Knowledge elicitation techniques and application to nuclear plant maintenance

NASA Astrophysics Data System (ADS)

Doyle, E. Kevin

The new millennium has brought with it the opportunity of global trade which in turn requires the utmost in efficiency from each individual industry. This includes the nuclear power industry, a point which was emphasized when the electrical generation industry began to be de regulated across North America the late 1990s and re-emphasized when the northeast power grid of North America collapsed in the summer of 2003. This dissertation deals with reducing the cost of the maintenance function of Candu nuclear power plants and initiating a strong link between universities and the Canadian nuclear industry. Various forms of RCM (reliability-centred maintenance) have been the tools of choice in industry for improving the maintenance function during the last 20 years. In this project, pilot studies, conducted at Bruce Power between 1999 and 2005, and reported on in this dissertation, lay out a path to implement statistical improvements as the next step after RCM in reducing the cost of the maintenance. Elicitation protocols, designed for the age group being elicited, address the much-documented issue of a lack of data. Clear, graphical, inferential statistical interfaces are accentuated and developed to aid in building the teams required to implement the various methodologies and to help in achieving funding targets. Graphical analysis and Crow/AMSAA (army materials systems analysis activity) plots are developed and demonstrated from the point of view of justifying the expenditures of cost reduction efforts. This dissertation ultimately speaks to the great opportunity being presented by this approach at this time: of capturing the baby-boom generation's huge pool of knowledge before those people retire. It is expected that the protocols and procedures referenced here will have applicability across the many disciplines where collecting expert information from a similar age group is required.

Optimal maintenance of a multi-unit system under dependencies

NASA Astrophysics Data System (ADS)

Sung, Ho-Joon

The availability, or reliability, of an engineering component greatly influences the operational cost and safety characteristics of a modern system over its life-cycle. Until recently, the reliance on past empirical data has been the industry-standard practice to develop maintenance policies that provide the minimum level of system reliability. Because such empirically-derived policies are vulnerable to unforeseen or fast-changing external factors, recent advancements in the study of topic on maintenance, which is known as optimal maintenance problem, has gained considerable interest as a legitimate area of research. An extensive body of applicable work is available, ranging from those concerned with identifying maintenance policies aimed at providing required system availability at minimum possible cost, to topics on imperfect maintenance of multi-unit system under dependencies. Nonetheless, these existing mathematical approaches to solve for optimal maintenance policies must be treated with caution when considered for broader applications, as they are accompanied by specialized treatments to ease the mathematical derivation of unknown functions in both objective function and constraint for a given optimal maintenance problem. These unknown functions are defined as reliability measures in this thesis, and theses measures (e.g., expected number of failures, system renewal cycle, expected system up time, etc.) do not often lend themselves to possess closed-form formulas. It is thus quite common to impose simplifying assumptions on input probability distributions of components' lifetime or repair policies. Simplifying the complex structure of a multi-unit system to a k-out-of-n system by neglecting any sources of dependencies is another commonly practiced technique intended to increase the mathematical tractability of a particular model. This dissertation presents a proposal for an alternative methodology to solve optimal maintenance problems by aiming to achieve the same end-goals as Reliability Centered Maintenance (RCM). RCM was first introduced to the aircraft industry in an attempt to bridge the gap between the empirically-driven and theory-driven approaches to establishing optimal maintenance policies. Under RCM, qualitative processes that enable the prioritizing of functions based on the criticality and influence would be combined with mathematical modeling to obtain the optimal maintenance policies. Where this thesis work deviates from RCM is its proposal to directly apply quantitative processes to model the reliability measures in optimal maintenance problem. First, Monte Carlo (MC) simulation, in conjunction with a pre-determined Design of Experiments (DOE) table, can be used as a numerical means of obtaining the corresponding discrete simulated outcomes of the reliability measures based on the combination of decision variables (e.g., periodic preventive maintenance interval, trigger age for opportunistic maintenance, etc.). These discrete simulation results can then be regressed as Response Surface Equations (RSEs) with respect to the decision variables. Such an approach to represent the reliability measures with continuous surrogate functions (i.e., the RSEs) not only enables the application of the numerical optimization technique to solve for optimal maintenance policies, but also obviates the need to make mathematical assumptions or impose over-simplifications on the structure of a multi-unit system for the sake of mathematical tractability. The applicability of the proposed methodology to a real-world optimal maintenance problem is showcased through its application to a Time Limited Dispatch (TLD) of Full Authority Digital Engine Control (FADEC) system. In broader terms, this proof-of-concept exercise can be described as a constrained optimization problem, whose objective is to identify the optimal system inspection interval that guarantees a certain level of availability for a multi-unit system. A variety of reputable numerical techniques were used to model the problem as accurately as possible, including algorithms for the MC simulation, imperfect maintenance model from quasi renewal processes, repair time simulation, and state transition rules. Variance Reduction Techniques (VRTs) were also used in an effort to enhance MC simulation efficiency. After accurate MC simulation results are obtained, the RSEs are generated based on the goodness-of-fit measure to yield as parsimonious model as possible to construct the optimization problem. Under the assumption of constant failure rate for lifetime distributions, the inspection interval from the proposed methodology was found to be consistent with the one from the common approach used in industry that leverages Continuous Time Markov Chain (CTMC). While the latter does not consider maintenance cost settings, the proposed methodology enables an operator to consider different types of maintenance cost settings, e.g., inspection cost, system corrective maintenance cost, etc., to result in more flexible maintenance policies. When the proposed methodology was applied to the same TLD of FADEC example, but under the more generalized assumption of strictly Increasing Failure Rate (IFR) for lifetime distribution, it was shown to successfully capture component wear-out, as well as the economic dependencies among the system components.

Effects of device size and material on the bending performance of resistive-switching memory devices fabricated on flexible substrates

NASA Astrophysics Data System (ADS)

Lee, Won-Ho; Yoon, Sung-Min

2017-05-01

The resistive change memory (RCM) devices using amorphous In-Ga-Zn-O (IGZO) and microcrystalline Al-doped ZnO (AZO) thin films were fabricated on plastic substrates and characterized for flexible electronic applications. The device cell sizes were varied to 25 × 25, 50 × 50, 100 × 100, and 200 × 200 μm2 to examine the effects of cell size on the resistive-switching (RS) behaviors at a flat state and under bending conditions. First, it was found that the high-resistance state programmed currents markedly increased with the increase in the cell size. Second, while the AZO RCM devices did not exhibit RESET operations at a curvature radius smaller than 8.0 mm, the IGZO RCM devices showed sound RS behaviors even at a curvature radius of 4.5 mm. Third, for the IGZO RCM devices with the cell size bigger than 100 × 100 μm2, the RESET operation could not be performed at a curvature radius smaller than 6.5 mm. Thus, it was elucidated that the RS characteristics of the flexible RCM devices using oxide semiconductor thin films were closely related to the types of RS materials and the cell size of the device.

Radiocontrast media-associated exanthema: identification of cross-reactivity and tolerability by allergologic testing.

PubMed

Seitz, Cornelia S; Pfeuffer, Petra; Raith, Petra; Bröcker, Eva-B; Trautmann, Axel

2009-10-01

All iodinated radiocontrast media (RCM) may cause hypersensitivity reactions, either immediate-type within 5-10 min of RCM injection or delayed-type, which become apparent more than 1h after RCM exposure. Delayed-type hypersensitivity to RCM may pose a problem for future radiologic investigations because due to possible immunological cross-reactivity all iodinated RCM are usually avoided. The aim of this study was not only to identify the causal RCM for the exanthema but also to demonstrate that patients may receive alternative iodinated RCM despite a history of RCM-induced allergic exanthema. We evaluated 32 patients with a history of exanthema after RCM application using standardized patch, prick and intradermal skin testing. In case of positive skin tests intravenous challenges with skin-test-negative RCM were performed to identify non-ionic monomer RCM which are tolerated. In 6 out of 32 patients skin tests strongly suggested a delayed-type non-IgE-mediated allergic hypersensitivity to the RCM iomeprol (3x), iopromide (2x), and iopamidol. In 4 patients alternative non-ionic monomer RCM (2x iosarcol, iopromide, and iomeprol) were identified by controlled challenge tests. The evaluation of patients with RCM-associated exanthema should always include appropriate skin tests ensuring that patients with a delayed-type allergic RCM-induced exanthema are not missed. Moreover, allergologic testing may identify alternative RCM of the group of non-ionic monomers, which are tolerated in future radiologic investigations.

Regional climate model downscaling may improve the prediction of alien plant species distributions

NASA Astrophysics Data System (ADS)

Liu, Shuyan; Liang, Xin-Zhong; Gao, Wei; Stohlgren, Thomas J.

2014-12-01

Distributions of invasive species are commonly predicted with species distribution models that build upon the statistical relationships between observed species presence data and climate data. We used field observations, climate station data, and Maximum Entropy species distribution models for 13 invasive plant species in the United States, and then compared the models with inputs from a General Circulation Model (hereafter GCM-based models) and a downscaled Regional Climate Model (hereafter, RCM-based models).We also compared species distributions based on either GCM-based or RCM-based models for the present (1990-1999) to the future (2046-2055). RCM-based species distribution models replicated observed distributions remarkably better than GCM-based models for all invasive species under the current climate. This was shown for the presence locations of the species, and by using four common statistical metrics to compare modeled distributions. For two widespread invasive taxa ( Bromus tectorum or cheatgrass, and Tamarix spp. or tamarisk), GCM-based models failed miserably to reproduce observed species distributions. In contrast, RCM-based species distribution models closely matched observations. Future species distributions may be significantly affected by using GCM-based inputs. Because invasive plants species often show high resilience and low rates of local extinction, RCM-based species distribution models may perform better than GCM-based species distribution models for planning containment programs for invasive species.

In vivo reflectance confocal microscopy imaging of melanocytic skin lesions: consensus terminology glossary and illustrative images.

PubMed

Scope, Alon; Benvenuto-Andrade, Cristiane; Agero, Anna-Liza C; Malvehy, Josep; Puig, Susana; Rajadhyaksha, Milind; Busam, Klaus J; Marra, Diego E; Torres, Abel; Propperova, Iva; Langley, Richard G; Marghoob, Ashfaq A; Pellacani, Giovanni; Seidenari, Stefania; Halpern, Allan C; Gonzalez, Salvador

2007-10-01

Reflectance confocal microscopy (RCM) has been used for over 10 years for in vivo skin imaging. However, to date no standard RCM terminology has been published. To establish a glossary of terms for RCM evaluation of melanocytic lesions. Prominent RCM researchers were presented with RCM images of melanocytic lesions. Reviewers evaluated RCM images for image quality, lesion architecture, and cellular details. Reviewers could utilize published descriptors or contribute unpublished terminology to describe lesion attributes. An online meeting was conducted to reach consensus that integrates and defines existing and new RCM descriptive terms. We present a glossary with descriptors of image quality, normal skin morphology, lesion architecture, and cellular details for RCM evaluation of melanocytic lesions. Usefulness of the glossary in RCM diagnosis of melanocytic lesions needs to be assessed. Standardization of terminology is important toward implementation of RCM in the clinical setting.

Rubus coreanus Miquel ameliorates scopolamine-induced memory impairments in ICR mice.

PubMed

Choi, Mi-Ran; Lee, Min Young; Hong, Ji Eun; Kim, Jeong Eun; Lee, Jae-Yong; Kim, Tae Hwan; Chun, Jang Woo; Shin, Hyun Kyung; Kim, Eun Ji

2014-10-01

The present study investigated the effect of Rubus coreanus Miquel (RCM) on scopolamine-induced memory impairments in ICR mice. Mice were orally administrated RCM for 4 weeks and scopolamine was intraperitoneally injected into mice to induce memory impairment. RCM improved the scopolamine-induced memory impairment in mice. The increase of acetylcholinesterase activity caused by scopolamine was significantly attenuated by RCM treatment. RCM increased the levels of acetylcholine in the brain and serum of mice. The expression of choline acetyltransferase, phospho-cyclic AMP response element-binding protein, and phospho-extracellular signal-regulated kinase was significantly increased within the brain of mice treated with RCM. The brain antioxidant enzyme activity decreased by scopolamine was increased by RCM. These results demonstrate that RCM exerts a memory-enhancing effect via the improvement of cholinergic function and the potentiated antioxidant activity in memory-impaired mice. The results suggest that RCM may be a useful agent for improving memory impairment.

Projected changes to precipitation extremes over the Canadian Prairies using multi-RCM ensemble

NASA Astrophysics Data System (ADS)

Masud, M. B.; Khaliq, M. N.; Wheater, H. S.

2016-12-01

Information on projected changes to precipitation extremes is needed for future planning of urban drainage infrastructure and storm water management systems and to sustain socio-economic activities and ecosystems at local, regional and other scales of interest. This study explores the projected changes to seasonal (April-October) precipitation extremes at daily, hourly and sub-hourly scales over the Canadian Prairie Provinces of Alberta, Saskatchewan, and Manitoba, based on the North American Regional Climate Change Assessment Program multi-Regional Climate Model (RCM) ensemble and regional frequency analysis. The performance of each RCM is evaluated regarding boundary and performance errors to study various sources of uncertainties and the impact of large-scale driving fields. In the absence of RCM-simulated short-duration extremes, a framework is developed to derive changes to extremes of these durations. Results from this research reveal that the relative changes in sub-hourly extremes are higher than those in the hourly and daily extremes. Overall, projected changes in precipitation extremes are larger for southeastern parts of this region than southern and northern areas, and smaller for southwestern and western parts of the study area. Keywords: climate change, precipitation extremes, regional frequency analysis, NARCCAP, Canadian Prairie provinces

Hydrological impacts of climate change on the Tejo and Guadiana Rivers

NASA Astrophysics Data System (ADS)

Kilsby, C. G.; Tellier, S. S.; Fowler, H. J.; Howels, T. R.

2007-05-01

A distributed daily rainfall runoff model is applied to the Tejo and Guadiana river basins in Spain and Portugal to simulate the effects of climate change on runoff production, river flows and water resource availability with results aggregated to the monthly level. The model is calibrated, validated and then used for a series of climate change impact assessments for the period 2070 2100. Future scenarios are derived from the HadRM3H regional climate model (RCM) using two techniques: firstly a bias-corrected RCM output, with monthly mean correction factors calculated from observed rainfall records; and, secondly, a circulation-pattern-based stochastic rainfall model. Major reductions in rainfall and streamflow are projected throughout the year; these results differ from those for previous studies where winter increases are projected. Despite uncertainties in the representation of heavily managed river systems, the projected impacts are serious and pose major threats to the maintenance of bipartite water treaties between Spain and Portugal and the supply of water to urban and rural regions of Portugal.

Benefits Assessment for Single-Airport Tactical Runway Configuration Management Tool (TRCM)

NASA Technical Reports Server (NTRS)

Oseguera-Lohr, Rosa; Phojanamonogkolkij, Nipa; Lohr, Gary W.

2015-01-01

The System-Oriented Runway Management (SORM) concept was developed as part of the Airspace Systems Program (ASP) Concepts and Technology Development (CTD) Project, and is composed of two basic capabilities: Runway Configuration Management (RCM), and Combined Arrival/Departure Runway Scheduling (CADRS). RCM is the process of designating active runways, monitoring the active runway configuration for suitability given existing factors, and predicting future configuration changes; CADRS is the process of distributing arrivals and departures across active runways based on local airport and National Airspace System (NAS) goals. The central component in the SORM concept is a tool for taking into account all the various factors and producing a recommendation for what would be the optimal runway configuration, runway use strategy, and aircraft sequence, considering as many of the relevant factors required in making this type of decision, and user preferences, if feasible. Three separate tools were initially envisioned for this research area, corresponding to the time scale in which they would operate: Strategic RCM (SRCM), with a planning horizon on the order of several hours, Tactical RCM (TRCM), with a planning horizon on the order of 90 minutes, and CADRS, with a planning horizon on the order of 15-30 minutes[1]. Algorithm development was initiated in all three of these areas, but the most fully developed to date is the TRCM algorithm. Earlier studies took a high-level approach to benefits, estimating aggregate benefits across most of the major airports in the National Airspace Systems (NAS), for both RCM and CADRS [2]. Other studies estimated the benefit of RCM and CADRS using various methods of re-sequencing arrivals to reduce delays3,4, or better balancing of arrival fixes5,6. Additional studies looked at different methods for performing the optimization involved in selecting the best Runway Configuration Plan (RCP) to use7-10. Most of these previous studies were high-level or generic in nature (not focusing on specific airports), and benefits were aggregated for the entire NAS, with relatively low fidelity simulation of SORM functions and aircraft trajectories. For SORM research, a more detailed benefits assessment of RCM and CADRS for specific airports or metroplexes is needed.

A Fast and Self-Acting Release-Caging-Mechanism for Actively Driven Drop Tower Systems

NASA Astrophysics Data System (ADS)

Gierse, Andreas; Kaczmarczik, Ulrich; Greif, Andreas; Selig, Hanns; von Kampen, Peter; Könemann, Thorben; Lämmerzahl, Claus

2017-10-01

Today's and future scientific research programs ask for high quality microgravity conditions of 10-6 g on ground combined with high repetition rates of 100 flights per day or more. Accordingly, a new type of drop tower, the GraviTower Bremen, (GTB), has been suggested and is currently under development. As a first stage of development, a GTB-Prototype (GTB-Pro) has been designed which uses an active rope drive to accelerate a slider/drag shield and an experiment therein on a vertical parabola. During the free fall phase, the experiment is decoupled from the slider by a self-acting Release-Caging-Mechanism (RCM). Our prototype will provide 2.5 s of microgravity for experiments of up to 500 kg for at least 100 times per day. In this article, the final concept of the engineering of the active rope drive and the RCM are presented in detail. Based on extensive simulations aiming at an optimization of the whole system we developed a hydraulic rope drive system with minimized vibrational amplitude and low number of eigenfrequencies. The RCM achieves a very fast (≤ 0.1 s) self-acting release of the experiment from the slider by making use of the dynamics of the hydraulic rope drive. Furthermore, passive hydraulic stop dampers in the RCM build a passive and self-acting recoupling mechanism. This system is optimized for a fast decoupling to compensate for the time limitation posed by the chosen drive technology. The simulations included a comparison of different drive technologies, physical effects like the Coriolis force, and the dynamics of the RCM system itself.

Dermoscopy-guided reflectance confocal microscopy of skin using high-NA objective lens with integrated wide-field color camera

NASA Astrophysics Data System (ADS)

Dickensheets, David L.; Kreitinger, Seth; Peterson, Gary; Heger, Michael; Rajadhyaksha, Milind

2016-02-01

Reflectance Confocal Microscopy, or RCM, is being increasingly used to guide diagnosis of skin lesions. The combination of widefield dermoscopy (WFD) with RCM is highly sensitive (~90%) and specific (~ 90%) for noninvasively detecting melanocytic and non-melanocytic skin lesions. The combined WFD and RCM approach is being implemented on patients to triage lesions into benign (with no biopsy) versus suspicious (followed by biopsy and pathology). Currently, however, WFD and RCM imaging are performed with separate instruments, while using an adhesive ring attached to the skin to sequentially image the same region and co-register the images. The latest small handheld RCM instruments offer no provision yet for a co-registered wide-field image. This paper describes an innovative solution that integrates an ultra-miniature dermoscopy camera into the RCM objective lens, providing simultaneous wide-field color images of the skin surface and RCM images of the subsurface cellular structure. The objective lens (0.9 NA) includes a hyperhemisphere lens and an ultra-miniature CMOS color camera, commanding a 4 mm wide dermoscopy view of the skin surface. The camera obscures the central portion of the aperture of the objective lens, but the resulting annular aperture provides excellent RCM optical sectioning and resolution. Preliminary testing on healthy volunteers showed the feasibility of combined WFD and RCM imaging to concurrently show the skin surface in wide-field and the underlying microscopic cellular-level detail. The paper describes this unique integrated dermoscopic WFD/RCM lens, and shows representative images. The potential for dermoscopy-guided RCM for skin cancer diagnosis is discussed.

Dermoscopy-guided reflectance confocal microscopy of skin using high-NA objective lens with integrated wide-field color camera.

PubMed

Dickensheets, David L; Kreitinger, Seth; Peterson, Gary; Heger, Michael; Rajadhyaksha, Milind

2016-02-01

Reflectance Confocal Microscopy, or RCM, is being increasingly used to guide diagnosis of skin lesions. The combination of widefield dermoscopy (WFD) with RCM is highly sensitive (~90%) and specific (~ 90%) for noninvasively detecting melanocytic and non-melanocytic skin lesions. The combined WFD and RCM approach is being implemented on patients to triage lesions into benign (with no biopsy) versus suspicious (followed by biopsy and pathology). Currently, however, WFD and RCM imaging are performed with separate instruments, while using an adhesive ring attached to the skin to sequentially image the same region and co-register the images. The latest small handheld RCM instruments offer no provision yet for a co-registered wide-field image. This paper describes an innovative solution that integrates an ultra-miniature dermoscopy camera into the RCM objective lens, providing simultaneous wide-field color images of the skin surface and RCM images of the subsurface cellular structure. The objective lens (0.9 NA) includes a hyperhemisphere lens and an ultra-miniature CMOS color camera, commanding a 4 mm wide dermoscopy view of the skin surface. The camera obscures the central portion of the aperture of the objective lens, but the resulting annular aperture provides excellent RCM optical sectioning and resolution. Preliminary testing on healthy volunteers showed the feasibility of combined WFD and RCM imaging to concurrently show the skin surface in wide-field and the underlying microscopic cellular-level detail. The paper describes this unique integrated dermoscopic WFD/RCM lens, and shows representative images. The potential for dermoscopy-guided RCM for skin cancer diagnosis is discussed.

Effects of ebselen on radiocontrast media-induced hepatotoxicity in rats.

PubMed

Basarslan, Fatmagul; Yilmaz, Nigar; Davarci, Isil; Akin, Mustafa; Ozgur, Mustafa; Yilmaz, Cahide; Ulutas, Kemal Turker

2013-09-01

Oxidative stress is accepted as a potential responsible mechanism in the pathogenesis of radiocontrast media (RCM)-induced hepatotoxicity. Therefore, we aimed to investigate the protective effects of ebselen against RCM-induced hepatotoxicity by measuring tissue oxidant/antioxidant parameters and histological changes in rats. Wistar albino rats were randomly separated into four groups consisting of eight rats per group. Normal saline was given to the rats in control group (group 1). RCM was given to the rats in group 2, and both RCM and ebselen were given to the rats in group 3. Only ebselen was given to the rats in group 4. Liver sections of the killed animals were analyzed to measure the levels of malondialdehyde (MDA) and activities of superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GSH-Px), as well as histopathological changes. In RCM group, SOD and CAT levels were found increased. In RCM-ebselen group, MDA, SOD and CAT levels were found decreased. In RCM-ebselen group, however, GSH-Px activities of liver tissue increased. All these results indicated that ebselen produced a protective mechanism against RCM-induced hepatotoxicity and took part in oxidative stress.

Videodermoscopy compared to reflectance confocal microscopy for the diagnosis of scabies.

PubMed

Cinotti, E; Labeille, B; Cambazard, F; Biron, A C; Chol, C; Leclerq, A; Jaffelin, C; Perrot, J L

2016-09-01

Reflectance confocal microscopy (RCM) and dermoscopy have recently been suggested for non-invasive diagnosis of scabies. However, there are large studies on diagnostic accuracy for scabies only with dermoscopy at low (10×) and high (100-1000×) magnification. Our study evaluated the diagnostic accuracy, for the diagnosis of scabies, of RCM and videodermoscopy at intermediate (20× and 70×) magnification, which is usually found in commercially available videodermoscopes. Patients with a presumptive diagnosis of scabies were prospectively enrolled during 20 months and examined by RCM and videodermoscopy at intermediate magnification. The specificity of RCM was considered 100% because RCM can identify the anatomical details of the parasites. A total of 148 patients were enrolled. Videodermoscopy showed a higher sensitivity for scabies than RCM (95% vs. 92%) and a specificity of 97%. Videodermoscopy at intermediate magnification, and RCM are both highly accurate for the diagnosis of scabies. If the two devices are available, it would be better to perform videodermoscopy first, that is more sensitive, and then RCM to confirm the diagnosis. © 2016 European Academy of Dermatology and Venereology.

Current Practices in Runway Configuration Management (RCM) and Arrival/Departure Runway Balancing (ADRB)

NASA Technical Reports Server (NTRS)

Lohr, Gary W.; Williams, Daniel M.

2008-01-01

Significant air traffic increases are anticipated for the future of the National Airspace System (NAS). To cope with future traffic increases, fundamental changes are required in many aspects of the air traffic management process including the planning and use of NAS resources. Two critical elements of this process are the selection of airport runway configurations, and the effective management of active runways. Two specific research areas in NASA's Airspace Systems Program (ASP) have been identified to address efficient runway management: Runway Configuration Management (RCM) and Arrival/Departure Runway Balancing (ADRB). This report documents efforts in assessing past as well as current work in these two areas.

Hydrological alteration of the Upper Nakdong river under AR5 climate change scenarios

NASA Astrophysics Data System (ADS)

Kim, S.; Park, Y.; Cha, W. Y.; Okjeong, L.; Choi, J.; Lee, J.

2016-12-01

One of the tasks faced to water engineers is how to consider the climate change impact in our water resources management. Especially in South Korea, where almost all drinking water is taken from major rivers, the public attention is focused on their eco-hydrologic status. In this study, the effect of climate change on eco-hydrologic regime in the Upper Nakdong river which is one of major rivers in South Korea is investigated using SWAT. The simulation results are measured using the indicators of hydrological alteration (IHA) established by U.S. Nature Conservancy. Future climate information is obtained by scaling historical series, provided by Korean Meteorological Administration RCM (KMA RCM) and four RCP scenarios. KMA RCM has 12.5-km spatial resolution in Korean Peninsula and is produced by UK Hedley Centre regional climate model HadGEM3-RA. The RCM bias is corrected by the Kernel density distribution mapping (KDDM) method. The KDDM estimates the cumulative probability density function (CDF) of each dataset using kernel density estimation, and is implemented by quantile-mapping the CDF of a present climate variable obtained from the RCM onto that of the corresponding observed climate variable. Although the simulation results from different RCP scenarios show diverse hydrologic responses in our watershed, the mainstream of future simulation results indicate that there will be more river flow in southeast Korea. The predicted impacts of hydrological alteration caused by climate change on the aquatic ecosystem in the Upper Nakdong river will be presented. Acknowledgement This research was supported by a grant(14AWMP-B082564-01) from Advanced Water Management Research Program funded by Ministry of Land, Infrastructure and Transport of Korean government.

Through the looking glass: Basics and principles of reflectance confocal microscopy.

PubMed

Que, Syril Keena T; Fraga-Braghiroli, Naiara; Grant-Kels, Jane M; Rabinovitz, Harold S; Oliviero, Margaret; Scope, Alon

2015-08-01

Reflectance confocal microscopy (RCM) offers high-resolution, noninvasive skin imaging and can help avoid obtaining unnecessary biopsy specimens. It can also increase efficiency in the surgical setting by helping to delineate tumor margins. Diagnostic criteria and several RCM algorithms have been published for the differentiation of benign and malignant neoplasms. We provide an overview of the basic principles of RCM, characteristic RCM features of normal skin and cutaneous neoplasms, and the limitations and future directions of RCM. Copyright © 2015 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Structured Analysis of the Logistic Support Analysis (LSA) Task, and Integrated Logistic Support (ILS) Element, LSA Subtask 301.2.4.2, Reliability Centered Maintenance (RCM)

DTIC Science & Technology

1988-06-01

Di’Lt. ibu601’. I j I o; DTIC Qt.ALTTY I ,2,1 4 AMERICAN POWER JET COMPANY RIDGEFIELD, NJ FALLS CHURCH...The logic is applied to each reparable item in the system/equipment. When the components have been analyzed, an overall system/equipment analysis is...in the AMSDL as applicable to the referenced DIDs of interest. 5. Apply staff experience in logistics support analysis to assure that the intent of the

The challenge of diagnosing seborrheic keratosis by reflectance confocal microscopy.

PubMed

Guo, A; Chen, J; Yang, C; Ding, Y; Zeng, Q; Tan, L

2018-05-24

Seborrheic keratosis (SK) is one of the most common skin tumors seen by dermatologists. It should be differentiated with many diseases, especially skin tumors. Reflectance confocal microscopy (RCM) has been applied for evaluation of SK. There are a few studies that describe the RCM of SK. The aim of the study was to find the challenge of diagnosing seborrheic keratosis by reflectance confocal microscopy. A total of 390 patients with a clinical suspicious diagnosis of seborrheic keratosis were enrolled in this study, and lesions from each patient were imaged with RCM. Thirty-seven of these patients performed a biopsy in order to be given a histological diagnosis. We retrospectively analyzed the outcomes of RCM diagnosis and histological diagnosis, and then found the RCM characteristics of biopsy-proven lesions. According to RCM images, 258 of 390 (66.2%) patients were diagnosed with SK, 97 of 390 (24.9%) patients could not be diagnosed by the dermatologist according to RCM. Of all 37 biopsied lesions, 23 were SK, 6 were actinic keratosis, 2 were basal cell carcinoma, and 2 were squamous cell carcinoma. It is challenge to diagnose seborrheic keratosis by reflectance confocal microscopy. It may due to the variable clinical and RCM appearances of SK, and limited depth of RCM. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Detection of desmoplastic melanoma with dermoscopy and reflectance confocal microscopy.

PubMed

Maher, N G; Solinas, A; Scolyer, R A; Puig, S; Pellacani, G; Guitera, P

2017-12-01

Desmoplastic melanoma (DM) is frequently misdiagnosed clinically and often associated with melanoma in situ (MIS). To improve the detection of DM using dermoscopy and reflectance confocal microscopy (RCM). A descriptive analysis of DM dermoscopy features and a case-control study within a melanoma population for RCM feature evaluation was performed blindly, using data obtained between 2005 and 2015. After retrospectively identifying all DM cases with RCM data over the study period (n = 16), a control group of non-DM melanoma patients with RCM data, in a ratio of at least 3 : 1, was selected. The control group was matched by age and primary tumour site location, divided into non-DM invasive melanomas (n = 27) and MIS (n = 27). Invasive melanomas were selected according to the melanoma subtypes associated with the DM cases. The main outcomes were the frequency of melanoma-specific features on dermoscopy for DM; and the odds ratios of RCM features to distinguish DM from MIS and/or other invasive melanomas; or MIS from the combined invasive melanoma group. At least one of the 14 melanoma-specific features evaluated on dermoscopy was found in 100% of DMs (n = 15 DM with dermoscopy). Known RCM melanoma predictors were commonly found in the DMs, such as pagetoid cells (100%) and cell atypia (100%). The RCM feature of spindle cells in the superficial dermis was more common in DM compared with the entire melanoma control group (OR 3.82, 95% CI 1.01-14.90), and particularly compared to MIS (OR 5.48, 95% CI 1.11-32.36). Nucleated cells in the dermis and the RCM correlate of dermal inflammation were also significant RCM features favouring DM over MIS, as well as invasive melanoma over MIS. Dermoscopy and RCM may be useful tools for the identification of DM. Certain RCM features may help distinguish DM from MIS and other invasive melanomas. Larger studies are warranted. © 2017 European Academy of Dermatology and Venereology.

The bedside diagnostic accuracy of a novice reflectance confocal microscopy reader for skin cancer detection in vivo in real-time: understanding challenges and potential pitfalls

NASA Astrophysics Data System (ADS)

Jain, Manu; Pulijal, Sri Varsha; Rajadhyaksha, Milind

2017-02-01

Reflectance confocal microscopy (RCM) is a non-invasive device that images skin lesions in vivo at a cellular resolution to guide management of patient care. While previous studies have demonstrated high accuracy of RCM in diagnosing skin cancers, most of these studies were performed by experts as a blinded analysis off-site and does not reflect true clinical scenario. We assessed the diagnostic potential of a novice RCM reader, in clinical settings, at the bedside. Over a period of 15 months (August 2015- November 2016), 168 lesions (from 128 cases) were imaged with RCM to determine BCC and or melanoma in dermoscopically equivocal lesions. To evaluate the learning curve of the novice reader, diagnostic accuracy was evaluated at the end of 15 months, as well as during the first half (8 months) and latter half (seven months) of the study. Histopathological diagnosis was available in 95/168 lesions, including 38 melanocytic lesions (ML: 13 melanomas and 25 nevi) and 57 non-melanocytic lesions (NML: 26 BCCs, 4 SCCs and 27 benign). The remaining 73/168 lesions (43.45%) were not biopsied (received topical treatment, monitoring). On RCM, 22/26 (84.61%) BCCs and 11/13 (84.61%) melanomas were correctly diagnosed. BCC was missed in 3/26 (11.53%) lesions and melanoma in 2/13 (15.38%) lesions; these lesions were diagnosed mostly as superficial BCCs and focal epidermal changes overlying deeply situated melanoma nodule on histopathology, respectively. False positive diagnosis of BCC was obtained in 7/23 (30.4%) lesions and of melanoma in 2/22 (4.5%) lesions; these were diagnosed mostly as benign inflamed keratosis and moderately atypical dysplastic nevus on histopathology, respectively. In 7 lesions BCC or melanoma could not be ruled out. A marked increase in the sensitivity and specificity was noticed between the two halves of the study. An overall high diagnostic accuracy of 80.28% with high sensitivity and specificity of 80.68% and 80.8%, respectively in diagnosing skin cancers was obtained. Based on this study, we identified some current limitations and potential pitfalls of RCM. The fact that the diagnostic accuracy of the novice reader increased with time, indicates a learning curve reading RCM images. Additionally, current technical limitations of RCM such as inability to differentiate various cell types, sampling error, and, shallow depth of imaging also lead to false diagnosis. Efforts are ongoing to overcome these challenges by building US based teaching-training program and through a multimodal imaging approach for better diagnosis and patient care.

Quantification and visualization of coordination during non-cyclic upper extremity motion.

PubMed

Fineman, Richard A; Stirling, Leia A

2017-10-03

There are many design challenges in creating at-home tele-monitoring systems that enable quantification and visualization of complex biomechanical behavior. One such challenge is robustly quantifying joint coordination in a way that is intuitive and supports clinical decision-making. This work defines a new measure of coordination called the relative coordination metric (RCM) and its accompanying normalization schemes. RCM enables quantification of coordination during non-constrained discrete motions. Here RCM is applied to a grasping task. Fifteen healthy participants performed a reach, grasp, transport, and release task with a cup and a pen. The measured joint angles were then time-normalized and the RCM time-series were calculated between the shoulder-elbow, shoulder-wrist, and elbow-wrist. RCM was normalized using four differing criteria: the selected joint degree of freedom, angular velocity, angular magnitude, and range of motion. Percent time spent in specified RCM ranges was used asa composite metric and was evaluated for each trial. RCM was found to vary based on: (1) chosen normalization scheme, (2) the stage within the task, (3) the object grasped, and (4) the trajectory of the motion. The RCM addresses some of the limitations of current measures of coordination because it is applicable to discrete motions, does not rely on cyclic repetition, and uses velocity-based measures. Future work will explore clinically relevant differences in the RCM as it is expanded to evaluate different tasks and patient populations. Copyright © 2017. Published by Elsevier Ltd.

High-resolution imaging of basal cell carcinoma: a comparison between multiphoton microscopy with fluorescence lifetime imaging and reflectance confocal microscopy.

PubMed

Manfredini, Marco; Arginelli, Federica; Dunsby, Christopher; French, Paul; Talbot, Clifford; König, Karsten; Pellacani, Giovanni; Ponti, Giovanni; Seidenari, Stefania

2013-02-01

The aim of this study was to compare morphological aspects of basal cell carcinoma (BCC) as assessed by two different imaging methods: in vivo reflectance confocal microscopy (RCM) and multiphoton tomography with fluorescence lifetime imaging implementation (MPT-FLIM). The study comprised 16 BCCs for which a complete set of RCM and MPT-FLIM images were available. The presence of seven MPT-FLIM descriptors was evaluated. The presence of seven RCM equivalent parameters was scored in accordance to their extension. Chi-squared test with Fisher's exact test and Spearman's rank correlation coefficient were determined between MPT-FLIM scores and adjusted-RCM scores. MPT-FLIM and RCM descriptors of BCC were coupled to match the descriptors that define the same pathological structures. The comparison included: Streaming and Aligned elongated cells, Streaming with multiple directions and Double alignment, Palisading (RCM) and Palisading (MPT-FLIM), Typical tumor islands, and Cell islands surrounded by fibers, Dark silhouettes and Phantom islands, Plump bright cells and Melanophages, Vessels (RCM), and Vessels (MPT-FLIM). The parameters that were significantly correlated were Melanophages/Plump Bright Cells, Aligned elongated cells/Streaming, Double alignment/Streaming with multiple directions, and Palisading (MPT-FLIM)/Palisading (RCM). According to our data, both methods are suitable to image BCC's features. The concordance between MPT-FLIM and RCM is high, with some limitations due to the technical differences between the two devices. The hardest difficulty when comparing the images generated by the two imaging modalities is represented by their different field of view. © 2012 John Wiley & Sons A/S.

The Role of Reflectance Confocal Microscopy in Clinical Trials for Tumor Monitoring.

PubMed

Guilera, Josep Malvehy; Barreiro Capurro, Alicia; Carrera Alvárez, Cristina; Puig Sardá, Susana

2016-10-01

Reflectance confocal microscopy (RCM) allows the evaluation with superb accuracy of some skin tumors before, during, and after treatment. In clinical trials RCM has been shown to provide useful information for evaluation of efficacy of topical or systemic medication. With the recent introduction of handheld RCM a fast examination of the tumor can be done in minutes. In patients treated with surgery RCM plays a unique role to precisely map margins of the tumor in the skin surface and for the detection of subclinical recurrences. This article reviews the use of RCM in the research of different skin cancer tumor treatments. Copyright © 2016. Published by Elsevier Inc.

Stimulation of cannabinoid receptors by using Rubus coreanus extracts to control osteoporosis in aged male rats.

PubMed

Lim, Hae-Kyoung; Lee, Hye-Rim; Do, Sun Hee

2015-06-01

A substantial proportion of men with prostatic disease have an increased risk of bone loss. In the present study, we investigated the effects of Rubus coreanus Miquel (RCM) extracts on osteoporosis that occurs with N-methyl-N-nitrosourea (MNU)-induced prostatic hyperplasia. The rats used in this study were categorized into groups of healthy controls, rats treated with MNU, and rats treated with MNU and RCM. The rats were sacrificed after 10 weeks of RCM treatment, after which ultrasonography, serum biochemical tests, histopathological examinations, immunohistochemical analysis, and semi-quantitative reverse-transcription polymerase chain reaction analysis were performed. There were no marked differences in body weight gain and the size and weight of the prostate gland between the MNU group and the MNU and RCM group. However, treatment with RCM inhibited osteoclastic osteolysis and reduced dysplastic progress in the prostate gland, as observed by histopathological evaluation and by analyzing changes in the levels of bone regulatory factors. In addition, the group treated with MNU and RCM had higher expression levels of cannabinoid receptors-1, -2, and osteoprotegerin. These results indicate that the anti-osteoporotic effect of RCM in prostatic hyperplasia is attributable to the cannabinoid receptor-related upregulation of osteoblastogenesis and inhibition of prostatic hyperplasia. The results of the present study suggest that treatment with RCM may benefit osteoporotic patients with prostatic disease by simultaneously altering the activation of osteoblasts and osteoclasts.

Paranal maintenance and CMMS experience

NASA Astrophysics Data System (ADS)

Montano, Nelson

2004-10-01

During the last four years of operations, low technical downtime has been one of the relevant records of the Paranal Observatory. From the beginning of the Very Large Telescope (VLT) project, European Southern Observatory (ESO) has considered the implementation of a proper maintenance strategy a fundamental point in order to ensure low technical down time and preserve the Observatory's assets. The implementation of the maintenance strategy was based on the following aspects: - Strong maintenance sense during the design stage. Line Replacement Unit (LRU) concept, standardization and modularity of the Observatory equipment - Creation of a dedicated team for Maintenance - The implementation of a Computerized Maintenance Management System After four operational years, the result of these aspects has exceeded the expectations; the Observatory has been operating with high availability under a sustainable strategy. The strengths of the maintenance strategy have been based on modern maintenance concepts applied by regular production companies, where any minute of down time involves high cost. The operation of the actual Paranal Maintenance System is based mainly on proactive activities, such as regular inspections, preventive maintenance (PM) and predictive maintenance (PdM) plans. Nevertheless, it has been necessary to implement a strong plan for corrective maintenance (CM). The Spare Parts Strategy has also been an important point linked to the Maintenance Strategy and CMMS implementation. At present, almost 4,000 items related to the Observatory spare parts are loaded into the CMMS database. Currently, we are studying the implementation of a Reliability Centered Maintenance (RCM) project in one of our critical systems The following document presents the actual status of the Paranal Maintenance Strategy and which have been the motivations to implement the established strategy.

Responsibility Center Management: An Assessment of RCM at IUPUI.

ERIC Educational Resources Information Center

Robbins, David L.; Rooney, Patrick Michael

1995-01-01

Indiana University-Purdue University at Indianapolis is the first public institution to implement Responsibility Center Management (RCM), a comprehensive decentralized, incentive-base financial management system. RCM has strengthened academic planning, budget management, general accountability, and multiyear fiscal planning. Organizational…

Comparison of data from the rostock cornea module of the heidelberg retina tomograph, the oculus pentacam, and the endothelial cell microscope.

PubMed

Rieth, Sven; Engel, Felix; Bühner, Eva; Uhlmann, Susann; Wiedemann, Peter; Foja, Christian

2010-03-01

The aim of this study was to validate data arising from the Rostock Cornea Module (RCM) of the Heidelberg Retina Tomograph. Morphological parameters of the cornea were analyzed according to their dependency on patient's age. RCM measurements of 60 healthy eyes within 2 different age groups (group 1 <35 years, group 2 >50 years) were compared with the corneal thickness determined by the Oculus Pentacam and the endothelial cell density measured by the Tomey endothelial microscope, EM-2000. The mean corneal thickness measured with the Heidelberg Retina Tomograph/RCM was 517 +/- 31 microm and 542 +/- 30 microm with the Oculus Pentacam (correlation coefficient, R = 0.78). Group 1 showed a corneal thickness of 509 +/- 24 microm with the RCM and 531 +/- 27 microm with the Pentacam. In group 2, the corneal thickness was 525 +/- 34 microm and 553 +/- 29 microm, respectively. A significant increase in corneal thickness for older patients could be shown. The differences between the methods and the age groups were statistically significant (P < 0.0001). The average endothelial cell density measured with the RCM was 2779 +/- 472 cells per square millimeter. Between the age groups and the methods (RCM and endothelial microscope), no statistically significant differences could be found. Cell densities for the epithelial cell layers and keratocytes showed no significant correlation with age and sex of the patients. The RCM provides a reliable procedure for the evaluation of all corneal layers including morphological parameters. Endothelial cell densities either determined with the RCM or the EM-2000 are generally comparable to each other and showed no significant differences. It is suggested that lower corneal thickness measurements of the RCM can be caused by pressure during examination. An increased corneal thickness in the older group could be determined with the RCM and the Oculus Pentacam.

Carbon Dioxide Laser Ablation of Basal Cell Carcinoma with Visual Guidance by Reflectance Confocal Microscopy: A Proof of Principle Pilot Study

PubMed Central

Hibler, B.P.; Sierra, H.; Cordova, M.; Phillips, W.; Rajadhyaksha, M.; Nehal, K.S.; Rossi, A.M.

2016-01-01

Background Laser ablation is an alternative, non-surgical treatment modality for low-risk basal cell carcinoma (BCC); however, lack of confirmative tumour destruction or residual tumour presence has been a limiting factor to adoption. Reflectance confocal microscopy (RCM) provides non-invasive, cellular-level resolution imaging of the skin and is capable of identifying tumour. Objective To evaluate the use of RCM to guide carbon dioxide (CO2) laser ablation of BCC, confirm destruction, and correlate findings with histology. Methods RCM was used pre-ablation to evaluate for features of BCC. Ablation was performed with a CO2 laser, and the response rapidly assessed using handheld RCM to evaluate for residual tumour. Confirmative pathology was used to verify confocal imaging. Results RCM imaging identified tumour pre-ablation with features not identified on normal, surrounding skin. Post-ablation, RCM documented complete removal of tumour in six cases and residual tumour in two. Histologic examination identified the ablated area and confirmed clearance of tumour in the six aforementioned cases and corroborated confocal findings for residual tumour in the other two cases. Conclusions We report successful treatment of superficial and nodular BCC using CO2 laser ablation augmented by RCM imaging for pre-ablation guidance and verification of tumour removal post-ablation. Akin to complete circumferential and deep margin control techniques, using RCM helps to map peripheral and deep BCC margins to hone in on areas exhibiting persistent tumour after ablation. CO2 laser ablation visually guided by RCM can help circumvent previously cited limiting factors of laser ablation for tumour destruction by providing cellular-level resolution imaging of tumour and margin assessment in between each laser pass and post-ablation. PMID:26800657

Carbon dioxide laser ablation of basal cell carcinoma with visual guidance by reflectance confocal microscopy: a proof-of-principle pilot study.

PubMed

Hibler, B P; Sierra, H; Cordova, M; Phillips, W; Rajadhyaksha, M; Nehal, K S; Rossi, A M

2016-06-01

Laser ablation is an alternative, nonsurgical treatment modality for low-risk basal cell carcinoma (BCC). However, lack of confirmative tumour destruction or residual tumour presence has been a limiting factor to its adoption. Reflectance confocal microscopy (RCM) provides noninvasive, cellular-level resolution imaging of the skin and is capable of identifying tumour. To evaluate the use of RCM to guide carbon dioxide (CO2 ) laser ablation of BCC, confirm destruction and correlate findings with histology. RCM was used preablation to evaluate for features of BCC. Ablation was performed with a CO2 laser, and the response rapidly assessed using handheld RCM to evaluate for residual tumour. Confirmative pathology was used to verify confocal imaging. Preablation RCM imaging identified tumour with features not identified on normal, surrounding skin. Postablation, RCM documented complete removal of tumour in six cases and residual tumour in two. Histological examination identified the ablated area and confirmed clearance of tumour in the six aforementioned cases and corroborated confocal findings for residual tumour in the other two cases. We report successful treatment of superficial and nodular BCC using CO2 laser ablation augmented by RCM imaging for preablation guidance and verification of tumour removal postablation. Akin to complete circumferential and deep margin control techniques, using RCM helps to map peripheral and deep BCC margins to hone in on areas exhibiting persistent tumour after ablation. CO2 laser ablation visually guided by RCM can help circumvent previously cited limiting factors of laser ablation for tumour destruction by providing cellular-level resolution imaging of tumour and margin assessment in between each laser pass and postablation. © 2016 British Association of Dermatologists.

Assessing the Role of RCM in Decision-Making about Discontinuing Academic Programs and Restructuring Academic Units

ERIC Educational Resources Information Center

Mayer, Louis J.

2011-01-01

The path of growth and development for many American colleges and universities is to add new programs, majors, minors, departments, institutes, and centers to their academic portfolios in order to meet new demands and pursue new knowledge. Their source of funding is primarily through raising tuition rates and increasing non-tuition financial…

RCM as a Catalyst.

ERIC Educational Resources Information Center

West, J. Anthony; Seidita, Vincent; Di Mattia, Judy; Whalen, Edward L.

1997-01-01

A study by the National Association of College and University Business Officers surveyed member institutions (n=235) about the use and effectiveness of responsibility center management (RCM) on campus. Results indicate private colleges are more likely to use RCM. Major areas of concern include organizational structure, financial information for…

Climatic Models Ensemble-based Mid-21st Century Runoff Projections: A Bayesian Framework

NASA Astrophysics Data System (ADS)

Achieng, K. O.; Zhu, J.

2017-12-01

There are a number of North American Regional Climate Change Assessment Program (NARCCAP) climatic models that have been used to project surface runoff in the mid-21st century. Statistical model selection techniques are often used to select the model that best fits data. However, model selection techniques often lead to different conclusions. In this study, ten models are averaged in Bayesian paradigm to project runoff. Bayesian Model Averaging (BMA) is used to project and identify effect of model uncertainty on future runoff projections. Baseflow separation - a two-digital filter which is also called Eckhardt filter - is used to separate USGS streamflow (total runoff) into two components: baseflow and surface runoff. We use this surface runoff as the a priori runoff when conducting BMA of runoff simulated from the ten RCM models. The primary objective of this study is to evaluate how well RCM multi-model ensembles simulate surface runoff, in a Bayesian framework. Specifically, we investigate and discuss the following questions: How well do ten RCM models ensemble jointly simulate surface runoff by averaging over all the models using BMA, given a priori surface runoff? What are the effects of model uncertainty on surface runoff simulation?

Responsibility-centered management: a 10-year nursing assessment.

PubMed

McBride, A B; Neiman, S; Johnson, J

2000-01-01

In 1988-89, Indiana University became the first public university to implement responsibility-centered management (RCM) comprehensively. This article describes and assesses the implementation of RCM on the core campus of Indiana University School of Nursing in Indianapolis. It describes how RCM encouraged an information-rich environment, particularly with the advent of economic modeling; decision making linked to strategic goals/objectives; and a performance-based reward structure (e.g., merit pay increases and incentive plans). It ends with a discussion about the worth of RCM and the changes that frame-work produced, particularly in reconceptualizing the roles of the business officer and dean. The most profound consequence of RCM may be the effect it has in encouraging rethinking of what it means to be a school of nursing at this point in time.

A selective medium for the enumeration and differentiation of Lactobacillus delbrueckii ssp. bulgaricus.

PubMed

Nwamaioha, Nwadiuto O; Ibrahim, Salam A

2018-06-01

Modified reinforced clostridial medium (mRCM) was developed and evaluated for the differential enumeration of Lactobacillus delbrueckii ssp. bulgaricus. Lactobacillus bulgaricus, an important species of lactic acid bacteria with health benefits, is used in the production of yogurt and other fermented foods. Our results showed that supplementing reinforced clostridial medium with 0.025% CaCl 2 , 0.01% uracil, and 0.2% Tween 80 (mRCM) significantly enhanced the growth rate of L. bulgaricus RR and ATCC 11842 strains as measured by the optical densities of these strains after 12 h of incubation at 42°C. The bacterial populations (plate count) of the RR and ATCC 11842 strains were 0.76 and 0.77 log cfu/g higher in mRCM than in de Man, Rogosa, and Sharpe and reinforced clostridial medium media, respectively. Conversely, the population counts for other bacterial species (Bifidobacterium, Lactobacillus rhamnosus, and Lactobacillus reuteri) were significantly inhibited in the mRCM medium. The addition of aniline blue dye to mRCM (mRCM-blue) improved the selectivity of L. bulgaricus in mixed lactic bacterial cultures compared with de Man, Rogosa, and Sharpe medium and lactic agar with regard to colony appearance and morphology. The mRCM-blue performed better than the conventional medium in culturing, enumerating, and differentiating L. bulgaricus. Therefore, mRCM-blue could be used as a selective medium to enhance the growth and differentiation of L. bulgaricus in order to meet the increasing demand for this beneficial species of bacteria. Copyright © 2018 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Imaging rat esophagus using combination of reflectance confocal and multiphoton microscopy

NASA Astrophysics Data System (ADS)

Zhuo, S. M.; Chen, J. X.; Jiang, X. S.; Lu, K. C.; Xie, S. S.

2008-08-01

We combine reflectance confocal microscopy (RCM) with multiphoton microscopy (MPM) to image rat esophagus. The two imaging modalities allow detection of layered-resolved complementary information from esophagus. In the keratinizing layer, the keratinocytes boundaries can be characterized by RCM, while the keratinocytes cytoplasm (keratin) can be further imaged by multiphoton autofluorescence signal. In the epithelium, the epithelial cellular boundaries and nucleus can be detected by RCM, and MPM can be used for imaging epithelial cell cytoplasm and monitoring metabolic state of epithelium. In the stroma, multiphoton autofluorescence signal is used to image elastin and second harmonic generation signal is utilized to detect collagen, while RCM is used to determine the optical property of stroma. Overall, these results suggest that the combination of RCM and MPM has potential to provide more important and comprehensive information for early diagnosis of esophageal cancer.

Bioavailability, rheology and sensory evaluation of fat-free yogurt enriched with VD3 encapsulated in re-assembled casein micelles.

PubMed

Levinson, Yonatan; Ish-Shalom, Sophia; Segal, Elena; Livney, Yoav D

2016-03-01

Vitamin D3 (VD3) deficiency is a global problem. Better ways are needed to enrich foods with this important nutraceutical. VD3 is fat-soluble, hence requiring a suitable vehicle for enriching nonfat foods. Our objectives were to assess the bioavailability of VD3, from fat-free yogurt, in re-assembled casein micelles (rCMs) compared to that in polysorbate-80 (PS80/Tween-80) a commonly used synthetic emulsifier, and to assess and compare their rheology and palatability. We enriched fat-free yogurt with VD3 loaded into either rCM (VD3-rCMs) or PS80 (VD3-PS80). In vivo VD3 bioavailability was evaluated by a large randomized, double blind, placebo-controlled clinical trial, measuring serum 25(OH)D increase in subjects who consumed fat-free yogurt with 50,000 IU of either VD3-rCM, VD3-PS80, or VD3-free placebo yogurt. Both VD3-rCM and VD3-PS80 increased the serum 25(OH)D levels by ∼8 ng ml(-1) and no significant differences in mean 25(OH)D levels were observed, evidencing the fact that VD3 bioavailability in rCM was as high as that in the synthetic emulsifier. VD3-rCM yogurt had a higher viscosity than VD3-PS80 yogurt. In sensory evaluations, panelists were able to discern between VD3-rCM and VD3-PS80 yogurt, and showed a dislike for PS80 yogurt, compared to rCM or the unenriched control. These results complement our past results showing higher protection against thermal treatment, UV irradiation, and deterioration during shelf life, conferred to hydrophobic nutraceuticals by rCM compared to that by the synthetic surfactant or to the unprotected bioactive, in showing the advantageous use of rCM over the synthetic emulsifier as a delivery system for the enrichment of food with VD3 and other hydrophobic nutraceuticals.

A four-phase strategy for the implementation of reflectance confocal microscopy in dermatology.

PubMed

Hoogedoorn, L; Gerritsen, M J P; Wolberink, E A W; Peppelman, M; van de Kerkhof, P C M; van Erp, P E J

2016-08-01

Reflectance confocal microscopy (RCM) is gradually implemented in dermatology. Strategies for further implementation and practical 'hands on' guidelines are lacking. The primary outcome was to conduct a general strategy for further implementation of RCM. The secondary outcome was the diagnosis of psoriasis and differentiation of stable from unstable psoriatic plaques by means of the 'hands on' protocol, derived from the strategy. We used a four-phased model; an exploring phase, a systematic literature search, a clinical approach and, finally, an integration phase to develop a clinical guideline for RCM in psoriasis. Receiver operating characteristic curve statistics was applied to define the accuracy for the diagnosis of unstable psoriasis. A general strategy for further implementation of RCM and practical approach was developed to examine psoriasis by RCM and to distinguish stable from unstable psoriasis. Unstable psoriasis was diagnosed by epidermal inflammatory cell counts with a sensitivity and specificity of 91.7% and 98.3%, respectively, and with an accuracy of 0.92 (area under the curve). In addition, a monitoring model was proposed. This is the first study that shows a method for implementation of RCM in dermatology. The strategy and hands on protocol for psoriasis may serve as a model for other dermatological entities and additionally may lead to specialized ready-to-use RCM protocols for clinical dermatological practice. © 2016 European Academy of Dermatology and Venereology.

The current role of in vivo reflectance confocal microscopy within the continuum of actinic keratosis and squamous cell carcinoma: a systematic review.

PubMed

Nguyen, Kim P; Peppelman, Malou; Hoogedoorn, Lisa; Van Erp, Piet E J; Gerritsen, Marie-Jeanne P

2016-12-01

Clinical differentiation between actinic keratosis (AK), squamous cell carcinoma (SCC) in situ, and invasive SCC and its variants may be difficult. Reflectance confocal microscopy (RCM) is a non-invasive technique for in vivo skin imaging. To explicate the diagnostic and monitoring use of RCM within the spectrum of AK and SCC, and evaluate the accuracy of RCM for these diagnoses relative to histopathology. A systematic literature search was performed in PubMed, EMBASE, the Cochrane Library, and Web of Science databases. The quality was assessed using the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) checklist. Twenty-five eligible studies were included. Different diagnostic RCM features have been described for AK, actinic cheilitis (AC), erythroplasia of Queyrat, Bowen disease, invasive SCC, and keratoacanthoma (KA). The overall range of sensitivity and specificity of RCM for the diagnosis of SCC, AK, SCC in situ, and KA was 79-100% and 78-100%, respectively. The current literature describes the use of RCM for diagnosing AK, AC, erythroplasia of Queyrat, Bowen disease, invasive SCC, and KA, as well as for monitoring treatments of AK, with good accuracy. Unfortunately, studies with high methodological quality are lacking. Pre-treatment of hyperkeratotic lesions and uniform definitions of RCM features are required to simplify the differentiation between AKs, SCC in situ, and SCC and its variants in clinical practice.

Paired comparison of the sensitivity and specificity of multispectral digital skin lesion analysis and reflectance confocal microscopy in the detection of melanoma in vivo: A cross-sectional study.

PubMed

Song, Eunice; Grant-Kels, Jane M; Swede, Helen; D'Antonio, Jody L; Lachance, Avery; Dadras, Soheil S; Kristjansson, Arni K; Ferenczi, Katalin; Makkar, Hanspaul S; Rothe, Marti J

2016-12-01

Several technologies have been developed to aid dermatologists in the detection of melanoma in vivo including dermoscopy, multispectral digital skin lesion analysis (MDSLA), and reflectance confocal microscopy (RCM). To our knowledge, there have been no studies directly comparing MDSLA and RCM. We conducted a repeated measures analysis comparing the sensitivity and specificity of MDSLA and RCM in the detection of melanoma (n = 55 lesions from 36 patients). Study patients (n = 36) with atypical-appearing pigmented lesions (n = 55) underwent imaging by both RCM and MDSLA. Lesions were biopsied and analyzed by histopathology. RCM exhibited superior test metrics (P = .001, McNemar test) compared with MDSLA. Respectively, sensitivity measures were 85.7% and 71.4%, and specificity rates were 66.7% and 25.0%. The sample size was relatively small and was collected from only one dermatologist's patient base; there was some degree of dermatopathologist interobserver variability; and only one confocalist performed the RCM image evaluations. RCM is a useful adjunct during clinical assessment of in vivo lesions suspicious for melanoma or those requiring re-excision because of high level of dysplasia or having features consistent with an atypical melanocytic nevus with severe cytologic atypia. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

78 FR 14271 - Manual for Courts-Martial; Proposed Amendments

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-05

... commenter recommended adding the words ``to the victim's privacy'' to RCM 405(i)(2)(B)(iv) after ``unfair...), United States v. Ellerbrock, 70 M.J. 314 (C.A.A.F. 2011).'' c. One commenter suggested the portion of RCM... not adopted this proposal. Instead RCM 405(i)(2)(B) will now be amended as stated in paragraph a...

Impact of in vivo reflectance confocal microscopy on the number needed to treat melanoma in doubtful lesions

PubMed Central

Alarcon, I.; Carrera, C.; Palou, J.; Alos, L.; Malvehy, J.; Puig, S.

2013-01-01

Background The number needed to treat ratio is an effective method for measuring accuracy in melanoma detection. Dermoscopy reduces the number of false positives and subsequently unnecessary excisions. In vivo confocal microscopy is a non-invasive technique which allows the examination of the skin with cellular resolution. Objectives To assess the impact of RCM analysis on the number of equivocal lesions, assumed to be melanocytic, excised for every melanoma. Methods Consecutive patients (n=343) presenting with doubtful lesions, were considered for enrolment. The lesions were analysed by dermoscopy and RCM and histopathological assessment was considered the reference standard. The main outcome was the number needed to treat, calculated as the proportion of equivocal lesions, excised for every melanoma. Results Dermoscopy alone obtained a hypothetical NNT of 3.73, the combination of dermoscopy and RCM identified 264 equivocal lesions that qualified for excision, 92 of which were confirmed to be a melanoma; resulting in a NNT of 2.87; whereas the analysis of RCM images classified as melanoma 103 lesions with a consequent NNT of 1.12; the difference in the reduction of this ratio was statistically significant (p< 0.0001) between the three groups. There was no significant improvement in sensitivity when comparing the combination of dermoscopy and RCM and RCM alone (94.56% vs. 97.82%; p = 0.043). However, the differences between specificities were statistically significant (p <0.000001), favouring RCM alone. Conclusion The addition of RCM analysis to dermoscopy reduces unnecessary excisions with a high diagnostic accuracy and could be a means for reducing the economic impact associated with the management of skin cancer. PMID:24124911

Non-invasive diagnosis and monitoring of actinic cheilitis with reflectance confocal microscopy.

PubMed

Ulrich, M; González, S; Lange-Asschenfeldt, B; Roewert-Huber, J; Sterry, W; Stockfleth, E; Astner, S

2011-03-01

Actinic cheilitis (AC) represents the equivalent of actinic keratosis on the lip. Various treatment modalities are available and the efficacy of diclofenac in hyaluronic acid has recently been described. Reflectance confocal microscopy (RCM) is a non-invasive imaging technique which has recently been applied for the diagnosis of actinic keratoses. Herein, we describe the applicability of RCM for the diagnosis of AC and for monitoring of treatment response of AC to diclofenac in hyaluronic acid. Ten Caucasian patients with clinical suspicion for AC were included in this study. To obtain a non-invasive diagnosis, RCM was performed at baseline, followed by biopsy and respective confocal-histopathological correlation. Six patients with a histological diagnosis of AC were treated with diclofenac in hyaluronic acid, whereby monitoring was performed by RCM. Reflectance confocal microscopy was able to correctly identify 6/7 cases of AC and 3/3 cases of benign lesions. The most important RCM criteria for diagnosis of AC were cellular atypia at the stratum spinosum and granulosum with atypical honeycomb pattern. One patient with AC was misclassified as inflammatory cheilitis by RCM as it showed marked inflammatory response and lacked clear signs of cellular atypia on RCM imaging. Following topical treatment with diclofenac gel, 5/6 patients (83%) showed a good treatment response with regression of dysplasia on consecutive RCM examination. Reflectance confocal microscopy is a promising tool for the non-invasive diagnosis and monitoring of actinic cheilitis. However, marked inflammation represents a potential diagnostic pitfall. In this regard, biopsy should be performed in doubtful cases. © 2010 The Authors. Journal of the European Academy of Dermatology and Venereology © 2010 European Academy of Dermatology and Venereology.

Linking the Weather Generator with Regional Climate Model: Effect of Higher Resolution

NASA Astrophysics Data System (ADS)

Dubrovsky, Martin; Huth, Radan; Farda, Ales; Skalak, Petr

2014-05-01

This contribution builds on our last year EGU contribution, which followed two aims: (i) validation of the simulations of the present climate made by the ALADIN-Climate Regional Climate Model (RCM) at 25 km resolution, and (ii) presenting a methodology for linking the parametric weather generator (WG) with RCM output (aiming to calibrate a gridded WG capable of producing realistic synthetic multivariate weather series for weather-ungauged locations). Now we have available new higher-resolution (6.25 km) simulations with the same RCM. The main topic of this contribution is an anser to a following question: What is an effect of using a higher spatial resolution on a quality of simulating the surface weather characteristics? In the first part, the high resolution RCM simulation of the present climate will be validated in terms of selected WG parameters, which are derived from the RCM-simulated surface weather series and compared to those derived from weather series observed in 125 Czech meteorological stations. The set of WG parameters will include statistics of the surface temperature and precipitation series. When comparing the WG parameters from the two sources (RCM vs observations), we interpolate the RCM-based parameters into the station locations while accounting for the effect of altitude. In the second part, we will discuss an effect of using the higher resolution: the results of the validation tests will be compared with those obtained with the lower-resolution RCM. Acknowledgements: The present experiment is made within the frame of projects ALARO-Climate (project P209/11/2405 sponsored by the Czech Science Foundation), WG4VALUE (project LD12029 sponsored by the Ministry of Education, Youth and Sports of CR) and VALUE (COST ES 1102 action).

Synchrony between reanalysis-driven RCM simulations and observations: variation with time scale

NASA Astrophysics Data System (ADS)

de Elía, Ramón; Laprise, René; Biner, Sébastien; Merleau, James

2017-04-01

Unlike coupled global climate models (CGCMs) that run in a stand-alone mode, nested regional climate models (RCMs) are driven by either a CGCM or a reanalysis dataset. This feature makes high correlations between the RCM simulation and its driver possible. When the driving dataset is a reanalysis, time correlations between RCM output and observations are also common and to be expected. In certain situations time correlation between driver and driven RCM is of particular interest and techniques have been developed to increase it (e.g. large-scale spectral nudging). For such cases, a question that remains open is whether aggregating in time increases the correlation between RCM output and observations. That is, although the RCM may be unable to reproduce a given daily event, whether it will still be able to satisfactorily simulate an anomaly on a monthly or annual basis. This is a preconception that the authors of this work and others in the community have held, perhaps as a natural extension of the properties of upscaling or aggregating other statistics such as the mean squared error. Here we explore analytically four particular cases that help us partially answer this question. In addition, we use observations datasets and RCM-simulated data to illustrate our findings. Results indicate that time upscaling does not necessarily increase time correlations, and that those interested in achieving high monthly or annual time correlations between RCM output and observations may have to do so by increasing correlation as much as possible at the shortest time scale. This may indicate that even when only concerned with time correlations at large temporal scale, large-scale spectral nudging acting at the time-step level may have to be used.

A combined emitter threat assessment method based on ICW-RCM

NASA Astrophysics Data System (ADS)

Zhang, Ying; Wang, Hongwei; Guo, Xiaotao; Wang, Yubing

2017-08-01

Considering that the tradition al emitter threat assessment methods are difficult to intuitively reflect the degree of target threaten and the deficiency of real-time and complexity, on the basis of radar chart method(RCM), an algorithm of emitter combined threat assessment based on ICW-RCM (improved combination weighting method, ICW) is proposed. The coarse sorting is integrated with fine sorting in emitter combined threat assessment, sequencing the emitter threat level roughly accordance to radar operation mode, and reducing task priority of the low-threat emitter; On the basis of ICW-RCM, sequencing the same radar operation mode emitter roughly, finally, obtain the results of emitter threat assessment through coarse and fine sorting. Simulation analyses show the correctness and effectiveness of this algorithm. Comparing with classical method of emitter threat assessment based on CW-RCM, the algorithm is visual in image and can work quickly with lower complexity.

Legislated emergency locating transmitters and emergency position indicating radio beacons

NASA Technical Reports Server (NTRS)

Wade, William R. (Inventor)

1988-01-01

An emergency locating transmitting (ELT) system is disclosed which comprises a legislated ELT modified with an interface unit and connected by a multiwire cable to a remote control monitor (RCM), typically located at the pilot position. The RCM can remotely test the ELT by disabling the legislated swept tone and allowing transmission of a single tone, turn the ELT on for legislated ELT transmission, and reset the ELT to an armed condition. The RCM also provides visual and audio indications of transmitter operating condition as well as ELT battery condition. Removing the RCM or shorting or opening the interface input connections will not affect traditional ELT operation.

A new dynamical downscaling approach with GCM bias corrections and spectral nudging

NASA Astrophysics Data System (ADS)

Xu, Zhongfeng; Yang, Zong-Liang

2015-04-01

To improve confidence in regional projections of future climate, a new dynamical downscaling (NDD) approach with both general circulation model (GCM) bias corrections and spectral nudging is developed and assessed over North America. GCM biases are corrected by adjusting GCM climatological means and variances based on reanalysis data before the GCM output is used to drive a regional climate model (RCM). Spectral nudging is also applied to constrain RCM-based biases. Three sets of RCM experiments are integrated over a 31 year period. In the first set of experiments, the model configurations are identical except that the initial and lateral boundary conditions are derived from either the original GCM output, the bias-corrected GCM output, or the reanalysis data. The second set of experiments is the same as the first set except spectral nudging is applied. The third set of experiments includes two sensitivity runs with both GCM bias corrections and nudging where the nudging strength is progressively reduced. All RCM simulations are assessed against North American Regional Reanalysis. The results show that NDD significantly improves the downscaled mean climate and climate variability relative to other GCM-driven RCM downscaling approach in terms of climatological mean air temperature, geopotential height, wind vectors, and surface air temperature variability. In the NDD approach, spectral nudging introduces the effects of GCM bias corrections throughout the RCM domain rather than just limiting them to the initial and lateral boundary conditions, thereby minimizing climate drifts resulting from both the GCM and RCM biases.

[In vivo reflectance confocal microscopy in dermatology: a proposal concerning French terminology].

PubMed

Kanitakis, J; Bahadoran, P; Braun, R; Debarbieux, S; Labeille, B; Perrot, J-L; Vabres, P

2013-11-01

Reflectance confocal microscopy (RCM) is a recently introduced non-invasive imaging technique allowing real-time examination of the skin in vivo. Whereas a substantial literature concerning RCM exists in English, so far there is no official terminology in French, despite the fact that an ever-growing number of French-speaking dermatologists now use this new imaging technique. The aim of the present study is to propose a French terminology for RCM in order to allow French-speaking dermatologists to communicate in a precise and homogeneous language on this topic. A group of French-speaking dermatologists with solid experience of RCM, members of the Non-invasive Cutaneous Imaging group of the French Society of Dermatology, endeavored to suggest terms in French concerning RCM. Each group member dealt with a specific paragraph. The members exchanged comments via email and the terminology was finalized during a meeting of the group members in Paris in June 2012. Descriptive terms referring to the RCM aspects of normal and diseased skin were proposed. Some of these already existed, being used in routine dermatopathology, while other specific terms were created or adapted from the English terminology. This terminology will allow French-speaking dermatologists using RCM to communicate their findings in a homogeneous language. It may be enriched in the future by the introduction of additional terms describing new aspects of both normal and, especially, diseased skin. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

The Effectiveness of Automatic Recommending System for Premedication in Reducing Recurrent Radiocontrast Media Hypersensitivity Reactions

PubMed Central

Bae, Yun-Jeong; Hwang, Ye Won; Yoon, Sun-young; Kim, Sujeong; Lee, Taehoon; Lee, Yoon Su; Kwon, Hyouk-Soo; Cho, You Sook; Shin, Myung Jin; Moon, Hee-Bom; Kim, Tae-Bum

2013-01-01

Background Non-ionic radiocontrast media (RCM) is rarely associated with hypersensitivity reactions. Premedication of patients who reacted previously to RCM with systemic corticosteroids and/or antihistamines can help reduce recurrent hypersensitivity reactions. However, premedication is still not prescribed in many cases for various reasons. This study aimed to determine the effectiveness of our novel RCM hypersensitivity surveillance and automatic recommending system for premedication. Methods and Results Hospitalized patients with a history of RCM hypersensitivity were identified in an electronic medical record system that included a mandatory reporting system for past adverse drug reactions. In 2009, a novel automatic prescription system was added that classified index RCM reactions by severity and dispensed appropriate corticosteroid and/or antihistamine pretreatment prior to new RCM exposures. The data from 12 months under the previous system and 12 months under the current system were compared. The two systems had similar overall premedication rates (91% and 95%) but the current system was associated with a significantly higher corticosteroid premedication rate (65% vs. 14%), which significantly reduced the breakthrough reaction rate (6.7% vs. 15.2%). The current system was also associated with increased corticosteroid and antihistamine premedication of patients with a mild index reaction (61% vs. 7%) and a reduction in their breakthrough reaction rate (6% vs. 15%). Conclusions Premedication with corticosteroid and/or antihistamine, which was increased by our novel automatic prescription system, significantly reduced breakthrough reactions in patients with a history of RCM hypersensitivity. PMID:23840391

Re-assembled casein micelles improve in vitro bioavailability of vitamin D in a Caco-2 cell model.

PubMed

Cohen, Yifat; Levi, Moran; Lesmes, Uri; Margier, Marielle; Reboul, Emmanuelle; Livney, Yoav D

2017-06-01

The pandemic of vitamin D (VD) deficiency, and the global rise in obesity stimulate a need for staple low-fat foods and beverages enriched with VD. In light of consumer demand for a clean label, the use of natural endogenous food ingredients as delivery vehicles is of great interest. To this end, re-assembled casein micelles (rCM) have been shown to help retain VD during processing and shelf life and provide high bioavailability in low-fat milk and non-fat yoghurt. This follow-up study focused on the performance of VD-loaded rCM after drying and reconstitution, considering VD retention during simulated digestion, and the subsequent in vitro bioavailability of the vitamin. rCM conferred great protection to VD 3 during simulated digestion with a significant increase in vitamin retention for 1 h under gastric conditions. This observation is believed to arise from the vitamin-casein binding and the system's natural gelation (curd formation) near the casein isoelectric point that seclude the vitamin from environmental stressors and couple its release with digestive proteolysis of the rCM matrix. Vitamin absorption by Caco-2 cells from digested rCM was not significantly different from the absorption of the digested free VD. However, thanks to the highly protective effect of the rCM, against VD gastric degradation, the overall effect of the rCM was a 4-fold higher bioavailability, compared to the free VD.

Real-Time Monitoring of Vaccination Campaign Performance Using Mobile Phones - Nepal, 2016.

PubMed

Oh, David H; Dabbagh, Alya; Goodson, James L; Strebel, Peter M; Thapa, Sanjita; Giri, Jagat Narain; Shakya, Sagar Ratna; Khanal, Sudhir

2016-10-07

In 2012, the Global Vaccine Action Plan* established a goal to achieve measles and rubella elimination in five of the six World Health Organization (WHO) regions (194 countries) by 2020 (1). Measles elimination strategies aim to achieve ≥95% coverage with 2 routine doses of measles-containing vaccine (2), and implement supplementary immunization activities (SIAs) † in settings where routine coverage is low or where there are subpopulations at high risk. To ensure SIA quality and to achieve ≥95% SIA coverage nationally, rapid convenience monitoring (RCM) is used during or immediately after SIAs (3,4). The objective of RCM is to find unvaccinated children and to identify reasons for nonvaccination in areas with persons at high risk, to enable immediate implementation of corrective actions (e.g., reassigning teams to poorly vaccinated areas, modifying the timing of vaccination, or conducting mop-up vaccination activities). This report describes pilot testing of RCM using mobile phones (RCM-MP) during the second phase of an SIA in Nepal in 2016. Use of RCM-MP resulted in 87% timeliness and 94% completeness of data reporting and found that, although 95% of children were vaccinated, 42% of areas required corrective vaccination activities. RCM-MP challenges included connecting to mobile networks, small phone screen size, and capturing Global Positioning System (GPS) coordinates. Nonetheless, use of RCM-MP led to faster data transmission, analysis, and decision-making and to increased accountability among levels of the health system.

Peri-operative imaging of cancer margins with reflectance confocal microscopy during Mohs micrographic surgery: feasibility of a video-mosaicing algorithm

NASA Astrophysics Data System (ADS)

Flores, Eileen; Yelamos, Oriol; Cordova, Miguel; Kose, Kivanc; Phillips, William; Rossi, Anthony; Nehal, Kishwer; Rajadhyaksha, Milind

2017-02-01

Reflectance confocal microscopy (RCM) imaging shows promise for guiding surgical treatment of skin cancers. Recent technological advancements such as the introduction of the handheld version of the reflectance confocal microscope, video acquisition and video-mosaicing have improved RCM as an emerging tool to evaluate cancer margins during routine surgical skin procedures such as Mohs micrographic surgery (MMS). Detection of residual non-melanoma skin cancer (NMSC) tumor during MMS is feasible, as demonstrated by the introduction of real-time perioperative imaging on patients in the surgical setting. Our study is currently testing the feasibility of a new mosaicing algorithm for perioperative RCM imaging of NMSC cancer margins on patients during MMS. We report progress toward imaging and image analysis on forty-five patients, who presented for MMS at the MSKCC Dermatology service. The first 10 patients were used as a training set to establish an RCM imaging algorithm, which was implemented on the remaining test set of 35 patients. RCM imaging, using 35% AlCl3 for nuclear contrast, was performed pre- and intra-operatively with the Vivascope 3000 (Caliber ID). Imaging was performed in quadrants in the wound, to simulate the Mohs surgeon's examination of pathology. Videos were taken at the epidermal and deep dermal margins. Our Mohs surgeons assessed all videos and video-mosaics for quality and correlation to histology. Overall, our RCM video-mosaicing algorithm is feasible. RCM videos and video-mosaics of the epidermal and dermal margins were found to be of clinically acceptable quality. Assessment of cancer margins was affected by type of NMSC, size and location. Among the test set of 35 patients, 83% showed acceptable imaging quality, resolution and contrast. Visualization of nuclear and cellular morphology of residual BCC/SCC tumor and normal skin features could be detected in the peripheral and deep dermal margins. We observed correlation between the RCM videos/video-mosaics and the corresponding histology in 32 lesions. Peri-operative RCM imaging shows promise for improved and faster detection of cancer margins and guiding MMS in the surgical setting.

Regulation of hematopoiesis in rats exposed to antiorthostatic hypokinetic/hypodynamia. II - Mechanisms of the 'anemia'

NASA Technical Reports Server (NTRS)

Dunn, C. D. R.; Johnson, P. C.; Lange, R. D.

1986-01-01

The cause of the red cell mass (RCM) deficit, which occurs in rats during suspenion, is investigated. The experimental conditions and procedures, in which male Sprague-Dawley rats are subjected to antiorthostatic hyypokinetic/hypodynamia and changes in RCM are monitored, are described. The influences of stress, reduced food and water consumption, and antiorhostatic posture on RCM are analyzed. Changes in body weight, RCM, radioiron incorporation, red blood cells (RBC), and reticulocytes, for the rats after head-down suspension are graphically presented; only the changes in RBC are related to the antiorthostatic posture. The data reveal that anemia is primarily caused by reduced food and water consumption and secondly by restricted movements.

Reflectance Confocal Microscopy of Skin In Vivo: From Bench to Bedside

PubMed Central

Rajadhyaksha, Milind; Marghoob, Ashfaq; Rossi, Anthony; Halpern, Allan C; Nehal, Kishwer S.

2017-01-01

Following more than two decades of effort, reflectance confocal microscopy (RCM) imaging of skin was granted codes for reimbursement by the US Centers for Medicare and Medicaid Services. Dermatologists in the USA have started billing and receiving reimbursement for the imaging procedure and for the reading and interpretation of images. RCM imaging combined with dermoscopic examination is guiding the triage of lesions into those that appear benign, which are being spared from biopsy, against those that appear suspicious, which are then biopsied. Thus far, a few thousand patients have been spared from biopsy of benign lesions. The journey of RCM imaging from bench to bedside is certainly a success story, but still much more work lies ahead toward wider dissemination, acceptance, and adoption. We present a brief review of RCM imaging and highlight key challenges and opportunities. The success of RCM imaging paves the way for other emerging optical technologies, as well—and our bet for the future is on multimodal approaches. PMID:27785781

Equations for Scoring Rules When Data Are Missing

NASA Technical Reports Server (NTRS)

James, Mark

2006-01-01

A document presents equations for scoring rules in a diagnostic and/or prognostic artificial-intelligence software system of the rule-based inference-engine type. The equations define a set of metrics that characterize the evaluation of a rule when data required for the antecedence clause(s) of the rule are missing. The metrics include a primary measure denoted the rule completeness metric (RCM) plus a number of subsidiary measures that contribute to the RCM. The RCM is derived from an analysis of a rule with respect to its truth and a measure of the completeness of its input data. The derivation is such that the truth value of an antecedent is independent of the measure of its completeness. The RCM can be used to compare the degree of completeness of two or more rules with respect to a given set of data. Hence, the RCM can be used as a guide to choosing among rules during the rule-selection phase of operation of the artificial-intelligence system..

Hydrologic Implications of Dynamical and Statistical Approaches to Downscaling Climate Model Outputs

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

Wood, Andrew W; Leung, Lai R; Sridhar, V

Six approaches for downscaling climate model outputs for use in hydrologic simulation were evaluated, with particular emphasis on each method's ability to produce precipitation and other variables used to drive a macroscale hydrology model applied at much higher spatial resolution than the climate model. Comparisons were made on the basis of a twenty-year retrospective (1975–1995) climate simulation produced by the NCAR-DOE Parallel Climate Model (PCM), and the implications of the comparison for a future (2040–2060) PCM climate scenario were also explored. The six approaches were made up of three relatively simple statistical downscaling methods – linear interpolation (LI), spatial disaggregationmore » (SD), and bias-correction and spatial disaggregation (BCSD) – each applied to both PCM output directly (at T42 spatial resolution), and after dynamical downscaling via a Regional Climate Model (RCM – at ½-degree spatial resolution), for downscaling the climate model outputs to the 1/8-degree spatial resolution of the hydrological model. For the retrospective climate simulation, results were compared to an observed gridded climatology of temperature and precipitation, and gridded hydrologic variables resulting from forcing the hydrologic model with observations. The most significant findings are that the BCSD method was successful in reproducing the main features of the observed hydrometeorology from the retrospective climate simulation, when applied to both PCM and RCM outputs. Linear interpolation produced better results using RCM output than PCM output, but both methods (PCM-LI and RCM-LI) lead to unacceptably biased hydrologic simulations. Spatial disaggregation of the PCM output produced results similar to those achieved with the RCM interpolated output; nonetheless, neither PCM nor RCM output was useful for hydrologic simulation purposes without a bias-correction step. For the future climate scenario, only the BCSD-method (using PCM or RCM) was able to produce hydrologically plausible results. With the BCSD method, the RCM-derived hydrology was more sensitive to climate change than the PCM-derived hydrology.« less

Basics of Confocal Microscopy and the Complexity of Diagnosing Skin Tumors: New Imaging Tools in Clinical Practice, Diagnostic Workflows, Cost-Estimate, and New Trends.

PubMed

Que, Syril Keena T; Grant-Kels, Jane M; Longo, Caterina; Pellacani, Giovanni

2016-10-01

The use of reflectance confocal microscopy (RCM) and other noninvasive imaging devices can potentially streamline clinical care, leading to more precise and efficient management of skin cancer. This article explores the potential role of RCM in cutaneous oncology, as an adjunct to more established techniques of detecting and monitoring for skin cancer, such as dermoscopy and total body photography. Discussed are current barriers to the adoption of RCM, diagnostic workflows and standards of care in the United States and Europe, and medicolegal issues. The potential role of RCM and other similar technological innovations in the enhancement of dermatologic care is evaluated. Copyright © 2016 Elsevier Inc. All rights reserved.

A New Approach to Satisfy Dynamic Similarity for Model Submarine Maneuvers

DTIC Science & Technology

2007-11-28

part of the Scaling Task of the FY07 6.1 Turbulence and Stratified Wakes Program (Program Element 0601153N). Introduction The Radio-Controlled Model (RCM...a smaller force and moment than a full scale rudder. This Reynolds scale effect is associated with the boundary layer velocity deficit . 0.300 0250...layer velocity deficit term, namely q = 1. It is further noted from unsteady experimental data that the flow angles associated with flow separation

Automated cellular pathology in noninvasive confocal microscopy

NASA Astrophysics Data System (ADS)

Ting, Monica; Krueger, James; Gareau, Daniel

2014-03-01

A computer algorithm was developed to automatically identify and count melanocytes and keratinocytes in 3D reflectance confocal microscopy (RCM) images of the skin. Computerized pathology increases our understanding and enables prevention of superficial spreading melanoma (SSM). Machine learning involved looking at the images to measure the size of cells through a 2-D Fourier transform and developing an appropriate mask with the erf() function to model the cells. Implementation involved processing the images to identify cells whose image segments provided the least difference when subtracted from the mask. With further simplification of the algorithm, the program may be directly implemented on the RCM images to indicate the presence of keratinocytes in seconds and to quantify the keratinocytes size in the en face plane as a function of depth. Using this system, the algorithm can identify any irregularities in maturation and differentiation of keratinocytes, thereby signaling the possible presence of cancer.

Non-melanoma skin cancer of the head and neck: the aid of reflectance confocal microscopy for the accurate diagnosis and management.

PubMed

Ferrari, Barbara; Salgarelli, Attilio C; Mandel, Victor D; Bellini, Pierantonio; Reggiani, Camilla; Farnetani, Francesca; Pellacani, Giovanni; Magnoni, Cristina

2017-04-01

Non-melanoma skin cancer (NMSC) represents the most common cutaneous neoplasms of the head and neck. In recent years, novel non-invasive diagnostic tool have been developed, and among these we have the reflectance confocal microscopy (RCM), that offers the evaluation of the skin at real time with cellular resolution. Numerous studies have identified the main confocal features of skin tumours, demonstrating the good correlation of these features with certain dermatoscopic patterns and histologic findings. The aim of this analysis was to provide new insight into the role of RCM in the diagnosis and management of NMSC of the head and neck. Data comes from the most recent literature, taking into account previous essential reported information in this field. The study eligibility criteria were: studies providing update information, focusing on RCM findings in NMSC, without restrictions for age, sex, ethnicity. A search concerning the role of dermoscopy and RCM in the diagnosis of NMSC was performed on Medline. Duplicated studies, single case report and papers with language other than English were excluded from this study. RCM clues were analysed for NMSC in association with clinical, dermoscopic and histopathologic findings. Moreover, some new findings have been described and possible applications for NMSC of the head and neck have been discussed. RCM allows tissue imaging in vivo contributing to a more accurate diagnosis of NMSC of the head and neck, sparing time for the patient and costs for the public health system. RCM can also be used for selection of the biopsy site and it is helpful in defining the surgical safety margins to keep during the excision of skin cancers.

Estimation of wind regime from combination of RCM and NWP data in the Gulf of Riga (Baltic Sea)

NASA Astrophysics Data System (ADS)

Sile, T.; Sennikovs, J.; Bethers, U.

2012-04-01

Gulf of Riga is a semi-enclosed gulf located in the Eastern part of the Baltic Sea. Reliable wind climate data is crucial for the development of wind energy. The objective of this study is to create high resolution wind parameter datasets for the Gulf of Riga using climate and numerical weather prediction (NWP) models as an alternative to methods that rely on observations with the expectation of benefit from comparing different approaches. The models used for the estimation of the wind regime are an ensemble of Regional Climate Models (RCM, ENSEMBLES, 23 runs are considered) and high resolution NWP data. Future projections provided by RCM are of interest however their spatial resolution is unsatisfactory. We describe a method of spatial refinement of RCM data using NWP data to resolve small scale features. We apply the method of RCM bias correction (Sennikovs and Bethers, 2009) previously used for temperature and precipitation to wind data and use NWP data instead of observations. The refinement function is calculated using contemporary climate (1981- 2010) and later applied to RCM near future (2021 - 2050) projections to produce a dataset with the same resolution as NWP data. This method corrects for RCM biases that were shown to be present in the initial analysis and inter-model statistical analysis was carried out to estimate uncertainty. Using the datasets produced by this method the current and future projections of wind speed and wind energy density are calculated. Acknowledgments: This research is part of the GORWIND (The Gulf of Riga as a Resource for Wind Energy) project (EU34711). The ENSEMBLES data used in this work was funded by the EU FP6 Integrated Project ENSEMBLES (Contract number 505539) whose support is gratefully acknowledged.

Guided bone regeneration with a synthetic biodegradable membrane: a comparative study in dogs.

PubMed

Jung, Ronald E; Kokovic, Vladimir; Jurisic, Milan; Yaman, Duygu; Subramani, Karthikeyan; Weber, Franz E

2011-08-01

The aim of the present study was to compare a newly developed biodegradable polylactide/polyglycolide/N-methyl-2-pyrrolidone (PLGA/NMP) membrane with a standard resorbable collagen membrane (RCM) in combination with and without the use of a bone substitute material (deproteinized bovine bone mineral [DBBM]) looking at the proposed tenting effect and bone regeneration. In five adult German sheepdogs, the mandibular premolars P2, P3, P4, and the molar M1 were bilaterally extracted creating two bony defects on each site. A total of 20 dental implants were inserted and allocated to four different treatment modalities within each dog: PLGA/NMP membrane only (Test 1), PLGA/NMP membrane with DBBM (Test 2), RCM only (negative control), and RCM with DBBM (positive control). A histomorphometric analysis was performed 12 weeks after implantation. For statistical analysis, a Friedman test and subsequently a Wilcoxon signed ranks test were applied. In four out of five PLGA/NMP membrane-treated defects, the membranes had broken into pieces without the support of DBBM. This led to a worse outcome than in the RCM group. In combination with DBBM, both membranes revealed similar amounts of area of bone regeneration and bone-to-implant contact without significant differences. On the level of the third implant thread, the PLGA/NMP membrane induced more horizontal bone formation beyond the graft than the RCM. The newly developed PLGA/NMP membrane performs equally well as the RCM when applied in combination with DBBM. Without bone substitute material, the PLGA/NMP membrane performed worse than the RCM in challenging defects, and therefore, a combination with a bone substitute material is recommended. © 2010 John Wiley & Sons A/S.

Classification and pathophysiology of radiocontrast media hypersensitivity.

PubMed

Brockow, Knut; Ring, Johannes

2010-01-01

Hypersensitivity reactions to radiocontrast media (RCM) are unpredictable and are a concern for radiologists and cardiologists. Immediate hypersensitivity reactions manifest as anaphylaxis, and an allergic IgE-mediated mechanism has been continuously discussed for decades. Non-immediate reactions clinically are exanthemas resembling other drug-induced non-immediate hypersensitivities. During the past years, evidence is increasing that some of these reactions may be immunological. Repeated reactions after re-exposure, positive skin tests, and presence of specific IgE antibodies as well as positive basophil activation tests in some cases, and positive lymphocyte transformation or lymphocyte activation tests in others, indicate that a subgroup of both immediate and non-immediate reactions are of an allergic origin, although many questions remain unanswered. Recently reported cases highlight that pharmacological premedication is not safe to prevent RCM hypersensitivity in patients with previous severe reactions. These insights may have important consequences. A large multicenter study on the value of skin tests in RCM hypersensitivity concluded that skin testing is a useful tool for diagnosis of RCM allergy. It may have a role for the selection of a safe product in previous reactors, although confirmatory validation data is still scarce. In vitro tests to search for RCM-specific cell activation still are in development. In conclusion, recent data indicate that RCM hypersensitivity may have an allergic mechanism and that allergological testing is useful and may indicate tolerability. Copyright 2010 S. Karger AG, Basel.

The FOXM1 inhibitor RCM-1 suppresses goblet cell metaplasia and prevents IL-13 and STAT6 signaling in allergen-exposed mice.

PubMed

Sun, Lifeng; Ren, Xiaomeng; Wang, I-Ching; Pradhan, Arun; Zhang, Yufang; Flood, Hannah M; Han, Bo; Whitsett, Jeffrey A; Kalin, Tanya V; Kalinichenko, Vladimir V

2017-04-18

Goblet cell metaplasia and excessive mucus secretion associated with asthma, cystic fibrosis, and chronic obstructive pulmonary disease contribute to morbidity and mortality worldwide. We performed a high-throughput screen to identify small molecules targeting a transcriptional network critical for the differentiation of goblet cells in response to allergens. We identified RCM-1, a nontoxic small molecule that inhibited goblet cell metaplasia and excessive mucus production in mice after exposure to allergens. RCM-1 blocked the nuclear localization and increased the proteasomal degradation of Forkhead box M1 (FOXM1), a transcription factor critical for the differentiation of goblet cells from airway progenitor cells. RCM-1 reduced airway resistance, increased lung compliance, and decreased proinflammatory cytokine production in mice exposed to the house dust mite and interleukin-13 (IL-13), which triggers goblet cell metaplasia. In cultured airway epithelial cells and in mice, RCM-1 reduced IL-13 and STAT6 (signal transducer and activator of transcription 6) signaling and prevented the expression of the STAT6 target genes Spdef and Foxa3 , which are key transcriptional regulators of goblet cell differentiation. These results suggest that RCM-1 is an inhibitor of goblet cell metaplasia and IL-13 signaling, providing a new therapeutic candidate to treat patients with asthma and other chronic airway diseases. Copyright © 2017, American Association for the Advancement of Science.

Unripe Rubus coreanus Miquel suppresses migration and invasion of human prostate cancer cells by reducing matrix metalloproteinase expression.

PubMed

Kim, Yesl; Lee, Seung Min; Kim, Jung-Hyun

2014-01-01

Rubus coreanus Miquel (RCM) is used to promote prostate health and has been shown to have anti-oxidant and anti-carcinogenic activities. However, the effects and mechanisms of RCM on prostate cancer metastasis remain unclear. PC-3 and DU 145 cells were treated with ethanol or water extract of unripe or ripe RCM and examined for cell invasion, migration, and matrix metalloproteinases (MMPs) activity and expression. Phosphoinositide 3-kinase (PI3K) and Akt activities were examined. Unripe RCM extracts exerted significant inhibitory effects on cell migration, invasion, and MMPs activities. A significant reduction in MMPs activities by unripe RCM ethanol extract treatment (UE) was associated with reduction of MMPs expression and induction of tissue inhibitors of metalloproteinases (TIMPs) expression. Furthermore, PI3K/Akt activity was diminished by UE treatment. In this study, we demonstrated that UE decreased metastatic potential of prostate cancer cells by reducing MMPs expression through the suppression of PI3K/Akt phosphorylation, thereby decreasing MMP activity and enhancing TIMPs expression.

Idiopathic restrictive cardiomyopathy is part of the clinical expression of cardiac troponin I mutations

PubMed Central

Mogensen, Jens; Kubo, Toru; Duque, Mauricio; Uribe, William; Shaw, Anthony; Murphy, Ross; Gimeno, Juan R.; Elliott, Perry; McKenna, William J.

2003-01-01

Restrictive cardiomyopathy (RCM) is an uncommon heart muscle disorder characterized by impaired filling of the ventricles with reduced volume in the presence of normal or near normal wall thickness and systolic function. The disease may be associated with systemic disease but is most often idiopathic. We recognized a large family in which individuals were affected by either idiopathic RCM or hypertrophic cardiomyopathy (HCM). Linkage analysis to selected sarcomeric contractile protein genes identified cardiac troponin I (TNNI3) as the likely disease gene. Subsequent mutation analysis revealed a novel missense mutation, which cosegregated with the disease in the family (lod score: 4.8). To determine if idiopathic RCM is part of the clinical expression of TNNI3 mutations, genetic investigations of the gene were performed in an additional nine unrelated RCM patients with restrictive filling patterns, bi-atrial dilatation, normal systolic function, and normal wall thickness. TNNI3 mutations were identified in six of these nine RCM patients. Two of the mutations identified in young individuals were de novo mutations. All mutations appeared in conserved and functionally important domains of the gene. PMID:12531876

Availability Estimation for Facilities in Extreme Geographical Locations

NASA Technical Reports Server (NTRS)

Fischer, Gerd M.; Omotoso, Oluseun; Chen, Guangming; Evans, John W.

2012-01-01

A value added analysis for the Reliability. Availability and Maintainability of McMurdo Ground Station was developed, which will be a useful tool for system managers in sparing, maintenance planning and determining vital performance metrics needed for readiness assessment of the upgrades to the McMurdo System. Output of this study can also be used as inputs and recommendations for the application of Reliability Centered Maintenance (RCM) for the system. ReliaSoft's BlockSim. a commercial Reliability Analysis software package, has been used to model the availability of the system upgrade to the National Aeronautics and Space Administration (NASA) Near Earth Network (NEN) Ground Station at McMurdo Station in the Antarctica. The logistics challenges due to the closure of access to McMurdo Station during the Antarctic winter was modeled using a weighted composite of four Weibull distributions. one of the possible choices for statistical distributions throughout the software program and usually used to account for failure rates of components supplied by different manufacturers. The inaccessibility of the antenna site on a hill outside McMurdo Station throughout one year due to severe weather was modeled with a Weibull distribution for the repair crew availability. The Weibull distribution is based on an analysis of the available weather data for the antenna site for 2007 in combination with the rules for travel restrictions due to severe weather imposed by the administrating agency, the National Science Foundation (NSF). The simulations resulted in an upper bound for the system availability and allowed for identification of components that would improve availability based on a higher on-site spare count than initially planned.

76 FR 13997 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-15

... Corps: appointment; duties; Rules for Courts-Martial (RCM) Rule 109, Manual for Courts-Martial United... Advocate General's Corps: Appointment; duties; Rules for Courts-Martial (RCM) Rule 109, Manual for Courts...

Differentiation of Constriction and Restriction: Complex Cardiovascular Hemodynamics.

PubMed

Geske, Jeffrey B; Anavekar, Nandan S; Nishimura, Rick A; Oh, Jae K; Gersh, Bernard J

2016-11-29

Differentiation of constrictive pericarditis (CP) from restrictive cardiomyopathy (RCM) is a complex and often challenging process. Because CP is a potentially curable cause of heart failure and therapeutic options for RCM are limited, distinction of these 2 conditions is critical. Although different in regard to etiology, prognosis, and treatment, CP and RCM share a common clinical presentation of predominantly right-sided heart failure, in the absence of significant left ventricular systolic dysfunction or valve disease, due to impaired ventricular diastolic filling. Fundamental to the diagnosis of either condition is a clear understanding of the underlying hemodynamic principles and pathophysiology. We present a contemporary review of the pathophysiology, hemodynamics, diagnostic assessment, and therapeutic approach to patients presenting with CP and RCM. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Does Dynamical Downscaling Introduce Novel Information in Climate Model Simulations of Recipitation Change over a Complex Topography Region?

NASA Technical Reports Server (NTRS)

Tselioudis, George; Douvis, Costas; Zerefos, Christos

2012-01-01

Current climate and future climate-warming runs with the RegCM Regional Climate Model (RCM) at 50 and 11 km-resolutions forced by the ECHAM GCM are used to examine whether the increased resolution of the RCM introduces novel information in the precipitation field when the models are run for the mountainous region of the Hellenic peninsula. The model results are inter-compared with the resolution of the RCM output degraded to match that of the GCM, and it is found that in both the present and future climate runs the regional models produce more precipitation than the forcing GCM. At the same time, the RCM runs produce increases in precipitation with climate warming even though they are forced with a GCM that shows no precipitation change in the region. The additional precipitation is mostly concentrated over the mountain ranges, where orographic precipitation formation is expected to be a dominant mechanism. It is found that, when examined at the same resolution, the elevation heights of the GCM are lower than those of the averaged RCM in the areas of the main mountain ranges. It is also found that the majority of the difference in precipitation between the RCM and the GCM can be explained by their difference in topographic height. The study results indicate that, in complex topography regions, GCM predictions of precipitation change with climate warming may be dry biased due to the GCM smoothing of the regional topography.

Handheld optical coherence tomography-reflectance confocal microscopy probe for detection of basal cell carcinoma and delineation of margins

NASA Astrophysics Data System (ADS)

Iftimia, Nicusor; Yélamos, Oriol; Chen, Chih-Shan J.; Maguluri, Gopi; Cordova, Miguel A.; Sahu, Aditi; Park, Jesung; Fox, William; Alessi-Fox, Christi; Rajadhyaksha, Milind

2017-07-01

We present a hand-held implementation and preliminary evaluation of a combined optical coherence tomography (OCT) and reflectance confocal microscopy (RCM) probe for detecting and delineating the margins of basal cell carcinomas (BCCs) in human skin in vivo. A standard OCT approach (spectrometer-based) with a central wavelength of 1310 nm and 0.11 numerical aperture (NA) was combined with a standard RCM approach (830-nm wavelength and 0.9 NA) into a common path hand-held probe. Cross-sectional OCT images and enface RCM images are simultaneously displayed, allowing for three-dimensional microscopic assessment of tumor morphology in real time. Depending on the subtype and depth of the BCC tumor and surrounding skin conditions, OCT and RCM imaging are able to complement each other, the strengths of each helping overcome the limitations of the other. Four representative cases are summarized, out of the 15 investigated in a preliminary pilot study, demonstrating how OCT and RCM imaging may be synergistically combined to more accurately detect BCCs and more completely delineate margins. Our preliminary results highlight the potential benefits of combining the two technologies within a single probe to potentially guide diagnosis as well as treatment of BCCs.

SAPS simulation with GITM/UCLA-RCM coupled model

NASA Astrophysics Data System (ADS)

Lu, Y.; Deng, Y.; Guo, J.; Zhang, D.; Wang, C. P.; Sheng, C.

2017-12-01

Abstract: SAPS simulation with GITM/UCLA-RCM coupled model Author: Yang Lu, Yue Deng, Jiapeng Guo, Donghe Zhang, Chih-Ping Wang, Cheng Sheng Ion velocity in the Sub Aurora region observed by Satellites in storm time often shows a significant westward component. The high speed westward stream is distinguished with convection pattern. These kind of events are called Sub Aurora Polarization Stream (SAPS). In March 17th 2013 storm, DMSP F18 satellite observed several SAPS cases when crossing Sub Aurora region. In this study, Global Ionosphere Thermosphere Model (GITM) has been coupled to UCLA-RCM model to simulate the impact of SAPS during March 2013 event on the ionosphere/thermosphere. The particle precipitation and electric field from RCM has been used to drive GITM. The conductance calculated from GITM has feedback to RCM to make the coupling to be self-consistent. The comparison of GITM simulations with different SAPS specifications will be conducted. The neutral wind from simulation will be compared with GOCE satellite. The comparison between runs with SAPS and without SAPS will separate the effect of SAPS from others and illustrate the impact on the TIDS/TADS propagating to both poleward and equatorward directions.

Low Catalyst Loadings in Olefin Metathesis: Synthesis of Nitrogen Heterocycles by Ring Closing Metathesis

PubMed Central

Kuhn, Kevin M.; Champagne, Timothy M.; Hong, Soon Hyeok; Wei, Wen-Hao; Nickel, Andrew; Lee, Choon Woo; Virgil, Scott C.; Grubbs, Robert H.; Pederson, Richard L.

2010-01-01

(eq 1) A series of ruthenium catalysts have been screened under ring closing metathesis (RCM) conditions to produce five-, six-, and seven-membered carbamate-protected cyclic amines. Many of these catalysts demonstrated excellent RCM activity and yields with as low as 500 ppm catalyst loadings. RCM of the five-membered carbamate-series could be run neat, the six-membered carbamate-series could be run at 1.0 M concentrations and the seven-membered carbamate-series worked best at 0.2 M to 0.05 M concentrations. PMID:20141172

In vivo Confocal Laser Microscopy for monitoring of actinic keratosis treatment: a comparison with histopathologic assessment after treatment with topical 5% 5-fluorouracil.

PubMed

Ishioka, P; Maia, M; Rodrigues, S B; Lellis, R F; Hirata, S H

2017-11-24

Histological examination is the gold standard for actinic keratosis diagnosis; however, it is not always a feasible approach. Reflectance confocal microscopy (RCM) is a non-invasive technique that may be an alternative for monitoring actinic keratoses treatment response. Topical 5-fluorouracil is indicated for actinic keratosis multiple lesions and for field cancerization treatment. To assess the RCM accuracy, sensibility and specificity for actinic keratosis, considering as a gold standard the histopathological examination; as well as to evaluate the efficacy of 5% 5-fluorouracil treatment. This is a prospective study in actinic keratosis patients between August 2014 and November 2015. RCM analyses were performed in one randomly selected actinic keratosis lesion of the upper limbs by two independent observers before and after 5% 5-fluorouracil treatment. At the end of treatment and with clinical bleaching of treated lesions, histological examination was performed by two pathologists. A total of 50 lesions were enroled, and 40 lesions presented complete clinical bleaching after treatment and were included in the final analysis. Accuracy, sensibility and specificity means among observers were 83.8%, 84.6% and 83.3%, respectively. After 5-fluorouracil treatment, actinic keratosis was diagnosed in 45.0% (observer 1) and 32.5% (observer 2) of subjects according to RCM and in 32.5% of subjects according to histological examination. Considering RCM observers diagnosis, the concordance was substantial (k 0.637, P < 0.001). 5-fluorouracil led to a reduction in 55.0%-67.5% of actinic keratoses according to RCM analysis. This study allows to validate RCM as a non-invasive method capable of monitoring actinic keratosis therapeutic response to 5-fluorouracil, presenting efficacy comparable to histological examination. Additionally, the results suggest that 5-fluorouracil may be a satisfactory option for therapeutic control of this condition. © 2017 European Academy of Dermatology and Venereology.

Relationships of models of the inner magnetosphere to the Rice Convection Model

NASA Astrophysics Data System (ADS)

Heinemann, M.; Wolf, R. A.

2001-08-01

Ideal magnetohydrodynamics is known to be inaccurate for the Earth's inner magnetosphere, where transport by gradient-curvature drift is nonnegligible compared to E×B drift. Most theoretical treatments of the inner plasma sheet and ring current, including the Rice Convection Model (RCM), treat the inner magnetospheric plasma in terms of guiding center drifts. The RCM assumes that the distribution function is isotropic, but particles with different energy invariants are treated as separate guiding center fluids. However, Peymirat and Fontaine [1994] developed a two-fluid picture of the inner magnetosphere, which utilizes modified forms of the conventional fluid equations, not guiding center drift equations. Heinemann [1999] argued theoretically that for inner magnetospheric conditions the fluid energy equation should include a heat flux term, which, in the case of Maxwellian plasma, was derived by Braginskii [1965]. We have now reconciled the Heinemann [1999] fluid approach with the RCM. The fluid equations, including the Braginskii heat flux, can be derived by taking appropriate moments of the RCM equations for the case of the Maxwellian distribution. The physical difference between the RCM formalism and the Heinemann [1999] fluid approach is that the RCM pretends that particles suffer elastic collisions that maintain the isotropy of the distribution function but do not change particle energies. The Heinemann [1999] fluid treatment makes a different physical approximation, namely that the collisions maintain local thermal equilibrium among the ions and separately among the electrons. For some simple cases, numerical results are presented that illustrate the differences in the predictions of the two formalisms, along with those of MHD, guiding center theory, and Peymirat and Fontaine [1994].

In vivo reflectance confocal microscopy evaluation of cheilitis glandularis: a report of 5 cases.

PubMed

Lourenço, Silvia V; Kos, Eliana; Borguezan Nunes, Thais; Bologna, Sheyla B; Sangueza, Martin; Nico, Marcello M S

2015-03-01

Cheilitis glandularis (CG) is an uncommon condition of unknown origin; it is clinically characterized by variable degrees of macrocheilia associated with red dilated ostia of minor salivary glands on the vermilion area, which secrete viscous saliva. Histopathological characteristics of CG are comprised of chronic sialadenitis with engorged acinar lobules and dilated ducts; CG also features chronic sun damage (actinic cheilitis and squamous cell carcinoma). These changes may be localized, and a punch biopsy specimen might fail to reveal enough criteria to support the diagnosis of CG. Reflectance confocal microscopy (RCM) is a noninvasive imaging technique that enables an in vivo en face visualization of tissues with a resolution close to conventional histopathology. Its use allows analysis of the entire lip, without excision. We reported the evaluation of 5 cases of CG based on clinical RCM and histopathological correlation. RCM examination of the lip vermilion mainly revealed a bright aspect of the superficial epithelial layers, which corresponded to labial keratosis. Alteration of the classical epithelial honeycomb pattern was observed in RCM, which corresponded to epithelial changes in actinic cheilitis at histopathology. Round, dark empty spaces intermingling the epithelium, corresponded to the ectopic excretory salivary gland ducts that open their ostia within the lip vermilion. In the lamina propria, the most striking feature was superficial salivary gland lobules, seen as dark gray lobular structures. Our study, demonstrated the use of RCM in the evaluation of CG, showing that a correlation between the clinical, digital RCM images and histopathology improved the diagnostic skills in CG evaluation.

Novel Phenotype-Genotype Correlations of Restrictive Cardiomyopathy With Myosin-Binding Protein C (MYBPC3) Gene Mutations Tested by Next-Generation Sequencing.

PubMed

Wu, Wei; Lu, Chao-Xia; Wang, Yi-Ning; Liu, Fang; Chen, Wei; Liu, Yong-Tai; Han, Ye-Chen; Cao, Jian; Zhang, Shu-Yang; Zhang, Xue

2015-07-10

MYBPC3 dysfunctions have been proven to induce dilated cardiomyopathy, hypertrophic cardiomyopathy, and/or left ventricular noncompaction; however, the genotype-phenotype correlation between MYBPC3 and restrictive cardiomyopathy (RCM) has not been established. The newly developed next-generation sequencing method is capable of broad genomic DNA sequencing with high throughput and can help explore novel correlations between genetic variants and cardiomyopathies. A proband from a multigenerational family with 3 live patients and 1 unrelated patient with clinical diagnoses of RCM underwent a next-generation sequencing workflow based on a custom AmpliSeq panel, including 64 candidate pathogenic genes for cardiomyopathies, on the Ion Personal Genome Machine high-throughput sequencing benchtop instrument. The selected panel contained a total of 64 genes that were reportedly associated with inherited cardiomyopathies. All patients fulfilled strict criteria for RCM with clinical characteristics, echocardiography, and/or cardiac magnetic resonance findings. The multigenerational family with 3 adult RCM patients carried an identical nonsense MYBPC3 mutation, and the unrelated patient carried a missense mutation in the MYBPC3 gene. All of these results were confirmed by the Sanger sequencing method. This study demonstrated that MYBPC3 gene mutations, revealed by next-generation sequencing, were associated with familial and sporadic RCM patients. It is suggested that the next-generation sequencing platform with a selected panel provides a highly efficient approach for molecular diagnosis of hereditary and idiopathic RCM and helps build new genotype-phenotype correlations. © 2015 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

Dynamic skin changes of acute radiation dermatitis revealed by in vivo reflectance confocal microscopy.

PubMed

Vano-Galvan, S; Fernandez-Lizarbe, E; Truchuelo, M; Diaz-Ley, B; Grillo, E; Sanchez, V; Ríos-Buceta, L; Paoli, J; Sancho, S; Montero, A; Hernanz, R; Ramos, A; Jaen, P; Gonzalez, S

2013-09-01

A better knowledge of the dynamic biological changes that the skin undergoes in response to ionizing radiation is advisable to improve the management of radiation dermatitis, allowing selection of patients needing treatment or close monitoring. To describe the evolution of the skin in response to ionizing radiation through the reflectance confocal microscopy (RCM) features of acute radiation dermatitis. In this prospective descriptive study, six women (median age, 55 years; range, 45-80 years) diagnosed with breast cancer in stages IA-IB undergoing adjuvant radiotherapy were included in the study through consecutive sampling. Clinical, dermoscopic and RCM evaluation of the skin were performed prior to treatment and on days 1, 15, 30 and 45 after radiotherapy. While clinical features of radiation dermatitis emerged after 30 days on average, histopathological changes were detectable by RCM after a mean time of 15 days. The main RCM features included initial appearance of spongiosis, exocytosis and inflammatory cells followed by the presence of dendritic-shaped cells, 'streaming-like figures', 'broken geographic papillae', epidermal architectural disarray, effacement of rete ridges, melanophages and, finally, hyperpigmentation of the basal layer. RCM may safely detect the dynamic biological changes that the skin undergoes in response to ionizing radiation, even before than clinical onset of acute radiation dermatitis. Therefore, RCM may be useful to make an early and non-invasive diagnosis of radiation dermatitis during radiotherapy, allowing an early selection of patients needing treatment or close monitoring and avoiding skin biopsies. © 2012 The Authors. Journal of the European Academy of Dermatology and Venereology © 2012 European Academy of Dermatology and Venereology.

Spatiotemporal closure of fractional laser-ablated channels imaged by optical coherence tomography and reflectance confocal microscopy.

PubMed

Banzhaf, Christina A; Wind, Bas S; Mogensen, Mette; Meesters, Arne A; Paasch, Uwe; Wolkerstorfer, Albert; Haedersdal, Merete

2016-02-01

Optical coherence tomography (OCT) and reflectance confocal microscopy (RCM) offer high-resolution optical imaging of the skin, which may provide benefit in the context of laser-assisted drug delivery. We aimed to characterize postoperative healing of ablative fractional laser (AFXL)-induced channels and dynamics in their spatiotemporal closure using in vivo OCT and RCM techniques. The inner forearm of healthy subjects (n = 6) was exposed to 10,600 nm fractional CO2 laser using 5 and 25% densities, 120 μm beam diameter, 5, 15, and 25 mJ/microbeam. Treatment sites were scanned with OCT to evaluate closure of AFXL-channels and RCM to evaluate subsequent re-epithelialization. OCT and RCM identified laser channels in epidermis and upper dermis as black, ablated tissue defects surrounded by characteristic hyper-and hyporeflective zones. OCT imaged individual laser channels of the entire laser grid, and RCM imaged epidermal cellular and structural changes around a single laser channel to the depth of the dermoepidermal junction (DEJ) and upper papillary dermis. OCT images visualized a heterogeneous material in the lower part of open laser channels, indicating tissue fluid. By OCT the median percentage of open channels was evaluated at several time points within the first 24 hours and laser channels were found to gradually close, depending on the used energy level. Thus, at 5 mJ/microbeam, 87% (range 73-100%) of channels were open one hour after laser exposure, which declined to 27% (range 20-100%) and 20% (range 7-93%) at 12 and 24 hours after laser exposure, respectively. At 25 mJ/microbeam, 100% (range 100-100%) of channels were open 1 hour after laser exposure while 53% (range 33-100%) and 40% (range 0-100%) remained open at 12 and 24 hours after exposure. Median depth and width of open channels decreased over time depending of applied energy. RCM verified initial re-epithelialization from day 2 for all energy levels used. Morphology of ablation defects by OCT and RCM corresponded to histological assessments. OCT and RCM enabled imaging of AFXL-channels and their spatiotemporal closure. Laser channels remained open up to 24 hours post laser, which may be important for the time perspective to deliver topical substances through AFXL channels. © 2015 Wiley Periodicals, Inc.

Assessment of Multiple Daily Precipitation Statistics in ERA-Interim Driven Med-CORDEX and EURO-CORDEX Experiments Against High Resolution Observations

NASA Astrophysics Data System (ADS)

Coppola, E.; Fantini, A.; Raffaele, F.; Torma, C. Z.; Bacer, S.; Giorgi, F.; Ahrens, B.; Dubois, C.; Sanchez, E.; Verdecchia, M.

2017-12-01

We assess the statistics of different daily precipitation indices in ensembles of Med-CORDEX and EUROCORDEX experiments at high resolution (grid spacing of ˜0.11° , or RCM11) and medium resolution (grid spacing of ˜0.44° , or RCM44) with regional climate models (RCMs) driven by the ERA-Interim reanalysis of observations for the period 1989-2008. The assessment is carried out by comparison with a set of high resolution observation datasets for 9 European subregions. The statistics analyzed include quantitative metrics for mean precipitation, daily precipitation Probability Density Functions (PDFs), daily precipitation intensity, frequency, 95th percentile and 95th percentile of dry spell length. We assess both an ensemble including all Med-CORDEX and EURO-CORDEX models and one including the Med-CORDEX models alone. For the All Models ensembles, the RCM11 one shows a remarkable performance in reproducing the spatial patterns and seasonal cycle of mean precipitation over all regions, with a consistent and marked improvement compared to the RCM44 ensemble and the ERA-Interim reanalysis. A good consistency with observations by the RCM11 ensemble (and a substantial improvement compared to RCM44 and ERA-Interim) is found also for the daily precipitation PDFs, mean intensity and, to a lesser extent, the 95th percentile. In fact, for some regions the RCM11 ensemble overestimates the occurrence of very high intensity events while for one region the models underestimate the occurrence of the largest extremes. The RCM11 ensemble still shows a general tendency to underestimate the dry day frequency and 95th percentile of dry spell length over wetter regions, with only a marginal improvement compared to the lower resolution models. This indicates that the problem of the excessive production of low precipitation events found in many climate models persists also at relatively high resolutions, at least in wet climate regimes. Concerning the Med-CORDEX model ensembles we find that their performance is of similar quality as that of the all-models over the Mediterranean regions analyzed. Finally, we stress the need of consistent and quality checked fine scale observation datasets for the assessment of RCMs run at increasingly high horizontal resolutions.

Effects of Radiographic Contrast Media on the Micromorphology of the Junctional Complex of Erythrocytes Visualized by Immunocytology

PubMed Central

Franke, Ralf-Peter; Krüger, Anne; Scharnweber, Tim; Wenzel, Folker; Jung, Friedrich

2014-01-01

Effects of radiographic contrast media (RCM) application were demonstrated in vitro and in vivo where the injection of RCM into the A. axillaris of patients with coronary artery disease was followed by a significant and RCM-dependent decrease of erythrocyte velocity in downstream skin capillaries. Another study in pigs revealed that the deceleration of erythrocytes coincided with a significant reduction of the oxygen partial pressure in the myocardium—supplied by the left coronary artery—after the administration of RCM into this artery. Further reports showed RCM dependent alterations of erythrocytes like echinocyte formation and exocytosis, sequestration of actin or band 3 and the buckling of endothelial cells coinciding with a formation of interendothelial fenestrations leading to areas devoid of endothelial cells. Key to morphological alterations of erythrocytes is the membrane cytoskeleton, which is linked to the band 3 in the erythrocyte membrane via the junctional complex. Fundamental observations regarding the cell biological and biochemical aspects of the structure and function of the cell membrane and the membrane cytoskeleton of erythrocytes have been reported. This review focuses on recent results gained, e.g., by advanced confocal laser scanning microscopy of different double-stained structural elements of the erythrocyte membrane cytoskeleton. PMID:25222553

Comparison between reflectance confocal microscopy and two-photon microscopy in early detection of cutaneous radiation injury in a mouse model in-vivo.

PubMed

Jang, Won Hyuk; Kwon, Soonjae; Shim, Sehwan; Jang, Won-Suk; Myung, Jae Kyung; Yang, Sejung; Park, Sunhoo; Kim, Ki Hean

2018-05-12

Cutaneous radiation injury (CRI) is a skin injury caused by high dose exposure of ionizing radiation (IR). For proper treatment, early detection of CRI before clinical symptoms is important. Optical microscopic techniques such as reflectance confocal microscopy (RCM) and two-photon microscopy (TPM) have been tested as the early diagnosis method by detecting cellular changes. In this study, RCM and TPM were compared in the detection of cellular changes caused by CRI in an in-vivo mouse model. CRI was induced on the mouse hindlimb skin with various IR doses and the injured skin regions were imaged longitudinally by both modalities until the onset of clinical symptoms. Both RCM and TPM detected the changes of epidermal cells and sebaceous glands before clinical symptoms in different optical contrasts. RCM detected changes of cell morphology and scattering property based on light reflection. TPM detected detail changes of cellular structures based on autofluorescence of cells. Since both RCM and TPM were sensitive to the early-stage CRI by using different contrasts, the optimal method for clinical CRI diagnosis could be either individual methods or their combination. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

South Asian summer monsoon breaks: Process-based diagnostics in HIRHAM5

NASA Astrophysics Data System (ADS)

Hanf, Franziska S.; Annamalai, H.; Rinke, Annette; Dethloff, Klaus

2017-05-01

This study assesses the ability of a high-resolution downscaling simulation with the regional climate model (RCM) HIRHAM5 in capturing the monsoon basic state and boreal summer intraseasonal variability (BSISV) over South Asia with focus on moist and radiative processes during 1979-2012. A process-based vertically integrated moist static energy (MSE) budget is performed to understand the model's fidelity in representing leading processes that govern the monsoon breaks over continental India. In the climatology (June-September) HIRHAM5 simulates a dry bias over central India in association with descent throughout the free troposphere. Sources of dry bias are interpreted as (i) near-equatorial Rossby wave response forced by excess rainfall over the southern Bay of Bengal promotes anomalous descent to its northwest and (ii) excessive rainfall over near-equatorial Arabian Sea and Bay of Bengal anchor a "local Hadley-type" circulation with descent anomalies over continental India. Compared with observations HIRHAM5 captures the leading processes that account for breaks, although with generally reduced amplitudes over central India. In the model too, anomalous dry advection and net radiative cooling are responsible for the initiation and maintenance of breaks, respectively. However, weaker contributions of all adiabatic MSE budget terms, and an inconsistent relationship between negative rainfall anomalies and radiative cooling reveals shortcomings in HIRHAM5's moisture-radiation interaction. Our study directly implies that process-based budget diagnostics are necessary, apart from just checking the northward propagation feature to examine RCM's fidelity to simulate BSISV.

In vivo features of melanocytic lesions: multimode hyperspectral dermoscopy, reflectance confocal microscopy, and histopathologic correlates (Conference Presentation)

NASA Astrophysics Data System (ADS)

Vasefi, Fartash; MacKinnon, Nicholas B.; Jain, Manu; Cordova, Miguel A.; Kose, Kivanc; Rajadhyaksha, Milind; Halpern, Allan C.; Farkas, Daniel L.

2017-02-01

Motivation and background: Melanoma, the fastest growing cancer worldwide, kills more than one person every hour in the United States. Determining the depth and distribution of dermal melanin and hemoglobin adds physio-morphologic information to the current diagnostic standard, cellular morphology, to further develop noninvasive methods to discriminate between melanoma and benign skin conditions. Purpose: To compare the performance of a multimode dermoscopy system (SkinSpect), which is designed to quantify and map in three dimensions, in vivo melanin and hemoglobin in skin, and to validate this with histopathology and three dimensional reflectance confocal microscopy (RCM) imaging. Methods: Sequentially capture SkinSpect and RCM images of suspect lesions and nearby normal skin and compare this with histopathology reports, RCM imaging allows noninvasive observation of nuclear, cellular and structural detail in 1-5 μm-thin optical sections in skin, and detection of pigmented skin lesions with sensitivity of 90-95% and specificity of 70-80%. The multimode imaging dermoscope combines polarization (cross and parallel), autofluorescence and hyperspectral imaging to noninvasively map the distribution of melanin, collagen and hemoglobin oxygenation in pigmented skin lesions. Results: We compared in vivo features of ten melanocytic lesions extracted by SkinSpect and RCM imaging, and correlated them to histopathologic results. We present results of two melanoma cases (in situ and invasive), and compare with in vivo features from eight benign lesions. Melanin distribution at different depths and hemodynamics, including abnormal vascularity, detected by both SkinSpect and RCM will be discussed. Conclusion: Diagnostic features such as dermal melanin and hemoglobin concentration provided in SkinSpect skin analysis for melanoma and normal pigmented lesions can be compared and validated using results from RCM and histopathology.

β-Blocker premedication does not increase the frequency of allergic reactions from coronary CT angiography: Results from the Advanced Cardiovascular Imaging Consortium.

PubMed

Aggarwal, Anshul; Smith, James L; Chinnaiyan, Kavitha M; Mehta, Neesurg; Boura, Judith; Khoury Abdulla, Rami; Lauter, Carl B; Raff, Gilbert L

2015-01-01

β-Blockers are often used for heart rate control during coronary CT angiography (CTA). Increased frequency and severity of allergic reactions to radiocontrast media (RCM) have been reported with concomitant use of β-blockers. The objectives of this study were to determine whether there is a higher incidence of allergic reactions to low-osmolar nonionic RCM in patients undergoing coronary CTA with concomitant β-blockers and to define the overall incidence and severity of allergic reactions in patients undergoing coronary CTA with and without a history of allergy to RCM. Patients undergoing coronary CTA at 47 institutions participating in the Advanced Cardiovascular Imaging Consortium registry were analyzed. The incidence and severity of allergic reactions were compared between those patients who did and those who did not receive β-blockers, as well as in subgroups of patients with and without a history of prior allergy to RCM. The incidence of allergic reaction in patients who received β-blockers was 45 of 23,867 (0.19%) compared with those who did not receive β-blockers, which was 9 of 5232 (0.17%; P = .84; odds ratio = 1.1). Of the patients with history of allergy to RCM, 4 of 706 patients (0.6%) on β-blockers experienced allergic reactions compared to 1 of 77 patients (1.3%) without β-blockers (P = .40; odds ratio = 0.43). β-Blocker pretreatment had no effect on the frequency or severity of allergic reaction in patients undergoing coronary CTA, even in patients with a past history of allergy to RCM. Copyright © 2015 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.

Reflectance confocal microscopy vs. standardized skin surface biopsy for measuring the density of Demodex mites.

PubMed

Turgut Erdemir, A; Gurel, M S; Koku Aksu, A E; Bilgin Karahalli, F; Incel, P; Kutlu Haytoğlu, N S; Falay, T

2014-11-01

Reflectance confocal microscopy (RCM) has been recently shown to be effective for measuring the Demodex mite density. To compare and demonstrate the advantages and disadvantages of standardized skin surface biopsy (SSSB) and RCM for measuring the density of Demodex mites. Forty-eight patients (30 female, 18 male) and 47 healthy controls (30 female, 17 male) were enrolled in the study. The patients diagnoses were pityriasis folliculorum (n = 40), papulopustulary rosecea (n = 7) and erythema-telengiectatic rosacea (n = 1). The area with the most intense erythema on the right cheek was selected for imaging with RCM (VivaScope 3000) and SSSB. Forty-two patients demonstrated high Demodex density [(Dd) > 5 mites/cm(2) ] with SSSB (85.7%). RCM identified demodicosis in 48 patients (100%). The mean Dd measured with RCM (409.8 ± 209.2) was significantly higher than SSSB (15.33 ± 18.1) (P < 0.001). In the patients, RCM demonstrated the mean number of mites 40.90 ± 20.9 and 4.11 ± 6.4 in the controls per 10 mm(2) area. The corresponding mean number of 2.63 ± 0.77 mites was detected in the infested follicles per area of view compared to a mean of 0.77 ± 0.98 mites in the infested follicles in the controls (P < 0.001). Reflectance confocal microscopy is a fast, direct and noninvasive method for Demodex-associated diseases and it is superior to SSSB for Demodex mite detection. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

The North American Regional Climate Change Assessment Program (NARCCAP): Status and results

NASA Astrophysics Data System (ADS)

Gutowski, W. J.

2009-12-01

NARCCAP is a multi-institutional program that is investigating systematically the uncertainties in regional scale simulations of contemporary climate and projections of future climate. NARCCAP is supported by multiple federal agencies. NARCCAP is producing an ensemble of high-resolution climate-change scenarios by nesting multiple RCMs in reanalyses and multiple atmosphere-ocean GCM simulations of contemporary and future-scenario climates. The RCM domains cover the contiguous U.S., northern Mexico, and most of Canada. The simulation suite also includes time-slice, high resolution GCMs that use sea-surface temperatures from parent atmosphere-ocean GCMs. The baseline resolution of the RCMs and time-slice GCMs is 50 km. Simulations use three sources of boundary conditions: National Centers for Environmental Prediction (NCEP)/Department of Energy (DOE) AMIP-II Reanalysis, GCMs simulating contemporary climate and GCMs using the A2 SRES emission scenario for the twenty-first century. Simulations cover 1979-2004 and 2038-2060, with the first 3 years discarded for spin-up. The resulting RCM and time-slice simulations offer opportunity for extensive analysis of RCM simulations as well as a basis for multiple high-resolution climate scenarios for climate change impacts assessments. Geophysical statisticians are developing measures of uncertainty from the ensemble. To enable very high-resolution simulations of specific regions, both RCM and high-resolution time-slice simulations are saving output needed for further downscaling. All output is publically available to the climate analysis and the climate impacts assessment community, through an archiving and data-distribution plan. Some initial results show that the models closely reproduce ENSO-related precipitation variations in coastal California, where the correlation between the simulated and observed monthly time series exceeds 0.94 for all models. The strong El Nino events of 1982-83 and 1997-98 are well reproduced for the Pacific coastal region of the U.S. in all models. ENSO signals are less well reproduced in other regions. The models also produce well extreme monthly precipitation in coastal California and the Upper Midwest. Model performance tends to deteriorate from west to east across the domain, or roughly from the inflow boundary toward the outflow boundary. This deterioration with distance from the inflow boundary is ameliorated to some extent in models formulated such that large-scale information is included in the model solution, whether implemented by spectral nudging or by use of a perturbation form of the governing equations.

Beware Higher Ed's Newest Budget Twist.

ERIC Educational Resources Information Center

Dubeck, Leroy W.

1997-01-01

A new budgeting concept currently popular in colleges and universities, Responsibility Centered Management (RCM) holds that unit heads, who understand their operations best, should be given greater budgetary authority and responsibility. Experience with the system at Indiana University and several hypothetical cases suggest that RCM would place…

Fluorescence lifetime imaging and reflectance confocal microscopy for multiscale imaging of oral precancer

NASA Astrophysics Data System (ADS)

Jabbour, Joey M.; Cheng, Shuna; Malik, Bilal H.; Cuenca, Rodrigo; Jo, Javier A.; Wright, John; Cheng, Yi-Shing Lisa; Maitland, Kristen C.

2013-04-01

Optical imaging techniques using a variety of contrast mechanisms are under evaluation for early detection of epithelial precancer; however, tradeoffs in field of view (FOV) and resolution may limit their application. Therefore, we present a multiscale multimodal optical imaging system combining macroscopic biochemical imaging of fluorescence lifetime imaging (FLIM) with subcellular morphologic imaging of reflectance confocal microscopy (RCM). The FLIM module images a 16×16 mm2 tissue area with 62.5 μm lateral and 320 ps temporal resolution to guide cellular imaging of suspicious regions. Subsequently, coregistered RCM images are acquired at 7 Hz with 400 μm diameter FOV, <1 μm lateral and 3.5 μm axial resolution. FLIM-RCM imaging was performed on a tissue phantom, normal porcine buccal mucosa, and a hamster cheek pouch model of oral carcinogenesis. While FLIM is sensitive to biochemical and macroscopic architectural changes in tissue, RCM provides images of cell nuclear morphology, all key indicators of precancer progression.

Model Errors in Simulating Precipitation and Radiation fields in the NARCCAP Hindcast Experiment

NASA Astrophysics Data System (ADS)

Kim, J.; Waliser, D. E.; Mearns, L. O.; Mattmann, C. A.; McGinnis, S. A.; Goodale, C. E.; Hart, A. F.; Crichton, D. J.

2012-12-01

The relationship between the model errors in simulating precipitation and radiation fields including the surface insolation and OLR, is examined from the multi-RCM NARCCAP hindcast experiment for the conterminous U.S. region. Findings in this study suggest that the RCM biases in simulating precipitation are related with those in simulating radiation fields. For a majority of RCMs participated in the NARCCAP hindcast experiment as well as their ensemble, the spatial pattern of the insolation bias is negatively correlated with that of the precipitation bias, suggesting that the biases in precipitation and surface insolation are systematically related, most likely via the cloud fields. The relationship varies according to seasons as well with stronger relationship between the simulated precipitation and surface insolation during winter. This suggests that the RCM biases in precipitation and radiation are related via cloud fields. Additional analysis on the RCM errors in OLR is underway to examine more details of this relationship.

An Inexpensive, Fast and Sensitive Quantitative Lateral Flow Magneto-Immunoassay for Total Prostate Specific Antigen

PubMed Central

Barnett, Jacqueline M.; Wraith, Patrick; Kiely, Janice; Persad, Raj; Hurley, Katrina; Hawkins, Peter; Luxton, Richard

2014-01-01

We describe the detection characteristics of a device the Resonant Coil Magnetometer (RCM) to quantify paramagnetic particles (PMPs) in immunochromatographic (lateral flow) assays. Lateral flow assays were developed using PMPs for the measurement of total prostate specific antigen (PSA) in serum samples. A detection limit of 0.8 ng/mL was achieved for total PSA using the RCM and is at clinically significant concentrations. Comparison of data obtained in a pilot study from the analysis of serum samples with commercially available immunoassays shows good agreement. The development of a quantitative magneto-immunoassay in lateral flow format for total PSA suggests the potential of the RCM to operate with many immunoassay formats. The RCM has the potential to be modified to quantify multiple analytes in this format. This research shows promise for the development of an inexpensive device capable of quantifying multiple analytes at the point-of-care using a magneto-immunoassay in lateral flow format. PMID:25587419

Department of Defense Technology Transfer (T2) Program

DTIC Science & Technology

2014-04-08

January February (1st Monday) Disposal System Performance Spec Production Representative Articles CARD – Cost Analysis Requirements Description CCE...Supportability Objectives Exit Criteria Met APB MTA FMECA FTA LORA RCM MS B Threshold/objective tradeoffs – Revised Performance Attributes MS C MS A...Evaluation FTA – Failure Tree Analysis IOT&E – Initial Operational Test & Evaluation ISR – In-Service Review ISP – Information Support Plan ITR – Initial

Efficacy of Mucograft vs Conventional Resorbable Collagen Membranes in Guided Bone Regeneration Around Standardized Calvarial Defects in Rats: A Histologic and Biomechanical Assessment.

PubMed

Ramalingam, Sundar; Basudan, Amani; Babay, Nadir; Al-Rasheed, Abdulaziz; Nooh, Nasser; Nagshbandi, Jafar; Aldahmash, Abdullah; Atteya, Muhammad; Al-Hezaimi, Khalid

2016-01-01

Guided bone regeneration (GBR) using a porcine-derived collagen matrix (Mucograft [MG], Geistlich) has not yet been reported. The aim of this histologic and biomechanical study was to compare the efficacy of MG versus resorbable collagen membranes (RCMs) in facilitating GBR around standardized rat calvarial defects. Forty female Wistar albino rats with a mean age and weight of 6 to 9 weeks and 250 to 300 g, respectively, were used. With the rats under general anesthesia, the skin over the calvaria was exposed using a full-thickness flap. A 4.6-mm-diameter standardized calvarial defect was created in the left parietal bone. For treatment, the rats were randomly divided into four groups (n = 10 per group): (1) MG group: the defect was covered with MG; (2) RCM group: the defect was covered with an RCM; (3) MG + bone group: the defect was filled with bone graft particles and covered by MG; and (4) RCM + bone group: the defect was filled with bone graft particles and covered by an RCM. Primary closure was achieved using interrupted resorbable sutures. The animals were sacrificed at 8 weeks after the surgical procedures. Qualitative histologic analysis and biomechanical assessment to identify hardness and elastic modulus of newly formed bone (NFB) were performed. Collected data were statistically analyzed using one-way analysis of variance. Histologic findings revealed NFB with fibrous connective tissue in all groups. The quantity of NFB was highest in the RCM + bone group. Statistically significant differences in the hardness (F = 567.69, dfN = 3, dfD = 36, P < .001) and elastic modulus (F = 294.19, dfN = 3, dfD = 36, P < .001) of NFB were found between the groups. Although the RCM + bone group had the highest mean ± standard deviation (SD) hardness of NFB (531.4 ± 24.9 MPa), the RCM group had the highest mean ± SD elastic modulus of NFB (18.63 ± 1.89 GPa). The present study demonstrated that RCMs are better than MG at enhancing new bone formation in standardized rat calvarial defects when used along with mineralized particulate graft material.

Multi-RCM ensemble downscaling of global seasonal forecasts (MRED)

NASA Astrophysics Data System (ADS)

Arritt, R.

2009-04-01

Regional climate models (RCMs) have long been used to downscale global climate simulations. In contrast the ability of RCMs to downscale seasonal climate forecasts has received little attention. The Multi-RCM Ensemble Downscaling (MRED) project was recently initiated to address the question, Does dynamical downscaling using RCMs provide additional useful information for seasonal forecasts made by global models? MRED is using a suite of RCMs to downscale seasonal forecasts produced by the National Centers for Environmental Prediction (NCEP) Climate Forecast System (CFS) seasonal forecast system and the NASA GEOS5 system. The initial focus is on wintertime forecasts in order to evaluate topographic forcing, snowmelt, and the usefulness of higher resolution for near-surface fields influenced by high resolution orography. Each RCM covers the conterminous U.S. at approximately 32 km resolution, comparable to the scale of the North American Regional Reanalysis (NARR) which will be used to evaluate the models. The forecast ensemble for each RCM is comprised of 15 members over a period of 22+ years (from 1982 to 2003+) for the forecast period 1 December - 30 April. Each RCM will create a 15-member lagged ensemble by starting on different dates in the preceding November. This results in a 120-member ensemble for each projection (8 RCMs by 15 members per RCM). The RCMs will be continually updated at their lateral boundaries using 6-hourly output from CFS or GEOS5. Hydrometeorological output will be produced in a standard netCDF-based format for a common analysis grid, which simplifies both model intercomparison and the generation of ensembles. MRED will compare individual RCM and global forecasts as well as ensemble mean precipitation and temperature forecasts, which are currently being used to drive macroscale land surface models (LSMs). Metrics of ensemble spread will also be evaluated. Extensive process-oriented analysis will be performed to link improvements in downscaled forecast skill to regional forcings and physical mechanisms. Our overarching goal is to determine what additional skill can be provided by a community ensemble of high resolution regional models, which we believe will define a strategy for more skillful and useful regional seasonal climate forecasts.

Estimation of optimal pivot point for remote center of motion alignment in surgery.

PubMed

Rosa, Benoît; Gruijthuijsen, Caspar; Van Cleynenbreugel, Ben; Sloten, Jos Vander; Reynaerts, Dominiek; Poorten, Emmanuel Vander

2015-02-01

The determination of an optimal pivot point ([Formula: see text]) is important for instrument manipulation in minimally invasive surgery. Such knowledge is of particular importance for robotic-assisted surgery where robots need to rotate precisely around a specific point in space in order to minimize trauma to the body wall while maintaining position control. Remote center of motion (RCM) mechanisms are commonly used, where the RCM point is manually and visually aligned. If not positioned appropriately, this misalignment might lead to intolerably high forces on the body wall with increased risk of postoperative complications or instrument damage. An automated method to align the RCM with the [Formula: see text] was developed and tested. Computer vision and a lightweight calibration procedure are used to estimate the optimal pivot point. One or two pre-calibrated cameras viewing the surgical scene are employed. The surgeon is asked to make short pivoting movements, applying as little torque as possible, with an instrument of choice passing through the insertion point while camera images are being recorded. The physical properties of an instrument rotating around a pivot point are exploited in a random sample consensus scheme to robustly estimate the ideal position of the RCM in the image planes. Triangulation is used to estimate the RCM position in 3D. Experiments were performed on a specially designed mockup to test the method. The position of the pivot point is estimated with an average error less than 1.85 mm using two webcams placed from approximately 30 cm to 1 m away from the scene. The entire procedure was completed in a few seconds. In automated method to estimate the ideal position of the RCM was shown to be reliable. The method can be implemented within a visual servoing approach to automatically place the RCM point, or the results can be displayed on a screen to provide guidance to the surgeon. Further work includes the development of an image-guided alignment method and validation with in vivo experiments.

Influence of radiographic contrast media (Iodixanol and Iomeprol) on the endothelin-1 release from human arterial and venous endothelial cells cultured on an extracellular matrix.

PubMed

Franke, R P; Fuhrmann, R; Hiebl, B; Jung, F

2012-01-01

Various radiographic contrast media (RCM) are available for visualization of blood vessels in interventional cardiology which can vary widely in their physicochemical properties thereby influencing different functions of blood cells. In the in vitro study described here the influence of two RCMs on arterial as well as on venous endothelial cells was compared to control cultures and examined under statical culture conditions, thus eliminating the influence of RCM viscosity almost completely. The supplementation of the culture medium with RCM (30% v/v) resulted in clearly different reactions of the endothelial cells exposed. Exposition to Iodixanol supplemented culture medium was followed by endothelin-1 release from venous endothelial cells which was equivalent to the endothelin-1 release from venous control cultures. Compared to control cultures, venous endothelial cells exposed to culture medium supplemented with Iomeprol displayed a completely different reaction, the increase in endothelin-1 secretion was missing completely after a 12 hours exposure. Following a 12 hours exposure to both RCMs there were no longer endothelial cells adherent, neither in venous nor in arterial endothelial cell cultures. The study showed that not the wall shear stress was responsible for the differing effects visible after 1.5 min, 5 min, and 12 hours exposure to culture media supplemented with RCM but differences in chemotoxicity of the RCM applied.

Impact of Dermoscopy and Reflectance Confocal Microscopy on the Histopathologic Diagnosis of Lentigo Maligna/Lentigo Maligna Melanoma.

PubMed

Mataca, Ema; Migaldi, Mario; Cesinaro, Anna M

2018-06-15

Equivocal pigmented lesions of the head are usually biopsied to avoid inappropriate treatment. Clinical approach has evolved from simple visual examination to sophisticated techniques for selecting the biopsy sites. This study aimed to retrospectively evaluate the efficiency of dermoscopy (DE) and reflectance confocal microscopy (RCM) in sampling a histopathologically representative focus of lentigo maligna/lentigo maligna melanoma. Punch biopsies and surgical excisions of 72 patients, 37 men and 35 women (median age 70.6 years, range 39-90 years), affected by lentigo maligna/lentigo maligna melanoma of the head, sent from a single dermatology clinic, were reviewed for the presence of 5 histopathologic criteria: atypical junctional melanocytes, increased junctional melanocytes, follicular colonization, pagetoid spread and melanocytic junctional nests, plus other minor features. Forty-two patients were biopsied under DE and 30 under RCM guidance. Accuracy of the 2 techniques in sampling a representative tissue overlapped in most cases, although RCM selected sites to biopsy with more histopathologic criteria, in particular pagetoid spread and melanocytic nests. Interestingly, with RCM, inflammation and melanophages were observed more in biopsy than in excision. False positive cases were not registered. Compared with the sampling at naked eye, our results show that DE and RCM help selecting the most appropriate areas for biopsies, thus allowing not only more robust histopathologic diagnoses, but also a more accurate microstaging of tumor.

Acoustic analog computing based on a reflective metasurface with decoupled modulation of phase and amplitude

NASA Astrophysics Data System (ADS)

Zuo, Shu-Yu; Tian, Ye; Wei, Qi; Cheng, Ying; Liu, Xiao-Jun

2018-03-01

The use of metasurfaces has allowed the provision of a variety of functionalities by ultrathin structures, paving the way toward novel highly compact analog computing devices. Here, we conceptually realize analog computing using an acoustic reflective computational metasurface (RCM) that can independently manipulate the reflection phase and amplitude of an incident acoustic signal. This RCM is composed of coating unit cells and perforated panels, where the first can tune the transmission phase within the full range of 2π and the second can adjust the reflection amplitude in the range of 0-1. We show that this RCM can achieve arbitrary reflection phase and amplitude and can be used to realize a unique linear spatially invariant transfer function. Using the spatial Fourier transform (FT), an acoustic analog computing (AAC) system is proposed based on the RCM together with a focusing lens. Based on numerical simulations, we demonstrate that this AAC system can perform mathematical operations such as spatial differentiation, integration, and convolution on an incident acoustic signal. The proposed system has low complexity and reduced size because the RCM is able to individually adjust the reflection phase and amplitude and because only one block is involved in performing the spatial FT. Our work may offer a practical, efficient, and flexible approach to the design of compact devices for acoustic computing applications, signal processing, equation solving, and acoustic wave manipulations.

Real-time visualization of melanin granules in normal human skin using combined multiphoton and reflectance confocal microscopy.

PubMed

Majdzadeh, Ali; Lee, Anthony M D; Wang, Hequn; Lui, Harvey; McLean, David I; Crawford, Richard I; Zloty, David; Zeng, Haishan

2015-05-01

Recent advances in biomedical optics have enabled dermal and epidermal components to be visualized at subcellular resolution and assessed noninvasively. Multiphoton microscopy (MPM) and reflectance confocal microscopy (RCM) are noninvasive imaging modalities that have demonstrated promising results in imaging skin micromorphology, and which provide complementary information regarding skin components. This study assesses whether combined MPM/RCM can visualize intracellular and extracellular melanin granules in the epidermis and dermis of normal human skin. We perform MPM and RCM imaging of in vivo and ex vivo skin in the infrared domain. The inherent three-dimensional optical sectioning capability of MPM/RCM is used to image high-contrast granular features across skin depths ranging from 50 to 90 μm. The optical images thus obtained were correlated with conventional histologic examination including melanin-specific staining of ex vivo specimens. MPM revealed highly fluorescent granular structures below the dermal-epidermal junction (DEJ) region. Histochemical staining also demonstrated melanin-containing granules that correlate well in size and location with the granular fluorescent structures observed in MPM. Furthermore, the MPM fluorescence excitation wavelength and RCM reflectance of cell culture-derived melanin were equivalent to those of the granules. This study suggests that MPM can noninvasively visualize and quantify subepidermal melanin in situ. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Responsibility Center Management: A Financial Paradigm and Alternative to Decentralized Budgeting.

ERIC Educational Resources Information Center

Hensley, Phyllis A.; Bava, D. J.; Brennan, Denise C.

This study examined the implementation of Responsibility Center Management (RCM) systems in two institutions of higher education: the Graduate School of Business at Institution and the Center of Collaborative Education and Professional Studies at Institution B. RCM is a management and budgeting process for universities that decentralizes authority…

Access to unusual polycyclic spiro-enones from 2,2'-bis(allyloxy)-1,1'-binaphthyls using Grubbs' catalysts: an unprecedented one-pot RCM/Claisen sequence.

PubMed

Piedra, Estefanía; Francos, Javier; Nebra, Noel; Suárez, Francisco J; Díez, Josefina; Cadierno, Victorio

2011-07-21

Treatment of 2,2'-bis(allyloxy)-1,1'-binaphthyls with the first-generation Grubbs' carbene under MW-irradiation results in the formation of new polycyclic spiro-enones through an unprecedented RCM/Claisen sequence.

A New Approach to Special Education Finance: The Resource Cost Model.

ERIC Educational Resources Information Center

Geske, Terry G.; Johnston, Mary Jo

1985-01-01

Describes current practices in Illinois where a personnel reimbursement formula is used to finance special education. Summarizes the basic components of the Resource Cost Model (RCM), a complex school finance formula, and compares and contrasts RCM with Illinois' current method of financing special education. (MLF)

Effects of Uncertainties in Electric Field Boundary Conditions for Ring Current Simulations

NASA Astrophysics Data System (ADS)

Chen, Margaret W.; O'Brien, T. Paul; Lemon, Colby L.; Guild, Timothy B.

2018-01-01

Physics-based simulation results can vary widely depending on the applied boundary conditions. As a first step toward assessing the effect of boundary conditions on ring current simulations, we analyze the uncertainty of cross-polar cap potentials (CPCP) on electric field boundary conditions applied to the Rice Convection Model-Equilibrium (RCM-E). The empirical Weimer model of CPCP is chosen as the reference model and Defense Meteorological Satellite Program CPCP measurements as the reference data. Using temporal correlations from a statistical analysis of the "errors" between the reference model and data, we construct a Monte Carlo CPCP discrete time series model that can be generalized to other model boundary conditions. RCM-E simulations using electric field boundary conditions from the reference model and from 20 randomly generated Monte Carlo discrete time series of CPCP are performed for two large storms. During the 10 August 2000 storm main phase, the proton density at 10 RE at midnight was observed to be low (< 1.4 cm-3) and the observed disturbance Dst index is bounded by the simulated Dst values. In contrast, the simulated Dst values during the recovery phases of the 10 August 2000 and 31 August 2005 storms tend to underestimate systematically the observed late Dst recovery. This suggests a need to improve the accuracy of particle loss calculations in the RCM-E model. Application of this technique can aid modelers to make efficient choices on either investing more effort on improving specification of boundary conditions or on improving descriptions of physical processes.

High-definition optical coherence tomography and reflectance confocal microscopy in the in vivo visualization of a reaction to permanent make-up.

PubMed

Maier, T; Flaig, M J; Ruzicka, T; Berking, C; Pavicic, T

2015-03-01

After permanent make-up treatments, eczematous and granulomatous reactions may occur which need anti-inflammatory treatment. For the definite diagnosis oftentimes biopsies are recommended. In vivo imaging such as reflectance confocal microscopy (RCM) and high-definition optical coherence tomography (HD-OCT) has been successfully used in the non-invasive diagnosis of various dermatoses before. Here, we report on non-invasive imaging of a reaction towards permanent make-up in a 40-year-old woman by using HD-OCT and RCM. Both in HD-OCT and in RCM subepidermal pigment and granulomatous changes could be visualized and correlated with the histopathological findings. Regression of the lesions in response to topical steroids and intralesional injections of steroids and 5-fluorouracil is reported and treatment options are discussed. Non-invasive imaging techniques such as HD-OCT and RCM allow the visualization and localization of exogenous pigment and help in the evaluation of adverse reactions due to permanent make-up tattooing. © 2014 European Academy of Dermatology and Venereology.

Survival in cats with primary and secondary cardiomyopathies.

PubMed

Spalla, Ilaria; Locatelli, Chiara; Riscazzi, Giulia; Santagostino, Sara; Cremaschi, Elena; Brambilla, Paola

2016-06-01

Feline cardiomyopathies (CMs) represent a heterogeneous group of myocardial diseases. The most common CM is hypertrophic cardiomyopathy (HCM), followed by restrictive cardiomyopathy (RCM). Studies comparing survival and outcome for different types of CM are scant. Furthermore, little is known about the cardiovascular consequences of systemic diseases on survival. The aim of this retrospective study was to compare survival and prognostic factors in cats affected by HCM, RCM or secondary CM referred to our institution over a 10 year period. The study included 94 cats with complete case records and echocardiographic examination. Fifty cats presented HCM, 14 RCM and 30 secondary CM. A statistically significant difference in survival time was identified for cats with HCM (median survival time of 865 days), RCM (273 days) and secondary CM (<50% cardiac death rate). In the overall population and in the primary CM group (HCM + RCM), risk factors in the multivariate analysis, regardless of the CM considered, were the presence of clinical signs, an increased left atrial to aortic root (LA/Ao) ratio and a hypercoagulable state. Primary CMs in cats share some common features (ie, LA dimension and hypercoagulable state) linked to feline cardiovascular physiology, which influence survival greatly in end-stage CM. The presence of clinical signs has to be regarded as a marker of disease severity, regardless of the underlying CM. Secondary CMs are more benign conditions, but if the primary disease is not properly managed, the prognosis might also be poor in this group of patients. © ISFM and AAFP 2015.

Application of reflectance confocal microscopy to evaluate skin damage after irradiation with an yttrium-scandium-gallium-garnet (YSGG) laser.

PubMed

Yue, Xueping; Wang, Hongwei; Li, Qing; Li, Linfeng

2017-02-01

The objective of this study was to observe the characteristics of the skin after irradiation with a 2790-nm yttrium-scandium-gallium-garnet (YSGG) laser using reflectance confocal microscopy (RCM). A 2790-nm YSGG laser was used to irradiate fresh foreskin (four doses, at spot density 3) in vitro. The characteristics of microscopic ablative columns (MAC), thermal coagulation zone (TCZ), and microscopic treatment zones (MTZ) were observed immediately after irradiation using digital microscope and RCM. The characteristics of MAC, TCZ, and MTZ with variations in pulse energy were comparatively analyzed. After irradiation, MAC, TCZ, and MTZ characteristics and undamaged skin between MTZs can be observed by RCM. The depth and width of MTZ obviously increased with the increase in pulse energy. At 80, 120, and 160 mJ/microbeam (MB), the MTZ actual area and proportion were about two times that of the theoretical value and three times at 200 mJ/MB. With increases in depth, the single MAC gradually decreased in a fingertip-shaped model, with TCZ slowly increasing, and MTZ slightly decreasing in a columnar shape. RCM was able to determine the characteristics of thermal injury on the skin after the 2790-nm YSGG laser irradiation with different pulse energies. Pulse energy higher than 200 mJ/MB may have much larger thermal injury and side effect. RCM could be used in the clinic in future.

Evaluation of CORDEX-Arctic daily precipitation and temperature-based climate indices over Canadian Arctic land areas

NASA Astrophysics Data System (ADS)

Diaconescu, Emilia Paula; Mailhot, Alain; Brown, Ross; Chaumont, Diane

2018-03-01

This study focuses on the evaluation of daily precipitation and temperature climate indices and extremes simulated by an ensemble of 12 Regional Climate Model (RCM) simulations from the ARCTIC-CORDEX experiment with surface observations in the Canadian Arctic from the Adjusted Historical Canadian Climate Dataset. Five global reanalyses products (ERA-Interim, JRA55, MERRA, CFSR and GMFD) are also included in the evaluation to assess their potential for RCM evaluation in data sparse regions. The study evaluated the means and annual anomaly distributions of indices over the 1980-2004 dataset overlap period. The results showed that RCM and reanalysis performance varied with the climate variables being evaluated. Most RCMs and reanalyses were able to simulate well climate indices related to mean air temperature and hot extremes over most of the Canadian Arctic, with the exception of the Yukon region where models displayed the largest biases related to topographic effects. Overall performance was generally poor for indices related to cold extremes. Likewise, only a few RCM simulations and reanalyses were able to provide realistic simulations of precipitation extreme indicators. The multi-reanalysis ensemble provided superior results to individual datasets for climate indicators related to mean air temperature and hot extremes, but not for other indicators. These results support the use of reanalyses as reference datasets for the evaluation of RCM mean air temperature and hot extremes over northern Canada, but not for cold extremes and precipitation indices.

Linking the Weather Generator with Regional Climate Model

NASA Astrophysics Data System (ADS)

Dubrovsky, Martin; Farda, Ales; Skalak, Petr; Huth, Radan

2013-04-01

One of the downscaling approaches, which transform the raw outputs from the climate models (GCMs or RCMs) into data with more realistic structure, is based on linking the stochastic weather generator with the climate model output. The present contribution, in which the parametric daily surface weather generator (WG) M&Rfi is linked to the RCM output, follows two aims: (1) Validation of the new simulations of the present climate (1961-1990) made by the ALADIN-Climate Regional Climate Model at 25 km resolution. The WG parameters are derived from the RCM-simulated surface weather series and compared to those derived from weather series observed in 125 Czech meteorological stations. The set of WG parameters will include statistics of the surface temperature and precipitation series (including probability of wet day occurrence). (2) Presenting a methodology for linking the WG with RCM output. This methodology, which is based on merging information from observations and RCM, may be interpreted as a downscaling procedure, whose product is a gridded WG capable of producing realistic synthetic multivariate weather series for weather-ungauged locations. In this procedure, WG is calibrated with RCM-simulated multi-variate weather series in the first step, and the grid specific WG parameters are then de-biased by spatially interpolated correction factors based on comparison of WG parameters calibrated with gridded RCM weather series and spatially scarcer observations. The quality of the weather series produced by the resultant gridded WG will be assessed in terms of selected climatic characteristics (focusing on characteristics related to variability and extremes of surface temperature and precipitation). Acknowledgements: The present experiment is made within the frame of projects ALARO-Climate (project P209/11/2405 sponsored by the Czech Science Foundation), WG4VALUE (project LD12029 sponsored by the Ministry of Education, Youth and Sports of CR) and VALUE (COST ES 1102 action).

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

Wang, Guiling; Yu, Miao; Pal, Jeremy

This paper presents a regional climate system model RCM-CLM-CN-DV and its validation over Tropical Africa. The model development involves the initial coupling between the ICTP regional climate model RegCM4.3.4 (RCM) and the Community Land Model version 4 (CLM4) including models of carbon-nitrogen dynamics (CN) and vegetation dynamics (DV), and further improvements of the models. Model improvements derive from the new parameterization from CLM4.5 that addresses the well documented overestimation of gross primary production (GPP), a refinement of stress deciduous phenology scheme in CN that addresses a spurious LAI fluctuation for drought-deciduous plants, and the incorporation of a survival rule intomore » the DV model to prevent tropical broadleaf evergreens trees from growing in areas with a prolonged drought season. The impact of the modifications on model results is documented based on numerical experiments using various subcomponents of the model. The performance of the coupled model is then validated against observational data based on three configurations with increasing capacity: RCM-CLM with prescribed leaf area index and fractional coverage of different plant functional types (PFTs); RCM-CLM-CN with prescribed PFTs coverage but prognostic plant phenology; RCM-CLM-CN-DV in which both the plant phenology and PFTs coverage are simulated by the model. Results from these three models are compared against the FLUXNET up-scaled GPP and ET data, LAI and PFT coverages from remote sensing data including MODIS and GIMMS, University of Delaware precipitation and temperature data, and surface radiation data from MVIRI and SRB. Our results indicate that the models perform well in reproducing the physical climate and surface radiative budgets in the domain of interest. However, PFTs coverage is significantly underestimated by the model over arid and semi-arid regions of Tropical Africa, caused by an underestimation of LAI in these regions by the CN model that gets exacerbated through vegetation dynamics in RCM-CLM-CN-DV.« less

Evaluation and comparison of different RCMs simulations of the Mediterranean climate: a view on the impact of model resolution and Mediterranean sea coupling.

NASA Astrophysics Data System (ADS)

Panthou, Gérémy; Vrac, Mathieu; Drobinski, Philippe; Bastin, Sophie; Somot, Samuel; Li, Laurent

2015-04-01

As regularly stated by numerous authors, the Mediterranean climate is considered as one major climate 'hot spot'. At least, three reasons may explain this statement. First, this region is known for being regularly affected by extreme hydro-meteorological events (heavy precipitation and flash-floods during the autumn season; droughts and heat waves during spring and summer). Second, the vulnerability of populations in regard of these extreme events is expected to increase during the XXIst century (at least due to the projected population growth in this region). At last, Global Circulation Models project that this regional climate will be highly sensitive to climate change. Moreover, global warming is expected to intensify the hydrological cycle and thus to increase the frequency of extreme hydro-meteorological events. In order to propose adaptation strategies, the robust estimation of the future evolution of the Mediterranean climate and the associated extreme hydro-meteorological events (in terms of intensity/frequency) is of great relevance. However, these projections are characterized by large uncertainties. Many components of the simulation chain can explain these large uncertainties : (i) uncertainties concerning the emission scenario; (ii) climate model simulations suffer of parametrization errors and uncertainties concerning the initial state of the climate; and (iii) the additional uncertainties given by the (dynamical or statistical) downscaling techniques and the impact model. Narrowing (as fine as possible) these uncertainties is a major challenge of the actual climate research. One way for that is to reduce the uncertainties associated with each component. In this study, we are interested in evaluating the potential improvement of : (i) coupled RCM simulations (with the Mediterranean Sea) in comparison with atmosphere only (stand-alone) RCM simulations and (ii) RCM simulations at a finer resolution in comparison with larger resolution. For that, three different RCMs (WRF, ALADIN, LMDZ4) were run, forced by ERA-Interim reanalyses, within the MED-CORDEX experiment. For each RCM, different versions (coupled/stand-alone, high/low resolution) were realized. A large set of scores was developed and applied in order to evaluate the performances of these different RCMs simulations. These scores were applied for three variables (daily precipitation amount, mean daily air temperature and the dry spell lengths). A particular attention was given to the RCM capability to reproduce the seasonal and spatial pattern of extreme statistics. Results show that the differences between coupled and stand-alone RCMs are localized very near the Mediterranean sea and that the model resolution has a slight impact on the scores obtained. Globally, the main differences between the RCM simulations come from the RCM used. Keywords: Mediterranean climate, extreme hydro-meteorological events, RCM simulations, evaluation of climate simulations

The Resouce Cost Model in Illinois: Utilization for Planning and Funding.

ERIC Educational Resources Information Center

Nelson, F. Howard

1987-01-01

The Resources Cost Model (RCM) determines an appropriate cost of education for each Illinois school district. Appropriate cost is a function of the quantity of resources (teachers, supplies, and buildings) needed and the price of resources faced by each district. A modified RCM framework could remove the model's surburban bias and improve judgment…

Using climate derivatives for assessment of meteorological parameter relationships in RCM and observations

NASA Astrophysics Data System (ADS)

Timuhins, Andrejs; Bethers, Uldis; Bethers, Peteris; Klints, Ilze; Sennikovs, Juris; Frishfelds, Vilnis

2017-04-01

In a changing climate it is essential to estimate its impacts on different economic fields. In our study we tried to create a framework for climate change assessment and climate change impact estimation for the territory of Latvia and to create results which are also understandable for non-scientists (stakeholder, media and public). This approach allowed us to more carefully assess the presentation and interpretation of results and their validation, for public viewing. For the presentation of our work a website was created (www.modlab.lv/klimats) containing two types of documents in a unified framework, meteorological parameter analysis of different easily interpretable derivative values. Both of these include analysis of the current situation as well as illustrate the projection for future time periods. Derivate values are calculated using two data sources: the bias corrected regional climate data and meteorological observation data. Derivative documents contain description of derived value, some interesting facts and conclusions. Additionally, all results may be viewed in temporal and spatial graphs and maps, for different time periods as well as different seasons. Bias correction (Sennikovs and Bethers, 2009) for the control period 1961-1990 is applied to RCM data series. Meteorological observation data of the Latvian Environment, Geology, and Meteorology Agency and ENSEMBLES project daily data of 13 RCM runs for the period 1960-2100 are used. All the documents are prepared in python notebooks, which allow for flexible changes. At the moment following derivative values have been published: forest fire risk index, wind energy, phenology (Degree days), road condition (friction, ice conditions), daily minimal meteorological visibility, headache occurrence rate, firs snow date and meteorological parameter analysis: temperature, precipitation, wind speed, relative humidity, and cloudiness. While creating these products RCM ability to represent the actual climate was analysed from different perspectives, for example, we found that forest fire index has qualitative differences depending on the data used in calculation either using observed data or RCM data, which could be caused by the differences in precipitation and temperature cross correlation (Bethers, P., Sennikovs, J. and Timuhins, A. 2011) The present work has been funded by the Latvian National Research Program on the "The value and dynamic of Latvia's ecosystems under changing climate" (EVIDEnT). References Sennikovs, J. and Bethers, U. (2009), Statistical downscaling method of regional climate model results for hydrological modelling. 18th World IMACS / MODSIM Congress, Cairns, Australia Bethers, P., Sennikovs, J. and Timuhins, A. (2011), Skill assessment of regional climate models:T/P correlations impacts on hydrological modeling. Geophysical Research Abstracts Vol. 13, EGU2011-7068, 2011 EGU General Assembly 2011

Benchscale Assessment of the Efficacy of a Reactive Core Mat to Isolate PAH-spiked Aquatic Sediments.

PubMed

Meric, Dogus; Barbuto, Sara; Sheahan, Thomas C; Shine, James P; Alshawabkeh, Akram N

2014-01-01

This paper describes the results of a benchscale testing program to assess the efficacy of a reactive core mat (RCM) for short term isolation and partial remediation of contaminated, subaqueous sediments. The 1.25 cm thick RCM (with a core reactive material such as organoclay with filtering layers on top and bottom) is placed on the sediment, and approximately 7.5 - 10 cm of overlying soil is placed on the RCM for stability and protection. A set of experiments were conducted to measure the sorption characteristics of the mat core (organoclay) and sediment used in the experiments, and to determine the fate of semi-volatile organic contaminants and non-reactive tracers through the sediment and reactive mat. The experimental study was conducted on naphthalene-spiked Neponset River (Milton, MA) sediment. The results show nonlinear sorption behavior for organoclay, with sorption capacity increasing with increasing naphthalene concentration. Neponset River sediment showed a notably high sorption capacity, likely due to the relatively high organic carbon fraction (14%). The fate and transport experiments demonstrated the short term efficiency of the reactive mat to capture the contamination that is associated with the post-capping period during which the highest consolidation-induced advective flux occurs, driving solid particles, pore fluid and soluble contaminants toward the reactive mat. The goal of the mat placement is to provide a physical filtering and chemically reactive layer to isolate contamination from the overlying water column. An important finding is that because of the high sorption capacity of the Neponset River sediment, the physical filtering capability of the mat is as critical as its chemical reactive capacity.

Future changes to drought characteristics over the Canadian Prairie Provinces based on NARCCAP multi-RCM ensemble

NASA Astrophysics Data System (ADS)

Masud, M. B.; Khaliq, M. N.; Wheater, H. S.

2017-04-01

This study assesses projected changes to drought characteristics in Alberta, Saskatchewan and Manitoba, the prairie provinces of Canada, using a multi-regional climate model (RCM) ensemble available through the North American Regional Climate Change Assessment Program. Simulations considered include those performed with six RCMs driven by National Center for Environmental Prediction reanalysis II for the 1981-2003 period and those driven by four Atmosphere-Ocean General Circulation Models for the 1970-1999 and 2041-2070 periods (i.e. eleven current and the same number of corresponding future period simulations). Drought characteristics are extracted using two drought indices, namely the Standardized Precipitation Index (SPI) and the Standardized Precipitation Evapotranspiration Index (SPEI). Regional frequency analysis is used to project changes to selected 20- and 50-year regional return levels of drought characteristics for fifteen homogeneous regions, covering the study area. In addition, multivariate analyses of drought characteristics, derived on the basis of 6-month SPI and SPEI values, are developed using the copula approach for each region. Analysis of multi-RCM ensemble-averaged projected changes to mean and selected return levels of drought characteristics show increases over the southern and south-western parts of the study area. Based on bi- and trivariate joint occurrence probabilities of drought characteristics, the southern regions along with the central regions are found highly drought vulnerable, followed by the southwestern and southeastern regions. Compared to the SPI-based analysis, the results based on SPEI suggest drier conditions over many regions in the future, indicating potential effects of rising temperatures on drought risks. These projections will be useful in the development of appropriate adaptation strategies for the water and agricultural sectors, which play an important role in the economy of the study area.

Evaluation of large-scale meteorological patterns associated with temperature extremes in the NARCCAP regional climate model simulations

NASA Astrophysics Data System (ADS)

Loikith, Paul C.; Waliser, Duane E.; Lee, Huikyo; Neelin, J. David; Lintner, Benjamin R.; McGinnis, Seth; Mearns, Linda O.; Kim, Jinwon

2015-12-01

Large-scale meteorological patterns (LSMPs) associated with temperature extremes are evaluated in a suite of regional climate model (RCM) simulations contributing to the North American Regional Climate Change Assessment Program. LSMPs are characterized through composites of surface air temperature, sea level pressure, and 500 hPa geopotential height anomalies concurrent with extreme temperature days. Six of the seventeen RCM simulations are driven by boundary conditions from reanalysis while the other eleven are driven by one of four global climate models (GCMs). Four illustrative case studies are analyzed in detail. Model fidelity in LSMP spatial representation is high for cold winter extremes near Chicago. Winter warm extremes are captured by most RCMs in northern California, with some notable exceptions. Model fidelity is lower for cool summer days near Houston and extreme summer heat events in the Ohio Valley. Physical interpretation of these patterns and identification of well-simulated cases, such as for Chicago, boosts confidence in the ability of these models to simulate days in the tails of the temperature distribution. Results appear consistent with the expectation that the ability of an RCM to reproduce a realistically shaped frequency distribution for temperature, especially at the tails, is related to its fidelity in simulating LMSPs. Each ensemble member is ranked for its ability to reproduce LSMPs associated with observed warm and cold extremes, identifying systematically high performing RCMs and the GCMs that provide superior boundary forcing. The methodology developed here provides a framework for identifying regions where further process-based evaluation would improve the understanding of simulation error and help guide future model improvement and downscaling efforts.

CFD modeling of two-stage ignition in a rapid compression machine: Assessment of zero-dimensional approach

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

Mittal, Gaurav; Raju, Mandhapati P.; Sung, Chih-Jen

2010-07-15

In modeling rapid compression machine (RCM) experiments, zero-dimensional approach is commonly used along with an associated heat loss model. The adequacy of such approach has not been validated for hydrocarbon fuels. The existence of multi-dimensional effects inside an RCM due to the boundary layer, roll-up vortex, non-uniform heat release, and piston crevice could result in deviation from the zero-dimensional assumption, particularly for hydrocarbons exhibiting two-stage ignition and strong thermokinetic interactions. The objective of this investigation is to assess the adequacy of zero-dimensional approach in modeling RCM experiments under conditions of two-stage ignition and negative temperature coefficient (NTC) response. Computational fluidmore » dynamics simulations are conducted for n-heptane ignition in an RCM and the validity of zero-dimensional approach is assessed through comparisons over the entire NTC region. Results show that the zero-dimensional model based on the approach of 'adiabatic volume expansion' performs very well in adequately predicting the first-stage ignition delays, although quantitative discrepancy for the prediction of the total ignition delays and pressure rise in the first-stage ignition is noted even when the roll-up vortex is suppressed and a well-defined homogeneous core is retained within an RCM. Furthermore, the discrepancy is pressure dependent and decreases as compressed pressure is increased. Also, as ignition response becomes single-stage at higher compressed temperatures, discrepancy from the zero-dimensional simulations reduces. Despite of some quantitative discrepancy, the zero-dimensional modeling approach is deemed satisfactory from the viewpoint of the ignition delay simulation. (author)« less

The Added Value to Global Model Projections of Climate Change by Dynamical Downscaling: A Case Study over the Continental U.S. using the GISS-ModelE2 and WRF Models

NASA Technical Reports Server (NTRS)

Racherla, P. N.; Shindell, D. T.; Faluvegi, G. S.

2012-01-01

Dynamical downscaling is being increasingly used for climate change studies, wherein the climates simulated by a coupled atmosphere-ocean general circulation model (AOGCM) for a historical and a future (projected) decade are used to drive a regional climate model (RCM) over a specific area. While previous studies have demonstrated that RCMs can add value to AOGCM-simulated climatologies over different world regions, it is unclear as to whether or not this translates to a better reproduction of the observed climate change therein. We address this issue over the continental U.S. using the GISS-ModelE2 and WRF models, a state-of-the-science AOGCM and RCM, respectively. As configured here, the RCM does not effect holistic improvement in the seasonally and regionally averaged surface air temperature or precipitation for the individual historical decades. Insofar as the climate change between the two decades is concerned, the RCM does improve upon the AOGCM when nudged in the domain proper, but only modestly so. Further, the analysis indicates that there is not a strong relationship between skill in capturing climatological means and skill in capturing climate change. Though additional research would be needed to demonstrate the robustness of this finding in AOGCM/RCM models generally, the evidence indicates that, for climate change studies, the most important factor is the skill of the driving global model itself, suggesting that highest priority should be given to improving the long-range climate skill of AOGCMs.

Reflections Stimulated by the Comments of Shadish (2010) and West and Thoemmes (2010)

ERIC Educational Resources Information Center

Rubin, Donald B.

2010-01-01

This article offers reflections on the development of the Rubin causal model (RCM), which were stimulated by the impressive discussions of the RCM and Campbell's superb contributions to the practical problems of drawing causal inferences written by Will Shadish (2010) and Steve West and Felix Thoemmes (2010). It is not a rejoinder in any real…

A Primer on Responsibility Centre Budgeting and Responsibility Centre Management. Professional File, Winter 1999, Number 17.

ERIC Educational Resources Information Center

Lang, Daniel W.

This monograph is a "how-to" manual on responsibility center budgeting (RCB) and responsibility center management (RCM) in the context of Canadian and U.S. institutions. It explains how RCB/RCM works in practice and discusses some of the problems encountered in implementing this strategy at a number of Canadian and U.S. universities. The…

Use of NARCCAP results for extremes: British Columbia case studies

NASA Astrophysics Data System (ADS)

Murdock, T. Q.; Eckstrand, H.; Buerger, G.; Hiebert, J.

2011-12-01

Demand for projections of extremes has arisen out of local infrastructure vulnerability assessments and adaptation planning. Four preliminary analyses of extremes have been undertaken in British Columbia in the past two years in collaboration with users: BC Ministry of Transportation and Infrastructure, Engineers Canada, City of Castelgar, and Columbia Basin Trust. Projects have included analysis of extremes for stormwater management, highways, and community adaptation in different areas of the province. This need for projections of extremes has been met using an ensemble of Regional Climate Model (RCM) results from NARCCAP, in some cases supplemented by and compared to statistical downscaling. Before assessing indices of extremes, each RCM simulation in the NARCCAP ensemble driven by reanalysis (NCEP) was compared to historical observations to assess RCM skill. Next, the anomalies according to each RCM future projection were compared to those of their driving GCM to determine the "value added" by the RCMs. Selected results will be shown for several indices of extremes, including the Climdex set of indices that has been widely used elsewhere (e.g., Stardex) and specific parameters of interest defined by users. Finally, the need for threshold scaling of some indices and use of as large an ensemble as possible will be illustrated.

Successful Graded Dose Challenge to Iodixanol Radiocontrast Media in a Patient With Delayed Anaphylaxis to Iohexol.

PubMed

Soffer, Gary; Cohen, Barrie; Toh, Jennifer; Edelman, Devorah; Garg, Karan; Jariwala, Sunit

2018-01-01

We present a case of an 82-year-old male with known radiocontrast media (RCM) hypersensitivity who was admitted to our hospital with gangrene of his right toe. The plan for revascularization of his lower extremity required an angiogram. This presented a management challenge as the patient had experienced 2 episodes of delayed anaphylaxis to Omnipaque (iohexol) RCM, and based on a literature review, there was no known or established precedent on a safe procedure in these situations. The patient was premedicated and given a graded dose challenge of an alternative RCM (iodixanol) prior to the radiographic study. He was given 1% of the total expected dose 1 hour before to the procedure and an additional 10% for the 30 minutes prior. He was then given the final dose in the operating room. Following angiogram, the patient was monitored for 18 hours in the postanesthesia care unit, with no adverse reactions. He was placed on a prednisone taper for 1 week, with daily diphenhydramine. The patient remained asymptomatic throughout the hospital course. This novel approach to RCM hypersensitivity management lends itself to a hope that graded dose challenges may play a greater role in the management of these patients.

Gridded versus point data in the context of validation results from experiments of the COST action VALUE

NASA Astrophysics Data System (ADS)

Wibig, Joanna; Kotlarski, Sven; Maraun, Douglas; Soares, Pedro; Jaczewski, Adam; Czernecki, Bartosz; Gutierrez, Jose; Pongracz, Rita; Bartholy, Judit

2016-04-01

The aim of the paper is to compare the bias of selected ERA-Interim driven RCM projections when evaluated to gridded observation data (regridded to the same resolution as the considered RCM output) with those evaluated against station data to isolate the representativeness issue from the downscaling performance. The comparison has to be done for experiments of the COST action VALUE, so the same data period (1979-2008) and the same set consisting of 85 stations were used. As a gridded observations the EOBs data from the gridpoints closest to selected stations were used. The comparison was made for daily precipitation totals as well as daily minimum, maximum and mean temperature. A lot of indices were analysed to weigh up representativeness issues for marginal and temporal aspects. Relevant marginal aspects are described by average and extreme values distributions, whereas temporal aspects are presented by seasonality and length of extremespells. Set of indices used in VALUE experiment 1 is calculated for each dataset (stations, EOBs, selected RCM outputs) and biases of RCM outputs against station and EOBs data are obtained and compared. Those with most significant changes are analysed in details.

Energy and power limits for microbial activity

NASA Astrophysics Data System (ADS)

LaRowe, D.; Amend, J.

2014-12-01

The goal of this presentation is to describe a quantitative framework for determining how energy limits microbial activity, biomass and, ultimately, biogeochemical processes. Although this model can be applied to any environment, its utility is demonstrated in marine sediments, which are an attractive test habitat because they encompass a broad spectrum of energy levels, varying amounts of biomass and are ubiquitous. The potential number of active microbial cells in Arkonas Basin (Baltic Sea) sediments are estimated as a function of depth by quantifying the amount of energy that is available to them and the rate at which it is supplied: power. The amount of power supplied per cubic centimeter of sediment is determined by calculating the Gibbs energy of fermentation and sulfate reduction in combination with the rate of particulate organic carbon, POC, degradation. The Reactive Continuum Model (Boudreau and Ruddick, 1991), RCM, is used to determine the rate at which POC is made available for microbial consumption. The RCM represents POC as containing a range of different types of organic compounds whose ability to be consumed by microorganisms varies as a function of the age of the sediment and on the distribution of compound types that were initially deposited. The sediment age model and RCM parameters determined by (Mogollon et al., 2012) are used. The power available for fermentation and sulfate reduction coupled to H2 and acetate oxidation varies from 10-8 W cm-3 at the sediment water interface to between 10-11 - 10-12 W cm-3 at 3.5 meters below the seafloor, mbsf. Using values of maintenance powers for each of these catabolic activities taken from the literature, the total number of active cells in these sediments similarly decreases from just less than 108 cell cm-3 at the SWI to 4.6 x 104 cells cm-3 at 3.5 mbsf. The number of moles of POC decreases from 2.6 x 10-5 to 9.5 x 10-6, also becoming more recalcitrant with depth. Boudreau, B. P. and Ruddick, B. R. (1991) On a reactive continuum representation of organic matter diagenesis. Amer. J. Sci. 291, 507-538. Mogollon, J. M., Dale, A. W., Fossing, H. and Regnier, P. (2012) Timescales for the development of methanogenesis and free gas layers in recently-deposited sediments of Arkona Bason (Baltic Sea). Biogeosciences 9, 1915-1933.

Large Scale Skill in Regional Climate Modeling and the Lateral Boundary Condition Scheme

NASA Astrophysics Data System (ADS)

Veljović, K.; Rajković, B.; Mesinger, F.

2009-04-01

Several points are made concerning the somewhat controversial issue of regional climate modeling: should a regional climate model (RCM) be expected to maintain the large scale skill of the driver global model that is supplying its lateral boundary condition (LBC)? Given that this is normally desired, is it able to do so without help via the fairly popular large scale nudging? Specifically, without such nudging, will the RCM kinetic energy necessarily decrease with time compared to that of the driver model or analysis data as suggested by a study using the Regional Atmospheric Modeling System (RAMS)? Finally, can the lateral boundary condition scheme make a difference: is the almost universally used but somewhat costly relaxation scheme necessary for a desirable RCM performance? Experiments are made to explore these questions running the Eta model in two versions differing in the lateral boundary scheme used. One of these schemes is the traditional relaxation scheme, and the other the Eta model scheme in which information is used at the outermost boundary only, and not all variables are prescribed at the outflow boundary. Forecast lateral boundary conditions are used, and results are verified against the analyses. Thus, skill of the two RCM forecasts can be and is compared not only against each other but also against that of the driver global forecast. A novel verification method is used in the manner of customary precipitation verification in that forecast spatial wind speed distribution is verified against analyses by calculating bias adjusted equitable threat scores and bias scores for wind speeds greater than chosen wind speed thresholds. In this way, focusing on a high wind speed value in the upper troposphere, verification of large scale features we suggest can be done in a manner that may be more physically meaningful than verifications via spectral decomposition that are a standard RCM verification method. The results we have at this point are somewhat limited in view of the integrations having being done only for 10-day forecasts. Even so, one should note that they are among very few done using forecast as opposed to reanalysis or analysis global driving data. Our results suggest that (1) running the Eta as an RCM no significant loss of large-scale kinetic energy with time seems to be taking place; (2) no disadvantage from using the Eta LBC scheme compared to the relaxation scheme is seen, while enjoying the advantage of the scheme being significantly less demanding than the relaxation given that it needs driver model fields at the outermost domain boundary only; and (3) the Eta RCM skill in forecasting large scales, with no large scale nudging, seems to be just about the same as that of the driver model, or, in the terminology of Castro et al., the Eta RCM does not lose "value of the large scale" which exists in the larger global analyses used for the initial condition and for verification.

Obésité abdominale et autres biomarqueurs de risque cardiométabolique: influence du niveau socioéconomique et du mode de vie dans deux populations noires apparentées, Cotonou (Bénin) et Port-au-Prince (Haïti)

PubMed Central

Mabchour, Asma EL; Delisle, Hélène; Vilgrain, Colette; Larco, Phillipe; Sodjinou, Roger

2016-01-01

Introduction L’augmentation du risque cardio-métabolique (RCM) dans les pays à faible et à moyen revenu résulte pour large part d’une transition nutritionnelle rapide. Cette étude est réalisée dans deux groupes de population apparentés mais vivant dans des environnements différents. Elle vise à cerner la relation entre le mode de vie et les biomarqueurs de RCM, ainsi qu’entre l’obésité abdominale (OA) et les autres biomarqueurs. Méthodes L’étude porte sur 200 Béninois de Cotonou et 252 Haïtiens de Port-au-Prince (PAP) âgés de 25 à 60 ans et apparemment en bonne santé. L’OA est définie spécifiquement par un tour de taille (TT) ≥ 88cm (hommes) et ≥ 95cm (femmes). Les autres biomarqueurs les plus fréquents sont considérés: un ratio cholestérol total/HDL-cholestérol élevé, une tension artérielle élevée et la résistance à l’insuline d’après HOMA (Homeostasis Model Assessement). Le niveau socio-économique (NSE), l’alimentation, la consommation d’alcool et de tabac sont documentés par questionnaire. Deux schémas alimentaires ressortent de l’analyse typologique, l’un traditionnel et l’autre « transitionnel », avec une fréquence accrue d’aliments occidentaux. Résultats Le NSE, la consommation d’alcool et le tabagisme sont associés au RCM, mais non le schéma alimentaire. L’OA est associée aux autres biomarqueurs de RCM, sans effet marqué du NSE et des variables du mode de vie. Conclusion Les valeurs-seuilsspécifiques de TT se confirment. Aussi, le NSE et le mode de vie influencent le RCM mais non la relation entre l’OA et les autres biomarqueurs de RCM. PMID:28154661

Analysis of projected climate change in the Carpathian Basin region based on Holdridge life zone system

NASA Astrophysics Data System (ADS)

Szelepcsényi, Zoltán; Breuer, Hajnalka; Sümegi, Pál

2014-05-01

Nowadays more and more environmental lobbyists believe that climate change must be demonstrated in a new form. The estimated temperature increase can be realized more easily, if the emphasis is on ecological effects of the predicted temperature. For this reason a bioclimatic classification method was used to analyse the projected changes for the Carpathian Basin region. We applied the Holdridge life zone system, which is relatively simple, so our results can be used to inform the population. Holdridge developed a geometric model for climate classification which declares the relationship between classes (life zones) and climate indices (mean annual biotemperature, average total annual precipitation, potential evapotranspiration ratio). The necessary data for this study was derived from regional climate model (RCM) experiments of the ENSEMBLES project using the SRES A1B emission scenario. The temperature and precipitation data series were bias corrected for the selected RCM simulations. The target area of our investigations is the Carpathian Basin region. Life zones maps were created using the selected RCM simulations and their ensemble mean for the periods: 1961-1990 (T1), 2021-2050 (T2), 2061-2090 (T3). The spatial distribution of life zones and their temporal changes were investigated. According to our results the spatial pattern of life zones changes significantly from T1 to T3. It is possible that some types of life zones (e.g. boreal rain forest) will disappear; and some types (e.g. warm temperate thorn steppe) will appear in the target area. We determined those RCM simulations which predicted the maximum and minimum changes of the spatial pattern of life zones. Maps of T1 were compared to maps of T3 using Cohen's Kappa coefficient. Furthermore, relative extents, vertical distribution patterns and mean centres of life zones have been analysed. These parameters were defined for each decade and also for T1, T2 and T3. The temporal changes of the decadal values were analysed with Mann-Kendall trend test. Overall, our results predict that the mean centres of life zones will shift towards north in most cases. This research was supported by the European Union and the State of Hungary, co-financed by the European Social Fund in the framework of TÁMOP-4.2.4.A/ 2-11/1-2012-0001 'National Excellence Program'.

Latest advances in confocal microscopy of skin cancers toward guiding patient care: a Mohs surgeon's review and perspective (Conference Presentation)

NASA Astrophysics Data System (ADS)

Nehal, Kishwer S.; Rajadhyaksha, Milind

2016-02-01

Latest advances in confocal microscopy of skin cancers toward guiding patient care: a Mohs surgeon's review and perspective About 350 publications worldwide have reported the ability of reflectance confocal microscopy (RCM) imaging to detect melanocytic skin lesions in vivo with specificity of 84-88% and sensitivity of 71-92%, and non-melanocytic skin lesions with specificity of 85-97% and sensitivity 100-92%. Lentigo maligna melanoma can be detected with sensitivity of 93% and specificity 82%. While the sensitivity is comparable to that of dermoscopy, the specificity is 2X superior, especially for lightly- and non-pigmented lesions. Dermoscopy combined with RCM imaging is proving to be both highly sensitive and highly specific. Recent studies have reported that the ratio of equivocal (i.e., would have been biopsied) lesions to detected melanomas dropped by ~2X when guided by dermoscopy and RCM imaging, compared to that with dermoscopy alone. Dermoscopy combined with RCM imaging is now being implemented to guide noninvasive diagnosis (to rule out malignancy and biopsy) and to also guide treatment, with promising initial impact: thus far, about 3,000 patients have been saved from biopsies of benign lesions. These are currently under follow-up monitoring. With fluorescence confocal microscopy (FCM) mosaicing, residual basal cell carcinomas can be detected in Mohs surgically excised fresh tissue ex vivo, with sensitivity of 94-97% and specificity 89-94%. FCM mosaicing is now being implemented for guiding Mohs surgery. To date, about 600 Mohs procedures have been performed, guided with mosaicing, and with pathology being performed in parallel to confirm the final outcome. These latest advances demonstrate the promising ability of RCM and FCM to guide patient care.

Control of asthma for reducing the risk of bronchospasm in asthmatics undergoing general anesthesia and/or intravascular administration of radiographic contrast media.

PubMed

Liccardi, Gennaro; Salzillo, Antonello; De Blasio, Francesco; D'Amato, Gennaro

2009-07-01

It is well known that patients suffering from bronchial asthma undergoing surgical procedures requiring general anesthesia (GA) or the administration of water soluble radiographic contrast media (RCM) have an increased risk of potentially severe bronchospasm. Nevertheless, little attention has been devoted to the possible preventive measures to reduce the occurrence of this potentially life-threatening event. It has been shown that the most important risk factor for bronchospasm during GA induction and/or the use of RCM is represented by a high degree of bronchial hyperreactivity with airway instability not adequately controlled by long-term anti-inflammatory treatment. The aim of this commentary is to underline the need for an accurate clinical and functional evaluation of asthmatics undergoing surgical procedures requiring GA or radiological procedures requiring the administration of RCM, as well as to suggest a stepwise preventive pharmacological approach for reducing the risk of bronchospasm. The authors' suggestions represent clinical experience of the respiratory section of an internal hospital-based working group whose aim is the prevention of asthmatic/anaphylactic/anaphylactoid reactions during the administration of anesthetics and/or RCM. The MEDLINE database was searched with a combination of keywords: general anesthesia, radio contrast media [and] bronchial asthma. The main limitation of this commentary is the scarcity of available literature on this topic. The authors suggest a therapeutic approach before surgical procedures requiring GA and/or RCM administration based on the degree of asthma control as assessed by clinical/functional criteria. In this setting, in addition to the necessity of obtaining the best control of airway reactivity, the authors suggest that an optimal control of asthma symptoms in 'real life' conditions might likely constitute a safety issue in asthmatic patients in the case of emergency procedures.

Multisite Evaluation of APEX for Water Quality: II. Regional Parameterization.

PubMed

Nelson, Nathan O; Baffaut, Claire; Lory, John A; Anomaa Senaviratne, G M M M; Bhandari, Ammar B; Udawatta, Ranjith P; Sweeney, Daniel W; Helmers, Matt J; Van Liew, Mike W; Mallarino, Antonio P; Wortmann, Charles S

2017-11-01

Phosphorus (P) Index assessment requires independent estimates of long-term average annual P loss from fields, representing multiple climatic scenarios, management practices, and landscape positions. Because currently available measured data are insufficient to evaluate P Index performance, calibrated and validated process-based models have been proposed as tools to generate the required data. The objectives of this research were to develop a regional parameterization for the Agricultural Policy Environmental eXtender (APEX) model to estimate edge-of-field runoff, sediment, and P losses in restricted-layer soils of Missouri and Kansas and to assess the performance of this parameterization using monitoring data from multiple sites in this region. Five site-specific calibrated models (SSCM) from within the region were used to develop a regionally calibrated model (RCM), which was further calibrated and validated with measured data. Performance of the RCM was similar to that of the SSCMs for runoff simulation and had Nash-Sutcliffe efficiency (NSE) > 0.72 and absolute percent bias (|PBIAS|) < 18% for both calibration and validation. The RCM could not simulate sediment loss (NSE < 0, |PBIAS| > 90%) and was particularly ineffective at simulating sediment loss from locations with small sediment loads. The RCM had acceptable performance for simulation of total P loss (NSE > 0.74, |PBIAS| < 30%) but underperformed the SSCMs. Total P-loss estimates should be used with caution due to poor simulation of sediment loss. Although we did not attain our goal of a robust regional parameterization of APEX for estimating sediment and total P losses, runoff estimates with the RCM were acceptable for P Index evaluation. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

weather@home 2: validation of an improved global-regional climate modelling system

NASA Astrophysics Data System (ADS)

Guillod, Benoit P.; Jones, Richard G.; Bowery, Andy; Haustein, Karsten; Massey, Neil R.; Mitchell, Daniel M.; Otto, Friederike E. L.; Sparrow, Sarah N.; Uhe, Peter; Wallom, David C. H.; Wilson, Simon; Allen, Myles R.

2017-05-01

Extreme weather events can have large impacts on society and, in many regions, are expected to change in frequency and intensity with climate change. Owing to the relatively short observational record, climate models are useful tools as they allow for generation of a larger sample of extreme events, to attribute recent events to anthropogenic climate change, and to project changes in such events into the future. The modelling system known as weather@home, consisting of a global climate model (GCM) with a nested regional climate model (RCM) and driven by sea surface temperatures, allows one to generate a very large ensemble with the help of volunteer distributed computing. This is a key tool to understanding many aspects of extreme events. Here, a new version of the weather@home system (weather@home 2) with a higher-resolution RCM over Europe is documented and a broad validation of the climate is performed. The new model includes a more recent land-surface scheme in both GCM and RCM, where subgrid-scale land-surface heterogeneity is newly represented using tiles, and an increase in RCM resolution from 50 to 25 km. The GCM performs similarly to the previous version, with some improvements in the representation of mean climate. The European RCM temperature biases are overall reduced, in particular the warm bias over eastern Europe, but large biases remain. Precipitation is improved over the Alps in summer, with mixed changes in other regions and seasons. The model is shown to represent the main classes of regional extreme events reasonably well and shows a good sensitivity to its drivers. In particular, given the improvements in this version of the weather@home system, it is likely that more reliable statements can be made with regards to impact statements, especially at more localized scales.

Survival and prognostic factors in cats with restrictive cardiomyopathy: a review of 90 cases.

PubMed

Locatelli, Chiara; Pradelli, Danitza; Campo, Giulia; Spalla, Ilaria; Savarese, Alice; Brambilla, Paola G; Bussadori, Claudio

2018-02-01

Objectives Large studies focusing on restrictive cardiomyopathy (RCM) in the cat are scarce. The aims of this retrospective study were to describe epidemiological characteristics and to analyse prognostic factors affecting survival in cats with RCM. Methods The clinical archives of the Gran Sasso Veterinary Clinic (Milan, Italy) and of the cardiology unit of the Department of Veterinary Medicine (University of Milan, Italy) from 1997-2015 were reviewed for all cats diagnosed with RCM based on an echocardiographic examination (left atrial/bi-atrial enlargement, normal left ventricle wall thickness, normal or mildly decreased systolic function and restrictive left ventricle filling pattern with pulsed Doppler echocardiography). Results The study population comprised 90 cats (53 male, 37 female) with an echocardiographic diagnosis of RCM. Most were domestic shorthairs (n = 60) with a mean ± SD age of 10.0 ± 4.3 years and a median weight of 3.8 kg (interquartile range 3.2-5 kg). Most cats were symptomatic (n = 87). The most common clinical sign was respiratory distress (n = 75). Follow-up was available for 60 cats and the median survival time (MST) was 69 days (95% confidence interval [CI] 0-175 days). Cardiac-related death occurred in 50 cats. In the multivariate Cox analysis only respiratory distress showed a statistically significant effect on survival. The cats without respiratory distress showed a MST of 466 days (95% CI 0-1208); cats with respiratory distress showing a MST of 64 days (95% CI 8-120; P = 0.011). Conclusions and relevance RCM can be considered an end-stage condition associated with a poor prognosis, with few cats not showing clinical signs and surviving >1 year: most cats died of cardiac disease within a very short time.

Function of the family-9 and family-22 carbohydrate-binding modules in a modular beta-1,3-1,4-glucanase/xylanase derived from Clostridium stercorarium Xyn10B.

PubMed

Zhao, Guangshan; Ali, Ehsan; Araki, Rie; Sakka, Makiko; Kimura, Tetsuya; Sakka, Kazuo

2005-08-01

Clostridium stercorarium Xyn10B having hydrolytic activities on xylan and beta-1,3-1,4-glucan is a modular enzyme composed of two family-22 carbohydrate-binding modules (CBMs), a family-10 catalytic module of the glycoside hydrolases, a family-9 CBM, and two S-layer homologous modules, consecutively from the N-terminus. We investigated the function of family-9 and family-22 CBMs in a modular enzyme by comparing the enzymatic properties of a truncated enzyme composed of two family-22 CBMs and the catalytic module (rCBM22-CM), an enzyme composed of the catalytic module and family-9 CBM (rCM-CBM9), an enzyme composed of two family-22 CBMs, the catalytic module, and family-9 CBM (rCBM22-CM-CBM9), and the catalytic module polypeptide (rCM). Although the addition of family-9 CBM to rCM and rCBM22-CM did not significantly change catalytic activity toward xylan and beta-1,3-1,4-glucan, the addition of family-22 CBM to rCM and rCM-CBM9 drastically enhanced catalytic activity toward xylan and especially beta-1,3-1,4-glucan. Furthermore, the addition of family-22 CBM to rCM and rCM-CBM9 shifted the optimum temperature from 65 degrees C to 75 degrees C, but that of family-9 CBM to rCM and rCBM22-CM did not affect the optimum temperature. These facts suggest that the enzyme properties of Xyn10B were mainly dependent on the presence of the family-22 CBMs but not family-9 CBM.

Radiological control manual. Revision 1

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

Kloepping, R.

1996-05-01

This Lawrence Berkeley National Laboratory Radiological Control Manual (LBNL RCM) has been prepared to provide guidance for site-specific additions, supplements and interpretation of the DOE Radiological Control Manual. The guidance provided in this manual is one methodology to implement the requirements given in Title 10 Code of Federal Regulations Part 835 (10 CFR 835) and the DOE Radiological Control Manual. Information given in this manual is also intended to provide demonstration of compliance to specific requirements in 10 CFR 835. The LBNL RCM (Publication 3113) and LBNL Health and Safety Manual Publication-3000 form the technical basis for the LBNL RPPmore » and will be revised as necessary to ensure that current requirements from Rules and Orders are represented. The LBNL RCM will form the standard for excellence in the implementation of the LBNL RPP.« less

[UNESCO] Regional Consultation Meeting on the Asia and Pacific Programme of Educational Innovation for Development (APEID) (12th, Chaing Mai, Thailand, August 20-27, 1990). Final Report.

ERIC Educational Resources Information Center

United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

This document is the final report of a Regional Consultation Meeting (RCM) on the Asia Pacific Programme of Educational Innovation for Development (APEID), a mechanism developed by UNESCO to bring about regional cooperation in education in Asia and the Pacific. This RCM was attended by 55 participants, resource persons, and observers from…

A Proposed Resource Cost Model Grant-in-Aid System in Illinois: Equity Considerations and Other Observations.

ERIC Educational Resources Information Center

Hickrod, G. Alan; Chaudhari, Ramesh B.

This paper evaluates the equity dimensions of a grant-in-aid system based on the Resource Cost Model (RCM), as proposed by the Illinois State Board of Education. The first section is an independent evaluation of the conceptual and legal aspects of the RCM, focusing on both the weaknesses and the strengths of the model. In the second section, an…

Downscaling of RCM outputs for representative catchments in the Mediterranean region, for the 1951-2100 time-frame

NASA Astrophysics Data System (ADS)

Deidda, Roberto; Marrocu, Marino; Pusceddu, Gabriella; Langousis, Andreas; Mascaro, Giuseppe; Caroletti, Giulio

2013-04-01

Within the activities of the EU FP7 CLIMB project (www.climb-fp7.eu), we developed downscaling procedures to reliably assess climate forcing at hydrologically relevant scales, and applied them to six representative hydrological basins located in the Mediterranean region: Riu Mannu and Noce in Italy, Chiba in Tunisia, Kocaeli in Turkey, Thau in France, and Gaza in Palestine. As a first step towards this aim, we used daily precipitation and temperature data from the gridded E-OBS project (www.ecad.eu/dailydata), as reference fields, to rank 14 Regional Climate Model (RCM) outputs from the ENSEMBLES project (http://ensembles-eu.metoffice.com). The four best performing model outputs were selected, with the additional constraint of maintaining 2 outputs obtained from running different RCMs driven by the same GCM, and 2 runs from the same RCM driven by different GCMs. For these four RCM-GCM model combinations, a set of downscaling techniques were developed and applied, for the period 1951-2100, to variables used in hydrological modeling (i.e. precipitation; mean, maximum and minimum daily temperatures; direct solar radiation, relative humidity, magnitude and direction of surface winds). The quality of the final products is discussed, together with the results obtained after applying a bias reduction procedure to daily temperature and precipitation fields.

The risk of bronchospasm in asthmatics undergoing general anaesthesia and/or intravascular administration of radiographic contrast media. physiopatology and clinical/functional evaluation.

PubMed

Liccardi, G; Salzillo, A; Piccolo, A; De Napoli, I; D'Amato, G

2010-10-01

It is well known that patients suffering from bronchial asthma undergoing to surgical procedures requiring general anaesthesia (GA) or the administration of water soluble radiographic contrast media (RCM) experience a risk of potentially severe bronchospasm. Nevertheless, little attention has been devoted on the possible preventive measures to reduce the occurrence of this potentially life-threatening event. It has been shown that the most important risk factor for bronchospasm during GA induction and/or the use of RCM is represented by a high degree of bronchial hyperreactivity with airway instability not adequately controlled by long-term anti-inflammatory treatment. The aim of this review is to underline the need for an accurate clinical and functional evaluation of asthmatics (especially those with a relevant degree of asthma severity) undergoing GA or administration of RCM. Guidelines shared by pulmonologists, allergologists, anesthesiologists and radiologists should be produced in the future for a better evaluation and management of these patients. General practitioner plays an important role in managing asthmatic patients in "Real Life". It is likely that "Real Life"--optimally controlled asthmatics could undergo GA/RCM with lower risks especially in emergency conditions when it is not possible to perform any preoperative evaluation.

Classifying distinct basal cell carcinoma subtype by means of dermatoscopy and reflectance confocal microscopy.

PubMed

Longo, Caterina; Lallas, Aimilios; Kyrgidis, Athanassios; Rabinovitz, Harold; Moscarella, Elvira; Ciardo, Silvana; Zalaudek, Iris; Oliviero, Margaret; Losi, Amanda; Gonzalez, Salvador; Guitera, Pascale; Piana, Simonetta; Argenziano, Giuseppe; Pellacani, Giovanni

2014-10-01

The current guidelines for the management of basal cell carcinoma (BCC) suggest a different therapeutic approach according to histopathologic subtype. Although dermatoscopic and confocal criteria of BCC have been investigated, no specific studies were performed to evaluate the distinct reflectance confocal microscopy (RCM) aspects of BCC subtypes. To define the specific dermatoscopic and confocal criteria for delineating different BCC subtypes. Dermatoscopic and confocal images of histopathologically confirmed BCCs were retrospectively evaluated for the presence of predefined criteria. Frequencies of dermatoscopic and confocal parameters are provided. Univariate and adjusted odds ratios were calculated. Discriminant analyses were performed to define the independent confocal criteria for distinct BCC subtypes. Eighty-eight BCCs were included. Dermatoscopically, superficial BCCs (n=44) were primarily typified by the presence of fine telangiectasia, multiple erosions, leaf-like structures, and revealed cords connected to the epidermis and epidermal streaming upon RCM. Nodular BCCs (n=22) featured the classic dermatoscopic features and well outlined large basaloid islands upon RCM. Infiltrative BCCs (n=22) featured structureless, shiny red areas, fine telangiectasia, and arborizing vessels on dermatoscopy and dark silhouettes upon RCM. The retrospective design. Dermatoscopy and confocal microscopy can reliably classify different BCC subtypes. Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

In vivo fluorescence confocal microscopy: indocyanine green enhances the contrast of epidermal and dermal structures

NASA Astrophysics Data System (ADS)

Skvara, Hans; Kittler, Harald; Schmid, Johannes A.; Plut, Ulrike; Jonak, Constanze

2011-09-01

In recent years, in vivo skin imaging devices have been successfully implemented in skin research as well as in clinical routine. Of particular importance is the use of reflectance confocal microscopy (RCM) and fluorescence confocal microscopy (FCM) that enable visualization of the tissue with a resolution comparable to histology. A newly developed commercially available multi-laser device in which both technologies are integrated now offers the possibility to directly compare RCM with FCM. The fluorophore indocyanine green (ICG) was intradermally injected into healthy forearm skin of 10 volunteers followed by in vivo imaging at various time points. In the epidermis, accurate assessment of cell morphology with FCM was supplemented by identification of pigmented cells and structures with RCM. In dermal layers, only with FCM connective tissue fibers were clearly contoured down to a depth of more than 100 μm. The fluorescent signal still provided a favorable image contrast 24 and 48 hours after injection. Subsequently, ICG was applied to different types of skin diseases (basal cell carcinoma, actinic keratosis, seborrhoeic keratosis, and psoriasis) in order to demonstrate the diagnostic benefit of FCM when directly compared with RCM. Our data suggest a great impact of FCM in combination with ICG on clinical and experimental dermatology in the future.

Nonlinear Wave Chaos and the Random Coupling Model

NASA Astrophysics Data System (ADS)

Zhou, Min; Ott, Edward; Antonsen, Thomas M.; Anlage, Steven

The Random Coupling Model (RCM) has been shown to successfully predict the statistical properties of linear wave chaotic cavities in the highly over-moded regime. It is of interest to extend the RCM to strongly nonlinear systems. To introduce nonlinearity, an active nonlinear circuit is connected to two ports of the wave chaotic 1/4-bowtie cavity. The active nonlinear circuit consists of a frequency multiplier, an amplifier and several passive filters. It acts to double the input frequency in the range from 3.5 GHz to 5 GHz, and operates for microwaves going in only one direction. Measurements are taken between two additional ports of the cavity and we measure the statistics of the second harmonic voltage over an ensemble of realizations of the scattering system. We developed an RCM-based model of this system as two chaotic cavities coupled by means of a nonlinear transfer function. The harmonics received at the output are predicted to be the product of three statistical quantities that describe the three elements correspondingly. Statistical results from simulation, RCM-based modeling, and direct experimental measurements will be compared. ONR under Grant No. N000141512134, AFOSR under COE Grant FA9550-15-1-0171,0 and the Maryland Center for Nanophysics and Advanced Materials.

The Geographic Climate Information System Project (GEOCLIMA): Overview and preliminary results

NASA Astrophysics Data System (ADS)

Feidas, H.; Zanis, P.; Melas, D.; Vaitis, M.; Anadranistakis, E.; Symeonidis, P.; Pantelopoulos, S.

2012-04-01

The project GEOCLIMA aims at developing an integrated Geographic Information System (GIS) allowing the user to manage, analyze and visualize the information which is directly or indirectly related to climate and its future projections in Greece. The main components of the project are: a) collection and homogenization of climate and environmental related information, b) estimation of future climate change based on existing regional climate model (RCM) simulations as well as a supplementary high resolution (10 km x 10 km) simulation over the period 1961-2100 using RegCM3, c) compilation of an integrated uniform geographic database, and d) mapping of climate data, creation of digital thematic maps, and development of the integrated web GIS application. This paper provides an overview of the ongoing research efforts and preliminary results of the project. First, the trends in the annual and seasonal time series of precipitation and air temperature observations for all available stations in Greece are assessed. Then the set-up of the high resolution RCM simulation (10 km x 10 km) is discussed with respect to the selected convective scheme. Finally, the relationship of climatic variables with geophysical features over Greece such as altitude, location, distance from the sea, slope, aspect, distance from climatic barriers, land cover etc) is investigated, to support climate mapping. The research has been co-financed by the European Union (European Regional Development Fund) and Greek national funds through the Operational Program "Competitiveness and Entrepreneurship" of the National Strategic Reference Framework (NSRF) - Research Funding Program COOPERATION 2009.

Nonlinear wave chaos: statistics of second harmonic fields.

PubMed

Zhou, Min; Ott, Edward; Antonsen, Thomas M; Anlage, Steven M

2017-10-01

Concepts from the field of wave chaos have been shown to successfully predict the statistical properties of linear electromagnetic fields in electrically large enclosures. The Random Coupling Model (RCM) describes these properties by incorporating both universal features described by Random Matrix Theory and the system-specific features of particular system realizations. In an effort to extend this approach to the nonlinear domain, we add an active nonlinear frequency-doubling circuit to an otherwise linear wave chaotic system, and we measure the statistical properties of the resulting second harmonic fields. We develop an RCM-based model of this system as two linear chaotic cavities coupled by means of a nonlinear transfer function. The harmonic field strengths are predicted to be the product of two statistical quantities and the nonlinearity characteristics. Statistical results from measurement-based calculation, RCM-based simulation, and direct experimental measurements are compared and show good agreement over many decades of power.

Climatological Impact of Atmospheric River Based on NARCCAP and DRI-RCM Datasets

NASA Astrophysics Data System (ADS)

Mejia, J. F.; Perryman, N. M.

2012-12-01

This study evaluates spatial responses of extreme precipitation environments, typically associated with Atmospheric River events, using Regional Climate Model (RCM) output from NARCCAP dataset (50km grid size) and the Desert Research Institute-RCM simulations (36 and 12 km grid size). For this study, a pattern-detection algorithm was developed to characterize Atmospheric Rivers (ARs)-like features from climate models. Topological analysis of the enhanced elongated moisture flux (500-300hPa; daily means) cores is used to objectively characterize such AR features in two distinct groups: (i) zonal, north Pacific ARs, and (ii) subtropical ARs, also known as "Pineapple Express" events. We computed the climatological responses of the different RCMs upon these two AR groups, from which intricate differences among RCMs stand out. This study presents these climatological responses from historical and scenario driven simulations, as well as implications for precipitation extreme-value analyses.

Scientist's Idealism Vs. User's Realism for Orthorectification of Full Radarsat-2/Compact RCM Polarimetric Data with DSM

NASA Astrophysics Data System (ADS)

Toutin, Thierry; Wang, Huili; Charbonneau, Francois; Schmitt, Carla

2013-08-01

This paper presented two methods for the orthorectification of full/compact polarimetric SAR data: the polarimetric processing is performed in the image space (scientist's idealism) or in the ground space (user's realism) before or after the geometric processing, respectively. Radarsat-2 (R2) fine-quad and simulated very high-resolution RCM data acquired with different look angles over a hilly relief study site were processed using accurate lidar digital surface model. Quantitative evaluations between the two methods as a function of different geometric and radiometric parameters were performed to evaluate the impact during the orthorectification. The results demonstrated that the ground-space method can be safely applied to polarimetric R2 SAR data with an exception with the steep look angles and steep terrain slopes. On the other hand, the ground-space method cannot be applied to simulated compact RCM data due to 17dB noise floor and oversampling.

14 CFR 91.1425 - CAMP: Maintenance, preventive maintenance, and alteration programs.

Code of Federal Regulations, 2010 CFR

2010-01-01

... RULES Fractional Ownership Operations Program Management § 91.1425 CAMP: Maintenance, preventive maintenance, and alteration programs. Each program manager who maintains program aircraft under a CAMP must... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false CAMP: Maintenance, preventive maintenance...

Optimal design of a novel remote center-of-motion mechanism for minimally invasive surgical robot

NASA Astrophysics Data System (ADS)

Sun, Jingyuan; Yan, Zhiyuan; Du, Zhijiang

2017-06-01

Surgical robot with a remote center-of-motion (RCM) plays an important role in minimally invasive surgery (MIS) field. To make the mechanism has high flexibility and meet the demand of movements during processing of operation, an optimized RCM mechanism is proposed in this paper. Then, the kinematic performance and workspace are analyzed. Finally, a new optimization objective function is built by using the condition number index and the workspace index.

Life Forecasting as a Logistics Technique.

DTIC Science & Technology

1982-01-01

Two examples of RCM applications were investigated directly by the MIT project team: the T53-L-13B engine for the UH -lH Helicopter and the M- 60 Tank...for RCM activities. The candidate systems and the respective 4 readiness commands were the UH -lH helicopter (TSARCOM), TOY Weapon System (MIRCOM), M...have capability for developing Failure Modes and Effects Analyses ( FMEA ). 5. Accurate and dependable field or test data are generally not available. 6

"The Effect of Alternative Representations of Lake ...

EPA Pesticide Factsheets

Lakes can play a significant role in regional climate, modulating inland extremes in temperature and enhancing precipitation. Representing these effects becomes more important as regional climate modeling (RCM) efforts focus on simulating smaller scales. When using the Weather Research and Forecasting (WRF) model to downscale future global climate model (GCM) projections into RCM simulations, model users typically must rely on the GCM to represent temperatures at all water points. However, GCMs have insufficient resolution to adequately represent even large inland lakes, such as the Great Lakes. Some interpolation methods, such as setting lake surface temperatures (LSTs) equal to the nearest water point, can result in inland lake temperatures being set from sea surface temperatures (SSTs) that are hundreds of km away. In other cases, a single point is tasked with representing multiple large, heterogeneous lakes. Similar consequences can result from interpolating ice from GCMs to inland lake points, resulting in lakes as large as Lake Superior freezing completely in the space of a single timestep. The use of a computationally-efficient inland lake model can improve RCM simulations where the input data is too coarse to adequately represent inland lake temperatures and ice (Gula and Peltier 2012). This study examines three scenarios under which ice and LSTs can be set within the WRF model when applied as an RCM to produce 2-year simulations at 12 km gri

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

Wang, Jiali; Swati, F. N. U.; Stein, Michael L.

Regional climate models (RCMs) are a standard tool for downscaling climate forecasts to finer spatial scales. The evaluation of RCMs against observational data is an important step in building confidence in the use of RCMs for future prediction. In addition to model performance in climatological means and marginal distributions, a model’s ability to capture spatio-temporal relationships is important. This study develops two approaches: (1) spatial correlation/variogram for a range of spatial lags, with total monthly precipitation and non-seasonal precipitation components used to assess the spatial variations of precipitation; and (2) spatio-temporal correlation for a wide range of distances, directions, andmore » time lags, with daily precipitation occurrence used to detect the dynamic features of precipitation. These measures of spatial and spatio-temporal dependence are applied to a high-resolution RCM run and to the National Center for Environmental Prediction (NCEP)-U.S. Department of Energy (DOE) AMIP II reanalysis data (NCEP-R2), which provides initial and lateral boundary conditions for the RCM. The RCM performs better than NCEP-R2 in capturing both the spatial variations of total and non-seasonal precipitation components and the spatio-temporal correlations of daily precipitation occurrences, which are related to dynamic behaviors of precipitating systems. The improvements are apparent not just at resolutions finer than that of NCEP-R2, but also when the RCM and observational data are aggregated to the resolution of NCEP-R2.« less

Monitoring femtosecond laser microscopic photothermolysis with multimodal microscopy (Conference Presentation)

NASA Astrophysics Data System (ADS)

Huang, Yimei; Lui, Harvey; Zhao, Jianhua; McLean, David I.; Zeng, Haishan

2016-02-01

Photothermolysis induced by femtosecond (fs) lasers may be a promising modality in dermatology because of its advantages of high precision due to multiphoton absorption and deeper penetration due to the use of near infrared wavelengths. Although multiphoton absorption nonlinear effects are capable of precision targeting, the femtosecond laser photothermolysis could still have effects beyond the targeted area if a sufficiently high dose of laser light is used. Such unintended effects could be minimized by real time monitoring photothermolysis during the treatment. Targeted photothermolytic treatment of ex vivo mouse skin dermis was performed with tightly focused fs laser beams. Images of reflectance confocal microscopy (RCM), second harmonic generation (SHG), and two-photon fluorescence (TPF) of the mouse skins were obtained with integrated multimodal microscopy before, during, and after the laser treatment. The RCM, SHG, and TPF signal intensities of the treatment areas changed after high power femtosecond laser irradiation. The intensities of the RCM and SHG signals decreased when the tissue was damaged, while the intensity of the TPF signal increased when the photothermolysis was achieved. Moreover, the TPF signal was more susceptible to the degree of the photothermolysis than the RCM and SHG signals. The results suggested that multimodal microscopy is a potentially useful tool to monitor and assess the femtosecond laser treatment of the skin to achieve microscopic photothermolysis with high precision.

How does bias correction of RCM precipitation affect modelled runoff?

NASA Astrophysics Data System (ADS)

Teng, J.; Potter, N. J.; Chiew, F. H. S.; Zhang, L.; Vaze, J.; Evans, J. P.

2014-09-01

Many studies bias correct daily precipitation from climate models to match the observed precipitation statistics, and the bias corrected data are then used for various modelling applications. This paper presents a review of recent methods used to bias correct precipitation from regional climate models (RCMs). The paper then assesses four bias correction methods applied to the weather research and forecasting (WRF) model simulated precipitation, and the follow-on impact on modelled runoff for eight catchments in southeast Australia. Overall, the best results are produced by either quantile mapping or a newly proposed two-state gamma distribution mapping method. However, the difference between the tested methods is small in the modelling experiments here (and as reported in the literature), mainly because of the substantial corrections required and inconsistent errors over time (non-stationarity). The errors remaining in bias corrected precipitation are typically amplified in modelled runoff. The tested methods cannot overcome limitation of RCM in simulating precipitation sequence, which affects runoff generation. Results further show that whereas bias correction does not seem to alter change signals in precipitation means, it can introduce additional uncertainty to change signals in high precipitation amounts and, consequently, in runoff. Future climate change impact studies need to take this into account when deciding whether to use raw or bias corrected RCM results. Nevertheless, RCMs will continue to improve and will become increasingly useful for hydrological applications as the bias in RCM simulations reduces.

An Adaptive Moving Target Imaging Method for Bistatic Forward-Looking SAR Using Keystone Transform and Optimization NLCS.

PubMed

Li, Zhongyu; Wu, Junjie; Huang, Yulin; Yang, Haiguang; Yang, Jianyu

2017-01-23

Bistatic forward-looking SAR (BFSAR) is a kind of bistatic synthetic aperture radar (SAR) system that can image forward-looking terrain in the flight direction of an aircraft. Until now, BFSAR imaging theories and methods for a stationary scene have been researched thoroughly. However, for moving-target imaging with BFSAR, the non-cooperative movement of the moving target induces some new issues: (I) large and unknown range cell migration (RCM) (including range walk and high-order RCM); (II) the spatial-variances of the Doppler parameters (including the Doppler centroid and high-order Doppler) are not only unknown, but also nonlinear for different point-scatterers. In this paper, we put forward an adaptive moving-target imaging method for BFSAR. First, the large and unknown range walk is corrected by applying keystone transform over the whole received echo, and then, the relationships among the unknown high-order RCM, the nonlinear spatial-variances of the Doppler parameters, and the speed of the mover, are established. After that, using an optimization nonlinear chirp scaling (NLCS) technique, not only can the unknown high-order RCM be accurately corrected, but also the nonlinear spatial-variances of the Doppler parameters can be balanced. At last, a high-order polynomial filter is applied to compress the whole azimuth data of the moving target. Numerical simulations verify the effectiveness of the proposed method.

25 CFR 170.804 - How is BIA's Road Maintenance Program related to the IRR Program?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false How is BIA's Road Maintenance Program related to the IRR... WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.804 How is BIA's Road Maintenance Program related to the IRR Program? The following chart illustrates how BIA's Road Maintenance Program is...

Effects of including electrojet turbulence in LFM-RCM simulations of geospace storms

NASA Astrophysics Data System (ADS)

Oppenheim, M. M.; Wiltberger, M. J.; Merkin, V. G.; Zhang, B.; Toffoletto, F.; Wang, W.; Lyon, J.; Liu, J.; Dimant, Y. S.

2016-12-01

Global geospace system simulations need to incorporate nonlinear and small-scale physical processes in order to accurately model storms and other intense events. During times of strong magnetospheric disturbances, large-amplitude electric fields penetrate from the Earth's magnetosphere to the E-region ionosphere where they drive Farley-Buneman instabilities (FBI) that create small-scale plasma density turbulence. This induces nonlinear currents and leads to anomalous electron heating. Current global Magnetosphere-Ionosphere-Thermosphere (MIT) models disregard these effects by assuming simple laminar ionospheric currents. This paper discusses the effects of incorporating accurate turbulent conductivities into MIT models. Recently, we showed in Liu et al. (2016) that during storm-time, turbulence increases the electron temperatures and conductivities more than precipitation. In this talk, we present the effect of adding these effects to the combined Lyon-Fedder-Mobarry (LFM) global MHD magnetosphere simulator and the Rice Convection Model (RCM). The LFM combines a magnetohydrodynamic (MHD) simulation of the magnetosphere with a 2D electrostatic solution of the ionosphere. The RCM uses drift physics to accurately model the inner magnetosphere, including a storm enhanced ring current. The LFM and coupled LFM-RCM simulations have previously shown unrealistically high cross-polar-cap potentials during strong solar wind driving conditions. We have recently implemented an LFM module that modifies the ionospheric conductivity to account for FBI driven anomalous electron heating and non-linear cross-field current enhancements as a function of the predicted ionospheric electric field. We have also improved the LFM-RCM code by making it capable of handling dipole tilts and asymmetric ionospheric solutions. We have tested this new LFM version by simulating the March 17, 2013 geomagnetic storm. These simulations showed a significant reduction in the cross-polar-cap potential during the strongest driving conditions, significant increases in the ionospheric conductivity in the auroral oval, and better agreement with DMSP observations of sub-auroral polarization streams. We conclude that accurate MIT simulations of geospace storms require the inclusion of turbulent conductivities.

A Dynamical Downscaling Approach with GCM Bias Corrections and Spectral Nudging

NASA Astrophysics Data System (ADS)

Xu, Z.; Yang, Z.

2013-12-01

To reduce the biases in the regional climate downscaling simulations, a dynamical downscaling approach with GCM bias corrections and spectral nudging is developed and assessed over North America. Regional climate simulations are performed with the Weather Research and Forecasting (WRF) model embedded in the National Center for Atmospheric Research (NCAR) Community Atmosphere Model (CAM). To reduce the GCM biases, the GCM climatological means and the variances of interannual variations are adjusted based on the National Centers for Environmental Prediction-NCAR global reanalysis products (NNRP) before using them to drive WRF which is the same as our previous method. In this study, we further introduce spectral nudging to reduce the RCM-based biases. Two sets of WRF experiments are performed with and without spectral nudging. All WRF experiments are identical except that the initial and lateral boundary conditions are derived from the NNRP, the original GCM output, and the bias corrected GCM output, respectively. The GCM-driven RCM simulations with bias corrections and spectral nudging (IDDng) are compared with those without spectral nudging (IDD) and North American Regional Reanalysis (NARR) data to assess the additional reduction in RCM biases relative to the IDD approach. The results show that the spectral nudging introduces the effect of GCM bias correction into the RCM domain, thereby minimizing the climate drift resulting from the RCM biases. The GCM bias corrections and spectral nudging significantly improve the downscaled mean climate and extreme temperature simulations. Our results suggest that both GCM bias corrections or spectral nudging are necessary to reduce the error of downscaled climate. Only one of them does not guarantee better downscaling simulation. The new dynamical downscaling method can be applied to regional projection of future climate or downscaling of GCM sensitivity simulations. Annual mean RMSEs. The RMSEs are computed over the verification region by monthly mean data over 1981-2010. Experimental design

Does Survival on the Heart Transplant Waiting List Depend on the Underlying Heart Disease?

PubMed Central

Hsich, Eileen M.; Rogers, Joseph G.; McNamara, Dennis M.; Taylor, David O.; Starling, Randall C.; Blackstone, Eugene H.; Schold, Jesse D.

2016-01-01

Objective The aim was to identify differences in survival based on type of heart disease while awaiting orthotopic heart transplantation (OHT). Background Restrictive cardiomyopathy (RCM), congenital heart disease (CHD), and hypertrophic cardiomyopathy (HCM) patients may be at a disadvantage while awaiting OHT since they often are poor candidates for mechanical circulatory support and/or inotropes. Methods We included all adults in the Scientific Registry of Transplant Recipients database awaiting OHT from 2004–2014 and evaluated outcomes based on type of heart disease. The primary endpoint was time to all-cause mortality censored at last patient follow-up and time of transplantation. Multivariable Cox proportional hazards models were performed to evaluate survival by type of cardiomyopathy. Results There were 14447 DCM, 823 RCM, 11799 ischemic cardiomyopathy (ICM), 602 HCM, 964 CHD, 584 valvular disease, and 1528 “other” (including 1216 for re-transplantation). During median follow-up of 3.7 months, 4943 died (1253 F, 3690 M). After adjusting for possible confounding variables including age, renal function, inotropes, mechanical ventilation and mechanical circulatory support, the adjusted hazard ratio (aHR) by diagnoses relative to DCM were RCM aHR 1.70 (1.43–2.02), ICM aHR 1.10 (1.03–1.18), HCM aHR 1.23 (0.98–1.54), valvular disease aHR 1.30 (1.07–1.57), CHD aHR 1.37 (1.17–1.61) and “Other” aHR 1.51 (1.34–1.69). Sex was a significant modifier of mortality for ICM, RCM and “other” (P<0.05 for interaction). Conclusion In the United States, patients with RCM, CHD and prior heart transplantation had a higher risk of death awaiting OHT than patients with a DCM, ICM, HCM and valvular heart disease. PMID:27179836

Reflectance confocal microscopy for the evaluation of sensitive skin.

PubMed

Ma, Y-F; Yuan, C; Jiang, W-C; Wang, X-L; Humbert, P

2017-05-01

Nowadays, the diagnosis for sensitive skin relies on subjective assessment or on the combination of subjective and objective evaluation. No quantitative evaluation is available. It could be expected that confocal microscopy imaging could be of interest to better define the condition. Total 166 healthy female subjects were recruited in this study. Firstly, all subjects completed the sensitive questionnaire. Then, the cutaneous structures were measured by the reflectance confocal microscopy (RCM) on the face and fossa cubitalia. The lactic acid sting test was conducted finally. According to the results of self-perception sensitive skin questionnaire and lactic acid stinging test to evaluate facial skin sensitivity the both positive subjects were regarded as sensitive skin group and both negative group as healthy control group. The results of RCM indicating that the proportion of 'disarranged honeycomb pattern' and 'spongiform edema' in the sensitive group and healthy control group were statistically different (P < 0.05), respectively; The following report 'damaged dermal papilla rings' was not a distinctive pattern, with no significant statistical difference (P > 0.05). The epidermal thickness was 38.88 ± 6.81 μm, healthy control group was 40.31 ± 9.37 μm in, respectively, sensitive skin group and healthy control group, there was no significant statistical difference between the two groups (P > 0.05). The honeycomb structure depth of sensitive group was 20.57 ± 4.86 μm. It was for 23.27 ± 6.38 μm, healthy control group the difference being statistically different between the two groups (P < 0.05). Based on the RCM results, 'epidermal honeycomb structure' and 'spongiform edema' may be used as new skin signs of RCM evaluation of sensitive skin effectively. Indeed, sensitive skin honeycomb structure depth was thinner compared with healthy control group. Such a specific pattern has good clinical and monitoring value for the further exploration. RCM could provide new data and patterns for the evaluation of sensitive skin. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

The Impact of Climate Projection Method on the Analysis of Climate Change in Semi-arid Basins

NASA Astrophysics Data System (ADS)

Halper, E.; Shamir, E.

2016-12-01

In small basins with arid climates, rainfall characteristics are highly variable and stream flow is tightly coupled with the nuances of rainfall events (e.g. hourly precipitation patterns Climate change assessments in these basins typically employ CMIP5 projections downscaled with Bias Corrected Statistical Downscaling and Bias Correction/Constructed Analogs (BCSD-BCCA) methods, but these products have drawbacks. Specifically, BCSD-BCCA these projections do not explicitly account for localized physical precipitation mechanisms (e.g. monsoon and snowfall) that are essential to many hydrological systems in the U. S. Southwest. An investigation of the impact of different types of precipitation projections for two kinds of hydrologic studies is being conducted under the U.S. Bureau of Reclamation's Science and Technology Grant Program. An innovative modeling framework consisting of a weather generator of likely hourly precipitation scenarios, coupled with rainfall-runoff, river routing and groundwater models, has been developed in the Nogales, Arizona area. This framework can simulate the impact of future climate on municipal water operations. This framework allows the rigorous comparison of the BCSD-BCCA methods with alternative approaches including rainfall output from dynamical downscaled Regional Climate Models (RCM), a stochastic rainfall generator forced by either Global Climate Models (GCM) or RCM, and projections using historical records conditioned on either GCM or RCM. The results will provide guide for the use of climate change projections into hydrologic studies of semi-arid areas. The project extends this comparison to analyses of flood control. Large flows on the Bill Williams River are a concern for the operation of dams along the Lower Colorado River. After adapting the weather generator for this region, we will evaluate the model performance for rainfall and stream flow, with emphasis on statistical features important to the specific needs of flood management. The end product of the research is to develop a test to guide selection of a precipitation projection method (including downscaling procedure) for a given region and objective.

Projected changes to short- and long-duration precipitation extremes over the Canadian Prairie Provinces

NASA Astrophysics Data System (ADS)

Masud, M. B.; Khaliq, M. N.; Wheater, H. S.

2017-09-01

The effects of climate change on April-October short- and long-duration precipitation extremes over the Canadian Prairie Provinces were evaluated using a multi-Regional Climate Model (RCM) ensemble available through the North American Regional Climate Change Assessment Program. Simulations considered include those performed with six RCMs driven by the National Centre for Environmental Prediction (NCEP) reanalysis II product for the 1981-2000 period and those driven by four Atmosphere-Ocean General Circulation Models (AOGCMs) for the current 1971-2000 and future 2041-2070 periods (i.e. a total of 11 current-to-future period simulation pairs). A regional frequency analysis approach was used to develop 2-, 5-, 10-, 25-, and 50-year return values of precipitation extremes from NCEP and AOGCM-driven current and future period simulations that respectively were used to study the performance of RCMs and projected changes for selected return values at regional, grid-cell and local scales. Performance errors due to internal dynamics and physics of RCMs studied for the 1981-2000 period reveal considerable variation in the performance of the RCMs. However, the performance errors were found to be much smaller for RCM ensemble averages than for individual RCMs. Projected changes in future climate to selected regional return values of short-duration (e.g. 15- and 30-min) precipitation extremes and for longer return periods (e.g. 50-year) were found to be mostly larger than those to the longer duration (e.g. 24- and 48-h) extremes and short return periods (e.g. 2-year). Overall, projected changes in precipitation extremes were larger for southeastern regions followed by southern and northern regions and smaller for southwestern and western regions of the study area. The changes to return values were also found to be statistically significant for the majority of the RCM-AOGCM simulation pairs. These projections might be useful as a key input for the future planning of urban drainage infrastructure and development of strategic climate change adaptation measures.

Design and Characterization of a Space Based Chromotomographic Hyperspectral Imaging Experiment

DTIC Science & Technology

2011-06-01

shaker there are two sets of airbags . Underneath the side fixtures are two valves on each side of the shaker assembly which will be used during...the next step to inflate all 4 airbags . Watch closely to observe the side panels rise as the airbag inflates. Stop inflating when the panel is...2.12. RCM CONNECT the adapter to the hose and INFLATE all 4 airbags . _____2.13. RCM CONNECT the air supply to the shaker assembly. TURN ON air supply

Left ventricular assist device therapy in patients with restrictive and hypertrophic cardiomyopathy.

PubMed

Topilsky, Yan; Pereira, Naveen L; Shah, Dipesh K; Boilson, Barry; Schirger, John A; Kushwaha, Sudhir S; Joyce, Lyle D; Park, Soon J

2011-05-01

Left ventricular assist device (LVAD) is being increasingly used in patients with end-stage dilated and ischemic cardiomyopathy. There have been no clinical trials addressing the use of LVAD therapy in patients with end-stage heart failure caused by restrictive (RCM) or hypertrophic cardiomyopathy (HCM). The purpose of this study was therefore to analyze the outcome of LVAD therapy in these patients. Eighty-three patients received continuous axial flow LVAD (Heart mate II, Thoratec, Pleasanton, CA) from February 2007 to May 2010 at our institution. We analyzed the baseline characteristics and surgical and long-term impact of LVAD therapy in 8 patients with RCM or HCM and compared their outcomes with the 75 patients with dilated and ischemic cardiomyopathy. Compared with patients with ischemic or dilated cardiomyopathy, patients with RCM and HCM have significantly smaller left ventricular end-diastolic dimensions (52.5±6 mm versus 68.6±8 mm; P<0.0001) and increased thickness of septal (16 [12, 19] mm versus 10[8.5, 11] mm, P=0.0003) and higher left ventricular ejection fraction (21 [20, 36]% versus 17 [15, 22]%; P=0.0009). We found no difference in early mortality (12.5% versus 9.3%, P=0.57) or length of hospital stay (11 [8, 45] days versus 18.5 [12.2, 27.7] days; P=0.51) between the 2 groups. The right atrial pressure was higher (18 [15, 20] mm Hg versus 12 [9, 15] mm Hg, P=0.03), and pump flow was lower (4.3 [3.8, 4.5] L versus 5.2 [4.7, 5.5] L, P=0.001) after LVAD implantation in patients with RCM and HCM. Central venous catheter related infections were more common in patients with RCM and HCM (87.5% versus 44.5%, P=0.006). There was no difference in the total number of blood units transfused. Median (min, max) follow-up duration after LVAD implantation was 166 [1, 1044] days. The 1-year actuarial survival rate was not different between the 2 groups (87.5% [95% confidence interval, 52.9% to 97.8%] versus 73.2 [95% confidence interval, 60% to 85%]; P=0.77). Our preliminary data show that patients with end-stage heart failure caused by RCM or HCM may benefit from continuous axial flow LVAD therapy. This small study suggests that mortality is comparable with those patients who have dilated or ischemic cardiomyopathy, but right heart failure, prolonged inotropic use, and central venous catheter infections are more common in patients with RCM and HCM who were treated with LVAD. Because of the small numbers the differences should be interpreted cautiously, and prospective clinical trials would be required to recommend this therapy for these patients as bridge to transplantation or destination treatment.

Pilot Study EURAMET.AUV.V-P1: Bilateral comparison on magnitude of the complex charge sensitivity of accelerometers from 10 Hz to 10 kHz

NASA Astrophysics Data System (ADS)

Bartoli, Claire; Hermawanto, Denny

2017-01-01

The results of a Pilot Study EURAMET.AUV.V-P1 between LNE (France) and RCM-LIPI (Indonesia) are reported. This bilateral comparison of sinusoidal vibration was organized after the implementation of various improvements at RCM-LIPI following a previous (unpublished) comparison that had revealed discrepancies in their results at frequencies above 5 kHz. The results of this Pilot Study, using the same accelerometers as the earlier comparison, demonstrate that the discrepancies at high frequencies have been resolved. For both the back-to-back and the single-ended accelerometers tested, the sensitivities of the RCM-LIPI and the LNE over the frequency range from 10 Hz to 10 kHz now agree within their declared uncertainties. Main text To reach the main text of this paper, click on Final Report. The final report has been peer-reviewed and approved for publication by the CCAUV.

Synthetic studies on schisandra nortriterpenoids. Stereocontrolled synthesis of enantiopure C-5-epi ABC ring systems of micrandilactone A and lancifodilactone G using RCM.

PubMed

Maity, Soumitra; Matcha, Kiran; Ghosh, Subrata

2010-06-18

A stereocontrolled approach for the construction of ABC ring systems of micrandilactone A and lancifodilactone G has been developed. The synthesis involves construction of an enantiopure functionalized cycloheptene derivative 17 through RCM of the dienol 14 prepared from the known D-mannitol-derived unsaturated ester 12. A remarkable regioselectivity during hydroboration of the cycloheptene derivative 17 was observed during its transformation to the cycloheptanone 20. RCM of the diene 24 prepared stereoselectively from 20 gave the spiro-dihydrofuran 25. The ketal unit in 25 was then converted into the carbinols 28 and 36. A bromonium ion initiated highly stereocontrolled intramolecular etherification in 28 and 37 led to the tricyclic ethers 29 and 38, respectively. Reductive removal of bromine from 29 and 38 followed by RuO(4) oxidation led to the furo-furanone derivatives 31 and 40, the C-5-epi ABC ring systems of the schisandra nortriterpenoids 1 and 2.

A master manipulator with a remote-center-of-motion kinematic structure for a minimally invasive robotic surgical system.

PubMed

Lee, Hyunyoung; Cheon, Byungsik; Hwang, Minho; Kang, Donghoon; Kwon, Dong-Soo

2018-02-01

In robotic surgical systems, commercial master devices have limitations owing to insufficient workspace and lack of intuitiveness. To overcome these limitations, a remote-center-of-motion (RCM) master manipulator was proposed. The feasibility of the proposed RCM structure was evaluated through kinematic analysis using a conventional serial structure. Two performance comparison experiments (peg transfer task and objective transfer task) were conducted for the developed master and Phantom Omni. The kinematic analysis results showed that compared with the serial structure, the proposed RCM structure has better performance in terms of design efficiency (19%) and workspace quality (59.08%). Further, in comparison with Phantom Omni, the developed master significantly increased task efficiency and significantly decreased workload in both experiments. The comparatively better performance in terms of intuitiveness, design efficiency, and operability of the proposed master for a robotic system for minimally invasive surgery was confirmed through kinematic and experimental analysis. Copyright © 2017 John Wiley & Sons, Ltd.

A web-based Decision Support System for the optimal management of construction and demolition waste.

PubMed

Banias, G; Achillas, Ch; Vlachokostas, Ch; Moussiopoulos, N; Papaioannou, I

2011-12-01

Wastes from construction activities constitute nowadays the largest by quantity fraction of solid wastes in urban areas. In addition, it is widely accepted that the particular waste stream contains hazardous materials, such as insulating materials, plastic frames of doors, windows, etc. Their uncontrolled disposal result to long-term pollution costs, resource overuse and wasted energy. Within the framework of the DEWAM project, a web-based Decision Support System (DSS) application - namely DeconRCM - has been developed, aiming towards the identification of the optimal construction and demolition waste (CDW) management strategy that minimises end-of-life costs and maximises the recovery of salvaged building materials. This paper addresses both technical and functional structure of the developed web-based application. The web-based DSS provides an accurate estimation of the generated CDW quantities of twenty-one different waste streams (e.g. concrete, bricks, glass, etc.) for four different types of buildings (residential, office, commercial and industrial). With the use of mathematical programming, the DeconRCM provides also the user with the optimal end-of-life management alternative, taking into consideration both economic and environmental criteria. The DSS's capabilities are illustrated through a real world case study of a typical five floor apartment building in Thessaloniki, Greece. Copyright © 2011 Elsevier Ltd. All rights reserved.

Space shuttle maintenance program planning document

NASA Technical Reports Server (NTRS)

Brown, D. V.

1972-01-01

A means for developing a space shuttle maintenance program which will be acceptable to the development centers, the operators (KSC and AF), and the manufacturer is presented. The general organization and decision processes for determining the essential scheduled maintenance requirements for the space shuttle orbiter are outlined. The development of initial scheduled maintenance programs is discussed. The remaining maintenance, that is non-scheduled or non-routine maintenance, is directed by the findings of the scheduled maintenance program and the normal operation of the shuttle. The remaining maintenance consists of maintenance actions to correct discrepancies noted during scheduled maintenance tasks, nonscheduled maintenance, normal operation, or condition monitoring.

25 CFR 170.801 - What is the BIA Road Maintenance Program?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false What is the BIA Road Maintenance Program? 170.801 Section... ROADS PROGRAM BIA Road Maintenance § 170.801 What is the BIA Road Maintenance Program? The BIA Road... subpart contains a list of activities that are eligible for funding under the BIA road maintenance program. ...

Consistency of climate change projections from multiple global and regional model intercomparison projects

NASA Astrophysics Data System (ADS)

Fernández, J.; Frías, M. D.; Cabos, W. D.; Cofiño, A. S.; Domínguez, M.; Fita, L.; Gaertner, M. A.; García-Díez, M.; Gutiérrez, J. M.; Jiménez-Guerrero, P.; Liguori, G.; Montávez, J. P.; Romera, R.; Sánchez, E.

2018-03-01

We present an unprecedented ensemble of 196 future climate projections arising from different global and regional model intercomparison projects (MIPs): CMIP3, CMIP5, ENSEMBLES, ESCENA, EURO- and Med-CORDEX. This multi-MIP ensemble includes all regional climate model (RCM) projections publicly available to date, along with their driving global climate models (GCMs). We illustrate consistent and conflicting messages using continental Spain and the Balearic Islands as target region. The study considers near future (2021-2050) changes and their dependence on several uncertainty sources sampled in the multi-MIP ensemble: GCM, future scenario, internal variability, RCM, and spatial resolution. This initial work focuses on mean seasonal precipitation and temperature changes. The results show that the potential GCM-RCM combinations have been explored very unevenly, with favoured GCMs and large ensembles of a few RCMs that do not respond to any ensemble design. Therefore, the grand-ensemble is weighted towards a few models. The selection of a balanced, credible sub-ensemble is challenged in this study by illustrating several conflicting responses between the RCM and its driving GCM and among different RCMs. Sub-ensembles from different initiatives are dominated by different uncertainty sources, being the driving GCM the main contributor to uncertainty in the grand-ensemble. For this analysis of the near future changes, the emission scenario does not lead to a strong uncertainty. Despite the extra computational effort, for mean seasonal changes, the increase in resolution does not lead to important changes.

Evaluation of the CORDEX-Africa multi-RCM hindcast: systematic model errors

NASA Astrophysics Data System (ADS)

Kim, J.; Waliser, Duane E.; Mattmann, Chris A.; Goodale, Cameron E.; Hart, Andrew F.; Zimdars, Paul A.; Crichton, Daniel J.; Jones, Colin; Nikulin, Grigory; Hewitson, Bruce; Jack, Chris; Lennard, Christopher; Favre, Alice

2014-03-01

Monthly-mean precipitation, mean (TAVG), maximum (TMAX) and minimum (TMIN) surface air temperatures, and cloudiness from the CORDEX-Africa regional climate model (RCM) hindcast experiment are evaluated for model skill and systematic biases. All RCMs simulate basic climatological features of these variables reasonably, but systematic biases also occur across these models. All RCMs show higher fidelity in simulating precipitation for the west part of Africa than for the east part, and for the tropics than for northern Sahara. Interannual variation in the wet season rainfall is better simulated for the western Sahel than for the Ethiopian Highlands. RCM skill is higher for TAVG and TMAX than for TMIN, and regionally, for the subtropics than for the tropics. RCM skill in simulating cloudiness is generally lower than for precipitation or temperatures. For all variables, multi-model ensemble (ENS) generally outperforms individual models included in ENS. An overarching conclusion in this study is that some model biases vary systematically for regions, variables, and metrics, posing difficulties in defining a single representative index to measure model fidelity, especially for constructing ENS. This is an important concern in climate change impact assessment studies because most assessment models are run for specific regions/sectors with forcing data derived from model outputs. Thus, model evaluation and ENS construction must be performed separately for regions, variables, and metrics as required by specific analysis and/or assessments. Evaluations using multiple reference datasets reveal that cross-examination, quality control, and uncertainty estimates of reference data are crucial in model evaluations.

Utilization of red mud and Pb/Zn smelter waste for the synthesis of a red mud-based cementitious material.

PubMed

Li, Yuan-Cheng; Min, Xiao-Bo; Ke, Yong; Chai, Li-Yuan; Shi, Mei-Qing; Tang, Chong-Jian; Wang, Qing-Wei; Liang, Yan-Jie; Lei, Jie; Liu, De-Gang

2018-02-15

A new method in which Pb/Zn smelter waste containing arsenic and heavy metals (arsenic sludge), red mud and lime are utilized to prepare red mud-based cementitious material (RCM) is proposed in this study. XRD, SEM, FTIR and unconfined compressive strength (UCS) tests were employed to assess the physicochemical properties of RCM. In addition, ettringite and iron oxide-containing ettringite were used to study the hydration mechanism of RCM. The results show that the UCS of the RCM (red mud+arsenic sludge+lime) was higher than that of the binder (red mud+arsenic sludge). When the mass ratio of m (binder): m (lime) was 94:6 and then maintained 28days at ambient temperature, the UCS reached 12.05MPa. The red mud has potential cementitious characteristics, and the major source of those characteristics was the aluminium oxide. In the red mud-arsenic sludge-lime system, aluminium oxide was effectively activated by lime and gypsum to form complex hydration products. Some of the aluminium in ettringite was replaced by iron to form calcium sulfoferrite hydrate. The BCR and leaching toxicity results show that the leaching concentration was strongly dependent on the chemical speciation of arsenic and the hydration products. Therefore, the investigated red mud and arsenic sludge can be successfully utilized in cement composites to create a red mud-based cementitious material. Copyright © 2017 Elsevier B.V. All rights reserved.

In vivo confocal microscopy of the cornea: New developments in image acquisition, reconstruction and analysis using the HRT-Rostock Corneal Module

PubMed Central

Petroll, W. Matthew; Robertson, Danielle M.

2015-01-01

The optical sectioning ability of confocal microscopy allows high magnification images to be obtained from different depths within a thick tissue specimen, and is thus ideally suited to the study of intact tissue in living subjects. In vivo confocal microscopy has been used in a variety of corneal research and clinical applications since its development over 25 years ago. In this article we review the latest developments in quantitative corneal imaging with the Heidelberg Retinal Tomograph with Rostock Corneal Module (HRT-RCM). We provide an overview of the unique strengths and weaknesses of the HRT-RCM. We discuss techniques for performing 3-D imaging with the HRT-RCM, including hardware and software modifications that allow full thickness confocal microscopy through focusing (CMTF) of the cornea, which can provide quantitative measurements of corneal sublayer thicknesses, stromal cell and extracellular matrix backscatter, and depth dependent changes in corneal keratocyte density. We also review current approaches for quantitative imaging of the subbasal nerve plexus, which require a combination of advanced image acquisition and analysis procedures, including wide field mapping and 3-D reconstruction of nerve structures. The development of new hardware, software, and acquisition techniques continues to expand the number of applications of the HRT-RCM for quantitative in vivo corneal imaging at the cellular level. Knowledge of these rapidly evolving strategies should benefit corneal clinicians and basic scientists alike. PMID:25998608

25 CFR 170.803 - What facilities are eligible under the BIA Road Maintenance Program?

Code of Federal Regulations, 2010 CFR

2010-04-01

... AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.803 What facilities are eligible under the BIA Road Maintenance Program? (a) The following public transportation facilities are eligible for maintenance under the BIA Road Maintenance Program: (1) BIA transportation facilities listed in...

Diagnostic disparity and identification of two TNNI3 gene mutations, one novel and one arising de novo, in South African patients with restrictive cardiomyopathy and focal ventricular hypertrophy

PubMed Central

Mouton, Jomien M; Kinnear, Craig J; Moolman-Smook, Johanna C; Herbst, Philip G; Pellizzon, Adriano S; Goosen, Althea; Brink, Paul A

2015-01-01

Summary Introduction The minimum criterion for the diagnosis of hypertrophic cardiomyopathy (HCM) is thickening of the left ventricular wall, typically in an asymmetrical or focal fashion, and it requires no functional deficit. Using this criterion, we identified a family with four affected individuals and a single unrelated individual essentially with restrictive cardiomyopathy (RCM). Mutations in genes coding for the thin filaments of cardiac muscle have been described in RCM and HCM with ‘restrictive features’. One such gene encodes for cardiac troponin I (TNNI3), a sub-unit of the troponin complex involved in the regulation of striated muscle contraction. We hypothesised that mutations in TNNI3 could underlie this particular phenotype, and we therefore screened TNNI3 for mutations in 115 HCM probands. Methods Clinical investigation involved examination, echocardiography, chest X-ray and an electrocardiogram of both the index cases and close relatives. The study cohort consisted of 113 South African HCM probands, with and without known founder HCM mutations, and 100 ethnically matched control individuals. Mutation screening of TNNI3 for disease-causing mutations were performed using high-resolution melt (HRM) analysis. Results HRM analyses identified three previously described HCM-causing mutations (p.Pro82Ser, p.Arg162Gln, p.Arg170Gln) and a novel exonic variant (p.Leu144His). A previous study involving the same amino acid identified a p.Leu144Gln mutation in a patient presenting with RCM, with clinical features of HCM. We observed the novel p.Leu144His mutation in three siblings with clinical RCM and varying degrees of ventricular hypertrophy. The isolated index case with the de novo p.Arg170Gln mutation presented with a similar phenotype. Both mutations were absent in a healthy control group. Conclusion We have identified a novel disease-causing p.Leu144His mutation and a de novo p.Arg170Gln mutation associated with RCM and focal ventricular hypertrophy, often below the typical diagnostic threshold for HCM. Our study provides information regarding TNNI3 mutations underlying RCM in contrast to other causes of a similar presentation, such as constrictive pericarditis or infiltration of cardiac muscle, all with marked right-sided cardiac manifestations. This study therefore highlights the need for extensive mutation screening of genes encoding for sarcomeric proteins, such as TNNI3 to identify the underlying cause of this particular phenotype. PMID:25940119

The method ADAMONT v1.0 for statistical adjustment of climate projections applicable to energy balance land surface models

NASA Astrophysics Data System (ADS)

Verfaillie, Deborah; Déqué, Michel; Morin, Samuel; Lafaysse, Matthieu

2017-11-01

We introduce the method ADAMONT v1.0 to adjust and disaggregate daily climate projections from a regional climate model (RCM) using an observational dataset at hourly time resolution. The method uses a refined quantile mapping approach for statistical adjustment and an analogous method for sub-daily disaggregation. The method ultimately produces adjusted hourly time series of temperature, precipitation, wind speed, humidity, and short- and longwave radiation, which can in turn be used to force any energy balance land surface model. While the method is generic and can be employed for any appropriate observation time series, here we focus on the description and evaluation of the method in the French mountainous regions. The observational dataset used here is the SAFRAN meteorological reanalysis, which covers the entire French Alps split into 23 massifs, within which meteorological conditions are provided for several 300 m elevation bands. In order to evaluate the skills of the method itself, it is applied to the ALADIN-Climate v5 RCM using the ERA-Interim reanalysis as boundary conditions, for the time period from 1980 to 2010. Results of the ADAMONT method are compared to the SAFRAN reanalysis itself. Various evaluation criteria are used for temperature and precipitation but also snow depth, which is computed by the SURFEX/ISBA-Crocus model using the meteorological driving data from either the adjusted RCM data or the SAFRAN reanalysis itself. The evaluation addresses in particular the time transferability of the method (using various learning/application time periods), the impact of the RCM grid point selection procedure for each massif/altitude band configuration, and the intervariable consistency of the adjusted meteorological data generated by the method. Results show that the performance of the method is satisfactory, with similar or even better evaluation metrics than alternative methods. However, results for air temperature are generally better than for precipitation. Results in terms of snow depth are satisfactory, which can be viewed as indicating a reasonably good intervariable consistency of the meteorological data produced by the method. In terms of temporal transferability (evaluated over time periods of 15 years only), results depend on the learning period. In terms of RCM grid point selection technique, the use of a complex RCM grid points selection technique, taking into account horizontal but also altitudinal proximity to SAFRAN massif centre points/altitude couples, generally degrades evaluation metrics for high altitudes compared to a simpler grid point selection method based on horizontal distance.

Investigating cold gelation properties of recombined highly concentrated micellar casein concentrate and cream for use in cheese making.

PubMed

Lu, Y; McMahon, D J; Vollmer, A H

2016-07-01

Highly concentrated micellar casein concentrate (HC-MCC), a potential ingredient for cheese making, contains ~20% casein with ~70% of serum proteins removed by microfiltration and diafiltration of skim milk, followed by vacuum evaporation. Our objective was to investigate cold gelation properties of recombined concentrated milk (RCM) by mixing thawed frozen HC-MCC and cream under different casein levels, pH, and protein-to-fat ratios, and with addition of sodium citrate or calcium. The HC-MCC was recombined with cream using low shear at 50°C for 30 min, and rheological measurements were conducted. Cold-gelling temperature [the temperature at which storage modulus (G')=loss modulus (G″)] was linearly correlated with casein levels from 8.6 to 11.5% (R(2)=0.71), pH from 6.6 to 7.0 (R(2)=0.96), and addition of sodium citrate from 0 to 0.36mmol/g of casein (R(2)=0.80). At pH 7.0, gelation occurred at 12, 26, and 38°C with 9, 10, and 11% casein, respectively. At pH 6.6, 6.8, and 7.0, RCM with 12% casein gelled at a mean temperature of 12, 26, and 37°C, respectively. Adding calcium chloride at 0.17mmol/g of casein significantly increased cold-gelling temperature from 18 to ≥50°C, whereas no significant change was observed at levels up to 0.12mmol/g of casein. Different protein to fat ratios ranging from 0.8 to 1.2 did not significantly influence gelling temperature. In transmission electron micrographs of RCM with 12% casein, casein micelles were nonspherical and partially dissociated into small protein strands. Upon addition of calcium chloride at 0.21mmol/g of casein, casein micelles were more spherical and retained colloidal structure with the presence of aggregated casein micelles. These gelation processes of RCM with or without addition of trisodium citrate were both reversible. We propose that cold gelation of RCM occurs when protein strands that have been partially released from the casein micelles entangle, restrict their mobility, and form a fine-stranded gel network. Upon addition of high levels of calcium, cold gelation was promoted presumably through direct aggregation of casein micelles. Understanding cold gelation properties can facilitate potential use of RCM in cheese making. Copyright © 2016 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Treatment of Basal Cell Carcinoma Using a One-Stop-Shop With Reflectance Confocal Microscopy: Study Design and Protocol of a Randomized Controlled Multicenter Trial.

PubMed

Kadouch, Daniel J; Wolkerstorfer, Albert; Elshot, Yannick; Zupan-Kajcovski, Biljana; Crijns, Marianne B; Starink, Markus V; Bekkenk, Marcel W; van der Wal, Allard C; Spuls, Phyllis I; de Rie, Menno A

2015-09-10

Basal cell carcinoma (BCC) is the most common cancer diagnosed in white populations worldwide. The rising incidence of BCC is becoming a major worldwide public health problem. Therefore, there is a need for more efficient management. The aim of this research is to assess the efficacy and safety of a one-stop-shop (OSS) concept, using real-time in vivo reflectance confocal microscopy (RCM) (Vivascope 1500; Lucid Technologies, Henrietta, NY, USA) as a diagnostic tool, prior to surgical management of new primary BCCs. This is a prospective non-inferiority multi-center RCT designed to compare the "OSS concept using RCM" to current standards of care in diagnosing and treating clinically suspected BCC. Patients ≥ 18 years attending our outpatient clinic at the Department of Dermatology, Academic Medical Center, University of Amsterdam, and the Department of Dermatology, the Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital (Amsterdam, The Netherlands) with a clinically suspected new primary BCC lesion will be considered for enrollment using predefined inclusion and exclusion criteria, and will be randomly allocated to the experimental or control group. The main outcome parameter is the assessment of incomplete surgical excision margins on the final pathology report of confirmed BCC lesions (either by punch biopsy or RCM imaging). Other outcome measures include diagnostic accuracy (sensitivity and specificity) of RCM for diagnosing BCC and dividing between subtypes, and throughput time. Patient satisfaction data will be collected postoperatively after 3 months during routine follow-up. This research is investigator-initiated and received ethics approval. Patient recruitment started in February 2015, and we expect all study-related activities to be completed by fall 2015. This RCT is the first to examine an OSS concept using RCM for diagnosing and treating clinically suspected BCC lesions. Results of this research are expected to have applications in evidence-based practice for the increasing number of patients suffering from BCC and possibly lead to a more efficient disease management strategy. ClinicalTrials.gov: NCT02285790; https://clinicaltrial.gov/ct2/show/NCT02285790 (Archived by WebCite at http://www.webcitation.org/6b2LfDKWu).

Secondary Structural Changes of Intact and Disulfide Bridges-Cleaved Human Serum Albumins in Thermal Denaturation up to 130°C - Additive Effects of Sodium Dodecyl Sulfate on the Changes.

PubMed

Moriyama, Yoshiko; Takeda, Kunio

2017-05-01

The secondary structural changes of human serum albumin with the intact 17 disulfide bridges (HSA) and the disulfide bridges-cleaved human serum albumin (RCM-HSA) in thermal denaturation were examined. Most of the helical structures of HSA, whose original helicity was 66%, were sharply disrupted between 50 and 100°C. However, 14% helicity remained even at 130°C. The temperature dependence of the degree of disrupted helical structures of HSA was discussed in connection with questions about a general protein denaturation model. When HSA lost the disulfide bridges, about two-thirds of the original helices were disrupted. Although the helices of RCM-HSA remaining after the cleavage of the disulfide bridges were relatively resistant against the heat treatment, the helicity changed from 22% at 25°C to 14% at 130℃. The helicity of RCM-HSA at 130°C agreed with the helicity of HSA at the same temperature, indicating that the same helical moieties of the polypeptides remained unaffected at this high temperature. The additive effects of sodium dodecyl sulfate (SDS) on the structural changes of HSA and RCM-HSA in thermal denaturation were also examined. A slight amount of SDS protected the helical structures of HSA from thermal denaturation below 80°C. Upon cooling to 25°C after heat treatment at temperatures below 70°C with the coexistence of SDS of low concentrations, the helical structures of HSA were reformed to the original level at 25°C before heating. A similar tendency was also observed after heat treatment at 80°C. In contrast, the helical structures of the RCM-HSA complexes with SDS are completely recovered upon cooling to 25°C even after heat treatment up to 100°C. Similar investigations were also carried out on bovine serum albumins which had the intact 17 disulfide bridges and lost all of the bridges.

Calculating distributed glacier mass balance for the Swiss Alps from RCM output: Development and testing of downscaling and validation methods

NASA Astrophysics Data System (ADS)

Machguth, H.; Paul, F.; Kotlarski, S.; Hoelzle, M.

2009-04-01

Climate model output has been applied in several studies on glacier mass balance calculation. Hereby, computation of mass balance has mostly been performed at the native resolution of the climate model output or data from individual cells were selected and statistically downscaled. Little attention has been given to the issue of downscaling entire fields of climate model output to a resolution fine enough to compute glacier mass balance in rugged high-mountain terrain. In this study we explore the use of gridded output from a regional climate model (RCM) to drive a distributed mass balance model for the perimeter of the Swiss Alps and the time frame 1979-2003. Our focus lies on the development and testing of downscaling and validation methods. The mass balance model runs at daily steps and 100 m spatial resolution while the RCM REMO provides daily grids (approx. 18 km resolution) of dynamically downscaled re-analysis data. Interpolation techniques and sub-grid parametrizations are combined to bridge the gap in spatial resolution and to obtain daily input fields of air temperature, global radiation and precipitation. The meteorological input fields are compared to measurements at 14 high-elevation weather stations. Computed mass balances are compared to various sets of direct measurements, including stake readings and mass balances for entire glaciers. The validation procedure is performed separately for annual, winter and summer balances. Time series of mass balances for entire glaciers obtained from the model run agree well with observed time series. On the one hand, summer melt measured at stakes on several glaciers is well reproduced by the model, on the other hand, observed accumulation is either over- or underestimated. It is shown that these shifts are systematic and correlated to regional biases in the meteorological input fields. We conclude that the gap in spatial resolution is not a large drawback, while biases in RCM output are a major limitation to model performance. The development and testing of methods to reduce regionally variable biases in entire fields of RCM output should be a focus of pursuing studies.

25 CFR 170.2 - What is the IRR Program and BIA Road Maintenance Program policy?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false What is the IRR Program and BIA Road Maintenance Program... and BIA Road Maintenance Program policy? (a) It is the policy of the Secretary of the Interior and the... designed to enable Indian tribes to participate in all contractible IRR and BIA Road Maintenance programs...

Mid-Western US heavy summer-precipitation in regional and global climate models: the impact on model skill and consensus through an analogue lens

NASA Astrophysics Data System (ADS)

Gao, Xiang; Schlosser, C. Adam

2018-04-01

Regional climate models (RCMs) can simulate heavy precipitation more accurately than general circulation models (GCMs) through more realistic representation of topography and mesoscale processes. Analogue methods of downscaling, which identify the large-scale atmospheric conditions associated with heavy precipitation, can also produce more accurate and precise heavy precipitation frequency in GCMs than the simulated precipitation. In this study, we examine the performances of the analogue method versus direct simulation, when applied to RCM and GCM simulations, in detecting present-day and future changes in summer (JJA) heavy precipitation over the Midwestern United States. We find analogue methods are comparable to MERRA-2 and its bias-corrected precipitation in characterizing the occurrence and interannual variations of observed heavy precipitation events, all significantly improving upon MERRA precipitation. For the late twentieth-century heavy precipitation frequency, RCM precipitation improves upon the corresponding driving GCM with greater accuracy yet comparable inter-model discrepancies, while both RCM- and GCM-based analogue results outperform their model-simulated precipitation counterparts in terms of accuracy and model consensus. For the projected trends in heavy precipitation frequency through the mid twenty-first century, analogue method also manifests its superiority to direct simulation with reduced intermodel disparities, while the RCM-based analogue and simulated precipitation do not demonstrate a salient improvement (in model consensus) over the GCM-based assessment. However, a number of caveats preclude any overall judgement, and further work—over any region of interest—should include a larger sample of GCMs and RCMs as well as ensemble simulations to comprehensively account for internal variability.

Reliability of the North America CORDEX and NARCCAP simulations in the context of uncertainty in regional climate change projections

NASA Astrophysics Data System (ADS)

Karmalkar, A.

2017-12-01

Ensembles of dynamically downscaled climate change simulations are routinely used to capture uncertainty in projections at regional scales. I assess the reliability of two such ensembles for North America - NARCCAP and NA-CORDEX - by investigating the impact of model selection on representing uncertainty in regional projections, and the ability of the regional climate models (RCMs) to provide reliable information. These aspects - discussed for the six regions used in the US National Climate Assessment - provide an important perspective on the interpretation of downscaled results. I show that selecting general circulation models for downscaling based on their equilibrium climate sensitivities is a reasonable choice, but the six models chosen for NA-CORDEX do a poor job at representing uncertainty in winter temperature and precipitation projections in many parts of the eastern US, which lead to overconfident projections. The RCM performance is highly variable across models, regions, and seasons and the ability of the RCMs to provide improved seasonal mean performance relative to their parent GCMs seems limited in both RCM ensembles. Additionally, the ability of the RCMs to simulate historical climates is not strongly related to their ability to simulate climate change across the ensemble. This finding suggests limited use of models' historical performance to constrain their projections. Given these challenges in dynamical downscaling, the RCM results should not be used in isolation. Information on how well the RCM ensembles represent known uncertainties in regional climate change projections discussed here needs to be communicated clearly to inform maagement decisions.

Incremental dynamical downscaling for probabilistic analysis based on multiple GCM projections

NASA Astrophysics Data System (ADS)

Wakazuki, Y.

2015-12-01

A dynamical downscaling method for probabilistic regional scale climate change projections was developed to cover an uncertainty of multiple general circulation model (GCM) climate simulations. The climatological increments (future minus present climate states) estimated by GCM simulation results were statistically analyzed using the singular vector decomposition. Both positive and negative perturbations from the ensemble mean with the magnitudes of their standard deviations were extracted and were added to the ensemble mean of the climatological increments. The analyzed multiple modal increments were utilized to create multiple modal lateral boundary conditions for the future climate regional climate model (RCM) simulations by adding to an objective analysis data. This data handling is regarded to be an advanced method of the pseudo-global-warming (PGW) method previously developed by Kimura and Kitoh (2007). The incremental handling for GCM simulations realized approximated probabilistic climate change projections with the smaller number of RCM simulations. Three values of a climatological variable simulated by RCMs for a mode were used to estimate the response to the perturbation of the mode. For the probabilistic analysis, climatological variables of RCMs were assumed to show linear response to the multiple modal perturbations, although the non-linearity was seen for local scale rainfall. Probability of temperature was able to be estimated within two modes perturbation simulations, where the number of RCM simulations for the future climate is five. On the other hand, local scale rainfalls needed four modes simulations, where the number of the RCM simulations is nine. The probabilistic method is expected to be used for regional scale climate change impact assessment in the future.

Global environmental effects of impact-generated aerosols: Results from a general circulation model

NASA Technical Reports Server (NTRS)

Covey, C.; Ghan, S. J.; Weissman, Paul R.

1988-01-01

Cooling and darkening at Earth's surface are expected to result from the interception of sunlight by the high altitude worldwide dust cloud generated by impact of a large asteroid or comet, according to the one-dimensional radioactive-convective atmospheric model (RCM) of Pollack et al. An analogous three-dimensional general circulation model (GCM) simulation obtains the same basic result as the RCM but there are important differences in detail. In the GCM simulation the heat capacity of the oceans, not included in the RCM, substantially mitigates land surface cooling. On the other hand, the GCM's low heat capacity surface allows surface temperatures to drop much more rapidly than reported by Pollack et al. These two differences between RCM and GCM simulations were noted previously in studies of nuclear winter; GCM results for comet/asteroid winter, however, are much more severe than for nuclear winter because the assumed aerosol amount is large enough to intercept all sunlight falling on Earth. In the simulation the global average of land surface temperature drops to the freezing point in just 4.5 days, one-tenth the time required in the Pollack et al. simulation. In addition to the standard case of Pollack et al., which represents the collision of a 10-km diameter asteroid with Earth, additional scenarios are considered ranging from the statistically more frequent impacts of smaller asteroids to the collision of Halley's comet with Earth. In the latter case the kinetic energy of impact is extremely large due to the head-on collision resulting from Halley's retrograde orbit.

Morphologic study of three collagen materials for body wall repair.

PubMed

Soiderer, Emily E; Lantz, Gary C; Kazacos, Evelyn A; Hodde, Jason P; Wiegand, Ryan E

2004-05-15

The search for ideal prostheses for body wall repair continues. Synthetic materials such as polypropylene mesh (PPM) are associated with healing complications. A porcine-derived collagen-based material (CBM), small intestinal submucosa (SIS), has been studied for body wall repair. Renal capsule matrix (RCM) and urinary bladder submucosa (UBS) are CBMs not previously evaluated in this application. This is the first implant study using RCM. Full-thickness muscle/fascia ventral abdominal wall defects were repaired with SIS, RCM, UBS, and PPM in rats with omentum and omentectomy. A random complete block design was used to allot implant type to each of 96 rats. Healing was evaluated at 4 and 8 weeks. Adhesion tenacity and surface area were scored. Implant site dimensions were measured at implantation and necropsy. Inflammation, vascularization, and fibrosis were histopathologically scored. Data were compared by analysis of variance (P < 0.05). PPM produced a granulomatous foreign body response in contrast to the organized healing of CBM implants. CBM mean scores were lower than PPM scores for adhesion tenacity, surface area, and inflammation at each follow-up time for rats with omentums (P < 0.02). The CBMs had less tenacity and inflammation than PPM at each follow-up time in omentectomy groups (P < 0.008). Wound contraction was greater for PPM (P < 0.0001) for all rats. RCM and UBS were similar to SIS invoking reduced inflammation, adhesion, and contraction compared to PPM. The fibrotic response to PPM was unique and more intense compared to CBMs. These CBM implants appear morphologically acceptable and warrant continued investigation.

LES/FMDF of turbulent jet ignition in a rapid compression machine

NASA Astrophysics Data System (ADS)

Validi, Abdoulahad; Schock, Harold; Toulson, Elisa; Jaberi, Farhad; CFD; Engine Research Labs, Michigan State University Collaboration

2015-11-01

Turbulent Jet Ignition (TJI) is an efficient method for initiating and controlling combustion in combustion systems, e.g. internal combustion engines. It enables combustion in ultra-lean mixtures by utilizing hot product turbulent jets emerging from a pre-chamber combustor as the ignition source for the main combustion chamber. Here, we study the TJI-assisted ignition and combustion of lean methane-air mixtures in a Rapid Compression Machine (RCM) for various flow/combustion conditions with the hybrid large eddy simulation/filtered mass density function (LES/FMDF) computational model. In the LES/FMDF model, the filtered form of compressible Navier-Stokes equations are solved with a high-order finite difference scheme for the turbulent velocity, while the FMDF transport equation is solved with a Lagrangian stochastic method to obtain the scalar (species mass fraction and temperature) field. The LES/FMDF data are used to study the physics of TJI and combustion in RCM. The results show the very complex behavior of the reacting flow and the flame structure in the pre-chamber and RCM.

Kinematic design considerations for minimally invasive surgical robots: an overview.

PubMed

Kuo, Chin-Hsing; Dai, Jian S; Dasgupta, Prokar

2012-06-01

Kinematic design is a predominant phase in the design of robotic manipulators for minimally invasive surgery (MIS). However, an extensive overview of the kinematic design issues for MIS robots is not yet available to both mechanisms and robotics communities. Hundreds of archival reports and articles on robotic systems for MIS are reviewed and studied. In particular, the kinematic design considerations and mechanism development described in the literature for existing robots are focused on. The general kinematic design goals, design requirements, and design preferences for MIS robots are defined. An MIS-specialized mechanism, namely the remote center-of-motion (RCM) mechanism, is revisited and studied. Accordingly, based on the RCM mechanism types, a classification for MIS robots is provided. A comparison between eight different RCM types is given. Finally, several open challenges for the kinematic design of MIS robotic manipulators are discussed. This work provides a detailed survey of the kinematic design of MIS robots, addresses the research opportunity in MIS robots for kinematicians, and clarifies the kinematic point of view to MIS robots as a reference for the medical community. Copyright © 2012 John Wiley & Sons, Ltd.

Metabolomic comparison between wild Ophiocordyceps sinensis and artificial cultured Cordyceps militaris.

PubMed

Chen, Lin; Liu, Yuetao; Guo, Qingfeng; Zheng, Qingxia; Zhang, Wancun

2018-05-11

A systematic study on the metabolome differences between wild Ophiocordyceps sinensis and artificial cultured Cordyceps militaris was conducted using liquid chromatography-mass spectrometry. Principal component analysis and orthogonal projection on latent structure-discriminant analysis results showed that C. militaris grown on solid rice medium (R-CM) and C. militaris grown on tussah pupa (T-CM) evidently separated and individually separated from wild O. sinensis, indicating metabolome difference among wild O. sinensis, R-CM and T-CM. The metabolome differences between R-CM and T-CM indicated that C. militaris could accommodate to culture medium by differential metabolic regulation. Hierarchical clustering analysis was further performed to cluster the differential metabolites and samples based on their metabolic similarity. The higher content of amino acids (pyroglutamic acid, glutamic acid, histidine, phenylalanine and arginine), unsaturated fatty acid (linolenic acid and linoleic acid), peptides, mannitol, adenosine and succinoadenosine in O. sinensis make it as an excellent choice as a traditional Chinese medicine for invigoration or nutritional supplementation. Similar compositions with O. sinensis and easy cultivation make artificially cultured C. militaris a possible alternative to O. sinensis. Copyright © 2018 John Wiley & Sons, Ltd.

An RCM-E simulation of a steady magnetospheric convection event

NASA Astrophysics Data System (ADS)

Yang, J.; Toffoletto, F.; Wolf, R.; Song, Y.

2009-12-01

We present simulation results of an idealized steady magnetospheric convection (SMC) event using the Rice Convection Model coupled with an equilibrium magnetic field solver (RCM-E). The event is modeled by placing a plasma distribution with substantially depleted entropy parameter PV5/3 on the RCM's high latitude boundary. The calculated magnetic field shows a highly depressed configuration due to the enhanced westward current around geosynchronous orbit where the resulting partial ring current is stronger and more symmetric than in a typical substorm growth phase. The magnitude of BZ component in the mid plasma sheet is large compared to empirical magnetic field models. Contrary to some previous results, there is no deep BZ minimum in the near-Earth plasma sheet. This suggests that the magnetosphere could transfer into a strong adiabatic earthward convection mode without significant stretching of the plasma-sheet magnetic field, when there are flux tubes with depleted plasma content continuously entering the inner magnetosphere from the mid-tail. Virtual AU/AL and Dst indices are also calculated using a synthetic magnetogram code and are compared to typical features in published observations.

cis-Apa: a practical linker for the microwave-assisted preparation of cyclic pseudopeptides via RCM cyclative cleavage.

PubMed

Baron, Alice; Verdié, Pascal; Martinez, Jean; Lamaty, Frédéric

2011-02-04

A new linker cis-5-aminopent-3-enoic acid (cis-Apa) was prepared for the synthesis of cyclic pseudopeptides by cyclization-cleavage by using ring-closing methatesis (RCM). We developed a new synthetic pathway for the preparation of the cis-Apa linker that was tested in the cyclization-cleavage process of different RGD peptide sequences. Different macrocyclic peptidomimetics were prepared by using this integrated microwave-assisted method, showing that the readily available cis-Apa amino acid is well adapted as a linker in the cyclization-cleavage process.

Florida maintenance rating program (MRP) assessment and enhancement : final report, May 28, 2008 [summary].

DOT National Transportation Integrated Search

2008-01-01

The Florida Department of Transportation : (FDOT) has used its maintenance rating : program (MRP) to evaluate the states : highway maintenance conditions and : determine asset maintenance needs since : 1985. Periodic evaluation of the program is :...

25 CFR Appendix A to Subpart G - List of Activities Eligible for Funding Under BIA Transportation Facility Maintenance Program

Code of Federal Regulations, 2010 CFR

2010-04-01

... Transportation Facility Maintenance Program A Appendix A to Subpart G Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance Pt. 170... Transportation Facility Maintenance Program The following activities are eligible for BIA Transportation Facility...

How automation helps steer the revenue cycle process.

PubMed

Colpas, Phil

2013-06-01

If there's one aspect of healthcare that's omnipresent - that is connected in some way to virtually every component of the medical trade - it's the revenue cycle; and vendors' solutions to manage it are as varied as the experts we queried on this topic. The revenue cycle actually touches on nearly everything related to healthcare - from the time a patient books an appointment with a healthcare facility, until the patient and insurance company provide final payments for services rendered to the healthcare provider. Over the past several decades, software programs and computers have replaced ledger books and calculators. And while the goal of revenue cycle management (RCM) remains essentially the same, healthcare reform will make this process infinitely more complex, due to reduced reimbursements and the onset of ICD-10 in October 2014. Additionally, reimbursement will be tied to quality, rather than quantity. According to an Information Week article by Ken Terry, outsourcing of billing and collections continues to grow, "because hospitals and physician groups are not very good at these non-core tasks." Think writers and math: I know a great many writers, including yours truly, who possess truly weak math skills. Granted, both skills involve opposite brain hemispheres - different parts of the brain. But what may be even more important is the fact that math is not generally an integral component of the main function of writing. A similar situation exists in healthcare facilities; just replace writing with providing care for people. A 2012 Black Book Rankings survey states 96 percent of organizations are in the process of acquiring several crucial accountable care organization (ACO) data solutions, including clinical decision support, RCM, health information exchange (HIEs), electronic health records (EHRs), e-prescribing, data center security and storage solutions, business intelligence and care coordination management. So it's clear that RCM will continue to remain a top-of-mind issue as we see how healthcare reform plays out. Here's what our select group of experts had to say about how automation helps to steer the revenue cycle process.

Inhibitory activity of reuterin, nisin, lysozyme and nitrite against vegetative cells and spores of dairy-related Clostridium species.

PubMed

Avila, Marta; Gómez-Torres, Natalia; Hernández, Marta; Garde, Sonia

2014-02-17

The butyric acid fermentation, responsible for late blowing of cheese, is caused by the outgrowth in cheese of some species of Clostridium, resulting in texture and flavor defects and economical losses. The aim of this study was to evaluate the effectiveness of different antimicrobial compounds against vegetative cells and spores of C. tyrobutyricum, C. butyricum, C. beijerinckii and C. sporogenes strains isolated from cheeses with late blowing defect. Minimal inhibitory concentration (MIC) for reuterin, nisin, lysozyme and sodium nitrite were determined against Clostridium strains in milk and modified RCM (mRCM) after 7d exposure. Although the sensitivity of Clostridium to the tested antimicrobials was strain-dependent, C. sporogenes and C. beijerinckii generally had higher MIC values than the rest of Clostridium species. The majority of Clostridium strains were more resistant to antimicrobials in milk than in mRCM, and vegetative cells exhibited higher sensitivity than spores. Reuterin (MIC values 0.51-32.5 mM) and nisin (MIC values 0.05-12.5 μg/ml) were able to inhibit the growth of vegetative cells and spores of all assayed Clostridium strains in milk and mRCM. Strains of C. tyrobutyricum exhibited the highest sensitivity to lysozyme (MIC values<0.20-400 μg/ml) and sodium nitrite (MIC values 18.75-150 μg/ml). These results suggest that reuterin and nisin, with a broad inhibitory activity spectrum against Clostridium spp. spores and vegetative cells, may be the best options to control Clostridium growth in dairy products and to prevent associated spoilage, such as late blowing defect of cheese. However, further studies in cheese would be necessary to validate this hypothesis. Copyright © 2013 Elsevier B.V. All rights reserved.

Multimodel ensemble projection of precipitation in eastern China under A1B emission scenario

NASA Astrophysics Data System (ADS)

Niu, Xiaorui; Wang, Shuyu; Tang, Jianping; Lee, Dong-Kyou; Gao, Xuejie; Wu, Jia; Hong, Songyou; Gutowski, William J.; McGregor, John

2015-10-01

As part of the Regional Climate Model Intercomparison Project for Asia, future precipitation projection in China is constructed using five regional climate models (RCMs) driven by the same global climate model (GCM) of European Centre/Hamburg version 5. The simulations cover both the control climate (1978-2000) and future projection (2041-2070) under the Intergovernmental Panel on Climate Change emission scenario A1B. For the control climate, the RCMs have an advantage over the driving GCM in reproducing the summer mean precipitation distribution and the annual cycle. The biases in simulating summer precipitation mainly are caused by the deficiencies in reproducing the low-level circulation, such as the western Pacific subtropical high. In addition, large inter-RCM differences exist in the summer precipitation simulations. For the future climate, consistent and inconsistent changes in precipitation between the driving GCM and the nested RCMs are observed. Similar changes in summer precipitation are projected by RCMs over western China, but model behaviors are quite different over eastern China, which is dominated by the Asian monsoon system. The inter-RCM difference of rainfall changes is more pronounced in spring over eastern China. North China and the southern part of South China are very likely to experience less summer rainfall in multi-RCM mean (MRM) projection, while limited credibility in increased summer rainfall MRM projection over the lower reaches of the Yangtze River Basin. The inter-RCM variability is the main contributor to the total uncertainty for the lower reaches of the Yangtze River Basin and South China during 2041-2060, while lowest for Northeast China, being less than 40%.

Thermodynamic and dynamic contributions to future changes in summer precipitation over Northeast Asia and Korea: a multi-RCM study

NASA Astrophysics Data System (ADS)

Lee, Donghyun; Min, Seung-Ki; Jin, Jonghun; Lee, Ji-Woo; Cha, Dong-Hyun; Suh, Myoung-Seok; Ahn, Joong-Bae; Hong, Song-You; Kang, Hyun-Suk; Joh, Minsu

2017-12-01

This study examines future changes in precipitation over Northeast Asia and Korea using five regional climate model (RCM) simulations driven by single global climate model (GCM) under two representative concentration pathway (RCP) emission scenarios. Focusing on summer season (June-July-August) when heavy rains dominate in this region, future changes in precipitation and associated variables including temperature, moisture, and winds are analyzed by comparing future conditions (2071-2100) with a present climate (1981-2005). Physical mechanisms are examined by analyzing moisture flux convergence at 850 hPa level, which is found to have a close relationship to precipitation and by assessing contribution of thermodynamic effect (TH, moisture increase due to warming) and dynamic effect (DY, atmospheric circulation change) to changes in the moisture flux convergence. Overall background warming and moistening are projected over the Northeast Asia with a good inter-RCM agreement, indicating dominant influence of the driving GCM. Also, RCMs consistently project increases in the frequency of heavy rains and the intensification of extreme precipitation over South Korea. Analysis of moisture flux convergence reveals competing impacts between TH and DY. The TH effect contributes to the overall increases in mean precipitation over Northeast Asia and in extreme precipitation over South Korea, irrespective of models and scenarios. However, DY effect is found to induce local-scale precipitation decreases over the central part of the Korean Peninsula with large inter-RCM and inter-scenario differences. Composite analysis of daily anomaly synoptic patterns indicates that extreme precipitation events are mainly associated with the southwest to northeast evolution of large-scale low-pressure system in both present and future climates.

Simulating Climate Change in Ireland

NASA Astrophysics Data System (ADS)

Nolan, P.; Lynch, P.

2012-04-01

At the Meteorology & Climate Centre at University College Dublin, we are using the CLM-Community's COSMO-CLM Regional Climate Model (RCM) and the WRF RCM (developed at NCAR) to simulate the climate of Ireland at high spatial resolution. To address the issue of model uncertainty, a Multi-Model Ensemble (MME) approach is used. The ensemble method uses different RCMs, driven by several Global Climate Models (GCMs), to simulate climate change. Through the MME approach, the uncertainty in the RCM projections is quantified, enabling us to estimate the probability density function of predicted changes, and providing a measure of confidence in the predictions. The RCMs were validated by performing a 20-year simulation of the Irish climate (1981-2000), driven by ECMWF ERA-40 global re-analysis data, and comparing the output to observations. Results confirm that the output of the RCMs exhibit reasonable and realistic features as documented in the historical data record. Projections for the future Irish climate were generated by downscaling the Max Planck Institute's ECHAM5 GCM, the UK Met Office HadGEM2-ES GCM and the CGCM3.1 GCM from the Canadian Centre for Climate Modelling. Simulations were run for a reference period 1961-2000 and future period 2021-2060. The future climate was simulated using the A1B, A2, B1, RCP 4.5 & RCP 8.5 greenhouse gas emission scenarios. Results for the downscaled simulations show a substantial overall increase in precipitation and wind speed for the future winter months and a decrease during the summer months. The predicted annual change in temperature is approximately 1.1°C over Ireland. To date, all RCM projections are in general agreement, thus increasing our confidence in the robustness of the results.

Magnetopause Losses of Radiation Belt Electrons During a Recent Magnetic Storm

NASA Astrophysics Data System (ADS)

Lemon, C. L.; Chen, M.; Roeder, J. L.; Fennell, J. F.; Mulligan, T. L.; Claudepierre, S. G.

2013-12-01

We present results from Van Allen Probes observations during the magnetic storm of June 1, 2013, and compare them with simulations of the same event using the RCM-E model. The RCM-E calculates ion and electron transport in self-consistently computed electric and magnetic fields. We examine the effect of the perturbed ring current magnetic field on the transport of energetic electrons, and the significance of this transport for explaining the observed evolution of radiation belt fluxes during this event. The event is notable because it is a relatively simple storm in which strong convection persists for approximately 7 hours, injecting a moderately strong ring current (minimum Dst of -120 nT); convection then quickly shuts off, leading to a long and smooth recovery phase. We use RCM-E simulations, constrained by Van Allen Probes data, to asses the rate of magnetopause losses of electrons (magnetopause shadowing), and to calculate electron drift times and the evolution of electron phase space densities during the storm event. We recently modified the RCM-E plasma drift calculations to include relativistic treatment of electrons and a more realistic electron loss model. The new electron loss model, although still somewhat simplistic, gives much more accurate loss rates in the inner magnetosphere (including the radiation belts), which significantly affects the resulting electron fluxes compared to previous simulations. This, in turn, modifies the transport of ions and electrons via feedback with both the electric and magnetic fields. Our results highlight the effect of the ring current on the evolution of the radiation belt electrons, with particular emphasis on the role that magnetopause losses play in the observed variation of radiation belt electron fluxes during the storm.

The Effect of Milk Constituents and Crowding Agents on Amyloid Fibril Formation by κ-Casein.

PubMed

Liu, Jihua; Dehle, Francis C; Liu, Yanqin; Bahraminejad, Elmira; Ecroyd, Heath; Thorn, David C; Carver, John A

2016-02-17

When not incorporated into the casein micelle, κ-casein, a major milk protein, rapidly forms amyloid fibrils at physiological pH and temperature. In this study, the effects of milk components (calcium, lactose, lipids, and heparan sulfate) and crowding agents on reduced and carboxymethylated (RCM) κ-casein fibril formation was investigated using far-UV circular dichroism spectroscopy, thioflavin T binding assays, and transmission electron microscopy. Longer-chain phosphatidylcholine lipids, which form the lining of milk ducts and milk fat globules, enhanced RCM κ-casein fibril formation irrespective of whether the lipids were in a monomeric or micellar state, whereas shorter-chain phospholipids and triglycerides had little effect. Heparan sulfate, a component of the milk fat globule membrane and catalyst of amyloid deposition in extracellular tissue, had little effect on the kinetics of RCM κ-casein fibril formation. Major nutritional components such as calcium and lactose also had no significant effect. Macromolecular crowding enhances protein-protein interactions, but in contrast to other fibril-forming species, the extent of RCM κ-casein fibril formation was reduced by the presence of a variety of crowding agents. These data are consistent with a mechanism of κ-casein fibril formation in which the rate-determining step is dissociation from the oligomer to give the highly amyloidogenic monomer. We conclude that the interaction of κ-casein with membrane-associated phospholipids along its secretory pathway may contribute to the development of amyloid deposits in mammary tissue. However, the formation of spherical oligomers such as casein micelles is favored over amyloid fibrils in the crowded environment of milk, within which the occurrence of amyloid fibrils is low.

Synthesis of enantiomerically pure, highly functionalized, medium-sized carbocycles from carbohydrates: formal total synthesis of (+)-calystegine b(2).

PubMed

Marco-Contelles, José; de Opazo, Elsa

2002-05-31

The free radical cyclization (FR) and the ring-closing metathesis (RCM) reaction have been analyzed in order to develop new and original synthetic protocols for the synthesis of enantiomerically pure, highly functionalized, medium-sized carbocycles from carbohydrates. As a result, we report here for the first time examples of the 7-exo FR cyclization of acyclic radical precursors derived from sugars. This process appears to be extremely sensitive to the conformational mobility of the radical species in the transition state. The use of two isopropylidene groups blocking four of the total present hydroxyl groups and a good radical acceptor (as an alpha,beta-unsaturated ester) are mandatory conditions for a successful ring closure protocol. The RCM reaction by using Grubbs' catalyst on selected carbohydrate-derived precursors has afforded variable yields of the expected unsaturated cycloheptane or cycloctane derivatives. The synthesis of the cycloheptitols has been carried out in good yields, regardless of the absolute configuration at the different stereocenters and the nature of the O-functional groups bound in allylic positions to one of the double bonds implicated in the metathesis reaction. Conversely, in the cyclooctane synthesis, we have observed that the success of the reaction depends not only on the absolute configuration at the different stereocenters close to the double bonds but also on the nature of the O-protecting groups on these stereocenters. Finally, the RCM strategy has been used in an attempt to prepare natural (+)-calystegine B(2) from D-glucose. The synthesis of compound 92 from D-glucose constitutes a formal total synthesis of (+)-calystegine B(2), showing the importance of the steric hindrance in allylic positions for a successful RCM reaction.

Role of ventricular assist therapy for patients with heart failure and restrictive physiology: Improving outcomes for a lethal disease.

PubMed

Grupper, Avishay; Park, Soon J; Pereira, Naveen L; Schettle, Sarah D; Gerber, Yariv; Topilsky, Yan; Edwards, Brooks S; Daly, Richard C; Stulak, John M; Joyce, Lyle D; Kushwaha, Sudhir S

2015-08-01

Restrictive cardiomyopathy (RCM) patients have poor prognosis due to progressive heart failure characterized by impaired ventricular filling of either or both ventricles. The goal of this study was to evaluate the outcome of end-stage RCM patients after left ventricular assist device (LVAD) implantation and to determine factors that may be associated with improved survival. This investigation is a retrospective study of prospectively collected data that include 28 consecutive patients with end-stage RCM who received continuous-flow LVADs at the Mayo Clinic, Rochester, Minnesota. Outcome was assessed by survival with LVAD support until heart transplantation or all-cause mortality. The mean follow-up time post-LVAD implantation was 448 ± 425 days. The mean hospitalization time was 29 ± 19 days and was complicated mainly by post-operative right ventricular (RV) failure requiring short-term medical support. The short-term in-hospital mortality was 14%. Ten patients underwent heart transplantation with 100% survival post-transplant during the follow-up period. One-year survival for patients with LVADs without transplantation was 64%, and was not significantly different between amyloidosis and non-amyloidosis patients. Larger left ventricle (LV) end-diastolic and end-systolic dimensions were significantly associated with improved survival rates (RR = 0.94 and 0.95, p < 0.05, respectively), and left ventricular end-diastolic diameter (LVEDD) ≤46 mm was associated with increased mortality post-LVAD implantation. LVAD is a feasible, life-saving therapy for end-stage heart failure related to RCM, especially as a bridge to transplant and in patients with larger LV dimensions. Copyright © 2015 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.

Quercetin protects against radiocontrast medium toxicity in human renal proximal tubular cells.

PubMed

Andreucci, Michele; Faga, Teresa; Pisani, Antonio; Serra, Raffaele; Russo, Domenico; De Sarro, Giovambattista; Michael, Ashour

2018-05-01

Radiocontrast media (RCM)-induced acute kidney injury (CI-AKI) is a major clinical problem whose pathophysiology is not well understood. Direct toxic effects on renal cells, possibly mediated by reactive oxygen species, have been postulated as contributing to CI-AKI. We investigated the effect of quercetin on human renal proximal tubular (HK-2) cells treated with the radiocontrast medium (RCM) sodium diatrizoate. Quercetin is the most widely studied flavonoid, and the most abundant flavonol present in foods. It has been suggested to have many health benefits, including angioprotective properties and anti-cancer effects. These beneficial effects have been attributed to its antioxidant properties and its ability to modulate cell signaling pathways. Incubation of HK-2 cells with 100 μM quercetin caused a decrease in cell viability and pre-treatment of HK-2 cells with 100 μM quercetin followed by incubation with 75 mgI/ml sodium diatrizoate for 2 hr caused a decrease in cell viability which was worse than in cells treated with diatrizoate alone. However, further incubation of the cells (for 22 hr) after removal of the diatrizoate and quercetin caused a recovery in cell viability in those cells previously treated with quercetin + diatrizoate and quercetin alone. Analysis of signaling molecules by Western blotting showed that in RCM-treated cells receiving initial pre-treatment with quercetin, followed by its removal, an increase in phosphorylation of Akt (Ser473), pSTAT3 (Tyr705), and FoxO3a (Thr32) as well as an induction of Pim-1 and decrease in PARP1 cleavage were observed. Quercetin may alleviate the longer-term toxic effects of RCM toxicity and its possible beneficial effects should be further investigated. © 2017 Wiley Periodicals, Inc.

Precipitation intensity-duration-frequency curves for central Belgium with an ensemble of EURO-CORDEX simulations, and associated uncertainties

NASA Astrophysics Data System (ADS)

Hosseinzadehtalaei, Parisa; Tabari, Hossein; Willems, Patrick

2018-02-01

An ensemble of 88 regional climate model (RCM) simulations at 0.11° and 0.44° spatial resolutions from the EURO-CORDEX project is analyzed for central Belgium to investigate the projected impact of climate change on precipitation intensity-duration-frequency (IDF) relationships and extreme precipitation quantiles typically used in water engineering designs. The rate of uncertainty arising from the choice of RCM, driving GCM, and radiative concentration pathway (RCP4.5 & RCP8.5) is quantified using a variance decomposition technique after reconstruction of missing data in GCM × RCM combinations. A comparative analysis between the historical simulations of the EURO-CORDEX 0.11° and 0.44° RCMs shows higher precipitation intensities by the finer resolution runs, leading to a larger overestimation of the observations-based IDFs by the 0.11° runs. The results reveal that making a temporal stationarity assumption for the climate system may lead to underestimation of precipitation quantiles up to 70% by the end of this century. This projected increase is generally larger for the 0.11° RCMs compared with the 0.44° RCMs. The relative changes in extreme precipitation do depend on return period and duration, indicating an amplification for larger return periods and for smaller durations. The variance decomposition approach generally identifies RCM as the most dominant component of uncertainty in changes of more extreme precipitation (return period of 10 years) for both 0.11° and 0.44° resolutions, followed by GCM and RCP scenario. The uncertainties associated with cross-contributions of RCMs, GCMs, and RCPs play a non-negligible role in the associated uncertainties of the changes.

Reflectance confocal microscopy features of thin versus thick melanomas.

PubMed

Kardynal, Agnieszka; Olszewska, Małgorzata; de Carvalho, Nathalie; Walecka, Irena; Pellacani, Giovanni; Rudnicka, Lidia

2018-01-24

In vivo reflectance confocal microscopy (RCM) plays an increasingly important role in differential diagnosis of melanoma. The aim of the study was to assess typical confocal features of thin (≤1mm according to Breslow index) versus thick (>1mm) melanomas. 30 patients with histopathologically confirmed cutaneous melanoma were included in the study. Reflectance confocal microscopy was performed with Vivascope equipment prior to excision. Fifteen melanomas were thin (Breslow thickness ≤ 1mm) and 15 were thick melanomas (Breslow thickness >1mm). In the RCM examination, the following features were more frequently observed in thin compared to thick melanomas: edged papillae (26.7% vs 0%, p=0.032) and areas with honeycomb or cobblestone pattern (33.3% vs 6.7%, p=0.068). Both features are present in benign melanocytic lesions, so in melanoma are good prognostic factors. The group of thick melanomas compared to the group of thin melanomas in the RCM images presented with greater frequency of roundish cells (100% vs 40%, p=0.001), non-edged papillae (100% vs 60%, p=0.006), numerous pagetoid cells (73.3% vs 33.3%, p=0.028), numerous atypical cells at dermal-epidermal junction (53.3% vs 20%, p=0.058) and epidermal disarray (93.3% vs 66.7%, p=0.068). Non-invasive imaging methods helps in deepening of knowledge about the evolution and biology of melanoma. The most characteristic features for thin melanomas in confocal examination are: fragments of cobblestone or honeycomb pattern and edged papillae (as good prognostic factors). The features of thick melanomas in RCM examination are: roundish cells, non-edged papillae, numerous pagetoid cells at dermal-epidermal junction and epidermal disarray.

Laboratory services series: a programmed maintenance system

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

Tuxbury, D.C.; Srite, B.E.

1980-01-01

The diverse facilities, operations and equipment at a major national research and development laboratory require a systematic, analytical approach to operating equipment maintenance. A computer-scheduled preventive maintenance program is described including program development, equipment identification, maintenance and inspection instructions, scheduling, personnel, and equipment history.

[A design of software for management of hospital equipment maintenance process].

PubMed

Xie, Haiyuan; Liu, Yiqing

2010-03-01

According to the circumstance of hospital equipment maintenance, we designed a computer program for management of hospital equipment maintenance process by Java programming language. This program can control the maintenance process, increase the efficiency; and be able to fix the equipment location.

14 CFR 91.1109 - Aircraft maintenance: Inspection program.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 2 2012-01-01 2012-01-01 false Aircraft maintenance: Inspection program... Ownership Operations Program Management § 91.1109 Aircraft maintenance: Inspection program. Each program... conduct of inspections for the particular make and model aircraft, including necessary tests and checks...

14 CFR 91.1109 - Aircraft maintenance: Inspection program.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Aircraft maintenance: Inspection program... Ownership Operations Program Management § 91.1109 Aircraft maintenance: Inspection program. Each program... conduct of inspections for the particular make and model aircraft, including necessary tests and checks...

14 CFR 91.1109 - Aircraft maintenance: Inspection program.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 2 2014-01-01 2014-01-01 false Aircraft maintenance: Inspection program... Ownership Operations Program Management § 91.1109 Aircraft maintenance: Inspection program. Each program... conduct of inspections for the particular make and model aircraft, including necessary tests and checks...

25 CFR 170.808 - Can BIA Road Maintenance Program funds be used to improve IRR transportation facilities?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Can BIA Road Maintenance Program funds be used to improve... THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.808 Can BIA Road Maintenance Program funds be used to improve IRR transportation facilities? No. BIA Road...

41 CFR 102-34.285 - Where can we obtain help in setting up a maintenance program?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false Where can we obtain help in setting up a maintenance program? 102-34.285 Section 102-34.285 Public Contracts and Property... obtain help in setting up a maintenance program? For help in setting up a maintenance program, contact...

14 CFR 91.1437 - CAMP: Authority to perform and approve maintenance.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Ownership Operations Program Management § 91.1437 CAMP: Authority to perform and approve maintenance. A program manager who maintains program aircraft under a CAMP may employ maintenance personnel, or make... maintenance. 91.1437 Section 91.1437 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF...

Florida maintenance rating program (MRP) assessment and enhancement : final report, May 28, 2008.

DOT National Transportation Integrated Search

2008-05-28

The Maintenance Rating Program (MRP), developed in 1985 by FDOT, is a statewide maintenance system aimed : at evaluating the State highway maintenance conditions, and determining FDOT asset maintenance needs. In the : quest for continuous improvement...

Synthesis of (+)-Didemniserinolipid B: Application of a 2-Allyl-4-fluorophenyl Auxiliary for Relay Ring-Closing Metathesis

PubMed Central

Marvin, Christopher C.; Voight, Eric A.; Suh, Judy M.; Paradise, Christopher L.; Burke, Steven D.

2009-01-01

The synthesis of didemniserinolipid B utilizing a ketalization/ring-closing metathesis (K/RCM) strategy is described. In the course of this work, a novel 2-allyl-4-fluorophenyl auxiliary for relay ring-closing metathesis (RRCM) was developed which increased the yield of the RCM. The resulting 6,8-dioxabicyclo[3.2.1]octene core was selectively functionalized by complimentary dihydroxylation and epoxidation routes to install the C10 axial alcohol. This bicyclic ketal core was further functionalized by etherification and an alkene cross metathesis with an unsaturated α-phenylselenyl ester en route to completing the total synthesis. PMID:18811201

Synthesis of all-hydrocarbon stapled α-helical peptides by ring-closing olefin metathesis.

PubMed

Kim, Young-Woo; Grossmann, Tom N; Verdine, Gregory L

2011-06-01

This protocol provides a detailed procedure for the preparation of stapled α-helical peptides, which have proven their potential as useful molecular probes and as next-generation therapeutics. Two crucial features of this protocol are (i) the construction of peptide substrates containing hindered α-methyl, α-alkenyl amino acids and (ii) the ring-closing olefin metathesis (RCM) of the resulting resin-bound peptide substrates. The stapling systems described in this protocol, namely bridging one or two turns of an α-helix, are highly adaptable to most peptide sequences, resulting in favorable RCM kinetics, helix stabilization and promotion of cellular uptake.

Phosphate Tether-Mediated Ring-Closing Metathesis for the Generation of P-Stereogenic, Z-Configured Bicyclo[7.3.1]- and Bicyclo[8.3.1]phosphates.

PubMed

Markley, Jana L; Maitra, Soma; Hanson, Paul R

2016-02-05

A phosphate tether-mediated ring-closing metathesis (RCM) study to the synthesis of Z-configured, P-stereogenic bicyclo[7.3.1]- and bicyclo[8.3.1]phosphates is reported. Investigations suggest that C3-substitution, olefin substitution, and proximity of the forming olefin to the bridgehead carbon of the bicyclic affect the efficiency and stereochemical outcome of the RCM event. This study demonstrates the utility of phosphate tether-mediated desymmetrization of C2-symmetric, 1,3-anti-diol-containing dienes in the generation of macrocyclic phosphates with potential synthetic and biological utility.

Combined reflectance confocal microscopy-optical coherence tomography for delineation of basal cell carcinoma margins: an ex vivo study

NASA Astrophysics Data System (ADS)

Iftimia, Nicusor; Peterson, Gary; Chang, Ernest W.; Maguluri, Gopi; Fox, William; Rajadhyaksha, Milind

2016-01-01

We present a combined reflectance confocal microscopy (RCM) and optical coherence tomography (OCT) approach, integrated within a single optical layout, for diagnosis of basal cell carcinomas (BCCs) and delineation of margins. While RCM imaging detects BCC presence (diagnoses) and its lateral spreading (margins) with measured resolution of ˜1 μm, OCT imaging delineates BCC depth spreading (margins) with resolution of ˜7 μm. When delineating margins in 20 specimens of superficial and nodular BCCs, depth could be reliably determined down to ˜600 μm, and agreement with histology was within about ±50 μm.

Hypersensitivity to contrast media and dyes.

PubMed

Brockow, Knut; Sánchez-Borges, Mario

2014-08-01

This article updates current knowledge on hypersensitivity reactions to diagnostic contrast media and dyes. After application of a single iodinated radiocontrast medium (RCM), gadolinium-based contrast medium, fluorescein, or a blue dye, a hypersensitivity reaction is not a common finding; however, because of the high and still increasing frequency of those procedures, patients who have experienced severe reactions are nevertheless frequently encountered in allergy departments. Evidence on allergologic testing and management is best for iodinated RCM, limited for blue dyes, and insufficient for fluorescein. Skin tests can be helpful in the diagnosis of patients with hypersensitivity reactions to these compounds. Copyright © 2014 Elsevier Inc. All rights reserved.

Correcting Spatial Variance of RCM for GEO SAR Imaging Based on Time-Frequency Scaling.

PubMed

Yu, Ze; Lin, Peng; Xiao, Peng; Kang, Lihong; Li, Chunsheng

2016-07-14

Compared with low-Earth orbit synthetic aperture radar (SAR), a geosynchronous (GEO) SAR can have a shorter revisit period and vaster coverage. However, relative motion between this SAR and targets is more complicated, which makes range cell migration (RCM) spatially variant along both range and azimuth. As a result, efficient and precise imaging becomes difficult. This paper analyzes and models spatial variance for GEO SAR in the time and frequency domains. A novel algorithm for GEO SAR imaging with a resolution of 2 m in both the ground cross-range and range directions is proposed, which is composed of five steps. The first is to eliminate linear azimuth variance through the first azimuth time scaling. The second is to achieve RCM correction and range compression. The third is to correct residual azimuth variance by the second azimuth time-frequency scaling. The fourth and final steps are to accomplish azimuth focusing and correct geometric distortion. The most important innovation of this algorithm is implementation of the time-frequency scaling to correct high-order azimuth variance. As demonstrated by simulation results, this algorithm can accomplish GEO SAR imaging with good and uniform imaging quality over the entire swath.

Correcting Spatial Variance of RCM for GEO SAR Imaging Based on Time-Frequency Scaling

PubMed Central

Yu, Ze; Lin, Peng; Xiao, Peng; Kang, Lihong; Li, Chunsheng

2016-01-01

Compared with low-Earth orbit synthetic aperture radar (SAR), a geosynchronous (GEO) SAR can have a shorter revisit period and vaster coverage. However, relative motion between this SAR and targets is more complicated, which makes range cell migration (RCM) spatially variant along both range and azimuth. As a result, efficient and precise imaging becomes difficult. This paper analyzes and models spatial variance for GEO SAR in the time and frequency domains. A novel algorithm for GEO SAR imaging with a resolution of 2 m in both the ground cross-range and range directions is proposed, which is composed of five steps. The first is to eliminate linear azimuth variance through the first azimuth time scaling. The second is to achieve RCM correction and range compression. The third is to correct residual azimuth variance by the second azimuth time-frequency scaling. The fourth and final steps are to accomplish azimuth focusing and correct geometric distortion. The most important innovation of this algorithm is implementation of the time-frequency scaling to correct high-order azimuth variance. As demonstrated by simulation results, this algorithm can accomplish GEO SAR imaging with good and uniform imaging quality over the entire swath. PMID:27428974

Regional Climate Change across the Continental U.S. Projected from Downscaling IPCC AR5 Simulations

NASA Astrophysics Data System (ADS)

Otte, T. L.; Nolte, C. G.; Otte, M. J.; Pinder, R. W.; Faluvegi, G.; Shindell, D. T.

2011-12-01

Projecting climate change scenarios to local scales is important for understanding and mitigating the effects of climate change on society and the environment. Many of the general circulation models (GCMs) that are participating in the Intergovernmental Panel on Climate Change (IPCC) Fifth Assessment Report (AR5) do not fully resolve regional-scale processes and therefore cannot capture local changes in temperature and precipitation extremes. We seek to project the GCM's large-scale climate change signal to the local scale using a regional climate model (RCM) by applying dynamical downscaling techniques. The RCM will be used to better understand the local changes of temperature and precipitation extremes that may result from a changing climate. Preliminary results from downscaling NASA/GISS ModelE simulations of the IPCC AR5 Representative Concentration Pathway (RCP) scenario 6.0 will be shown. The Weather Research and Forecasting (WRF) model will be used as the RCM to downscale decadal time slices for ca. 2000 and ca. 2030 and illustrate potential changes in regional climate for the continental U.S. that are projected by ModelE and WRF under RCP6.0.

Shock wave and flame front induced detonation in a rapid compression machine

NASA Astrophysics Data System (ADS)

Wang, Y.; Qi, Y.; Xiang, S.; Mével, R.; Wang, Z.

2018-05-01

The present study focuses on one mode of detonation initiation observed in a rapid compression machine (RCM). This mode is referred to as shock wave and flame front-induced detonation (SWFID). Experimental high-speed imaging and two-dimensional numerical simulations with skeletal chemistry are combined to unravel the dominant steps of detonation initiation under SWFID conditions. It is shown that the interaction between the shock wave generated by the end-gas auto-ignition and the spherical flame creates a region of high pressure and temperature which enables the acceleration of the flame front and the detonation onset. The experimental observation lacks adequate spatial and temporal resolution despite good reproducibility of the detonation onset. Based on the numerical results, phenomenological interpretation of the event within the framework of shock wave refraction indicates that the formation of a free-precursor shock wave at the transition between regular and irregular refraction may be responsible for detonation onset. The present results along with previous findings on shock wave reflection-induced detonation in the RCM indicate that super-knock occurs after the interaction of the shock wave generated by end-gas auto-ignition with the RCM walls, preignition flame, or another shock wave.

25 CFR 170.2 - What is the IRR Program and BIA Road Maintenance Program policy?

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false What is the IRR Program and BIA Road Maintenance Program... INDIAN RESERVATION ROADS PROGRAM Policies, Applicability, and Definitions § 170.2 What is the IRR Program and BIA Road Maintenance Program policy? (a) It is the policy of the Secretary of the Interior and the...

25 CFR 170.2 - What is the IRR Program and BIA Road Maintenance Program policy?

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true What is the IRR Program and BIA Road Maintenance Program... INDIAN RESERVATION ROADS PROGRAM Policies, Applicability, and Definitions § 170.2 What is the IRR Program and BIA Road Maintenance Program policy? (a) It is the policy of the Secretary of the Interior and the...

25 CFR 170.2 - What is the IRR Program and BIA Road Maintenance Program policy?

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false What is the IRR Program and BIA Road Maintenance Program... INDIAN RESERVATION ROADS PROGRAM Policies, Applicability, and Definitions § 170.2 What is the IRR Program and BIA Road Maintenance Program policy? (a) It is the policy of the Secretary of the Interior and the...

Building Maintenance, Management, and Budgeting.

ERIC Educational Resources Information Center

Pawsey, M. R.

1982-01-01

Australian methods and formulas for funding building maintenance and management are outlined and found to be haphazard. Discussed are: ultimate costs of deferred maintenance, major plant replacements, life cycle costing, types of maintenance programs (including full preventive maintenance), use of computer programs for planning, and organization…

14 CFR 125.247 - Inspection programs and maintenance.

Code of Federal Regulations, 2014 CFR

2014-01-01

... CAPACITY OF 6,000 POUNDS OR MORE; AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance § 125.247 Inspection programs and maintenance. (a) No person may operate an airplane subject to this part unless (1... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Inspection programs and maintenance. 125...

14 CFR 125.247 - Inspection programs and maintenance.

Code of Federal Regulations, 2010 CFR

2010-01-01

... CAPACITY OF 6,000 POUNDS OR MORE; AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance § 125.247 Inspection programs and maintenance. (a) No person may operate an airplane subject to this part unless (1... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Inspection programs and maintenance. 125...

14 CFR 125.247 - Inspection programs and maintenance.

Code of Federal Regulations, 2011 CFR

2011-01-01

... CAPACITY OF 6,000 POUNDS OR MORE; AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance § 125.247 Inspection programs and maintenance. (a) No person may operate an airplane subject to this part unless (1... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Inspection programs and maintenance. 125...

14 CFR 125.247 - Inspection programs and maintenance.

Code of Federal Regulations, 2013 CFR

2013-01-01

... CAPACITY OF 6,000 POUNDS OR MORE; AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance § 125.247 Inspection programs and maintenance. (a) No person may operate an airplane subject to this part unless (1... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Inspection programs and maintenance. 125...

14 CFR 125.247 - Inspection programs and maintenance.

Code of Federal Regulations, 2012 CFR

2012-01-01

... CAPACITY OF 6,000 POUNDS OR MORE; AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance § 125.247 Inspection programs and maintenance. (a) No person may operate an airplane subject to this part unless (1... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Inspection programs and maintenance. 125...

AUTOMOTIVE DIESEL MAINTENANCE. PROGRAM OUTLINE.

ERIC Educational Resources Information Center

Human Engineering Inst., Cleveland, OH.

INFORMATIONAL TOPICS COVERED IN THE TEXT MATERIALS AND SELF-INSTRUCTIONAL BRANCH PROGRAMED TRAINING FILMS FOR A 2-YEAR, 55 MODULE PROGRAM IN AUTOMOTIVE DIESEL MAINTENANCE ARE GIVEN. THE 30 MODULES FOR "AUTOMOTIVE DIESEL MAINTENANCE 1" ARE AVAILABLE AS VT 005 655 - VT 005 684, AND THE 25 MODULES FOR "AUTOMOTIVE DIESEL MAINTENANCE 2" ARE AVAILABLE…

14 CFR 121.374 - Continuous airworthiness maintenance program (CAMP) for two-engine ETOPS.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Continuous airworthiness maintenance...: CERTIFICATION AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Maintenance, Preventive Maintenance, and Alterations § 121.374 Continuous airworthiness maintenance program (CAMP) for two...

14 CFR 121.374 - Continuous airworthiness maintenance program (CAMP) for two-engine ETOPS.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Continuous airworthiness maintenance...: CERTIFICATION AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Maintenance, Preventive Maintenance, and Alterations § 121.374 Continuous airworthiness maintenance program (CAMP) for two...

14 CFR 121.374 - Continuous airworthiness maintenance program (CAMP) for two-engine ETOPS.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Continuous airworthiness maintenance...: CERTIFICATION AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Maintenance, Preventive Maintenance, and Alterations § 121.374 Continuous airworthiness maintenance program (CAMP) for two...

14 CFR 121.374 - Continuous airworthiness maintenance program (CAMP) for two-engine ETOPS.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Continuous airworthiness maintenance...: CERTIFICATION AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Maintenance, Preventive Maintenance, and Alterations § 121.374 Continuous airworthiness maintenance program (CAMP) for two...

14 CFR 121.374 - Continuous airworthiness maintenance program (CAMP) for two-engine ETOPS.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Continuous airworthiness maintenance...: CERTIFICATION AND OPERATIONS OPERATING REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Maintenance, Preventive Maintenance, and Alterations § 121.374 Continuous airworthiness maintenance program (CAMP) for two...

78 FR 49595 - Aviation Rulemaking Advisory Committee-New Task

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-14

... the new ARAC activity and solicits membership for the Maintenance Reliability Program Working Group... establish the Maintenance Reliability Program Working Group. The working group will serve as staff to ARAC... programs. The Maintenance Reliability Program Working Group will provide advice and recommendations on the...

Two-way against one-way nesting for climate downscaling in Europe and the Mediterranean region using LMDZ4

NASA Astrophysics Data System (ADS)

Li, Shan; Li, Laurent; Le Treut, Hervé

2016-04-01

In the 21st century, the estimated surface temperature warming projected by General Circulation Models (GCMs) is between 0.3 and 4.8 °C, depending on the scenario considered. GCMs exhibit a good representation of climate on a global scale, but they are not able to reproduce regional climate processes with the same level of accuracy. Society and policymakers need model projections to define climate change adaptation and mitigation policies on a global, regional and local scale. Climate downscaling is mostly conducted with a regional model nested into the outputs of a global model. This one-way nesting approach is generally used in the climate community without feedbacks from Regional Climate Models (RCMs) to GCMs. This lack of interaction between the two models may affect regional modes of variability, in particular those with a boundary conflict. The objective of this study is to evaluate a two-way nesting configuration that makes an interactive coupling between the RCM and the GCM, an approach against the traditional configuration of one-way nesting system. An additional aim of this work is to examine if the two-way nesting system can improve the RCM performance. The atmospheric component of the IPSL integrated climate model (LMDZ) is configured at both regional (LMDZ-regional) and global (LMDZ-global) scales. The two models have the same configuration for the dynamical framework and the physical forcings. The climatology values of sea surface temperature (SST) are prescribed for the two models. The stretched-grid of LMDZ-global is applied to a region defined by Europe, the Mediterranean, North Africa and Western North Atlantic. To ensure a good statistical significance of results, all simulations last at least 80 years. The nesting process of models is performed by a relaxation procedure of a time scale of 90 minutes. In the case of two-way nesting, the exchange between the two models is every two hours. The relaxation procedure induces a boundary conflict, particularly in the eastern boundary for temperature and geopotential height. A correlation analysis on the synoptic scale evaluates the relationship between the GCM and the RCM. The beginning of the simulations shows a great consistency of the two models. When dominant dynamics apply, RCM inherits most of the GCM signal with a consistent spatial structure. On the contrary, when the atmospheric circulation is weak, there are not that many effects transferred from the GCM to the RCM. When the RCM has its own dynamics, the boundary conflict is more pronounced. Winter season is chosen for the two-way nesting test due to the predominant role of the atmospheric dynamics in winter. The new approach of a two-way nesting system reduces boundary bias, having a influence in some cases in climate model projections. The effect of two-way nesting is enhanced when using a finer grid.

A Planned Preventive Maintenance Program. A Handbook for Chief Business Officers and Supervisors of Maintenance with Suggestions on Maintenance for Consideration by Presidents of Higher Institutions.

ERIC Educational Resources Information Center

Daniel, Clarence H.

This handbook explains planned preventive maintenance program, which is an operational system of maintenance designed to increase the effectiveness of the maintenance staff and the use of maintenance funds through efficient scheduling of inspections and follow-through of work to be performed. Sections are included for the chief administrative…

Maintenance program decision-making utilizing crash data.

DOT National Transportation Integrated Search

2013-07-01

This document describes methods that may be used by UDOT Maintenance personnel to improve highway safety. Four programs have been recommended using crash data to make more informed decisions concerning maintenance programs as follows: : Snow & Ic...

41 CFR 102-34.275 - What kind of maintenance programs must we have?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What kind of maintenance programs must we have? 102-34.275 Section 102-34.275 Public Contracts and Property Management Federal... VEHICLE MANAGEMENT Scheduled Maintenance of Motor Vehicles § 102-34.275 What kind of maintenance programs...

Plasma Sheet Injections into the Inner Magnetosphere: Two-way Coupled OpenGGCM-RCM model results

NASA Astrophysics Data System (ADS)

Raeder, J.; Cramer, W. D.; Toffoletto, F.; Gilson, M. L.; Hu, B.

2017-12-01

Plasma sheet injections associated with low flux tube entropy bubbles have been found to be the primary means of mass transport from the plasma sheet to the inner magnetosphere. A two-way coupled global magnetosphere-ring current model, where the magnetosphere is modeled by the OpenGGCM MHD model and the ring current is modeled by the Rice Convection Model (RCM), is used to determine the frequency of association of bubbles with injections and inward plasma transport, as well as typical injection characteristics. Multiple geomagnetic storms and quiet periods are simulated to track and characterize inward flow behavior. Dependence on geomagnetic activity levels or drivers is also examined.

Rapid diagnosis of tinea incognito using handheld reflectance confocal microscopy: a paradigm shift in dermatology?

PubMed

Navarrete-Dechent, Cristián; Bajaj, Shirin; Marghoob, Ashfaq A; Marchetti, Michael A

2015-06-01

Dermatophytoses are common skin infections. Traditional diagnostic tests such as skin scrapings for light microscopy examination, fungal cultures and biopsies remain imperfect due to false-negative test results, cost, time required to perform the procedure, time delays in test results and/or a requirement for an invasive procedure. Herein, we present a case of an 80-year-old female whose tinea incognito was non-invasively diagnosed within seconds using handheld reflectance confocal microscopy (RCM). As non-invasive skin imaging continues to improve, we expect light-based office microscopy to be replaced with technologies such as RCM, which has multiple and continually expanding diagnostic applications. © 2015 Blackwell Verlag GmbH.

Maintenance manager's manual for small transit agencies. Special report 1985-1986

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

Fowler, W.

1988-03-01

This publication contains information to assist operators of transit agencies providing public transportation in rural and smaller urban areas to better manage their vehicle maintenance programs. The report includes discussions of maintenance management, maintenance programs preventive maintenance, recordkeeping, selection of type of maintenance operation, in-house maintenance, and maintenance practices. Also included are appendixes giving supplementary information about tire loads; lubrication oil; mechanic hand tools; shop tools; mechanic aptitude tests; technical training resources; maintenance management training resources; and lists of manufacturers of air-conditioning systems, wheelchair lifts and wheelchair ramps.

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

Boman, Erik G.

This LDRD project was a campus exec fellowship to fund (in part) Donald Nguyen’s PhD research at UT-Austin. His work has focused on parallel programming models, and scheduling irregular algorithms on shared-memory systems using the Galois framework. Galois provides a simple but powerful way for users and applications to automatically obtain good parallel performance using certain supported data containers. The naïve user can write serial code, while advanced users can optimize performance by advanced features, such as specifying the scheduling policy. Galois was used to parallelize two sparse matrix reordering schemes: RCM and Sloan. Such reordering is important in high-performancemore » computing to obtain better data locality and thus reduce run times.« less

Deferred Maintenance Program Handbook.

ERIC Educational Resources Information Center

California State Dept. of General Services, Sacramento. Office of Public School Construction.

This handbook provides process information on California's Deferred Maintenance Program, including a description of the administering body of law. Chapters discuss the program's process on the topics of basic/additional apportionment, fund release (basic/additional and critical hardship), the Deferred Maintenance Five-Year Plan, district deposit,…

Compact polarimetric synthetic aperture radar for monitoring soil moisture condition

NASA Astrophysics Data System (ADS)

Merzouki, A.; McNairn, H.; Powers, J.; Friesen, M.

2017-12-01

Coarse resolution soil moisture maps are currently operationally delivered by ESA's SMOS and NASA's SMAP passive microwaves sensors. Despite this evolution, operational soil moisture monitoring at the field scale remains challenging. A number of factors contribute to this challenge including the complexity of the retrieval that requires advanced SAR systems with enhanced temporal revisit capabilities. Since the launch of RADARSAT-2 in 2007, Agriculture and Agri-Food Canada (AAFC) has been evaluating the accuracy of these data for estimating surface soil moisture. Thus, a hybrid (multi-angle/multi-polarization) retrieval approach was found well suited for the planned RADARSAT Constellation Mission (RCM) considering the more frequent relook expected with the three satellite configuration. The purpose of this study is to evaluate the capability of C-band CP data to estimate soil moisture over agricultural fields, in anticipation of the launch of RCM. In this research we introduce a new CP approach based on the IEM and simulated RCM CP mode intensities from RADARSAT-2 images acquired at different dates. The accuracy of soil moisture retrieval from the proposed multi-polarization and hybrid methods will be contrasted with that from a more conventional quad-pol approach, and validated against in situ measurements by pooling data collected over AAFC test sites in Ontario, Manitoba and Saskatchewan, Canada.

Auto-ignitions of a methane/air mixture at high and intermediate temperatures

NASA Astrophysics Data System (ADS)

Leschevich, V. V.; Martynenko, V. V.; Penyazkov, O. G.; Sevrouk, K. L.; Shabunya, S. I.

2016-09-01

A rapid compression machine (RCM) and a shock tube (ST) have been employed to study ignition delay times of homogeneous methane/air mixtures at intermediate-to-high temperatures. Both facilities allow measurements to be made at temperatures of 900-2000 K, at pressures of 0.38-2.23 MPa, and at equivalence ratios of 0.5, 1.0, and 2.0. In ST experiments, nitrogen served as a diluent gas, whereas in RCM runs the diluent gas composition ranged from pure nitrogen to pure argon. Recording pressure, UV, and visible emissions identified the evolution of chemical reactions. Correlations of ignition delay time were generated from the data for each facility. At temperatures below 1300 K, a significant reduction of average activation energy from 53 to 15.3 kcal/mol was obtained. Moreover, the RCM data showed significant scatter that dramatically increased with decreasing temperature. An explanation for the abnormal scatter in the data was proposed based on the high-speed visualization of auto-ignition phenomena and experiments performed with oxygen-free and fuel-free mixtures. It is proposed that the main reason for such a significant reduction of average activation energy is attributable to the premature ignition of ultrafine particles in the reactive mixture.

Reflectance confocal microscopy-guided laser ablation of basal cell carcinomas: initial in vivo results

NASA Astrophysics Data System (ADS)

Sierra, Heidy; Cordova, Miguel; Yelamos, Oriol; Chen, Chih-Shan Jason; Rajadhyaksha, Milind

2017-02-01

Laser ablation offers a procedure for precise, fast and minimally invasive removal of superficial and early nodular basal cell carcinomas (BCCs). However, the lack of histopathological confirmation has been a limitation toward widespread use in the clinic. A reflectance confocal microscopy (RCM) imaging-guided laser ablation approach offers cellular-level histopathology-like feedback directly on the patient, which may guide and help improve the efficacy of this procedure. We performed an initial study on 44 BCCs on 21 patients in vivo (based in an ex vivo bench-top study reported in our earlier papers), using a pulsed erbium: ytterbium aluminum garnet laser and a contrast agent (aluminum chloride). Initial 10 lesions, the RCM imaging-guided detection of either presence of residual tumor or complete clearance was immediately confirmed with histopathology. Additionally, 34 BCCs on 15 patients were treated with RCM imaging-guided laser ablation, and the clearance of tumor is currently being monitored with follow-up imaging (i. e., no histopathology) at 3, 6 and 18 months. Thus far, the imaging resolution appears to be sufficient and consistent for monitoring efficacy in the wound, both immediately post-ablation and subsequently during recovery. The efficacy appears to be promising. However, further investigation and optimization to image over the entire wound (without missing any areas) need to be investigated.

User Delay Cost Model and Facilities Maintenance Cost Model for a Terminal Control Area : Volume 3. User's Manual and Program Documentation for the Facilities Maintenance Cost Model

DOT National Transportation Integrated Search

1978-05-01

The Facilities Maintenance Cost Model (FMCM) is an analytic model designed to calculate expected annual labor costs of maintenance within a given FAA maintenance sector. The model is programmed in FORTRAN IV and has been demonstrated on the CDC Krono...

How to Get a Maintenance Program Underway

ERIC Educational Resources Information Center

Lundy, Lyndall L.

1975-01-01

The article describes the development of a comprehensive maintenance program for the school shop. A general maintenance management outline provides direction for planning, execution, and evaluation. (MW)

Effects of a Stretching Development and Maintenance Program on Hamstring Extensibility in Schoolchildren: A Cluster-Randomized Controlled Trial

PubMed Central

Mayorga-Vega, Daniel; Merino-Marban, Rafael; Manzano-Lagunas, Jorge; Blanco, Humberto; Viciana, Jesús

2016-01-01

The main purpose of the present study was to examine the effects of a physical education-based stretching development and maintenance program on hamstring extensibility in schoolchildren. A sample of 150 schoolchildren aged 7-10 years old from a primary school participated in the present study (140 participants were finally included). The six classes balanced by grade were cluster randomly assigned to the experimental group 1 (n = 51), experimental group 2 (n = 51) or control group (n = 49) (i.e., a cluster randomized controlled trial design was used). During the physical education classes, the students from the experimental groups 1 and 2 performed a four-minute stretching program twice a week for nine weeks (first semester). Then, after a five-week period of detraining coinciding with the Christmas holidays, the students from the experimental groups 1 and 2 completed another stretching program twice a week for eleven weeks (second semester). The students from the experimental group 1 continued performing the stretching program for four minutes while those from the experimental group 2 completed a flexibility maintenance program for only one minute. The results of the two-way analysis of variance showed that the physical education-based stretching development program significantly improved the students’ hamstring extensibility (p < 0.001), as well as that these gains obtained remained after the stretching maintenance program (p < 0.001). Additionally, statistically significant differences between the two experimental groups were not found (p > 0.05). After a short-term stretching development program, a physical education-based stretching maintenance program of only one-minute sessions twice a week is effective in maintaining hamstring extensibility among schoolchildren. This knowledge could help and guide teachers to design programs that allow a feasible and effective development and maintenance of students’ flexibility in the physical education setting. Key points A physical education-based stretching maintenance program of only one-minute sessions twice a week is effective in maintaining hamstring extensibility among schoolchildren. A four-minute maintenance program shows similar effects that the one-minute maintenance program on hamstring extensibility among schoolchildren. Physical education teachers and other practitioners could carry out one-minute programs for a feasible and effective maintenance of students’ flexibility. PMID:26957928

Maintenance Research. Report 6. Maintenance Training.

ERIC Educational Resources Information Center

Louisiana State Dept. of Highways, Baton Rouge.

The main objective of the training research phase of the maintenance management study was to develop and test training methods suitable for highway maintenance supervisors. Supervisors were trained by one of five different methods (lecture, group discussion, programed instruction, programed workshops, audiovisual instruction). The report documents…

A Dynamic Coupled Magnetosphere-Ionosphere-Ring Current Model

NASA Astrophysics Data System (ADS)

Pembroke, Asher

In this thesis we describe a coupled model of Earth's magnetosphere that consists of the Lyon-Fedder-Mobarry (LFM) global magnetohydrodynamics (MHD) simulation, the MIX ionosphere solver and the Rice Convection Model (RCM). We report some results of the coupled model using idealized inputs and model parameters. The algorithmic and physical components of the model are described, including the transfer of magnetic field information and plasma boundary conditions to the RCM and the return of ring current plasma properties to the LFM. Crucial aspects of the coupling include the restriction of RCM to regions where field-line averaged plasma-beta ¡=1, the use of a plasmasphere model, and the MIX ionosphere model. Compared to stand-alone MHD, the coupled model produces a substantial increase in ring current pressure and reduction of the magnetic field near the Earth. In the ionosphere, stronger region-1 and region-2 Birkeland currents are seen in the coupled model but with no significant change in the cross polar cap potential drop, while the region-2 currents shielded the low-latitude convection potential. In addition, oscillations in the magnetic field are produced at geosynchronous orbit with the coupled code. The diagnostics of entropy and mass content indicate that these oscillations are associated with low-entropy flow channels moving in from the tail and may be related to bursty bulk flows and bubbles seen in observations. As with most complex numerical models, there is the ongoing challenge of untangling numerical artifacts and physics, and we find that while there is still much room for improvement, the results presented here are encouraging. Finally, we introduce several new methods for magnetospheric visualization and analysis, including a fluid-spatial volume for RCM and a field-aligned analysis mesh for the LFM. The latter allows us to construct novel visualizations of flux tubes, drift surfaces, topological boundaries, and bursty-bulk flows.

Climate change indices for Greenland applied directly for other arctic regions - Enhanced and utilized climate information from one high resolution RCM downscaling for Greenland evaluated through pattern scaling and CMIP5

NASA Astrophysics Data System (ADS)

Olesen, M.; Christensen, J. H.; Boberg, F.

2016-12-01

Climate change indices for Greenland applied directly for other arctic regions - Enhanced and utilized climate information from one high resolution RCM downscaling for Greenland evaluated through pattern scaling and CMIP5Climate change affects the Greenlandic society both advantageously and disadvantageously. Changes in temperature and precipitation patterns may result in changes in a number of derived society related climate indices, such as the length of growing season or the number of annual dry days or a combination of the two - indices of substantial importance to society in a climate adaptation context.Detailed climate indices require high resolution downscaling. We have carried out a very high resolution (5 km) simulation with the regional climate model HIRHAM5, forced by the global model EC-Earth. Evaluation of RCM output is usually done with an ensemble of downscaled output with multiple RCM's and GCM's. Here we have introduced and tested a new technique; a translation of the robustness of an ensemble of GCM models from CMIP5 into the specific index from the HIRHAM5 downscaling through a correlation between absolute temperatures and its corresponding index values from the HIRHAM5 output.The procedure is basically conducted in two steps: First, the correlation between temperature and a given index for the HIRHAM5 simulation by a best fit to a second order polynomial is identified. Second, the standard deviation from the CMIP5 simulations is introduced to show the corresponding standard deviation of the index from the HIRHAM5 run. The change of specific climate indices due to global warming will then be possible to evaluate elsewhere corresponding to the change in absolute temperature.Results based on selected indices with focus on the future climate in Greenland calculated for the rcp4.5 and rcp8.5 scenarios will be presented.

One-stop-shop with confocal microscopy imaging vs. standard care for surgical treatment of basal cell carcinoma: an open-label, noninferiority, randomized controlled multicentre trial.

PubMed

Kadouch, D J; Elshot, Y S; Zupan-Kajcovski, B; van Haersma de With, A S E; van der Wal, A C; Leeflang, M; Jóźwiak, K; Wolkerstorfer, A; Bekkenk, M W; Spuls, P I; de Rie, M A

2017-09-01

Routine punch biopsies are considered to be standard care for diagnosing and subtyping basal cell carcinoma (BCC) when clinically suspected. We assessed the efficacy of a one-stop-shop concept using in vivo reflectance confocal microscopy (RCM) imaging as a diagnostic tool vs. standard care for surgical treatment in patients with clinically suspected BCC. In this open-label, parallel-group, noninferiority, randomized controlled multicentre trial we enrolled patients with clinically suspected BCC at two tertiary referral centres in Amsterdam, the Netherlands. Patients were randomly assigned to the RCM one-stop-shop (diagnosing and subtyping using RCM followed by direct surgical excision) or standard care (planned excision based on the histological diagnosis and subtype of a punch biopsy). The primary outcome was the proportion of patients with tumour-free margins after surgical excision of BCC. Of the 95 patients included, 73 (77%) had a BCC histologically confirmed using a surgical excision specimen. All patients (40 of 40, 100%) in the one-stop-shop group had tumour-free margins. In the standard-care group tumour-free margins were found in all but two patients (31 of 33, 94%). The difference in the proportion of patients with tumour-free margins after BCC excision between the one-stop-shop group and the standard-care group was -0·06 (90% confidence interval -0·17-0·01), establishing noninferiority. The proposed new treatment strategy seems suitable in facilitating early diagnosis and direct treatment for patients with BCC, depending on factors such as availability of RCM, size and site of the lesion, patient preference and whether direct surgical excision is feasible. © 2017 The Authors. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists.

Impact of the Gulf of California SST on simulating precipitation and crop productivity in the Southwestern United States

NASA Astrophysics Data System (ADS)

Kim, S.; Kim, J.; Prasad, A. K.; Stack, D. H.; El-Askary, H. M.; Kafatos, M.

2012-12-01

Like other ecosystems, agricultural productivity is substantially affected by climate factors. Therefore, accurate climatic data (i.e. precipitation, temperature, and radiation) is crucial to simulating crop yields. In order to understand and anticipate climate change and its impacts on agricultural productivity in the Southwestern United States, the WRF regional climate model (RCM) and the Agricultural Production Systems sIMulator (APSIM) were employed for simulating crop production. 19 years of WRF RCM output show that there is a strong dry bias during the warm season, especially in Arizona. Consequently, the APSIM crop model indicates very low crop yields in this region. We suspect that the coarse resolution of reanalysis data could not resolve the relatively warm Sea Surface Temperature (SST) in the Gulf of California (GC), causing the SST to be up to 10 degrees lower than the climatology. In the Southwestern United States, a significant amount of precipitation is associated with North American Monsoon (NAM). During the monsoon season, the low-level moisture is advected to the Southwestern United States via the GC, which is known to be the dominant moisture source. Thus, high-resolution SST data in the GC is required for RCM simulations to accurately represent a reasonable amount of precipitation in the region, allowing reliable evaluation of the impacts on regional ecosystems.and evaluate impacts on regional ecosystems. To evaluate the influence of SST on agriculture in the Southwestern U.S., two sets of numerical simulations were constructed: a control, using unresolved SST of GC, and daily updated SST data from the MODIS satellite sensor. The meteorological drivers from each of the 6 year RCM runs were provided as input to the APSIM model to determine the crop yield. Analyses of the simulated crop production, and the interannual variation of the meteorological drivers, demonstrate the influence of SST on crop yields in the Southwestern United States.

Reversal of radiocontrast medium toxicity in human renal proximal tubular cells by white grape juice extract.

PubMed

Andreucci, Michele; Faga, Teresa; Pisani, Antonio; Sabbatini, Massimo; Russo, Domenico; Mattivi, Fulvio; De Sarro, Giovambattista; Navarra, Michele; Michael, Ashour

2015-03-05

Radiocontrast media (RCM)-induced nephrotoxicity (CIN) is a major clinical problem accounting for 12% of all hospital-acquired cases of acute kidney injury. The pathophysiology of CIN is not well understood, but direct toxic effects on renal cells have been postulated as contributing to CIN. We have investigated the effect of a white grape (Vitis vinifera) juice extract (WGJe) on human renal proximal tubular (HK-2) cells treated with the radiocontrast medium (RCM) sodium diatrizoate. WGJe caused an increase in phosphorylation of the prosurvival kinases Akt and ERK1/2 in HK-2 cells. Treatment of HK-2 cells with 75 mgI/ml sodium diatrizoate for 2.5h and then further incubation (for 27.5h) after removal of the RCM caused a drastic decrease in cell viability. However, pre-treatment with WGJe, prior to incubation with diatrizoate, dramatically improved cell viability. Analysis of key signaling molecules by Western blotting showed that diatrizoate caused a drastic decrease in phosphorylation of Akt (Ser473), FOXO1 (Thr24) and FOXO3a (Thr32) during the initial 2.5h incubation period, and WGJe pre-treatment caused a reversal of these effects. Further analysis by Western blotting of samples from HK-2 cells cultured for longer periods of time (for up to 27.5h after an initial 2.5h exposure to diatrizoate with or without WGJe pre-treatment) showed that WGJe pre-treatment caused a negative effect on phosphorylation of p38, NF-κB (Ser276) and pERK1/2 whilst having a positive effect on the phosphorylation of Akt, FOXO1/FOXO3a and maintained levels of Pim-1 kinase. WGJe may alleviate RCM toxicity through modulation of signaling molecules that are known to be involved in cell death and cell survival and its possible beneficial effects should be further investigated. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

How uncertain are climate model projections of water availability indicators across the Middle East?

PubMed

Hemming, Debbie; Buontempo, Carlo; Burke, Eleanor; Collins, Mat; Kaye, Neil

2010-11-28

The projection of robust regional climate changes over the next 50 years presents a considerable challenge for the current generation of climate models. Water cycle changes are particularly difficult to model in this area because major uncertainties exist in the representation of processes such as large-scale and convective rainfall and their feedback with surface conditions. We present climate model projections and uncertainties in water availability indicators (precipitation, run-off and drought index) for the 1961-1990 and 2021-2050 periods. Ensembles from two global climate models (GCMs) and one regional climate model (RCM) are used to examine different elements of uncertainty. Although all three ensembles capture the general distribution of observed annual precipitation across the Middle East, the RCM is consistently wetter than observations, especially over the mountainous areas. All future projections show decreasing precipitation (ensemble median between -5 and -25%) in coastal Turkey and parts of Lebanon, Syria and Israel and consistent run-off and drought index changes. The Intergovernmental Panel on Climate Change (IPCC) Fourth Assessment Report (AR4) GCM ensemble exhibits drying across the north of the region, whereas the Met Office Hadley Centre work Quantifying Uncertainties in Model ProjectionsAtmospheric (QUMP-A) GCM and RCM ensembles show slight drying in the north and significant wetting in the south. RCM projections also show greater sensitivity (both wetter and drier) and a wider uncertainty range than QUMP-A. The nature of these uncertainties suggests that both large-scale circulation patterns, which influence region-wide drying/wetting patterns, and regional-scale processes, which affect localized water availability, are important sources of uncertainty in these projections. To reduce large uncertainties in water availability projections, it is suggested that efforts would be well placed to focus on the understanding and modelling of both large-scale processes and their teleconnections with Middle East climate and localized processes involved in orographic precipitation.

Assessing spatio-temporal variability and trends in modelled and measured Greenland Ice Sheet albedo (2000-2013)

NASA Astrophysics Data System (ADS)

Alexander, P. M.; Tedesco, M.; Fettweis, X.; van de Wal, R. S. W.; Smeets, C. J. P. P.; van den Broeke, M. R.

2014-12-01

Accurate measurements and simulations of Greenland Ice Sheet (GrIS) surface albedo are essential, given the role of surface albedo in modulating the amount of absorbed solar radiation and meltwater production. In this study, we assess the spatio-temporal variability of GrIS albedo during June, July, and August (JJA) for the period 2000-2013. We use two remote sensing products derived from data collected by the Moderate Resolution Imaging Spectroradiometer (MODIS), as well as outputs from the Modèle Atmosphérique Régionale (MAR) regional climate model (RCM) and data from in situ automatic weather stations. Our results point to an overall consistency in spatio-temporal variability between remote sensing and RCM albedo, but reveal a difference in mean albedo of up to ~0.08 between the two remote sensing products north of 70° N. At low elevations, albedo values simulated by the RCM are positively biased with respect to remote sensing products by up to ~0.1 and exhibit low variability compared with observations. We infer that these differences are the result of a positive bias in simulated bare ice albedo. MODIS albedo, RCM outputs, and in situ observations consistently indicate a decrease in albedo of -0.03 to -0.06 per decade over the period 2003-2013 for the GrIS ablation area. Nevertheless, satellite products show a decline in JJA albedo of -0.03 to -0.04 per decade for regions within the accumulation area that is not confirmed by either the model or in situ observations. These findings appear to contradict a previous study that found an agreement between in situ and MODIS trends for individual months. The results indicate a need for further evaluation of high elevation albedo trends, a reconciliation of MODIS mean albedo at high latitudes, and the importance of accurately simulating bare ice albedo in RCMs.

European Cardiomyopathy Pilot Registry: EURObservational Research Programme of the European Society of Cardiology.

PubMed

Elliott, Perry; Charron, Philippe; Blanes, Juan Ramon Gimeno; Tavazzi, Luigi; Tendera, Michal; Konté, Marème; Laroche, Cécile; Maggioni, Aldo P

2016-01-07

Cardiomyopathies are a heterogeneous group of disorders associated with premature death due to ventricular arrhythmia or heart failure. The purpose of this study was to examine the characteristics of patients enrolled in the pilot phase of the EURObservational Research Programme (EORP) cardiomyopathy registry. Between 1 December 2012 and 30 November 2013, four cardiomyopathy phenotypes were studied: hypertrophic cardiomyopathy (HCM), dilated cardiomyopathy (DCM), arrhythmogenic right ventricular cardiomyopathy (ARVC), and restrictive cardiomyopathy (RCM). Twenty-seven centres in 12 countries participated; 1115 patients were enrolled. The commonest cardiomyopathy was HCM (n = 681), followed by DCM (n = 346), ARVC (n = 59), and RCM (n = 29); 423 patients (46.4% of those reported) had familial disease; and 56 (5.0%) had rare disease phenocopies. Median age at enrolment and diagnosis was 54 [interquartile range (IQR), 42-64] and 46 years (IQR, 32-58), respectively; fewer patients with ARVC and more with RCM were diagnosed in the upper age quartile (P < 0.0001). There was a male predominance for all cardiomyopathies except RCM (P = 0.0023). Most patients were in New York Heart Association functional class I (n = 813) at enrolment; 139 (12.5%) reported syncope, most frequently in ARVC (P = 0.0009). Five hundred and seven (45.5%) patients underwent cardiac magnetic resonance imaging, 117 (10.6%) endomyocardial biopsy, and 462 (41.4%) genetic testing with a causative mutation reported in 236 individuals (51.1%). 1026 patients (92.0%) were receiving drug therapy; 316 (28.3%) had received an implantable cardioverter defibrillator (highest proportion in ARVC, P < 0.0001). This pilot study shows that services for patients with cardiomyopathy are complex, requiring access to a large range of invasive and non-invasive investigations and involvement of multidisciplinary teams. Treatment regimens are equally multifaceted and show that patients are likely to need long-term follow-up in close liaison with expert centres. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: Journals.permissions@oup.com.

A pilot study comparing two weight loss maintenance interventions among low-income, mid-life women.

PubMed

Samuel-Hodge, Carmen D; Johnston, Larry F; Gizlice, Ziya; Garcia, Beverly A; Lindsley, Sara C; Gold, Alison D; Braxton, Danielle F; Keyserling, Thomas C

2013-07-15

Despite high obesity prevalence rates, few low-income midlife women participate in weight loss maintenance trials. This pilot study aims to assess the effectiveness of two weight loss maintenance interventions in this under-represented population. Low-income midlife women who completed a 16-week weight loss intervention and lost  ≥ 8 lbs (3.6 kg) were eligible to enroll in one of two 12-month maintenance programs. The programs were similar in content and had the same number of total contacts, but were different in the contact modality (Phone + Face-to-Face vs. Face-to-Face Only). Two criteria were used to assess successful weight loss maintenance at 12 months: (1) retaining a loss of  ≥ 5% of body weight from the start of the weight loss phase and (2) a change in body weight of  < 3%, from the start to the end of the maintenance program. Outcome measures of changes in physiologic and psychosocial factors, and evaluations of process measures and program acceptability (measured at 12 months) are also reported. For categorical variables, likelihood ratio or Fisher's Exact (for small samples) tests were used to evaluate statistically significant relationships; for continuous variables, t-tests or their equivalents were used to assess differences between means and also to identify correlates of weight loss maintenance. Overall, during the 12-month maintenance period, 41% (24/58) of participants maintained a loss of  ≥ 5% of initial weight and 43% (25/58) had a <3% change in weight. None of the comparisons between the two maintenance programs were statistically significant. However, improvements in blood pressure and dietary behaviors remained significant at the end of the 12-month maintenance period for participants in both programs. Participant attendance and acceptability were high for both programs. The effectiveness of two pilot 12-month maintenance interventions provides support for further research in weight loss maintenance among high-risk, low-income women. ClinicalTrials.gov Identifier: NCT00288301.

Toward full life cycle control: Adding maintenance measurement to the SEL

NASA Technical Reports Server (NTRS)

Rombach, H. Dieter; Ulery, Bradford T.; Valett, Jon D.

1992-01-01

Organization-wide measurement of software products and processes is needed to establish full life cycle control over software products. The Software Engineering Laboratory (SEL)--a joint venture between NASA GSFC, the University of Maryland, and Computer Sciences Corporation--started measurement of software development more than 15 years ago. Recently, the measurement of maintenance was added to the scope of the SEL. In this article, the maintenance measurement program is presented as an addition to the already existing and well-established SEL development measurement program and evaluated in terms of its immediate benefits and long-term improvement potential. Immediate benefits of this program for the SEL include an increased understanding of the maintenance domain, the differences and commonalities between development and maintenance, and the cause-effect relationships between development and maintenance. Initial results from a sample maintenance study are presented to substantiate these benefits. The long-term potential of this program includes the use of maintenance baselines to better plan and manage future projects and to improve development and maintenance practices for future projects wherever warranted.

Production of 2-Hydroxyisobutyric Acid from Methanol by Methylobacterium extorquens AM1 Expressing (R)-3-Hydroxybutyryl Coenzyme A-Isomerizing Enzymes

PubMed Central

Rohde, Maria-Teresa; Tischer, Sylvi; Harms, Hauke

2016-01-01

ABSTRACT The biotechnological production of the methyl methacrylate precursor 2-hydroxyisobutyric acid (2-HIBA) via bacterial poly-3-hydroxybutyrate (PHB) overflow metabolism requires suitable (R)-3-hydroxybutyryl coenzyme A (CoA)-specific coenzyme B12-dependent mutases (RCM). Here, we characterized a predicted mutase from Bacillus massiliosenegalensis JC6 as a mesophilic RCM closely related to the thermophilic enzyme previously identified in Kyrpidia tusciae DSM 2912 (M.-T. Weichler et al., Appl Environ Microbiol 81:4564–4572, 2015, https://doi.org/10.1128/AEM.00716-15). Using both RCM variants, 2-HIBA production from methanol was studied in fed-batch bioreactor experiments with recombinant Methylobacterium extorquens AM1. After complete nitrogen consumption, the concomitant formation of PHB and 2-HIBA was achieved, indicating that both sets of RCM genes were successfully expressed. However, although identical vector systems and incubation conditions were chosen, the metabolic activity of the variant bearing the RCM genes from strain DSM 2912 was severely inhibited, likely due to the negative effects caused by heterologous expression. In contrast, the biomass yield of the variant expressing the JC6 genes was close to the wild-type performance, and 2-HIBA titers of 2.1 g liter−1 could be demonstrated. In this case, up to 24% of the substrate channeled into overflow metabolism was converted to the mutase product, and maximal combined 2-HIBA plus PHB yields from methanol of 0.11 g g−1 were achieved. Reverse transcription-quantitative PCR analysis revealed that metabolic genes, such as methanol dehydrogenase and acetoacetyl-CoA reductase genes, are strongly downregulated after exponential growth, which currently prevents a prolonged overflow phase, thus preventing higher product yields with strain AM1. IMPORTANCE In this study, we genetically modified a methylotrophic bacterium in order to channel intermediates of its overflow metabolism to the C4 carboxylic acid 2-hydroxyisobutyric acid, a precursor of acrylic glass. This has implications for biotechnology, as it shows that reduced C1 substrates, such as methanol and formic acid, can be alternative feedstocks for producing today's commodities. We found that product titers and yields depend more on host physiology than on the activity of the introduced heterologous function modifying the overflow metabolism. In addition, we show that the fitness of recombinant strains substantially varies when they express orthologous genes from different origins. Further studies are needed to extend the overflow production phase in methylotrophic microorganisms for the implementation of biotechnological processes. PMID:27836853

Investigating rennet coagulation properties of recombined highly concentrated micellar casein concentrate and cream for use in cheese making.

PubMed

Lu, Y; McMahon, D J; Vollmer, A H

2017-02-01

Highly concentrated micellar casein concentrate (HC-MCC) contains ∼18% casein with ∼70% of whey proteins removed by microfiltration and diafiltration of skim milk, followed by vacuum evaporation for further concentration. When blended with cream, HC-MCC forms recombined concentrated milk (RCM), which could be used as a starting material in cheese making. Our objective was to investigate the rennet coagulation properties of RCM while varying parameters such as casein level, pH, rennet level, and coagulation temperature. The HC-MCC was mixed with cream using low shear at 50°C for 10 min, followed by cooling to 31, 28, or 25°C and adding rennet, and rheological properties were determined. Rennet coagulation time [RCT, the time at which storage modulus (G') = loss modulus (G″)] decreased from 8.7 to 7.4 min as casein level increased from 3.2 to 5.7%, without a significant additional difference in RCT at casein levels >5.7%. The initial G″ (G″ 0 ) increased about 10-fold when casein levels were increased from 3.2 to 10.9%, whereas no change in initial G' (G' 0 ) was observed. When G' was measured relative to RCT (i.e., 1, 1.5, or 2 times RCT after RCT was reached, and expressed as G' 1 , G' 1.5 , and G' 2 ), log relationship was found between relative G' and casein level (R 2 > 0.94). Lowering coagulation temperature from 31 to 25°C increased G″ 0 by 6 fold and extended RCT from 7.4 to 9.5 min. After coagulation, relative G' was initially higher at the lower temperature with G' 1 of 3.6 Pa at 25°C and 2.0 Pa at 31°C, but delayed in further development with G' 2 of 0.8 kPa at 25°C and 1.1 kPa at 31°C. Lowering pH of RCM from 6.6 to 6.2 resulted in reduced RCT from 11.9 to 6.5 min with increased relative G' after coagulation. When less rennet was used, RCT increased in a linear inverse relationship without changes in relative G' or G″. The microstructure of RCM coagulum (∼11% casein), observed using transmission electron microscopy, confirmed that RCM curd had a rigid protein matrix containing extensively cross-linked protein strands. Copyright © 2017 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Use of reflectance confocal microscopy to evaluate 5-fluorouracil 0.5%/salicylic acid 10% in the field-directed treatment of subclinical lesions of actinic keratosis: subanalysis of a Phase III, randomized, double-blind, vehicle-controlled trial.

PubMed

Ulrich, M; Reinhold, U; Falqués, M; Rodriguez Azeredo, R; Stockfleth, E

2018-03-01

Actinic keratosis (AK) is a common skin disorder that can progress to invasive squamous-cell carcinoma. AK can present as clinical (visible) or subclinical (invisible) lesions within areas of chronic sun damage. The importance of treating subclinical AK is gaining support. We present a subanalysis of a previously published Phase III, double-blind, vehicle-controlled study (NCT02289768), to assess 5-fluorouracil (5-FU) 0.5%/salicylic acid 10% treatment of subclinical AK lesions, based on reflectance confocal microscopy (RCM). To determine the efficacy of 5-FU 0.5%/salicylic acid 10% as field-directed treatment for subclinical AK lesions using RCM. For inclusion in this subanalysis, patients had to have at least three subclinical AK lesions within a 25 cm 2 area of skin. Subclinical AK lesions were diagnosed according to the presence of three key RCM criteria: architectural disarray; keratinocyte atypia and pleomorphism at the basal, spinous and granular layer. Subclinical AK lesions were evaluated by RCM at baseline, after 4, 6 and 12 weeks of 5-FU 0.5%/salicylic acid 10% treatment or vehicle, and 8 weeks following the end of treatment. Twenty-seven patients were included: 17 [mean age = 72.2 years, standard deviation (SD) = 6.3] received 5-FU 0.5%/salicylic acid 10% treatment and 10 (mean age = 76.4 years, SD = 3.9) received vehicle. Eight weeks following the end of treatment, the mean number of subclinical lesions declined (from 3.0 at baseline) to 0.3 (95% confidence interval [CI] 0.06-0.57) for the 5-FU 0.5%/salicylic acid 10% group and 1.6 (95% CI 0.52-2.68) in the vehicle group (reductions of 90% [95% CI 72.1-107.1] vs. 47% [95% CI 24.8-69.5], respectively; P = 0.005). The proportion of patients receiving 5-FU 0.5%/salicylic acid 10% showing complete clearance of three preselected subclinical AK lesions was numerically greater than in the vehicle group (69% vs. 40%, respectively; P = 0.183). To the best of our knowledge, this is the first randomized, vehicle-controlled study investigating 5-FU 0.5%/salicylic acid 10% treatment for subclinical AK lesions. The present data suggest some treatment efficacy for subclinical AK lesions detected using RCM. However, this subanalysis was not sufficiently powered and should be reproduced in a larger, subsequent cohort. © 2017 European Academy of Dermatology and Venereology.

40 CFR 52.241 - Inspection and maintenance program.

Code of Federal Regulations, 2011 CFR

2011-07-01

... (CONTINUED) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS California § 52.241 Inspection and maintenance program. (a) [Reserved] (b) Approval. On June 5, 2009, the California Air Resources Board submitted a revision to the California Motor Vehicle Inspection and Maintenance Program (2009 I/M Revision) to satisfy...

40 CFR 52.241 - Inspection and maintenance program.

Code of Federal Regulations, 2014 CFR

2014-07-01

... (CONTINUED) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS California § 52.241 Inspection and maintenance program. (a) [Reserved] (b) Approval. On June 5, 2009, the California Air Resources Board submitted a revision to the California Motor Vehicle Inspection and Maintenance Program (2009 I/M Revision) to satisfy...

40 CFR 52.241 - Inspection and maintenance program.

Code of Federal Regulations, 2013 CFR

2013-07-01

... (CONTINUED) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS California § 52.241 Inspection and maintenance program. (a) [Reserved] (b) Approval. On June 5, 2009, the California Air Resources Board submitted a revision to the California Motor Vehicle Inspection and Maintenance Program (2009 I/M Revision) to satisfy...

40 CFR 52.241 - Inspection and maintenance program.

Code of Federal Regulations, 2012 CFR

2012-07-01

... (CONTINUED) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS California § 52.241 Inspection and maintenance program. (a) [Reserved] (b) Approval. On June 5, 2009, the California Air Resources Board submitted a revision to the California Motor Vehicle Inspection and Maintenance Program (2009 I/M Revision) to satisfy...

7 CFR 772.5 - Security maintenance.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 7 2014-01-01 2014-01-01 false Security maintenance. 772.5 Section 772.5 Agriculture... SPECIAL PROGRAMS SERVICING MINOR PROGRAM LOANS § 772.5 Security maintenance. (a) General. Borrowers are responsible for maintaining the collateral that is serving as security for their Minor Program loan in...

7 CFR 772.5 - Security maintenance.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 7 2012-01-01 2012-01-01 false Security maintenance. 772.5 Section 772.5 Agriculture... SPECIAL PROGRAMS SERVICING MINOR PROGRAM LOANS § 772.5 Security maintenance. (a) General. Borrowers are responsible for maintaining the collateral that is serving as security for their Minor Program loan in...

The Trajectory of Language Policy: The First Language Maintenance and Development Program in South Australia

ERIC Educational Resources Information Center

Liddicoat, Anthony J.; Curnow, Timothy Jowan; Scarino, Angela

2016-01-01

This paper examines the development of the First Language Maintenance and Development (FLMD) program in South Australia. This program is the main language policy activity that specifically focuses on language maintenance in government primary schools and has existed since 1986. During this time, the program has evolved largely as the result of ad…

Industrial Machinery Maintenance and Repair. Florida Vocational Program Guide.

ERIC Educational Resources Information Center

University of South Florida, Tampa. Dept. of Adult and Vocational Education.

This vocational program guide is intended to assist in the organization, operation, and evaluation of a program in industrial machinery maintenance and repair in school districts, area vocational centers, and community colleges. The following topics are covered: job duties of millwrights, maintenance mechanics, and machinery erectors; program…

An Interactive Computer-Based Training Program for Beginner Personal Computer Maintenance.

ERIC Educational Resources Information Center

Summers, Valerie Brooke

A computer-assisted instructional program, which was developed for teaching beginning computer maintenance to employees of Unisys, covered external hardware maintenance, proper diskette care, making software backups, and electro-static discharge prevention. The procedure used in developing the program was based upon the Dick and Carey (1985) model…

Illinois Occupational Skill Standards: Industrial Maintenance General Maintenance Cluster.

ERIC Educational Resources Information Center

Illinois Occupational Skill Standards and Credentialing Council, Carbondale.

These skill standards for the industrial maintenance general maintenance cluster are intended to be a guide to workforce preparation program providers in defining content for their programs and to employers to establish the skills and standards necessary for job acquisition. An introduction provides the Illinois perspective; Illinois Occupational…

Industry assessment of human factors in aviation maintenance and inspection research program : an assessment of industry awareness and use of the Federal Aviation Administration Office of Aviation Medicine Human Factors in Aviation Maintenance and Inspection Research and Development Program from 1989 through 1998

DOT National Transportation Integrated Search

1998-03-01

Ten years ago the Federal Aviation Administration (FAA) Office of Aviation Medicine embarked on a research and development program dedicated to human factors in aviation maintenance and inspection. Since 1989 FAA has invested over $12M in maintenance...

Inferring electric fields and currents from ground magnetometer data - A test with theoretically derived inputs

NASA Technical Reports Server (NTRS)

Wolf, R. A.; Kamide, Y.

1983-01-01

Advanced techniques considered by Kamide et al. (1981) seem to have the potential for providing observation-based high time resolution pictures of the global ionospheric current and electric field patterns for interesting events. However, a reliance on the proposed magnetogram-inversion schemes for the deduction of global ionospheric current and electric field patterns requires proof that reliable results are obtained. 'Theoretical' tests of the accuracy of the magnetogram inversion schemes have, therefore, been considered. The present investigation is concerned with a test, involving the developed KRM algorithm and the Rice Convection Model (RCM). The test was successful in the sense that there was overall agreement between electric fields and currents calculated by the RCM and KRM schemes.

14 CFR 91.1411 - Continuous airworthiness maintenance program use by fractional ownership program manager.

Code of Federal Regulations, 2010 CFR

2010-01-01

... program use by fractional ownership program manager. 91.1411 Section 91.1411 Aeronautics and Space FEDERAL... airworthiness maintenance program use by fractional ownership program manager. Fractional ownership program... through 91.1443. Any program manager who elects to maintain the program aircraft using a continuous...

25 CFR 170.803 - What facilities are eligible under the BIA Road Maintenance Program?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false What facilities are eligible under the BIA Road... AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.803 What facilities are eligible under the BIA Road Maintenance Program? (a) The following public transportation facilities are eligible...

25 CFR 170.803 - What facilities are eligible under the BIA Road Maintenance Program?

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false What facilities are eligible under the BIA Road... AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.803 What facilities are eligible under the BIA Road Maintenance Program? (a) The following public transportation facilities are eligible...

25 CFR 170.803 - What facilities are eligible under the BIA Road Maintenance Program?

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false What facilities are eligible under the BIA Road... AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.803 What facilities are eligible under the BIA Road Maintenance Program? (a) The following public transportation facilities are eligible...

25 CFR 170.803 - What facilities are eligible under the BIA Road Maintenance Program?

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true What facilities are eligible under the BIA Road... AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.803 What facilities are eligible under the BIA Road Maintenance Program? (a) The following public transportation facilities are eligible...

A pilot study comparing two weight loss maintenance interventions among low-income, mid-life women

PubMed Central

2013-01-01

Background Despite high obesity prevalence rates, few low-income midlife women participate in weight loss maintenance trials. This pilot study aims to assess the effectiveness of two weight loss maintenance interventions in this under-represented population. Methods Low-income midlife women who completed a 16-week weight loss intervention and lost ≥ 8 lbs (3.6 kg) were eligible to enroll in one of two 12-month maintenance programs. The programs were similar in content and had the same number of total contacts, but were different in the contact modality (Phone + Face-to-Face vs. Face-to-Face Only). Two criteria were used to assess successful weight loss maintenance at 12 months: (1) retaining a loss of ≥ 5% of body weight from the start of the weight loss phase and (2) a change in body weight of < 3%, from the start to the end of the maintenance program. Outcome measures of changes in physiologic and psychosocial factors, and evaluations of process measures and program acceptability (measured at 12 months) are also reported. For categorical variables, likelihood ratio or Fisher’s Exact (for small samples) tests were used to evaluate statistically significant relationships; for continuous variables, t-tests or their equivalents were used to assess differences between means and also to identify correlates of weight loss maintenance. Results Overall, during the 12-month maintenance period, 41% (24/58) of participants maintained a loss of ≥ 5% of initial weight and 43% (25/58) had a <3% change in weight. None of the comparisons between the two maintenance programs were statistically significant. However, improvements in blood pressure and dietary behaviors remained significant at the end of the 12-month maintenance period for participants in both programs. Participant attendance and acceptability were high for both programs. Conclusions The effectiveness of two pilot 12-month maintenance interventions provides support for further research in weight loss maintenance among high-risk, low-income women. Trial registration ClinicalTrials.gov Identifier: NCT00288301 PMID:23855318

Avionics Maintenance Technology Program Guide.

ERIC Educational Resources Information Center

Georgia Univ., Athens. Dept. of Vocational Education.

This program guide presents the avionics maintenance technology curriculum for technical institutes in Georgia. The general information section contains the following for both the diploma program and the associate degree program: purpose and objectives; program description, including admissions, typical job titles, and accreditation and…

76 FR 39033 - Airworthiness Directives; Rolls-Royce Deutschland Ltd & Co KG (RRD) BR700-710 Series Turbofan...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-05

... limitation section (ALS) of their approved maintenance program (Time Limits Manual (TLM), chapters 05-00-01... airplanes used for pilot training. Revise their ALS of their approved maintenance program (TLM chapters 05... limitations section (ALS) of the operators approved maintenance program (reference the Time Limits Manual (TLM...

Regional Climate Change across North America in 2030 Projected from RCP6.0

NASA Astrophysics Data System (ADS)

Otte, T.; Nolte, C. G.; Faluvegi, G.; Shindell, D. T.

2012-12-01

Projecting climate change scenarios to local scales is important for understanding and mitigating the effects of climate change on society and the environment. Many of the general circulation models (GCMs) that are participating in the Intergovernmental Panel on Climate Change (IPCC) Fifth Assessment Report (AR5) do not fully resolve regional-scale processes and therefore cannot capture local changes in temperature and precipitation extremes. We seek to project the GCM's large-scale climate change signal to the local scale using a regional climate model (RCM) by applying dynamical downscaling techniques. The RCM will be used to better understand the local changes of temperature and precipitation extremes that may result from a changing climate. In this research, downscaling techniques that we developed with historical data are now applied to GCM fields. Results from downscaling NASA/GISS ModelE2 simulations of the IPCC AR5 Representative Concentration Pathway (RCP) scenario 6.0 will be shown. The Weather Research and Forecasting (WRF) model has been used as the RCM to downscale decadal time slices for ca. 2000 and ca. 2030 over North America and illustrate potential changes in regional climate that are projected by ModelE2 and WRF under RCP6.0. The analysis focuses on regional climate fields that most strongly influence the interactions between climate change and air quality. In particular, an analysis of extreme temperature and precipitation events will be presented.

Laboratory services series: a master-slave manipulator maintenance program

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

Jenness, R. G.; Hicks, R. E.; Wicker, C. D.

1976-12-01

The volume of master slave manipulator maintenance at Oak Ridge National Laboratory has necessitated the establishment of a repair facility and organization of a specially trained group of craftsmen. Emphasis on cell containment requires the use of manipulator boots and development of precise procedures for accomplishing the maintenance of 287 installed units. A very satisfactory computer programmed maintenance system has been established at the Laboratory to provide an economical approach to preventive maintenance.

Method and computer program product for maintenance and modernization backlogging

DOEpatents

Mattimore, Bernard G; Reynolds, Paul E; Farrell, Jill M

2013-02-19

According to one embodiment, a computer program product for determining future facility conditions includes a computer readable medium having computer readable program code stored therein. The computer readable program code includes computer readable program code for calculating a time period specific maintenance cost, for calculating a time period specific modernization factor, and for calculating a time period specific backlog factor. Future facility conditions equal the time period specific maintenance cost plus the time period specific modernization factor plus the time period specific backlog factor. In another embodiment, a computer-implemented method for calculating future facility conditions includes calculating a time period specific maintenance cost, calculating a time period specific modernization factor, and calculating a time period specific backlog factor. Future facility conditions equal the time period specific maintenance cost plus the time period specific modernization factor plus the time period specific backlog factor. Other embodiments are also presented.

14 CFR 91.1111 - Maintenance training.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Maintenance training. 91.1111 Section 91... Operations Program Management § 91.1111 Maintenance training. The program manager must ensure that all... annual recurrent training and are competent to perform those duties. ...

14 CFR 91.1111 - Maintenance training.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 2 2011-01-01 2011-01-01 false Maintenance training. 91.1111 Section 91... Operations Program Management § 91.1111 Maintenance training. The program manager must ensure that all... annual recurrent training and are competent to perform those duties. ...

36 CFR 1222.34 - How must agencies maintain records?

Code of Federal Regulations, 2010 CFR

2010-07-01

... ADMINISTRATION RECORDS MANAGEMENT CREATION AND MAINTENANCE OF FEDERAL RECORDS Agency Recordkeeping Requirements § 1222.34 How must agencies maintain records? Agencies must implement a records maintenance program so... electronic records, segregable. Agency records maintenance programs must: (a) Institute procedures for...

40 CFR 52.2348 - National Highway Systems Designation Act Motor Vehicle Inspection and Maintenance (I/M) Programs.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 4 2011-07-01 2011-07-01 false National Highway Systems Designation Act Motor Vehicle Inspection and Maintenance (I/M) Programs. 52.2348 Section 52.2348 Protection of... and Maintenance (I/M) Programs. (a) On March 15, 1996 the Governor of Utah submitted a revised I/M...

40 CFR 52.2348 - National Highway Systems Designation Act Motor Vehicle Inspection and Maintenance (I/M) Programs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 4 2010-07-01 2010-07-01 false National Highway Systems Designation Act Motor Vehicle Inspection and Maintenance (I/M) Programs. 52.2348 Section 52.2348 Protection of... and Maintenance (I/M) Programs. (a) On March 15, 1996 the Governor of Utah submitted a revised I/M...

Description and Results of the Air Force Research and Development Program for the Improvement of Maintenance Efficiency.

ERIC Educational Resources Information Center

Foley, John P., Jr.

An overview of the Air Force's Research and Development Program for the Improvement of Maintenance Efficiency is provided. First described are the steps found in any detailed task analysis, a process which results in the complete specification of each task involved in an overall maintenance effort. The factors influencing maintenance effectiveness…

A motivation-focused weight loss maintenance program is an effective alternative to a skill-based approach.

PubMed

West, D S; Gorin, A A; Subak, L L; Foster, G; Bragg, C; Hecht, J; Schembri, M; Wing, R R

2011-02-01

Maintaining weight loss is a major challenge in obesity treatment. Individuals often indicate that waning motivation prompts cessation of effective weight management behaviors. Therefore, a novel weight loss maintenance program that specifically targets motivational factors was evaluated. Overweight women (N=338; 19% African American) with urinary incontinence were randomized to lifestyle obesity treatment or control and followed for 18 months. All participants in lifestyle (N=226) received the same initial 6-month group behavioral obesity treatment and were then randomized to (1) a novel motivation-focused maintenance program (N=113) or (2) a standard skill-based maintenance approach (N=113). Weight assessed at baseline, 6 and 18 months. Both treatment groups (motivation-focused and skill-based) achieved comparable 18-month weight losses (-5.48% for motivation-focused vs -5.55% in skill-based, P=0.98), and both groups lost significantly more than controls (-1.51%; P=0.0012 in motivation-focused and P=0.0021 in skill-based). A motivation-focused maintenance program offers an alternative, effective approach to weight maintenance expanding available evidence-based interventions beyond traditional skill-based programs.

Spatiotemporal assessment of historical skill and projected future changes in CORDEX South Asia ensemble simulation of precipitation and temperature for the Upper Indus Basin

NASA Astrophysics Data System (ADS)

Forsythe, Nathan; Fowler, Hayley; Pritchard, David

2017-04-01

High mountain Asia (HMA), including the Hindu Kush-Karakoram, Himalayas and Tibetan Plateau, constitutes one the key "water towers of the world", giving rise to river basins whose resources support hundreds of millions of people. This area is currently experiencing substantial demographic growth and socio-economic development. This evolution will likely continue for the next few decades and compound pressure on resource managements systems from inevitable climate change. In order to develop climate services to support water resources planning and facilitate adaptive capacity building, it is essential to critically characterise the skill and biases of the evaluation (reanalysis-driven) and control (historical period) components of presently available regional climate model (RCM) experiments. For mountain regions in particular, the ability of RCMs to reasonably reproduce the influence of complex topography, through lapse rates and orographic forcing, on sub-regional climate - notably temperature and precipitation - must be assessed in detail. This is vital because the spatiotemporal distribution of precipitation and temperature in mountains determine the seasonality of streamflow from the headwater reaches and of major river basins. Once the biases of individual GCM/RCM experiments have been identified methodologies can be developed for modulating (correcting) the projected patterns of change identified by comparing simulated climate sub-regional climate under specific emissions scenarios (e.g. RCP8.5) to historical representations by the same model (time-slice approach). Such methods could for example include calculating temperature change factors as a function elevation difference from present 0°C (freezing) isotherm rather than simply using the overlying RCM grid cell if for instance the RCM showed exacerbated temperature increase at snow line (i.e. albedo feedback in elevation dependent warming) but also showed a pronounced bias in the historical (vertical) position of the isotherm. HMA falls within the South Asia domain of the Coordinated Regional Downscaling Experiment (CORDEX) initiative to which multiple international modelling centres have contributed RCM experiments. This work evaluates the present publically available CORDEX South Asia experiments including integrations of CCAM, RegCM4, REMO2009 and RCA4. These have been driven by a range of GCMS including ACCESS1.0, CNRM-CM5, GFDL, LMDZ, MPI-ESM, and NorESM. This substantial multi-model ensemble provides a valuable opportunity to explore the spread in model skill at simulation of key characteristics of the present HMA climate. This study focuses geographically within the CORDEX South Asia domain on an orthogonal subdomain from 72E to 77E and 32.5N to 37.5N which covers the bulk of the Karakoram range and key headwaters tributaries of the Indus river basin upon which Pakistan is preponderantly dependent for agricultural water supply and hydro-electric power generation.

Implementing Reliability Centered Maintenance (RCM) with State of the Art PT&I Technologies

NASA Technical Reports Server (NTRS)

Hollis, Sean; Sasser, Chase

2016-01-01

Building on the work that was started two decades ago, Jacobs Space Operations Group has utilized state of the art PTI technologies to assess the current condition of the assets they manage under the Test and Operations Support Contract (TOSC). Specifically, the Asset Management department leveraged the benefits of ultrasound technology to quantify a motor issue in the Liquid Oxygen Storage Area, and troubleshoot the sources prior to loading the tank to perform Verification and Validation (VV) activities. This technology was efficient, easy to implement, and provided system engineers with data on a possible source of the problem. In situations where legacy motors are exhibiting unexpected noises, it may seem easier to remove and refurbish the motor and replace the bearings because that solution resolves most of the common causes of the noise. However, that solution would have involved additional spending and may not have solved issues stemming from the foundation, if those existed. By utilizing the ultrasound equipment provided by UE Systems, the sound profiles allowed Jacobs TOSC team to determine that the issue resembled a faulty bearing. After replacing the bearing, the unexpected noise ceased.

Cost effectiveness of the MDOT preventive maintenance program.

DOT National Transportation Integrated Search

2013-04-01

The Michigan Department of Transportations (MDOT) pavement preservation program dates back to 1992. MDOTs pavement preservation strategy is primarily implemented through its capital preventive maintenance (CPM) program, in which preventive main...

PM Program Prevents Early AM Repairs

ERIC Educational Resources Information Center

McRae, David

1974-01-01

Discusses how to initiate a preventive maintenance (PM) program: (1) make inventory of equipment that needs a PM program; (2) gather data about each piece of equipment; and (3) set maintenance goals. (Author/PG)

25 CFR 170.925 - Is ERFO funding supplemental to IRR Program funding?

Code of Federal Regulations, 2010 CFR

2010-04-01

... RESERVATION ROADS PROGRAM Miscellaneous Provisions Emergency Relief § 170.925 Is ERFO funding supplemental to... construction and maintenance funds for FHWA-approved repairs. If IRR construction or maintenance funds are used... used to reimburse the construction or maintenance funds expended. ...

14 CFR 91.1433 - CAMP: Maintenance and preventive maintenance training program.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Fractional Ownership Operations Program Management § 91.1433 CAMP: Maintenance and preventive... each person (including inspection personnel) who determines the adequacy of work done is fully informed...

Development of incremental dynamical downscaling and analysis system for regional scale climate change projections

NASA Astrophysics Data System (ADS)

Wakazuki, Yasutaka; Hara, Masayuki; Fujita, Mikiko; Ma, Xieyao; Kimura, Fujio

2013-04-01

Regional scale climate change projections play an important role in assessments of influences of global warming and include statistical (SD) and dynamical downscaling (DD) approaches. One of DD methods is developed basing on the pseudo-global-warming (PGW) method developed by Kimura and Kitoh (2007) in this study. In general, DD uses regional climate model (RCM) with lateral boundary data. In PGW method, the climatological mean difference estimated by GCMs are added to the objective analysis data (ANAL), and the data are used as the lateral boundary data in the future climate simulations. The ANAL is also used as the lateral boundary conditions of the present climate simulation. One of merits of the PGW method is that influences of biases of GCMs in RCM simulations are reduced. However, the PGW method does not treat climate changes in relative humidity, year-to-year variation, and short-term disturbances. The developing new downscaling method is named as the incremental dynamical downscaling and analysis system (InDDAS). The InDDAS treat climate changes in relative humidity and year-to-year variations. On the other hand, uncertainties of climate change projections estimated by many GCMs are large and are not negligible. Thus, stochastic regional scale climate change projections are expected for assessments of influences of global warming. Many RCM runs must be performed to make stochastic information. However, the computational costs are huge because grid size of RCM runs should be small to resolve heavy rainfall phenomena. Therefore, the number of runs to make stochastic information must be reduced. In InDDAS, climatological differences added to ANAL become statistically pre-analyzed information. The climatological differences of many GCMs are divided into mean climatological difference (MD) and departures from MD. The departures are analyzed by principal component analysis, and positive and negative perturbations (positive and negative standard deviations multiplied by departure patterns (eigenvectors)) with multi modes are added to MD. Consequently, the most likely future states are calculated with climatological difference of MD. For example, future states in cases that temperature increase is large and small are calculated with MD plus positive and negative perturbations of the first mode.

Robotic percutaneous access to the kidney: comparison with standard manual access.

PubMed

Su, Li-Ming; Stoianovici, Dan; Jarrett, Thomas W; Patriciu, Alexandru; Roberts, William W; Cadeddu, Jeffrey A; Ramakumar, Sanjay; Solomon, Stephen B; Kavoussi, Louis R

2002-09-01

To evaluate the efficiency, accuracy, and safety of robotic percutaneous access to the kidney (PAKY) for percutaneous nephrolithotomy in comparison with conventional manual techniques. We compared the intraoperative access variables (number of access attempts, time to successful access, estimated blood loss, complications) of 23 patients who underwent robotic PAKY with the remote center of motion device (PAKY-RCM) with the same data from a contemporaneous series of 23 patients who underwent conventional manual percutaneous access to the kidney. The PAKY-RCM incorporates a robotic arm and a friction transmission with axial loading system to accurately position and insert a standard 18-gauge needle percutaneously into the kidney. The blood loss during percutaneous access was estimated on a four-point scale (1 = minimal to 4 = large). The color of effluent urine was graded on a four-point scale (1 = clear to 4 = red). The mean target calix width was 13.5 +/- 9.2 mm in the robotic group and 12.2 +/- 4.5 mm in the manual group (P = 0.57). When comparing PAKY-RCM with standard manual techniques, the mean number of attempts was 2.2 +/- 1.6 v 3.2 +/- 2.5 (P = 0.14), time to access was 10.4 +/- 6.5 minutes v 15.1 +/- 8.8 minutes (P = 0.06), estimated blood loss score was 1.3 +/- 0.49 v 1.7 +/- 0.66 (P = 0.14), and color of effluent urine following access was 2.0 +/- 0.90 v 2.1 +/- 0.7 (P = 0.82). The PAKY-RCM was successful in obtaining access in 87% (20 of 23) of cases. The other three patients (13%) required conversion to manual techniques. There were no major intraoperative complications in either group. Robotic PAKY is a feasible, safe, and efficacious method of obtaining renal access for nephrolithotomy. The number of attempts and time to access were comparable to those of standard manual percutaneous access techniques. These findings provide the groundwork for the development of a completely automated robot-assisted percutaneous renal access device.

Assessing the contribution of different factors in RegCM4.3 regional climate model projections using the Factor Separation method over the Med-CORDEX domain

NASA Astrophysics Data System (ADS)

Zsolt Torma, Csaba; Giorgi, Filippo

2014-05-01

A set of regional climate model (RCM) simulations applying dynamical downscaling of global climate model (GCM) simulations over the Mediterranean domain specified by the international initiative Coordinated Regional Downscaling Experiment (CORDEX) were completed with the Regional Climate Model RegCM, version RegCM4.3. Two GCMs were selected from the Coupled Model Intercomparison Project Phase 5 (CMIP5) ensemble to provide the driving fields for the RegCM: HadGEM2-ES (HadGEM) and MPI-ESM-MR (MPI). The simulations consist of an ensemble including multiple physics configurations and different "Reference Concentration Pathways" (RCP4.5 and RCP8.5). In total 15 simulations were carried out with 7 model physics configurations with varying convection and land surface schemes. The horizontal grid spacing of the RCM simulations is 50 km and the simulated period in all cases is 1970-2100 (1970-2099 in case of HadGEM driven simulations). This ensemble includes a combination of experiments in which different model components are changed individually and in combination, and thus lends itself optimally to the application of the Factor Separation (FS) method. This study applies the FS method to investigate the contributions of different factors, along with their synergy, on a set of regional climate model (RCM) projections for the Mediterranean region. The FS method is applied to 6 projections for the period 1970-2100 performed with the regional model RegCM4.3 over the Med-CORDEX domain. Two different sets of factors are intercompared, namely the driving global climate model (HadGEM and MPI) boundary conditions against two model physics settings (convection scheme and irrigation). We find that both the GCM driving conditions and the model physics provide important contributions, depending on the variable analyzed (surface air temperature and precipitation), season (winter vs. summer) and time horizon into the future, while the synergy term mostly tends to counterbalance the contributions of the individual factors. We demonstrate the usefulness of the FS method to assess different sources of uncertainty in RCM-based regional climate projections.

APMP.T-K3.4: key comparison of realizations of the ITS-90 over the range -38.8344 °C to 419.527 °C

NASA Astrophysics Data System (ADS)

Joung, W.; Gam, K. S.; Achmadi, A.; Trisna, B. A.

2016-01-01

The APMP bilateral key comparison APMP.T-K3.4 was initiated on the request from RCM-LIPI (Indonesia) to link their national standards to the average reference values (ARVs) of the CCT-K3. Korea Research Institute of Standards and Science (KRISS, Republic of Korea) provided the linkage to the CCT-K3 for temperatures ranging from -38.8344 °C to 419.527 °C. In the APMP.T-K3.4, two standard platinum resistance thermometers (SPRTs) were chosen as the transfer instruments and were calibrated at the ITS-90 fixed-points in the comparison range. The fixed-points in this comparison included Zn freezing point (419.527 °C), Sn freezing point (231.928 °C), In freezing point (156.5985 °C), Ga melting point (29.7646 °C), and Hg triple point (-38.8344 °C). The comparison was carried out in a participant-pilot-participant sequence where KRISS served as the pilot. The linkage was based on the fixed-point resistance ratios of RCM-LIPI relative to the ARVs of the CCT-K3 via the difference between the fixed-point resistance ratios of KRISS and the ARVs of the CCT-K3. The temperature differences between the national standards of RCM-LIPI and the ARVs of the CCT-K3 were within the evaluated comparison uncertainties of the ATPM.T-K3.4. This report provides detailed information on the comparison results, linkage mechanism, and the Degree of Equivalence of the RCM-LIPI relative to the institutes having participated in the CCT-K3. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCT, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

Heat waves over Central Europe in regional climate model simulations

NASA Astrophysics Data System (ADS)

Lhotka, Ondřej; Kyselý, Jan

2014-05-01

Regional climate models (RCMs) have become a powerful tool for exploring impacts of global climate change on a regional scale. The aim of the study is to evaluate the capability of RCMs to reproduce characteristics of major heat waves over Central Europe in their simulations of the recent climate (1961-2000), with a focus on the most severe and longest Central European heat wave that occurred in 1994. We analyzed 7 RCM simulations with a high resolution (0.22°) from the ENSEMBLES project, driven by the ERA-40 reanalysis. In observed data (the E-OBS 9.0 dataset), heat waves were defined on the basis of deviations of daily maximum temperature (Tmax) from the 95% quantile of summer Tmax distribution in grid points over Central Europe. The same methodology was applied in the RCM simulations; we used corresponding 95% quantiles (calculated for each RCM and grid point) in order to remove the bias of modelled Tmax. While climatological characteristics of heat waves are reproduced reasonably well in the RCM ensemble, we found major deficiencies in simulating heat waves in individual years. For example, METNOHIRHAM simulated very severe heat waves in 1996, when no heat wave was observed. Focusing on the major 1994 heat wave, considerable differences in simulated temperature patterns were found among the RCMs. The differences in the temperature patterns were clearly linked to the simulated amount of precipitation during this event. The 1994 heat wave was almost absent in all RCMs that did not capture the observed precipitation deficit, while it was by far most pronounced in KNMI-RACMO that simulated virtually no precipitation over Central Europe during the 15-day period of the heat wave. By contrast to precipitation, values of evaporative fraction in the RCMs were not linked to severity of the simulated 1994 heat wave. This suggests a possible major contribution of other factors such as cloud cover and associated downward shortwave radiation. Therefore, a more detailed analysis of individual components of the energy budget over Central Europe during and before the 1994 heat wave was performed.

Building Maintenance. Florida Vocational Program Guide.

ERIC Educational Resources Information Center

University of South Florida, Tampa. Dept. of Adult and Vocational Education.

This program guide identifies primary concerns in the organization, operation, and evaluation of a building maintenance program. It is designed for local school district and community college administrators, instructors, program advisory committees, and regional coordinating councils. The guide begins with the Dictionary of Occupational Titles…

A Methodical Development of Measures of Effectiveness for a Condition-Based Maintenance Management System

DTIC Science & Technology

2014-06-01

21 C . CMMS USE IN THE LCS PROGRAM ......................................................22 D. CBM+ MAINTENANCE MANAGEMENT SYSTEM...45 b. Plan Maintenance Budgeting .................................................45 c . Plan Maintenance Logistics... Maintenance Planning ...................................46 b. Communicate Maintenance Budget .......................................46 c . Communicate

Four Generations of Maintenance Resource Management Programs in the United States: An Analysis of the Past, Present, and Future

NASA Technical Reports Server (NTRS)

Taylor, James C.; Patankar, Manoj S.

2001-01-01

This paper analyzes four generations of Maintenance Resource Management (MRM) programs implemented by aviation maintenance organizations in the United States. Data collected from over ten years of survey research and field observations are used for this analysis; they are presented in a case-study format. The first three generations of MRM programs were episodic efforts to increase safety through teamwork, focus group discussions, and awareness courses, respectively. Now, the fourth generation programs, characterized by a commitment to long-term communication and behavioral changes in maintenance, are set to build on those earlier generations, toward a culture of mutual trust between mechanics, their managers, and regulators.

77 FR 21429 - Airworthiness Directives; The Boeing Company Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-10

... the maintenance planning document. This AD requires revising the maintenance program to update... Engineer, Airframe Branch, ANM-120S, FAA, Seattle Aircraft Certification Office, 1601 Lind Avenue SW... Register on January 19, 2011 (76 FR 3054). That NPRM proposed to require revising the maintenance program...

Avionics Maintenance Technology Program Standards.

ERIC Educational Resources Information Center

Georgia Univ., Athens. Dept. of Vocational Education.

This publication contains statewide standards for the avionics maintenance technology program in Georgia. The standards are divided into the following categories: foundations, diploma/degree (philosophy, purpose, goals, program objectives, availability, evaluation); admissions, diploma/degree (admission requirements, provisional admission…

The ABPN Maintenance of Certification Program for psychiatrists: past history, current status, and future directions.

PubMed

Faulkner, Larry R; Tivnan, Patricia W; Winstead, Daniel K; Reus, Victor I; Andrade, Naleen N; Brooks, Beth Ann; Colenda, Christopher C; Mrazek, David A; Reifler, Burton V; Schneidman, Barbara

2008-01-01

To describe the American Board of Psychiatry and Neurology (ABPN) Maintenance of Certification Program, its underlying rationale, how it will be implemented now, and what it might look like in the future. The authors describe the philosophical foundation, specific components, and the implementation timeline of the ABPN Maintenance of Certification Program; the development of specific products that might be used by ABPN diplomates to meet its requirements; and several unanswered questions about its current status and future development. The ABPN Maintenance of Certification Program consists of specific requirements pertaining to professional standing, self-assessment and lifelong learning, performance in practice, and cognitive expertise that will be implemented incrementally over the next decade. The ABPN Maintenance of Certification Program has been implemented in a manner that is as consistent as possible with its underlying philosophical beliefs as well as the current and expected public and political concerns, diplomate needs, and the requirements of organizations responsible for licensure, credentialing, privileging, accreditation, professional development, and physician reimbursement.

49 CFR 180.505 - Quality assurance program.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 2 2010-10-01 2010-10-01 false Quality assurance program. 180.505 Section 180.505... MAINTENANCE OF PACKAGINGS Qualification and Maintenance of Tank Cars § 180.505 Quality assurance program. The quality assurance program requirements of § 179.7 of this subchapter apply. ...

Afghan National Army: DOD Has Taken Steps to Remedy Poor Management of Vehicle Maintenance Program

DTIC Science & Technology

2016-07-01

contract and program were designed to promote the accurate assessment of Afghan vehicle maintenance needs, contractor performance, and cost...containment; (2) the U.S. government provided effective management and oversight of contractor performance; and (3) the contract met its program objectives...maintenance, (2) underestimated the cost of spare parts, and (3) established performance metrics that did not accurately assess contractor performance or

Navy Occupational Health Information Management System (NOHIMS). Medical Exam Scheduling Module. Program Maintenance Manual

DTIC Science & Technology

1987-06-01

NAVY OCCUPATIONAL HEALTH INFORMATION MANAGEMENT SYSTEM NOH I MS MEDICAL EXAM SCHEDULING MODULE PROGRAM MAINTENANCE MANUAL S JUNE 1987 DT11C 00... Information Management System (NOHIMS) ~ Medical Examination Scheduling (MES) Program Maintenance Manual 7. Author(s) 8. Performing Organization Rapt. No...the Navy Occupational Health Information Management System (NOHIMS). NOHIMS, whose initial version was developed at the Naval Health Research Center

76 FR 2066 - Approval and Promulgation of Implementation Plans; Indiana; Removal of Vehicle Inspection and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-12

... ozone maintenance plans. The Indiana Department of Environmental Management (IDEM) submitted this... Promulgation of Implementation Plans; Indiana; Removal of Vehicle Inspection and Maintenance Programs for Clark... to allow the State to discontinue the vehicle inspection and maintenance (I/M) program in Clark and...

36 CFR 401.10 - Monument Trust Fund Program.

Code of Federal Regulations, 2014 CFR

2014-07-01

... perform any deferred maintenance necessary to bring the monument up to a mutually agreeable standard. At... responsibility for its maintenance. To be accepted in the Monument Trust Fund Program, an organization must develop an acceptable maintenance plan and transfer sufficient monies to the Commission to fully fund the...

36 CFR § 401.10 - Monument Trust Fund Program.

Code of Federal Regulations, 2013 CFR

2013-07-01

... perform any deferred maintenance necessary to bring the monument up to a mutually agreeable standard. At... responsibility for its maintenance. To be accepted in the Monument Trust Fund Program, an organization must develop an acceptable maintenance plan and transfer sufficient monies to the Commission to fully fund the...

36 CFR 401.10 - Monument Trust Fund Program.

Code of Federal Regulations, 2011 CFR

2011-07-01

... perform any deferred maintenance necessary to bring the monument up to a mutually agreeable standard. At... responsibility for its maintenance. To be accepted in the Monument Trust Fund Program, an organization must develop an acceptable maintenance plan and transfer sufficient monies to the Commission to fully fund the...

36 CFR 401.10 - Monument Trust Fund Program.

Code of Federal Regulations, 2012 CFR

2012-07-01

... perform any deferred maintenance necessary to bring the monument up to a mutually agreeable standard. At... responsibility for its maintenance. To be accepted in the Monument Trust Fund Program, an organization must develop an acceptable maintenance plan and transfer sufficient monies to the Commission to fully fund the...

Level of Service Program for INDOT Operations : [Technical Summary

DOT National Transportation Integrated Search

2012-01-01

In 2008 the JTRP study SPR-3130, Performance Based : Contracting for Roadway Maintenance Operations, : revealed the state agencies that have developed a : Level of Service (LOS) program benefit. A LOS program : can evaluate and determine maintenance ...

Software Maintenance of the Subway Environment Simulation Computer Program

DOT National Transportation Integrated Search

1980-12-01

This document summarizes the software maintenance activities performed to support the Subway Environment Simulation (SES) Computer Program. The SES computer program is a design-oriented analytic tool developed during a recent five-year research proje...

Trade-Off Analysis between Concerns Based on Aspect-Oriented Requirements Engineering

NASA Astrophysics Data System (ADS)

Laurito, Abelyn Methanie R.; Takada, Shingo

The identification of functional and non-functional concerns is an important activity during requirements analysis. However, there may be conflicts between the identified concerns, and they must be discovered and resolved through trade-off analysis. Aspect-Oriented Requirements Engineering (AORE) has trade-off analysis as one of its goals, but most AORE approaches do not actually offer support for trade-off analysis; they focus on describing concerns and generating their composition. This paper proposes an approach for trade-off analysis based on AORE using use cases and the Requirements Conflict Matrix (RCM) to represent compositions. RCM shows the positive or negative effect of non-functional concerns over use cases and other non-functional concerns. Our approach is implemented within a tool called E-UCEd (Extended Use Case Editor). We also show the results of evaluating our tool.

Synthesis of densely functionalized enantiopure indolizidines by ring-closing metathesis (RCM) of hydroxylamines from carbohydrate-derived nitrones

PubMed Central

Bonanni, Marco; Marradi, Marco; Cardona, Francesca; Cicchi, Stefano; Goti, Andrea

2007-01-01

Background Indolizidine alkaloids widely occur in nature and display interesting biological activity. This is the reason for which their total synthesis as well as the synthesis of non-natural analogues still attracts the attention of many research groups. To establish new straightforward accesses to these molecules is therefore highly desirable. Results The ring closing metathesis (RCM) of enantiopure hydroxylamines bearing suitable unsaturated groups cleanly afforded piperidine derivatives in good yields. Further cyclization and deprotection of the hydroxy groups gave novel highly functionalized indolizidines. The synthesis of a pyrroloazepine analogue is also described. Conclusion We have developed a new straightforward methodology for the synthesis of densely functionalized indolizidines and pyrroloazepine analogues in 6 steps and 30–60% overall yields from enantiopure hydroxylamines obtained straightforwardly from carbohydrate-derived nitrones. PMID:18076753

Relationship between regional cerebral metabolism and consciousness disturbance in traumatic diffuse brain injury without large focal lesions: an FDG-PET study with statistical parametric mapping analysis.

PubMed

Nakayama, N; Okumura, A; Shinoda, J; Nakashima, T; Iwama, T

2006-07-01

The cerebral metabolism of patients in the chronic stage of traumatic diffuse brain injury (TDBI) has not been fully investigated. To study the relationship between regional cerebral metabolism (rCM) and consciousness disturbance in patients with TDBI. 52 patients with TDBI in the chronic stage without large focal lesions were enrolled, and rCM was evaluated by fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) with statistical parametric mapping (SPM). All the patients were found to have disturbed consciousness or cognitive function and were divided into the following three groups: group A (n = 22), patients in a state with higher brain dysfunction; group B (n = 13), patients in a minimally conscious state; and group C (n = 17), patients in a vegetative state. rCM patterns on FDG-PET among these groups were evaluated and compared with those of normal control subjects on statistical parametric maps. Hypometabolism was consistently indicated bilaterally in the medial prefrontal regions, the medial frontobasal regions, the cingulate gyrus and the thalamus. Hypometabolism in these regions was the most widespread and prominent in group C, and that in group B was more widespread and prominent than that in group A. Bilateral hypometabolism in the medial prefrontal regions, the medial frontobasal regions, the cingulate gyrus and the thalamus may reflect the clinical deterioration of TDBI, which is due to functional and structural disconnections of neural networks rather than due to direct cerebral focal contusion.

Assessment of skin pigmentation by confocal microscopy: Influence of solar exposure and protection habits on cutaneous hyperchromias.

PubMed

Martini, Ana Paula M; Mercurio, Daiane G; Maia Campos, Patrícia M B G

2017-09-01

Cutaneous hyperchromias are disorders of skin pigmentation involving an increase of melanin production and its irregular accumulation in skin cells. It is known that the use of sunscreens helps to prevent changes in the skin pigmentation pattern, but the structural and morphological alterations that occur in the different types of hyperpigmentations need better elucidation. To assess the influence of solar exposure and protection habits on the pattern of skin pigmentation using reflectance confocal microscopy (RCM). Forty volunteers aged 18-39 years with skin hyperpigmentation participated in the study. Skin characterization was performed by imaging techniques and by assessing the habits of solar exposure and protection by applying questionnaires to the volunteers. RCM was used to record sequences of confocal sections at areas of interest and to examine cell shape and brightness in the basal cell layer of the lesion and in normal perilesional skin. Furthermore, high-resolution images were obtained for analysis of the spots. Sunlight influences the number and location of spots as the face of volunteers with higher solar exposure was covered with spots, whereas volunteers with less exposure had fewer spots located in the nose and cheeks region due to greater exposure of these areas to the sun. The data showed the importance of sun protection for preventing changes in the pattern of skin pigmentation, and RCM proved to be an important tool for skin characterization. © 2017 Wiley Periodicals, Inc.

A comparison of methods to estimate future sub-daily design rainfall

NASA Astrophysics Data System (ADS)

Li, J.; Johnson, F.; Evans, J.; Sharma, A.

2017-12-01

Warmer temperatures are expected to increase extreme short-duration rainfall due to the increased moisture-holding capacity of the atmosphere. While attention has been paid to the impacts of climate change on future design rainfalls at daily or longer time scales, the potential changes in short duration design rainfalls have been often overlooked due to the limited availability of sub-daily projections and observations. This study uses a high-resolution regional climate model (RCM) to predict the changes in sub-daily design rainfalls for the Greater Sydney region in Australia. Sixteen methods for predicting changes to sub-daily future extremes are assessed based on different options for bias correction, disaggregation and frequency analysis. A Monte Carlo cross-validation procedure is employed to evaluate the skill of each method in estimating the design rainfall for the current climate. It is found that bias correction significantly improves the accuracy of the design rainfall estimated for the current climate. For 1 h events, bias correcting the hourly annual maximum rainfall simulated by the RCM produces design rainfall closest to observations, whereas for multi-hour events, disaggregating the daily rainfall total is recommended. This suggests that the RCM fails to simulate the observed multi-duration rainfall persistence, which is a common issue for most climate models. Despite the significant differences in the estimated design rainfalls between different methods, all methods lead to an increase in design rainfalls across the majority of the study region.

Progress in reflectance confocal microscopy for imaging oral tissues in vivo

NASA Astrophysics Data System (ADS)

Peterson, Gary; Zanoni, Daniella K.; Migliacci, Jocelyn; Cordova, Miguel; Rajadhyaksha, Milind; Patel, Snehal

2016-02-01

We report progress in development and feasibility testing of reflectance confocal microscopy (RCM) for imaging in the oral cavity of humans. We adapted a small rigid relay telescope (120mm long x 14mm diameter) and a small water immersion objective lens (12mm diameter, NA 0.7) to a commercial handheld RCM scanner (Vivascope 3000, Caliber ID, Rochester NY). This scanner is designed for imaging skin but we adapted the front end (the objective lens and the stepper motor that axially translates) for intra-oral use. This adaption required a new approach to address the loss of the automated stepper motor for acquisition of images in depth. A helical spring-like cap (with a coverslip to contact tissue) was designed for approximately 150 um of travel. Additionally other methods for focusing optics were designed and evaluated. The relay telescope optics is being tested in a clinical setting. With the capture of video and "video-mosaicing", extended areas can be imaged. The feasibility of imaging oral tissues was initially investigated in volunteers. RCM imaging in buccal mucosa in vivo shows nuclear and cellular detail in the epithelium and epithelial junction, and connective tissue and blood flow in the underlying lamina propria. Similar detail, including filiform and fungiform papillae, can be seen on the tongue in vivo. Clinical testing during head and neck surgery is now in progress and patients are being imaged for both normal tissue and cancerous margins in lip and tongue mucosa.

How does bias correction of regional climate model precipitation affect modelled runoff?

NASA Astrophysics Data System (ADS)

Teng, J.; Potter, N. J.; Chiew, F. H. S.; Zhang, L.; Wang, B.; Vaze, J.; Evans, J. P.

2015-02-01

Many studies bias correct daily precipitation from climate models to match the observed precipitation statistics, and the bias corrected data are then used for various modelling applications. This paper presents a review of recent methods used to bias correct precipitation from regional climate models (RCMs). The paper then assesses four bias correction methods applied to the weather research and forecasting (WRF) model simulated precipitation, and the follow-on impact on modelled runoff for eight catchments in southeast Australia. Overall, the best results are produced by either quantile mapping or a newly proposed two-state gamma distribution mapping method. However, the differences between the methods are small in the modelling experiments here (and as reported in the literature), mainly due to the substantial corrections required and inconsistent errors over time (non-stationarity). The errors in bias corrected precipitation are typically amplified in modelled runoff. The tested methods cannot overcome limitations of the RCM in simulating precipitation sequence, which affects runoff generation. Results further show that whereas bias correction does not seem to alter change signals in precipitation means, it can introduce additional uncertainty to change signals in high precipitation amounts and, consequently, in runoff. Future climate change impact studies need to take this into account when deciding whether to use raw or bias corrected RCM results. Nevertheless, RCMs will continue to improve and will become increasingly useful for hydrological applications as the bias in RCM simulations reduces.

Miramar College Program Evaluation: Aviation Maintenance.

ERIC Educational Resources Information Center

Moriyama, Bruce; Brumley, Leslie

Qualitative and quantitative data are presented in this evaluation of the curricular, personnel, and financial status of Miramar College's program in aviation maintenance. The report first provides the results of an interview with the program chairperson, which sought information on program objectives and goals and their determination, the extent…

Building Maintenance and Utilities Management. Florida Vocational Program Guide.

ERIC Educational Resources Information Center

University of South Florida, Tampa. Dept. of Adult and Vocational Education.

This program guide identifies primary concerns in the organization, operation, and evaluation of a building maintenance and utilities management program. It is designed for local school district and community college administrators, instructors, program advisory committees, and regional coordinating councils. The guide begins with the Dictionary…

Two Different Maintenance Strategies in the Hospital Environment: Preventive Maintenance for Older Technology Devices and Predictive Maintenance for Newer High-Tech Devices.

PubMed

Sezdi, Mana

2016-01-01

A maintenance program generated through the consideration of characteristics and failures of medical equipment is an important component of technology management. However, older technology devices and newer high-tech devices cannot be efficiently managed using the same strategies because of their different characteristics. This study aimed to generate a maintenance program comprising two different strategies to increase the efficiency of device management: preventive maintenance for older technology devices and predictive maintenance for newer high-tech devices. For preventive maintenance development, 589 older technology devices were subjected to performance verification and safety testing (PVST). For predictive maintenance development, the manufacturers' recommendations were used for 134 high-tech devices. These strategies were evaluated in terms of device reliability. This study recommends the use of two different maintenance strategies for old and new devices at hospitals in developing countries. Thus, older technology devices that applied only corrective maintenance will be included in maintenance like high-tech devices.

Two Different Maintenance Strategies in the Hospital Environment: Preventive Maintenance for Older Technology Devices and Predictive Maintenance for Newer High-Tech Devices

PubMed Central

Sezdi, Mana

2016-01-01

A maintenance program generated through the consideration of characteristics and failures of medical equipment is an important component of technology management. However, older technology devices and newer high-tech devices cannot be efficiently managed using the same strategies because of their different characteristics. This study aimed to generate a maintenance program comprising two different strategies to increase the efficiency of device management: preventive maintenance for older technology devices and predictive maintenance for newer high-tech devices. For preventive maintenance development, 589 older technology devices were subjected to performance verification and safety testing (PVST). For predictive maintenance development, the manufacturers' recommendations were used for 134 high-tech devices. These strategies were evaluated in terms of device reliability. This study recommends the use of two different maintenance strategies for old and new devices at hospitals in developing countries. Thus, older technology devices that applied only corrective maintenance will be included in maintenance like high-tech devices. PMID:27195666

Optical waveguides in fluoride lead silicate glasses fabricated by carbon ion implantation

NASA Astrophysics Data System (ADS)

Shen, Xiao-liang; Wang, Yue; Zhu, Qi-feng; Lü, Peng; Li, Wei-nan; Liu, Chun-xiao

2018-03-01

The carbon ion implantation with energy of 4.0 MeV and a dose of 4.0×1014 ions/cm2 is employed for fabricating the optical waveguide in fluoride lead silicate glasses. The optical modes as well as the effective refractive indices are measured by the prism coupling method. The refractive index distribution in the fluoride lead silicate glass waveguide is simulated by the reflectivity calculation method (RCM). The light intensity profile and the energy losses are calculated by the finite-difference beam propagation method (FD-BPM) and the program of stopping and range of ions in matter (SRIM), respectively. The propagation properties indicate that the C2+ ion-implanted fluoride lead silicate glass waveguide is a candidate for fabricating optical devices.

Level of Service Program for INDOT Operations : [Technical Summary

DOT National Transportation Integrated Search

2012-01-01

In 2008 the JTRP study SPR-3130, Performance Based Contracting for Roadway Maintenance Operations, revealed the state agencies that have developed a Level of Service (LOS) program benefit. A LOS program can evaluate and determine maintenance performa...

Navy Occupational Health Information Management System (NOHIMS). System-Wide Module. Program Maintenance Manual

DTIC Science & Technology

1987-06-01

NAVY OCCUPATIONAL HEALTH INFORMATION MANAGEMENT SYSTEM NOHIMS SYSTEM-WIDE MODULE PROGRAM MAINTENANCE MANUAL JUNE 1987 DTIC 00 SEP I 21988DJ 0) 4... INFORMATION MANAGEMENT SYSTEM (NOHIMS) N 1.98 SYSTEM-WIDE MODULE PROGRAM MAINTENANCE MANUAL 7. Author(s) a. Performing Organization Rapt. No. MITRE... Management System (NOHIMS). NORIMS, whose initial version was ,eveloped at the Naval Health Research Center (NHRC), is a composite of 4 -’o subsystems: an

25 CFR 170.2 - What is the IRR Program and BIA Road Maintenance Program policy?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false What is the IRR Program and BIA Road Maintenance Program policy? 170.2 Section 170.2 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Policies, Applicability, and Definitions § 170.2 What is the IRR Program...

Y-12 Groundwater Protection Program CY2012 Triennial Report Of The Monitoring Well Inspection And Maintenance Program Y-12 National Security Complex, Oak Ridge, Tennessee

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

None

2013-09-01

This document is the triennial report for the Well Inspection and Maintenance Program of the Y- 12 Groundwater Protection Program (GWPP), at the U.S. Department of Energy (DOE) Y-12 National Security Complex (Y-12). This report formally documents well inspections completed by the GWPP on active and inactive wells at Y-12 during calendar years (CY) 2010 through 2012. In addition, this report also documents well inspections performed under the Y-12 Water Resources Restoration Program, which is administered by URS|CH2M Oak Ridge (UCOR). This report documents well maintenance activities completed since the last triennial inspection event (CY 2009); and provides summary tablesmore » of well inspections and well maintenance activities during the reference time period.« less

Honolulu Community College Program Health Indicators: 2000-2001 Program Reviews.

ERIC Educational Resources Information Center

Hawaii Univ., Honolulu. Honolulu Community Coll.

This report presents an overall health summation of 21 programs offered at Honolulu Community College (Hawaii) during 2000-2001. The programs profiled are: (1) Auto Body Repair and Painting; (2) Aeronautics Maintenance Technology; (3) Administration of Justice; (4) Automotive Mechanics Technology; (5) Boat Maintenance Repair; (6) Carpentry; (7)…

Climate change impacts utilizing regional models for agriculture, hydrology and natural ecosystems

NASA Astrophysics Data System (ADS)

Kafatos, M.; Asrar, G. R.; El-Askary, H. M.; Hatzopoulos, N.; Kim, J.; Kim, S.; Medvigy, D.; Prasad, A. K.; Smith, E.; Stack, D. H.; Tremback, C.; Walko, R. L.

2012-12-01

Climate change impacts the entire Earth but with crucial and often catastrophic impacts at local and regional levels. Extreme phenomena such as fires, dust storms, droughts and other natural hazards present immediate risks and challenges. Such phenomena will become more extreme as climate change and anthropogenic activities accelerate in the future. We describe a major project funded by NIFA (Grant # 2011-67004-30224), under the joint NSF-DOE-USDA Earth System Models (EaSM) program, to investigate the impacts of climate variability and change on the agricultural and natural (i.e. rangeland) ecosystems in the Southwest USA using a combination of historical and present observations together with climate, and ecosystem models, both in hind-cast and forecast modes. The applicability of the methodology to other regions is relevant (for similar geographic regions as well as other parts of the world with different agriculture and ecosystems) and should advance the state of knowledge for regional impacts of climate change. A combination of multi-model global climate projections from the decadal predictability simulations, to downscale dynamically these projections using three regional climate models, combined with remote sensing MODIS and other data, in order to obtain high-resolution climate data that can be used with hydrological and ecosystem models for impacts analysis, is described in this presentation. Such analysis is needed to assess the future risks and potential impacts of projected changes on these natural and managed ecosystems. The results from our analysis can be used by scientists to assist extended communities to determine agricultural coping strategies, and is, therefore, of interest to wide communities of stakeholders. In future work we will be including surface hydrologic modeling and water resources, extend modeling to higher resolutions and include significantly more crops and geographical regions with different weather and climate conditions. Specifics of the importance of the scientific methodology e.g. RCM ensemble modeling (using OLAM, RAMS and WRF); combining RCM runs with agriculture modeling system (specifically APSIM); bringing different RCM setups to as close as possible common framework, etc., and important science results (e.g. the significance of Gulf of CA SST for precipitation over dry regions; the AR landfall impacts on precipitation; etc.) are described in our work. We emphasize that the methodology is significant in order to advance the state of the art climate change impacts at regional levels; and to implement our methodology for realistic impact analysis on the natural and managed (agriculture) ecosystems, beyond the SW US.

Development of the salt-reduction and efficacy-maintenance program in Indonesia.

PubMed

Irwan, Andi Masyitha; Kato, Mayumi; Kitaoka, Kazuyo; Ueno, Eiichi; Tsujiguchi, Hiromasa; Shogenji, Miho

2016-12-01

We conducted a randomized, controlled trial to examine the effects of a salt-reduction and efficacy-maintenance program on the improvement and maintenance of self-care and self-efficacy in reducing the salt intake of older people with high blood pressure. A total of 51 participants with hypertension/prehypertension in Indonesia were randomly assigned to a control group or one of two intervention groups: salt-reduction training or salt-reduction and efficacy-maintenance. The salt-reduction and efficacy-maintenance group received educational training and a maintenance meeting; the participants' knowledge, attitudes, self-care practices, and self-efficacy significantly improved after training and were maintained after the maintenance meeting. Participants in the salt-reduction training group showed significant effects for the same variables; however, their food salt concentrations rebounded after the maintenance meeting. No significant improvement was found in the control group. The salt-reduction and efficacy-maintenance group participants reported positive effects of salt reduction and different practices based on who prepared their meals. The salt-reduction and efficacy-maintenance group program was effective in improving and maintaining knowledge, attitudes, and self-efficacy of salt-reduction practices and could be applied with community-dwelling older people with high blood pressure. © 2016 John Wiley & Sons Australia, Ltd.

The multidimensional burden of informal caregivers in primary malignant brain tumor.

PubMed

Bayen, Eléonore; Laigle-Donadey, Florence; Prouté, Myrtille; Hoang-Xuan, Khê; Joël, Marie-Eve; Delattre, Jean-Yves

2017-01-01

Informal caregivers (ICs) provide care and improve the quality of life of patients with malignant brain tumor. We analyze the impact of their involvement on themselves from a triple perspective. Home-dwelling patients with primary malignant brain tumor underwent a medical examination. ICs burden was evaluated by a self-administered postal questionnaire. Objective burden (Informal Care Time, ICT), subjective burden (Zarit Burden Inventory, ZBI), and financial burden (valuation of lost earnings using the Replacement and Opportunity Cost Methods, RCM, OCM) were evaluated. ICs (N = 84) were principally women (87 %) and spouses (64 %), of mean age 55 years, who assisted patients of mean age 53 years and with a mean KPS score of 61 (range = 30-90, med = 60). Subjective burden was moderate (mean ZBI = 30). Objective burden was high (mean ICT = 11.7 h/day), mostly consisting of supervision time. Higher subjective and objective burden were associated with poorer functional status (KPS) but not with a higher level of cognitive disorders in multivariate analyses. Other independent associated factors were bladder dysfunction and co-residency for objective burden and working and a poor social network for subjective burden. The 56 working ICs made work arrangements (75 %) that impacted their wages (36 %) and careers (30 %). Financial burden due to uncompensated caregiving hours for Activities of Daily Living had a mean monetary value from Є677(RCM) to Є1683(OCM) per month (i.e., ranging from Є8124 to Є20196 per year). IC burden is multidimensional. Greater provision of formal care, more IC support programs, and economic interventions targeting IC employment and finances are needed.

Quantitative 3-D Corneal Imaging In Vivo Using a Modified HRT- RCM Confocal Microscope

PubMed Central

Petroll, W. Matthew.; Weaver, Matthew; Vaidya, Saurabh; McCulley, James P.; Cavanagh, H. Dwight

2012-01-01

Purpose The purpose of this study was to develop and test hardware and software modifications to allow quantitative full-thickness corneal imaging using the HRT Rostock Corneal Module. Methods A PC-controlled motor drive with positional feedback was integrated into the system to allow automated focusing through the entire cornea. The left eyes of ten New Zealand White rabbits were scanned from endothelium to epithelium. Image sequences were read into a custom-developed program for depth calculation and measurement of sub-layer thicknesses. 3-D visualizations were also generated using Imaris. In six rabbits, stack images were registered, and depth-dependent counts of keratocyte nuclei were made using Metamorph. Results The mean epithelial and corneal thicknesses measured in the rabbit were 47 ± 5 μm and 373 ± 25 μm, respectively (N = 10 corneas); coefficients of variation for repeated scans were 8.2% and 2.1%. Corneal thickness measured using ultrasonic pachymetry was 374 ± 17 μm. The mean overall keratocyte density measured in the rabbit was 43,246 ± 5,603 cells/mm3 in vivo (N = 6 corneas). There was a gradual decrease in keratocyte density from the anterior to posterior cornea (R = 0.99), consistent with previous data generated in vitro. Conclusions This modified system allows high resolution 3-D image stacks to be collected from the full thickness rabbit cornea in vivo. These datasets can be used for interactive visualization of corneal cell layers, measurement of sub-layer thickness, and depth-dependent keratocyte density measurements. Overall, the modifications significantly expand the potential quantitative research applications of the HRT-RCM microscope. PMID:23051907

Office of the Under Secretary of Defense (Comptroller)

Science.gov Websites

Estimates for FY 2019 (Green Book) PDF icon Excel icon (Zip File) Operations and Maintenance Overview Operation and Maintenance Overview PDF icon Budget Documents Military Personnel Programs (M-1) PDF icon Excel icon - Budget Appendix Display (M-1) Excel icon Operation and Maintenance Programs (O-1) PDF icon

Managing Highway Maintenance: Budget Preparation, Unit 9, Level 3.

ERIC Educational Resources Information Center

Federal Highway Administration (DOT), Washington, DC. Offices of Research and Development.

Part of the series "Managing Highway Maintenance," the unit describes the essential steps in developing a maintenance budget, or performance budget, based on the work to be done. It is designed for field engineers and supervisors who assist department officials in preparing work programs and budgets. The format is a programed,…

49 CFR Appendix E to Part 238 - General Principles of Reliability-Based Maintenance Programs

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 4 2010-10-01 2010-10-01 false General Principles of Reliability-Based... STANDARDS Pt. 238, App. E Appendix E to Part 238—General Principles of Reliability-Based Maintenance... maintenance programs are based on the following general principles. A failure is an unsatisfactory condition...

41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

Code of Federal Regulations, 2014 CFR

2014-01-01

... ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.10 What are the goals of the... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... creation, maintenance, and use. (e) Judicious preservation and disposal of records. (f) Direction of...

41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

Code of Federal Regulations, 2012 CFR

2012-01-01

... ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.10 What are the goals of the... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... creation, maintenance, and use. (e) Judicious preservation and disposal of records. (f) Direction of...

41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

Code of Federal Regulations, 2011 CFR

2011-01-01

... ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.10 What are the goals of the... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... creation, maintenance, and use. (e) Judicious preservation and disposal of records. (f) Direction of...

41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

Code of Federal Regulations, 2013 CFR

2013-07-01

... ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.10 What are the goals of the... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... creation, maintenance, and use. (e) Judicious preservation and disposal of records. (f) Direction of...

Operation and Maintenance of Wastewater Collection Systems. Volume I. Third Edition. A Field Study Training Program.

ERIC Educational Resources Information Center

California State Univ., Sacramento. Dept. of Civil Engineering.

Proper installations, inspections, operations, maintenance and repairs of wastewater collection, conveyance and treatment facilities have a significant impact on the operation and maintenance costs, and the effectiveness of these facilities. This manual is the first volume of a two-part program designed to provide wastewater collection system…

Qualitative Analysis for Maintenance Process Assessment

NASA Technical Reports Server (NTRS)

Brand, Lionel; Kim, Yong-Mi; Melo, Walcelio; Seaman, Carolyn; Basili, Victor

1996-01-01

In order to improve software maintenance processes, we first need to be able to characterize and assess them. These tasks must be performed in depth and with objectivity since the problems are complex. One approach is to set up a measurement-based software process improvement program specifically aimed at maintenance. However, establishing a measurement program requires that one understands the problems to be addressed by the measurement program and is able to characterize the maintenance environment and processes in order to collect suitable and cost-effective data. Also, enacting such a program and getting usable data sets takes time. A short term substitute is therefore needed. We propose in this paper a characterization process aimed specifically at maintenance and based on a general qualitative analysis methodology. This process is rigorously defined in order to be repeatable and usable by people who are not acquainted with such analysis procedures. A basic feature of our approach is that actual implemented software changes are analyzed in order to understand the flaws in the maintenance process. Guidelines are provided and a case study is shown that demonstrates the usefulness of the approach.

Direct Synthesis of Medium-Bridged Twisted Amides via a Transannular Cyclization Strategy

PubMed Central

Szostak, Michal; Aubé, Jeffrey

2009-01-01

The sequential RCM to construct a challenging medium-sized ring followed by a transannular cyclization across a medium-sized ring delivers previously unattainable twisted amides from simple acyclic precursors. PMID:19708701

The economics of satellite maintenance

NASA Technical Reports Server (NTRS)

Derocher, W. L., Jr.; Sosnay, R. G.

1975-01-01

The primary goal of the space transportation system - to reduce the cost of space programs while satisfying their mission requirements - can be enhanced by the proper choice of a satellite-maintenance concept. This paper develops the life-cycle costs of performing an automated satellite program during the shuttle era in three competitive modes: expendable, ground-refurbishable, and in-orbit maintainable. In-orbit maintenance is shown to be the most economic maintenance mode for both low- and high-earth orbits.

Managing aging in nuclear power plants: Insights from NRC maintenance team inspection reports

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

Fresco, A.; Subudhi, M.; Gunther, W.

1993-12-01

A plant`s maintenance program is the principal vehicle through which age-related degradation is managed. From 1988 to 1991, the NRC evaluated the maintenance program of every nuclear power plant in the United States. Forty-four out of a total of 67 of the reports issued on these in-depth team inspections were reviewed for insights into the strengths and weaknesses of the programs as related to the need to understand and manage the effects of aging on nuclear plant systems, structures, and components. Relevant information was extracted from these inspection reports and sorted into several categories, including Specific Aging Insights, Preventive Maintenance,more » Predictive Maintenance and Condition Monitoring, Post Maintenance Testing, Failure Trending, Root Cause Analysis and Usage of Probabilistic Risk Assessment in the Maintenance Process. Specific examples of inspection and monitoring techniques successfully used by utilities to detect degradation due to aging have been identified. The information also was sorted according to systems and components, including: Auxiliary Feedwater, Main Feedwater, High Pressure Injection for both BWRs and PWRs, Service Water, Instrument Air, and Emergency Diesel Generator Air Start Systems, and Emergency Diesel Generators Air Start Systems, emergency diesel generators, electrical components such as switchgear, breakers, relays, and motor control centers, motor operated valves and check valves. This information was compared to insights gained from the Nuclear Plant Aging Research (NPAR) Program. Attributes of plant maintenance programs where the NRC inspectors felt that improvement was needed to properly address the aging issue also are discussed.« less

Maintenance: Two Views.

ERIC Educational Resources Information Center

Ballard, J. Barry; Burdette, Clarence E.

1987-01-01

Presents two viewpoints on the question of using funding from the Vocational Education Act to maintain ongoing vocational programs. Ballard argues that programs have improved qualitatively because of additional program improvement monies, whereas Burdette argues that the ban on using funds for maintenance treats some states unfairly. (CH)

The Effects of Beacons, Comments, and Tasks on Program Comprehension Process in Software Maintenance

ERIC Educational Resources Information Center

Fan, Quyin

2010-01-01

Program comprehension is the most important and frequent process in software maintenance. Extensive research has found that individual characteristics of programmers, differences of computer programs, and differences of task-driven motivations are the major factors that affect the program comprehension results. There is no study specifically…

Effects of lateral boundary condition resolution and update frequency on regional climate model predictions

NASA Astrophysics Data System (ADS)

Pankatz, Klaus; Kerkweg, Astrid

2015-04-01

The work presented is part of the joint project "DecReg" ("Regional decadal predictability") which is in turn part of the project "MiKlip" ("Decadal predictions"), an effort funded by the German Federal Ministry of Education and Research to improve decadal predictions on a global and regional scale. In MiKlip, one big question is if regional climate modeling shows "added value", i.e. to evaluate, if regional climate models (RCM) produce better results than the driving models. However, the scope of this study is to look more closely at the setup specific details of regional climate modeling. As regional models only simulate a small domain, they have to inherit information about the state of the atmosphere at their lateral boundaries from external data sets. There are many unresolved questions concerning the setup of lateral boundary conditions (LBC). External data sets come from global models or from global reanalysis data-sets. A temporal resolution of six hours is common for this kind of data. This is mainly due to the fact, that storage space is a limiting factor, especially for climate simulations. However, theoretically, the coupling frequency could be as high as the time step of the driving model. Meanwhile, it is unclear if a more frequent update of the LBCs has a significant effect on the climate in the domain of the RCM. The first study examines how the RCM reacts to a higher update frequency. The study is based on a 30 year time slice experiment for three update frequencies of the LBC, namely six hours, one hour and six minutes. The evaluation of means, standard deviations and statistics of the climate in the regional domain shows only small deviations, some statistically significant though, of 2m temperature, sea level pressure and precipitation. The second part of the first study assesses parameters linked to cyclone activity, which is affected by the LBC update frequency. Differences in track density and strength are found when comparing the simulations. Theoretically, regional down-scaling should act like a magnifying glass. It should reveal details on small scales which a global model cannot resolve, but it should not affect the large scale flow. As the development of the small scale features takes some time, it is important that the air stays long enough within the regional domain. The spin-up time of the small scale features is, of course, dependent on the resolution of the LBC and the resolution of the RCM. The second study examines the quality of decadal hind-casts over Europe of the decade 2001-2010 when the horizontal resolution of the driving model, namely 2.8°, 1.8°, 1.4°, 1.1°, from which the LBC are calculated, is altered. The study shows, that a smaller resolution gap between LBC resolution and RCM resolution might be beneficial.

Construction of Gridded Daily Weather Data and its Use in Central-European Agroclimatic Study

NASA Astrophysics Data System (ADS)

Dubrovsky, M.; Trnka, M.; Skalak, P.

2013-12-01

The regional-scale simulations of weather-sensitive processes (e.g. hydrology, agriculture and forestry) for the present and/or future climate often require high resolution meteorological inputs in terms of the time series of selected surface weather characteristics (typically temperature, precipitation, solar radiation, humidity, wind) for a set of stations or on a regular grid. As even the latest Global and Regional Climate Models (GCMs and RCMs) do not provide realistic representation of statistical structure of the surface weather, the model outputs must be postprocessed (downscaled) to achieve the desired statistical structure of the weather data before being used as an input to the follow-up simulation models. One of the downscaling approaches, which is employed also here, is based on a weather generator (WG), which is calibrated using the observed weather series, interpolated, and then modified according to the GCM- or RCM-based climate change scenarios. The present contribution, in which the parametric daily weather generator M&Rfi is linked to the high-resolution RCM output (ALADIN-Climate/CZ model) and GCM-based climate change scenarios, consists of two parts: The first part focuses on a methodology. Firstly, the gridded WG representing the baseline climate is created by merging information from observations and high resolution RCM outputs. In this procedure, WG is calibrated with RCM-simulated multi-variate weather series, and the grid specific WG parameters are then de-biased by spatially interpolated correction factors based on comparison of WG parameters calibrated with RCM-simulated weather series vs. spatially scarcer observations. To represent the future climate, the WG parameters are modified according to the 'WG-friendly' climate change scenarios. These scenarios are defined in terms of changes in WG parameters and include - apart from changes in the means - changes in WG parameters, which represent the additional characteristics of the weather series (e.g. probability of wet day occurrence and lag-1 autocorrelation of daily mean temperature). The WG-friendly scenarios for the present experiment are based on comparison of future vs baseline surface weather series simulated by GCMs from a CMIP3 database. The second part will present results of climate change impact study based on an above methodology applied to Central Europe. The changes in selected climatic (focusing on the extreme precipitation and temperature characteristics) and agroclimatic (including number of days during vegetation season with heat and drought stresses) characteristics will be analysed. In discussing the results, the emphasis will be put on 'added value' of various aspects of above methodology (e.g. inclusion of changes in 'advanced' WG parameters into the climate change scenarios). Acknowledgements: The present experiment is made within the frame of projects WG4VALUE (project LD12029 sponsored by the Ministry of Education, Youth and Sports of CR), ALARO-Climate (project P209/11/2405 sponsored by the Czech Science Foundation), and VALUE (COST ES 1102 action).

Planning factors for developing an enterprise-wide picture archiving and communication system maintenance program.

PubMed

Staley, S; Romlein, J; Chacko, A K; Wider, R

2000-05-01

Picture archiving and communication system (PACS) maintenance on an individual site basis has historically been a complex and costly challenge. With the advent of enterprise-wide PACS projects such as the Virtual Radiology Environment (VRE) project, the challenge of a maintenance program with even more complexities has presented itself. The approach of the project management team for the VRE project is not one of reactive maintenance, but one of highly proactive planning and negotiations, in hopes of capitalizing on the economies of scale of an enterprise-wide PACS maintenance program. A proactive maintenance program is one aspect of life-cycle management. As with any capital acquisition, life-cycle management may be used to manage the specific project aspects related to PACS. The purpose of an enterprise-wide warranty and maintenance life-cycle management approach is to maintain PACS at its maximum operational efficiency and utilization levels through a flexible, shared, yet symbiotic relationship between local, regional, and vendor resources. These goals include providing maximum operational performance levels on a local, regional, and enterprise basis, while maintaining acceptable costs and resource utilization levels. This goal must be achieved without negatively impacting point of care activities, regardless of changes to the clinical business environment.

A Wave Chaotic Study of Quantum Graphs with Microwave Networks

NASA Astrophysics Data System (ADS)

Fu, Ziyuan

Quantum graphs provide a setting to test the hypothesis that all ray-chaotic systems show universal wave chaotic properties. I study the quantum graphs with a wave chaotic approach. Here, an experimental setup consisting of a microwave coaxial cable network is used to simulate quantum graphs. Some basic features and the distributions of impedance statistics are analyzed from experimental data on an ensemble of tetrahedral networks. The random coupling model (RCM) is applied in an attempt to uncover the universal statistical properties of the system. Deviations from RCM predictions have been observed in that the statistics of diagonal and off-diagonal impedance elements are different. Waves trapped due to multiple reflections on bonds between nodes in the graph most likely cause the deviations from universal behavior in the finite-size realization of a quantum graph. In addition, I have done some investigations on the Random Coupling Model, which are useful for further research.

The power of environment.

PubMed

Westbury, Becky

2015-06-01

In Ten tips for normal birth, the Royal College of Midwives (RCM) (2014) advocates the building of nests; creating an environment that helps women to feel safe and secure during birth, as this can improve women's experiences and likelihood of normal birth. Furthermore, a private, undisturbed and dark environment, where women feel calm and safe can promote the release of oxytocin, the hormone responsible for uterine contractions and thought to promote the release of the pain relieving hormones endorphins (Uvnas Moberg 2003). When this is not achieved, women can experience fear-tension-pain syndrome, impeding labour progress and causing increased levels of pain (Dick-Read 2013). In addition, birth space has the potential to encourage the promotion of normality through providing space to mobilise, and alternative furniture to enable upright birth positions. Midwives should help women to create a birth space in which they feel safe, calm and secure, to promote normality and increase the incidence of normal birth (RCM 2014).

[Acidity and microbial flora contaminating Senegalese reconstituted curdled milk produced on small scale].

PubMed

Seydi, M; Ndiaye, M

1993-01-01

The present study is carried out to appreciate the acidity, and survey the microbiological quality of reconstituted curdled milk (R.C.M.) obtained on small scale. For his, a total of 100 samples collected from Dakar's sellers were examined. The results show that: pH of R.C.M. is low and very variable: 4.17 +/- 0.30, titrable acidity is high: 152.6 +/- 26.5 degrees D, 5% of samples are contaminated by fecal coliforms and yielded counts of 20 germs/g, 19% of samples are polluted by Staphylococcus aureus to level equal to 10(2) germs/g or higher, yeasts and moulds are present in all samples, salmonella were absent. Saphylococcus aureus survival in curdled milk despite a dysgenesic acidity may be the result of very unhygienic conditions of preparation. Sellers and consumers must be encouraged to respect hygienic rules of preparation. It is the only way to prevent food poisoning.

Low-rank factorization of electron integral tensors and its application in electronic structure theory

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

Peng, Bo; Kowalski, Karol

In this letter, we introduce the reverse Cuthill-McKee (RCM) algorithm, which is often used for the bandwidth reduction of sparse tensors, to transform the two-electron integral tensors to their block diagonal forms. By further applying the pivoted Cholesky decomposition (CD) on each of the diagonal blocks, we are able to represent the high-dimensional two-electron integral tensors in terms of permutation matrices and low-rank Cholesky vectors. This representation facilitates the low-rank factorization of the high-dimensional tensor contractions that are usually encountered in post-Hartree-Fock calculations. In this letter, we discuss the second-order Møller-Plesset (MP2) method and linear coupled- cluster model with doublesmore » (L-CCD) as two simple examples to demonstrate the efficiency of the RCM-CD technique in representing two-electron integrals in a compact form.« less

Management of umbilical cord clamping.

PubMed

Webbon, Lucy

2013-02-01

The Royal College of Midwives (RCM) has updated its third stage of labour guidelines (RCM 2012) to be clearly supportive of a delay in umbilical cord clamping, although specific guidance on timing is yet to be announced. It is therefore imperative that both midwives and student midwives understand and are able to integrate delaying into their practice, as well as communicating to women the benefits; only in this way can we give women fully informed choices on this aspect of care. The main benefit of delayed cord clamping is the protection it can provide in reducing childhood anaemia, which is a major issue, especially in poorer countries. A review of the evidence found no risks linked to delayed clamping, and no evidence that it cannot be used in combination with the administration of uterotonic drugs. Delayed cord clamping can be especially beneficial for pre term and compromised babies.

77 FR 12175 - Airworthiness Directives; DASSAULT AVIATION Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-29

... specified products. The MCAI states: The Maintenance Procedure (MP) 57-607, related to non destructive check... Recommended Maintenance Schedules chapter of the Aircraft Maintenance Documentation. After the implementation... maintenance program to include ``Non-Destructive Check of Flap Tracks 2 and 5,'' Maintenance Procedure 57-607...

14 CFR 135.419 - Approved aircraft inspection program.

Code of Federal Regulations, 2010 CFR

2010-01-01

... OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance, Preventive Maintenance, and Alterations § 135.419 Approved aircraft inspection program. (a... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Approved aircraft inspection program. 135...

14 CFR 135.419 - Approved aircraft inspection program.

Code of Federal Regulations, 2012 CFR

2012-01-01

... OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance, Preventive Maintenance, and Alterations § 135.419 Approved aircraft inspection program. (a... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Approved aircraft inspection program. 135...

14 CFR 135.419 - Approved aircraft inspection program.

Code of Federal Regulations, 2013 CFR

2013-01-01

... OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance, Preventive Maintenance, and Alterations § 135.419 Approved aircraft inspection program. (a... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Approved aircraft inspection program. 135...

14 CFR 135.419 - Approved aircraft inspection program.

Code of Federal Regulations, 2014 CFR

2014-01-01

... OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance, Preventive Maintenance, and Alterations § 135.419 Approved aircraft inspection program. (a... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Approved aircraft inspection program. 135...

14 CFR 135.419 - Approved aircraft inspection program.

Code of Federal Regulations, 2011 CFR

2011-01-01

... OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Maintenance, Preventive Maintenance, and Alterations § 135.419 Approved aircraft inspection program. (a... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Approved aircraft inspection program. 135...

Literature and best practices scan : Vehicle Inspection and Maintenance (I/M) Programs

DOT National Transportation Integrated Search

2002-06-01

The state of Wisconsin operates one of the nation's most effective inspection/maintenance (I/M) programs. In Wisconsin's I/M program, vehicles registered in the Milwaukee metropolitan area are subjected to a transient emission test using the IM240 te...

Survey of transit bus maintenance programs in Virginia.

DOT National Transportation Integrated Search

1981-01-01

Transit bus maintenance practices as used by thirteen small and medium-sized transit systems in Virginia were cataloged. Different approaches to maintenance were investigated and the current condition of transit bus maintenance was determined. Factor...

Evaluation of the Implementation of Operations and Maintenance Programs in New Jersey Schools.

ERIC Educational Resources Information Center

Kominsky, John R.; Freyberg, Ronald W.; Gerber, Donald R.; Centifonti, Gary J.

All schools are required to develop and implement an asbestos management plan (AMP). The key component of this plan is each school's operations and maintenance (O&M) program. This report outlines the importance of such programs. It describes an O&M program as an administrative framework that prescribes specific activities and work…

Evaluation of the Industrial Maintenance Program at Caldwell Community College and Technical Institute.

ERIC Educational Resources Information Center

Pipes, V. David

In 1982-83, a study was conducted at Caldwell Community College and Technical Institute to determine whether the objectives of the Industrial Maintenance Program were being met, to measure program success, and to identify aspects needing improvement. Surveys were sent to 30 students who graduated from the program before 1978, yielding a 57%…

Facilities Management: A Program for the 1980s.

ERIC Educational Resources Information Center

Kaiser, Harvey H.

1980-01-01

Successful facilities management is described as based on a 10-point comprehensive program including: (1) physical planning policy; (2) facilities analysis; (3) management audit; (4) space utilization; (5) capital programs; (6) deferred maintenance; (7) controlled maintenance; (8) energy conservation; (9) environmental quality, health, and safety;…

Deferred School Maintenance Creates National Crises.

ERIC Educational Resources Information Center

Geiger, Philip E.

2002-01-01

Describes the cost and causes of the school maintenance "crises"; lists seven questions to determine if a school district has a quality maintenance program; describes consequences of deferred school maintenance in Yuma (Arizona) Union High School District. (PKP)

Impact of dynamical regionalization on precipitation biases and teleconnections over West Africa

NASA Astrophysics Data System (ADS)

Gómara, Iñigo; Mohino, Elsa; Losada, Teresa; Domínguez, Marta; Suárez-Moreno, Roberto; Rodríguez-Fonseca, Belén

2018-06-01

West African societies are highly dependent on the West African Monsoon (WAM). Thus, a correct representation of the WAM in climate models is of paramount importance. In this article, the ability of 8 CMIP5 historical General Circulation Models (GCMs) and 4 CORDEX-Africa Regional Climate Models (RCMs) to characterize the WAM dynamics and variability is assessed for the period July-August-September 1979-2004. Simulations are compared with observations. Uncertainties in RCM performance and lateral boundary conditions are assessed individually. Results show that both GCMs and RCMs have trouble to simulate the northward migration of the Intertropical Convergence Zone in boreal summer. The greatest bias improvements are obtained after regionalization of the most inaccurate GCM simulations. To assess WAM variability, a Maximum Covariance Analysis is performed between Sea Surface Temperature and precipitation anomalies in observations, GCM and RCM simulations. The assessed variability patterns are: El Niño-Southern Oscillation (ENSO); the eastern Mediterranean (MED); and the Atlantic Equatorial Mode (EM). Evidence is given that regionalization of the ENSO-WAM teleconnection does not provide any added value. Unlike GCMs, RCMs are unable to precisely represent the ENSO impact on air subsidence over West Africa. Contrastingly, the simulation of the MED-WAM teleconnection is improved after regionalization. Humidity advection and convergence over the Sahel area are better simulated by RCMs. Finally, no robust conclusions can be determined for the EM-WAM teleconnection, which cannot be isolated for the 1979-2004 period. The novel results in this article will help to select the most appropriate RCM simulations to study WAM teleconnections.

Initial results from a dynamic coupled magnetosphere-ionosphere-ring current model

NASA Astrophysics Data System (ADS)

Pembroke, Asher; Toffoletto, Frank; Sazykin, Stanislav; Wiltberger, Michael; Lyon, John; Merkin, Viacheslav; Schmitt, Peter

2012-02-01

In this paper we describe a coupled model of Earth's magnetosphere that consists of the Lyon-Fedder-Mobarry (LFM) global magnetohydrodynamics (MHD) simulation, the MIX ionosphere solver and the Rice Convection Model (RCM) and report some results using idealized inputs and model parameters. The algorithmic and physical components of the model are described, including the transfer of magnetic field information and plasma boundary conditions to the RCM and the return of ring current plasma properties to the LFM. Crucial aspects of the coupling include the restriction of RCM to regions where field-line averaged plasma-β ≤ 1, the use of a plasmasphere model, and the MIX ionosphere model. Compared to stand-alone MHD, the coupled model produces a substantial increase in ring current pressure and reduction of the magnetic field near the Earth. In the ionosphere, stronger region-1 and region-2 Birkeland currents are seen in the coupled model but with no significant change in the cross polar cap potential drop, while the region-2 currents shielded the low-latitude convection potential. In addition, oscillations in the magnetic field are produced at geosynchronous orbit with the coupled code. The diagnostics of entropy and mass content indicate that these oscillations are associated with low-entropy flow channels moving in from the tail and may be related to bursty bulk flows and bubbles seen in observations. As with most complex numerical models, there is the ongoing challenge of untangling numerical artifacts and physics, and we find that while there is still much room for improvement, the results presented here are encouraging.

Folliculotropism in pigmented facial macules: Differential diagnosis with reflectance confocal microscopy.

PubMed

Persechino, Flavia; De Carvalho, Nathalie; Ciardo, Silvana; De Pace, Barbara; Casari, Alice; Chester, Johanna; Kaleci, Shaniko; Stanganelli, Ignazio; Longo, Caterina; Farnetani, Francesca; Pellacani, Giovanni

2018-03-01

Pigmented facial macules are common on sun damage skin. The diagnosis of early stage lentigo maligna (LM) and lentigo maligna melanoma (LMM) is challenging. Reflectance confocal microscopy (RCM) has been proven to increase diagnostic accuracy of facial lesions. A total of 154 pigmented facial macules, retrospectively collected, were evaluated for the presence of already-described RCM features and new parameters depicting aspects of the follicle. Melanocytic nests, roundish pagetoid cells, follicular infiltration, bulgings from the follicles and many bright dendrites and infiltration of the hair follicle (ie, folliculotropism) were found to be indicative of LM/LMM compared to non-melanocytic skin neoplasms (NMSNs), with an overall sensitivity of 96% and specificity of 83%. Concerning NMSNs, solar lentigo and lichen planus-like keratosis resulted better distinguishable from LM/LMM because usually lacking malignant features and presenting characteristic diagnostic parameters, such as epidermal cobblestone pattern and polycyclic papillary contours. On the other hand, distinction of pigmented actinic keratosis (PAK) resulted more difficult, and needing evaluation of hair follicle infiltration and bulging structures, due to the frequent observation of few bright dendrites in the epidermis, but predominantly not infiltrating the hair follicle (estimated specificity for PAK 53%). A detailed evaluation of the components of the folliculotropism may help to improve the diagnostic accuracy. The classification of the type, distribution and amount of cells, and the presence of bulging around the follicles seem to represent important tools for the differentiation between PAK and LM/LMM at RCM analysis. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

A Cognitive Machine Learning Algorithm for Cardiac Imaging: A Pilot Study for Differentiating Constrictive Pericarditis from Restrictive Cardiomyopathy

PubMed Central

Sengupta, Partho P.; Huang, Yen-Min; Bansal, Manish; Ashrafi, Ali; Fisher, Matt; Shameer, Khader; Gall, Walt; Dudley, Joel T

2016-01-01

Background Associating a patient’s profile with the memories of prototypical patients built through previous repeat clinical experience is a key process in clinical judgment. We hypothesized that a similar process using a cognitive computing tool would be well suited for learning and recalling multidimensional attributes of speckle tracking echocardiography (STE) data sets derived from patients with known constrictive pericarditis (CP) and restrictive cardiomyopathy (RCM). Methods and Results Clinical and echocardiographic data of 50 patients with CP and 44 with RCM were used for developing an associative memory classifier (AMC) based machine learning algorithm. The STE data was normalized in reference to 47 controls with no structural heart disease, and the diagnostic area under the receiver operating characteristic curve (AUC) of the AMC was evaluated for differentiating CP from RCM. Using only STE variables, AMC achieved a diagnostic AUC of 89·2%, which improved to 96·2% with addition of 4 echocardiographic variables. In comparison, the AUC of early diastolic mitral annular velocity and left ventricular longitudinal strain were 82.1% and 63·7%, respectively. Furthermore, AMC demonstrated greater accuracy and shorter learning curves than other machine learning approaches with accuracy asymptotically approaching 90% after a training fraction of 0·3 and remaining flat at higher training fractions. Conclusions This study demonstrates feasibility of a cognitive machine learning approach for learning and recalling patterns observed during echocardiographic evaluations. Incorporation of machine learning algorithms in cardiac imaging may aid standardized assessments and support the quality of interpretations, particularly for novice readers with limited experience. PMID:27266599

The impact of 21st Century sea ice decline on the hydrological budget of the Arctic

NASA Astrophysics Data System (ADS)

Day, J. J.; Bamber, J. L.; Valdes, P. J.; Kohler, J.

2009-12-01

The Arctic is a region particularly susceptible to rapid climate change. GCMs suggest a polar amplification of any global warming signal by about 1.5 due, largely, to sea ice feedbacks. The dramatic recent decline in multi-year ice cover lies outside the standard deviation of the ensemble GCM predictions and has lead to the suggestion that the Arctic Ocean could be ice free in summer as soon as ~2014. Sea ice acts as a barrier between cold air and warmer oceans during winter, as well as inhibiting evaporation from the water below during the summer. An ice free Arctic would likely have an altered hydrological cycle with more evaporation from the ocean surface leading to changes in precipitation distribution and amount. For example, changes in sea ice cover are thought to have caused changes in the mass balance of Europe’s largest ice cap, Austfona, Svalbard, by increasing accumulation. Using the U.K. Met Office Regional Climate Model (RCM), HadRM3, the atmospheric effects of the observed and projected reduction in Arctic sea ice are investigated. The RCM is driven by the atmosphere only general circulation model HadAM3. Both models are forced with sea surface temperature and sea ice obtained by extrapolating recent changes into the future using bootstrapping based on the HadISST climatology. Here we use an RCM at 25km resolution over the Arctic which captures well the present-day pattern of precipitation and provides a detailed picture of the projected changes in the behaviour of the oceanic-atmosphere moisture fluxes and how they affect precipitation.

Blood volume responses of men and women to bed rest

NASA Technical Reports Server (NTRS)

Fortney, S. M.; Turner, C.; Steinmann, L.; Driscoll, T.; Alfrey, C.

1994-01-01

This paper reviews a series of studies that indicate that estrogens play an important role in blood volume regulation. The first study illustrates that the plasma volume (PV) of ambulatory women fluctuates during the menstrual cycle, increasing during periods of elevated estrogens. In the second study, it was shown that exogenous and endogenous elevations in blood estrogens attenuate the decrease in PV during bed rest. In the third study, the hypothesis was tested that women, who naturally have a higher blood estrogen content compared with men, will have a smaller loss of PV during bed rest. Ten men and ten women underwent a 13-day, 6 degrees head-down bed rest. Plasma volume and red cell mass (RCM) were measured before and after bed rest using 125I and 51Cr labeling, respectively. Before bed rest, the men and women had similar blood volume (BV) and PV (mL/kg body weight), but the women had a smaller (P < .01) RCM (22.2 +/- 0.9 versus 26.2 +/- 0.8 mL/kg, mean +/- SE). During bed rest, the decrease in RCM (mL/kg) was similar in men and women. However, the decrease in BV was greater in men (8.0 +/- 0.8 mL/kg versus 5.8 +/- 0.8 mL/kg), because of a greater reduction in PV (6.3 +/- 0.6 mL/kg versus 4.1 +/- 0.6 mL/kg). Because the decline in BV has been proposed to contribute to the cardiovascular deconditioning after bed rest, it is possible that women may experience less cardiac and circulatory strain on reambulation.

Learning reflectance confocal microscopy of melanocytic skin lesions through histopathologic transversal sections.

PubMed

Braga, Juliana Casagrande Tavoloni; Macedo, Mariana Petaccia; Pinto, Clovis; Duprat, João; Begnami, Maria Dirlei; Pellacani, Giovanni; Rezze, Gisele Gargantini

2013-01-01

Histopathologic interpretation of dermoscopic and reflectance confocal microscopy (RCM) features of cutaneous melanoma was timidly carried out using perpendicular histologic sections, which does not mimic the same plane of the image achieved at both techniques (horizontal plane). The aim of this study was to describe the transverse histologic sections research technique and correlate main dermoscopic features characteristic of cutaneous melanoma (atypical network, irregular globules and pseudopods) with RCM and histopathology in perpendicular and transverse sections in order to offer a more precise interpretation of in vivo detectable features. Four melanomas and 2 nevi with different dermoscopic clues have been studied. Lesion areas that showed characteristic dermoscopic features were imaged by dermoscopy and confocal microscopy and directly correlated with histopathology in perpendicular and transverse sections. We presented the possibility to perform transverse sections as a new approach to understand RCM features. Atypical network showed different aspects in the 2 melanomas: in one case it was characterized by pleomorphic malignant melanocytes with tendency to form aggregates, whereas in the other elongated dendritic cells crowded around dermal papillae, some of them forming bridges that resembled the mitochondrial aspect at confocal and histopathology transversal sections. Pigment globules in melanomas and nevi differed for the presence of large atypical cells in the former, and pseudopods showed up as elongated nests protruded toward the periphery of the lesion. Transverse histologic research sections have a consistent dermoscopic and confocal correlate, and it may represent an help in confocal feature interpretation and an advance in improving melanoma diagnosis and knowledge of the biology of melanocytic lesions.

A hydro-meteorological model chain to assess the influence of natural variability and impacts of climate change on extreme events and propose optimal water management

NASA Astrophysics Data System (ADS)

von Trentini, F.; Willkofer, F.; Wood, R. R.; Schmid, F. J.; Ludwig, R.

2017-12-01

The ClimEx project (Climate change and hydrological extreme events - risks and perspectives for water management in Bavaria and Québec) focuses on the effects of climate change on hydro-meteorological extreme events and their implications for water management in Bavaria and Québec. Therefore, a hydro-meteorological model chain is applied. It employs high performance computing capacity of the Leibniz Supercomputing Centre facility SuperMUC to dynamically downscale 50 members of the Global Circulation Model CanESM2 over European and Eastern North American domains using the Canadian Regional Climate Model (RCM) CRCM5. Over Europe, the unique single model ensemble is conjointly analyzed with the latest information provided through the CORDEX-initiative, to better assess the influence of natural climate variability and climatic change in the dynamics of extreme events. Furthermore, these 50 members of a single RCM will enhance extreme value statistics (extreme return periods) by exploiting the available 1500 model years for the reference period from 1981 to 2010. Hence, the RCM output is applied to drive the process based, fully distributed, and deterministic hydrological model WaSiM in high temporal (3h) and spatial (500m) resolution. WaSiM and the large ensemble are further used to derive a variety of hydro-meteorological patterns leading to severe flood events. A tool for virtual perfect prediction shall provide a combination of optimal lead time and management strategy to mitigate certain flood events following these patterns.

The Effect of Neutral Winds on Simulated Inner Magnetospheric Electric Fields During the 17 March 2013 Storm

NASA Astrophysics Data System (ADS)

Chen, M.; Lemon, C.; Walterscheid, R. L.; Hecht, J. H.; Sazykin, S. Y.; Wolf, R.

2017-12-01

We investigate how neutral winds and particle precipitation affect the simulated development of electric fields including Sub-Auroral Polarization Streams (SAPS) during the 17 March 2013 storm. Our approach is to use the magnetically and electrically self-consistent Rice Convection Model - Equilibrium (RCM-E) to simulate the inner magnetospheric electric field. We use parameterized rates of whistler-generated electron pitch-angle scattering from Orlova and Shprits [JGR, 2014] that depend on equatorial radial distance, magnetic activity (Kp), and magnetic local time (MLT) outside the simulated plasmasphere. Inside the plasmasphere, parameterized scattering rates due to hiss [Orlova et al., GRL, 2014] are used. Ions are scattered at a fraction of strong pitch-angle scattering where the fraction is scaled by epsilon, the ratio of the gyroradius to the field-line radius of curvature, when epsilon is greater than 0.1. The electron and proton contributions to the auroral conductance in the RCM-E are calculated using the empirical Robinson et al. [JGR, 1987] and Galand and Richmond [JGR, 2001] equations, respectively. The "background" ionospheric conductance is based on parameters from the International Reference Ionosphere [Bilitza and Reinisch, JASR, 2008] but modified to include the effect of specified ionospheric troughs. Neutral winds are modeled by the empirical Horizontal Wind Model (HWM07) in the RCM-E. We compare simulated precipitating particle energy flux, E x B velocities with DMSP observations during the 17 March 2013 storm with and without the inclusion of neutral winds. Discrepancies between the simulations and observations will aid us in assessing needed improvements in the model.

Exercise to Enhance Smoking Cessation: the Getting Physical on Cigarette Randomized Control Trial.

PubMed

Prapavessis, Harry; De Jesus, Stefanie; Fitzgeorge, Lindsay; Faulkner, Guy; Maddison, Ralph; Batten, Sandra

2016-06-01

Exercise has been proposed as a useful smoking cessation aid. The purpose of the present study is to determine the effect of an exercise-aided smoking cessation intervention program, with built-in maintenance components, on post-intervention 14-, 26- and 56-week cessation rates. Female cigarette smokers (n = 413) participating in a supervised exercise and nicotine replacement therapy (NRT) smoking cessation program were randomized to one of four conditions: exercise + smoking cessation maintenance, exercise maintenance + contact control, smoking cessation maintenance + contact control or contact control. The primary outcome was continuous smoking abstinence. Abstinence differences were found between the exercise and equal contact non-exercise maintenance groups at weeks 14 (57 vs 43 %), 26 (27 vs 21 %) and 56 (26 vs 23.5 %), respectively. Only the week 14 difference approached significance, p = 0.08. An exercise-aided NRT smoking cessation program with built-in maintenance components enhances post-intervention cessation rates at week 14 but not at weeks 26 and 56.

41 CFR 102-34.285 - Where can we obtain help in setting up a maintenance program?

Code of Federal Regulations, 2010 CFR

2010-07-01

... PROPERTY 34-MOTOR VEHICLE MANAGEMENT Scheduled Maintenance of Motor Vehicles § 102-34.285 Where can we... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Where can we obtain help in setting up a maintenance program? 102-34.285 Section 102-34.285 Public Contracts and Property...

An Empirical Investigation of USAF Logistics Readiness Officer Mission Sets

DTIC Science & Technology

2013-03-01

parts, engine repair and 7 spare utilization, fuel cell and fuel system related repairs, heavy maintenance and inspection functions, and aircraft...provide additional mission sets. Fuels Management, Program Management, Acquisitions Management, and Depot Maintenance were suggested once each as...being mentioned by 2.5 percent ( Fuels Management, Program Management, Acquisitions Management, and Depot Maintenance) and 5 percent (Human Capital

Genes and Hearing Loss

MedlinePlus

... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

Elements of an Asbestos Operations and Maintenance (O&M) Program

EPA Pesticide Factsheets

Links to descriptions of Elements of an Operations and Maintenance (O&M) Program: Training, Occupant Notification, Monitoring ACM, Job-Site Controls for Work Involving ACM, Safe Work Practices, Recordkeeping, Worker Protection.

42 CFR 460.200 - Maintenance of records and reporting of data.

Code of Federal Regulations, 2011 CFR

2011-10-01

... HUMAN SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Data Collection, Record Maintenance, and Reporting § 460.200...

25 CFR 170.812 - What is emergency maintenance?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false What is emergency maintenance? 170.812 Section 170.812 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.812 What is emergency maintenance? Emergency maintenance is work that...

25 CFR 170.806 - What is an IRR Transportation Facilities Maintenance Management System?

Code of Federal Regulations, 2010 CFR

2010-04-01

... AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.806 What is an IRR Transportation Facilities Maintenance Management System? An IRR Transportation Facilities Maintenance Management... 25 Indians 1 2010-04-01 2010-04-01 false What is an IRR Transportation Facilities Maintenance...

25 CFR 170.812 - What is emergency maintenance?

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false What is emergency maintenance? 170.812 Section 170.812 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.812 What is emergency maintenance? Emergency maintenance is work that...

Estimating river discharge uncertainty by applying the Rating Curve Model

NASA Astrophysics Data System (ADS)

Barbetta, S.; Melone, F.; Franchini, M.; Moramarco, T.

2012-04-01

The knowledge of the flow discharge at a river site is necessary for planning and management of water resources as well as for monitoring and real-time forecasting purposes when significant flood events occur. In the hydrological practice, the operational discharge measurement in medium and large rivers is mostly based on indirect approaches by converting the observed stage into discharge values using steady-flow rating curves. However, the stage-discharge relationship can be unknown for hydrometric sections where flow velocity measurements, particularly during high floods, are not available. To overcome this issue, a simplified approach named Rating Curve Model (RCM) and proposed by Moramarco et al. (Moramarco, T., Barbetta, S., F. Melone, F. & Singh, V.P., Relating local stage and remote discharge with significant lateral inflow, J. Hydrol. Engng ASCE, 10[1], 58?69, 2005) can be conveniently used. RCM turned out able to assess, with a high level of accuracy, the discharge hydrograph at a river site where only the stage is monitored while the flow is recorded at a different section along the river, even when significant lateral flows occur. The simple structure of the model is depending on three parameters of which two can be considered characteristic of the river reach and one of the wave travel time of floods. Considering that RCM well lends itself to predict the stage-discharge relationship at a river site wherein only stages are recorded, an uncertainty analysis on river discharge estimate is of interest for the hydrological practice definitely. To this aim, the uncertainty characterizing the RCM outcomes is addressed in this work by considering two different procedures based on the Monte Carlo approach and the Generalized Likelihood Uncertainty Estimation (GLUE) method, respectively. The statistical distribution of parameters is found and a random re-sampling of parameters is done for assessing the 90% confidence interval (CI) of discharge estimates. In particular, for the latter approach the Nash-Sutcliffe coefficient is used as likelihood measure. Two equipped river reaches of the Upper-Middle Tiber River basin, central Italy, are investigated as case studies. The results provided by the selected methodologies are discussed and compared showing that all the computed CIs are satisfied in term of percentage of included observed discharges with similar percentages characterizing the bands assessed by both Monte Carlo approach and GLUE procedure.

Estimating the Mediterranean Sea Water Budget: impact of RCM design

NASA Astrophysics Data System (ADS)

Somot, S.; Elguindi, N.; Sanchez-Gomez, E.; Herrmann, M.; Déqué, M.

2009-09-01

The Mediterranean Sea can be considered as a thermodynamic machine that exchanges water and heat with the Atlantic Ocean through the Strait of Gibraltar and with the atmosphere through its surface. Considering the Mediterranean Sea Water Budget (MSWB) multi-year mean, the Mediterranean basin looses water at the surface due to an excess of evaporation over freshwater input (precipitation, river runoff, Black Sea input). Moreover the MSWB largely drives the Mediterranean Sea water mass formation and therefore a large part of its thermohaline circulation. This could even have an impact on the characteristics of the Atlantic thermohaline circulation through the Mediterranean Outflow Waters that flow into the Atlantic at a depth of about 1000 m. From a climate point of view, the MSWB acts as a water source for the Mediterranean countries and therefore plays an important role on the water resources of the region. The regional physical characteristics of the Mediterranean basin (complex orography, strong land-sea contrast, land-atmosphere coupling, air-sea coupling, river inflow, Gibraltar Strait constraint and complex ocean bathymetry) strongly influence the various components of the MSWB. Moreover extreme precipitation events over land and strong evaporation events over the sea due to local winds can play a non-negligible role on the mean MSWB despite their small spatial and temporal scales. Therefore, modelling the mean behaviour, the interannual variability and the trends of the MSWB is a challenging task of the Regional Climate Model community in the context of climate change. It is actually one of the highlighted issues of the HyMex project planned for the 2010-2020 period. We propose here to start investigating some key scientific issues of the regional modelling of the Mediterranean Sea Water Budget using a wide range of regional climate simulations performed at Météo-France or in the framework of FP6 European projects (ENSEMBLES, CIRCE). The addressed scientific questions deal with the RCM design for the following points: Q1. the horizontal resolution Q2. the physics of the RCM Q3. the regional modelling technique (stretched-grid model, limited area model, spectral nudging technique) Q4. the regional air-sea-river coupling Q5. the RCM internal variability Up-to-date observation estimates of the various terms of the MSWB are used to sort out between the different configurations of the RCMs.

From ENSEMBLES to CORDEX: exploring the progress for hydrological impact research for the upper Danube basin

NASA Astrophysics Data System (ADS)

Stanzel, Philipp; Kling, Harald

2017-04-01

EURO-CORDEX Regional Climate Model (RCM) data are available as result of the latest initiative of the climate modelling community to provide ever improved simulations of past and future climate in Europe. The spatial resolution of the climate models increased from 25 x 25 km in the previous coordinated initiative, ENSEMBLES, to 12 x 12 km in the CORDEX EUR-11 simulations. This higher spatial resolution might yield improved representation of the historic climate, especially in complex mountainous terrain, improving applicability in impact studies. CORDEX scenario simulations are based on Representative Concentration Pathways, while ENSEMBLES applied the SRES greenhouse gas emission scenarios. The new emission scenarios might lead to different projections of future climate. In this contribution we explore these two dimensions of development from ENSEMBLES to CORDEX - representation of the past and projections for the future - in the context of a hydrological climate change impact study for the Danube River. We replicated previous hydrological simulations that used ENSEMBLES data of 21 RCM simulations under SRES A1B emission scenario as meteorological input data (Kling et al. 2012), and now applied CORDEX EUR-11 data of 16 RCM simulations under RCP4.5 and RCP8.5 emission scenarios. The climate variables precipitation and temperature were used to drive a monthly hydrological model of the upper Danube basin upstream of Vienna (100,000 km2). RCM data was bias corrected and downscaled to the scale of hydrological model units. Results with CORDEX data were compared with results with ENSEMBLES data, analysing both the driving meteorological input and the resulting discharge projections. Results with CORDEX data show no general improvement in the accuracy of representing historic climatic features, despite the increase in spatial model resolution. The tendency of ENSEMBLES scenario projections of increasing precipitation in winter and decreasing precipitation in summer is reproduced with the CORDEX RCMs, albeit with slightly higher precipitation in the CORDEX data. The distinct pattern of future change in discharge seasonality - increasing winter discharge and decreasing summer discharge - is confirmed with the new CORDEX data, with a range of projections very similar to the range projected by the ENSEMBLES RCMs. References: Kling, H., Fuchs, M., Paulin, M. 2012. Runoff conditions in the upper Danube basin under an ensemble of climate change scenarios. Journal of Hydrology 424-425, 264-277.

Generation of Multivariate Surface Weather Series with Use of the Stochastic Weather Generator Linked to Regional Climate Model

NASA Astrophysics Data System (ADS)

Dubrovsky, M.; Farda, A.; Huth, R.

2012-12-01

The regional-scale simulations of weather-sensitive processes (e.g. hydrology, agriculture and forestry) for the present and/or future climate often require high resolution meteorological inputs in terms of the time series of selected surface weather characteristics (typically temperature, precipitation, solar radiation, humidity, wind) for a set of stations or on a regular grid. As even the latest Global and Regional Climate Models (GCMs and RCMs) do not provide realistic representation of statistical structure of the surface weather, the model outputs must be postprocessed (downscaled) to achieve the desired statistical structure of the weather data before being used as an input to the follow-up simulation models. One of the downscaling approaches, which is employed also here, is based on a weather generator (WG), which is calibrated using the observed weather series and then modified (in case of simulations for the future climate) according to the GCM- or RCM-based climate change scenarios. The present contribution uses the parametric daily weather generator M&Rfi to follow two aims: (1) Validation of the new simulations of the present climate (1961-1990) made by the ALADIN-Climate/CZ (v.2) Regional Climate Model at 25 km resolution. The WG parameters will be derived from the RCM-simulated surface weather series and compared to those derived from observational data in the Czech meteorological stations. The set of WG parameters will include selected statistics of the surface temperature and precipitation (characteristics of the mean, variability, interdiurnal variability and extremes). (2) Testing a potential of RCM output for calibration of the WG for the ungauged locations. The methodology being examined will consist in using the WG, whose parameters are interpolated from the surrounding stations and then corrected based on a RCM-simulated spatial variability. The quality of the weather series produced by the WG calibrated in this way will be assessed in terms of selected climatic characteristics focusing on extreme precipitation and temperature characteristics (including characteristics of dry/wet/hot/cold spells). Acknowledgements: The present experiment is made within the frame of projects ALARO (project P209/11/2405 sponsored by the Czech Science Foundation), WG4VALUE (project LD12029 sponsored by the Ministry of Education, Youth and Sports) and VALUE (COST ES 1102 action).

Comparison of Confocal and Super-Resolution Reflectance Imaging of Metal Oxide Nanoparticles

PubMed Central

Guggenheim, Emily J.; Khan, Abdullah; Pike, Jeremy; Chang, Lynne; Lynch, Iseult; Rappoport, Joshua Z.

2016-01-01

The potential for human exposure to manufactured nanoparticles (NPs) has increased in recent years, in part through the incorporation of engineered particles into a wide range of commercial goods and medical applications. NP are ideal candidates for use as therapeutic and diagnostic tools within biomedicine, however concern exists regarding their efficacy and safety. Thus, developing techniques for the investigation of NP uptake into cells is critically important. Current intracellular NP investigations rely on the use of either Transmission Electron Microscopy (TEM), which provides ultrahigh resolution, but involves cumbersome sample preparation rendering the technique incompatible with live cell imaging, or fluorescent labelling, which suffers from photobleaching, poor bioconjugation and, often, alteration of NP surface properties. Reflected light imaging provides an alternative non-destructive label free technique well suited, but not limited to, the visualisation of NP uptake within model systems, such as cells. Confocal reflectance microscopy provides optical sectioning and live imaging capabilities, with little sample preparation. However confocal microscopy is diffraction limited, thus the X-Y resolution is restricted to ~250 nm, substantially larger than the <100 nm size of NPs. Techniques such as super-resolution light microscopy overcome this fundamental limitation, providing increased X-Y resolution. The use of Reflectance SIM (R-SIM) for NP imaging has previously only been demonstrated on custom built microscopes, restricting the widespread use and limiting NP investigations. This paper demonstrates the use of a commercial SIM microscope for the acquisition of super-resolution reflectance data with X-Y resolution of 115 nm, a greater than two-fold increase compared to that attainable with RCM. This increase in resolution is advantageous for visualising small closely spaced structures, such as NP clusters, previously unresolvable by RCM. This is advantageous when investigating the subcellular trafficking of NP within fluorescently labelled cellular compartments. NP signal can be observed using RCM, R-SIM and TEM and a direct comparison is presented. Each of these techniques has its own benefits and limitations; RCM and R-SIM provide novel complementary information while the combination of modalities provides a unique opportunity to gain additional information regarding NP uptake. The use of multiple imaging methods therefore greatly enhances the range of NPs that can be studied under label-free conditions. PMID:27695038

Cooperative Demonstration Program To Train Aviation Maintenance Technicians. Final Report.

ERIC Educational Resources Information Center

Alabama Aviation and Technical Coll., Ozark.

The Alabama Aviation and Technical College, working with representatives of the aviation industry, the military, the Alabama Department of Aeronautics, and the Federal Aviation Administration, developed a training program for aviation maintenance technicians. The program also aimed to emphasize and expand opportunities for minorities, females, and…

EVALUATION OF THE IMPLEMENTATION OF OPERATIONS AND MAINTENANCE PROGRAMS IN NEW JERSEY SCHOOLS

EPA Science Inventory

The Asbestos Hazard Emergency Response Act (AHERA) required all schools to develop and implement an asbestos management plan (AMP). The key component of the AMP is the operations and maintenance (O&M) program. A study was conducted to evaluate the implementation of O&M programs a...

40 CFR 52.786 - Inspection and maintenance program.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., commitment to timely adopt and implement enhanced inspection and maintenance (I/M) rules for Lake and Porter... parts of the program to certify compliance. (e) After July 1, 1976, the State of Indiana, County of... pertaining to the development and adoption of necessary authority for the I/M program. This disapproval...

40 CFR 52.786 - Inspection and maintenance program.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., commitment to timely adopt and implement enhanced inspection and maintenance (I/M) rules for Lake and Porter... parts of the program to certify compliance. (e) After July 1, 1976, the State of Indiana, County of... pertaining to the development and adoption of necessary authority for the I/M program. This disapproval...

Microform Reader Maintenance.

ERIC Educational Resources Information Center

Hall, Hal W.; Michaels, George H.

1985-01-01

Describes experiences in organizing a program of microform reader and reader/printer maintenance at Texas A & M's Sterling C. Evans Library and offers guidelines for regular machine maintenance and repair. Guidelines discussed relate to maintenance philosophy, general machine cleaning, troubleshooting, service contracts, supplies,…

Maintenance quality assurance peer exchange 2.

DOT National Transportation Integrated Search

2009-04-01

This report documents a comprehensive study of twenty three maintenance quality assurance : (MQA) programs throughout the United States and Canada. The policies and standards of : each program were synthesized to create a general assessment on the co...

EMMA: The expert system for munition maintenance

NASA Technical Reports Server (NTRS)

Mullins, Barry E.

1988-01-01

Expert Missile Maintenance Aid (EMMA) is a first attempt to enhance maintenance of the tactical munition at the field and depot level by using artificial intelligence (AI) techniques. The ultimate goal of EMMA is to help a novice maintenance technician isolate and diagnose electronic, electromechanical, and mechanical equipment faults to the board/chassis level more quickly and consistently than the best human expert using the best currently available automatic test equipment (ATE). To this end, EMMA augments existing ATE with an expert system that captures the knowledge of design and maintenance experts. The EMMA program is described, including the evaluation of field-level expert system prototypes, the description of several study tasks performed during EMMA, and future plans for a follow-on program. This paper will briefly address several study tasks performed during EMMA. The paper concludes with a discussion of future plans for a follow-on program and other areas of concern.

Managing Highway Maintenance: Maintenance Management--by Objectives, Unit 10, Level 2.

ERIC Educational Resources Information Center

Federal Highway Administration (DOT), Washington, DC. Offices of Research and Development.

Part of the series "Managing Highway Maintenance," the unit deals with management by objectives--its definition, how it works, and necessary steps for application. It is designed for maintenance supervisors who are familiar with maintenance management systems. The format is a programed, self-instructional approach in which questions are…

Infrequent Illicit Methadone Use Among Stimulant-Using Patients in Methadone Maintenance Treatment Programs: A National Drug Abuse Treatment Clinical Trials Network Study

PubMed Central

Wu, Li-Tzy; Blazer, Dan G.; Stitzer, Maxine L.; Patkar, Ashwin A.; Blaine, Jack D.

2009-01-01

We sought to determine the prevalence, patterns, and correlates of past-month illicit methadone use and history of regular illicit use among stimulant-using methadone maintenance treatment patients. We obtained self-reported information on illicit methadone use from 383 participants recruited from six community-based methadone maintenance programs. Overall, 1.6% of participants reported illicit use in the past month, and 4.7% reported a history of regular use. Younger age and history of outpatient psychological treatment were associated with increased odds of past-month illicit use. Illicit methadone use among patients in maintenance programs is infrequent; however, a number of factors may increase risk of illicit use. PMID:18612886

Long-Term Monitoring of Pavement Maintenance Materials Test Sites

DOT National Transportation Integrated Search

1998-06-01

The Strategic Highway Research Program's {SHRP) H-106 pothole repair experiment was part of the most extensive pavement maintenance experiment ever conducted. Started under SHRP and continued under the Long-Term Pavement Performance program's Long-Te...

25 CFR 170.931 - Can tribes use IRR Program funds to pay tribal transportation department operating costs?

Code of Federal Regulations, 2010 CFR

2010-04-01

... OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Miscellaneous Provisions Tribal... performance of approved IRR Program activities (see appendix A, subpart B). Tribes can also use BIA road maintenance funds to pay the cost of planning, administration, and performance of maintenance activities under...

Highway Safety Program Manual: Volume 12: Highway Design, Construction and Maintenance.

ERIC Educational Resources Information Center

National Highway Traffic Safety Administration (DOT), Washington, DC.

Volume 12 of the 19-volume Highway Safety Program Manual (which provides guidance to State and local governments on preferred highway safety practices) focuses on highway design, construction and maintenance. The purpose and specific objectives of such a program are described. Federal authority in the area of highway safety and policies regarding…

Maintenance of Certification and the Challenge of Professionalism.

PubMed

Nichols, David G

2017-05-01

Board certification has been part of the social contract in which physicians commit to maintaining up-to-date scientific knowledge and improving the quality of patient care. However, the maintenance of certification program has been controversial. This review summarizes the philosophical underpinnings, published literature, recent improvements, and future directions of the American Board of Pediatrics maintenance of certification program. Copyright © 2017 by the American Academy of Pediatrics.

25 CFR 170.805 - What are the local, tribal, and BIA roles in transportation facility maintenance?

Code of Federal Regulations, 2010 CFR

2010-04-01

... transportation facility maintenance? 170.805 Section 170.805 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.805 What are the local... Road Maintenance dollars. ...

78 FR 9798 - Airworthiness Directives; Dassault Aviation Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-12

... Dassault Aviation Myst[egrave]re-Falcon 50 Aircraft Maintenance Manual (AMM) chapter 5-40 and approved by... manufacturer revision to the airplane maintenance manual (AMM) that introduces new or more restrictive maintenance requirements and airworthiness limitations. This AD requires revising the maintenance program to...

The flood event of 10-12 November 2013 on the Tiber River basin (central Italy): real-time flood forecasting with uncertainty supporting risk management and decision-making

NASA Astrophysics Data System (ADS)

Berni, Nicola; Brocca, Luca; Barbetta, Silvia; Pandolfo, Claudia; Stelluti, Marco; Moramarco, Tommaso

2014-05-01

The Italian national hydro-meteorological early warning system is composed by 21 regional offices (Functional Centres, CF). Umbria Region (central Italy) CF provides early warning for floods and landslides, real-time monitoring and decision support systems (DSS) for the Civil Defence Authorities when significant events occur. The alert system is based on hydrometric and rainfall thresholds with detailed procedures for the management of critical events in which different roles of authorities and institutions involved are defined. The real-time flood forecasting system is based also on different hydrological and hydraulic forecasting models. Among these, the MISDc rainfall-runoff model ("Modello Idrologico SemiDistribuito in continuo"; Brocca et al., 2011) and the flood routing model named STAFOM-RCM (STAge Forecasting Model-Rating Curve Model; Barbetta et al., 2014) are continuously operative in real-time providing discharge and stage forecasts, respectively, with lead-times up to 24 hours (when quantitative precipitation forecasts are used) in several gauged river sections in the Upper-Middle Tiber River basin. Models results are published in real-time in the open source CF web platform: www.cfumbria.it. MISDc provides discharge and soil moisture forecasts for different sub-basins while STAFOM-RCM provides stage forecasts at hydrometric sections. Moreover, through STAFOM-RCM the uncertainty of the forecast stage hydrograph is provided in terms of 95% Confidence Interval (CI) assessed by analyzing the statistical properties of model output in terms of lateral. In the period 10th-12th November 2013, a severe flood event occurred in Umbria mainly affecting the north-eastern area and causing significant economic damages, but fortunately no casualties. The territory was interested by intense and persistent rainfall; the hydro-meteorological monitoring network recorded locally rainfall depth over 400 mm in 72 hours. In the most affected area, the recorded rainfall depths correspond approximately to a return period of 200 years. Most rivers in Umbria have been involved, exceeding hydrometric thresholds and causing flooding (e.g. Chiascio river). The flood event was continuously monitored at the Umbria Region CF and the possible evolution predicted and assessed on the basis of the model forecasts. The predictions provided by MISDc and STAFOM-RCM were found useful to support real-time decision-making addressed to flood risk management. Moreover, the quantification of the uncertainty affecting the deterministic forecast stages was found consistent with the level of confidence selected and had practical utility corroborating the need of coupling deterministic forecast and 'uncertainty' when the model output is used to support decisions about flood management. REFERENCES Barbetta, S., Moramarco, T., Brocca, L., Franchini, M., Melone, F. (2014). Confidence interval of real-time forecast stages provided by the STAFOM-RCM model: the case study of the Tiber River (Italy). Hydrological Processes, 28(3), 729-743. Brocca, L., Melone, F., Moramarco, T. (2011). Distributed rainfall-runoff modelling for flood frequency estimation and flood forecasting. Hydrological Processes, 25 (18), 2801-2813

Roadside maintenance

DOT National Transportation Integrated Search

2010-01-01

Roadside Maintenance is a unique element within the highway maintenance program because much of the work involves caring for and/or controlling vegetation. Roadside vegetation, if managed properly, can become more naturally self-sustaining over time ...

Synthesis of (±)-Tetrapetalone A-Me Aglycon**

PubMed Central

Carlsen, Peter N.; Mann, Tyler J.; Hoveyda, Amir H.

2014-01-01

The first synthesis of (±)-tetrapetalone A-Me aglycon is described. Key bond-forming reactions include Nazarov cyclization, a ring-closing metathesis (RCM) promoted with complete diastereoselectivity by a chiral Mo-based complex, tandem conjugate reduction-intramolecular aldol cyclization, and oxidative dearomatization. PMID:25045072

Maintainability Program Requirements for Space Systems

NASA Technical Reports Server (NTRS)

1987-01-01

This document is established to provide common general requirements for all NASA programs to: design maintainability into all systems where maintenance is a factor in system operation and mission success; and ensure that maintainability characteristics are developed through the systems engineering process. These requirements are not new. Design for ease of maintenance and minimization of repair time have always been fundamental requirements of the systems engineering process. However, new or reusable orbital manned and in-flight maintainable unmanned space systems demand special emphasis on maintainability, and this document has been prepared to meet that need. Maintainability requirements on many NASA programs differ in phasing and task emphasis from requirements promulgated by other Government agencies. This difference is due to the research and development nature of NASA programs where quantities produced are generally small; therefore, the depth of logistics support typical of many programs is generally not warranted. The cost of excessive maintenance is very high due to the logistics problems associated with the space environment. The ability to provide timely maintenance often involves safety considerations for manned space flight applications. This document represents a basic set of requirements that will achieve a design for maintenance. These requirements are directed primarily at manned and unmanned orbital space systems. To be effective, maintainability requirements should be tailored to meet specific NASA program and project needs and constraints. NASA activities shall invoke the requirements of this document consistent with program planning in procurements or on inhouse development efforts.

An Educational Program for Sub-Professional Personnel to be Employed in Health Maintenance Organizations. Final Report.

ERIC Educational Resources Information Center

HMO Management, Inc., Los Angeles, CA.

Through Medicaid, the Health Maintenance Organization Act (HMO), and Prepaid Health Programs (PHP) approaches were established whereby the government can help alleviate the medical problems of the needy. A program to educate and train students in California in the philosophy, administration, and development of PHP was developed in response to…

Resurgence: The Unintended Maintenance of Problem Behavior

ERIC Educational Resources Information Center

Ringdahl, Joel E.; St. Peter, Claire

2017-01-01

Researchers, teachers, practitioners, and parents are often concerned with how to program for and achieve the maintenance of appropriate behavior. The unintended maintenance of problem behavior is less often evaluated. This article describes a behavioral phenomenon, resurgence, that may result in the unintended maintenance of problem behavior.…

49 CFR 214.341 - Roadway maintenance machines.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 4 2011-10-01 2011-10-01 false Roadway maintenance machines. 214.341 Section 214... Roadway maintenance machines. (a) Each employer shall include in its on-track safety program specific provisions for the safety of roadway workers who operate or work near roadway maintenance machines. Those...

Precipitation Extremes in Dynamically Downscaled Climate Scenarios over the Greater Horn of Africa

NASA Astrophysics Data System (ADS)

Shiferaw, A. S.; Tadesse, T.; Oglesby, R. J.; Rowe, C. M.

2017-12-01

The precipitation extremes were generated over the Greater Horn of Africa (GHA) using the Regional Climate Models (RCMs) simulations from the Coordinated Regional Downscaling Experiment (CORDEX). To assess how well the RCM simulations are capturing the historical observed precipitation extremes, they were compared with the precipitation extremes derived from Climate Hazards Group InfraRed Precipitation with Station data (CHIRPS v2). The result shows that RCM simulations have reasonably captured observed patterns of the precipitation extremes (i.e., the pattern correlation is greater than 0.5). However, significant overestimations or underestimations were observed over some localized areas in the region. The study then assessed the projected changes in these precipitation extremes during 2069-2098 and compared to the 1976-2005 period that were both derived from the RCM simulations. Projected changes in total annual precipitation (PRCPTOT), annual number of heavy (>10mm) and very heavy (>20mm) precipitation days by 2069-2098 show a general north-south pattern with a decrease over southern-half and increase over the northern-half of GHA. These changes are often greatest over parts of Somalia, Eritrea, Ethiopian highlands and southern Tanzania. Maximum 1 and 5-day total precipitation in a year and "Simple Daily Precipitation Intensity Index" (ratio of PRCPTOT to rainy days) are projected to increase over majority of GHA, including areas where PRCPTOT is projected to decrease, suggesting fewer but heavier rainy days in the future. Changes in annual sum of daily precipitation above 95th and 99th percentile are not statistically significant except Eritrea and northwestern Sudan/Somalia. Projected changes in consecutive dry days (CDD) suggest longer periods of dryness over majority of GHA. Among these areas, a substantial increases in CDD are located over southern Tanzania and Ethiopian highlands.

Uncertainties in climate change projections for viticulture in Portugal

NASA Astrophysics Data System (ADS)

Fraga, Helder; Malheiro, Aureliano C.; Moutinho-Pereira, José; Pinto, Joaquim G.; Santos, João A.

2013-04-01

The assessment of climate change impacts on viticulture is often carried out using regional climate model (RCM) outputs. These studies rely on either multi-model ensembles or on single-model approaches. The RCM-ensembles account for uncertainties inherent to the different models. In this study, using a 16-RCM ensemble under the IPCC A1B scenario, the climate change signal (future minus recent-past, 2041-2070 - 1961-2000) of 4 bioclimatic indices (Huglin Index - HI, Dryness Index - DI, Hydrothermal Index - HyI and CompI - Composite Index) over mainland Portugal is analysed. A normalized interquartile range (NIQR) of the 16-member ensemble for each bioclimatic index is assessed in order to quantify the ensemble uncertainty. The results show significant increases in the HI index over most of Portugal, with higher values in Alentejo, Trás-os-Montes and Douro/Porto wine regions, also depicting very low uncertainty. Conversely, the decreases in the DI pattern throughout the country show large uncertainties, except in Minho (northwestern Portugal), where precipitation reaches the highest amounts in Portugal. The HyI shows significant decreases in northwestern Portugal, with relatively low uncertainty all across the country. The CompI depicts significant decreases over Alentejo and increases over Minho, though decreases over Alentejo reveal high uncertainty, while increases over Minho show low uncertainty. The assessment of the uncertainty in climate change projections is of great relevance for the wine industry. Quantifying this uncertainty is crucial, since different models may lead to quite different outcomes and may thereby be as crucial as climate change itself to the winemaking sector. This work is supported by European Union Funds (FEDER/COMPETE - Operational Competitiveness Programme) and by national funds (FCT - Portuguese Foundation for Science and Technology) under the project FCOMP-01-0124-FEDER-022692.

Video-mosaicking of in vivo reflectance confocal microscopy images for noninvasive examination of skin lesion (Conference Presentation)

NASA Astrophysics Data System (ADS)

Kose, Kivanc; Gou, Mengran; Yelamos, Oriol; Cordova, Miguel A.; Rossi, Anthony; Nehal, Kishwer S.; Camps, Octavia I.; Dy, Jennifer G.; Brooks, Dana H.; Rajadhyaksha, Milind

2017-02-01

In this report we describe a computer vision based pipeline to convert in-vivo reflectance confocal microscopy (RCM) videos collected with a handheld system into large field of view (FOV) mosaics. For many applications such as imaging of hard to access lesions, intraoperative assessment of MOHS margins, or delineation of lesion margins beyond clinical borders, raster scan based mosaicing techniques have clinically significant limitations. In such cases, clinicians often capture RCM videos by freely moving a handheld microscope over the area of interest, but the resulting videos lose large-scale spatial relationships. Videomosaicking is a standard computational imaging technique to register, and stitch together consecutive frames of videos into large FOV high resolution mosaics. However, mosaicing RCM videos collected in-vivo has unique challenges: (i) tissue may deform or warp due to physical contact with the microscope objective lens, (ii) discontinuities or "jumps" between consecutive images and motion blur artifacts may occur, due to manual operation of the microscope, and (iii) optical sectioning and resolution may vary between consecutive images due to scattering and aberrations induced by changes in imaging depth and tissue morphology. We addressed these challenges by adapting or developing new algorithmic methods for videomosaicking, specifically by modeling non-rigid deformations, followed by automatically detecting discontinuities (cut locations) and, finally, applying a data-driven image stitching approach that fully preserves resolution and tissue morphologic detail without imposing arbitrary pre-defined boundaries. We will present example mosaics obtained by clinical imaging of both melanoma and non-melanoma skin cancers. The ability to combine freehand mosaicing for handheld microscopes with preserved cellular resolution will have high impact application in diverse clinical settings, including low-resource healthcare systems.

Climate conditions and drought assessment with the Palmer Drought Severity Index in Iran: evaluation of CORDEX South Asia climate projections (2070-2099)

NASA Astrophysics Data System (ADS)

Senatore, Alfonso; Hejabi, Somayeh; Mendicino, Giuseppe; Bazrafshan, Javad; Irannejad, Parviz

2018-03-01

Climate change projections were evaluated over both the whole Iran and six zones having different precipitation regimes considering the CORDEX South Asia dataset, for assessing space-time distribution of drought occurrences in the future period 2070-2099 under RCP4.5 scenario. Initially, the performances of eight available CORDEX South Asia Regional Climate Models (RCMs) were assessed for the baseline period 1970-2005 through the GPCC v.7 precipitation dataset and the CFSR temperature dataset, which were previously selected as the most reliable within a set of five global datasets compared to 41 available synoptic stations. Though the CCLM RCM driven by the MPI-ESM-LR General Circulation Model is in general the most suitable for temperature and, together with the REMO 2009 RCM also driven by MPI-ESM-LR, for precipitation, their performances do not overwhelm other models for every season and zone in which Iranian territory was divided according to a principal component analysis approach. Hence, a weighting approach was tested and adopted to take into account useful information from every RCM in each of the six zones. The models resulting more reliable compared to current climate show a strong precipitation decrease. Weighted average predicts an overall yearly precipitation decrease of about 20%. Temperature projections provide a mean annual increase of 2.4 °C. Future drought scenarios were depicted by means of the self-calibrating version of the Palmer drought severity index (SC-PDSI) model. Weighted average predicts a sharp drying that can be configured as a real shift in mean climate conditions, drastically affecting water resources of the country.

How does dynamical downscaling affect model biases and future projections of explosive extratropical cyclones along North America's Atlantic coast?

NASA Astrophysics Data System (ADS)

Seiler, C.; Zwiers, F. W.; Hodges, K. I.; Scinocca, J. F.

2018-01-01

Explosive extratropical cyclones (EETCs) are rapidly intensifying low pressure systems that generate severe weather along North America's Atlantic coast. Global climate models (GCMs) tend to simulate too few EETCs, perhaps partly due to their coarse horizontal resolution and poorly resolved moist diabatic processes. This study explores whether dynamical downscaling can reduce EETC frequency biases, and whether this affects future projections of storms along North America's Atlantic coast. A regional climate model (CanRCM4) is forced with the CanESM2 GCM for the periods 1981 to 2000 and 2081 to 2100. EETCs are tracked from relative vorticity using an objective feature tracking algorithm. CanESM2 simulates 38% fewer EETC tracks compared to reanalysis data, which is consistent with a negative Eady growth rate bias (-0.1 day^{-1}). Downscaling CanESM2 with CanRCM4 increases EETC frequency by one third, which reduces the frequency bias to -22%, and increases maximum EETC precipitation by 22%. Anthropogenic greenhouse gas forcing is projected to decrease EETC frequency (-15%, -18%) and Eady growth rate (-0.2 day^{-1}, -0.2 day^{-1}), and increase maximum EETC precipitation (46%, 52%) in CanESM2 and CanRCM4, respectively. The limited effect of dynamical downscaling on EETC frequency projections is consistent with the lack of impact on the maximum Eady growth rate. The coarse spatial resolution of GCMs presents an important limitation for simulating extreme ETCs, but Eady growth rate biases are likely just as relevant. Further bias reductions could be achieved by addressing processes that lead to an underestimation of lower tropospheric meridional temperature gradients.

An unsupervised machine learning method for delineating stratum corneum in reflectance confocal microscopy stacks of human skin in vivo

NASA Astrophysics Data System (ADS)

Bozkurt, Alican; Kose, Kivanc; Fox, Christi A.; Dy, Jennifer; Brooks, Dana H.; Rajadhyaksha, Milind

2016-02-01

Study of the stratum corneum (SC) in human skin is important for research in barrier structure and function, drug delivery, and water permeability of skin. The optical sectioning and high resolution of reflectance confocal microscopy (RCM) allows visual examination of SC non-invasively. Here, we present an unsupervised segmentation algorithm that can automatically delineate thickness of the SC in RCM images of human skin in-vivo. We mimic clinicians visual process by applying complex wavelet transform over non-overlapping local regions of size 16 x 16 μm called tiles, and analyze the textural changes in between consecutive tiles in axial (depth) direction. We use dual-tree complex wavelet transform to represent textural structures in each tile. This transform is almost shift-invariant, and directionally selective, which makes it highly efficient in texture representation. Using DT-CWT, we decompose each tile into 6 directional sub-bands with orientations in +/-15, 45, and 75 degrees and a low-pass band, which is the decimated version of the input. We apply 3 scales of decomposition by recursively transforming the low-pass bands and obtain 18 bands of different directionality at different scales. We then calculate mean and variance of each band resulting in a feature vector of 36 entries. Feature vectors obtained for each stack of tiles in axial direction are then clustered using spectral clustering in order to detect the textural changes in depth direction. Testing on a set of 15 RCM stacks produced a mean error of 5.45+/-1.32 μm, compared to the "ground truth" segmentation provided by a clinical expert reader.

On the climate model simulation of Indian monsoon low pressure systems and the effect of remote disturbances and systematic biases

NASA Astrophysics Data System (ADS)

Levine, Richard C.; Martin, Gill M.

2018-06-01

Monsoon low pressure systems (LPS) are synoptic-scale systems forming over the Indian monsoon trough region, contributing substantially to seasonal mean summer monsoon rainfall there. Many current global climate models (GCMs), including the Met Office Unified Model (MetUM), show deficient rainfall in this region, much of which has previously been attributed to remote systematic biases such as excessive equatorial Indian Ocean (EIO) convection, while also substantially under-representing LPS and associated rainfall as they travel westwards across India. Here the sources and sensitivities of LPS to local, remote and short-timescale forcing are examined, in order to understand the poor representation in GCMs. An LPS tracking method is presented using TRACK feature tracking software for comparison between re-analysis data-sets, MetUM GCM and regional climate model (RCM) simulations. RCM simulations, at similar horizontal resolution to the GCM and forced with re-analysis data at the lateral boundaries, are carried out with different domains to examine the effects of remote biases. The results suggest that remote biases contribute significantly to the poor simulation of LPS in the GCM. As these remote systematic biases are common amongst many current GCMs, it is likely that GCMs are intrinsically capable of representing LPS, even at relatively low resolution. The main problem areas are time-mean excessive EIO convection and poor representation of precursor disturbances transmitted from the Western Pacific. The important contribution of the latter is established using RCM simulations forced by climatological 6-hourly lateral boundary conditions, which also highlight the role of LPS in moving rainfall from steep orography towards Central India.

Scaling a Convection-Resolving RCM to Near-Global Scales

NASA Astrophysics Data System (ADS)

Leutwyler, D.; Fuhrer, O.; Chadha, T.; Kwasniewski, G.; Hoefler, T.; Lapillonne, X.; Lüthi, D.; Osuna, C.; Schar, C.; Schulthess, T. C.; Vogt, H.

2017-12-01

In the recent years, first decade-long kilometer-scale resolution RCM simulations have been performed on continental-scale computational domains. However, the size of the planet Earth is still an order of magnitude larger and thus the computational implications of performing global climate simulations at this resolution are challenging. We explore the gap between the currently established RCM simulations and global simulations by scaling the GPU accelerated version of the COSMO model to a near-global computational domain. To this end, the evolution of an idealized moist baroclinic wave has been simulated over the course of 10 days with a grid spacing of up to 930 m. The computational mesh employs 36'000 x 16'001 x 60 grid points and covers 98.4% of the planet's surface. The code shows perfect weak scaling up to 4'888 Nodes of the Piz Daint supercomputer and yields 0.043 simulated years per day (SYPD) which is approximately one seventh of the 0.2-0.3 SYPD required to conduct AMIP-type simulations. However, at half the resolution (1.9 km) we've observed 0.23 SYPD. Besides formation of frontal precipitating systems containing embedded explicitly-resolved convective motions, the simulations reveal a secondary instability that leads to cut-off warm-core cyclonic vortices in the cyclone's core, once the grid spacing is refined to the kilometer scale. The explicit representation of embedded moist convection and the representation of the previously unresolved instabilities exhibit a physically different behavior in comparison to coarser-resolution simulations. The study demonstrates that global climate simulations using kilometer-scale resolution are imminent and serves as a baseline benchmark for global climate model applications and future exascale supercomputing systems.

Radiographic contrast media alterate the localization of actin/band4.9 in the membrane cytoskeleton of human erythrocytes.

PubMed

Franke, R P; Scharnweber, T; Fuhrmann, R; Mrowietz, C; Wenzel, F; Krüger, A; Jung, F

2014-01-01

Different radiographic contrast media (RCM) were shown to induce morphological changes of blood cells (e.g. erythrocytes or thrombocytes) and endothelial cells. The echinocytic shape change of erythrocytes, particularly, affords alterations of the membrane cytoskeleton. The cytoskeleton plays a crucial role for the shape and deformability of the red blood cell. Disruption of the interaction between components of the red blood cell membrane cytoskeleton may cause a loss of structural and functional integrity of the membrane. In this study band4.9 and actin as components of the cytoskeletal junctional complex were examined in human erythrocytes after suspension in autologous plasma or in plasma RCM mixtures (30% v/v Iodixanol-320 or Iopromide-370) followed by a successive double staining with TRITC-/FITC-coupled monoclonal antibodies. After adding Iopromide-370 to the plasma in practically none of the cells the rounded conformation of the membrane cytoskeleton - as it appeared in cells suspended in autologous plasma - was found. In addition, Iopromide-370 induced thin lines and coarse knob-like structures of band4.9 at the cell periphery while most cell centers were devoid of band4.9, and a box-like arrangement of bands of band4.9. A dissociation between colours red (actin) and green (band4.9) occurred as well. In contrast, erythrocytes suspended in a plasma/Iodixanol-320 mixture showed a membrane cytoskeleton comparable to cells suspended in autologous plasma, Similar results were found with respect to the distribution of actin. This study revealed for the first time RCM-dependent differences in band4.9 activities as possible pathophysiological mechanism for the chemotoxicity of radiographic contrast media.

Versatile Tandem Ring-Opening/Ring-Closing Metathesis Polymerization: Strategies for Successful Polymerization of Challenging Monomers and Their Mechanistic Studies.

PubMed

Park, Hyeon; Kang, Eun-Hye; Müller, Laura; Choi, Tae-Lim

2016-02-24

Tandem ring-opening/ring-closing metathesis (RO/RCM) results in extremely fast living polymerization; however, according to previous reports, only monomers containing certain combinations of cycloalkenes, terminal alkynes, and nitrogen linkers successfully underwent tandem polymerization. After examining the polymerization pathways, we proposed that the relatively slow intramolecular cyclization might lead to competing side reactions such as intermolecular cross metathesis reactions to form inactive propagating species. Thus, we developed two strategies to enhance tandem polymerization efficiency. First, we modified monomer structures to accelerate tandem RO/RCM cyclization by enhancing the Thorpe-Ingold effect. This strategy increased the polymerization rate and suppressed the chain transfer reaction to achieve controlled polymerization, even for challenging syntheses of dendronized polymers. Alternatively, reducing the reaction concentration facilitated tandem polymerization, suggesting that the slow tandem RO/RCM cyclization step was the main reason for the previous failure. To broaden the monomer scope, we used monomers containing internal alkynes and observed that two different polymer units with different ring sizes were produced as a result of nonselective α-addition and β-addition on the internal alkynes. Thorough experiments with various monomers with internal alkynes suggested that steric and electronic effects of the alkyne substituents influenced alkyne addition selectivity and the polymerization reactivity. Further polymerization kinetics studies revealed that the rate-determining step of monomers containing certain internal alkynes was the six-membered cyclization step via β-addition, whereas that for other monomers was the conventional intermolecular propagation step, as observed in other chain-growth polymerizations. This conclusion agrees well with all those polymerization results and thus validates our strategies.

In vivo laser confocal microscopy of Bowman's layer of the cornea.

PubMed

Kobayashi, Akira; Yokogawa, Hideaki; Sugiyama, Kazuhisa

2006-12-01

To investigate in vivo microstructures of Bowman's layer in normal human subjects using a cornea-specific in vivo laser scanning confocal microscope (Heidelberg Retina Tomograph 2 Rostock Cornea Module, HRT2-RCM). Single-center, prospective, observational case series. Nineteen normal volunteers (10 male, 9 female; mean age, 46.2+/-21.7 years [range, 18-77]). The central and peripheral cornea, specifically the epithelium, Bowman's layer, and its subjacent stroma, were examined using the HRT2-RCM. Selected images of the corneal layers were evaluated qualitatively for the shape and degree of light reflection of the microstructures. In all subjects, normal epithelial (superficial, wing, basal) cells, subbasal nerve plexus, Bowman's layer, and its subjacent stoma were observed clearly. However, in all subjects, polymorphic structures composed of fibrillar materials with less reflectivity than corneal nerves were observed beneath Bowman's layer. After application of pressure by a Tomo-cap, we observed numerous ridges that protruded into the epithelial basal and wing cell layers. Superficial stromal striae were also observed. These ridges and striae corresponded exactly to the orientation of the fibrous structures located beneath the epithelial cells. We report for the first time, the presence of polymorphic structures composed of fibrillar materials (K-structures) beneath Bowman's layer in normal human subjects, detected by HRT2-RCM. We surmise that these microstructures may correspond to the modified and condensed anterior stromal collagen fibers/lamellae that merge into Bowman's layer and that these fibrillar materials may be responsible for the formation of the anterior corneal mosaic. Further investigation of these microstructures in diseased eyes may provide insights into their pathophysiologic role in Bowman's layer.

Semi-automated algorithm for localization of dermal/epidermal junction in reflectance confocal microscopy images of human skin

NASA Astrophysics Data System (ADS)

Kurugol, Sila; Dy, Jennifer G.; Rajadhyaksha, Milind; Gossage, Kirk W.; Weissmann, Jesse; Brooks, Dana H.

2011-03-01

The examination of the dermis/epidermis junction (DEJ) is clinically important for skin cancer diagnosis. Reflectance confocal microscopy (RCM) is an emerging tool for detection of skin cancers in vivo. However, visual localization of the DEJ in RCM images, with high accuracy and repeatability, is challenging, especially in fair skin, due to low contrast, heterogeneous structure and high inter- and intra-subject variability. We recently proposed a semi-automated algorithm to localize the DEJ in z-stacks of RCM images of fair skin, based on feature segmentation and classification. Here we extend the algorithm to dark skin. The extended algorithm first decides the skin type and then applies the appropriate DEJ localization method. In dark skin, strong backscatter from the pigment melanin causes the basal cells above the DEJ to appear with high contrast. To locate those high contrast regions, the algorithm operates on small tiles (regions) and finds the peaks of the smoothed average intensity depth profile of each tile. However, for some tiles, due to heterogeneity, multiple peaks in the depth profile exist and the strongest peak might not be the basal layer peak. To select the correct peak, basal cells are represented with a vector of texture features. The peak with most similar features to this feature vector is selected. The results show that the algorithm detected the skin types correctly for all 17 stacks tested (8 fair, 9 dark). The DEJ detection algorithm achieved an average distance from the ground truth DEJ surface of around 4.7μm for dark skin and around 7-14μm for fair skin.

Characteristics of sub-daily precipitation extremes in observed data and regional climate model simulations

NASA Astrophysics Data System (ADS)

Beranová, Romana; Kyselý, Jan; Hanel, Martin

2018-04-01

The study compares characteristics of observed sub-daily precipitation extremes in the Czech Republic with those simulated by Hadley Centre Regional Model version 3 (HadRM3) and Rossby Centre Regional Atmospheric Model version 4 (RCA4) regional climate models (RCMs) driven by reanalyses and examines diurnal cycles of hourly precipitation and their dependence on intensity and surface temperature. The observed warm-season (May-September) maxima of short-duration (1, 2 and 3 h) amounts show one diurnal peak in the afternoon, which is simulated reasonably well by RCA4, although the peak occurs too early in the model. HadRM3 provides an unrealistic diurnal cycle with a nighttime peak and an afternoon minimum coinciding with the observed maximum for all three ensemble members, which suggests that convection is not captured realistically. Distorted relationships of the diurnal cycles of hourly precipitation to daily maximum temperature in HadRM3 further evidence that underlying physical mechanisms are misrepresented in this RCM. Goodness-of-fit tests indicate that generalised extreme value distribution is an applicable model for both observed and RCM-simulated precipitation maxima. However, the RCMs are not able to capture the range of the shape parameter estimates of distributions of short-duration precipitation maxima realistically, leading to either too many (nearly all for HadRM3) or too few (RCA4) grid boxes in which the shape parameter corresponds to a heavy tail. This means that the distributions of maxima of sub-daily amounts are distorted in the RCM-simulated data and do not match reality well. Therefore, projected changes of sub-daily precipitation extremes in climate change scenarios based on RCMs not resolving convection need to be interpreted with caution.

25 CFR Appendix A to Subpart G - List of Activities Eligible for Funding Under BIA Transportation Facility Maintenance Program

Code of Federal Regulations, 2012 CFR

2012-04-01

... Maintenance Program. The list is not all-inclusive. 1. Cleaning and repairing ditches and culverts. 2... additional culverts to prevent roadway and adjoining property damage. 4. Repairing, replacing or installing...

25 CFR Appendix A to Subpart G - List of Activities Eligible for Funding Under BIA Transportation Facility Maintenance Program

Code of Federal Regulations, 2013 CFR

2013-04-01

... Maintenance Program. The list is not all-inclusive. 1. Cleaning and repairing ditches and culverts. 2... additional culverts to prevent roadway and adjoining property damage. 4. Repairing, replacing or installing...

25 CFR Appendix A to Subpart G - List of Activities Eligible for Funding Under BIA Transportation Facility Maintenance Program

Code of Federal Regulations, 2014 CFR

2014-04-01

... Maintenance Program. The list is not all-inclusive. 1. Cleaning and repairing ditches and culverts. 2... additional culverts to prevent roadway and adjoining property damage. 4. Repairing, replacing or installing...

40 CFR 52.1174 - Control strategy: Ozone.

Code of Federal Regulations, 2010 CFR

2010-07-01

... oxides of nitrogen requirements for conformity and new source review. Theses are required by sections 176... architectural, industrial, and maintenance coatings rule; auto body refinisher self-certification audit program... architectural, industrial, and maintenance coatings rule; auto body refinisher self-certification audit program...

40 CFR 52.1174 - Control strategy: Ozone.

Code of Federal Regulations, 2012 CFR

2012-07-01

... oxides of nitrogen requirements for conformity and new source review. Theses are required by sections 176... architectural, industrial, and maintenance coatings rule; auto body refinisher self-certification audit program... architectural, industrial, and maintenance coatings rule; auto body refinisher self-certification audit program...

40 CFR 52.1174 - Control strategy: Ozone.

Code of Federal Regulations, 2013 CFR

2013-07-01

... oxides of nitrogen requirements for conformity and new source review. Theses are required by sections 176... architectural, industrial, and maintenance coatings rule; auto body refinisher self-certification audit program... architectural, industrial, and maintenance coatings rule; auto body refinisher self-certification audit program...

40 CFR 52.1174 - Control strategy: Ozone.

Code of Federal Regulations, 2014 CFR

2014-07-01

... oxides of nitrogen requirements for conformity and new source review. Theses are required by sections 176... architectural, industrial, and maintenance coatings rule; auto body refinisher self-certification audit program... architectural, industrial, and maintenance coatings rule; auto body refinisher self-certification audit program...

40 CFR 52.1174 - Control strategy: Ozone.

Code of Federal Regulations, 2011 CFR

2011-07-01

... oxides of nitrogen requirements for conformity and new source review. Theses are required by sections 176... architectural, industrial, and maintenance coatings rule; auto body refinisher self-certification audit program... architectural, industrial, and maintenance coatings rule; auto body refinisher self-certification audit program...

Information Systems: Fact or Fiction.

ERIC Educational Resources Information Center

Bearley, William

Rising costs of programming and program maintenance have caused discussion concerning the need for generalized information systems. These would provide data base functions plus complete report writing and file maintenance capabilities. All administrative applications, including online registration, student records, and financial applications are…

A case study of the Maintenance Decision Support System (MDSS) in Maine.

DOT National Transportation Integrated Search

2007-09-10

This report presents the results of a case study evaluation of a Maintenance Decision Support System (MDSS) project under a program funded by the U.S. Department of Transportations (USDOT) Intelligent Transportation Systems (ITS) Joint Program Off...

Carpeting/Flooring: Revitalizing Carpets.

ERIC Educational Resources Information Center

Woolford, Alison; Hill, Michael

2003-01-01

With properly specified fiber and a comprehensive maintenance program, school carpets can retain their appearance longer. Discusses carpet characteristics; proper carpet installation; effective preventive-maintenance programs (keep outside areas clean, use soil barriers, protect desk areas, maintain HVAC systems, and specify eating, drinking, and…

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

Poncio, S.; Adkison, P.

Coating costs are escalating due to increased awareness of the environment and safety and health issues. Owners can reduce the overall cost of maintenance painting projects through the implementation of a total quality program. This program should encompass project pre-planning, evaluation of safety and quality assurance programs, and analysis of employee absenteeism and turnover. The information presented is a case history of one utility's experience managing a maintenance painting program during a five-year period.

Shriners Hospitals for Children, Honolulu's experience with telemedicine: program implementation, maintenance, growth, and lessons learned.

PubMed

Ono, Craig M; Lindsey, Jana L

2004-10-01

Shriners Hospitals for Children, Honolulu Telemedicine Program conducts real-time video consultations with remotes sites in Hawaii, Guam, Saipan, American Samoa, the Federated States of Micronesia, and the Republic of the Marshall Islands. The program began in 1999 and has provided over 240 consultations. This report is a summary of the Shriners Hospitals experience and lessons learned regarding program implementation and maintenance.

Research and recommendations for a statewide sign retroreflectivity maintenance program.

DOT National Transportation Integrated Search

2012-04-01

This study evaluated TxDOT's current sign retroreflectivity maintenance practices, assessed their : effectiveness, and recommended statewide sign retroreflectivity maintenance practices that could be easily : and effectively implemented to ensure tha...

Development of a Prototype H-46 Helicopter Diagnostic Expert System.

DTIC Science & Technology

1987-09-01

SQUADRON MAINTEN\\NCE: CURRENT PROCESS AND CA D S INTEG R ,ATIO N ........................................ 14 A. MAINTENANCE DATA SYSTEM...increasce the effectiveness of the maintenance process should enhance the ability of achieving :hee objectives. Artificial intelligence techniques offer a...completeiy validated. G. ORGANIZATION OF STUDY Chapter II contains a description of the Naval Aviation Maintenance Program’s Maintenance Data System (MDS

Acceptability of financial incentives for maintenance of weight loss in mid-older adults: a mixed methods study.

PubMed

McGill, Bronwyn; O'Hara, Blythe J; Grunseit, Anne C; Bauman, Adrian; Osborne, Dale; Lawler, Luke; Phongsavan, Philayrath

2018-02-13

Health insurers worldwide implement financial incentive schemes to encourage health-related behaviours, including to facilitate weight loss. The maintenance of weight loss is a public health challenge, and as non-communicable diseases become more prevalent with increasing age, mid-older adults could benefit from programs which motivate weight loss maintenance. However, little is understood about their perceptions of using financial incentives to maintain weight loss. We used mixed methods to explore the attitudes and views of participants who had completed an Australian weight loss and lifestyle modification program offered to overweight and obese health insurance members with weight-related chronic diseases, about the acceptability and usefulness of different types of financial incentives to support weight loss maintenance. An online survey was completed by 130 respondents (mean age = 64 years); and a further 28 participants (mean age = 65 years) attended six focus groups. Both independent samples of participants supported a formalised maintenance program. Online survey respondents reported that non-cash (85.2%) and cash (77%) incentives would be potentially motivating; but only 40.5% reported that deposit contracts would motivate weight loss maintenance. Results of in-depth discussions found overall low support for any type of financial incentive, but particularly deposit contracts and lotteries. Some participants expressed that improved health was of more value than a monetary incentive and that they felt personally responsible for their own health, which was at odds with the idea of financial incentives. Others suggested ongoing program and peer support as potentially useful for weight loss maintenance. If financial incentives are considered for mid-older Australian adults in the health insurance setting, program planners will need to balance the discordance between participant beliefs about the individual responsibility for health and their desire for external supports to motivate and sustain weight loss maintenance.

"The Effect of Alternative Representations of Lake Temperatures and Ice on WRF Regional Climate Simulations"

EPA Science Inventory

Lakes can play a significant role in regional climate, modulating inland extremes in temperature and enhancing precipitation. Representing these effects becomes more important as regional climate modeling (RCM) efforts focus on simulating smaller scales. When using the Weathe...

Results of calendar year 1994 monitor well inspection and maintenance program, Y-12 Plant, Oak Ridge, Tennessee

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

McMaster, B.W.; Jones, S.B.; Sitzler, J.L.

1995-06-01

This document is a compendium of results of the calendar year 1994 Monitor Well Inspection and Maintenance Program at the Department of Energy Y-12 Plant in Oak Ridge, Tennessee. This report documents the work relating to well inspections and maintenance requests. Inspections are implemented in order to better assess the condition and maintenance needs of wells that are actively being monitored. Currently this approach calls for inspecting all wells on a routine (annual or triennial) basis which are: (1) in an active sampling program; (2) included in a hydrologic study; or (3) not in service, but not scheduled for pluggingmore » and abandonment. Routine inspections help to ensure that representative groundwater samples and hydrologic data are being collected, and contribute to the life expectancy of each well. This report formally presents well inspection and maintenance activities that were conducted at the Y-12 Plant during 1994. All inspections were conducted between April and December.« less

Successful treatment of chronic hepatitis C with pegylated interferon in combination with ribavirin in a methadone maintenance treatment program

PubMed Central

Litwin, Alain H.; Harris, Kenneth A.; Nahvi, Shadi; Zamor, Philippe J.; Soloway, Irene J.; Tenore, Peter L.; Kaswan, Daniel; Gourevitch, Marc. N.; Arnsten, Julia H.

2009-01-01

Injection drug users constitute 60% of the more than 4 million people in the United States with hepatitis C virus (HCV), including many methadone maintenance patients. Few data exist describing clinical outcomes for patients receiving HCV treatment on-site in a methadone maintenance settings. In this retrospective study, we describe clinical outcomes for 73 patients receiving HCV treatment on-site in a methadone maintenance treatment program. Fifty-five percent of patients achieved end-of-treatment response, and 45% achieved sustained viral response. These treatment response rates are nearly equivalent to previously published HCV treatment response rates, despite high prevalences of ongoing drug use (49%), psychiatric comorbidity (67%), and HIV coinfection (32%). These data show that on-site HCV treatment with pegylated interferon and ribavirin is effective in methadone-maintained patients, many of whom are active drug users, psychiatrically ill, or HIV coinfected, and that methadone maintenance treatment programs represent an opportunity to safely treat chronic hepatitis C. PMID:19038524

A novel remote center of motion mechanism for the force-reflective master robot of haptic tele-surgery systems.

PubMed

Hadavand, Mostafa; Mirbagheri, Alireza; Behzadipour, Saeed; Farahmand, Farzam

2014-06-01

An effective master robot for haptic tele-surgery applications needs to provide a solution for the inversed movements of the surgical tool, in addition to sufficient workspace and manipulability, with minimal moving inertia. A novel 4 + 1-DOF mechanism was proposed, based on a triple parallelogram linkage, which provided a Remote Center of Motion (RCM) at the back of the user's hand. The kinematics of the robot was analyzed and a prototype was fabricated and evaluated by experimental tests. With a RCM at the back of the user's hand the actuators far from the end effector, the robot could produce the sensation of hand-inside surgery with minimal moving inertia. The target workspace was achieved with an acceptable manipulability. The trajectory tracking experiments revealed small errors, due to backlash at the joints. The proposed mechanism meets the basic requirements of an effective master robot for haptic tele-surgery applications. Copyright © 2013 John Wiley & Sons, Ltd.

Surgical robot for single-incision laparoscopic surgery.

PubMed

Choi, Hyundo; Kwak, Ho-Seong; Lim, Yo-An; Kim, Hyung-Joo

2014-09-01

This paper introduces a novel surgical robot for single-incision laparoscopic surgeries. The robot system includes the cone-type remote center-of-motion (RCM) mechanism and two articulated instruments having a flexible linkage-driven elbow. The RCM mechanism, which has two revolute joints and one prismatic joint, is designed to maintain a stationary point at the apex of the cone shape. By placing the stationary point on the incision area, the mechanism allows a surgical instrument to explore the abdominal area through a small incision point. The instruments have six articulated joints, including an elbow pitch joint, which make the triangulation position for the surgery possible inside of the abdominal area. The presented elbow pitch structure is similar to the slider-crank mechanism but the connecting rod is composed of a flexible leaf spring for high payload and small looseness error. We verified the payload of the robot is more than 10 N and described preliminary experiments on peg transfer and suture motion by using the proposed surgical robot.

Focusing high-squint and large-baseline one-stationary bistatic SAR data using keystone transform and enhanced nonlinear chirp scaling based on an ellipse model

NASA Astrophysics Data System (ADS)

Zhong, Hua; Zhang, Song; Hu, Jian; Sun, Minhong

2017-12-01

This paper deals with the imaging problem for one-stationary bistatic synthetic aperture radar (BiSAR) with high-squint, large-baseline configuration. In this bistatic configuration, accurate focusing of BiSAR data is a difficult issue due to the relatively large range cell migration (RCM), severe range-azimuth coupling, and inherent azimuth-geometric variance. To circumvent these issues, an enhanced azimuth nonlinear chirp scaling (NLCS) algorithm based on an ellipse model is investigated in this paper. In the range processing, a method combining deramp operation and keystone transform (KT) is adopted to remove linear RCM completely and mitigate range-azimuth cross-coupling. In the azimuth focusing, an ellipse model is established to analyze and depict the characteristic of azimuth-variant Doppler phase. Based on the new model, an enhanced azimuth NLCS algorithm is derived to focus one-stationary BiSAR data. Simulating results exhibited at the end of this paper validate the effectiveness of the proposed algorithm.

Spatially-controlled illumination with rescan confocal microscopy enhances image quality, resolution and reduces photodamage

NASA Astrophysics Data System (ADS)

Krishnaswami, Venkataraman; De Luca, Giulia M. R.; Breedijk, Ronald M. P.; Van Noorden, Cornelis J. F.; Manders, Erik M. M.; Hoebe, Ron A.

2017-02-01

Fluorescence microscopy is an important tool in biomedical imaging. An inherent trade-off lies between image quality and photodamage. Recently, we have introduced rescan confocal microscopy (RCM) that improves the lateral resolution of a confocal microscope down to 170 nm. Previously, we have demonstrated that with controlled-light exposure microscopy, spatial control of illumination reduces photodamage without compromising image quality. Here, we show that the combination of these two techniques leads to high resolution imaging with reduced photodamage without compromising image quality. Implementation of spatially-controlled illumination was carried out in RCM using a line scanning-based approach. Illumination is spatially-controlled for every line during imaging with the help of a prediction algorithm that estimates the spatial profile of the fluorescent specimen. The estimation is based on the information available from previously acquired line images. As a proof-of-principle, we show images of N1E-115 neuroblastoma cells, obtained by this new setup with reduced illumination dose, improved resolution and without compromising image quality.

Evaluating the Effects of Maintenance Resource Management (MRM) Interventions in Airline Safety

DOT National Transportation Integrated Search

1998-02-01

The present paper seeks to describe and validate the effectiveness of five change programs (generically termed Maintenance Resource Management, or "MRM"). The activities evaluated here are in the middle stages of an ongoing MRM training program, or t...

Second Line of Defense: Electronic Maintenance Reports, Local Maintenance Provider User Guide, Rev. 3

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

Leigh, Richard J.

2012-09-01

The Electronic Maintenance Report forms allow Local Maintenance Providers (LMP) and other program staff to enter maintenance information into a simple and secure system. This document describes the features and information required to complete the Maintenance Report forms. It is expected that all Corrective Maintenance Reports from LMPs will be submitted electronically into the SLD Portal. As an exception (e.g., when access to the SLD Portal is unavailable), Maintenance Reports can be submitted via a secure Adobe PDF form available through the Sustainability Manager assigned to each country.

Research on large equipment maintenance system in life cycle

NASA Astrophysics Data System (ADS)

Xu, Xiaowei; Wang, Hongxia; Liu, Zhenxing; Zhang, Nan

2017-06-01

In order to change the current disadvantages of traditional large equipment maintenance concept, this article plans to apply the technical method of prognostics and health management to optimize equipment maintenance strategy and develop large equipment maintenance system. Combined with the maintenance procedures of various phases in life cycle, it concluded the formulation methods of maintenance program and implement plans of maintenance work. In the meantime, it takes account into the example of the dredger power system of the Waterway Bureau to establish the auxiliary platform of ship maintenance system in life cycle.

Weight maintenance, behaviors and barriers among previous participants of a university-based weight control program.

PubMed

Befort, C A; Stewart, E E; Smith, B K; Gibson, C A; Sullivan, D K; Donnelly, J E

2008-03-01

To examine weight loss maintenance among previous participants of a university-based behavioral weight management program and to compare behavioral strategies and perceived barriers between successful and unsuccessful maintainers. Previous program participants (n=179) completed mailed surveys assessing current weight, weight control behaviors and perceived barriers to weight loss maintenance. At 14.1+/-10.8 months following completion of treatment, survey respondents were on average 12.6+/-12.6 kg, or 11.3+/-10.7%, below baseline weight; 76.5% of respondents had successfully maintained weight, defined as maintaining a weight loss of at least 5% below baseline. Compared to unsuccessful maintainers, successful maintainers reported practicing four dietary and three physical activity weight control strategies more often and experiencing five barriers to healthy eating and exercise less often. After accounting for time since treatment and maximum weight loss while in treatment, the strongest correlates of successful weight loss maintenance were frequent exercise and perceived difficulty of weight management. Clinically meaningful weight loss maintenance was achieved by the majority of participants. Findings support the literature indicating that physical activity is one of the strongest predictors of successful weight loss maintenance. Findings also suggest that strategies to reduce the level of perceived effort required for long-term weight control may improve maintenance outcomes.

Maintenance & construction operations user service : an addendum to the ITS program plan

DOT National Transportation Integrated Search

2001-01-26

The Maintenance and Construction Operations User Service describes the need for integrating key activities. Generally, key Maintenance and Construction Operations (MCO) activities include monitoring, operating, maintaining, improving, and managing th...

Methadone maintenance in prison: evaluation of a pilot program in Puerto Rico.

PubMed

Heimer, Robert; Catania, Holly; Newman, Robert G; Zambrano, John; Brunet, Arlyn; Ortiz, Arturo Marti

2006-06-28

To describe and evaluate a pilot methadone maintenance program for heroin-dependent inmates of Las Malvinas men's prison in San Juan, Puerto Rico. Data from self-report of inmates' drug use before and during incarceration, attitudes about drug treatment in general and methadone maintenance in particular, and expectations about behaviors upon release from prison and from testing inmates' urine were analyzed comparing program patients (n=20) and inmates selected at random from the prison population (n=40). Qualitative data obtained by interviewing program staff, the correctional officers and superintendent, and commonwealth officials responsible for establishing and operating the program were analyzed to identify attitudes about methadone and program effectiveness. Heroin use among prisoners not in treatment was common; 58% reported any use while incarcerated and 38% reported use in past 30 days. All patients in the treatment program had used heroin in prison in the 30 days prior to enrolling in treatment. While in treatment, the percentage of patients not using heroin was reduced, according to both self-report and urine testing, to one in 18 (94% reduction) and one in 20 (95% reduction), respectively. Participation in treatment was associated with an increased acceptance of methadone maintenance. Prison personnel and commonwealth officials were supportive of the program. The program appears to be a success, and prison officials have begun an expansion from the current ceiling of 24 inmates to treat 300 or more inmates.

A Family and Community Focused Lifestyle Program Prevents Weight Regain in Pacific Islanders: A Pilot Randomized Controlled Trial

ERIC Educational Resources Information Center

Kaholokula, Joseph Keawe'aimoku; Mau, Marjorie K.; Efird, Jimmy T.; Leake, Anne; West, Margaret; Palakiko, Donna-Marie; Yoshimura, Sheryl R.; Kekauoha, B. Puni; Rose, Charles; Gomes, Henry

2012-01-01

Preventing weight regain after the loss of excess weight is challenging for people, especially for ethnic minorities in the United States. A 6-month weight loss maintenance intervention designed for Pacific Islanders, called the PILI Lifestyle Program (PLP), was compared with a 6-month standard behavioral weight loss maintenance program (SBP) in a…

A Portable Cell Maintenance System for Rapid Toxicity Monitoring Final Report CRADA No. TC-02081-04

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

Kane, S.; Zhou, P.

The Phase I STTR research project was targeted at meeting the objectives and requirements stated in STTR solicitation A04-T028 for a Portable Cell Maintenance System for Rapid Toxicity Monitoring. In accordance with the requirements for STTR programs, collaboration was formed between a small business, Kionix, Inc., and The Regents of the University of California, Lawrence Livermore National Laboratory (LLNL). The collaboration included CytoDiscovery, Inc. (CDI) which, in collaboration with Kionix, provided access to membrane chip technology and provided program support and coordination. The objective of the overall program (excerpted from the original solicitation) was: “To develop a small, portable cellmore » maintenance system for the transport, storage, and monitoring of viable vertebrate cells and tissues.” The goal of the Phase I project was to demonstrate the feasibility of achieving the program objectives utilizing a system comprised of a small-size, microfluidic chip-based cell maintenance cartridge (CMC) and a portable cell maintenance system (CMS) capable of housing a minimum of four CMCs. The system was designed to be capable of optimally maintaining multiple vertebrate cell types while supporting a wide variety of cellular assays.« less

Initiation and Maintenance of Fitness Center Utilization in an Incentive-Based Employer Wellness Program

PubMed Central

Abraham, Jean Marie; Crespin, Daniel; Rothman, Alexander

2015-01-01

Objective Investigate the initiation and maintenance of participation in an employer-based wellness program that provides financial incentives for fitness center utilization. Methods Using multivariate analysis, we investigated how employees’ demographics, health status, exercise-related factors, and lifestyle change preferences affect program participation. Results Forty-two percent of eligible employees participated in the program and 24% earned a $20 incentive at least once by utilizing a gym 8 times or more in a month. On average, participants utilized fitness centers 7.0 months each year and earned credit 4.5 months. Participants’ utilization diminished after their first year in the program. Conclusions Factors associated with initiation and maintenance of fitness center utilization were similar. Declining utilization over time raises concern about the long-run effectiveness of fitness-focused wellness programs. Employers may want to consider additional levers to positively reinforce participation. PMID:26340283

Program maintenance manual for nickel cadmium battery expert system, version 1

NASA Technical Reports Server (NTRS)

1986-01-01

The Nickel-Cadmium Battery Expert System (NICBES) is an expert system for fault diagnosis and advice of the nickel-cadmium batteries found in the Hubble Space Telescope (HST). The system application and security, equipment environment, and the program maintenance procedures are examined.

14 CFR 119.49 - Contents of operations specifications.

Code of Federal Regulations, 2013 CFR

2013-01-01

... markings, and serial number of each aircraft that is subject to an airworthiness maintenance program..., and emergency equipment of aircraft that are subject to an airworthiness maintenance program required... Transportation, if required. (4) Type of aircraft, registration markings, and serial numbers of each aircraft...

14 CFR 119.49 - Contents of operations specifications.

Code of Federal Regulations, 2011 CFR

2011-01-01

... markings, and serial number of each aircraft that is subject to an airworthiness maintenance program..., and emergency equipment of aircraft that are subject to an airworthiness maintenance program required... Transportation, if required. (4) Type of aircraft, registration markings, and serial numbers of each aircraft...

14 CFR 119.49 - Contents of operations specifications.

Code of Federal Regulations, 2014 CFR

2014-01-01

... markings, and serial number of each aircraft that is subject to an airworthiness maintenance program..., and emergency equipment of aircraft that are subject to an airworthiness maintenance program required... Transportation, if required. (4) Type of aircraft, registration markings, and serial numbers of each aircraft...

14 CFR 119.49 - Contents of operations specifications.

Code of Federal Regulations, 2012 CFR

2012-01-01

... markings, and serial number of each aircraft that is subject to an airworthiness maintenance program..., and emergency equipment of aircraft that are subject to an airworthiness maintenance program required... Transportation, if required. (4) Type of aircraft, registration markings, and serial numbers of each aircraft...

40 CFR 91.1308 - Maintenance of records.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Maintenance of records. 91.1308 Section 91.1308 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) CONTROL OF EMISSIONS FROM MARINE SPARK-IGNITION ENGINES In-Use Credit Program for New Marine...

Notification: Effectiveness of EPA's Oversight of State Vehicle Inspection and Maintenance Programs in Achieving Emission Reductions

EPA Pesticide Factsheets

Project #OPE-FYI7-0018, May 5, 2017. The EPA OIG plans to begin preliminary research to determine whether EPA oversight has ensured that vehicle inspection and maintenance programs are effective and efficient in reducing vehicle emissions.

A 5-year evaluation of a methadone medical maintenance program.

PubMed

Harris, Kenneth A; Arnsten, Julia H; Joseph, Herman; Hecht, Joe; Marion, Ira; Juliana, Patti; Gourevitch, Marc N

2006-12-01

Methadone medical maintenance (MMM) is a model for the treatment of opioid dependence in which a monthly supply of methadone is distributed in an office setting, in contrast to more highly regulated settings where daily observed dosing is the norm. We assessed patient characteristics and treatment outcomes of an MMM program initiated in the Bronx, New York, in 1999 by conducting a retrospective chart review. Participant characteristics were compared with those of patients enrolled in affiliated conventional methadone maintenance treatment programs. Patients had diverse ethnicities, occupations, educational backgrounds, and income levels. Urine toxicology testing detected illicit opiate and cocaine use in 0.8% and 0.4% of aggregate samples, respectively. The retention rate was 98%, which compares favorably with the four other MMM programs that have been reported in the medical literature. This study demonstrates that selected patients from a socioeconomically disadvantaged population remained clinically stable and engaged in treatment in a far less intensive setting than traditional methadone maintenance.

DOE handbook: Guide to good practices for training and qualification of maintenance personnel

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

NONE

1996-03-01

The purpose of this Handbook is to provide contractor training organizations with information that can be used to verify the adequacy of and/or modify existing maintenance training programs, or to develop new training programs. This guide, used in conjunction with facility-specific job analyses, provides a framework for training and qualification programs for maintenance personnel at DOE reactor and nonreactor nuclear facilities. Recommendations for qualification are made in four areas: education, experience, physical attributes, and training. The functional positions of maintenance mechanic, electrician, and instrumentation and control technician are covered by this guide. Sufficient common knowledge and skills were found tomore » include the three disciplines in one guide to good practices. Contents include: qualifications; on-the-job training; trainee evaluation; continuing training; training effectiveness evaluation; and program records. Appendices are included which relate to: administrative training; industrial safety training; fundamentals training; tools and equipment training; facility systems and component knowledge training; facility systems and component skills training; and specialized skills training.« less

A 5-year evaluation of a methadone medical maintenance program

PubMed Central

Harris, Kenneth A.; Arnsten, Julia H.; Joseph, Herman; Hecht, Joe; Marion, Ira; Juliana, Patti; Gourevitch, Marc N.

2009-01-01

Methadone medical maintenance (MMM) is a model for the treatment of opioid dependence in which a monthly supply of methadone is distributed in an office setting, in contrast to more highly regulated settings where daily observed dosing is the norm. We assessed patient characteristics and treatment outcomes of an MMM program initiated in the Bronx, New York, in 1999 by conducting a retrospective chart review. Participant characteristics were compared with those of patients enrolled in affiliated conventional methadone maintenance treatment programs. Patients had diverse ethnicities, occupations, educational backgrounds, and income levels. Urine toxicology testing detected illicit opiate and cocaine use in 0.8% and 0.4% of aggregate samples, respectively. The retention rate was 98%, which compares favorably with the four other MMM programs that have been reported in the medical literature. This study demonstrates that selected patients from a socioeconomically disadvantaged population remained clinically stable and engaged in treatment in a far less intensive setting than traditional methadone maintenance. PMID:17084798