaged erosion rates and to test the hypothesis that aridity and increased climate variation after approximately 3 Ma led to an increase in erosion rates in this semiarid, ice-free setting. The Fish Creek-Vallecito basin, located east of the Peninsular Ranges in Southern California, is an ideal setting to derive a Plio-Pleistocene paleoerosion rate record. The basin has a rapid sediment accumulation rate, a detailed magnetostratigraphic age record, and its stratigraphy has been exposed through recent, rapid uplift and erosion. A well-defined source region of uniform lithology and low erosion rate provides a high, reproducible 10Be signal. We find that paleoerosion rates were remarkably consistent between 1 and 4 Ma, averaging 38 ± 24 m/Myr (2σ). Modern catchment-averaged erosion rates are similar to the paleoerosion rates. The uniformity of erosion over the past 4 Myr indicates that the landscape was not significantly affected by late Pliocene global climate change, nor was it affected by a local long-term increase in aridity.

Magma replenishment and volcanic unrest inferred from the analysis of VT micro-seismicity and seismic velocity changes at Piton de la Fournaise Volcano

NASA Astrophysics Data System (ADS)

Brenguier, F.; Rivemale, E.; Clarke, D. S.; Schmid, A.; Got, J.; Battaglia, J.; Taisne, B.; Staudacher, T.; Peltier, A.; Shapiro, N. M.; Tait, S.; Ferrazzini, V.; Di Muro, A.

2011-12-01

Piton de la Fournaise volcano (PdF) is among the most active basaltic volcanoes worldwide with more than one eruption per year on average. Also, PdF is densely instrumented with short-period and broad-band seismometers as well as with GPS receivers. Continuous seismic waveforms are available from 1999. Piton de la Fournaise volcano has a moderate inter-eruptive seismic activity with an average of five detected Volcano-Tectonic (VT) earthquakes per day with magnitudes ranging from 0.5 to 3.5. These earthquakes are shallow and located about 2.5 kilometers beneath the edifice surface. Volcanic unrest is captured on average a few weeks before eruptions by measurements of increased VT seismicity rate, inflation of the edifice summit, and decreased seismic velocities from correlations of seismic noise. Eruptions are usually preceded by seismic swarms of VT earthquakes. Recently, almost 50 % of seismic swarms were not followed by eruptions. Within this work, we aim to gather results from different groups of the UnderVolc research project in order to better understand the processes of deep magma transfer, volcanic unrest, and pre-eruptive magma transport initiation. Among our results, we show that the period 1999-2003 was characterized by a long-term increase of VT seismicity rate coupled with a long-term decrease of seismic velocities. These observations could indicate a long-term replenishment of the magma storage area. The relocation of ten years of inter-eruptive micro-seismicity shows a narrow (~300 m long) sub-vertical fault zone thus indicating a conduit rather than an extended magma reservoir as the shallow magma feeder system. Also, we focus on the processes of short-term volcanic unrest and prove that magma intrusions within the edifice leading to eruptions activate specific VT earthquakes that are distinct from magma intrusions that do not lead to eruptions. We thus propose that, among the different pathways of magma transport within the edifice, only one will allow magma to reach the edifice summit. Moreover, we have identified transient seismic velocity changes lasting a few weeks that could be associated with unreported lateral magma intrusions not leading to eruptions. The clustering of pre-eruptive micro-seismicity between mid 1999-2003 shows that seismic events repeat over successive seismic swarms and suggests that the magma pathway is spatially separated from the seismic faults. Also, the inversion for focal mechanisms shows dominant sub-horizontal P-axes indicating that part of the pre-eruptive micro-seismicity is due to the horizontal compressive stress induced by magma injection. Finally, the analysis of long-term GPS data recorded on the edifice flank shows a constant lateral displacement rate of 3.5 cm/year. More work will be needed in order to infer the possible mutual interactions between magma unrest and transport and the large-scale deformation of the edifice flank.

Seven-Day Low Streamflows in the United States, 1940-2014

EPA Pesticide Factsheets

This map shows percentage changes in the minimum annual rate of water carried by rivers and streams across the country, based on the long-term rate of change from 1940 to 2014. Minimum streamflow is based on the consecutive seven-day period with the lowest average flow during a given year. Blue triangles represent an increase in low stream flow volumes, and brown triangles represent a decrease. Streamflow data were collected by the U.S. Geological Survey. For more information: www.epa.gov/climatechange/science/indicators

Long-term climate change and the geochemical cycle of carbon

NASA Technical Reports Server (NTRS)

Marshall, Hal G.; Walker, James C. G.; Kuhn, William R.

1988-01-01

The response of the coupled climate-geochemical system to changes in paleography is examined in terms of the biogeochemical carbon cycle. The simple, zonally averaged energy balance climate model combined with a geochemical carbon cycle model, which was developed to study climate changes, is described. The effects of latitudinal distributions of the continents on the carbon cycle are investigated, and the global silicate weathering rate as a function of latitude is measured. It is observed that a concentration of land area at high altitudes results in a high CO2 partial pressure and a high global average temperature, and for land at low latitudes a cold globe and ice are detected. It is noted that the CO2 greenhouse feedback effect is potentially strong and has a stabilizing effect on the climate system.

Assessment of acetabular retroversion following long term review of Salter's osteotomy.

PubMed

Robb, Curtis A; Datta, Amit; Nayeemuddin, Mohammed; Bache, Christopher E

2009-01-01

Salter's innominate osteotomy may predispose to anterior over-coverage of the acetabulum. Over cover or retroversion has been demonstrated to be a cause of hip pain, impingement and subsequent osteoarthritis. We reviewed the long-term follow up of seventeen skeletally mature hips in sixteen patients who had previously undergone a Salter's osteotomy in childhood. The Salter pelvic osteotomy was performed at a mean average age of 5 years and follow up at a mean average age of 20 years. Patients were assessed by clinical examination for signs of impingement, Harris Hip Score and pelvic radiograph. Acetabular version was evaluated by the relationship between anterior and posterior walls of the acetabulum using templates applied to the pelvic radiograph as described by Hefti. The median acetabular cover averaged 17 degrees of anteversion with 2 patients (12%) demonstrating retroversion, neither of whom, had signs of impingement on examination. The mean average Harris Hip Score was 85 indicating a good outcome at long-term follow-up. We believe acetabular remodelling may occur with age after Salter's innominate osteotomy and have found good results in patients after skeletal maturation. Fears of long-term anterior over-coverage and retroversion with this operation may be unfounded.

Simulated effects of pumping and drought on ground-water levels and the freshwater-saltwater interface on the north fork of Long Island, New York

USGS Publications Warehouse

Misut, Paul E.; Schubert, Christopher E.; Bova, Richard G.; Colabufo, Steven R.

2004-01-01

Ground water is the sole source of freshwater on the North Fork of Long Island. Future demands for the limited freshwater supply during a prolonged drought could cause drawdowns that induce saltwater intrusion and render the supply unusable. The freshwater system on the North Fork contains several localized, hydraulically isolated aquifers bounded by salty water. The need for information on the ability of these aquifers to meet future demands prompted a 4-year study to develop a ground-water flow model to simulate several proposed pumping scenarios under long-term average conditions and during a hypothetical drought, and to delineate the resulting ground-water levels and movement of the freshwater-saltwater interface. The model code selected was SHARP, a quasi-three-dimensional finite-difference method of simulating freshwater and saltwater flow simultaneously.Two sets of four proposed pumping scenarios were evaluated. The first represented average recharge from precipitation during 2006-20; the second represented the same period and conditions except for a 5-year period of drought conditions. The average-recharge simulations used the long-term (1959-99) rate of recharge; the drought simulations applied a 20-percent reduction in recharge rate and a 20-percent increase in the 1999 rate of agricultural pumpage during 2011–15.The simulated movement of the freshwater-saltwater interface in future withdrawal and recharge scenarios indicates that the interface may rise beneath pumped wells at Inlet Drive, Brecknock Hall, Main Bayview Road, Islands End, North Road, and Alvah's Lane. Either (1) movement of the interface to within 50 feet of the well screen, (2) a large percent change in the distance between the interface and the well screen, or (3) movement of the interface through a clay layer is a cause for concern. Wellfields in which saltwater intrusion does not appear to be a cause for concern were those at Ackerly Pond, Kenney's Road, Middle Road, Rocky Point Road, and hypothetical sites where future wellfields have been proposed.

The Long-Term Effectiveness of Reading Recovery and the Cost-Efficiency of Reading Recovery Relative to the Learning Disabled Classification Rate

ERIC Educational Resources Information Center

Galluzzo, Charles A.

2010-01-01

There is a great deal of research supporting Reading Recovery as a successful reading intervention program that assists below level first graders readers in closing the gap in reading at the same level of their average peers. There is a lack of research that analyses the cost-effectiveness of the Reading Recovery program compared to the cost in…

Self and Informant Reports of Mental Health Difficulties among Adults with Autism Findings from a Long-Term Follow-Up Study

ERIC Educational Resources Information Center

Moss, Philippa; Howlin, Patricia; Savage, Sarah; Bolton, Patrick; Rutter, Michael

2015-01-01

Data on psychiatric problems in adults with autism are inconsistent, with estimated rates ranging from around 25% to over 75%. We assessed difficulties related to mental health in 58 adults with autism (10 females, 48 males; mean age 44?years) whom we have followed over four decades. All were of average non-verbal intelligence quotient when…

Long-term Functional and Survival Outcomes after Induction Chemotherapy and Risk-Based Definitive Therapy for Locally Advanced Squamous Cell Carcinoma of the Head and Neck

PubMed Central

Hutcheson, Katherine A.; Lewin, Jan S.; Holsinger, F. Christopher; Steinhaus, Ganene; Lisec, Asher; Barringer, Denise A.; Lin, Heather Y.; Villalobos, Sandra; Garden, Adam S.; Papadimitrakopoulou, Vali; Kies, Merrill S.

2014-01-01

Purpose To evaluate long-term outcomes after induction chemotherapy followed by “risk-based” local therapy for squamous cell carcinoma of the head and neck (SCCHN). Methods Forty-seven patients (stage IV, ≥N2b) were enrolled in a Phase II trial. Baseline and 24-months functional measures included modified barium swallow (MBS) studies, oropharyngeal swallow efficiency (OPSE), and the MD Anderson Dysphagia Inventory (MDADI). Functional status was assessed at 5 years. Results Five-year overall survival was 89% (95% CI: 81%-99%). A non-significant 13% average reduction in swallowing efficiency (OPSE) was observed at 24-months relative to baseline (p=0.191). MDADI scores approximated baseline at 24-months. Among 42 long-term survivors (median=5.9 years), 3 (7.1%) had chronic dysphagia. The rate of final gastrostomy-dependence was 4.8% (2/42). Conclusion Sequential chemoradiotherapy achieved favorable outcomes among patients with locally-advanced SCCHN, mainly of oropharyngeal origin. MBS and MDADI scores found modest swallowing deterioration at 2 years, and chronic aspiration was uncommon in long-term survivors. PMID:23780650

Long-term functional and survival outcomes after induction chemotherapy and risk-based definitive therapy for locally advanced squamous cell carcinoma of the head and neck.

PubMed

Hutcheson, Katherine A; Lewin, Jan S; Holsinger, F Christopher; Steinhaus, Ganene; Lisec, Asher; Barringer, Denise A; Lin, Heather Y; Villalobos, Sandra; Garden, Adam S; Papadimitrakopoulou, Vali; Kies, Merrill S

2014-04-01

The purpose of this study was to evaluate long-term outcomes after induction chemotherapy followed by "risk-based" local therapy for locally-advanced squamous cell carcinoma of the head and neck (SCCHN). Forty-seven patients (stage IV; ≥N2b) were enrolled in a phase II trial. Baseline and 24-month functional measures included modified barium swallow (MBS) studies, oropharyngeal swallow efficiency (OPSE), and the MD Anderson Dysphagia Inventory (MDADI). Functional status was assessed at 5 years. Five-year overall survival (OS) was 89% (95% confidence interval [CI], 81% to 99%). A nonsignificant 13% average reduction in swallowing efficiency (OPSE) was observed at 24 months relative to baseline (p = .191). MDADI scores approximated baseline at 24 months. Among 42 long-term survivors (median, 5.9 years), 3 patients (7.1%) had chronic dysphagia. The rate of final gastrostomy dependence was 4.8% (2 of 42). Sequential chemoradiotherapy achieved favorable outcomes among patients with locally advanced SCCHN, mainly of oropharyngeal origin. MBS and MDADI scores found modest swallowing deterioration at 2 years, and chronic aspiration was uncommon in long-term survivors. Copyright © 2013 Wiley Periodicals, Inc.

Time Series Modelling of Syphilis Incidence in China from 2005 to 2012

PubMed Central

Zhang, Xingyu; Zhang, Tao; Pei, Jiao; Liu, Yuanyuan; Li, Xiaosong; Medrano-Gracia, Pau

2016-01-01

Background The infection rate of syphilis in China has increased dramatically in recent decades, becoming a serious public health concern. Early prediction of syphilis is therefore of great importance for heath planning and management. Methods In this paper, we analyzed surveillance time series data for primary, secondary, tertiary, congenital and latent syphilis in mainland China from 2005 to 2012. Seasonality and long-term trend were explored with decomposition methods. Autoregressive integrated moving average (ARIMA) was used to fit a univariate time series model of syphilis incidence. A separate multi-variable time series for each syphilis type was also tested using an autoregressive integrated moving average model with exogenous variables (ARIMAX). Results The syphilis incidence rates have increased three-fold from 2005 to 2012. All syphilis time series showed strong seasonality and increasing long-term trend. Both ARIMA and ARIMAX models fitted and estimated syphilis incidence well. All univariate time series showed highest goodness-of-fit results with the ARIMA(0,0,1)×(0,1,1) model. Conclusion Time series analysis was an effective tool for modelling the historical and future incidence of syphilis in China. The ARIMAX model showed superior performance than the ARIMA model for the modelling of syphilis incidence. Time series correlations existed between the models for primary, secondary, tertiary, congenital and latent syphilis. PMID:26901682

Time Series Modelling of Syphilis Incidence in China from 2005 to 2012.

PubMed

Zhang, Xingyu; Zhang, Tao; Pei, Jiao; Liu, Yuanyuan; Li, Xiaosong; Medrano-Gracia, Pau

2016-01-01

The infection rate of syphilis in China has increased dramatically in recent decades, becoming a serious public health concern. Early prediction of syphilis is therefore of great importance for heath planning and management. In this paper, we analyzed surveillance time series data for primary, secondary, tertiary, congenital and latent syphilis in mainland China from 2005 to 2012. Seasonality and long-term trend were explored with decomposition methods. Autoregressive integrated moving average (ARIMA) was used to fit a univariate time series model of syphilis incidence. A separate multi-variable time series for each syphilis type was also tested using an autoregressive integrated moving average model with exogenous variables (ARIMAX). The syphilis incidence rates have increased three-fold from 2005 to 2012. All syphilis time series showed strong seasonality and increasing long-term trend. Both ARIMA and ARIMAX models fitted and estimated syphilis incidence well. All univariate time series showed highest goodness-of-fit results with the ARIMA(0,0,1)×(0,1,1) model. Time series analysis was an effective tool for modelling the historical and future incidence of syphilis in China. The ARIMAX model showed superior performance than the ARIMA model for the modelling of syphilis incidence. Time series correlations existed between the models for primary, secondary, tertiary, congenital and latent syphilis.

Testing the generalized complementary relationship of evaporation with continental-scale long-term water-balance data

NASA Astrophysics Data System (ADS)

Szilagyi, Jozsef; Crago, Richard; Qualls, Russell J.

2016-09-01

The original and revised versions of the generalized complementary relationship (GCR) of evaporation (ET) were tested with six-digit Hydrologic Unit Code (HUC6) level long-term (1981-2010) water-balance data (sample size of 334). The two versions of the GCR were calibrated with Parameter-Elevation Regressions on Independent Slopes Model (PRISM) mean annual precipitation (P) data and validated against water-balance ET (ETwb) as the difference of mean annual HUC6-averaged P and United States Geological Survey HUC6 runoff (Q) rates. The original GCR overestimates P in about 18% of the PRISM grid points covering the contiguous United States in contrast with 12% of the revised version. With HUC6-averaged data the original version has a bias of -25 mm yr-1 vs the revised version's -17 mm yr-1, and it tends to more significantly underestimate ETwb at high values than the revised one (slope of the best fit line is 0.78 vs 0.91). At the same time it slightly outperforms the revised version in terms of the linear correlation coefficient (0.94 vs 0.93) and the root-mean-square error (90 vs 92 mm yr-1).

Surgery for Patients With Recalcitrant Plantar Fasciitis

PubMed Central

Wheeler, Patrick; Boyd, Kevin; Shipton, Mary

2014-01-01

Background: Plantar fasciitis is a common cause of foot pain, and although many episodes are self-limiting with short duration, 10% leave chronic symptoms. Recalcitrant cases can be managed surgically, with studies demonstrating good results in the short term but uncertainties over longer term outcomes. Purpose: To assess the outcome following surgical intervention for patients with plantar fasciitis. Study Design: Case series; Level of evidence, 4. Methods: Seventy-nine patients were identified from operative diaries undergoing plantar fasciotomy surgery between 1993 and 2009. They were contacted to investigate long-term results using self-reported outcome measures. Results: Sixty-eight responses were received (86% response rate), with an average of 7 years (range, 1-15 years) of follow-up. Patients reported an average reduction in pain by visual analog scale of 79%, and 84% of patients were happy with the surgical results. Greater success was achieved in patients with shorter duration of symptoms preoperatively. No deterioration in success was seen over time. Conclusion: Plantar fasciotomy surgery for plantar fasciitis remains controversial, with biomechanical arguments against surgery; however, this article reports good success following surgery over a long follow-up period. The results of current operative techniques need to be fully investigated for longer term success, as do the outcomes of newer nonoperative management strategies. PMID:26535314

Direct measurement of the rates of synthesis of plasma proteins in control subjects and patients with gastrointestinal protein loss

PubMed Central

Wochner, R. Dean; Weissman, Sherman M.; Waldmann, Thomas A.; Houston, Delores; Berlin, Nathaniel I.

1968-01-01

The guanido carbon of hepatic arginine is the common precursor of urea and of the arginine of plasma proteins synthesized in the liver. It is possible to measure the momentary synthetic rates of plasma proteins by “pulse labeling” this arginine pool with bicarbonate-14C. In the current study, this method has been adapted in order to use urinary urea data and was applied to control subjects and patients with gastrointestinal protein loss. The assumptions required for this determination are discussed. There was close agreement between albumin synthetic rates measured by this method and albumin catabolic rates derived from simultaneous albumin-131I studies, supporting the validity of the method and suggesting that there is relatively little fluctuation in the rate of albumin synthesis from time to time. The albumin synthetic rates in six control subjects averaged 5.8 mg/kg per hr, while those of five patients with gastrointestinal protein loss averaged 7.2 mg/kg per hr. Thus in these patients, there was relatively little acceleration of albumin synthesis in response to continued loss of plasma proteins into the gastrointestinal tract. Fibrinogen synthetic rates averaged 1.9 mg/kg per hr in five control subjects and 3.2 mg/kg per hr in five patients with gastrointestinal protein loss. Transferrin synthetic rates exhibited considerable individual variation in both groups and averaged 0.24 mg/kg per hr in four control subjects and 0.31 mg/kg per hr in five patients with gastrointestinal protein loss. The method employed in this study offers several advantages in studying plasma protein metabolism. It provides a direct measurement of protein synthesis, applicable to several proteins simultaneously, does not require a long-term steady state in the metabolism of the proteins, and is capable of measuring short-term fluctuations in synthetic rates. Therefore, this approach is applicable to the investigation of the physiological factors controlling the rates of synthesis for plasma proteins. PMID:5239039

Lytic phages obscure the cost of antibiotic resistance in Escherichia coli.

PubMed

Tazzyman, Samuel J; Hall, Alex R

2015-03-17

The long-term persistence of antibiotic-resistant bacteria depends on their fitness relative to other genotypes in the absence of drugs. Outside the laboratory, viruses that parasitize bacteria (phages) are ubiquitous, but costs of antibiotic resistance are typically studied in phage-free experimental conditions. We used a mathematical model and experiments with Escherichia coli to show that lytic phages strongly affect the incidence of antibiotic resistance in drug-free conditions. Under phage parasitism, the likelihood that antibiotic-resistant genetic backgrounds spread depends on their initial frequency, mutation rate and intrinsic growth rate relative to drug-susceptible genotypes, because these parameters determine relative rates of phage-resistance evolution on different genetic backgrounds. Moreover, the average cost of antibiotic resistance in terms of intrinsic growth in the antibiotic-free experimental environment was small relative to the benefits of an increased mutation rate in the presence of phages. This is consistent with our theoretical work indicating that, under phage selection, typical costs of antibiotic resistance can be outweighed by realistic increases in mutability if drug resistance and hypermutability are genetically linked, as is frequently observed in clinical isolates. This suggests the long-term distribution of antibiotic resistance depends on the relative rates at which different lineages adapt to other types of selection, which in the case of phage parasitism is probably extremely common, as well as costs of resistance inferred by classical in vitro methods.

Lytic phages obscure the cost of antibiotic resistance in Escherichia coli

PubMed Central

Tazzyman, Samuel J; Hall, Alex R

2015-01-01

The long-term persistence of antibiotic-resistant bacteria depends on their fitness relative to other genotypes in the absence of drugs. Outside the laboratory, viruses that parasitize bacteria (phages) are ubiquitous, but costs of antibiotic resistance are typically studied in phage-free experimental conditions. We used a mathematical model and experiments with Escherichia coli to show that lytic phages strongly affect the incidence of antibiotic resistance in drug-free conditions. Under phage parasitism, the likelihood that antibiotic-resistant genetic backgrounds spread depends on their initial frequency, mutation rate and intrinsic growth rate relative to drug-susceptible genotypes, because these parameters determine relative rates of phage-resistance evolution on different genetic backgrounds. Moreover, the average cost of antibiotic resistance in terms of intrinsic growth in the antibiotic-free experimental environment was small relative to the benefits of an increased mutation rate in the presence of phages. This is consistent with our theoretical work indicating that, under phage selection, typical costs of antibiotic resistance can be outweighed by realistic increases in mutability if drug resistance and hypermutability are genetically linked, as is frequently observed in clinical isolates. This suggests the long-term distribution of antibiotic resistance depends on the relative rates at which different lineages adapt to other types of selection, which in the case of phage parasitism is probably extremely common, as well as costs of resistance inferred by classical in vitro methods. PMID:25268496

The physics and chemistry of Earth's dynamic surface (Ralph Alger Bagnold Medal Lecture)

NASA Astrophysics Data System (ADS)

Kirchner, James W.

2013-04-01

Ralph Alger Bagnold became a Fellow of the Royal Society and one of the founders of modern geomorphology despite having no formal academic affiliation, no cadre of students or postdocs under his command, no steady financial support, and no scientific training beyond a second-class honors degree in engineering. What he did have, and used to great effect, were a deep curiosity about natural phenomena, a powerful physical intellect, a talent for clever experimentation, extensive opportunities to observe geomorphic processes at work in the field, and - perhaps most important of all - the time and freedom to focus his energies on significant scientific challenges. A hallmark of Bagnold's work is the artful compromise between the goal of simple, general, physical laws describing natural phenomena, and the practical necessity for observational empiricisms to account for the real-world complexities that cannot be incorporated explicitly into such simple laws. Efforts to find these sorts of artful compromises continue to the present day. Typically, both in Bagnold's work and in present-day geomorphology, one seeks mathematical process laws whose form embodies the "pure physics" of the problem, and whose coefficients subsume the inevitable observational empiricisms. Present-day geomorphologists have an array of new tools that open our eyes to temporal and spatial scales that were invisible to Bagnold and his contemporaries. These observations, in turn, have yielded new surprises and challenges, sometimes confounding our intuition about how geomorphic systems "should" behave. One surprise has been that decadal-scale erosion rates, as reflected in stream sediment loads and reservoir sedimentation rates, often differ from longer-term erosion rates by large multiples. In some agricultural landscapes, modern-day erosion rates greatly exceed the long-term background rate, as one might intuitively expect. In other landscapes, however, contemporary erosion rates can be a small fraction of the long-term average, suggesting that average erosion rates are dominated by erosional events that are too large or too rare to be captured in present-day measurements. Recent observations have also spurred new insights into geomorphic process laws. For example, one might intuitively expect that downslope transport rates should be proportional to hillslope gradients, and that as a result, hillslope cross-sections should be parabolic. Instead, cosmogenic nuclide measurements in tectonically active landscapes show that erosion rates increase nonlinearly with hillslope gradients, and hillslope profiles show marked deviations from the expected parabolic form. These observations have motivated a reconsideration of the basic physics of downslope transport, yielding a nonlinear hillslope transport law that is broadly consistent with the hillslope profiles that are observed in steep terrain, and with the observed nonlinear slope-dependence of long-term erosion rates. The need for artful compromises between pure physics and empiricism is even more evident in current efforts to understand how hydrological, geochemical, and geomorphological processes interact to regulate weathering rates, and thereby long-term consumption of atmospheric CO2. One might expect that chemical weathering rates should be strongly dependent on the supply of weatherable minerals from physical erosion - or conversely, that physical erosion should be strongly dependent on the weakening of rock by chemical weathering. One might further expect that weathering rates should be strongly dependent on the availability of moisture, and on the temperature-dependent chemical kinetics of weathering reactions themselves. All of these expectations are borne out in field data, but none individually provides a facile explanation for the observed variation in erosion and weathering rates. This lecture will review recent efforts to understand landscape evolution as a coupled physical and chemical process, and to clarify its implications for long-term environmental change.

High natural erosion rates are the backdrop for present-day soil erosion in the agricultural Middle Hills of Nepal

NASA Astrophysics Data System (ADS)

West, A. J.; Arnold, M.; AumaItre, G.; Bourles, D. L.; Keddadouche, K.; Bickle, M.; Ojha, T.

2015-07-01

Although agriculturally accelerated soil erosion is implicated in the unsustainable environmental degradation of mountain environments, such as in the Himalaya, the effects of land use can be challenging to quantify in many mountain settings because of the high and variable natural background rates of erosion. In this study, we present new long-term denudation rates, derived from cosmogenic 10Be analysis of quartz in river sediment from the Likhu Khola, a small agricultural river basin in the Middle Hills of central Nepal. Calculated long-term denudation rates, which reflect background natural erosion processes over 1000+ years prior to agricultural intensification, are similar to present-day sediment yields and to soil loss rates from terraces that are well maintained. Similarity in short- and long-term catchment-wide erosion rates for the Likhu is consistent with data from elsewhere in the Nepal Middle Hills but contrasts with the very large increases in short-term erosion rates seen in agricultural catchments in other steep mountain settings. Our results suggest that the large sediment fluxes exported from the Likhu and other Middle Hills rivers in the Himalaya are derived in large part from natural processes, rather than from soil erosion as a result of agricultural activity. Catchment-scale erosional fluxes may be similar over short and long timescales if both are dominated by mass wasting sources such as gullies, landslides, and debris flows (e.g., as is evident in the landslide-dominated Khudi Khola of the Nepal High Himalaya, based on compiled data). As a consequence, simple comparison of catchment-scale fluxes will not necessarily pinpoint land use effects on soils where these are only a small part of the total erosion budget, unless rates of mass wasting are also considered. Estimates of the mass wasting contribution to erosion in the Likhu imply catchment-averaged soil production rates on the order of ~ 0.25-0.35 mm yr-1, though rates of mass wasting are poorly constrained. The deficit between our best estimates for soil production rates and measurements of soil loss rates supports conclusions from previous studies that terraced agriculture in the Likhu may not be associated with a large systematic soil deficit, at least when terraces are well maintained, but that poorly managed terraces, forest, and scrubland may lead to rapid depletion of soil resources.

Population dynamics and angler exploitation of the unique muskellunge population in Shoepack Lake, Voyageurs National Park, Minnesota

USGS Publications Warehouse

Frohnauer, N.K.; Pierce, C.L.; Kallemeyn, L.W.

2007-01-01

A unique population of muskellunge Esox masquinongy inhabits Shoepack Lake in Voyageurs National Park, Minnesota. Little is known about its status, dynamics, and angler exploitation, and there is concern for the long-term viability of this population. We used intensive sampling and mark-recapture methods to quantify abundance, survival, growth, condition, age at maturity and fecundity and angler surveys to quantify angler pressure, catch rates, and exploitation. During our study, heavy rain washed out a dam constructed by beavers Castor canadensis which regulates the water level at the lake outlet, resulting in a nearly 50% reduction in surface area. We estimated a population size of 1,120 adult fish at the beginning of the study. No immediate reduction in population size was detected in response to the loss of lake area, although there was a gradual, but significant, decline in population size over the 2-year study. Adults grew less than 50 mm per year, and relative weight (W r) averaged roughly 80. Anglers were successful in catching, on average, two fish during a full day of angling, but harvest was negligible. Shoepack Lake muskellunge exhibit much slower growth rates and lower condition, but much higher densities and angler catch per unit effort (CPUE), than other muskellunge populations. The unique nature, limited distribution, and location of this population in a national park require special consideration for management. The results of this study provide the basis for assessing the long-term viability of the Shoepack Lake muskellunge population through simulations of long-term population dynamics and genetically effective population size. ?? Copyright by the American Fisheries Society 2007.

Short- and Long-Term Outcomes of Deep Brain Stimulation in Patients 70 Years and Older with Parkinson Disease.

PubMed

Mathkour, Mansour; Garces, Juanita; Scullen, Tyler; Hanna, Joshua; Valle-Giler, Edison; Kahn, Lora; Arrington, Teresa; Houghton, David; Lea, Georgia; Biro, Erin; Bui, Cuong J; Sulaiman, Olawale A R; Smith, Roger D

2017-01-01

Parkinson disease (PD) is a common neurodegenerative disease in elderly patients that may be treated with deep brain stimulation (DBS). DBS is an accepted surgical treatment in PD patients <70 years that demonstrates marked improvement in disease symptomology. Patients ≥70 years historically have been excluded from DBS therapy. Our objective is to evaluate the short- and long-term outcomes in patients with PD ≥70 years who underwent DBS at our center. In our single-center study, we retrospectively assessed a prospective registry of patients with PD treated with DBS who were ≥70 years old at the time of their procedure. Univariate analyses and 1-sample paired t test were used to evaluate data. Motor scores were evaluated with the Unified Parkinson's Disease Rating Scale III, and the effects on medication requirements were evaluated with levodopa equivalence daily doses (LEDD). Thirty-seven patients were followed for an average of 42.2 months post-DBS. The average ages at diagnosis and at the time of DBS surgery were 63.05 years and 72.45 years, respectively. Significant reductions in the average Unified Parkinson's Disease Rating Scale III score were observed (preoperative 31.8; postoperative 15.6; P < 0.0001). Significant reductions in the average LEDD (preoperative 891.94 mg; postoperative 559.6 mg; P = 0.0008) and medication doses per day (preoperative 11.54; postoperative 7.97; P = 0.0112) also were present. DBS is effective in treating elderly patients with PD. Patients experienced improvement in motor function, LEDD, and medication doses per day after DBS. Our results suggest that DBS is an effective treatment modality in elderly patients with PD. Copyright © 2016 Elsevier Inc. All rights reserved.

Potential climate change impacts on a tropical estuary: Hilo Bay, Hawaii

NASA Astrophysics Data System (ADS)

Adolf, J.; LaPinta, J.; Marusek, J.; Pascoe, K.; Pugh, A.

2016-02-01

Hilo Bay is a tropical estuarine ecosystem on the northeast (windward) coast of Hawai`i Island that is potentially vulnerable to climate change effects mediated through elevated water temperatures and/or changing rainfall patterns that impact river and groundwater fluxes. Here, we document trends in water temperature, river flow and phytoplankton dynamics in Hilo Bay. Hilo Bay is fed by two major rivers, Wailuku and Honoli`i, both of which have shown long term declines in output over their 85 and 38 year monitoring periods (USGS), respectively. Time series of groundwater inputs to Hilo Bay do not exist, but the average estimated rate rivals that of average river inputs. Daily average Hilo Bay water temperatures have increased at a rate of 0.35 degrees C per year (p < 0.001) since measurement by the Hilo Bay water quality buoy began in 2010, with the warmest temperatures on record recorded Sept 2015. Salinity did not show a trend over this same time period. Phytoplankton showed a pronounced seasonal cycle in Hilo Bay with a long term average of 3.7 mg m-3 and dominance by diatoms that exploit the co-availability of silica and nitrate in this environment. On shorter time scales of days to < 1 week, flood events dramatically reduce Hilo Bay salinity, temperature and phytoplankton biomass. Coincidental atmospheric warming, SST warming in the adjacent North Pacific ocean, and declining river flows will likely work together to result in elevated SST in Hilo Bay if observed trends continue. The El Nino event that started this year is expected to exacerbate this warming through reduce river flow and warmer regional SST.

Cognitive correlates of long-term cannabis use in Costa Rican men.

PubMed

Fletcher, J M; Page, J B; Francis, D J; Copeland, K; Naus, M J; Davis, C M; Morris, R; Krauskopf, D; Satz, P

1996-11-01

Cognitive correlates of long-term cannabis use have been elusive. We tested the hypothesis that long-term cannabis use is associated with deficits in short term memory, working memory, and attention in a literate, westernized culture (Costa Rica) in which the effects of cannabis use can be isolated. Two cohorts of long-term cannabis users and nonusers were studied. Within each cohort, users and nonusers were comparable in age and socioeconomic status. Polydrug users and users who tested positive for the use of cannabis at the time of cognitive assessment after a 72-hour abstention period were excluded. The older cohort (whose age was approximately 45 years) had consumed cannabis for an average of 34 years, and comprised 17 users and 30 nonusers, who had been recruited in San José, Costa Rica, and had been observed since 1973. The younger cohort (whose age was approximately 28 years) had consumed cannabis for an average of 8 years, and comprised 37 users and 49 nonusers. Short-term memory, working memory, and attentional skills were measured in each subject. Older long-term users performed worse than older nonusers on 2 short-term memory tests involving learning lists of words. In addition, older long-term users performed worse than older nonusers on selective and divided attention tasks associated with working memory. No notable differences were apparent between younger users and nonusers. Long-term cannabis use was associated with disruption of short-term memory, working memory, and attentional skills in older long-term cannabis users.

The relationship between the instantaneous velocity field and the rate of moment release in the lithosphere

USGS Publications Warehouse

Pollitz, F.F.

2003-01-01

Instantaneous velocity gradients within the continental lithosphere are often related to the tectonic driving forces. This relationship is direct if the forces are secular, as for the case of loading of a locked section of a subduction interface by the downgoing plate. If the forces are static, as for the case of lateral variations in gravitational potential energy, then velocity gradients can be produced only if the lithosphere has, on average, zero strength. The static force model may be related to the long-term velocity field but not the instantaneous velocity field (typically measured geodetically over a period of several years) because over short time intervals the upper lithosphere behaves elastically. In order to describe both the short- and long-term behaviour of an (elastic) lithosphere-(viscoelastic) asthenosphere system in a self-consistent manner, I construct a deformation model termed the expected interseismic velocity (EIV) model. Assuming that the lithosphere is populated with faults that rupture continually, each with a definite mean recurrence time, and that the Earth is well approximated as a linear elastic-viscoelastic coupled system, I derive a simple relationship between the instantaneous velocity field and the average rate of moment release in the lithosphere. Examples with synthetic fault networks demonstrate that velocity gradients in actively deforming regions may to a large extent be the product of compounded viscoelastic relaxation from past earthquakes on hundreds of faults distributed over large ( ≥106 km2) areas.

20 Years of sea-levels, accretion, and vegetation on two Long ...

EPA Pesticide Factsheets

The long-term 1939-2013 rate of RSLR (Relative Sea-Level Rise) at the New London, CT tide gauge is ~2.6 mm/yr, near the maximum rate of salt marsh accretion reported in eastern Long Island Sound salt marshes. Consistent with recent literature RSLR at New London has accelerated since the 1980s; inter-annual variability can be high, but over the last three decades rates have averaged ~4.5 mm/yr, more than double the first 40 years of the New London record. Marsh surface elevation has been followed for 10 years with a SET array at the Barn Island system on Little Narragansett Bay and 20 years using an accretion pin array at Mamacoke Marsh on the Thames River. From 2003 – 2013 accretion averaged 2.3 mm/yr on the Barn Island marshes while RSLR increased 5.4 mm/yr. The increased hydroperiod is driving vegetation change at Barn Island, particularly in areas that started with lower “elevation capital”. Over two decades Mamacoke accretion closely matched RSLR: 4.7 vs 4.9 mm/yr, with no significant shifts in vegetation. For the 1st 12 years at Mamacoke, accretion was slower than RSLR: 3.2 vs 8.1 mm/yr. From 2006 to 2014, however elevation increase averaged 7.0 mm/yr while sea level rose just 7 mm. By 2014 accretion rates across the marsh ranged from 1.3 to 16.1 mm /yr. Preliminary core analysis confirms highly organic peat, but reveals sand concentrations at 2–4 cm in some areas, suggesting that Hurricanes Irene (2011) and Sandy (2012) may have contributed to Mama

On a thermonuclear origin for the 1980-81 deep light minimum of the symbiotic nova PU Vul

NASA Technical Reports Server (NTRS)

Sion, Edward M.

1993-01-01

The puzzling 1980-81 deep light minimum of the symbiotic nova PU Vul is discussed in terms of a sequence of quasi-static evolutionary models of a hot, 0.5 solar mass white dwarf accreting H-rich matter at a rate 1 x 10 exp -8 solar mass/yr. On the basis of the morphological behavior of the models, it is suggested that the deep light minimum of PU Vul could have been the result of two successive, closely spaced, hydrogen shell flashes on an accreting white dwarf whose core thermal structure and accreted H-rich envelope was not in a long-term thermal 'cycle-averaged' steady state with the rate of accretion.

Long-term outcome and efficacy of endoscopic hemorrhoid ligation for symptomatic internal hemorrhoids

PubMed Central

Su, Ming-Yao; Chiu, Cheng-Tang; Lin, Wei-Pin; Hsu, Chen-Ming; Chen, Pang-Chi

2011-01-01

AIM: To assess the long-term outcome of endoscopic hemorrhoid ligation (EHL) for the treatment of symptomatic internal hemorrhoids. METHODS: A total of 759 consecutive patients (415 males and 344 females) were enrolled. Clinical presentations were rectal bleeding (593 patients) and mucosal prolapse (166 patients). All patients received EHL at outpatient clinics. Hemorrhoid severity was classified by Goligher’s grading. The mean follow-up period was 55.4 mo (range, 45-92 mo). RESULTS: The number of band ligations averaged 2.35 in the first session for bleeding and 2.69 for prolapsed patients. Bleeding was controlled in 587 (98.0%) patients, while prolapse was reduced in 137 (82.5%) patients. After treatment, 93 patients experienced anal pain and 48 patients had mild bleeding. Patient subjective satisfaction was 93.6%. Repeat treatment or surgery was performed if symptoms were not relieved in the first session. In the bleeding group, the recurrence rate was 3.7% (22 patients) at 1 year, and 6.6% and 13.0% at 2 and 5 years. In the prolapsed group, the recurrence rate was 3.0%, 9.6% and 16.9% at 1, 2 and 5 years, respectively. CONCLUSION: EHL is an easy and well-tolerated procedure for the treatment of symptomatic internal hemorrhoids, with good long-term results. PMID:21633644

Status and trends of dissolved oxygen in Corpus Christi Bay, Texas, U.S.A.

PubMed

Applebaum, Sally; Montagna, Paul A; Ritter, Christine

2005-08-01

The purpose of this study was to determine status and long-term trends of dissolved oxygen concentrations (DO) in Corpus Christi Bay, Texas, U.S.A. A 20-year record of randomized stations was used to determine the trend of surface water DO, salinity, and temperature over space and time. A 13-year record of two fixed stations was used to determine the temporal nutrient trends. A 10-year record of fixed stations in the southeastern region of Corpus Christi Bay was used to determine the status of disturbance caused by low DO in bottom waters. From 1982 to 2002, there was a significant decrease in surface water DO at a rate of 0.06 mg L(-1) yr(-1) and a significant increase in surface water temperature at a rate of 0.07 degrees C yr(-1). The southeastern region of Corpus Christi Bay had the lowest average DO, and during July and August, DO are steadily declining at a rate of 0.09 mg L(-1) yr(-1). It is not likely that eutrophication is causing hypoxia, because freshwater inflow rates have significantly decreased since 1941 and nutrient levels have not changed from 1987 to 2000. Even though long-term trends indicate that average surface DO is decreasing, disturbance by hypoxia appears to be stable, but this may be due to just eight years of data. In fact, if the current trend continues, surface water DO will not meet exceptional aquatic life standards (< or = 5 mg L(-1)) in 2032.

Trepanation Procedures/Outcomes: Comparison of Prehistoric Peru with Other Ancient, Medieval, and American Civil War Cranial Surgery.

PubMed

Kushner, David S; Verano, John W; Titelbaum, Anne R

2018-06-01

More prehistoric trepanned crania have been found in Peru than any other location worldwide. We examine trepanation practices and outcomes in Peru over nearly 2000 years from 400 BC to provide a perspective on the procedure with comparison with procedures/outcomes of other ancient, medieval, and American Civil War cranial surgery. Data on trepanation demographics, techniques, and survival rates were collected through the scientific analysis of more than 800 trepanned crania discovered in Peru, through field studies and the courtesy of museums and private collections in the United States and Peru, over nearly 3 decades. Data on procedures and outcomes of cranial surgery ancient, medieval, and during 19th-century through the American Civil war were obtained via a literature review. Successful trepanations from prehistoric times through the American Civil War likely involved shallow surgeries that did not pierce the dura mater. Although there are regional and temporal variations in ancient Peru, overall long-term survival rates for the study series were about 40% in the earliest period (400-200 BC), with improvement to a high of 91% in samples from AD 1000-1400, to an average of 75%-83% during the Inca Period (AD 1400s-1500). In comparison, the average cranial surgery mortality rate during the American Civil war was 46%-56%, and short- and long-term survival rates are unknown. The contrast in outcomes highlights the astonishing success of ancient cranial surgery in Peru in the treatment of living patients. Copyright © 2018 Elsevier Inc. All rights reserved.

Long-Term Results of Total Hip Arthroplasty with 28-Millimeter Cobalt-Chromium Femoral Heads on Highly Cross-Linked Polyethylene in Patients 50 Years and Less.

PubMed

Stambough, Jeffrey B; Pashos, Gail; Bohnenkamp, Frank C; Maloney, William J; Martell, John M; Clohisy, John C

2016-01-01

Highly cross-linked polyethylene (HXLPE) is the most commonly used bearing surface in total hip arthroplasty (THA) because of its superior wear properties, but long-term results in young patients are limited. We report on the clinical outcome, radiographic wear patterns and survivorship of 72 patients ≤50 years old who had a 28-millimeter cobalt-chromium femoral head on HXLPE acetabular liner. Mean and median true linear wear rates at average ten-year follow-up were 0.0104 and 0.01 mm per year ± 0.07 mm. Mean and median two-dimensional volumetric wear rates were 12.79 mm(3) and 5.834 mm(3) per year ± 26.1mm(3) as determined by Martell analysis. As a result of the minimal wear profile, there was no evidence of radiographic osteolysis and no wear-related revisions. Copyright © 2016 Elsevier Inc. All rights reserved.

Variations in the long-term uplift rate due to the Altiplano-Puna magma body observed with Sentinel-1 interferometry

NASA Astrophysics Data System (ADS)

Lau, Nicholas; Tymofyeyeva, Ekaterina; Fialko, Yuri

2018-06-01

We present new Interferometric Synthetic Aperture Radar (InSAR) observations of surface deformation in the Altiplano-Puna region (South America) where previous studies documented a broad uplift at an average rate of ∼10 mm/yr. We use data from the Sentinel-1 satellite mission to produce high-resolution velocity maps and time series of surface displacements between years 2014-2017. The data reveal that the uplift has slowed down substantially compared to the 1992-2010 epoch and is characterized by short-term fluctuations on time scales of months to years. The observed variations in uplift rate may indicate a non-steady supply of melt and/or volatiles from the partially molten Altiplano-Puna Magma Body (APMB) into an incipient diapir forming in the roof of the APMB.

Rethinking transitions of care: An interprofessional transfer triage protocol in post-acute care.

PubMed

Patel, Radha V; Wright, Lauri; Hay, Brittany

2017-09-01

Readmissions to hospitals from post-acute care (PAC) units within long-term care settings have been rapidly increasing over the past decade, and are drivers of increased healthcare costs. With an average of $11,000 per admission, there is a need for strategies to reduce 30-day preventable hospital readmission rates. In 2018, incentives and penalties will be instituted for long-term care facilities failing to meet all-cause, all-condition hospital readmission rate performance measures. An interprofessional team (IPT) developed and implemented a Transfer Triage Protocol used in conjunction with the INTERACT programme to enhance clinical decision-making and assess the potential to reduce the facility's 30-day preventable hospital readmission rates by 10% within 6 weeks of implementation. Results from quantitative analysis demonstrated an overall 35.2% reduction in the 30-day preventable hospital readmission rate. Qualitative analysis revealed the need for additional staff education, improved screening and communication upon admission and prior to hospital transfer, and the need for more IPT on-site availability. This pilot study demonstrates the benefits and implications for practice of an IPT to improve the quality of care within PAC and decrease 30-day preventable hospital readmissions.

Long-term mortality outcome in patients with reactive amyloidosis associated with rheumatoid arthritis.

PubMed

Kuroda, Takeshi; Tanabe, Naohito; Harada, Takashi; Murakami, Syuichi; Hasegawa, Hisashi; Sakatsume, Minoru; Nakano, Masaaki; Gejyo, Fumitake

2006-07-01

It is well established that amyloidosis is a serious clinical complication that can influence the prognosis of patients with rheumatoid arthritis (RA). The purpose of the study was to obtain information on the survival and the hemodialysis (HD) of patients with amyloidosis. Eighty patients (9 men and 71 women) who were diagnosed with amyloidosis by biopsy and definite or classical RA were studied retrospectively. The average duration of RA prior to the diagnosis of amyloidosis was 15.4+/-9.4 years. The average period from the diagnosis of amyloidosis to death was 67.4 months. Forty-nine patients died of the disease (32 cases with HD and 17 cases without HD). Thirty-one patients lived (7 cases with HD and 24 cases without HD). Regarding the survival of these patients, 49 (61.3%) of the 80 patients have died. Survival rate at 28 months was 75%; at 67 months, it was 50%; and at 111 months, it was down to 25%. Mortality rate was 11.9% per year. Survival rate in dialysis at 9.8 months was 75%; at 60.6 months, it dropped to 50%; and at 100.0 months, to 25%. As for patients' survival, high onset age of amyloidosis was the major determining factor for poor survival in these patients (p<0.001). Furthermore, male patients also had poor survival (p=0.07). The long-term results were very encouraging to initiate HD in patients with end-stage renal disease due to reactive amyloidosis associated with RA.

Long-term ammonia removal in a coconut fiber-packed biofilter: analysis of N fractionation and reactor performance under steady-state and transient conditions.

PubMed

Baquerizo, Guillermo; Maestre, Juan P; Machado, Vinicius C; Gamisans, Xavier; Gabriel, David

2009-05-01

A comprehensive study of long-term ammonia removal in a biofilter packed with coconut fiber is presented under both steady-state and transient conditions. Low and high ammonia loads were applied to the reactor by varying the inlet ammonia concentration from 90 to 260 ppm(v) and gas contact times ranging from 20 to 36 s. Gas samples and leachate measurements were periodically analyzed and used for characterizing biofilter performance in terms of removal efficiency (RE) and elimination capacity (EC). Also, N fractions in the leachate were quantified to both identify the experimental rates of nitritation and nitratation and to determine the N leachate distribution. Results showed stratification in the biofilter activity and, thus, most of the NH(3) removal was performed in the lower part of the reactor. An average EC of 0.5 kg N-NH(3)m(-3)d(-1) was obtained for the whole reactor with a maximum local average EC of 1.7 kg N-NH(3)m(-3)d(-1). Leachate analyses showed that a ratio of 1:1 of ammonium and nitrate ions in the leachate was obtained throughout steady-state operation at low ammonia loads with similar values for nitritation and nitratation rates. Low nitratation rates during high ammonia load periods occurred because large amounts of ammonium and nitrite accumulated in the packed bed, thus causing inhibition episodes on nitrite-oxidizing bacteria due to free ammonia accumulation. Mass balances showed that 50% of the ammonia fed to the reactor was oxidized to either nitrite or nitrate and the rest was recovered as ammonium indicating that sorption processes play a fundamental role in the treatment of ammonia by biofiltration.

On the timing properties of SAX J1808.4-3658 during its 2015 outburst

NASA Astrophysics Data System (ADS)

Sanna, A.; Di Salvo, T.; Burderi, L.; Riggio, A.; Pintore, F.; Gambino, A. F.; Iaria, R.; Tailo, M.; Scarano, F.; Papitto, A.

2017-10-01

We present a timing analysis of the 2015 outburst of the accreting millisecond X-ray pulsar SAX J1808.4-3658, using non-simultaneous XMM-Newton and NuSTAR observations. We estimate the pulsar spin frequency and update the system orbital solution. Combining the average spin frequency from the previous observed, we confirm the long-term spin-down at an average rate \\dot{ν }_{SD}=1.5(2)× 10^{-15} Hz s-1. We also discuss possible corrections to the spin-down rate accounting for mass accretion on to the compact object when the system is X-ray active. Finally, combining the updated ephemerides with those of the previous outbursts, we find a long-term orbital evolution compatible with a binary expansion at a mean rate \\dot{P}_{orb}=3.6(4)× 10^{-12} s s-1, in agreement with previously reported values. This fast evolution is incompatible with an evolution driven by angular momentum losses caused by gravitational radiation under the hypothesis of conservative mass transfer. We discuss the observed orbital expansion in terms of non-conservative mass transfer and gravitational quadrupole coupling mechanism. We find that the latter can explain, under certain conditions, small fluctuations (of the order of few seconds) of the orbital period around a global parabolic trend. At the same time, a non-conservative mass transfer is required to explain the observed fast orbital evolution, which likely reflects ejection of a large fraction of mass from the inner Lagrangian point caused by the irradiation of the donor by the magnetodipole rotator during quiescence (radio-ejection model). This strong outflow may power tidal dissipation in the companion star and be responsible of the gravitational quadrupole change oscillations.

Prospective memory deficits in illicit polydrug users are associated with the average long-term typical dose of ecstasy typically consumed in a single session.

PubMed

Gallagher, Denis T; Hadjiefthyvoulou, Florentia; Fisk, John E; Montgomery, Catharine; Robinson, Sarita J; Judge, Jeannie

2014-01-01

Neuroimaging evidence suggests that ecstasy-related reductions in SERT densities relate more closely to the number of tablets typically consumed per session rather than estimated total lifetime use. To better understand the basis of drug related deficits in prospective memory (p.m.) we explored the association between p.m. and average long-term typical dose and long-term frequency of use. Study 1: Sixty-five ecstasy/polydrug users and 85 nonecstasy users completed an event-based, a short-term and a long-term time-based p.m. task. Study 2: Study 1 data were merged with outcomes on the same p.m. measures from a previous study creating a combined sample of 103 ecstasy/polydrug users, 38 cannabis-only users, and 65 nonusers of illicit drugs. Study 1: Ecstasy/polydrug users had significant impairments on all p.m. outcomes compared with nonecstasy users. Study 2: Ecstasy/polydrug users were impaired in event-based p.m. compared with both other groups and in long-term time-based p.m. compared with nonillicit drug users. Both drug using groups did worse on the short-term time-based p.m. task compared with nonusers. Higher long-term average typical dose of ecstasy was associated with poorer performance on the event and short-term time-based p.m. tasks and accounted for unique variance in the two p.m. measures over and above the variance associated with cannabis and cocaine use. The typical ecstasy dose consumed in a single session is an important predictor of p.m. impairments with higher doses reflecting increasing tolerance giving rise to greater p.m. impairment.

Long-term average spectrum in screening of voice quality in speech: untrained male university students.

PubMed

Leino, Timo

2009-11-01

Voice quality has mainly been studied in trained speakers, singers, and dysphonic patients. Few studies have concerned ordinary untrained university students' voices. In light of earlier studies of professional voice users, it was hypothesized that good, poor, and intermediate voices would be distinguishable on the basis of long-term average spectrum characteristics. In the present study, voice quality of 50 Finnish vocally untrained male university students was studied perceptually and using long-term average spectrum analysis of text reading samples of one minute duration. Equivalent sound level (Leq) of text reading was also measured. According to the results, the good and ordinary voices differed from the poor ones in their relatively higher sound level in the frequency range of 1-3 kHz and a prominent peak at 3-4 kHz. Good voices, however, did not differ from the ordinary voices in terms of the characteristics of the long-term average spectrum (LTAS). The strength of the peak at 3-4 kHz and the voice-quality scores correlated weakly but significantly. Voice quality and alpha ratio (level difference above and below 1 kHz) correlated likewise. Leq was significantly higher in the students with good and ordinary voices than in those with poor voices. The connections between Leq, voice quality, and the formation of the peak at 3-4 kHz warrant further studies.

The impact of long-term water stress on relative growth rate and morphology of needles and shoots of Metasequoia glyptostroboides seedlings: research toward identifying mechanistic models.

PubMed

Zhang, Yanxiang; Equiza, Maria Alejandra; Zheng, Quanshui; Tyree, Melvin T

2011-09-01

Leaf morphology in the upper canopy of trees tends to be different from that lower down. The effect of long-term water stress on leaf growth and morphology was studied in seedlings of Metasequoia glyptostroboides to understand how tree height might affect leaf morphology in larger trees. Tree height increases water stress on growing leaves through increased hydraulic resistance to water flow and increased gravitational potential, hence we assume that water stress imposed by soil dehydration will have an effect equivalent to stress induced by height. Seedlings were subjected to well-watered and two constant levels of long-term water stress treatments. Drought treatment significantly reduced final needle count, area and mass per area (leaf mass area, LMA) and increased needle density. Needles from water-stressed plants had lower maximum volumetric elastic modulus (ε(max)), osmotic potential at full turgor (Ψ¹⁰⁰(π)) (and at zero turgor (Ψ⁰(π)) (than those from well-watered plants. Palisade and spongy mesophyll cell size and upper epidermal cell size decreased significantly in drought treatments. Needle relative growth rate, needle length and cell sizes were linear functions of the daily average water potential at the time of leaf growth (r² 0.88-0.999). We conclude that water stress alone does mimic the direction and magnitude of changes in leaf morphology observed in tall trees. The results are discussed in terms of various models for leaf growth rate. Copyright © Physiologia Plantarum 2011.

Passively mode-locked diode-pumped Nd:YVO4 oscillator operating at an ultralow repetition rate.

PubMed

Papadopoulos, D N; Forget, S; Delaigue, M; Druon, F; Balembois, F; Georges, P

2003-10-01

We demonstrate the operation of an ultralow-repetition-rate, high-peak-power, picosecond diode-pumped Nd:YVO4 passively mode-locked laser oscillator. Repetition rates lower than 1 MHz were achieved with the use of a new design for a multiple-pass cavity and a semiconductor saturable absorber. Long-term stable operation at 1.2 MHz with a pulse duration of 16.3 ps and an average output power of 470 mW, corresponding to 24-kW peak-power pulses, is reported. These are to our knowledge the lowest-repetition-rate high-peak-power pulses ever generated directly from apicosecond laser resonator without cavity dumping.

Long-term exposure to residential ambient fine and coarse particulate matter and incident hypertension in post-menopausal women.

PubMed

Honda, Trenton; Eliot, Melissa N; Eaton, Charles B; Whitsel, Eric; Stewart, James D; Mu, Lina; Suh, Helen; Szpiro, Adam; Kaufman, Joel D; Vedal, Sverre; Wellenius, Gregory A

2017-08-01

Long-term exposure to ambient particulate matter (PM) has been previously linked with higher risk of cardiovascular events. This association may be mediated, at least partly, by increasing the risk of incident hypertension, a key determinant of cardiovascular risk. However, whether long-term exposure to PM is associated with incident hypertension remains unclear. Using national geostatistical models incorporating geographic covariates and spatial smoothing, we estimated annual average concentrations of residential fine (PM 2.5 ), respirable (PM 10 ), and course (PM 10-2.5 ) fractions of particulate matter among 44,255 post-menopausal women free of hypertension enrolled in the Women's Health Initiative (WHI) clinical trials. We used time-varying Cox proportional hazards models to evaluate the association between long-term average residential pollutant concentrations and incident hypertension, adjusting for potential confounding by sociodemographic factors, medical history, neighborhood socioeconomic measures, WHI study clinical site, clinical trial, and randomization arm. During 298,383 person-years of follow-up, 14,511 participants developed incident hypertension. The adjusted hazard ratios per interquartile range (IQR) increase in PM 2.5 , PM 10 , and PM 10-2.5 were 1.13 (95% CI: 1.08, 1.17), 1.06 (1.03, 1.10), and 1.01 (95% CI: 0.97, 1.04), respectively. Statistically significant concentration-response relationships were identified for PM 2.5 and PM 10 fractions. The association between PM 2.5 and hypertension was more pronounced among non-white participants and those residing in the Northeastern United States. In this cohort of post-menopausal women, ambient fine and respirable particulate matter exposures were associated with higher incidence rates of hypertension. These results suggest that particulate matter may be an important modifiable risk factor for hypertension. Copyright © 2017 Elsevier Ltd. All rights reserved.

DIVERGT screening procedure predicts general cognitive functioning in adult long-term survivors of pediatric acute lymphoblastic leukemia: A PETALE study.

PubMed

Boulet-Craig, Aubree; Robaey, Philippe; Laniel, Julie; Bertout, Laurence; Drouin, Simon; Krajinovic, Maja; Laverdière, Caroline; Sinnett, Daniel; Sultan, Serge; Lippé, Sarah

2018-05-24

Acute lymphoblastic leukemia (ALL) is the most common cancer in children. Because of major improvements in treatment protocols, the survival rate now exceeds 80%. However, ALL treatments can cause long-term neurocognitive sequelae, which negatively impact academic achievement and quality of life. Therefore, cognitive sequelae need to be carefully evaluated. The DIVERGT is a battery of tests proposed as a screening tool, sensitive to executive function impairments in children and adolescent cancer survivors. Our study aimed at verifying the predictive value of the DIVERGT on general cognitive functioning in adult long-term survivors of ALL. ALL survivors completed the DIVERGT 13.4 years, on average, after remission (N = 247). In addition, 49 of these survivors (equally selected amongst those with low, average, and high DIVERGT scores) as well as 29 controls completed a more comprehensive neuropsychological evaluation within a 3-year period from DIVERGT administration. Multivariate regression analysis was used to assess the predictive value of the DIVERGT on general intelligence, mathematics, verbal memory, and working memory. As a follow-up analysis, three performance groups were created based on the DIVERGT results. Multivariate analysis of variance (MANOVA) assessed neuropsychological differences between groups. The DIVERGT accurately predicted General Ability Index (GAI) (P < 0.0001), mathematics (P < 0.0001) and verbal memory (P = 0.045). Moreover, the low-performance group consistently had poorer performance than the high-performance and control groups on the neuropsychological tests. The DIVERGT is a useful, time-effective screening battery for broader neurocognitive impairments identification in long-term adult ALL survivors. It could be implemented as routine examination in cancer follow-up clinics. © 2018 Wiley Periodicals, Inc.

Cost-effectiveness of oral alitretinoin in patients with severe chronic hand eczema - a long-term analysis from a Swiss perspective

PubMed Central

2010-01-01

Background The impact on patients suffering from chronic hand eczema (CHE) is enormous, as no licensed systemic treatment option with proven efficacy for CHE is available. Alitretinoin is a novel agent which showed high clinical efficacy in patients with severe, refractory CHE. We assessed the cost-effectiveness of alitretinoin for CHE patient treatment from a Swiss third party payer perspective. A further objective of this study was to determine the burden of disease in Switzerland. Methods A long-term Markov cohort simulation model was used to estimate direct medical costs (€) and clinical effectiveness (quality adjusted life years, QALYs) of treating severe CHE patients with alitretinoin. Comparison was against the standard treatment of supportive care (optimised emollient therapy). Information on response rates were derived from a randomized controlled clinical trial. Costs were considered from the perspective of the Swiss health system. Swiss epidemiological data was derived from official Swiss Statistic institutions. Results Annual costs of alitretinoin treatment accounted for €2'212. After a time horizon of 22.4 years, average remaining long-term costs accounted for €42'208 or €38'795 in the alitretinoin and the standard treatment arm, respectively. Compared with the standard therapy, the addition of alitretinoin yielded an average gain of 0.230 QALYs at the end of the simulation. Accordingly, the incremental cost-effectiveness ratio resulted in €14'816/QALY gained. These results were robust to changes in key model assumptions. Conclusion The therapy for CHE patients is currently insufficient. In our long-term model we identified the treatment with alitretinoin as a cost-effective alternative for the therapy of CHE patients in Switzerland. PMID:20579358

Modeling the Sustainability of a Ceramic Water Filter Intervention

PubMed Central

Mellor, Jonathan; Abebe, Lydia; Ehdaie, Beeta; Dillingham, Rebecca; Smith, James

2014-01-01

Ceramic water filters (CWFs) are a point-of-use water treatment technology that has shown promise in preventing early childhood diarrhea (ECD) in resource-limited settings. Despite this promise, some researchers have questioned their ability to reduce ECD incidences over the long term since most effectiveness trials conducted to date are less than one year in duration limiting their ability to assess long-term sustainability factors. Most trials also suffer from lack of blinding making them potentially biased. This study uses an agent-based model (ABM) to explore factors related to the long-term sustainability of CWFs in preventing ECD and was based on a three year longitudinal field study. Factors such as filter user compliance, microbial removal effectiveness, filter cleaning and compliance declines were explored. Modeled results indicate that broadly defined human behaviors like compliance and declining microbial effectiveness due to improper maintenance are primary drivers of the outcome metrics of household drinking water quality and ECD rates. The model predicts that a ceramic filter intervention can reduce ECD incidence amongst under two year old children by 41.3%. However, after three years, the average filter is almost entirely ineffective at reducing ECD incidence due to declining filter microbial removal effectiveness resulting from improper maintenance. The model predicts very low ECD rates are possible if compliance rates are 80-90%, filter log reduction efficiency is 3 or greater and there are minimal long-term compliance declines. Cleaning filters at least once every 4 months makes it more likely to achieve very low ECD rates as does the availability of replacement filters for purchase. These results help to understand the heterogeneity seen in previous intervention-control trials and reemphasize the need for researchers to accurately measure confounding variables and ensure that field trials are at least 2-3 years in duration. In summary, the CWF can be a highly effective tool in the fight against ECD, but every effort should be made by implementing agencies to ensure consistent use and maintenance. PMID:24355289

Comparison of Short- and Long-term Hearing Outcomes of Successful Inlay Cartilage Tympanoplasty Between Small and Large Eardrum Perforations.

PubMed

Wu, Pei-Wen; Wang, Wen-Hung; Huang, Chi-Che; Lee, Ta-Jen; Huang, Chien-Chia

2015-12-01

To compare the short- and long-term hearing outcomes after successful inlay cartilage tympanoplasty between patients with small (≤25%) and large (≥50%) eardrums perforations. This is a retrospective case series study conducted in a tertiary referral center. Twenty-five patients who underwent 27 procedures were enrolled. Their mean age was 60.26 years (range, 42 to 76 years). The mean follow-up time was 18.86 months (range, 12.30 to 35.83 months). The preoperative, initial postoperative, and long-term hearing results in patients with total repair of the eardrum were analyzed. In the small size group, the average (±standard deviation) air-bone gap (ABG) closure was 1.08±7.53 dB in the short-term and 2.33±11.56 dB in the long-term hearing examinations. There was no difference between short- and long-term ABG closure (P=0.689). In the large size group, the average ABG closure was 9.77±9.40 dB in the short-term and 16.25±6.01 dB in the long-term hearing examinations. There was a significant difference between short- and long-term ABG closure (P=0.029). Patients with large perforations have continuous hearing improvement and ABG closure for more than one year. In contrast, the short- and long-term postoperative ABGs are almost the same in patients with small perforations. More long-term postoperative follow-up of hearing results is necessary for large perforations.

Climate-tree growth models in relation to long-term growth trends of white oak in Pennsylvania

Treesearch

D. D. Davis; R. P. Long

2003-01-01

We examined long-term growth trends of white oak by comparing tree-ring chronologies developed from an old-growth stand, where the average tree age was 222 years, with a second-growth stand where average tree age was 78 years. Evaluation of basal area growth trends suggested that an anomalous decrease in basal area increment trend occurred in both stands during the...

Chemical weathering in a tropical watershed, Luquillo Mountains, Puerto Rico: I. Long-term versus short-term weathering fluxes

USGS Publications Warehouse

White, A.F.; Blum, A.E.; Schulz, M.S.; Vivit, D.V.; Stonestrom, David A.; Larsen, M.; Murphy, S.F.; Eberl, D.

1998-01-01

The pristine Rio Icacos watershed in the Luquillo Mountains in eastern Puerto Rico has the fastest documented weathering rate of silicate rocks on the Earth's surface. A regolith propagation rate of 58 m Ma-1 calculated from iso-volumetric saprolite formation from quartz diorite, is comparable to the estimated denudation rate (25-50 Ma-1) but is an order of magnitude faster than the global average weathering rate (6 Ma-1). Weathering occurs in two distinct environments; plagioclase and hornblende react at the saprock interface and biotite and quartz weather in the overlying thick saprolitic regolith. These environments produce distinctly different water chemistries, with K, Mg, and Si increasing linearly with depth in saprolite porewaters and with stream waters dominated by Ca, Na, and Si. Such differences are atypical of less intense weathering in temperate watersheds. Porewater chemistry in the shallow regolith is controlled by closed-system recycling of inorganic nutrients such as K. Long-term elemental fluxes through the regolith (e.g., Si = 1.7 ?? 10-8 moles m-2 s-1) are calculated from mass losses based on changes in porosity and chemistry between the regolith and bedrock and from the age of the regolith surface (200 Ma). Mass losses attributed to solute fluxes are determined using a step-wise infiltration model which calculates mineral inputs to the shallow and deep saprolite porewaters and to stream water. Pressure heads decrease with depth in the shallow regolith (-2.03 m H2O m-1), indicating that both increasing capillary tension and graviometric potential control porewater infiltration. Interpolation of experimental hydraulic conductivities produces an infiltration rate of 1 m yr-1 at average field moisture saturation which is comparable with LiBr tracer tests and with base discharge from the watershed. Short term weathering fluxes calculated from solute chemistries and infiltration rates (e.g., Si = 1.4 ?? 10-8 moles m-2 s-1) are compared to watershed flux rates (e.g., Si = 2.7 ?? 10-8 moles m-2 s-1). Consistency between three independently determined sets of weathering fluxes imply that possible changes in precipitation, temperature, and vegetation over the last several hundred thousand years have not significantly impacted weathering rates in the Luquillo Mountains of Puerto Rico. This has important ramifications for tropical environments and global climate change. Copyright ?? 1998 Elsevier Science Ltd.

An assessment of the effects of casemix funding on hospital utilisation: a Northern Territory perspective.

PubMed

Xiao, J; Lee, A; Vemuri, S R; Beaver, C

2000-01-01

This article is concerned with the methodological issues of assessing the effects of casemix funding on hospital utilisation. Time-series analysis and intervention analysis are proposed to ascertain the effects. It was found there had been a decline in average length of stay and number of bed-days, an increase in weighted separations for teaching and non-teaching hospitals, and no apparent increase of costliness in terms of a comprehensive casemix index. No evidence of decline in quality of care can be established in terms of readmission rates. The long-term effects of casemix funding, and specific issues in terms of the funding model used, patients and cost shifting between hospital services and community health services, remain to be studied.

Achondroplasia and limb lengthening: Results in a UK cohort and review of the literature

PubMed Central

Donaldson, James; Aftab, Syed; Bradish, Christopher

2015-01-01

Aims We aim to review the results, complications and outcomes of a single surgeon's series of lower limb lengthening in patients with achondroplasia. Methods Ten achondroplastic children underwent limb lengthening. The patients, medical records and radiographs were reviewed. Results The average age at the time of the index operation was 7.8 years. A single surgeon undertook all procedures. The average total length gain was 20.5 cm. The commonest complication was a fractured femur after removal of the frame. Conclusion Although complication rates were high (70%), none were left with any long-term sequelae and all were pleased with the results. PMID:25829758

Gulf of Mexico and Atlantic coast sea level change

NASA Astrophysics Data System (ADS)

Douglas, Bruce C.

Twentieth-century relative sea level rise shows considerable variability along the U.S. East and Gulf coasts. Local rates of rise lie in the range of about 1.5 to more than 4 mm per year for records from Key West, Florida, to New York City. Rates of sea level rise in the Gulf of Mexico can be much higher. In Texas and Louisiana, long-term water levels are rising up to about 10 mm per year. This is having disastrous consequences in the form of wetlands loss in the region, estimated to be as much as 65 km2 per year in the Mississippi Delta area of Louisiana alone. Beach erosion is also significant along both the Gulf and Atlantic coasts, resulting in ever-increasing exposure of fixed structures to the damaging impacts of storms. The especially high rates of sea level rise in Louisiana and Texas are a result of their particular geomorphology, and anthropogenic alterations in the form of sediment diversion and withdrawal of underground fluids. The average long-term local rate of sea level rise on the rest of the U.S. East and Gulf coasts when corrected for glacial isostatic adjustment is about 2 mm per year, in conformity with 20th century global sea level rise. U.S. East and Gulf coast tide gauge records also have regionally coherent low frequency (decadal and longer) variations that need to be understood because of their impact on wetlands loss, and to enable accurate determination of long-term trends of sea level rise.

Annual regression-based estimates of evapotranspiration for the contiguous United States based on climate, remote sensing, and stream gage data

NASA Astrophysics Data System (ADS)

Reitz, M. D.; Sanford, W. E.; Senay, G. B.; Cazenas, J.

2015-12-01

Evapotranspiration (ET) is a key quantity in the hydrologic cycle, accounting for ~70% of precipitation across the contiguous United States (CONUS). However, it is a challenge to estimate, due to difficulty in making direct measurements and gaps in our theoretical understanding. Here we present a new data-driven, ~1km2 resolution map of long-term average actual evapotranspiration rates across the CONUS. The new ET map is a function of the USGS Landsat-derived National Land Cover Database (NLCD), precipitation, temperature, and daily average temperature range (from the PRISM climate dataset), and is calibrated to long-term water balance data from 679 watersheds. It is unique from previously presented ET maps in that (1) it was co-developed with estimates of runoff and recharge; (2) the regression equation was chosen from among many tested, previously published and newly proposed functional forms for its optimal description of long-term water balance ET data; (3) it has values over open-water areas that are derived from separate mass-transfer and humidity equations; and (4) the data include additional precipitation representing amounts converted from 2005 USGS water-use census irrigation data. The regression equation is calibrated using data from 2000-2013, but can also be applied to individual years with their corresponding input datasets. Comparisons among this new map, the more detailed remote-sensing-based estimates of MOD16 and SSEBop, and AmeriFlux ET tower measurements shows encouraging consistency, and indicates that the empirical ET estimate approach presented here produces closer agreement with independent flux tower data for annual average actual ET than other more complex remote sensing approaches.

Depletion and capture: revisiting “The source of water derived from wells"

USGS Publications Warehouse

Konikow, Leonard F.; Leake, Stanley A.

2014-01-01

A natural consequence of groundwater withdrawals is the removal of water from subsurface storage, but the overall rates and magnitude of groundwater depletion and capture relative to groundwater withdrawals (extraction or pumpage) have not previously been well characterized. This study assesses the partitioning of long-term cumulative withdrawal volumes into fractions derived from storage depletion and capture, where capture includes both increases in recharge and decreases in discharge. Numerical simulation of a hypothetical groundwater basin is used to further illustrate some of Theis' (1940) principles, particularly when capture is constrained by insufficient available water. Most prior studies of depletion and capture have assumed that capture is unconstrained through boundary conditions that yield linear responses. Examination of real systems indicates that capture and depletion fractions are highly variable in time and space. For a large sample of long-developed groundwater systems, the depletion fraction averages about 0.15 and the capture fraction averages about 0.85 based on cumulative volumes. Higher depletion fractions tend to occur in more arid regions, but the variation is high and the correlation coefficient between average annual precipitation and depletion fraction for individual systems is only 0.40. Because 85% of long-term pumpage is derived from capture in these real systems, capture must be recognized as a critical factor in assessing water budgets, groundwater storage depletion, and sustainability of groundwater development. Most capture translates into streamflow depletion, so it can detrimentally impact ecosystems.

An intercomparison of multidecadal observational and reanalysis data sets for global total ozone trends and variability analysis

NASA Astrophysics Data System (ADS)

Bai, Kaixu; Chang, Ni-Bin; Shi, Runhe; Yu, Huijia; Gao, Wei

2017-07-01

A four-step adaptive ozone trend estimation scheme is proposed by integrating multivariate linear regression (MLR) and ensemble empirical mode decomposition (EEMD) to analyze the long-term variability of total column ozone from a set of four observational and reanalysis total ozone data sets, including the rarely explored ERA-Interim total ozone reanalysis, from 1979 to 2009. Consistency among the four data sets was first assessed, indicating a mean relative difference of 1% and root-mean-square error around 2% on average, with respect to collocated ground-based total ozone observations. Nevertheless, large drifts with significant spatiotemporal inhomogeneity were diagnosed in ERA-Interim after 1995. To emphasize long-term trends, natural ozone variations associated with the solar cycle, quasi-biennial oscillation, volcanic aerosols, and El Niño-Southern Oscillation were modeled with MLR and then removed from each total ozone record, respectively, before performing EEMD analyses. The resulting rates of change estimated from the proposed scheme captured the long-term ozone variability well, with an inflection time of 2000 clearly detected. The positive rates of change after 2000 suggest that the ozone layer seems to be on a healing path, but the results are still inadequate to conclude an actual recovery of the ozone layer, and more observational evidence is needed. Further investigations suggest that biases embedded in total ozone records may significantly impact ozone trend estimations by resulting in large uncertainty or even negative rates of change after 2000.

Temporal and spatial distribution of metallic species in the upper atmosphere

NASA Astrophysics Data System (ADS)

Correira, John Thomas

2009-06-01

Every day the Earth is bombarded by approximately 100 tons of meteoric material. Much of this material is completely ablated on atmospheric entry, resulting in a layer of atomic metals in the upper atmosphere between 70 km - 150 km. These neutral atoms are ionized by solar radiation and charge exchange. Metal ions have a long lifetime against recombination loss, allowing them to be redistributed globally by electromagnetic forces, especially when lifted to altitudes >150 km. UV radiances from the Global Ozone Monitoring Experiment (GOME) spectrometer are used to determine long-term dayside variations of the total vertical column density below 795 km of the meteoric metal species Mg and Mg + in the upper atmosphere. A retrieval algorithm developed to determine magnesium column densities was applied to all available data from the years 1996-2001. Long term results show middle latitude dayside Mg + peaks in vertical content during the summer, while neutral Mg demonstrates a much more subtle maximum in summer. Atmospheric metal concentrations do not correlate strongly solar activity. An analysis of spatial variations shows geospatial distributions are patchy, with local regions of increased column density. To study short term variations and the role of meteor showers a time dependent mass flux rate is calculated using published estimates of meteor stream mass densities and activity profiles. An average daily mass flux rate is also calculated and used as a baseline against which shower mass flux rates are compared. These theoretical mass flux rates are then compared with GOME derived metal column densities. There appears to be little correlation between modeled meteor shower mass flux rates and changes in the observed neutral magnesium and Mg + metal column densities.

24 h urinary free cortisol in large-scale epidemiological studies: short-term and long-term stability and sources of variability.

PubMed

Rosmalen, Judith G M; Kema, Ido P; Wüst, Stefan; van der Ley, Claude; Visser, Sipke T; Snieder, Harold; Bakker, Stephan J L

2014-09-01

Function of the hypothalamus-pituitary-adrenal (HPA) axis has been associated with several somatic and psychiatric health problems. The amount of free cortisol excreted in the urine during 24h (24-h UFC) has often been used as a proxy for HPA-axis function. Reference values for 24-h UFC and their stability in the short and long term, as well as sources of variability, are largely lacking. This study was performed in a general population cohort. Participants collected 24-h UFC on two consecutive days (T1), and repeated this collection approximately 2 years later (T2). Cortisol in urine was measured using LC-MS/MS. Height and weight were measured at the research facilities; glomerular filtration rate was estimated using creatinine clearance. Psychological distress (General Health Questionnaire), smoking, alcohol use and exercise were measured by means of questionnaires. 24-h UFC stability on a day-to-day basis was 0.69 (T1, N=1192) and 0.72 (T2, N=963) (both p<0.001). Long-term stability as indicated by correlation between 2-day averages of T1 and T2 was 0.60 (N=972, p<0.001). Multivariable linear regression analysis revealed that 24-h UFC was predicted by urine volume (standardized beta 0.282 (T1, N=1556) and 0.276 (T2, N=1244); both p<0.001) and glomerular filtration rate (standardized beta 0.137 (T1) and 0.179 (T2); both p<0.001), while also sex explained a small part (standardized beta for female sex -0.057 (T1) and -0.080 (T2); both p<0.05). 24-h UFC is moderately stable both in the short and the long term. The effects of urine volume and glomerular filtration rate on 24-h UFC are much stronger than those of sex. Copyright © 2014 Elsevier Ltd. All rights reserved.

Long- and short-term exposure to PM2.5 and mortality: using novel exposure models.

PubMed

Kloog, Itai; Ridgway, Bill; Koutrakis, Petros; Coull, Brent A; Schwartz, Joel D

2013-07-01

Many studies have reported associations between ambient particulate matter (PM) and adverse health effects, focused on either short-term (acute) or long-term (chronic) PM exposures. For chronic effects, the studied cohorts have rarely been representative of the population. We present a novel exposure model combining satellite aerosol optical depth and land-use data to investigate both the long- and short-term effects of PM2.5 exposures on population mortality in Massachusetts, United States, for the years 2000-2008. All deaths were geocoded. We performed two separate analyses: a time-series analysis (for short-term exposure) where counts in each geographic grid cell were regressed against cell-specific short-term PM2.5 exposure, temperature, socioeconomic data, lung cancer rates (as a surrogate for smoking), and a spline of time (to control for season and trends). In addition, for long-term exposure, we performed a relative incidence analysis using two long-term exposure metrics: regional 10 × 10 km PM2.5 predictions and local deviations from the cell average based on land use within 50 m of the residence. We tested whether these predicted the proportion of deaths from PM-related causes (cardiovascular and respiratory diseases). For short-term exposure, we found that for every 10-µg/m increase in PM 2.5 exposure there was a 2.8% increase in PM-related mortality (95% confidence interval [CI] = 2.0-3.5). For the long-term exposure at the grid cell level, we found an odds ratio (OR) for every 10-µg/m increase in long-term PM2.5 exposure of 1.6 (CI = 1.5-1.8) for particle-related diseases. Local PM2.5 had an OR of 1.4 (CI = 1.3-1.5), which was independent of and additive to the grid cell effect. We have developed a novel PM2.5 exposure model based on remote sensing data to assess both short- and long-term human exposures. Our approach allows us to gain spatial resolution in acute effects and an assessment of long-term effects in the entire population rather than a selective sample from urban locations.

Embolization of renal angiomyolipomas: short-term and long-term outcomes, complications, and tumor shrinkage.

PubMed

Lee, Shen-Yang; Hsu, Hsiang-Hao; Chen, Yung-Chang; Huang, Chen-Chih; Wong, Yon-Cheong; Wang, Li-Jen; Chuang, Cheng-Keng; Yang, Chih-Wei

2009-11-01

This study retrospectively evaluated outcomes, complications, and tumor shrinkage in renal angiomyolipomas after transcatheter arterial embolization (TAE). All renal angiomyolipoma patients who underwent TAE between August 2000 and December 2008 and had short-term (6 months) follow-up images were evaluated. Complications and tumor relapse after TAE were reviewed. The sizes of embolized tumors were measured to calculate size reductions and reduction rates after TAE. Differences in tumor size, size reduction, and reduction rate between different time points (pre-TAE, short-term follow-up, and long-term follow-up) and groups (completely and incompletely embolized) were determined. Eleven renal angiomyolipoma patients who had undergone TAE were included. Seven (63.6%) patients had postembolization syndrome and one had abscess formation following TAE. Two patients had a tumor relapse (18.2%). The mean tumor size was 8.57+/-2.66 cm on pre-TAE images. The mean size reduction was 3.1 cm (33.3%) and 3.8 cm (43.0%) at short-term and long-term follow-up. Tumor sizes differed significantly between pre-TAE and short-term (p=0.004) or long-term images (p=0.022) but not between short-term and long-term images (p=0.059). Results stratified by the completeness of embolization indicate that only the short-term size reduction rate differed significantly (p=0.025), while the long-term reduction rate and short- and long-term follow-up tumor size and size reduction were comparable between the two groups. In conclusion, selective TAE is effective for tumor shrinkage in most renal angiomyolipomas, with acceptable complication and relapse rates. Tumor shrinkage occurring within 6 months after TAE may reflect the long-term effect of TAE.

Testicular Cancer Survivorship: Research Strategies and Recommendations

PubMed Central

Beard, Clair; Allan, James M.; Dahl, Alv A.; Feldman, Darren R.; Oldenburg, Jan; Daugaard, Gedske; Kelly, Jennifer L.; Dolan, M. Eileen; Hannigan, Robyn; Constine, Louis S.; Oeffinger, Kevin C.; Okunieff, Paul; Armstrong, Greg; Wiljer, David; Miller, Robert C.; Gietema, Jourik A.; van Leeuwen, Flora E.; Williams, Jacqueline P.; Nichols, Craig R.; Einhorn, Lawrence H.; Fossa, Sophie D.

2010-01-01

Testicular cancer represents the most curable solid tumor, with a 10-year survival rate of more than 95%. Given the young average age at diagnosis, it is estimated that effective treatment approaches, in particular, platinum-based chemotherapy, have resulted in an average gain of several decades of life. This success, however, is offset by the emergence of considerable long-term morbidity, including second malignant neoplasms, cardiovascular disease, neurotoxicity, nephrotoxicity, pulmonary toxicity, hypogonadism, decreased fertility, and psychosocial problems. Data on underlying genetic or molecular factors that might identify those patients at highest risk for late sequelae are sparse. Genome-wide association studies and other translational molecular approaches now provide opportunities to identify testicular cancer survivors at greatest risk for therapy-related complications to develop evidence-based long-term follow-up guidelines and interventional strategies. We review research priorities identified during an international workshop devoted to testicular cancer survivors. Recommendations include 1) institution of lifelong follow-up of testicular cancer survivors within a large cohort setting to ascertain risks of emerging toxicities and the evolution of known late sequelae, 2) development of comprehensive risk prediction models that include treatment factors and genetic modifiers of late sequelae, 3) elucidation of the effect(s) of decades-long exposure to low serum levels of platinum, 4) assessment of the overall burden of medical and psychosocial morbidity, and 5) the eventual formulation of evidence-based long-term follow-up guidelines and interventions. Just as testicular cancer once served as the paradigm of a curable malignancy, comprehensive follow-up studies of testicular cancer survivors can pioneer new methodologies in survivorship research for all adult-onset cancer. PMID:20585105

Outbursts and Gradualism: Megaflood erosion consistent with long-term landscape evolution

NASA Astrophysics Data System (ADS)

Garcia-Castellanos, Daniel; O'Connor, Jim

2017-04-01

Existing models for the development of topography and relief over geological timescales are fundamentally based on semi-empirical laws of the erosion and sediment transport performed by rivers. The prediction power of these laws is hindered by limitations in measuring river incision and by the scant knowledge of the past hydrological conditions, specifically average water flow and its variability. Consequently, models adopt 'gradualistic' (time-averaged) assumptions and the erodability values derived from modelling long-term erosion rates in rivers remain ambiguously tied not only to the lithology and nature of the bedrock but also to uncertainties in the quantification of past climate. This prevents the use of those erodabilities to predict the landscape evolution in different scenarios. Here, we apply the fundamentals of river erosion models to outburst floods triggered by overtopping lakes, for which the hydrograph is intrinsically known from the geomorphological record or from direct measures. We obtain the outlet erodability from the peak water discharge and lake area observed in 86 floods that span over 16 orders of magnitude in water volume. The obtained erodability-lithology correlation is consistent with that seen in 22 previous long-term river incision quantifications, showing that outburst floods can be used to estimate erodability values that remain valid for a wide range of hydrological regimes and for erosion timescales spanning from hours-long outburst floods to million-year-scale landscape evolution. The results constrain the conditions leading to the runaway erosion responsible for outburst floods triggered by overtopping lakes. They also call for the explicit incorporation of climate episodicity to the landscape evolution models. [Funded by CGL2014-59516].

Peat Accumulation in the Everglades (USA) during the Past 4000 Years: Rates, Drivers, and Sources of Error

NASA Astrophysics Data System (ADS)

Glaser, P. H.; Volin, J. C.; Givnish, T. J.; Hansen, B. C.; Stricker, C. A.

2012-12-01

Tropical and sub-tropical wetlands are considered to be globally important sources for greenhouse gases but their capacity to store carbon is presumably limited by warm soil temperatures and high rates of decomposition. Unfortunately, these assumptions can be difficult to test across long timescales because the chronology, cumulative mass, and completeness of a sedimentary profile are often difficult to establish. We therefore made a detailed analysis of a core from the principal drainage outlet of the Everglades of South Florida, to assess these problems and determine the factors that could govern carbon accumulation in this large sub-tropical wetland. AMS-14C dating provided direct evidence for both hard-water and open-system sources of dating errors, whereas cumulative mass varied depending upon the type of method used. Radiocarbon dates of gastropod shells, nevertheless, seemed to provide a reliable chronology for this core once the hard-water error was quantified and subtracted. Long-term accumulation rates were then calculated to be 12.1 g m-2 yr-1 for carbon, which is less than half the average rate reported for northern and tropical peatlands. Moreover, accumulation rates remained slow and relatively steady for both organic and inorganic strata, and the slow rate of sediment accretion ( 0.2 mm yr-1) tracked the correspondingly slow rise in sea level (0.35 mm yr-1 ) reported for South Florida over the past 4000 years. These results suggest that sea level and the local geologic setting may impose long-term constraints on rates of sediment and carbon accumulation in the Everglades and other wetlands

Primary Cutting Balloon Angioplasty for Treatment of Venous Stenoses in Native Hemodialysis Fistulas: Long-Term Results from Three Centers

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

Bhat, Rajesh; McBride, Kieran; Chakraverty, Sam

2007-11-15

Aim. To evaluate the technical success and patency rates following primary cutting balloon angioplasty for venous stenoses in native dialysis fistulas. Methods. Forty-one patients (26 men, 15 women; age range 26-82 years, average age 59 years) underwent 50 (repeat procedures in 9 patients) primary cutting balloon (PCB) angioplasty procedures in three institutions by three primary operators. The indication was primary stenosis in 21 patients, recurrent lesions in 15, and immature fistulas in 5. A PCB was used alone in 17 cases, but was followed by a larger standard balloon in 33 cases. Follow-up included ultrasound, flow analysis and urea reductionmore » ratio, and ranged from 2 to 30 months (mean 14 months). Results. The technical success rate was 98%. All procedures were relatively painless. Two PCBs burst and 4 leaked, but without causing any morbidity. Nineteen fistulas were still working at last follow-up. Primary patency rates at 6, 12, and 24 months using Kaplan-Meier analysis were 88%, 73%, and 34%, respectively, and the primary assisted patencies were 90%, 75%, and 50%, respectively. Conclusion. PCB angioplasty has high technical success and low complication rates. The long-term patency rates are favorable for PCB angioplasty and compare favorably with other series.« less

Economic status and temperature-related mortality in Asia

NASA Astrophysics Data System (ADS)

Lim, Youn-Hee; Bell, Michelle L.; Kan, Haidong; Honda, Yasushi; Guo, Yue-Liang Leon; Kim, Ho

2015-10-01

In developed countries, low latitude and high temperature are positively associated with the population's ability to adapt to heat. However, few studies have examined the effect of economic status on the relationship between long-term exposure to high temperature and health. We compared heterogeneous temperature-related mortality effects relative to the average summer temperature in high-socioeconomic-status (SES) cities to temperature-related effects in low-SES cities. In the first stage of the research, we conducted a linear regression analysis to quantify the mortality effects of high temperature (at or above the 95th percentile) in 32 cities in Taiwan, China, Japan, and Korea. In the second stage, we used a meta-regression to examine the association between mortality risk with average summer temperature and gross domestic product (GDP) per capita. In cities with a low GDP per capita (less than 20,000 USD), the effects of temperature were detrimental to the population if the long-term average summer temperature was high. In contrast, in cities with a high GDP per capita, temperature-related mortality risk was not significantly related to average summer temperature. The relationship between long-term average summer temperature and the short-term effects of high temperatures differed based on the city-level economic status.

Long-term effects of bottom trawling on large sponges in the Gulf of Alaska

NASA Astrophysics Data System (ADS)

Malecha, Patrick; Heifetz, Jonathan

2017-11-01

Manipulative studies that characterize short-term effects of bottom trawls on seafloor habitats are numerous, but studies that examine long-term effects are rare. The long-term (13 years) effects of a single bottom trawl on large (>20 cm) erect sponges were investigated by revisiting the site of prior experimental trawling studies. In prior studies, large sponges were assessed immediately after trawling and 1 yr post-trawling. Thirteen years post-trawling, the average density of large sponges was 31.7% lower (range 1.5-53.0%) and the incidence of sponge damage (torn, necrotic, missing tissue, prone) was 58.8% higher within strip transects in trawled versus untrawled reference areas. For all sponge species combined, the mean density of large sponges was 3.19 individuals 100 m-2 in trawled areas and 4.67 individuals 100 m-2 in reference areas. The most abundant sponge species in both trawled and reference areas was Rhabdocalyptus dawsoni. Mean density of this species differed greatly between trawled (1.57 individuals 100 m-2) and reference areas (2.91 individuals 100 m-2). Thirteen years after trawling, the mean percentage of damaged sponges on strip transects was 15.3% in trawled areas and 6.3% in reference areas. The rate of damage in trawled areas was less than that observed both immediately after trawling and 1 year later. The persistence of damage (lower sponge densities and higher rates of injury in trawled areas) and the potential resultant changes to benthic communities where deepwater habitat-forming biota, such as large erect sponges, are present provide rationale for cautious management of the long term effects of bottom trawling.

Observations and 3D hydrodynamics-based modeling of decadal-scale shoreline change along the Outer Banks, North Carolina

USGS Publications Warehouse

Safak, Ilgar; List, Jeffrey; Warner, John C.; Kumar, Nirnimesh

2017-01-01

Long-term decadal-scale shoreline change is an important parameter for quantifying the stability of coastal systems. The decadal-scale coastal change is controlled by processes that occur on short time scales (such as storms) and long-term processes (such as prevailing waves). The ability to predict decadal-scale shoreline change is not well established and the fundamental physical processes controlling this change are not well understood. Here we investigate the processes that create large-scale long-term shoreline change along the Outer Banks of North Carolina, an uninterrupted 60 km stretch of coastline, using both observations and a numerical modeling approach. Shoreline positions for a 24-yr period were derived from aerial photographs of the Outer Banks. Analysis of the shoreline position data showed that, although variable, the shoreline eroded an average of 1.5 m/yr throughout this period. The modeling approach uses a three-dimensional hydrodynamics-based numerical model coupled to a spectral wave model and simulates the full 24-yr time period on a spatial grid running on a short (second scale) time-step to compute the sediment transport patterns. The observations and the model results show similar magnitudes (O(105 m3/yr)) and patterns of alongshore sediment fluxes. Both the observed and the modeled alongshore sediment transport rates have more rapid changes at the north of our section due to continuously curving coastline, and possible effects of alongshore variations in shelf bathymetry. The southern section with a relatively uniform orientation, on the other hand, has less rapid transport rate changes. Alongshore gradients of the modeled sediment fluxes are translated into shoreline change rates that have agreement in some locations but vary in others. Differences between observations and model results are potentially influenced by geologic framework processes not included in the model. Both the observations and the model results show higher rates of erosion (∼−1 m/yr) averaged over the northern half of the section as compared to the southern half where the observed and modeled averaged net shoreline changes are smaller (<0.1 m/yr). The model indicates accretion in some shallow embayments, whereas observations indicate erosion in these locations. Further analysis identifies that the magnitude of net alongshore sediment transport is strongly dominated by events associated with high wave energy. However, both big- and small- wave events cause shoreline change of the same order of magnitude because it is the gradients in transport, not the magnitude, that are controlling shoreline change. Results also indicate that alongshore momentum is not a simple balance between wave breaking and bottom stress, but also includes processes of horizontal vortex force, horizontal advection and pressure gradient that contribute to long-term alongshore sediment transport. As a comparison to a more simple approach, an empirical formulation for alongshore sediment transport is used. The empirical estimates capture the effect of the breaking term in the hydrodynamics-based model, however, other processes that are accounted for in the hydrodynamics-based model improve the agreement with the observed alongshore sediment transport.

Autonomous water sampling for long-term monitoring of trace metals in remote environments.

PubMed

Kim, Hyojin; Bishop, James K B; Wood, Todd J; Fung, Inez Y

2012-10-16

A remotely controlled autonomous method for long-term high-frequency sampling of environmental waters in remote locations is described. The method which preserves sample integrity of dissolved trace metals and major ions for month-long periods employs a gravitational filtration system (GFS) that separates dissolved and particulate phases as samples are collected. The key elements of GFS are (1) a modified "air-outlet" filter holder to maximize filtration rate and thus minimize filtration artifacts; and (2) the direct delivery of filtrate to dedicated bottle sets for specific analytes. Depth and screen filter types were evaluated with depth filters showing best performance. GFS performance is validated using ground, stream, and estuary waters. Over 30 days of storage, samples with GFS treatment had average recoveries of 95 ± 19% and 105 ± 7% of Fe and Mn, respectively; without GFS treatment, average recoveries were only 16% and 18%. Dissolved major cations K, Mg, and Na were stable independent of collection methodology, whereas Ca in some groundwater samples decreased up to 42% without GFS due to CaCO(3) precipitation. In-field performance of GFS equipped autosamplers is demonstrated using ground and streamwater samples collected at the Angelo Coast Range Reserve, California from October 3 to November 4 2011.

Motivations for contralateral prophylactic mastectomy as a function of socioeconomic status.

PubMed

Baptiste, Dadrie F; MacGeorge, Erina L; Venetis, Maria K; Mouton, Ashton; Friley, L Brooke; Pastor, Rebekah; Hatten, Kristen; Lagoo, Janaka; Clare, Susan E; Bowling, Monet W

2017-02-01

Despite no demonstrated survival advantage for women at average risk of breast cancer, rates of contralateral prophylactic mastectomy (CPM) continue to increase. Research reveals women with higher socioeconomic status (SES) are more likely to select CPM. This study examines how indicators of SES, age, and disease severity affect CPM motivations. Patients (N = 113) who underwent CPM at four Indiana University affiliated hospitals completed telephone interviews in 2013. Participants answered questions about 11 CPM motivations and provided demographic information. Responses to motivation items were factor analyzed, resulting in 4 motivational factors: reducing long-term risk, symmetry, avoiding future medical visits, and avoiding treatments. Across demographic differences, reducing long-term risk was the strongest CPM motivation. Lower income predicted stronger motivation to reduce long-term risk and avoid treatment. Older participants were more motivated to avoid treatment; younger and more-educated patients were more concerned about symmetry. Greater severity of diagnosis predicted avoiding treatments. Reducing long-term risk is the primary motivation across groups, but there are also notable differences as a function of age, education, income, and disease severity. To stop the trend of increasing CPM, physicians must tailor patient counseling to address motivations that are consistent across patient populations and those that vary between populations.

Results of a minimally invasive technique for treatment of unicameral bone cysts.

PubMed

Mik, Gökçe; Arkader, Alexandre; Manteghi, Alexander; Dormans, John P

2009-11-01

Unicameral bone cysts are benign bone lesions commonly seen in pediatric patients. Several treatment methods have been described with variable results and high recurrence rates. We previously reported short-term success of a minimally invasive technique that includes combining percutaneous decompression and grafting with medical-grade calcium sulfate pellets. The purpose of this study was to review the additional long-term results with a minimum followup of 24 months (average, 37 months; range, 24-70 months). We identified 55 patients with an average age of 10.8 years (range, 1.3-18 years). Forty-one of 55 lesions occurred in the humerus and femur. Forty-four of 55 (80%) patients had a partial or complete response after initial surgery; of these, seven obtained a partial or complete response after a repeat surgery (cumulative healing rate, 94%). Two patients underwent a third surgery (cumulative healing rate, 98%). One underwent a third repeat surgery (cumulative healing rate, 100%). There were no major complications associated with the procedure. Two patients had a superficial infection that resolved with oral antibiotics. Although some patients required a repeat procedure, complete or partial response at a minimum 24 months' followup was achieved in all patients. Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Implications of estimated magmatic additions and recycling losses at the subduction zones of accretionary (non-collisional) and collisional (suturing) orogens

USGS Publications Warehouse

Scholl, D. W.; von Huene, Roland E.

2009-01-01

Arc magmatism at subduction zones (SZs) most voluminously supplies juvenile igneous material to build rafts of continental and intra-oceanic or island arc (CIA) crust. Return or recycling of accumulated CIA material to the mantle is also most vigorous at SZs. Recycling is effected by the processes of sediment subduction, subduction erosion, and detachment and sinking of deeply underthrust sectors of CIA crust. Long-term (>10-20 Ma) rates of additions and losses can be estimated from observational data gathered where oceanic crust underruns modern, long-running (Cenozoic to mid-Mesozoic) ocean-margin subduction zones (OMSZs, e.g. Aleutian and South America SZs). Long-term rates can also be observationally assessed at Mesozoic and older crust-suturing subduction zone (CSSZs) where thick bodies of CIA crust collided in tectonic contact (e.g. Wopmay and Appalachian orogens, India and SE Asia). At modern OMSZs arc magmatic additions at intra-oceanic arcs and at continental margins are globally estimated at c. 1.5 AU and c. 1.0 AU, respectively (1 AU, or Armstrong Unit,= 1 km3 a-1 of solid material). During collisional suturing at fossil CSSZs, global arc magmatic addition is estimated at 0.2 AU. This assessment presumes that in the past the global length of crustal collision zones averaged c. 6000 km, which is one-half that under way since the early Tertiary. The average long-term rate of arc magmatic additions extracted from modern OMSZs and older CSSZs is thus evaluated at 2.7 AU. Crustal recycling at Mesozoic and younger OMSZs is assessed at c. 60 km3 Ma-1 km-1 (c. 60% by subduction erosion). The corresponding global recycling rate is c. 2.5 AU. At CSSZs of Mesozoic, Palaeozoic and Proterozoic age, the combined upper and lower plate losses of CIA crust via subduction erosion, sediment subduction, and lower plate crustal detachment and sinking are assessed far less securely at c. 115 km3 Ma-1 km-1. At a global length of 6000 km, recycling at CSSZs is accordingly c. 0.7 AU. The collective loss of CIA crust estimated for modern OMSZs and for older CSSZs is thus estimated at c. 3.2 AU. SZ additions (2.7 AU) and subtractions (23.2 AU) are similar. Because many uncertainties and assumptions are involved in assessing and applying them to the deep past, the net growth of CIA crust during at least Phanerozoic time is viewed as effectively nil. With increasing uncertainty, the long-term balance can be applied to the Proterozoic, but not before the initiation of the present style of subduction at c. 3 Ga. Allowing that since this time a rounded-down rate of recycling of 3 AU is applicable, a startlingly high volume of CIA crust equal to that existing now has been recycled to the mantle. Although the recycled volume (c. 9 ?? 109 km3) is small (c. 1%) compared with that of the mantle, it is large enough to impart to the mantle the signature of recycled CIA crust. Because subduction zones are not spatially fixed, and their average global lengths have episodically been less or greater than at present, recycling must have contributed significantly to creating recognized heterogeneities in mantle geochemistry. ?? The Geological Society of London 2009.

Kinetic and microbiological characterization of aerobic granules performing partial nitritation of a low-strength wastewater at 10 °C.

PubMed

Reino, Clara; Suárez-Ojeda, María Eugenia; Pérez, Julio; Carrera, Julián

2016-09-15

A granular airlift reactor enriched in ammonia oxidizing bacteria (AOB) was operated at 10 °C performing stable partial nitritation in the long-term. The reactor treated a synthetic low-strength influent during 250 days with an average nitrogen loading rate of 0.63 ± 0.06 g N L(-1) d(-1). Nitrate production was barely detected, being the average concentration in the effluent of 0.6 ± 0.3 mg N-NO3 L(-1). Furthermore, a suitable effluent for a subsequent reactor performing the anammox process was achieved. A maximum specific growth rate as high as 0.63 ± 0.05 d(-1) was determined by performing kinetic experiments with the granular sludge in a chemostat and fitting the results to the Monod model. Pyrosequencing analysis showed a high enrichment in AOB (41 and 65% of the population were identified as Nitrosomonas genus on day 98 and 233, respectively) and an effective repression of nitrite oxidizing bacteria in the long-term. Pyrosequencing analysis also identified the coexistence of nitrifying bacteria and heterotrophic psychrotolerant microorganisms in the granular sludge. Some psychrotolerant microorganisms are producers of cryoprotective extracellular polymeric substances that could explain the better survival of the whole consortia at cold temperatures. Copyright © 2016 Elsevier Ltd. All rights reserved.

The influence of a season of extreme wet weather events on exposure of the World Heritage Area Great Barrier Reef to pesticides.

PubMed

Kennedy, Karen; Devlin, Michelle; Bentley, Christie; Lee-Chue, Kristie; Paxman, Chris; Carter, Steve; Lewis, Stephen E; Brodie, Jon; Guy, Ellia; Vardy, Suzanne; Martin, Katherine C; Jones, Alison; Packett, Robert; Mueller, Jochen F

2012-07-01

The 2010-2011 wet season was one of extreme weather for the State of Queensland, Australia. Major rivers adjacent to the Great Barrier Reef (GBR) were discharging at rates 1.5 to >3 times higher than their long term median. Exposure to photosystem II herbicides has been routinely monitored over a period of up to 5 years at 12 inshore GBR sites. The influence of this wet season on exposure to photosystem II herbicides was examined in the context of this long-term monitoring record and during flood plume events in specific regions. Median exposures expressed as diuron equivalent concentration were an average factor of 2.3 times higher but mostly not significantly different (p<0.05) to the median for the long-term monitoring record. The herbicides metolachlor and tebuthiuron were frequently detected in flood plume waters at concentrations that reached or exceeded relevant water quality guidelines (by up to 4.5 times). Copyright © 2012 Elsevier Ltd. All rights reserved.

Long term performance studies of large oil-free bakelite resistive plate chamber

NASA Astrophysics Data System (ADS)

Ganai, R.; Roy, A.; Shiroya, M. K.; Agarwal, K.; Ahammed, Z.; Choudhury, S.; Chattopadhyay, S.

2016-09-01

Several high energy physics and neutrino physics experiments worldwide require large-size RPCs to cover wide acceptances. The muon tracking systems in the Iron calorimeter (ICAL) experiment in the India based Neutrino Observatory (INO), India and the near detector in Deep Underground Neutrino Experiment (DUNE) at Fermilab are two such examples. A single gap bakelite RPC of dimension 240 cm × 120 cm, with gas gap of 0.2 cm, has been built and tested at Variable Energy Cyclotron Centre, Kolkata, using indigenous materials procured from the local market. No additional lubricant, like oil has been used on the electrode surfaces for smoothening. The chamber is in operation for > 365 days. We have tested the chamber for its long term operation. The leakage current, bulk resistivity, efficiency, noise rate and time resolution of the chamber have been found to be quite stable during the testing peroid. It has shown an efficiency > 95% with an average time resolution of ~ 0.83 ns at the point of measurement at ~ 8700 V throughout the testing period. Details of the long term performance of the chamber have been discussed.

An examination of the effectiveness of Handwriting Without Tears instruction.

PubMed

Roberts, Gwenyth I; Derkach-Ferguson, Alanna F; Siever, Jodi E; Rose, M Sarah

2014-04-01

Handwriting is an important childhood occupation, and implications of poor handwriting may have significant long-term effects. The purpose of this study was to determine the effectiveness of Handwriting Without Tears (HWT) on Grade I students' handwriting and perception of skills. A cross-over design was used. Repeated measures, at three points, included the Minnesota Handwriting Assessment (MHA) and performance rating scales. Eighty-three boys and 66 girls with an average age of 6.2 years participated in the study. Students receiving HWT achieved significantly higher improvements compared to students with teacher-designed instruction in MHA Total Test Score and in MHA components of form, size, space, and alignment (all p < .05). Students had higher average performance ratings when receiving HWT in the first half of the school year. Instruction using HWT improves students' perception and skill in handwriting performance.

On the Impact Angle of Hurricane Sandy's New Jersey Landfall

NASA Technical Reports Server (NTRS)

Hall, Timothy M.; Sobel, Adam H.

2013-01-01

Hurricane Sandy's track crossed the New Jersey coastline at an angle closer to perpendicular than any previous hurricane in the historic record, one of the factors contributing to recordsetting peak-water levels in parts of New Jersey and New York. To estimate the occurrence rate of Sandy-like tracks, we use a stochastic model built on historical hurricane data from the entire North Atlantic to generate a large sample of synthetic hurricanes. From this synthetic set we calculate that under long-term average climate conditions, a hurricane of Sandy's intensity or greater (category 1+) makes NJ landfall at an angle at least as close to perpendicular as Sandy's at an average annual rate of 0.0014 yr-1 (95% confidence range 0.0007 to 0.0023); i.e., a return period of 714 years (95% confidence range 435 to 1429).

Long-term Outcomes of Mitral Valve Repair Versus Replacement for Degenerative Disease: A Systematic Review

PubMed Central

McNeely, Christian A; Vassileva, Christina M

2015-01-01

The short-term advantage of mitral valve repair versus replacement for degenerative disease has been extensively documented. These advantages include lower operative mortality, improved survival, better preservation of left-ventricular function, shorter post-operative hospital stay, lower total costs, and fewer valve-related complications, including thromboembolism, anticoagulation-related bleeding events and late prosthetic dysfunction. More recent written data are available indicating the long-term advantage of repair versus replacement. While at some institutions, the repair rate for degenerative disease may exceed 90%, the national average in 2007 was only 69%. Making direct comparisons between mitral valve repair and replacement using the available studies does present some challenges however, as there are often differences in baseline characteristics between patient groups as well as other dissimilarities between studies. The purpose of this review is to systematically summarize the long-term survival and reoperation data of mitral valve repair versus replacement for degenerative disease. A PubMed search was done and resulted in 12 studies that met our study criteria for comparing mitral valve repair versus replacement for degenerative disease. A systematic review was then conducted abstracting survival and reoperation data. PMID:25158683

Elections and Deforestation

NASA Astrophysics Data System (ADS)

Sanford, L.

2017-12-01

When do politicians' re-election strategies cause serious environmental damage? This paper focuses on a case of deforestation, and argues that the protection of forested areas is a long-term public good while their destruction provides short-term, private goods for local voters and elected officials. Politicians give voters access to forested areas for commercial use of timber and small-scale farming in exchange for electoral support. I test the theory that competitive elections are associated with higher rates of deforestation using remote sensed satellite data of forest cover and data on national elections cross-nationally. The findings suggest that rates of forest cover loss are 50% higher in anocracies during election years, and more than double the average rate in years when there are competitive elections in anocracies and democracies. This suggests that democratic elections can be an important source of environmental damage, such as deforestation, contrary to the conventional wisdom that democratization improves environmental protection.

Long-term maintenance needs planning.

DOT National Transportation Integrated Search

2005-09-01

This research contributes to Kentucky's knowledge base of long-term maintenance needs in two parts. Part I presents an estimate of the average revenue needed to maintain four categories of highway in the first fifteen years after each is built or res...

Ca isotopes, chemical weathering, and geomorphic controls on long-term climate

NASA Astrophysics Data System (ADS)

Moore, J.; Jacobson, A. D.; Holmden, C. E.; Craw, D.

2009-12-01

Calcium isotope geochemistry (δ44Ca) offers a unique opportunity to directly quantify proportions of riverine Ca originating from silicate versus carbonate weathering, which is essential for understanding how geomorphic processes affecting landscape evolution, such as tectonic uplift and glaciation, influence the long-term cycling of atmospheric CO2. We measured the elemental and δ44Ca chemistry of river and rock samples from the New Zealand Southern Alps. In combination with our geochemical data, we used runoff and suspended sediment fluxes to elucidate relationships between chemical weathering, mechanical erosion, and long-term climate. The S. Alps have uniform bedrock chemistry but significant tectonic and climatic gradients. West of the main topographic divide, watersheds drain schist and experience high runoff, uplift, and erosion rates. East of the main divide, watersheds drain greywacke or schist and experience lower runoff, uplift, and erosion rates. Glaciated watersheds with high erosion rates are present throughout the mountain range. Both schist and greywacke contain up to 3% metamorphic and hydrothermal calcite. Waters exhibit two-component mixing between calcite and silicate end-members when plotted as δ44Ca versus Ca/Sr. Scatter about the mixing curve is generally smaller than the analytical uncertainty of the measurements and likely reflects variability of the end-member compositions rather than fractionation. We used the mixing relationships to calculate percentages of Ca from silicate weathering. Rivers draining greywacke average 27.6% of Ca from silicate weathering with glaciated and non-glaciated watersheds yielding 41.8 and 19.5%, respectively. Rivers draining schist average 9.8% with glaciated and non-glaciated watersheds yielding 17.7 and 3.9%, respectively. Although Ca fluxes are larger west of the main divide where erosion and runoff are higher, the percentage of Ca from silicate weathering is smaller. Hence, long-term atmospheric CO2 consumption rates do not increase linearly with mechanical erosion because erosion continuously exposes fresh calcite. For non-glacial watersheds, δ44Ca and traditional Ca/Na mixing models yield similar results. However, a substantial difference exists for glacial watersheds. We think δ44Ca is a more sensitive tracer as the difference likely reflects glacial communition, which facilitates rapid and non-stoichiometric release of Ca ions from freshly cleaved silicate surfaces.¶ This study demonstrates the utility of using δ44Ca to trace silicate versus carbonate sources of riverine Ca. Our findings support previous contentions that much of the riverine Ca flux emanating from active orogens originates from carbonate weathering, which is not a sink for atmospheric CO2 over geologic timescales. However, our findings also reveal that silicate weathering and atmospheric CO2 consumption rates in glaciated watersheds are higher than previously realized.

A New Geological Slip Rate Estimate for the Calico Fault, Eastern California: Implications for Geodetic Versus Geologic Rate Estimates in the Eastern California Shear Zone

NASA Astrophysics Data System (ADS)

Wetmore, P. H.; Xie, S.; Gallant, E.; Owen, L. A.; Dixon, T. H.

2017-12-01

Fault slip rate is fundamental to accurate seismic hazard assessment. In the Mojave Desert section of the Eastern California Shear Zone previous studies have suggested a discrepancy between short-term geodetic and long-term geologic slip rate estimates. Understanding the origin of this discrepancy could lead to better understanding of stress evolution, and improve earthquake hazard estimates in general. We measured offsets in alluvial fans along the Calico fault near Newberry Springs, California, and used exposure age dating based on the cosmogenic nuclide 10Be to date the offset landforms. We derive a mean slip rate of 3.6 mm/yr, representing an average over the last few hundred thousand years, significantly faster than previous estimates. Considering numerous faults in the Mojave Desert and limited geologic slip rate estimates, it is premature to claim a geologic versus geodetic "discrepancy" for the ECSZ. More slip rate data, from all faults with the ECSZ, are needed to provide a statistically meaningful assessment of the geologic rates for each of the faults comprising the ECSZ.

Long-term youth criminal outcomes in MST transport: the impact of therapist adherence and organizational climate and structure.

PubMed

Schoenwald, Sonja K; Chapman, Jason E; Sheidow, Ashli J; Carter, Rickey E

2009-01-01

This study investigated relations among therapist adherence to an evidence-based treatment for youth with serious antisocial behavior (i.e., Multisystemic Therapy), organizational climate and structure, and youth criminal charges on average 4 years posttreatment. Participants were 1,979 youth and families treated by 429 therapists across 45 provider organizations. Results showed therapist adherence predicted significantly lower rates of youth criminal charges independently and in the presence of organizational variables. Therapist perceptions of job satisfaction and opportunities for growth and advancement relative to the organizational average predicted youth criminal charges, as did organizational average levels of participation in decision making. These associations washed out in the presence of adherence, despite the fact that job satisfaction and growth and advancement were associated with adherence.

A brief educational intervention in personal finance for medical residents.

PubMed

Dhaliwal, Gurpreet; Chou, Calvin L

2007-03-01

Although medical educational debt continues to escalate, residents receive little guidance in financial planning. To educate interns about long-term investment strategies. University-based medicine internship program. An unselected cohort of interns (n = 52; 84% of all interns) underwent a 90-minute interactive seminar on personal finance, focusing on retirement savings. Participants completed a preseminar investor literacy test to assess baseline financial knowledge. Afterward, interns rated the seminar and expressed their intention to make changes to their long-term retirement accounts. After 37 interns had attended the seminar, a survey was administered to all interns to compare actual changes to these accounts between seminar attendees and non-attendees. Interns' average score on the investor literacy test was 40%, equal to the general population. Interns strongly agreed that the seminar was valuable (average 5.0 on 5-point Likert scale). Of the 46 respondents to the account allocation survey, interns who had already attended the seminar (n = 25) were more likely than interns who had not yet attended (n = 21) to have switched their investments from low to high-yield accounts at the university hospital (64 vs 19%, P = 0.003) and to enroll in the county hospital retirement plan (64 vs 33%, P = 0.07). One 90-minute seminar on personal finances leads to significant changes in allocation of tax-deferred retirement savings. We calculate that these changes can lead to substantial long-term financial benefits and suggest that programs consider automatically enrolling trainees into higher yield retirement plans.

Cosmic-ray record in solar system matter

NASA Technical Reports Server (NTRS)

Reedy, R. C.; Arnold, J. R.; Lal, D.

1983-01-01

The interaction of galactic cosmic rays (GCR) and solar cosmic rays (SCR) with bodies in the solar system is discussed, and what the record of that interaction reveals about the history of the solar system is considered. The influence of the energy, charge, and mass of the particles on the interaction is addressed, showing long-term average fluxes of solar protons, predicted production rates for heavy-nuclei tracks and various radionuclides as a function of depth in lunar rock, and integral fluxes of protons emitted by solar flares. The variation of the earth's magnetic field, the gardening of the lunar surface, and the source of meteorites and cosmic dust are studied using the cosmic ray record. The time variation of GCR, SCR, and VH and VVH nuclei is discussed for both the short and the long term.

Relations of long-term and contemporary lipid levels and lipid genetic risk scores with coronary artery calcium in the framingham heart study.

PubMed

Tsao, Connie W; Preis, Sarah Rosner; Peloso, Gina M; Hwang, Shih-Jen; Kathiresan, Sekar; Fox, Caroline S; Cupples, L Adrienne; Hoffmann, Udo; O'Donnell, Christopher J

2012-12-11

This study evaluated the association of timing of lipid levels and lipid genetic risk score (GRS) with subclinical atherosclerosis. Atherosclerosis is a slowly progressive disorder influenced by suboptimal lipid levels. Long-term versus contemporary lipid levels may more strongly impact the development of coronary artery calcium (CAC). Framingham Heart Study (FHS) Offspring Cohort participants (n = 1,156, 44% male, 63 ± 9 years) underwent serial fasting lipids (low-density lipoprotein cholesterol [LDL-C], high-density lipoprotein, and triglycerides), Exam 1 (1971 to 1975) to Exam 7 (1998 to 2001). FHS Third Generation Cohort participants (n = 1,954, 55% male, 45 ± 6 years) had fasting lipid profiles assessed, 2002 to 2005. Computed tomography (2002 to 2005) measured CAC. Lipid GRSs were computed from significantly associated single-nucleotide polymorphisms. The association between early, long-term average, and contemporary lipids, and lipid GRS with elevated CAC was assessed using logistic regression. In FHS Offspring, Exam 1 and long-term average as compared with Exam 7 lipid measurements, including untreated lipid levels, were strongly associated with elevated CAC. In the FHS Third Generation, contemporary lipids were associated with CAC. The LDL-C GRS was associated with CAC (age-/sex-adjusted odds ratio: 1.14, 95% confidence interval: 1.00 to 1.29, p = 0.04). However, addition of the GRS to the lipid models did not result in a significant increase in the odds ratio or C-statistic for any lipid measure. Early and long-term average lipid levels, as compared with contemporary measures, are more strongly associated with elevated CAC. Lipid GRS was associated with lipid levels but did not predict elevated CAC. Adult early and long-term average lipid levels provide important information when assessing subclinical atherosclerosis and cardiovascular risk. Copyright © 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

26 CFR 1.989(b)-1 - Definition of weighted average exchange rate.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 10 2010-04-01 2010-04-01 false Definition of weighted average exchange rate. 1... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Export Trade Corporations § 1.989(b)-1 Definition of weighted average exchange rate. For purposes of section 989(b)(3) and (4), the term “weighted average exchange rate...

Long-term mesalamine maintenance in ulcerative colitis: which is more important? Adherence or daily dose.

PubMed

Khan, Nabeel; Abbas, Ali M; Koleva, Yordanka N; Bazzano, Lydia A

2013-05-01

There are limited data about the long-term follow-up of patients with ulcerative colitis (UC) maintained on high versus low doses of mesalamine. We evaluated the best long-term average daily dose that would keep the disease in remission. Nationwide ulcerative colitis data were obtained from the Veterans Affairs health care system for the period 2001 to 2011. Those who started mesalamine maintenance during this period were included. Average daily dose and the level of adherence were assessed for the period between the first mesalamine dispense and the date of first flare defined as the first filling of 40 mg/day or more of oral prednisone or any dose of intravenous steroids. Patients with ulcerative colitis maintained on an average daily dose 2.4 to 2.8 g/day (low dose) were compared with 4.4 to 4.8 g/day (high dose). Adherence was assessed using continuous single interval medication availability indicator. We included 4452 patients with a median follow-up of 6 years. There was no significant reduction in the risk of flares when comparing high versus low average mesalamine dose among patients with high [hazard ratio = 0.96, P = 0.8)] and medium (hazard ratio = 0.74, P = 0.17) adherence. However, there was a significant reduction in the risk of flares with high dose of mesalamine among patients with low adherence (hazard ratio = 0.28, P = 0.003). Our data show that when starting a patient on mesalamine, there is no difference in the long-term flare risk between low versus high average daily dose as long as the patients have a high to moderate level of adherence.

Percutaneous Treatment of Central Venous Stenosis in Hemodialysis Patients: Long-Term Outcomes

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

Kim, Young Chul; Won, Jong Yun, E-mail: jywon@yumc.yonsei.ac.kr; Choi, Sun Young

2009-03-15

The purpose of this study was to evaluate the long-term outcomes of endovascular treatment of central venous stenosis in patients with arteriovenous fistulas (AVFs) for hemodialysis. Five hundred sixty-three patients with AVFs who were referred for a fistulogram were enrolled in this study. Among them, 44 patients showed stenosis (n = 35) or occlusions (n = 9) in the central vein. For the initial treatment, 26 patients underwent percutaneous transluminal angioplasty (PTA) and 15 patients underwent stent placements. Periods between AVF formation and first intervention ranged from 3 to 144 months. Each patient was followed for 14 to 60 months.more » Procedures were successful in 41 of 44 patients (93.2%). Primary patency rates for PTA at 12 and 36 months were 52.1% and 20.0%, and assisted primary patency rates were 77.8% and 33.3%, respectively. Primary patency rates for stent at 12 and 36 months were 46.7% and 6.7%, and assisted primary patency rates were 60.0% and 20.0%, respectively. Fifteen of 26 patients with PTAs underwent repeated interventions because of restenosis. Fourteen of 15 patients with a stent underwent repeated interventions because of restenosis and combined migration (n = 1) and shortening (n = 6) of the first stent. There was no significant difference in patency between PTAs and stent placement (p > 0.05). Average AVF patency duration was 61.8 months and average number of endovascular treatments was 2.12. In conclusion, endovascular treatments of central venous stenosis could lengthen the available period of AVFs. There was no significant difference in patency between PTAs and stent placement.« less

Temporal and spatial patterns of sedimentation within the batture lands of the middle Mississippi River, USA

NASA Astrophysics Data System (ADS)

Remo, Jonathan W. F.; Ryherd, Julia; Ruffner, Charles M.; Therrell, Matthew D.

2018-05-01

Sediment deposition and storage are important functions of batture lands (the land between the channel's low-water elevation and the flood mitigation levee). However, sedimentation processes within these areas are not fully understood. In this paper, we explore the spatiotemporal patterns, rates, and volume of sedimentation within the batture lands along the middle Mississippi River (MMR; between the confluence of the Missouri and Ohio rivers) using three approaches: (1) comparison of historical to modern elevation data in order to estimate long-term (>100 yr) sedimentation rates; (2) estimation of medium- to short-term (<50 yr) sedimentation rates using dendrogeomorphological methods; and (3) geomorphic change detection (GCD) software to estimate short-term sedimentation rates ( 12 yr), spatial patterns of deposition, and volumes of geomorphic change within the batture lands. Comparison of long- to short-term sedimentation rates suggests up to a 300% increase in batture land sedimentation rates (from 6.2 to 25.4 mm yr-1) despite a substantial decrease in the MMR's suspended-sediment load (>70%) attributed largely to sediment trapping by dams during the second half of the twentieth century. The increase in MMR batture land sedimentation rates are attributed to at least two potential mechanisms: (1) the above average frequency and duration of low-magnitude floods (>2-yr and ≤5-yr flood) during the short-term assessment periods which allowed for more suspended sediment to be deposited within the batture lands; and (2) the construction of levees that substantially reduced the floodplain area ( 75%) available for storage of overbank deposits increasing the vertical accumulation and consequently the detectability of a given volume of sediment. The GCD estimated batture land sediment volumes were 9.0% of the suspended load at St. Louis. This substantial storage of sediment ( 8.5 Mt yr-1) along the MMR suggests batture lands are an important sink for suspended sediments.

Comparing mean high water and high water line shorelines: Should prosy-datum offsets be incorporated into shoreline change analysis?

USGS Publications Warehouse

Moore, L.J.; Ruggiero, P.; List, J.H.

2006-01-01

More than one type of shoreline indicator can be used in shoreline change analyses, and quantifying the effects of this practice on the resulting shoreline change rates is important. Comparison of three high water line (proxy-based) shorelines and a mean high water intercept (datum-based) shoreline collected from simultaneous aerial photographic and lidar surveys of a relatively steep reflective beach (tan ?? = 0.07), which experiences a moderately energetic wave climate (annual average Hs = 1.2 m), reveals an average horizontal offset of 18.8 m between the two types of shoreline indicators. Vertical offsets are also substantial and are correlated with foreshore beach slope and corresponding variations in wave runup. Incorporating the average horizontal offset into both a short-term, endpoint shoreline change analysis and a long-term, linear regression analysis causes rates to be shifted an average of -0.5 m/y and -0.1 m/y, respectively. The rate shift increases with increasing horizontal offset and decreasing measurement intervals and, depending on the rapidity of shoreline change rates, is responsible for varying degrees of analysis error. Our results demonstrate that under many circumstances, the error attributable to proxy-datum offsets is small relative to shoreline change rates and thus not important. Furthermore, we find that when the error associated with proxy-datum offsets is large enough to be important, the shoreline change rates themselves are not likely to be significant. A total water level model reveals that the high water line digitized by three independent coastal labs for this study was generated by a combination of large waves and a high tide several days before the collection of aerial photography. This illustrates the complexity of the high water line as a shoreline indicator and calls into question traditional definitions, which consider the high water line a wetted bound or "marks left by the previous high tide.".

The Potato Cryobank at The International Potato Center (Cip): A Model for Long Term Conservation of Clonal Plant Genetic Resources Collections of the Future.

PubMed

Vollmer, R; Villagaray, R; Egusquiza, V; Espirilla, J; García, M; Torres, A; Rojas, E; Panta, A; Barkley, N A; Ellis, D

Cryobanks are a secure, efficient and low cost method for the long-term conservation of plant genetic resources for theoretically centuries or millennia with minimal maintenance. The present manuscript describes CIP's modified protocol for potato cryopreservation, its large-scale application, and the establishment of quality and operational standards, which included a viability reassessment of material entering the cryobank. In 2013, CIP established stricter quality and operational standards under which 1,028 potato accessions were cryopreserved with an improved PVS2-droplet protocol. In 2014 the viability of 114 accessions cryopreserved in 2013 accessions were reassessed. The average recovery rate (full plant recovery after LN exposure) of 1028 cryopreserved Solanum species ranged from 34 to 59%, and 70% of the processed accessions showed a minimum recovery rate of ≥20% and were considered as successfully cryopreserved. CIP has established a new high quality management system for cryobanking. Periodic viability reassessment, strict and clear recovery criteria and the monitoring of the percent of successful accessions meeting the criteria as well as contamination rates are metrics that need to be considered in cryobanks.

Comparison of 39 post-traumatic tibia bone transports performed with and without the use of an intramedullary rod: the long-term outcomes.

PubMed

Liodakis, Emmanouil; Kenawey, Mohamed; Krettek, Christian; Wiebking, Ulrich; Hankemeier, Stefan

2011-09-01

Bone transport can be performed with an external fixator alone or with the monorail technique which entails the combination of a fixator and an intramedullary nail. The purpose of this study was to compare the complication rates and long-term outcomes of these methods. Two groups of patients, the external fixator (n = 21) and the monorail group (n = 18), were compared. The average follow-up period was 7.9 ± 5.6 years and the mean defect length 8.3 ± 3.1 cm. Healing was achieved in 19 (90%) and 13 (72%) of the fixator and monorail patients, respectively. Six patients underwent amputations because of persistent infections (two in the fixator and four in the monorail group). The rate of deformities was significantly higher in the fixator group (p = 0.049). No statistically significant difference was found when comparing categories of the SF-36 test or the ability to work or do sports. The main advantages of the monorail method are reduction of the external fixation time and the lower rate of deformities. However, the authors recommend segmental transport with external fixator in patients with chronic infections.

The family environment predicts long-term academic achievement and classroom behavior following traumatic brain injury in early childhood.

PubMed

Durber, Chelsea M; Yeates, Keith Owen; Taylor, H Gerry; Walz, Nicolay Chertkoff; Stancin, Terry; Wade, Shari L

2017-07-01

This study examined how the family environment predicts long-term academic and behavioral functioning in school following traumatic brain injury (TBI) in early childhood. Using a concurrent cohort, prospective design, 15 children with severe TBI, 39 with moderate TBI, and 70 with orthopedic injury (OI) who were injured when they were 3-7 years of age were compared on tests of academic achievement and parent and teacher ratings of school performance and behavior on average 6.83 years postinjury. Soon after injury and at the longer term follow-up, families completed measures of parental psychological distress, family functioning, and quality of the home environment. Hierarchical linear regression analyses examined group differences in academic outcomes and their associations with measures of the early and later family environment. The severe TBI group, but not the moderate TBI group, performed worse than did the OI group on all achievement tests, parent ratings of academic performance, and teacher ratings of internalizing problems. Higher quality early and late home environments predicted stronger academic skills and better classroom behavior for children with both TBI and OI. The early family environment more consistently predicted academic achievement, whereas the later family environment more consistently predicted classroom functioning. The quality of the home environment predicted academic outcomes more strongly than did parental psychological distress or family functioning. TBI in early childhood has long-term consequences for academic achievement and school performance and behavior. Higher quality early and later home environments predict better school outcomes for both children with TBI and children with OI. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Evaluation of a gully headcut retreat model using multitemporal aerial photographs and digital elevation models

NASA Astrophysics Data System (ADS)

Campo-Bescós, M. A.; Flores-Cervantes, J. H.; Bras, R. L.; Casalí, J.; Giráldez, J. V.

2013-12-01

large fraction of soil erosion in temperate climate systems proceeds from gully headcut growth processes. Nevertheless, headcut retreat is not well understood. Few erosion models include gully headcut growth processes, and none of the existing headcut retreat models have been tested against long-term retreat rate estimates. In this work the headcut retreat resulting from plunge pool erosion in the Channel Hillslope Integrated Landscape Development (CHILD) model is calibrated and compared to long-term evolution measurements of six gullies at the Bardenas Reales, northeast Spain. The headcut retreat module of CHILD was calibrated by adjusting the shape factor parameter to fit the observed retreat and volumetric soil loss of one gully during a 36 year period, using reported and collected field data to parameterize the rest of the model. To test the calibrated model, estimates by CHILD were compared to observations of headcut retreat from five other neighboring gullies. The differences in volumetric soil loss rates between the simulations and observations were less than 0.05 m3 yr-1, on average, with standard deviations smaller than 0.35 m3 yr-1. These results are the first evaluation of the headcut retreat module implemented in CHILD with a field data set. These results also show the usefulness of the model as a tool for simulating long-term volumetric gully evolution due to plunge pool erosion.

Solar radiation and landscape evolution: co-evolution of topography, vegetation, and erosion rates in a semi-arid ecosystem

NASA Astrophysics Data System (ADS)

Istanbulluoglu, Erkan; Yetemen, Omer

2016-04-01

In this study CHILD landscape evolution model (LEM) is used to study the role of solar radiation on the co-evolution of landscape morphology, vegetation patterns, and erosion rates in a central New Mexico catchment. In the study site north facing slopes (NFS) are characterized by steep diffusion-dominated planar hillslopes covered by co-exiting juniper pine and grass vegetation. South facing slopes (SFS) are characterized by shallow slopes and covered by sparse shrub vegetation. Measured short-term and Holocene-averaged erosion rates show higher soil loss on SFS than NFS. In this study CHILD LEM is first confirmed with ecohydrologic field data and used to systematically examine the co-evolution of topography, vegetation pattern, and erosion rates. Aspect- and network-control are identified as the two main topographic drivers of soil moisture and vegetation organization on the landscape. Landscape-scale and long-term implications of solar radiation driven ecohdrologic patterns emerged in modeled landscape: NFS supported denser vegetation cover and became steeper and planar, while on SFS vegetation grew sparser and slopes declined with more fluvial activity. At the landscape scale, these differential erosion processes led to asymmetric development of catchment forms, consistent with regional observations. While the general patterns of vegetation and topography were reproduced by the model using a stationary representation of the current climate, the observed differential Holocene erosion rates were captured by the model only when cyclic climate is used. This suggests sensitivity of Holocene erosion rates to long-term climate fluctuations.

Academic skills in the long term after epilepsy surgery in childhood.

PubMed

Puka, Klajdi; Smith, Mary Lou

2016-09-01

We evaluated the progression of academic skills in a cohort of patients who underwent, or were considered for, epilepsy surgery in childhood, four to eleven years before. The few existing studies that have evaluated cognitive function in the long term after surgery have examined intelligence and memory. Participants were 97 patients with childhood-onset intractable epilepsy; 61 had undergone resective epilepsy surgery. Participants completed standardized tests of reading, spelling, arithmetic, and intelligence at baseline and, on average, 7years after. Surgical patients were additionally assessed one year postsurgery. At baseline and long-term follow-up, 61% and 69% of patients, respectively, scored at least one standard deviation below normative data in at least one academic domain. Evaluation of change over time while controlling for IQ showed that arithmetic scores were lower at long-term follow-up in comparison with those at baseline among all patient groups, whereas reading and spelling scores remained unchanged. Few advantages were associated with seizure control. Multiple regression analyses found that older age at surgery, cessation of antiepileptic medications, improved IQ, and low baseline scores were independently associated with improvement in some academic domains among all patient groups. We found that arithmetic scores were lower at long-term follow-up, suggesting a lack of ongoing development or deterioration in skills. Reading and spelling scores remained stable suggesting that patients made gains in abilities at a rate expected for their increase in age; this finding contrasts with recent short-term outcome studies identifying significantly lower scores over time in these areas. Copyright © 2016 Elsevier Inc. All rights reserved.

[Attention therapy for children - long-term affects of the ATTENTIONER].

PubMed

Jacobs, Claus; Petermann, Franz

2008-11-01

A high percentage of children are affected by attention deficit disorders. For a large proportion the cardinal symptom is inattention; in particular, deficits in selective attention prevail. The ATTENTIONER offers an effective training method for the treatment of selective attention deficit. In 2007, long-term effects of therapy were already reported by Jacobs and Petermann, who examined children ten weeks after therapy on average. In the current study three measurements were conducted: pre-intervention, post-intervention, and at follow-up ten to 76 months after post-intervention. Significant long-term effects on measures of selective attention were observed. At follow-up the majority of patients achieved average results which were not clinically relevant. For most children stable therapy effects can be achieved with the ATTENTIONER.

Excluded Facility Financial Status and Options for Payment System Modification

PubMed Central

Schneider, John E.; Cromwell, Jerry; McGuire, Thomas P.

1993-01-01

Psychiatric, rehabilitation, long-term care, and children's facilities have remained under the reimbursement system established under the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 (Public Law 97-248). The number of TEFRA facilities and discharges has been increasing while their average profit rates have been steadily declining. Modifying TEFRA would require either rebasing the target amount or adjusting cost sharing for facilities exceeding their cost target. Based on our simulations of alternative payment systems, we recommend rebasing facilities' target amounts using a 50/50 blend of own costs and national average costs. Cost sharing above the target amount could be increased to include more government sharing of losses. PMID:10135345

Energy laws in human travel behaviour

NASA Astrophysics Data System (ADS)

Kölbl, Robert; Helbing, Dirk

2003-05-01

We show that energy concepts can contribute to the understanding of human travel behaviour. First, the average journey times for different modes of transport are inversely proportional to the energy consumption rates measured for the respective human physical activities. Second, when daily travel-time distributions for different modes of transport such as walking, cycling, bus or car travel are appropriately scaled, they turn out to have a universal functional relationship. This corresponds to a canonical-like energy distribution with exceptions for short trips, which can be theoretically explained. Combined, this points to a law of constant average energy consumption for the physical activity of daily travel. Applying these natural laws could help to improve long-term urban and transport planning.

Effects of Parameter Uncertainty on Long-Term Simulations of Lake Alkalinity

NASA Astrophysics Data System (ADS)

Lee, Sijin; Georgakakos, Konstantine P.; Schnoor, Jerald L.

1990-03-01

A first-order second-moment uncertainty analysis has been applied to two lakes in the Adirondack Park, New York, to assess the long-term response of lakes to acid deposition. Uncertainty due to parameter error and initial condition error was considered. Because the enhanced trickle-down (ETD) model is calibrated with only 3 years of field data and is used to simulate a 50-year period, the uncertainty in the lake alkalinity prediction is relatively large. When a best estimate of parameter uncertainty is used, the annual average alkalinity is predicted to be -11 ±28 μeq/L for Lake Woods and 142 ± 139 μeq/L for Lake Panther after 50 years. Hydrologic parameters and chemical weathering rate constants contributed most to the uncertainty of the simulations. Results indicate that the uncertainty in long-range predictions of lake alkalinity increased significantly over a 5- to 10-year period and then reached a steady state.

A new 1649-1884 catalog of destructive earthquakes near Tokyo and implications for the long-term seismic process

USGS Publications Warehouse

Grunewald, E.D.; Stein, R.S.

2006-01-01

In order to assess the long-term character of seismicity near Tokyo, we construct an intensity-based catalog of damaging earthquakes that struck the greater Tokyo area between 1649 and 1884. Models for 15 historical earthquakes are developed using calibrated intensity attenuation relations that quantitatively convey uncertainties in event location and magnitude, as well as their covariance. The historical catalog is most likely complete for earthquakes M ??? 6.7; the largest earthquake in the catalog is the 1703 M ??? 8.2 Genroku event. Seismicity rates from 80 years of instrumental records, which include the 1923 M = 7.9 Kanto shock, as well as interevent times estimated from the past ???7000 years of paleoseismic data, are combined with the historical catalog to define a frequency-magnitude distribution for 4.5 ??? M ??? 8.2, which is well described by a truncated Gutenberg-Richter relation with a b value of 0.96 and a maximum magnitude of 8.4. Large uncertainties associated with the intensity-based catalog are propagated by a Monte Carlo simulation to estimations of the scalar moment rate. The resulting best estimate of moment rate during 1649-2003 is 1.35 ?? 1026 dyn cm yr-1 with considerable uncertainty at the 1??, level: (-0.11, + 0.20) ?? 1026 dyn cm yr-1. Comparison with geodetic models of the interseismic deformation indicates that the geodetic moment accumulation and likely moment release rate are roughly balanced over the catalog period. This balance suggests that the extended catalog is representative of long-term seismic processes near Tokyo and so can be used to assess earthquake probabilities. The resulting Poisson (or time-averaged) 30-year probability for M ??? 7.9 earthquakes is 7-11%.

76 FR 19034 - Multilayered Wood Flooring From the People's Republic of China: Preliminary Affirmative...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-06

... our discount rate, the long-term interest rate calculated according to the methodology described below for the year in which the government agreed to provide the subsidy. Short-Term RMB Interest Rate... rate the following, in order of preference: (A) The cost of long-term, fixed-rate loans of the firm in...

Effects of internet-based cognitive behavioural therapy and physical exercise on sick leave and employment in primary care patients with depression: two subgroup analyses.

PubMed

Kaldo, Viktor; Lundin, Andreas; Hallgren, Mats; Kraepelien, Martin; Strid, Catharina; Ekblom, Örjan; Lavebratt, Catharina; Lindefors, Nils; Öjehagen, Agneta; Forsell, Yvonne

2018-01-01

Depression can negatively impact work capacity, but treatment effects on sick leave and employment are unclear. This study evaluates if internet-based cognitive behavioural therapy (ICBT) or physical exercise (PE), with already reported positive effects on clinical outcome and short-term work ability, has better effects on employment, sick leave and long-term work ability compared with treatment as usual (TAU) for depressed primary care patients (German clinical trials: DRKS00008745). After randomisation and exclusion of patients not relevant for work-related analysis, patients were divided into two subgroups: initially unemployed (total n=118) evaluated on employment, and employed (total n=703) evaluated on long-term sick leave. Secondary outcomes were self-rated work ability and average number of sick days per month evaluated for both subgroups. Assessments (self-reports) were made at baseline and follow-up at 3 and 12 months. For the initially unemployed subgroup, 52.6% were employed after 1 year (response rate 82%). Both PE (risk ratio (RR)=0.44; 95% CI 0.23 to 0.87) and ICBT (RR=0.37; 95% CI 0.16 to 0.84) showed lower rates compared with TAU after 3 months, but no difference was found after 1 year (PE: RR=0.97; 95% CI 0.69 to 1.57; ICBT: RR=1.23; 95% CI 0.72 to 2.13). For those with initial employment, long-term sick leave (response rate 75%) decreased from 7.8% to 6.5%, but neither PE (RR=1.4; 95% CI 0.52 to 3.74) nor ICBT (RR=0.99; 95% CI 0.39 to 2.46) decreased more than TAU, although a temporary positive effect for PE was found. All groups increased self-rated work ability with no differences found. No long-term effects were found for the initially unemployed on employment status or for the initially employed on sick leave. New types of interventions need to be explored. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Water Budget of East Maui, Hawaii

USGS Publications Warehouse

Shade, Patricia J.

1999-01-01

Ground-water recharge is estimated from six monthly water budgets calculated using long-term average rainfall and streamflow data, estimated pan-evaporation and fog-drip data, and soil characteristics. The water-budget components are defined seasonally, through the use of monthly data, and spatially by broad climatic and geohydrologic areas, through the use of a geographic information system model. The long-term average water budget for east Maui was estimated for natural land-use conditions. The average rainfall, fog-drip, runoff, evapotranspiration, and ground-water recharge volumes for the east Maui study area are 2,246 Mgal/d, 323 Mgal/d, 771 Mgal/d, 735 Mgal/d, and 1,064 Mgal/d, respectively.

Carbon accumulation in a permafrost polygon peatland: steady long-term rates in spite of shifts between dry and wet conditions.

PubMed

Gao, Yang; Couwenberg, John

2015-02-01

Ice-wedge polygon peatlands contain a substantial part of the carbon stored in permafrost soils. However, little is known about their long-term carbon accumulation rates (CAR) in relation to shifts in vegetation and climate. We collected four peat profiles from one single polygon in NE Yakutia and cut them into contiguous 0.5 cm slices. Pollen density interpolation between AMS (14)C dated levels provided the time span contained in each of the sample slices, which--in combination with the volumetric carbon content--allowed for the reconstruction of CAR over decadal and centennial timescales. Vegetation representing dry palaeo-ridges and wet depressions was reconstructed with detailed micro- and macrofossil analysis. We found repeated shifts between wet and dry conditions during the past millennium. Dry ridges with associated permafrost growth originated during phases of (relatively) warm summer temperature and collapsed during relatively cold phases, illustrating the important role of vegetation and peat as intermediaries between ambient air temperature and the permafrost. The average long-term CAR across the four profiles was 10.6 ± 5.5 g C m(-2) yr(-1). Time-weighted mean CAR did not differ significantly between wet depression and dry ridge/hummock phases (10.6 ± 5.2 g C m(-2) yr(-1) and 10.3 ± 5.7 g C m(-2) yr(-1), respectively). Although we observed increased CAR in relation to warm shifts, we also found changes in the opposite direction and the highest CAR actually occurred during the Little Ice Age. In fact, CAR rather seems to be governed by strong internal feedback mechanisms and has roughly remained stable on centennial time scales. The absence of significant differences in CAR between dry ridge and wet depression phases suggests that recent warming and associated expansion of shrubs will not affect long-term rates of carbon burial in ice-wedge polygon peatlands. © 2014 John Wiley & Sons Ltd.

Depletion and capture: revisiting "the source of water derived from wells".

PubMed

Konikow, L F; Leake, S A

2014-09-01

A natural consequence of groundwater withdrawals is the removal of water from subsurface storage, but the overall rates and magnitude of groundwater depletion and capture relative to groundwater withdrawals (extraction or pumpage) have not previously been well characterized. This study assesses the partitioning of long-term cumulative withdrawal volumes into fractions derived from storage depletion and capture, where capture includes both increases in recharge and decreases in discharge. Numerical simulation of a hypothetical groundwater basin is used to further illustrate some of Theis' (1940) principles, particularly when capture is constrained by insufficient available water. Most prior studies of depletion and capture have assumed that capture is unconstrained through boundary conditions that yield linear responses. Examination of real systems indicates that capture and depletion fractions are highly variable in time and space. For a large sample of long-developed groundwater systems, the depletion fraction averages about 0.15 and the capture fraction averages about 0.85 based on cumulative volumes. Higher depletion fractions tend to occur in more arid regions, but the variation is high and the correlation coefficient between average annual precipitation and depletion fraction for individual systems is only 0.40. Because 85% of long-term pumpage is derived from capture in these real systems, capture must be recognized as a critical factor in assessing water budgets, groundwater storage depletion, and sustainability of groundwater development. Most capture translates into streamflow depletion, so it can detrimentally impact ecosystems. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

Historical and projected climate in the Northern Rockies Region [Chapter 3

Treesearch

Linda A. Joyce; Marian Talbert; Darrin Sharp; Jeffrey Morisette; John Stevenson

2018-01-01

Climate influences the ecosystem services we obtain from forest and rangelands. Climate is described by the long-term characteristics of precipitation, temperature, wind, snowfall, and other measures of weather that occur over a long period in a particular place, and is typically expressed as long-term average conditions. Resource management practices are implemented...

Carbon and sediment accumulation in the Everglades (USA) during the past 4000 years: rates, drivers, and sources of error

USGS Publications Warehouse

Glaser, Paul H.; Volin, John C.; Givnish, Thomas J.; Hansen, Barbara C. S.; Stricker, Craig A.

2012-01-01

Tropical and sub-tropical wetlands are considered to be globally important sources for greenhouse gases but their capacity to store carbon is presumably limited by warm soil temperatures and high rates of decomposition. Unfortunately, these assumptions can be difficult to test across long timescales because the chronology, cumulative mass, and completeness of a sedimentary profile are often difficult to establish. We therefore made a detailed analysis of a core from the principal drainage outlet of the Everglades of South Florida, to assess these problems and determine the factors that could govern carbon accumulation in this large sub-tropical wetland. Accelerator mass spectroscopy dating provided direct evidence for both hard-water and open-system sources of dating errors, whereas cumulative mass varied depending upon the type of method used. Radiocarbon dates of gastropod shells, nevertheless, seemed to provide a reliable chronology for this core once the hard-water error was quantified and subtracted. Long-term accumulation rates were then calculated to be 12.1 g m-2 yr-1 for carbon, which is less than half the average rate reported for northern and tropical peatlands. Moreover, accumulation rates remained slow and relatively steady for both organic and inorganic strata, and the slow rate of sediment accretion ( 0.2 mm yr-1) tracked the correspondingly slow rise in sea level (0.35 mm yr-1 ) reported for South Florida over the past 4000 years. These results suggest that sea level and the local geologic setting may impose long-term constraints on rates of sediment and carbon accumulation in the Everglades and other wetlands.

Early pediatric antiepileptic drug nonadherence is related to lower long-term seizure freedom.

PubMed

Modi, Avani C; Rausch, Joseph R; Glauser, Tracy A

2014-02-25

To examine the relationship between previously identified nonadherence trajectories during the first 6 months of antiepileptic drug (AED) therapy and long-term seizure-free rates (defined as ≥1 year of seizure freedom at the 4 years postdiagnosis milestone) in a cohort of children with newly diagnosed epilepsy. A prospective longitudinal observational study of AED adherence and seizure freedom in a consecutive cohort of 124 children (ages 2-12 years) with newly diagnosed epilepsy was conducted. The association between previously identified AED adherence trajectories (i.e., near-perfect adherence [e.g., average adherence = 96.8%] vs nonadherent) and seizure freedom for ≥1 year at the 4 years postdiagnosis milestone was determined. Children who exhibited nonadherence to AED therapy in the first 6 months of treatment were 3.24 times more likely not to have achieved ≥1 year of seizure freedom at the 4 years postdiagnosis milestone compared to children in the near-perfect adherence group (χ² = 5.13; p = 0.02). Specifically, at the 4 years postdiagnosis milestone, only 12% of children in the near-perfect adherence group were continuing to experience seizures compared to 31% of children in the nonadherent group. Children with epilepsy who achieved near-perfect adherence during the first 6 months of therapy experienced a higher rate of seizure freedom 4 years postdiagnosis compared with those children who demonstrated early nonadherence. This suggests that adherence intervention early in the course of treatment could play a role in improving long-term seizure freedom rates in children with epilepsy.

Long-term coital behaviour in women treated with cognitive behaviour therapy for superficial coital pain and vaginismus.

PubMed

Engman, Maria; Wijma, Klaas; Wijma, Barbro

2010-01-01

The purpose of the present study was to investigate long-term coital behaviour in women treated with cognitive behaviour therapy (CBT) for superficial coital pain and vaginismus. Data were taken from a questionnaire concerning long-term coital behaviour sent to 59 women who presented to Linköping University Hospital because of superficial coital pain, had been diagnosed with vaginismus, and had been treated with CBT. Data were also traced from therapy records: mean follow-up time was 39 months, the women had suffered for an average of almost 4 years, and required a mean of 14 treatment sessions. Forty-four of the 59 women returned the questionnaire, for a response rate of 74.6%. At follow-up, 81% of the treated women had had intercourse. A majority (61%) rated their ability to have intercourse without pain as 6 or higher (on a scale from 0-10), and 61% rated their ability to enjoy intercourse as 6 or higher (on a scale from 0-10). The proportion of women with positive treatment outcome at follow-up ranged from 81% (able to have intercourse) to 6% (able to have pain-free intercourse). An ability to have intercourse at end of therapy was maintained at follow-up. Two-thirds of the women reported high fulfillment of individual treatment goals. At follow-up, the women estimated a significantly higher self-worth as sex partners, and as women and human beings, than before treatment. Twelve per cent of the original sample had healed after a few assessment sessions and without treatment.

Percutaneous tracheostomy in patients with cervical spine fractures--feasible and safe.

PubMed

Ben Nun, Alon; Orlovsky, Michael; Best, Lael Anson

2006-08-01

The aim of this study is to evaluate the short and long-term results of percutaneous tracheostomy in patients with documented cervical spine fracture. Between June 2000 and September 2005, 38 consecutive percutaneous tracheostomy procedures were performed on multi-trauma patients with cervical spine fracture. Modified Griggs technique was employed at the bedside in the general intensive care department. Staff thoracic surgeons and anesthesiologists performed all procedures. Demographics, anatomical conditions, presence of co-morbidities and complication rates were recorded. The average operative time was 10 min (6-15). Two patients had minor complications. One patients had minor bleeding (50 cc) and one had mild cellulitis. Nine patients had severe paraparesis or paraplegia prior to the PCT procedure and 29 were without neurological damage. There was no PCT related neurological deterioration. Twenty-eight patients were discharged from the hospital, 21 were decannulated. The average follow-up period was 18 months (1-48). There was no delayed, procedure related, complication. These results demonstrate that percutaneous tracheostomy is feasible and safe in patients with cervical spine fracture with minimal short and long-term morbidity. We believe that percutaneous tracheostomy is the procedure of choice for patients with cervical spine fracture who need prolonged ventilatory support.

Sediment budget for five millennia of tillage in the Rockenberg catchment (Wetterau loess basin, Germany)

NASA Astrophysics Data System (ADS)

Houben, Peter

2012-10-01

The long-cultivated loess landscapes of central Europe provide the opportunity to explore the long-term perspective on the evolution human-natural sediment systems that are driven by human-caused soil erosion processes. A balance of spatially non-uniform sediment production, sedimentation and delivery was developed to highlight the quantitative dimensions and functioning of anthropogenic sediment redistribution in an undulating loess catchment of temperate Europe. The presented long-term perspective relies on analysing pedostratigraphic and lithostratigraphic field data from 728 corings across ˜10-km2, GIS-based data processing, and the analysis of data uncertainty. For a period of 5000 years of tillage, anthropogenic sediment production equals ˜9425 t ha-1, of which 62% still reside as colluvial sediment on the catchment's hillsides. The valley floors fulfil a sediment-conveyor function through transporting 77% of the sediment received from the hillsides. Whole-catchment yield to the contiguous higher-order valley is 29% of the amount of anthropogenic sediment production. The average catchment-scale depth of soil truncation is 0.64 m while the remaining anthropogenic sediment cover has an average thickness of 0.46 m (effective surface denudation: ˜0.18 m). The long-term integral net erosion rate is ˜0.5 t ha-1 a-1 because of extensive sediment retention on hillsides. The inherited human imprint on the soilscape, eventually, can be judged as beneficial rather than detrimental: the ubiquitous cover of humic colluvia generally is more suitable for intense cultivation than pristine pedostratigraphies. The sediment budget, although build from a historic perspective, also provides a plausible reference for realistic objectives of managing the soil erosion problem in human-natural sediment systems.

Using Computers To Accommodate Learning Disabled Students in Mathematics Classes.

ERIC Educational Resources Information Center

Rapp, Rhonda H.; Gittinger, Dennis J.

A person with a learning disability usually has average or above average intelligence, but has difficulty taking in, remembering, or expressing information. Learning disabilities can involve visual processing speed, short-term memory processing, fluid reasoning, and long-term memory retrieval. These disorders are intrinsic to the individual and…

Popular media records reveal multi-decadal trends in recreational fishing catch rates.

PubMed

Thurstan, Ruth H; Game, Edward; Pandolfi, John M

2017-01-01

Despite threats to human wellbeing from ecological degradation, public engagement with this issue remains at low levels. However, studies have shown that crafting messages to resonate with people's personal experiences can enhance engagement. Recreational fishing is one of the principal ways in which people interact with aquatic environments, but long-term data from this perspective are considered rare. We uncovered 852 popular media records of recreational fishing for an Australian estuary across a 140-year period. Using information contained in these articles we analysed the species composition of recreational catches over time and constructed two distinct time series of catch and effort (n fish fisher-1 trip-1; kg fish fisher-1 trip-1) for recreational fishing trips and fishing club competitions (mean n and kg fish caught across all competitors, and n and kg fish caught by the competition winner). Reported species composition remained similar over time. Catch rates reported from recreational fishing trips (1900-1998) displayed a significant decline, averaging 32.5 fish fisher-1 trip-1 prior to 1960, and 18.8 fish fisher-1 trip-1 post-1960. Mean n fish fisher-1 competition-1 (1913-1983) also significantly declined, but best n fish fisher-1 competition-1 (1925-1980) displayed no significant change, averaging 31.2 fish fisher-1 competition-1 over the time series. Mean and best kg fish fisher-1 competition-1 trends also displayed no significant change, averaging 4.2 and 9.9 kg fisher-1 competition-1, respectively. These variable trends suggest that while some fishers experienced diminishing returns in this region over the last few decades, the most skilled inshore fishers were able to maintain their catch rates, highlighting the difficulties inherent in crafting conservation messages that will resonate with all sections of a community. Despite these challenges, this research demonstrates that popular media sources can provide multiple long-term trends at spatial scales, in units and via a recreational experience that many people can relate to.

LONG TERM HYDROLOGICAL IMPACT ASSESSMENT (LTHIA)

EPA Science Inventory

LTHIA is a universal Urban Sprawl analysis tool that is available to all at no charge through the Internet. It estimates impacts on runoff, recharge and nonpoint source pollution resulting from past or proposed land use changes. It gives long-term average annual runoff for a lan...

Lithological influences on contemporary and long-term regolith weathering at the Luquillo Critical Zone Observatory

USGS Publications Warehouse

Buss, Heather L.; Lara, Maria Chapela; Moore, Oliver; Kurtz, Andrew C.; Schulz, Marjorie S.; White, Arthur F.

2017-01-01

Lithologic differences give rise to the differential weatherability of the Earth’s surface and globally variable silicate weathering fluxes, which provide an important negative feedback on climate over geologic timescales. To isolate the influence of lithology on weathering rates and mechanisms, we compare two nearby catchments in the Luquillo Critical Zone Observatory in Puerto Rico, which have similar climate history, relief and vegetation, but differ in bedrock lithology. Regolith and pore water samples with depth were collected from two ridgetops and at three sites along a slope transect in the volcaniclastic Bisley catchment and compared to existing data from the granitic Río Icacos catchment. The depth variations of solid-state and pore water chemistry and quantitative mineralogy were used to calculate mass transfer (tau) and weathering solute profiles, which in turn were used to determine weathering mechanisms and to estimate weathering rates.Regolith formed on both lithologies is highly leached of most labile elements, although Mg and K are less depleted in the granitic than in the volcaniclastic profiles, reflecting residual biotite in the granitic regolith not present in the volcaniclastics. Profiles of both lithologies that terminate at bedrock corestones are less weathered at depth, near the rock-regolith interfaces. Mg fluxes in the volcaniclastics derive primarily from dissolution of chlorite near the rock-regolith interface and from dissolution of illite and secondary phases in the upper regolith, whereas in the granitic profile, Mg and K fluxes derive from biotite dissolution. Long-term mineral dissolution rates and weathering fluxes were determined by integrating mass losses over the thickness of solid-state weathering fronts, and are therefore averages over the timescale of regolith development. Resulting long-term dissolution rates for minerals in the volcaniclastic regolith include chlorite: 8.9 × 10−14 mol m−2 s−1, illite: 2.1 × 10−14 mol m−2 s−1 and kaolinite: 4.0 × 10−14 mol m−2 s−1. Long-term weathering fluxes are several orders of magnitude lower in the granitic regolith than in the volcaniclastic, despite higher abundances of several elements in the granitic regolith. Contemporary weathering fluxes were determined from net (rain-corrected) solute profiles and thus represent rates over the residence time of water in the regolith. Contemporary weathering fluxes within the granitic regolith are similar to the long-term fluxes. In contrast, the long-term fluxes are faster than the contemporary fluxes in the volcaniclastic regolith. Contemporary fluxes in the granitic regolith are generally also slightly faster than in the volcaniclastic. The differences in weathering fluxes over space and time between these two watersheds indicate significant lithologic control of chemical weathering mechanisms and rates.

Long-term follow-up of unilateral transfemoral amputees from the Vietnam war.

PubMed

Dougherty, Paul J

2003-04-01

Despite their frequency, few reports exist concerning the initial and long-term consequences of battle-incurred unilateral transfemoral amputations. A retrospective cohort design was used to measure the long-term health of transfemoral battle amputees treated at a single hospital during the Vietnam War. Data collection consisted of medical record abstraction and a follow-up questionnaire that included the SF-36 Health Survey. Forty-six patients responded to the survey an average of 28 years after injury. Compared with the controls, patient responses to the SF-36 were significantly (p < 0.01) less in all categories except Mental Health and Vitality. Forty-three (93.5%) are or have been married. Forty-one (89.1%) are or have been employed an average of 20.1 years. Forty patients (87%) wore a prosthesis an average of 13.5 h/day. Although the patients do relatively well with employment and marriage stability, the low SF-36 scores suggest a significant disability.

Trends in Streamflow Characteristics at Long-Term Gaging Stations, Hawaii

USGS Publications Warehouse

Oki, Delwyn S.

2004-01-01

The surface-water resources of Hawaii have significant cultural, aesthetic, ecologic, and economic importance. Proper management of the surface-water resources of the State requires an understanding of the long- and short-term variability in streamflow characteristics that may occur. The U.S. Geological Survey maintains a network of stream-gaging stations in Hawaii, including a number of stations with long-term streamflow records that can be used to evaluate long-term trends and short-term variability in flow characteristics. The overall objective of this study is to obtain a better understanding of long-term trends and variations in streamflow on the islands of Hawaii, Maui, Molokai, Oahu, and Kauai, where long-term stream-gaging stations exist. This study includes (1) an analysis of long-term trends in flows (both total flow and estimated base flow) at 16 stream-gaging stations, (2) a description of patterns in trends within the State, and (3) discussion of possible regional factors (including rainfall) that are related to the observed trends and variations. Results of this study indicate the following: 1. From 1913 to 2002 base flows generally decreased in streams for which data are available, and this trend is consistent with the long-term downward trend in annual rainfall over much of the State during that period. 2. Monthly mean base flows generally were above the long-term average from 1913 to the early 1940s and below average after the early 1940s to 2002, and this pattern is consistent with the detected downward trends in base flows from 1913 to 2002. 3. Long-term downward trends in base flows of streams may indicate a reduction in ground-water discharge to streams caused by a long-term decrease in ground-water storage and recharge. 4. From 1973 to 2002, trends in streamflow were spatially variable (up in some streams and down in others) and, with a few exceptions, generally were not statistically significant. 5. Short-term variability in streamflow is related to the seasons and to the EL Ni?o-Southern Oscillation phenomenon that may be partly modulated by the phase of the Pacific Decadal Oscillation. 6. At almost all of the long-term stream-gaging stations considered in this study, average total flow (and to a lesser extent average base flow) during the winter months of January to March tended to be low following El Ni?o periods and high following La Ni?a periods, and this tendency was accentuated during positive phases of the Pacific Decadal Oscillation. 7. The El Ni?o-Southern Oscillation phenomenon occurs at a relatively short time scale (a few to several years) and appears to be more strongly related to processes controlling rainfall and direct runoff than ground-water storage and base flow. Long-term downward trends in base flows of streams may indicate a reduction in ground-water storage and recharge. Because ground water provides about 99 percent of Hawaii's domestic drinking water, a reduction in ground-water storage and recharge has serious implications for drinking-water availability. In addition, reduction in stream base flows may reduce habitat availability for native stream fauna and water availability for irrigation purposes. Further study is needed to determine (1) whether the downward trends in base flows from 1913 to 2002 will continue or whether the observed pattern is part of a long-term cycle in which base flows may eventually return to levels measured during 1913 to the early 1940s, (2) the physical causes for the detected trends and variations in streamflow, and (3) whether regional climate indicators successfully can be used to predict streamflow trends and variations throughout the State. These needs for future study underscore the importance of maintaining a network of long-term-trend stream-gaging stations in Hawaii.

National assessment of shoreline change part 4: historical coastal cliff retreat along the California coast

USGS Publications Warehouse

Hapke, Cheryl J.; Reid, David

2007-01-01

Coastal cliff retreat, the landward migration of the cliff face, is a chronic problem along many rocky coastlines in the United States. As coastal populations continue to grow and community infrastructures are threatened by erosion, there is increased demand for accurate information regarding trends and rates of coastal cliff retreat. There is also a need for a comprehensive analysis of cliff retreat that is consistent from one coastal region to another. To meet these national needs, the U.S. Geological Survey is conducting an analysis of historical coastal cliff retreat along open-ocean rocky coastlines of the conterminous United States and parts of Hawaii, Alaska, and the Great Lakes. One purpose of this work is to develop standard repeatable methods for mapping and analyzing coastal cliff retreat so that periodic updates of coastal erosion can be made nationally that are systematic and internally consistent. This report on the California Coast is an accompaniment to a report on long-term sandy shoreline change for California. This report summarizes the methods of analysis, interprets the results, and provides explanations regarding long-term rates of cliff retreat. Neither detailed background information on the National Assessment of Shoreline Change Project nor detailed descriptions of the geology and geomorphology of the California coastline are presented in this report. The reader is referred to the shoreline change report (Hapke et al., 2006) for this type of background information. Cliff retreat evaluations are based on comparing one historical cliff edge digitized from maps, with a recent cliff edge interpreted from lidar (Light Detection and Ranging) topographic surveys. The historical cliff edges are from a period ranging from 1920-1930, whereas the lidar cliff edges are from either 1998 or 2002. Long-term (~70-year) rates of retreat are calculated using the two cliff edges. The rates of retreat presented in this report represent conditions from the 1930s to 1998, and are not intended for predicting future cliff edge positions or rates of retreat. Due to the geomorphology of much of California's rocky coast (high-relief, steep slopes with no defined cliff edge) as well as to gaps in both the historical maps and lidar data, we were able to derive two cliff edges and therefore calculate cliff retreat rates for a total of 353 km. The average rate of coastal cliff retreat for the State of California was -0.3?0.2 m/yr, based on rates averaged from 17,653 individual transects measured throughout all areas of California's rocky coastline. The average amount of cliff retreat was 17.7 m over the 70-year time period of our analysis. Retreat rates were generally lowest in Southern California where coastal engineering projects have greatly altered the natural coastal system. California permits shoreline stabilization structures where homes, buildings or other community infrastructure are imminently threatened by erosion. While seawalls and/or riprap revetments have been constructed in all three sections of California, a larger proportion of the Southern California coast has been protected by engineering works, due, in part, to the larger population pressures in this area.

Effect of a Long-Term Physical Activity Intervention on Resting Pulse Rate in Older Persons: Results from the LIFE Study

PubMed Central

Hartaigh, Bríain ó; Lovato, Laura C.; Pahor, Marco; Buford, Thomas W.; Dodson, John A.; Forman, Daniel E.; Buman, Matthew P.; Demons, Jamehl L.; Santanasto, Adam J.; Liu, Christine; Miller, Michael E.; McDermott, Mary McGrae; Gill, Thomas M.

2016-01-01

Background High resting pulse rate (RPR) is often associated with adverse cardiovascular risk. Prior studies show that habitual exercise slows RPR, though most studies have focused primarily on persons younger than 65 years. Our objective was to assess the utility of a long-term physical activity (PA) intervention for reducing RPR in older persons. Design Lifestyle Interventions and Independence for Elders Study. Setting Community based. Participants A total 1,635 persons (67.2% women) aged 70–89 years were randomized to a moderate intensity PA intervention (n=818) or health education-based “successful aging” (SA) intervention (n=817). Measurements RPR was recorded at baseline, 6-, 18-, and 30-months. Longitudinal changes in RPR were evaluated between intervention groups using a mixed-effects analysis of covariance model for repeatedly measured outcomes, generating least squares means with standard errors (SE) or 95% confidence intervals (95% CI). Results Mean duration of the study was 2.6 years (median, 2.7 years; interquartile range, 2.3–3.1 years). The average effect of the PA intervention on RPR across follow-up visits was statistically significant but clinically small (Average Intervention Difference = 0.84 beats/min; 95% CI 0.17 to 1.51; Paverage =0.01), with the most pronounced effect observed at 18-months (PA: 66.5 [0.32] beats/min, SA: 67.8 [0.32] beats/min, Difference = 1.37 (95% CI 0.48 to 2.26). The relationship became somewhat weaker and was not statistically significant at 30-months. There were no significant differences across several pre-specified subgroups. Conclusion A long-term moderate-intensity physical activity program was associated with a small and clinically insignificant slowing of RPR in older persons. Whether physical activity can deliver a beneficial reduction in RPR requires further examination among older adults. PMID:27787876

The effect of oxidative stress polymorphisms on the association between long-term black carbon exposure and lung function among elderly men.

PubMed

Mordukhovich, Irina; Lepeule, Johanna; Coull, Brent A; Sparrow, David; Vokonas, Pantel; Schwartz, Joel

2015-02-01

Black carbon (BC) is a pro-oxidant, traffic-related pollutant linked with lung function decline. We evaluated the influence of genetic variation in the oxidative stress pathway on the association between long-term BC exposure and lung function decline. Lung function parameters (FVC and FEV1) were measured during one or more study visits between 1995 and 2011 (n=651 participants) among an elderly cohort: the Normative Aging Study. Residential BC exposure levels were estimated using a spatiotemporal land use regression model. We evaluated whether oxidative stress variants, combined into a genetic score, modify the association between 1-year and 5-year moving averages of BC exposure and lung function levels and rates of decline, using linear mixed models. We report stronger associations between long-term BC exposure and increased rate of lung function decline, but not baseline lung function level, among participants with higher oxidative stress allelic risk profiles compared with participants with lower risk profiles. Associations were strongest when evaluating 5-year moving averages of BC exposure. A 0.5 µg/m(3) increase in 5-year BC exposure was associated with a 0.1% yearly increase in FVC (95% CI -0.5 to 0.7) among participants with low genetic risk scores and a 1.3% yearly decrease (95% CI -1.8 to -0.8) among those with high scores (p-interaction=0.0003). Our results suggest that elderly men with high oxidative stress genetic scores may be more susceptible to the effects of BC on lung function decline. The results, if confirmed, should inform air-quality recommendations in light of a potentially susceptible subgroup. 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.

31 CFR 351.12 - What do I need to know about the long-term savings bond rate, to understand redemption value...

Code of Federal Regulations, 2010 CFR

2010-07-01

...-term savings bond rate, to understand redemption value calculations in this subpart? 351.12 Section 351... What do I need to know about the long-term savings bond rate, to understand redemption value... bond rate, that rate applies to the bond's first full semiannual interest accrual period following each...

Corrosion analysis of NiCu and PdCo thermal seed alloys used as interstitial hyperthermia implants.

PubMed

Paulus, J A; Parida, G R; Tucker, R D; Park, J B

1997-12-01

Ferromagnetic materials with low Curie temperatures are being investigated for use as interstitial implants for fractionated hyperthermia treatment of prostatic disease. Previous investigations of the system have utilized alloys, such as NiCu, with inadequate corrosion resistance, requiring the use of catheters for removal of the implants following treatment or inert surface coatings which may interfere with thermal characteristics of the implants. We are evaluating a palladium-cobalt (PdCo) binary alloy which is very similar to high palladium alloys used in dentistry. Electrochemical corrosion tests and immersion tests at 37 degrees C for both NiCu and PdCo alloy samples in mammalian Ringer's solution were performed. Long-term corrosion rates are 5.8 x 10(-5) microm per year (NiCu) and 7.7 x 10(-8) microm per year (PdCo) from average immersion test results, indicating higher corrosion resistance of PdCo (P < 0.02); immersion corrosion rates were much lower than initial corrosion rates found electrochemically. Both alloys had significantly lower corrosion rates than standard surgical implant rates of 0.04 microm per year (P < 0.001 for both alloys). Scanning electron microscopy illustrates changes in the NiCu alloy surface due to pitting corrosion; no difference is observed for PdCo. The data indicate that the PdCo alloy may be suitable as a long-term implant for use in fractionated hyperthermia.

Temporal slip rate variability in the Lower Rhine Embayment, Northwest Europe

NASA Astrophysics Data System (ADS)

Gold, Ryan; Kuebler, Simon; Friedrich, Anke

2016-04-01

Low strain regions may be characterized by long periods of seismic quiescence, punctuated by periods of clustered earthquake activity. This type of non-periodic recurrence behavior challenges accurate seismic hazard analysis. The Lower Rhine Embayment in the German-Belgium-Netherland border region presents a unique opportunity to characterize the long-term record of faulting to evaluate the periodicity of earthquake occurrence in a low strain region. The Lower Rhine Embayment is covered by a high-resolution record of Quaternary terraces associated with the Rhine and Maas (Meuse) Rivers and their tributaries. These terraces are cut by numerous NW-trending faults and record cumulative displacements that exceed 100 m in numerous locations. In this study, we exploit this rich record of faulted fluvial terraces and find convincing evidence for temporally varying rates of Quaternary fault movement across the Lower Rhine Embayment. First, we document a significant increase in vertical fault slip rates since 700 ka, compared to the average slip rate since the start of the Quaternary using the top and base of the Main Terrace, respectively. Increases in slip rate exceed 500% along many of the faults, including the Swist/Erft, Stockheim, Viersen, Sandgewand, and Kirspenich fault systems. This increase in fault slip rate corresponds to a regional period of increased tectonic uplift of the Rhenish Massif, increased volcanism in Eifel, and incision of the Rhine River. In a second and related analysis, we synthesize terrace offset and age information from the Feldbiss fault system along the western boundary of the Lower Rhine Embayment, which transects a flight of Quaternary terraces associated with the Mass river. This analysis reveals evidence for secular variation in slip rate. In particular, we identify two periods of higher slip rate (800-400 ka and 130-100 ka), where fault slip rate exceeds the longer-term average slip rate of 0.04-0.05 mm/yr by as much as a factor of two. These results show that in the Lower Rhine Embayment low-strain region, the tempo of strain release (and therefore earthquakes) is non-steady. This variable slip behavior should be incorporated into future efforts to characterize seismic hazard across the region.

Long-Term Youth Criminal Outcomes in MST Transport: The Impact of Therapist Adherence and Organizational Climate and Structure

PubMed Central

Schoenwald, Sonja K.; Chapman, Jason E.; Sheidow, Ashli J.; Carter, Rickey E.

2010-01-01

The current study investigated relations among therapist adherence to an evidence-based treatment for youth with serious antisocial behavior (i.e., Multisystemic Therapy), organizational climate and structure, and youth criminal charges on average 4 years post-treatment. Participants were 1979 youth and families treated by 429 therapists across 45 provider organizations. Results showed therapist adherence predicted significantly lower rates of youth criminal charges independently and in the presence of organizational variables. Therapist perceptions of job satisfaction and opportunities for growth and advancement relative to the organizational average predicted youth criminal charges, as did organizational average levels of participation in decision-making. These associations washed out in the presence of adherence, despite the fact that job satisfaction and growth and advancement were associated with adherence. PMID:19130360

Long-term follow-up of shoulder hemiarthroplasty for glenohumeral osteoarthritis.

PubMed

Levine, William N; Fischer, Charla R; Nguyen, Duong; Flatow, Evan L; Ahmad, Christopher S; Bigliani, Louis U

2012-11-21

There is major controversy surrounding the use of hemiarthroplasty as compared with total shoulder arthroplasty for glenohumeral osteoarthritis, and long-term clinical outcomes of hemiarthroplasty are lacking. Of a cohort of thirty patients (thirty-one shoulders) who were treated with hemiarthroplasty for glenohumeral osteoarthritis and followed longitudinally at our institution, twenty-five were available for long-term follow-up; five died, and one refused to participate. Three of the five patients who died had revision arthroplasty before death, and the data from those three were therefore included in the final follow-up (final follow-up data therefore included twenty-seven patients and twenty-eight shoulders). Follow-up through phone conversations and postal mail surveys included the following: Short Form-36, American Shoulder and Elbow Surgeons (ASES) shoulder outcome score, EuroQol, Simple Shoulder Test, modified Neer Score, and a unique, validated self-administered range-of-motion questionnaire. Correlations between clinical outcome and age, type of glenoid wear, and cause of osteoarthritis were determined. The average follow-up was 17.2 years (range, thirteen to twenty-one years). There were eight revisions (three of fifteen shoulders with concentric glenoids, and five of sixteen shoulders with eccentric glenoids). For those shoulders not revised, the average ASES score was 70.54 (range, 36.67 to 91.67). Overall, active shoulder forward elevation and external rotation with the arm at 90° of abduction increased from 104° preoperatively to 141.8° (range, 45° to 180°) and 20.7° to 61.0° (range, 30° to 90°), respectively (p < 0.05), at the time of final follow-up. Of those who required revision arthroplasty, the average patient age at the time of the index procedure was 51.0 years (range, twenty-six to eighty-one years), while those not requiring revision averaged 57.1 years (range, twenty-seven to sixty-three years). The overall Neer satisfaction rating was 25%. The average Neer score and Neer rating for unrevised cases were significantly higher for concentric glenoid wear compared with eccentric glenoid wear (p = 0.015 and p = 0.001, respectively). Patients who had concentric glenoid wear had higher EuroQol scores (p = 0.020). The average Neer scores were 65.29 (range, forty-seven to seventy-eight) for primary osteoarthritis and 54.46 (range, forty to seventy-seven) for secondary osteoarthritis (p = 0.036). Only 25% of patients with glenohumeral osteoarthritis treated with shoulder hemiarthroplasty are satisfied with their outcome at an average of seventeen years after the operation. Patients with concentric glenoid wear and primary osteoarthritis have better outcomes than those with eccentric glenoid wear and secondary osteoarthritis do, but patients in both groups experienced deterioration of results over time. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Long-term outcomes of tissue-based ACTH-antibody assay-guided transsphenoidal resection of pituitary adenomas in Cushing disease.

PubMed

Erfe, J Mark; Perry, Avital; McClaskey, John; Inzucchi, Silvio E; James, Whitney Sheen; Eid, Tore; Bronen, Richard A; Mahajan, Amit; Huttner, Anita; Santos, Florecita; Spencer, Dennis

2017-10-13

OBJECTIVE Cushing disease is caused by a pituitary micro- or macroadenoma that hypersecretes adrenocorticotropic hormone (ACTH), resulting in hypercortisolemia. For decades, transsphenoidal resection (TSR) has been an efficacious treatment but with certain limitations, namely precise tumor localization and complete excision. The authors evaluated the novel use of a double-antibody sandwich assay for the real-time quantitation of ACTH in resected pituitary specimens with the goals of augmenting pathological diagnosis and ultimately improving long-term patient outcome. METHODS This study involved a retrospective review of records and an analysis of assay values, pathology slides, and MRI studies of patients with Cushing disease who had undergone TSR in the period from 2009 to 2014 and had at least 1 year of follow-up in coordination with an endocrinologist. In the operating room, biopsy specimens from the patients had been analyzed for tissue ACTH concentration. Additional samples were simultaneously sent for frozen-section pathological analysis. The ACTH assay performance was compared against pathology assessments of surgical tumor samples using receiver operating characteristic (ROC) analysis and against pre- and postoperative MRI studies. RESULTS Fourteen patients underwent TSR with guidance by ACTH-antibody assay and pathological assessment of 127 biopsy samples and were followed up for an average of 3 years. The ACTH threshold for discriminating adenomatous from normal tissue was 290,000 pg/mg of tissue, based on jointly maximized sensitivity (95.0%) and specificity (71.3%). Lateralization discordance between preoperative MRI studies and surgical visualization was noted in 3 patients, confirming the impression that MRI alone may not achieve optimal localization. A majority of the patients (85.7%) attained long-term disease remission based on urinary free cortisol levels, plasma cortisol levels, and long-term corticosteroid therapy. Comparisons of patient-months of remission and treatment failure showed that the remission rate in the study sample statistically exceeds the rate in historical controls (71.9%; p = 0.0007, Fisher's exact test). Long-term unexpected hormonal deficiencies were statistically similar between study patients (29%) and those in a meta-analysis (25%; p = 0.7596, Fisher's exact test). CONCLUSIONS These preliminary findings reflect the promising potential of tissue-based ACTH-antibody-guided assay for improving the cure rates of Cushing disease patients undergoing TSR. Further studies with larger sample sizes, further refinements of assay interpretation, and longer-term follow-ups are needed.

Modeling 13C discrimination in Tree Rings

NASA Astrophysics Data System (ADS)

Berninger, Frank; Sonninen, Eloni; Aalto, Tuula; Lloyd, Jon

2000-03-01

Annual variations from 1877 to 1995 in tree-ring α-cellulose 13C/12C isotopic ratios for four subarctic Pinus sylvestris trees were determined, and, in conjunction with a recent record of atmospheric 13CO2/12CO2 ratios, the historical pattern of photosynthetic isotope discrimination, Δ13C, was evaluated. Year-to-year variability in Δ13C has been as much as 1.5‰ with the period 1900-1920 showing an extended period of unusually high photosynthetic discriminations. The summers during these years were, on average, unusually cold. Since 1920 a long term trend of increasing Δ13C of ˜0.016‰yr-1 is inferred. We compared measured Δ13C with those predicted on the basis of the theoretical relationship between Δ13C and the ratio of substomatal to ambient CO2 concentration, Ci/Ca using mechanistic equations for chloroplast biochemistry coupled with a stomatal conductance model. Two variations of a nonlinear optimal-regulation stomatal conductance model were compared. Although both models were based on the assumption that stomata serve to minimize the average transpiration rate for a given average rate of CO2 assimilation, one version of the model incorporated reductions in stomatal conductance in response to recent increases in atmospheric CO2 concentrations and the other did not. The CO2 sensitive stomatal model failed to describe the long-term increase in 13C discrimination, especially after 1950. The insensitive model gave good agreement, suggesting that an observed increase in subarctic Pinus sylvestris Δ13C since 1920 is attributable to recent increases in atmospheric CO2 concentrations with subsequent increases in the ratio of substomatal to ambient CO2 concentrations. The model was also capable of accounting for high frequency (year-to-year) variations in Δ13C, these differences being attributable to year-to-year fluctuations in the average leaf-to-air vapor pressure difference affecting stomatal conductance and hence Ci/Ca.

Implication of observed cloud variability for parameterizations of microphysical and radiative transfer processes in climate models

NASA Astrophysics Data System (ADS)

Huang, D.; Liu, Y.

2014-12-01

The effects of subgrid cloud variability on grid-average microphysical rates and radiative fluxes are examined by use of long-term retrieval products at the Tropical West Pacific (TWP), Southern Great Plains (SGP), and North Slope of Alaska (NSA) sites of the Department of Energy's Atmospheric Radiation Measurement (ARM) Program. Four commonly used distribution functions, the truncated Gaussian, Gamma, lognormal, and Weibull distributions, are constrained to have the same mean and standard deviation as observed cloud liquid water content. The PDFs are then used to upscale relevant physical processes to obtain grid-average process rates. It is found that the truncated Gaussian representation results in up to 30% mean bias in autoconversion rate whereas the mean bias for the lognormal representation is about 10%. The Gamma and Weibull distribution function performs the best for the grid-average autoconversion rate with the mean relative bias less than 5%. For radiative fluxes, the lognormal and truncated Gaussian representations perform better than the Gamma and Weibull representations. The results show that the optimal choice of subgrid cloud distribution function depends on the nonlinearity of the process of interest and thus there is no single distribution function that works best for all parameterizations. Examination of the scale (window size) dependence of the mean bias indicates that the bias in grid-average process rates monotonically increases with increasing window sizes, suggesting the increasing importance of subgrid variability with increasing grid sizes.

On the theory relating changes in area-average and pan evaporation (Invited)

NASA Astrophysics Data System (ADS)

Shuttleworth, W.; Serrat-Capdevila, A.; Roderick, M. L.; Scott, R.

2009-12-01

Theory relating changes in area-average evaporation with changes in the evaporation from pans or open water is developed. Such changes can arise by Type (a) processes related to large-scale changes in atmospheric concentrations and circulation that modify surface evaporation rates in the same direction, and Type (b) processes related to coupling between the surface and atmospheric boundary layer (ABL) at the landscape scale that usually modify area-average evaporation and pan evaporation in different directions. The interrelationship between evaporation rates in response to Type (a) changes is derived. They have the same sign and broadly similar magnitude but the change in area-average evaporation is modified by surface resistance. As an alternative to assuming the complementary evaporation hypothesis, the results of previous modeling studies that investigated surface-atmosphere coupling are parameterized and used to develop a theoretical description of Type (b) coupling via vapor pressure deficit (VPD) in the ABL. The interrelationship between appropriately normalized pan and area-average evaporation rates is shown to vary with temperature and wind speed but, on average, the Type (b) changes are approximately equal and opposite. Long-term Australian pan evaporation data are analyzed to demonstrate the simultaneous presence of Type (a) and (b) processes, and observations from three field sites in southwestern USA show support for the theory describing Type (b) coupling via VPD. England's victory over Australia in 2009 Ashes cricket test match series will not be mentioned.

SPECTRAL SURVEY OF X-RAY BRIGHT ACTIVE GALACTIC NUCLEI FROM THE ROSSI X-RAY TIMING EXPLORER

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

Rivers, Elizabeth; Markowitz, Alex; Rothschild, Richard, E-mail: erivers@ucsd.edu

2011-03-15

Using long-term monitoring data from the Rossi X-ray Timing Explorer (RXTE), we have selected 23 active galactic nuclei (AGNs) with sufficient brightness and overall observation time to derive broadband X-ray spectra from 3 to {approx}>100 keV. Our sample includes mainly radio-quiet Seyferts, as well as seven radio-loud sources. Given the longevity of the RXTE mission, the greater part of our data is spread out over more than a decade, providing truly long-term average spectra and eliminating inconsistencies arising from variability. We present long-term average values of absorption, Fe line parameters, Compton reflection strengths, and photon indices, as well as fluxesmore » and luminosities for the hard and very hard energy bands, 2-10 keV and 20-100 keV, respectively. We find tentative evidence for high-energy rollovers in three of our objects. We improve upon previous surveys of the very hard X-ray energy band in terms of accuracy and sensitivity, particularly with respect to confirming and quantifying the Compton reflection component. This survey is meant to provide a baseline for future analysis with respect to the long-term averages for these sources and to cement the legacy of RXTE, and especially its High Energy X-ray Timing Experiment, as a contributor to AGN spectral science.« less

The effect of communication change on long-term reductions in child exposure to conflict: impact of the promoting strong African American families (ProSAAF) program.

PubMed

Beach, Steven R H; Barton, Allen W; Lei, Man Kit; Brody, Gene H; Kogan, Steven M; Hurt, Tera R; Fincham, Frank D; Stanley, Scott M

2014-12-01

African American couples (n = 331) with children, 89% of whom were married, were assigned to either (a) a culturally sensitive couple- and parenting-enhancement program (ProSAAF) or (b) an information-only control condition in which couples received self-help materials. Husbands averaged 41 years of age and wives averaged 39 years. We found significant effects of program participation in the short term on couple communication, which was targeted by the intervention, as well as over the long term, on self-reported arguing in front of children. Long-term parenting outcomes were fully mediated by changes in communication for wives, but not for husbands. For husbands, positive change depended on amount of wife reported change. We conclude that wives' changes in communication from baseline to posttest may be more pivotal for the couples' long-term experience of decreased arguing in front of children than are husbands' changes, with wives' changes leading to changes in both partners' reports of arguments in front of children. © 2014 Family Process Institute.

77 FR 45582 - Certain Pasta From Italy: Preliminary Results of the 15th (2010) Countervailing Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-01

... of the loan (e.g., short-term v. long-term), and the currency in which the loan is denominated...'s subsidies to the sales of Tomasello only. Benchmarks for Long-Term Loans and Discount Rates Loan..., the long-term interest rate calculated according to the methodology described above for the year in...

A comparative modeling analysis of multiscale temporal variability of rainfall in Australia

NASA Astrophysics Data System (ADS)

Samuel, Jos M.; Sivapalan, Murugesu

2008-07-01

The effects of long-term natural climate variability and human-induced climate change on rainfall variability have become the focus of much concern and recent research efforts. In this paper, we present the results of a comparative analysis of observed multiscale temporal variability of rainfall in the Perth, Newcastle, and Darwin regions of Australia. This empirical and stochastic modeling analysis explores multiscale rainfall variability, i.e., ranging from short to long term, including within-storm patterns, and intra-annual, interannual, and interdecadal variabilities, using data taken from each of these regions. The analyses investigated how storm durations, interstorm periods, and average storm rainfall intensities differ for different climate states and demonstrated significant differences in this regard between the three selected regions. In Perth, the average storm intensity is stronger during La Niña years than during El Niño years, whereas in Newcastle and Darwin storm duration is longer during La Niña years. Increase of either storm duration or average storm intensity is the cause of higher average annual rainfall during La Niña years as compared to El Niño years. On the other hand, within-storm variability does not differ significantly between different ENSO states in all three locations. In the case of long-term rainfall variability, the statistical analyses indicated that in Newcastle the long-term rainfall pattern reflects the variability of the Interdecadal Pacific Oscillation (IPO) index, whereas in Perth and Darwin the long-term variability exhibits a step change in average annual rainfall (up in Darwin and down in Perth) which occurred around 1970. The step changes in Perth and Darwin and the switch in IPO states in Newcastle manifested differently in the three study regions in terms of changes in the annual number of rainy days or the average daily rainfall intensity or both. On the basis of these empirical data analyses, a stochastic rainfall time series model was developed that incorporates the entire range of multiscale variabilities observed in each region, including within-storm, intra-annual, interannual, and interdecadal variability. Such ability to characterize, model, and synthetically generate realistic time series of rainfall intensities is essential for addressing many hydrological problems, including estimation of flood and drought frequencies, pesticide risk assessment, and landslide frequencies.

Sea level change in Great Britain between 1859 and the present

NASA Astrophysics Data System (ADS)

Woodworth, Philip L.

2018-04-01

Short records of sea level measurements by the Ordnance Survey at 31 locations in 1859-1860, together with recent Mean Sea Level (MSL) information from the UK tide gauge network, have been used to estimate the average rates of sea level change around the coast of Great Britain since the mid-19th century. Rates are found to be approximately 1 mm yr-1 in excess of those expected for the present day based on geological information, providing evidence for a climate-change related component of the increase in UK sea level. In turn, the rates of change of MSL for the past 60 yr are estimated to be ˜1 mm yr-1 in excess of the long-term rates since 1859, suggesting an acceleration in the rate of sea level rise between the 19th and 20th/21st centuries. Although the historical records are very short (approximately a fortnight), this exercise in `data archaeology' shows how valuable to research even the shortest records can be, as long as the measurements were made by competent people and the datums of the measurements were fully documented.

Analysis of the long and short-period terms due the nonsphericity of the central body: applications for Mercury

NASA Astrophysics Data System (ADS)

Carvalho, J. P. S.

2017-10-01

In this work, we present an approach taking into account the single-averaged equations and unaveraged equations to investigate the dynamics of artificial satellites on the effect due to the non-spherical shape of the planet Mercury. An analysis considering the long-period terms and another taking into account the short-period terms is presented. The numerical integrations of the equations developed are performed using the Maple software. We consider the numerical values of the most updated spherical harmonic coefficients in the literature. Emphasis is given to analyze the effect of the C22 term in the dynamics of the spacecraft. We show that the two techniques are in agreement (average or not average). We found orbits that librates around an equilibrium point with small variation of the orbital elements, in particular the eccentricity and argument of the pericenter. We also note that the C22 term contributes to reduce the growth of the orbital eccentricity.

Glucose Monitoring in Individuals With Diabetes Using a Long-Term Implanted Sensor/Telemetry System and Model.

PubMed

Lucisano, Joseph Y; Routh, Timothy L; Lin, Joe T; Gough, David A

2017-09-01

The use of a fully implanted first-generation prototype sensor/telemetry system is described for long-term monitoring of subcutaneous tissue glucose in a small cohort of people with diabetes. Sensors are based on a membrane containing immobilized glucose oxidase and catalase coupled to oxygen electrodes and a telemetry system, integrated as an implant. The devices remained implanted for up to 180 days, with signals transmitted every 2 min to external receivers. The data include signal recordings from glucose clamps and spontaneous glucose excursions, matched, respectively, to reference blood glucose and finger-stick values. The sensor signals indicate dynamic tissue glucose, for which there is no independent standard, and a model describing the relationship between blood glucose and the signal is, therefore, included. The values of all model parameters have been estimated, including the permeability of adjacent tissues to glucose, and equated to conventional mass transfer parameters. As a group, the sensor calibration varied randomly at an average rate of -2.6%/week. Statistical correlation indicated strong association between the sensor signals and reference glucose values. Continuous long-term glucose monitoring in individuals with diabetes is feasible with this system. All therapies for diabetes are based on glucose control, and therefore, require glucose monitoring. This fully implanted long-term sensor/telemetry system may facilitate a new era of management of the disease.

Constraining the Long-Term Average of Earthquake Recurrence Intervals From Paleo- and Historic Earthquakes by Assimilating Information From Instrumental Seismicity

NASA Astrophysics Data System (ADS)

Zoeller, G.

2017-12-01

Paleo- and historic earthquakes are the most important source of information for the estimationof long-term recurrence intervals in fault zones, because sequences of paleoearthquakes cover more than one seismic cycle. On the other hand, these events are often rare, dating uncertainties are enormous and the problem of missing or misinterpreted events leads to additional problems. Taking these shortcomings into account, long-term recurrence intervals are usually unstable as long as no additional information are included. In the present study, we assume that the time to the next major earthquake depends on the rate of small and intermediate events between the large ones in terms of a ``clock-change'' model that leads to a Brownian Passage Time distribution for recurrence intervals. We take advantage of an earlier finding that the aperiodicity of this distribution can be related to the Gutenberg-Richter-b-value, which is usually around one and can be estimated easily from instrumental seismicity in the region under consideration. This allows to reduce the uncertainties in the estimation of the mean recurrence interval significantly, especially for short paleoearthquake sequences and high dating uncertainties. We present illustrative case studies from Southern California and compare the method with the commonly used approach of exponentially distributed recurrence times assuming a stationary Poisson process.

Glucose Monitoring in Individuals with Diabetes using a Long-Term Implanted Sensor/Telemetry System and Model

PubMed Central

Lucisano, Joseph Y.; Routh, Timothy L.; Lin, Joe T.; Gough, David A.

2017-01-01

Objective The use of a fully implanted, first-generation prototype sensor/telemetry system is described for long-term monitoring of subcutaneous tissue glucose in a small cohort of people with diabetes. Methods Sensors are based on a membrane containing immobilized glucose oxidase and catalase coupled to oxygen electrodes and a telemetry system, integrated as an implant. The devices remained implanted for up to 180 days, with signals transmitted every 2 minutes to external receivers. Results The data include signal recordings from glucose clamps and spontaneous glucose excursions, matched respectively to reference blood glucose and finger-stick values. The sensor signals indicate dynamic tissue glucose, for which there is no independent standard, and a model describing the relationship between blood glucose and the signal is therefore included. The values of all model parameters have been estimated, including the permeability of adjacent tissues to glucose, and equated to conventional mass transfer parameters. As a group, the sensor calibration varied randomly at an average rate of −2.6%/week. Statistical correlation indicated strong association between the sensor signals and reference glucose values. Conclusions Continuous, long-term glucose monitoring in individuals with diabetes is feasible with this system. Significance All therapies for diabetes are based on glucose control and therefore require glucose monitoring. This fully implanted, long-term sensor/telemetry system may facilitate a new era of management of the disease. PMID:27775510

Long-period Seismicity at the Napoleonville Salt Dome: Implications for Local Seismic Monitoring of Underground Hydrocarbon Storage Caverns

NASA Astrophysics Data System (ADS)

Dreger, D. S.; Ford, S. R.; Nayak, A.

2015-12-01

The formation of a large sinkhole at the Napoleonville salt dome, Assumption Parish, Louisiana, in August 2012 was accompanied by a rich sequence of complex seismic events, including long-period (LP) events that were recorded 11 km away at Transportable Array station 544A in White Castle, Louisiana. The LP events have relatively little energy at short periods, which make them difficult to detect using standard high-frequency power detectors, and the majority of energy that reaches the station is peaked near 0.4 Hz. The analysis of the local records reveals that the onset of the 0.4 Hz signals coincides with the S-wave arrival, and therefore it may be a shaking induced resonance in a fluid filled cavern. We created a low-frequency (0.1-0.6 Hz) power detector (short-term average / long-term average) that operated on all three components of the broadband instrument, since considerable energy was detected on the horizontal components. The detections from the power detector were then used as templates in three-channel correlation detectors thereby increasing the number of detections by a little more than a factor of two to nearly 3000. The rate of LP events is approximately one event every other day at the beginning of recording in March 2011. Around 2 May 2012 the rate changes to approximately 7 events per day and then increases to 25 events per day at the beginning of July 2012. Finally, in the days leading up to the sinkhole formation there are approximately 200 LP events per day. The analysis of these events could aid in the development of local seismic monitoring methods for underground industrial storage caverns. Prepared by LLNL under Contract DE-AC52-07NA27344.

Influence of long term climate change on net infiltration at Yucca Mountain, Nevada

USGS Publications Warehouse

Flint, Alan I.; Flint, Lorraine E.; Hevesi, Joseph A.

1993-01-01

Net infiltration and recharge at Yucca Mountain, Nevada, a potential site for a high level nuclear waste repository, are determined both by the rock properties and past and future changes in climate. A 1-dimensional model was constructed to represent a borehole being drilled through the unsaturated zone. The rock properties were matched to the lithologies expected to be encountered in the borehole. As current paleoclimate theory assumes that 18O increases with wetter and cooler global climates, a past climate scenario, built on depletion of 18O from ocean sediments was used as a basis for climate change over the past 700,000 years. The climate change was simulated by assigning net infiltration values as a linear function of 8O. Assuming the rock properties, lithologies and climate scenarios are correct, simulations indicated that Yucca Mountain is not in steady state equilibrium at the surface (250 meters. Based on the cyclic climate inputs, the near surface is currently in a long term drying trend (for the last 3,000 years) yet recharge into the water table is continuing to occur at an average rate equivalent to the average input rate of the climate model, indicating that conditions at depth are damped out over very long time periods. The Paintbrush Tuff nonwelded units, positioned between the Tiva Canyon and Topopah Spring welded Tuff Members, do not appear to act as capillary barrier and therefore would not perch water. The low porosity vitric caprock and basal vitrophyre of the Topopah Spring Member, however, act as restrictive layers. The higher porosity rock directly above the caprock reduces the potential for the caprock to perch water leaving the basal vitrophyre as the most likely location for perched water to develop.

Observations on the predictive value of short-term stake tests

Treesearch

Stan Lebow; Bessie Woodward; Patricia Lebow

2008-01-01

This paper compares average ratings of test stakes after 3, 4, 5, and 7 years exposure to their subsequent ratings after 11 years. Average ratings from over 200 treatment groups exposed in plots in southern Mississippi were compared to average ratings of a reference preservative. The analysis revealed that even perfect ratings after three years were not a reliable...

Modeling the sustainability of a ceramic water filter intervention.

PubMed

Mellor, Jonathan; Abebe, Lydia; Ehdaie, Beeta; Dillingham, Rebecca; Smith, James

2014-02-01

Ceramic water filters (CWFs) are a point-of-use water treatment technology that has shown promise in preventing early childhood diarrhea (ECD) in resource-limited settings. Despite this promise, some researchers have questioned their ability to reduce ECD incidences over the long term since most effectiveness trials conducted to date are less than one year in duration limiting their ability to assess long-term sustainability factors. Most trials also suffer from lack of blinding making them potentially biased. This study uses an agent-based model (ABM) to explore factors related to the long-term sustainability of CWFs in preventing ECD and was based on a three year longitudinal field study. Factors such as filter user compliance, microbial removal effectiveness, filter cleaning and compliance declines were explored. Modeled results indicate that broadly defined human behaviors like compliance and declining microbial effectiveness due to improper maintenance are primary drivers of the outcome metrics of household drinking water quality and ECD rates. The model predicts that a ceramic filter intervention can reduce ECD incidence amongst under two year old children by 41.3%. However, after three years, the average filter is almost entirely ineffective at reducing ECD incidence due to declining filter microbial removal effectiveness resulting from improper maintenance. The model predicts very low ECD rates are possible if compliance rates are 80-90%, filter log reduction efficiency is 3 or greater and there are minimal long-term compliance declines. Cleaning filters at least once every 4 months makes it more likely to achieve very low ECD rates as does the availability of replacement filters for purchase. These results help to understand the heterogeneity seen in previous intervention-control trials and reemphasize the need for researchers to accurately measure confounding variables and ensure that field trials are at least 2-3 years in duration. In summary, the CWF can be a highly effective tool in the fight against ECD, but every effort should be made by implementing agencies to ensure consistent use and maintenance. Copyright © 2013 Elsevier Ltd. All rights reserved.

40 CFR 439.52 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2011 CFR

2011-07-01

... day, must reflect not less than 74 percent reduction in the long-term average daily COD load of the... required to attain a limitation for COD that is less than the equivalent of 220 mg/L. (d) The long-term... of NPDES permit limitations regulating discharges subject to this subpart, calculation of the long...

40 CFR 439.52 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2010 CFR

2010-07-01

... day, must reflect not less than 74 percent reduction in the long-term average daily COD load of the... required to attain a limitation for COD that is less than the equivalent of 220 mg/L. (d) The long-term... of NPDES permit limitations regulating discharges subject to this subpart, calculation of the long...

Changes Ii Pain Intensity Following Discontinuation of Long-Term Opioid Therapy for Chronic Non-Cancer Pain.

PubMed

McPherson, Sterling; Smith, Crystal Lederhos; Dobscha, Steven K; Morasco, Benjamin J; Demidenko, Michael I; Meath, Thomas H A; Lovejoy, Travis I

2018-06-13

Little is known about changes in pain intensity that may occur following discontinuation of long-term opioid therapy (LTOT). The objective of this study was to characterize pain intensity following opioid discontinuation over 12 months. This retrospective VA administrative data study identified N=551 patients nationally who discontinued LTOT. Data over 24 months (12 months prior to and following discontinuation) were abstracted from VA administrative records. Random effects regression analyses examined changes in 0-10 pain numeric rating scale scores over time, while growth mixture models delineated pain trajectory sub-groups. Mean estimated pain at the time of opioid discontinuation was 4.9. Changes in pain following discontinuation were characterized by slight but statistically non-significant declines in pain intensity over 12 months post-discontinuation (B=-0.20, p=0.14). Follow-up growth mixture models identified four pain trajectory classes characterized by the following post-discontinuation pain levels: no pain (average pain at discontinuation=0.37), mild clinically-significant pain (average pain=3.90), moderate clinically-significant pain (average pain=6.33), and severe clinically-significant pain (average pain=8.23). Similar to the overall sample, pain trajectories in each of the four classes were characterized by slight reductions in pain over time, with patients in the mild and moderate pain trajectory categories experiencing the greatest pain reductions post-discontinuation (B=-0.11, p=0.05 and B=-0.11, p=0.04, respectively). Pain intensity following discontinuation of LTOT does not, on average, worsen for patients and may slightly improve, particularly for patients with mild-to-moderate pain at the time of discontinuation. Clinicians should consider these findings when discussing risks of opioid therapy and potential benefits of opioid taper with patients.

Long-term trends and spatial patterns of PM2.5-induced premature mortality in South and Southeast Asia from 1999 to 2014.

PubMed

Shi, Yusheng; Matsunaga, Tsuneo; Yamaguchi, Yasushi; Zhao, Aimei; Li, Zhengqiang; Gu, Xingfa

2018-08-01

Fine particulate matter (PM 2.5 ) poses a potential threat to human health, including premature mortality under long-term exposure. Based on a long-term series of high-resolution (0.01°×0.01°) satellite-retrieved PM 2.5 concentrations, this study estimated the premature mortality attributable to PM 2.5 in South and Southeast Asia (SSEA) from 1999 to 2014. Then, the long-term trends and spatial characteristics of PM 2.5 -induced premature deaths (1999-2014) were analyzed using trend analyses and standard deviation ellipses. Results showed the estimated number of PM 2.5 -induced average annual premature deaths in SSEA was 1,447,000. The numbers increased from 1,179,400 in 1999 to 1,724,900 in 2014, with a growth rate of 38% and net increase of 545,500. Stroke and ischemic heart disease were the two principal contributors, accounting for 39% and 35% of the total, respectively. High values were concentrated in North India, Bangladesh, East Pakistan, and some metropolitan areas of Southeast Asia. An estimated 991,600 deaths in India was quantified (i.e., ~69% of the total premature deaths in SSEA). The long-term trends (1999-2014) of PM 2.5 -related premature mortality exhibited consistent incremental tendencies in all countries except Sri Lanka. The findings of this study suggest that strict controls of PM 2.5 concentrations in SSEA are urgently required. Copyright © 2018 Elsevier B.V. All rights reserved.

Spatial patterns of erosion in a bedrock gorge

NASA Astrophysics Data System (ADS)

Beer, Alexander. R.; Turowski, Jens M.; Kirchner, James W.

2017-01-01

Understanding the physical processes driving bedrock channel formation is essential for interpreting and predicting the evolution of mountain landscapes. Here we analyze bedrock erosion patterns measured at unprecedented spatial resolution (mm) over 2 years in a natural bedrock gorge. These spatial patterns show that local bedrock erosion rates depend on position in the channel cross section, height above the streambed, and orientation relative to the main streamflow and sediment path. These observations are consistent with the expected spatial distribution of impacting particles (the tools effect) and shielding by sediment on the bed (the cover effect). Vertical incision by bedrock abrasion averaged 1.5 mm/a, lateral abrasion averaged 0.4 mm/a, and downstream directed abrasion of flow obstacles averaged 2.6 mm/a. However, a single plucking event locally exceeded these rates by orders of magnitude (˜100 mm/a), and accounted for one third of the eroded volume in the studied gorge section over the 2 year study period. Hence, if plucking is spatially more frequent than we observed in this study period, it may contribute substantially to long-term erosion rates, even in the relatively massive bedrock at our study site. Our observations demonstrate the importance of bedrock channel morphology and the spatial distribution of moving and static sediment in determining local erosion rates.

The feasibility of recharge rate determinations using the steady- state centrifuge method

USGS Publications Warehouse

Nimmo, J.R.; Stonestrom, David A.; Akstin, K.C.

1994-01-01

The establishment of steady unsaturated flow in a centrifuge permits accurate measurement of small values of hydraulic conductivity (K). This method can provide a recharge determination if it is applied to an unsaturated core sample from a depth at which gravity alone drives the flow. A K value determined at the in situ water content indicates the long-term average recharge rate at a point. Tests of this approach have been made at two sites. For sandy core samples a better knowledge of the matric pressure profiles is required before a recharge rate can be determined. Fine-textured cores required new developments of apparatus and procedures, especially for making centrifuge measurements with minimal compaction of the samples. -from Authors

A Brief Educational Intervention in Personal Finance for Medical Residents

PubMed Central

Chou, Calvin L.

2007-01-01

Introduction Although medical educational debt continues to escalate, residents receive little guidance in financial planning. Aim To educate interns about long-term investment strategies. Setting University-based medicine internship program. Program Description An unselected cohort of interns (n = 52; 84% of all interns) underwent a 90-minute interactive seminar on personal finance, focusing on retirement savings. Participants completed a preseminar investor literacy test to assess baseline financial knowledge. Afterward, interns rated the seminar and expressed their intention to make changes to their long-term retirement accounts. After 37 interns had attended the seminar, a survey was administered to all interns to compare actual changes to these accounts between seminar attendees and nonattendees. Measurements and Main Results Interns’ average score on the investor literacy test was 40%, equal to the general population. Interns strongly agreed that the seminar was valuable (average 5.0 on 5-point Likert scale). Of the 46 respondents to the account allocation survey, interns who had already attended the seminar (n = 25) were more likely than interns who had not yet attended (n = 21) to have switched their investments from low to high-yield accounts at the university hospital (64 vs 19%, P = 0.003) and to enroll in the county hospital retirement plan (64 vs 33%, P = 0.07). Conclusions One 90-minute seminar on personal finances leads to significant changes in allocation of tax-deferred retirement savings. We calculate that these changes can lead to substantial long-term financial benefits and suggest that programs consider automatically enrolling trainees into higher yield retirement plans. PMID:17356971

Long-term changes in lower tropospheric baseline ozone concentrations: Comparing chemistry-climate models and observations at northern midlatitudes

NASA Astrophysics Data System (ADS)

Parrish, D. D.; Lamarque, J.-F.; Naik, V.; Horowitz, L.; Shindell, D. T.; Staehelin, J.; Derwent, R.; Cooper, O. R.; Tanimoto, H.; Volz-Thomas, A.; Gilge, S.; Scheel, H.-E.; Steinbacher, M.; Fröhlich, M.

2014-05-01

Two recent papers have quantified long-term ozone (O3) changes observed at northern midlatitude sites that are believed to represent baseline (here understood as representative of continental to hemispheric scales) conditions. Three chemistry-climate models (NCAR CAM-chem, GFDL-CM3, and GISS-E2-R) have calculated retrospective tropospheric O3 concentrations as part of the Atmospheric Chemistry and Climate Model Intercomparison Project and Coupled Model Intercomparison Project Phase 5 model intercomparisons. We present an approach for quantitative comparisons of model results with measurements for seasonally averaged O3 concentrations. There is considerable qualitative agreement between the measurements and the models, but there are also substantial and consistent quantitative disagreements. Most notably, models (1) overestimate absolute O3 mixing ratios, on average by 5 to 17 ppbv in the year 2000, (2) capture only 50% of O3 changes observed over the past five to six decades, and little of observed seasonal differences, and (3) capture 25 to 45% of the rate of change of the long-term changes. These disagreements are significant enough to indicate that only limited confidence can be placed on estimates of present-day radiative forcing of tropospheric O3 derived from modeled historic concentration changes and on predicted future O3 concentrations. Evidently our understanding of tropospheric O3, or the incorporation of chemistry and transport processes into current chemical climate models, is incomplete. Modeled O3 trends approximately parallel estimated trends in anthropogenic emissions of NOx, an important O3 precursor, while measured O3 changes increase more rapidly than these emission estimates.

The influence of climate, topography and land-use on the hydrology of ephemeral upland catchments

NASA Astrophysics Data System (ADS)

Daly, E.; Webb, J.; Dresel, E.

2016-12-01

We report on an on-going project aimed at determining the effects of climate variability and land use change on water resources in ephemeral productive catchments. Meteorological data (including rainfall, solar radiation, air temperature, humidity and wind speed), streamflow and groundwater levels were collected continuously for over five years in seven ephemeral catchments in southeastern Australia. The catchments, dominated by either pasture for grazing (four) or Eucalyptus globulus (blue gum) plantations of different ages (three), were located in three different geological settings. Rainfall varied from higher than the long-term average of this area for the initial years of the study period to much drier than the long-term average for the last two years. Groundwater levels in the farm sites remained stable or slightly increased through the study period, while levels declined in all the plantation catchments, where evapotranspiration rates were greater than rainfall. The trees intercept groundwater recharge and in some areas of the catchments directly access groundwater. Streamflow occurred mainly during winter, with short-term flows in summer caused by sporadic large rainfall events. Despite the large annual rainfall variability, flow rates in each year were similar in most catchments, with the duration of flow being important in determining the annual flow. The frequency rather than the amount of rainfall events determines the generation of streamflow in the two catchments with steeper slopes. The effect of the tree plantations on streamflow varied from a substantial reduction in one catchment to no effect in another, where the tree rows are oriented predominantly downslope, allowing greater runoff. In the third plantation catchment, geology is the main driver of runoff due to capture into underlying karst conduits.

Relating traffic fatalities to GDP in Europe on the long term.

PubMed

Antoniou, Constantinos; Yannis, George; Papadimitriou, Eleonora; Lassarre, Sylvain

2016-07-01

Modeling road safety development can provide important insight into policies for the reduction of traffic fatalities. In order to achieve this goal, both the quantifiable impact of specific parameters, as well as the underlying trends that cannot always be measured or observed, need to be considered. One of the key relationships in road safety links fatalities with risk and exposure, where exposure reflects the amount of travel, which in turn translates to how much travelers are exposed to risk. In general two economic variables: GDP and unemployment rate are selected to analyse the statistical relationships with some indicators of road accident fatality risk. The objective of this research is to provide an overview of relevant literature on the topic and outline some recent developments in macro-panel data analysis that have resulted in ongoing research that has the potential to improve our ability to forecast traffic fatality trends, especially under turbulent financial situations. For this analysis, time series of the number of fatalities and GDP in 30 European countries for a period of 38 years (1975-2012) are used. This process relies on estimating long-term models (as captured by long term time-series models, which model each country separately). Based on these developments, utilizing state-of-the-art modelling and analysis techniques such as the Common Correlated Effects Mean Group estimator (Pesaran), the long-term elasticity mean value equals 0.63, and is significantly different from zero for 10 countries only. When we take away the countries, where the number of fatalities is stationary, the average elasticity takes a higher value of nearly 1. This shows the strong sensitivity of the estimate of the average elasticity over a panel of European countries and underlines the necessity to be aware of the underlying nature of the time series, to get a suitable regression model. Copyright © 2016 Elsevier Ltd. All rights reserved.

Long-term effects of short-acting methylphenidate on growth rates of children with attention deficit hyperactivity disorder at Queen Sirikit National Institute of Child Health.

PubMed

Moungnoi, Pranee; Maipang, Prinyaporn

2011-08-01

Methylphenidate (MPH) is generally considered to be first-line treatment for the core symptoms of Attention Deficit Hyperactivity Disorder (ADHD). Long-term administration of MPH in childhood may have adverse effects on growth. To determine the effect of long-term, short-acting MPH medication on growth. A retrospective descriptive study was employed by gathering the data of patients who were diagnosed as ADHD by child psychiatrists at the child and adolescent clinic, Queen Sirikit National Institute of Child Health. Subjects were patients received the first dose of short-acting methylphenidate from January 1st 2000 to December 31st 2007 and continued medication for at least 1 year. Data about height and weight were reviewed at the beginning of short-acting MPH medication, 6 months (mo), 1 yr, 2 yr, 3 yr, 4 yr, 5 yr, 6 yr and 7 yr interval. Collecting data was interpreted with INMU-Nutri Stat software program. Paired t-test was used to compare Z score of height and weight at different time points. There were 96 cases in the present study; the ratio of male to female was 3.6: 1. The first dose of short-acting methylphenidate was started at an average age of 8.62 +/- 1.70 years. Average drug dose ranged from 0.41-0.49 mg/kg/day. The data evaluated at 6 mo, 1 year 2 years, 3 years, 4 years and 5 years after drug use found that weight was not affected. Height decreased at 6 mo. after drug use (p < 0.05) but long-term treatment was not statistically significant. Prolonged medication with short-acting MPH has shown to have minimal impact on height only at the first 6 months; however, catch up growth was detected during adolescent period.

Cross-correlations between agricultural commodity futures markets in the US and China

NASA Astrophysics Data System (ADS)

Li, Zhihui; Lu, Xinsheng

2012-08-01

This paper examines the cross-correlation properties of agricultural futures markets between the US and China using a cross-correlation statistic test and multifractal detrended cross-correlation analysis (MF-DCCA). The results show that the cross-correlations between the two geographically distant markets for four pairs of important agricultural commodities futures are significantly multifractal. By introducing the concept of a “crossover”, we find that the multifractality of cross-correlations between the two markets is not long lasting. The cross-correlations in the short term are more strongly multifractal, but they are weakly so in the long term. Moreover, cross-correlations of small fluctuations are persistent and those of large fluctuations are anti-persistent in the short term while cross-correlations of all kinds of fluctuations for soy bean and soy meal futures are persistent and for corn and wheat futures are anti-persistent in the long term. We also find that cross-correlation exponents are less than the averaged generalized Hurst exponent when q<0 and more than the averaged generalized Hurst exponent when q>0 in the short term, while in the long term they are almost the same.

Long-term e-cigarette use and smoking cessation: a longitudinal study with US population.

PubMed

Zhuang, Yue-Lin; Cummins, Sharon E; Sun, Jessica Y; Zhu, Shu-Hong

2016-10-01

E-cigarettes have grown popular. The most common pattern is dual use with conventional cigarettes. Dual use has raised concerns that it might delay quitting of cigarette smoking. This study examined the relationship between long-term use of e-cigarettes and smoking cessation in a 2-year period. A nationally representative sample of 2028 US smokers were surveyed in 2012 and 2014. Long-term e-cigarette use was defined as using e-cigarettes at baseline and follow-up. Use of e-cigarettes only at baseline or at follow-up was defined as short-term use. Non-users did not use e-cigarettes at either survey. Quit attempt rates and cessation rates (abstinent for 3 months or longer) were compared across the three groups. At 2-year follow-up, 43.7% of baseline dual users were still using e-cigarettes. Long-term e-cigarette users had a higher quit attempt rate than short-term or non-users (72.6% vs 53.8% and 45.5%, respectively), and a higher cessation rate (42.4% vs 14.2% and 15.6%, respectively). The difference in cessation rate between long-term users and non-users remained significant after adjusting for baseline variables, OR=4.1 (95% CI 1.5 to 11.4) as did the difference between long-term users and short-term users, OR=4.8 (95% CI 1.6 to 13.9). The difference in cessation rate between short-term users and non-users was not significant, OR=0.9 (95% CI 0.5 to 1.4). Among those making a quit attempt, use of e-cigarettes as a cessation aid surpassed that of FDA-approved pharmacotherapy. Short-term e-cigarette use was not associated with a lower rate of smoking cessation. Long-term use of e-cigarettes was associated with a higher rate of quitting smoking. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Characteristics of Occupational Exposure to Benzene during Turnaround in the Petrochemical Industries.

PubMed

Chung, Eun-Kyo; Shin, Jung-Ah; Lee, Byung-Kyu; Kwon, Jiwoon; Lee, Naroo; Chung, Kwang-Jae; Lee, Jong-Han; Lee, In-Seop; Kang, Seong-Kyu; Jang, Jae-Kil

2010-09-01

The level of benzene exposure in the petrochemical industry during regular operation has been well established, but not in turnaround (TA), where high exposure may occur. In this study, the characteristics of occupational exposure to benzene during TA in the petrochemical companies were investigated in order to determine the best management strategies and improve the working environment. This was accomplished by evaluating the exposure level for the workers working in environments where benzene was being produced or used as an ingredient during the unit process. From 2003 to 2008, a total of 705 workers in three petrochemical companies in Korea were studied. Long- and short-term (< 1 hr) samples were taken during TAs. TA was classified into three stages: shut-down, maintenance and start-up. All works were classified into 12 occupation categories. The long-term geometric mean (GM) benzene exposure level was 0.025 (5.82) ppm (0.005-42.120 ppm) and the short-term exposure concentration during TA was 0.020 (17.42) ppm (0.005-61.855 ppm). The proportions of TA samples exceeding the time-weighted average, occupational exposure level (TWA-OEL in Korea, 1 ppm) and the short-term exposure limit (STEL-OEL, 5 ppm) were 4.1% (20 samples of 488) and 6.0% (13 samples of 217), respectively. The results for the benzene exposure levels and the rates of exceeding the OEL were both statistically significant (p < 0.05). Among the 12 job categories of petrochemical workers, mechanical engineers, plumbers, welders, fieldman and scaffolding workers exhibited long-term samples that exceeded the OEL of benzene, and the rate of exceeding the OEL was statistically significant for the first two occupations (p < 0.05). These findings suggest that the periodic work environment must be assessed during non-routine works such as TA.

An algorithm for the Italian atomic time scale

NASA Technical Reports Server (NTRS)

Cordara, F.; Vizio, G.; Tavella, P.; Pettiti, V.

1994-01-01

During the past twenty years, the time scale at the IEN has been realized by a commercial cesium clock, selected from an ensemble of five, whose rate has been continuously steered towards UTC to maintain a long term agreement within 3 x 10(exp -13). A time scale algorithm, suitable for a small clock ensemble and capable of improving the medium and long term stability of the IEN time scale, has been recently designed taking care of reducing the effects of the seasonal variations and the sudden frequency anomalies of the single cesium clocks. The new time scale, TA(IEN), is obtained as a weighted average of the clock ensemble computed once a day from the time comparisons between the local reference UTC(IEN) and the single clocks. It is foreseen to include in the computation also ten cesium clocks maintained in other Italian laboratories to further improve its reliability and its long term stability. To implement this algorithm, a personal computer program in Quick Basic has been prepared and it has been tested at the IEN time and frequency laboratory. Results obtained using this algorithm on the real clocks data relative to a period of about two years are presented.

Private long-term care insurance: value to claimants and implications for long-term care financing.

PubMed

Doty, Pamela; Cohen, Marc A; Miller, Jessica; Shi, Xiaomei

2010-10-01

The purpose of this study was to obtain a profile of individuals with private long-term care (LTC) insurance as they begin using paid LTC services and track their patterns of service use, satisfaction with services and insurance, claims denial rates, and transitions over a 28-month period. Ten LTC insurance companies contributed a random sample of 1,474 qualified individuals who were interviewed in-person by a trained nurse and then interviewed telephonically every 4 month for a 28-month period. Used in the analysis were descriptive statistics and techniques for analyzing longitudinal panel data. About 96% of those filing claims were approved for payment. At baseline, 37% received home care, 23% assisted living care, 14% were in a nursing home, and 26% had not yet begun using paid care. Few claimants reported that their policies restricted their choice of providers and most care costs were covered. The average number of care transitions was 1, typically occurring within 4 month of baseline. The less impaired and those in home care settings were most likely to transition between service settings. Having private LTC coverage enabled claimants to exercise their preference for alternatives to nursing home care.

Solid organ allograft survival improvement in the United States: the long-term does not mirror the dramatic short-term success.

PubMed

Lodhi, S A; Lamb, K E; Meier-Kriesche, H U

2011-06-01

Organ survival in the short-term period post-transplant has improved dramatically over the past few decades. Whether this has translated to a long-term survival benefit remains unclear. This study quantifies the progression of nonrenal solid organ transplant outcomes from 1989 to 2009 in liver, lung, heart, intestine and pancreas transplants. Long-term graft survival was analyzed using data on adult solid organ transplant recipients from the UNOS/SRTR database and is reported as organ half-life and yearly attrition rates. Liver, lung, heart, intestine and pancreas half-lives have improved from 5.8 to 8.5, 1.7 to 5.2, 8.8 to 11, 2.1 to 3.6 and 10.5 to 16.7 years, respectively. Long-term attrition rates have not shown the same consistent improvement, with the yearly attrition rate 5-10 years post-transplant for liver, lung, heart and pancreas changing from 4.7 to 4.3, 10.9 to 10.1, 6.4 to 5.1 and 3.3 to 4.2, respectively. Attrition rates for intestine and pancreas transplantation alone display more variability due to smaller sample size but exhibit similar trends of improved first-year attrition and relatively stagnant long-term attrition rates. With first-year survival and attrition rates almost at a pinnacle, further progress in long-term survival will come from targeting endpoints beyond first-year rejection and survival rates. ©2011 The Authors Journal compilation©2011 The American Society of Transplantation and the American Society of Transplant Surgeons.

A paleoseismic transect across the northwestern Basin and Range Province, northwestern Nevada and northeastern California, USA

USGS Publications Warehouse

Personius, Stephen; Briggs, Richard; Maharrey, J. Zebulon; Angster, Stephen J.; Mahan, Shannon

2017-01-01

We use new and existing data to compile a record of ∼18 latest Quaternary large-magnitude surface-rupturing earthquakes on 7 fault zones in the northwestern Basin and Range Province of northwestern Nevada and northeastern California. The most recent earthquake on all faults postdates the ca. 18–15 ka last glacial highstand of pluvial Lake Lahontan and other pluvial lakes in the region. These lacustrine data provide a window in which we calculate latest Quaternary vertical slip rates and compare them with rates of modern deformation in a global positioning system (GPS) transect spanning the region. Average vertical slip rates on these fault zones range from 0.1 to 0.8 mm/yr and total ∼2 mm/yr across a 265-km-wide transect from near Paradise Valley, Nevada, to the Warner Mountains in California. We converted vertical slip rates to horizontal extension rates using fault dips of 30°–60°, and then compared the extension rates to GPS-derived rates of modern (last 7–9 yr) deformation. Our preferred fault dip values (45°–55°) yield estimated long-term extension rates (1.3–1.9 mm/yr) that underestimate our modern rate (2.4 mm/yr) by ∼21%–46%. The most likely sources of this underestimate are geologically unrecognizable deformation from moderate-sized earthquakes and unaccounted-for coseismic off-fault deformation from large surface-rupturing earthquakes. However, fault dip values of ≤40° yield long-term rates comparable to or greater than modern rates, so an alternative explanation is that fault dips are closer to 40° than our preferred values. We speculate that the large component of right-lateral shear apparent in the GPS signal is partitioned on faults with primary strike-slip displacement, such as the Long Valley fault zone, and as not easily detected oblique slip on favorably oriented normal faults in the region.

Autonomous Ocean Turbulence Measurements From a Moored Upwardly Rising Profiler Based on a Buoyancy-Driven Mechanism

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

Liu, Xiuyan; Luan, Xin; Daniel Deng, Z.

An autonomous Moored Reciprocating Vertical Profiler (MRVP) has been developed and tested for measuring ocean turbulence. The MRVP is designed to combine the advantages of long-term moored measurements at specified depths with those of short-term ship-supported continuous profiling performed at high vertical resolution. The profiler is programmed to repeat vertical motions autonomously along the mooring cable based on a buoyancy-driven mechanism. A sea trial has been conducted in the South China Sea to evaluate the performance of the profiler. The shear probe data are unreliable when the flow past sensors is not sufficiently greater than an estimate of turbulent velocity.more » For 65% of the dataset, turbulence measurements are of high quality and the magnitude of dissipation rates is up to O(10 -10) W kg -1. To minimize the contamination induced by instrument vibration and improve the estimation of turbulent kinetic energy terms, an advanced cross-spectrum algorithm is implemented to the measured shear data. The corrected spectra agrees well with the empirical Nasmyth spectrum, and dissipation rates had averagely decreased a factor of 2 and 8 times lower than the raw spectra. The autonomous MRVP is proven to be a stable platform, and the novel upward measurement provides a new perspective for measuring long-term time series of turbulence mixing.« less

Early Postimplant Speech Perception and Language Skills Predict Long-Term Language and Neurocognitive Outcomes Following Pediatric Cochlear Implantation

PubMed Central

Kronenberger, William G.; Castellanos, Irina; Pisoni, David B.

2017-01-01

Purpose We sought to determine whether speech perception and language skills measured early after cochlear implantation in children who are deaf, and early postimplant growth in speech perception and language skills, predict long-term speech perception, language, and neurocognitive outcomes. Method Thirty-six long-term users of cochlear implants, implanted at an average age of 3.4 years, completed measures of speech perception, language, and executive functioning an average of 14.4 years postimplantation. Speech perception and language skills measured in the 1st and 2nd years postimplantation and open-set word recognition measured in the 3rd and 4th years postimplantation were obtained from a research database in order to assess predictive relations with long-term outcomes. Results Speech perception and language skills at 6 and 18 months postimplantation were correlated with long-term outcomes for language, verbal working memory, and parent-reported executive functioning. Open-set word recognition was correlated with early speech perception and language skills and long-term speech perception and language outcomes. Hierarchical regressions showed that early speech perception and language skills at 6 months postimplantation and growth in these skills from 6 to 18 months both accounted for substantial variance in long-term outcomes for language and verbal working memory that was not explained by conventional demographic and hearing factors. Conclusion Speech perception and language skills measured very early postimplantation, and early postimplant growth in speech perception and language, may be clinically relevant markers of long-term language and neurocognitive outcomes in users of cochlear implants. Supplemental materials https://doi.org/10.23641/asha.5216200 PMID:28724130

Variations in magma supply rate at Kilauea Volcano, Hawaii

USGS Publications Warehouse

Dvorak, John J.; Dzurisin, Daniel

1993-01-01

When an eruption of Kilauea lasts more than 4 months, so that a well-defined conduit has time to develop, magma moves freely through the volcano from a deep source to the eruptive site at a constant rate of 0.09 km3/yr. At other times, the magma supply rate to Kilauea, estimated from geodetic measurements of surface displacements, may be different. For example, after a large withdrawal of magma from the summit reservoir, such as during a rift zone eruption, the magma supply rate is high initially but then lessens and exponentially decays as the reservoir refills. Different episodes of refilling may have different average rates of magma supply. During four year-long episodes in the 1960s, the annual rate of refilling varied from 0.02 to 0.18 km3/yr, bracketing the sustained eruptive rate of 0.09 km3/yr. For decade-long or longer periods, our estimate of magma supply rate is based on long-term changes in eruptive rate. We use eruptive rate because after a few dozen eruptions the volume of magma that passes through the summit reservoir is much larger than the net change of volume of magma stored within Kilauea. The low eruptive rate of 0.009 km3/yr between 1840 and 1950, compared to an average eruptive rate of 0.05 km3/yr since 1950, suggests that the magma supply rate was lower between 1840 and 1950 than it has been since 1950. An obvious difference in activity before and since 1950 was the frequency of rift zone eruptions: eight rift zone eruptions occurred between 1840 and 1950, but more than 20 rift zone eruptions have occurred since 1950. The frequency of rift zone eruptions influences magma supply rate by suddenly lowering pressure of the summit magma reservoir, which feeds magma to rift zone eruptions. A temporary drop of reservoir pressure means a larger-than-normal pressure difference between the reservoir and a deeper source, so magma is forced to move upward into Kilauea at a faster rate.

Effect of Nigerian citrus (Citrus sinensis Osbeck) honey on ethanol metabolism.

PubMed

Onyesom, I

2004-12-01

The effect of Nigerian citrus (Citrus sinensis Osbeck) honey on ethanol metabolism was tested using 45 consenting individuals in apparent good health and between the ages of 25 and 35 years. The subjects were moderate social drinkers matched in terms of body weight and build. The results obtained showed that on average, honey significantly (p < 0.05) increased the blood ethanol clearance rate by 68% and decreased the intoxication period by 43%, but insignificantly (p > 0.05) reduced the degree of intoxication by 9%. Honey could be a promising anti-intoxicating agent, but its long-term biochemical evaluation, possibly as a complement in the management of alcohol intoxication, deserves further study.

Radiofrequency ablation versus cryoablation for atrioventricular nodal re-entrant tachycardia in children: a value comparison.

PubMed

Oster, Matthew E; Yang, Zhou; Stewart-Huey, Kay; Glanville, Michelle; Porter, Arlene; Campbell, Robert; Webb, Brad; Strieper, Margaret

2017-03-01

It is unclear whether cryoablation or radiofrequency ablation offers better value for treating atrioventricular nodal re-entrant tachycardia in children. We aimed to compare the value of these procedures for treating atrioventricular nodal re-entrant tachycardia in children, with value being outcomes relative to costs. We performed a retrospective cohort study of all atrioventricular nodal re-entrant tachycardia ablations for children (age⩽18 years) from July, 2009 to June, 2011 at our institution. Costs included fixed costs, miscellaneous hospital costs, and labour costs, and key outcomes were acute and long-term success (6 months) of the ablations. We conducted T-tests and regression analyses to investigate the associations between the ablation procedure type and the cost and success of the ablations. Of 96 unique cases performed by three paediatric electrophysiologists, 48 were cryoablation only, 42 radiofrequency ablation only, and six were a combination. Acute success was 100% for the cryoablation only and radiofrequency ablation only cases and 83% for the combination cases. There were no notable adverse events. The average total cost was $9636 for cryoablation cases, $9708 for radiofrequency ablation cases, and $10,967 for combination cases (p=0.51 for cryoablation only versus radiofrequency ablation only). The long-term success rate was 79.1% for cryoablation only, 92.8% for radiofrequency ablation only, and 66.7% for the combination (p=0.01 for cryoablation only versus radiofrequency ablation only), but long-term success varied notably by provider. Cryoablation and radiofrequency ablation offer similar value in the short term for the treatment of atrioventricular nodal re-entrant tachycardia in children. Differences in long-term success may vary substantially by physician, and thus may lead to differences in long-term value.

Pledgeted repair of giant hiatal hernia provides excellent long-term results.

PubMed

Kang, Thomas; Urrego, Hernan; Gridley, Asahel; Richardson, William S

2014-10-01

Use of mesh in hiatal hernia repairs is a topic of debate. We present our experience in laparoscopic primary (nonmesh) repair of giant hiatal hernia. All laparoscopic antireflux procedures done by a single surgeon from November 1997 to October 2006 were retrospectively reviewed. Inclusion criteria were primary crural closure with pledgets and giant hiatal hernia (greater than one-third of the stomach in the chest by esophagram, greater than 5 cm in length endoscopically, or greater than one-third of the stomach in the chest operatively). We attempted to reach all patients who met inclusion criteria and administered the Reflux Symptom Index (RSI) and Quality of Life Scale for Gastroesophageal Reflux Disease (QLSGR) questionnaires. In total, 89 patients met inclusion criteria. The male-to-female ratio was 32:57. Average age was 62.7 years. Average body mass index was 29.3 kg/m(2). Average length of stay was 2 days, and mean clinic follow-up was 161 days. At the most recent follow-up, 62% of patients were asymptomatic. The most common postoperative symptoms were dysphagia (16%), reflux/emesis (5%), bloating (5%), nausea (4%), epigastric pain (4%), and heartburn (3%). There were six (6.7%) recurrences on esophagogastroduodenoscopy or upper gastrointestinal examination. Five patients with recurrence were symptomatic. Of the 89 patients, 29 (33%) completed the questionnaire, with a mean follow-up of 69.7 months. Average RSI score was 12 (maximum possible score, 45). In six of nine categories, the average score was less than 1 (possible score, 0-5). Average QLSGR score was 12 (maximum possible score, 45). For satisfaction with the present condition, the average score was 4.34 (maximum score, 5), and 82.7% of respondents were satisfied or very satisfied with their present condition. Laparoscopic primary repair of giant hiatal hernia provides excellent long-term results. We found that 62% of patients were asymptomatic at the last follow-up and that 82% of respondents were satisfied or very satisfied. The recurrence rate was 6.7%.

Effect of ferrihydrite biomineralization on methanogenesis in an anaerobic incubation from paddy soil

NASA Astrophysics Data System (ADS)

Zhuang, Li; Xu, Jielong; Tang, Jia; Zhou, Shungui

2015-05-01

Microbial reduction of Fe(III) can be one of the major factors controlling methane production from anaerobic sedimentary environments, such as paddy soils and wetlands. Although secondary iron mineralization following Fe(III) reduction is a process that occurs naturally over time, it has not yet been considered in methanogenic systems. This study performed a long-term anaerobic incubation of a paddy soil and ferrihydrite-supplemented soil cultures to investigate methanogenesis during ferrihydrite biomineralization. The results revealed that the long-term effect of ferrihydrite on methanogenesis may be enhancement rather than suppression documented in previous studies. During initial microbial ferrihydrite reduction, methanogenesis was suppressed; however, the secondary minerals of magnetite formation was simultaneous with facilitated methanogenesis in terms of average methane production rate and acetate utilization rate. In the phase of magnetite formation, microbial community analysis revealed a strong stimulation of the bacterial Geobacter, Bacillus, and Sedimentibacter and the archaeal Methanosarcina in the ferrihydrite-supplemented cultures. Direct electric syntrophy between Geobacter and Methanosarcina via conductive magnetite is the plausible mechanism for methanogenesis acceleration along with magnetite formation. Our data suggested that a change in iron mineralogy might affect the conversion of anaerobic organic matter to methane and might provide a fresh perspective on the mitigation of methane emissions from paddy soils by ferric iron fertilization.

Managing tile drainage, subirrigation, and nitrogen fertilization to enhance crop yields and reduce nitrate loss.

PubMed

Drury, C F; Tan, C S; Reynolds, W D; Welacky, T W; Oloya, T O; Gaynor, J D

2009-01-01

Improving field-crop use of fertilizer nitrogen is essential for protecting water quality and increasing crop yields. The objective of this study was to determine the effectiveness of controlled tile drainage (CD) and controlled tile drainage with subsurface irrigation (CDS) for mitigating off-field nitrate losses and enhancing crop yields. The CD and CDS systems were compared on a clay loam soil to traditional unrestricted tile drainage (UTD) under a corn (Zea Mays L.)-soybean (Glycine Max. (L.) Merr.) rotation at two nitrogen (N) fertilization rates (N1: 150 kg N ha(-1) applied to corn, no N applied to soybean; N2: 200 kg N ha(-1) applied to corn, 50 kg N ha(-1) applied to soybean). The N concentrations in tile flow events with the UTD treatment exceeded the provisional long-term aquatic life limit (LT-ALL) for freshwater (4.7 mg N L(-1)) 72% of the time at the N1 rate and 78% at the N2 rate, whereas only 24% of tile flow events at N1 and 40% at N2 exceeded the LT-ALL for the CDS treatment. Exceedances in N concentration for surface runoff and tile drainage were greater during the growing season than the non-growing season. At the N1 rate, CD and CDS reduced average annual N losses via tile drainage by 44 and 66%, respectively, relative to UTD. At the N2 rate, the average annual decreases in N loss were 31 and 68%, respectively. Crop yields from CDS were increased by an average of 2.8% relative to UTD at the N2 rate but were reduced by an average of 6.5% at the N1 rate. Hence, CD and CDS were effective for reducing average nitrate losses in tile drainage, but CDS increased average crop yields only when additional N fertilizer was applied.

Delayed increase in male suicide rates in tsunami disaster-stricken areas following the great east japan earthquake: a three-year follow-up study in Miyagi Prefecture.

PubMed

Orui, Masatsugu; Sato, Yasuhiro; Tazaki, Kanako; Kawamura, Ikuko; Harada, Shuichiro; Hayashi, Mizuho

2015-03-01

Devastating natural disasters and their aftermath are known to cause psychological distress. However, little information is available regarding suicide rates following tsunami disasters that destroy regional social services and networks. The aim of the present study was to determine whether the tsunami disaster following the Great East Japan Earthquake in March 2011 has influenced suicide rates. The study period was from March 2009 to February 2014. Tsunami disaster-stricken areas were defined as the 16 municipalities facing the Pacific Ocean in Miyagi Prefecture. Inland areas were defined as other municipalities in Miyagi that were damaged by the earthquake. Suicide rates in the tsunami disaster-stricken areas were compared to national averages, using a time-series analysis and the Poisson distribution test. In tsunami disaster-stricken areas, male suicide rates were significantly lower than the national average during the initial post-disaster period and began to increase after two years. Likewise, male suicide rates in the inland areas decreased for seven months, and then increased to exceed the national average. In contrast, female post-disaster suicide rates did not change in both areas compared to the national average. Importantly, the male suicide rates in the inland areas started to increase earlier compared to the tsunami-stricken areas, which may reflect the relative deficiency of mental healthcare services in the inland areas. Considering the present status that many survivors from the tsunami disaster still live in temporary housing and face various challenges to rebuild their lives, we should continue intensive, long-term mental healthcare services in the tsunami-stricken areas.

Long-Term Blood Pressure Variability, New-Onset Diabetes Mellitus, and New-Onset Chronic Kidney Disease in the Japanese General Population.

PubMed

Yano, Yuichiro; Fujimoto, Shouichi; Kramer, Holly; Sato, Yuji; Konta, Tsuneo; Iseki, Kunitoshi; Iseki, Chiho; Moriyama, Toshiki; Yamagata, Kunihiro; Tsuruya, Kazuhiko; Narita, Ichiei; Kondo, Masahide; Kimura, Kenjiro; Asahi, Koichi; Kurahashi, Issei; Ohashi, Yasuo; Watanabe, Tsuyoshi

2015-07-01

Whether long-term blood pressure (BP) variability among individuals without diabetes mellitus is associated with new-onset chronic kidney disease (CKD) risk, independently of other BP parameters (eg, mean BP, cumulative exposure to BP) and metabolic profile changes during follow-up, remains uncertain. We used data from a nationwide study of 48 587 Japanese adults aged 40 to 74 years (mean age, 61.7 years; 39% men) without diabetes mellitus or CKD (estimated glomerular filtration rate <60 mL/min per 1.73 m2 or proteinuria by dipstick). BP was measured at baseline and during 3 annual follow-up visits (4 visits). BP variability was defined as standard deviation (SD) and average real variability during the 4 visits. At the year 3 follow-up visit, 6.3% of the population had developed CKD. In multivariable-adjusted logistic regression models, 1 SD increases in SDSBP (per 5 mmHg), SDDBP (per 3 mmHg), average real variabilitySBP (per 6 mmHg), and average real variabilityDBP (per 4 mmHg) were associated with new-onset CKD (odds ratios [ORs] and 95% confidence intervals, 1.15 [1.11-1.20], 1.08 [1.04-1.12], 1.13 [1.09-1.17], 1.06 [1.02-1.10], respectively; all P<0.01) after adjustment for clinical characteristics, and with mean BP from year 0 to year 3. The associations of SDBP and average real variabilityBP with CKD remained significant after additional adjustments for metabolic parameter changes during follow-up (ORs, 1.06-1.15; all P<0.01). Sensitivity analyses by sex, antihypertensive medication use, and the presence of hypertension showed similar conclusions. Among those in the middle-aged and elderly general population without diabetes mellitus, long-term BP variability during 3 years was associated with new-onset CKD risk, independently of mean or cumulative exposure to BP and metabolic profile changes during follow-up. © 2015 American Heart Association, Inc.

Long-term variations of clay mineral composition in the Andaman Sea (IODP Exp. 353 Site U1447): preliminary result

NASA Astrophysics Data System (ADS)

Lee, J.; Khim, B. K.; Cho, H. G.; Kim, S.; 353 Scientists, I. E.

2016-12-01

Clay mineral studies in the Bengal Fan have allowed the reconstruction of the erosional history of the Himalayan-Tibetan complex since the Early Miocene. Several factors such as climate change and tectonic activity are important for the erosion rate of the Himalaya-Tibet complex. IODP Expedition 353 Site U1447 (10°47.4'N, 93°00'E; 1391 mbsl) was drilled on a ridge 45 km offshore Little Andaman Island in the Andaman Sea, penetrating to total depths of 738 m. Riverine sediments supplied mainly by the Irrawaddy and Salween (draining the Indo-Burman Ranges; smectite-rich) and the Ganga/Brahmaputra (draining the Himalaya; illite-rich) via the surface currents have been known to deposit in the Andaman Sea. We measured clay minerals of 38 sediment samples collected from 150 to 737 m CSF-A at Site U1447 in order to reveal long-term variation patterns of clay minerals and their controlling factors. Age reconstruction of Site U1447 aided by shipboard biostratigraphic and paleomagnetic data defined the study interval spanning from the Late Miocene ( 10 Ma) to Early Pleistocene ( 1.25 Ma). At this interval, clay minerals consist mainly of smectite (28-61% with an average of 47%) followed by illite (20-41% with an average of 29%), kaolinite (9-19% with an average of 14%), and chlorite (5-15% with an average of 10%). Variation of clay mineral compositions is divided into three stages; almost consistent variations of all clay minerals (from 750 to 570 m CSF-A; 10.0 to 7.5 Ma), gradual decrease of smectite and increase of illite and chlorite (from 570 to 400 m CSF-A; 7.5 to 4.5 Ma), and great fluctuation of all clay minerals (from 400 to 150 m CSF-A; 4.5 to 1.1 Ma). Such long-term clay mineral changes may be related to provenance switches, tectonic evolution of the source regions, climatic variations, degree of volcanism with basin evolution, sedimentation history by sea level changes or some combination of these factors.

Sedimentation survey of Lago Cerrillos, Ponce, Puerto Rico, April-May 2008

USGS Publications Warehouse

Soler-López, Luis R.

2011-01-01

Lago Cerrillos dam, located in the municipality of Ponce in southern Puerto Rico, was constructed in 1991 as part of the multipurpose Rio Portugues and Bucana Project. This project provides flood protection, water supply, and recreation facilities for the municipio of Ponce. The reservoir had an original storage capacity of 38.03 million cubic meters at maximum conservation pool elevation of 174.65 meters above mean sea level and a drainage area of 45.32 square kilometers. Sedimentation in Lago Cerrillos reservoir has reduced the storage capacity from 38.03 million cubic meters in 1991 to 37.26 million cubic meters in 2008, which represents a total storage loss of about 2 percent. During July 29 to August 23, 2002, 8,492 cubic meters of sediment were removed from the Rio Cerrillos mouth of the reservoir. Taking into account this removed material, the total water-storage loss as of 2008 is 778,492 cubic meters, and the long-term annual water-storage capacity loss rate is about 45,794 cubic meters per year or about 0.12 percent per year. The Lago Cerrillos net sediment-contributing drainage area has an average sediment yield of about 1,069 cubic meters per square kilometer per year. Sediment accumulation in Lago Cerrillos is not uniformly distributed and averages about 3 meters in thickness. This represents a sediment deposition rate of about 18 centimeters per year. On the basis of the 2008 reservoir storage capacity of 37.26 million cubic meters per year and a long-term sedimentation rate of 45,794 cubic meters per year, Lago Cerrillos is estimated to have a useful life of about 814 years or until the year 2822.

Parotid gland shrinkage during IMRT predicts the time to Xerostomia resolution.

PubMed

Sanguineti, Giuseppe; Ricchetti, Francesco; Wu, Binbin; McNutt, Todd; Fiorino, Claudio

2015-01-17

To assess the impact of mid-treatment parotid gland shrinkage on long term xerostomia during IMRT for oropharyngeal SCC. All patients treated with IMRT at a single Institution from November 2007 to June 2010 and undergoing weekly CT scans were selected. Parotid glands were contoured retrospectively on the mid treatment CT scan. For each parotid gland, the percent change relative to the planning volume was calculated and combined as weighted average. Patients were considered to be xerostomic if developed GR2+ dry mouth according to CTCAE v3.0. Predictors of the time to xerostomia resolution or downgrade to 1 were investigated at both uni- and multivariate analysis. 85 patients were selected. With a median follow up of 35.8 months (range: 2.4-62.6 months), the actuarial rate of xerostomia is 26.2% (SD: 5.3%) and 15.9% (SD: 5.3%) at 2 and 3 yrs, respectively. At multivariate analysis, mid-treatment shrink along with weighted average mean parotid dose at planning and body mass index are independent predictors of the time to xerostomia resolution. Patients were pooled in 4 groups based on median values of both mid-treatment shrink (cut-off: 19.6%) and mean WA parotid pl-D (cut-off: 35.7 Gy). Patients with a higher than median parotid dose at planning and who showed poor shrinkage at mid treatment are the ones with the outcome significantly worse (3-yr rate of xerostomia ≈ 50%) than the other three subgroups (3-yr rate of xerostomia ≈ 10%). For a given planned dose, patients whose parotids significantly shrink during IMRT are less likely to be long-term supplemental fluids dependent.

Soil-test N recommendations augmented with PEST-optimized RZWQM simulations

USGS Publications Warehouse

Malone, R.W.; Jaynes, D.B.; Ma, Liwang; Nolan, B.T.; Meek, D.W.; Karlen, D.L.

2010-01-01

Improved understanding of year-to-year late-spring soil nitrate test (LSNT) variability could help make it more attractive to producers. We test the ability of the Root Zone Water Quality Model (RZWQM) to simulate watershed-scale variability due to the LSNT, and we use the optimized model to simulate long-term field N dynamics under related conditions. Autoregressive techniques and the automatic parameter calibration program PEST were used to show that RZWQM simulates significantly lower nitrate concentration in discharge from LSNT treatments compared with areas receiving fall N fertilizer applications within the tile-drained Walnut Creek, Iowa, watershed (>5 mg N L-1 difference for the third year of the treatment, 1999). This result is similar to field-measured data from a paired watershed experiment. A statistical model we developed using RZWQM simulations from 1970 to 2005 shows that early-season precipitation and early-season temperature account for 90% of the interannual variation in LSNT-based fertilizer N rates. Long-term simulations with similar average N application rates for corn (Zea mays L.) (151 kg N ha-1) show annual average N loss in tile flow of 20.4, 22.2, and 27.3 kg N ha -1 for LSNT, single spring, and single fall N applications. These results suggest that (i) RZWQM is a promising tool to accurately estimate the water quality effects of LSNT; (ii) the majority of N loss difference between LSNT and fall applications is because more N remains in the root zone for crop uptake; and (iii) year-to-year LSNT-based N rate differences are mainly due to variation in early-season precipitation and temperature. Copyright ?? 2010 by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America. All rights reserved.

Effects of Child Abuse and Neglect on Adult Survivors

ERIC Educational Resources Information Center

Johnson, Emmanuel Janagan; James, Christine

2016-01-01

Child abuse has profound immediate and long-term effects on a child's development. The long-term impact of abuse of a child can be seen in higher rates of psychiatric disorders, increased rates of substance abuse and relationship difficulties [Springer, K. W., Sheridan, J., Kuo, D., & Carnes, M. (2003). "The long-term health outcomes of…

An Estimate of North Atlantic Basin Tropical Cyclone Activity for 2008

NASA Technical Reports Server (NTRS)

Wilson, Robert M.

2008-01-01

The statistics of North Atlantic basin tropical cyclones for the interval 1945-2007 are examined and estimates are given for the frequencies of occurrence of the number of tropical cyclones, number of hurricanes, number of major hurricanes, number of category 4/5 hurricanes, and number of U.S. land-falling hurricanes for the 2008 hurricane season. Also examined are the variations of peak wind speed, average peak wind speed per storm, lowest pressure, average lowest pressure per storm, recurrence rate and duration of extreme events (El Nino and La Nina), the variation of 10-yr moving averages of parametric first differences, and the association of decadal averages of frequencies of occurrence of North Atlantic basin tropical cyclones against decadal averages of Armagh Observatory, Northern Ireland, annual mean temperature (found to be extremely important for number of tropical cyclones and number of hurricanes). Because the 2008 hurricane season seems destined to be one that is non-El Nino-related and is a post-1995 season, estimates of the frequencies of occurrence for the various subsets of storms should be above long-term averages.

Exercise mitigates cumulative associations between stress and BMI in girls age 10 to 19.

PubMed

Puterman, Eli; Prather, Aric A; Epel, Elissa S; Loharuka, Sheila; Adler, Nancy E; Laraia, Barbara; Tomiyama, A Janet

2016-02-01

Long-term psychological stress is associated with BMI increases in children as they transition to adulthood, whereas long-term maintenance of physical activity can slow excess weight gain. We hypothesized that in addition to these main effects, long-term physical activity mitigates the relationship between long-term stress and BMI increase. The NHLBI Growth and Health Study enrolled 2,379 10-year-old Black and White girls, following them annually for 10 measurement points. Growth curve modeling captured the dynamics of BMI, measured yearly, and stress and physical activity, measured at varying years. At average levels of activity and stress, with all covariates remaining fixed, average BMI at baseline was 19.74 (SE = 0.38) and increased 0.64 BMI (SE = 0.01, p < .001) units every year. However, this increase in BMI significantly varied as a function of cumulative stress and physical activity. Slower BMI gain occurred in those girls who were less stressed and more active (0.62 BMI units/year, SE = .02, p < .001), whereas the most rapid and largest growth occurred in girls who were more stressed and less active (0.92 BMI units/year, SE = .02, p < .001). Racial identification did not alter these effects. As hypothesized, in girls who maintained long-term activity, BMI growth was mitigated, even when reporting high long-term stress, compared with less physically active girls. This study adds to a converging literature in which physical activity, a modifiable prevention target, functions to potentially limit the damaging health effects of long-term psychological stress. (c) 2016 APA, all rights reserved).

Exercise mitigates cumulative associations between stress and BMI in girls age 10–19

PubMed Central

Prather, Aric A.; Epel, Elissa S.; Loharuka, Sheila; Adler, Nancy E.; Laraia, Barbara

2015-01-01

Objective Long-term psychological stress is associated with BMI increases in children as they transition to adulthood, while long-term maintenance of physical activity can slow excess weight gain. We hypothesized that in addition to these main effects, long-term physical activity mitigates the relationship between long-term stress and BMI increase. Methods The NHLBI Growth and Health Study enrolled 2,379 10-year-old Black and White girls, following them annually for 10 measurement points. Growth curve modeling captured the dynamics of BMI, measured yearly, and stress and physical activity, measured every other year. Results At average levels of activity and stress, with all covariates remaining fixed, average BMI at baseline was 19.74 (SE = 0.38) and increased 0.64 BMI (SE= 0.01, p < .001) units every year. However, this increase in BMI significantly varied as a function of cumulative stress and physical activity. Slower BMI gain occurred in those girls who were less stressed and more active (0.62 BMI units/year, SE= .02, p < .001), whereas the most rapid and largest growth occurred in girls who were the more stressed and less active (0.92 BMI units/year, SE= .02, p < .001). Racial identification did not alter these effects. Conclusions As hypothesized, in girls who maintained long-term activity, BMI growth was mitigated, even when reporting high long-term stress, compared to less physically active girls. This study adds to a converging literature in which physical activity, a modifiable prevention target, functions to potentially limit the damaging health effects of long-term psychological stress. PMID:26301595

Cost analysis and facility reimbursement in the long-term health care industry.

PubMed Central

Ullmann, S G

1984-01-01

This article examines costs and develops a system of prospective reimbursement for the industry committed to long-term health care. Together with estimates of average cost functions--for purposes of determining those factors affecting the costs of long-term health care, the author examines in depth the cost effects of patient mix and facility quality. Policy implications are indicated. The article estimates cost savings and predicted improvements in facility performance resulting from adoption of a prospective reimbursement system. PMID:6427138

Improved Knowledge Base would be Helpful in Reaching Policy Decisions on Providing Long-Term, In-Home Services for the Elderly.

DTIC Science & Technology

1981-10-26

per month required to maintain such persons in an intermediate care facility . However, the clients eligible for long-term, in-home care were also...assistance under the Food Stamp program. When such clients enter an intermediate care facility , some of their public financial assistance is used to... intermediate care facility was not significant on the average, considering all public assistance costs. For our sample of 30 clients in Oklahoma’s long- term, in

Consider long-term care as service alternative.

PubMed

Loria, L S

1987-04-01

The increasing demand for elderly care services, pressures on inpatient average length of stay and payment levels, and potential financial rewards from providing additional services, makes long-term care look attractive to hospitals. Long-term care, however, is not for every hospital. Before deciding to establish long-term care services, management should examine how the service fits within the hospital's strategic plan. The action plan below provides guidance in evaluating a decision to use hospital facilities for long-term care. Examine how long-term care services fit within the hospital's strategic plan. Study area demographics and competitors to assess the need and supply of long-term care services. Survey the medical staff, consumers and payers to determine attitudes, perceptions and interests regarding long-term care services. Develop a facility plan that identifies areas of excess capacity that can be most easily converted into long-term care with minimal effects on hospital operations. Prepare a financial feasibility analysis of the contribution margin and return on investment attributable to long-term care services. Include an impact analysis on hospital operations. Establish a management task force to develop a detailed implementation plan including assigned individual responsibilities and related timetable. Develop an effective marketing plan designed to generate increased patient market share.

The impact of the recent financial crisis on 401(k) account balances.

PubMed

VanDerhei, Jack

2009-02-01

401(K) LOSSES FROM THE ECONOMIC CRISIS: During 2008, major U.S. equity indexes were sharply negative, with the S&P 500 Index losing 37.0 percent for the year, which translated into corresponding losses in 401(k) retirement plan assets. But how individual 401(k) participants are affected by the crisis is largely determined by their account balance, age, and job tenure. IMPACT VARIES BY ACCOUNT BALANCE: This Issue Brief estimates changes in average 401(k) balances from Jan. 1, 2008, to Jan. 20, 2009, using the EBRI/ICI 401(k) database of more than 21 million participants. Not surprisingly, how the recent financial market losses affect individual 401(k) account balances is strongly affected by the size of a participant's account balance. Those with low account balances relative to contributions experienced minimal investment losses that were typically more than made up by contributions: Those with less than $10,000 in account balances had an average growth of 40 percent during 2008, since contributions had a bigger impact than investment losses. However, those with more than $200,000 in account balances had an average loss of more than 25 percent. IMPACT VARIES BY AGE AND JOB TENURE: 401(k) participants on the verge of retirement (ages 56-65) had average changes during this period that varied between a positive 1 percent for short-tenure individuals (one to four years with the current employer) to more than a 25 percent loss for those with long tenure (with more than 20 years). SHORT-TERM VS. LONG-TERM: While much of the focus has been on market fluctuations in the last year, investing for retirement security is (or should be) a long-term proposition. When a consistent sample of 2.2 million participants who had been with the same 401(k) plan sponsor for the seven years from 1999-2006 was analyzed, the average estimated growth rates for the period from Jan. 1, 2000 through Jan. 20, 2009, ranged from +29 percent for long-tenure older participants to more than +500 percent for short-tenure younger participants. RECOVERY TIME AND FUTURE STOCK MARKET PERFORMANCE: This analysis also calculates how long it might take for end-of-year 2008 401(k) balances to recover to their beginning-of-year 2008 levels, before the sharp stock market declines. Because future performance is unknown, this analysis provides a range of equity returns: At a 5 percent equity rate-of-return assumption, those with longest tenure with their current employer would need nearly two years at the median to recover, but approximately five years at the 90th percentile. If the equity rate of return is assumed to drop to zero for the next few years, this recovery time increases to approximately 2.5 years at the median and nine to 10 years at the 90th percentile. NEAR-ELDERLY WITH VERY HIGH EQUITY EXPOSURE: Estimates from the EBRI/ICI 401(k) database show that many participants near retirement had exceptionally high exposure to equities: Nearly 1 in 4 between ages 56-65 had more than 90 percent of their account balances in equities at year-end 2007, and more than 2 in 5 had more than 70 percent. As a result of the Pension Protection Act of 2006, many 401(k) plan sponsors appear to be offering lifecycle/ target-date funds, which automatically rebalance asset investments into more "age appropriate" allocations. Had all 401(k) participants been in the average target date fund at the end of 2007, 40 percent of the participants would have had at least a 20 percent decrease in their equity concentrations, and consequently, may have mitigated their losses, sometimes to an appreciable extent.

Long-term care in international perspective.

PubMed

Doty, P

1988-12-01

The findings of a study of long-term care policies in 18 countries are reported in this article. Initial data were collected by a questionnaire survey under the auspices of the International Social Security Association. These data were supplemented by published documents and government statistics obtained while researching long-term care for the International Social Security Association and, subsequently, for the Organization for Economic Cooperation and Development. The principal focus is a cross-national comparison of institutionalization rates for the elderly. Differences in use rates for medically oriented facilities are less than those for nonmedical residential long-term care facilities. Only a small amount of variation is related to demographic differences, such as older or more female elderly populations in those countries with higher institutionalization rates. Included also is a description of the modes of financing long-term care.

Impact of organic loading rate on the performance of psychrophilic dry anaerobic digestion of dairy manure and wheat straw: long-term operation.

PubMed

Saady, Noori M Cata; Massé, Daniel I

2015-04-01

Development of efficient processes for valorising animal wastes would be a major advancement in cold-climate regions. This paper reports the results of long term (315 days experiment) of novel psychrophilic (20°C) dry anaerobic digestion (PDAD) of cow feces and wheat straw in laboratory scale sequence batch reactor operated at increasing organic loading rate. The PDAD process fed with a mixture of feces and straw (TS of 27%) over a treatment cycle length of 21 days at organic loading rate (OLR) 4.0, 5.0 and 6.0 g TCOD kg(-1) inoculum d(-1) (of 2.9 ± 0.1, 3.7 ± 0.1, and 4.4 ± 0.1g VS kg(-1) inoculum d(-1), respectively) resulted in average specific methane yield (SMY) of 187.3 ± 18.1, 163.6 ± 39.5, 150.8 ± 32.9 N L CH4 kg(-1)VS fed, respectively. PDAD of cow feces and wheat straw is possible with VS-based inoculum-to-substrate ratio of 1.4 at OLR of 6.0 g TCOD kg(-1) inoculum d(-1). Hydrolysis was the limiting step reaction. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

Evaluation of a Salutogenetic Concept for Inpatient Psychosomatic Treatment

PubMed Central

Loew, Thomas

2013-01-01

The increase of psychosomatic disorders due to cultural changes requires enhanced therapeutic models. This study investigated a salutogenetic treatment concept for inpatient psychosomatic treatment, based on data from more than 11000 patients of a psychosomatic clinic in Germany. The clinic aims at supporting patients' health improvement by fostering values such as humanity, community, and mindfulness. Most of patients found these values realized in the clinical environment. Self-assessment questionnaires addressing physical and mental health as well as symptom ratings were available for analysis of pre-post-treatment effects and long-term stability using one-year follow-up data, as well as for a comparison with other clinics. With respect to different diagnoses, symptoms improved in self-ratings with average effect sizes between 0.60 and 0.98. About 80% of positive changes could be sustained as determined in a 1-year follow-up survey. Patients with a lower concordance with the values of the clinic showed less health improvement. Compared to 14 other German psychosomatic clinics, the investigated treatment concept resulted in slightly higher decrease in symptoms (e.g., depression scale) and a higher self-rated mental and physical improvement in health. The data suggest that a successfully implemented salutogenetic clinical treatment concept not only has positive influence on treatment effects but also provides long-term stability. PMID:24159352

Is Interseismic Deformation along the Sumatra Subduction Zone Ever 'Stable'?

NASA Astrophysics Data System (ADS)

Hill, E.; Meltzner, A. J.; Moore, J. D. P.; Philibosian, B.; Feng, L.; Lindsey, E. O.; Bradley, K. E.; Qiu, Q.

2017-12-01

Estimates of megathrust coupling ratios are regularly calculated using geodetic data then used to forecast seismic and tsunami hazard. Given that the geodetic data capture only a small snapshot in time, an important question is the extent to which these accurately reflect long-term strain build up. We analyze this question using the Sumatra subduction zone as a case study. Here we have 15 years of continuous GPS data, with some collected before the recent great earthquake sequence started in 2004, and most collected afterwards. We also have paleogeodetic data from coral microatolls dating back over many earthquake supercycles (sequences of great earthquakes that are clustered in time). The coral data indicate significant changes in interseismic deformation rates over time for the Sunda megathrust; these could result from spontaneous changes in the spatial distribution of megathrust locking, from coseismically induced changes in locking, or from long-term viscoelastic processes. One question we ask is whether in Sumatra a transient rheology with high steady-state viscoelastic relaxation times, coupled with a relatively short recurrence interval for the supercycles (as little as 200 years), results in a situation where interseismic rates evolve throughout the entire earthquake cycle. To illustrate, a GPS station in northern Sumatra has been rapidly uplifting since 2004 at rates of 3 cm/yr; we do not know when this will slow down, but if this is a small piece of a viscoelastic decay curve it seems likely that the relaxation time is very long, and a geodetic snapshot at any point in many decades to come will not be representative of long-term average rates. We also consider whether there is a fundamental difference between viscoelastic behavior for megathrusts and strike-slip faults, with the former driving much longer, broader-scale deformation patterns that have more influence over the interseismic period. Indeed, the nearby strike-slip Sumatran Fault does appear to have agreement between geodetic and geologic rates; what the feedbacks are between interseismic deformation for this and the Sunda megathrust are yet to be discovered.

Comment [on “Sea level rise shown to drive coastal erosion”

USGS Publications Warehouse

Pilkey, Orrin H.; Young, Robert S.; Bush, David M.

2000-01-01

Leatherman et al. [2000] (Eos, Trans., AGU, February 8, 2000, p.55) affirm that global eustatic sea-level rise is driving coastal erosion. Furthermore, they argue that the long-term average rate of shoreline retreat is 150 times the rate of sea-level rise. This rate, they say, is more than a magnitude greater than would be expected from a simple response to sea-level rise through inundation of the shoreline. We agree that sea-level rise is the primary factor causing shoreline retreat in stable coastal areas.This is intuitive. We also believe, however, that the Leatherman et al. [2000] study has greatly underestimated the rate of coastal recession along most low slope shorelines. Slopes along the North Carolina continental shelf/coastal plain approach 10,000:1. To us, this suggests that we should expect rates of shoreline recession 10,000 times the rate of sea-level rise through simple inundation of the shoreline.

Field trial of differential-phase-shift quantum key distribution using polarization independent frequency up-conversion detectors.

PubMed

Honjo, T; Yamamoto, S; Yamamoto, T; Kamada, H; Nishida, Y; Tadanaga, O; Asobe, M; Inoue, K

2007-11-26

We report a field trial of differential phase shift quantum key distribution (QKD) using polarization independent frequency up-conversion detectors. A frequency up-conversion detector is a promising device for achieving a high key generation rate when combined with a high clock rate QKD system. However, its polarization dependence prevents it from being applied to practical QKD systems. In this paper, we employ a modified polarization diversity configuration to eliminate the polarization dependence. Applying this method, we performed a long-term stability test using a 17.6-km installed fiber. We successfully demonstrated stable operation for 6 hours and achieved a sifted key generation rate of 120 kbps and an average quantum bit error rate of 3.14 %. The sifted key generation rate was not the estimated value but the effective value, which means that the sifted key was continuously generated at a rate of 120 kbps for 6 hours.

Detecting Anthropogenic Disturbance on Weathering and Erosion Processes

NASA Astrophysics Data System (ADS)

Vanacker, V.; Schoonejans, J.; Bellin, N.; Ameijeiras-Mariño, Y.; Opfergelt, S.; Christl, M.

2014-12-01

Anthropogenic disturbance of natural vegetation can profoundly alter the physical, chemical and biological processes within soils. Rapid removal of topsoil during intense farming can result in an imbalance between soil production through chemical weathering and physical erosion, with direct implications on local biogeochemical cycling. However, the feedback mechanisms between soil erosion, chemical weathering and biogeochemical cycling in response to anthropogenic forcing are not yet fully understood. In this paper, we analyze dynamic soil properties for a rapidly changing anthropogenic landscape in the Spanish Betic Cordillera; and focus on the coupling between physical erosion, soil production and soil chemical weathering. Modern erosion rates were quantified through analysis of sediment deposition volumes behind check dams, and represent catchment-average erosion rates over the last 10 to 50 years. Soil production rates are derived from in-situ produced 10Be nuclide concentrations, and represent long-term flux rates. In each catchment, soil chemical weathering intensities were calculated for two soil-regolith profiles. Although Southeast Spain is commonly reported as the European region that is most affected by land degradation, modern erosion rates are low (140 t ha-1 yr-1). About 50 % of the catchments are losing soils at a rate of less than 60 t km-2 yr-1. Our data show that modern erosion rates are roughly of the same magnitude as the long-term or cosmogenically-derived erosion rates in the Betic Cordillera. Soils developed on weathered metamorphic rocks have no well-developed profile characteristics, and are generally thin and stony. Nevertheless, soil chemical weathering intensities are high; and question the occurrence of past soil truncation.

An investigation of the relationship between innovation and cultural diversity.

PubMed

Kandler, Anne; Laland, Kevin N

2009-08-01

In this paper we apply reaction-diffusion models to explore the relationship between the rate of behavioural innovation and the level of cultural diversity. We investigate how both independent invention and the modification and refinement of established innovations impact on cultural dynamics and diversity. Further, we analyse these relationships in the presence of biases in cultural learning and find that the introduction of new variants typically increases cultural diversity substantially in the short term, but may decrease long-term diversity. Independent invention generally supports higher levels of cultural diversity than refinement. Repeated patterns of innovation through refinement generate characteristic oscillating trends in diversity, with increasing trends towards greater average diversity observed for medium but not low innovation rates. Conformity weakens the relationship between innovation and diversity. The level of cultural diversity, and pattern of temporal dynamics, potentially provide clues as to the underlying process, which can be used to interpret empirical data.

Mid-term 4-Year Outcomes with Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy Surgery at a Single US Center.

PubMed

Zaveri, Hinali; Surve, Amit; Cottam, Daniel; Cottam, Austin; Medlin, Walter; Richards, Christina; Belnap, LeGrand; Cottam, Samuel; Horsley, Benjamin

2018-06-16

Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification. To analyze the outcomes with SADI-S at 4 years. Data from patients who underwent a primary SADI-S procedure performed by three surgeons at a single institution from June 2013 through February 2018 were retrospectively reviewed. All revision bariatric surgeries were excluded. Regression analyses were performed for all follow-up weight loss data. There were 437 patients in our database. The pre-operative mean body mass index (BMI) was 49.8 ± 8.8 kg/m 2 . The 30-day complication rate was 7.7%. The 30-day readmission, reoperation, and mortality rates were 1.8, 1.3, and 0.2%, respectively. The long-term complication rate was 10.9%. Seventy-nine patients were 4 years post SADI-S surgery and follow-up was possible for 44 patients (55.7%). At 4 years, patients had an average change in BMI of 18.1 ± 6 units with an excess weight loss (EWL) of 85.7 ± 27.3%. At 4 years, 97.6% patients were able to maintain HbA1c < 6% with or without the use of diabetic medication. There was a statistically significant difference between most of the pre-operative and post-operative nutritional data. SADI-S is a safe and effective procedure in both short- and mid-term data points. Diabetes resolution and weight loss appear similar to traditional RYDS and better than RYGB.

The operative treatment of pressure sores in the pelvic region: A 10-year period overview

PubMed Central

Jósvay, János; Klauber, András; Both, Béla; Kelemen, Péter B.; Varga, Zsombor Z.; Pesthy, Pál Cs.

2015-01-01

Context Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate. Methods A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire. Results We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%. Conclusion The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period. PMID:25299238

The operative treatment of pressure sores in the pelvic region: A 10-year period overview.

PubMed

Jósvay, János; Klauber, András; Both, Béla; Kelemen, Péter B; Varga, Zsombor Z; Pesthy, Pál Cs

2015-07-01

Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate. A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire. We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%. The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period.

Linear extension rates of massive corals from the Dry Tortugas National Park (DRTO), Florida

USGS Publications Warehouse

Muslic, Adis; Flannery, Jennifer A.; Reich, Christopher D.; Umberger, Daniel K.; Smoak, Joseph M.; Poore, Richard Z.

2013-01-01

Colonies of three coral species, Montastraea faveolata, Diploria strigosa, and Siderastrea siderea, located in the Dry Tortugas National Park (DRTO), Florida, were sampled and analyzed to evaluate annual linear extension rates. Montastraea faveolata had the highest average linear extension and variability in (DRTO: C2 = 0.67 centimeters/year (cm yr-1) ± 0.04, B3 = 0.85 cm yr-1 ± 0.07), followed by D. strigosa (DRTO: C1 = 0.73 cm yr-1 ± 0.04; MK = 0.59 cm yr-1 ± 0.06) and S. siderea (DRTO: A1 = 0.41 cm yr-1 ± 0.03). Intercolony comparison of M. faveolata from DRTO yielded a significant correlation (r = 0.34, df = 67, P = 0.005) and similar long-term patterns. DRTO S. siderea core A1 showed an overall increasing trend (r = 0.61, df = 119, P < 0.0001) in extension rates that correlated significantly with International Comprehensive Ocean/Atmosphere Data Set annual sea-surface temperature (r = 0.42, df = 115, P < 0.0001) and an air temperature record from Key West (r = 0.37, df = 111, P < 0.0001). In conclusion, annual linear extension rates are species specific and potentially influence by long-term variability in sea-surface temperature.

Giant landslide deposits and the modalities of their removal by fluvial sediment export in the central Himalayas

NASA Astrophysics Data System (ADS)

Lave, Jerome; Lénard, Sébastien; Lanord, Christian France

2017-04-01

Slope failures and deep seated landslides are usually considered as the most efficient processes for hillslope erosion in active orogens. Erosion in the Narayani basin in central Himalaya (Nepal) confirms such assertion, with in addition the probable predominance of the very large landslides in the erosive budget of the range. In the High Himalayan part of this basin, a number of pluri-kilometric giant landslides have been described and involve up to ten cubic kilometres mass wasting (e.g. Weidinger et al., 2002). In this contribution, we discuss how the fluvial network do respond to such massive and sudden supply of debris, basing our analysis on several cases, documented by sedimentologic and geomorphologic observations, lithologic counting, geochemical tracing (down to the Ganga plain), and 14C or CRN dating. We first demonstrate that several massive fill terraces preserved along the Lesser Himalayan intramontane reaches are not climatically induced, but rather represent transient storage following giant landslide material export. Two types of deposits and therefore of sediment export modalities have been identified: either (1), as observed along a 100km long stretch of the Marsyandi river, through massive debris flow(s) runout following the break of a landslide-induced dam on main rivers, or (2) by the more gradual but efficient fluvial removal of the giant landslide deposits. In the second case, in particular when bedrock fracturing and crushing during landslide fall has strongly reduced the average debris size, because the steep Himalayan rivers are usually in strong over capacity or largely underloaded with fine to medium-size sediment, their can carry up to several cubic kilometres of sediments in one or two centuries. The coarsest part of the exported material is temporarily stored through aggradation in the massive Lesser Himalayan fill terraces because river gradient drops suddenly when river exits the High Himalaya, whereas the finest fraction is exported very rapidly further downstream, outside of the range. Once a large portion of the landslide debris has been eroded in the source deposit, river quickly returns to over-capacity conditions and to its long term or background conditions, and fill terraces are rapidly re-incised (re-erosion of the fill terrace occurs at rates incommensurate with long term bedrock downcutting rate). The documented Himalayan examples illustrate that erosion of giant landslides deposits can overwhelm the sediment export of a river as large as the Narayani (A=30000km2; average sediment export=150Mt/yr) during several centuries, but that the landscape quickly (i.e. in a similar amount of time) recovers and returns to some long-term average state. The long term influence of these events on the morphology of the fluvial network remains therefore moderate, if we except the persistence of fill terraces remnants in the Lesser Himalaya for several tens of kyr.

Return of the coral reef hypothesis - Basin to shelf partitioning of CaCO3 and its effect on atmospheric CO2

NASA Technical Reports Server (NTRS)

Opdyke, Bradley N.; Walker, James C. G.

1992-01-01

CaCO3 deposition rates in shallow water are assumed to vary in a sawtoothed manner about a long-term average deposition rate of 8 x 10 exp 12 mol/yr. It is proposed that rising sea level serves as the driving mechanism for changing the locus of CaCO3 deposition from deep sea to shallow shelf. Deposition on the shelves occurs when sea level is rising, while shelf carbonates dissolve when sea level is falling. It is shown that this mechanism alone can account for variations of atmospheric CO2 and can contribute to the pelagic carbonate dissolution cycles observed in the equatorial Pacific.

Suicide among police in a federal force.

PubMed

Loo, R

1986-01-01

Suicide among police has gained the attention of numerous police forces over the past two decades. The great variation in reported police suicide rates and caveats concerning such statistics are addressed. The paper reports the results of a study of suicide among members (n = 35) of the Royal Canadian Mounted Police (RMCP) between 1960 and 1983. The average annual rate (14.1 per 100,000) of suicide in this force was approximately half that of the comparable general population, and the most common means of suicide was by service revolver (77% of cases). Recommendations are made for suicide prevention and postvention actions in police forces. Finally, the need for reliable, long-term police suicide data bases is stressed.

Species richness inside and outside long-term exclosures

Treesearch

W. A. Laycock; D. L. Bartos; K. D. Klement

2004-01-01

Recent environmental literature contains claims that livestock grazing has caused reduction in species diversity on Western rangelands. Data of species richness (number of species) is presented from inside and outside 24 long-term exclosures in Montana, Utah, and Wyoming. For the average of all exclosures there was no difference between species richness inside and...

The relationship between interannual and long-term cloud feedbacks

DOE PAGES

Zhou, Chen; Zelinka, Mark D.; Dessler, Andrew E.; ...

2015-12-11

The analyses of Coupled Model Intercomparison Project phase 5 simulations suggest that climate models with more positive cloud feedback in response to interannual climate fluctuations also have more positive cloud feedback in response to long-term global warming. Ensemble mean vertical profiles of cloud change in response to interannual and long-term surface warming are similar, and the ensemble mean cloud feedback is positive on both timescales. However, the average long-term cloud feedback is smaller than the interannual cloud feedback, likely due to differences in surface warming pattern on the two timescales. Low cloud cover (LCC) change in response to interannual andmore » long-term global surface warming is found to be well correlated across models and explains over half of the covariance between interannual and long-term cloud feedback. In conclusion, the intermodel correlation of LCC across timescales likely results from model-specific sensitivities of LCC to sea surface warming.« less

Trends in CPAP adherence over twenty years of data collection: a flattened curve.

PubMed

Rotenberg, Brian W; Murariu, Dorian; Pang, Kenny P

2016-08-19

Obstructive sleep apnea (OSA) is a common disorder, and continuous airway positive pressure (CPAP) is considered to be the gold standard of therapy. CPAP however is known to have problems with adherence, with many patients eventually abandoning the device. The purpose of this paper is to assess secular trends in CPAP adherence over the long term to see if there have been meaningful improvements in adherence in light of the multiple interventions proposed to do so. A comprehensive systematic literature review was conducted using the Medline-Ovid, Embase, and Pubmed databases, searching for data regarding CPAP adherence over a twenty year timeframe (1994-2015). Data was assessed for quality and then extracted. The main outcome measure was reported CPAP non-adherence. Secondary outcomes included changes in CPAP non-adherence when comparing short versus long-term, and changes in terms of behavioral counseling. Eighty-two papers met study inclusion/exclusion criteria. The overall CPAP non-adherence rate based on a 7-h/night sleep time that was reported in studies conducted over the twenty year time frame was 34.1 %. There was no significant improvement over the time frame. Behavioral intervention improved adherence rates by ~1 h per night on average. The rate of CPAP adherence remains persistently low over twenty years worth of reported data. No clinically significant improvement in CPAP adherence was seen even in recent years despite efforts toward behavioral intervention and patient coaching. This low rate of adherence is problematic, and calls into question the concept of CPAP as gold-standard of therapy for OSA.

Temperature environment for 9975 packages stored in KAC

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

Daugherty, W. L.

Plutonium materials are stored in the K Area Complex (KAC) in shipping packages, typically the 9975 shipping package. In order to estimate realistic degradation rates for components within the shipping package (i.e. the fiberboard overpack and O-ring seals), it is necessary to understand actual facility temperatures, which can vary daily and seasonally. Relevant facility temperature data available from several periods throughout its operating history have been reviewed. The annual average temperature within the Crane Maintenance Area has ranged from approximately 70 to 74 °F, although there is significant seasonal variation and lesser variation among different locations within the facility. Themore » long-term average degradation rate for 9975 package components is very close to that expected if the component were to remain continually at the annual average temperature. This result remains valid for a wide range of activation energies (which describes the variation in degradation rate as the temperature changes), if the activation energy remains constant over the seasonal range of component temperatures. It is recommended that component degradation analyses and service life estimates incorporate these results. Specifically, it is proposed that future analyses assume an average facility ambient air temperature of 94 °F. This value is bounding for all packages, and includes margin for several factors such as increased temperatures within the storage arrays, the addition of more packages in the future, and future operational changes.« less

26 CFR 1.989(b)-1 - Definition of weighted average exchange rate.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 10 2011-04-01 2011-04-01 false Definition of weighted average exchange rate. 1... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED) Export Trade Corporations § 1.989(b)-1 Definition of weighted average exchange rate. For purposes of section 989(b)(3) and (4), the term “weighted...

The contributions to long-term health-relevant particulate matter at the UK EMEP supersites between 2010 and 2013: Quantifying the mitigation challenge.

PubMed

Malley, Christopher S; Heal, Mathew R; Braban, Christine F; Kentisbeer, John; Leeson, Sarah R; Malcolm, Heath; Lingard, Justin J N; Ritchie, Stuart; Maggs, Richard; Beccaceci, Sonya; Quincey, Paul; Brown, Richard J C; Twigg, Marsailidh M

2016-10-01

Human health burdens associated with long-term exposure to particulate matter (PM) are substantial. The metrics currently recommended by the World Health Organization for quantification of long-term health-relevant PM are the annual average PM10 and PM2.5 mass concentrations, with no low concentration threshold. However, within an annual average, there is substantial variation in the composition of PM associated with different sources. To inform effective mitigation strategies, therefore, it is necessary to quantify the conditions that contribute to annual average PM10 and PM2.5 (rather than just short-term episodic concentrations). PM10, PM2.5, and speciated water-soluble inorganic, carbonaceous, heavy metal and polycyclic aromatic hydrocarbon components are concurrently measured at the two UK European Monitoring and Evaluation Programme (EMEP) 'supersites' at Harwell (SE England) and Auchencorth Moss (SE Scotland). In this work, statistical analyses of these measurements are integrated with air-mass back trajectory data to characterise the 'chemical climate' associated with the long-term health-relevant PM metrics at these sites. Specifically, the contributions from different PM concentrations, months, components and geographic regions are detailed. The analyses at these sites provide policy-relevant conclusions on mitigation of (i) long-term health-relevant PM in the spatial domain for which these sites are representative, and (ii) the contribution of regional background PM to long-term health-relevant PM. At Harwell the mean (±1 sd) 2010-2013 annual average concentrations were PM10=16.4±1.4μgm(-3) and PM2.5=11.9±1.1μgm(-3) and at Auchencorth PM10=7.4±0.4μgm(-3) and PM2.5=4.1±0.2μgm(-3). The chemical climate state at each site showed that frequent, moderate hourly PM10 and PM2.5 concentrations (defined as approximately 5-15μgm(-3) for PM10 and PM2.5 at Harwell and 5-10μgm(-3) for PM10 at Auchencorth) determined the magnitude of annual average PM10 and PM2.5 to a greater extent than the relatively infrequent high, episodic PM10 and PM2.5 concentrations. These moderate PM10 and PM2.5 concentrations were derived across the range of chemical components, seasons and air-mass pathways, in contrast to the highest PM concentrations which tended to associate with specific conditions. For example, the largest contribution to moderate PM10 and PM2.5 concentrations - the secondary inorganic aerosol components, specifically NO3(-) - were accumulated during the arrival of trajectories traversing the spectrum of marine, UK, and continental Europe areas. Mitigation of the long-term health-relevant PM impact in the regions characterised by these two sites requires multilateral action, across species (and hence source sectors), both nationally and internationally; there is no dominant determinant of the long-term PM metrics to target. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Method and system for turbomachinery surge detection

DOEpatents

Faymon, David K.; Mays, Darrell C.; Xiong, Yufei

2004-11-23

A method and system for surge detection within a gas turbine engine, comprises: measuring the compressor discharge pressure (CDP) of the gas turbine over a period of time; determining a time derivative (CDP.sub.D ) of the measured (CDP) correcting the CDP.sub.D for altitude, (CDP.sub.DCOR); estimating a short-term average of CDP.sub.DCOR.sup.2 ; estimating a short-term average of CDP.sub.DCOR ; and determining a short-term variance of corrected CDP rate of change (CDP.sub.roc) based upon the short-term average of CDP.sub.DCOR and the short-term average of CDP.sub.DCOR.sup.2. The method and system then compares the short-term variance of corrected CDP rate of change with a pre-determined threshold (CDP.sub.proc) and signals an output when CDP.sub.roc >CDP.sub.proc. The method and system provides a signal of a surge within the gas turbine engine when CDP.sub.roc remains>CDP.sub.proc for pre-determined period of time.

Exotic plant invasion alters nitrogen dynamics in an arid grassland

USGS Publications Warehouse

Evans, R.D.; Rimer, R.; Sperry, L.; Belnap, J.

2001-01-01

The introduction of nonnative plant species may decrease ecosystem stability by altering the availability of nitrogen (N) for plant growth. Invasive species can impact N availability by changing litter quantity and quality, rates of N2-fixation, or rates of N loss. We quantified the effects of invasion by the annual grass Bromus tectorum on N cycling in an arid grassland on the Colorado Plateau (USA). The invasion occurred in 1994 in two community types in an undisturbed grassland. This natural experiment allowed us to measure the immediate responses following invasion without the confounding effects of previous disturbance. Litter biomass and the C:N and lignin:N ratios were measured to determine the effects on litter dynamics. Long-term soil incubations (415 d) were used to measure potential microbial respiration and net N mineralization. Plant-available N was quantified for two years in situ with ion-exchange resin bags, and potential changes in rates of gaseous N loss were estimated by measuring denitrification enzyme activity. Bromus invasion significantly increased litter biomass, and Bromus litter had significantly greater C:N and lignin:N ratios than did native species. The change in litter quantity and chemistry decreased potential rates of net N mineralization in sites with Bromus by decreasing nitrogen available for microbial activity. Inorganic N was 50% lower on Hilaria sites with Bromus during the spring of 1997, but no differences were observed during 1998. The contrasting differences between years are likely due to moisture availability; spring precipitation was 15% greater than average during 1997, but 52% below average during spring of 1998. Bromus may cause a short-term decrease in N loss by decreasing substrate availability and denitrification enzyme activity, but N loss is likely to be greater in invaded sites in the long term because of increased fire frequency and greater N volatilization during fire. We hypothesize that the introduction of Bromus in conjunction with land-use change has established a series of positive feedbacks that will decrease N availability and alter species composition.

A depth-averaged 2-D shallow water model for breaking and non-breaking long waves affected by rigid vegetation

USDA-ARS?s Scientific Manuscript database

This paper presents a depth-averaged two-dimensional shallow water model for simulating long waves in vegetated water bodies under breaking and non-breaking conditions. The effects of rigid vegetation are modelled in the form of drag and inertia forces as sink terms in the momentum equations. The dr...

Long-term isolation and local adaptation in Palau's Nikko Bay help corals thrive in acidic waters

NASA Astrophysics Data System (ADS)

Golbuu, Yimnang; Gouezo, Marine; Kurihara, Haruko; Rehm, Lincoln; Wolanski, Eric

2016-09-01

The reefs in Palau's Nikko Bay live in seawater with low pH that is similar to conditions predicted for 2100 because of ocean acidification. Nevertheless, the reefs at Nikko Bay have high coral cover and high diversity. We hypothesize that the low-pH environment in Nikko Bay is caused by low flushing rates, which causes long-term isolation and local adaptation. To test this hypothesis, we modeled the water circulation in and around Nikko Bay. Model results show that average residence time is 71 d, which is ten times the residence time on fore-reef habitats. The long residence time restricts the exchange of coral larvae in the bay with adjacent reefs, allowing persistent selection for tolerant traits and local adaptation. The corals in Nikko Bay are also more susceptible to local pollution because the waters are poorly flushed. Therefore, local management must focus on minimizing human impacts such as dredging, overfishing and pollution in the bay, which would compromise the condition of the corals that have already adapted to low-pH conditions.

Transarterial onyx embolization of cranial dural arteriovenous fistulas: long-term follow-up.

PubMed

Chandra, R V; Leslie-Mazwi, T M; Mehta, B P; Yoo, A J; Rabinov, J D; Pryor, J C; Hirsch, J A; Nogueira, R G

2014-09-01

Endovascular therapy with liquid embolic agents is a common treatment strategy for cranial dural arteriovenous fistulas. This study evaluated the long-term effectiveness of transarterial Onyx as the single embolic agent for curative embolization of noncavernous cranial dural arteriovenous fistulas. We performed a retrospective review of 40 consecutive patients with 41 cranial dural arteriovenous fistulas treated between March 2006 and June 2012 by using transarterial Onyx embolization with intent to cure. The mean age was 57 years; one-third presented with intracranial hemorrhage. Most (85%) had cortical venous drainage. Once angiographic cure was achieved, long-term treatment effectiveness was assessed with DSA and clinical follow-up. Forty-nine embolization sessions were performed; 85% of cranial dural arteriovenous fistulas were treated in a single session. The immediate angiographic cure rate was 95%. The permanent neurologic complication rate was 2% (mild facial palsy). Thirty-five of the 38 patients with initial cure underwent short-term follow-up DSA (median, 4 months). The short-term recurrence rate was only 6% (2/35). All patients with occlusion at short-term DSA undergoing long-term DSA (median, 28 months) had durable occlusion. No patient with long-term clinical follow-up (total, 117 patient-years; median, 45 months) experienced hemorrhage. Transarterial embolization with Onyx as the single embolic agent results in durable long-term cure of noncavernous cranial dural arteriovenous fistulas. Recurrence rates are low on short-term follow-up, and all patients with angiographic occlusion on short-term DSA follow-up have experienced a durable long-term cure. Thus, angiographic cure should be defined at short-term follow-up angiography instead of at the end of the final embolization session. Finally, long-term DSA follow-up may not be necessary if occlusion is demonstrated on short-term angiographic follow-up. © 2014 by American Journal of Neuroradiology.

Long-term outcomes of children undergoing video-assisted gastrostomy.

PubMed

Salö, Martin; Santimano, Ana; Helmroth, Sofia; Stenström, Pernilla; Arnbjornsson, Einar Ólafur

2017-01-01

The aims of this study were to assess the short- and long-term complication rates after video-assisted gastrostomy (VAG), the effects of age and gender on long-term complications and the effect of duration of gastrostomy tube retention on the need for gastroraphy when the gastrostomy device was removed. This was a retrospective study of children undergoing VAG at a single institution. Children who died or moved from the area were excluded. The rates of short- and long-term complications developing at 3-6 months or 2 or more years, respectively, were compared. A total of 170 children were studied, out of a cohort of 303 children. The median age at surgery was 2 years. The median duration of postoperative long-term follow-up was 5 years (2-9 years). The complications at the respective short and long-term follow-ups were as follows: granulation tissue, leakage, infection and vomiting. There were no differences in the short- versus long-term complication rates for gender and age. Children needing gastroraphy had used a gastrostomy device significantly longer compared with children with spontaneous closure. Complications after VAG decrease over time. A longer duration of gastrostomy device retention leads to increased need for gastroraphy.

Long-term orbit prediction for the Venus Radar Mapper Mission using an averaging method

NASA Technical Reports Server (NTRS)

Kwok, J. H.

1984-01-01

A set of singly averaged equations of motion are presented and applied to long-term orbit prediction of an orbiting spacecraft around a slowly rotating planet, using the Venus Radar Mapper Mission as an example. The equations of motion used are valid for all eccentricities less than one. The disturbing potentials used include nonsphericity of the Venus gravity field and third-body effects due to the sun. Recursive relationships are used in the expansion and evaluation of these potentials and their respective partial derivatives. Special care is taken to optimize computational efficiency. The averaging method is compared with high precision Cowell's method using a desktop microcomputer and shows computational saving of about two orders of magnitude.

Transforming Mean and Osculating Elements Using Numerical Methods

NASA Technical Reports Server (NTRS)

Ely, Todd A.

2010-01-01

Mean element propagation of perturbed two body orbits has as its mathematical basis averaging theory of nonlinear dynamical systems. Averaged mean elements define the long-term evolution characteristics of an orbit. Using averaging theory, a near identity transformation can be found that transforms the mean elements back to the osculating elements that contain short period terms in addition to the secular and long period mean elements. The ability to perform the conversion is necessary so that orbit design conducted in mean elements can be converted back into osculating results. In the present work, this near identity transformation is found using the Fast Fourier Transform. An efficient method is found that is capable of recovering the osculating elements to first order

Long-term Care Status in Centenarians and Younger Cohorts of Oldest Old in the Last 6 Years of Life: Trajectories and Potential Mechanisms.

PubMed

Gellert, Paul; Eggert, Simon; Zwillich, Christine; Hörter, Stefan; Kuhlmey, Adelheid; Dräger, Dagmar

2018-06-01

A large proportion of the oldest old and centenarians live in long-term care facilities. Although there may be distinct care patterns in centenarians compared with other cohorts of oldest old, the exact development concerning prevalence, length of stay, and factors that are associated with long-term care status in the last years before death is unknown. Longitudinal analyses of health insurance data across 6 years before death. In all, 1398 institutionalized and noninstitutionalized oldest old [deceased at 80-89 (octogenarians), 90-99 (nonagenarians), or over 100 years of age (centenarians)] from Germany were included. Long-term care status and transition from home care into long-term care over 6 years (34,740 person-quarters). Dementia, musculoskeletal diseases, multimorbidity, hospital admission, gender, and age at death were derived from administrative data and analyzed using binary generalized estimating equations. Although the initial level of long-term care (6 years before death) was higher among centenarians (65.1% vs 53.6% in nonagenarians; 36.2% in octogenarians), the rate of increase was stronger in the younger cohorts. Distinguishing between long-term care escapers, delayers, and survivors, the proportion of those who escaped, delayed, or survived the entire 6 years of observation in long-term care was 33.4%/40.4%/26.2% in centenarians, 45.0%/45.1%/9.9% in nonagenarians, and 62.7%/33.7%/3.6% in octogenarians. Age, hospital admissions, and dementia were positively associated with being in long-term care, whereas musculoskeletal disorders were negatively associated with long-term care. The association with dementia was significantly weaker in centenarians. For centenarians, although they are more often in long-term care, the transition rate to long-term care progressed more slowly than the rates of the younger comparison cohorts of oldest old. The high proportion of long stays of centenarians in long-term care facilities require different concepts of long-term care. Copyright © 2018 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

Effect of Climatic Factors on Hand, Foot, and Mouth Disease in South Korea, 2010-2013.

PubMed

Kim, Bryan Inho; Ki, Hyunok; Park, Sunhee; Cho, Eunhi; Chun, Byung Chul

2016-01-01

Hand, foot, and mouth disease (HFMD) causes characteristic blisters and sores mainly in infants and children, and has been monitored in South Korea through sentinel surveillance since 2009. We described the patterns of HFMD occurrence and analyzed the effect of climatic factors on national HFMD incidence. Weekly clinically diagnosed HFMD case rates (per 1,000 outpatients) in sentinel sites and weekly climatic factors, such as average temperature, relative humidity, duration of sunshine, precipitation, and wind speed from 2010 to 2013, were used in this study. A generalized additive model with smoothing splines and climatic variables with time lags of up to 2 weeks were considered in the modeling process. To account for long-term trends and seasonality, we controlled for each year and their corresponding weeks. The autocorrelation issue was also adjusted by using autocorrelation variables. At an average temperature below 18°C, the HFMD rate increased by 10.3% for every 1°C rise in average temperature (95% confidence interval (CI): 8.4, 12.3%). We also saw a 6.6% increase in HFMD rate (95% CI: 3.6, 9.7%) with every 1% increase in relative humidity under 65%, with a 1.5% decrease in HFMD rate observed (95% CI: 0.4, 2.7%) with each 1% humidity increase above 65%. Modeling results have shown that average temperature and relative humidity are related to HFMD rate. Additional research on the environmental risk factors of HFMD transmission is required to understand the underlying mechanism between climatic factors and HFMD incidence.

[Do laymen understand information about hospital quality? An empirical verification using risk-adjusted mortality rates as an example].

PubMed

Sander, Uwe; Kolb, Benjamin; Taheri, Fatemeh; Patzelt, Christiane; Emmert, Martin

2017-11-01

The effect of public reporting to improve quality in healthcare is reduced by the limited intelligibility of information about the quality of healthcare providers. This may result in worse health-related choices especially for older people and those with lower levels of education. There is, as yet, little information as to whether laymen understand the concepts behind quality comparisons and if this comprehension is correlated with hospital choices. An instrument with 20 items was developed to analyze the intelligibility of five technical terms which were used in German hospital report cards to explain risk-adjusted death rates. Two online presentations of risk-adjusted death rates for five hospitals in the style of hospital report cards were developed. An online survey of 353 volunteers tested the comprehension of the risk-adjusted mortality rates and included an experimental hospital choice. The intelligibility of five technical terms was tested: risk-adjusted, actual and expected death rate, reference range and national average. The percentages of correct answers for the five technical terms were in the range of 75.0-60.2%. Between 23.8% and 5.1% of the respondents were not able to answer the question about the technical term itself. The least comprehensible technical terms were "risk-adjusted death rate" and "reference range". The intelligibility of the 20 items that were used to test the comprehension of the risk-adjusted mortality was between 89.5% and 14.2%. The two items that proved to be least comprehensible were related to the technical terms "risk-adjusted death rate" and "reference range". For all five technical terms it was found that a better comprehension correlated significantly with better hospital choices. We found a better than average intelligibility for the technical terms "actual and expected death rate" and for "national average". The least understandable were "risk-adjusted death rate" and "reference range". Since the self-explanatory technical terms "actual and expected death rate" and "national average" are easy to understand and the comprehension is correlated with hospitals choices, we recommend using them for the presentation of measures which contain risk-adjusted mortality. The technical terms "risk-adjusted death rate" and "reference range" should stay in the background, since comprehension problems can be expected and explanations would have to be provided. Copyright © 2017. Published by Elsevier GmbH.

Calcium depletion in a Southeastern United States forest ecosystem

USGS Publications Warehouse

Huntington, T.G.; Hooper, R.P.; Johnson, C.E.; Aulenbach, Brent T.; Cappellato, R.; Blum, A.E.

2000-01-01

Forest soil Ca depletion through leaching and vegetation uptake may threaten long-term sustainability of forest productivity in the southeastern USA. This study was conducted to assess Ca pools and fluxes in a representative southern Piedmont forest to determine the soil Ca depletion rate. Soil Ca storage, Ca inputs in atmospheric deposition, and outputs in soil leaching and vegetation uptake were investigated at the Panola Mountain Research Watershed (PMRW) near Atlanta, GA. Average annual outputs of 12.3 kg ha-1 yr-1 in uptake into merchantable wood and 2.71 kg ha-1 yr-1 soil leaching exceeded inputs in atmospheric deposition of 2.24 kg ha-1 yr-1. The annual rate of Ca uptake into merchantable wood exceeds soil leaching losses by a factor of more than five. The potential for primary mineral weathering to provide a substantial amount of Ca inputs is low. Estimates of Ca replenishment through mineral weathering in the surface 1 m of soil and saprolite was estimated to be 0.12 kg ha-1 yr-1. The weathering rate in saprolite and partially weathered bedrock below the surface 1 m is similarly quite low because mineral Ca is largely depleted. The soil Ca depletion rate at PMRW is estimated to be 12.7 kg ha-1 yr-1. At PMRW and similar hardwood-dominated forests in the Piedmont physiographic province, Ca depletion will probably reduce soil reserves to less than the requirement for a merchantable forest stand in ???80 yr. This assessment and comparable analyses at other southeastern USA forest sites suggests that there is a strong potential for a regional problem in forest nutrition in the long term.Forest soil Ca depletion through leaching and vegetation uptake may threaten long-term sustainability of forest productivity in the southeastern USA. This study was conducted to assess Ca pools and fluxes in a representative southern Piedmont forest to determine the soil Ca depletion rate. Soil Ca storage, Ca inputs in atmospheric deposition, and outputs in soil leaching and vegetation uptake were investigated at the Panola Mountain Research Watershed (PMRW) near Atlanta, GA. Average annual outputs of 12.3 kg ha-1 yr-1 in uptake into merchantable wood and 2.71 kg ha-1 yr-1 soil leaching exceeded inputs in atmospheric deposition of 2.24 kg ha-1 yr-1. The annual rate of Ca uptake into merchantable wood exceeds soil leaching losses by a factor of more than five. The potential for primary mineral weathering to provide a substantial amount of Ca inputs is low. Estimates of Ca replenishment through mineral weathering in the surface 1 m of soil and saprolite was estimated to be 0.12 kg ha-1 yr-1. The weathering rate in saprolite and partially weathered bedrock below the surface 1 m is similarly quite low because mineral Ca is largely depleted. The soil Ca depletion rate at PMRW is estimated to be 12.7 kg ha-1 yr-1. At PMRW and similar hardwood-dominated forests in the Piedmont physiographic province, Ca depletion will probably reduce soil reserves to less than the requirement for a merchantable forest stand in ???80 yr. This assessment and comparable analyses at other southeastern USA forest sites suggests that there is a strong potential for a regional problem in forest nutrition in the long term.

Sedimentation History of Lago Dos Bocas, Puerto Rico, 1942-2005

USGS Publications Warehouse

Soler-López, Luis R.

2007-01-01

The Lago Dos Bocas Dam, located in the municipality of Utuado in north central Puerto Rico, was constructed in 1942 for hydroelectric power generation. The reservoir had an original storage capacity of 37.50 million cubic meters and a drainage area of 440 square kilometers. In 1948, the construction of the Lago Caonillas Dam on the Rio Caonillas branch of Lago Dos Bocas reduced the natural sediment-contributing drainage area to 310 square kilometers; therefore, the Lago Caonillas Dam is considered an effective sediment trap. Sedimentation in Lago Dos Bocas reservoir has reduced the storage capacity from 37.50 million cubic meters in 1942 to 17.26 million cubic meters in 2005, which represents a storage loss of about 54 percent. The long-term annual water-storage capacity loss rate remained nearly constant at about 320,000 cubic meters per year to about 1997. The inter-survey sedimentation rate between 1997 and 1999, however, is higher than the long-term rate at about 1.09 million cubic meters per year. Between 1999 and 2005 the rate is lower than the long-term rate at about 0.13 million cubic meters per year. The Lago Dos Bocas effective sediment-contributing drainage area had an average sediment yield of about 1,400 cubic meters per square kilometer per year between 1942 and 1997. This rate increased substantially by 1999 to about 4,600 cubic meters per square kilometer per year, probably resulting from the historical magnitude floods caused by Hurricane Georges in 1998. Recent data indicate that the Lago Dos Bocas drainage area sediment yield decreased substantially to about 570 cubic meters per square kilometer per year, which is much lower than the 1942-1997 area normalized sedimentation rate of 1,235 cubic meters per square kilometer per year. The impact of Hurricane Georges on the basin sediment yield could have been the cause of this change, since the magnitude of the floods could have nearly depleted the Lago Dos Bocas drainage area of easily erodible and transportable bed sediment. This report summarizes the historical change in water-storage capacity of Lago Dos Bocas between 1942 and 2005.

Exhumation of the Ladakh batholith revealed through the combined analysis of bedrock and detrital zircon (U-Th)/He data

NASA Astrophysics Data System (ADS)

Tripathy-Lang, A.; Fox, M.; Bohon, W.; Van Soest, M. C.; Hodges, K. V.; Dortch, J.

2013-12-01

Recent studies of the Ladakh batholith, in the northwestern Indian Himalaya, have yielded various hypotheses for its exhumation history and relationship with the evolution of the southwestern margin of the Tibetan Plateau, which is today bounded by the Karakoram fault. Different hypotheses are supported by various datasets with differing spatial and temporal resolution. First, low-temperature thermochronologic and thermobarometric data provide constraints on long term exhumation (10^6 - 10^7 yr) and suggest that the Ladakh batholith experienced multiple tilting events since ~40 Ma (Kirstein, Tectonophysics, 2011). Second, cosmogenic nuclide concentrations (CNCs), which provide evidence for erosion rates averaged over millennial timescales (10^2-10^4 yr), suggest that erosion rates increase toward the Karakoram fault (Dortch et al., Geomorphology, 2011). A third dataset comprises detrital zircon (U-Th)/He data obtained from the mouth of the Basgo catchment, on the southern flank of the Ladakh batholith (Tripathy-Lang et al., JGR-ES, 2013). This exceptionally large detrital dataset provides information about both the bedrock age distribution and recent erosion rates that sample different parts of the catchment. Interpreting this dataset requires an understanding of the erosion history at multiple timescales. To these already existing datasets, we add new bedrock zircon (U-Th)/He data from an age-elevation transect collected from the base to range crest of the Basgo catchment, which we use to verify models of bedrock age distribution. Through the combined analysis of the datasets, the resolution of both the long term exhumation rate and the spatial distribution of modern erosion rates can be greatly improved, thus advancing our understanding of this part of the Tibetan margin. With this aim, we use thermo-kinematic models to predict bedrock ages that we compare to our new bedrock data. We test different modern erosion rate distributions to generate synthetic detrital thermochronometric and CNC data. Through the comparison of predicted and measured data (both detrital thermochronometric data and CNC data) we infer long term exhumation histories and also modern erosion rate distribution.

Outbreaks of influenza-like illness in long-term care facilities in Winnipeg, Canada.

PubMed

Mahmud, Salaheddin M; Thompson, Laura H; Nowicki, Deborah L; Plourde, Pierre J

2013-11-01

Outbreaks of influenza-like illness (ILI) are common in long-term care facilities (LTCFs) and result in significant morbidity and mortality among residents. We describe patterns of reported ILI outbreaks in LTCFs in Winnipeg, Canada, and examine LTCF and outbreak characteristics that influence the clinical outcomes of these outbreaks. We analyzed the electronic records of all ILI outbreaks reported by LTCFs in Winnipeg from 2003 to 2011. Outbreak duration, ILI attack rates among staff and residents, and residents' death rates were calculated by presumed viral etiology, staff vaccination rates, type of influenza chemoprophylaxis used, and time to notification to public health. Of a total of 154 reported outbreaks, most (N=80) were attributed to influenza, and these outbreaks tended to have higher attack and death rates among LTCF residents compared with outbreaks caused by other respiratory viruses (12) or those of unknown etiology (62). About 92% of residents and 38% of staff of the average LTCFs were vaccinated. Chemoprophylaxis was used in 57·5% of influenza outbreaks. Regardless of presumed viral etiology, outbreaks reported within 3 days of onset ended sooner and had lower attack and mortality rates among residents. Influenza-like illness outbreaks still occur among highly immunized LTCF residents, so in addition to vaccination of staff and residents, it is important to maintain competent infection control practices. Early identification and notification to public health authorities and possibly early initiation of control measures could improve clinical outcomes of ILI outbreaks. © 2012 John Wiley & Sons Ltd.

Approaches for predicting long-term sickness absence. Re: Schouten et al. "Screening manual and office workers for risk of long-term sickness absence: cut-off points for the Work Ability Index".

PubMed

van Amelsvoort, Ludovic Gpm; Jansen, Nicole W H; Kant, I Jmert

2015-05-01

We read with much interest the article of Schouten et al (1) on identifying workers with a high risk for future long-term sickness absence using the Work Ability Index (WAI). The ability to identify high-risk workers might facilitate targeted interventions for such workers and, consequently, can reduce sickness absence levels and improve workers' health. Earlier studies by both Tamela et al (2), Kant et al (3), and Lexis et al (4) have demonstrated that such an approach, based on the identification of high-risk workers and a subsequent intervention, can be effectively applied in practice to reduce sickness absence significantly. The reason for our letter on Schouten et al's article is twofold. First, by including workers already on sick leave in a study predicting long-term sick leave will result in an overestimation of the predictive properties of the instrument and biased predictors, especially when also the outcome of interest is included as a factor in the prediction model. Second, we object to the use of the term "screening" when subjects with the condition screened for are included in the study. Reinforced by the inclusion of sickness absence in the prediction model, including workers already on sick leave will shift the focus of the study findings towards the prediction of (re)current sickness absence and workers with a below-average return-to-work rate, rather than the identification of workers at high risk for the onset of future long-term sickness absence. The possibilities for prevention will shift from pure secondary prevention to a mix of secondary and tertiary prevention. As a consequence, the predictors of the model presented in the Schouten et al article can be used as a basis for tailoring neither preventive measures nor interventions. Moreover, including the outcome (sickness absence) as a predictor in the model, especially in a mixed population including workers with and without the condition (on sick leave), will result in biased predictors and an overestimation of the predictive value. A methodological approach of related issues is provided in the works of Glymour et al (5) and Hamilton et al (6). This phenomenon is even more clearly illustrated by the predictive properties of the workability index, as described by Alavinia et al (7, page 328), which reported that "when adjusted for individual characteristics, lifestyle factors, and work characteristics, two dimensions of the WAI were significant predictors for both moderate and long durations of sickness absence: (i) the presence of sickness absence in the past 12 months prior to the medical examination and (ii) experienced limitations due to health problems." So, when applied to the study by Schouten et al (1), this means that most of the predictive value would be related to the factors "sickness absence in the past 12 months". In addition, we object to the use of the term "screening" in the Schouten et al study as it includes workers with the intended outcome (long-term sickness absence). One can identify three separate aims to study the longitudinal association between risk factors and subsequent long-term sickness absence: (i) to establish causal risk factors for long-term sickness absence, often to find clues for primary preventive strategies (beyond the scope here); (ii) to identify high-risk workers who are still at work and might benefit from an intervention before sickness absence occurs (secondary prevention); and (iii) to identify workers on sick leave who might suffer a below-average return-to-work rate or have a high risk for the recurrence of (long-term) sickness absence and might benefit from intensification or optimization of the return-to-work process (tertiary prevention). In this light, one needs to separate screening instruments from predictive instruments and reserve the term "screening" for the situation as defined by Wilson and Junger (8, page 7): "The object of screening for disease is to discover those among the apparently well who are in fact suffering from disease" (ie, situations of secondary prevention). This means that, when applying this definition on long-term sickness absence under the precondition that the individuals are still at work, screening enables the identification of high-risk individuals in the early "stages" of a "disease" that can progress into long-term sickness absence. In the case of the Schouten et al study, the population at risk, as derived from their predictive instrument, consists of workers with and without sickness absence, and as such excludes the use of the term "screening" in this case. To conclude, we have substantiated that, in addition to correct usage of the term "screening", careful selection of the study population, predictors and most importantly the aim of the predictive model are essential in the process of developing predictive instruments aimed at identifying workers at high risk of long-term sickness absence. Two fundamentally different approaches are possible. One approach aims at identifying workers on sick leave with either a below-average chance to return to work an/or a high risk for a successive episode of long-term sickness absence. From a methodological and practical point of view, such an instrument should be developed and validated among workers already on sick leave. A second approach aims at identifying workers who are still at work but at high risk for future long-term sickness absence. To develop and validate such an instrument, a study sample where workers already on sick leave are excluded is a prerequisite. Such instruments fit in a pro-active approach of preventing future sickness absence, where an early intervention can be offered to those workers with an increased risk for future sickness absence.

Documentation of a deep percolation model for estimating ground-water recharge

USGS Publications Warehouse

Bauer, H.H.; Vaccaro, J.J.

1987-01-01

A deep percolation model, which operates on a daily basis, was developed to estimate long-term average groundwater recharge from precipitation. It has been designed primarily to simulate recharge in large areas with variable weather, soils, and land uses, but it can also be used at any scale. The physical and mathematical concepts of the deep percolation model, its subroutines and data requirements, and input data sequence and formats are documented. The physical processes simulated are soil moisture accumulation, evaporation from bare soil, plant transpiration, surface water runoff, snow accumulation and melt, and accumulation and evaporation of intercepted precipitation. The minimum data sets for the operation of the model are daily values of precipitation and maximum and minimum air temperature, soil thickness and available water capacity, soil texture, and land use. Long-term average annual precipitation, actual daily stream discharge, monthly estimates of base flow, Soil Conservation Service surface runoff curve numbers, land surface altitude-slope-aspect, and temperature lapse rates are optional. The program is written in the FORTRAN 77 language with no enhancements and should run on most computer systems without modifications. Documentation has been prepared so that program modifications may be made for inclusions of additional physical processes or deletion of ones not considered important. (Author 's abstract)

Low-Pressure Long-Term Xenon Storage for Electric Propulsion

NASA Technical Reports Server (NTRS)

Back, Dwight D.; Ramos, Charlie; Meyer, John A.

2001-01-01

This Phase 2 effort demonstrated an alternative Xe storage and regulation system using activated carbon (AC) as a secondary storage media (ACSFR). This regulator system is nonmechanical, simple, inexpensive, and lighter. The ACSFR system isolates the thruster from the compressed gas tank, and allows independent multiple setpoint thruster operation. The flow using an ACSFR can also be throttled by applying increments in electrical power. Primary storage of Xe by AC is not superior to compressed gas storage with regard to weight, but AC storage can provide volume reduction, lower pressures in space, and potentially in situ Xe purification. With partial fill designs, a primary AC storage vessel for Xe could also eliminate problems with two-phase storage and regulate pressure. AC could also be utilized in long-term large quantity storage of Xe serving as a compact capture site for boil-off. Several Xe delivery ACSFR protocols between 2 and 45 sccm, and 15 min to 7 hr, were tested with an average flow variance of 1.2 percent, average power requirements of 5 W, and repeatability s of about 0.4 percent. Power requirements are affected by ACSFR bed sizing and flow rate/ duration design points, and these flow variances can be reduced by optimizing PID controller parameters.

Increasing frequency of low summer precipitation synchronizes dynamics and compromises metapopulation stability in the Glanville fritillary butterfly

PubMed Central

Tack, Ayco J. M.; Mononen, Tommi; Hanski, Ilkka

2015-01-01

Climate change is known to shift species' geographical ranges, phenologies and abundances, but less is known about other population dynamic consequences. Here, we analyse spatio-temporal dynamics of the Glanville fritillary butterfly (Melitaea cinxia) in a network of 4000 dry meadows during 21 years. The results demonstrate two strong, related patterns: the amplitude of year-to-year fluctuations in the size of the metapopulation as a whole has increased, though there is no long-term trend in average abundance; and there is a highly significant increase in the level of spatial synchrony in population dynamics. The increased synchrony cannot be explained by increasing within-year spatial correlation in precipitation, the key environmental driver of population change, or in per capita growth rate. On the other hand, the frequency of drought during a critical life-history stage (early larval instars) has increased over the years, which is sufficient to explain the increasing amplitude and the expanding spatial synchrony in metapopulation dynamics. Increased spatial synchrony has the general effect of reducing long-term metapopulation viability even if there is no change in average metapopulation size. This study demonstrates how temporal changes in weather conditions can lead to striking changes in spatio-temporal population dynamics. PMID:25854888

Long-term cognitive and behavioral consequences of neonatal encephalopathy following perinatal asphyxia: a review

PubMed Central

Swaab, Hanna; de Vries, Linda S.; Jongmans, Marian J.

2007-01-01

Neonatal encephalopathy (NE) following perinatal asphyxia (PA) is considered an important cause of later neurodevelopmental impairment in infants born at term. This review discusses long-term consequences for general cognitive functioning, educational achievement, neuropsychological functioning and behavior. In all areas reviewed, the outcome of children with mild NE is consistently positive and the outcome of children with severe NE consistently negative. However, children with moderate NE form a more heterogeneous group with respect to outcome. On average, intelligence scores are below those of children with mild NE and age-matched peers, but within the normal range. With respect to educational achievement, difficulties have been found in the domains reading, spelling and arithmetic/mathematics. So far, studies of neuropsychological functioning have yielded ambiguous results in children with moderate NE. A few studies suggest elevated rates of hyperactivity in children with moderate NE and autism in children with moderate and severe NE. Conclusion: Behavioral monitoring is required for all children with NE. In addition, systematic, detailed neuropsychological examination is needed especially for children with moderate NE. PMID:17426984

[Radiometers performance attenuation and data correction in long-term observation of total radiation and photosynthetically active radiation in typical forest ecosystems in China].

PubMed

Zhu, Zhi-Lin; Sun, Xiao-Min; Yu, Gui-Rui; Wen, Xue-Fa; Zhang, Yi-Ping; Han, Shi-Jie; Yan, Jun-Hua; Wang, Hui-Min

2011-11-01

Based on the total radiation and photosynthetically active radiation (PAR) observations with net radiometer (CNR1) and quantum sensor (Li-190SB) in 4 ChinaFLUX forest sites (Changbaishan, Qianyanzhou, Dinghushan, and Xishuangbanna) in 2003-2008, this paper analyzed the uncertainties and the radiometers performance changes in long-term and continuous field observation. The results showed that the 98% accuracy of the total radiation measured with CNR1 (Q(cNR1)) could satisfy the technical criterion for the sites except Xishuangbanna where the Q(CNR1) was averagely about 7% lower than Q(CM11), the radiation measured with high accuracy pyranometer CM11. For most sites, though the temperature had definite effects on the performance of CNR1, the effects were still within the allowable range of the accuracy of the instrument. Besides temperature, the seasonal fog often occurred in tropical rain forests in Xishuangbanna also had effects on the performance of CNR1. Based on the long-term variations of PAR, especially its ratio to total radiation in the 4 sites, it was found that quantum sensor (Li-190SB) had obvious performance attenuation, with the mean annual attenuation rate being about 4%. To correct the observation error caused by Li-190SB, an attempt was made to give a post-correction of the PAR observations, which could basically eliminate the quantum sensor's performance attenuation due to long-term field measurement.

Multicore-shell nanofiber architecture of polyimide/polyvinylidene fluoride blend for thermal and long-term stability of lithium ion battery separator.

PubMed

Park, Sejoon; Son, Chung Woo; Lee, Sungho; Kim, Dong Young; Park, Cheolmin; Eom, Kwang Sup; Fuller, Thomas F; Joh, Han-Ik; Jo, Seong Mu

2016-11-11

Li-ion battery, separator, multicoreshell structure, thermal stability, long-term stability. A nanofibrous membrane with multiple cores of polyimide (PI) in the shell of polyvinylidene fluoride (PVdF) was prepared using a facile one-pot electrospinning technique with a single nozzle. Unique multicore-shell (MCS) structure of the electrospun composite fibers was obtained, which resulted from electrospinning a phase-separated polymer composite solution. Multiple PI core fibrils with high molecular orientation were well-embedded across the cross-section and contributed remarkable thermal stabilities to the MCS membrane. Thus, no outbreaks were found in its dimension and ionic resistance up to 200 and 250 °C, respectively. Moreover, the MCS membrane (at ~200 °C), as a lithium ion battery (LIB) separator, showed superior thermal and electrochemical stabilities compared with a widely used commercial separator (~120 °C). The average capacity decay rate of LIB for 500 cycles was calculated to be approximately 0.030 mAh/g/cycle. This value demonstrated exceptional long-term stability compared with commercial LIBs and with two other types (single core-shell and co-electrospun separators incorporating with functionalized TiO 2 ) of PI/PVdF composite separators. The proper architecture and synergy effects of multiple PI nanofibrils as a thermally stable polymer in the PVdF shell as electrolyte compatible polymers are responsible for the superior thermal performance and long-term stability of the LIB.

Multicore-shell nanofiber architecture of polyimide/polyvinylidene fluoride blend for thermal and long-term stability of lithium ion battery separator

PubMed Central

Park, Sejoon; Son, Chung Woo; Lee, Sungho; Kim, Dong Young; Park, Cheolmin; Eom, Kwang Sup; Fuller, Thomas F.; Joh, Han-Ik; Jo, Seong Mu

2016-01-01

Li-ion battery, separator, multicoreshell structure, thermal stability, long-term stability. A nanofibrous membrane with multiple cores of polyimide (PI) in the shell of polyvinylidene fluoride (PVdF) was prepared using a facile one-pot electrospinning technique with a single nozzle. Unique multicore-shell (MCS) structure of the electrospun composite fibers was obtained, which resulted from electrospinning a phase-separated polymer composite solution. Multiple PI core fibrils with high molecular orientation were well-embedded across the cross-section and contributed remarkable thermal stabilities to the MCS membrane. Thus, no outbreaks were found in its dimension and ionic resistance up to 200 and 250 °C, respectively. Moreover, the MCS membrane (at ~200 °C), as a lithium ion battery (LIB) separator, showed superior thermal and electrochemical stabilities compared with a widely used commercial separator (~120 °C). The average capacity decay rate of LIB for 500 cycles was calculated to be approximately 0.030 mAh/g/cycle. This value demonstrated exceptional long-term stability compared with commercial LIBs and with two other types (single core-shell and co-electrospun separators incorporating with functionalized TiO2) of PI/PVdF composite separators. The proper architecture and synergy effects of multiple PI nanofibrils as a thermally stable polymer in the PVdF shell as electrolyte compatible polymers are responsible for the superior thermal performance and long-term stability of the LIB. PMID:27833132

Long-term sick leave and its risk factors during pregnancy among Danish hospital employees.

PubMed

Kaerlev, Linda; Jacobsen, Lene B; Olsen, Jørn; Bonde, Jens Peter

2004-01-01

The authors sought to describe risk indicators of long-term sick leave during pregnancy among hospital employees. A register-based study was undertaken of 4,852 female hospital employees aged 20-45 years from the second largest hospital in Denmark during 1995-99 based on job titles, working time, sick leave, and births combined with a survey among a total of 773 women who had been pregnant during their employment (response rate 85%). Altogether 236 (31%) were on sick leave for at least 10% of their scheduled work time during their latest pregnancy and 169 (22%) had been absent at least 20% of the time. The pregnant women had an average sickness absence of 6.1 days per month, non-pregnant women 0.95 days per month. Sick leave was more frequent in late than in early gestation. Women employed as nursing aides or hospital orderlies, launderers, and nurses had more sick leave days than other hospital employees. Part-time work, previous sickness absence not related to pregnancy, and previous chronic back pain were risk factors for long-term sick leave as were much walking or standing, long working days, high work level, little practical support from supervisors and colleagues, low job control, much lifting and night or shift work. Sick leave was unrelated to family size, support from the family and number of working years. Long-term sick leave during pregnancy was frequent and to some extent predictable. Efforts should be made to organize work for pregnant women in a manner that optimizes their health and well-being.

Short-term variability and long-term change in the composition of the littoral zone fish community in Spirit Lake, Iowa

USGS Publications Warehouse

Pierce, C.L.; Sexton, M.D.; Pelham, M.E.; Larscheid, J.G.

2001-01-01

We assessed short-term variability and long-term change in the composition of the littoral fish community in Spirit Lake, Iowa. Fish were sampled in several locations at night with large beach seines during spring, summer and fall of 1995-1998. Long-term changes were inferred from comparison with a similar study conducted over 70 y earlier in Spirit Lake. We found 26 species in the littoral zone. The number of species per sample ranged from 4 to 18, averaging 11.8. The average number of species per sample was higher at stations with greater vegetation density. A distinct seasonal pattern was evident in the number of species collected per sample in most years, increasing steadily from spring to fall. Patterns of variability within our 1995-1998 study period suggest that: (1) numerous samples are necessary to adequately characterize a littoral fish community, (2) sampling should be done when vegetation and young-of-year densities are highest and (3) sampling during a single year is inadequate to reveal the full community. The number of native species has declined by approximately 25% over the last 70 y. A coincident decline in littoral vegetation and associated habitat changes during the same period are likely causes of the long-term community change.

Long-term Use of Opioids for Complex Chronic Pain

PubMed Central

Von Korff, Michael R.

2014-01-01

Increased opioid prescribing for back pain and other chronic musculoskeletal pain conditions has been accompanied by dramatic increases in prescription opioid addiction and fatal overdose. Opioid-related risks appear to increase with dose. While short-term randomized trials of opioids for chronic pain have found modest analgesic benefits (a one-third reduction in pain intensity on average), the long-term safety and effectiveness of opioids for chronic musculoskeletal pain is unknown. Given the lack of large, long-term randomized trials, recent epidemiologic data suggests the need for caution when considering long-term use of opioids to manage chronic musculoskeletal pain, particularly at higher dosage levels. Principles for achieving more selective and cautious use of opioids for chronic musculoskeletal pain are proposed. PMID:24315147

Periimplantitis Treatment: Long-Term Comparison of Laser Decontamination and Implantoplasty Surgery.

PubMed

Pommer, Bernhard; Haas, Robert; Mailath-Pokorny, Georg; Fürhauser, Rudolf; Watzek, Georg; Busenlechner, Dieter; Müller-Kern, Michael; Kloodt, Claudia

2016-10-01

Periimplantitis is the most frequent cause of late implant failure; however, little is known about the long-term success of periimplantitis treatment and the effectiveness of various therapeutic interventions. A total of 142 patients were referred to the Academy for Oral Implantology in Vienna for the treatment of recurrent periimplantitis around single-tooth implants. Of them, 72 patients (51%) were treated by laser decontamination, 47 patients (33%) by implantoplasty surgery, and 23 patients (16%) by a combination of both approaches. Overall success of periimplantitis therapy was 89% after 9 years of follow-up, and it did not differ significantly between female and male patients (P = 0.426). The number of implant failures that could not be prevented by periimplantitis treatment was 6 after laser decontamination (8%), 6 after implantoplasty surgery (13%), and 4 after a combination of both therapies (17%). Implant loss occurred after 4.9 ± 1.9 years of therapy, on average. No significant difference between the 3 treatment groups could be observed (P = 0.393). The present results suggest that success rates of periimplantitis therapy with either laser decontamination or surgical implantoplasty are high. These success rates do not appear to be associated with patient gender or treatment strategy.

Robust and Adaptive Online Time Series Prediction with Long Short-Term Memory

PubMed Central

Tao, Qing

2017-01-01

Online time series prediction is the mainstream method in a wide range of fields, ranging from speech analysis and noise cancelation to stock market analysis. However, the data often contains many outliers with the increasing length of time series in real world. These outliers can mislead the learned model if treated as normal points in the process of prediction. To address this issue, in this paper, we propose a robust and adaptive online gradient learning method, RoAdam (Robust Adam), for long short-term memory (LSTM) to predict time series with outliers. This method tunes the learning rate of the stochastic gradient algorithm adaptively in the process of prediction, which reduces the adverse effect of outliers. It tracks the relative prediction error of the loss function with a weighted average through modifying Adam, a popular stochastic gradient method algorithm for training deep neural networks. In our algorithm, the large value of the relative prediction error corresponds to a small learning rate, and vice versa. The experiments on both synthetic data and real time series show that our method achieves better performance compared to the existing methods based on LSTM. PMID:29391864

Robust and Adaptive Online Time Series Prediction with Long Short-Term Memory.

PubMed

Yang, Haimin; Pan, Zhisong; Tao, Qing

2017-01-01

Online time series prediction is the mainstream method in a wide range of fields, ranging from speech analysis and noise cancelation to stock market analysis. However, the data often contains many outliers with the increasing length of time series in real world. These outliers can mislead the learned model if treated as normal points in the process of prediction. To address this issue, in this paper, we propose a robust and adaptive online gradient learning method, RoAdam (Robust Adam), for long short-term memory (LSTM) to predict time series with outliers. This method tunes the learning rate of the stochastic gradient algorithm adaptively in the process of prediction, which reduces the adverse effect of outliers. It tracks the relative prediction error of the loss function with a weighted average through modifying Adam, a popular stochastic gradient method algorithm for training deep neural networks. In our algorithm, the large value of the relative prediction error corresponds to a small learning rate, and vice versa. The experiments on both synthetic data and real time series show that our method achieves better performance compared to the existing methods based on LSTM.

Estimating 1 min rain rate distributions from numerical weather prediction

NASA Astrophysics Data System (ADS)

Paulson, Kevin S.

2017-01-01

Internationally recognized prognostic models of rain fade on terrestrial and Earth-space EHF links rely fundamentally on distributions of 1 min rain rates. Currently, in Rec. ITU-R P.837-6, these distributions are generated using the Salonen-Poiares Baptista method where 1 min rain rate distributions are estimated from long-term average annual accumulations provided by numerical weather prediction (NWP). This paper investigates an alternative to this method based on the distribution of 6 h accumulations available from the same NWPs. Rain rate fields covering the UK, produced by the Nimrod network of radars, are integrated to estimate the accumulations provided by NWP, and these are linked to distributions of fine-scale rain rates. The proposed method makes better use of the available data. It is verified on 15 NWP regions spanning the UK, and the extension to other regions is discussed.

Long-term variability in sugarcane bagasse feedstock compositional methods: Sources and magnitude of analytical variability

DOE PAGES

Templeton, David W.; Sluiter, Justin B.; Sluiter, Amie; ...

2016-10-18

In an effort to find economical, carbon-neutral transportation fuels, biomass feedstock compositional analysis methods are used to monitor, compare, and improve biofuel conversion processes. These methods are empirical, and the analytical variability seen in the feedstock compositional data propagates into variability in the conversion yields, component balances, mass balances, and ultimately the minimum ethanol selling price (MESP). We report the average composition and standard deviations of 119 individually extracted National Institute of Standards and Technology (NIST) bagasse [Reference Material (RM) 8491] run by seven analysts over 7 years. Two additional datasets, using bulk-extracted bagasse (containing 58 and 291 replicates each),more » were examined to separate out the effects of batch, analyst, sugar recovery standard calculation method, and extractions from the total analytical variability seen in the individually extracted dataset. We believe this is the world's largest NIST bagasse compositional analysis dataset and it provides unique insight into the long-term analytical variability. Understanding the long-term variability of the feedstock analysis will help determine the minimum difference that can be detected in yield, mass balance, and efficiency calculations. The long-term data show consistent bagasse component values through time and by different analysts. This suggests that the standard compositional analysis methods were performed consistently and that the bagasse RM itself remained unchanged during this time period. The long-term variability seen here is generally higher than short-term variabilities. It is worth noting that the effect of short-term or long-term feedstock compositional variability on MESP is small, about $0.03 per gallon. The long-term analysis variabilities reported here are plausible minimum values for these methods, though not necessarily average or expected variabilities. We must emphasize the importance of training and good analytical procedures needed to generate this data. As a result, when combined with a robust QA/QC oversight protocol, these empirical methods can be relied upon to generate high-quality data over a long period of time.« less

Long-term variability in sugarcane bagasse feedstock compositional methods: Sources and magnitude of analytical variability

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

Templeton, David W.; Sluiter, Justin B.; Sluiter, Amie

In an effort to find economical, carbon-neutral transportation fuels, biomass feedstock compositional analysis methods are used to monitor, compare, and improve biofuel conversion processes. These methods are empirical, and the analytical variability seen in the feedstock compositional data propagates into variability in the conversion yields, component balances, mass balances, and ultimately the minimum ethanol selling price (MESP). We report the average composition and standard deviations of 119 individually extracted National Institute of Standards and Technology (NIST) bagasse [Reference Material (RM) 8491] run by seven analysts over 7 years. Two additional datasets, using bulk-extracted bagasse (containing 58 and 291 replicates each),more » were examined to separate out the effects of batch, analyst, sugar recovery standard calculation method, and extractions from the total analytical variability seen in the individually extracted dataset. We believe this is the world's largest NIST bagasse compositional analysis dataset and it provides unique insight into the long-term analytical variability. Understanding the long-term variability of the feedstock analysis will help determine the minimum difference that can be detected in yield, mass balance, and efficiency calculations. The long-term data show consistent bagasse component values through time and by different analysts. This suggests that the standard compositional analysis methods were performed consistently and that the bagasse RM itself remained unchanged during this time period. The long-term variability seen here is generally higher than short-term variabilities. It is worth noting that the effect of short-term or long-term feedstock compositional variability on MESP is small, about $0.03 per gallon. The long-term analysis variabilities reported here are plausible minimum values for these methods, though not necessarily average or expected variabilities. We must emphasize the importance of training and good analytical procedures needed to generate this data. As a result, when combined with a robust QA/QC oversight protocol, these empirical methods can be relied upon to generate high-quality data over a long period of time.« less

Gay male attraction toward muscular men: does mating context matter?

PubMed

Varangis, Eleanna; Lanzieri, Nicholas; Hildebrandt, Tom; Feldman, Matthew

2012-03-01

The purpose of this study was to examine gay men's perceived attractiveness of male figures based on short-term and long-term partner contexts. A sample of 190 gay adult men rated the attractiveness of line-drawings depicting male figures varying systematically in muscularity and body fat percentage in both short-term and long-term dating contexts. Mixed effects modeling was used to estimate the effects of figure (muscularity and body fat), dating context (short-term vs. long-term), and individual rater characteristics on attractiveness ratings. Results indicated that figure muscularity and body-fat had significant non-linear (i.e., quadratic) relationships with attractiveness ratings, and short-term dating context was associated with more discriminating ratings of attractiveness. Interactions between individual characteristics and figure characteristics indicated that the more available the individual and lower body fat, the more discriminating they were in ratings of attractiveness. The implications for future investigations considering both object and observer characteristics of attractiveness preferences are discussed. Copyright © 2012 Elsevier Ltd. All rights reserved.

Personality as a predictor of weight loss maintenance after surgery for morbid obesity.

PubMed

Larsen, Junilla K; Geenen, Rinie; Maas, Cora; de Wit, Pieter; van Antwerpen, Tiny; Brand, Nico; van Ramshorst, Bert

2004-11-01

Personality characteristics are assumed to underlie health behaviors and, thus, a variety of health outcomes. Our aim was to examine prospectively whether personality traits predict short- and long-term weight loss after laparoscopic adjustable gastric banding. Of patients undergoing laparoscopic adjustable gastric banding, 168 (143 women, 25 men, 18 to 58 years old, mean 37 years, preoperative BMI 45.9 +/- 5.6 kg/m(2)) completed the Dutch Personality Questionnaire on average 1.5 years before the operation. The relationship between preoperative personality and short- and long-term postoperative weight loss was determined using multilevel regression analysis. The average weight loss of patients progressively increased to 10 BMI points until 18 months after surgery and stabilized thereafter. A lower baseline BMI, being a man, and a higher educational level were associated with a lower weight loss. None of the personality variables was associated with weight outcome at short-term follow-up. Six of seven personality variables did not predict long-term weight outcome. Egoism was associated with less weight loss in the long-term postoperative period. The effect sizes of the significant predictions were small. None of the personality variables predicted short-term weight outcome, and only one variable showed a small and unexpected association with long-term weight outcome that needs confirmation. This suggests that personality assessment as intake psychological screening is of little use for the prediction of a poor or successful weight outcome after bariatric surgery.

Modeling the Effects of Trait Diversity on Short-term Adaptive Capacity and Long-term Productivity of Phytoplankton Communities

NASA Astrophysics Data System (ADS)

Smith, S. L.; Vallina, S. M.; Merico, A.

2016-02-01

We examine Biodiversity and Ecosystem Function (BEF) in a model phytoplankton community, using two recently developed mechanisms for sustaining diversity. The Trait Diffusion (TD) formulation represents the maintenance of diversity via endogenous mechanisms, such as inter-generational trait plasticity and rapid evolution. The 'Kill-the-Winner' (KTW) formulation for grazing sustains prey biodiversity via the exogenous mechanism of active prey switching. We implement both TD and KTW in a continuous trait-distribution model using simplified size-scalings to define a gleaner-opportunist trade-off for a phytoplankton community. By simulating semi-continuous culture experiments with periodic external dilutions, we test the dynamic response of the phytoplankton community to different scenarios of pulsed nutrient supply. We quantify the short-term Adaptive Capacity (AC) of the community by the specific growth rate averaged over the first 3 days of perturbations, and the Long-term Productivity (LP) by its average over the entire 120 day period of perturbations. When either the frequency or intensity of pulses is low, both AC and LP tend to decrease with diversity (and vice versa). Trait diversity has more impact on AC, particularly for pulses of high frequency or intensity, for which it tends to increase gradually at first, then steeply, and then to saturate with increasing diversity. For pulses of moderate intensity and frequency, increasing trait diversity from low to moderate levels leads to a trade-off between enhancing AC while slightly decreasing LP. Ultimately, we find that sustaining diversity increases the speed at which the phytoplankton community changes its composition in terms of size and hence nutrient acquisition traits, which may have implications for the transfer of productivity through the foodweb.

Long-Term Outcome of Low-Energy Extracorporeal Shock Wave Therapy for Plantar Fasciitis: Comparative Analysis According to Ultrasonographic Findings

PubMed Central

Park, Jong-Wan; Yoon, Kyungjae; Chun, Kwang-Soo; Lee, Joon-Youn; Park, Hee-Jin; Lee, So-Yeon

2014-01-01

Objective To investigate the long-term effect of low-energy extracorporeal shock wave therapy (ESWT) for plantar fasciitis (PF) according to ultrasonography (US) findings. Methods Thirty feet of 25 patients with clinical diagnosis of PF were enrolled and divided into two groups (Apparent-US and Uncertain-US) according to US findings, such as plantar fascia thickening or hypoechogenicity. Inclusion criteria were symptom duration >6 months and a fair or poor grade in Roles-Maudsley score (RMS). ESWT (0.10 mJ/mm2, 600 shocks) was given once a week for 6 weeks. Numeric rating scale (NRS) and RMS were evaluated prior to each ESWT session, at short-term follow-up (one week after all ESWT sessions) and long-term follow-up telephone interview (mean 24 months after ESWT). Good and excellent grade in RMS were considered as treatment success. Results Repeated measure ANOVA demonstrated that NRS significantly decreased with time after ESWT up to the long-term follow-up (time effect, p<0.001) without group-time interaction (p=0.641), indicating that ESWT equally decreased pain in both groups. Overall success rate was 63.3% (short-term follow-up) and 80.0% (long-term follow-up). In comparative analysis between groups, success rate of Apparent-US and Uncertain-US at short-term follow-up was 61.9% and 66.7%, respectively, and 85.7% and 66.7%, respectively, at long-term follow-up. Conclusion If other causes of heel pain are ruled out through meticulous physical examination and ultrasonography, low-energy ESWT in PF seems to be beneficial regardless of US findings. In terms of success rate, however, long-term outcome of Apparent-US appears to be superior to Uncertain-US. PMID:25229032

Impacts of Early Childhood Education on Medium- and Long-Term Educational Outcomes

ERIC Educational Resources Information Center

McCoy, Dana Charles; Yoshikawa, Hirokazu; Ziol-Guest, Kathleen M.; Duncan, Greg J.; Schindler, Holly S.; Magnuson, Katherine; Yang, Rui; Koepp, Andrew; Shonkoff, Jack P.

2017-01-01

Despite calls to expand early childhood education (ECE) in the United States, questions remain regarding its medium- and long-term impacts on educational outcomes. We use meta-analysis of 22 high-quality experimental and quasi-experimental studies conducted between 1960 and 2016 to find that on average, participation in ECE leads to statistically…

Civil Conflict and Human Capital Accumulation: The Long-Term Effects of Political Violence in Peru

ERIC Educational Resources Information Center

Leon, Gianmarco

2012-01-01

This paper provides empirical evidence of the persistent effect of exposure to political violence on human capital accumulation. I exploit the variation in conflict location and birth cohorts to identify the long- and short-term effects of the civil war on educational attainment. Conditional on being exposed to violence, the average person…

Long-Term Changes in Lower Tropospheric Baseline Ozone Concentrations:. [Comparing Chemistry-Climate Models and Observations at Northern Mid-Latitudes

NASA Technical Reports Server (NTRS)

Parrish, D. D.; Lamarque, J.-F.; Naik, V.; Horowitz, L.; Shindell, D. T.; Staehelin, J.; Derwent, R.; Cooper, O. R.; Tanimoto, H.; Volz-Thomas, A.;

Long-term exposure to air pollution is associated with survival following acute coronary syndrome

PubMed Central

Tonne, Cathryn; Wilkinson, Paul

2013-01-01

Aims The aim of this study was to determine (i) whether long-term exposure to air pollution was associated with all-cause mortality using the Myocardial Ischaemia National Audit Project (MINAP) data for England and Wales, and (ii) the extent to which exposure to air pollution contributed to socioeconomic inequalities in prognosis. Methods and results Records of patients admitted to hospital with acute coronary syndrome (ACS) in MINAP collected under the National Institute for Cardiovascular Outcomes Research were linked to modelled annual average air pollution concentrations for 2004–10. Hazard ratios for mortality starting 28 days after admission were estimated using Cox proportional hazards models. Among the 154 204 patients included in the cohort, the average follow-up was 3.7 years and there were 39 863 deaths. Mortality rates were higher for individuals exposed to higher levels of particles with a diameter of ≤2.5 µm (PM2.5; PM, particulate matter): the fully adjusted hazard ratio for a 10 µg/m3 increase in PM2.5 was 1.20 (95% CI 1.04–1.38). No associations were observed for larger particles or oxides of nitrogen. Air pollution explained socioeconomic inequalities in survival to only a small extent. Conclusion Mortality from all causes was higher among individuals with greater exposure to PM2.5 in survivors of hospital admission for ACS in England and Wales. Despite higher exposure to PM2.5 among those from more deprived areas, such exposure was a minor contribution to the socioeconomic inequalities in prognosis following ACS. Our findings add to the evidence of mortality associated with long-term exposure to fine particles. PMID:23423735

Incidence and mortality trends of aspiration pneumonia in Parkinson's disease in the United States, 1979-2010.

PubMed

Akbar, Umer; Dham, Bhavpreet; He, Ying; Hack, Nawaz; Wu, Samuel; Troche, Michelle; Tighe, Patrick; Nelson, Eugene; Friedman, Joseph H; Okun, Michael S

2015-09-01

Careful examination of long-term analyses and trends is essential in understanding the medico-economic burden of this common complication. We sought to describe the long-term (32-year) trends of incidence and mortality in PD patients hospitalized with aspiration pneumonia (AsPNA). Incidence and mortality of AsPNA in hospitalized PD versus non-PD patients was assessed by logistic regression analysis applied to a national database between the years 1979 and 2010. Covariates such as age-decennium, gender, year AsPNA occurred, and the interactions with PD diagnosis were investigated. Rate of AsPNA and mortality over the 32-years was trended and compared. AsPNA occurred in 3.6% of PD patients and 1.0% of non-PD patients. The average mortality for PD patients was less (17% vs. 22%). Long-term (32-year) trends revealed a nearly 10-fold increase in incidence of AsPNA in PD (0.4% in 1979, 4.9% in 2010), decreasing mortality overtime, higher likelihood in males, and increasing average age of AsPNA patients (steeper increase in PD). All p-values<0.05. In regression analysis, each successive year had a slight increase in odds of AsPNA (OR 1.03 in PD, OR1.06 in non-PD). Trends over 32 years revealed a 10-fold increase in AsPNA among PD and non-PD patients, and an associated decrease in mortality. Our data suggest that PD patients are living longer, have slightly more AsPNA, but a lower mortality than was seen in past decades. Further research should investigate the causes of AsPNA in PD, and also potential interventions to decrease its occurrence. Copyright © 2015 Elsevier Ltd. All rights reserved.

Elemental carbon exposure at residence and survival after acute myocardial infarction.

PubMed

von Klot, Stephanie; Gryparis, Alexandros; Tonne, Cathryn; Yanosky, Jeffrey; Coull, Brent A; Goldberg, Robert J; Lessard, Darleen; Melly, Steven J; Suh, Helen H; Schwartz, Joel

2009-07-01

Particulate air pollution has been consistently related to cardiovascular mortality. Some evidence suggests that particulate matter may accelerate the atherosclerotic process. Effects of within-city variations of particulate air pollution on survival after an acute cardiovascular event have been little explored. We conducted a cohort study of hospital survivors of acute myocardial infarction (MI) from the Worcester, MA, metropolitan area to investigate the long-term effects of within-city variation in traffic-related air pollution on mortality. The study builds on an ongoing community-wide investigation examining changes over time in MI incidence and case-fatality rates. We included confirmed cases of MI in 1995, 1997, 1999, 2001, and 2003. Long-term survival status was ascertained through 2005. A validated spatiotemporal land use regression model for traffic-related air pollution was developed and annual averages of elemental carbon at residence estimated. The effect of estimated elemental carbon on the long-term mortality of patients discharged after MI was analyzed using a Cox proportional hazards model, controlling for a variety of demographic, medical history, and clinical variables. Of the 3895 patients with validated MI, 44% died during follow-up. Exposure to estimated elemental carbon in the year of entry into the study was 0.44 microg/m on average. All-cause mortality increased by 15% (95% confidence interval = 0.03%-29%) per interquartile range increase in estimated yearly elemental carbon (0.24 microg/m) after the second year of survival. No association between traffic-related pollution and all-cause mortality was observed during the first 2 years of follow-up. Chronic traffic-related particulate air pollution is associated with increased mortality in hospital survivors of acute MI after the second year of survival.

Prognostic impact of intestinal wall thickening in hospitalized patients with heart failure.

PubMed

Ikeda, Yuki; Ishii, Shunsuke; Fujita, Teppei; Iida, Yuichiro; Kaida, Toyoji; Nabeta, Takeru; Maekawa, Emi; Yanagisawa, Tomoyoshi; Koitabashi, Toshimi; Takeuchi, Ichiro; Inomata, Takayuki; Ako, Junya

2017-03-01

Intestine-cardiovascular relationship has been increasingly recognized as a key factor in patients with heart disease. We aimed to identify the relationships among intestinal wall edema, cardiac function, and adverse clinical events in hospitalized heart failure (HF) patients. Abdominal computed tomographic images of 168 hospitalized HF patients were retrospectively investigated for identification of average colon wall thickness (CWT) from the ascending to sigmoid colon. Relationships between average CWT and echocardiographic parameters, blood sampling data, and primary outcomes including readmission for deteriorated HF and all-cause mortality were evaluated. Among the echocardiographic parameters, lower left ventricular diastolic function was correlated with higher average CWT. In multivariate analysis, higher logarithmic C-reactive protein level, lower estimated glomerular filtration rate, lower peripheral blood lymphocyte count, higher E/E' ratio, and extremely higher/lower defecation frequency were independently correlated with higher average CWT. Multivariate Cox-hazard analysis demonstrated that higher average CWT was independently related to higher incidence of primary outcomes. In hospitalized HF patients, increased CWT was associated with lower cardiac performance, and predicted poorer long-term clinical outcomes. Copyright © 2016. Published by Elsevier B.V.

Acute and persistent effects of pre- and posthatching thermal environments on growth and metabolism in the red-eared slider turtle, Trachemys scripta elegans.

PubMed

Ligon, Day B; Peterson, Charles C; Lovern, Matthew B

2012-04-01

Many ectotherms possess the capacity to survive a wide range of thermal conditions. Long-term exposure to temperature can induce acclimational and/or organizational effects, and the developmental stage at which temperature exposure occurs may affect the type, degree, and persistence of these effects. We incubated red-eared slider turtle embryos at three different constant temperatures (T(inc); 26.5, 28.5, 30.5°C), then divided the resulting hatchlings between two water temperatures (T(water); 25, 30°C). We calculated growth rates to assess the short- and long-term effects of thermal experience on this metabolically costly process. We also measured resting metabolic rate (RMR) at three body temperatures (T(body;) 26.5, 28.5, 30.5°C) shortly after hatching and 6 months posthatching to characterize the degree and persistence of acclimation to T(inc) and T(water) . Hatchling RMRs were affected by T(body) and T(inc) , and fit a pattern consistent with positive but incomplete metabolic compensation to T(inc) . Average growth rates over the first 11 weeks posthatching were strongly affected by T(water) but only marginally influenced by T(inc) , and only at T(water) = 30°C. Six-month RMRs exhibited strong acclimation to T(water) consistent with positive metabolic compensation. However, within each T(water) treatment, RMR fit patterns indicative of inverse metabolic compensation to T(inc) , opposite of the pattern observed in hatchlings. Average growth rates calculated over 6 months continued to show a strong effect of T(water) , and the previously weak effect of T(inc) observed within the 30°C T(water) treatment became more pronounced. Our results suggest that metabolic compensation was reversible regardless of the life stage during which exposure occurred, and therefore is more appropriately considered acclimational than organizational. © 2012 WILEY PERIODICALS, INC.

Psychrophilic dry anaerobic digestion of dairy cow feces: Long-term operation

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

Massé, Daniel I., E-mail: Daniel.masse@agr.gc.ca; Cata Saady, Noori M.

2015-02-15

Highlights: • Psychrophilic dry anaerobic digestion (PDAD) of cow feces (CF) is feasible. • PDAD of CF is as efficient as mesophilic and thermophilic AD at TCL 21 days. • CF (13–16% TS at OLR 5.0 g TCOD{sub fed} kg{sup −1} inoculum d{sup −1}) yielded 222 ± 27 {sub N}L CH{sub 4} kg{sup −1} VS fed. - Abstract: This paper reports experimental results which demonstrate psychrophilic dry anaerobic digestion of cow feces during long-term operation in sequence batch reactor. Cow feces (13–16% total solids) has been anaerobically digested in 12 successive cycles (252 days) at 21 days treatment cycle lengthmore » (TCL) and temperature of 20 °C using psychrotrophic anaerobic mixed culture. An average specific methane yield (SMY) of 184.9 ± 24.0, 189.9 ± 27.3, and 222 ± 27.7 {sub N}L CH{sub 4} kg{sup −1} of VS fed has been achieved at an organic loading rate of 3.0, 4.0, and 5.0 g TCOD kg{sup −1} inoculum d{sup −1} and TCL of 21 days, respectively. The corresponding substrate to inoculum ratio (SIR) was 0.39 ± 0.06, 0.48 ± .02, 0.53 ± 0.05, respectively. Average methane production rate of 10 ± 1.4 {sub N}L CH{sub 4} kg{sup −1} VS fed d{sup −1} has been obtained. The low concentration of volatile fatty acids indicated that hydrolysis was the reaction limiting step.« less

An activity index for geomagnetic paleosecular variation, excursions, and reversals

NASA Astrophysics Data System (ADS)

Panovska, S.; Constable, C. G.

2017-04-01

Magnetic indices provide quantitative measures of space weather phenomena that are widely used by researchers in geomagnetism. We introduce an index focused on the internally generated field that can be used to evaluate long term variations or climatology of modern and paleomagnetic secular variation, including geomagnetic excursions, polarity reversals, and changes in reversal rate. The paleosecular variation index, Pi, represents instantaneous or average deviation from a geocentric axial dipole field using normalized ratios of virtual geomagnetic pole colatitude and virtual dipole moment. The activity level of the index, σPi, provides a measure of field stability through the temporal standard deviation of Pi. Pi can be calculated on a global grid from geomagnetic field models to reveal large scale geographic variations in field structure. It can be determined for individual time series, or averaged at local, regional, and global scales to detect long term changes in geomagnetic activity, identify excursions, and transitional field behavior. For recent field models, Pi ranges from less than 0.05 to 0.30. Conventional definitions for geomagnetic excursions are characterized by Pi exceeding 0.5. Strong field intensities are associated with low Pi unless they are accompanied by large deviations from axial dipole field directions. σPi provides a measure of geomagnetic stability that is modulated by the level of PSV or frequency of excursional activity and reversal rate. We demonstrate uses of Pi for paleomagnetic observations and field models and show how it could be used to assess whether numerical simulations of the geodynamo exhibit Earth-like properties.

Effects of open-top chambers on 'Valencia' orange trees

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

Olszyk, D.M.; Takemoto, B.K.; Kats, G.

1992-01-01

Young 'Valencia' orange trees (Citrus sinensis(L) Osbeck) were grown for four years in large open-top chambers with ambient (nonfiltered) air or in outside air to determine any effects of the chambers on the air pollutant susceptibility of the trees. Long-term ozone average concentrations (12 hours, growing season) were 8% lower, and cumulative ozone dose (hourly values >0.1 microL/L) was 29% lower in ambient chambers compared to outside air. Fruit yields were much higher (>39%) for ambient chamber trees than for outside trees over three harvests, due at least partly to less fruit drop during the growing season for ambient chambermore » trees. Ambient chamber trees were much larger than outside trees and produced over twice as much leaf material over four years of study. Leaves on ambient chamber trees were larger and less dense than on outside trees. Leaves on ambient chamber trees were under more stress than leaves on outside trees during summer months; with lower stomatal conductances (14% average) and transpiration rates (12%), and more negative leaf water pressure potentials (28%). In contrast, leaves on ambient chamber trees had higher net photosynthetic rates (13%) and higher leaf starch concentrations prior to tree flowering (31%), than leaves on outside trees. While these results indicated large long-term impacts on tree growth which must be considered when using open-top chambers, they did not indicate any net effect of chambers on the air pollutant susceptibility of trees which would limit the usefulness of chamber tree data for air quality impact assessment purposes.« less

Short-term foraging costs and long-term fueling rates in central-place foraging swans revealed by giving-up exploitation times.

PubMed

van Gils, J A; Tijsen, W

2007-05-01

Foragers tend to exploit patches to a lesser extent farther away from their central place. This has been interpreted as a response to increased risk of predation or increased metabolic costs of prey delivery. Here we show that migratory Bewick's swans (Cygnus columbianus bewickii), though not incurring greater predation risks farther out or delivering food to a central place, also feed for shorter periods at patches farther away from their roost. Predictions from an energy budget model suggest that increasing metabolic travel costs per se are responsible. Establishing the relation between intake rate and exploitation time enabled us to express giving-up exploitation times as quitting harvest rates (QHRs). This revealed that net QHRs were not different from observed long-term net intake rates, a sign that the birds were maximizing their long-term net intake rate. This study is unique because giving-up decisions were measured at the individual level, metabolic and predation costs were assessed simultaneously, the relation with harvest rate was made explicit, and finally, short-term giving-up decisions were related to long-term net intake rates. We discuss and conceptualize the implications of metabolic traveling costs for carrying-capacity predictions by bridging the gap between optimal-foraging theory and optimal-migration theory.

Economics of solar energy: Short term costing

NASA Astrophysics Data System (ADS)

Klee, H.

The solar economics based on life cycle costs are refuted as both imaginary and irrelevant. It is argued that predicting rates of inflation and fuel escalation, expected life, maintenance costs, and legislation over the next ten to twenty years is pure guesswork. Furthermore, given the high mobility level of the U.S. population, the average consumer is skeptical of long run arguments which will pay returns only to the next owners. In the short term cost analysis, the house is sold prior to the end of the expected life of the system. The cash flow of the seller and buyer are considered. All the relevant factors, including the federal tax credit and the added value of the house because of the solar system are included.

Community-level phenological response to climate change

PubMed Central

Ovaskainen, Otso; Skorokhodova, Svetlana; Yakovleva, Marina; Sukhov, Alexander; Kutenkov, Anatoliy; Kutenkova, Nadezhda; Shcherbakov, Anatoliy; Meyke, Evegeniy; Delgado, Maria del Mar

2013-01-01

Climate change may disrupt interspecies phenological synchrony, with adverse consequences to ecosystem functioning. We present here a 40-y-long time series on 10,425 dates that were systematically collected in a single Russian locality for 97 plant, 78 bird, 10 herptile, 19 insect, and 9 fungal phenological events, as well as for 77 climatic events related to temperature, precipitation, snow, ice, and frost. We show that species are shifting their phenologies at dissimilar rates, partly because they respond to different climatic factors, which in turn are shifting at dissimilar rates. Plants have advanced their spring phenology even faster than average temperature has increased, whereas migratory birds have shown more divergent responses and shifted, on average, less than plants. Phenological events of birds and insects were mainly triggered by climate cues (variation in temperature and snow and ice cover) occurring over the course of short periods, whereas many plants, herptiles, and fungi were affected by long-term climatic averages. Year-to-year variation in plants, herptiles, and insects showed a high degree of synchrony, whereas the phenological timing of fungi did not correlate with any other taxonomic group. In many cases, species that are synchronous in their year-to-year dynamics have also shifted in congruence, suggesting that climate change may have disrupted phenological synchrony less than has been previously assumed. Our results illustrate how a multidimensional change in the physical environment has translated into a community-level change in phenology. PMID:23901098

Steady, modest slip over multiple earthquake cycles on the Owens Valley and Little Lake fault zones

NASA Astrophysics Data System (ADS)

Amos, C. B.; Haddon, E. K.; Burgmann, R.; Zielke, O.; Jayko, A. S.

2015-12-01

A comprehensive picture of current plate-boundary deformation requires integration of short-term geodetic records with longer-term geologic strain. Comparing rates of deformation across these time intervals highlights potential time-dependencies in both geodetic and geologic records and yields critical insight into the earthquake deformation process. The southern Walker Lane Belt in eastern California represents one location where short-term strain recorded by geodesy apparently outpaces longer-term geologic fault slip measured from displaced rocks and landforms. This discrepancy persists both for individual structures and across the width of the deforming zone, where ~1 cm/yr of current dextral shear exceeds Quaternary slip rates summed across individual faults. The Owens Valley and Little Lake fault systems form the western boundary of the southern Walker Lane and host a range of published slip rate estimates from ~1 - 7 mm/yr over varying time intervals based on both geodetic and geologic measurements. New analysis of offset geomorphic piercing lines from airborne lidar and field measurements along the Owens Valley fault provides a snapshot of deformation during individual earthquakes and over many seismic cycles. Viewed in context of previously reported ages from pluvial and other landforms in Owens Valley, these offsets suggest slip rates of ~0.6 - 1.6 mm/yr over the past 103 - 105 years. Such rates agree with similar estimates immediately to the south on the Little Lake fault, where lidar measurements indicate dextral slip averaging ~0.6 - 1.3 mm/yr over comparable time intervals. Taken together, these results suggest steady, modest slip in the absence of significant variations over the Mid-to-Late Quaternary for a ~200 km span of the southwestern Walker Lane. Our findings argue against the presence of long-range fault interactions and slip-rate variations for this portion of the larger, regional fault network. This result also suggests that faster slip-rate estimates from geodetic measurements reflect transients over much shorter time scales. Additionally, the persistence of relatively faster geodetic shear in comparison with time-averaged fault slip leaves open the possibility of significant off-fault deformation or slip on subsidiary structures across the Owens Valley.

Changes in heart rate variability are associated with expression of short-term and long-term contextual and cued fear memories.

PubMed

Liu, Jun; Wei, Wei; Kuang, Hui; Zhao, Fang; Tsien, Joe Z

2013-01-01

Heart physiology is a highly useful indicator for measuring not only physical states, but also emotional changes in animals. Yet changes of heart rate variability during fear conditioning have not been systematically studied in mice. Here, we investigated changes in heart rate and heart rate variability in both short-term and long-term contextual and cued fear conditioning. We found that while fear conditioning could increase heart rate, the most significant change was the reduction in heart rate variability which could be further divided into two distinct stages: a highly rhythmic phase (stage-I) and a more variable phase (stage-II). We showed that the time duration of the stage-I rhythmic phase were sensitive enough to reflect the transition from short-term to long-term fear memories. Moreover, it could also detect fear extinction effect during the repeated tone recall. These results suggest that heart rate variability is a valuable physiological indicator for sensitively measuring the consolidation and expression of fear memories in mice.

Oxygen consumption rate of cells in 3D culture: the use of experiment and simulation to measure kinetic parameters and optimise culture conditions.

PubMed

Streeter, Ian; Cheema, Umber

2011-10-07

Understanding the basal O(2) and nutrient requirements of cells is paramount when culturing cells in 3D tissue models. Any scaffold design will need to take such parameters into consideration, especially as the addition of cells introduces gradients of consumption of such molecules from the surface to the core of scaffolds. We have cultured two cell types in 3D native collagen type I scaffolds, and measured the O(2) tension at specific locations within the scaffold. By changing the density of cells, we have established O(2) consumption gradients within these scaffolds and using mathematical modeling have derived rates of consumption for O(2). For human dermal fibroblasts the average rate constant was 1.19 × 10(-17) mol cell(-1) s(-1), and for human bone marrow derived stromal cells the average rate constant was 7.91 × 10(-18) mol cell(-1) s(-1). These values are lower than previously published rates for similar cells cultured in 2D, but the values established in this current study are more representative of rates of consumption measured in vivo. These values will dictate 3D culture parameters, including maximum cell-seeding density and maximum size of the constructs, for long-term viability of tissue models.

Study on Corrosion-induced Crack Initiation and Propagation of Sustaining Loaded RCbeams

NASA Astrophysics Data System (ADS)

Zhong, X. P.; Li, Y.; Yuan, C. B.; Yang, Z.; Chen, Y.

2018-05-01

For 13 pieces of reinforced concrete beams with HRB500 steel bars under long-term sustained loads, at time of corrosion-induced initial crack of concrete, and corrosion-induced crack widths of 0.3mm and 1mm, corrosion of steel bars and time-varying behavior of corrosion-induced crack width were studied by the ECWD (Electro-osmosis - constant Current – Wet and Dry cycles) accelerated corrosion method. The results show that when cover thickness was between 30 and 50mm,corrosion rates of steel bars were between 0.8% and 1.7% at time of corrosion-induced crack, and decreased with increasing concrete cover thickness; when corrosion-induced crack width was 0.3mm, the corrosion rate decreased with increasing steel bar diameter, and increased with increasing cover thickness; its corrosion rate varied between 0.98% and 4.54%; when corrosion-induced crack width reached 1mm, corrosion rate of steel bars was between 4% and 4.5%; when corrosion rate of steel bars was within 5%, the maximum and average corrosion-induced crack and corrosion rate of steel bars had a good linear relationship. The calculation model predicting the maximum and average width of corrosion-induced crack is given in this paper.

Clinical and Radiological Long-Term Outcome of a Tapered Implant System with Special Emphasis on the Influence of Augmentation Procedures.

PubMed

Schiegnitz, Eik; Al-Nawas, Bilal; Tegner, Alexander; Sagheb, Keyvan; Berres, Manfred; Kämmerer, Peer W; Wagner, Wilfried

2016-08-01

Tapered implant designs aim to improve primary stability and implant survival in soft bone. However, respective clinical long-term data are scarce. Therefore, a clinical and radiological evaluation of the long-term success of a transgingival-supracrestal inserted tapered implant system with special emphasis on the influence of augmentation procedures was conducted. In a retrospective study design, all in the Department of Oral and Maxillofacial Surgery of the University Medical Centre, Mainz, Germany, between May 2002 and March 2012, placed tapered implants (Straumann TE®, Basel, Switzerland) were analyzed. In this time period, a total of one hundred ninety-seven tapered implants were inserted in 90 patients. For patients available for clinical recall, success criteria according to Albrektsson and Buser were evaluated. The in situ rate was 96.3% after an average time in situ of 62 ± 31 months. In one hundred twenty-seven sites, bone augmentation procedures were performed. Hereof, 96 sites were sinus augmentation procedures and 31 sites were alveolar ridge augmentations. For patients with sinus augmentation procedures, implant survival was 97.9% and for patients with alveolar ridge augmentations, implant survival was 93.5% after 5 years, indicating a higher implant survival for sinus augmentation, however not statistically different (p = .194). Implant diameter and timing of implant placement had no significant impact on implant survival (p > .05). Mean marginal bone loss was -0.50 ± 1.54 mm for patients receiving maxillary sinus augmentation and -1.16 ± 1.13 mm for patients with alveolar ridge augmentations, indicating a lower marginal bone loss in patients receiving maxillary sinus augmentation (p = .046). Implant success rates ranged between 88% and 92% after a mean follow-up of 6 years. Within the limits of the retrospective character of this study, the tapered soft tissue level implant showed especially in maxillary sinus augmentation promising long-term survival and success rates and a low peri-implant bone resorption compared with the literature. © 2015 Wiley Periodicals, Inc.

Safety and efficacy outcomes of long-term treatment up to 4 years with 5% lidocaine medicated plaster in patients with post-herpetic neuralgia.

PubMed

Sabatowski, Rainer; Hans, Guy; Tacken, Ingrid; Kapanadze, Sofia; Buchheister, Bettina; Baron, Ralf

2012-08-01

Prospective evaluation of the long-term efficacy and safety of the 5% lidocaine medicated plaster in patients with post-herpetic neuralgia (PHN). Patients with persisting pain for ≥3 months after acute herpes zoster and a baseline pain intensity of at least 4 on an 11-point numerical rating scale (NRS 0-10) were treated with 5% lidocaine medicated plasters for up to 5 years and monitored in regular intervals. Efficacy parameters are presented for the first 4 years and include patients' recall of pain relief (6-point verbal rating scale (VRS), clinical global impression of change (CGIC), patients' global impression of change PGIC), and the global evaluations of study medication. Safety parameters (clinical examination, skin evaluation, laboratory) and adverse events (AEs) were assessed at regular visits. KF10004/02. A total of 102 patients continuing from a 1 year main study period were included in an extension phase of up to 3 years. Ten patients (9.8%) dropped out due to lack of efficacy and 9 patients (8.8%) due to treatment-related AEs; 56 patients (54.9%) left the study for non-treatment-related reasons. Twenty-seven patients (26.4%) were still under treatment after a total treatment period of 4 years. On average, a pain relief of at least 4.3 (between moderate and a lot) was achieved throughout the study. At all visits the CGIC and the PGIC were much or very much improved in about 80% of patients. At the final visit, study medication was rated at least to be good by 91% of physicians and 89% of patients. Drug-related adverse events (DRAEs) were reported in 19 of 102 patients, mainly mild to moderate localized skin reactions. There were no hints for a reduced analgesic effect or an increase of DRAEs with long-term treatment. This study demonstrates that long-term treatment of ≥12 months with the 5% lidocaine medicated plaster is effective and well tolerated in PHN patients. These findings support the recommendations to use the 5% lidocaine medicated plaster as baseline therapy for localized neuropathic pain after herpes zoster infection (PHN).

Contingent Vouchers and Motivational Interviewing for Cigarette Smokers in Residential Substance Abuse Treatment

PubMed Central

Rohsenow, Damaris J.; Tidey, Jennifer W.; Martin, Rosemarie A.; Colby, Suzanne M.; Sirota, Alan D.; Swift, Robert M.; Monti, Peter M.

2015-01-01

Residential drug treatment provides an opportunity to intervene with smokers substance use disorders (SUD). A randomized controlled clinical trial compared: (1) Contingent Vouchers (CV) for smoking abstinence to Noncontingent Vouchers (NCV), crossed with (2) Motivational Interviewing (MI) or Brief Advice (BA), for 184 smokers in SUD treatment. During the voucher period, 36% of carbon monoxide readings indicated smoking abstinence for those receiving CV versus 13% with NCV (p < .001). Post-treatment point-prevalence abstinence rates were low (3–4% at each follow up), with more abstinence when CV was combined with MI (6.6% on average) than with BA (0% on average). No differential effects on drug use or motivation to quit smoking occurred. Thus, CV had limited effects on long-term smoking abstinence in this population but effects were improved when CV was combined with MI. More effective methods are needed to increase motivation to quit smoking and quit rates in this high-risk population. PMID:25805668

Mercury - Its occurrence and economic trends

USGS Publications Warehouse

Bailey, Edgar H.; Smith, Roscoe M.

1964-01-01

price will be a predictable increase in production. If the price averages $300 a flask for 1 year or more, annual production may increase to a rate of 30,000-35,000 flasks in 1966 or 1967. If the price averages $400 a flask, production may increase to 45,000-50,000 flasks a year after a timelag of two or three years. New ore bodies would have to be found however, to attain these rates of production, and the mining of lower grade ores would be needed to sustain them for more than a few years. By 1966 the U.S. economy will require at least 67 000 flasks, and the domestic demand for mercury thereafter will continue to increase. The probability that domestic mines will continue to supply a fourth or more of the domestic consumption is dependent upon the price of mercury for the next few years. The outlook for the long-term supply is reassuring, but it is dependent, not only upon price, but upon continued progress in new techniques of discovery.

Three year naturalistic outcome study of panic disorder patients treated with paroxetine

PubMed Central

Dannon, Pinhas N; Iancu, Iulian; Cohen, Ami; Lowengrub, Katherine; Grunhaus, Leon; Kotler, Moshe

2004-01-01

Background This naturalistic open label follow-up study had three objectives: 1) To observe the course of illness in Panic Disorder patients receiving long-term versus intermediate-term paroxetine treatment 2) To compare the relapse rates and side-effect profile after long-term paroxetine treatment between patients with Panic Disorder and Panic Disorder with Agoraphobia. 3) To observe paroxetine's tolerability over a 24 month period. Methods 143 patients with panic disorder (PD), with or without agoraphobia, successfully finished a short-term (ie 12 week) trial of paroxetine treatment. All patients then continued to receive paroxetine maintenance therapy for a total of 12 months. At the end of this period, 72 of the patients chose to discontinue paroxetine pharmacotherapy and agreed to be monitored throughout a one year discontinuation follow-up phase. The remaining 71 patients continued on paroxetine for an additional 12 months and then were monitored, as in the first group, for another year while medication-free. The primary limitation of our study is that the subgroups of patients receiving 12 versus 24 months of maintenance paroxetine therapy were selected according to individual patient preference and therefore were not assigned in a randomized manner. Results Only 21 of 143 patients (14%) relapsed during the one year medication discontinuation follow-up phase. There were no significant differences in relapse rates between the patients who received intermediate-term (up to 12 months) paroxetine and those who chose the long-term course (24 month paroxetine treatment). 43 patients (30.1%) reported sexual dysfunction. The patients exhibited an average weight gain of 5.06 kg. All patients who eventually relapsed demonstrated significantly greater weight increase (7.3 kg) during the treatment phase. Conclusions The extension of paroxetine maintenance treatment from 12 to 24 months did not seem to further decrease the risk of relapse after medication discontinuation. Twenty-four month paroxetine treatment is accompanied by sexual side effects and weight gain similar to those observed in twelve month treatment. PMID:15191617

Adjustable Perineal Male Sling for the Treatment of Urinary Incontinence: Long-term Results.

PubMed

Altan, Mesut; Asi, Tariq; Bilen, Cenk Yucel; Ergen, Ali

2017-08-01

To present the long-term results in patients with urinary incontinence who were treated with adjustable perineal male sling. An adjustable male sling procedure was performed in 45 patients with a mean age of 67.6 ± 7.8 years who had urinary incontinence. The mean period between primary prostatic surgery and the sling procedure was 36.7 months. The difference between the classical sling and the adjustable one is a 10 cm tissue expander between the 2 layers of polypropylene mesh with an injection port. Adjustment of the sling was performed with saline via this port, in case of recurrence or persistence of incontinence. Mean follow-up was 48 ± 29 months. Average operative time was 101.1 ± 25.5 minutes (45-150). Median daily pad use in these patients decreased from 8(2-12) to 1(0-10) (P < .001). During long-term follow-up 37.8% used 0 pad daily, 28.9% used 1-2 pads daily, making the total success rate 66.7%. Complete dry rate was higher in patients with nonsevere incontinence compared to the others with severe incontinence (57.9% vs 23.1%, P = .029). Nevertheless, there was no significant difference in the case of total success rate (78.9% vs 57.7%, respectively; P = .135). Age was significantly greater in both complete dry group (71.1 ± 4.8 vs 65.4 ± 8.7) and total success group (70.1 ± 5.2 vs 62.4 ± 5.2) (P = .017 and P < .001, respectively). Adjustable male sling is an acceptable procedure with low complication rates especially in patients with mild and moderate incontinence. At the same time, this procedure may be offered to patients with previous incontinence surgery. Copyright © 2017 Elsevier Inc. All rights reserved.

Adaptive WTA with an analog VLSI neuromorphic learning chip.

PubMed

Häfliger, Philipp

2007-03-01

In this paper, we demonstrate how a particular spike-based learning rule (where exact temporal relations between input and output spikes of a spiking model neuron determine the changes of the synaptic weights) can be tuned to express rate-based classical Hebbian learning behavior (where the average input and output spike rates are sufficient to describe the synaptic changes). This shift in behavior is controlled by the input statistic and by a single time constant. The learning rule has been implemented in a neuromorphic very large scale integration (VLSI) chip as part of a neurally inspired spike signal image processing system. The latter is the result of the European Union research project Convolution AER Vision Architecture for Real-Time (CAVIAR). Since it is implemented as a spike-based learning rule (which is most convenient in the overall spike-based system), even if it is tuned to show rate behavior, no explicit long-term average signals are computed on the chip. We show the rule's rate-based Hebbian learning ability in a classification task in both simulation and chip experiment, first with artificial stimuli and then with sensor input from the CAVIAR system.

Safety and Efficacy of Warfarin Therapy in Remote Communities of the Top End of Northern Australia.

PubMed

Dennis, Jahde; Majoni, William; Tinsley, Jeffrey; Kangaharan, Nadarajah

2017-12-01

Warfarin remains a widely used anticoagulant but application in the remote context is not well documented. This study aimed to assess in more detail whether warfarin is being utilised effectively in Australia's most isolated and remote areas. Retrospective cohort analysis of 2013 captured international normalised ratio (INR) results from people engaged in long term warfarin usage within a number of remote Northern Australian communities. Assessment of monitoring, effectiveness of dosing and complication rates was undertaken. A cohort of 167 patients was established. On average, warfarin was utilised within therapeutic range 52% of the time. Monitoring frequency averaged 16 days. Major bleeding and thrombo-embolism occurred at rates of 5.8 and 4.1 per 100 patient years respectively. Therapeutic utilisation of warfarin in this setting is close to accepted rates but has room for improvement. Monitoring was acceptable and complication rates were not disproportionately high. This study indicates that warfarin is being used with reasonable safety and efficacy in remote regions, but further research is needed. Copyright © 2017 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). All rights reserved.

Endoscopic submucosal dissection for early esophageal neoplasms using the stag beetle knife

PubMed Central

Kuwai, Toshio; Yamaguchi, Toshiki; Imagawa, Hiroki; Miura, Ryoichi; Sumida, Yuki; Takasago, Takeshi; Miyasako, Yuki; Nishimura, Tomoyuki; Iio, Sumio; Yamaguchi, Atsushi; Kouno, Hirotaka; Kohno, Hiroshi; Ishaq, Sauid

2018-01-01

AIM To determine short- and long-term outcomes of endoscopic submucosal dissection (ESD) using the stag beetle (SB) knife, a scissor-shaped device. METHODS Seventy consecutive patients with 96 early esophageal neoplasms, who underwent ESD using a SB knife at Kure Medical Center and Chugoku Cancer Center, Japan, between April 2010 and August 2016, were retrospectively evaluated. Clinicopathological characteristics of lesions and procedural adverse events were assessed. Therapeutic success was evaluated on the basis of en bloc, histologically complete, and curative or non-curative resection rates. Overall and tumor-specific survival, local or distant recurrence, and 3- and 5-year cumulative overall metachronous cancer rates were also assessed. RESULTS Eligible patients had dysplasia/intraepithelial neoplasia (22%) or early cancers (squamous cell carcinoma, 78%). The median procedural time was 60 min and on average, the lesions measured 24 mm in diameter, yielding 33-mm tissue defects. The en bloc resection rate was 100%, with 95% and 81% of dissections deemed histologically complete and curative, respectively. All procedures were completed without accidental incisions/perforations or delayed bleeding. During follow-up (mean, 35 ± 23 mo), no local recurrences or metastases were observed. The 3- and 5-year survival rates were 83% and 70%, respectively, with corresponding rates of 85% and 75% for curative resections and 74% and 49% for non-curative resections. The 3- and 5-year cumulative rates of metachronous cancer in the patients with curative resections were 14% and 26%, respectively. CONCLUSION ESD procedures using the SB knife are feasible, safe, and effective for treating early esophageal neoplasms, yielding favorable short- and long-term outcomes. PMID:29686470

Endoscopic submucosal dissection for early esophageal neoplasms using the stag beetle knife.

PubMed

Kuwai, Toshio; Yamaguchi, Toshiki; Imagawa, Hiroki; Miura, Ryoichi; Sumida, Yuki; Takasago, Takeshi; Miyasako, Yuki; Nishimura, Tomoyuki; Iio, Sumio; Yamaguchi, Atsushi; Kouno, Hirotaka; Kohno, Hiroshi; Ishaq, Sauid

2018-04-21

To determine short- and long-term outcomes of endoscopic submucosal dissection (ESD) using the stag beetle (SB) knife, a scissor-shaped device. Seventy consecutive patients with 96 early esophageal neoplasms, who underwent ESD using a SB knife at Kure Medical Center and Chugoku Cancer Center, Japan, between April 2010 and August 2016, were retrospectively evaluated. Clinicopathological characteristics of lesions and procedural adverse events were assessed. Therapeutic success was evaluated on the basis of en bloc , histologically complete, and curative or non-curative resection rates. Overall and tumor-specific survival, local or distant recurrence, and 3- and 5-year cumulative overall metachronous cancer rates were also assessed. Eligible patients had dysplasia/intraepithelial neoplasia (22%) or early cancers (squamous cell carcinoma, 78%). The median procedural time was 60 min and on average, the lesions measured 24 mm in diameter, yielding 33-mm tissue defects. The en bloc resection rate was 100%, with 95% and 81% of dissections deemed histologically complete and curative, respectively. All procedures were completed without accidental incisions/perforations or delayed bleeding. During follow-up (mean, 35 ± 23 mo), no local recurrences or metastases were observed. The 3- and 5-year survival rates were 83% and 70%, respectively, with corresponding rates of 85% and 75% for curative resections and 74% and 49% for non-curative resections. The 3- and 5-year cumulative rates of metachronous cancer in the patients with curative resections were 14% and 26%, respectively. ESD procedures using the SB knife are feasible, safe, and effective for treating early esophageal neoplasms, yielding favorable short- and long-term outcomes.

Near-term acceleration in the rate of temperature change

NASA Astrophysics Data System (ADS)

Smith, Steven J.; Edmonds, James; Hartin, Corinne A.; Mundra, Anupriya; Calvin, Katherine

2015-04-01

Anthropogenically driven climate changes, which are expected to impact human and natural systems, are often expressed in terms of global-mean temperature. The rate of climate change over multi-decadal scales is also important, with faster rates of change resulting in less time for human and natural systems to adapt. We find that present trends in greenhouse-gas and aerosol emissions are now moving the Earth system into a regime in terms of multi-decadal rates of change that are unprecedented for at least the past 1,000 years. The rate of global-mean temperature increase in the CMIP5 (ref. ) archive over 40-year periods increases to 0.25 +/- 0.05 °C (1σ) per decade by 2020, an average greater than peak rates of change during the previous one to two millennia. Regional rates of change in Europe, North America and the Arctic are higher than the global average. Research on the impacts of such near-term rates of change is urgently needed.

A 35-year experience with syndromic cleft palate repair: operative outcomes and long-term speech function.

PubMed

Basta, Marten N; Silvestre, Jason; Stransky, Carrie; Solot, Cynthia; Cohen, Marilyn; McDonald-McGinn, Donna; Zackai, Elaine; Kirschner, Richard; Low, David W; Randall, Peter; LaRossa, Don; Jackson, Oksana A

2014-12-01

Associated comorbidities can put syndromic patients with cleft palate at risk for poor speech outcomes. Reported rates of velopharyngeal insufficiency (VPI) vary from 8% to 64%, and need for secondary VPI surgery from 23% to 64%, with few studies providing long-term follow-up. The purpose of this study was to describe our institutional long-term experience with syndromic patients undergoing cleft palatoplasty. A retrospective review was conducted of all patients with syndromic diagnoses undergoing primary Furlow palatoplasty from 1975 to 2011. Outcomes included postoperative oronasal fistula (ONF) and need for secondary VPI surgery. Speech scores for verbal patients 5 years or older were collected via the Pittsburgh scale for speech assessment. Aggregate scores categorized the velopharyngeal mechanism as competent, borderline, or incompetent. Outcomes were analyzed by patient and operative factors. One hundred thirty-two patients were included with average age at repair of 20.7 months. Cleft type was 9% submucosal, 16% Veau class I, 50% class II, 12% class III, and 13% class IV. Forty-five syndromes were recorded, most commonly Stickler syndrome (n = 32) and 22q11.2 deletion syndrome [22q11.2DS (n = 19)]. Forty-four patients also had associated Pierre Robin sequence (PRS). The overall ONF rate was 4.5% and was highest in Veau class IV clefts (P = 0.048). Seventy-six patients were included in speech analysis, with an average age at last assessment of 10.4 years. Overall, 60.5% of patients had a competent velopharyngeal mechanism, 23.7% borderline, and 15.8% incompetent mechanism. Fifty percent of 22q11.2DS patients had borderline speech and none had competent speech, compared to 73.3% with Stickler syndrome (P = 0.01) and 71.4% of patients with associated PRS (P = 0.02). Secondary VPI surgery was performed in 11.4% of patients overall. Patients with PRS (13.6%) and with Stickler syndrome (15.6%) had secondary VPI surgery, compared to 31.6% of patients with 22q11.2DS (P = 0.01). This study demonstrates low rates of postoperative ONF after modified Furlow palatoplasty in syndromic patients. Speech outcomes were comparable to nonsyndromic patients at our institution, but patients with 22q11.2DS consistently had borderline-incompetent speech and a 3-fold higher incidence of secondary VPI surgery.

Effect of long-term and short-term progestagen treatment on follicular development and pregnancy rate in cyclic ewes.

PubMed

Viñoles, C; Forsberg, M; Banchero, G; Rubianes, E

2001-03-01

The aim of this study was to evaluate the effect of the length of a progestagen treatment (12 d vs. 6 d) on follicular dynamics, estrus synchronization and pregnancy rate using medroxyprogesterone acetate (MAP) with or without an eCG dose at the end of MAP treatment. One hundred sixty Polwarth ewes were divided into four equal groups: long-term treated (LT, n=40); short-term treated (ST, n=40); long-term treated plus eCG (LTeCG, n=40); and short-term treated plus eCG (STeCG, n=40). Five ewes of each group were separated to undergo daily transrectal ultrasonography, and blood samples were taken for hormone determination. Until 96 h after sponge withdrawal the number of ewes in estrus was higher in both long-term-treated groups than in both short-term-treated groups but at the end of the observational period (144 h) no significant differences were found among groups. The pregnancy rate was higher in the ST group (87%) than in the other groups (LT, 63%; LTeCG, 67%; and STeCG, 58%; P< or =0.03). The ovulatory follicle emerged before sponge withdrawal in long-term-treated ewes (-3.8+/-0.4 d and -2.2+/-0.8 d for LT and LTeCG, respectively), whereas in short-term-treated ewes it emerges around sponge removal (0.4+/-1.1 d and 0.5+/-0.5 d for ST and STeCG, respectively; P< or =0.01). The ovulatory follicle in the LT group had a longer lifespan and attained a larger (P< or =0.05) maximum diameter than in the ST group. We conclude: a) that the lower pregnancy rate observed after long-term progestagen treatment was related to a slower follicular turnover that promoted the ovulation of persistent dominant follicles; (b) that short-term treatment resulted in a higher pregnancy rate probably due to the ovulation of newly recruited growing follicles; and (c) treatment with eCG had no advantage in association with long-term treatment and had a deleterious effect in combination with short-term treatment with MAP.

Modelling moose–forest interactions under different predation scenarios at Isle Royale National Park, USA

USGS Publications Warehouse

DeJager, Nathan R.; Rohweder, Jason; Miranda, Brian R.; Sturtevant, Brian R.; Fox, Timothy J.; Romanski, Mark C.

2017-01-01

Loss of top predators may contribute to high ungulate population densities and chronic over-browsing of forest ecosystems. However, spatial and temporal variability in the strength of interactions between predators and ungulates occurs over scales that are much shorter than the scales over which forest communities change, making it difficult to characterize trophic cascades in forest ecosystems. We applied the LANDIS-II forest succession model and a recently developed ungulate browsing extension to model how the moose population could interact with the forest ecosystem of Isle Royale National Park, USA, under three different wolf predation scenarios. We contrasted a 100-yr future without wolves (no predation) with two predation scenarios (weak, long-term average predation rates and strong, higher than average rates). Increasing predation rates led to lower peak moose population densities, lower biomass removal rates, and higher estimates of forage availability and landscape carrying capacity, especially during the first 40 yr of simulations. Thereafter, moose population density was similar for all predation scenarios, but available forage biomass and the carrying capacity of the landscape continued to diverge among predation scenarios. Changes in total aboveground live biomass and species composition were most pronounced in the no predation and weak predation scenarios. Consistent with smaller-scale studies, high browsing rates led to reductions in the biomass of heavily browsed Populus tremuloides, Betula papyrifera, and Abies balsamea, and increases in the biomass of unbrowsed Picea glauca and Picea mariana, especially after the simulation year 2050, when existing boreal hardwood stands at Isle Royale are projected to senesce. As a consequence, lower predation rates corresponded with a landscape that progressively shifted toward dominance by Picea glauca and Picea mariana, and lacking available forage biomass. Consistencies with previously documented small-scale successional shifts, and population estimates and trends that approximate those from this and other boreal forests that support moose provide some confidence that these dynamics represent a trophic cascade and therefore provide an important baseline against which to evaluate long-term and large-scale effects of alternative predator management strategies on ungulate populations and forest succession.

Impacts of temperature and its variability on mortality in New England

NASA Astrophysics Data System (ADS)

Shi, Liuhua; Kloog, Itai; Zanobetti, Antonella; Liu, Pengfei; Schwartz, Joel D.

2015-11-01

Rapid build-up of greenhouse gases is expected to increase Earth’s mean surface temperature, with unclear effects on temperature variability. This makes understanding the direct effects of a changing climate on human health more urgent. However, the effects of prolonged exposures to variable temperatures, which are important for understanding the public health burden, are unclear. Here we demonstrate that long-term survival was significantly associated with both seasonal mean values and standard deviations of temperature among the Medicare population (aged 65+) in New England, and break that down into long-term contrasts between ZIP codes and annual anomalies. A rise in summer mean temperature of 1 °C was associated with a 1.0% higher death rate, whereas an increase in winter mean temperature corresponded to a 0.6% decrease in mortality. Increases in standard deviations of temperature for both summer and winter were harmful. The increased mortality in warmer summers was entirely due to anomalies, whereas it was long-term average differences in the standard deviation of summer temperatures across ZIP codes that drove the increased risk. For future climate scenarios, seasonal mean temperatures may in part account for the public health burden, but the excess public health risk of climate change may also stem from changes of within-season temperature variability.

Long-Term Effects of the Family Check-Up in Public Secondary School on Diagnosed Major Depressive Disorder in Adulthood.

PubMed

Connell, Arin M; Dishion, Thomas J

2017-03-01

Given the public health importance of depression, the identification of prevention programs with long-term effects on reducing the rate of depression is of critical importance, as is the examination of factors that may moderate the magnitude of such prevention effects. This study examines the impact of the Family Check-Up, delivered in public secondary schools beginning in sixth grade, on the development of major depression in adulthood (aged 28-30). The multilevel intervention program included (a) a universal classroom-based intervention focused on problem solving and peer relationship skills, (b) the Family Check-Up (selected), a brief assessment-based intervention designed to motivate parents to improve aspects of family functioning when warranted, and (c) family management treatment (indicated), focused on improving parenting skills. Demographic (gender and ethnicity) and baseline risk factors (family conflict, academic problems, antisocial behavior, and peer deviance) were examined as possible moderators in logistic regression analyses. Intervention effects on depression were moderated by baseline family conflict and academic performance, with stronger intervention effects for youth with low grade point averages and from low-conflict families at baseline. Such findings extend the emerging literature on prevention programs with long-term effects on depression, and highlight directions for future research to enhance such effects.

Plasticity of Neuron-Glial Transmission: Equipping Glia for Long-Term Integration of Network Activity.

PubMed

Croft, Wayne; Dobson, Katharine L; Bellamy, Tomas C

2015-01-01

The capacity of synaptic networks to express activity-dependent changes in strength and connectivity is essential for learning and memory processes. In recent years, glial cells (most notably astrocytes) have been recognized as active participants in the modulation of synaptic transmission and synaptic plasticity, implicating these electrically nonexcitable cells in information processing in the brain. While the concept of bidirectional communication between neurons and glia and the mechanisms by which gliotransmission can modulate neuronal function are well established, less attention has been focussed on the computational potential of neuron-glial transmission itself. In particular, whether neuron-glial transmission is itself subject to activity-dependent plasticity and what the computational properties of such plasticity might be has not been explored in detail. In this review, we summarize current examples of plasticity in neuron-glial transmission, in many brain regions and neurotransmitter pathways. We argue that induction of glial plasticity typically requires repetitive neuronal firing over long time periods (minutes-hours) rather than the short-lived, stereotyped trigger typical of canonical long-term potentiation. We speculate that this equips glia with a mechanism for monitoring average firing rates in the synaptic network, which is suited to the longer term roles proposed for astrocytes in neurophysiology.

Hypoglossal-facial nerve anastomosis and rehabilitation in patients with complete facial palsy: cohort study of 30 patients followed up for three years

PubMed Central

Toffola, Elena Dalla; Pavese, Chiara; Cecini, Miriam; Petrucci, Lucia; Ricotti, Susanna; Bejor, Maurizio; Salimbeni, Grazia; Biglioli, Federico; Klersy, Catherine

2014-01-01

Summary Our study evaluates the grade and timing of recovery in 30 patients with complete facial paralysis (House-Brackmann grade VI) treated with hypoglossal-facial nerve (XII-VII) anastomosis and a long-term rehabilitation program, consisting of exercises in facial muscle activation mediated by tongue movement and synkinesis control with mirror feedback. Reinnervation after XII-VII anastomosis occurred in 29 patients, on average 5.4 months after surgery. Three years after the anastomosis, 23.3% of patients had grade II, 53.3% grade III, 20% grade IV and 3.3% grade VI ratings on the House-Brackmann scale. Time to reinnervation was associated with the final House-Brackmann grade. Our study demonstrates that patients undergoing XII-VII anastomosis and a long-term rehabilitation program display a significant recovery of facial symmetry and movement. The recovery continues for at least three years after the anastomosis, meaning that prolonged follow-up of these patients is advisable. PMID:25473738

Long-term dynamics of winter and summer annual communities in the Chihuahuan Desert

USGS Publications Warehouse

Guo, Q.; Brown, J.H.; Valone, T.J.

2002-01-01

Using 15 years of census data from permanent quadrats, this paper compared the characteristics and temporal dynamics of these two distinct, spatially coexistent but temporally segregated communities. Although the total number of summer annual species recorded during our 15 years observation was higher than winter annuals, the average number of species observed each year was higher in the winter community. The winter community exhibited lower temporal variation in total plant abundance and populations of individual species, lower species turnover rate and higher evenness than the summer community. The higher seasonal species diversity (i.e., number of species observed in each season) in winters rather than the overall special pool (over 15 yrs) may be responsible for the greater community stability of winter annuals. The difference in long-term community dynamics between the two communities of annuals plants are likely due to the differences in total species pool, life history traits (e.g., seed size), and seasonal climatic regimes.

Long-term Dental Visiting Patterns and Adult Oral Health

PubMed Central

Thomson, W.M.; Williams, S.M.; Broadbent, J.M.; Poulton, R.; Locker, D.

2010-01-01

To date, the evidence supporting the benefits of dental visiting comes from cross-sectional studies. We investigated whether long-term routine dental visiting was associated with lower experience of dental caries and missing teeth, and better self-rated oral health, by age 32. A prospective cohort study in New Zealand examined 932 participants’ use of dentistry at ages 15, 18, 26, and 32. At each age, routine attenders (RAs) were identified as those who (a) usually visited for a check-up, and (b) had made a dental visit during the previous 12 months. Routine attending prevalence fell from 82% at age 15 to 28% by 32. At any given age, routine attenders had better-than-average oral health, fewer had teeth missing due to caries, and they had lower mean DS and DMFS scores. By age 32, routine attenders had better self-reported oral health and less tooth loss and caries. The longer routine attendance was maintained, the stronger the effect. Routine dental attendance is associated with better oral health. PMID:20093674

Hydroelectric production from Brazil's São Francisco River could cease due to climate change and inter-annual variability.

PubMed

de Jong, Pieter; Tanajura, Clemente Augusto Souza; Sánchez, Antonio Santos; Dargaville, Roger; Kiperstok, Asher; Torres, Ednildo Andrade

2018-09-01

By the end of this century higher temperatures and significantly reduced rainfall are projected for the Brazilian North and Northeast (NE) regions due to Global Warming. This study examines the impact of these long-term rainfall changes on the Brazilian Northeast's hydroelectric production. Various studies that use different IPCC models are examined in order to determine the average rainfall reduction by the year 2100 in comparison to baseline data from the end of the 20th century. It was found that average annual rainfall in the NE region could decrease by approximately 25-50% depending on the emissions scenario. Analysis of historical rainfall data in the São Francisco basin during the last 57years already shows a decline of more than 25% from the 1961-90 long-term average. Moreover, average annual rainfall in the basin has been below its long-term average every year bar one since 1992. If this declining trend continues, rainfall reduction in the basin could be even more severe than the most pessimistic model projections. That is, the marked drop in average rainfall projected for 2100, based on the IPCC high emissions scenario, could actually eventuate before 2050. Due to the elasticity factor between rainfall and streamflow and because of increased amounts of irrigation in the São Francisco basin, the reduction in the NE's average hydroelectric production in the coming decades could be double the predicted decline in rainfall. Conversely, it is estimated that wind power potential in the Brazilian NE will increase substantially by 2100. Therefore both wind and solar power will need to be significantly exploited in order for the NE region to sustainably replace lost hydroelectric production. Copyright © 2018 Elsevier B.V. All rights reserved.

Mass balance, meteorological, ice motion, surface altitude, runoff, and ice thickness data at Gulkana Glacier, Alaska, 1995 balance year

USGS Publications Warehouse

March, Rod S.

2000-01-01

The 1995 measured winter snow, maximum winter snow, net, and annual balances in the Gulkana Glacier basin were evaluated on the basis of meteorological, hydrological, and glaciological data obtained in the basin. Averaged over the glacier, the measured winter snow balance was 0.94 meter on April 19, 1995, 0.6 standard deviation below the long-term average; the maximum winter snow balance, 0.94 meter, was reached on April 25, 1995; the net balance (from September 18, 1994 to August 29, 1995) was -0.70 meter, 0.76 standard deviation below the long-term average. The annual balance (October 1, 1994, to September 30, 1995) was -0.86 meter. Ice-surface motion and altitude changes measured at three index sites document seasonal ice speed and glacier-thickness changes. Annual stream runoff was 2.05 meters averaged over the basin, approximately equal to the long-term average. The 1976 ice-thickness data are reported from a single site near the highest measurement site (180 meters thick) and from two glacier cross profiles near the mid-glacier (270 meters thick on centerline) and low glacier (150 meters thick on centerline) measurement sites. A new area-altitude distribution determined from 1993 photogrammetry is reported. Area-averaged balances are reported from both the 1967 and 1993 area-altitude distribution so the reader may directly see the effect of the update. Briefly, loss of ablation area between 1967 and 1993 results in a larger weighting being applied to data from the upper glacier site and hence, increases calculated area-averaged balances. The balance increase is of the order of 15 percent for net balance.

Climate Factors Contributing to Streamflow Inputs and Extreme Water-level Deviations from Long-term Averages for Lakes Superior and Michigan-Huron

NASA Astrophysics Data System (ADS)

Anderson, M. T.; Stamm, J. F.

2014-12-01

The Great Lakes are a highly valued freshwater resource of the United States and Canada. The Lakes are the focus of a science-based restoration program, known as the Great Lakes Restoration Initiative (GLRI). Physical and chemical factors, such as inflows and nutrient loads to the Great Lakes can affect ecosystem function, contribute to the spread of invasive species and increase the occurrence of harmful algal blooms. Since about 1999, water levels in Lakes Superior and Michigan-Huron have been at or below the long-term average (1918 to present). Analyses of streamflow trends for the period 1960 to 2012 in watersheds draining into Lakes Superior and Michigan-Huron showed a long-term decline in average inflows, which helps to explain the persistently below-average lake levels. Recent climatic conditions of October 2013 to August 2014 have contributed to a rapid rise in lake levels, most notably in Lake Superior. Lake Superior recently reached an elevation of 602.56 feet above sea level in August 2014, which is the highest level in 17 years. Coincident with this recovery was the development of a large algal bloom in Lake Erie in August of 2014 that shut down the Toledo, Ohio municipal water supply. These anomalous, extreme deviations from long-term average lake levels will be examined to better understand the forcing factors that contributed to changes in inflow volumes and lake-levels. Particular focus will be given to the climatology of years when changes in lake levels are most pronounced, such as; the measured lake-level declines during 1964-1965 and 1998-2000; and lake-level rises during 1973-1974, 1987-1989, and 2013-2014. The climatology of years with periods of algal blooms will also be examined such as, 2003, 2008, 2011 and 2014.

Estimating the resources required in the roll-out of universal access to antiretroviral treatment in Zimbabwe.

PubMed

Hallett, T B; Gregson, S; Dube, S; Mapfeka, E S; Mugurungi, O; Garnett, G P

2011-12-01

To develop projections of the resources required (person-years of drug supply and healthcare worker time) for universal access to antiretroviral treatment (ART) in Zimbabwe. A stochastic mathematical model of disease progression, diagnosis, clinical monitoring and survival in HIV infected individuals. The number of patients receiving ART is determined by many factors, including the strategy of the ART programme (method of initiation, frequency of patient monitoring, ability to include patients diagnosed before ART became available), other healthcare services (referral rates from antenatal clinics, uptake of HIV testing), demographic and epidemiological conditions (past and future trends in incidence rates and population growth) as well as the medical impact of ART (average survival and the relationship with CD4 count when initiated). The variations in these factors lead to substantial differences in long-term projections; with universal access by 2010 and no further prevention interventions, between 370 000 and almost 2 million patients could be receiving treatment in 2030-a fivefold difference. Under universal access, by 2010 each doctor will initiate ART for up to two patients every day and the case-load for nurses will at least triple as more patients enter care and start treatment. The resources required by ART programmes are great and depend on the healthcare systems and the demographic/epidemiological context. This leads to considerable uncertainty in long-term projections and large variation in the resources required in different countries and over time. Understanding how current practices relate to future resource requirements can help optimise ART programmes and inform long-term public health planning.

Long term (1997-2014) spatial and temporal variations in nitrogen in Dongting Lake, China

PubMed Central

Tian, Zebin; Zheng, Binghui; Wang, Lijing; Li, Liqiang; Wang, Xing; Li, Hong; Norra, Stefan

2017-01-01

In order to protect the water quality of Dongting Lake, it is significant to find out its nitrogen pollution characteristics. Using long-term monthly to seasonally data (1997–2014), we investigated the spatial and temporal variations in nitrogen in Dongting Lake, the second largest freshwater lake in China. The average concentrations of total nitrogen (TN) in the eastern, southern, and western parts of the lake were 1.77, 1.56, and 1.35 mg/L, respectively, in 2014. TN pollution was generally worse in the southern area than in the western area. Concentrations showed temporal variation, and were significantly higher during the dry season than during the wet season. Based on the concentration and growth rate of TN, three different stages were identified in the long term lake data, from 1997 to 2002, from 2003 to 2008, and from 2009 to 2014, during which the concentrations and the growth rate ranged from 1.09–1.51 mg/L and 22.09%-40.03%, 1.05–1.57 mg/L and -9.05%-7.74%, and 1.68–2.02 mg/L and 57.99%-60.41%, respectively. The main controls on the lake water TN concentrations were the quality and quantity of the lake inflows, spatial and temporal variations in hydrodynamic conditions within the lake (flow velocity, flow direction), and point and nonpoint inputs from human activities. Diffuse nutrient losses from agricultural land are a significant contributor. As a priority, the local government should aim to control the pollutant inputs from upstream and non-point nutrient losses from land. PMID:28166245

Phosphorus Fertilizer Rate, Soil P Availability, and Long-Term Growth Response in a Loblolly Pine Plantation on a Weathered Ultisol

Treesearch

D. Andrew Scott; Christine M. Bliss

2012-01-01

Phosphorus is widely deficient throughout the southern pine region of the United States. Growth responses to P fertilization are generally long-lasting in a wide range of soil types, but little is known about fertilization rates and long-term P cycling and availability. In 1982, exceptionally high P fertilization rates (0, 81, 162, and 324 kg P ha-1...

Forms and accumulation of soil P in natural and recently restored peatlands - Upper Klamath Lake, Oregon, USA

USGS Publications Warehouse

Graham, S.A.; Craft, C.B.; McCormick, P.V.; Aldous, A.

2005-01-01

Forms, amounts, and accumulation of soil phosphorus (P) were measured in natural and recently restored marshes surrounding Upper Klamath Lake located in south-central Oregon, USA to determine rates of P accumulation in natural marshes and to assess changes in P pools caused by long-term drainage in recently restored marshes. Soil cores were collected from three natural marshes and radiometrically dated to determine recent (l37Cs-based) and long-term (210Pb-based) rates of peat accretion and P accumulation. A second set of soil cores collected from the three natural marshes and from three recently restored marshes was analyzed using a modification of the Hedley procedure to determine the forms and amounts of soil P. Total P in the recently restored marshes (222 to 311 ??g cm-3) was 2-3 times greater than in the natural marshes (103 to 117 ??g cm-3), primarily due to greater bulk density caused by soil subsidence, a consequence of long-term marsh drainage. Occluded Fe- and Al-bound Pi, calcium-bound Pi and residual P were 4 times, 22 times, and 5 times greater, respectively, in the recently restored marshes. More than 67% of the P pool in both the natural and recently restored marshes was present in recalcitrant forms (humic-acid P o and residual P) that provide long-term P storage in peat. Phosphorus accumulation in the natural marshes averaged 0.45 g m-2 yr-1 (137Cs) and 0.40 g m-2 yr-1 (210Pb), providing a benchmark for optimizing P sequestration in the recently restored marshes. Effective P sequestration in the recently restored marshes, however, will depend on re-establishing equilibrium between the P-enriched soils and the P concentration of floodwaters and a hydrologie regime similar to the natural marshes. ?? 2005, The Society of Wetland Scientists.

The Combined Influence of Molecular Weight and Temperature on the Aging and Viscoelastic Response of a Glassy Thermoplastic Polyimide

NASA Technical Reports Server (NTRS)

Nicholson, Lee M.; Whitley, Karen S.; Gates, Thomas S.

2000-01-01

The effect of molecular weight on the viscoelastic performance of an advanced polymer (LaRC-SI) was investigated through the use of creep compliance tests. Testing consisted of short-term isothermal creep and recovery with the creep segments performed under constant load. The tests were conducted at three temperatures below the glass transition temperature of five materials of different molecular weight. Through the use of time-aging-time superposition procedures, the material constants, material master curves and aging-related parameters were evaluated at each temperature for a given molecular weight. The time-temperature superposition technique helped to describe the effect of temperature on the timescale of the viscoelastic response of each molecular weight. It was shown that the low molecular weight materials have higher creep compliance and creep rate, and are more sensitive to temperature than the high molecular weight materials. Furthermore, a critical molecular weight transition was observed to occur at a weight-average molecular weight of M (bar) (sub w) 25000 g/mol below which, the temperature sensitivity of the time-temperature superposition shift factor increases rapidly. The short-term creep compliance data were used in association with Struik's effective time theory to predict the long-term creep compliance behavior for the different molecular weights. At long timescales, physical aging serves to significantly decrease the creep compliance and creep rate of all the materials tested.

Predictors of work status and quality of life 9-13 years after aneurysmal subarachnoid hemorrahage.

PubMed

Vilkki, Juhani; Juvela, Seppo; Malmivaara, Kirsi; Siironen, Jari; Hernesniemi, Juha

2012-08-01

Aneurysmal subarachnoid hemorrhage (SAH) causes long-term psychosocial impairments even in patients who regain functional independence. Little is known about predictors of these impairments. We studied how early clinical data and neuropsychological results predict work status and health-related quality of life (HRQoL) 9-13 years after SAH. One hundred one patients performed a neuropsychological test battery and returned their self-rating and partner's rating of a psychosocial impairment questionnaire approximately 1 year after SAH. These data were analyzed for association to the patients' work status and self-rated HRQoL approximately 10 years later. Age inversely, lower levels of self-rated impairments, employment and higher levels of education at the first follow-up independently predicted employment at the long-term follow-up. Although most cognitive test results were significantly associated with employment status at the long-term follow-up, they were of limited additional value as predictors of work status. The best predictor combination for long-term high HRQoL was good performance in a face recognition test and lower levels of self-rated impairments at the first follow-up as well as male sex. Problems in usual activities at the long-term follow-up were predicted by poor results in the face recognition and in a word list-learning task. Questionnaire ratings of patients' psychosocial impairments 1 year after SAH give important information for the long-term prediction of their work status and HRQoL. In the long run, patients' unemployment becomes strongly associated with higher age, while their performance of usual activities can be predicted with learning and memory results.