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Sample records for mais tallinna-helsingi laevaliinile

  1. Light work at Chiang Mai University, Thailand

    NASA Astrophysics Data System (ADS)

    Wongtawatnugool, C.; Ngamjarurojana, A.; Lacharojana, Samran

    2002-05-01

    The teaching and learning optics in Thailand is some how rather slowly developed. This is could possibly due to its importance, as seen by the educators and scientists in Thailand, was not so pronounced in the past. This made Thai scientists and researchers in many other disciplines lag of basic optics knowledge to getting involve with today advanced optics and photonics technologies. The need for high precision and high speed of the measurement and control in today experiment urges them to get involve in optics and photonics techniques more than ever before. At Chiang Mai university we offer 4-credit course: Optics and Spectroscopy. It covers a conventional optics course detail as referred in most conventional optics text books. Advanced optics course is also offered at higher level. The development of research activities utilizing optics and photonics techniques has been very slow due to the higher cost for most of the equipment involved. Very often that we have to assemble our own designed micro-computer-based equipment. The multi-scaler and a computer to serve as a photon correlator in dynamic light scattering (DLS) system to study correlation length in a liquid mixture at its critical point is one of the examples. The Ph.D. projects work in our section involve medical laser and electro-optics properties of a liquid mixture are some examples of our interest.

  2. Mai-Mai militia and sexual violence in Democratic Republic of the Congo.

    PubMed

    Guy, Kitwe Mulunda

    2014-01-01

    This article sets the reasons for the brutal violence against women. It focuses on three field sites providing insight into Mai-Mai motivations and their attitudes toward sexual violence. According to most sources, 5.5 million people have died since the beginning of the war in the Democratic Republic of the Congo (DRC) in 1994, and rape is used as a weapon of destruction. More than 15,000 rapes were reported in the DRC in the last year--accounts of these rapes include descriptions of horrific acts, such as mutilation and the killing of unborn children. The sexual violence is so severe in the DRC that some have described rape in the country as the worst in the world. Sexual violence has long lasting consequences and far-reaching impacts on individual survivors, their families, and their communities in the Democratic Republic of the Congo.

  3. [Original meaning of mai and its academic evolution].

    PubMed

    Sun, Jingwen; Tian, Yanpeng; Guo, Yan; Wang, Chaoyang; Liu, Qingguo

    2015-06-01

    Mai is the important concept in TCM and this term has been found in the early classic work of TCM. With the development and perfection of TCM theory, the original meaning of mai is "blood vessels entirely distrusted in the body". In five dynasties, the meaning of it was supplemented as "distribution of qi and blood in five zang and six fu organs to the four extremities", in which, not only blood but also qi has been included. With the constant understanding on mai, qi and blood, the unique concept of meridian and collateral is gradually generated. In terms of the modern study on the original meaning of mai and the academic evolution of meridian and collateral, it is discovered that qi is predominated and distributed in meridian and collateral as compared with blood. It is very significant to study the original meaning and academic evolution of mai, as well as the origin of the concept of meridian and collateral and to provide the reference support for the terminology standardization and basic study. PMID:26480573

  4. A Dynamic Simulation Model of the Management Accounting Information Systems (MAIS)

    NASA Astrophysics Data System (ADS)

    Konstantopoulos, Nikolaos; Bekiaris, Michail G.; Zounta, Stella

    2007-12-01

    The aim of this paper is to examine the factors which determine the problems and the advantages on the design of management accounting information systems (MAIS). A simulation is carried out with a dynamic model of the MAIS design.

  5. Analysis of airborne MAIS imaging spectrometric data for mineral exploration

    SciTech Connect

    Wang Jinnian; Zheng Lanfen; Tong Qingxi

    1996-11-01

    The high spectral resolution imaging spectrometric system made quantitative analysis and mapping of surface composition possible. The key issue will be the quantitative approach for analysis of surface parameters for imaging spectrometer data. This paper describes the methods and the stages of quantitative analysis. (1) Extracting surface reflectance from imaging spectrometer image. Lab. and inflight field measurements are conducted for calibration of imaging spectrometer data, and the atmospheric correction has also been used to obtain ground reflectance by using empirical line method and radiation transfer modeling. (2) Determining quantitative relationship between absorption band parameters from the imaging spectrometer data and chemical composition of minerals. (3) Spectral comparison between the spectra of spectral library and the spectra derived from the imagery. The wavelet analysis-based spectrum-matching techniques for quantitative analysis of imaging spectrometer data has beer, developed. Airborne MAIS imaging spectrometer data were used for analysis and the analysis results have been applied to the mineral and petroleum exploration in Tarim Basin area china. 8 refs., 8 figs.

  6. A Modular Artificial Intelligence Inference Engine System (MAIS) for support of on orbit experiments

    NASA Technical Reports Server (NTRS)

    Hancock, Thomas M., III

    1994-01-01

    This paper describes a Modular Artificial Intelligence Inference Engine System (MAIS) support tool that would provide health and status monitoring, cognitive replanning, analysis and support of on-orbit Space Station, Spacelab experiments and systems.

  7. Theoretical Accuracy of Along-Track Displacement Measurements from Multiple-Aperture Interferometry (MAI)

    PubMed Central

    Jung, Hyung-Sup; Lee, Won-Jin; Zhang, Lei

    2014-01-01

    The measurement of precise along-track displacements has been made with the multiple-aperture interferometry (MAI). The empirical accuracies of the MAI measurements are about 6.3 and 3.57 cm for ERS and ALOS data, respectively. However, the estimated empirical accuracies cannot be generalized to any interferometric pair because they largely depend on the processing parameters and coherence of the used SAR data. A theoretical formula is given to calculate an expected MAI measurement accuracy according to the system and processing parameters and interferometric coherence. In this paper, we have investigated the expected MAI measurement accuracy on the basis of the theoretical formula for the existing X-, C- and L-band satellite SAR systems. The similarity between the expected and empirical MAI measurement accuracies has been tested as well. The expected accuracies of about 2–3 cm and 3–4 cm (γ = 0.8) are calculated for the X- and L-band SAR systems, respectively. For the C-band systems, the expected accuracy of Radarsat-2 ultra-fine is about 3–4 cm and that of Sentinel-1 IW is about 27 cm (γ = 0.8). The results indicate that the expected MAI measurement accuracy of a given interferometric pair can be easily calculated by using the theoretical formula. PMID:25251408

  8. Reproducibility and quantification of illicit drugs using matrix-assisted ionization (MAI) mass spectrometry.

    PubMed

    Chakrabarty, Shubhashis; DeLeeuw, Jessica L; Woodall, Daniel W; Jooss, Kevin; Narayan, Srinivas B; Trimpin, Sarah

    2015-08-18

    Matrix-assisted ionization (MAI) mass spectrometry (MS) is a simple and sensitive method for analysis of low- and high-mass compounds, requiring only that the analyte in a suitable matrix be exposed to the inlet aperture of an atmospheric pressure ionization mass spectrometer. Here, we evaluate the reproducibility of MAI and its potential for quantification using six drug standards. Factors influencing reproducibility include the matrix compound used, temperature, and the method of sample introduction. The relative standard deviation (RSD) using MAI for a mixture of morphine, codeine, oxymorphone, oxycodone, clozapine, and buspirone and their deuterated internal standards using the matrix 3-nitrobenzonitrile is less than 10% with either a Waters SYNAPT G2 or a Thermo LTQ Velos mass spectrometer. The RSD values obtained using MAI are comparable to those using ESI or MALDI on these instruments. The day-to-day reproducibility of MAI determined for five consecutive days with internal standards was better than 20% using manual sample introduction. The reproducibility improved to better than 5% using a mechanically assisted sample introduction method. Hydrocodone, present in a sample of undiluted infant urine, was quantified with MAI using the standard addition method. PMID:26186653

  9. How do Data Processing Choices Affect Multiple Aperture InSAR (MAI) Precision?

    NASA Astrophysics Data System (ADS)

    Bechor-Ben Dov, N.

    2015-12-01

    MAI data processing methods report different precisions, sometimes for the same data; we investigate these discrepancies here. MAI, a method to obtain phase-based along-track displacements from InSAR data, has been used for measuring volcanic, glacier, and earthquake displacements. However, different applications show vastly different precisions, ranging from a few millimeters to tens of centimeters per interferogram. While some spatial variability in precision is expected due to the InSAR phase noise dependence on terrain, some reports show different precisions for the same data. Here, I address the following questions: What is the true precision of MAI measurements? What are the MAI noise sources, and how do we mitigate them? We use data from 11 Envisat, 2 ERS, and 1 ALOS interferograms to analyze and quantify the MAI noise sources and their dependence on the method's implementation. To do that, we implement various processing steps with the JPL/Caltech InSAR data processor ROI_PAC. We find that there are several (sometimes surprising) nuances in data processing that together can reduce scatter noise by half, and other corrections that can reduce topography-related noise by up to 25 centimeters. We find that even with all the optimized data processing steps, the actual MAI errors (relative accuracy) are higher then the theoretical ones by a factor that depends on filter window size. We present an updated MAI data processor, which is capable of achieving relative accuracy and precision levels of 6 to 2 centimeters, respectively, in low to medium coherence terrains (correlation coefficient of 0.4 to 0.8), and provides error estimates that better reflect the actual relative accuracy of the measurement.

  10. Computer Supported Indexing: A History and Evaluation of NASA's MAI System

    NASA Technical Reports Server (NTRS)

    Silvester, June P.

    1997-01-01

    Computer supported or machine aided indexing (MAI) can be categorized in multiple ways. The system used by the National Aeronautics and Space Administration's (NASA's) Center for AeroSpace Information (CASI) is described as semantic and computational. It's based on the co-occurrence of domain-specific terminology in parts of a sentence, and the probability that an indexer will assign a particular index term when a given word or phrase is encountered in text. The NASA CASI system is run on demand by the indexer and responds in 3 to 9 seconds with a list of suggested, authorized terms. The system was originally based on a syntactic system used in the late 1970's by the Defense Technical Information Center (DTIC). The NASA mainframe-supported system consists of three components: two programs and a knowledge base (KB). The evolution of the system is described and flow charts illustrate the MAI procedures. Tests used to evaluate NASA's MAI system were limited to those that would not slow production. A very early test indicated that MAI saved about 3 minutes and provided several additional terms for each document indexed. It also was determined that time and other resources spent in careful construction of the KB pay off with high-quality output and indexer acceptance of MAI results.

  11. Multifunctional coating MAI D5 intended for the protection of refractory materials

    NASA Astrophysics Data System (ADS)

    Zhestkov, B. E.; Terent'eva, V. S.

    2010-01-01

    A thin-layer heterophase MAI D5 coating intended for the protection of carbon-containing composite materials (C-C-, C-SiC-, SiC-SiC-composite material) and refractory metal-based alloys against high-temperature gas corrosion and erosion is tested. The coating is formed from a specially developed Si-Ti-Mo-B-Y microcomposition powder material. A new approach to creating self-healing heterophase coatings is used. At operating temperatures, the structure and phase composition of the MAI D5 coating provides rapid self-healing of random defects on the coating surface and in the base material owing to the presence of a silicon-containing eutectic, which favors rapid recovery of a protective amorphous silica layer consumed during operation. Under operating conditions, the coating undergoes self-organization to form a multilayer system with a number of functional oxide micro-, submicro-, and nanolayers. Samples with the MAI D5 coating are subjected to combined tests on bench plants located at MAI and TsAGI under conditions emulating the re-entry of a hypersonic aircraft, when its surface temperature reaches 2400 K. Certification tests are performed in wind tunnels located at TsAGI during a simultaneous action of a hypersonic dissociated-air flow and mechanical loads. The protection of heat-loaded structural elements in space vehicles made of ultrahigh-temperature materials against high-temperature gas corrosion and erosion by the MAI D5 coating in hypersonic dissociated-air flows is shown to be efficient.

  12. Human Health Impact of Fluoride in Groundwater in the Chiang Mai Basin

    NASA Astrophysics Data System (ADS)

    Matsui, Y.; Takizawa, S.; Wattanachira, S.; Wongrueng, A.; Ibaraki, M.

    2005-12-01

    Chiang Mai Basin, in Northern Thailand, is known as a fluorotic area. Groundwater of the Chiang Mai Basin has been gradually replaced by contaminated surface water since the 1980's. People have been exposed to fluoride contaminated groundwater since that time. As a result, harmful health effects on dental and skeletal growth were observed in the 90's. These include dental and skeletal fluorosis. Dental fluorosis is characterized by yellow or white spots on teeth and pitting or mottled enamel, consequently causing the teeth to look unsightly. Skeletal fluorosis leads to changes in bone structure, making them extremely weak and brittle. The most severe form of this is known as ``crippling skeletal fluorosis,'' a condition that can cause immobility, muscle wasting, and neurological problems related to spinal cord compression. This study focuses on the problematic issue of the Chiang Mai Basin's groundwater from the viewpoint of fluoride occurrence and current health impacts. Chiang Mai and Lamphun Provinces comprise the Chiang Mai Basin. Fluoride rich granites or fluorite deposits are scattered across the mountainside of the Lamphun Province. Tropical savanna climate conditions with seasonal monsoons bring more than 1,000 mm of annual precipitation, which can prompt weathering of minerals containing fluoride. The Ping River dominates the Basin, and the main eastern tributary of the Ping River runs through the Lamphun Province. The Basin has geological units composed of lower semi-consolidated Tertiary fluvial and upper unconsolidated Quaternary alluvium deposits. The main aquifers are in the upper unconsolidated unit. High fluoride concentrations tend to be observed in the aquifer located in lower part of this unconsolidated unit. We have been investigating two areas in the Basin. These two locations are similar with respect to geological and hydrological settings. However, one area in which groundwater is Ca-bicarbonate dominant has a low fluoride occurrence

  13. Knemidocoptes sp. on wild passerines at the Mai Po Nature Reserve, Hong Kong.

    PubMed

    Mainka, S A; Melville, D S; Galsworthy, A; Black, S R

    1994-04-01

    Free-ranging passerine birds banded at the Mai Po Nature Reserve, Hong Kong, were affected with a skin disease characterized by crusty, proliferative lesions on legs, feet and beaks. Based on retrospective examination of 1990 to 1992 banding records, 83 of 16,353 birds and 5 of 161 species banded at Mai Po were identified as having these lesions. Eurasian tree sparrows (Passer montanus) were most commonly affected (58 of 411 birds) although 19 of 428 black-faced buntings (Emberiza pusilla), 3 of 92 spotted doves (Streptopelia chinensis), and 2 of 616 eastern great reed warblers (Acrocephalus orientalis) also had clinical signs of infestation. Adult Eurasian tree sparrows were affected more often than juveniles and males were affected more often than females. Lesions on juveniles usually were on the feet while on adults lesions also were found on legs and beak. The effects of this parasitic infestation on body weight of wild Eurasian tree sparrows was not significant.

  14. A survey on polycyclic aromatic hydrocarbon concentrations in soil in Chiang-Mai, Thailand

    SciTech Connect

    Amagai, Takashi; Takahashi, Yukari; Matsushita, Hidetsuru; Morknoy, D.; Sukasem, P.; Taucanon, M.

    1999-07-01

    Soil samples were collected at 30 sampling sites along roadsides in the city of Chiang-Mai, Thailand, in February 1996, and concentrations of 16 polycyclic aromatic hydrocarbons (PAHs) were determined. The distribution of PAH concentration in the soil samples was almost log-normal for all PAHs. Concentrations of pyrene (Py) and fluoranthene (Fluor) were the highest, followed by those of benzo[ghi]perylene and coronene (Cor). Since PAH concentrations were highest on the roadside where the traffic density was high, vehicles were the main determinants of PAH concentration in soil in Chiang-Mai. Significant correlations among PAH concentrations were found for almost all PAHs. PAH profiles in the air were different from those in the soil. For example, relative benzo[a]pyrene (BaP) concentration in the soil was significantly lower than that in the air. Relative concentrations of Fluor, Py, chrysene, and Cor in the soil were considerably higher than those in the air, due presumably to their difference in photochemical reactivities and in sources. The sampling of soil has advantages relative to that of air: (1) collection of soil is easy; (2) it needs no special equipment and electricity; (3) it takes little time; and (4) it can be collected anywhere. Therefore PAH analysis in soil was useful as a proxy-screening tool for air pollution levels with consideration of compositional differences between soil and air samples.

  15. STIGMA, SOCIAL SUPPORT, AND TREATMENT ADHERENCE AMONG HIV-POSITIVE PATIENTS IN CHIANG MAI, THAILAND

    PubMed Central

    Li, Michael Jonathan; Murray, Jordan Keith; Suwanteerangkul, Jiraporn; Wiwatanadate, Phongtape

    2016-01-01

    Our study assessed the influence of HIV-related stigma on treatment adherence among people living with HIV in Chiang Mai, Thailand, and whether social support had a moderating effect on this relationship. We recruited 128 patients living with HIV from Sansai Hospital, a community hospital in Chiang Mai, Thailand, and collected data through structured interviews. All forms of HIV-related stigma considered in this study (personalized experience, disclosure, negative self-image, and public attitudes) were negatively correlated with adherence to anti-retroviral regimens. Multiple linear regression indicated that total HIV-related stigma was more predictive of treatment adherence than any individual stigma type, after adjusting for socio-demographic and health characteristics. Tests of interaction showed that social support did not appear to moderate the association between HIV stigma and treatment adherence. Our findings suggest that community and government efforts to improve public perceptions about people living with HIV might promote treatment adherence behaviors among HIV-positive patients. PMID:25299810

  16. Epidemiology of cercarial stage of trematodes in freshwater snails from Chiang Mai province, Thailand

    PubMed Central

    Chontananarth, Thapana; Wongsawad, Chalobol

    2013-01-01

    Objective To investigate the epidemiological situation of cercarial trematodes infection in freshwater snails from different water resources in Chiang Mai province, Thailand. Methods The snail specimens were collected from 13 districts of Chiang Mai province during April 2008 to February 2012. The prevalence of cercarial infection in snails was investigated using the crushing method. The drawing was done with the help of a camera lucida for the morphological study. Results A total of 2 479 snail individuals were collected and classified into 7 families, 11 genera, and 14 species, Among them, 8 snails species were found to be infected with an overall prevalence of 17.27% (428/2 479), which infected with nine groups of cercariae; gymnocephalous cercaria, strigea cercaria, megalurous cercaria, monostome cercaria, parapleurolophocercous cercaria (Haplorchis cercaria), pleurolophocercous cercaria, furcocercous cercaria (Transversotrema cercaria), xiphidiocercaria, and virgulate cercaria. The parapleurolophocercous cercaria was found to be the dominant type among the cercarial infection in the snails (64.25%). Conclusions The various species of snails found in the research location act as the intermediate hosts for the high prevalence of parasitic infection of many species of mammals. This work will provide new information on both the distribution and first intermediate host of trematodes. PMID:23620846

  17. DISCRIMINATION 28S RIBOSOMAL GENE OF TREMATODE CERCARIAE IN SNAILS FROM CHIANG MAI PROVINCE, THAILAND.

    PubMed

    Wongsawad, Chalobol; Wongsawad, Pheravut; Sukontason, Kom; Phalee, Anawat; Noikong-Phalee, Waraporn; Chai, Jong Yil

    2016-03-01

    Trematode cercariae are commonly found in many freshwater gastropods. These cercariae can serve to identify the occurrence of such trematodes as Centrocestus formosanus, Haplorchis taichui, Haplorchoides sp, and Stellantchasmus falcatus, which are important parasites in Chiang Mai Province, Thailand. As the species of these cercariae cannot be identified accurately based on morphology, this study employed sequencing of a fragment of 28S ribosomal DNA and phylogenetic analysis to identify the trematode cercariae found in freshwater gastropods in Chiang Mai Province. Eight types of trematode cercariae were identified, namely, distome cercaria (grouped with Philophthalmus spp clade), echinostome cercaria (grouped with Echinostoma spp clade), furcocercous cercaria (grouped with Posthodiplostomum sp/Alaria taxideae/Hysteromorpha triloba clade), monostome cercaria (grouped with Catatropis indicus clade), parapleurolophocercous cercaria (grouped with Haplorchoides sp clade), pleurolophocercous cercaria (grouped with Centrocestusformosanus clade), transversotrema cercaria (grouped with Transversotrema spp clade), and xiphidiocercaria (grouped with Prosthodendrium spp clade). These results provide important information that can be used for identifying these parasites in epidemiological surveys. PMID:27244956

  18. Subsequent Oophorectomy and Ovarian Cancer after Hysterectomy for Benign Gynecologic Conditions at Chiang Mai University Hospital.

    PubMed

    Jitkunnatumkul, Aurapin; Tantipalakorn, Charuwan; Charoenkwan, Kittipat; Srisomboon, Jatupol

    2016-01-01

    This study was undertaken to determine the incidence of subsequent oophorectomy due to ovarian pathology or ovarian cancer in women with prior hysterectomy for benign gynecologic conditions at Chiang Mai University Hospital. Medical records of women who underwent hysterectomy for benign gynecologic diseases and pre-cancerous lesions between January 1, 2004 and December 31, 2013 at Chiang Mai University Hospital were retrospectively reviewed. The incidence and indications of oophorectomy following hysterectomy were analyzed. During the study period, 1,035 women had hysterectomy for benign gynecologic conditions. Of these, 590 women underwent hysterectomy with bilateral salpingo-oophorectomy and 445 hysterectomy with bilateral ovarian preservation or unilateral salpingo-oophorectomy. The median age was 47 years (range, 11-75 years). Ten women (2.45 %) had subsequent oophorectomy for benign ovarian cysts. No case of ovarian cancer was found. The mean time interval between hysterectomy and subsequent oophorectomy was 43.1 months (range, 2-97 months) and the mean follow-up time for this patient cohort was 51 months (range, 1.3-124.9 months). According to our hospital-based data, the incidence of subsequent oophorectomy in women with prior hysterectomy for benign gynecologic conditions is low and all present with benign conditions. PMID:27644627

  19. The Mais Médicos (More Doctors) Program in Mato Grosso State, Brazil: implementation analysis.

    PubMed

    Mota, Reinaldo Gaspar da; Barros, Nelson Filice

    2016-09-01

    Although the 224 health professionals engaged by the More Doctors for Brazil Project (Projeto Mais Médicos para o Brazil, PMMB) to strengthen the National Primary Health Care Policy (Política Nacional de Atenção Básica, PNab) in 104 municipalities of Mato Grosso (MT) State have encountered significant problems in the work process, important advances have resulted in the health of populations served by the More Doctors Programme (Programa Mais Médicos, PMM). This article analyses the implementation and development of the PMM in MT, from 2013 to 2015, on the basis of primary data from focus groups and interviews of social stakeholders at the institutions involved and secondary data from reports by supervisors, tutors, managers and institutions on the MT State Coordinating Committee (CCE) of the PMM. Despite political difficulties in managing implementation, the results show that the endeavour was beneficial in that it surmounted previous obstacles, afforded users greater access, prompted discussion of the problem and proposed and experimented with ways to strengthen primary health care. We conclude that there is a need for broader academic discussion of the provision and training of doctors, of the model of care and of human resource capacity-building by continuing professional development with integration among teaching, service and community. PMID:27653072

  20. Stigma, social support, and treatment adherence among HIV-positive patients in Chiang Mai, Thailand.

    PubMed

    Li, Michael Jonathan; Murray, Jordan Keith; Suwanteerangkul, Jiraporn; Wiwatanadate, Phongtape

    2014-10-01

    Our study assessed the influence of HIV-related stigma on treatment adherence among people living with HIV in Chiang Mai, Thailand, and whether social support had a moderating effect on this relationship. We recruited 128 patients living with HIV from Sansai Hospital, a community hospital in Chiang Mai, Thailand, and collected data through structured interviews. All forms of HIV-related stigma considered in this study (personalized experience, disclosure, negative self-image, and public attitudes) were negatively correlated with adherence to anti-retroviral regimens. Multiple linear regression indicated that total HIV-related stigma was more predictive of treatment adherence than any individual stigma type, after adjusting for socio-demographic and health characteristics. Tests of interaction showed that social support did not appear to moderate the association between HIV stigma and treatment adherence. Our findings suggest that community and government efforts to improve public perceptions about people living with HIV might promote treatment adherence behaviors among HIV-positive patients. PMID:25299810

  1. The Mais Médicos (More Doctors) Program: panorama of the scientific output.

    PubMed

    Kemper, Elisandréa Sguario; Mendonça, Ana Valeria Machado; Sousa, Maria Fátima de

    2016-09-01

    Despite the progress achieved by the Primary Health Care and Family Health Strategy in the Unified Health System (SUS) challenges still remain with regard to the universality of access and the quality of services, one of the factors being the unequal distribution of physicians. The Brazilian Government established the Mais Médicos Program (More Doctors Program), in order to move forward in the provision, placement and training of physicians in the SUS. This study consists of a review of the literature of the Mais Médicos Program, in order to map and assess the scientific production on the Program, as well as summarize the findings and present the results of the analysis. Fifty-four publications were selected, which evaluate the Program in terms of effectiveness, analysis of the implementation process, the media and the statements of the actors and assessment of the legal and constitutional precepts. The criticisms and limitations found were also systematically analyzed. With respect to the analysis, evaluations of the Program are overwhelmingly positive, showing important changes in the work processes in services and training. The studies that show the Program as being an important instrument for the effective implementation of the right to health are highlighted. PMID:27653063

  2. In planta gene expression analysis of Xanthomonas oryzae pathovar oryzae, African strain MAI1

    PubMed Central

    2010-01-01

    Background Bacterial leaf blight causes significant yield losses in rice crops throughout Asia and Africa. Although both the Asian and African strains of the pathogen, Xanthomonas oryzae pv. oryzae (Xoo), induce similar symptoms, they are nevertheless genetically different, with the African strains being more closely related to the Asian X. oryzae pv. oryzicola (Xoc). Results Changes in gene expression of the African Xoo strain MAI1 in the susceptible rice cultivar Nipponbare were profiled, using an SSH Xoo DNA microarray. Microarray hybridization was performed comparing bacteria recovered from plant tissues at 1, 3, and 6 days after inoculation (dai) with bacteria grown in vitro. A total of 710 bacterial genes were found to be differentially expressed, with 407 up-regulated and 303 down-regulated. Expression profiling indicated that less than 20% of the 710 bacterial transcripts were induced in the first 24 h after inoculation, whereas 63% were differentially expressed at 6 dai. The 710 differentially expressed genes were one-end sequenced. 535 sequences were obtained from which 147 non-redundant sequences were identified. Differentially expressed genes were related to metabolism, secretion and transport, pathogen adherence to plant tissues, plant cell-wall degradation, IS elements, and virulence. In addition, various other genes encoding proteins with unknown function or showing no similarity to other proteins were also induced. The Xoo MAI1 non-redundant set of sequences was compared against several X. oryzae genomes, revealing a specific group of genes that was present only in MAI1. Numerous IS elements were also found to be differentially expressed. Quantitative real-time PCR confirmed 86% of the identified profile on a set of 14 genes selected according to the microarray analysis. Conclusions This is the first report to compare the expression of Xoo genes in planta across different time points during infection. This work shows that as-yet-unidentified and

  3. Implementation of integrated heterogeneous electronic electrocardiography data into Maharaj Nakorn Chiang Mai Hospital Information System.

    PubMed

    Khumrin, Piyapong; Chumpoo, Pitupoom

    2016-03-01

    Electrocardiography is one of the most important non-invasive diagnostic tools for diagnosing coronary heart disease. The electrocardiography information system in Maharaj Nakorn Chiang Mai Hospital required a massive manual labor effort. In this article, we propose an approach toward the integration of heterogeneous electrocardiography data and the implementation of an integrated electrocardiography information system into the existing Hospital Information System. The system integrates different electrocardiography formats into a consistent electrocardiography rendering by using Java software. The interface acts as middleware to seamlessly integrate different electrocardiography formats. Instead of using a common electrocardiography protocol, we applied a central format based on Java classes for mapping different electrocardiography formats which contains a specific parser for each electrocardiography format to acquire the same information. Our observations showed that the new system improved the effectiveness of data management, work flow, and data quality; increased the availability of information; and finally improved quality of care.

  4. Highland-lowland conflict over natural resources: a case of Mae Soi, Chiang Mai, Thailand.

    PubMed

    Tungittiplakorn, W

    1995-01-01

    Interviews were conducted among 150 Hmong highland and ethnic Thai lowland villagers during May-August 1992 in Chiang Mai in northern Thailand. Officials from national and international drug abuse control and development agencies were also interviewed. The aim was to determine the nature of the conflict between the highlanders and the lowlanders. The lowlanders perceived that the conflict was due to environmental causes brought on by the Hmongs' destruction of forest and pollution of the river. The Mai Soi stream that was relied on by lowlanders was viewed as threatened by drought and water reduction from forest destruction. Shinawatra researched water runoff from major rivers during seasonal changes and found reduced volume during 1970-80. Alford found no significant change in stream flow. 71% of lowlanders reported that stream flow was reduced over a 3-6 year period. 40% reported that the forests were fenced off in order to protect the forests, but 22% were forced by village headmen to do so. 32% were promised land in the allocation areas. The highlanders perceived the conflict in diverse ways. Many attributed the conflict to the murder of a lowlander cattle thief in a Hmong village in 1984. A 1983 report confirmed ethnic conflict and the killing and stealing of Hmong animals. Some highlanders and lowlanders believe the conflict arose due to one person, Ajahn Pongsak Techadhammo, who tried to create environmental awareness among all tribes and ethnic groups. He was against lowlanders' misuse of forests and wanted relocation of the hill tribes that cultivated opium. Social status differences fuel the conflict. Lowlanders consider themselves superior to hill tribes that do not speak Thai and are not Buddhists. The hill tribes create discord because of their economic success with cash crops. The authors recommend forest, soil, and water conservation among highlanders and lowlanders and broadening development to include other communities.

  5. Questões mais freqüentes na área de astronomia

    NASA Astrophysics Data System (ADS)

    Segundo, H. A. S.; Garcia, G. C.; Caretta, C. A.; Lima, F. P.

    2003-08-01

    É amplamente reconhecido que as pessoas em geral têm grande fascínio e interesse pela Astronomia. Por outro lado, o conteúdo dessa área incluído no ensino formal está longe de ser abrangente e suficiente para suprir a demanda. Esse interesse permite otimizar a divulgação e o ensino não formal de Astronomia aliando a adequação do conteúdo à expectativa das pessoas. Nesse intuito, nosso trabalho busca mapear que assuntos da Astronomia despertam mais a atenção e o interesse das pessoas e o quanto disso é estimulado pela mídia, que freqüentemente aproveita-se desse interesse de forma sensacionalista, trazendo contribuições positivas e negativas. Para esta avaliação, utilizamos as pesquisas específicas e de caracterização do público que freqüentou o MAst nos anos de 2001 a 2003, pesquisa das matérias de Astronomia veiculadas na mídia escrita da cidade do Rio de Janeiro no mesmo período, além da base de dados do programa Pergunte a um astrônomo, realizado no Observatório Nacional nos anos de 1997 a 1999. Para a análise dos dados, dividimos as perguntas em dez categorias, cada uma com suas subcategorias, tomando como referência as divisões, comissões e grupos de trabalho da IAU. Apresentamos neste trabalho os resultados dessa pesquisa, que incluem, entre outros, a predominância de questões nas categorias Observação do Céu e Sistemas Planetários enquanto nos jornais dominam as notícias de Sistemas Planetários e Espaço & Astronáutica. Outro resultado interessante indicou que as dúvidas de crianças do ensino fundamental se concentram em algumas categorias enquanto as questões de adultos são mais distribuídas por todas as categorias. Os resultados dessa pesquisa serão aplicados diretamente no aperfeiçoamento das atividades do Programa de Observação de Céu, bem como na elaboração de novos projetos e eventos realizados no MAst.

  6. Coital Experience Among Adolescents in Three Social-Educational Groups in Urban Chiang Mai, Thailand

    PubMed Central

    Tangmunkongvorakul, Arunrat; Carmichael, Gordon; Banwell, Cathy; Seubsman, Sam-ang; Sleigh, Adrian

    2012-01-01

    This article compares coital experience of Chiang Mai 17–20-year-olds who were: (1) out-of-school; (2) studying at vocational schools; and (3) studying at general schools or university. Four-fifths, two-thirds and one-third, respectively, of males in these groups had had intercourse, compared to 53, 62 and 15 per cent of females. The gender difference for general school/university students, but not vocational school students, probably reflects HIV/AIDS refocusing male sexual initiation away from commercial sex workers. Vocational school females may have been disproportionately affected. Loss of virginity was associated, for both sexes, with social-educational background and lifestyle, and was less likely in certain minority ethnic groups. Among males, it was also associated with age and parental marital dissolution, and among females, with independent living and parental disharmony. Within social-educational groups, lifestyle variables dominated, but among general school/university students, parental marital dissolution (for males) and disharmony (for females) were also important, and Chinese ethnicity deterred male sexual experimentation. PMID:22754584

  7. Molecular identification of larval trematode in intermediate hosts from Chiang Mai, Thailand.

    PubMed

    Chuboon, Suksan; Wongsawad, Chalobol

    2009-11-01

    Snail and fish intermediate hosts were collected from rice fields in 3 districts; Mueang, Mae Taeng and Mae Rim of Chiang Mai Province during April-July 2008. For identification of larval trematode infection, standard (cracked for snail and enzymatically digested for fish) and molecular methods were performed. The results showed that three types of cercariae were found, pleurolophocercus, cotylocercous, and echinostome among 4 species of snail with a prevalence of 29, 23 and 3% respectively. Melanoides tuberculata snail was the most susceptible host for cercariae infection. Four species of metacercariae, Haplorchis taichui, Stellantchasmus falcatus, Haplorchoides sp and Centrocestus caninus, were found with a prevalence of 67, 25, 60 and 20%, respectively. The Siamese mud carp (Henicorhynchus siamensis) was the most susceptible fish host for H. taichui, and half- beaked fish (Dermogenys pusillus) for S. falcatus metacercariae infection, whereas Haplorchoides sp and C. caninus were concomitantly found in Puntius brevis. HAT-RAPD profile confirmed that pleurolophocercus cercariae found in Melanoides tuberculata from Mae Taeng District belonged to H. taichui and in Tarebia granifera from Mueang District were S. falcatus.

  8. Forensic and phylogeographic characterization of mtDNA lineages from northern Thailand (Chiang Mai).

    PubMed

    Zimmermann, Bettina; Bodner, Martin; Amory, Sylvain; Fendt, Liane; Röck, Alexander; Horst, David; Horst, Basil; Sanguansermsri, Torpong; Parson, Walther; Brandstätter, Anita

    2009-11-01

    The immigration of diverse ethnic groups over the past centuries from surrounding countries into Thailand left footprints in the genetic composition of Thai mitochondrial DNA (mtDNA) lineages. The entire mtDNA control region (1,122 bp) was typed in 190 unrelated male volunteers from the northern Thailand province of Chiang Mai following highest quality standards. For a more precise haplogroup classification, selected single nucleotide polymorphisms from the mtDNA coding region were genotyped. We found several new, so far undescribed mtDNA lineages. Quasi-median networks were constructed for visualisation of character conflicts. The data were put into population-genetic relationships with other Southeast Asian populations. Although the frequencies of the Thai haplogroups were characteristic for Southeast Asia in terms of haplotype composition and genetic structure, the Thai population was significantly different from other Southeast Asian populations. This necessitates establishing regional databases, especially for forensic applications. The population data have been submitted to the EMPOP database (www.empop.org) and will be available on publication. PMID:19727793

  9. Mais Médicos (More Doctors) Program - a view from England.

    PubMed

    Harris, Matthew

    2016-09-01

    The Programa Mais Medicos (PMM) is a national strategy to increase the numbers of Brazilian trained doctors entering primary care and is possibly the most significant human resource intervention in Latin America in recent years. From an English perspective, there are clearly opportunities to learn the PMM. First, PAHO's role in the PMM provides an exemplar for an overarching human resource migration and recruitment role throughout the EU. The role of the WHO in influencing and overseeing the recruitment of doctors throughout the EU could be an opportunity for improved distribution, avoiding a reliance on market forces. Secondly, a centrally-coordinated and governed process following well-established criteria and guidance laid out in law has helped to ensure that doctors are allocated to regions of the greatest need. Finally, the deployment of primary care doctors to ensure that the needs of the whole population are met, including in hard-to-reach areas. However, Brazil should not fall into the trap of doing much, and evaluating little. Brazil is in an exciting position to conduct robust before-after studies regarding the improvement in access, outcomes and equity that the ESF has already been credited with. Evaluation must include the impact of the PMM on Cuba. PMID:27653077

  10. Soil-Gas Radon Anomaly Map of an Unknown Fault Zone Area, Chiang Mai, Northern Thailand

    NASA Astrophysics Data System (ADS)

    Udphuay, S.; Kaweewong, C.; Imurai, W.; Pondthai, P.

    2015-12-01

    Soil-gas radon concentration anomaly map was constructed to help detect an unknown subsurface fault location in San Sai District, Chiang Mai Province, Northern Thailand where a 5.1-magnitude earthquake took place in December 2006. It was suspected that this earthquake may have been associated with an unrecognized active fault in the area. In this study, soil-gas samples were collected from eighty-four measuring stations covering an area of approximately 50 km2. Radon in soil-gas samples was quantified using Scintrex Radon Detector, RDA-200. The samplings were conducted twice: during December 2014-January 2015 and March 2015-April 2015. The soil-gas radon map obtained from this study reveals linear NNW-SSE trend of high concentration. This anomaly corresponds to the direction of the prospective fault system interpreted from satellite images. The findings from this study support the existence of this unknown fault system. However a more detailed investigation should be conducted in order to confirm its geometry, orientation and lateral extent.

  11. Sexual identities and lifestyles among non-heterosexual urban Chiang Mai adolescents: implications for health

    PubMed Central

    Tangmunkongvorakul, Arunrat; Banwell, Cathy; Carmichael, Gordon; Utomo, Iwu Dwisetyani; Sleigh, Adrian

    2011-01-01

    Drawing upon quantitative and qualitative data we explore perspectives on and experiences of sexual lifestyles and relationships among more than 1,750 adolescents aged 17-20 years who reside in urban Chiang Mai, Thailand. We focus on respondents’ representations and understandings of their sexual/gender identities derived mainly from in-depth interviews and focus group discussions, supplemented with observations and field notes. Our results show that while many young Thais described themselves as heterosexual males or females others described themselves as gay, kathoey, tom, dii, bisexual or something else. Some were still questioning their own identities. The terms gay, kathoey, tom and dii are commonly used by these Thais to describe a range of sexual/gender identities relating to persons who are sexually or romantically attracted to the same biological sex. We use case studies to illustrate the distinctive characterizations, sexual lifestyles and relationships of each of these identities. We conclude that the sexual lifestyles encountered among Northern Thai non-heterosexual adolescents could lead to negative health consequences and indicated a need for improved relationship education, counselling and sensitive sexual health services. PMID:20665299

  12. Primary Health Care in Brazil and the Mais Médicos (More Doctors) Program: an analysis of production indicators.

    PubMed

    Lima, Rodrigo Tobias de Sousa; Fernandes, Tiotrefis Gomes; Balieiro, Antônio Alcirley da Silva; Costa, Felipe Dos Santos; Schramm, Joyce Mendes de Andrade; Schweickardt, Julio Cesar; Ferla, Alcindo Antonio

    2016-09-01

    This study analyzes the number of medical appointments and referrals performed in primary health care in Brazil focusing on the Mais Médicos Program (More Doctors Program). It is a cross-sectional study on the work of physicians included, or not, to the Mais Médicos Program in 2014. Based on validation protocols, a unified database was created from two health information system databases - SIAB and ESUS. Absolute indicators were defined: the total of medical appointments per month; medical referrals and community health education activities. In addition, other indicators were considered, such as weekly rates and productivity of appointments, in line with the profile of Brazilian municipalities. The mean of all appointments was 285 per month corresponding to an average of 14.4 appointments/day. In the poorest municipalities, the figures for the Mais Médicos Program physicians were higher than national rates. The educational activities provided by primary care teams that included a Mais Médicos Program professional were higher in Brazilian capital cities. The Mais Médicos Program achieved one of its main goals, which was to increase health access for vulnerable populations and to contribute towards the consolidation of primary health care in Brazil. PMID:27653054

  13. Primary Health Care in Brazil and the Mais Médicos (More Doctors) Program: an analysis of production indicators.

    PubMed

    Lima, Rodrigo Tobias de Sousa; Fernandes, Tiotrefis Gomes; Balieiro, Antônio Alcirley da Silva; Costa, Felipe Dos Santos; Schramm, Joyce Mendes de Andrade; Schweickardt, Julio Cesar; Ferla, Alcindo Antonio

    2016-09-01

    This study analyzes the number of medical appointments and referrals performed in primary health care in Brazil focusing on the Mais Médicos Program (More Doctors Program). It is a cross-sectional study on the work of physicians included, or not, to the Mais Médicos Program in 2014. Based on validation protocols, a unified database was created from two health information system databases - SIAB and ESUS. Absolute indicators were defined: the total of medical appointments per month; medical referrals and community health education activities. In addition, other indicators were considered, such as weekly rates and productivity of appointments, in line with the profile of Brazilian municipalities. The mean of all appointments was 285 per month corresponding to an average of 14.4 appointments/day. In the poorest municipalities, the figures for the Mais Médicos Program physicians were higher than national rates. The educational activities provided by primary care teams that included a Mais Médicos Program professional were higher in Brazilian capital cities. The Mais Médicos Program achieved one of its main goals, which was to increase health access for vulnerable populations and to contribute towards the consolidation of primary health care in Brazil.

  14. Measurement of slow-moving along-track displacement from an efficient multiple-aperture SAR interferometry (MAI) stacking

    USGS Publications Warehouse

    Jo, Min-Jeong; Jung, Hyung-Sup; Won, Joong-Sun; Poland, Michael; Miklius, Asta; Lu, Zhong

    2015-01-01

    Multiple-aperture SAR interferometry (MAI) has demonstrated outstanding measurement accuracy of along-track displacement when compared to pixel-offset-tracking methods; however, measuring slow-moving (cm/year) surface displacement remains a challenge. Stacking of multi-temporal observations is a potential approach to reducing noise and increasing measurement accuracy, but it is difficult to achieve a significant improvement by applying traditional stacking methods to multi-temporal MAI interferograms. This paper proposes an efficient MAI stacking method, where multi-temporal forward- and backward-looking residual interferograms are individually stacked before the MAI interferogram is generated. We tested the performance of this method using ENVISAT data from Kīlauea Volcano, Hawai‘i, where displacement on the order of several centimeters per year is common. By comparing results from the proposed stacking methods with displacements from GPS data, we documented measurement accuracies of about 1.03 and 1.07 cm/year for the descending and ascending tracks, respectively—an improvement of about a factor of two when compared with that from the conventional stacking approach. Three-dimensional surface-displacement maps can be constructed by combining stacked InSAR and MAI observations, which will contribute to a better understanding of a variety of geological phenomena.

  15. High Sensitivity Analysis of Nanoliter Volumes of Volatile and Nonvolatile Compounds using Matrix Assisted Ionization (MAI) Mass Spectrometry.

    PubMed

    Hoang, Khoa; Pophristic, Milan; Horan, Andrew J; Johnston, Murray V; McEwen, Charles N

    2016-10-01

    First results are reported using a simple, fast, and reproducible matrix-assisted ionization (MAI) sample introduction method that provides substantial improvements relative to previously published MAI methods. The sensitivity of the new MAI methods, which requires no laser, high voltage, or nebulizing gas, is comparable to those reported for MALDI-TOF and n-ESI. High resolution full acquisition mass spectra having low chemical background are acquired from low nanoliters of solution using only a few femtomoles of analyte. The limit-of-detection for angiotensin II is less than 50 amol on an Orbitrap Exactive mass spectrometer. Analysis of peptides, including a bovine serum albumin digest, and drugs, including drugs in urine without a purification step, are reported using a 1 μL zero dead volume syringe in which only the analyte solution wetting the walls of the syringe needle is used in the analysis. PMID:27349254

  16. High Sensitivity Analysis of Nanoliter Volumes of Volatile and Nonvolatile Compounds using Matrix Assisted Ionization (MAI) Mass Spectrometry

    NASA Astrophysics Data System (ADS)

    Hoang, Khoa; Pophristic, Milan; Horan, Andrew J.; Johnston, Murray V.; McEwen, Charles N.

    2016-10-01

    First results are reported using a simple, fast, and reproducible matrix-assisted ionization (MAI) sample introduction method that provides substantial improvements relative to previously published MAI methods. The sensitivity of the new MAI methods, which requires no laser, high voltage, or nebulizing gas, is comparable to those reported for MALDI-TOF and n-ESI. High resolution full acquisition mass spectra having low chemical background are acquired from low nanoliters of solution using only a few femtomoles of analyte. The limit-of-detection for angiotensin II is less than 50 amol on an Orbitrap Exactive mass spectrometer. Analysis of peptides, including a bovine serum albumin digest, and drugs, including drugs in urine without a purification step, are reported using a 1 μL zero dead volume syringe in which only the analyte solution wetting the walls of the syringe needle is used in the analysis.

  17. Sheng-mai-san reduces adriamycin-induced cardiomyopathy in rats.

    PubMed

    You, Jyh-Sheng; Huang, Hui-Feng; Chang, Ying-Ling; Lee, Ying-Shiung

    2006-01-01

    The traditional Chinese medicine prescription "sheng-mai-san (SMS)" has been used for treating patients with coronary heart disease for a long time and was found to have antioxidative effects. Here, we applied adriamycin (doxorubicin, ADR), a highly effective anticancer agent, as an inducer to establish the animal model of dose-related cardiomyopathy due to inhibition of nucleic acid as well as protein synthesis, formation of free radicals, and lipid peroxidation. The objective of this study was to investigate the protective effects of SMS on adriamycin-induced cardiomyopathy. Wistar rats were divided into four groups: CONT (control), ADR, SMS, and ADR + SMS. ADR (cumulative dose, 15 mg/kg) was administered to rats in six equal intraperitoneal injections over a period of 2 weeks and SMS was administered via a feeding tube throughout the mouth once a day for 30 days (cumulative dose, 150 g/kg). At the end of the 5-week post-treatment period, the hearts of the rats were surgically removed for the study of synthesis rates of DNA, RNA and proteins. Besides myocardial antioxidants, lipid peroxidation and morphological ultrastructure were also evaluated. Three weeks after the treatment, cardiomyopathy and congestive heart failure were characterized according to assessment in ascites, congested liver, depressed cardiac function and myocardial cell damage. The results demonstrated that nucleic acid as well as protein synthesis was inhibited, while lipid peroxidation was increased. Myocardial glutathione peroxidase (GSHPx) activity was decreased and electron microscopic examination revealed myocardial lesion indicative of ADR-induced cardiomyopathy. In contrast, administration of SMS before and concurrent with ADR significantly attenuated the myocardial effects. It also lowered mortality as well as the amount of ascites. In addition, indexes in myocardial GSHPx, macromolecular biosynthesis and superoxide dismutase activities were increasing, with a concomitant decrease in

  18. Assessment of a self-deferral form for screening blood donors, Chiang Mai University Hospital, Thailand.

    PubMed

    Thaikruea, Lakkana; Nantachit, Niwes; Leetrakool, Nipapan; Fongsatitkul, Ladda; Sompan, Prakai; Heaton, Andrew; Nelson, Kenrad E

    2008-09-01

    A self-deferral form has been used to screen Chiang Mai University Hospital blood donors and was improved in 2005. It has never been evaluated. The study aimed to assess the self-deferral form procedures in detecting infected donors. Sera from 5,083 donors, who passed the self-deferral screening form, were tested with the routine immuno-assays (serology) for HIV 1 and 2 antibodies, P24 antigen, HCV antibodies, HBV surface antigen, and syphilis. Antibody negative sera were also tested individually with the the Procleix Ultrio Assay for HIV-1 DNA, HCV RNA, and HBV DNA. The donors who had discrepant results between serology and NAT were evaluated with additional tests, including a more sensitive Alternative Nucleic Acid Test, AntiBcore IgM, AntiBcore IgG, HBsAg and Anti HBs. Among 5,083 donors, 331 (6.5%) had at least one positive marker. In multiple logistic regression analysis, the statistically significant factors (adjusted odds ratio and 95% CI) for infection were age 30 years or below [1.45 (1.03, 2.03)], male gender [2.73 (1.64, 4.56)], primary school or lower education [1.56 (1.09, 2.23)], first-time donation [1.82 (1.25, 2.67)], and frequent donation [0.80 (0.70, 0.92)]. The safest donors were females, older than 30 years, with an education more than primary school, and frequent donation. Because of missing responses to some sensitive questions, there remains a need for further improvement of the self-deferral form.

  19. Sheng-mai-san reduces adriamycin-induced cardiomyopathy in rats.

    PubMed

    You, Jyh-Sheng; Huang, Hui-Feng; Chang, Ying-Ling; Lee, Ying-Shiung

    2006-01-01

    The traditional Chinese medicine prescription "sheng-mai-san (SMS)" has been used for treating patients with coronary heart disease for a long time and was found to have antioxidative effects. Here, we applied adriamycin (doxorubicin, ADR), a highly effective anticancer agent, as an inducer to establish the animal model of dose-related cardiomyopathy due to inhibition of nucleic acid as well as protein synthesis, formation of free radicals, and lipid peroxidation. The objective of this study was to investigate the protective effects of SMS on adriamycin-induced cardiomyopathy. Wistar rats were divided into four groups: CONT (control), ADR, SMS, and ADR + SMS. ADR (cumulative dose, 15 mg/kg) was administered to rats in six equal intraperitoneal injections over a period of 2 weeks and SMS was administered via a feeding tube throughout the mouth once a day for 30 days (cumulative dose, 150 g/kg). At the end of the 5-week post-treatment period, the hearts of the rats were surgically removed for the study of synthesis rates of DNA, RNA and proteins. Besides myocardial antioxidants, lipid peroxidation and morphological ultrastructure were also evaluated. Three weeks after the treatment, cardiomyopathy and congestive heart failure were characterized according to assessment in ascites, congested liver, depressed cardiac function and myocardial cell damage. The results demonstrated that nucleic acid as well as protein synthesis was inhibited, while lipid peroxidation was increased. Myocardial glutathione peroxidase (GSHPx) activity was decreased and electron microscopic examination revealed myocardial lesion indicative of ADR-induced cardiomyopathy. In contrast, administration of SMS before and concurrent with ADR significantly attenuated the myocardial effects. It also lowered mortality as well as the amount of ascites. In addition, indexes in myocardial GSHPx, macromolecular biosynthesis and superoxide dismutase activities were increasing, with a concomitant decrease in

  20. Application of an extension of the MAI method to the Acapulco City, Mexico

    NASA Astrophysics Data System (ADS)

    Contreras, M.; Aguirre, J.

    2001-12-01

    The site effects and the source parameters, are inverted from a Fourier displacement spectra of seismograms that are corrected by geometrical spreading and regional attenuation valid for south center of Mexico(Ordaz and Singh, 1992). We used Genetic Algorithms (GA) to perform the non-linear inversion, like in the MAI method (Moya et al., 2000) . The GA have proved to produce better results than other traditional methods which are frequently trapped in a local minimum. GA is a method that mimics the evolution laws in living creatures. The best individuals reproduce and develop themselves with every generation. In our case each individual correspond to one source and the genes correspond to the source parameters. As in nature, the best source remain and are improved with each iteration. We assume that the site effect at each station are the same independently of the earthquake, because of that we can search for the combination of sources that can produce the smaller standard deviation of the estimated site effects from the different Fourier displacement earthquake spectra. Then we use the obtained site effects to generate a Fourier displacement spectra of an earthquake scenario. With this, we are able to compute the response spectra by means of random vibration theory (Reinoso et al., 1990). We apply this method to four stations located in the Acapulco City, Mexico, that recorded four earthquakes with epicenter located in the Guerrero Subduction Zone. The site effect estimated for one of the stations, called ACAZ, shows a good agreement with the estimated by Chávez-García et al. (1994) using spectral ratios between the ACAZ station and a rock reference site. Also we compare the response spectra from other earthquake, obtained by the former method and the response spectra computed using the acceleration record. We find an acceptable correlation between them. Chávez-García, J. Cuenca y M. Cárdenas (1994), "Estudio complementario de efectos de sitio en Acapulco

  1. MAI (Multi-Dimensional Activity Based Integrated Approach): A Strategy for Cognitive Development of the Learners at the Elementary Stage

    ERIC Educational Resources Information Center

    Basantia, Tapan Kumar; Panda, B. N.; Sahoo, Dukhabandhu

    2012-01-01

    Cognitive development of the learners is the prime task of each and every stage of our school education and its importance especially in elementary state is quite worth mentioning. Present study investigated the effectiveness of a new and innovative strategy (i.e., MAI (multi-dimensional activity based integrated approach)) for the development of…

  2. The Mais Médicos (More Doctors) Program, the infrastructure of Primary Health Units and the Municipal Human Development Index.

    PubMed

    Soares, Joaquim José; Machado, Maria Helena; Alves, Cecília Brito

    2016-09-01

    The main objective of this article was to examine the context in which professionals working within the Mais Médicos (More Doctors) Program operate. This study used the infrastructure scale of primary health units (PHUs), which was recently developed by Soares Neto and colleagues to provide more information regarding the relationship between the infrastructure of PHUs and the Municipal Human Development Index (MHDI) of municipalities that received Mais Médicos Program doctors. Using exploratory and inferential statistics, the article shows that 65.2% of the PHUs that received Mais Médicos Program doctors had medium-quality infrastructure and only 5.8% of them had low-quality infrastructure. The correlation of 0.50 between the infrastructure indicator and the MHDI points to a moderate tendency for municipalities with low MHDIs to have more precarious PHUs. Using multiple linear regression analysis it can be inferred that the main factor that contributed to the increase in the infrastructure indicator of the PHUs was the average municipal income. On the other hand, the factor that negatively affected the infrastructure of the PHUs was being located in the north or northeast regions. PMID:27653056

  3. The Mais Médicos (More Doctors) Program, the infrastructure of Primary Health Units and the Municipal Human Development Index.

    PubMed

    Soares, Joaquim José; Machado, Maria Helena; Alves, Cecília Brito

    2016-09-01

    The main objective of this article was to examine the context in which professionals working within the Mais Médicos (More Doctors) Program operate. This study used the infrastructure scale of primary health units (PHUs), which was recently developed by Soares Neto and colleagues to provide more information regarding the relationship between the infrastructure of PHUs and the Municipal Human Development Index (MHDI) of municipalities that received Mais Médicos Program doctors. Using exploratory and inferential statistics, the article shows that 65.2% of the PHUs that received Mais Médicos Program doctors had medium-quality infrastructure and only 5.8% of them had low-quality infrastructure. The correlation of 0.50 between the infrastructure indicator and the MHDI points to a moderate tendency for municipalities with low MHDIs to have more precarious PHUs. Using multiple linear regression analysis it can be inferred that the main factor that contributed to the increase in the infrastructure indicator of the PHUs was the average municipal income. On the other hand, the factor that negatively affected the infrastructure of the PHUs was being located in the north or northeast regions.

  4. Spatial Correlation Analysis between Particulate Matter 10 (PM10) Hazard and Respiratory Diseases in Chiang Mai Province, Thailand

    NASA Astrophysics Data System (ADS)

    Trang, N. Ha; Tripathi, N. K.

    2014-11-01

    Every year, during dry season, Chiang Mai and other northern provinces of Thailand face the problem of haze which is mainly generated by the burning of agricultural waste and forest fire, contained high percentage of particulate matter. Particulate matter 10 (PM10), being very small in size, can be inhaled easily to the deepest parts of the human lung and throat respiratory functions. Due to this, it increases the risk of respiratory diseases mainly in the case of continuous exposure to this seasonal smog. MODIS aerosol images (MOD04) have been used for four weeks in March 2007 for generating the hazard map by linking to in-situ values of PM10. Simple linear regression model between PM10 and AOD got fair correlation with R2 = 0.7 and was applied to transform PM10 pattern. The hazard maps showed the dominance of PM10 in northern part of Chiang Mai, especially in second week of March when PM10 level was three to four times higher than standard. The respiratory disease records and public health station of each village were collected from Provincial Public Health Department in Chiang Mai province. There are about 300 public health stations out of 2070 villages; hence thiessen polygon was created to determine the representative area of each public health station. Within each thiessen polygon, respiratory disease incident rate (RDIR) was calculated based on the number of patients and population. Global Moran's I was computed for RDIR to explore spatial pattern of diseases through four weeks of March. Moran's I index depicted a cluster pattern of respiratory diseases in 2nd week than other weeks. That made sense for a relationship between PM10 and respiratory diseases infections. In order to examine how PM10 affect the human respiratory system, geographically weighted regression model was used to observe local correlation coefficient between RDIR and PM10 across study area. The result captured a high correlation between respiratory diseases and high level of PM10 in

  5. YiQiFuMai Powder Injection Ameliorates Cerebral Ischemia by Inhibiting Endoplasmic Reticulum Stress-Mediated Neuronal Apoptosis

    PubMed Central

    Hu, Yang

    2016-01-01

    YiQiFuMai (YQFM) powder injection as a modern preparation derived from Sheng Mai San, a traditional Chinese medicine, has been widely used in the treatment of cardiovascular and cerebrovascular diseases. However, its neuroprotective effect and underlying mechanism in cerebral ischemia remain to be explored. The present study was designed to investigate the neuroprotective effect of YQFM on endoplasmic reticulum (ER) stress-mediated neuronal apoptosis in the permanent middle cerebral artery occlusion- (MCAO-) injured mice and the oxygen-glucose deprivation- (OGD-) induced pheochromocytoma (PC12) cells. The results showed that single administration of YQFM (1.342 g/kg, i.p.) could reduce the brain infarction and improve the neurological deficits and the cerebral blood flow (CBF) after MCAO for 24 h in mice. Moreover, incubation with YQFM (100, 200, and 400 μg/mL) could increase the cell viability, decrease the caspase-3 activity, and inhibit the cell apoptosis in OGD-induced PC12 cells for 12 h. In addition, YQFM treatment could significantly modulate cleaved caspase-3 and Bcl-2 expressions and inhibit the expressions of ER stress-related marker proteins and signaling pathways in vivo and in vitro. In conclusion, our findings provide the first evidence that YQFM ameliorates cerebral ischemic injury linked with modulating ER stress-related signaling pathways, which provided some new insights for its prevention and treatment of cerebral ischemia diseases. PMID:27087890

  6. Impact of the Mais Médicos (More Doctors) Program in reducing physician shortage in Brazilian Primary Healthcare.

    PubMed

    Girardi, Sábado Nicolau; Stralen, Ana Cristina de Sousa van; Cella, Joana Natalia; Wan Der Maas, Lucas; Carvalho, Cristiana Leite; Faria, Erick de Oliveira

    2016-09-01

    The Mais Médicos (More Doctors) Program (PMM) was put in place in Brazil aiming to reduce inequalities in access to Primary Healthcare. Based on diverse evidence that pointed to a scenario of profound shortage of doctors in the country, one of its central thrusts was emergency provision of these professionals in vulnerable areas, referred to as the Mais Médicos para o Brasil (More Doctors for Brazil) Project. The article analyses the impact of the PMM in reducing shortage of physicians in Brazilian municipalities. To do this, it uses the Primary Healthcare Physicians Shortage Index, which identifies and measures the shortage in the periods of March 2003 and September 2015, before and after implementation of the program. The results show that there was a substantial increase in the supply of physicians in primary healthcare in the period, which helped reduce the number of municipalities with shortage from 1,200 to 777. This impact also helped reduce inequalities between municipalities, but the inequities in distribution persisted. It was also found that there was a reduction in the regular supply of doctors made by municipalities, suggesting that these were being simply substituted by the supply coming from the program. Thus, an overall situation of insecurity in care persists, reflecting the dependence of municipalities on the physician supply from the federal government.

  7. The nature and impact of chronic stressors on refugee children in Ban Mai Nai Soi camp, Thailand.

    PubMed

    Meyer, Sarah; Murray, Laura K; Puffer, Eve S; Larsen, Jillian; Bolton, Paul

    2013-01-01

    Refugee camps are replete with risk factors for mental health problems among children, including poverty, disruption of family structure, family violence and food insecurity. This study, focused on refugee children from Burma, in Ban Mai Nai Soi camp in Thailand, sought to identify the particular risks children are exposed to in this context, and the impacts on their mental health and psychosocial well-being. This study employed two qualitative methods--free list interviews and key informant interviews--to identify the main problems impacting children in Ban Mai Nai Soi camp and to explore the causes of these problems and their impact on children's well-being. Respondents in free list interviews identified a number of problems that impact children in this context, including fighting between adults, alcohol use by adults and children, and child abuse and neglect. Across the issues, the causes included economic and social conditions associated with living in the camp and changes in family structures. Children are chronically exposed to stressors during their growth and development in the camp environment. Policies and interventions in areas of protracted displacement in camp-based settings should work to address these stressors and their impacts at community, household and individual levels.

  8. Diurnal variation, vertical distribution and source apportionment of carcinogenic polycyclic aromatic hydrocarbons (PAHs) in Chiang-Mai, Thailand.

    PubMed

    Pongpiachan, Siwatt

    2013-01-01

    Diurnal variation of particulate polycyclic aromatic hydrocarbons (PAHs) was investigated by collecting PM10 at three different sampling altitudes using high buildings in the city center of Chiang-Mai, Thailand, during the relatively cold period in late February 2008. At site-1 (12 m above ground level), B[a]P concentrations ranged from 30.3 -1,673 pg m-3 with an average of 506±477 pg m-3, contributing on average, 8.09±8.69% to ?PAHs. Ind and B[b]F concentrations varied from 54.6 to 4,579 pg m-3 and from 80.7 to 2,292 pg m-3 with the highest average of 1,187±1,058 pg m-3 and 963±656 pg m-3, contributing on average, 19.0±19.3% and 15.4±12.0% to ?PAHs, respectively. Morning maxima were predominantly detected in all observatory sites, which can be described by typical diurnal variations of traffic flow in Chiang-Mai City, showing a morning peak between 6 AM. and 9 AM. Despite the fact that most monitoring sites might be subjected to specific-site impacts, it could be seen that PAH profiles in Site-1 and Site-2 were astonishingly homogeneous. The lack of differences suggests that the source signatures of several PAHs become less distinct possibly due to the impacts of traffic and cooking emissions from ground level. PMID:23679286

  9. Occurrence of two heterophyid metacercariae Haplorchis and Haplorchoides in cyprinoid fish of some districts in Chiang Mai and Lumphun Province.

    PubMed

    Namue, C; Rojanapaibul, A; Wongsawad, C

    1998-06-01

    According to currently available information, the metacercaria of one heterophyid trematode, Haplorchis, is commonly found in freshwater fishes, especially the cyprinoid group. Thus, in an investigation into the level of Haplorchis metacercaria infection in cyprinoid fishes, comprising ten species, 811 cyprinoid fishes were captured from canals, reservoirs and rivers in six districts of Chiang Mai Province and 4 districts of Lumphun Province, Thailand, 43.03% of the fishes comprising seven species viz Puntius leiacanthus, P. gonionotus, P. orphoides, P. stolickkae, Cirrhina spp, Rasbora spp and R. lateristriata, were found infected, with the prevalence of infection at 77.29, 70.31, 56.52, 47.14, 18.48, 7.94 and 5.18% respectively. Infected fishes were collected from Mae Rim and Sansai districts of Chiang Mai, and Pasang, Ban Hong and Li districts of Lumphun. It should be noted that the Haplorchis metacercariae are commonly found along with Haplorchoides metacercariae. Both minute heterophyids metacercariae were mainly localized in scales, a few were found in fins and gills of fishes.

  10. The implementation of the Mais Médicos (More Doctors) Program and comprehensiveness of care in the Family Health Strategy.

    PubMed

    Comes, Yamila; Trindade, Josélia de Souza; Pessoa, Vanira Matos; Barreto, Ivana Cristina de Holanda Cunha; Shimizu, Helena Eri; Dewes, Diego; Arruda, Carlos André Moura; Santos, Leonor Maria Pacheco

    2016-09-01

    The Mais Médicos (More Doctors) Program is a Brazilian government program that aims to expand access to medical care and thus improve the quality of primary healthcare delivery. This study aims to analyze the perceptions of nondoctor members of the Family Health Strategy teams regarding comprehensiveness of care after the inclusion of doctors from the program. The study encompassed 32 poor municipalities in Brazil's five geographical regions. A total of 78 health workers were interviewed. The interviews were transcribed and analyzed using content analysis and the software Atlas.ti Version 1.0.36. The study found that the program led to: an increase in access to and accessibility of services provided under the Family Health Strategy; humanized care and the establishment of bonds - understanding, partnership, friendship and respect; going back to clinical approaches - dedicated time, listening attentively, and detailed physical examination; the desire and willingness to resolve problems; continuity of care; guarenteeing home visits; and coordination of multidisciplinary teams in networks. It was concluded that the Mais Médicos Program contributed to the enhancement of comprehensiveness, thus leading to improvements in primary health care delivery.

  11. Lead and cadmium in leaves of deciduous trees in Beijing, China: development of a metal accumulation index (MAI).

    PubMed

    Liu, Yan-Ju; Zhu, Yong-Guan; Ding, Hui

    2007-01-01

    Lead and cadmium uptake was investigated for common deciduous street trees in Beijing in this study. Species having Cd accumulation included Populus tomentosa, Sophora japonica and Catalpa speciosa. P. tomentosa had the highest ratios between leaf and soil Cd (0.848), followed by S. japonica (0.536), C. speciosa (0.493), Paulownia tomentosa (0.453) and Juglans regia (0.415). Pb levels were high in leaves of C. speciosa, J. regia and Pa. tomentosa. S. japonica had the highest ratio between leaf Pb and soil Pb (0.146), followed by Pa. tomentosa (0.143), Ginko biloba (0.103) and C. speciosa (0.095). A predictive foliar metal accumulation index (MAI) was developed and C. speciosa was calculated to have the highest MAI value (53.8). This suggests that C. speciosa would be a good choice for planting in areas of Beijing where soil contamination with Cd and Pb may be a problem. PMID:16797111

  12. The implementation of the Mais Médicos (More Doctors) Program and comprehensiveness of care in the Family Health Strategy.

    PubMed

    Comes, Yamila; Trindade, Josélia de Souza; Pessoa, Vanira Matos; Barreto, Ivana Cristina de Holanda Cunha; Shimizu, Helena Eri; Dewes, Diego; Arruda, Carlos André Moura; Santos, Leonor Maria Pacheco

    2016-09-01

    The Mais Médicos (More Doctors) Program is a Brazilian government program that aims to expand access to medical care and thus improve the quality of primary healthcare delivery. This study aims to analyze the perceptions of nondoctor members of the Family Health Strategy teams regarding comprehensiveness of care after the inclusion of doctors from the program. The study encompassed 32 poor municipalities in Brazil's five geographical regions. A total of 78 health workers were interviewed. The interviews were transcribed and analyzed using content analysis and the software Atlas.ti Version 1.0.36. The study found that the program led to: an increase in access to and accessibility of services provided under the Family Health Strategy; humanized care and the establishment of bonds - understanding, partnership, friendship and respect; going back to clinical approaches - dedicated time, listening attentively, and detailed physical examination; the desire and willingness to resolve problems; continuity of care; guarenteeing home visits; and coordination of multidisciplinary teams in networks. It was concluded that the Mais Médicos Program contributed to the enhancement of comprehensiveness, thus leading to improvements in primary health care delivery. PMID:27653058

  13. Visceral pentastomiasis caused by Armillifer armillatus in a captive striped hyena (Hyaena hyaena) in Chiang Mai Night Safari, Thailand.

    PubMed

    Dechkajorn, Sakorn; Nomsiri, Raksiri; Boonsri, Kittikorn; Sripakdee, Duanghatai; Sukontason, Kabkaew L; Wannasan, Anchalee; Chailangkarn, Sasisophin; Tiwananthagorn, Saruda

    2016-02-01

    Visceral pentastomiasis (porocephalosis) caused by Armillifer armillatus larvae was incidentally diagnosed in a female striped hyena (Hyaena hyaena) of unknown age which died unexpectedly in 2013. The hyena had been imported from Tanzania 8years earlier and have been since then in a zoo in Chiang Mai, northern Thailand. Pathological examination revealed visceral nymph migrans of pentastomes throughout the intestine, liver, diaphragm, omentum and mesentery, spleen, kidneys, and urinary bladder. Polymerase chain reaction and sequencing that targeted the pentastomid-specific 18S rRNA gene determined 100% identity with reference sequence for A. armillatus, suggesting that its ova can infect the hyena to serve as an intermediate host for the parasite. Further studies to identify the source of infection, its risk factors, and host range for A. armillatus are important to determine its zoonotic potential and to better prevent and manage the disease to protect animal and human health. PMID:26460150

  14. Visceral pentastomiasis caused by Armillifer armillatus in a captive striped hyena (Hyaena hyaena) in Chiang Mai Night Safari, Thailand.

    PubMed

    Dechkajorn, Sakorn; Nomsiri, Raksiri; Boonsri, Kittikorn; Sripakdee, Duanghatai; Sukontason, Kabkaew L; Wannasan, Anchalee; Chailangkarn, Sasisophin; Tiwananthagorn, Saruda

    2016-02-01

    Visceral pentastomiasis (porocephalosis) caused by Armillifer armillatus larvae was incidentally diagnosed in a female striped hyena (Hyaena hyaena) of unknown age which died unexpectedly in 2013. The hyena had been imported from Tanzania 8years earlier and have been since then in a zoo in Chiang Mai, northern Thailand. Pathological examination revealed visceral nymph migrans of pentastomes throughout the intestine, liver, diaphragm, omentum and mesentery, spleen, kidneys, and urinary bladder. Polymerase chain reaction and sequencing that targeted the pentastomid-specific 18S rRNA gene determined 100% identity with reference sequence for A. armillatus, suggesting that its ova can infect the hyena to serve as an intermediate host for the parasite. Further studies to identify the source of infection, its risk factors, and host range for A. armillatus are important to determine its zoonotic potential and to better prevent and manage the disease to protect animal and human health.

  15. Mais Médicos (More Doctors) Program: its contribution in view of WHO recommendations for provision of doctors.

    PubMed

    Carvalho, Viviane Karoline da Silva; Marques, Carla Pintas; Silva, Everton Nunes da

    2016-09-01

    In order to examine whether Brazil's Mais Médicos (More Doctors) Programme (PMM) reflected World Health Organisation (WHO) recommendations for improved attraction, retention and recruitment of health workers in remote and rural areas, this descriptive, qualitative study drew on document analysis in order to compare the WHO recommendations published in 2010 with Brazil's Law No. 12,871/13, which instituted the PMM. Of the 16 WHO recommendations systematised here, the PMM met 37.5%. Recommendations not incorporated into the PMM include career development programmes and public recognition strategies. Although reflecting WHO recommendations and already in place elsewhere in the SUS prior to announcement of the PMM, the National Retention Grant Programme and multi-professional teams (as in the Family Health Strategy) were not implemented by the PMM. The programme contains innovative components such as a new curriculum for medical schools and compulsory medical service. On the other hand, the PMM could have invested more in personal and professional support. PMID:27653062

  16. Protective Effects of Sheng-Mai-San on Right Ventricular Dysfunction during Chronic Intermittent Hypoxia in Mice

    PubMed Central

    Chai, Cheng-Zhi; Mo, Wei-Lan; Zhuang, Xian-Fei; Yan, Yong-Qing

    2016-01-01

    Right ventricular (RV) dysfunction and failure contribute to the increasing morbidity and mortality of cardiovascular diseases; however, current treatment strategies are grossly inadequate. Sheng-Mai-San (SMS) has been used to treat heart diseases for hundreds of years in China, and its protective effects on RV have not been observed. The present study was to investigate the protective effects of SMS aqueous extract on RV dysfunction in chronic intermittent hypoxia (CIH) mice model. The results showed that CIH mice model presented RV dysfunction and maladaptive compensation after 28-day-CIH and SMS treatment significantly reversed these changes. Diastolic function of RV was restored and systolic dysfunction was attenuated, including elevation of RV stroke volume and fractional shortening, as well as pulmonary circulation. Structurally, SMS treatment inhibited RV dilation, cardiomyocytes vacuolization, ultrastructure abnormalities, and the expression of cleaved caspase-3. Of importance, SMS showed remarkable antioxidant activity by decreasing the levels of malondialdehyde (MDA) and 4-hydroxynonenal (4-HNE), increasing the levels of superoxide dismutase (SOD) and heme oxygenase-1 (HO-1), as well as inhibiting the overexpression of 3-NT in RV. Our results indicate that SMS preserve RV structure and function in CIH-exposed mice by involving regulation in both ROS and Reactive Nitrogen Species (RNS) production. PMID:27073402

  17. Potentially pathogenic free-living amoebae in some flood-affected areas during 2011 Chiang Mai flood.

    PubMed

    Wannasan, Anchalee; Uparanukraw, Pichart; Songsangchun, Apichart; Morakote, Nimit

    2013-01-01

    The survey was carried out to investigate the presence of potentially pathogenic free-living amoebae (FLA) during flood in Chiang Mai, Thailand in 2011. From different crisis flood areas, seven water samples were collected and tested for the presence of amoebae using culture and molecular methods. By monoxenic culture, FLA were detected from all samples at 37 °C incubation. The FLA growing at 37 °C were morphologically identified as Acanthamoeba spp., Naegleria spp. and some unidentified amoebae. Only three samples (42.8%), defined as thermotolerant FLA, continued to grow at 42 °C. By molecular methods, two non-thermotolerant FlA were shown to have 99% identity to Acanthamoeba sp. and 98% identity to Hartmannella vermiformis while the two thermotolerant FLA were identified as Echinamoeba exundans (100% identity) and Hartmannella sp. (99% identity). This first report of the occurrence of FLA in water during the flood disaster will provide information to the public to be aware of potentially pathogenic FLA.

  18. Genetic population structure of polychaeta Neanthes glandicincta (Nereididae) of the Mai Po Inner Deep Bay Ramsar Site, Hong Kong.

    PubMed

    Shen, Ping-Ping; Gu, Ji-Dong

    2015-10-01

    Neanthes glandicincta (Nereididae, Polychaeta) is the first numerically dominant benthic infauna in the Mai Po international Ramsar site, Hong Kong and also an economically important species for food source of birds and fishes. In present study, highly conserved nuclear ribosomal DNA (SSU and LSU rDNA) and mitochondrial COI gene were employed to study the population structure of N. glandicincta in the subtropical mudflat. The specimens were collected from five localities in February 2006, February-August 2007 and preserved at -80 °C, methanol or formalin, respectively. DNA extraction efficiency was the highest in fresh materials and lowest in formalin-fixed samples. The 18S (1774 bp), 28S D1 (383 bp) and COI genes were sequenced and analyzed. Both 18S and 28S D1 rDNA were highly conserved and showed no difference among the populations, whereas COI gene exhibited relatively high-level intraspecific polymorphism (2.2 %). The population from onshore and near mangrove station was phylogenetic different from other sites, indicating restricted gene exchange between the region of river mouth and mangrove forest. The mangrove may form a barrier for the dispersal of pelagic/benthic larvae of the population, which indicates that the population genetic difference is related to different habitats. PMID:25967938

  19. Protective effect of the extract of Yi-Qi-Fu-Mai preparation on hypoxia-induced heart injury in mice.

    PubMed

    Feng, Ya-Qian; Ju, Ai-Chun; Liu, Chun-Hua; Wang, Ting; Yu, Bo-Yang; Qi, Jin

    2016-06-01

    Yi-Qi-Fu-Mai (YQFM) is extensively used clinically to treat cardiovascular diseases in China. To explore the anti-hypoxia effect of the extract of YQFM preparation (EYQFM), the EYQFM (1.4, 2.8, and 5.5 g·kg(-1)·d(-1)) was assessed for its heart-protective effect in a chronic intermittent hypoxia (CIH) animal model (oxygen pressure 7%-8%, 20 min per day) for 28 days of treatment. Betaloc (0.151 6 g·kg(-1)·d(-1)) was used as a positive control. The histopathological analyses of heart in CIH mice were conducted. Several cardiac state parameters, such as left ventricular ejection fractions (EF), stroke volume (SV), expression of creatine kinase (CK), lactate dehydrogenase (LDH), superoxide dismutase (SOD), and malondialdehyde (MDA) were measured. The results showed that treatment with EYQFM markedly reversed swelling of the endothelial cells and vacuolization in the heart when compared with the model group. Further study demonstrated that EYQFM significantly improved ventricular myocardial contractility by increasing EF and SV. In addition, EYQFM inhibited the activity of CK, LDH, decreased the level of MDA and improved SOD activity. The results demonstrated that EYQFM significantly improved the tolerability of myocardium to hypoxia and ameliorated the cardiac damage in the CIH model. PMID:27473956

  20. POTENTIALLY PATHOGENIC FREE-LIVING AMOEBAE IN SOME FLOOD-AFFECTED AREAS DURING 2011 CHIANG MAI FLOOD

    PubMed Central

    Wannasan, Anchalee; Uparanukraw, Pichart; Songsangchun, Apichart; Morakote, Nimit

    2013-01-01

    SUMMARY The survey was carried out to investigate the presence of potentially pathogenic free-living amoebae (FLA) during flood in Chiang Mai, Thailand in 2011. From different crisis flood areas, seven water samples were collected and tested for the presence of amoebae using culture and molecular methods. By monoxenic culture, FLA were detected from all samples at 37 °C incubation. The FLA growing at 37 °C were morphologically identified as Acanthamoeba spp., Naegleria spp. and some unidentified amoebae. Only three samples (42.8%), defined as thermotolerant FLA, continued to grow at 42 °C. By molecular methods, two non-thermotolerant FlA were shown to have 99% identity to Acanthamoeba sp. and 98% identity to Hartmannella vermiformis while the two thermotolerant FLA were identified as Echinamoeba exundans (100% identity) and Hartmannella sp. (99% identity). This first report of the occurrence of FLA in water during the flood disaster will provide information to the public to be aware of potentially pathogenic FLA. PMID:24213194

  1. Service users' perceptions of the Mais Médicos (More Doctors) Program in the Municipality of Mossoró, Brazil.

    PubMed

    Silva, Tiago Rodrigues Bento da; Silva, Jennifer do Vale E; Pontes, Andrezza Graziella Veríssimo; Cunha, Andrea Taborda Ribas da

    2016-09-01

    The Mais Médicos (More Doctors) Program (MMP), which was launched in 2013, sought to provide doctors to work in primary health care in priority areas within the Brazilian Unified Health System (SUS). This article analyzes the perception of MMP service users through the results of a qualitative study that consisted of interviews with service users of the Family Health Strategy (ESF) in which doctors from the MMP worked. The service users who were interviewed had a positive view of the MMP because it had expanded access to health care, although there still remained organizational and technical problems that limited the use of services. The performance of foreign doctors was well viewed, with an emphasis on a humanized relationship between doctor and service user, which was characterized by listening, attention and dialogue. In terms of communication with these professionals, some service users referred to language as being a barrier, which was ameliorated by the use of communication strategies within the ESF. The MMP offered a quick and satisfactory resolution to the historical problem of difficulty of access to doctors in Brazil. However, the effectiveness of the Brazilian health system requires that weaknesses are overcome, such as access to specialized services, organizational problems and the implementation of service production models that are centered on illness. PMID:27653070

  2. Evaluation of user satisfaction and service responsiveness in municipalities enrolled in the Mais Médicos (More Doctors) Program.

    PubMed

    Comes, Yamila; Trindade, Josélia de Souza; Shimizu, Helena Eri; Hamann, Edgar Merchan; Bargioni, Florencia; Ramirez, Loana; Sanchez, Mauro Niskier; Santos, Leonor Maria Pacheco

    2016-09-01

    The Mais Médicos (More Doctors) Program (PMM) addresses shortages of doctors, one of whose objectives is to reduce regional inequalities in access to health care. This descriptive cross-sectional study evaluated service responsiveness and user satisfaction with PMM doctors among 263 users of the public health system in 32 municipalities with 20% or more of extreme poverty. Questionnaires of open and closed questions were used. Users were satisfied with patient-doctor relationships, information about diseases and treatment and the clarity and comprehensibility of medical indications. The doctors' technical and humanised conduct helped ensure satisfaction among users, who stressed the importance of the programme's continuance. As regards responsiveness, most users were pleased with the non-medical aspects of care: prompt scheduling of appointments, waiting times of less than one hour and privacy. Users suggested improving infrastructure and making more medicines and more doctors available, which should be considered by SUS managers to help ensure access to the right to health guaranteed in Brazil's constitution. PMID:27653060

  3. Pallisentis rexus from the Chiang Mai Basin, Thailand: ultrastructural studies on egg envelope development and the mechanism of egg expansion.

    PubMed

    Wongkham, W; Whitfield, P J

    2004-03-01

    Pallisentis rexus Wongkham & Whitfield, 1999 (Eoacanthocephala: Quadrigyridae) infects the freshwater snakehead fish, Channa striata, in the Chiang Mai Basin, Thailand. All stages of egg development within the body cavity of the female parasite were observed, using transmission electron microscopy. Changes in mature eggs after contact with water were also investigated. The mature egg has five egg envelopes separated from each other by four gaps. The fertilization membrane, which is formed first, is pushed centrifugally by other, subsequently formed, envelopes and gaps, which produces a final total shell thickness of 8-36 microm around the acanthor. The disappearance of the outermost layer and the unpleating of an adjacent inner layer causes the expansion of eggs on contact with water. The volume of an expanded egg is approximately 27 times that of an unexpanded one, but the density of eggs is reduced from a value greater than water to one almost equal to water. This is believed to aid the dispersion of eggs. PMID:14972041

  4. Genetic population structure of polychaeta Neanthes glandicincta (Nereididae) of the Mai Po Inner Deep Bay Ramsar Site, Hong Kong.

    PubMed

    Shen, Ping-Ping; Gu, Ji-Dong

    2015-10-01

    Neanthes glandicincta (Nereididae, Polychaeta) is the first numerically dominant benthic infauna in the Mai Po international Ramsar site, Hong Kong and also an economically important species for food source of birds and fishes. In present study, highly conserved nuclear ribosomal DNA (SSU and LSU rDNA) and mitochondrial COI gene were employed to study the population structure of N. glandicincta in the subtropical mudflat. The specimens were collected from five localities in February 2006, February-August 2007 and preserved at -80 °C, methanol or formalin, respectively. DNA extraction efficiency was the highest in fresh materials and lowest in formalin-fixed samples. The 18S (1774 bp), 28S D1 (383 bp) and COI genes were sequenced and analyzed. Both 18S and 28S D1 rDNA were highly conserved and showed no difference among the populations, whereas COI gene exhibited relatively high-level intraspecific polymorphism (2.2 %). The population from onshore and near mangrove station was phylogenetic different from other sites, indicating restricted gene exchange between the region of river mouth and mangrove forest. The mangrove may form a barrier for the dispersal of pelagic/benthic larvae of the population, which indicates that the population genetic difference is related to different habitats.

  5. Recent HIV Testing Among Young Men Who Have Sex with Men in Bangkok and Chiang Mai: HIV Testing and Prevention Strategies Must Be Enhanced in Thailand.

    PubMed

    Johnston, Lisa G; Steinhaus, Mara C; Sass, Justine; Sirinirund, Petchsri; Lee, Catherine; Benjarattanaporn, Patchara; Gass, Robert

    2016-09-01

    HIV infection among men who have sex with men, particularly in Thai urban settings and among younger cohorts, is escalating. HIV testing and counseling (HTC) are important for prevention and obtaining treatment and care. We examine data from a 2013 survey of males, 15-24 years, reporting past-year sex with a male and living in Bangkok or Chiang Mai. Almost three quarters of young MSM (YMSM) in Bangkok and only 27 % in Chiang Mai had an HIV test in the previous year. Associations for HIV testing varied between cities, although having employment increased the odds of HIV testing for both cities. In Bangkok, family knowledge of same sex attraction and talking to parents/guardians about HIV/AIDS had higher odds of HIV testing. Expanded HTC coverage is needed for YMSM in Chiang Mai. All health centers providing HTC, including those targeting MSM, need to address the specific needs of younger cohorts.

  6. Recent HIV Testing Among Young Men Who Have Sex with Men in Bangkok and Chiang Mai: HIV Testing and Prevention Strategies Must Be Enhanced in Thailand.

    PubMed

    Johnston, Lisa G; Steinhaus, Mara C; Sass, Justine; Sirinirund, Petchsri; Lee, Catherine; Benjarattanaporn, Patchara; Gass, Robert

    2016-09-01

    HIV infection among men who have sex with men, particularly in Thai urban settings and among younger cohorts, is escalating. HIV testing and counseling (HTC) are important for prevention and obtaining treatment and care. We examine data from a 2013 survey of males, 15-24 years, reporting past-year sex with a male and living in Bangkok or Chiang Mai. Almost three quarters of young MSM (YMSM) in Bangkok and only 27 % in Chiang Mai had an HIV test in the previous year. Associations for HIV testing varied between cities, although having employment increased the odds of HIV testing for both cities. In Bangkok, family knowledge of same sex attraction and talking to parents/guardians about HIV/AIDS had higher odds of HIV testing. Expanded HTC coverage is needed for YMSM in Chiang Mai. All health centers providing HTC, including those targeting MSM, need to address the specific needs of younger cohorts. PMID:26884309

  7. Alcohol intoxication in road traffic accidents leads to higher impact speed difference, higher ISS and MAIS, and higher preclinical mortality.

    PubMed

    Stübig, Timo; Petri, Maximilian; Zeckey, Christian; Brand, Stephan; Müller, Christian; Otte, Dietmar; Krettek, Christian; Haasper, Carl

    2012-11-01

    Alcohol is one of the most important personal risk factors for serious and fatal injuries, contributing to approximately one third of all deaths from accidents. It is also described that alcohol intoxication leads to a higher mortality in the clinical course. In this study, we hypothesized that alcohol intoxication leads to different accident kinematics, a higher ISS (Injury Severity Score), and higher preclinical mortality compared to sober patients. A technical and medical investigation of alcohol intoxicated road users was performed on the scene of the crash and at the primary admitting hospital. Alcohol testing was performed with either breath alcohol tests or measurement of blood alcohol concentration (BAC) in a standard laboratory test. Between 1999 and 2010, 37,635 road traffic accidents were evaluated by the Accident Research Unit. Overall 20,741 patients were injured, 2.3% of the patients were killed. Among the injured patients, 2.2% with negative BAC were killed, compared to 4.6% fatal injuries in patients with a positive BAC (p < 0.0001). Of the patients with a positive BAC, 8.0% were severely injured, compared to 3.6% in the BAC negative group (p < 0.0001). Regarding the relative speed at impact (Δv for motorized drivers, vehicle collision speed for pedestrians and bikers), there was a significant higher difference for BAC positive patients (30 ± 20) compared to the BAC negative patients (25 ± 19, p < 0.0001). Alcohol intoxication in trauma patients leads to higher preclinical mortality, higher impact speed difference, and higher injury severity. The subgroup analysis for different alcohol concentrations shows no difference in ISS, MAIS, and relative speed, but a correlation of increasing age of patients with higher alcohol concentrations.

  8. Alcohol intoxication in road traffic accidents leads to higher impact speed difference, higher ISS and MAIS, and higher preclinical mortality.

    PubMed

    Stübig, Timo; Petri, Maximilian; Zeckey, Christian; Brand, Stephan; Müller, Christian; Otte, Dietmar; Krettek, Christian; Haasper, Carl

    2012-11-01

    Alcohol is one of the most important personal risk factors for serious and fatal injuries, contributing to approximately one third of all deaths from accidents. It is also described that alcohol intoxication leads to a higher mortality in the clinical course. In this study, we hypothesized that alcohol intoxication leads to different accident kinematics, a higher ISS (Injury Severity Score), and higher preclinical mortality compared to sober patients. A technical and medical investigation of alcohol intoxicated road users was performed on the scene of the crash and at the primary admitting hospital. Alcohol testing was performed with either breath alcohol tests or measurement of blood alcohol concentration (BAC) in a standard laboratory test. Between 1999 and 2010, 37,635 road traffic accidents were evaluated by the Accident Research Unit. Overall 20,741 patients were injured, 2.3% of the patients were killed. Among the injured patients, 2.2% with negative BAC were killed, compared to 4.6% fatal injuries in patients with a positive BAC (p < 0.0001). Of the patients with a positive BAC, 8.0% were severely injured, compared to 3.6% in the BAC negative group (p < 0.0001). Regarding the relative speed at impact (Δv for motorized drivers, vehicle collision speed for pedestrians and bikers), there was a significant higher difference for BAC positive patients (30 ± 20) compared to the BAC negative patients (25 ± 19, p < 0.0001). Alcohol intoxication in trauma patients leads to higher preclinical mortality, higher impact speed difference, and higher injury severity. The subgroup analysis for different alcohol concentrations shows no difference in ISS, MAIS, and relative speed, but a correlation of increasing age of patients with higher alcohol concentrations. PMID:22819121

  9. High incidence of plasmids in marine Vibrio species isolated from Mai Po Nature Reserve of Hong Kong.

    PubMed

    Zhang, Ruifu; Pan, Li; Zhao, Zhenye; Gu, Ji-Dong

    2012-08-01

    Mai Po Nature Reserve is the largest mangrove ecosystem and the most polluted coastal water body in Hong Kong. Plasmids screening of 100 Vibrio isolates randomly showed 45 % of them contained 1-3 plasmids. These plasmid(s)-bearing isolates could be divided into 12 groups based on their plasmid profiles. Phylogenetic analysis of the partial 16S rRNA gene sequences confirmed that all plasmid(s)-bearing isolates belonged to Vibrio cholerae. Full DNA sequences of the plasmids in Groups I (pVCG1.1 and pVCG1.2), II (pVCG2.1), III (pVCG3.2) and IV (pVCG4.1) have been determined and the results showed that pVCG1.1, pVCG2.1 and pVCG3.2 were almost identical. Plasmids pVCG1.1, pVCG1.2 and pVCG4.1 are comprised of 4,439, 2,357 and 2,163 bp with the overall G+C content of 45.57, 53.54 and 43.09 %, respectively. pVCG1.1 is a novel plasmid, and plasmids pVCG1.2 and pVCG4.1 showed homology of replication initiation proteins to that of the theta type replicons. Attempts to cure the plasmids from their hosts were unsuccessful. These data suggest that plasmids of Vibrio spp. are a significant gene reservoir in the marine ecosystem. PMID:22684730

  10. Aerosol transport from Chiang Mai, Thailand to Mt. Lulin, Taiwan - Implication of aerosol aging during long-range transport

    NASA Astrophysics Data System (ADS)

    Chuang, Ming-Tung; Lee, Chung-Te; Chou, Charles C.-K.; Engling, Guenter; Chang, Shih-Yu; Chang, Shuenn-Chin; Sheu, Guey-Rong; Lin, Neng-Huei; Sopajaree, Khajornsak; Chang, You-Jia; Hong, Guo-Jun

    2016-07-01

    The transport of biomass burning (BB) aerosol from Indochina may cause a potential effect on climate change in Southeast Asia, East Asia, and the Western Pacific. Up to now, the understanding of BB aerosol composition modification during long-range transport (LRT) is still very limited due to the lack of observational data. In this study, atmospheric aerosols were collected at the Suthep/Doi Ang Khang (DAK) mountain sites in Chiang Mai, Thailand and the Lulin Atmospheric Background Station (Mt. Lulin) in central Taiwan from March to April 2010 and from February to April 2013, respectively. During the study period, an upwind and downwind relationship between the Suthep/DAK and Lulin sites (2400 km apart) was validated by backward trajectories. Comprehensive aerosol properties were resolved for PM2.5 water-soluble inorganic ions, carbonaceous content, water-soluble/insoluble organic carbon (WSOC/WIOC), dicarboxylic acids and their salts (DCAS), and anhydrosugars. A Modification Factor (MF) is proposed by employing non-sea-salt potassium ion (nss-K+) or fractionalized elemental carbon evolved at 580 °C after pyrolized OC correction (EC1-OP) as a BB aerosol tracer to evaluate the mass fraction changes of aerosol components from source to receptor regions during LRT. The MF values of nss-SO42-, NH4+, NO3-, OC1 (fractionalized organic carbon evolved from room temperature to 140 °C), OP (pyrolized OC fraction), DCAS, and WSOC were above unity, which indicated that these aerosol components were enhanced during LRT as compared with those in the near-source region. In contrast, the MF values of anhydrosugars ranged from 0.1 to 0.3, indicating anhydrosugars have degraded during LRT.

  11. Changes in urinary Cu, Zn, and Se levels in cancer patients after treatment with Sha Shen Mai Men Dong Tang

    PubMed Central

    Lai, Tung-Yuan; Kuo, Hsien-Wen

    2015-01-01

    Sha Shen Mai Men Dong Tang (SMD-2; 沙參麥冬湯 shā shēn mài dōng tāng) is a Chinese medicinal herb (CMH; 中草藥 zhōng cǎo yào) used to treat symptoms associated with cancer therapy. The objective of this study was to assess the effect of SMD-2 on the levels of urinary copper (Cu), zinc (Zn), and selenium (Se) in lung cancer patients and head and neck cancer patients receiving chemoradiotherapy. Forty-two head and neck cancer patients and 10 lung cancer patients participated in our clinical trial. Each patient received chemoradiotherapy for 4 weeks. In addition, each patient was treated with SMD-2 for 8 weeks, including 2 weeks prior to and after the chemoradiotherapy treatment. Comparison of urinary Cu, Zn, and Se levels and the ratios of Zn to Cu and Se to Cu at three time points in the two types of cancer were assessed using the generalized estimating equations (GEEs). After the patients received chemoradiotherapy for 4 weeks, SMD-2 treatment was found to be associated with a significant decrease in urinary Cu levels, whereas urinary Zn and Se levels increased significantly. In addition, the ratios of Zn to Cu and Se to Cu in the urine samples of these patients also increased significantly. Both the urinary Zn levels and the ratio of Zn to Cu in head and neck cancer patients were significantly higher than in lung cancer patients. Urinary Zn and Se levels and the ratios of Zn to Cu and Se to Cu, but not urinary Cu levels, increased significantly during and after treatment when assessed using the GEE model. The SMD-2 treatments significantly increased Zn and Se levels in the urine of head and neck cancer patients. Increased Zn and Se levels in urine strengthened immune system. PMID:27114935

  12. Comparison of wet-only and bulk deposition at Chiang Mai (Thailand) based on rainwater chemical composition

    NASA Astrophysics Data System (ADS)

    Chantara, Somporn; Chunsuk, Nawarut

    The chemical composition of 122 rainwater samples collected daily from bulk and wet-only collectors in a sub-urban area of Chiang Mai (Thailand) during August 2005-July 2006 has been analyzed and compared to assess usability of a cheaper and less complex bulk collector over a sophisticated wet-only collector. Statistical analysis was performed on log-transformed daily rain amount and depositions of major ions for each collector type. The analysis of variance (ANOVA) test revealed that the amount of rainfall collected from a rain gauge, bulk collector and wet-only collector showed no significant difference ( ∝=0.05). The volume weight mean electro-conductivity (EC) values of bulk and wet-only samples were 0.69 and 0.65 mS/m, respectively. The average pH of the samples from both types of collectors was 5.5. Scatter plots between log-transformed depositions of specific ions obtained from bulk and wet-only samples showed high correlation ( r>0.91). Means of log-transformed bulk deposition were 14% (Na + and K +), 13% (Mg 2+), 7% (Ca 2+), 4% (NO 3-), 3% (SO 42- and Cl -) and 2% (NH 4+) higher than that of wet-only deposition. However, multivariate analysis of variance (MANOVA) revealed that ion depositions obtained from bulk and wet-only collectors were not significantly different ( ∝=0.05). Therefore, it was concluded that a bulk collector can be used instead of a wet-only collector in a sub-urban area.

  13. Application of Distributed Hydrology-Soil-Vegetation Model in Pang Khum Experimental Watershed, Chiang Mai Province, Thailand

    NASA Astrophysics Data System (ADS)

    Cuo, L.; Giambelluca, T. W.; Ziegler, A. D.; Sutherland, R. A.; Nullet, M. A.; Larkin, E. D.; Vana, T. T.

    2001-12-01

    Distributed hydrology-soil-vegetation model (DHSVM) uses a digital elevation model (DEM) and accounts for topographic effects on soil moisture, groundwater, and surface water redistribution in a complex terrain. In this study, DHSVM is used to simulate soil moisture, net radiation and stream flow in a 1-km2 tropical mountainous watershed in Pang Khum, Chang Mai, Thailand. Pang Khum Experimental Watershed (PKEW) has two meteorological stations, four soil moisture stations, and one stream flow station at basin outlet. Meteorological measurements are used as forcing data for DHSVM. The grid resolution for this simulation is 50 m. Initial soil and vegetation parameter settings based on field measurements and literature review are adjusted through model calibration. The model is run for a six month warm-up period, followed by a calibration period of approximately one year. Validation is done for two periods totaling 18 months. At the forested site, net radiation is reasonably well simulated, although underestimated in the dry season, and overestimated in the wet season. At the agricultural site, net radiation is consistently overestimated. Soil moisture is well simulated at the forest site. In the simulation, the water table rises into the soil zone during the wet season, saturating all three soil layers at the agricultural site; measured values remained at unsaturated levels. Baseflow is significantly underestimated in calibration and validation periods. Difficulty in simulating streamflow may be caused by road-related effects in the basin. Our prior field work has shown that the road significantly alters runoff in PKEW. The principal mechanism of road-induced effects is Horton Overland Flow (HOF) generated on the road surface. In its present form DHSVM can account for interception of subsurface flow by roads, but not HOF generated on the road. We do not think subsurface flow interception is important in PKEW, and have therefore not implemented the road in our

  14. The Active Mai'iu Low Angle Normal Fault, Woodlark Rift: Spatial and Temporal Slip Distributions, and Rider Block Abandonment Chronology.

    NASA Astrophysics Data System (ADS)

    Webber, S. M.; Little, T.; Norton, K. P.; Mizera, M.; Oesterle, J.; Ellis, S. M.

    2015-12-01

    Low-angle normal faults (LANFs) have induced debate due to their apparent non-Andersonian behavior and lack of significant seismicity associated with slip. Dipping ~21°, the Mai'iu Fault, Woodlark Rift is an active, rapidly slipping LANF located at the transition between continental extension and seafloor spreading. Based on campaign GPS data [Wallace et al., 2014] the Mai'iu Fault is thought to slip at 7-9 mm/yr, accommodating a large fraction of total basinal extension, although it is uncertain whether slip is seismic or aseismic. Surface geomorphology indicates that the fault scarp is not significantly eroded despite high rainfall and ~3000 m relief. We have obtained 15 rock samples (~5 m spacing) from the lowermost Mai'iu Fault scarp in order to determine Holocene slip rate and style over the last ~10 kyr using cosmogenic 10Be in quartz. This slip direction-parallel profile in exposed bedrock is supported by a suite of soil samples for 10Be analysis, which extend our temporal coverage. We model exposure age data in terms of slip rate and style by identification of discontinuities within the profile. Of particular interest is whether slip is seismic or aseismic. In addition we analyze the structure of conglomeratic strata and abandoned, back-rotated rider blocks in the Mai'iu Fault hanging wall, which record Quaternary splay faulting and tilting in response to sustained LANF slip. 20 quartz pebble samples were obtained from hanging wall conglomerates for the purpose of calculating cosmogenic burial (26Al/10Be) ages. These constrain the chronology of Quaternary hanging wall deformation. High-angle (~50°) faulting competes with LANF slip at <2 km depths, with high-angle faults cutting the main LANF and exposing footwall metabasalt up to 2 km north of the Mai'iu Fault. Past splay faulting is recorded in the progressive back-tilting and folding of the Gwoira rider block in a ~2 km deep depression in the corrugated Mai'iu fault plane. Our results provide new

  15. Primary care in Brazil, and the Mais Médicos (More Doctors) Program in the Unified Health System: achievements and limits.

    PubMed

    Campos, Gastão Wagner de Sousa; Pereira, Nilton

    2016-09-01

    An historical analysis of Brazil's policies in Primary Healthcare, with emphasis on the Family Health Strategy (FHS), and the Mais Médicos Program (PMM). Studies were made of documents and secondary official data, and the bibliography that has been produced on this theme. It was found that primary healthcare has been established and successfully consolidated as an option in healthcare for a great part of the population of Brazil. There have, however, been structural hurdles, which have tended to compromise the effectiveness and sustainability of this policy. It was identified that these obstacles arise principally from insufficient financing and from inefficient modes of planning and management. The Mais Médicos Program has widened care coverage and made the distribution of primary healthcare doctors more equitable, although it has not resolved the structural problems of the public system. PMID:27653048

  16. Mapping the distribution of mangrove species in the Core Zone of Mai Po Marshes Nature Reserve, Hong Kong, using hyperspectral data and high-resolution data

    NASA Astrophysics Data System (ADS)

    Jia, Mingming; Zhang, Yuanzhi; Wang, Zongming; Song, Kaishan; Ren, Chunying

    2014-12-01

    Mangrove species compositions and distributions are essential for conservation and restoration efforts. In this study, hyperspectral data of EO-1 HYPERION sensor and high spatial resolution data of SPOT-5 sensor were used in Mai Po mangrove species mapping. Objected-oriented method was used in mangrove species classification processing. Firstly, mangrove objects were obtained via segmenting high spatial resolution data of SPOT-5. Then the objects were classified into different mangrove species based on the spectral differences of HYPERION image. The classification result showed that in the top canopy, Kandelia obovata and Avicennia marina dominated Mai Po Marshes Natural Reserve, with area of 196.8 ha and 110.8 ha, respectively, Acanthus ilicifolius and Aegiceras corniculatum were mixed together and living at the edge of channels with an area of 11.7 ha. Additionally, mangrove species shows clearly zonations and associations in the Mai Po Core Zone. The overall accuracy of our mangrove map was 88% and the Kappa confidence was 0.83, which indicated great potential of using hyperspectral and high-resolution data for distinguishing and mapping mangrove species.

  17. The Mais Médicos (More Doctors) Program: the placement of physicians in priority municipalities in Brazil from 2013 to 2014.

    PubMed

    Oliveira, João Paulo Alves; Sanchez, Mauro Niskier; Santos, Leonor Maria Pacheco

    2016-09-01

    The inadequate placement and distribution of health professionals are problems that occur in various countries. The scope of the "Programa Mais Médicos" (More Doctors Program) was to reduce the shortfall of physicians and diminish regional inequalities in health. A descriptive study on the placement of physicians between 2013 and 2014 using the Ministry of Health database is presented. There was an allocation of 14,168 physicians to the 3,785 municipalities that signed up to the program: 2,377 met the priority and/or vulnerability criteria and received 77.7% of the physicians; 1,408 received 22.3% of the physicians, but did not meet the established priorities. This study reveals the reduction in the lack of physicians, mainly in the North and Northeast. These regions account for 36% of the Brazilian population and 46.3% of the physicians were allocated there. However, the introduction of an eligibility profile, which allocated 3,166 physicians in 1,408 non-priority municipalities is questionable. The conclusion drawn is that this may have hindered the ability of the Mais Médicos Program to fully achieve its objectives as a public policy aimed at reducing regional inequalities of access to primary healthcare. Further studies are necessary to evaluate the impact of the Mais Médicos Program. PMID:27653057

  18. Investigation of Ionospheric Disturbances Using Radio and Optical Observations in South-East Asia -- The Initial Results of the ASI and FPI Observations in Chiang Mai, Thailand

    NASA Astrophysics Data System (ADS)

    Kubota, M.; Nagatsuma, T.; Otsuka, Y.; Shiokawa, K.; Komonjinda, S.; Komolmis, T.; Somboon, E.; Tsugawa, T.; Maruyama, T.; Murata, K. T.

    2010-12-01

    For the purpose of monitoring and forecasting equatorial ionospheric disturbances, SEALION (SouthEast Asia Low-latitude IOnospheric Network) has been developed since 2003 as a cooperation project by National Institute of Information and Communications Technology (NICT), King Mongkut's Institute of Technology Ladkrabang (KMITL) in Thailand, Chiang Mai University (CMU) in Thailand, National Institute of Aeronautics and Space (LAPAN) in Indonesia, Hanoi Institute of Geophysics (HIG), Vietnamese Academy of Science and Technology in Vietnam, Center for Space Science and Applied Research (CSSAR), Chinese Academy of Sciences in China, Kyoto University in Japan, and Solar-Terrestrial Environment Laboratory (STEL), Nagoya University in Japan. SEALION consists of five ionosondes, four GPS receivers, two GPS scintillation monitors, and a magnetometer. As a part of this project, we newly installed an all-sky imager (ASI) and a Fabry-Perot Interferometer (FPI) at Sirindhorn observatory in Chiang Mai (18.8N, 98.9E, Dip lat. 13.1), Thailand. This site is located near conjugate to EAR site in Kototabang, Indonesia. One of main targets of the ASI observation is the large-scale wave structure (LSWS) with wavelengths of 100-1000 km. The LSWS is thought to be connected to the generation mechanism of equatorial plasma bubbles (EPB). The optical observations in Chiang Mai started in February 2010, and we have detected several ionospheric disturbance events with these instruments In this paper, we will show the initial results of the optical observations from Sirindhorn observatory, and discuss the features of ionospheric disturbances in Southeast Asia.

  19. Source indicators of biomass burning associated with inorganic salts and carboxylates in dry season ambient aerosol in Chiang Mai Basin, Thailand

    NASA Astrophysics Data System (ADS)

    Tsai, Ying I.; Sopajaree, Khajornsak; Chotruksa, Auranee; Wu, Hsin-Ching; Kuo, Su-Ching

    2013-10-01

    PM10 aerosol was collected between February and April 2010 at an urban site (CMU) and an industrial site (TOT) in Chiang Mai, Thailand, and characteristics and provenance of water-soluble inorganic species, carboxylates, anhydrosugars and sugar alcohols were investigated with particular reference to air quality, framed as episodic or non-episodic pollution. Sulfate, a product of secondary photochemical reactions, was the major inorganic salt in PM10, comprising 25.9% and 22.3% of inorganic species at CMU and TOT, respectively. Acetate was the most abundant monocarboxylate, followed by formate. Oxalate was the dominant dicarboxylate. A high acetate/formate mass ratio indicated that primary traffic-related and biomass-burning emissions contributed to Chiang Mai aerosols during episodic and non-episodic pollution. During episodic pollution carboxylate peaks indicated sourcing from photochemical reactions and/or directly from traffic-related and biomass burning processes and concentrations of specific biomarkers of biomass burning including water-soluble potassium, glutarate, oxalate and levoglucosan dramatically increased. Levoglucosan, the dominant anhydrosugar, was highly associated with water-soluble potassium (r = 0.75-0.79) and accounted for 93.4% and 93.7% of anhydrosugars at CMU and TOT, respectively, during episodic pollution. Moreover, levoglucosan during episodic pollution was 14.2-21.8 times non-episodic lows, showing clearly that emissions from biomass burning are the major cause of PM10 episodic pollution in Chiang Mai. Additionally, the average levoglucosan/mannosan mass ratio during episodic pollution was 14.1-14.9, higher than the 5.73-7.69 during non-episodic pollution, indicating that there was more hardwood burning during episodic pollution. Higher concentrations of glycerol and erythritol during episodic pollution further indicate that biomass burning activities released soil biota from forest and farmland soils.

  20. Analysis of the Mais Médicos (More Doctors) Program in terms of its institutional arrangements: sector cooperation, federative relations, social participations and territoriality.

    PubMed

    Lotta, Gabriela Spanghero; Galvão, Maria Cristina Costa Pinto; Favareto, Arilson da Silva

    2016-09-01

    This article analyzes the Mais Médicos (More Doctors) program based on the concept of an institutional arrangement, understood as the set of rules, organizations and processes that define the specific design of a given public policy, defining how it will articulate across players and interests. This concept will allow us to understand the dynamics of the players in this arrangement, as well as their governance, decision-making and governability, and how these factors reflect on public policy performance. A deeper analysis is based on four categories considered essential to understand an organizational arrangement in Brazil: sector cooperation (sometimes referred to as intersecoriality), federative relationships, social involvement and territoriality. PMID:27653061

  1. Academic tutorship of the Mais Médicos para o Brasil (More Doctors to Brazil) Project in Santa Catarina: the ethical-political viewpoint.

    PubMed

    Lima, Rita de Cássia Gabrielli Souza; Gripa, Denis William; Prospero, Elisete Navas Sanches; Ros, Marco Aurélio da

    2016-09-01

    This study aims to identify the fundamentals that drive the academic tutorship of the Mais Médicos para o Brasil (More Doctors for Brazil) project in Santa Catarina, based on the unit of analysis entitled values achieved. It is an exploratory and comprehensive study carried out in 2015, with tutors of the State of Santa Catarina, decentralized reference professionals of the Education and Health Ministries, and key reference professionals of the Education Ministry. Focus groups were used as the instrument for collection of data, through semi-structured interview. Based on the category Emergency care as a force of innovation in the Mais Médicos Program, the analysis was conducted from an ethical-political approach. Three fundamentals emerged: 'Putting out fires', 'Qualification of the Project', and 'the procedural point of view'. It was concluded that academic tutorship of the productive activities of doctors in emergency care is not an isolated pedagogical approach, since it is a part and a consequence of the historic development of the theory and of the practice. The activity corresponds, dialectically, to movements of rupture, resistance, emancipation and also requires collective reflection about the values chosen and achieved in the acts of decision. PMID:27653064

  2. Seasonal dynamics of anammox bacteria in estuarial sediment of the Mai Po Nature Reserve revealed by analyzing the 16S rRNA and hydrazine oxidoreductase (hzo) genes.

    PubMed

    Li, Meng; Cao, Huiluo; Hong, Yi-Guo; Gu, Ji-Dong

    2011-01-01

    The community and population dynamics of anammox bacteria in summer (wet) and winter (dry) seasons in estuarial mudflat sediment of the Mai Po Nature Reserve were investigated by 16S rRNA and hydrazine oxidoreductase (hzo) genes. 16S rRNA phylogenetic diversity showed that sequences related to 'Kuenenia' anammox bacteria were presented in summer but not winter while 'Scalindua' anammox bacteria occurred in both seasons and could be divided into six different clusters. Compared to the 16S rRNA genes, the hzo genes revealed a relatively uniform seasonal diversity, with sequences relating to 'Scalindua', 'Anammoxoglobus', and planctomycete KSU-1 found in both seasons. The seasonal specific bacterial groups and diversity based on the 16S rRNA and hzo genes indicated strong seasonal community structures in estuary sediment of this site. Furthermore, the higher abundance of hzo genes in summer than winter indicates clear seasonal population dynamics. Combining the physicochemical characteristics of estuary sediment in the two seasons and their correlations with anammox bacteria community structure, we proposed the strong seasonal dynamics in estuary sediment of Mai Po to be due to the anthropogenic and terrestrial inputs, especially in summer, which brings in freshwater anammox bacteria, such as 'Kuenenia', interacting with the coastal marine anammox bacteria 'Scalindua'. PMID:21487198

  3. Academic tutorship of the Mais Médicos para o Brasil (More Doctors to Brazil) Project in Santa Catarina: the ethical-political viewpoint.

    PubMed

    Lima, Rita de Cássia Gabrielli Souza; Gripa, Denis William; Prospero, Elisete Navas Sanches; Ros, Marco Aurélio da

    2016-09-01

    This study aims to identify the fundamentals that drive the academic tutorship of the Mais Médicos para o Brasil (More Doctors for Brazil) project in Santa Catarina, based on the unit of analysis entitled values achieved. It is an exploratory and comprehensive study carried out in 2015, with tutors of the State of Santa Catarina, decentralized reference professionals of the Education and Health Ministries, and key reference professionals of the Education Ministry. Focus groups were used as the instrument for collection of data, through semi-structured interview. Based on the category Emergency care as a force of innovation in the Mais Médicos Program, the analysis was conducted from an ethical-political approach. Three fundamentals emerged: 'Putting out fires', 'Qualification of the Project', and 'the procedural point of view'. It was concluded that academic tutorship of the productive activities of doctors in emergency care is not an isolated pedagogical approach, since it is a part and a consequence of the historic development of the theory and of the practice. The activity corresponds, dialectically, to movements of rupture, resistance, emancipation and also requires collective reflection about the values chosen and achieved in the acts of decision.

  4. Distribution and sources of polycyclic aromatic hydrocarbons in sediments of the Mai Po Inner Deep Bay Ramsar Site in Hong Kong.

    PubMed

    Zhao, Zhen-Ye; Chu, Yan-ling; Gu, Ji-Dong

    2012-08-01

    The concentration of total polycyclic aromatic hydrocarbons (∑PAHs) and the 16 US EPA priority individual PAH compounds were analyzed in surface sediments from the Mai Po Inner Deep Bay, Ramsar Site of Hong Kong from December 2001 to Jun 2005, to investigate the spatial variability of anthropogenic pollutants. ∑PAHs concentrations ranged from 36.5 to 256.3 ng g(-1) dry weight with an average of 148.9 ng g(-1), comparable to other urbanized areas of the world, and there was little difference among different sampling times from December 2001 to June 2005. Based on comparison to the results from earlier study, it appears that a decrease of total PAHs concentration has occurred since 1992. Meanwhile, the concentrations of ∑PAHs were positive correlated with total organic carbon contents except sites F and G, suggesting the characteristics of the sediment influences the distribution and concentration of PAHs. There was relatively a good relationship among the individual PAHs and the compounds of fluorene, phenanthrene, anthracene, fluoranthene, pyrene, benzo[a]pyrene and indeno[cd]pyrene yielded a good correlation (r(2) > 0.5) with total PAHs. Principal component analysis and specific PAHs compound ratios (Phe/Ant vs. Flt/Pyr) indicate the pyrogenic origins, especially traffic exhausts, are the dominant sources of PAHs in the Mai Po Inner Deep Bay Nature Reserve. PMID:22695981

  5. Seasonal dynamics of anammox bacteria in estuarial sediment of the Mai Po Nature Reserve revealed by analyzing the 16S rRNA and hydrazine oxidoreductase (hzo) genes.

    PubMed

    Li, Meng; Cao, Huiluo; Hong, Yi-Guo; Gu, Ji-Dong

    2011-01-01

    The community and population dynamics of anammox bacteria in summer (wet) and winter (dry) seasons in estuarial mudflat sediment of the Mai Po Nature Reserve were investigated by 16S rRNA and hydrazine oxidoreductase (hzo) genes. 16S rRNA phylogenetic diversity showed that sequences related to 'Kuenenia' anammox bacteria were presented in summer but not winter while 'Scalindua' anammox bacteria occurred in both seasons and could be divided into six different clusters. Compared to the 16S rRNA genes, the hzo genes revealed a relatively uniform seasonal diversity, with sequences relating to 'Scalindua', 'Anammoxoglobus', and planctomycete KSU-1 found in both seasons. The seasonal specific bacterial groups and diversity based on the 16S rRNA and hzo genes indicated strong seasonal community structures in estuary sediment of this site. Furthermore, the higher abundance of hzo genes in summer than winter indicates clear seasonal population dynamics. Combining the physicochemical characteristics of estuary sediment in the two seasons and their correlations with anammox bacteria community structure, we proposed the strong seasonal dynamics in estuary sediment of Mai Po to be due to the anthropogenic and terrestrial inputs, especially in summer, which brings in freshwater anammox bacteria, such as 'Kuenenia', interacting with the coastal marine anammox bacteria 'Scalindua'.

  6. Seasonal variation, risk assessment and source estimation of PM 10 and PM10-bound PAHs in the ambient air of Chiang Mai and Lamphun, Thailand.

    PubMed

    Pengchai, Petch; Chantara, Somporn; Sopajaree, Khajornsak; Wangkarn, Sunanta; Tengcharoenkul, Urai; Rayanakorn, Mongkon

    2009-07-01

    Daily PM10 concentrations were measured at four sampling stations located in Chiang Mai and Lamphun provinces, Thailand. The sampling scheme was conducted during June 2005 to June 2006; every 3 days for 24 h in each sampling period. The result revealed that all stations shared the same pattern, in which the PM10 (particulate matters with diameter of less than 10 microm) concentration increased at the beginning of dry season (December) and reached its peak in March before decreasing by the end of April. The maximum PM10 concentration for each sampling station was in the range of 140-182 microg/m(3) which was 1.1-1.5 times higher than the Thai ambient air quality standard of 120 microg/m(3). This distinctly high concentration of PM10 in the dry season (Dec. 05-Mar. 06) was recognized as a unique seasonal pattern for the northern part of Thailand. PM10 concentration had a medium level of negative correlation (r = -0.696 to -0.635) with the visibility data. Comparing the maximum PM10 concentration detected at each sampling station to the permitted PM10 level of the national air quality standard, the warning visibility values for the PM10 pollution-watch system were determined as 10 km for Chiang Mai Province and 5 km for Lamphun Province. From the analysis of PM10 constituents, no component exceeded the national air quality standard. The total concentrations of PM10-bond polycyclic aromatic hydrocarbons (PAHs) are calculated in terms of total toxicity equivalent concentrations (TTECs) using the toxicity equivalent factors (TEFs) method. TTECs in Chiang Mai and Lamphun ambient air was found at a level comparable to those observed in Nagasaki, Bangkok and Rome and at a lower level than those reported at Copenhagen. The annual number of lung cancer cases for Chiang Mai and Lamphun Provinces was estimated at two cases/year which was lower than the number of cases in Bangkok (27 cases/year). The principal component analysis/absolute principal component scores (PCA

  7. Preliminary Results on the Mechanics of the Active Mai'iu Low Angle Normal Fault (Dayman Dome), Woodlark Rift, SE Papua New Guinea

    NASA Astrophysics Data System (ADS)

    Little, T. A.; Boulton, C. J.; Mizera, M.; Webber, S. M.; Oesterle, J.; Ellis, S. M.; Norton, K. P.; Wallace, L. M.; Biemiller, J.

    2015-12-01

    Rapid slip on the Mai'iu low-angle normal fault (LANF) has exhumed a smooth, corrugated fault surface contiguous for >24 km up-dip, rising from near sea level to ~2900 m. The fault emerges from the ground dipping ~21° N and flattens over the crest of the dome to dip south. Geomorphic analysis reveals a progressive back-tilting of the surface during exhumation accompanied by cross-cutting antithetic-sense high-angle faults—features that we attribute to "rolling-hinge" deformation of a once more steeply-dipping fault. Near the scarp base, the footwall exposes mafic mylonites that deformed at ~400-450°C. The younger Mai'iu fault cross-cuts this ductile mylonite zone, with most brittle slip being localized into a ~20 cm-thick, gouge-filled core. Near the range front, active faults bite across both the hangingwall and footwall of the Mai'iu fault and record overprinting across a dying, shallow (<~1 km deep) part of the fault by more optimally oriented, steeper faults. Such depth-dependent locking up of the fault suggests it weakens primarily by friction reduction rather than cohesion loss. Outcrop-scale fractures in the exhumed footwall reflect formation in an Andersonian stress regime. Previous campaign GPS data suggest the fault slips at up to ~1 cm/yr. To improve resolution and test for aseismic creep, we installed 12 GPS sites across the fault trace in 2015. Quantitative XRD indicates the gouges were derived primarily from mafic footwall, containing up to 65% corrensite and saponite. Hydrothermal friction experiments on two gouges from a relict LANF strand were done at varying normal stresses (30-120 MPa), temperatures (50-200oC), and sliding velocities (0.3-100 μm/s). Results reveal very weak frictional strength (μ=0.13-0.15 and 0.20-0.28) and velocity-strengthening behavior conducive to fault creep. At the highest temperatures (T≥150oC) and lowest sliding velocities (<3 μm/s), a transition to velocity-weakening behavior indicates the potential for

  8. My space, my body, my sexual subjectivity: social media, sexual practice and parental control among teenage girls in urban Chiang Mai.

    PubMed

    Fongkaew, Warunee; Fongkaew, Kangwan

    2016-01-01

    This ethnographic study conducted among young women aged 18-21 years in Chiang Mai, northern Thailand, explored the parental control mechanisms imposed by Thai middle-class families on the sexuality of their daughters. It addressed the ways in which young women tactically use the social media in order to negotiate the sexual controls they encountered in everyday life. Taking the teenage girls' point of view, this paper argues that, as active agents, young women achieve a certain level of sexual autonomy and construct their own sexual selves in modern northern Thai society, despite their parents' attempts to prevent this. The paper highlights the ways in which social media are used by Thai girls in order to achieve such a goal. Research findings should inform the development of future programmes on sexual health promotion, parental skills and sexual communication between Thai parents and their children.

  9. [The campaign of returning to the ancient in sphygmology in the Republican Period as viewed from Mai xue cong shu (Series of Pulse Taking)].

    PubMed

    Han, Sujie; Hu, Xiaofeng

    2015-01-01

    From the Southern and Northern Dynasties to the beginning of the Northern Song Dynasty, the models of "master and apprentice" and "physician of long family tradition for generations" were the main ways for teaching medical knowledge. With the rapid amassment of medical books in the Due to the rapid transmission of western science and technology into China in the Republican period, the art of pulse taking had been treated as unscientific. Yao Xinyuan advocated the recovery of ancient pulse taking of the three-portion approach, i.e., taking the pulses at the neck, hands, and feet for comparison. To spread this idea, Yao and Zhang Ziying compiled the Mai xue cong shu (Series of Pulse Taking) in 1937-1947. Altogether 4 issues were published carrying 29 articles concerning the theoretical exploration, experimental research, and clinical practice. Their thinking and approaches were influential to the study and development of modern sphygmology.

  10. Cross-cultural understandings of festival food-related activities for older women in Chiang Mai, Thailand, Eastern Kentucky, USA and Auckland, New Zealand.

    PubMed

    Wright-St Clair, Valerie A; Pierce, Doris; Bunrayong, Wannipa; Rattakorn, Phuanjai; Vittayakorn, Soisuda; Shordike, Anne; Hocking, Clare

    2013-06-01

    This cross-country, cross-cultural study explored the meaning of older women's food-related activities for the annual festivals of Songkran (Thai New Year) in Chiang Mai, Thailand; and Christmas in Richmond, Kentucky, USA; and Auckland, New Zealand. A derived etic method was used. The community-dwelling participants were 33 Thai women, aged 60 and older, and 16 New Zealand and 23 eastern Kentucky women, aged 65 and older. This article focuses on the final cross-cultural analysis of the data. Emic, or within-country, findings are presented, followed by the derived etic, or cross-cultural, interpretations for two themes of meaning; older women's 'protecting what matters' and 'leading the way'. Applying derived etic methods helped reveal how, despite the highly different food-related practices, preparing and sharing celebratory foods at Songkran or Christmas held related meanings for older women in Thailand, Kentucky USA, and New Zealand. PMID:23652825

  11. My space, my body, my sexual subjectivity: social media, sexual practice and parental control among teenage girls in urban Chiang Mai.

    PubMed

    Fongkaew, Warunee; Fongkaew, Kangwan

    2016-01-01

    This ethnographic study conducted among young women aged 18-21 years in Chiang Mai, northern Thailand, explored the parental control mechanisms imposed by Thai middle-class families on the sexuality of their daughters. It addressed the ways in which young women tactically use the social media in order to negotiate the sexual controls they encountered in everyday life. Taking the teenage girls' point of view, this paper argues that, as active agents, young women achieve a certain level of sexual autonomy and construct their own sexual selves in modern northern Thai society, despite their parents' attempts to prevent this. The paper highlights the ways in which social media are used by Thai girls in order to achieve such a goal. Research findings should inform the development of future programmes on sexual health promotion, parental skills and sexual communication between Thai parents and their children. PMID:26489939

  12. Cross-cultural understandings of festival food-related activities for older women in Chiang Mai, Thailand, Eastern Kentucky, USA and Auckland, New Zealand.

    PubMed

    Wright-St Clair, Valerie A; Pierce, Doris; Bunrayong, Wannipa; Rattakorn, Phuanjai; Vittayakorn, Soisuda; Shordike, Anne; Hocking, Clare

    2013-06-01

    This cross-country, cross-cultural study explored the meaning of older women's food-related activities for the annual festivals of Songkran (Thai New Year) in Chiang Mai, Thailand; and Christmas in Richmond, Kentucky, USA; and Auckland, New Zealand. A derived etic method was used. The community-dwelling participants were 33 Thai women, aged 60 and older, and 16 New Zealand and 23 eastern Kentucky women, aged 65 and older. This article focuses on the final cross-cultural analysis of the data. Emic, or within-country, findings are presented, followed by the derived etic, or cross-cultural, interpretations for two themes of meaning; older women's 'protecting what matters' and 'leading the way'. Applying derived etic methods helped reveal how, despite the highly different food-related practices, preparing and sharing celebratory foods at Songkran or Christmas held related meanings for older women in Thailand, Kentucky USA, and New Zealand.

  13. Assessment of contamination and misclassification biases in a randomized controlled trial of a social network peer education intervention to reduce HIV risk behaviors among drug users and risk partners in Philadelphia, PA and Chiang Mai, Thailand

    PubMed Central

    Simmons, Nicole; Donnell, Deborah; Ou, San-san; Celentano, David D.; Aramrattana, Apinun; Davis-Vogel, Annet; Metzger, David; Latkin, Carl

    2015-01-01

    Context Controlled trials of educational interventions are susceptible to contamination. Objectives To test a contamination measure based on recall of terms. Main study A randomized controlled trial of a social network peer education intervention among 1,123 injection drug users and risk partners in Philadelphia, PA and Chiang Mai, Thailand. Methods We assessed the recall of test, negative and positive control terms by intervention and control arm participants and compared the relative odds (OR) of recall of test vs. negative control terms between study arms. Results The contamination measure showed good discriminant ability only among participants from Chiang Mai. In Philadelphia there was no evidence of contamination and little evidence of diffusion. In Chiang Mai there was evidence of diffusion and contamination of 4 of 5 terms tested. Conclusions Network structure and peer education in Chiang Mai likely led to contamination. Recall of intervention materials can be a useful method to detect contamination in trials of educational interventions. PMID:25935214

  14. Assessment of contamination and misclassification biases in a randomized controlled trial of a social network peer education intervention to reduce HIV risk behaviors among drug users and risk partners in Philadelphia, PA and Chiang Mai, Thailand.

    PubMed

    Simmons, Nicole; Donnell, Deborah; Ou, San-San; Celentano, David D; Aramrattana, Apinun; Davis-Vogel, Annet; Metzger, David; Latkin, Carl

    2015-10-01

    Controlled trials of HIV prevention and care interventions are susceptible to contamination. In a randomized controlled trial of a social network peer education intervention among people who inject drugs and their risk partners in Philadelphia, PA and Chiang Mai, Thailand, we tested a contamination measure based on recall of intervention terms. We assessed the recall of test, negative and positive control terms among intervention and control arm participants and compared the relative odds of recall of test versus negative control terms between study arms. The contamination measures showed good discriminant ability among participants in Chiang Mai. In Philadelphia there was no evidence of contamination and little evidence of diffusion. In Chiang Mai there was strong evidence of diffusion and contamination. Network structure and peer education in Chiang Mai likely led to contamination. Recall of intervention materials can be a useful method to detect contamination in experimental interventions.

  15. YiQiFuMai powder injection ameliorates blood–brain barrier dysfunction and brain edema after focal cerebral ischemia–reperfusion injury in mice

    PubMed Central

    Cao, Guosheng; Ye, Xinyi; Xu, Yingqiong; Yin, Mingzhu; Chen, Honglin; Kou, Junping; Yu, Boyang

    2016-01-01

    YiQiFuMai powder injection (YQFM) is a modern preparation derived from the traditional Chinese medicine Sheng-Mai-San. YQFM is widely used in clinical practice in the People’s Republic of China, mainly for the treatment of microcirculatory disturbance-related diseases. However, little is known about its role in animals with ischemic stroke. The aim of this study was to examine the effect of YQFM on brain edema and blood–brain barrier (BBB) dysfunction induced by cerebral ischemia–reperfusion (I/R) injury. Male C57BL/6J mice underwent right middle cerebral artery occlusion for 1 hour with a subsequent 24-hour reperfusion to produce I/R injury. YQFM (three doses: 0.336, 0.671, and 1.342 g/kg) was then given intraperitoneally (IP). The results demonstrated that YQFM significantly decreased infarct size, improved neurological deficits, reduced brain water content, and increased cerebral blood flow after I/R injury. 18F-fluorodeoxyglucose micro-positron emission tomography imaging and hematoxylin and eosin staining results indicated that YQFM is able to ameliorate brain metabolism and histopathological damage after I/R. Moreover, YQFM administration reduced BBB leakage and upregulated the expression of zona occludens-1 (ZO-1) and occludin, which was confirmed by Evans Blue extravasation, Western blotting, and immunofluorescence assay. Our findings suggest that YQFM provides protection against focal cerebral I/R injury in mice, possibly by improving BBB dysfunction via upregulation of the expression of tight junction proteins. PMID:26834461

  16. Atmospheric pollutants in Chiang Mai (Thailand) over a five-year period (2005-2009), their possible sources and relation to air mass movement

    NASA Astrophysics Data System (ADS)

    Chantara, Somporn; Sillapapiromsuk, Sopittaporn; Wiriya, Wan

    2012-12-01

    Monitoring and analysis of the chemical composition of air pollutants were conducted over a five-year period (2005-2009) in the sub-urban area of Chiang Mai, Thailand. This study aims to determine the seasonal variation of atmospheric ion species and gases, examine their correlations, identify possible sources and assess major air-flow patterns to the receptor. The dominant gas and particulate pollutants were NH3 (43-58%) and SO42- (39-48%), respectively. The annual mean concentrations of NH3 (μg m-3) in descending order were 4.08 (2009) > 3.32 (2007) > 2.68 (2008) > 2.47 (2006) and 1.87 (2005), while those of SO42- (μg m-3) were 2.60 (2007) > 2.20 (2006) > 1.95 (2009) > 1.75 (2008) and 1.26 (2005). Concentrations of particulate ions were analyzed by principle component analysis to find out the possible sources of air pollutants in this area. The first component of each year had a high loading of SO42- and NH4+, which probably came from fuel combustion and agricultural activity, respectively. K+, a tracer of biomass burning, also contributed to the first or the second components of each year. Concentrations of NH4+ and SO42- were well correlated (r > 0.777, p < 0.01), which lead to the conclusion that (NH4)2SO4 was a major compound present in this area. The 3-day backward trajectories of air mass arriving at Chiang Mai from 2005 to 2009 were analyzed using the hybrid single particle langrangian integrated trajectory (HYSPLIT) model and grouped by cluster analysis. The air mass data was analyzed for the dry season (n = 18; 100%). The trajectory of air mass in 2005 mainly originated locally (67%). In 2006, the recorded data showed that 56% of air mass was emitted from the western continental region of Thailand. In 2007, the percent ratios from the western and eastern continental areas were equal (39%). In 2008, 67% originated from the western continental area. In 2009, the recorded air mass mainly came from the western continental area (72%). In conclusion, the

  17. Prevalence and Correlates of HIV Testing among Young People Enrolled in Non-Formal Education Centers in Urban Chiang Mai, Thailand: A Cross-Sectional Study

    PubMed Central

    Musumari, Patou Masika; Tangmunkongvorakul, Arunrat; Srithanaviboonchai, Kriengkrai; Yungyuankul, Sawang; Techasrivichien, Teeranee; Suguimoto, S. Pilar; Ono-Kihara, Masako; Kihara, Masahiro; Chariyalertsak, Suwat

    2016-01-01

    Background HIV testing is the gateway to HIV prevention, treatment, and care. Despite the established vulnerability of young Thai people to HIV infection, studies examining the prevalence and correlates of HIV testing among the general population of Thai youth are still very limited. This study investigates socio-demographic, behavioral, and psychosocial factors associated with HIV testing among young Thai people enrolled in Non-formal Education Centers (NFEC) in urban Chiang Mai, Northern Thailand. Methods This was a cross-sectional quantitative study conducted among young unmarried Thai youth—between the ages of 15 and 24—who were enrolled in NFEC in urban Chiang Mai. Multiple logistic regressions were used to identify correlates of “ever tested for HIV” among the sexually active participants. Findings Of the 295 sexually active participants, 27.3% reported “ever tested for HIV;” 65.4% “did not consistently use condom;” and 61.7% “had at least 2 lifetime partners.” We found that “self-efficacy” (AOR, 4.92; CI, 1.22–19.73); “perception that it is easy to find a location nearby to test for HIV” (AOR, 4.67; CI, 1.21–18.06); “having at least 2 lifetime sexual partners” (AOR, 2.05; CI, 1.09–3.85); and “ever been pregnant or made someone pregnant” (AOR, 4.06; CI, 2.69–9.15); were associated with increased odds of having ever been tested. On the other hand, “fear of HIV test results” (AOR, 0.21; CI, 0.08–0.57) was associated with lower odds of ever having been tested for HIV. Conclusion The main finding is that a substantially high proportion of Thai youth is engaged in risky sexual behaviors—yet reports low rates of ever having been tested for HIV. This highlights an urgent need to develop appropriate interventions—based on the identified correlates of HIV testing. There is also an urgent need to enhance HIV testing and to promote safer sexual behaviors among young Thai people—particularly those who are out

  18. Pharmacokinetic comparisons of schizandrin after oral administration of schizandrin monomer, Fructus Schisandrae aqueous extract and Sheng-Mai-San to rats.

    PubMed

    Xu, Meijuan; Wang, Guangji; Xie, Haitang; Huang, Qing; Wang, Wei; Jia, Yuanwei

    2008-02-12

    Sheng-Mai-San (SMS) is a famous traditional Chinese medicine (TCM) recipe, containing Radix Ginseng (Panax ginseng C.A. Mey., Araliaceae), Radix Ophiopogonis (Ophiopogon japonicus (Thunb.) Ker-Gawl., Liliaceae) and Fructus Schisandrae (Schisandra chinensis (Turcz.) Baill., Magnoliaceae), and has been used more than one thousand years. In this research, pharmacokinetics of one component of this TCM recipe was studied. Schizandrin is the main absorbed effective ingredient of Fructus Schisandrae and its pharmacokinetics were studied following oral administration of pure schizandrin, Fructus Schisandrae aqueous extract, and SMS decoction in rats with approximately the same dose of 5mg/kg. At different time points (0, 0.083, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10 and 12h) after administration, the concentrations of schizandrin in rat plasma were determined by LC-MS, and main pharmacokinetic parameters were estimated. It was found that both AUC0-tn and T1/2 of schizandrin in Fructus Schisandrae aqueous extract and in SMS decoction were increased significantly (p<0.05) comparing with that in monomer. The content assay also revealed that the concentrations of lignans would increase when SMS decocting, comparing with Fructus Schisandrae. These results indicate that some ingredients in SMS may increase the dissolution of schizandrin when decocting in vitro, and delay its elimination and enhance its bioavailability in rat.

  19. Assessment of the scope of practice of physicians participating in the Mais Médicos (More Doctors) Program, and associated factors.

    PubMed

    Girardi, Sábado Nicolau; Carvalho, Cristiana Leite; Pierantoni, Célia Regina; Costa, Juliana de Oliveira; Stralen, Ana Cristina de Sousa van; Lauar, Thaís Viana; David, Renata Bernardes

    2016-09-01

    The purpose of this study was to characterize the scope of practice of physicians working in primary healthcare participating in the Mais Médicos (More Doctors) Program ('PMM') and investigate the factors associated with execution of a larger number of clinical activities. It is an exploratory study carried over January to March 2016, through a self-applied questionnaire containing a list of 49 procedures, activities and actions carried out in primary healthcare. A total of 1,241 physicians took part in the study, most of them female, between age 40 and 49, and of Cuban nationality. The physicians carried out an average of 22.8 ± 8.2 procedures; they reported knowing how to carry out a larger number of procedures. Factors associated with executing a larger number of procedures were: being male, having graduated more recently, two years or less practicing in their primary healthcare unit, practicing in the North or South geographical regions, in small towns and more distant from the regional health headquarters. The main reason for not carrying out the procedures and activities that they reported knowing how to do was the lack of materials and inadequate infrastructure. The results show that the scope of practice of the physicians of the PMM is lower than their capacities, and that interventions with the intention of widening their scope are necessary. PMID:27653059

  20. Assessment of the scope of practice of physicians participating in the Mais Médicos (More Doctors) Program, and associated factors.

    PubMed

    Girardi, Sábado Nicolau; Carvalho, Cristiana Leite; Pierantoni, Célia Regina; Costa, Juliana de Oliveira; Stralen, Ana Cristina de Sousa van; Lauar, Thaís Viana; David, Renata Bernardes

    2016-09-01

    The purpose of this study was to characterize the scope of practice of physicians working in primary healthcare participating in the Mais Médicos (More Doctors) Program ('PMM') and investigate the factors associated with execution of a larger number of clinical activities. It is an exploratory study carried over January to March 2016, through a self-applied questionnaire containing a list of 49 procedures, activities and actions carried out in primary healthcare. A total of 1,241 physicians took part in the study, most of them female, between age 40 and 49, and of Cuban nationality. The physicians carried out an average of 22.8 ± 8.2 procedures; they reported knowing how to carry out a larger number of procedures. Factors associated with executing a larger number of procedures were: being male, having graduated more recently, two years or less practicing in their primary healthcare unit, practicing in the North or South geographical regions, in small towns and more distant from the regional health headquarters. The main reason for not carrying out the procedures and activities that they reported knowing how to do was the lack of materials and inadequate infrastructure. The results show that the scope of practice of the physicians of the PMM is lower than their capacities, and that interventions with the intention of widening their scope are necessary.

  1. A comparative analysis of the implementation of the Mais Médicos (More Doctors) Program in municipalities in the State of Rio Grande do Sul, Brazil.

    PubMed

    Miranda, Alcides Silva de; Melo, Diego Azevedo

    2016-09-01

    The Mais Médicos (More Doctors) Program has led to an increase in the number of doctors and medical treatment in primary health care services across Brazil. This article presents the results of a case-control study of groups of municipalities based on secondary data sources. It aims to explore and discuss a set of indicators of primary health care service delivery. An improvement in performance against structural indicators was observed in municipalities where the program was implemented. With respect to the outcome indicators, a slight improvement in service delivery was observed in municipalities where the program was implemented. However, no difference was observed in impacts between the case and control municipalities. These results may have been influenced by the fact that the program has only been underway for a limited time, by underreporting of doctors by the National Health Facilities Register (CNES, acronym in Portuguese), and the predominantly substitutive nature of the allocation of medical professionals under the program in the selected municipalities. PMID:27653068

  2. Monitoring and evaluation of the PAHO/WHO cooperation project, the Mais Médicos (More Doctors) Program: a mid-term assessment.

    PubMed

    Molina, Joaquín; Tasca, Renato; Suárez, Julio

    2016-09-01

    Working relations between the Pan- American Health Organization/World Health Organization (PAHO/WHO) and Brazilian health institutions accumulated a long history of cooperation with mutual benefits, which in many cases were shared with other nations under various cooperation frameworks among countries for health development. A milestone in this relationship is the technical cooperation provided by PAHO/WHO to the More Doctors Program (Programa Mais Médicos - PMM). This cooperation has added both strategic value in reducing gaps in health equality and has capitalized on the unique nature of the Cuba-Brazil South-South cooperation experience, triangulated through PAHO/WHO. This paper discusses PAHO/WHO's role in the evaluation of its technical cooperation within PMM. A Monitoring and Evaluation (M&E) Framework has been developed in order to progressively identify the advances in coverage and quality of primary health care provided by the Unified Health System (Sistema Único de Saúde - SUS) through the PMM. Special attention was given to identify best practices in health services, to analyze results and impacts of the PMM, and to manage and share knowledge that has been produced by its implementation, through a web-based knowledge platform. Some relevant results of PMM are briefly presented and discussed. PMID:27653078

  3. Participation of small municipalities in the Mais Médicos para o Brasil (More Doctors to Brazil) Program in the macro-region of Northern Paraná.

    PubMed

    Mendonça, Fernanda de Freitas; Mattos, Luis Fernando Abucarub de; Oliveira, Emmeline Bernardes Duarte de; Domingos, Carolina Milena; Okamura, Carlos Takeo; Carvalho, Brígida Gimenez; Nunes, Elisabete de Fátima Polo de Almeida

    2016-09-01

    Doctor shortage is a constant problem in smaller cities and towns, which tend to be more vulnerable from a social and economic point of view, and located in geographically isolated areas. The goal of this study was to establish the share and characteristics of the small cities and towns in the macro-region of northern Paraná that subscribed to the Mais Médicos para o Brasil (PMMB) program. This is a quantitative study of 82 cities and towns using primary and secondary data. Results show that only a few of them (6.1%) had any adherence criteria, which was not an impediment for other cities and towns (75%) to adhere to the project. Cities and towns with over five thousand inhabitants, lower municipal HDI (Human Development Index), some adherence criteria and more geographically isolated, either from the main city in the region or the closest large or mid-sized city, tended to adhere to the PMMB. It is undeniable that the PMMB significantly reduced the uneven distribution of doctors in Brazil and the study region. However, the sustainability of this policy is linked to addressing other remaining challenges in the SUS system.

  4. Simultaneous quantification of six constituents in Qing-huo-zhi-mai tablet by high-performance liquid chromatography-tandem mass spectrometry.

    PubMed

    Wang, Shuang; Zhao, Minmin; Ding, Weijing; Xiang, Congkun; Tian, Yulu; Li, Tao; Fu, Shan; Zhang, Juan; Wang, Qiao

    2015-01-01

    A novel sensitive and specific high-performance liquid chromatography-tandem mass spectrometry method was established for the simultaneous determination of six constituents including geniposide, andrographolide, dehydroandrographolide, ophiopogonin D, methylophiopogonanone A and methylophiopogonanone B in Qing-huo-zhi-mai (QHZM) tablet, a well-known Chinese herbal preparation. The chromatographic separation was performed on a C18 column, and the mobile phase was composed of 0.04% acetic acid and acetonitrile with gradient elution. The detection of analytes was carried out by multiple reaction monitoring scanning with switching electrospray ion source polarity between positive and negative modes in a single run. The total run time was 15 min. The calibration curves were linear with all correlation coefficients >0.9979 in the tested ranges. The intra- and interday variations were no >7.0%, and the average recoveries were in the range of 93.2-108.5% with the relative standard deviations no >5.4%. The developed method was successfully employed to analyze five batches of QHZM tablet samples. This is the first time for the determination of ophiopogonin D, methylophiopogonanone A and methylophiopogonanone B in QHZM tablets.

  5. Characteristics of the distribution of doctors in the Mais Médicos (More Doctors) Program in the states of Brazil's Northeast.

    PubMed

    Nogueira, Priscila Tamar Alves; Bezerra, Adriana Falangola Benjamin; Leite, Antonio Flaudiano Bem; Carvalho, Islândia Maria de Sousa; Gonçalves, Rogério Fabiano; Brito-Silva, Keila Silene de

    2016-09-01

    Inequalities in access to health, reflecting shortages and inadequate geographical distribution of health professionals, have been indicated as a challenge for Brazil. This paper analyzes the geographical distribution of professionals of the Mais Médicos Program allocated in the Northeastern Region of Brazil, through a descriptive cross-sectional study. Secondary data provided by the Health Ministry were used, and thematic maps of distribution of doctors in the Region were prepared. Data on 4,716 doctors who became members of health teams in 1,294 municipalities in six Indigenous Health Districts in the years 2013 and 2014 were analyzed. The greater part of the municipalities of the Region received between one and five doctors. The municipalities most benefited had, at least, 20% of their population in extreme poverty. 99.9% of the doctors were allocated in a Health Center or Primary Healthcare Unit. The majority were women (57%), predominantly of the 45-49 age group (24%). In spite of the advances achieved by the Program - such as distribution of the doctors in locations with greater vulnerability - some States continue to have significant shortages of healthcare.

  6. Participation of small municipalities in the Mais Médicos para o Brasil (More Doctors to Brazil) Program in the macro-region of Northern Paraná.

    PubMed

    Mendonça, Fernanda de Freitas; Mattos, Luis Fernando Abucarub de; Oliveira, Emmeline Bernardes Duarte de; Domingos, Carolina Milena; Okamura, Carlos Takeo; Carvalho, Brígida Gimenez; Nunes, Elisabete de Fátima Polo de Almeida

    2016-09-01

    Doctor shortage is a constant problem in smaller cities and towns, which tend to be more vulnerable from a social and economic point of view, and located in geographically isolated areas. The goal of this study was to establish the share and characteristics of the small cities and towns in the macro-region of northern Paraná that subscribed to the Mais Médicos para o Brasil (PMMB) program. This is a quantitative study of 82 cities and towns using primary and secondary data. Results show that only a few of them (6.1%) had any adherence criteria, which was not an impediment for other cities and towns (75%) to adhere to the project. Cities and towns with over five thousand inhabitants, lower municipal HDI (Human Development Index), some adherence criteria and more geographically isolated, either from the main city in the region or the closest large or mid-sized city, tended to adhere to the PMMB. It is undeniable that the PMMB significantly reduced the uneven distribution of doctors in Brazil and the study region. However, the sustainability of this policy is linked to addressing other remaining challenges in the SUS system. PMID:27653075

  7. Field evaluation of G10, a celery (Apium graveolens)-based topical repellent, against mosquitoes (Diptera: Culicidae) in Chiang Mai province, northern Thailand.

    PubMed

    Tuetun, B; Choochote, W; Pongpaibul, Y; Junkum, A; Kanjanapothi, D; Chaithong, U; Jitpakdi, A; Riyong, D; Wannasan, A; Pitasawat, B

    2009-02-01

    The potential of G10, a celery (Apium graveolens)-based topical product, as a repellent against natural mosquito populations was evaluated in comparison to commercial (Insect Block 28) and standard (25% DEET) repellents in Chiang Mai province, northern Thailand. These repellent products afforded encouragingly excellent personal protection against a broad range of mosquito species belonging to various genera, including Aedes, Anopheles, Armigeres, Culex, and Mansonia. No mosquito bite was observed on the volunteers treated with G10 and Insect Block 28 throughout the field study, whereas two species, i.e., six A. barbirostris and two A. subalbatus, came to bite or land on 25% DEET-treated volunteers. Thus, it can be concluded that while G10 and Insect Block 28 exhibited similarly powerful repellent activities with complete (100%) protection, 25% DEET was effective in minimizing bites with 99.68% protection. G10 formula was also studied for physical properties and biological stability after being kept under two conditions; a heating and cooling cycle, and varying temperature and time storage. Most samples of stored G10 not only demonstrated a similarity in appearance and physical properties, but also provided comparable repellency to that of the fresh preparation. These findings encourage commercial development of G10 formula as an alternative to conventional synthetic repellents.

  8. Characteristics of the distribution of doctors in the Mais Médicos (More Doctors) Program in the states of Brazil's Northeast.

    PubMed

    Nogueira, Priscila Tamar Alves; Bezerra, Adriana Falangola Benjamin; Leite, Antonio Flaudiano Bem; Carvalho, Islândia Maria de Sousa; Gonçalves, Rogério Fabiano; Brito-Silva, Keila Silene de

    2016-09-01

    Inequalities in access to health, reflecting shortages and inadequate geographical distribution of health professionals, have been indicated as a challenge for Brazil. This paper analyzes the geographical distribution of professionals of the Mais Médicos Program allocated in the Northeastern Region of Brazil, through a descriptive cross-sectional study. Secondary data provided by the Health Ministry were used, and thematic maps of distribution of doctors in the Region were prepared. Data on 4,716 doctors who became members of health teams in 1,294 municipalities in six Indigenous Health Districts in the years 2013 and 2014 were analyzed. The greater part of the municipalities of the Region received between one and five doctors. The municipalities most benefited had, at least, 20% of their population in extreme poverty. 99.9% of the doctors were allocated in a Health Center or Primary Healthcare Unit. The majority were women (57%), predominantly of the 45-49 age group (24%). In spite of the advances achieved by the Program - such as distribution of the doctors in locations with greater vulnerability - some States continue to have significant shortages of healthcare. PMID:27653073

  9. Protection of Tong-Sai-Mai Decoction against Apoptosis Induced by H2O2 in PC12 Cells: Mechanisms via Bcl-2-Mitochondria-ROS-INOS Pathway

    PubMed Central

    Lee, Maxwell Kim Kit; Lu, Yin; Di, Liu-qing; Xu, Hui-qin

    2014-01-01

    Tong-Sai-Mai decoction (TSM) is a Chinese materia medica polyherbal formulation that has been applied in treating brain ischemia for hundreds of years. Because it could repress the oxidative stress in in vivo studies, now we focus on the in vitro studies to investigate the mechanism by targeting the oxidative stress dependent signaling. The relation between the neurogenesis and the reactive oxygen species (ROS) production remains largely unexamined. PC12 cells are excitable cell types widely used as in vitro model for neuronal cells. Most marker genes that are related to neurotoxicity, apoptosis, and cell cycles are expressed at high levels in these cells. The aim of the present study is to explore the cytoprotection of TSM against hydrogen peroxide- (H2O2-) induced apoptosis and the molecular mechanisms underlying PC12 cells. Our findings revealed that TSM cotreatment with H2O2 restores the expression of bcl-2, inducible nitric oxide synthase (INOS), and mitochondria membrane potential. Meanwhile, it reduces intracellular [Ca2+] concentration, lactate dehydrogenase (LDH) release, and the expression of caspase-3 and bax. The results of the present study suggested that the cytoprotective effects of the TSM might be mediated, at least in part, by the bcl-2-mitochondria-ROS-INOS pathway. Due to its nontoxic characteristics, TSM could be further developed to treat the neurodegenerative diseases which are closely associated with the oxidative stress. PMID:25404948

  10. SEXUAL PRACTICES AMONG MEN WHO HAVE SEX WITH MEN IN CHIANG MAI, THAILAND: PART OF THE ANTIRETROVIRAL PRE-EXPOSURE PROPHYLAXIS TRIAL.

    PubMed

    Tangmunkongvorakul, Arunrat; Chariyalertsak, Suwat; Amico, K Rivet; Guptarak, Marisa; Saokhieo, Pongpun; Sangangamsakun, Thirayut; Songsupa, Radchanok; McMahan, Vanessa; Grant, Robert

    2016-05-01

    This study aimed to gain a better understanding of the association between participation in a blinded antiretroviral pre-exposure prophylaxis (PrEP) clinical trial and sexual practices among men who have sex with men and transgender women. This study utilized both quantitative and qualitative methodologies. Data included reported PrEP medication adherence and sexual behavior among 114 study participants. Forty-six participants took part in qualitative data collection, 32 were interviewed and 14 participated in one of three focus group discussions. The average percentage of study medication adherence, number of sex partners and rates of sex without a condom were calculated. For qualitative data, content analysis was used to identify repeated normative themes, some of which arose spontaneously from interview interactions. Participants at the Chiang Mai site reported good adherence to the study medication. The sexual risk behavior of these participants had decreased by their final study visit; this was unrelated to level of adherence. Qualitative findings describe sexual practices that were highly contextual; participants used risk assessments to determine sex practices. Condoms were used with casual partners but not necessarily with primary partners. Our findings suggest that while PrEP is an exciting new development for HIV prevention, it must be paired with behavioral interventions to fully address sexual risk among this population. Interventions should provide this population with skills to negotiate condom use with their primary partners as well as in situations in which their sexual partners do not support condom use. PMID:27405136

  11. Bu-shen-he-mai-fang (HMF) Decoction Inhibits Atherosclerosis by Improving Antioxidant and Anti-Inflammatory Activities in ApoE-deficient Mice

    PubMed Central

    Hao, Qingqing; Chen, Xu; Zhou, Xiaoming; Wang, Xiaoyu; Cao, Xinran; Chen, Xingjuan; Jiang, Yuehua; Lu, Feng; You, Ke; Yang, Chuanhua; Dong, Bo

    2014-01-01

    Objective: To observe the effects of Bu–shen- he- mai- fang (HMF) on experimental atherosclerosis in ApoE-deficient mice. Materials an Methods: Thirty male ApoE-deficient mice were randomly divided into 3 groups (10 mice per group) as follows: one group received the standard high- cholesterol diet (high- cholesterol group, HC); Another group received high- cholesterol diet supplemented with HMF decoction 1.37 g/kg/day; the third group received a high- cholesterol diet, supplemented with atrovastatin 5 mg/kg/day for 8 weeks. The extent of atherosclerosis, the expression of LOX-1 protein and macrophage infiltration were evaluated by H&E, oil red O staining, and immunohistochemical staining. SOD was also measured by a spectrophotometer. Results: The degree of atherosclerosis was significantly lower in HMF group and atrovastatin group than that in high-cholesterol group. The expression of LOX-1 protein and macrophage filtration were significantly lower in HMF group and atrovastatin group than that in high-cholesterol group. Also, the SOD was higher in HMF group and atrovastatin group than that in high-cholesterol group. Conclusion: The results suggested that HMF significantly inhibited early atherosclerotic lesions by inhibiting inflammatory response and decreasing the generation of ROS. PMID:25598757

  12. Rapid and global detection and characterization of the constituents in ShengMai San by ultra-performance liquid chromatography-high-definition mass spectrometry.

    PubMed

    Wu, Fangfang; Sun, Hui; Wei, Wenfeng; Han, Ying; Wang, Ping; Dong, Tianwei; Yan, Guangli; Wang, Xijun

    2011-11-01

    An ultra-performance liquid chromatography-high definition mass spectrometry (UPLC-HDMS) method was developed for detection and characterization of the chemical constituents in ShengMai San (SMS), a traditional Chinese medical formula (TCMF). The full-scan LC-MS/MS data sets combined with extra mass were acquired within 14 min using UPLC-HDMS in the MS(E) mode in a single injection. As a result, 92 compounds were identified by comparing the accurate mass and fragments information with that of the authentic standards as well as by MS analysis and the correlative references data. These constituents included ginsenosides, lignans, steroidal saponins and homoisoflavanones. Among them, 25-hydroxyginsenosides were discovered in SMS for the first time. Compare with the previous studies, our research detected more compounds and presented more rapid by applying UPLC-HDMS. It is concluded that a rapid and effective method has been established based on UPLC-HDMS with the utilization of MS(E) , which shows high sensitivity and resolution that is suitable for identifying the constituents of SMS, and this method could be applied to other TCMF.

  13. The efficacy of a network intervention to reduce HIV risk behaviors among drug users and risk partners in Chiang Mai, Thailand and Philadelphia, US

    PubMed Central

    Latkin, Carl; Donnell, Deborah; Metzger, David; Sherman, Susan; Aramrattna, Apinun; Davis-Vogel, Annet; Quan, Vu Minh; Gandham, Sharavi; Vongchak, Tasanai; Perdue, Tom; Celentano, David

    2009-01-01

    Objectives This HIV Prevention Trials Network (HPTN) study assessed the efficacy of a network oriented peer education intervention to promote HIV risk reduction among injection drug users and their drug and sexual network members in Chiang Mai, Thailand and Philadelphia, US. Methods We enrolled 414 networks with 1123 participants, with 204 networks randomized to the treatment condition and 210 to the control. The experimental intervention consisted of six 2-hour small group peer-educator sessions and two booster sessions. Follow-up visits occurred every six months for up to 30 months. Results The number of participants reporting injection risk behaviors dropped dramatically between baseline and follow-up in both sites and both arms. The networks in the experimental condition in Philadelphia sustained statistically significant reductions in high risk injection behaviors: a 46% reduction in sharing cottons, 44% reduction in sharing cookers, 47% reduction in front and back loading and 51% reduction in injecting with people not known very well. There were no significant effects associated with the intervention on risk behaviors in Thailand. Conclusions The study results demonstrates that not only can IDUs reduce their own injection risk behaviors, but they can also engage in the critical community role of assisting their injection network members to reduce HIV injection risk behaviors. This HIV Prevention Trials Network study assessed the efficacy of a network-oriented peer education intervention promoting HIV risk reduction among injection drug users and their drug and sexual network members in Chiang Mai, Thailand and Philadelphia, USA. The study was designed to test impact on HIV infection, but the infection rate was low and study was terminated early. This paper reports efficacy on outcomes of self-reported HIV risk behaviors. We enrolled 414 networks with 1123 participants. The experimental intervention consisted of six small group peer-educator training sessions

  14. Salmonella in pork retail outlets and dissemination of its pulsotypes through pig production chain in Chiang Mai and surrounding areas, Thailand.

    PubMed

    Patchanee, Prapas; Tansiricharoenkul, Kankanok; Buawiratlert, Tunyamai; Wiratsudakul, Anuwat; Angchokchatchawal, Kittipat; Yamsakul, Panuwat; Yano, Terdsak; Boonkhot, Phacharaporn; Rojanasatien, Suvichai; Tadee, Pakpoom

    2016-08-01

    Salmonella spp. is acknowledged as a significant zoonotic foodborne pathogen throughout the world. Contaminated pork consumption is considered as a main cause of human salmonellosis. In the later stage of the pig production chain, poor hygiene and unsuitable storage conditions in retail outlets are considered to be key factors linked to the risk of Salmonella infection. The purpose of current study, which was conducted throughout April 2014 to September 2014, was to determine the prevalence and characteristics of Salmonella spp. in pork sold at the retail stage in wet markets and supermarkets in the Chiang Mai urban area of Thailand. Additionally, clonal relations between Salmonella strains described in this study and those identified in earlier study from the same geographical area were considered. It is provided as a means of contributing to current knowledge regarding Salmonella epidemiology with an ultimate aim of improved food security and consumer protection in this region. From a total of 82 pork samples analyzed in this study, 41% were positive for Salmonella, with prevalence of 73.2% from wet markets (n=30/41) and 9.8% from supermarkets (n=4/41). Twelve Salmonella serovars were identified, S. Rissen being the most commonly encountered. Antibiotic resistance of the isolates was highest for ampicillin and tetracycline (53%), followed by streptomycin (44%). Pulsed-field gel electrophoresis (PFGE) and subsequent geographical distribution analysis indicated that the clonal Salmonella strains originated from multiple sources had been spread over a wide area. The existence of a common pig supply chain "farm-slaughterhouse-retail" transmission route is inferred. Continuous monitoring of Salmonella along the entire production chain is needed to reduce contamination loads and to ensure the safety of pork products for end consumers. PMID:27435652

  15. Salmonella in pork retail outlets and dissemination of its pulsotypes through pig production chain in Chiang Mai and surrounding areas, Thailand.

    PubMed

    Patchanee, Prapas; Tansiricharoenkul, Kankanok; Buawiratlert, Tunyamai; Wiratsudakul, Anuwat; Angchokchatchawal, Kittipat; Yamsakul, Panuwat; Yano, Terdsak; Boonkhot, Phacharaporn; Rojanasatien, Suvichai; Tadee, Pakpoom

    2016-08-01

    Salmonella spp. is acknowledged as a significant zoonotic foodborne pathogen throughout the world. Contaminated pork consumption is considered as a main cause of human salmonellosis. In the later stage of the pig production chain, poor hygiene and unsuitable storage conditions in retail outlets are considered to be key factors linked to the risk of Salmonella infection. The purpose of current study, which was conducted throughout April 2014 to September 2014, was to determine the prevalence and characteristics of Salmonella spp. in pork sold at the retail stage in wet markets and supermarkets in the Chiang Mai urban area of Thailand. Additionally, clonal relations between Salmonella strains described in this study and those identified in earlier study from the same geographical area were considered. It is provided as a means of contributing to current knowledge regarding Salmonella epidemiology with an ultimate aim of improved food security and consumer protection in this region. From a total of 82 pork samples analyzed in this study, 41% were positive for Salmonella, with prevalence of 73.2% from wet markets (n=30/41) and 9.8% from supermarkets (n=4/41). Twelve Salmonella serovars were identified, S. Rissen being the most commonly encountered. Antibiotic resistance of the isolates was highest for ampicillin and tetracycline (53%), followed by streptomycin (44%). Pulsed-field gel electrophoresis (PFGE) and subsequent geographical distribution analysis indicated that the clonal Salmonella strains originated from multiple sources had been spread over a wide area. The existence of a common pig supply chain "farm-slaughterhouse-retail" transmission route is inferred. Continuous monitoring of Salmonella along the entire production chain is needed to reduce contamination loads and to ensure the safety of pork products for end consumers.

  16. Dental fluorosis in populations from Chiang Mai, Thailand with different fluoride exposures – Paper 1: assessing fluorosis risk, predictors of fluorosis and the potential role of food preparation

    PubMed Central

    2012-01-01

    Background To determine the severity of dental fluorosis in selected populations in Chiang Mai, Thailand with different exposures to fluoride and to explore possible risk indicators for dental fluorosis. Methods Subjects were male and female lifetime residents aged 8–13 years. For each child the fluoride content of drinking and cooking water samples were assessed. Digital images were taken of the maxillary central incisors for later blind scoring for TF index (10% repeat scores). Interview data explored previous cooking and drinking water use, exposure to fluoride, infant feeding patterns and oral hygiene practices. Results Data from 560 subjects were available for analysis (298 M, 262 F). A weighted kappa of 0.80 was obtained for repeat photographic scores. The prevalence of fluorosis (TF 3+) for subjects consuming drinking and cooking water with a fluoride concentration of <0.9 ppm was 10.2%. For subjects consuming drinking and cooking water >0.9 ppm F the prevalence of fluorosis (TF 3+) rose to 37.3%. Drinking and cooking water at age 3, water used for infant formula and water used for preparing infant food all demonstrated an increase in fluorosis severity with increase in water fluoride level (p < 0.001). The probability estimate for the presentation of aesthetically significant fluorosis was 0.53 for exposure to high fluoride drinking (≥0.9 ppm) and cooking water (≥1.6 ppm). Conclusions The consumption of drinking water with fluoride content >0.9 ppm and use of cooking water with fluoride content >1.6 ppm were associated with an increased risk of aesthetically significant dental fluorosis. Fluoride levels in the current drinking and cooking water sources were strongly correlated with fluorosis severity. Further work is needed to explore fluorosis risk in relation to total fluoride intake from all sources including food preparation. PMID:22720834

  17. Child-education program for the reduction of health risks due to fluoride in water sources in the Chiang Mai Basin, Thailand.

    PubMed

    Takizawa, S; Takeda, T; Wongrueng, A; Wattanachira, S

    2010-01-01

    Groundwater is the major source of drinking water in Lamphun Province in the Chiang Mai Basin, Thailand. However, groundwater contains high fluoride up to 16 mg F/L, which has caused dental and skeletal fluorosis. Although Thai Government installed RO membrane plants for the removal of fluoride from groundwater; and delivers RO-filtered bottled water that contains less fluoride than the Thai Standard of 0.7 mg F/L, it was found that the urinary fluoride levels are still high among the residents. To find the major sources of fluoride intake, fluoride contents in various water sources, such as village water supply, shallow and deep groundwaters, rain water and bottled water, were measured, and the local people's behavior on water uses was recorded by interview and questionnaire study. As a result, it was found that the highest risk of fluoride ingestion comes from cooking rice with fluoride-containing water because of a lack of knowledge on fluoride sources and fluoride chemistry. To reduce the health risks arising from fluoride intake, a hands-on educational program on the sources and risks of fluoride in water was developed and implemented in the local schools. The participatory educational program promoted active involvement of schoolchildren, but it was found that the effectiveness of education varied depending on the questions we asked. Therefore, it needs to be improved by an iterative and interactive educational program. In conclusion, it was found that the benefits of providing safe drinking water using such advanced technology as RO membrane can be maximized only when it comes along with a participatory educational program on fluoride sources and health risks.

  18. Preliminary Study of Ground Movement in Prone Landslide Area by Means of MAI InSAR A Case Study: Ciloto, West Java, Indonesia

    NASA Astrophysics Data System (ADS)

    Hayati, Noorlaila; Riedel, Björn; Niemeier, Wolfgang

    2016-04-01

    Ciloto is one of the most prone landslide hazard areas in Indonesia. Several landslides in 2012 and 2013 had been recorded in Ciloto and damaged infrastructure around the area. Investigating the history of ground movement along slope area before the landslide happened could support the hazard mitigation in the future. Considering to an efficient surveying method, space-borne SAR processing is the one appropriate way to monitor the phenomenon in past years. The purpose of this study is detecting ground movement using multi-temporal synthetic aperture radar images. We use 13 ALOS PALSAR images from 2007 to 2009 with combination Fine Beam Single (FBS) and Fine Beam Double (FBD) polarization to investigate the slow movement on slope topography. MAI (Multiple Aperture Interferometry) InSAR method is used to analyze the ground movement from both line-of-sight and along-track direction. We split the synthetic aperture into two-looking aperture so that along-track displacement could be created by the difference of forward-backward looking interferograms. With integration of both methods, we could more precisely detect the movement in prone landslide area and achieve two measurements produced by the same interferogram. However, InSAR requires smaller baseline and good temporal baseline between master and slave images to avoid decorellation. There are only several pairs that meet the condition of proper length and temporal baseline indeed the location is also on the agriculture area where is mostly covered by vegetation. The result for two years observation shows that there is insignificant slow movement along slope surface in Ciloto with -2 - -7 cm in range looks or line of sight and 9-40 cm in along track direction. Based on geometry SAR , the most visible detecting of displacement is on the north-west area due to utilization of ascending SAR images.

  19. An integrated pathway interaction network for the combination of four effective compounds from ShengMai preparations in the treatment of cardio-cerebral ischemic diseases

    PubMed Central

    Li, Fang; Lv, Yan-ni; Tan, Yi-sha; Shen, Kai; Zhai, Ke-feng; Chen, Hong-lin; Kou, Jun-ping; Yu, Bo-yang

    2015-01-01

    Aim: SMXZF (a combination of ginsenoside Rb1, ginsenoside Rg1, schizandrin and DT-13) derived from Chinese traditional medicine formula ShengMai preparations) is capable of alleviating cerebral ischemia-reperfusion injury in mice. In this study we used network pharmacology approach to explore the mechanisms of SMXZF in the treatment of cardio-cerebral ischemic diseases. Methods: Based upon the chemical predictors, such as chemical structure, pharmacological information and systems biology functional data analysis, a target-pathway interaction network was constructed to identify potential pathways and targets of SMXZF in the treatment of cardio-cerebral ischemia. Furthermore, the most related pathways were verified in TNF-α-treated human vascular endothelial EA.hy926 cells and H2O2-treated rat PC12 cells. Results: Three signaling pathways including the NF-κB pathway, oxidative stress pathway and cytokine network pathway were demonstrated to be the main signaling pathways. The results from the gene ontology analysis were in accordance with these signaling pathways. The target proteins were found to be associated with other diseases such as vision, renal and metabolic diseases, although they exerted therapeutic actions on cardio-cerebral ischemic diseases. Furthermore, SMXZF not only dose-dependently inhibited the phosphorylation of NF-κB, p50, p65 and IKKα/β in TNF-α-treated EA.hy926 cells, but also regulated the Nrf2/HO-1 pathway in H2O2-treated PC12 cells. Conclusion: NF-κB signaling pathway, oxidative stress pathway and cytokine network pathway are mainly responsible for the therapeutic actions of SMXZF against cardio-cerebral ischemic diseases. PMID:26456587

  20. Predictors of incident and recurrent participation in the sale or delivery of drugs for profit among young methamphetamine users in Chiang Mai Province Thailand, 2005-2006

    PubMed Central

    Latimore, Amanda D.; Rudolph, Abby; German, Danielle; Sherman, Susan G.; Srirojn, Bangorn; Aramrattana, Apinun; Celentano, David D.

    2011-01-01

    Background Despite Thailand’s war on drugs, methamphetamine (“yaba” in Thai) use and the drug economy both thrive. This analysis identifies predictors of incident and recurrent involvement in the sale or delivery of drugs for profit among young Thai yaba users. Methods Between April 2005 and June 2006, 983 yaba users, ages 18-25, were enrolled in a randomized behavioral intervention in Chiang Mai Province (415 index and 568 of their drug network members). Questionnaires administered at baseline, 3-, 6-, 9-, and 12-month follow-up visits assessed socio-demographic factors, current and prior drug use, social network characteristics, sexual risk behaviors and drug use norms. Exposures were lagged by three months (prior visit). Outcomes included incident and recurrent drug economy involvement. Generalized linear mixed models were fit using GLIMMIX (SAS v9.1). Results Incident drug economy involvement was predicted by yaba use frequency (Adjusted Odds Ratio [AOR]:1.05; 95% Confidence Interval [CI]: 1.01, 1.10), recent incarceration (AOR: 2.37; 95%CI: 1.07, 5.25) and the proportion of yaba-using networks who quit recently (AOR: .34; 95%CI: .15, .78). Recurrent drug economy involvement was predicted by age (AOR: 0.81; 95% CI: .68, .96), frequency of yaba use (AOR: 1.06; 95%CI: 1.02, 1.09), drug economy involvement at the previous visit (AOR: 2.61; CI: 1.59, 4.28), incarceration in the prior three months (AOR: 2.29; 95%CI: 1.07, 4.86), and the proportion of yaba-users in his/her network who quit recently (AOR: .38; 95%CI: .20, .71). Conclusion Individual drug use, drug use in social networks and recent incarceration were predictors of incident and recurrent involvement in the drug economy. These results suggest that interrupting drug use and/or minimizing the influence of drug-using networks may help prevent further involvement in the drug economy. The emergence of recent incarceration as a predictor for both models highlights the need for more appropriate drug

  1. Quantification of PAHs and oxy-PAHs on airborne particulate matter in Chiang Mai, Thailand, using gas chromatography high resolution mass spectrometry

    NASA Astrophysics Data System (ADS)

    Walgraeve, Christophe; Chantara, Somporn; Sopajaree, Khajornsak; De Wispelaere, Patrick; Demeestere, Kristof; Van Langenhove, Herman

    2015-04-01

    An analytical method using gas chromatography high resolution mass spectrometry was developed for the determination of 16 polycyclic aromatic hydrocarbons (PAHs) and 12 oxygenated PAHs (of which 4 diketones, 3 ketones, 4 aldehydes and one anhydride) on atmospheric particulate matter with an aerodynamic diameter less than 10 μm (PM10). The magnetic sector mass spectrometer was run in multiple ion detection mode (MID) with a mass resolution above 10 000 (10% valley definition) and allows for a selective accurate mass detection of the characteristic ions of the target analytes. Instrumental detection limits between 0.04 pg and 1.34 pg were obtained for the PAHs, whereas for the oxy-PAHs they ranged between 0.08 pg and 2.13 pg. Pressurized liquid extraction using dichloromethane was evaluated and excellent recoveries ranging between 87% and 98% for the PAHs and between 74% and 110% for 10 oxy-PAHs were obtained, when the optimum extraction temperature of 150 °C was applied. The developed method was finally used to determine PAHs and oxy-PAHs concentration levels from particulate matter samples collected in the wet season at 4 different locations in Chiang Mai, Thailand (n = 72). This study brings forward the first concentration levels of oxy-PAHs in Thailand. The median of the sum of the PAHs and oxy-PAHs concentrations was 3.4 ng/m3 and 1.1 ng/m3 respectively, which shows the importance of the group of the oxy-PAHs as PM10 constituents. High molecular weight PAHs contributed the most to the ∑PAHs. For example, benzo[ghi]perylene was responsible for 30-44% of the ∑PAHs. The highest contribution to ∑oxy-PAHs came from 1,8-napthalic anhydride (26-78%), followed by anthracene-9,10-dione (4-27%) and 7H-benzo[de]anthracene-7-one (6-26%). Indications of the degradation of PAHs and/or formation of oxy-PAHs were observed.

  2. PM10-bound polycyclic aromatic hydrocarbons in Chiang Mai (Thailand): Seasonal variations, source identification, health risk assessment and their relationship to air-mass movement

    NASA Astrophysics Data System (ADS)

    Wiriya, Wan; Prapamontol, Tippawan; Chantara, Somporn

    2013-04-01

    This study aims to analyze the seasonal variations of PM10-bound polycyclic aromatic hydrocarbons (PAHs) for an estimation of the human health risk and identification of their possible sources. Ninety four PM10 samples were collected during the dry and wet seasons of 2010 and the dry season of 2011 in Chiang Mai, Thailand, and analyzed for 16 PAHs by gas chromatography-mass spectrometry. The average PM10 concentrations were 104.91 ± 32.70, 13.28 ± 11.34 and 36.24 ± 19.16 μg/m3 in dry season of 2010, wet season of 2010 and dry season of 2011, respectively, while the average 16-PAHs concentrations were 25.87 ± 10.13, 3.12 ± 2.18 and 4.58 ± 2.18 ng/m3, respectively. Correlations of PM10 and total PAHs concentrations were relatively high during all seasons (r > 0.796). In addition, PM10 concentrations were highly correlated with carcinogenic PAHs (r = 0.927) during the dry season of 2010, indicating that carcinogenic compounds were dominant in the particulate PAHs and could be generated from open burning, usually conducted in the dry season. The average PM10 concentration in the dry season of 2011 was much lower than that in 2010 and lower than the annual average of the past 12 years (48.17 μg/m3) because of the unusually high amount of rain precipitation and low open burning activity in this year. According to the accumulated number of hot spots occurring in northern part of Thailand, approximately 19,000 spots were found in the dry season of 2010, while only 6,600 spots were found in the dry season of 2011. It can be seen that larger scale open burning activities were performed in the dry season of 2010 than in the dry season of 2011. The value of toxicity equivalent concentration from PAHs in the dry season of 2010 was higher than that of the wet season of 2010 and the dry season of 2011. This is obviously related to concentrations of PM10 and PAHs. Diagnostic ratio and principal component analysis were used to find out the sources of PM10-bound PAHs. It was

  3. Complex community of nitrite-dependent anaerobic methane oxidation bacteria in coastal sediments of the Mai Po wetland by PCR amplification of both 16S rRNA and pmoA genes.

    PubMed

    Chen, Jing; Zhou, Zhichao; Gu, Ji-Dong

    2015-02-01

    In the present work, both 16S rRNA and pmoA gene-based PCR primers were employed successfully to study the diversity and distribution of n-damo bacteria in the surface and lower layer sediments at the coastal Mai Po wetland. The occurrence of n-damo bacteria in both the surface and subsurface sediments with high diversity was confirmed in this study. Unlike the two other known n-damo communities from coastal areas, the pmoA gene-amplified sequences in the present work clustered not only with some freshwater subclusters but also within three newly erected marine subclusters mostly, indicating the unique niche specificity of n-damo bacteria in this wetland. Results suggested vegetation affected the distribution and community structures of n-damo bacteria in the sediments and n-damo could coexist with sulfate-reducing methanotrophs in the coastal ecosystem. Community structures of the Mai Po n-damo bacteria based on 16S rRNA gene were different from those of either the freshwater or the marine. In contrast, structures of the Mai Po n-damo communities based on pmoA gene grouped with the marine ones and were clearly distinguished from the freshwater ones. The abundance of n-damo bacteria at this wetland was quantified using 16S rRNA gene PCR primers to be 2.65-6.71 × 10(5) copies/g dry sediment. Ammonium and nitrite strongly affected the community structures and distribution of n-damo bacteria in the coastal Mai Po wetland sediments. PMID:25219532

  4. Complex community of nitrite-dependent anaerobic methane oxidation bacteria in coastal sediments of the Mai Po wetland by PCR amplification of both 16S rRNA and pmoA genes.

    PubMed

    Chen, Jing; Zhou, Zhichao; Gu, Ji-Dong

    2015-02-01

    In the present work, both 16S rRNA and pmoA gene-based PCR primers were employed successfully to study the diversity and distribution of n-damo bacteria in the surface and lower layer sediments at the coastal Mai Po wetland. The occurrence of n-damo bacteria in both the surface and subsurface sediments with high diversity was confirmed in this study. Unlike the two other known n-damo communities from coastal areas, the pmoA gene-amplified sequences in the present work clustered not only with some freshwater subclusters but also within three newly erected marine subclusters mostly, indicating the unique niche specificity of n-damo bacteria in this wetland. Results suggested vegetation affected the distribution and community structures of n-damo bacteria in the sediments and n-damo could coexist with sulfate-reducing methanotrophs in the coastal ecosystem. Community structures of the Mai Po n-damo bacteria based on 16S rRNA gene were different from those of either the freshwater or the marine. In contrast, structures of the Mai Po n-damo communities based on pmoA gene grouped with the marine ones and were clearly distinguished from the freshwater ones. The abundance of n-damo bacteria at this wetland was quantified using 16S rRNA gene PCR primers to be 2.65-6.71 × 10(5) copies/g dry sediment. Ammonium and nitrite strongly affected the community structures and distribution of n-damo bacteria in the coastal Mai Po wetland sediments.

  5. Analysis of Sheng-Mai-San, a Ginseng-Containing Multiple Components Traditional Chinese Herbal Medicine Using Liquid Chromatography Tandem Mass Spectrometry and Physical Examination by Electron and Light Microscopies.

    PubMed

    Cheng, Yung-Yi; Tsai, Tung-Hu

    2016-09-01

    Sheng-Mai-San is a multi-component traditional Chinese herbal preparation. Due to the fact granulated additives, such as starch, carboxymethyl cellulose, lactose and raw herbal powder may alter the content of the bioactive markers in the herbal products, a developed ultra-high performance liquid chromatography tandem mass spectrometry (UHPLC-MS/MS) method was used to measure the herbal biomarkers of ginsenoside Rb₁, Rb₂, Rc, Rd, Re, Rg₁, Rh₁, compound K, ophiopogonin D and schizandrin from the Sheng-Mai-San herbal formulation. Besides, scanning electron microscopy (SEM) was used to observe the morphology of the herbal granular powders. Light microscopy with Congo red and iodine-KI reagent staining was used to identify the cellulose fiber and cornstarch added to pharmaceutical herbal products. The swelling power (SP), water solubility index (WSI), and crude fiber analysis were used to determine the contents of cellulose fiber and cornstarch in pharmaceutical herbal products. In this study, we developed a novel skill to assess the quantification of appended cornstarch in pharmaceutical herbal products using Aperio ImageScope software. Compared with the traditional cornstarch analysis, our analysis method is a rapid, simple and conversion process which could be applied to detect the percentage of added cornstarch in unknown powder products. The various range of the herbal content for the five pharmaceutical manufacturers varied by up to several hundreds-fold. The physical examination reveals that the morphology of the herbal pharmaceutical products is rough and irregular with sharp layers. This study provides a reference standard operating procedure guide for the quality control of the Chinese herbal pharmaceutical products of Sheng-Mai-San.

  6. Analysis of Sheng-Mai-San, a Ginseng-Containing Multiple Components Traditional Chinese Herbal Medicine Using Liquid Chromatography Tandem Mass Spectrometry and Physical Examination by Electron and Light Microscopies.

    PubMed

    Cheng, Yung-Yi; Tsai, Tung-Hu

    2016-01-01

    Sheng-Mai-San is a multi-component traditional Chinese herbal preparation. Due to the fact granulated additives, such as starch, carboxymethyl cellulose, lactose and raw herbal powder may alter the content of the bioactive markers in the herbal products, a developed ultra-high performance liquid chromatography tandem mass spectrometry (UHPLC-MS/MS) method was used to measure the herbal biomarkers of ginsenoside Rb₁, Rb₂, Rc, Rd, Re, Rg₁, Rh₁, compound K, ophiopogonin D and schizandrin from the Sheng-Mai-San herbal formulation. Besides, scanning electron microscopy (SEM) was used to observe the morphology of the herbal granular powders. Light microscopy with Congo red and iodine-KI reagent staining was used to identify the cellulose fiber and cornstarch added to pharmaceutical herbal products. The swelling power (SP), water solubility index (WSI), and crude fiber analysis were used to determine the contents of cellulose fiber and cornstarch in pharmaceutical herbal products. In this study, we developed a novel skill to assess the quantification of appended cornstarch in pharmaceutical herbal products using Aperio ImageScope software. Compared with the traditional cornstarch analysis, our analysis method is a rapid, simple and conversion process which could be applied to detect the percentage of added cornstarch in unknown powder products. The various range of the herbal content for the five pharmaceutical manufacturers varied by up to several hundreds-fold. The physical examination reveals that the morphology of the herbal pharmaceutical products is rough and irregular with sharp layers. This study provides a reference standard operating procedure guide for the quality control of the Chinese herbal pharmaceutical products of Sheng-Mai-San. PMID:27598107

  7. Strengthening Primary Health Care in the municipalities in the Metropolitan Region of Porto Alegre, Brazil, after the introduction of the Mais Médicos (More Doctors) Program: an inter-municipal comparison.

    PubMed

    Mendonça, Claunara Schilling; Diercks, Margarita Silva; Kopittke, Luciane

    2016-09-01

    This article aims to propose an adaptation of the methodology used by Starfield and Shy (2002) to assess the quality of health care in the municipalities which joined the Mais Médicos (More Doctors) Program. The indicators were adapted for each one of the nine criteria proposed in the methodology and were applied to medium and large municipalities in the Metropolitan Region of Porto Alegre before and after they were integrated in the Mais Médicos Program. In 2014, the municipalities were grouped into three groups according to their scores. An analysis concerning any correlations between the different group scores for the municipalities and the health indicators that were evaluated, did not reveal anything significant. However the averages of the evaluated indicators were better in the group of municipalities characterized through having the best APS scores. In relation to the income indicator, the highest amount of money spent per capita in health is related to the best APS performance in the municipalities. An adaption of this methodology may be able to provide a better understanding of the policies related to health care. PMID:27653071

  8. Simultaneous Qualitative and Quantitative Analysis of Multiple Chemical Constituents in YiQiFuMai Injection by Ultra-Fast Liquid Chromatography Coupled with Ion Trap Time-of-Flight Mass Spectrometry.

    PubMed

    Liu, Chunhua; Ju, Aichun; Zhou, Dazheng; Li, Dekun; Kou, Junping; Yu, Boyang; Qi, Jin

    2016-01-01

    YiQiFuMai injection (YQFM) is a modern lyophilized powder preparation derived from the traditional Chinese medicine Sheng-mai san (SMS) used for treating cardiovascular diseases, such as chronic heart failure. However, its chemical composition has not been fully elucidated, particularly for the preparation derived from Ophiopogon japonicus. This study aimed to establish a systematic and reliable method to quickly and simultaneously analyze the chemical constituents in YQFM by ultra-fast liquid chromatography coupled with ion trap time-of-flight mass spectrometry (UFLC-IT-TOF/MS). Sixty-five compounds in YQFM were tentatively identified by comparison with reference substances or literature data. Furthermore, twenty-one compounds, including three ophiopogonins, fifteen ginsenosides and three lignans were quantified by UFLC-IT-TOF/MS. Notably, this is the first determination of steroidal saponins from O. japonicus in YQFM. The relative standard deviations (RSDs) of intra- and inter-day precision, reproducibility and stability were <4.9% and all analytes showed good linearity (R² ≥ 0.9952) and acceptable recovery of 91.8%-104.2% (RSD ≤ 5.4%), indicating that the methods were reliable. These methods were successfully applied to quantitative analysis of ten batches of YQFM. The developed approach can provide useful and comprehensive information for quality control, further mechanistic studies in vivo and clinical application of YQFM. PMID:27213307

  9. Identification of schisandrin as a vascular endothelium protective component in YiQiFuMai Powder Injection using HUVECs binding and HPLC-DAD-Q-TOF-MS/MS analysis.

    PubMed

    Li, Fang; Tan, Yi-Sha; Chen, Hong-Lin; Yan, Yan; Zhai, Ke-Feng; Li, Da-Peng; Kou, Jun-Ping; Yu, Bo-Yang

    2015-09-01

    YiQiFuMai Powder Injection (YQFM) is a re-developed preparation based on the well-known traditional Chinese medicine formula Sheng-mai-san. It has been widely used for the treatment of cardiovascular disease with definite clinical efficacy in China, but its bioactive molecules remain obscure. In this study, an effective method has been employed as a tool for screening active components in YQFM, using human umbilical vein endothelial cells (HUVECs) extraction and liquid chromatography coupled with electrospray ionization quadrupole time-of-flight tandem mass spectrometry (Q-TOF MS/MS). Nine compounds, which could interact with HUVECs, were identified as ginsenosides Rb1, Rc, Rb2, Rd, 20(S)-Rg3, 20(R)-Rg3, Rk1/Rg5 and schisandrin by comparing with reference substances or literature. In vitro assays showed that schisandrin at concentrations of 10-100 μM protected HUVECs from hypoxia/reoxygenation (H/R) injury, increased cell viability, nitric oxide (NO) content and decreased lactate dehydrogenase (LDH) leakage, malonaldehyde (MDA) content and ROS generation. Moreover, schisandrin pretreatment inhibited cell apoptosis, as evidenced by inhibiting activation of caspase-3 and increasing the Bcl-2/Bax ratio. These data indicate that HUVECs biospecific extraction coupled with HPLC-ESI-Q-TOF-MS/MS analysis is a reliable method for screening potential bioactive components from traditional Chinese medicines. Meanwhile, the vascular endothelium protective property of schisandrin might be beneficial for the treatment of cardiovascular disease. PMID:26452526

  10. Therapeutic efficacy of traditional Chinese medicine, Shen-Mai San, in cancer patients undergoing chemotherapy or radiotherapy: study protocol for a randomized, double-blind, placebo-controlled trial

    PubMed Central

    2012-01-01

    Background Cancer is one of the major health issues worldwide. An increasing number of cancer patients are offered treatment with surgery, chemotherapy and radiotherapy. Traditional Chinese medicine (TCM) is one of the most common complementary therapies offered to cancer patients in Taiwan. We designed a randomized, double-blind, placebo-controlled clinical trial to evaluate the efficacy of TCM in patients with cancer. Methods/design In this study, inclusion criteria are postoperative patients with histologically confirmed cancer within 3 years who are undergoing chemotherapy or radiotherapy, more than 18 years old, have given signed informed consent, have the ability to read Chinese, and the ability for oral intake. Exclusion criteria include being pregnant, breast feeding, having completed chemotherapy or radiotherapy, brain metastasis with Eastern Cooperative Oncology Group (ECOG) performance status of two to four, delusion or hallucinations, acute infection, and have received medications under other clinical trials. The patients were separated into an intervention group (Shen-Mai-San, SMS) and a placebo group for four weeks using a randomized, double-blind procedure. The European Organization for Research and Treatment of Cancer (EORTC) Quality of Life questionnaire (QOL-C30) was used to evaluate the quality of life. General data, hemoglobin (Hb), hematocrit (Hct), glutamic-oxalacetic transaminase (GOT), glutamic-pyruvic transaminase (GPT), blood urea nitrogen (BUN), creatinine, carcinoembryonic antigen (CEA), TCM diagnosis data and heart rate variability (HRV) were also recorded. These data were collected at baseline, two weeks and four weeks after receiving medication. The patients were prescribed granules which contained therapeutic medicines or placebo. Paired-T test was used for statistical analysis. Discussion Shen-Mai-San is composed of processed Ginseng radis, Liriope spicata, and Schizandrae fructus. It was found to be effective for treating cancer

  11. Analysis of methane-producing and metabolizing archaeal and bacterial communities in sediments of the northern South China Sea and coastal Mai Po Nature Reserve revealed by PCR amplification of mcrA and pmoA genes

    PubMed Central

    Zhou, Zhichao; Chen, Jing; Cao, Huiluo; Han, Ping; Gu, Ji-Dong

    2015-01-01

    Communities of methanogens, anaerobic methanotrophic archaea and aerobic methanotrophic bacteria (MOB) were compared by profiling polymerase chain reaction (PCR)-amplified products of mcrA and pmoA genes encoded by methyl-coenzyme M reductase alpha subunit and particulate methane monooxygenase alpha subunit, respectively, in sediments of northern South China Sea (nSCS) and Mai Po mangrove wetland. Community structures representing by mcrA gene based on 12 clone libraries from nSCS showed separate clusters indicating niche specificity, while, Methanomicrobiales, Methanosarcinales clades 1,2, and Methanomassiliicoccus-like groups of methanogens were the most abundant groups in nSCS sediment samples. Novel clusters specific to the SCS were identified and the phylogeny of mcrA gene-harboring archaea was updated. Quantitative polymerase chain reaction was used to detect mcrA gene abundance in all samples: similar abundance of mcrA gene in the surface layers of mangrove (3.4∼3.9 × 106 copies per gram dry weight) and of intertidal mudflat (5.5∼5.8 × 106 copies per gram dry weight) was observed, but higher abundance (6.9 × 106 to 1.02 × 108 copies per gram dry weight) was found in subsurface samples of both sediment types. Aerobic MOB were more abundant in surface layers (6.7∼11.1 × 105 copies per gram dry weight) than the subsurface layers (1.2∼5.9 × 105 copies per gram dry weight) based on pmoA gene. Mangrove surface layers harbored more abundant pmoA gene than intertidal mudflat, but less pmoA genes in the subsurface layers. Meanwhile, it is also noted that in surface layers of all samples, more pmoA gene copies were detected than the subsurface layers. Reedbed rhizosphere exhibited the highest gene abundance of mcrA gene (8.51 × 108 copies per gram dry weight) and pmoA gene (1.56 × 107 copies per gram dry weight). This study investigated the prokaryotic communities responsible for methane cycling in both marine and coastal wetland ecosystems, showing

  12. Temporal frequency of knockdown resistance mutations, F1534C and V1016G, in Aedes aegypti in Chiang Mai city, Thailand and the impact of the mutations on the efficiency of thermal fogging spray with pyrethroids.

    PubMed

    Plernsub, Suriya; Saingamsook, Jassada; Yanola, Jintana; Lumjuan, Nongkran; Tippawangkosol, Pongsri; Walton, Catherine; Somboon, Pradya

    2016-10-01

    In Thailand, control of dengue outbreaks is currently attained by the use of space sprays, particularly thermal fogging using pyrethroids, with the aim of killing infected Aedes mosquito vectors in epidemic areas. However, the principal dengue vector, Aedes aegypti, is resistant to pyrethroids conferred mainly by mutations in the voltage-gated sodium channel gene, F1534C and V1016G, termed knockdown resistance (kdr). The objectives of this study were to determine the temporal frequencies of F1534C and V1016G in Ae. aegypti populations in relation to pyrethroid resistance in Chiang Mai city, and to evaluate the impact of the mutations on the efficacy of thermal fogging with the pyrethroid deltamethrin. Larvae and pupae were collected from several areas around Chiang Mai city during 2011-2015 and reared to adulthood for bioassays for deltamethrin susceptibility. These revealed no trend of increasing deltamethrin resistance during the study period (mortality 58.0-69.5%, average 62.8%). This corresponded to no overall change in the frequencies of the C1534 allele (0.55-0.66, average 0.62) and G1016 allele (0.34-0.45, average 0.38), determined using allele specific amplification. Only three genotypes of kdr mutations were detected: C1534 homozygous (VV/CC); G1016/C1534 double heterozygous (VG/FC); and G1016 homozygous (GG/FF) indicating that the F1534C and V1016G mutations occurred on separate haplotypic backgrounds and a lack of recombination between them to date. The F1 progeny females were used to evaluate the efficacy of thermal fogging spray with Damthrin-SP(®) (deltamethrin+S-bioallethrin+piperonyl butoxide) using a caged mosquito bioassay. The thermal fogging spray killed 100% and 61.3% of caged mosquito bioassay placed indoors and outdoors, respectively. The outdoor spray had greater killing effect on C1534 homozygous and had partially effect on double heterozygous mosquitoes, but did not kill any G1016 homozygous mutants living outdoors. As this selection

  13. Responding to the AIDS epidemic in Asia and the Pacific: report on the Third International Conference on AIDS in Asia and the Pacific, Chiang Mai, Thailand, 17-21 September, 1995.

    PubMed

    Ford, N J

    1996-02-01

    The Third International Conference on AIDS in Asia and the Pacific was held in Chiang Mai, Thailand, in conjunction with the Fifth National AIDS Seminar in Thailand. These geographical areas accounted for less than 7% of global cumulative AIDS cases, but nearly 20% (over 3.5 million) of global cumulative HIV infections as of mid-1995. The Thai national AIDS program comprises information, education, and communication and the development of sexually transmitted disease (STD) health care with counseling to reduce risk behavior. Safer sex practices among commercial sex workers and injecting drug users (IDUs) have led to a dramatic decline of HIV infection. The impact of the HIV/AIDS epidemic so far has had a small negative effect economically, but the social implications are more serious. There were 160,000 HIV-infected people in 1995 in these areas; the number is expected to rise to 700,000 by the year 2000. The major source of HIV infection in Asia is unprotected sexual intercourse and injecting drug use. HIV-1 subtype E is the most dominant strain in Asia, yet little research has been done on it. In several countries the major focus of prevention research has been on prostitutes, STD clinic attenders, long-distance truck drivers, and IDUs. In Bombay, India, HIV prevalence among prostitutes was found to be 51% vs. 0.8% among women attending a prenatal clinic. Despite an active prevention program in Chiang Mai, 33% of brothel inmates were infected with STDs. Effective programs should include the development of self-esteem and self-protective behavior. Although condom use has soared in recent years, men refusing its use continue to infect their wives and girlfriends. HIV seroprevalence among women attending prenatal clinics in Bangkok increased from 1% to 2% from 1991 to 1994. One Burmese study indicated that 1.1% of the soldiers were HIV-infected; in northern Thailand ethnic minorities have substantial HIV rates; and unsafe behavior among homosexual males in Australia

  14. Analysis of methane-producing and metabolizing archaeal and bacterial communities in sediments of the northern South China Sea and coastal Mai Po Nature Reserve revealed by PCR amplification of mcrA and pmoA genes.

    PubMed

    Zhou, Zhichao; Chen, Jing; Cao, Huiluo; Han, Ping; Gu, Ji-Dong

    2014-01-01

    Communities of methanogens, anaerobic methanotrophic archaea and aerobic methanotrophic bacteria (MOB) were compared by profiling polymerase chain reaction (PCR)-amplified products of mcrA and pmoA genes encoded by methyl-coenzyme M reductase alpha subunit and particulate methane monooxygenase alpha subunit, respectively, in sediments of northern South China Sea (nSCS) and Mai Po mangrove wetland. Community structures representing by mcrA gene based on 12 clone libraries from nSCS showed separate clusters indicating niche specificity, while, Methanomicrobiales, Methanosarcinales clades 1,2, and Methanomassiliicoccus-like groups of methanogens were the most abundant groups in nSCS sediment samples. Novel clusters specific to the SCS were identified and the phylogeny of mcrA gene-harboring archaea was updated. Quantitative polymerase chain reaction was used to detect mcrA gene abundance in all samples: similar abundance of mcrA gene in the surface layers of mangrove (3.4∼3.9 × 10(6) copies per gram dry weight) and of intertidal mudflat (5.5∼5.8 × 10(6) copies per gram dry weight) was observed, but higher abundance (6.9 × 10(6) to 1.02 × 10(8) copies per gram dry weight) was found in subsurface samples of both sediment types. Aerobic MOB were more abundant in surface layers (6.7∼11.1 × 10(5) copies per gram dry weight) than the subsurface layers (1.2∼5.9 × 10(5) copies per gram dry weight) based on pmoA gene. Mangrove surface layers harbored more abundant pmoA gene than intertidal mudflat, but less pmoA genes in the subsurface layers. Meanwhile, it is also noted that in surface layers of all samples, more pmoA gene copies were detected than the subsurface layers. Reedbed rhizosphere exhibited the highest gene abundance of mcrA gene (8.51 × 10(8) copies per gram dry weight) and pmoA gene (1.56 × 10(7) copies per gram dry weight). This study investigated the prokaryotic communities responsible for methane cycling in both marine and coastal wetland

  15. Etat nutritionnel des enfants âgés de 6 à 59 mois infectés par le VIH mais non traités aux ARV à Lubumbashi

    PubMed Central

    Mwadianvita, Costa Kazadi; Kanyenze, Faustin Ngoy; Wembonyama, Cecile Watu; Mutomb, Florence Mujing A; Mupoya, Kalombo; Nkoy, Albert Mwembo–Tambwe A; Mwenze, Prosper Kalenga

    2014-01-01

    Introduction L'infection par le VIH provoque et/ou aggrave les déficits nutritionnels de l'enfant. Ce travail avait pour objectif d'analyser l’état nutritionnel des enfants infectés par le VIH à Lubumbashi. Méthodes Une étude transversale portant sur 83 enfants âgés de 6 à 60 mois s'est déroulée de mai 2010 à mai 2011 dans trois(3) centres de prise en charge des Personnes Vivant avec le VIH(PVV), notamment le Centre d'Excellence(CE) de l'hôpital Sendwe, le Centre Amo-Congo de la Kenya et le Centre de Référence de la Kenya. Les statistiques descriptives usuelles ont été utilisées. Résultats La prévalence de la malnutrition globale était de 60,2% (n = 50) dont 8,4% de malnutrition sévère. Le poids moyen était de 11,6±4,1 kg avec un minimum de 5 kg et un maximum de 22 kg. Le taux d'hémoglobine moyen était d'environ 9,8± 2,0 g/dl avec une prévalence globale de l'anémie (hémoglobine < 11g/dl) à 69,9%. L’émaciation concernait 20,5% des enfants et 8,4% avaient un retard de croissance. Le retard de croissance (p = 0,007), l'insuffisance pondérale (p = 0,002) et l’émaciation (p = 0,046) étaient associés de façon significative à l’état avancé de l'infection à VIH. La survenue de l'anémie n’était pas associée au déficit nutritionnel (p = 0,6). Conclusion Ces résultats révèlent que l'infection à VIH modifie l’état nutritionnel des enfants à Lubumbashi avec 60,2% de malnutrition globale et 8,4% de retard de croissance. Les enfants au stade avancé de l'infection à VIH en sont plus affectés. PMID:25574336

  16. Expanding health access in the more vulnerable region in the state of São Paulo, Brazil: is this a reflection of the Mais Médicos (More Doctors) Program?

    PubMed

    Silva, Bruna Pontes da; Stockmann, Denise; Lúcio, Donavan de Souza; Henna, Elaine; Rocha, Maria Carolina Pereira da; Junqueira, Fábio Miranda

    2016-09-01

    The Mais Médicos (More Doctors) Program seeks to broaden access to health by providing medical professionals, investments in health units and multi-professional integration geared to the Family Health Strategy. Vale do Ribeira includes 25 cities and is among the most vulnerable regions in São Paulo. It has been allocated 41 physicians from the Program. This study is to evaluate access to health, comparing health indicators before and after the Program. We collected data from DATASUS, SIAB, and the Ministry of Health. There was a marked increase in the number of appointments for infants under one year of age, adults, the elderly, STD/HIV patients and group patient care. There was a decrease in appointments outside the catchment area, as well as hospital admissions for other causes, mothers exclusively breastfeeding their infants up to four months. We concluded that after deployment of the Program, there was an increase in health access and health promotion focused on an area that presents an enormous challenge for Primary Health Care (PHC). It would seem that, since this is a high vulnerability area with a large area for care, hospital admissions for PHC care-sensitive conditions, as well as referrals for secondary services, did not decrease. PMID:27653074

  17. Expanding health access in the more vulnerable region in the state of São Paulo, Brazil: is this a reflection of the Mais Médicos (More Doctors) Program?

    PubMed

    Silva, Bruna Pontes da; Stockmann, Denise; Lúcio, Donavan de Souza; Henna, Elaine; Rocha, Maria Carolina Pereira da; Junqueira, Fábio Miranda

    2016-09-01

    The Mais Médicos (More Doctors) Program seeks to broaden access to health by providing medical professionals, investments in health units and multi-professional integration geared to the Family Health Strategy. Vale do Ribeira includes 25 cities and is among the most vulnerable regions in São Paulo. It has been allocated 41 physicians from the Program. This study is to evaluate access to health, comparing health indicators before and after the Program. We collected data from DATASUS, SIAB, and the Ministry of Health. There was a marked increase in the number of appointments for infants under one year of age, adults, the elderly, STD/HIV patients and group patient care. There was a decrease in appointments outside the catchment area, as well as hospital admissions for other causes, mothers exclusively breastfeeding their infants up to four months. We concluded that after deployment of the Program, there was an increase in health access and health promotion focused on an area that presents an enormous challenge for Primary Health Care (PHC). It would seem that, since this is a high vulnerability area with a large area for care, hospital admissions for PHC care-sensitive conditions, as well as referrals for secondary services, did not decrease.

  18. Dental fluorosis in populations from Chiang Mai, Thailand with different fluoride exposures - Paper 2: The ability of fluorescence imaging to detect differences in fluorosis prevalence and severity for different fluoride intakes from water

    PubMed Central

    2012-01-01

    Background To assess the ability of fluorescence imaging to detect a dose response relationship between fluorosis severity and different levels of fluoride in water supplies compared to remote photographic scoring in selected populations participating in an observational, epidemiological survey in Chiang Mai, Thailand. Methods Subjects were male and female lifetime residents aged 8-13 years. For each child the fluoride content of cooking water samples (CWS) was assessed to create categorical intervals of water fluoride concentration. Fluorescence images were taken of the maxillary central incisors and analyzed for dental fluorosis using two different software techniques. Output metrics for the fluorescence imaging techniques were compared to TF scores from blinded photographic scores obtained from the survey. Results Data from 553 subjects were available. Both software analysis techniques demonstrated significant correlations with the photographic scores. The metrics for area effected by fluorosis and the overall fluorescence loss had the strongest association with the photographic TF score (Spearman’s rho 0.664 and 0.652 respectively). Both software techniques performed well for comparison of repeat fluorescence images with ICC values of 0.95 and 0.85 respectively. Conclusions This study supports the potential use of fluorescence imaging for the objective quantification of dental fluorosis. Fluorescence imaging was able to discriminate between populations with different fluoride exposures on a comparable level to remote photographic scoring with acceptable levels of repeatability. PMID:22908997

  19. A combination of four effective components derived from Sheng-mai san attenuates hydrogen peroxide-induced injury in PC12 cells through inhibiting Akt and MAPK signaling pathways.

    PubMed

    Cao, Guo-Sheng; Li, Shao-Xia; Wang, Yan; Xu, Ying-Qiong; Lv, Yan-Ni; Kou, Jun-Ping; Yu, Bo-Yang

    2016-07-01

    The present study was designed to investigate whether a combination of four effective components derived from Sheng-mai san (SMXZF; ginsenoside Rb1: ginsenoside Rg1: DT-13: Schizandrol A as 6 : 9 : 4 : 5) could attenuate hydrogen peroxide (H2O2)-induced injury in PC12 cells, focusing on the Akt and MAPK pathways . The PC12 cells were exposed to H2O2 (400 μmol·L(-1)) for 1 h in the presence or absence of SMXZF pre-treatment for 24 h. Cell viability was measured by MTT assay. The efflux of lactate dehydrogenase (LDH), the intracellular content of malondialdehyde (MDA), the activities of superoxide dismutase (SOD), and caspase-3 were also determined. Cell apoptosis was measured by Hoechst 33342 staining and Annexin V-FITC/PI staining method. The expression of Bcl-2, Bax, cleaved caspase-3, Akt, and MAPKs were detected by Western blotting analyses. SMXZF pretreatment significantly increased the cell viability and SOD activity and improved the cell morphological changes, while reduced the levels of LDH and MDA at the concentrations of 0.1, 1 and 10 μg·mL(-1). SMXZF also inhibited H2O2-induced apoptosis in PC12 cells. Moreover, SMXZF reduced the activity of caspase-3, up-regulated the protein ratio of Bcl-2 and Bax and inhibited the expression of cleaved caspase-3, p-Akt, p-p38, p-JNK and p-ERK1/2 in H2O2-induced PC12 cells. Co-incubation of Akt inhibitor or p38 inhibitor partly attenuated the protection of SMXZF against H2O2-injured PC12 cells. In conclusion, our findings suggested that SMXZF attenuated H2O2-induced injury in PC12 cells by inhibiting Akt and MAPKs signaling pathways, which might shed insights on its neuroprotective mechanism. PMID:27507201

  20. Ka Whanau mai te Reo: Honouring Whanau, Upholding Reo Maori

    ERIC Educational Resources Information Center

    Bright, Nicola; Barnes, Alex; Hutchings, Jessica

    2013-01-01

    This is the first report from a 3-year (2012-2015) kaupapa Maori research project that investigates how best to support the continuity of reo Maori development of whanau as they transition between kohanga reo, kura kaupapa primary, wharekura, secondary and beyond. It aims to provide useful information about the reo Maori education options that are…

  1. Determination of Two-Liquid Mixture Composition by Assessing Dielectric Parameters 1. Precise Measuring System / Divu Šķidrumu Maisījuma Sastāva Noteikšana, Izvērtējot to Dielektriskos Parametrus 1. Precīza Mērīšanas Sistēma

    NASA Astrophysics Data System (ADS)

    Vilitis, O.; Shipkovs, P.; Merkulovs, D.

    2013-08-01

    Concentration measurements are important in bioethanol industries, in the R&D areas, for chemical, medical and microbiological analyses and processing as well as for diagnostics, manufacturing, etc. The overview shows development of the structural design of a system for measuring the concentration of solutions and mixtures consisting of two dielectric liquids. The basic principles of the system's design are given along with relevant equations. The concentration of dielectric liquids is measured using devices with capacitive sensors (1-300 pF). The operational frequency of the developed measuring system is 100.000 kHz. Configuration of the system excludes some errors usually arising at measurements, and broadens its applicability. For testing, the system was calibrated for measuring the concentration of anhydrous ethanol + de-ionized water mixture. Experimental results have shown a stable resolution of ±0.005 pF at measuring the sensor capacitance and a reproducible resolution better than ±0.01% at measuring the ethanol volume concentration Rakstā esam parādījuši iespējas izveidot augstas precizitātes, kompaktu, lētu un ērtu lietošanai dielektrisku šķidrumu mērīšanas sistēmu koncentrācijas noteikšanai. Šī sistēma ir piemērojama kapacitīviem sensoriem, kuru kapacitāte ir atkarīga no sensora izveidojuma kā arī mērāmā šķidruma dielektriskās konstantes vērtības, un kapacitāte var tikt noteikta pie frekvences 100,000 kHz robežās no 1 F līdz 300 pF. Mērīšanas sistēmas pārbaudei, sistēma tika kalibrēta etanola koncentrācijas mērīšanai tilpuma procentos sertificēta bezūdens etanola un dejonizēta ūdens maisījumiem. Pārbaužu rezultāti pierādīja, ka sensora kapacitātes vērtības ir stabili nosakāmas ar izšķirtspēju ne mazāku par ±0,005 pF. Sensora kapacitāšu vērtībām atbilstošā etanola tilpuma koncentrācijas atkārtojamu mērījumu izšķirtspēja visā mērīšanas diapazonā nebija mazāka par ±0

  2. Case Series of HIV Infection-Associated Arteriopathy: Diagnosis, Management, and Outcome Over a 5-Year period at Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University.

    PubMed

    Orrapin, Saritphat; Reanpang, Termpong; Orrapin, Saranat; Arwon, Supapong; Kattipathanapong, Thanate; Lekwanavijit, Suree; Rerkasem, Kittipan

    2015-09-01

    Patients infected with human immunodeficiency virus (HIV) can present with 4 pathology types: drug-induced vasospasm (ergotism), arterial limb ischemia, critical limb ischemia, and aneurysm. Although these problems are common vascular problems, they result in increased morbidity and mortality in HIV-infected patients, especially aneurysm. Patients with these problems tend to be diagnosed with difficulty because of atypical symptoms and signs. Because of lack of data in treatment outcome literature, our report explores and provides information on HIV infection-related arteriopathy. There were 17 patients in our 5-year review. There was no death in patients except the aneurysm type. The survival of aneurysm patients was significantly lower than from other pathologies (P = .003). Our case series showed good short-term outcome, and patients were not at risk for less beneficial surgical procedures.

  3. Huakina Mai: A Kaupapa Maori Approach to Relationship and Behaviour Support

    ERIC Educational Resources Information Center

    Savage, Catherine; Macfarlane, Sonja; Macfarlane, Angus; Fickel, Letitia; Hemi, Hemi Te

    2014-01-01

    This article presents the developmental stages of a nationwide whole-school strengths-based behavioural intervention by Maori and centring on Maori interests; an initiative that has the potential to transform educational success and opportunities. The initial phase involved a cycle of data collection. This was conducted via a series of focus…

  4. Computer Supported Indexing: A History and Evaluation of NASA's MAI System. Supplement 24

    NASA Technical Reports Server (NTRS)

    Silvester, June P.

    1997-01-01

    Computer supported indexing systems may be categorized in several ways. One classification scheme refers to them as statistical, syntactic, semantic or knowledge-based. While a system may emphasize one of these aspects, most systems actually combine two or more of these mechanisms to maximize system efficiency. Statistical systems can be based on counts of words or word stems, statistical association, and correlation techniques that assign weights to word locations or provide lexical disambiguation, calculations regarding the likelihood of word co-occurrences, clustering of word stems and transformations, or any other computational method used to identify pertinent terms. If words are counted, the ones of median frequency become candidate index terms. Syntactical systems stress grammar and identify parts of speech. Concepts found in designated grammatical combinations, such as noun phrases, generate the suggested terms. Semantic systems are concerned with the context sensitivity of words in text. The primary goal of this type of indexing is to identify without regard to syntax the subject matter and the context-bearing words in the text being indexed. Knowledge-based systems provide a conceptual network that goes past thesaurus or equivalent relationships to knowing (e.g., in the National Library of Medicine (NLM) system) that because the tibia is part of the leg, a document relating to injuries to the tibia should he indexed to LEG INJURIES, not the broader MeSH term INJURIES, or knowing that the term FEMALE should automatically be added when the term PREGNANCY is assigned, and also that the indexer should be prompted to add either HUMAN or ANIMAL. Another way of categorizing indexing systems is to identify them as producing either assigned- or derived-term indexes.

  5. A 3D-DNA Molecule Made of PlayMais

    ERIC Educational Resources Information Center

    Caine, Massimo; Horié, Ninon; Zuchuat, Sandrine; Weber, Aurélia; Ducret, Verena; Linder, Patrick; Perron, Karl

    2015-01-01

    More than 60 years have passed since the work of Rosalind Franklin, James Watson, and Francis Crick led to the discovery of the 3D-DNA double-helix structure. Nowadays, due to the simple and elegant architecture of its double helix, the structure of DNA is widely known. The biological role of the DNA molecule (e.g., genetic information), however,…

  6. Nutritional status and feeding practices in gastrointestinal surgery patients at Bach Mai Hospital, Hanoi, Vietnam.

    PubMed

    Young, Lorraine S; Huong, Pham Thi Thu; Lam, Nguyen Thi; Thu, Nghiem Nguyet; Van, Ha Thi; Hanh, Nguyen Lien; Tuyen, Le Danh; Lien, Dinh Thi Kim; Hoc, Tran Hieu; Tuyet, Chu Thi; Anh, Nguyen Quoc; Henry, Elizabeth G; Lenders, Carine M; Gura, Kathleen M; Bigornia, Sherman J; Apovian, Caroline M; Ziegler, Thomas R

    2016-01-01

    背景与目的:越南手术患者的营养状况和院内喂养方式没有被详细记录。根 据巴赫麦医院的一个横断面研究,在外科病房应用体质指数(BMI<18.5 kg/m2)所判定的营养不良患病率为33%。我们在越南河内巴赫麦医院的对胃 肠(GI)外科病房的喂养方法进行了观察研究。方法与研究设计:来自美国 和越南国家营养研究所的调查员从巴赫麦医院招募72 名入院进行择期胃肠手 术的患者参与了这项观察性研究。记录基线人体测量指标及其随时间的变化, 体质指数,主观整体评估(SGA),从入院到出院经口摄食、管饲喂养和肠外 营养的每日能量和蛋白质的摄入量。结果:共有50%的研究对象SGA 得分为 B 或C,48%的研究对象BMI<18.5,而平均的上臂围为正常水平偏低(24±4 cm)。几乎所有的患者(98%)在术后给予肠外营养,平均术后4 天给予经 口喂养,只有一个病人是管饲喂养。住院期间,平均每天总能量摄入为15 kcal/kg/day,蛋白质摄入为0.61 g/kg/day,接受肠外营养者极少补充微量元 素。结论:越南手术患者住院期间营养不良是一个重要问题,围手术期患者 出现喂养不理想和术后早期应用肠内营养是常规。.

  7. Péritonite primitive: entité réelle mais de diagnostic difficile

    PubMed Central

    Yamou, Rajae; Najih, Mohammed; Absi, Mohamed; Ouanani, Mohamed; Echerrab, Mahjoub; EL Alami, Hassan; Amraoui, Mohamed; Errougani, Abdelkader; Chkoff, Mohamed Rachid

    2012-01-01

    Les péritonites primitives sont rares chez des patients sans facteurs de risques. Elles simulent les péritonites secondaires. C'est pourquoi leur diagnostic ne peut être que peropératoire. Nous rapportons deux cas de péritonites primitives dans le but de discuter leurs aspects diagnostique et thérapeutiques. PMID:23077704

  8. Prediction des rendements agricoles du mais et du soya, et du deficit en azote du mais a l'aide d'images aeroportees et d'un reseau de neurones a retropropagation

    NASA Astrophysics Data System (ADS)

    Serele, Zogbo Charles

    2002-01-01

    This thesis explores the suitability of the multi-layer perceptron (MLP) neural network for prediction of corn and soybean yield and for classification of nitrogen corn stressed vegetation. The results show while using a combination of vegetation and texture indices, and topographic data, we can successfully predict corn yield with MLP. The regression coefficient between observed and predicted yield for corn and soybean were respectively 92% and 43% for the middle season image only. This research also indicates that the information from an image is more important when it is acquired during the period of maximum crop biological activity. Thus, MLP developed on the middle season predicts the corn and soybean yield with respective R2 of 89% and 40%. The degree of relationship between the inputs and the outputs and the quality of the data are very important, because they determine the capabilities of the MLP. When the generalization capabilities of the MLP models were tested on a non-corrected crop yield dataset, the results drop to 45% and 36% for corn and soybean respectively. The MLP demonstrated also its capability to discriminate corn nitrogen status during the growing season. MLP models based on image spectral and textural indices reach a Kappa coefficient of 72% for middle season image and 81% for the combined multidate images. Image texture features also provide useful complementary information for the discrimination of different nitrogen stress levels. The best MLP for predicting corn nitrogen status was the one that integrates image features and topographic parameters. It outperforms the first one with an accuracy of 90% for middle season image and 95% for all two images. Evidence that topographic data are a critical discriminatory information source is both obvious and strong. In consequence, crop physiological status monitoring systems require taking into account the combined effects of soil background and canopy architecture. This thesis have highlighted that MLP has a strong potential for detecting corn nitrogen stressed vegetation and that they would help farmers to better manage crop status during the growing season, when there is still time to respond to problems. The other contributions of this study are the development of crop yield data correction and filtering algorithm and the identification of discriminant analysis as the best method for the MLP inputs selection. (Abstract shortened by UMI.)

  9. The Influence of Friendships and Friendship-Making Ability in Physical Activity Participation in Chiang Mai, Thailand High School Students

    ERIC Educational Resources Information Center

    Page, Randy M.; Taylor, Jerry; Suwanteerangkul, Jiraporn; Novilla, Lelinneth M.

    2005-01-01

    Unfortunately, the influence of friendships is a neglected area of investigation in studies of youth physical activity. This study investigated the degree to which three friendship variables (ability to make friends, level of involvement with friends, perceived friends' involvement in exercise/physical activity) was associated with physical…

  10. High Sensitivity Analysis of Nanoliter Volumes of Volatile and Nonvolatile Compounds using Matrix Assisted Ionization (MAI) Mass Spectrometry

    NASA Astrophysics Data System (ADS)

    Hoopmann, Michael R.; Mendoza, Luis; Deutsch, Eric W.; Shteynberg, David; Moritz, Robert L.

    2016-07-01

    Protein-protein interactions are an important element in the understanding of protein function, and chemical cross-linking shotgun mass spectrometry is rapidly becoming a routine approach to identify these specific interfaces and topographical interactions. Protein cross-link data analysis is aided by dozens of algorithm choices, but hindered by a lack of a common format for representing results. Consequently, interoperability between algorithms and pipelines utilizing chemical cross-linking remains a challenge. pepXML is an open, widely-used format for representing spectral search algorithm results that has facilitated information exchange and pipeline development for typical shotgun mass spectrometry analyses. We describe an extension of this format to incorporate cross-linking spectral search results. We demonstrate application of the extension by representing results of multiple cross-linking search algorithms. In addition, we demonstrate adapting existing pepXML-supporting software pipelines to analyze protein cross-linking results formatted in pepXML.

  11. Antisense suppression of an acid invertase gene (MAI1) in muskmelon alters plant growth and fruit development.

    PubMed

    Yu, Xiyan; Wang, Xiufeng; Zhang, Wenqian; Qian, Tingting; Tang, Guimin; Guo, Yankui; Zheng, Chengchao

    2008-01-01

    To unravel the roles of soluble acid invertase in muskmelon (Cucumis melo L.), its activity in transgenic muskmelon plants was reduced by an antisense approach. For this purpose, a 1038 bp cDNA fragment of muskmelon soluble acid invertase was expressed in antisense orientation behind the 35S promoter of the cauliflower mosaic virus. The phenotype of the antisense plants clearly differed from that of control plants. The transgenic plant leaves were markedly smaller, and the stems were obviously thinner. Transmission electron microscopy revealed that degradation of the chloroplast membrane occurred in transgenic leaves and the number of grana in the chloroplast was significantly reduced, suggesting that the slow growth and weaker phenotype of the transgenic plants may be due to damage to the chloroplast ultrastructure, which in turn resulted in a decrease in net photosynthetic rate. The sucrose concentration increased and levels of acid invertase decreased in transgenic fruit, and the fruit size was 60% smaller than that of the control. In addition, transgenic fruit reached full-slip at 25 d after pollination (DAP), approximately 5 d before the control fruit (full-slip at 30 DAP), and this accelerated maturity correlated with a dramatic elevation of ethylene production at the later stages of fruit development. Together, these results suggest that soluble acid invertase not only plays an important role during muskmelon plant and fruit development but also controls the sucrose content in muskmelon fruit.

  12. Holocene malacofauna in calcareous deposits of Dūkšta site near Maišiagala in Lithuania

    NASA Astrophysics Data System (ADS)

    Sanko, Aleksander; Gaigalas, Algirdas; Rudnickaitė, Eugenija; Melešytė, Monika

    2008-01-01

    The paper contains results of new investigations in Lithuania of the first occurrences of terrestrial molluscs in calcareous tufa (travertine), carbonate content and radiocarbon dating. Terrestrial fossil molluscs (35 taxa) prevail in the mollusc fauna, while freshwater species are much more rare (6 taxa). The Dūkšta terrestrial mollusc fauna embraces a complex of thermophiles including such forest species as Acicula polita (Hartmann), Acanthinula aculeata (Müller), Aegopinella cf. pura (Alder), Bulgaria cana (Held) and Discus cf. rotundatus (Müller), as well as mainly South European Carychium tridentatum (Risso) and mainly West European Vertigo moulinsiana (Dupuy). The radiocarbon age of the sediments was found to correspond to the end of the Atlantic climatic period and the beginning of the Subboreal.

  13. [Fertility decline and consequences of the National Family Planning Program: an analysis of the achievements of family planning activities in Chiang Mai and Lamphun provinces].

    PubMed

    Pardthaisong, T

    1988-07-01

    Based on the census data of 1970 and 1980 for each province of Thailand, the present study has revealed that between 1960-1980, a rapid fertility decline took place in 17 northern provinces and 26 central provinces of Thailand. A similar rapid fertility decline also took place starting in 1975 in the 16 northeast provinces and in the 14 southern provinces. Levels and trends of fertility found in this study suggest that most of the districts in the northern and the central regions reached the replacement level or below by 1985, and that similar levels will be attained by 1990 for almost every district in Thailand. This paper also stresses the impact of the rapid fertility decline on development in Thailand during the past 20 years, and its consequences. Lastly, the present study suggests that, for the future, the most important step is to understand well the consequences of this astonishing rapid fertility decline. This knowledge will be vital for the country and its people.

  14. Work Plan of APEID for the Fifth Programming Cycle, 1992-1996. A Report of the APEID Programme Development Meeting (Chiang Mai, Thailand, August 28-31, 1990).

    ERIC Educational Resources Information Center

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

    This document is a work plan for the UNESCO Asia and the Pacific Programme of Educational Innovation for Development (APEID) for the period 1992 through 1996. The plan provides a general framework for APEID, including a formulation of annual schedules of activities with due regard to available resources and funding. The document discusses three…

  15. [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…

  16. YiXin-Shu, a ShengMai-San-based traditional Chinese medicine formula, attenuates myocardial ischemia/reperfusion injury by suppressing mitochondrial mediated apoptosis and upregulating liver-X-receptor α

    PubMed Central

    Zhao, Yichao; Xu, Longwei; Qiao, Zhiqing; Gao, Lingchen; Ding, Song; Ying, Xiaoying; Su, Yuanyuan; Lin, Nan; He, Ben; Pu, Jun

    2016-01-01

    Positive evidence from clinical trials has fueled growing acceptance of traditional Chinese medicine (TCM) for the treatment of cardiac diseases; however, little is known about the underlying mechanisms. Here, we investigated the nature and underlying mechanisms of the effects of YiXin-Shu (YXS), an antioxidant-enriched TCM formula, on myocardial ischemia/reperfusion (MI/R) injury. YXS pretreatment significantly reduced infarct size and improved viable myocardium metabolism and cardiac function in hypercholesterolemic mice. Mechanistically, YXS attenuated myocardial apoptosis by inhibiting the mitochondrial mediated apoptosis pathway (as reflected by inhibition of mitochondrial swelling, cytochrome c release and caspase-9 activity, and normalization of Bcl-2 and Bax levels) without altering the death receptor and endoplasmic reticulum-stress death pathways. Moreover, YXS reduced oxidative/nitrative stress (as reflected by decreased superoxide and nitrotyrosine content and normalized pro- and anti-oxidant enzyme levels). Interestingly, YXS upregulated endogenous nuclear receptors including LXRα, PPARα, PPARβ and ERα, and in-vivo knockdown of cardiac-specific LXRα significantly blunted the cardio-protective effects of YXS. Collectively, these data show that YXS is effective in mitigating MI/R injury by suppressing mitochondrial mediated apoptosis and oxidative stress and by upregulating LXRα, thereby providing a rationale for future clinical trials and clinical applications. PMID:26964694

  17. Effect of women’s groups and volunteer peer counselling on rates of mortality, morbidity, and health behaviours in mothers and children in rural Malawi (MaiMwana): a factorial, cluster-randomised controlled trial

    PubMed Central

    Lewycka, Sonia; Mwansambo, Charles; Rosato, Mikey; Kazembe, Peter; Phiri, Tambosi; Mganga, Andrew; Chapota, Hilda; Malamba, Florida; Kainja, Esther; Newell, Marie-Louise; Greco, Giulia; Pulkki-Brännström, Anni-Maria; Skordis-Worrall, Jolene; Vergnano, Stefania; Osrin, David; Costello, Anthony

    2013-01-01

    Summary Background Women’s groups and health education by peer counsellors can improve the health of mothers and children. We assessed their effects on mortality and breastfeeding rates in rural Malawi. Methods We did a 2×2 factorial, cluster-randomised trial in 185 888 people in Mchinji district. 48 equal-sized clusters were randomly allocated to four groups with a computer-generated number sequence. 24 facilitators guided groups through a community action cycle to tackle maternal and child health problems. 72 trained volunteer peer counsellors made home visits at five timepoints during pregnancy and after birth to support breastfeeding and infant care. Primary outcomes for the women’s group intervention were maternal, perinatal, neonatal, and infant mortality rates (MMR, PMR, NMR, and IMR, respectively); and for the peer counselling were IMR and exclusive breastfeeding (EBF) rates. Analysis was by intention to treat. The trial is registered as ISRCTN06477126. Findings We monitored outcomes of 26 262 births between 2005 and 2009. In a factorial model adjusted only for clustering and the volunteer peer counselling intervention, in women’s group areas, for years 2 and 3, we noted non-significant decreases in NMR (odds ratio 0·93, 0·64–1·35) and MMR (0·54, 0·28–1·04). After adjustment for parity, socioeconomic quintile, and baseline measures, effects were larger for NMR (0·85, 0·59–1·22) and MMR (0·48, 0·26–0·91). Because of the interaction between the two interventions, a stratified analysis was done. For women’s groups, in adjusted analyses, MMR fell by 74% (0·26, 0·10–0·70), and NMR by 41% (0·59, 0·40–0·86) in areas with no peer counsellors, but there was no effect in areas with counsellors (1·09, 0·40–2·98, and 1·38, 0·75–2·54). Factorial analysis for the peer counselling intervention for years 1–3 showed a fall in IMR of 18% (0·82, 0·67–1·00) and an improvement in EBF rates (2·42, 1·48–3·96). The results of the stratified, adjusted analysis showed a 36% reduction in IMR (0·64, 0·48–0·85) but no effect on EBF (1·18, 0·63–2·25) in areas without women’s groups, and in areas with women’s groups there was no effect on IMR (1·05, 0·82–1·36) and an increase in EBF (5·02, 2·67–9·44) . The cost of women’s groups was US$114 per year of life lost (YLL) averted and that of peer counsellors was $33 per YLL averted, using stratified data from single intervention comparisons. Interpretation Community mobilisation through women’s groups and volunteer peer counsellor health education are methods to improve maternal and child health outcomes in poor rural populations in Africa. Funding Saving Newborn Lives, UK Department for International Development, and Wellcome Trust. PMID:23683639

  18. Seminar on Functional Illiteracy in Industrialized Countries (Ottenstein, Austria, May 30-June 3, 1989). Final Report and Recommendations = Seminaire sue l'analphabetisme fonctionnel dans des pays industrialises (Ottenstein, Autriche, 30 mai-3 juin 1989). Rapport final et recommandations.

    ERIC Educational Resources Information Center

    Austrian Commission for UNESCO, Vienna.

    The seminar on "Functional Illiteracy" was planned as a follow-up to the "Workshop of Specialists in Europe on Functional Illiteracy" held in December 1986, organized by the United Nation's Educational, Scientific, and Cultural Organization's (UNESCO) Institute for Education. Representatives of 17 countries and UNESCO, the International Institute…

  19. (Networking + Integrating) * (Systems + Society). Proceedings of the Annual Canadian Conference of Information Science (12th, Toronto, Ontario, May 14-16, 1984) = (Reseaux + Integration) * (Systemes + Societe). Comptes rendus de la conference annuelle Canadienne des sciences de l'information (12th, Toronto, Ontario, 14-16 mai, 1984).

    ERIC Educational Resources Information Center

    Canadian Association for Information Science, Ottawa (Ontario).

    Seventeen papers from the 1984 annual conference of the Canadian Association for Information Science (CAIS) are presented in four broad topic areas. The first group, which focuses on changing roles in information access, includes the keynote address by Charles Meadow, "Integrating Access to Information Utilities: Promises, Problems, and Profiles…

  20. Adult Education and the Contested Terrain of Public Policy. Proceedings of the Annual Conference of the Canadian Association for the Study of Adult Education (21st, Toronto, Ontario May 30-31 and June 1, 2002). = L'Education des Adultes et le Domaine Controverse des Affaires Publiques. Actes Annuel de L'Association Canadienne pour L'Etude de L'Education des Adultes (21eme, Toronto, Ontario, 30-31 Mai et 1 Juin, 2002).

    ERIC Educational Resources Information Center

    Mojab, Shahrzad, Ed.; McQueen, William, Ed.

    This document contains the texts of 57 papers, 10 roundtables, and 7 symposia from a Canadian conference on adult education and public policy. The following are among the papers included: "Childhood, Schooling Family and Community" (Margarida Aguiar); "Voices Inside" (Irene C. Baird); "Beyond Personal Agency" (Rose Barg); "Participatory Research,…

  1. Binding of Mycobacterium avium-Mycobacterium intracellulare to human leukocytes.

    PubMed Central

    Catanzaro, A; Wright, S D

    1990-01-01

    We examined nonopsonic binding of Mycobacterium avium-Mycobacterium intracellulare (MAI) by human leukocytes. Macrophages (M phi) avidly bound fluorescently labeled MAI in the absence of serum proteins. Binding appeared to be mediated by a lineage-specific, proteinaceous receptor on M phi, since (i) binding of labeled bacteria could be competitively inhibited by unlabeled MAI, (ii) treatment of M phi with trypsin ablated the ability of M phi to bind MAI, and (iii) the capacity to bind MAI was observed on monocytes, M phi, and stimulated polymorphonuclear cells but not on lymphocytes or unstimulated polymorphonuclear cells. The receptor for MAI appeared mobile in the plane of the membrane, since spreading of M phi on a carpet of immobilized, unlabeled MAI down modulated binding of labeled MAI added in suspension. The receptor required neither calcium nor magnesium for activity and appeared different from other known receptors for intracellular pathogens. Images PMID:2387629

  2. Analysis of oxidation sensitivity of maleate cis-trans isomerase from Serratia marcescens.

    PubMed

    Hatakeyama, K; Goto, M; Kobayashi, M; Terasawa, M; Yukawa, H

    2000-07-01

    The maleate cis-trans isomerase gene (maiA) from Serratia marcescens IFO3736 was cloned and sequenced. Serratia MaiA has 62.4% amino acid identity with Alcaligenes faecalis IFO13111 MaiA and 64.9% with Bacillus stearothermophilus MI-102 MaiA. All known ten amino acid sequences of MaiA had significant conserved regions containing cysteine residues, which were previously suggested to be involved in an active site of the enzyme. The maiA gene was expressed in Escherichia coli, and expressed products MaiA was purified and characterized. The purified enzyme of strain IFO3736 showed high activity at room temperature and high heat stability. It also showed higher activity in the presence of high concentration of aspartic acid than the enzyme of A. faecalis IFO13111, but it was also sensitive to chemical oxidation. By amino acid composition analysis, cysteine, methionine, and tyrosine residues were suggested to be oxidized to inactivate the enzyme by chemical oxidation. To investigate the mechanism of chemical oxidation of the enzyme, six methionine residues in the conserved regions of S. marcescens MaiA were replaced with cysteine residues by site-directed mutagenesis. The analysis of the constructed mutants suggested that the Met201 residue near the Cys198 residue is involved in the sensitivity of the enzyme to chemical oxidation.

  3. Microgravity Active Vibration Isolation System on Parabolic Flights

    NASA Astrophysics Data System (ADS)

    Dong, Wenbo; Pletser, Vladimir; Yang, Yang

    2016-07-01

    The Microgravity Active Vibration Isolation System (MAIS) aims at reducing on-orbit vibrations, providing a better controlled lower gravity environment for microgravity physical science experiments. The MAIS will be launched on Tianzhou-1, the first cargo ship of the China Manned Space Program. The principle of the MAIS is to suspend with electro-magnetic actuators a scientific payload, isolating it from the vibrating stator. The MAIS's vibration isolation capability is frequency-dependent and a decrease of vibration of about 40dB can be attained. The MAIS can accommodate 20kg of scientific payload or sample unit, and provide 30W of power and 1Mbps of data transmission. The MAIS is developed to support microgravity scientific experiments on manned platforms in low earth orbit, in order to meet the scientific requirements for fluid physics, materials science, and fundamental physics investigations, which usually need a very quiet environment, increasing their chances of success and their scientific outcomes. The results of scientific experiments and technology tests obtained with the MAIS will be used to improve future space based research. As the suspension force acting on the payload is very small, the MAIS can only be operative and tested in a weightless environment. The 'Deutsches Zentrum für Luft- und Raumfahrt e.V.' (DLR, German Aerospace Centre) granted a flight opportunity to the MAIS experiment to be tested during its 27th parabolic flight campaign of September 2015 performed on the A310 ZERO-G aircraft managed by the French company Novespace, a subsidiary of the 'Centre National d'Etudes Spatiales' (CNES, French Space Agency). The experiment results confirmed that the 6 degrees of freedom motion control technique was effective, and that the vibration isolation performance fulfilled perfectly the expectations based on theoretical analyses and simulations. This paper will present the design of the MAIS and the experiment results obtained during the

  4. Minimal traumatic aortic injuries: meaning and natural history.

    PubMed

    Mosquera, Victor X; Marini, Milagros; Gulías, Daniel; Cao, Ignacio; Muñiz, Javier; Herrera-Noreña, José Manuel; López-Pérez, José Manuel; Cuenca, José Joaquin

    2012-06-01

    OBJECTIVE Minimal aortic injuries (MAIs) are being recognized more frequently due to the increasing use of high-resolution diagnostic techniques. The objective of this case series review was to report the clinical and radiological characteristics and outcomes of a series of patients with MAI. METHODS From January 2000 to December 2011, 54 major blunt trauma patients were admitted to our institution with traumatic aortic injuries. Nine of them presented with MAI, whereas the remaining 45 patients suffered a significant aortic injury (SAI). RESULTS MAIs accounted for 17% of the overall traumatic aortic injuries in our series. Major trauma patients with MAI and SAI were similar regarding the presence of severe associated non-aortic injuries and the expected mortality calculated by injury severity score, revised trauma score and trauma injury severity score. There were no statistically significant differences in in-hospital mortality between MAI (22.2%) and SAI (30.2%). No death in the MAI group was aortic related, whereas five deaths in the SAI group were caused by an aortic complication. The survival of MAI patients was 77.8% at 1 and 5 years. There was no late mortality among MAI patients. The survival of SAI patients was 69.7% at 1 year and 63.6% at 5 and 10 years. None of the seven surviving patients with MAI presented a progression of the aortic injury. In six patients, the intimal tear completely healed in imaging controls, whereas one patient developed a small saccular pseudoaneurysm. CONCLUSIONS Blunt traumas presenting MAI are as severe as traumas that associate SAI and present similar in-hospital mortality. In contrast to SAI traumas, in-hospital mortality due to MAI is not usually related to the aortic injury, so these injuries are more amenable to a conservative management. It is mandatory to perform a close imaging surveillance to detect early any potential adverse evolution of an MAI. Nevertheless, a balance must be struck between a close serial imaging

  5. Machine Aided Indexing and the NASA Thesaurus

    NASA Technical Reports Server (NTRS)

    vonOfenheim, Bill

    2007-01-01

    Machine Aided Indexing (MAI) is a Web-based application program for aiding the indexing of literature in the NASA Scientific and Technical Information (STI) Database. MAI was designed to be a convenient, fully interactive tool for determining the subject matter of documents and identifying keywords. The heart of MAI is a natural-language processor that accepts, as input, any user-supplied text, including abstracts, full documents, and Web pages. Within seconds, the text is analyzed and a ranked list of terms is generated. The 17,800 terms of the NASA Thesaurus serve as the foundation of the knowledge base used by MAI. The NASA Thesaurus defines a standard vocabulary, the use of which enables MAI to assist in ensuring that STI documents are uniformly and consistently accessible. Of particular interest to traditional users of the NASA Thesaurus, MAI incorporates a fully searchable thesaurus display module that affords word-search and hierarchy- navigation capabilities that make it much easier and less time-consuming to look up terms and browse, relative to lookup and browsing in older print and Portable Document Format (PDF) digital versions of the Thesaurus. In addition, because MAI is centrally hosted, the Thesaurus data are always current.

  6. Mycobacterial spindle cell pseudotumour of the brain in a patient with sarcoidosis.

    PubMed

    Ismail, Iyad; Carey, Martyn; Trotter, Simon; Kunst, Heinke

    2015-01-01

    Mycobacterial spindle cell pseudotumours (MSP) are benign lesions characterised by local proliferation of spindle-shaped histiocytes caused by mycobacterial infections. Cerebral MSP due to Mycobacterium avium intracellulare (MAI) infection is rare, and is often misdiagnosed clinically and radiologically as a brain tumour. We present a case with underlying sarcoidosis and known pulmonary MAI infection presenting with partial seizures and headaches. Imaging of the brain revealed a solitary extra axial tumour within the right temporal area. Biopsy of the tumour showed evidence of MPS due to MAI infection. Prolonged treatment with antituberculous therapy showed complete resolution of the cerebral lesion.

  7. Minimal aortic injury of the thoracic aorta: imaging appearances and outcome.

    PubMed

    Gunn, Martin L D; Lehnert, Bruce E; Lungren, Rachel S; Narparla, Chitti Babu; Mitsumori, Lee; Gross, Joel A; Starnes, Benjamin

    2014-06-01

    The aim of this study is to describe the frequency, computed tomographic angiography (CTA) imaging appearance, management, and outcome of patients who present with minimal thoracic aortic injury. This retrospective study was Institutional Review Board-approved. Eighty-one patients with blunt traumatic aortic injuries (BTAI) were identified between 2004 and 2008, comprising 23 patients with minimal aortic injury (MAI) (mean age, 43.2 years ±18.2 years; 12 males and 11 females) and 58 patients with non-minimal aortic injury (mean age, 42.6 years ±22.7 years). CTA imaging was reviewed for each patient to differentiate those with MAI from those with non-MAI BTAI. Inclusion criteria for MAI on CTA were: post-traumatic abnormality of the internal contour of the aorta wall projecting into the lumen, intimal flap, intraluminal filling defect, intramural hematoma, and no evidence of an abnormality to the external contour of the aorta. Relevant follow-up imaging for MAI patients was also reviewed for resolution, stability, or progression of the vascular injury. The electronic medical record of each patient was reviewed and mechanism of injury, injury severity score, associated injuries, type and date of management, outcome, and days from injury to last medical consultation. Minimal aortic injury represented 28.4 % of all BTAI over the study period. Mean injury severity score (37.1), age (43.2 years), and gender did not differ significantly between MAI and non-MAI types of BTAI. Most MAI occurred in the descending thoracic aorta (16/23, 69 %). Without operative or endovascular repair, there was no death or complication due to MAI. One death occurred secondary to MAI (4.4 %) in a patient who underwent endovascular repair and surgical bypass, compared with an overall mortality rate of 8.6 % in the non-MAI BTAI group (p = 0.508). The most common CT appearance of MAI was a rounded or triangular intra-luminal aortic filling detect (18/23 patients, 78 %). In a mean of 466 days of

  8. Crystallization of a perovskite film for higher performance solar cells by controlling water concentration in methyl ammonium iodide precursor solution

    NASA Astrophysics Data System (ADS)

    Adhikari, Nirmal; Dubey, Ashish; Gaml, Eman A.; Vaagensmith, Bjorn; Reza, Khan Mamun; Mabrouk, Sally Adel Abdelsalam; Gu, Shaopeng; Zai, Jiantao; Qian, Xuefeng; Qiao, Qiquan

    2016-01-01

    An optimal small amount of water added into methyl ammonium iodide (MAI) solution in isopropyl alcohol (IPA) helps perovskite crystallization and leads to larger grain size from sequential deposition of perovskite films. The concentration of water was varied from 1% to 7% (vol% of IPA) in MAI solution and optical absorption, crystallization, morphology of perovskite films and their photovoltaic performance were studied in perovskite solar cells. 5% by volume was found to lead to preferential crystallization in the (110) plane with grain size about three times that of perovskite films prepared without adding water into the MAI solution. The optimal water concentration of 5% by volume in the MAI solution led to average perovskite grain size of ~600 nm and solar cell efficiency of 12.42% at forward scan with a rate of 0.5 V s-1. Device performance decreases after increasing water concentration beyond 5% in the MAI solution due to formation of the PbI2 phase. Transient photocurrent and photovoltage measurements show the shortest charge transport time at 0.99 μs and the longest charge carrier life time at 13.6 μs for perovskite films prepared from 5% water in MAI solution, which improved perovskite solar cell efficiency from 9.04% to 12.42%.An optimal small amount of water added into methyl ammonium iodide (MAI) solution in isopropyl alcohol (IPA) helps perovskite crystallization and leads to larger grain size from sequential deposition of perovskite films. The concentration of water was varied from 1% to 7% (vol% of IPA) in MAI solution and optical absorption, crystallization, morphology of perovskite films and their photovoltaic performance were studied in perovskite solar cells. 5% by volume was found to lead to preferential crystallization in the (110) plane with grain size about three times that of perovskite films prepared without adding water into the MAI solution. The optimal water concentration of 5% by volume in the MAI solution led to average perovskite

  9. Isolation and geographic distribution of Mycobacterium other than M. tuberculosis in British Columbia, 1972-81.

    PubMed

    Isaac-Renton, J L; Allen, E A; Chao, C W; Grzybowski, S; Whittaker, E I; Black, W A

    1985-09-15

    It has been suggested that the incidence of infection with mycobacteria other than typical tubercle (MOTT) bacilli is increasing. Laboratory and epidemiologic information relating to MOTT infection in British Columbia between 1972 and 1981 was analysed. Patient records for 1960-81 were also analysed. Of the 313 661 laboratory specimens 13 474 yielded Mycobacterium tuberculosis isolates and 3172, MOTT isolates. Over the 10 years the number of M. tuberculosis isolates declined, whereas the absolute and relative numbers of MOTT isolates increased. Members of the highly drug-resistant MAIS complex (M. avium-intracellulare, M. scrofulaceum and M. simiae) accounted for 73.3% of the 1778 potentially pathogenic MOTT isolates. MAIS isolation rates varied geographically. Analysis of patient records revealed 217 MOTT infections, of which 152 (70%) were due to MAIS organisms. Further studies are needed to determine the source of MAIS organisms in order that the infection and the disease may be more clearly understood.

  10. 76 FR 67746 - Revised Guidance for Industry on Impurities: Residual Solvents in New Veterinary Medicinal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-02

    ... Veterinary Medicine, Food and Drug Administration, 7519 Standish Pl., Rockville, MD 20855. Send one self... INFORMATION CONTACT: Mai Huynh, Center for Veterinary Medicine (HFV-142), Food and Drug Administration, 7500... member representatives from the European Commission, European Medicines Evaluation Agency,...

  11. Wilhelm Julius Foerster und die "Vereinigung von Freunden der Astronomie und kosmischen Physik" (1891 bis 1914).

    NASA Astrophysics Data System (ADS)

    Tiemann, K.-H.

    Am 19. Mai 1891 wurde ins Leben gerufen die "Vereinigung von Freunden der Astronomie und der kosmischen Physik (nachfolg.: V.A.P.) - eine der beiden institutionellen Vorläufer der sich 1953 konstituierenden "Vereinigung der Sternfreunde".

  12. Measurements of Eavesdropping in a Wavelength/Time Optical CDMA (O-CDMA) System, with Data Confidentiality Implications

    SciTech Connect

    Mendez, A J; Hernandez, V J; Bennett, C V; Gagliardi, R M; Lennon, W J

    2005-07-29

    We report measurements on what an eavesdropper ''sees'' when tapping into a wavelength/time O-CDMA system in which 16 of 32 codes are ''lit''. Severe multi-access interference (MAI) provides some data confidentiality.

  13. The Modelling of Reasoning and Justification Methods in the Teaching of Fraction Division at Year 4 Level in Vietnam

    ERIC Educational Resources Information Center

    Norton, Stephen; Thao, Do Thi Phurong; Duy, Mai The

    2014-01-01

    Stephen Norton, Do Thi Phurong Thao and Mai The Duy provide an interesting insight into the teaching of fraction division in Vietnam. The article highlights one of the many teaching strategies available to teachers for building fraction concepts.

  14. The Effect of Lateral Ankle Ligament Repair in Muscle Reaction Time in Patients with Mechanical Ankle Instability.

    PubMed

    Li, H-Y; Zheng, J-J; Zhang, J; Hua, Y-H; Chen, S-Y

    2015-11-01

    Studies have shown that functional ankle instability can result in prolonged muscle reaction time. However, the deficit in muscle reaction time in patients with mechanical ankle instability (MAI) and the effect of lateral ankle ligament repair on muscle reaction time are unclear. The purpose of this study was to identify the deficit in muscle reaction time, and to evaluate the role of lateral ligament repair in improving muscle reaction time in MAI patients. Sixteen MAI patients diagnosed with lateral ankle ligament tears by ultrasonography and magnetic resonance imaging underwent arthroscopic debridement and open lateral ankle ligament repair with a modified Broström procedure. One day before the operation, reaction times of the tibialis anterior and peroneus longus muscles were recorded following sudden inversion perturbation while walking on a custom walkway, and anterior drawer test (ADT) and American Orthopaedic Foot and Ankle Society (AOFAS) scale score were evaluated. Six months postoperatively, muscle reaction time, ADT and AOFAS scale score were reevaluated, and muscle reaction times in 15 healthy controls were also recorded. Preoperatively, the affected ankles in the MAI group had significantly delayed tibialis anterior and peroneus longus muscles reaction times compared with controls. Six months after the operation, median AOFAS scale scores were significantly greater than preoperatively, and ADT was negative in the MAI group. However, the affected ankles in the MAI group showed no difference in muscle reaction time compared with preoperative values. MAI patients had prolonged muscle reaction time. The modified Broström procedure produced satisfactory clinical outcomes in MAI patients, but did not shorten reaction times of the tibialis anterior and peroneus longus muscles.

  15. Can proliferation biomarkers reliably predict recurrence in World Health Organization 2003 defined endometrial stromal sarcoma, low grade?

    PubMed

    Feng, Weiwei; Malpica, Anais; Skaland, Ivar; Gudlaugsson, Einar; Robboy, Stanley J; Dalen, Ingvild; Hua, Keqin; Zhou, Xianrong; Baak, Jan P A

    2013-01-01

    An estimated 1500-3000 invasive Endometrial Stromal Sarcomas (ESS) cases annually occur worldwide. Before 2003, ESS was divided as low and high grade ESS based on mitotic activity. In 2003 the WHO changed the names, excluded mitoses and made nuclear atypia and necrosis the essential diagnostic criteria to distinguish ESS, Low Grade (ESS-LG, recurrence-free survival >90%) and Undifferentiated Endometrial Sarcoma (UES, poor prognosis). We have evaluated in WHO2003 defined ESS-LG whether proliferation biomarkers predict recurrence. Using survival analysis, the prognostic value of classical mitosis counts (Mitotic Activity Index, MAI) in haematoxyllin-eosin (H&E) sections, and immunohistochemical proliferation biomarkers (Ki-67 and PhosphoHistone-3 (PPH3)) were examined in 24 invasive endometrial stromal sarcomas. Three of 24 (12.5%) ESS-LG recurred. The MAI, PPH3 and Ki-67 were all prognostic (P = 0.001, 0.002 and 0.03). MAI values were >3 in the recurrent cases, but never exceeded 10 (the classical threshold for low and high grade). Non-recurrent cases had 0 ≤ MAI ≤ 3. PPH3 and Ki67 counts can be easier to perform than MAI and therefore helpful in the diagnosis of ESS, Low Grade. In conclusion, in this small study of WHO2003 defined ESS-LG, high levels of proliferation as measured by MAI, PPH3 and Ki-67 are predictive of recurrence. Larger studies are required to confirm these results.

  16. Comparative morphometry and morphology of Anopheles aconitus Form B and C eggs under scanning electron microscope.

    PubMed

    Junkum, Anuluck; Jitpakdi, Atchariya; Komalamisra, Narumon; Jariyapan, Narissara; Somboon, Pradya; Bates, Paul A; Choochote, Wej

    2004-01-01

    Comparative morphometric and morphological studies of eggs under scanning electron microscope (SEM) were undertaken in the three strains of two karyotypic forms of Anopheles aconitus, i.e., Form B (Chiang Mai and Phet Buri strains) and Form C (Chiang Mai and Mae Hong Son strains). Morphometric examination revealed the intraspecific variation with respect to the float width [36.77 +/- 2.30 microm (Form C: Chiang Mai strain) = 38.49 +/- 2.78 microm (Form B: Chiang Mai strain) = 39.06 +/- 2.37 microm (Form B: Phet Buri strain) > 32.40 +/- 3.52 microm (Form C: Mae Hong Son strain)] and number of posterior tubercles on deck [2.40 +/- 0.52 (Form B: Phet Buri strain) = 2.70 +/- 0.82 (Form B: Chiang Mai strain) < 3.10 +/- 0.32 (Form C: Chiang Mai strain) = 3.20 +/- 0.42 (Form C: Mae Hong Son strain)], whereas the surface topography of eggs among the three strains of two karyotypic forms were morphologically similar.

  17. Crystallization of a perovskite film for higher performance solar cells by controlling water concentration in methyl ammonium iodide precursor solution.

    PubMed

    Adhikari, Nirmal; Dubey, Ashish; Gaml, Eman A; Vaagensmith, Bjorn; Reza, Khan Mamun; Mabrouk, Sally Adel Abdelsalam; Gu, Shaopeng; Zai, Jiantao; Qian, Xuefeng; Qiao, Qiquan

    2016-02-01

    An optimal small amount of water added into methyl ammonium iodide (MAI) solution in isopropyl alcohol (IPA) helps perovskite crystallization and leads to larger grain size from sequential deposition of perovskite films. The concentration of water was varied from 1% to 7% (vol% of IPA) in MAI solution and optical absorption, crystallization, morphology of perovskite films and their photovoltaic performance were studied in perovskite solar cells. 5% by volume was found to lead to preferential crystallization in the (110) plane with grain size about three times that of perovskite films prepared without adding water into the MAI solution. The optimal water concentration of 5% by volume in the MAI solution led to average perovskite grain size of ∼600 nm and solar cell efficiency of 12.42% at forward scan with a rate of 0.5 V s(-1). Device performance decreases after increasing water concentration beyond 5% in the MAI solution due to formation of the PbI2 phase. Transient photocurrent and photovoltage measurements show the shortest charge transport time at 0.99 μs and the longest charge carrier life time at 13.6 μs for perovskite films prepared from 5% water in MAI solution, which improved perovskite solar cell efficiency from 9.04% to 12.42%. PMID:26758661

  18. Crystallization of a perovskite film for higher performance solar cells by controlling water concentration in methyl ammonium iodide precursor solution.

    PubMed

    Adhikari, Nirmal; Dubey, Ashish; Gaml, Eman A; Vaagensmith, Bjorn; Reza, Khan Mamun; Mabrouk, Sally Adel Abdelsalam; Gu, Shaopeng; Zai, Jiantao; Qian, Xuefeng; Qiao, Qiquan

    2016-02-01

    An optimal small amount of water added into methyl ammonium iodide (MAI) solution in isopropyl alcohol (IPA) helps perovskite crystallization and leads to larger grain size from sequential deposition of perovskite films. The concentration of water was varied from 1% to 7% (vol% of IPA) in MAI solution and optical absorption, crystallization, morphology of perovskite films and their photovoltaic performance were studied in perovskite solar cells. 5% by volume was found to lead to preferential crystallization in the (110) plane with grain size about three times that of perovskite films prepared without adding water into the MAI solution. The optimal water concentration of 5% by volume in the MAI solution led to average perovskite grain size of ∼600 nm and solar cell efficiency of 12.42% at forward scan with a rate of 0.5 V s(-1). Device performance decreases after increasing water concentration beyond 5% in the MAI solution due to formation of the PbI2 phase. Transient photocurrent and photovoltage measurements show the shortest charge transport time at 0.99 μs and the longest charge carrier life time at 13.6 μs for perovskite films prepared from 5% water in MAI solution, which improved perovskite solar cell efficiency from 9.04% to 12.42%.

  19. A three-dimensional muscle activity imaging technique for assessing pelvic muscle function

    NASA Astrophysics Data System (ADS)

    Zhang, Yingchun; Wang, Dan; Timm, Gerald W.

    2010-11-01

    A novel multi-channel surface electromyography (EMG)-based three-dimensional muscle activity imaging (MAI) technique has been developed by combining the bioelectrical source reconstruction approach and subject-specific finite element modeling approach. Internal muscle activities are modeled by a current density distribution and estimated from the intra-vaginal surface EMG signals with the aid of a weighted minimum norm estimation algorithm. The MAI technique was employed to minimally invasively reconstruct electrical activity in the pelvic floor muscles and urethral sphincter from multi-channel intra-vaginal surface EMG recordings. A series of computer simulations were conducted to evaluate the performance of the present MAI technique. With appropriate numerical modeling and inverse estimation techniques, we have demonstrated the capability of the MAI technique to accurately reconstruct internal muscle activities from surface EMG recordings. This MAI technique combined with traditional EMG signal analysis techniques is being used to study etiologic factors associated with stress urinary incontinence in women by correlating functional status of muscles characterized from the intra-vaginal surface EMG measurements with the specific pelvic muscle groups that generated these signals. The developed MAI technique described herein holds promise for eliminating the need to place needle electrodes into muscles to obtain accurate EMG recordings in some clinical applications.

  20. Matrix-Assisted Ionization-Ion Mobility Spectrometry-Mass Spectrometry: Selective Analysis of a Europium-PEG Complex in a Crude Mixture.

    PubMed

    Fischer, Joshua L; Lutomski, Corinne A; El-Baba, Tarick J; Siriwardena-Mahanama, Buddhima N; Weidner, Steffen M; Falkenhagen, Jana; Allen, Matthew J; Trimpin, Sarah

    2015-12-01

    The analytical utility of a new and simple to use ionization method, matrix-assisted ionization (MAI), coupled with ion mobility spectrometry (IMS) and mass spectrometry (MS) is used to characterize a 2-armed europium(III)-containing poly(ethylene glycol) (Eu-PEG) complex directly from a crude sample. MAI was used with the matrix 1,2-dicyanobenzene, which affords low chemical background relative to matrix-assisted laser desorption/ionization (MALDI) and electrospray ionization (ESI). MAI provides high ion abundance of desired products in comparison to ESI and MALDI. Inductively coupled plasma-MS measurements were used to estimate a maximum of 10% of the crude sample by mass was the 2-arm Eu-PEG complex, supporting evidence of selective ionization of Eu-PEG complexes using the new MAI matrix, 1,2-dicyanobenzene. Multiply charged ions formed in MAI enhance the IMS gas-phase separation, especially relative to the singly charged ions observed with MALDI. Individual components are cleanly separated and readily identified, allowing characterization of the 2-arm Eu-PEG conjugate from a mixture of the 1-arm Eu-PEG complex and unreacted starting materials. Size-exclusion chromatography, liquid chromatography at critical conditions, MALDI-MS, ESI-MS, and ESI-IMS-MS had difficulties with this analysis, or failed. Graphical Abstract ᅟ.

  1. New oil-gelling agents for cosmetics: formation mechanism of oil gels.

    PubMed

    Fukasawa, J; Tsutsumi, H; Ishida, A

    1989-08-01

    Summary New oil-gelling agents have been developed composed of a long-chain dialkyl phosphate (DP) surfactant and aluminium ion or multinuclear aluminum ion (MAI) which provide good oil-gel systems. One such gelling agent is the aluminum salt of DP (DP-Al) prepared as a precipitate by mixing DP with aluminum chloride in aqueous solutions. Addition of small amounts of the salt to non-polar oils led to hardening of the oil solutions at temperature below the melting point of the alkyl chain (Tc) of DP-Al. Results obtained by X-ray diffraction techniques and with scanning electron microscopy (SEM) revealed that linearly-polymerized assemblies of DP-Al expand in oils three-dimensionally, which suggests that the excellent stability of the gel systems arises from the highly ordered structure. The gelling agent of DP-Al offered the ideal rheological property to waxy cosmetic products such as lipsticks. The complexes of DP with MAI particles (1 nm diameter) of aluminum chlorohydrate, Al(13)O(4)(OH)(24)(H(2)O)(12)CI(7), provided the ideal thixotropic behaviour in non-polar oils. The DP-MAI particle complexes were found to interact weakly by cohesive forces which makes a highly ordered structure of the DP-MAI particle complexes. The DP-MAI particle complexes gave excellent stability and transparency to cosmetic products such as w/o creams.

  2. A psf-fitting pipeline for VVV-ESO: The star cluster Pismis 24

    NASA Astrophysics Data System (ADS)

    Dias, R. A. G.; Bonatto, C.

    2014-10-01

    Este trabalho apresenta um algoritmo para a extração de dados fotométricos do catálogo "VISTA Variables in the Via Láctea" (VVV) do ESO. A principal característica do algoritmo é evitar a interação com o usuário mantendo precisão e profundidade fotométrica, de fato o algoritmo foi capaz de gerar dados mais precisos para as estrelas menos brilhantes (J gtrsim 16, H gtrsim 15,5 e H gtrsim 15) e confiável fotometria para estrelas mais de uma magnitude mais fracas do que as detectáveis com outras técnicas. Embora o algoritmo obtenha resultados menos precisos para as estrelas mais brilhantes, este provou ser o método mais adequado, uma vez que queremos trabalhar com aglomerados abertos jovens, onde a pré-sequência principal é de maior importância. Além disso, podemos combinar 2MASS e VVV para substituir as estrelas saturadas do VVV.

  3. Rapid high mass resolution mass spectrometry using matrix-assisted ionization.

    PubMed

    Trimpin, Sarah; Thawoos, Shameemah; Foley, Casey D; Woodall, Daniel W; Li, Jing; Inutan, Ellen D; Stemmer, Paul M

    2016-07-15

    Matrix-assisted ionization (MAI) is demonstrated to be a robust and sensitive analytical method capable of analyzing proteins such as cholera toxin B-subunit and pertussis toxin mutant from conditions containing relatively high amounts of inorganic salts, buffers, and preservatives without the need for prior sample clean-up or concentration. By circumventing some of the sample preparation steps, MAI simplifies and accelerates the analytical workflow for biological samples in complex media. The benefits of multiply charged ions characteristic of electrospray ionization (ESI) and the robustness of matrix-assisted laser desorption/ionization (MALDI) can be obtained from a single method, making it well suited for analysis of proteins and other biomolecules at ultra-high resolution as demonstrated on an Orbitrap Fusion where protein subunits were resolved for which MALDI-time-of-flight failed. MAI results are compared with those obtained with ESI, MALDI, and laserspray ionization methods and fundamental commonalities discussed.

  4. Efficiency of Thai stock markets: Detrended fluctuation analysis

    NASA Astrophysics Data System (ADS)

    Sukpitak, Jessada; Hengpunya, Varagorn

    2016-09-01

    The evolution of Hurst exponent of SET index over time, as a measure of market efficiency, is examined by DFA method. It is found that, during the study period, Hurst exponent tends to decrease to the ideal value 0.5, i.e., the market becomes more efficient. This finding readily conforms to the assertion that emerging markets are becoming more efficient. Additionally, the development of Hurst exponent during November 2006 to March 2015 of SET index compared to MAI index is investigated. The result shows that the deviation of the Hurst exponent from 0.5 for the MAI index is larger than that of the SET index. This implies that SET is more efficient than MAI and thus supports the assumption that market capitalization has significant influence on market efficiency.

  5. [Oral diseases recorded in several ancient pulse-taking books unearthed in Mawangdui and Zhangjiashan].

    PubMed

    Li, X J; Zhu, L

    2016-03-01

    The earliest known records of oral ulcer, periodontitis and its accompanying lesions were seen in the manuscripts, Bing hou(Syndrome of Disease) and Yin yang mai si hou(Fatal Syndrome of Yin Yang Channels), the ancient pulse-taking books from Mawangdui and Zhangjiashan. In the manuscripts Zu bi shi yi mai jiu jing(11-Channel Moxibustion Classic of Foot and Arm) and Yin yang shi yi mai jiu jing(11-Channel Moxibustion Classic of Yin and Yang), there were the earliest content about mandibular and neck diseases, tongue diseases, tooth diseases and mouth diseases described based on the locations along the channel pathways, and preliminary clinical records of diagnosis and treatment of some oral diseases, reflecting the achievements of stomatology in the pre-Qin period and Oin as well as Han Dynasty. PMID:27255193

  6. Chip-interleaved optical code division multiple access relying on a photon-counting iterative successive interference canceller for free-space optical channels.

    PubMed

    Zhou, Xiaolin; Zheng, Xiaowei; Zhang, Rong; Hanzo, Lajos

    2013-07-01

    In this paper, we design a novel Poisson photon-counting based iterative successive interference cancellation (SIC) scheme for transmission over free-space optical (FSO) channels in the presence of both multiple access interference (MAI) as well as Gamma-Gamma atmospheric turbulence fading, shot-noise and background light. Our simulation results demonstrate that the proposed scheme exhibits a strong MAI suppression capability. Importantly, an order of magnitude of BER improvements may be achieved compared to the conventional chip-level optical code-division multiple-access (OCDMA) photon-counting detector.

  7. Experimental demonstration of coherent OCDMA using heterodyne detection.

    PubMed

    Yang, Yi; Petrillo, Keith G; Ting, Hong-Fu; Khurgin, Jacob B; Cooper, A Brinton; Foster, Mark A

    2013-07-01

    We present the first experimental demonstration of a practical, fully coherent, optical code division multiple access (OCDMA) scheme that can fully suppress multiple access interference (MAI) and speckle noise without phase locking or thresholding and gating. The scheme is sourced from an optical comb generator and uses spectral phase encoding and a heterodyne receiver with balanced detection. Here we present results for a four-user configuration at 50% load. At 4.5 Gbits/s per user, the system achieves a signal to MAI ratio of 648 at a bit error rate of 10(-7).

  8. Cutaneous gallium uptake in patients with AIDS with mycobacterium avium-intracellulare septicemia

    SciTech Connect

    Allwright, S.J.; Chapman, P.R.; Antico, V.F.; Gruenewald, S.M.

    1988-07-01

    Gallium imaging is increasingly being used for the early detection of complications in patients with AIDS. A 26-year-old homosexual man who was HIV antibody positive underwent gallium imaging for investigation of possible Pneumocystis carinii pneumonia. Widespread cutaneous focal uptake was seen, which was subsequently shown to be due to mycobacterium avium-intracellulare (MAI) septicemia. This case demonstrates the importance of whole body imaging rather than imaging target areas only, the utility of gallium imaging in aiding the early detection of clinically unsuspected disease, and shows a new pattern of gallium uptake in disseminated MAI infection.

  9. Research on the Education of Asian and Pacific Americans.

    ERIC Educational Resources Information Center

    Park, Clara C., Ed.; Goodwin, A. Lin, Ed.; Lee, Stacey J., Ed.

    This collection of papers examines educational issues concerning K-college Asian and Pacific American students. The 10 papers are: (1) "Educational Aspirations of Southeast Asian Students" (Clara C. Park); (2) "The Effectiveness of Reciprocal Teaching with Vietnamese American Students" (Mai Dao); (3) "Exploring Pacific Knowledge and Classroom…

  10. Evaluating the Impact of National Educational Policy to Reduce Retention and Increase Achievement in Compulsory Education

    ERIC Educational Resources Information Center

    Barata, M. Clara; Calheiros, M. Manuela; Patrício, Joana Nunes; Graça, João; Lima, M. Luisa

    2015-01-01

    Despite the accumulated evidence that retention is an ineffective and potentially harmful remedial strategy, several countries struggle with high levels of retention in compulsory schooling. This article provides evidence of the impact of the Portuguese national educational policy "Programa Mais Sucesso Escolar" (PMSE) using class size,…

  11. Functional Analysis of the Magnetosome Island in Magnetospirillum gryphiswaldense: The mamAB Operon Is Sufficient for Magnetite Biomineralization

    PubMed Central

    Lohße, Anna; Ullrich, Susanne; Katzmann, Emanuel; Borg, Sarah; Wanner, Gerd; Richter, Michael; Voigt, Birgit; Schweder, Thomas; Schüler, Dirk

    2011-01-01

    Bacterial magnetosomes are membrane-enveloped, nanometer-sized crystals of magnetite, which serve for magnetotactic navigation. All genes implicated in the synthesis of these organelles are located in a conserved genomic magnetosome island (MAI). We performed a comprehensive bioinformatic, proteomic and genetic analysis of the MAI in Magnetospirillum gryphiswaldense. By the construction of large deletion mutants we demonstrate that the entire region is dispensable for growth, and the majority of MAI genes have no detectable function in magnetosome formation and could be eliminated without any effect. Only <25% of the region comprising four major operons could be associated with magnetite biomineralization, which correlated with high expression of these genes and their conservation among magnetotactic bacteria. Whereas only deletion of the mamAB operon resulted in the complete loss of magnetic particles, deletion of the conserved mms6, mamGFDC, and mamXY operons led to severe defects in morphology, size and organization of magnetite crystals. However, strains in which these operons were eliminated together retained the ability to synthesize small irregular crystallites, and weakly aligned in magnetic fields. This demonstrates that whereas the mamGFDC, mms6 and mamXY operons have crucial and partially overlapping functions for the formation of functional magnetosomes, the mamAB operon is the only region of the MAI, which is necessary and sufficient for magnetite biomineralization. Our data further reduce the known minimal gene set required for magnetosome formation and will be useful for future genome engineering approaches. PMID:22043287

  12. Structure prediction of magnetosome-associated proteins.

    PubMed

    Nudelman, Hila; Zarivach, Raz

    2014-01-01

    Magnetotactic bacteria (MTB) are Gram-negative bacteria that can navigate along geomagnetic fields. This ability is a result of a unique intracellular organelle, the magnetosome. These organelles are composed of membrane-enclosed magnetite (Fe3O4) or greigite (Fe3S4) crystals ordered into chains along the cell. Magnetosome formation, assembly, and magnetic nano-crystal biomineralization are controlled by magnetosome-associated proteins (MAPs). Most MAP-encoding genes are located in a conserved genomic region - the magnetosome island (MAI). The MAI appears to be conserved in all MTB that were analyzed so far, although the MAI size and organization differs between species. It was shown that MAI deletion leads to a non-magnetic phenotype, further highlighting its important role in magnetosome formation. Today, about 28 proteins are known to be involved in magnetosome formation, but the structures and functions of most MAPs are unknown. To reveal the structure-function relationship of MAPs we used bioinformatics tools in order to build homology models as a way to understand their possible role in magnetosome formation. Here we present a predicted 3D structural models' overview for all known Magnetospirillum gryphiswaldense strain MSR-1 MAPs.

  13. Noninvasive imaging of internal muscle activities from multi-channel surface EMG recordings.

    PubMed

    Zhang, Yingchun

    2013-01-01

    Surface Electromyogram (sEMG) technology provides a non-invasive way for rapid monitoring muscle activities, but its poor spatial resolution and specificity limit its application in clinic. To overcome these limitations, a noninvasive muscle activity imaging (MAI) approach has been developed and used to reconstruct internal muscle activities from multi-channel sEMG recordings. A realistic geometric hand model is developed from high-resolution MR images and a distributed bioelectric dipole source model is employed to describe the internal muscle activity space of the muscles. The finite element method and weighted minimum norm method are utilized solve the forward and inverse problems respectively involved in the proposed MAI technique. A series of computer simulations was conducted to test the performance of the proposed MAI approach. Results show that reconstruction results achieved by the MAI technique indeed provide us more detailed and dynamic information of internal muscle activities, which enhance our understanding of the mechanisms underlying the surface EMG recordings.

  14. A novel spatiotemporal muscle activity imaging approach based on the Extended Kalman Filter.

    PubMed

    Wang, Jing; Zhang, Yingchun; Zhu, Xiangjun; Zhou, Ping; Liu, Chenguang; Rymer, William Z

    2012-01-01

    A novel spatiotemporal muscle activity imaging (sMAI) approach has been developed using the Extended Kalman Filter (EKF) to reconstruct internal muscle activities from non-invasive multi-channel surface electromyogram (sEMG) recordings. A distributed bioelectric dipole source model is employed to describe the internal muscle activity space, and a linear relationship between the muscle activity space and the sEMG measurement space is then established. The EKF is employed to recursively solve the ill-posed inverse problem in the sMAI approach, in which the weighted minimum norm (WMN) method is utilized to calculate the initial state and a new nonlinear method is developed based on the propagating features of muscle activities to predict the recursive state. A series of computer simulations was conducted to test the performance of the proposed sMAI approach. Results show that the localization error rapidly decreases over 35% and the overlap ratio rapidly increases over 45% compared to the results achieved using the WMN method only. The present promising results demonstrate the feasibility of utilizing the proposed EKF-based sMAI approach to accurately reconstruct internal muscle activities from non-invasive sEMG recordings.

  15. Is the Learning Approach of Students from the Confucian Heritage Culture Problematic?

    ERIC Educational Resources Information Center

    Tran, Thi Tuyet

    2013-01-01

    This article is concerned with the learning style adopted by Asian students who come from a Confucian heritage culture (CHC) such countries as China, Vietnam, Singapore, Korea and Japan are considered countries with Confucian heritage culture (Phuong-Mai et al. 2005). These students are generally viewed as typically passive, unwilling to ask…

  16. Pesticide Use and Prevention Practices of Tangerine Growers in Northern Thailand

    ERIC Educational Resources Information Center

    Chalermphol, Juthathip; Shivakoti, Genesh P.

    2009-01-01

    To investigate pesticide use and prevention practices of tangerine growers in Fang district, Chiang Mai province in Northern Thailand. A questionnaire survey of 312 farmers in the study area, in-depth interviews and group discussions. Only 36% of the participants pursued the recommended prevention practices every time they used pesticides.…

  17. Effect of Repeated Reading and Self-Directed Behavior on Reading Skills and Generalization of the Reading Skills of Third-Grade Hill Tribe Students.

    ERIC Educational Resources Information Center

    Compan, Boonlert; Iamsupasit, Sompoch; Samuels, Jay

    A study tested a method for developing reading fluency with third-grade Hill Tribe children in a welfare school in Chiang Mai, a city located in northern Thailand. Most of the students were bilingual, speaking their native tongues and Thai, their second language. Only 18.7% of the Hill Tribe population can read Thai, and many students fail to…

  18. Employing microsatellite and SNP markers to track functional mutations and evaluate genetic diversity in the USDA Arachis germplasm collection

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Peanuts (Arachis hypogaea L.) are nutritious because their seeds typically contain high amounts of oil, protein and other phytochemicals such as folic acid, tocopherol, and antioxidants; therefore, they are an important oil seed crop worldwide. The USDA Plant Genetic Resources Conservation Unit mai...

  19. Effect of inoculum concentrations of Aspergillus flavus and A. parasiticus on aflatoxin accumulation and kernel infection in resistant and susceptible maize hybrids

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Over a three year period, we compared aflatoxin accumulation and kernel infection in maize hybrids inoculated with six inoculum concentrations of Aspergillus flavus isolate NRRL 3357 or A. parasiticus isolate NRRL 6111 which is a norsolorinic acid producer. Aflatoxin resistant and susceptible mai...

  20. APPOLLO 9

    SciTech Connect

    2005-10-27

    le DG B.Grégory prend la parole et introduit le cosmonaute américain Russell Schweickart, qui fait un exposé sur la mission APPOLLO 9 et l'avenir de l'exploration spatiale avec présentation d'un film avec musique, mais sans parole, après commentaires et questions

  1. 77 FR 34960 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-12

    ... (MAI) Rapid HIV Testing Clinical Information Form (OMB No. 0930-0295)--Revision This request is for a... Rapid HIV Testing Clinical Information Form is to use a standardized data collection instrument to fully capture essential clinical information to enhance preventive services for those who test HIV-negative...

  2. 77 FR 21984 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-12

    ... (MAI) Rapid HIV Testing Clinical Information Form (OMB No. 0930-0295)--Revision This request is for a... Rapid HIV Testing Clinical Information Form is to use a standardized data collection instrument to fully capture essential clinical information to enhance preventive services for those who test HIV-negative...

  3. Solvent and Intermediate Phase as Boosters for the Perovskite Transformation and Solar Cell Performance

    NASA Astrophysics Data System (ADS)

    Kim, Jinhyun; Hwang, Taehyun; Lee, Sangheon; Lee, Byungho; Kim, Jaewon; Jang, Gil Su; Nam, Seunghoon; Park, Byungwoo

    2016-05-01

    High power conversion efficiency and device stabilization are two major challenges for CH3NH3PbI3 (MAPbI3) perovskite solar cells to be commercialized. Herein, we demonstrate a diffusion-engineered perovskite synthesis method using MAI/ethanol dipping, and compared it to the conventional synthesis method from MAI/iso-propanol. Diffusion of MAI/C2H5OH into the PbCl2 film was observed to be more favorable than that of MAI/C3H7OH. Facile perovskite conversion from ethanol and highly-crystalline MAPbI3 with minimized impurities boosted the efficiency from 5.86% to 9.51%. Additionally, we further identified the intermediates and thereby the reaction mechanisms of PbCl2 converting into MAPbI3. Through straightforward engineering to enhance the surface morphology as well as the crystallinity of the perovskite with even faster conversion, an initial power conversion efficiency of 11.23% was obtained, in addition to superior stability after 30 days under an ambient condition.

  4. Travaux Neuchatelois de linguistique (TRANEL) (Neuchatel Works in Linguistics). Number 8.

    ERIC Educational Resources Information Center

    Travaux Neuchatelois de linguistique (TRANEL), 1985

    1985-01-01

    The five papers in this collection include: "Apprendre a apprendre les langues: 'Mais je veux etre un handicape linguistique!'" (Learning To Learn Languages: But I Want To Be Linguistically Handicapped!) (Richard Duda); "Pedagogie integree des langues maternelle et seconde. La conscience des problemes chez les enseignants et chez les enseignes"…

  5. 78 FR 66032 - Center for Scientific Review; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-04

    ... of Federal Domestic Assistance Program Nos. 93.306, Comparative Medicine; 93.333, Clinical Research...-435- 1167, pandyaga@mai.nih.gov . This meeting notice is being published less than 15 days in advance... published less than 15 days in advance of the meeting due to the Government shutdown of October 2013....

  6. Performance enhancement of MC-CDMA system through novel sensitive bit algorithm aided turbo multi user detection.

    PubMed

    Kumaravel, Rasadurai; Narayanaswamy, Kumaratharan

    2015-01-01

    Multi carrier code division multiple access (MC-CDMA) system is a promising multi carrier modulation (MCM) technique for high data rate wireless communication over frequency selective fading channels. MC-CDMA system is a combination of code division multiple access (CDMA) and orthogonal frequency division multiplexing (OFDM). The OFDM parts reduce multipath fading and inter symbol interference (ISI) and the CDMA part increases spectrum utilization. Advantages of this technique are its robustness in case of multipath propagation and improve security with the minimize ISI. Nevertheless, due to the loss of orthogonality at the receiver in a mobile environment, the multiple access interference (MAI) appears. The MAI is one of the factors that degrade the bit error rate (BER) performance of MC-CDMA system. The multiuser detection (MUD) and turbo coding are the two dominant techniques for enhancing the performance of the MC-CDMA systems in terms of BER as a solution of overcome to MAI effects. In this paper a low complexity iterative soft sensitive bits algorithm (SBA) aided logarithmic-Maximum a-Posteriori algorithm (Log MAP) based turbo MUD is proposed. Simulation results show that the proposed method provides better BER performance with low complexity decoding, by mitigating the detrimental effects of MAI. PMID:25714917

  7. Naines blanches : Les diamants sont éternels

    NASA Astrophysics Data System (ADS)

    Bonnet-Bidaud, J. M.

    1997-08-01

    Ces etoiles minuscules, composantes essentielles de la Galaxie, sont responsables de phenomenes spectaculaires, comme les novae ou certaines supernovae. Mais les naines blanches se sont aussi revelees un fantastique outil pour la physique du XXe siecle, fournissant des confirmations eclatantes de deux grandes theories: la relativite generale et la mecanique quantique.

  8. Increase of “Candidatus Liberibacter solanacearum” titer in aging tomato leaves and pyrosequencing analyses of endophyte populations

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This project studied changes in titer of “Candidatus Liberibacter solanacearum” (Lso) in tomato leaves of different cultivars with the goal of searching for factors associated with Lso enrichment. Lso titers, as monitored by qPCR, were observed to increase in tomato leaf cultures, which involved mai...

  9. The Validity and Reliability of the Turkish Version of the Metacognitive Awareness Inventory

    ERIC Educational Resources Information Center

    Akin, Ahmet; Abaci, Ramazan; Cetin, Bayram

    2007-01-01

    This study investigated the validity and reliability of the Turkish version of the Metacognitive Awareness Inventory. The sample of the study consisted of 607 university students. Results of language equivalence indicated that the correlations between Turkish and English forms of the MAI were quite high (r = 0.93). As a result of a series of…

  10. Do Thinking Styles Contribute to Metacognition beyond Self-Rated Abilities?

    ERIC Educational Resources Information Center

    Zhang, Li-fang

    2010-01-01

    The principal objective of this study was to explore the predictive power of thinking styles for metacognition when self-rated abilities were taken into account. As a preliminary step, the study examined the psychometric properties of the Metacognitive Awareness Inventory (MAI). Four hundred and twenty-four university students from mainland China…

  11. Assessing Metacognition as a Learning Outcome in a Postsecondary Strategic Learning Course

    ERIC Educational Resources Information Center

    Mytkowicz, Patricia; Goss, Diane; Steinberg, Bruce

    2014-01-01

    While metacognition is an important component of the learning process for college students, development of metacognitive knowledge and regulation is particularly important for students with LD and/or ADHD. The researchers used Schraw and Dennison's (1994) "Metacognitive Awareness Inventory" (MAI) to assess first year college…

  12. The Role of Metacognitive Skills in Developing Critical Thinking

    ERIC Educational Resources Information Center

    Magno, Carlo

    2010-01-01

    The study investigated the influence of metacognition on critical thinking skills. It is hypothesized in the study that critical thinking occurs when individuals use their underlying metacognitive skills and strategies that increase the probability of a desirable outcome. The Metacognitive Assessment Inventory (MAI) by Schraw and Dennison…

  13. Cataloguing and Classification Section. Bibliographic Control Division. Papers.

    ERIC Educational Resources Information Center

    International Federation of Library Associations, The Hague (Netherlands).

    Papers on cataloging, classification, and coding systems which were presented at the 1982 International Federation of Library Associations (IFLA) conference include: (1) "Numbering and Coding Systems for Bibliographic Control in Use in North America" by Lois Mai Chan (United States); (2) "A Project Undertaken by the Library of Universite Laval to…

  14. Myelin Lipids Inhibit Axon Regeneration Following Spinal Cord Injury: a Novel Perspective for Therapy.

    PubMed

    Mar, Fernando M; da Silva, Tiago F; Morgado, Marlene M; Rodrigues, Lorena G; Rodrigues, Daniel; Pereira, Marta I L; Marques, Ana; Sousa, Vera F; Coentro, João; Sá-Miranda, Clara; Sousa, Mónica M; Brites, Pedro

    2016-03-01

    Lack of axon regeneration following spinal cord injury has been mainly ascribed to the inhibitory environment of the injury site, i.e., to chondroitin sulfate proteoglycans (CSPGs) and myelin-associated inhibitors (MAIs). Here, we used shiverer (shi) mice to assess axon regeneration following spinal cord injury in the presence of MAIs and CSPG but in the absence of compact myelin. Although in vitro shi neurons displayed a similar intrinsic neurite outgrowth to wild-type neurons, in vivo, shi fibers had increased regenerative capacity, suggesting that the wild-type spinal cord contains additional inhibitors besides MAIs and CSPG. Our data show that besides myelin protein, myelin lipids are highly inhibitory for neurite outgrowth and suggest that this inhibitory effect is released in the shi spinal cord given its decreased lipid content. Specifically, we identified cholesterol and sphingomyelin as novel myelin-associated inhibitors that operate through a Rho-dependent mechanism and have inhibitory activity in multiple neuron types. We further demonstrated the inhibitory action of myelin lipids in vivo, by showing that delivery of 2-hydroxypropyl-β-cyclodextrin, a drug that reduces the levels of lipids specifically in the injury site, leads to increased axon regeneration of wild-type (WT) dorsal column axons following spinal cord injury. In summary, our work shows that myelin lipids are important modulators of axon regeneration that should be considered together with protein MAIs as critical targets in strategies aiming at improving axonal growth following injury.

  15. To Set One's Heart in a Violent World

    ERIC Educational Resources Information Center

    Tran, Mai-Anh Le

    2015-01-01

    Mai-Anh Le Tran is Associate Professor of Christian Education at Eden Theological Seminary in St. Louis, Missouri, and is president of the Religious Education Association. Here she begins with a saying attributed to Hindu mystic and guru Sri Ramakrishna (Love 2007, xii; cf. Cousineau 2003), "Religion is like a cow. It kicks but it gives milk,…

  16. Solvent and Intermediate Phase as Boosters for the Perovskite Transformation and Solar Cell Performance

    PubMed Central

    Kim, Jinhyun; Hwang, Taehyun; Lee, Sangheon; Lee, Byungho; Kim, Jaewon; Jang, Gil Su; Nam, Seunghoon; Park, Byungwoo

    2016-01-01

    High power conversion efficiency and device stabilization are two major challenges for CH3NH3PbI3 (MAPbI3) perovskite solar cells to be commercialized. Herein, we demonstrate a diffusion-engineered perovskite synthesis method using MAI/ethanol dipping, and compared it to the conventional synthesis method from MAI/iso-propanol. Diffusion of MAI/C2H5OH into the PbCl2 film was observed to be more favorable than that of MAI/C3H7OH. Facile perovskite conversion from ethanol and highly-crystalline MAPbI3 with minimized impurities boosted the efficiency from 5.86% to 9.51%. Additionally, we further identified the intermediates and thereby the reaction mechanisms of PbCl2 converting into MAPbI3. Through straightforward engineering to enhance the surface morphology as well as the crystallinity of the perovskite with even faster conversion, an initial power conversion efficiency of 11.23% was obtained, in addition to superior stability after 30 days under an ambient condition. PMID:27156481

  17. 78 FR 41410 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Public...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-10

    ... communities of color who are living with HIV disease, including African Americans, Latinos, Native Americans... HIV/AIDS Program, Part A Minority AIDS Initiative Report (the Part A MAI Report). OMB No. 0915-0304--Extension. Abstract: HRSA's HIV/AIDS Bureau administers the Ryan White HIV/ AIDS Part A Program...

  18. 78 FR 17416 - Agency Information Collection Activities; Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-21

    ... disproportionately impacted communities of color who are living with HIV disease, including African Americans.... Information Collection Request Title: Ryan White HIV/AIDS Treatment Extension Act of 2009, Part A Minority AIDS Initiative Report (the Part A MAI Report): (OMB No. 0915-0304)--EXTENSION Abstract: HRSA's...

  19. Water temperature in irrigation return flow from the Upper Snake Rock watershed

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Water returning to a river from an irrigated watershed could increase the water temperature in the river. The objective of this study was to compare the temperature of irrigation return flow water with the temperature of the diverted irrigation water. Water temperature was measured weekly in the mai...

  20. Fine quantitative trait loci mapping of carbon and nitrogen metabolism enzyme activities and seedling biomass in the intermated maize IBM mapping population

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Understanding the genetic basis of nitrogen and carbon metabolism will accelerate development of plant varieties with high yield and improved nitrogen use efficiency. In this study, we measured the activities of ten enzymes from carbon and nitrogen metabolism and seedling/juvenile biomass in the mai...

  1. Radiations cosmiques : danger dans l'Espace

    NASA Astrophysics Data System (ADS)

    Bonnet-Bidaud, J. M.; Dzitko, H.

    2000-06-01

    Au sol, l'atmosphere nous protege plus ou moins bien. Mais dans l'espace ou a bord des avions de ligne, l'homme est directement expose aux rayonnements cosmiques qui peuvent etre mortels. Un veritable frein a la presence humaine prolongee dans l'espace. Une menace que les agences spatiales prennent tres au serieux.

  2. Electronic Resources: Selection and Bibliographic Control.

    ERIC Educational Resources Information Center

    Pattie, Ling-yuh W., Ed.; Cox, Bonnie Jean, Ed.

    This book is a baseline guide for professionals and library school students on issues that concern the selection and bibliographic control of electronic resources, from both conceptual and pragmatic standpoints. The book includes the following articles: (1) "Foreward" (Lois Mai Chan); (2) "Introduction" (Ling-yuh W. (Miko) Pattie and Bonnie Jean…

  3. The Revolution Is Not Over: Achieving the "Big Idea" in Education

    ERIC Educational Resources Information Center

    Durden, William G.

    2010-01-01

    This article is an edited version of a speech delivered at the 2009 Mediterranean Association of International Schools (MAIS) Annual Conference in Florence, Italy. In the author's past speeches--in Seville and Rome--he had urged his listeners to use their distinctive power and influence as independent, international educators to advance…

  4. Evaluation of two southern leaf blight resistance QTL for their effect on yield and disease resistance in isogenic maize hybrids

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Plants need to balance resources between yield and defense. This phenomenon has rarely been investigated in the context of naturally-occurring quantitative resistance alleles in an agricultural production environment. B73-3B and B73-6A are two near-isogenic lines (NILs) in the background of the mai...

  5. The Relationship between Playing Games and Metacognitive Awareness

    ERIC Educational Resources Information Center

    Moncarz, Howard T.

    2012-01-01

    This study investigated how playing different types of video games was associated with different values of metacognitive awareness. The target population was first and second-year college students. The study used a survey methodology that employed two self-reporting instruments: the first to estimate a metacognitive-awareness index (MAI), and the…

  6. STRATEGIC PLAN FOR THE OFFICE OF RESEARCH AND DEVELOPMENT, MAY 1996

    EPA Science Inventory

    The ORD Strategic Plan is based on nine principles: (1) Focus research on the greatest risks to people and the environment, (2) Focus research on reducing uncertainty in risk assessment, (3) Balance human health and ecological research, (4) Work for customers and clients, (5) Mai...

  7. The Impact of Polyunsaturated Fatty Acids in Reducing Child Attention Deficit and Hyperactivity Disorders

    ERIC Educational Resources Information Center

    Transler, Catherine; Eilander, Ans; Mitchell, Siobhan; van de Meer, Nelly

    2010-01-01

    Objectives: To review the impact of polyunsaturated fatty acids (PUFA) in reducing ADHD symptoms in children. Methods: Peer-reviewed experimental literature published from 1980 to Mai 2009 is consulted (Psychinfo, Medline, and resulting reference lists). Results: Placebo-controlled studies with ADHD or hyperactive children show no effects on…

  8. SRWC bioenergy productivity and economic feasibility on marginal lands.

    PubMed

    Ghezehei, Solomon B; Shifflett, Shawn D; Hazel, Dennis W; Nichols, Elizabeth Guthrie

    2015-09-01

    Evolving bioenergy markets necessitate consideration of marginal lands for woody biomass production worldwide particularly the southeastern U.S., a prominent wood pellet exporter to Europe. Growing short rotation woody crops (SRWCs) on marginal lands minimizes concerns about using croplands for bioenergy production and reinforces sustainability of wood supply to existing and growing global biomass markets. We estimated mean annual aboveground green biomass increments (MAIs) and assessed economic feasibility of various operationally established (0.5 ha-109 ha) SRWC stands on lands used to mitigate environmental liabilities of municipal wastewater, livestock wastewater and sludge, and subsurface contamination by petroleum and pesticides. MAIs (Mg ha(-1) yr(-1)) had no consistent relationship with stand density or age. Non-irrigated Populus, Plantanus occidentalis L. and Pinus taeda L. stands produced 2.4-12.4 Mg ha(-1) yr(-1). Older, irrigated Taxodium distchum L., Fraxinus pennsylvanica L., and coppiced P. occidentalis stands had higher MAIs (10.6-21.3 Mg ha(-1) yr(-1)) than irrigated Liquidambar styraciflua L. and non-coppiced, irrigated P. occidentalis (8-18 Mg ha(-1) yr(-1)). Natural hardwood MAIs at 20-60 years were less than hardwood and P. taeda productivities at 5-20 years. Unlike weed control, irrigation and coppicing improved managed hardwood productivity. Rotation length affected economic outcomes although the returns were poor due to high establishment and maintenance costs, low productivities and low current stumpage values, which are expected to quickly change with development of robust global markets. PMID:26087365

  9. Machine-Aided Indexing.

    ERIC Educational Resources Information Center

    Jacobs, Charles R.

    Progress is reported at the 1,000,000 word level on the development of a partial syntatic analysis technique for indexing text. A new indexing subroutine for hyphens is provided. New grammars written and programmed for Machine Aided Indexing (MAI) are discussed. (ED 069 290 is a related document) (Author)

  10. MOST PROBABLE NUMBER (MPN) CALCULATOR Version 2.0 User and System Installation and Administration Manual

    EPA Science Inventory

    The new MPN Calculator is an easy-to-use stand alone Windows application built by Avineon, Inc. for the EPA. The calculator was built using Microsoft .NET (dot NET) version 3.5 SP1 (C#) and Windows Presentation Foundation technologies. The new calculator not only combines the mai...

  11. Sensitivity and Reproducibility of a Family-level Macroinvertebrate Index used to Assess Acid Mine Impacts on Streams in the Western Allegheny Plateau

    NASA Astrophysics Data System (ADS)

    Johnson, K. S.

    2005-05-01

    We report on the performance of a family-level multimetric index, the MAIS (Macroinvertebrate Aggregate Index for Streams) for assessing acid mine impaired (AMD) sites in the Western Allegheny Plateau (Ohio). Two sampling protocols were compared, one utilizing three collection techniques (kick net, dip net and Surber samples), the other using two (kick and dip net). Including Surber samples tended to increase the MAIS score, changing the classification of four out of 52 sampling events (7.7%), but substantially increased processing time. MAIS scores were positively correlated with water pH (R = -0.77) and other indicators of AMD (acidity, sulfates, conductivity, total Al, total Mn). MAIS scores at some sites were consistent over 2-3 years of repeated sampling, others were more variable. Nineteen of the 26 sites that were sampled multiple times were categorized the same each year (73%), whereas 7 were classified differently in at least one year (27%). Since rainfall, flow regime and disturbance events varied over the three years, we cannot identify whether this variation reflects sampling error or actual changes in the assemblages at each site. Nevertheless, a benefit of repeated, annual evaluation is a statistically strong baseline condition against which future changes can be assessed.

  12. Performance enhancement of MC-CDMA system through novel sensitive bit algorithm aided turbo multi user detection.

    PubMed

    Kumaravel, Rasadurai; Narayanaswamy, Kumaratharan

    2015-01-01

    Multi carrier code division multiple access (MC-CDMA) system is a promising multi carrier modulation (MCM) technique for high data rate wireless communication over frequency selective fading channels. MC-CDMA system is a combination of code division multiple access (CDMA) and orthogonal frequency division multiplexing (OFDM). The OFDM parts reduce multipath fading and inter symbol interference (ISI) and the CDMA part increases spectrum utilization. Advantages of this technique are its robustness in case of multipath propagation and improve security with the minimize ISI. Nevertheless, due to the loss of orthogonality at the receiver in a mobile environment, the multiple access interference (MAI) appears. The MAI is one of the factors that degrade the bit error rate (BER) performance of MC-CDMA system. The multiuser detection (MUD) and turbo coding are the two dominant techniques for enhancing the performance of the MC-CDMA systems in terms of BER as a solution of overcome to MAI effects. In this paper a low complexity iterative soft sensitive bits algorithm (SBA) aided logarithmic-Maximum a-Posteriori algorithm (Log MAP) based turbo MUD is proposed. Simulation results show that the proposed method provides better BER performance with low complexity decoding, by mitigating the detrimental effects of MAI.

  13. Proliferative Activity in Libyan Breast Cancer with Comparison to European and Central African Patients

    PubMed Central

    Boder, Jamela; Abdalla, Fathi; Elfagieh, Mohamed; Collan, Yrjö

    2013-01-01

    Background. We evaluated the relation of proliferative indices with clinicopathological features and prognosis in breast cancer (BC) of Libyan female patients. The data were compared with corresponding results in Finland and Nigeria. Patients and Methods. Histological samples of breast cancer from 130 patients were retrospectively studied. Mitotic activity index (MAI) and standardized mitotic index (SMI) were estimated. Results. There were statistically significant correlations between the proliferative indices and most clinicopathological features, with the strongest association observed for histological grade (P = 0.01 for SMI and P = 0.003 for MAI). The proliferative differences between Libyan, Nigerian, and Finnish population were prominent. The mean values of SMI and MAI in Libyan BC patients were 32.1 mitotic figures per square millimeter and 27.3 mitotic figures per 10 high-power fields, respectively. This is clearly lower than those in Nigeria but much higher than those in Finland. The differences between countries are seen in whole material and are also present in subgroups. The results indicated that mitotic activities can be reliable prognostic indicators in Libyan BCs, as they were among Finnish and Nigerian females. Univariate and multivariate analyses found at cut-offs of 19 and 44 mitosis/mm2 of SMI were the most significant prognostic factors. Conclusions. Proliferative indices with careful estimation of the MAI and SMI could be applied as quantitative criteria for Libyan BC to separate the patients into good, moderate, and bad prognosis groups. PMID:24106717

  14. Coupling CARS with multiphoton fluorescence and high harmonic generation imaging modalities using a femtosecond laser source

    NASA Astrophysics Data System (ADS)

    Chen, Hongtao; Slipchenko, Mikhail N.; Zhu, Jiabin; Buhman, Kimberly K.; Cheng, Ji-Xin

    2009-02-01

    Multimodal nonlinear optical imaging has opened new opportunities and becomes a powerful tool for imaging complex tissue samples with inherent 3D spatial resolution.. We present a robust and easy-to-operate approach to add the coherent anti-stokes Raman scattering (CARS) imaging modality to a widely used multiphoton microscope. The laser source composed of a Mai Tai femtosecond laser and an optical parametric oscillator (OPO) offers one-beam, two-beam and three-beam modalities. The Mai Tai output at 790 nm is split into two beams, with 80% of the power being used to pump the OPO. The idler output at 2036 nm from OPO is doubled using a periodically poled lithium niobate (PPLN) crystal. This frequency-doubled idler beam at 1018 nm is sent through a delay line and collinearly combined with the other Mai Tai beam for CARS imaging on a laser-scanning microscope. This Mai Tai beam is also used for multiphoton fluorescence and second harmonic generation (SHG) imaging. The signal output at 1290 nm from OPO is used for SHG and third-harmonic generation (THG) imaging. External detectors are installed for both forward and backward detection, whereas two internal lamda-scan detectors are employed for microspectroscopy analysis. This new system allows vibrationally resonant CARS imaging of lipid bodies, SHG imaging of collagen fibers, and multiphoton fluorescence analysis in fresh tissues. As a preliminary application, the effect of diacylglycerol acyltransferase 1 (DGAT1) deficiency on liver lipid metabolism in mice was investigated.

  15. UNDERSTANDING PLANT-SOIL RELATIONSHIPS USING CONTROLLED ENVIRONMENT FACILITIES

    EPA Science Inventory

    Although soil is a component of terrestrial ecosystems, it is comprised of a complex web of interacting organisms, and therefore, can be considered itself as an ecosystem. Soil microflora and fauna derive energy from plants and plant residues and serve important functions in mai...

  16. SRWC bioenergy productivity and economic feasibility on marginal lands.

    PubMed

    Ghezehei, Solomon B; Shifflett, Shawn D; Hazel, Dennis W; Nichols, Elizabeth Guthrie

    2015-09-01

    Evolving bioenergy markets necessitate consideration of marginal lands for woody biomass production worldwide particularly the southeastern U.S., a prominent wood pellet exporter to Europe. Growing short rotation woody crops (SRWCs) on marginal lands minimizes concerns about using croplands for bioenergy production and reinforces sustainability of wood supply to existing and growing global biomass markets. We estimated mean annual aboveground green biomass increments (MAIs) and assessed economic feasibility of various operationally established (0.5 ha-109 ha) SRWC stands on lands used to mitigate environmental liabilities of municipal wastewater, livestock wastewater and sludge, and subsurface contamination by petroleum and pesticides. MAIs (Mg ha(-1) yr(-1)) had no consistent relationship with stand density or age. Non-irrigated Populus, Plantanus occidentalis L. and Pinus taeda L. stands produced 2.4-12.4 Mg ha(-1) yr(-1). Older, irrigated Taxodium distchum L., Fraxinus pennsylvanica L., and coppiced P. occidentalis stands had higher MAIs (10.6-21.3 Mg ha(-1) yr(-1)) than irrigated Liquidambar styraciflua L. and non-coppiced, irrigated P. occidentalis (8-18 Mg ha(-1) yr(-1)). Natural hardwood MAIs at 20-60 years were less than hardwood and P. taeda productivities at 5-20 years. Unlike weed control, irrigation and coppicing improved managed hardwood productivity. Rotation length affected economic outcomes although the returns were poor due to high establishment and maintenance costs, low productivities and low current stumpage values, which are expected to quickly change with development of robust global markets.

  17. Locating Child Protection in Preservice Teacher Education

    ERIC Educational Resources Information Center

    Walsh, Kerryann; Laskey, Louise; McInnes, Elspeth; Farrell, Ann; Mathews, Ben; Briggs, Freda

    2011-01-01

    A recent report delivered by the Australian Centerer for Child Protection has highlighted the need for empirical evidence of effective pedagogies for supporting teaching and learning of child protection content in Australian teacher education programs (Arnold & Mai-Taddeo, 2007). This paper advances this call by presenting case study accounts of…

  18. Resurgence of HPAI in birds and mechanisms of transmission

    Technology Transfer Automated Retrieval System (TEKTRAN)

    High pathogenicity avian influenza (HPAI) viruses typically produce a similar severe, systemic disease with high mortality in chickens and other gallinaceous birds, but either no disease or only mild disease in domestic ducks and wild birds. However with emergence of H5N1 HPAI viruses and their mai...

  19. Performance Enhancement of MC-CDMA System through Novel Sensitive Bit Algorithm Aided Turbo Multi User Detection

    PubMed Central

    Kumaravel, Rasadurai; Narayanaswamy, Kumaratharan

    2015-01-01

    Multi carrier code division multiple access (MC-CDMA) system is a promising multi carrier modulation (MCM) technique for high data rate wireless communication over frequency selective fading channels. MC-CDMA system is a combination of code division multiple access (CDMA) and orthogonal frequency division multiplexing (OFDM). The OFDM parts reduce multipath fading and inter symbol interference (ISI) and the CDMA part increases spectrum utilization. Advantages of this technique are its robustness in case of multipath propagation and improve security with the minimize ISI. Nevertheless, due to the loss of orthogonality at the receiver in a mobile environment, the multiple access interference (MAI) appears. The MAI is one of the factors that degrade the bit error rate (BER) performance of MC-CDMA system. The multiuser detection (MUD) and turbo coding are the two dominant techniques for enhancing the performance of the MC-CDMA systems in terms of BER as a solution of overcome to MAI effects. In this paper a low complexity iterative soft sensitive bits algorithm (SBA) aided logarithmic-Maximum a-Posteriori algorithm (Log MAP) based turbo MUD is proposed. Simulation results show that the proposed method provides better BER performance with low complexity decoding, by mitigating the detrimental effects of MAI. PMID:25714917

  20. Teachers, Trade, and Taxes: A Primer.

    ERIC Educational Resources Information Center

    Robertson, Heather-jane

    2000-01-01

    Teachers' eyes glaze over when conversation turns to how international trade agreements might affect public education. Industry Canada says GATS (General Agreement on Trade in Services) will open up new markets in postsecondary education without damaging elementary/secondary education. MAI was deflected, but WTO agreements pose threats. (MLH)

  1. Local Integration Ontological Model of Creative Class Migrants for Creative Cities

    ERIC Educational Resources Information Center

    Sangkakorn, Korawan; Chakpitak, Nopasit; Yodmongkol, Pitipong

    2015-01-01

    An innovative creative class drives creative cities, urban areas in which diverse cultures are integrated into social and economic functions. The creative city of Chiang Mai, Thailand is renowned for its vibrant Lan Na culture and traditions, and draws new migrants from other areas in Thailand seeking to become part of the creative class. This…

  2. The Relationship between Preservice Elementary Mathematics Teachers' Beliefs and Metacognitive Awareness

    ERIC Educational Resources Information Center

    Hart, Lynn Cecilia; Memnun, Dilek Sezgin

    2015-01-01

    The purpose of this study was to examine the metacognitive awareness and the beliefs about mathematics teaching and learning of preservice elementary mathematics teachers and to explore the relationship between the two. The Metacognitive Awareness Instrument (MAI) and the Mathematics Beliefs Instrument (MBI) were implemented with 118 elementary…

  3. Perception of Learner Proficiency: Its Impact on the Interaction between an ESL Learner and Her Higher and Lower Proficiency Partners

    ERIC Educational Resources Information Center

    Watanabe, Yuko; Swain, Merrill

    2008-01-01

    In this article, we explore one aspect of language awareness that has rarely been explored--awareness (i.e. perception) of the language proficiency of the "other learner" in pair work settings. We examine how Mai, a Japanese ESL learner, perceives her peer's L2 proficiency during pair problem solving, and how her perception of learner proficiency…

  4. Clay surface catalysis of formation of humic substances: potential role of maillard reactions

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The mechanisms of the formation of humic substances are poorly understood, especially the condensation of amino acids and reducing sugars products (Maillard reaction) in soil environments. Clay minerals behave as Lewis and Brönsted acids and catalyze several reactions and likely to catalyze the Mai...

  5. Short-term improvement of masticatory function after implant restoration

    PubMed Central

    2015-01-01

    Purpose Dental implants present several advantages over other tooth replacement options. However, there has been little research on masticatory function in relation to implant treatment. Therefore, the aim of the present study was to evaluate the improvement of masticatory function two weeks after implant restoration. Methods Masticatory ability was evaluated with the subjective food intake ability (FIA) and objective mixing ability index (MAI) methods. Fifty-four subjects with first and second missing molars completed the study. The subjects were asked to complete a self-reported questionnaire about 30 different food items, and to chew wax samples 10 times both before and two weeks after implant restoration. A total of 108 waxes were analyzed with an image analysis program. Results Dental implant restoration for lost molar teeth on one side increased the FIA score by 9.0% (P<0.0001). The MAI score also increased, by 14.3% after implant restoration (P<0.0001). Comparison between the good and poor mastication groups, which were subdivided based on the median MAI score before implant restoration, showed that the FIA score of the poor group was enhanced 1.1-fold while its MAI score was enhanced 2.0-fold two weeks after an implant surgery. Conclusions Using the FIA and MAI assessment methods, this study showed that masticatory function was improved two weeks after implant restoration. In particular, the enhancement of masticatory function by implant restoration was greater in patients with relatively poor initial mastication than in those with good initial mastication. PMID:26734490

  6. [Identification and re-collection of Bianque's medical works].

    PubMed

    Huang, Longxiang

    2015-01-01

    Whenever "Biarique's medical works" is mentioned, it means the work collection of an individual school. Through the identification and rearrangement of the fragments of Bianque's medical works from the extant literature, the three clues of the extant works have been sorted out, including Huangdi Bianque Mai Shu (Yellow Emperor and Bianque's Pulse Books) inherited by Canggong. It recreates the outline of the lost Bianque' medical works, and even displays the details of such outline to a certain extent. The main content of Bian que mai shu (Bianque's Pulse Book) collected by Canggong had been recorded in Wang Shuhe's Mai jing (The Pulse Classic), which were inherited in different forms in the extant Nei jing (Internal Classic) and a part of the content in the late editions were collected in Nan jing (Classic of Difficult Issues). Wu se mai (five-color pulse) was inherited from Mai jing (The Pulse Classic), the "Xianggong Wen Bianque" (Xianggong Catechism on Bianque) recorded in Shan fan fang (The Refined and Extracted Prescriptions) written by Xie Shitai in the Six Dynasties, the "Huangdi Wen Bianque" (Questions and Answers between Yellow Emperor and Bianque) in Qian jin yi fang (A supplement to the Essential Prescriptions worth a Thousand Gold), as well as from Ling shu: Wu se (Miraculous Pivot: Five Colors). In this paper, the notable and hot cases in the present academic field are analyzed, aiming to arouse people's attention to the methods and insights of literature research, as well as the reconsideration on the importance of the deep and solid research on the extant literatures.

  7. Superoxide dismutase activity of Mycobacterium avium, M. intracellulare, and M. scrofulaceum.

    PubMed Central

    Mayer, B K; Falkinham, J O

    1986-01-01

    Superoxide dismutase (EC 1.15.1.1) (SOD) activity has been detected in crude cell extracts of representative strains of the Mycobacterium avium, M. intracellulare, and M. scrofulaceum (MAIS) group. Polyacrylamide gel electrophoresis demonstrated a single SOD activity band for each of the MAIS strains, though there were differences in mobility. All M. avium and M. intracellulare and two of five M. scrofulaceum strains demonstrated a single activity band of identical mobility (Rf = 0.83), while the SOD activity band for the three remaining M. scrofulaceum strains migrated farther (Rf = 0.85). The differences in mobility correlated with differences in sensitivity to NaN3 and H2O2. The SOD activities of the majority of the MAIS strains which displayed the slower-migrating activity band were inhibited 22 to 81% after 15 min of exposure to 5 mM H2O2, suggesting that both iron and manganese may be present in a single enzyme. The SOD activities of the three M. scrofulaceum strains which had the faster-migrating activity band were inhibited 100% after only 5 min of exposure to 5 mM H2O2 and exhibited greater sensitivity to 5 and 10 mM NaN3, characteristics of an iron-containing SOD. A concentration of 1 mM KCN did not cause inhibition of enzyme activity in any of the MAIS strains tested. Extracellular SOD activity was detected in four of six MAIS strains and was shown to be identical in mobility to the SOD activity of the crude extracts. Images PMID:3744555

  8. Role of morphometry and proliferative parameters in grading of urothelial neoplasms

    PubMed Central

    Singh, Sunita; Kumar, Santosh; Chabbra, Sonia; Sen, Rajeev; Rana, Praveen; Malik, Shivani; Singh, Sonia; Lamba, Ramesh

    2015-01-01

    Introduction Mean nuclear area of 10 nuclei (MNA–10), mitotic activity index (MAI) and Ki–67 are highly reproducible and can be routinely used as adjuncts to histopathological grading in classifying tumors. Assays of these biomarkers are non–invasive, rapid, easy to perform, more objective and accurate, with high sensitivity and specificity, and correlate well with tumor grade. Material and methods This study was conducted at the Department of Pathology PGIMS, Rohtak on 50 cases, of which 25 cases were high–grade, 15 low–grade, 6 Papillary Urothelial Neoplasm of Low Malignant Potentialand 4 reactive lesions as per the 2004 ISUP/WHO classification. MNA–10, MAI and Ki–67 immunoquantitation were performed on stained sections. Results The age of the patients varied from 35 to 87 years. Male: female ratio was 3.5:1. The mean MNA–10 (μm2) for High Grade Malignant Potential was 104.52 ±25.64 μm2, which was significantly higher than in PUNLMP (47.64 ±10.23) and LMP (51.57 ±15.66). MAI (/10 HPF) showed an increasing trend from reactive lesions to HMP, with a mean of (3 ±1.16)/10 HPF to (21.36 ±5.31)/10 HPF respectively. Ki–67 labelling index, a proliferative marker, revealed increasing trend lowest with reactive lesions (10 ±2.83%) and highest in high grade tumors (65.96 ±14.44). Spearman's correlation showed maximum correlation between MAI and Ki–67 and the increasing grade of tumor. Conclusions MNA–10 in combination with Ki–67 and MAI was found to be stronger than MNA–10 alone. MAI has high reproducibility in differentiating low and high grade, with simple assessment in paraffin embedded sections allowing adequate histopathological analysis and visualization of proliferating cells simultaneously. This multivariate grading model should be applied in routine grading to overcome interobserver variability and to increase reproducibility of grading. PMID:25914836

  9. Vascular Pythiosis of the Lower Extremity in Northern Thailand: Ten Years' Experience.

    PubMed

    Reanpang, Termpong; Orrapin, Saritphat; Orrapin, Saranat; Arworn, Supapong; Kattipatanapong, Thanate; Srisuwan, Tanop; Vanittanakom, Nongnuch; Lekawanvijit, Suree P; Rerkasem, Kittipan

    2015-09-01

    Pythiosis is a disease caused by Pythium insidiosum, a fungus-like organism. P. insidiosum is pathogenic in mammals, particularly in horses, dogs, and humans. Human pythiosis can be classified into 4 types: (1) cutaneous/subcutaneous, (2) ocular, (3) vascular, and (4) disseminated pythiosis. Vascular pythiosis is a rare disease but a serious limb- and life-threatening infection. We reviewed 22 cases over a 10-year period in Maharaj Nakorn Chiang Mai/Chiang Mai University Hospital. The survival rate was around 63.6% during our follow-up period. The only effective treatment was complete excision of the infected tissue, which was done mainly by major amputation, such as above-knee amputation. This report raises awareness of this disease, which needs preemptive diagnosis and appropriate treatment. PMID:26286930

  10. [Original relations of acupoints with channels-collaterals and acupuncture therapy].

    PubMed

    Bai, Xing-hua

    2008-03-01

    With analysis and systematization of ancient medical books being unearthed Mazoangdui tomb and other literatures, it is found that ancient names and meanings of moxibustion and acupuncture parts passed the courses from Mai to Maikou, the place and region above Mai, then to acupoints on the body surface showing channels, gi and blood. This change trace reveals original relationship acupoints with channels-collaterals, and acupuncture therapy. The acupoint is a point and channels-collaterals are lines, except a less acupoints which located by obvious anatomic markers, most of are special parts on the channels and collaterals, are not a isolated point. The acupoint is the gate of needle inserting the human body, proposal of this concept and increase of the number of acopoints are closely related with invention, popularity and spreading of acupuncture therapy.

  11. Vector Time-Series from Multiple Aperture Interferometry in Regions with Small Deformation Signals

    NASA Astrophysics Data System (ADS)

    Wortham, C.; Zebker, H. A.

    2012-12-01

    We estimate 3-D deformation from the June 2007 eruption along the East Rift Zone (ERZ) of Kilauea Volcano, Hawaii, using new extensions to InSAR small baseline subset (SBAS) analysis. Given the east-west orientation of the ERZ, a large component of the deformation is in the north-south direction with velocities on the order of 19 cm/yr for dates spanning the event and 4 cm/yr following the eruption. Similarly, we see deflation at the Kilauea caldera on the order of 7 cm/yr, with deformation in the east, north, and up directions. We use multiple geometries from ALOS/PALSAR and a modified SBAS algorithm to estimate all three components of the time-series. Ascending and descending geometries give measurements in the east and up directions, and we use multiple aperture InSAR (MAI) to estimate the along-track deformation. The azimuthal MAI method adds the missing component from the InSAR observations. However, due to aperture splitting, these MAI measurements are highly sensitive to phase errors and are only useful in areas with large signals. Given the pre and post-eruption velocities of the Hawaii data set, most MAI interferograms have very low SNR. Furthermore, the acquisition times of ascending and descending geometries differ by weeks or months. With at most two observations at each time step, the resulting system of equations is highly underdetermined. Both the low MAI SNR and rank deficiency of the inversion complicate the time-series estimation. We present our extension of SBAS time-series to vector deformation in which multiple radar geometries are combined in the geodetic domain. We show that by using ascending and descending acquisitions, along with their corresponding MAI measurements, accurate, three-dimensional time-series are possible, despite the time offset between each radar geometry. In combining these data sets, the temporal resolution of the time-series is increased, however, as a consequence of the lower MAI SNR, the spatial coverage from viable

  12. M S MOLECULARES Rumo aos limites da miniaturiza o - (Molecular Magnets - towards the limits of miniaturization)

    SciTech Connect

    Reis, Mario S; Moreira Dos Santos, Antonio F

    2010-01-01

    Por s culos, acreditou-se que o magnetismo s se manifestava em metais, como aqueles contendo ferro; hoje, a imagem mais comum de um m talvez seja a daquelas plaquinhas flex veis coladas geladeira com propagandas dos mais diversos tipos. O leitor conseguiria imaginar um material puramente org nico daqueles que formam os seres vivos como magn tico? E m s do tamanho de mol culas? fato: ambos existem. Esses novos materiais, conhecidos como magnetos moleculares, descobertos e desenvolvidos em v rios laborat rios do mundo, j re nem longa lista de aplica es, do tratamento do c ncer a refrigeradores ecol gicos, passando pela transmiss o de eletricidade sem perda de calor e a fabrica o de computadores extremamente velozes.

  13. A young man with concurrent acute appendicitis and incarcerated right indirect inguinal hernia

    PubMed Central

    Ditsatham, Chagkrit; Somwangprasert, Areewan; Watcharachan, Kirati; Wongmaneerung, Phanchaporn

    2016-01-01

    Objective Acute appendicitis and incarcerated hernia rarely present in the same episode. Our study reports patient presentation, diagnosis method, and treatment of an unusual case at the Chiang Mai University Hospital. Method Case report. Result A 20-year-old man visited the Chiang Mai University Hospital with right lower quadrant pain and a right groin mass which could not be reduced. The computerized tomography scan showed acute appendicitis and omentum in the hernia sac. Operative treatment was an appendectomy and herniorrhaphy. The treatment was successful, and the patient was discharged from our hospital without any complications. Conclusion Concurrent acute appendicitis and incarcerated hernia are very rare, but should be kept in mind if a patient presents with right lower quadrant pain and a right groin mass. Further investigation may be helpful if the diagnosis is uncertain. Operative priority treatment depends on each individual case. PMID:26834499

  14. 10.6% Certified Colloidal Quantum Dot Solar Cells via Solvent-Polarity-Engineered Halide Passivation.

    PubMed

    Lan, Xinzheng; Voznyy, Oleksandr; García de Arquer, F Pelayo; Liu, Mengxia; Xu, Jixian; Proppe, Andrew H; Walters, Grant; Fan, Fengjia; Tan, Hairen; Liu, Min; Yang, Zhenyu; Hoogland, Sjoerd; Sargent, Edward H

    2016-07-13

    Colloidal quantum dot (CQD) solar cells are solution-processed photovoltaics with broad spectral absorption tunability. Major advances in their efficiency have been made via improved CQD surface passivation and device architectures with enhanced charge carrier collection. Herein, we demonstrate a new strategy to improve further the passivation of CQDs starting from the solution phase. A cosolvent system is employed to tune the solvent polarity in order to achieve the solvation of methylammonium iodide (MAI) and the dispersion of hydrophobic PbS CQDs simultaneously in a homogeneous phase, otherwise not achieved in a single solvent. This process enables MAI to access the CQDs to confer improved passivation. This, in turn, allows for efficient charge extraction from a thicker photoactive layer device, leading to a certified solar cell power conversion efficiency of 10.6%, a new certified record in CQD photovoltaics.

  15. Méningite après rachianesthésie

    PubMed Central

    Mouchrif, Issam; Berdaii, Adnane; Labib, Ismail; Harrandou, Moustapha

    2016-01-01

    Les méningites sont des complications rares mais graves des anesthésies péridurales et des rachianesthésies. Les méningites bactériennes sont essentiellement dues à des cocci à Gram positif, ce qui sous-entend une contamination exogène pouvant être le témoin d'une faute d'asepsie. L’évolution est le plus souvent favorable sous traitement, mais au prix d'un accroissement des dépenses de santé et parfois d'importantes séquelles neurologiques. Nous présentons un cas de méningite bactérienne au décours d'une rachianesthésie effectué pour césarienne. PMID:27642477

  16. Toward Cloning of the Magnetotactic Metagenome: Identification of Magnetosome Island Gene Clusters in Uncultivated Magnetotactic Bacteria from Different Aquatic Sediments▿

    PubMed Central

    Jogler, Christian; Lin, Wei; Meyerdierks, Anke; Kube, Michael; Katzmann, Emanuel; Flies, Christine; Pan, Yongxin; Amann, Rudolf; Reinhardt, Richard; Schüler, Dirk

    2009-01-01

    In this report, we describe the selective cloning of large DNA fragments from magnetotactic metagenomes from various aquatic habitats. This was achieved by a two-step magnetic enrichment which allowed the mass collection of environmental magnetotactic bacteria (MTB) virtually free of nonmagnetic contaminants. Four fosmid libraries were constructed and screened by end sequencing and hybridization analysis using heterologous magnetosome gene probes. A total of 14 fosmids were fully sequenced. We identified and characterized two fosmids, most likely originating from two different alphaproteobacterial strains of MTB that contain several putative operons with homology to the magnetosome island (MAI) of cultivated MTB. This is the first evidence that uncultivated MTB exhibit similar yet differing organizations of the MAI, which may account for the diversity in biomineralization and magnetotaxis observed in MTB from various environments. PMID:19395570

  17. Degradation of some representative polycyclic aromatic hydrocarbons by the water-soluble protein extracts from Zea mays L. cv PR32-B10.

    PubMed

    Barone, Roberto; de Biasi, Margherita-Gabriella; Piccialli, Vincenzo; de Napoli, Lorenzo; Oliviero, Giorgia; Borbone, Nicola; Piccialli, Gennaro

    2016-10-01

    The ability of the water-soluble protein extracts from Zea mais L. cv. PR32-B10 to degrade some representative polycyclic aromatic hydrocarbons (PAHs), has been evaluated. Surface sterilized seeds of corn (Zea mais L. Pioneer cv. PR32-B10) were hydroponically cultivated in a growth chamber under no-stressful conditions. The water-soluble protein extracts isolated from maize tissues showed peroxidase, polyphenol oxidase and catalase activities. Incubation of the extracts with naphthalene, fluorene, phenanthrene and pyrene, led to formation of oxidized and/or degradation products. GC-MS and TLC monitoring of the processes showed that naphthalene, phenanthrene, fluorene and pyrene underwent 100%, 78%, 92% and 65% oxidative degradation, respectively, after 120 min. The chemical structure of the degradation products were determined by (1)H NMR and ESI-MS spectrometry. PMID:27391049

  18. Vapor and healing treatment for CH3NH3PbI3-xClx films toward large-area perovskite solar cells

    NASA Astrophysics Data System (ADS)

    Gouda, Laxman; Gottesman, Ronen; Tirosh, Shay; Haltzi, Eynav; Hu, Jiangang; Ginsburg, Adam; Keller, David A.; Bouhadana, Yaniv; Zaban, Arie

    2016-03-01

    Hybrid methyl-ammonium lead trihalide perovskites are promising low-cost materials for use in solar cells and other optoelectronic applications. With a certified photovoltaic conversion efficiency record of 20.1%, scale-up for commercial purposes is already underway. However, preparation of large-area perovskite films remains a challenge, and films of perovskites on large electrodes suffer from non-uniform performance. Thus, production and characterization of the lateral uniformity of large-area films is a crucial step towards scale-up of devices. In this paper, we present a reproducible method for improving the lateral uniformity and performance of large-area perovskite solar cells (32 cm2). The method is based on methyl-ammonium iodide (MAI) vapor treatment as a new step in the sequential deposition of perovskite films. Following the MAI vapor treatment, we used high throughput techniques to map the photovoltaic performance throughout the large-area device. The lateral uniformity and performance of all photovoltaic parameters (Voc, Jsc, Fill Factor, Photo-conversion efficiency) increased, with an overall improved photo-conversion efficiency of ~100% following a vapor treatment at 140 °C. Based on XRD and photoluminescence measurements, We propose that the MAI treatment promotes a ``healing effect'' to the perovskite film which increases the lateral uniformity across the large-area solar cell. Thus, the straightforward MAI vapor treatment is highly beneficial for large scale commercialization of perovskite solar cells, regardless of the specific deposition method.Hybrid methyl-ammonium lead trihalide perovskites are promising low-cost materials for use in solar cells and other optoelectronic applications. With a certified photovoltaic conversion efficiency record of 20.1%, scale-up for commercial purposes is already underway. However, preparation of large-area perovskite films remains a challenge, and films of perovskites on large electrodes suffer from non

  19. Degradation of some representative polycyclic aromatic hydrocarbons by the water-soluble protein extracts from Zea mays L. cv PR32-B10.

    PubMed

    Barone, Roberto; de Biasi, Margherita-Gabriella; Piccialli, Vincenzo; de Napoli, Lorenzo; Oliviero, Giorgia; Borbone, Nicola; Piccialli, Gennaro

    2016-10-01

    The ability of the water-soluble protein extracts from Zea mais L. cv. PR32-B10 to degrade some representative polycyclic aromatic hydrocarbons (PAHs), has been evaluated. Surface sterilized seeds of corn (Zea mais L. Pioneer cv. PR32-B10) were hydroponically cultivated in a growth chamber under no-stressful conditions. The water-soluble protein extracts isolated from maize tissues showed peroxidase, polyphenol oxidase and catalase activities. Incubation of the extracts with naphthalene, fluorene, phenanthrene and pyrene, led to formation of oxidized and/or degradation products. GC-MS and TLC monitoring of the processes showed that naphthalene, phenanthrene, fluorene and pyrene underwent 100%, 78%, 92% and 65% oxidative degradation, respectively, after 120 min. The chemical structure of the degradation products were determined by (1)H NMR and ESI-MS spectrometry.

  20. Bioaccumulation of heavy metals in plant leaves from Yan׳an city of the Loess Plateau, China.

    PubMed

    Hu, Youning; Wang, Dexiang; Wei, Lijing; Zhang, Xinping; Song, Bin

    2014-12-01

    Urban plants are capable of reducing environmental pollutions through bioaccumulation contaminants in their tissues. The accumulation of heavy metals (Pb, Cu, Cd, Cr, and Zn) in leaves of nine tree species and five shrub species from Yan׳an city of China were investigated, and total metal accumulation capacities of different plants were evaluated using the metal accumulation index (MAI). The results indicated that plants in polluted environments are enriched in heavy metals relative to those in pristine environments, this is mainly caused by traffic emissions and coal combustion. Species with the highest accumulation of a single metal did not have the highest total metal accumulation capacity, the MAI should be an important indicator for tree species selection in phytoextraction and urban greening. Considering total accumulation capacities, Sabina chinensis, Juniperus formosana, Ailanthus altissima and Salix matsudana var. matsudana could be widely used in the Loess Plateau.

  1. 10.6% Certified Colloidal Quantum Dot Solar Cells via Solvent-Polarity-Engineered Halide Passivation.

    PubMed

    Lan, Xinzheng; Voznyy, Oleksandr; García de Arquer, F Pelayo; Liu, Mengxia; Xu, Jixian; Proppe, Andrew H; Walters, Grant; Fan, Fengjia; Tan, Hairen; Liu, Min; Yang, Zhenyu; Hoogland, Sjoerd; Sargent, Edward H

    2016-07-13

    Colloidal quantum dot (CQD) solar cells are solution-processed photovoltaics with broad spectral absorption tunability. Major advances in their efficiency have been made via improved CQD surface passivation and device architectures with enhanced charge carrier collection. Herein, we demonstrate a new strategy to improve further the passivation of CQDs starting from the solution phase. A cosolvent system is employed to tune the solvent polarity in order to achieve the solvation of methylammonium iodide (MAI) and the dispersion of hydrophobic PbS CQDs simultaneously in a homogeneous phase, otherwise not achieved in a single solvent. This process enables MAI to access the CQDs to confer improved passivation. This, in turn, allows for efficient charge extraction from a thicker photoactive layer device, leading to a certified solar cell power conversion efficiency of 10.6%, a new certified record in CQD photovoltaics. PMID:27351104

  2. Une colite à CMV révélant un lupus érythémateux systémique

    PubMed Central

    Ben Ghorbel, Imed; Boussetta, Najeh; Boubaker, Jalel; Zehani, Alia; Lamloum, Mounir; Houman, Mohamed Habib

    2014-01-01

    Le cytomégalovirus (CMV) est responsable d'infections souvent asymptomatiques chez les immunocompétents mais également d'infections graves chez les immunodéprimés notamment chez les patients lupiques. La réactivation du CMV au cours du lupus est une complication fréquente mais rarement inaugurale. Nous rapportons l'observation d'un patient ayant présenté une colite à CMV révélatrice d'un lupus érythémateux systémique. Le diagnostic a été retenu sur les données sérologiques, de la biopsie colique et la bonne évolution après un traitement par ganciclovir. PMID:25977743

  3. L'ostéome ostéoïde de l'extrémité inférieur du radius: à propos d'un cas, localisation rare et revue de la littérature

    PubMed Central

    Abdelhafid, Derfoufi; Moncef, Erraji; Abdessamad, Kharraji; Najib, Abdeljaouad; Hicham, Yacoubi

    2016-01-01

    L'ostéome ostéoïde est une tumeur osseuse bénigne, mais douloureuse et dont le traitement consiste en l'exérèse chirurgicale totale. Nous rapportons, dans ce travail le cas d'une jeune patiente présentant un ostéome ostéoïde de l'extrémité inférieur du radius. PMID:27642387

  4. 65th birthday Jack Steinberger

    SciTech Connect

    2007-12-04

    Laudatio pour Jack Steinberger né le 25 mai 1921, à l'occasion de son 65me anniversaire et sa retraite officielle, pour sa précieuse collaboration au Cern. Néanmoins son principal activité continuera comme avant dans sa recherche au Cern. Plusieurs orateurs prennent la parole (p.ex. E.Picasso) pour le féliciter et lui rendre hommage

  5. Thais protest US-Thai FTA talks.

    PubMed

    Franklin, Tim

    2006-04-01

    On 11 January 2006, thousands of Thai citizens and HIV/AIDS advocacy groups converged in Chiang Mai, Thailand to protest the latest negotiations of the proposed US-Thailand Free Trade Agreement (FTA). The FTA is believed to include intellectual property (IP) provisions that will pose a threat to Thailand's national HIV/AIDS treatment program, which relies on local production of inexpensive generic medicines to treat people living with HIV/AIDS. PMID:16805013

  6. Noise suppression using optimum filtering of OCs generated by a multiport encoder/decoder.

    PubMed

    Kodama, Takahiro; Wada, Naoya; Cincotti, Gabriella; Wang, Xu; Kitayama, Ken-ichi

    2012-04-23

    We propose a novel receiver configuration using an extreme narrow band-optical band pass filter (ENB-OBPF) to reduce the multiple access interference (MAI) and beat noises in an optical code division multiplexing (OCDM) transmission. We numerically and experimentally demonstrate an enhancement of the code detectability, that allows us to increase the number of users in a passive optical network (PON) from 4 to 8 without any forward error correction (FEC).

  7. A comprehensive overview of the frequency and the severity of injuries sustained by car occupants and subsequent implications in terms of injury prevention.

    PubMed

    Page, Yves; Cuny, Sophie; Hermitte, Thierry; Labrousse, Maxime

    2012-01-01

    The objective of the paper is to give an overview of the road injuries issues in France in the 2010's by determining the frequency and the severity of injuries sustained by car occupants, and to infer the implications in terms of vehicule safety. Three types of analysis are conducted. First, we present a time series analysis at a macro statistical level showing a dramatic decrease of injured and fatally injured occupants in passenger cars compared to other modes of road transport. Secondly, we propose a descriptive statistical analysis of the injuries (frequency and severity) sustained by car occupants, by body regions, using the AIS. Finally we propose some insights into the effectiveness of some safety features. French National crash census (BAAC) is used for a general overview of injury frequencies and raw severity scores (fatal, hospitalized, slighty injured) in car crashes. In-depth crash investigations data are used to specify the body regions and the severity of the injuries sustained by car occupants. Data show that car occupants mortality and morbidity decreased more over the last decade than other road modes: -58 % fatalities and -64 % hospitalized (compared to -39% and -55% for pedestrians, and -21% and -44% for motorcyclists for example). In crashes for which at least one person has been injured, 19 % of occupants are uninjured, 49 % of occupants sustain MAIS 1 injuries, 15 % MAIS2, 8% MAIS 3, and 9 % MAIS 4+. Regardless of seat belt use, the body regions most often injured are head, upper and lower extremities and thorax. However, at least two third up to 92% of involved persons sustain no injury at each of these body regions. The frequency of severe injuries is low, often less than 10 % and concern head and thorax mainly. Finally, the frequency and severity of injuries decrease for belted occupants in newer cars compared to older cars, whatever body regions. The frequency of severe injuries decreased by almost 50 % in these newer cars.

  8. Correlation Between Euro NCAP Pedestrian Test Results and Injury Severity in Injury Crashes with Pedestrians and Bicyclists in Sweden.

    PubMed

    Strandroth, Johan; Sternlund, Simon; Lie, Anders; Tingvall, Claes; Rizzi, Matteo; Kullgren, Anders; Ohlin, Maria; Fredriksson, Rikard

    2014-11-01

    Pedestrians and bicyclists account for a significant share of deaths and serious injuries in the road transport system. The protection of pedestrians in car-to-pedestrian crashes has therefore been addressed by friendlier car fronts and since 1997, the European New Car Assessment Program (Euro NCAP) has assessed the level of protection for most car models available in Europe. In the current study, Euro NCAP pedestrian scoring was compared with real-life injury outcomes in car-to-pedestrian and car-tobicyclist crashes occurring in Sweden. Approximately 1200 injured pedestrians and 2000 injured bicyclists were included in the study. Groups of cars with low, medium and high pedestrian scores were compared with respect to pedestrian injury severity on the Maximum Abbreviated Injury Scale (MAIS)-level and risk of permanent medical impairment (RPMI). Significant injury reductions to both pedestrians and bicyclists were found between low and high performing cars. For pedestrians, the reduction of MAIS2+, MAIS3+, RPMI1+ and RPMI10+ ranged from 20-56% and was significant on all levels except for MAIS3+ injuries. Pedestrian head injuries had the highest reduction, 80-90% depending on level of medical impairment. For bicyclist, an injury reduction was only observed between medium and high performing cars. Significant injury reductions were found for all body regions. It was also found that cars fitted with autonomous emergency braking including pedestrian detection might have a 60-70% lower crash involvement than expected. Based on these results, it was recommended that pedestrian protection are implemented on a global scale to provide protection for vulnerable road users worldwide.

  9. Jayant Narlikar : dernier rempart de l'Univers stationnaire

    NASA Astrophysics Data System (ADS)

    Bonnet-Bidaud, J. M.

    2005-04-01

    "Travailler dans une seule direction ne prouve pas que cela soit la bonne". L'astrophysicien indien, Jayant Narlikar prone la diversité des approches en recherche fondamentale - c'est bien le moins pour ce tenant de l'Univers stationnaire, théorie alternative à celle du Big Bang. Mais, selon lui, une telle démarche devient rare en cosmologie, malheureusement.

  10. Detection and identification of mycobacteria by amplification of RNA and DNA in pretreated blood and bone marrow aspirates by a simple lysis method.

    PubMed Central

    Gamboa, F; Manterola, J M; Lonca, J; Matas, L; Viñado, B; Giménez, M; Cardona, P J; Padilla, E; Ausina, V

    1997-01-01

    A sodium dodecyl (lauryl) sulfate method was evaluated for the preparation of blood specimens and bone marrow aspirates for use in two amplification procedures (Gen-Probe Amplified Mycobacterium Tuberculosis Direct Test [AMTDT] and Roche Amplicor M. avium/M. intracellulare [MAI] Test) for the detection and identification of Mycobacterium tuberculosis and M. avium and M. intracellulare, respectively. The AMTDT is based on amplification of rRNA, whereas the Amplicor MAI Test amplifies a specific DNA region of the 16S rRNA gene. The results of amplification techniques were compared with those of standard culture and culture in BACTEC 13A and BACTEC 12B liquid media. A total of 121 blood specimens and 15 bone marrow aspirates were collected from 136 AIDS patients. Mycobacterial growth was recovered for 103 specimens; 35 yielded M. tuberculosis, 62 yielded M. avium, 5 yielded M. genavense, and 1 yielded M. kansasii. The values of sensitivity and specificity in pretreated specimens for detection of M. tuberculosis by the AMTDT were 94.3 and 100%, respectively, and those for detection of M. avium by the Amplicor MAI Test were 91.9 and 100%, respectively. The simple lysis method described in the present work allows the recovery of mycobacteria from blood specimens and bone marrow aspirates and may be used in combination with the AMTDT and the Amplicor MAI Test to detect and identify different members of the genus Mycobacterium. This method might also be applicable for the identification of mycobacteria from blood culture fluids with acridinium-ester-labeled DNA probes. PMID:9230395

  11. APPOLLO 9

    ScienceCinema

    None

    2016-07-12

    le DG B.Grégory prend la parole et introduit le cosmonaute américain Russell Schweickart, qui fait un exposé sur la mission APPOLLO 9 et l'avenir de l'exploration spatiale avec présentation d'un film avec musique, mais sans parole, après commentaires et questions

  12. 65th birthday Jack Steinberger

    ScienceCinema

    None

    2016-07-12

    Laudatio pour Jack Steinberger né le 25 mai 1921, à l'occasion de son 65me anniversaire et sa retraite officielle, pour sa précieuse collaboration au Cern. Néanmoins son principal activité continuera comme avant dans sa recherche au Cern. Plusieurs orateurs prennent la parole (p.ex. E.Picasso) pour le féliciter et lui rendre hommage

  13. Vapor and healing treatment for CH3NH3PbI(3-x)Cl(x) films toward large-area perovskite solar cells.

    PubMed

    Gouda, Laxman; Gottesman, Ronen; Tirosh, Shay; Haltzi, Eynav; Hu, Jiangang; Ginsburg, Adam; Keller, David A; Bouhadana, Yaniv; Zaban, Arie

    2016-03-28

    Hybrid methyl-ammonium lead trihalide perovskites are promising low-cost materials for use in solar cells and other optoelectronic applications. With a certified photovoltaic conversion efficiency record of 20.1%, scale-up for commercial purposes is already underway. However, preparation of large-area perovskite films remains a challenge, and films of perovskites on large electrodes suffer from non-uniform performance. Thus, production and characterization of the lateral uniformity of large-area films is a crucial step towards scale-up of devices. In this paper, we present a reproducible method for improving the lateral uniformity and performance of large-area perovskite solar cells (32 cm(2)). The method is based on methyl-ammonium iodide (MAI) vapor treatment as a new step in the sequential deposition of perovskite films. Following the MAI vapor treatment, we used high throughput techniques to map the photovoltaic performance throughout the large-area device. The lateral uniformity and performance of all photovoltaic parameters (V(oc), J(sc), Fill Factor, Photo-conversion efficiency) increased, with an overall improved photo-conversion efficiency of ∼100% following a vapor treatment at 140 °C. Based on XRD and photoluminescence measurements, We propose that the MAI treatment promotes a "healing effect" to the perovskite film which increases the lateral uniformity across the large-area solar cell. Thus, the straightforward MAI vapor treatment is highly beneficial for large scale commercialization of perovskite solar cells, regardless of the specific deposition method. PMID:26754034

  14. Physik gestern und heute Von der Metallstange zum Hochenergielaser

    NASA Astrophysics Data System (ADS)

    Heering, Peter

    2002-05-01

    Im Mai 1752 wurde in Marly bei Paris auf Anregung des amerikanischen Forschers und Politikers Benjamin Franklin erstmals die elektrische Natur des Blitzes nachgewiesen. Damals beschrieb Franklin auch eine technische Vorrichtung, die als Schutz von Gebäuden vor Blitzschlägen dienen sollte: den Blitzableiter. Diese aus heutiger Sicht scheinbar triviale Vorrichtung wurde aber keineswegs unmittelbar akzeptiert. Und bis heute ist die Forschung zum Schutz von Einrichtungen vor Blitzschlägen nicht abgeschlossen.

  15. A new species of Pseudopyrochroa Pic, 1906 (Coleoptera: Pyrochroidae: Pyrochroinae) from the Mae Chaem District, Thailand.

    PubMed

    Young, Daniel K

    2014-04-02

    A new species of the fire-colored beetle genus Pseudopyrochroa Pic, 1906, is described from the Mae Chaem District, Chiang Mai Province, Thailand. The new species, Pseudopyrochroa inthanonensis sp. nov., is superficially similar to Pseudopyrochroa basalis (Pic), Pseudopyrochroa cardoni (Fairmaire) and Pseudopyrochroa fainanensis (Pic) by virtue of body color, antennal form and prothoracic shape. It is the second species of the genus known from Thailand, the other being Pseudopyrochroa diversicornis (Blair).

  16. Correlation Between Euro NCAP Pedestrian Test Results and Injury Severity in Injury Crashes with Pedestrians and Bicyclists in Sweden.

    PubMed

    Strandroth, Johan; Sternlund, Simon; Lie, Anders; Tingvall, Claes; Rizzi, Matteo; Kullgren, Anders; Ohlin, Maria; Fredriksson, Rikard

    2014-11-01

    Pedestrians and bicyclists account for a significant share of deaths and serious injuries in the road transport system. The protection of pedestrians in car-to-pedestrian crashes has therefore been addressed by friendlier car fronts and since 1997, the European New Car Assessment Program (Euro NCAP) has assessed the level of protection for most car models available in Europe. In the current study, Euro NCAP pedestrian scoring was compared with real-life injury outcomes in car-to-pedestrian and car-tobicyclist crashes occurring in Sweden. Approximately 1200 injured pedestrians and 2000 injured bicyclists were included in the study. Groups of cars with low, medium and high pedestrian scores were compared with respect to pedestrian injury severity on the Maximum Abbreviated Injury Scale (MAIS)-level and risk of permanent medical impairment (RPMI). Significant injury reductions to both pedestrians and bicyclists were found between low and high performing cars. For pedestrians, the reduction of MAIS2+, MAIS3+, RPMI1+ and RPMI10+ ranged from 20-56% and was significant on all levels except for MAIS3+ injuries. Pedestrian head injuries had the highest reduction, 80-90% depending on level of medical impairment. For bicyclist, an injury reduction was only observed between medium and high performing cars. Significant injury reductions were found for all body regions. It was also found that cars fitted with autonomous emergency braking including pedestrian detection might have a 60-70% lower crash involvement than expected. Based on these results, it was recommended that pedestrian protection are implemented on a global scale to provide protection for vulnerable road users worldwide. PMID:26192956

  17. Large Grained Perovskite Solar Cells Derived from Single-Crystal Perovskite Powders with Enhanced Ambient Stability.

    PubMed

    Yen, Hung-Ju; Liang, Po-Wei; Chueh, Chu-Chen; Yang, Zhibin; Jen, Alex K-Y; Wang, Hsing-Lin

    2016-06-15

    In this study, we demonstrate the large grained perovskite solar cells prepared from precursor solution comprising single-crystal perovskite powders for the first time. The resultant large grained perovskite thin film possesses a negligible physical (structural) gap between each large grain and is highly crystalline as evidenced by its fan-shaped birefringence observed under polarized light, which is very different from the thin film prepared from the typical precursor route (MAI + PbI2).

  18. Association syndrome de Gougerot Sjogren et maladie cœliaque

    PubMed Central

    Khammassi, Naziha; Mohsen, Dorsaf; Kort, Youssef; Abdelhedi, Haykel; Cherif, Ouahida

    2015-01-01

    De nombreuses pathologies ont été associées à la maladie cœliaque (MC). L'association avec un syndrome de Gougerot Sjogren (SGS) a rarement été rapportée, mais une association due au simple hasard ne peut être exclue. Dans ce cas, le risque d'oncogenèse est double et une surveillance régulière s'impose. PMID:26664534

  19. Gryphopsylla segregata Beaucournu & Sountsov, 1999 : Nouveau statut pour G. jacobsoni segregata, description de la femelle et proposition d’une nouvelle clé pour le genre Gryphopsylla traub, 1957 (Siphonaptera – Pygiopsyllidae – Stivaliinae)

    PubMed Central

    Beaucournu, J.-C.; Wells, K.

    2011-01-01

    La collecte d’une femelle de Gryphopsylla jacobsoni segregata Beaucournu & Sountsov, 1999 du nord de Bornéo nous permet de modifier le statut de ce taxon en celui de bonne espèce, proche mais distincte de G. jacobsoni (Jordan & Rothschild, 1922). La femelle de G. segregata est décrite et une clé remise à jour de ce genre est donnée. PMID:21894266

  20. Analysis of the experience of Cuban physicians in a Brazilian metropolis in accordance with the Paideia Method.

    PubMed

    Terra, Lilian Soares Vidal; Borges, Fabiano Tonaco; Lidola, Maria; Hernández, Silvia S; Millán, Juan Ignacio Martínez; Campos, Gastão Wagner de Sousa

    2016-09-01

    We had hoped that the Mais Médicos Program (More Doctors Program) would have generated several changes and reflections in each municipality in which it was deployed. In order to observe those changes, we sought to analyze the experience of Cuban physicians in the Mais Médicos program from an actor-centered perspective, based on the Paideia Method - an approach that seeks to enhance the ability of the subjects to analyze and intervene in their practice. We performed semi-structured interviews to analyze our research object that consisted in the experience of those actors included professionally in the Mais Médicos program in a metropolis with unique characteristics. In order to assess the interviews, we applied Content Analysis followed by Thematic Analysis. From the discourse of the actors, of which illustrative excerpts are transcribed in this article, we can affirm that the program's potential surpassed any initial barriers, presenting itself as fine-tuning instrument for replacing the biomedical model in line with the Paideia Method. PMID:27653067

  1. Knowledge-based machine indexing from natural language text: Knowledge base design, development, and maintenance

    NASA Technical Reports Server (NTRS)

    Genuardi, Michael T.

    1993-01-01

    One strategy for machine-aided indexing (MAI) is to provide a concept-level analysis of the textual elements of documents or document abstracts. In such systems, natural-language phrases are analyzed in order to identify and classify concepts related to a particular subject domain. The overall performance of these MAI systems is largely dependent on the quality and comprehensiveness of their knowledge bases. These knowledge bases function to (1) define the relations between a controlled indexing vocabulary and natural language expressions; (2) provide a simple mechanism for disambiguation and the determination of relevancy; and (3) allow the extension of concept-hierarchical structure to all elements of the knowledge file. After a brief description of the NASA Machine-Aided Indexing system, concerns related to the development and maintenance of MAI knowledge bases are discussed. Particular emphasis is given to statistically-based text analysis tools designed to aid the knowledge base developer. One such tool, the Knowledge Base Building (KBB) program, presents the domain expert with a well-filtered list of synonyms and conceptually-related phrases for each thesaurus concept. Another tool, the Knowledge Base Maintenance (KBM) program, functions to identify areas of the knowledge base affected by changes in the conceptual domain (for example, the addition of a new thesaurus term). An alternate use of the KBM as an aid in thesaurus construction is also discussed.

  2. Mycobacterium avium-intracellulare pulmonary infection complicated by cutaneous leukocytoclastic vasculitis in a woman with anorexia nervosa.

    PubMed

    Walsh, T L; Baca, V; Stalling, S S; Natalie, A A; Veldkamp, P J

    2014-06-01

    A 53-year-old Caucasian woman with a history of anorexia nervosa developed a bilateral lower extremity rash comprised of palpable red to violaceous, sub-centimeter papular lesions that increased in quantity rapidly. She also noted a 2-month history of non-productive cough. Imaging modalities revealed a thin-walled cavitary lesion in the right lung apex and scattered nodular opacities. Acid fast bacilli (AFB) were found in sputum and subsequently identified by culture as Mycobacterium avium-intracellulare (MAI). Punch biopsies of her skin lesions yielded a histological diagnosis of small-to-medium vessel vasculitis. Stains and cultures for organisms were negative. Her skin lesions resolved quickly after the initiation of antimicrobial therapy for MAI. Hypersensitivity vasculitis associated with an atypical mycobacterial infection is unusual. The postulated underlying mechanism is the deposit of immune complexes and not the bacillus itself. While cutaneous leukocytoclastic vasculitis (CLV) due to MAI is certainly a rare entity, it should be entertained in patients with vasculitic skin lesions and a concomitant pulmonary disease. PMID:24363210

  3. Coexistent Pseudogout and Mycobacterium avium-intracellulare Septic Arthritis in a Patient with HIV and ESRD

    PubMed Central

    Wali, Omer M.; Cervellione, Kelly L.; Singh, Bhupinder B.; Bagheri, Farshad

    2016-01-01

    Pseudogout is a crystal-induced arthropathy characterized by the deposition of calcium pyrophosphate dihydrate (CPPD) crystals in synovial fluid, menisci, or articular cartilage. Although not very common, this entity can be seen in patients with chronic kidney disease (CKD). Septic arthritis due to Mycobacterium avium-intracellulare (MAI) is a rare entity that can affect immunocompromised patients such as those with acquired immunodeficiency syndrome (AIDS) or those who are on immunosuppressive drugs. Here, we describe a 51-year-old female who presented with fever, right knee pain, swelling, warmth, and decreased range of motion for several days. The initial assessment was consistent with pseudogout, with negative bacterial and fungal cultures. However, due to high white blood cell (WBC) count in the synovial fluid analysis, she was empirically started on intravenous (IV) vancomycin and piperacillin-tazobactam and discharged on IV vancomycin and cefepime, while acid-fast bacilli (AFB) culture was still in process. Seventeen days later, AFB culture grew Mycobacterium avium-intracellulare (MAI), and she was readmitted for relevant management. This case illustrates that septic arthritis due to MAI should be considered in the differential diagnosis of septic arthritis in immunocompromised patients. PMID:27803833

  4. Heterogeneous distribution of human cystic echinococcosis after a long-term control program in Neuquén, Patagonia Argentina.

    PubMed

    Pierangeli, Nora B; Soriano, Silvia V; Roccia, Irene; Giménez, Juan; Lazzarini, Lorena E; Grenóvero, María S; Menestrina, Carlos; Basualdo, Juan A

    2007-06-01

    The present study is the first comprehensive analysis of human cystic echinococcosis (CE) epidemiological data carried out in the province of Neuquén, Patagonia Argentina, after 34 years of uninterrupted control program. A retrospective study of all the official records of confirmed human CE cases between 1995 and 2004 was carried out. A total of 1107 cases were reported. The overall mean annual incidence (MAI) was 24.4 per 100,000 inhabitants for the total population and 9.7/100,000 in the 0-14 year group. Distribution of cases by age and sex as well as frequency of cyst locations was analysed. Children accounted for 13.3% of total cases, indicating active transmission of the disease. Territorial distribution of cases was highly heterogeneous: MAI per 100,000 ranged from 7.9 in the Metropolitan Sanitary Area to 78.4 in the western rural areas. Higher values were recorded in small communities as Pilo Lil (800/100,000). MAI showed a significant decrease from 1995 to 1999 (43.9-18.8) but remains stable from 2000 to 2004 (15.9-15.5). These results suggest that standard control measures, despite long-term implementation, are not able to produce a sustained improvement of the epidemiological status of the disease. Further studies about local transmission cycles, definite and intermediate hosts present, Echinococcus granulosus strains or cultural behaviours in small communities are required in order to adequate the control actions in Neuquén.

  5. Analysis of the experience of Cuban physicians in a Brazilian metropolis in accordance with the Paideia Method.

    PubMed

    Terra, Lilian Soares Vidal; Borges, Fabiano Tonaco; Lidola, Maria; Hernández, Silvia S; Millán, Juan Ignacio Martínez; Campos, Gastão Wagner de Sousa

    2016-09-01

    We had hoped that the Mais Médicos Program (More Doctors Program) would have generated several changes and reflections in each municipality in which it was deployed. In order to observe those changes, we sought to analyze the experience of Cuban physicians in the Mais Médicos program from an actor-centered perspective, based on the Paideia Method - an approach that seeks to enhance the ability of the subjects to analyze and intervene in their practice. We performed semi-structured interviews to analyze our research object that consisted in the experience of those actors included professionally in the Mais Médicos program in a metropolis with unique characteristics. In order to assess the interviews, we applied Content Analysis followed by Thematic Analysis. From the discourse of the actors, of which illustrative excerpts are transcribed in this article, we can affirm that the program's potential surpassed any initial barriers, presenting itself as fine-tuning instrument for replacing the biomedical model in line with the Paideia Method.

  6. [Polish guidelines of 2001 for maximum admissible intensities in high frequency EMF versus European Union recommendations].

    PubMed

    Aniołczyk, Halina

    2003-01-01

    In 1999, a draft of amendments to maximum admissible intensities (MAI) of electromagnetic fields (0 Hz-300 GHz) was prepared by Professor H. Korniewicz of the Central Institute for Labour Protection, Warsaw, in cooperation with the Nofer Institute of Occupational Medicine, Łódź (radio- and microwaves) and the Military Institute of Hygiene and Epidemiology, Warsaw (pulse radiation). Before 2000, the development of the national MAI guidelines for the frequency range of 0.1 MHz-300 GHz was based on the knowledge of biological and health effects of EMF exposure available on the turn of the 1960s. A current basis for establishing the MAI international standards is a well-documented thermal effect measured by the value of a specific absorption rate (SAR), whereas the effects of resonant absorption imposes the nature of the functional dependency on EMF frequency. The Russian standards, already thoroughly analyzed, still take so-called non-thermal effects and the conception of energetic load for a work-shift with its progressive averaging (see hazardous zone in Polish guidelines) as a basis for setting maximum admissible intensities. The World Health Organization recommends a harmonization of the EMF protection guidelines, existing in different countries, with the guidelines of the International Commission for Non-Ionizing Radiation Protection (ICNIRP), and its position is supported by the European Union.

  7. Syndrome of selective IgM deficiency with severe T cell deficiency associated with disseminated cutaneous mycobacterium avium intracellulaire infection

    PubMed Central

    Gharib, Asal; Louis, Ankmalika Gupta; Agrawal, Sudhanshu; Gupta, Sudhir

    2015-01-01

    Cutaneous non-disseminated, non-tuberculous mycobacterial infections have been reported in both immunocompetent and immunocompromised subjects. Systemic Mycobacterium avium intracellulaire (MAI) have been reported in non-HIV patients with Idiopathic CD4 lymphocytopenia. We report a comprehensive immunological analysis in syndrome of selective IgM deficiency and T lymphocytopenia (both CD4+ and CD8+) with disseminated cutaneous MAI infection. Naïve (TN) and Central memory (TCM) subsets of both CD4+ and CD8+ T cells were decreased, whereas terminally differentiated effector memory (TEMRA) subset of CD4+ and CD8+ T cells were markedly increased. IFN-γ producing T cells were markedly decreased. Although CD14highCD16- proinflammatory monocytes were modestly increased, IFN-γR+ monocytes were markedly decreased. The expression of TLR3, TLR5, TLR7, and TLR9 on monocytes was decreased. Germinal center B cells (CD19+IgD-CD38+CD27lo) and B1 cells (CD20+CD27+CD43+CD70-) were markedly decreased. A role of immune alterations, including B cells and antibodies in disseminated cutaneous MAI infection is discussed. PMID:26550546

  8. The magnetosome membrane protein, MmsF, is a major regulator of magnetite biomineralization in Magnetospirillum magneticum AMB-1

    PubMed Central

    Murat, Dorothée; Falahati, Veesta; Bertinetti, Luca; Csencsits, Roseann; Körnig, André; Downing, Kenneth; Faivre, Damien; Komeili, Arash

    2013-01-01

    Summary Magnetotactic bacteria (MTB) use magnetosomes, membrane bound crystals of magnetite or greigite, for navigation along geomagnetic fields. In Magnetospirillum magneticum sp. AMB-1, and other MTB, a magnetosome gene island (MAI) is essential for every step of magnetosome formation. An 8-gene region of the MAI encodes several factors implicated in control of crystal size and morphology in previous genetic and proteomic studies. We show that these factors play a minor role in magnetite biomineralization in vivo. In contrast, MmsF, a previously uncharacterized magnetosome membrane protein encoded within the same region plays a dominant role in defining crystal size and morphology and is sufficient for restoring magnetite synthesis in the absence of the other major biomineralization candidates. In addition, we show that the 18 genes of the mamAB gene cluster of the MAI are sufficient for the formation of an immature magnetosome organelle. Addition of MmsF to these 18 genes leads to a significant enhancement of magnetite biomineralization and an increase in the cellular magnetic response. These results define a new biomineralization protein and lay down the foundation for the design of autonomous gene cassettes for the transfer of the magnetic phenotype in other bacteria. PMID:22716969

  9. Machine aided indexing from natural language text

    NASA Technical Reports Server (NTRS)

    Silvester, June P.; Genuardi, Michael T.; Klingbiel, Paul H.

    1993-01-01

    The NASA Lexical Dictionary (NLD) Machine Aided Indexing (MAI) system was designed to (1) reuse the indexing of the Defense Technical Information Center (DTIC); (2) reuse the indexing of the Department of Energy (DOE); and (3) reduce the time required for original indexing. This was done by automatically generating appropriate NASA thesaurus terms from either the other agency's index terms, or, for original indexing, from document titles and abstracts. The NASA STI Program staff devised two different ways to generate thesaurus terms from text. The first group of programs identified noun phrases by a parsing method that allowed for conjunctions and certain prepositions, on the assumption that indexable concepts are found in such phrases. Results were not always satisfactory, and it was noted that indexable concepts often occurred outside of noun phrases. The first method also proved to be too slow for the ultimate goal of interactive (online) MAI. The second group of programs used the knowledge base (KB), word proximity, and frequency of word and phrase occurrence to identify indexable concepts. Both methods are described and illustrated. Online MAI has been achieved, as well as several spinoff benefits, which are also described.

  10. Improved objectivity of grading of TA,1 transitional cell carcinomas of the urinary bladder by quantitative nuclear and proliferation related features

    PubMed Central

    Bol, M; Baak, J; de Bruin, P C; Rep, S; Marx, W; Bos, S; Kisman, O

    2001-01-01

    Aim—To analyse whether the mean nuclear area of the 10 largest nuclei (MNA-10), the mitotic activity index (MAI), and Ki-67 immunoquantitative features have additional value to discriminate different grades of TA,1 transitional cell carcinoma (TCC) of the urinary bladder. Materials/Methods—One hundred and fifty of 200 consecutive cases (75%) showing interobserver agreement on duplicate blind grade assessment by independent pathologists were studied. Using random numbers, the 150 cases were divided into sets for learning (n = 75) and testing (n = 75). Single and multivariate analyses were applied to discriminate the different grades in the learning set. The multivariate classifier developed in this way was evaluated in the test set (n = 75). Results—With the MNA-10 alone, using the classification MNA-10 < 80 µm2 = grade 1, 80 µm2 < MNA-10 < 130 µm2 = grade 2, MNA-10 > 130 µm2 = grade 3, 71% of all 150 cases were correctly classified (69% of grade 1 v grade 2 and 76% of grade 2 v grade 3). With multivariate analysis, the best discriminating features in the learning set (17 grade 1, 30 grade 2, and 28 grade 3) between grades 1 and 2 were MNA-10 and MAI, and between grades 2 and 3 MAI and Ki-67. With these features, 94% of grade 1 v grade 2 and 97% of grade 2 v grade 3 were correctly classified in the learning set (overall, 95% correct, none of the grade 3 cases misclassified). In the test set the classification results were similar. When the three grades were entered at the same time for discrimination, Ki-67 area % and MAI was the best discriminating combination, both in the sets for learning and testing. Overall correct classification results in the sets for learning and testing were slightly lower, but still 94% and 92%. Most importantly, none of the grade 3 cases was misclassified; the classification shifts all occurred between grades 1 and 2. Conclusions—The combination of MNA-10, MAI, and Ki-67 gives much better discrimination between grades 1, 2

  11. Oncology Referral Concerning Paediatric Neurosurgery? Analysis of the Situation between 2008-2013 in the North of Portugal.

    PubMed

    Batista, Ana; Nogueira-Silva, Luís; Vaz, Rui; Oliveira, Joana

    2016-01-01

    Introdução: Os tumores primários do sistema nervoso central representam o segundo grupo de neoplasias mais frequente e são a principal causa de morte devido a tumores sólidos em crianças. O nosso estudo teve como objetivos realizar a mais atualizada análise epidemiológica desta doença no norte de Portugal e avaliar o possível benefício da centralização de cuidados. Material e Métodos: Este estudo de base populacional incluiu todos os tumores primários do sistema nervoso central diagnosticados e histologicamente confirmados em indivíduos menores de 18 anos de idade, que residem no norte do país, desde Janeiro 2008 até Dezembro 2013. Os dados foram obtidos por meio da avaliação dos processos clínicos dos doentes. Nós descrevemos as características das crianças e dos seus tumores e analisámos os quocientes doente: neurocirurgião pediátrico e tipo histológico de tumor: neurocirurgião pediátrico e as taxas de sobrevivência, mortalidade, complicações e recidiva. Resultados: Foram registados 147 casos. A média de idade ao diagnóstico foi de 8,0 ± 5,2 anos. Os astrocitomas foram o tipo histológico mais frequentemente encontrado (34%). O tipo histológico foi a única variável com influência estatisticamente significativa na mortalidade (p = 0,001). As sobrevivências a um, três e cinco anos relativas ao período entre 2008 - 2013 foram estatisticamente superiores às do intervalo entre 2005 - 2007. Os astrocitomas apresentam a mais alta taxa de sobrevivência, sendo estatisticamente diferente dos outros tipos de tumor (p = 0,015). Estimámos uma média de 12,25 casos tratados anualmente por neurocirurgião pediátrico no nosso hospital. Discussão: Os nossos resultados são, globalmente, consistentes com os encontrados na literatura mundial, mas registrámos taxas de sobrevivência mais altas. O número de casos tratados por neurocirurgião pediátrico está de acordo com o recomendado. Conclusão: Demonstrámos que houve melhoria

  12. Cystatin C: A Promising Marker of Renal Function in Patients with Systemic Lupus Erythematosus?

    PubMed

    Peixoto, Lígia; Aguiar, Patrício; de Bragança, Raquel; Martins, Joana Rosa; Acabado, Alba Janeiro; Ducla-Sores, José Luís

    2015-01-01

    Introdução: A cistatina C possui uma correlação superior com a taxa de filtrado glomerular e um prognóstico clínico mais significativo do que a creatinina. Procurou-se averiguar se constitui um marcador de função renal diferente da creatinina (cistatina C potencialmente superior à creatinina), em doentes com lúpus eritematoso sistémico.Material e Métodos: Foram avaliados 37 doentes com lúpus eritematoso sistémico, sem evidência de nefrite lúpica activa. Determinouse a cistatina C sérica por nefelometria e a creatinina pelo método de Jaffe modificado. Compararam-se cinco fórmulas: Chronic Kidney Disease â Epidemiology Collaboration cystatin; Chronic Kidney Disease â Epidemiology Collaboration creatinine-cystatin; Cockcroft-Gault, Modification of Diet in Renal Disease e Chronic Kidney Disease â Epidemiology creatinine, utilizando-se esta última como referência. Analisou-se a influência de factores clínicos e laboratoriais na variação da cistatina C, por regressão linear multivariada. Resultados: A cistatina C encontrava-se isoladamente elevada em dez participantes, ao invés de nenhuma elevação isolada dacreatinina, sendo esta diferença significativa (p = 0,002). Verificou-se uma diferença entre a taxa de filtrado glomerular estimada pela Chronic Kidney Disease â Epidemiology Collaboration cystatin e pela Chronic Kidney Disease â Epidemiology Collaboration creatinine (-6,0541 mL/min/1,73 m2, p = 0,07), mais acentuada para taxas de filtração glomerular mais baixas. Assim, a fórmula Chronic Kidney Disease â Epidemiology Collaboration cystatin reclassificou 4 doentes como tendo doença renal crónica de novo e um doente como não tendo doença renal crónica (p = 0,375). A cistatina C foi influenciada significativamente apenas pela idade (p < 0,001).Discussão: Vários estudos demonstraram que a cistatina C melhora a definição de doença renal crónica, permitindo uma classificação e uma estratificação do risco mais exactas

  13. Assessing injury severity in bicyclists involved in traffic accidents to more effectively prevent fatal bicycle injuries in Japan.

    PubMed

    Gomei, Sayaka; Hitosugi, Masahito; Ikegami, Keiichi; Tokudome, Shogo

    2013-10-01

    The objective of this study was to clarify the relationship between injury severity in bicyclists involved in traffic accidents and patient outcome or type of vehicle involved in order to propose effective measures to prevent fatal bicycle injuries. Hospital records were reviewed for all patients from 2007 to 2010 who had been involved in a traffic accident while riding a bicycle and were subsequently transferred to the Shock Trauma Center of Dokkyo Medical University Koshigaya Hospital. Patient outcomes and type of vehicle that caused the injury were examined. The mechanism of injury, Abbreviated Injury Scale (AIS) score, and Injury Severity Score (ISS) of the patient were determined. A total of 115 patients' records were reviewed. The mean patient age was 47.1 ± 27.4 years. The average ISS was 23.9, with an average maximum AIS (MAIS) score of 3.7. The ISS, MAIS score, head AIS score, and chest AIS score were well correlated with patient outcome. The head AIS score was significantly higher in patients who had died (mean of 4.4); however, the ISS, MAIS score, and head AIS score did not differ significantly according to the type of vehicle involved in the accident. The mean head AIS scores were as high as 2.4 or more for accidents involving any type of vehicle. This study provides useful information for forensic pathologists who suspect head injuries in bicyclists involved in traffic accidents. To effectively reduce bicyclist fatalities from traffic accidents, helmet use should be required for all bicyclists.

  14. Analyzing the impact of climate and management factors on the productivity and soil carbon sequestration of poplar plantations.

    PubMed

    Wang, Dan; Fan, Jiazhi; Jing, Panpan; Cheng, Yong; Ruan, Honghua

    2016-01-01

    It is crucial to investigate how climate and management factors impact poplar plantation production and soil carbon sequestration interactively. We extracted above-ground net primary production (ANPP), climate and management factors from peer-reviewed journal articles and analyzed impact of management factor and climate on the mean annual increment (MAI) of poplar ANPP statistically. Previously validated mechanistic model (ED) is used to perform case simulations for managed poplar plantations under different harvesting rotations. The meta-analysis indicate that the dry matter MAI was 6.3 Mg ha(-1) yr(-1) (n=641, sd=4.9) globally, and 5.1 (n=292, sd=4.0), 8.1 (n=224, sd=4.7) and 4.4 Mg ha(-1) yr(-1) (n=125, sd=3.2) in Europe, the US and China, respectively. Poplar MAI showed a significant response to GDD, precipitation and planting density and formed a quadratic relationship with stand age. The low annual production for poplar globally was probably caused by suboptimal water availability, rotation length and planting density. SEM attributes the variance of poplar growth rate more to climate than to management effects. Case simulations indicated that longer rotation cycle significantly increased soil carbon storage. Findings of this work suggests that management factor of rotation cycle alone could have dramatic impact on the above ground growth, as well as on the soil carbon sequestration of poplar plantations and will be helpful to quantify the long-term carbon sequestration through short rotation plantation. The findings of this study are useful in guiding further research, policy and management decisions towards sustainable poplar plantations.

  15. Road Traffic Related Injury Severity in Truck Drivers: A Prospective Medical and Technical Analysis of 582 Truck Crashes

    PubMed Central

    Decker, Sebastian; Otte, Dietmar; Muller, Christian Walter; Omar, Mohamed; Krettek, Christian; Haasper, Carl; Brand, Stephan

    2016-01-01

    Background While cyclists and pedestrians are known to be at significant risk for severe injuries when exposed to road traffic accidents (RTA) involving trucks, little is known about RTA injury risk for truck drivers. Objectives The aim of this study was to analyze the injury severity in truck drivers following RTAs. Patients and Methods Our local accident research unit prospectively documented 43000 RTAs involving 582 trucks between 2000 and 2011. Injury severity, including the abbreviated injury scale (AIS) and the maximum abbreviated injury scale (MAIS) were analyzed. Technical parameters (e.g. delta-v, direction of impact), the location of accident, and its dependency on the road type were also taken into consideration. Results Thirteen percent (77/582) of truck drivers were injured. Extremities were found to be at highest risk of injury with the lower extremities (36x) being injured most severely (10x: AIS 2 and 3). Death occurred only after collisions with other trucks, and severity of injuries increased with an increased speed limit. The maximum abbreviated injury scale was higher in the crash opponents (56x MAIS ≥ 3) compared to the truck drivers (8x MAIS ≥ 3). Overall, 82% of the crash opponents were injured. Conclusions The safety of truck drivers is assured by their vehicles, the consequence being that the risk of becoming injured is likely to be low. However, the legs especially are at high risk for severe injuries during RTAs. This probability increases in the instance of a collision with another truck. Nevertheless, in RTAs involving trucks and regular passenger vehicles, the other party is in higher risk of injury.

  16. Fluoride: A naturally-occurring health hazard in drinking-water resources of Northern Thailand.

    PubMed

    Chuah, C Joon; Lye, Han Rui; Ziegler, Alan D; Wood, Spencer H; Kongpun, Chatpat; Rajchagool, Sunsanee

    2016-03-01

    In Northern Thailand, incidences of fluorosis resulting from the consumption of high-fluoride drinking-water have been documented. In this study, we mapped the high-fluoride endemic areas and described the relevant transport processes of fluoride in enriched waters in the provinces of Chiang Mai and Lamphun. Over one thousand surface and sub-surface water samples including a total of 995 collected from shallow (depth: ≤ 30 m) and deep (> 30 m) wells were analysed from two unconnected high-fluoride endemic areas. At the Chiang Mai site, 31% of the shallow wells contained hazardous levels (≥ 1.5 mg/L) of fluoride, compared with the 18% observed in the deep wells. However, at the Lamphun site, more deep wells (35%) contained water with at least 1.5mg/L fluoride compared with the shallow wells (7%). At the Chiang Mai site, the high-fluoride waters originate from a nearby geothermal field. Fluoride-rich geothermal waters are distributed across the area following natural hydrological pathways of surface and sub-surface water flow. At the Lamphun site, a well-defined, curvilinear high-fluoride anomalous zone, resembling that of the nearby conspicuous Mae Tha Fault, was identified. This similarity provides evidence of the existence of an unmapped, blind fault as well as its likely association to a geogenic source (biotite-granite) of fluoride related to the faulted zone. Excessive abstraction of ground water resources may also have affected the distribution and concentration of fluoride at both sites. The distribution of these high-fluoride waters is influenced by a myriad of complex natural and anthropogenic processes which thus created a challenge for the management of water resources for safe consumption in affected areas. The notion of clean and safe drinking water can be found in deeper aquifers is not necessarily true. Groundwater at any depth should always be tested before the construction of wells. PMID:26747991

  17. Road Traffic Related Injury Severity in Truck Drivers: A Prospective Medical and Technical Analysis of 582 Truck Crashes

    PubMed Central

    Decker, Sebastian; Otte, Dietmar; Muller, Christian Walter; Omar, Mohamed; Krettek, Christian; Haasper, Carl; Brand, Stephan

    2016-01-01

    Background While cyclists and pedestrians are known to be at significant risk for severe injuries when exposed to road traffic accidents (RTA) involving trucks, little is known about RTA injury risk for truck drivers. Objectives The aim of this study was to analyze the injury severity in truck drivers following RTAs. Patients and Methods Our local accident research unit prospectively documented 43000 RTAs involving 582 trucks between 2000 and 2011. Injury severity, including the abbreviated injury scale (AIS) and the maximum abbreviated injury scale (MAIS) were analyzed. Technical parameters (e.g. delta-v, direction of impact), the location of accident, and its dependency on the road type were also taken into consideration. Results Thirteen percent (77/582) of truck drivers were injured. Extremities were found to be at highest risk of injury with the lower extremities (36x) being injured most severely (10x: AIS 2 and 3). Death occurred only after collisions with other trucks, and severity of injuries increased with an increased speed limit. The maximum abbreviated injury scale was higher in the crash opponents (56x MAIS ≥ 3) compared to the truck drivers (8x MAIS ≥ 3). Overall, 82% of the crash opponents were injured. Conclusions The safety of truck drivers is assured by their vehicles, the consequence being that the risk of becoming injured is likely to be low. However, the legs especially are at high risk for severe injuries during RTAs. This probability increases in the instance of a collision with another truck. Nevertheless, in RTAs involving trucks and regular passenger vehicles, the other party is in higher risk of injury. PMID:27679790

  18. Pedestrian injury risk and the effect of age.

    PubMed

    Niebuhr, Tobias; Junge, Mirko; Rosén, Erik

    2016-01-01

    Older adults and pedestrians both represent especially vulnerable groups in traffic. In the literature, hazards are usually described by the corresponding injury risks of a collision. This paper investigates the MAIS3+F risk (the risk of sustaining at least one injury of AIS 3 severity or higher, or fatal injury) for pedestrians in full-frontal pedestrian-to-passenger car collisions. Using some assumptions, a model-based approach to injury risk, allowing for the specification of individual injury risk parameters for individuals, is presented. To balance model accuracy and sample size, the GIDAS (German In-depth Accident Study) data set is divided into three age groups; children (0-14); adults (15-60); and older adults (older than 60). For each group, individual risk curves are computed. Afterwards, the curves are re-aggregated to the overall risk function. The derived model addresses the influence of age on the outcome of pedestrian-to-car accidents. The results show that older people compared with younger people have a higher MAIS3+F injury risk at all collision speeds. The injury risk for children behaves surprisingly. Compared to other age groups, their MAIS3+F injury risk is lower at lower collision speeds, but substantially higher once a threshold has been exceeded. The resulting injury risk curve obtained by re-aggregation looks surprisingly similar to the frequently used logistic regression function computed for the overall injury risk. However, for homogenous subgroups - such as the three age groups - logistic regression describes the typical risk behavior less accurately than the introduced model-based approach. Since the effect of demographic change on traffic safety is greater nowadays, there is a need to incorporate age into established models. Thus far, this is one of the first studies incorporating traffic participant age to an explicit risk function. The presented approach can be especially useful for the modeling and prediction of risks, and for the

  19. Molecular basis for the high-affinity binding and stabilization of firefly luciferase by PTC124

    SciTech Connect

    Auld, Douglas S.; Lovell, Scott; Thorne, Natasha; Lea, Wendy A.; Maloney, David J.; Shen, Min; Rai, Ganesha; Battaile, Kevin P.; Thomas, Craig J.; Simeonov, Anton; Hanzlik, Robert P.; Inglese, James

    2010-04-07

    Firefly luciferase (FLuc), an ATP-dependent bioluminescent reporter enzyme, is broadly used in chemical biology and drug discovery assays. PTC124 Ataluren; (3-[5-(2-fluorophenyl)-1,2,4-oxadiazol-3-yl]benzoic acid) discovered in an FLuc-based assay targeting nonsense codon suppression, is an unusually potent FLuc-inhibitor. Paradoxically, PTC124 and related analogs increase cellular FLuc activity levels by posttranslational stabilization. In this study, we show that FLuc inhibition and stabilization is the result of an inhibitory product formed during the FLuc-catalyzed reaction between its natural substrate, ATP, and PTC124. A 2.0 {angstrom} cocrystal structure revealed the inhibitor to be the acyl-AMP mixed-anhydride adduct PTC124-AMP, which was subsequently synthesized and shown to be a high-affinity multisubstrate adduct inhibitor (MAI; KD = 120 pM) of FLuc. Biochemical assays, liquid chromatography/mass spectrometry, and near-attack conformer modeling demonstrate that formation of this novel MAI is absolutely dependent upon the precise positioning and reactivity of a key meta-carboxylate of PTC124 within the FLuc active site. We also demonstrate that the inhibitory activity of PTC124-AMP is relieved by free coenzyme A, a component present at high concentrations in luciferase detection reagents used for cell-based assays. This explains why PTC124 can appear to increase, instead of inhibit, FLuc activity in cell-based reporter gene assays. To our knowledge, this is an unusual example in which the 'off-target' effect of a small molecule is mediated by an MAI mechanism.

  20. Curva de rotação óptica de ESO-LV 5100550

    NASA Astrophysics Data System (ADS)

    Carvalho, D. B.; Soares, D. S. L.

    2003-08-01

    ESO-LV 5100550 é o membro mais fraco do par de galáxias austral SBG 357 (Soares et al. 1995). É classificada no catálogo RC3 como uma espiral ordinária de tipo inicial (early-type); porém, uma análise morfológica sugere que ela tenha uma grande barra. O objetivo do estudo é determinar sua cinemática de tal modo que possamos inferir mais a respeito de sua dinâmica, provavelmente perturbada, já que se espera que esteja sob forte influência da companheira ESO-LV 5100560. Apresentarei resultados parciais determinados a partir de espectros obtidos com o instrumento Double Spectrograph montado no telescópio Hale do Monte Palomar, EUA. As observações foram realizadas por D.S.L. Soares, P.M.V. Veiga e T.E. Nordgren, em 1998. Foram tomados espectros de fenda longa posicionada sobre a linha dos nodos do disco e ao longo da suposta barra. Os dados foram reduzidos com uso do pacote IRAF. Obtivemos o perfil de velocidades radiais na linha de visada ao longo das fendas e calculamos o desvio para o vermelho cosmológico do sistema, com base no espectro central. Determinamos as curvas de rotação deprojetadas, com base em cálculos para os valores teóricos esperados das componentes de velocidades puramente circulares em um disco inclinado. A inclinação do disco, dado fundamental nesta deprojeção, foi estimada através da média das elipticidades das isofotas mais externas.

  1. Mapping three-dimensional surface deformation by combining multiple-aperture interferometry and conventional interferometry: Application to the June 2007 eruption of Kilauea Volcano, Hawaii

    USGS Publications Warehouse

    Jung, H.-S.; Lu, Zhiming; Won, J.-S.; Poland, Michael P.; Miklius, Asta

    2011-01-01

    Surface deformation caused by an intrusion and small eruption during June 17-19, 2007, along the East Rift Zone of Kilauea Volcano, Hawaii, was three-dimensionally reconstructed from radar interferograms acquired by the Advanced Land Observing Satellite (ALOS) phased-array type L-band synthetic aperture radar (SAR) (PALSAR) instrument. To retrieve the 3-D surface deformation, a method that combines multiple-aperture interferometry (MAI) and conventional interferometric SAR (InSAR) techniques was applied to one ascending and one descending ALOS PALSAR interferometric pair. The maximum displacements as a result of the intrusion and eruption are about 0.8, 2, and 0.7 m in the east, north, and up components, respectively. The radar-measured 3-D surface deformation agrees with GPS data from 24 sites on the volcano, and the root-mean-square errors in the east, north, and up components of the displacement are 1.6, 3.6, and 2.1 cm, respectively. Since a horizontal deformation of more than 1 m was dominantly in the north-northwest-south-southeast direction, a significant improvement of the north-south component measurement was achieved by the inclusion of MAI measurements that can reach a standard deviation of 3.6 cm. A 3-D deformation reconstruction through the combination of conventional InSAR and MAI will allow for better modeling, and hence, a more comprehensive understanding, of the source geometry associated with volcanic, seismic, and other processes that are manifested by surface deformation.

  2. Evaluation of an Automated Analysis Tool for Prostate Cancer Prediction Using Multiparametric Magnetic Resonance Imaging

    PubMed Central

    Roethke, Matthias C.; Kuru, Timur H.; Mueller-Wolf, Maya B.; Agterhuis, Erik; Edler, Christopher; Hohenfellner, Markus; Schlemmer, Heinz-Peter; Hadaschik, Boris A.

    2016-01-01

    Objective To evaluate the diagnostic performance of an automated analysis tool for the assessment of prostate cancer based on multiparametric magnetic resonance imaging (mpMRI) of the prostate. Methods A fully automated analysis tool was used for a retrospective analysis of mpMRI sets (T2-weighted, T1-weighted dynamic contrast-enhanced, and diffusion-weighted sequences). The software provided a malignancy prediction value for each image pixel, defined as Malignancy Attention Index (MAI) that can be depicted as a colour map overlay on the original images. The malignancy maps were compared to histopathology derived from a combination of MRI-targeted and systematic transperineal MRI/TRUS-fusion biopsies. Results In total, mpMRI data of 45 patients were evaluated. With a sensitivity of 85.7% (with 95% CI of 65.4–95.0), a specificity of 87.5% (with 95% CI of 69.0–95.7) and a diagnostic accuracy of 86.7% (with 95% CI of 73.8–93.8) for detection of prostate cancer, the automated analysis results corresponded well with the reported diagnostic accuracies by human readers based on the PI-RADS system in the current literature. Conclusion The study revealed comparable diagnostic accuracies for the detection of prostate cancer of a user-independent MAI-based automated analysis tool and PI-RADS-scoring-based human reader analysis of mpMRI. Thus, the analysis tool could serve as a detection support system for less experienced readers. The results of the study also suggest the potential of MAI-based analysis for advanced lesion assessments, such as cancer extent and staging prediction. PMID:27454770

  3. Metal bioaccumulation in plant leaves from an industrious area and the botanical garden in Beijing.

    PubMed

    Liu, Yan-Ju; Ding, Hui; Zhu, Yong-guan

    2005-01-01

    The concentrations of Fe, Mn, Al, Zn, Pb, Ni, Cr, and As were measured in soils and leaves from 21 plant species growing on hills near the Beijing Steel Factory (BSF) and 17 plant species in the Beijing Botanical Garden (BBG). The results showed that soils from BSF were Zn contaminated according to the threshold of natural background of China. There was a metal contamination of the soils by Ni, and Cr in BSF comparing with those in BBG. The comparison between concentrations of metals in leaves from both sites indicated that, in general, accumulation of metals in the leaves of the same species was significantly different between the two sites. Even within the same locality each species accumulation of metals was significantly variable. The study aimed to screen landscape plants for the capacity to clean-up toxic metals in soils, and developed an overall metal accumulation index (MAI) for leaves and then categorized the MAI that can be applied broadly in the selection of species in polluted areas. To do this, the spectrum of MAI values were divided into four classes: strongly accumulated (SA or grade I), moderately accumulated (MA or grade II), intermediately accumulated (IA or grade III), and weakly accumulated (WA or grade IV). The results showed that elemental association between Fe, Al, Ni, and As was generally highly correlated with each other in the sampling sites. This may suggest their common biochemical characteristics. Generally, those species containing strong and moderate accumulation in both sites are considered including Vitex negundo, Broussonetia papyrifera, Ulmus pumila, and Rubia cordifolia. At BSF and other industrial sites with a similar ecosystem, strong and moderate accumulation species include Sophora japonica, Ampelopsis aconitifolia var. glabra, Platycladus orientalis, Wikstroemia chamaedaphne, Cleistogenes squarrosa, Grewia biloba, and in BBG, in addition Setaria viridis, Cotinus coggygria, Lespedeza floribunda, Rhamnus parvifolia, Lespedeza

  4. Analyzing the impact of climate and management factors on the productivity and soil carbon sequestration of poplar plantations.

    PubMed

    Wang, Dan; Fan, Jiazhi; Jing, Panpan; Cheng, Yong; Ruan, Honghua

    2016-01-01

    It is crucial to investigate how climate and management factors impact poplar plantation production and soil carbon sequestration interactively. We extracted above-ground net primary production (ANPP), climate and management factors from peer-reviewed journal articles and analyzed impact of management factor and climate on the mean annual increment (MAI) of poplar ANPP statistically. Previously validated mechanistic model (ED) is used to perform case simulations for managed poplar plantations under different harvesting rotations. The meta-analysis indicate that the dry matter MAI was 6.3 Mg ha(-1) yr(-1) (n=641, sd=4.9) globally, and 5.1 (n=292, sd=4.0), 8.1 (n=224, sd=4.7) and 4.4 Mg ha(-1) yr(-1) (n=125, sd=3.2) in Europe, the US and China, respectively. Poplar MAI showed a significant response to GDD, precipitation and planting density and formed a quadratic relationship with stand age. The low annual production for poplar globally was probably caused by suboptimal water availability, rotation length and planting density. SEM attributes the variance of poplar growth rate more to climate than to management effects. Case simulations indicated that longer rotation cycle significantly increased soil carbon storage. Findings of this work suggests that management factor of rotation cycle alone could have dramatic impact on the above ground growth, as well as on the soil carbon sequestration of poplar plantations and will be helpful to quantify the long-term carbon sequestration through short rotation plantation. The findings of this study are useful in guiding further research, policy and management decisions towards sustainable poplar plantations. PMID:26531329

  5. Isolation, characterization, and antibiotic resistance of Vibrio spp. in sea turtles from Northwestern Mexico

    PubMed Central

    Zavala-Norzagaray, Alan A.; Aguirre, A. Alonso; Velazquez-Roman, Jorge; Flores-Villaseñor, Héctor; León-Sicairos, Nidia; Ley-Quiñonez, C. P.; Hernández-Díaz, Lucio De Jesús; Canizalez-Roman, Adrian

    2015-01-01

    The aerobic oral and cloacal bacterial microbiota and their antimicrobial resistance were characterized for 64 apparently healthy sea turtles captured at their foraging grounds in Ojo de Liebre Lagoon (OLL), Baja California Sur (BCS), Mexico (Pacific Ocean) and the lagoon system of Navachiste (LSN) and Marine Area of Influence (MAI), Guasave, Sinaloa (Gulf of California). A total of 34 black turtles (Chelonia mydas agassizii) were sampled in OLL and eight black turtles and 22 olive ridley turtles (Lepidochelys olivacea) were sampled in LSN and MAI, respectively from January to December 2012. We isolated 13 different species of Gram-negative bacteria. The most frequently isolated bacteria were Vibrio alginolyticus in 39/64 (60%), V. parahaemolyticus in 17/64 (26%), and V. cholerae in 6/64 (9%). However, V. cholerae was isolated only from turtles captured from the Gulf of California (MAI). Among V. parahaemolyticus strains, six O serogroups and eight serovars were identified from which 5/17 (29.4%) belonged to the pathogenic strains (tdh+ gene) and 2/17 (11.7%) had the pandemic clone (tdh+ and toxRS/new+). Among V. cholerae strains, all were identified as non-O1/non-O139, and in 4/6 (66%) the accessory cholera enterotoxin gene (ace) was identified but without virulence gene zot, ctxA, and ctxB. Of the isolated V. parahaemolyticus, V. cholerae, and V. alginolyticus strains, 94.1, 33.4, and 100% demonstrated resistance to at least one commonly prescribed antibiotic (primarily to ampicillin), respectively. In conclusion, the presence of several potential (toxigenic) human pathogens in sea turtles may represent transmission of environmental microbes and a high-risk of food-borne disease. Therefore, based on the fact that it is illegal and unhealthy, we discourage the consumption of sea turtle meat or eggs in northwestern Mexico. PMID:26161078

  6. Isolation, characterization, and antibiotic resistance of Vibrio spp. in sea turtles from Northwestern Mexico.

    PubMed

    Zavala-Norzagaray, Alan A; Aguirre, A Alonso; Velazquez-Roman, Jorge; Flores-Villaseñor, Héctor; León-Sicairos, Nidia; Ley-Quiñonez, C P; Hernández-Díaz, Lucio De Jesús; Canizalez-Roman, Adrian

    2015-01-01

    The aerobic oral and cloacal bacterial microbiota and their antimicrobial resistance were characterized for 64 apparently healthy sea turtles captured at their foraging grounds in Ojo de Liebre Lagoon (OLL), Baja California Sur (BCS), Mexico (Pacific Ocean) and the lagoon system of Navachiste (LSN) and Marine Area of Influence (MAI), Guasave, Sinaloa (Gulf of California). A total of 34 black turtles (Chelonia mydas agassizii) were sampled in OLL and eight black turtles and 22 olive ridley turtles (Lepidochelys olivacea) were sampled in LSN and MAI, respectively from January to December 2012. We isolated 13 different species of Gram-negative bacteria. The most frequently isolated bacteria were Vibrio alginolyticus in 39/64 (60%), V. parahaemolyticus in 17/64 (26%), and V. cholerae in 6/64 (9%). However, V. cholerae was isolated only from turtles captured from the Gulf of California (MAI). Among V. parahaemolyticus strains, six O serogroups and eight serovars were identified from which 5/17 (29.4%) belonged to the pathogenic strains (tdh (+) gene) and 2/17 (11.7%) had the pandemic clone (tdh (+) and toxRS/new (+)). Among V. cholerae strains, all were identified as non-O1/non-O139, and in 4/6 (66%) the accessory cholera enterotoxin gene (ace) was identified but without virulence gene zot, ctxA, and ctxB. Of the isolated V. parahaemolyticus, V. cholerae, and V. alginolyticus strains, 94.1, 33.4, and 100% demonstrated resistance to at least one commonly prescribed antibiotic (primarily to ampicillin), respectively. In conclusion, the presence of several potential (toxigenic) human pathogens in sea turtles may represent transmission of environmental microbes and a high-risk of food-borne disease. Therefore, based on the fact that it is illegal and unhealthy, we discourage the consumption of sea turtle meat or eggs in northwestern Mexico. PMID:26161078

  7. Distribution of atmospheric mercury in northern Southeast Asia and South China Sea during Dongsha Experiment

    NASA Astrophysics Data System (ADS)

    Sheu, Guey-Rong; Lin, Neng-Huei; Lee, Chung-Te; Wang, Jia-Lin; Chuang, Ming-Tung; Wang, Sheng-Hsiang; Chi, Kai Hsine; Ou-Yang, Chang-Feng

    2013-10-01

    Northern South China Sea (SCS) is adjacent to major atmospheric mercury (Hg) emission source regions; however, studies concerning regional atmospheric Hg distribution and cycling are very limited. Accordingly, measurements of atmospheric Hg were conducted in March and April during the 2010 Dongsha Experiment to study its spatial and temporal distribution. Atmospheric Hg was measured at Hengchun and Dongsha Island (Taiwan), Da Nang (Vietnam), Chiang Mai (Thailand) and over the northern SCS. Atmospheric Hg concentrations ranged between 1.54 and 6.83 ng m-3, mostly higher than the Northern Hemisphere background value. Regional wind fields and backward trajectories indicated that the atmospheric Hg concentrations over northern SCS should principally reflect the export of the East Asian Hg emissions by northeast monsoon. However, significantly elevated Hg concentrations were always observed at Da Nang, possibly due to the influence of local Hg emissions. Chiang Mai is located in the intense biomass burning region in northern Thailand. Therefore, atmospheric Hg concentrations at Chiang Mai reflected the influence of regional biomass burning Hg emissions. Two dust storms were encountered at Dongsha Island, one on March 16 and the other on March 21, with atmospheric Hg enhancements. Compared with the 2008 summer values, elevated Hg levels were observed at Dongsha Island in the spring of 2010. Summer air masses were mainly from the deep SCS, representing relatively clean marine air. On the other hand, air masses were from the north in spring, passing eastern China or Taiwan prior to reaching Dongsha Island. Results of this research thus demonstrated the transport of atmospheric Hg from the East Asian continent to northern SCS by regional monsoon activity in spring, but special events, such as biomass burning and dust storms, can also cause enhancements of ambient Hg levels.

  8. The role of Mediterranean diet on the risk of pancreatic cancer

    PubMed Central

    Bosetti, C; Turati, F; Pont, A Dal; Ferraroni, M; Polesel, J; Negri, E; Serraino, D; Talamini, R; Vecchia, C La; Zeegers, M P

    2013-01-01

    Background: The Mediterranean diet has been shown to have a beneficial role on various neoplasms, but data are scanty on pancreatic cancer. Methods: We analysed data from two case–control studies conducted in Italy between 1983 and 2008, including 362 and 326 pancreatic cancer cases and 1552 and 652 hospital-controls, respectively. A Mediterranean Diet Score (MDS) summarising major characteristics of the Mediterranean diet was used in the two studies separately and overall. Two further scores of adherence to the Mediterranean diet were applied in the second study only, the Mediterranean Dietary Pattern Adherence Index (MDP) and the Mediterranean Adequacy Index (MAI). Results: Odds ratios (ORs) for increasing levels of the scores (i.e., increasing adherence) were estimated using multiple logistic regression models. Odds ratio for a MDS score ⩾6 compared with <3 was 0.57 (95% confidence interval (CI) 0.34–0.95) in the first study, 0.51 (95% CI 0.29–0.92) in the second study, and 0.48 (95% CI 0.35–0.67) overall. A trend of decreasing risk was observed also for the MDP and MAI the ORs for the highest vs the lowest quintile being 0.44 (95% CI 0.27–0.73) for MDP and 0.68 (95% CI 0.42–1.11) for the MAI. The results were consistent across strata of age, sex, education, body mass index, alcohol drinking, tobacco smoking, and diabetes. Conclusion: Our study provides evidence that a priori-defined scores measuring adherence to the Mediterranean diet are favourably associated with pancreatic cancer risk. PMID:23928660

  9. Fluoride: A naturally-occurring health hazard in drinking-water resources of Northern Thailand.

    PubMed

    Chuah, C Joon; Lye, Han Rui; Ziegler, Alan D; Wood, Spencer H; Kongpun, Chatpat; Rajchagool, Sunsanee

    2016-03-01

    In Northern Thailand, incidences of fluorosis resulting from the consumption of high-fluoride drinking-water have been documented. In this study, we mapped the high-fluoride endemic areas and described the relevant transport processes of fluoride in enriched waters in the provinces of Chiang Mai and Lamphun. Over one thousand surface and sub-surface water samples including a total of 995 collected from shallow (depth: ≤ 30 m) and deep (> 30 m) wells were analysed from two unconnected high-fluoride endemic areas. At the Chiang Mai site, 31% of the shallow wells contained hazardous levels (≥ 1.5 mg/L) of fluoride, compared with the 18% observed in the deep wells. However, at the Lamphun site, more deep wells (35%) contained water with at least 1.5mg/L fluoride compared with the shallow wells (7%). At the Chiang Mai site, the high-fluoride waters originate from a nearby geothermal field. Fluoride-rich geothermal waters are distributed across the area following natural hydrological pathways of surface and sub-surface water flow. At the Lamphun site, a well-defined, curvilinear high-fluoride anomalous zone, resembling that of the nearby conspicuous Mae Tha Fault, was identified. This similarity provides evidence of the existence of an unmapped, blind fault as well as its likely association to a geogenic source (biotite-granite) of fluoride related to the faulted zone. Excessive abstraction of ground water resources may also have affected the distribution and concentration of fluoride at both sites. The distribution of these high-fluoride waters is influenced by a myriad of complex natural and anthropogenic processes which thus created a challenge for the management of water resources for safe consumption in affected areas. The notion of clean and safe drinking water can be found in deeper aquifers is not necessarily true. Groundwater at any depth should always be tested before the construction of wells.

  10. Membrane-Anchored Cytochrome P450 1A2-Cytochrome b5 Complex Features an X-Shaped Contact between Antiparallel Transmembrane Helices.

    PubMed

    Jeřábek, Petr; Florián, Jan; Martínek, Václav

    2016-04-18

    Eukaryotic cytochromes P450 (P450) are membrane-bound enzymes oxidizing a broad spectrum of hydrophobic substrates, including xenobiotics. Protein-protein interactions play a critical role in this process. In particular, the formation of transient complexes of P450 with another protein of the endoplasmic reticulum membrane, cytochrome b5 (cyt b5), dictates catalytic activities of several P450s. To lay a structural foundation for the investigation of these effects, we constructed a model of the membrane-bound full-length human P450 1A2-cyt b5 complex. The model was assembled from several parts using a multiscale modeling approach covering all-atom and coarse-grained molecular dynamics (MD). For soluble P450 1A2-cyt b5 complexes, these simulations yielded three stable binding modes (sAI, sAII, and sB). The membrane-spanning transmembrane domains were reconstituted with the phospholipid bilayer using self-assembly MD. The predicted full-length membrane-bound complexes (mAI and mB) featured a spontaneously formed X-shaped contact between antiparallel transmembrane domains, whereas the mAII mode was found to be unstable in the membrane environment. The mutual position of soluble domains in binding mode mAI was analogous to the sAI complex. Featuring the largest contact area, the least structural flexibility, the shortest electron transfer distance, and the highest number of interprotein salt bridges, mode mAI is the best candidate for the catalytically relevant full-length complex. PMID:26918755

  11. Isolation, characterization, and antibiotic resistance of Vibrio spp. in sea turtles from Northwestern Mexico.

    PubMed

    Zavala-Norzagaray, Alan A; Aguirre, A Alonso; Velazquez-Roman, Jorge; Flores-Villaseñor, Héctor; León-Sicairos, Nidia; Ley-Quiñonez, C P; Hernández-Díaz, Lucio De Jesús; Canizalez-Roman, Adrian

    2015-01-01

    The aerobic oral and cloacal bacterial microbiota and their antimicrobial resistance were characterized for 64 apparently healthy sea turtles captured at their foraging grounds in Ojo de Liebre Lagoon (OLL), Baja California Sur (BCS), Mexico (Pacific Ocean) and the lagoon system of Navachiste (LSN) and Marine Area of Influence (MAI), Guasave, Sinaloa (Gulf of California). A total of 34 black turtles (Chelonia mydas agassizii) were sampled in OLL and eight black turtles and 22 olive ridley turtles (Lepidochelys olivacea) were sampled in LSN and MAI, respectively from January to December 2012. We isolated 13 different species of Gram-negative bacteria. The most frequently isolated bacteria were Vibrio alginolyticus in 39/64 (60%), V. parahaemolyticus in 17/64 (26%), and V. cholerae in 6/64 (9%). However, V. cholerae was isolated only from turtles captured from the Gulf of California (MAI). Among V. parahaemolyticus strains, six O serogroups and eight serovars were identified from which 5/17 (29.4%) belonged to the pathogenic strains (tdh (+) gene) and 2/17 (11.7%) had the pandemic clone (tdh (+) and toxRS/new (+)). Among V. cholerae strains, all were identified as non-O1/non-O139, and in 4/6 (66%) the accessory cholera enterotoxin gene (ace) was identified but without virulence gene zot, ctxA, and ctxB. Of the isolated V. parahaemolyticus, V. cholerae, and V. alginolyticus strains, 94.1, 33.4, and 100% demonstrated resistance to at least one commonly prescribed antibiotic (primarily to ampicillin), respectively. In conclusion, the presence of several potential (toxigenic) human pathogens in sea turtles may represent transmission of environmental microbes and a high-risk of food-borne disease. Therefore, based on the fact that it is illegal and unhealthy, we discourage the consumption of sea turtle meat or eggs in northwestern Mexico.

  12. Molecular basis for the high-affinity binding and stabilization of firefly luciferase by PTC124.

    PubMed

    Auld, Douglas S; Lovell, Scott; Thorne, Natasha; Lea, Wendy A; Maloney, David J; Shen, Min; Rai, Ganesha; Battaile, Kevin P; Thomas, Craig J; Simeonov, Anton; Hanzlik, Robert P; Inglese, James

    2010-03-16

    Firefly luciferase (FLuc), an ATP-dependent bioluminescent reporter enzyme, is broadly used in chemical biology and drug discovery assays. PTC124 (Ataluren; (3-[5-(2-fluorophenyl)-1,2,4-oxadiazol-3-yl]benzoic acid) discovered in an FLuc-based assay targeting nonsense codon suppression, is an unusually potent FLuc-inhibitor. Paradoxically, PTC124 and related analogs increase cellular FLuc activity levels by posttranslational stabilization. In this study, we show that FLuc inhibition and stabilization is the result of an inhibitory product formed during the FLuc-catalyzed reaction between its natural substrate, ATP, and PTC124. A 2.0 A cocrystal structure revealed the inhibitor to be the acyl-AMP mixed-anhydride adduct PTC124-AMP, which was subsequently synthesized and shown to be a high-affinity multisubstrate adduct inhibitor (MAI; K(D) = 120 pM) of FLuc. Biochemical assays, liquid chromatography/mass spectrometry, and near-attack conformer modeling demonstrate that formation of this novel MAI is absolutely dependent upon the precise positioning and reactivity of a key meta-carboxylate of PTC124 within the FLuc active site. We also demonstrate that the inhibitory activity of PTC124-AMP is relieved by free coenzyme A, a component present at high concentrations in luciferase detection reagents used for cell-based assays. This explains why PTC124 can appear to increase, instead of inhibit, FLuc activity in cell-based reporter gene assays. To our knowledge, this is an unusual example in which the "off-target" effect of a small molecule is mediated by an MAI mechanism.

  13. Pedestrian injury risk and the effect of age.

    PubMed

    Niebuhr, Tobias; Junge, Mirko; Rosén, Erik

    2016-01-01

    Older adults and pedestrians both represent especially vulnerable groups in traffic. In the literature, hazards are usually described by the corresponding injury risks of a collision. This paper investigates the MAIS3+F risk (the risk of sustaining at least one injury of AIS 3 severity or higher, or fatal injury) for pedestrians in full-frontal pedestrian-to-passenger car collisions. Using some assumptions, a model-based approach to injury risk, allowing for the specification of individual injury risk parameters for individuals, is presented. To balance model accuracy and sample size, the GIDAS (German In-depth Accident Study) data set is divided into three age groups; children (0-14); adults (15-60); and older adults (older than 60). For each group, individual risk curves are computed. Afterwards, the curves are re-aggregated to the overall risk function. The derived model addresses the influence of age on the outcome of pedestrian-to-car accidents. The results show that older people compared with younger people have a higher MAIS3+F injury risk at all collision speeds. The injury risk for children behaves surprisingly. Compared to other age groups, their MAIS3+F injury risk is lower at lower collision speeds, but substantially higher once a threshold has been exceeded. The resulting injury risk curve obtained by re-aggregation looks surprisingly similar to the frequently used logistic regression function computed for the overall injury risk. However, for homogenous subgroups - such as the three age groups - logistic regression describes the typical risk behavior less accurately than the introduced model-based approach. Since the effect of demographic change on traffic safety is greater nowadays, there is a need to incorporate age into established models. Thus far, this is one of the first studies incorporating traffic participant age to an explicit risk function. The presented approach can be especially useful for the modeling and prediction of risks, and for the

  14. Impact of abiotic factor changes in blowfly, Achoetandrus rufifacies (Diptera: Calliphoridae), in northern Thailand.

    PubMed

    Klong-Klaew, Tunwadee; Sukontason, Kom; Ngoen-klan, Ratchadawan; Moophayak, Kittikhun; Irvine, Kim N; Kurahashi, Hiromu; Prangkio, Chira; Sanit, Sangob; Sukontason, Kabkaew L

    2014-04-01

    Understanding how medically important flies respond to abiotic factor changes is necessary for predicting their population dynamics. In this study, we investigated the geographical distribution of the medically important blowfly, Achoetandrus rufifacies (Macquart) (Diptera: Calliphoridae), and ascertained the response to climatic and physio-environmental factors in Chiang Mai, northern Thailand. Adult fly surveys were carried out every 2 weeks from May 2009 to May 2010 at 18 systematically randomized study sites in three districts of Chiang Mai province (Mueang Chiang Mai, Mae Rim, and Hang Dong), using reconstructable funnel traps with 1-day tainted beef offal as bait. During the study period, 8,861 adult A. rufifacies were captured, with peak densities being observed at the end of winter (i.e., late February) and throughout most of the summer (May to March). Population density had a weak but significant (α = 0.05) positive correlation with temperature (r = 0.329) and light intensity (r = 0.231), and a weak but significant (α = 0.05) negative correlation with relative humidity (r = -0.236). From the six ecological land use types (disturbed mixed deciduous forest, mixed deciduous forest, mixed orchard, lowland village, city town, and paddy field), greater fly densities were observed generally in the disturbed mixed deciduous forest and lowland village, but not in the paddy fields. In conclusion, A. rufifacies are abundant from the end of winter and throughout most of the summer in northern Thailand, with population density being weakly positively correlated with temperature and light intensity, but weakly negatively correlated with relative humidity. The greatest densities of this fly species were collected in disturbed mixed deciduous forest and lowland village land uses. The prediction of annual and season specific distributions of A. rufifacies were provided in each season and all-year patterns using a co-kriging approach (ArcGIS9.2).

  15. Diverse HIV epidemics among people who inject drugs in Thailand: Evidence from respondent-driven sampling surveys in Bangkok and Chiang Mai☆

    PubMed Central

    Prybylski, Dimitri; Manopaiboon, Chomnad; Visavakum, Prin; Yongvanitjit, Kovit; Aramrattana, Apinun; Manomaipiboon, Parnrudee; Tanpradech, Suvimon; Suksripanich, Orapin; Pattanasin, Sarika; Wolfe, Mitchell; Whitehead, Sara J.

    2016-01-01

    Background Thailand’s long-standing HIV sero-sentinel surveillance system for people who inject drugs (PWID) is confined to those in methadone-based drug treatment clinics and representative data are scarce, especially outside of Bangkok. Methods We conducted probability-based respondent-driven sampling (RDS) surveys in Bangkok (n = 738) and Chiang Mai (n = 309) to increase understanding of local HIV epidemics and to better inform the planning of evidence-based interventions. Results PWID had different epidemiological profiles in these two cities. Overall HIV prevalence was higher in Bangkok (23.6% vs. 10.9%, p < 0.001) but PWID in Bangkok are older and appear to have long-standing HIV infections. In Chiang Mai, HIV infections appear to be more recently acquired and PWID were younger and had higher levels of recent injecting and sexual risk behaviors with lower levels of intervention exposure. Methamphetamine was the predominant drug injected in both sites and polydrug use was common although levels and patterns of the specific drugs injected varied significantly between the sites. In multivariate analysis, recent midazolam injection was significantly associated with HIV infection in Chiang Mai (adjusted odds ratio = 8.1; 95% confidence interval: 1.2–54.5) whereas in Bangkok HIV status was not associated with recent risk behaviors as infections had likely been acquired in the past. Conclusion PWID epidemics in Thailand are heterogeneous and driven by local factors. There is a need to customize intervention strategies for PWID in different settings and to integrate population-based survey methods such as RDS into routine surveillance to monitor the national response. PMID:25640153

  16. [Cutaneous malignant melanoma: a retrospective study of seven years (2006-2012)].

    PubMed

    Moreira, Jorge; Moreira, Elisabete; Azevedo, Filomena; Mota, Alberto

    2014-01-01

    Introdução: O melanoma maligno é a neoplasia cutânea mais agressiva, e a sua incidência tem vindo a aumentar nas últimas décadas. A possibilidade de cura depende de um diagnóstico atempado, sendo fundamental o conhecimento da sua epidemiologia para a implementação de programas de prevenção primária e deteção precoce do melanoma. Material e Métodos: Foi efetuada revisão dos processos clínicos dos doentes com melanoma maligno cutâneo primário, diagnosticados entre janeiro de 2006 e dezembro de 2012, no Centro Hospitalar de São João, Porto. Resultados: Analisaram-se os 148 casos de melanoma diagnosticados neste período, tendo-se observado um predomínio do sexo feminino (razão F:M - 1,6:1). A média etária na altura do diagnóstico foi de 61 anos. As localizações mais frequentemente envolvidas foram os membros inferiores e o tronco. No sexo masculino o dorso foi o local mais afetado, enquanto no sexo feminino as lesões ocorreram, preferencialmente, nas pernas. O melanoma de extensão superficial foi o subtipo predominante em quase todas as faixas etárias. Verificou-se um predomínio dos melanomas finos e o índice mitótico foi intermédio (1-6 mitoses/ mm2) na maioria dos doentes. A ulceração esteve presente em 22,3% dos casos e predominou nos melanomas espessos e no subtipo nodular. A maioria dos doentes encontrava-se no estádio IA. A progressão para doença metastática ocorreu em 20 doentes. Discussão: O perfil do doente com melanoma cutâneo, no Centro Hospitalar de São João, apresenta características relativamente semelhantes às descritas na literatura. Conclusão: O predomínio dos melanomas finos, considerados de melhor prognóstico, é provavelmente, o resultado de um diagnóstico cada vez mais precoce.

  17. Four new records of fish species (Cypriniformes: Nemacheilidae, Balitoridae; Characiformes: Prochilodontidae) and corrections of two misidentified fish species (Tetraodontiformes: Tetraodontidae; Beloniformes: Belonidae) in Yunnan, China

    PubMed Central

    Endruweit, Marco

    2014-01-01

    In this study, six fish species of five families are reported for the first time from Yunnan Province, China. The nemacheilid Schistura amplizona Kottelat, 2000 is reported from the Luosuojiang River and Nanlahe River subbasins, Mekong basin; the prochilodontid Prochilodus lineatus (Valenciennes, 1837), the balitorid Vanmanenia serrilineata Kottelat, 2000, and the tetraodontid Monotrete turgidus Kottelat, 2000, from Nanlahe River subbasin, Mekong basin; the balitorid Beaufortia daon (Mai, 1978), and the belonid Xenentodon canciloides (Bleeker, 1854), both, from Black River subbasin, Red River basin. The freshwater puffer M. turgidus and the needlefish X. canciloides have been previously misidentified as Tetraodon leiurus (Bleeker, 1950) and Tylosurus strongylurus (van Hasselt, 1823), respectively. PMID:24470454

  18. Les effets bénéfiques de l'accompagnement du patient cancéreux: particularités du Maroc

    PubMed Central

    Lkhoyaali, Sihame; Aitelhaj, Meryem; Errihani, Hassan

    2014-01-01

    Au Maroc la majorité des patients âgés cancéreux sont pris en charge par leurs proches l'accompagnement des patients est à l'origine de conséquences émotionnelles psychiques et financières négatives mais en contrepartie il est à l'origine de plusieurs effets bénéfiques à savoir un resserrement des liens familiaux, une surestime du soi et il est la source d'un bien-être affectif et spirituel qui permet de faire face à la maladie. PMID:25722766

  19. Raízes pós-mitológicas da Astronomia Clássica

    NASA Astrophysics Data System (ADS)

    di Bartolo, L.; Villas da Rocha, J. F.

    2004-02-01

    Apresentamos como a invenção de um modelo astronômico e cosmológico fundado em causas naturais foi um processo gestado num ambiente cultural específico, o do advento do pensamento pós-mitológico, que tem como sua raiz mais funda a trajetória particular da Grécia Antiga, com ênfase na resolução de uma grave crise social e a evolução do mundo clássico para o contexto espiritual de um império universal.

  20. Residual injuries after recent safety improvements.

    PubMed

    Augenstein, J; Perdeck, E; Digges, K; Bahouth, G

    2006-01-01

    This study examines the residual injuries reported in NASS/CDS 1997-2004 by crash mode, crash severity, body region and occupant age. It examines how serious injuries are distributed in present day crashes and identifies opportunities for further injury reduction. In planar crashes, approximately 66% of the MAIS 3+ injuries occur in crashes less severe than 25 mph delta-V. Chest injuries predominate in these crashes, particularly among elderly occupants. A reduction in chest injuries to belted elderly occupants during low severity frontal crashes offers a prime opportunity for further improvement of safety systems. Younger occupants could also benefit from improved chest protection. PMID:16968647

  1. Extending interferometric synthetic aperture radar measurements from one to two dimensions

    NASA Astrophysics Data System (ADS)

    Bechor, Noah

    Interferometric synthetic aperture radar (InSAR), a very effective technique for measuring crustal deformation, provides measurements in only one dimension, along the radar line of sight. Imaging radar measurements from satellite-based systems are sensitive to both vertical and across-track displacements, but insensitive to along-track displacement. Multiple observations can resolve the first two components, but the along-track component remains elusive. The best existing method to obtain the along-track displacement involves pixel-level azimuth cross-correlation. The measurements are quite coarse (typically 15 cm precision), and they require large computation times. In contrast, across-track and vertical InSAR measurements can reach centimeter-level precision and are readily derived. We present a new method to extract along-track displacements from InSAR data. The new method, multiple aperture InSAR (MAI), is based on split-beam processing of InSAR data to create forward- and backward-looking interferograms. The phase difference between the two modified interferograms provides the along-track displacement component. Thus, from each conventional InSAR pair we extract two components of the displacement vector: one along the line of sight, the other in the along-track direction. Multiple MAI observations, either at two look angles or from the ascending and descending radar passes, then yield the three-dimensional displacement field. We analyze precision of our method by comparing our solution to GPS and offset-derived along-track displacements from interferograms of the M7.1 1999, Hector Mine earthquake. The RMS error between GPS displacements and our results ranges from 5 to 8.8cm. Our method is consistent with along-track displacements derived by pixel-offsets, themselves limited to 12-15cm precision. The theoretical MAI precision depends on SNR and coherence. For SNR=100 the expected precision is 3, 11cm for coherence of 0.8, 0.4, respectively. Finally, we

  2. Spinal segmental stabilisation exercises for chronic low back pain: programme adherence and its influence on clinical outcome.

    PubMed

    Mannion, Anne F; Helbling, Daniel; Pulkovski, Natascha; Sprott, Haiko

    2009-12-01

    Exercise rehabilitation is one of the few evidence-based treatments for chronic non-specific low back pain (cLBP), but individual success is notoriously variable and may depend on the patient's adherence to the prescribed exercise regime. This prospective study examined factors associated with adherence and the relationship between adherence and outcome after a programme of physiotherapeutic spine stabilisation exercises. A total of 32/37 patients with cLBP completed the study (mean age, 44.0 (SD = 12.3) years; 11/32 (34%) male). Adherence to the 9-week programme was documented as: percent attendance at therapy, percent adherence to daily home exercises (patient diary) and percent commitment to rehabilitation (Sports Injury Rehabilitation Adherence Scale (SIRAS)). The average of these three measures formed a multidimensional adherence index (MAI). Psychological disturbance, fear-avoidance beliefs, catastrophising, exercise self-efficacy and health locus of control were measured by questionnaire; disability in everyday activities was scored with the Roland-Morris disability scale and back pain intensity with a 0-10 graphic rating scale. Overall, adherence to therapy was very good (average MAI score, 85%; median (IQR), 89 (15)%). The only psychological/beliefs variable showing a unique significant association with MAI was exercise self-efficacy (Rho = 0.36, P = 0.045). Pain intensity and self-rated disability decreased significantly after therapy (each P < 0.01). Adherence to home exercises showed a moderate, positive correlation with the reduction in average pain (Rho = 0.54, P = 0.003) and disability (Rho = 0.38, P = 0.036); higher MAI scores were associated with greater reductions in average pain (Rho = 0.48, P = 0.008) and a (n.s.) tendency for greater reductions in disability (Rho = 0.32, P = 0.07) Neither attendance at therapy nor SIRAS were significantly related to any of the outcomes. The benefits of rehabilitation depended to a large extent on the patient

  3. Décohésion d'interfaces dans des couches de NiO sur du nickel industriel de pureté variable

    NASA Astrophysics Data System (ADS)

    Chirat, B.; Haut, C.; Huntz, A. M.; Andrieux, M.; Feltz, B.

    2003-03-01

    L'oxydation sous air de deux nickel de pureté industrielle mais de provenance différente a été étudiée, principalement à 800^{circ}C. Outre la cinétique d'oxydation et la morphologie des couches de NiO, l'étude a été focalisée sur les caractéristiques mécaniques des couches de NiO. Celles-ci ont été caractérisées à la température ambiante, essentiellement par flexion trois points sous MEB. Si la cinétique d'oxydation des deux métaux industriels est voisine et associée à des morphologies de couches assez complexes mais similaires, il n'en est pas de même pour la majorité des caractéristiques mécaniques. Ainsi, même en prenant en compte l'évolution des caractéristiques mécaniques du nickel avec le temps de traitement, on observe des différences dans les valeurs de KIC des couches de NiO selon la nature du substrat et l'épaisseur de la couche d'oxyde, c'est-à-dire avec la durée de l'oxydation. Enfin et surtout, le comportement vis-à-vis de la décohésion est très différent : il est pratiquement impossible d'écailler les couches de NiO formées sur l'un des nickel, tandis que la décohésion est obtenue avec une relative facilité dans le cas de l'autre nickel. Mais, cette décohésion n'a pas lieu à l'interface métal-oxyde, mais à l'interface oxyde-oxyde, en raison de la formation de deux couches de NiO, l'une interne, l'autre externe.

  4. Uncooled microbolometer sensors for unattended applications

    NASA Astrophysics Data System (ADS)

    Kohin, Margaret; Miller, James E.; Leary, Arthur R.; Backer, Brian S.; Swift, William; Aston, Peter

    2003-09-01

    BAE SYSTEMS has been developing and producing uncooled microbolometer sensors since 1995. Recently, uncooled sensors have been used on Pointer Unattended Aerial Vehicles and considered for several unattended sensor applications including DARPA Micro-Internetted Unattended Ground Sensors (MIUGS), Army Modular Acoustic Imaging Sensors (MAIS), and Redeployable Unattended Ground Sensors (R-UGS). This paper describes recent breakthrough uncooled sensor performance at BAE SYSTEMS and how this improved performance has been applied to a new Standard Camera Core (SCC) that is ideal for these unattended applications. Video imagery from a BAE SYSTEMS 640x480 imaging camera flown in a Pointer UAV is provided. Recent performance results are also provided.

  5. Heterodyne detection using spectral line pairing for spectral phase encoding optical code division multiple access and dynamic dispersion compensation.

    PubMed

    Yang, Yi; Foster, Mark; Khurgin, Jacob B; Cooper, A Brinton

    2012-07-30

    A novel coherent optical code-division multiple access (OCDMA) scheme is proposed that uses spectral line pairing to generate signals suitable for heterodyne decoding. Both signal and local reference are transmitted via a single optical fiber and a simple balanced receiver performs sourceless heterodyne detection, canceling speckle noise and multiple-access interference (MAI). To validate the idea, a 16 user fully loaded phase encoded system is simulated. Effects of fiber dispersion on system performance are studied as well. Both second and third order dispersion management is achieved by using a spectral phase encoder to adjust phase shifts of spectral components at the optical network unit (ONU).

  6. La Tribiblos astronomique de Theodore Méliténiote (Vat.gr. 792).

    NASA Astrophysics Data System (ADS)

    Leurquin, R.

    Résumer le contenu d'un ouvrage aussi vaste que la Tribiblos astronomique serait une entreprise bien hasardeuse. Aussi a-t-il semblé plus opportun à l'auteur de reproduire les sommaires établis par Méliténiote au début de chacun des trois livres, en les commentant, quand ils n'étaient pas suffisamment explicites; il a également épinglé quelques passages moins techniques mais plus significatifs de la personnalité de l'auteur.

  7. [Psychiatric comorbidities associated with headaches: the experience of the liaison consultation].

    PubMed

    Martins, Vera; Temótio, José; Murta, Ilda

    2015-01-01

    Introdução: A comorbilidade entre cefaleias e perturbações psiquiátricas é frequente, podendo ser explicada quer ao nível de modelos uni ou bidirecionais, quer ao nível da partilha de factores de risco genéticos e ambientais, comuns ao desenvolvimento de ambas as condições clínicas. A presença desta comorbilidade tem implicações importantes, agravando o quadro clínico, aumentando o risco de cronicidade, elevando a intensidade da dor e a taxa de insucesso terapêutico. Material e Métodos: Os autores realizaram um estudo descritivo, retrospectivo, de prevalência, envolvendo 250 doentes observados na consulta de ligação de Psiquiatria-Cefaleias, durante um período de 3 anos, entre 1 de Julho de 2011 e 1 de Julho de 2013, no qual se procedeu à análise dos processos clínicos, relativamente aos dados sociodemográficos e clínicos, diagnóstico psiquiátrico, neurológico e terapêutica prescrita. Resultados e Discussão: Foram efectuadas 689 consultas de ligação Psiquiatria-Cefaleias, verificando-se maior prevalência de doentes do sexo feminino (84%), com média de idades de 47 anos. As cefaleias tipo tensão (60,8%), a enxaqueca (24,8%) e as cefaleias atribuídas a perturbações psiquiátricas (7,2%), foram os tipos mais prevalentes, enquanto as perturbações de humor (62%) e as perturbações neuróticas relacionadas com o stress (39,2%) foram os diagnósticos psiquiátricos mais frequentes na consulta. A intervenção terapêutica nestes casos privilegiou a intervenção multidisciplinar do médico Neurologista e do Psiquiatra, baseando-se na psicoeducação, abordagem cognitivo-comportamental e tratamento psicofarmacológico. Conclusão: Dada a complexidade dos quadros clínicos nos casos de comorbilidade, a experiência da consulta de psiquiatria de ligação e da intervenção multidisciplinar revelou-se uma mais valia no tratamento destes doentes, configurando-se como o cenário mais adequado para o tratamento destas patologias.

  8. Transcendental Meditation

    SciTech Connect

    2005-11-29

    K.Wallace, qui vient des Etats Unis, parle des effects physiologiques de la méditation transcendantale. Il a fait son bachelor en physique à l'Université de Los Angeles et son doctorat en physiologie aussi à Los Angeles, mais à l'Institut de Recherche sur le cerveau. Il travaille maintenat à Harvard Medical School ou il continue des recherches biochimiques et physiologiques sur l'application médicale de la méditation transcendantale. Il s'occupe principalement des maladies cardiaques et de hypertension artérielle.

  9. La gangrène ischémique de la verge chez un patient diabétique: à propos d'un cas

    PubMed Central

    El Moutawakkil, Tarik; Elmortaji, Khalid; Arsalane, Amine; Ellahik, Driss; Aboutaieb, Rachid; Rabii, Redouane; Meziane, Fethi

    2015-01-01

    La gangrène de la verge est une pathologie rare mais grave. Les étiologies sont diverses avec essentiellement le diabète. Nous rapportons le cas d'un patient de 58 ans, diabétique et tabagique chronique ayant présenté une nécrose de la verge et avait bénéficié d'une amputation totale après deux interventions chirurgicale. L’évolution a été marquée par l'installation d'un sepsis et décès du patient. PMID:26491517

  10. Transcendental Meditation

    ScienceCinema

    None

    2016-07-12

    K.Wallace, qui vient des Etats Unis, parle des effects physiologiques de la méditation transcendantale. Il a fait son bachelor en physique à l'Université de Los Angeles et son doctorat en physiologie aussi à Los Angeles, mais à l'Institut de Recherche sur le cerveau. Il travaille maintenat à Harvard Medical School ou il continue des recherches biochimiques et physiologiques sur l'application médicale de la méditation transcendantale. Il s'occupe principalement des maladies cardiaques et de hypertension artérielle.

  11. Le gingembre contre la nausée et les vomissements de la grossesse

    PubMed Central

    Lindblad, Adrienne J.; Koppula, Sudha

    2016-01-01

    Question clinique Le gingembre peut-il traiter la nausée et les vomissements de la grossesse? Résultats Durant le premier trimestre, le gingembre soulagerait la nausée et les vomissements de quelque 4 points sur une échelle de 40 points, ou éliminerait les vomissements chez 1 femme sur 3 au jour 6. L’étude la plus vaste ne laisse croire à aucune hausse des malformations congénitales ou de la mortinatalité, mais les études de moins grande envergure laissent croire le contraire.

  12. [Relational and reproductive trajectories leading to adolescent pregnancy in Portugal: a national and regional characterization].

    PubMed

    Pires, Raquel; Pereira, Joana; Pedrosa, Anabela Araújo; Bombas, Teresa; Vilar, Duarte; Vicente, Lisa; Canavarro, Maria Cristina

    2014-01-01

    Introdução: Este estudo pretendeu caracterizar as trajetórias relacionais e reprodutivas conducentes à gravidez na adolescência em Portugal, explorando a existência de especificidades regionais.Material e Métodos: O estudo decorreu entre 2008 e 2013 em 42 serviços de saúde públicos. A amostra, nacionalmente representativa, incluiu 459 grávidas com idades entre os 12 e os 19 anos. Os dados foram obtidos por autorrelato, através de uma ficha de caracterização construída para o efeito.Resultados: Independentemente de terem tido um (59,91%) ou múltiplos parceiros sexuais (40,09%), as adolescentes engravidaram de forma mais frequente numa relação de namoro, utilizando contraceção à data da conceção e tendo identificado a falha contracetiva que esteve na origem da gravidez (39,22%). A nível regional, outras trajetórias surgiram com elevada prevalência, refletindo opções como a decisão de engravidar (Alentejo/Açores), a não utilização de contraceção (Centro/Madeira) ou a sua utilização ineficaz sem que a falha contracetiva fosse identificada (Madeira). As relações de namoro revelaram-se maioritariamente duradouras (> 19 meses), com homens mais velhos (> 4 anos) e fora do sistema de ensino (75,16%); estes resultados foram particularmente expressivos quando a gravidez foi planeada.Discussão: O conhecimento gerado por este estudo reflete a necessidade de investir em abordagens preventivas que atendam às necessidades específicas das jovens de cada região e integrem a população masculina de maior risco.Conclusão: Os nossos resultados podem contribuir para o delineamento de políticas de saúde mais eficazes e para uma atuação multidisciplinar mais informada ao nível da educação sexual e do planeamento familiar nas diferentes regiões do país.

  13. Nebulosas planetárias galácticas: idades e cinemática

    NASA Astrophysics Data System (ADS)

    Lago, L. G.; Maciel, W. J.

    2003-08-01

    As nebulosas planetárias são formadas a partir de estrelas com massas entre 0.8 e 8 massas solares na sequência principal, formando um conjunto de objetos com idades e populações diferentes. Esse fato torna as nebulosas interessantes ao estudo da rotação galáctica, uma vez que as populações mais jovens devem estar claramente associadas ao disco fino da Galáxia, enquanto que as populações mais velhas estariam associadas ao disco espesso ou mesmo ao halo galáctico. Neste trabalho, utilizamos uma grande amostra de nebulosas com velocidades radiais conhecidas para determinar a curva de rotação da Galáxia. Para minimizar os erros decorrentes das incertezas nas distâncias, usamos quatro diferentes escalas estatísticas. Para a atribuição da idade dos objetos, utilizamos o método proposto recentemente por Maciel et al. (Astron. Astrophys. 397, 667, 2003), em um estudo da variação temporal dos gradientes de abundâncias. Com esse método, é possível obter uma classificação das nebulosas por grupos de idade, totalmente independente de outros sistemas de classificação, uma vez que as idades são estimadas individualmente, a partir das metalicidades das nebulosas. Nossos resultados são comparados com as previsões dos tipos de Peimbert, e mostram que os desvios médios das curvas obtidas são sensivelmente menores nos casos dos objetos mais jovens, associados ao disco fino, com relação aos objetos mais velhos do disco espesso, levando à determinação de uma curva de rotação semelhante à dos objetos de população I jovem. (CNPq)

  14. Analyse de la prise en charge du nouveau-né dans le cadre de la stratégie nationale de subvention des accouchements et des soins obstétricaux et néonatals d'urgence au Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle, Ouagadougou (Burkina Faso)

    PubMed Central

    Ouédraogo, Solange Odile Yugbaré; Yougbaré, Nestor; Kouéta, Fla; Dao; Ouédraogo, Moussa; Lougué, Claudine; Ludovic, Kam; Traoré, Ramata Ouédraogo; Yé, Diarra

    2015-01-01

    Introduction Il s'agit d'analyser la prise en charge du nouveau-né dans le cadre de la stratégie na-tionale de subvention des accouchements et des soins obstétricaux et néonatals d'urgence mis en place par le gouvernement du Burkina Faso en 2006. Méthodes Nous avons menée une étude à visée descriptive et analytique comportant un volet ré-trospectif du 01 janvier 2006 au 31 décembre 2010 portant sur les paramètres épidémiologiques, cliniques des nouveau-nés hospitalisés et un volet prospectif du 3 octobre 2011 au 29 février 2012 par une entrevue des accompagnateurs des nouveau-nés et des prestataires des services de santé. Résultats Les hospitalisations ont augmenté de 43,65% entre 2006 à 2010 Le taux de mortalité néo-natale hospitalière qui était de 11,04% a connu une réduction moyenne annuelle de 3,95%. L'entrevue a porté sur 110 accompagnateurs et 76 prestataires. La majorité des prestataires (97,44%) et des ac-compagnateurs (88,18%) étaient informés de la stratégie mais n'avait pas une connaissance exacte de sa définition. Les prestataires (94,74%) ont signalé des ruptures de médicaments, consommables médicaux et des pannes d’ appareils de laboratoire et d'imagerie. Parmi les accompagnateurs (89%) disaient être satisfaits des services offerts et (72,89%) trouvaient les coûts abordables mais évoquaient les difficultés du transport. Conclusion: La subvention a amélioré la prise en charge du nou-veau-né mais son optimisation nécessiterait une meilleur information et implication de tous les acteurs. Conclusion La subvention a amélioré la prise en charge du nouveau-né mais son optimisation nécessiterait une meilleur information et implication de tous les acteurs. PMID:26161166

  15. Hyperbaric Oxygen Therapy for the Treatment of Fournier's Gangrene: A Review of 34 Cases.

    PubMed

    Rosa, Isabel; Guerreiro, Francisco

    2015-01-01

    Introdução: A gangrena de Fournier é uma infecção necrotizante grave, que pode levar à morte se não for tratada rapidamente. O tratamento baseia-se na combinação do desbridamento cirúrgico, antibioterapia e terapêutica de suporte. A oxigenoterapia hiperbárica surge como adjuvante quer na optimização da oxigenação dos tecidos infetados, quer através da ação bactericida e bacteriostática. Material e Métodos: Foi feita uma revisão dos processos clínicos dos doentes com gangrena de Fournier referenciados ao Centro de Medicina Subaquática e Hiperbárica da Marinha para realizar oxigenoterapia hiperbárica num período de 25 anos. Resultados: Foram tratados 34 doentes. A maioria dos doentes era do género masculino (94,1%) com idade média de 53,7 anos. A diabetes foi a comorbilidade mais frequentemente associada. O foco de infeção mais frequente foi o trato urinário. A taxa de mortalidade foi de 20,8%. Discussão: A diabetes é a comorbilidade mais frequente, sugerindo a diabetes como factor predisponente. A maioria dos doentes falecidos tinham diabetes, todavia não se conseguiu estabelecer correlação entre diabetes e morte. A área de residência dos doentes parece limitar a referenciação ao centro. Conclusões: A gangrena de Fournier, apesar de rara, é uma doença potencialmente fatal, nomeadamente em doentes com comorbilidades como a diabetes. A oxigenoterapia hiperbárica está recomendada como adjuvante à terapêutica convencional e, quando este recurso está disponível, deve ser considerado. São necessários mais estudos para melhor aferir o papel da oxigenoterapia hiperbárica no tratamento desta entidade.

  16. Tumeur brune de la mandibule révélatrice d'une hyperparathyroïdie primaire: à propos d'un cas

    PubMed Central

    Aljalil, Abdelfattah; Bouaity, Brahim

    2014-01-01

    Les tumeurs brunes sont des manifestations osseuses classiques des hyperparathyroïdies (HPT). Elles surviennent habituellement lors des formes sévères accompagnées de signes de résorption osseuse périostée. La mandibule en constitue une localisation habituelle mais rarement révélatrice. Leur traitement repose essentiellement sur la paratharoïdectomie. Nous décrivons un cas de tumeur brune de la mandibule chez un patient de 46 ans; ainsi que son évolution favorable après para thyroïdectomie. PMID:25419327

  17. Identifying the Molecular Structures of Intermediates for Optimizing the Fabrication of High-Quality Perovskite Films.

    PubMed

    Cao, Jing; Jing, Xiaojing; Yan, Juanzhu; Hu, Chengyi; Chen, Ruihao; Yin, Jun; Li, Jing; Zheng, Nanfeng

    2016-08-10

    During the past two years, the introduction of DMSO has revolutionized the fabrication of high-quality pervoskite MAPbI3 (MA = CH3NH3) films for solar cell applications. In the developed DMSO process, the formation of (MA)2Pb3I8·2DMSO (shorted as Pb3I8) has well recognized as a critical factor to prepare high-quality pervoskite films and thus accomplish excellent performances in perovskite solar cells. However, Pb3I8 is an I-deficient intermediate and must further react with methylammonium iodide (MAI) to be fully converted into MAPbI3. By capturing and solving the molecular structures of several intermediates involved in the fabrication of perovskite films, we report in this work that the importance of DMSO is NOT due to the formation of Pb3I8. The use of different PbI2-DMSO ratios leads to two different structures of PbI2-DMSO precursors (PbI2·DMSO and PbI2·2DMSO), thus dramatically influencing the quality of fabricated perovskite films. However, such an influence can be minimized when the PbI2-DMSO precursor films are thermally treated to create mesoporous PbI2 films before reacting with MAI. Such a development makes the fabrication of high-quality pervoskite films highly reproducible without the need to precisely control the PbI2:DMSO ratio. Moreover, the formation of ionic compound (MA)4PbI6 is observed when excess MAI is used in the preparation of perovskite film. This I-rich phase heavily induces the hysteresis in PSCs, but is readily removed by isopropanol treatment. On the basis of all these findings, we develop a new effective protocol to fabricate high-performance PSCs. In the new protocol, high-quality perovskite films are prepared by simply treating the mesoporous PbI2 films (made from PbI2-DMSO precursors) with an isopropanol solution of MAI, followed by isopropanol washing. The best efficiency of fabricated MAPbI3 PSCs is up to 19.0%. As compared to the previously reported DMSO method, the devices fabricated by the method reported in this work

  18. A Comprehensive Overview of the Frequency and the Severity of Injuries Sustained by Car Occupants and Subsequent Implications in Terms of Injury Prevention

    PubMed Central

    Page, Yves; Cuny, Sophie; Hermitte, Thierry; Labrousse, Maxime

    2012-01-01

    The objective of the paper is to give an overview of the road injuries issues in France in the 2010’s by determining the frequency and the severity of injuries sustained by car occupants, and to infer the implications in terms of vehicule safety. Three types of analysis are conducted. First, we present a time series analysis at a macro statistical level showing a dramatic decrease of injured and fatally injured occupants in passenger cars compared to other modes of road transport. Secondly, we propose a descriptive statistical analysis of the injuries (frequency and severity) sustained by car occupants, by body regions, using the AIS. Finally we propose some insights into the effectiveness of some safety features. French National crash census (BAAC) is used for a general overview of injury frequencies and raw severity scores (fatal, hospitalized, slighty injured) in car crashes. In-depth crash investigations data are used to specify the body regions and the severity of the injuries sustained by car occupants. Data show that car occupants mortality and morbidity decreased more over the last decade than other road modes: −58 % fatalities and −64 % hospitalized (compared to −39% and −55% for pedestrians, and −21% and −44% for motorcyclists for example). In crashes for which at least one person has been injured, 19 % of occupants are uninjured, 49 % of occupants sustain MAIS 1 injuries, 15 % MAIS2, 8% MAIS 3, and 9 % MAIS 4+. Regardless of seat belt use, the body regions most often injured are head, upper and lower extremities and thorax. However, at least two third up to 92% of involved persons sustain no injury at each of these body regions. The frequency of severe injuries is low, often less than 10 % and concern head and thorax mainly. Finally, the frequency and severity of injuries decrease for belted occupants in newer cars compared to older cars, whatever body regions. The frequency of severe injuries decreased by almost 50 % in these newer cars

  19. [Mini-Mental State Examination: Screening and Diagnosis of Cognitive Decline, Using New Normative Data].

    PubMed

    Santana, Isabel; Duro, Diana; Lemos, Raquel; Costa, Vanessa; Pereira, Miguel; Simões, Mário R; Freitas, Sandra

    2016-04-01

    Introdução: O Mini-Mental State Examination é o teste de rastreio de défice cognitivo/demência mais difundido. No nosso país têm-se utilizado pontuações de corte definidas por grupos de literacia, mas existem novas propostas sustentadas por estudos mais representativos. Propomo-nos confirmar a influência da idade e da escolaridade no desempenho, avaliar a capacidade discriminativa dos novos dados normativos e testar a acuidade diagnóstica das pontuações de corte validadas para o défice cognitivo ligeiro e para as formas mais prevalentes de demência. Material e Métodos: O estudo incluiu 1 441 participantes escolarizados, divididos em sete subgrupos: Défice cognitivo ligeiro, doença de Alzheimer, demência fronto-temporal, demência vascular, demência com corpos de Lewy, controlo-comunidade e controlo-clínica- memória. Resultados: Em conjunto, idade e escolaridade explicam 10,4% da variância dos resultados no Mini-Mental State Examination, com ambas contribuindo significativamente para a predição dos resultados. A acuidade diagnóstica com base nos dados normativos mais recentes foi sempre superior à conseguida com as pontuações de corte de validação, revelando uma especificidade excelente (superior a 90%) e uma sensibilidade também excelente para a doença de Alzheimer ligeira (91%), boa para demência com corpos de Lewy (78%), baixa para o défice cognitivo ligeiro (65%) e demência fronto-temporal e demência vascular (55%). Discussão e Conclusões: O desempenho no Mini-Mental State Examination é influenciado pela idade e pela escolaridade, apoiando a utilização de dados normativos que considerem estas variáveis. Com esta abordagem, o Mini-Mental State Examination poderá ser um instrumento sensível e específico para o rastreio da doença de Alzheimer em todos os níveis de cuidados de saúde, mas a acuidade de diagnóstico é limitada noutras situações frequentes em consultas especializadas, como o défice cognitivo ligeiro

  20. Die Herz-Lungen-Maschine

    NASA Astrophysics Data System (ADS)

    Krane, Markus; Bauernschmitt, Robert; Lange, Rüdiger

    Das Kapitel der modernen Herzchirurgie mit Einsatz der Herz-Lungen-Maschine am Menschen beginnt am 6. Mai 1953, als J. Gibbon bei einer 18-jährigen Patientin einen angeborenen Defekt in der Vorhofscheidewand verschließt [1]. Mit ersten experimentellen Versuchen zur extrakorporalen Zirkulation begann Gibbon bereits in den 30er Jahren des 20. Jahrhunderts. Die Grundlage für die heute gebräuchliche Rollerpumpe schufen Porter und Bradley mit ihrer "rotary pump“, welche sie 1855 zum Patent anmeldeten. Diese Pumpe wurde von DeBakey und Schmidt modifiziert und entspricht im Wesentlichen noch der heute sich im Routinebetrieb befindlichen Rollerpumpe [2].

  1. Megastigmane glucosides and an unusual monoterpene from the leaves of Cananga odorata var. odorata, and absolute structures of megastigmane glucosides isolated from C. odorata var. odorata and Breynia officinalis.

    PubMed

    Matsunami, Katsuyoshi; Nagashima, Jiro; Sugimoto, Sachiko; Otsuka, Hideaki; Takeda, Yoshio; Lhieochaiphant, Duangporn; Lhieochaiphant, Sorasak

    2010-10-01

    From a 1-BuOH-soluble fraction of a MeOH extract of Cananga odorata var. odorata, collected at the Botanical Garden of Chiang Mai University, a new megastigmane glucoside, named canangaionoside, and an irregular monoterpene were isolated. A known compound, breyniaionoside A, which has been obtained from the leaves of Breynia officinalis, was also isolated, and its absolute structure was substantiated for the first time in this study. On this occasion, the absolute stereochemistries of structurally related megastigmane glucosides, breyniaionosides B and C, isolated from B. officinalis were examined. PMID:20571926

  2. Dystrophie maculaire de Stargardt - à propos d'un cas

    PubMed Central

    El Ouafi, Aziz; Elmellaoui, Med; Lakataoui, Abdelkader

    2014-01-01

    La maladie de Stardardt est une dystrophie maculaire héréditaire rare d'apparition précoce caractérisée par une perte progressive de la vision centrale, mais avec une vision périphérique intacte, une légère perte de la vision des couleurs, une adaptation à l'obscurité retardée, et une atrophie maculaire avec ou sans taches paramaculaires et une dégénérescence de l’épithélium pigmentaire de la rétine. PMID:25422697

  3. Fungal diversity on fallen leaves of Ficus in northern Thailand.

    PubMed

    Wang, Hong-Kai; Hyde, Kevin D; Soytong, Kasem; Lin, Fu-Cheng

    2008-10-01

    Fallen leaves of Ficus altissima, F. virens, F. benjamina, F. fistulosa and F. semicordata, were collected in Chiang Mai Province in northern Thailand and examined for fungi. Eighty taxa were identified, comprising 56 anamorphic taxa, 23 ascomycetes and 1 basidiomycete. Common fungal species occurring on five host species with high frequency of occurrence were Beltraniella nilgirica, Lasiodiplodia theobromae, Ophioceras leptosporum, Periconia byssoides and Septonema harknessi. Colletotrichum and Stachybotrys were also common genera. The leaves of different Ficus species supported diverse fungal taxa, and the fungal assemblages on the different hosts showed varying overlap. The fungal diversity of saprobes at the host species level is discussed. PMID:18837113

  4. Formation and evolution of the unexpected PbI2 phase at the interface during the growth of evaporated perovskite films.

    PubMed

    Xu, Haitao; Wu, Yanglin; Cui, Jian; Ni, Chaowei; Xu, Fuzong; Cai, Jiang; Hong, Feng; Fang, Zebo; Wang, Wenzhen; Zhu, Jiabin; Wang, Linjun; Xu, Run; Xu, Fei

    2016-07-21

    The interface chemistry and evolution of the evaporated perovskite films on ITO, pedot/ITO, Si and glass substrates are studied. As evidenced by X-ray diffraction and X-ray photoemission spectroscopy (XPS) results, the PbI2 phase is found to be inevitably formed at the very initial growth stage, even under the conditions of a MAI-rich environment. The extremely low binding energy of adsorbed MAI particles on all the above substrates, as compared to that of PbI2 particles, is responsible for the presence of the PbI2 phase at the interface. The formation of both hole and electron barriers at the interface of PbI2/MAPbI3, as evidenced by XPS measurements, could block carrier transport into the electrode and thus deteriorate solar cell performance. This result reveals the origin of the poor performance of perovskite solar cells (PSCs) by the vacuum evaporation method, and may help to improve the performance of PSCs made using the vacuum evaporation method.

  5. Auditory Cortical Maturation in a Child with Cochlear Implant: Analysis of Electrophysiological and Behavioral Measures.

    PubMed

    Silva, Liliane Aparecida Fagundes; Couto, Maria Inês Vieira; Tsuji, Robinson Koji; Bento, Ricardo Ferreira; de Carvalho, Ana Claudia Martinho; Matas, Carla Gentile

    2015-01-01

    The purpose of this study was to longitudinally assess the behavioral and electrophysiological hearing changes of a girl inserted in a CI program, who had bilateral profound sensorineural hearing loss and underwent surgery of cochlear implantation with electrode activation at 21 months of age. She was evaluated using the P1 component of Long Latency Auditory Evoked Potential (LLAEP); speech perception tests of the Glendonald Auditory Screening Procedure (GASP); Infant Toddler Meaningful Auditory Integration Scale (IT-MAIS); and Meaningful Use of Speech Scales (MUSS). The study was conducted prior to activation and after three, nine, and 18 months of cochlear implant activation. The results of the LLAEP were compared with data from a hearing child matched by gender and chronological age. The results of the LLAEP of the child with cochlear implant showed gradual decrease in latency of the P1 component after auditory stimulation (172 ms-134 ms). In the GASP, IT-MAIS, and MUSS, gradual development of listening skills and oral language was observed. The values of the LLAEP of the hearing child were expected for chronological age (132 ms-128 ms). The use of different clinical instruments allow a better understanding of the auditory habilitation and rehabilitation process via CI. PMID:26881163

  6. Emergency laparotomy in patients with AIDS.

    PubMed

    Davidson, T; Allen-Mersh, T G; Miles, A J; Gazzard, B; Wastell, C; Vipond, M; Stotter, A; Miller, R F; Fieldman, N R; Slack, W W

    1991-08-01

    The presentation, operative management and final diagnosis were reviewed in 28 patients with AIDS (27 men and one woman) who underwent emergency laparotomy. On clinical and radiological examination, six patients showed features of toxic megacolon, five patients had small bowel obstruction, six patients had localized peritonitis and three had perforated viscus with generalized peritonitis. The most common disease processes were acute colitis in seven patients (associated with cytomegalovirus (CMV) infection in six), intra-abdominal lymphoma in five patients, acute appendicitis in five patients (associated with CMV infection in two), and atypical mycobacterial (MAI) infection in four patients. Two perioperative deaths occurred; one in a patient with acute pancreatitis and a second with generalized peritonitis. Later deaths were due to progression of AIDS, and patient survival at 1 month, 3 months and 6 months was 89 per cent, 64 per cent and 48 per cent, respectively. Lower operative mortality than in previously reported series may be due to earlier intervention in CMV toxic megacolon. Surgery, however, conferred less benefit in patients with acute abdominal pain from MAI infection or lymphoma. With careful patient selection, emergency laparotomy may achieve worthwhile palliation in patients with AIDS. PMID:1655153

  7. Increased migration of olfactory ensheathing cells secreting the Nogo receptor ectodomain over inhibitory substrates and lesioned spinal cord.

    PubMed

    Reginensi, Diego; Carulla, Patricia; Nocentini, Sara; Seira, Oscar; Serra-Picamal, Xavier; Torres-Espín, Abel; Matamoros-Angles, Andreu; Gavín, Rosalina; Moreno-Flores, María Teresa; Wandosell, Francisco; Samitier, Josep; Trepat, Xavier; Navarro, Xavier; del Río, José Antonio

    2015-07-01

    Olfactory ensheathing cell (OEC) transplantation emerged some years ago as a promising therapeutic strategy to repair injured spinal cord. However, inhibitory molecules are present for long periods of time in lesioned spinal cord, inhibiting both OEC migration and axonal regrowth. Two families of these molecules, chondroitin sulphate proteoglycans (CSPG) and myelin-derived inhibitors (MAIs), are able to trigger inhibitory responses in lesioned axons. Mounting evidence suggests that OEC migration is inhibited by myelin. Here we demonstrate that OEC migration is largely inhibited by CSPGs and that inhibition can be overcome by the bacterial enzyme Chondroitinase ABC. In parallel, we have generated a stable OEC cell line overexpressing the Nogo receptor (NgR) ectodomain to reduce MAI-associated inhibition in vitro and in vivo. Results indicate that engineered cells migrate longer distances than unmodified OECs over myelin or oligodendrocyte-myelin glycoprotein (OMgp)-coated substrates. In addition, they also show improved migration in lesioned spinal cord. Our results provide new insights toward the improvement of the mechanisms of action and optimization of OEC-based cell therapy for spinal cord lesion.

  8. Betatron motion with coupling of horizontal and vertical degrees of freedom

    DOE PAGES

    Lebedev, V. A.; Bogacz, S. A.

    2010-10-21

    Presently, there are two most frequently used parameterezations of linear x-y coupled motion used in the accelerator physics. They are the Edwards-Teng and Mais-Ripken parameterizations. The article is devoted to an analysis of close relationship between the two representations, thus adding a clarity to their physical meaning. It also discusses the relationship between the eigen-vectors, the beta-functions, second order moments and the bilinear form representing the particle ellipsoid in the 4D phase space. Then, it consideres a further development of Mais-Ripken parameteresation where the particle motion is descrabed by 10 parameters: four beta-functions, four alpha-functions and two betatron phase advances.more » In comparison with Edwards-Teng parameterization the chosen parametrization has an advantage that it works equally well for analysis of coupled betatron motion in circular accelerators and in transfer lines. In addition, considered relationship between second order moments, eigen-vectors and beta-functions can be useful in interpreting tracking results and experimental data. As an example, the developed formalizm is applied to the FNAL electron cooler and Derbenev’s vertex-to-plane adapter.« less

  9. Comparisons between a mixing ability test and masticatory performance tests using a brittle or an elastic test food.

    PubMed

    Sugiura, T; Fueki, K; Igarashi, Y

    2009-03-01

    A variety of chewing tests and test items have been utilized to evaluate masticatory function. The purpose of this study was to compare a mixing ability test with masticatory performance tests using peanuts or gummy jelly as test foods. Thirty-two completely dentate subjects (Dentate group, mean age: 25.1 years) and 40 removable partial denture wearers (RPD group, mean age: 65.5 years) participated in this study. The subjects were asked to chew a two-coloured paraffin wax cube as a test item for 10 strokes. Mixing Ability Index (MAI) was determined from the colour mixture and shape of the chewed cube. Subjects were asked to chew 3 g portions of peanuts and a piece of gummy jelly for 20 strokes, respectively. Median particle size of chewed peanuts was determined using a multiple-sieving method. Concentration of dissolved glucose from the surface of the chewed gummy jelly was measured using a blood glucose meter. Pearson's correlation coefficient was used to test the relationships between the MAI, median particle size and the concentration of dissolved glucose. Mixing Ability Index was significantly related to median particle size (Dentate group: r = -0.56, P < 0.001, RPD group: r = -0.70, P < 0.001), but not significantly related to glucose concentration (Dentate group: r = 0.12, RPD group: r = 0.21, P > 0.05). It seems that ability of mixing the bolus is more strongly related to the ability of comminuting brittle food than elastic food.

  10. Auditory Cortical Maturation in a Child with Cochlear Implant: Analysis of Electrophysiological and Behavioral Measures

    PubMed Central

    Silva, Liliane Aparecida Fagundes; Couto, Maria Inês Vieira; Tsuji, Robinson Koji; Bento, Ricardo Ferreira; de Carvalho, Ana Claudia Martinho; Matas, Carla Gentile

    2015-01-01

    The purpose of this study was to longitudinally assess the behavioral and electrophysiological hearing changes of a girl inserted in a CI program, who had bilateral profound sensorineural hearing loss and underwent surgery of cochlear implantation with electrode activation at 21 months of age. She was evaluated using the P1 component of Long Latency Auditory Evoked Potential (LLAEP); speech perception tests of the Glendonald Auditory Screening Procedure (GASP); Infant Toddler Meaningful Auditory Integration Scale (IT-MAIS); and Meaningful Use of Speech Scales (MUSS). The study was conducted prior to activation and after three, nine, and 18 months of cochlear implant activation. The results of the LLAEP were compared with data from a hearing child matched by gender and chronological age. The results of the LLAEP of the child with cochlear implant showed gradual decrease in latency of the P1 component after auditory stimulation (172 ms–134 ms). In the GASP, IT-MAIS, and MUSS, gradual development of listening skills and oral language was observed. The values of the LLAEP of the hearing child were expected for chronological age (132 ms–128 ms). The use of different clinical instruments allow a better understanding of the auditory habilitation and rehabilitation process via CI. PMID:26881163

  11. Novel Approach to Evaluation of Charging on Semiconductor Surface by Noncontact, Electrode-Free Capacitance/Voltage Measurement

    NASA Astrophysics Data System (ADS)

    Hirae, Sadao; Kohno, Motohiro; Okada, Hiroshi; Matsubara, Hideaki; Nakatani, Ikuyoshi; Kusuda, Tatsufumi; Sakai, Takamasa

    1994-04-01

    This paper describes a novel approach to the quantitative characterization of semiconductor surface charging caused by plasma exposures and ion implantations. The problems in conventional evaluation of charging are also discussed. Following the discussions above, the necessity of unified criteria is suggested for efficient development of systems or processes without charging damage. Hence, the charging saturation voltage between a top oxide surface and substrate, V s, and the charging density per unit area per second, ρ0, should be taken as criteria of charging behavior, which effectively represent the charging characteristics of both processes. The unified criteria can be obtained from the exposure time dependence of a net charging density on the thick field oxide. In order to determine V s and ρ0, the analysis using the C-V curve measured in a noncontact method with the metal-air-insulator-semiconductor (MAIS) technique is employed. The total space-charge density in oxide and its centroid can be determined at the same time by analyzing the flat-band voltage (V fb) of the MAIS capacitor as a function of the air gap. The net charge density can be obtained by analyzing the difference between the total space-charge density in oxide before and after charging. Finally, it is shown that charge damage of the large area metal-oxide-semiconductor (MOS) capacitor can be estimated from both V s and ρ0 which are obtained from results for a thick field oxide implanted with As+ and exposed to oxygen plasma.

  12. Ligand-Enhanced Abiotic Iron Oxidation and the Effects of Chemical versus Biological Iron Cycling in Anoxic Environments

    PubMed Central

    2013-01-01

    This study introduces a newly isolated, genetically tractable bacterium (Pseudogulbenkiania sp. strain MAI-1) and explores the extent to which its nitrate-dependent iron-oxidation activity is directly biologically catalyzed. Specifically, we focused on the role of iron chelating ligands in promoting chemical oxidation of Fe(II) by nitrite under anoxic conditions. Strong organic ligands such as nitrilotriacetate and citrate can substantially enhance chemical oxidation of Fe(II) by nitrite at circumneutral pH. We show that strain MAI-1 exhibits unambiguous biological Fe(II) oxidation despite a significant contribution (∼30–35%) from ligand-enhanced chemical oxidation. Our work with the model denitrifying strain Paracoccus denitrificans further shows that ligand-enhanced chemical oxidation of Fe(II) by microbially produced nitrite can be an important general side effect of biological denitrification. Our assessment of reaction rates derived from literature reports of anaerobic Fe(II) oxidation, both chemical and biological, highlights the potential competition and likely co-occurrence of chemical Fe(II) oxidation (mediated by microbial production of nitrite) and truly biological Fe(II) oxidation. PMID:23402562

  13. Towards Self-Clocked Gated OCDMA Receiver

    NASA Astrophysics Data System (ADS)

    Idris, S.; Osadola, T.; Glesk, I.

    2013-02-01

    A novel incoherent OCDMA receiver with incorporated all-optical clock recovery for self-synchronization of a time gate for the multi access interferences (MAI) suppression and minimizing the effect of data time jitter in incoherent OCDMA system was successfully developed and demonstrated. The solution was implemented and tested in a multiuser environment in an out of the laboratory OCDMA testbed with two-dimensional wavelength-hopping time-spreading coding scheme and OC-48 (2.5 Gbp/s) data rate. The self-clocked all-optical time gate uses SOA-based fibre ring laser optical clock, recovered all-optically from the received OCDMA traffic to control its switching window for cleaning the autocorrelation peak from the surrounding MAI. A wider eye opening was achieved when the all-optically recovered clock from received data was used for synchronization if compared to a static approach with the RF clock being generated by a RF synthesizer. Clean eye diagram was also achieved when recovered clock is used to drive time gating.

  14. Bioaccumulation of heavy metals in fish and Ardeid at Pearl River Estuary, China.

    PubMed

    Kwok, C K; Liang, Y; Wang, H; Dong, Y H; Leung, S Y; Wong, M H

    2014-08-01

    Sediment, fish (tilapia, Oreochromis mossambicus and snakehead, Channa asiatica), eggs and eggshells of Little Egrets (Egretta garzetta) and Chinese Pond Herons (Ardeola bacchus) were collected from Mai Po Ramsar site of Hong Kong, as well as from wetlands in the Gu Cheng County, Shang Hu County and Dafeng Milu National Nature Reserve of Jiangsu Province, China between 2004 and 2007 (n=3-9). Concentrations of six heavy metals were analyzed, based on inductively coupled plasma optical emission spectrometry (ICP-OES). Significant bioaccumulations of Cd (BAF: 165-1271 percent) were observed in the muscle and viscera of large tilapia and snakehead, suggesting potential health risks to the two bird species, as the fishes are the main preys of waterbirds. Significant (p<0.01) linear relationships were obtained between concentrations of Cd, Cr, Cu, Mn, Pb and Zn in the eggs and eggshells of various Ardeid species, and these regression models were used to extrapolate the heavy metal concentrations in the Ardeid eggs of Mai Po. Extrapolated concentrations are consistent with data in the available literature, and advocate the potential use of these models as a non-invasive sampling method for predicting heavy metal contamination in Ardeid eggs.

  15. Investigating the Relationships Among Elementary School Students' Epistemological Beliefs, Metacognition, and Constructivist Science Learning Environment

    NASA Astrophysics Data System (ADS)

    Yilmaz-Tüzün, Özgül; Topcu, Mustafa Sami

    2010-03-01

    The research questions addressed in this study were: what types of epistemological beliefs do elementary students have; what types of metacognition do elementary students have; and what are the relationships among students’ perceived characteristics of constructivist learning environment, metacognition, and epistemological beliefs. A total of 626 students enrolled in sixth, seventh, and eight grades of nine elementary public schools located in Ankara, Turkey constituted the participants of this study. Constructivist learning environment survey (CLES), Junior metacognitive awareness inventory (Jr. MAI), and Schommer epistemological belief questionnaire (EB) were administered to students. Factor Analysis of Jr. MAI revealed both knowledge of cognition and regulation of cognition items were loaded into one factor. Confirmatory factor analysis of EB revealed a four factor structure namely innate ability, quick learning, omniscient authority, and certain knowledge. Regression analyses revealed that metacognition and omniscient authority were significant predictors of personal relevance dimension of CLES. Metacognition was found as the only predictor of the student negotiation. Innate ability and metacognition significantly contributed to uncertainty. This study revealed that the elementary students with different mastery levels hold different epistemological beliefs and multi-faceted nature of elementary school students’ metacognition was seemed to be supported with this study. It was found that metacognition contributed to model more than epistemological beliefs for all three dimensions of CLES.

  16. High-Quality Perovskite Films Grown with a Fast Solvent-Assisted Molecule Inserting Strategy for Highly Efficient and Stable Solar Cells.

    PubMed

    Yuan, Shuai; Qiu, Zhiwen; Gao, Chaomin; Zhang, Hailiang; Jiang, Yanan; Li, Cuncheng; Yu, Jinghua; Cao, Bingqiang

    2016-08-31

    The performance of organolead halide perovskites based solar cells has been enhanced dramatically due to the morphology control of the perovskite films. In this paper, we present a fast solvent-assisted molecule inserting (S-AMI) strategy to grow high-quality perovskite film, in which the methylammonium iodide/2-propanol (MAI/IPA) solution is spin-coated onto a dimethylformamide (DMF) wetted mixed lead halide (PbX2) precursor film. The DMF can help the inserting of MAI molecules into the PbX2 precursor film and provide a solvent environment to help the grain growth of the perovskite film. The perovskite film grown by the S-AMI approach shows large and well-oriented grains and long carrier lifetime due to the reduced grain boundary. Solar cells constructed with these perovskite films yield an average efficiency over 17% along with a high average fill factor of 80%. Moreover, these unsealed solar cell devices exhibit good stability in an ambient atmosphere. PMID:27526617

  17. Antibiotic producing microorganisms from River Wiwi, Lake Bosomtwe and the Gulf of Guinea at Doakor Sea Beach, Ghana

    PubMed Central

    2012-01-01

    Background Microorganisms have provided a wealth of metabolites with interesting activities such as antimicrobial, antiviral and anticancer. In this study, a total of 119 aquatic microbial isolates from 30 samples (taken from water bodies in Ghana) were screened by the agar-well diffusion method for ability to produce antibacterial-metabolites. Results Antibacterial activity was exhibited by 27 of the isolates (14 bacteria, 9 actinomycetes and 4 fungi) against at least one of the indicator microorganisms: Enterococcus faecalis (ATCC 29212), Bacillus thuringiensis (ATCC 13838), Pseudomonas aeruginosa (ATCC 27853), Staphylococcus aureus (ATCC 25923), Proteus vulgaris (NCTC 4635) and Bacillus Subtilis (NCTC 10073). A sea isolate MAI2 (identified as a strain of Pseudomonas aeruginosa) exhibited the highest antibacterial activity (lowest zone of inhibition = 22 mm). The metabolites of MAI2 extracted with chloroform were stable to heat and gave minimum inhibitory concentrations ranging between 250 and 2000 μg/ml. Bioautography of the extract revealed seven active components. Conclusion This study has therefore uncovered the potential of water bodies in the West African sub-region as reservoirs of potent bioactive metabolite producing microorganisms. PMID:23072432

  18. A new instability index for unstable mode selection in squeal prediction by complex eigenvalue analysis

    NASA Astrophysics Data System (ADS)

    Brunetti, J.; Massi, F.; D`Ambrogio, W.; Berthier, Y.

    2016-09-01

    During these last decades the modal instability of systems, generated by frictional contact forces, has been the subject of a huge amount of works in friction induced vibration literature. Linear and nonlinear numerical analyses have been largely investigated to predict and reproduce squeal vibrations. While nonlinear transient analysis needs large computational efforts, results of Complex Eigenvalue Analysis (CEA) suffer from an over-prediction issue and it is not able to predict correctly the mode that will become effectively unstable in case of several unstable eigenvalues. Because the CEA has been adopted as an efficient tool for brake design, a more reliable index is here proposed, from the CEA outputs and energetic considerations, to identify the mode that will become effectively unstable. A modular lumped model is developed to reproduce friction induced vibrations. The use of the eigenvalue real part, as discriminant of the system instability, is here combined with information coming from the eigenvectors, projected on the equilibrium position, to account for the energy flows involved in the squeal phenomena. This approach allows to define a Modal Absorption Index (MAI). The MAI allows for comparing unstable modes of the same system and is applied in this paper to predict, by CEA outputs, the unstable mode that will effectively result in squeal vibrations.

  19. High-Quality Perovskite Films Grown with a Fast Solvent-Assisted Molecule Inserting Strategy for Highly Efficient and Stable Solar Cells.

    PubMed

    Yuan, Shuai; Qiu, Zhiwen; Gao, Chaomin; Zhang, Hailiang; Jiang, Yanan; Li, Cuncheng; Yu, Jinghua; Cao, Bingqiang

    2016-08-31

    The performance of organolead halide perovskites based solar cells has been enhanced dramatically due to the morphology control of the perovskite films. In this paper, we present a fast solvent-assisted molecule inserting (S-AMI) strategy to grow high-quality perovskite film, in which the methylammonium iodide/2-propanol (MAI/IPA) solution is spin-coated onto a dimethylformamide (DMF) wetted mixed lead halide (PbX2) precursor film. The DMF can help the inserting of MAI molecules into the PbX2 precursor film and provide a solvent environment to help the grain growth of the perovskite film. The perovskite film grown by the S-AMI approach shows large and well-oriented grains and long carrier lifetime due to the reduced grain boundary. Solar cells constructed with these perovskite films yield an average efficiency over 17% along with a high average fill factor of 80%. Moreover, these unsealed solar cell devices exhibit good stability in an ambient atmosphere.

  20. Real World Data Driven Evolution of Volvo Cars’ Side Impact Protection Systems and their Effectiveness

    PubMed Central

    Jakobsson, Lotta; Lindman, Magdalena; Svanberg, Bo; Carlsson, Henrik

    2010-01-01

    This study analyses the outcome of the continuous improved occupant protection over the last two decades for front seat near side occupants in side impacts based on a real world driven working process. The effectiveness of four generations of improved side impact protection are calculated based on data from Volvo’s statistical accident database of Volvo Cars in Sweden. Generation I includes vehicles with a new structural and interior concept (SIPS). Generation II includes vehicles with structural improvements and a new chest airbag (SIPSbag). Generation III includes vehicles with further improved SIPS and SIPSbag as well as the new concept with a head protecting Inflatable Curtain (IC). Generation IV includes the most recent vehicles with further improvements of all the systems plus advanced sensors and seat belt pretensioner activation. Compared to baseline vehicles, vehicles of generation I reduce MAIS2+ injuries by 54%, generation II by 61% and generation III by 72%. For generation IV effectiveness figures cannot be calculated because of the lack of MAIS2+ injuries. A continuous improved performance is also seen when studying the AIS2+ pelvis, abdomen, chest and head injuries separately. By using the same real world driven working process, future improvements and possibly new passive as well as active safety systems, will be developed with the aim of further improved protection to near side occupants in side impacts. PMID:21050597

  1. Traffic-related heavy metals uptake by wild plants grow along two main highways in Hunan Province, China: effects of soil factors, accumulation ability, and biological indication potential.

    PubMed

    Zhai, Yunbo; Dai, Qingyun; Jiang, Kang; Zhu, Yun; Xu, Bibo; Peng, Chuan; Wang, Tengfei; Zeng, Guangming

    2016-07-01

    This study was performed to investigate pollution of traffic-related heavy metals (HMs-Zn, Pb, Cu, Cr, and Cd) in roadside soils and their uptake by wild plants growing along highways in Hunan Province, China. For this, we analyzed the concentration and chemical fractionation of HMs in soils and plants. Soil samples were collected with different depths in the profile and different distances from highway edge. And leaves and barks of six high-frequency plants were collected. Results of the modified European Community Bureau of Reference (BCR) showed that the mobile fraction of these HMs was in the order of Cd > Pb > Zn > Cu > Cr. A high percentage of the mobile fraction indicates Cd, Pb, and Zn were labile and available for uptake by wild plants. The total concentration and values of risk assessment code (RAC) showed that Cd was the main risk factor, which were in the range high to very high risk. The accumulation ability of HMs in plants was evaluated by the biological accumulation factor (BAF) and the metal accumulation index (MAI), and the results showed that all those plant species have good phyto-extraction ability, while accumulation capacity for most HMs plants tissues was bark > leaf. The highest MAI value (5.99) in Cinnamomum camphora (L) Presl indicates the potential for bio-monitoring and a good choice for planting along highways where there is contamination with HMs.

  2. Role of phase composition for electronic states in CH{sub 3}NH{sub 3}PbI{sub 3} prepared from CH{sub 3}NH{sub 3}I/PbCl{sub 2} solution

    SciTech Connect

    Naikaew, Atittaya; Prajongtat, Pongthep; Lux-Steiner, Martha Ch.; Dittrich, Thomas; Arunchaiya, Marisa

    2015-06-08

    Modulated surface photovoltage (SPV) spectra have been correlated with the phase composition in layers of CH{sub 3}NH{sub 3}PbI{sub 3} (MAPbI{sub 3}) prepared from MAI and PbCl{sub 2} and annealed at 100 °C. Depending on the annealing time, different compositions of MAPbI{sub 3}, MAPbCl{sub 3}, MACl, PbI{sub 2}, and an un-identified phase were found. It has been demonstrated that evaporation of MAI and HI is crucial for the development of electronic states in MAPbI{sub 3} and that only the appearance and evolution of the phase PbI{sub 2} has an influence on electronic states in MAPbI{sub 3}. With ongoing annealing, (i) a transition from p- to n-type doping was observed with the appearance of PbI{sub 2}, (ii) shallow acceptor states were distinguished and disappeared in n-type doped MAPbI{sub 3}, and (iii) a minimum of the SPV response related to deep defect states was found at the transition from p- to n-type doping. The results are discussed with respect to the further development of highly efficient and stable MAPbI{sub 3} absorbers for solar cells.

  3. Betatron motion with coupling of horizontal and vertical degrees of freedom

    SciTech Connect

    Lebedev, V. A.; Bogacz, S. A.

    2010-10-21

    Presently, there are two most frequently used parameterezations of linear x-y coupled motion used in the accelerator physics. They are the Edwards-Teng and Mais-Ripken parameterizations. The article is devoted to an analysis of close relationship between the two representations, thus adding a clarity to their physical meaning. It also discusses the relationship between the eigen-vectors, the beta-functions, second order moments and the bilinear form representing the particle ellipsoid in the 4D phase space. Then, it consideres a further development of Mais-Ripken parameteresation where the particle motion is descrabed by 10 parameters: four beta-functions, four alpha-functions and two betatron phase advances. In comparison with Edwards-Teng parameterization the chosen parametrization has an advantage that it works equally well for analysis of coupled betatron motion in circular accelerators and in transfer lines. In addition, considered relationship between second order moments, eigen-vectors and beta-functions can be useful in interpreting tracking results and experimental data. As an example, the developed formalizm is applied to the FNAL electron cooler and Derbenev’s vertex-to-plane adapter.

  4. Betatron motion with coupling of horizontal and vertical degrees of freedom

    SciTech Connect

    Lebedev, V.A.; Bogacz, S.A.; /Jefferson Lab

    2010-09-01

    Presently, there are two most frequently used parameterizations of linear x-y coupled motion used in the accelerator physics. They are the Edwards-Teng and Mais-Ripken parameterizations. The article is devoted to an analysis of close relationship between the two representations, thus adding a clarity to their physical meaning. It also discusses the relationship between the eigen-vectors, the beta-functions, second order moments and the bilinear form representing the particle ellipsoid in the 4D phase space. Then, it consideres a further development of Mais-Ripken parameteresation where the particle motion is described by 10 parameters: four beta-functions, four alpha-functions and two betatron phase advances. In comparison with Edwards-Teng parameterization the chosen parametrization has an advantage that it works equally well for analysis of coupled betatron motion in circular accelerators and in transfer lines. Considered relationship between second order moments, eigen-vectors and beta-functions can be useful in interpreting tracking results and experimental data. As an example, the developed formalizm is applied to the FNAL electron cooler and Derbenev's vertex-to-plane adapter.

  5. A Preliminary Investigation of Hall Thruster Technology

    NASA Technical Reports Server (NTRS)

    Gallimore, Alec D.

    1997-01-01

    A three-year NASA/BMDO-sponsored experimental program to conduct performance and plume plasma property measurements on two Russian Stationary Plasma Thrusters (SPTs) has been completed. The program utilized experimental facilitates at the University of Michigan's Plasmadynamics and Electric Propulsion Laboratory (PEPL). The main features of the proposed effort were as follows: (1) Characterized Hall thruster (and arcjet) performance by measuring ion exhaust velocity with probes at various thruster conditions; (2) Used a variety of probe diagnostics in the thruster plume to measure plasma properties and flow properties including T(sub e) and n(sub e) ion current density and ion energy distribution, and electric fields by mapping plasma potential; (3) Used emission spectroscopy to identify species within the plume and to measure electron temperatures. A key and unique feature of our research was our collaboration with Russian Hall thruster researcher Dr. Sergey A Khartov, Deputy Dean of International Relations at the Moscow Aviation Institute (MAI). His activities in this program included consulting on and participation in research at PEPL through use of a MAI-built SPT and ion energy probe.

  6. Respostas religiosas à aids no Brasil: impressões de pesquisa acerca da Pastoral de DST/Aids da Igreja Católica1

    PubMed Central

    Seffner, Fernando; Silva, Cristiane Gonçalves Meireles da; Maksud, Ívia; Garcia, Jonathan; Rios, Luís Felipe; Natividade, Marcelo; Borges, Priscila Rodrigues; Parker, Richard; Terto, Veriano

    2009-01-01

    O texto encontra-se estruturado em quatro partes. Na primeira delas, apresentamos um conjunto de considerações e informações acerca da situação da aids no Brasil, das relações entre religião, sexualidade, aids e estado laico, bem como uma descrição mais clara do Projeto Respostas Religiosas ao HIV/Aids no Brasil, do qual este texto apresenta algumas impressões de pesquisa preliminares. A seguir, dedicamos um item a apresentação da Pastoral de DST/Aids, sua história, estrutura e objetivos. No item seguinte problematizamos diversas questões em particular no âmbito das relações Estado e Igreja, relações entre agentes de pastoral e hierarquia da Igreja, e questões ligadas mais diretamente à sexualidade e aids, todas referenciadas ao trabalho da Pastoral de DST/Aids. Ao final, apresentamos a bibliografia e fontes consultadas. PMID:20442806

  7. Respostas religiosas à aids no Brasil: impressões de pesquisa1

    PubMed Central

    Seffner, Fernando; da Silva, Cristiane Gonçalves Meireles; Maksud, Ívia; Garcia, Jonathan; Rios, Luís Felipe; Natividade, Marcelo; Borges, Priscila Rodrigues; Parker, Richard; Terto, Veriano

    2009-01-01

    Resumo O texto encontra-se estruturado em quatro partes. Na primeira delas, apresentamos um conjunto de considerações e informações acerca da situação da aids no Brasil, das relações entre religião, sexualidade, aids e estado laico, bem como uma descrição mais clara do Projeto Respostas Religiosas ao HIV/Aids no Brasil, do qual este texto apresenta algumas impressões de pesquisa preliminares. A seguir, dedicamos um item a apresentação da Pastoral de DST/Aids, sua história, estrutura e objetivos. No item seguinte problematizamos diversas questões em particular no âmbito das relações Estado e Igreja, relações entre agentes de pastoral e hierarquia da Igreja, e questões ligadas mais diretamente à sexualidade e aids, todas referenciadas ao trabalho da Pastoral de DST/Aids. Ao final, apresentamos a bibliografia e fontes consultadas. PMID:20428503

  8. Xanthophyll content of selected vegetables commonly consumed in the Philippines and the effect of boiling.

    PubMed

    Pasaporte, Melvin S; Rabaya, Friche Jay R; Toleco, Mitchellrey M; Flores, Dulce M

    2014-09-01

    The purpose of this study was to quantify xanthophylls in selected vegetables commonly consumed in the Philippines and to investigate the effect of boiling on their availability. Thirteen vegetables were grouped into green-leafy and non-leafy. Results showed that fresh malunggay contains the highest amount of lutein (167.1±6.1 μg/g), neoxanthin (48.66±2.31 μg/g), and violaxanthin (37.86±1.76 μg/g) while mais has the highest zeaxanthin (269.1±11.8 μg/g). Statistically, there is no significant difference (p>0.1) in xanthophyll content between fresh leafy and non-leafy samples. However, 15-min boiling (100 °C) changed this, resulting in a significant difference (p<0.1) in xanthophyll content between the two groups. Boiling increased the availability of lutein and neoxanthin, while an opposite effect was observed for zeaxanthin and violaxanthin. Results also showed that consuming 20 g of cooked malunggay (Moringa oleifera) can provide 100% the recommended level of lutein (10 mg) for eye health, while 8 g of cooked mais (Zea mays) a day can provide a high enough level (2 mg) of zeaxanthin.

  9. Brûlure chez l’épileptique: brûlure pas comme les autres

    PubMed Central

    Boukind, S.; Elatiqi, O.K.; Dlimi, M.; Elamrani, D.; Benchamkha, Y.; Ettalbi, S.

    2015-01-01

    Summary L’association brûlure et épilepsie est une constatation fréquente au Maroc. Ces brûlures, souvent itératives, touchent le plus souvent des femmes jeunes de milieu rural. L’accident survient habituellement au domicile, le plus souvent dans la cuisine à la suite d’une chute sur un moyen de cuisson posé au sol. Elles peuvent être inaugurales de la maladie mais surviennent plus souvent chez des patients connus mais au traitement mal suivi. Les conséquences de ces brûlures, toujours profondes, sont souvent dramatiques en termes de séquelles, chez des patients ayant déjà une insertion sociale rendue difficile par l’épilepsie. La prise en charge doit être multidisciplinaire et concerner à la fois la brûlures et l’épilepsie. Des mesures de prévention simples, visant à équilibrer l’épilepsie et éviter au patient de se trouver seul à proximité d’une source de chaleur, doivent être mises en place. PMID:27252613

  10. Occurrence, composition and risk assessment of antibiotics in soils from Kenya, Africa.

    PubMed

    Yang, Yuyi; Owino, Anita Awino; Gao, Yan; Yan, Xue; Xu, Chen; Wang, Jun

    2016-08-01

    Antibiotics can accumulate in soils via different ways, which may pose serious threat to ecological environment of soil and quality of agricultural products. In this study, the occurrence of 12 antibiotics including four sulfonamides (SAs), four tetracyclines (TETs) and four fluoroquinolones (FQs) was investigated in soils from four sampling sites of Kenya (Mai Mahiu, Narok, Mount Suswa Conservancy, and Juja), Africa. The soils in suburban area of Narok had the highest average concentrations of total 12 antibiotics with an average value of 43.64 μg kg(-1) dw (dry weight), followed by Mai Mahiu (26.70 μg kg(-1) dw), Juja (24.41 μg kg(-1) dw) and Mount Suswa Conservancy (12.21 μg kg(-1) dw). Sulfamethoxazole, sulfamethazine, oxytetracycline, and enrofloxacin were identified as the main antibiotics polluted in soils. Total organic carbon may influence the distribution of SAs in Narok and FQs in Juja. Ecological risk analysis based on the risk quotient showed that SAs detected in soils have higher risk compared to TETs and FQs. PMID:27189612

  11. Le spasme du sanglot chez les nourrissons

    PubMed Central

    Goldman, Ran D.

    2015-01-01

    Résumé Question Des enfants qui fréquentent ma clinique ont des épisodes semblables à des convulsions pendant lesquels ils pleurent et retiennent leur souffle au point de faire survenir une cyanose et de perdre conscience. Les résultats à l’examen ou aux investigations sont normaux et les pédiatres consultés ne font pas d’autres investigations. Les spasmes du sanglot sont-ils communs et quels genres d’investigations faut-il faire? Réponse Le spasme du sanglot est un trouble non épileptique paroxysmal bénin qui se produit chez les enfants en santé de six à 48 mois. Les épisodes commencent par une provocation, comme un bouleversement émotionnel ou une blessure mineure, et peuvent progresser en une retenue de la respiration, une cyanose et une syncope. Les épisodes sont extrêmement effrayants à regarder mais ont des conséquences bénignes. Une fois le diagnostic clinique posé, on recommande de faire passer un électrocardiogramme et d’exclure la possibilité d’une anémie, mais aucune autre investigation ou demande de consultation n’est nécessaire.

  12. Formation and evolution of the unexpected PbI2 phase at the interface during the growth of evaporated perovskite films.

    PubMed

    Xu, Haitao; Wu, Yanglin; Cui, Jian; Ni, Chaowei; Xu, Fuzong; Cai, Jiang; Hong, Feng; Fang, Zebo; Wang, Wenzhen; Zhu, Jiabin; Wang, Linjun; Xu, Run; Xu, Fei

    2016-07-21

    The interface chemistry and evolution of the evaporated perovskite films on ITO, pedot/ITO, Si and glass substrates are studied. As evidenced by X-ray diffraction and X-ray photoemission spectroscopy (XPS) results, the PbI2 phase is found to be inevitably formed at the very initial growth stage, even under the conditions of a MAI-rich environment. The extremely low binding energy of adsorbed MAI particles on all the above substrates, as compared to that of PbI2 particles, is responsible for the presence of the PbI2 phase at the interface. The formation of both hole and electron barriers at the interface of PbI2/MAPbI3, as evidenced by XPS measurements, could block carrier transport into the electrode and thus deteriorate solar cell performance. This result reveals the origin of the poor performance of perovskite solar cells (PSCs) by the vacuum evaporation method, and may help to improve the performance of PSCs made using the vacuum evaporation method. PMID:27346149

  13. Men's sexual behaviour affects their wives' risk of cervical cancer.

    PubMed

    1996-01-01

    Various types of human papillomavirus have been implicated as causes of cervical cancer. However, researchers have suggested that the transmission of the virus can be reduced through condom use. At least 23% of all cervical cancer in Thailand may be attributed to the lack of condom use among the customers of prostitutes. The husbands of 225 women with cervical cancer and 791 controls in Bangkok and Chiang Mai were interviewed in a study to determine whether husbands' lack of condom use with prostitutes affects their wives' risk of developing cervical cancer. The cases studied were reported between 1979 and 1988 and were limited to women born after 1930 in Bangkok and after 1925 in Chiang Mai who had lived for at least 1 year in the areas served by the three hospitals which participated in the research. Among women whose husbands first had sex with a prostitute in their teens or 20s and who did not use condoms at that time, the risk of cervical cancer is twice that of women whose husbands had never visited a prostitute. All women reported having been married only once and having had sex only with their husbands. The period between date of marriage and diagnosis of cervical cancer ranged from 6 to 45 years, with a mean and median of 24 years.

  14. Assessment of the impact of Aluminum on germination, early growth and free proline content in Lactuca sativa L.

    PubMed

    Silva, Patrícia; Matos, Manuela

    2016-09-01

    Aluminum (Al) toxicity is a major problem in crop production on acid soils. The use of industrial or municipal wastewaters, which may be contaminated with metals, for irrigation in agriculture is common over the world. This action can increase the concentration of these agents in the soil and decrease crops yields. In order to evaluate the toxicological effects of recommended Al levels in irrigation water, under acidic conditions, on lettuce, seeds of two cultivars ("cv Reine de Mai" and "cv White Boston") were exposed to five different Al concentrations (0, 0.05, 0.5, 5 and 20mg/L) and germination percentage, root and shoot lengths were measured. Also, the germination rate and the vigor index were calculated, and the proline content was estimated for all concentrations. Results showed that seed germination was not negatively affected by Al, but the germination rate decreased in both cultivars. For the other factors analyzed, with the exception of 20mg/L concentration for "cv White Boston", Al induced, in general, negative effects including the content of proline that increased in the seeds that were exposed to this metal. The "cv Reine de Mai" was more sensitive for the analyzed concentrations than the other cultivar.. The results indicated that even recommended Al concentrations for irrigation, under acidic conditions, can interfere negatively in seed germination and seedling establishment and possibly with crop production. PMID:27229755

  15. [A reform proposal to strengthen public health care].

    PubMed

    Vergara I, Marcos

    2015-02-01

    Currently, there is no discussion on the need to improve and strengthen the institutional health care modality of FONASA (MAI), the health care system used by the public services net and by most of the population, despite the widely known and long lasting problems such as waiting lists, hospital debt with suppliers, lack of specialists and increasing services purchase transference to the private sector, etc. In a dichotomous sectorial context, such as the one of health’s social security in Chile (the state on one side and the market on the other), points of view are polarized and stances tend to seek refuge within themselves. As a consequence, to protect the public solution is commonly associated with protecting the “status quo”, creating an environment that is reluctant to change. The author proposes a solution based on three basic core ideas, which, if proven effective, can strengthen each other if combined properly. These are: network financing management, governance of health care services in MAI and investments and human resources in networked self-managed institutions. The proposal of these core ideas was done introducing a reality testing that minimizes the politic complexity of their implementation.

  16. GENETIC AND IMMUNOLOGICAL EVIDENCES OF BORRELIA BURGDORFERI IN DOG IN THAILAND.

    PubMed

    Sthitmatee, Nattawooti; Jinawan, Wanna; Jaisan, Nawaporn; Tangjitjaroen, Weerapongse; Chailangkarn, Sasisophin; Sodarat, Chollada; Ekgatat, Monaya; Padungtod, Pawin

    2016-01-01

    Lyme disease is a tick-borne zoonotic disease caused by spirochete Borrelia burgdorferi. It is transmitted from animals to humans by the bite of infected ticks of the genus Ixodes. Although Lyme disease has been reported in China and Japan, the disease has never been reported in Thailand. Blood samples and ticks were collected from 402 dogs from 7 and 3 animal clinics in Chiang Mai and Phuket Provinces, Thailand, respectively. Blood samples were tested for antibodies against B. burgdorferi, Anaplasma spp, Ehrlichia spp and Dirofilaria immitis using a commercial kit, and positive blood samples were subjected to nested PCR assay for B. burgdorferi fla, ospA and ospC, amplicons of which also were sequenced. Only one dog (from Chiang Mai) was positive for B. burgdorferi, with 97% to 100% genetic identity, depending on the sequences used for comparison, with strains from United State of America. All 376 ticks collected were Rhipicephalus sanguineus, but no tick was found on the infected dog. Further investigations of the infection source and vector are needed to understand potential risks of Lyme disease to dogs and humans in Thailand.

  17. Modified pen grip in the treatment of Writer's Cramp.

    PubMed

    Baur, Barbara; Schenk, Thomas; Fürholzer, Waltraud; Scheuerecker, Johanna; Marquardt, Christian; Kerkhoff, Georg; Hermsdörfer, Joachim

    2006-10-01

    Writer's Cramp (WC) is a focal, action-related dystonia, which induces hypertonic co-contractions and severely impairs handwriting. One behavioral treatment approach is the handwriting training developed by Mai and Marquardt (1999), [Mai, N., & Marquardt, C. (1999). Schreibtraining in der neurologischen Rehabilitation. In EKN-Materialien für die Rehabilitation. Dortmund: Borgmann] which includes among various motor exercises the use of a modified pen grip (stabilized between index and middle finger). This pen grip has proven particularly successful in clinical practice. The current study aims at elucidating the immediate effects of the modified pen grip on writing in 23 WC patients and 11 healthy controls. All participants wrote a sentence with their usual and also with the modified pen grip. Movement and pressure were recorded with a digitizing tablet. Pressure, movement time for the whole sentence, script size and writing fluency were analyzed. When writing with their usual pen grip, pressure in the WC patients was elevated, and writing speed was decreased compared to healthy controls. Changing over to the modified pen grip reduced the pressure significantly in WC patients and controls, but left other aspects of their writing unaffected. This shows that the use of the modified pen grip is an effective way to normalize pen pressure in WC patients, thereby providing the best conditions for the training of speed and fluency.

  18. Effects of Huang Bai (Phellodendri Cortex) and Three Other Herbs on GnRH and GH Levels in GT1–7 and GH3 Cells

    PubMed Central

    Lee, Sun Haeng; Kwak, Sung Chul; Kim, Dong Kwan; Park, Sang Woug; Kim, Hyun Soo; Kim, Young-Sik; Lee, Donghun; Lee, Ju Won; Lee, Chang Gon; Lee, Hae Kyung; Cho, Sung-Min; Shin, Yu Jeong; Lee, Jin Yong; Kim, Hocheol; Chang, Gyu Tae

    2016-01-01

    The present study was to evaluate the effects of Huang Bai, Zhi Mu, Mai Ya, and Xia Ku Cao on hormone using the GT1–7 and GH3 cells. The GT1–7 and GH3 cell lines were incubated with DW; DMSO; and 30, 100, or 300 μg/mL of one of the four extract solutions in serum-free media for 24 hours. The MTT assay was performed to determine the cytotoxicity of the four herbs. The GT1–7 and GH3 cells were incubated in DW, estradiol (GT1–7 only), or noncytotoxic herb solutions in serum-free medium for 24 hours. A quantitative RT-PCR and western blot were performed to measure the GnRH expression in GT1–7 cells and GH expression in GH3 cells. Huang Bai, Zhi Mu, Xia Ku Cao, and Mai Ya inhibited the GnRH mRNA expression in GT1–7 cells, whereas Huang Bai enhanced GH mRNA expression in GH3 cells. Additionally, Xia Ku Cao inhibited GnRH protein expression in GT1–7 cells and Huang Bai promoted GH protein expression in GH3 cells. The findings suggest that Huang Bai can delay puberty by inhibiting GnRH synthesis in the hypothalamus while also accelerating growth by promoting GH synthesis and secretion in the pituitary. PMID:26925153

  19. [Chronic hypocalcemia due to anti-calcium sensing receptor antibodies].

    PubMed

    Marques, Pedro; Santos, Rita; Cavaco, Branca; Leite, Valeriano

    2014-01-01

    Introdução: O hipoparatiroidismo cursa com hipocalcemia e é mais frequentemente registado após cirurgia cervical. A etiologia autoimune é mais rara e difícil de diagnosticar. Caso clínico: Mulher, 52 anos, sem antecedentes pessoais, medicamentosos ou familiares relevantes, referenciada por hipocalcemia e calcificação dos núcleos da base, detetados no decurso de investigação de quadro de mialgias. Além de hipocalcemia (4,6 mg/dL), foi verificada hiperfosfatemia (8,7 mg/dL), hormona paratiroideia indetetável, calciúria, fosfatúria e magnesúria baixas. A análise molecular do gene CaSR excluiu mutações germinais. A pesquisa de anticorpos anti-receptor sensível do cálcio (anti-CaSR) foi positiva. Atualmente está assintomática e normocalcémica sob terapêutica com cálcio e vitamina D. Discussão: Embora rara, a hipocalcemia por hipoparatiroidismo autoimune deve ponderar-se em adultos sem antecedentes de cirurgia cervical, medicação hipocalcemiante, história familiar ou fenótipo sugestivo de doença genética. Hormona paratiroideia diminuída ou indetetável exclui pseudohipoparatiroidismo e a positividade para anti-CaSR confirma o diagnóstico.

  20. Pharmacist-Led Home Medicines Review and Residential Medication Management Review: The Australian Model.

    PubMed

    Chen, Timothy F

    2016-03-01

    Older people are often prescribed multiple medicines and have a high prevalence of polypharmacy. Polypharmacy is associated with an increased risk of inappropriate use of medicines and drug-related problems. As experts in pharmacotherapy, pharmacists are well placed to review complex medication regimens and identify causes of drug-related problems and recommend solutions to prevent or resolve them. Involvement in medication review services represents a major philosophical shift and paradigm change in the way pharmacists practice, in that the focus is shifted away from the dispensing of prescription medicines to the provision of a professional service for a patient, in collaboration with their general practitioner (GP). In Australia, there are two established medication review programs: Home Medicines Review (HMR) and Residential Medication Management Review (RMMR). The objectives of this article were to describe the process of government-funded medication review services in Australia and to evaluate the contribution of pharmacists to HMR and RMMR, using evidence-based measures, such as the Drug Burden Index (DBI) and the Medication Appropriateness Index (MAI). This review found that there is good evidence to support the role of pharmacists in delivering medication review services across different settings. Although the positive impact of such services has been demonstrated using a variety of validated measures (DBI, MAI), there remains a need to also evaluate actual clinical outcomes and/or patient-reported outcomes.

  1. Clinical value of morphometric and DNA flow cytometric variables as independent predictors of survival in epithelial ovarian carcinoma: a 5-year follow-up study.

    PubMed

    Veerman, Margot M; van der Wurff, Anneke A M; van de Water, Marije; Kruitwagen, Roy F P M; Feijen, Harrie W H; Vos, Maria Caroline

    2009-09-01

    The aim of this follow-up study is to validate the clinical significance of quantitative morphometric and DNA flow cytometric variables as independent prognostic factors of overall survival and progression-free survival in epithelial ovarian carcinoma. Tumor samples were collected from 135 patients with epithelial ovarian carcinoma at 3 hospitals in the Netherlands. Evaluated clinico-pathologic variables were age, histologic subtype, differentiation grade, clinical stage [International Federation of Gynecology and Obstetrics (FIGO)], presence of ascites, serum CA-125, and the completeness of debulking surgery. Morphometry and DNA flow cytometric techniques were assessed on each tumor sample to determine the mitotic activity index (MAI), volume percentage epithelium, mean nuclear area (MNA), standard deviation of MNA (SD MNA), nuclear perimeter (NP), and DNA ploidy. Univariate analysis showed that differentiation grade, FIGO stage, presence of ascites, preoperative CA-125 levels, DNA ploidy, and MAI, NP, and MNA were of significant prognostic value. After multivariate analysis (using forward Cox proportional hazard analysis), only differentiation grade and FIGO stage remained significant. From this study, we can conclude that morphometry and DNA flow cytometry are not independent prognosticators and therefore have no clinical value in predicting prognosis in ovarian carcinoma.

  2. Ulcère de jambe récidivant et surinfecté au cours de la maladie de Behçet

    PubMed Central

    Salem, Bouomrani; Ichrak, Kilani; Hanène, Nouma; Safouane, Chebbi; Maher, Béji

    2013-01-01

    Parmi les manifestations cutanées de la maladie de Behçet, les ulcères de jambes sont exceptionnels mais gardent une implication pronostique fonctionnelle importante surtout dans les formes récidivantes et surinfectées. Nous rapportons l'observation d'un patient âgé de 42 ans porteur de maladie de Behçet depuis l’âge de 27 ans qui fût exploré pour ulcères de jambes bilatéraux, récidivants et invalidants nécessitant l'hospitalisation à plusieurs reprises. A chaque fois les récidives de l'ulcère s'associaient à une poussée cutanéo-muqueuse de la maladie avec notion d'arrêt intempestif de traitement. Il a présenté plusieurs épisodes de surinfection nécessitant le recours aux antibiotiques. Le doppler veineux et artériel ne montraient ni signes d'insuffisance veineuse ni d'artériopathie sous-jacentes. Sous antibiothérapie, en plus des soins locaux et la reprise de la colchicine et des corticostéroïdes, l’évolution se faisait vers la cicatrisation complète des ulcérations mais les récidives étaient fréquentes. PMID:23785544

  3. AgeStandardized Incidence Rates and Survival of Osteosarcoma in Northern Thailand.

    PubMed

    Pruksakorn, Dumnoensun; Phanphaisarn, Areerak; Pongnikorn, Donsuk; Daoprasert, Karnchana; Teeyakasem, Pimpisa; Chaiyawat, Parunya; Katruang, Narisara; Settakorn, Jongkolnee

    2016-01-01

    Osteosarcoma is a common primary malignant bone tumor in children and adolescents. Recent worldwide average incidences of osteosarcoma in people aged 0 to 24 years were 4.3 and 3.4 per million, respectively, with a ratio of 1.4:1. However, data on the incidence of osteosarcoma in Thailand are limited. This study analyzed the incidence of osteosarcoma in the upper northern region of Thailand, with a population of 5.85 million people (8.9% of the total Thai population), using data for the years 1998 to 2012, obtained from the Chiang Mai Cancer Registry (CMCR) at Chiang Mai University Hospital and the Lampang Cancer Registry (LCR) at the Lampang Cancer Hospital, a total of 144 cases. The overall annual incidence of osteosarcoma was 1.67 per million with a male:female ratio of 1.36:1. Incidences by age group (male and female) at 0 to 24, 25 to 59 and over 60 years were 3.5 (3.9 and 3.0), 0.8 (0.9 and 0.6), and 0.7 (0.8 and 0.5), respectively. The peak incidence occurred at 15 to 19 years for males and at 10 to 14 years for females. The median survival time was 18 months with a 5year survival rate of 43%. Neither the age group nor the 5year interval period of treatment was significantly correlated with survival during the 15year period studied. PMID:27509991

  4. [Levels of phthalates and adipates in processed foods and migration of di-isononyl adipate from polyvinyl chloride film into foods].

    PubMed

    Saito, Isao; Ueno, Eiji; Oshima, Harumi; Matsumoto, Hiroshi

    2002-06-01

    The levels of dibutyl phthalate (DBP), butylbenzyl phthalate (BBP), di-(2-ethylhexyl) phthalate (DEPHP), di-isononyl phthalate (DINP), di-(2-ethylhexyl) adipate (DEHA) and di-isononyl adipate (DINA) were determined in 50 processed foods (ham and sausage, fried dumpling and shao-mai, fish paste products, croquette and fried fish, bread, noodle, pickles, etc.). DBP, BBP, DEHP, DINP, DEHA, and DINA were contained at nd approximately 47.7, nd approximately 16.6, nd approximately 749, nd approximately 358, nd approximately 57.2 and nd approximately 20,200 ppb, respectively. High-level contamination of DINA was found in fish paste products, croquette and shao-mai, presumably because of migration from plasticized wrapping film using for food packaging. We studied the relationship between DINA migration from wrapped PVC film into fried croquette and its standing time after frying. When the croquette was wrapped immediately after frying, the migration from wrapping film into the croquette was highest (36,400 ng/g). On wrapping after standing for 5 min and 30 min, the migration level was reduced to 1/3.5 and 1/14 of the highest level, respectively.

  5. Comparative evaluation of two vaccine candidates against experimental leishmaniasis due to Leishmania major infection in four inbred mouse strains.

    PubMed

    Benhnini, Fouad; Chenik, Mehdi; Laouini, Dhafer; Louzir, Hechmi; Cazenave, Pierre André; Dellagi, Koussay

    2009-11-01

    Experimental leishmaniasis in BALB/c and C57BL/6 mice are the most investigated murine models that were used for the preclinical evaluation of Leishmania vaccine candidates. We have previously described two new inbred mouse strains named PWK and MAI issued from feral founders that also support the development of experimental leishmaniasis due to L. major. In this study, we sought to determine whether different mouse inbred strains generate concordant or discordant results when used to evaluate the potential of Leishmania proteins to protect against experimental leishmaniasis. To this end, two Leishmania proteins, namely, LACK (for Leishmania homolog of receptor for activated C kinase) and LmPDI (for L. major protein disulfide isomerase) were compared for their capacity to protect against experimental leishmaniasis in PWK, MAI, BALB/c, and C57BL/6 inbred mouse strains. Our data show that the capacity of Leishmania proteins to confer protection depends on the mouse strain used, stressing the important role played by the genetic background in shaping the immune response against the pathogen. These results may have important implications for the preclinical evaluation of candidate Leishmania vaccines: rather than using a single mouse strain, a panel of different inbred strains of various genetic backgrounds should be tested in parallel. The antigen that confers protection in the larger range of inbred strains may have better chances to be also protective in outbred human populations and should be selected for clinical trials.

  6. [Epidemiology of Vertigo on Hospital Emergency].

    PubMed

    Roque Reis, Luis; Lameiras, Rita; Cavilhas, Pedro; Escada, Pedro

    2016-05-01

    Introdução: A vertigem é um dos motivos mais frequentes na procura de atendimento médico especializado na urgência. O objetivo deste estudo foi avaliar o peso real que as alterações do equilíbrio têm na urgência de Otorrinolaringologia, as suas características epidemiológicas e uma eventual sazonalidade por estações do ano. Usou-se uma amostra de doentes que utilizou o serviço de urgência desta especialidade de um hospital central universitário de Lisboa durante um período de quatro anos. Material e Métodos: O projeto foi concebido como um estudo epidemiológico descritivo de tipo populacional, retrospectivo, no período de 2010 a 2013. Incluiu uma população total de 40 173 atendimentos de doentes que nesse período utilizou o serviço de urgência de Otorrinolaringologia. As variáveis estudadas incluíram a idade, género, número anual de casos (total e percentual), data da crise de vertigem, distribuição sazonal por estações do ano e proporção anual de casos internados. Resultados: Um total de 4 347 doentes (10,8%) procurou atendimento médico devido a vertigem ou alterações do equilíbrio ao longo dos quatro anos do estudo. Verificou-se um aumento anual do número de casos entre 7,6% (em 2010) a 17% (em 2013). As mulheres foram mais frequentemente afetadas (68,3%) e as crises ocorreram mais frequentemente em indivíduos entre os 60 e 79 anos de idade (40%). Os casos distribuíram-se de forma heterogénea entre as estações do ano, havendo mais episódios de vertigem no verão e no outono e com uma tendência crescente entre 2010 e 2013. O número de internamentos aumentou anualmente nesse período. Discussão: A epidemiologia da vertigem e dos distúrbios vestibulares específicos é ainda um campo a estudar, pois pode ter utilidade para a tomada de decisões clínicas e para o planeamento dos cuidados de saúde. Conclusão: O estudo revelou que os casos de vertigem na urgência aumentaram anualmente e são mais frequentes no sexo

  7. [Odds Ratio: review about the meaning of an epidemiological measure].

    PubMed

    Aguiar, Pedro; Nunes, Baltazar

    2013-01-01

    Introdução: É importante rever a validade do Odds Ratio como medida de associação e efeito, assim como, qual o viés introduzido pelo Odds Ratio quando este representa uma razão de riscos ou uma razão de prevalências em situação de doença mais frequente.Material e Métodos: Simulámos numa coorte de 200 indivíduos com 100 expostos e 100 não expostos a um fator de risco, um cenário de doença rara e outro de doença mais frequente, com razão de riscos igual em ambos os cenários. Determinaram-se o Odds Ratio e o Risco Relativo pelo método clássico (padrão) e respectivamente por regressão logística e regressão de Poisson. Introduziu-se de seguida uma variável de confundimento e determinaram-se o Odds Ratio e o Risco Relativo pelo método de Mantel-Hanszel (análise estratificada padrão) e respectivamente por regressão logística e regressão de Poisson. As análises estatísticas foram efectuadas em SPSS V20.Resultados: Para a doença rara, o Odds Ratio aproximou-se do Risco Relativo. Quando a doença foi mais frequente, o Odds Ratio sobrestimou o Risco Relativo. Nesta situação, e com a presença de uma variável de confundimento, o Risco Relativo ajustado por regressão de Poisson permitiu obter estimativas mais válidas da razão de riscos que o Odds Ratio ajustado por regressão logística. Os intervalos de confiança do Risco Relativo estimado por regressão de Poisson foram sempre mais largos que os determinados por análise de Mantel-Hanszel.Conclusões: O Odds Ratio e a regressão logística múltipla são procedimentos válidos em estudos caso-controlo e em estudosprospetivos e transversais de natureza exploratória. O Odds Ratio não deve ser interpretado como uma razão de riscos ou razão de prevalências se o resultado de saúde não é raro. A análise de regressão múltipla de Poisson deve ser considerada como alternativa válida à regressão logística múltipla, especialmente em estudos de uma exposição específica.

  8. Integrated disease management: a critical review of foreign and Portuguese experience.

    PubMed

    Coelho, Anabela; Leone, Cláudia; Ribeiro, Vanessa; Sá Moreira, Pedro; Dussault, Gilles

    2014-01-01

    Introdução: O artigo faz uma revisão de literatura sobre os programas de gestão integrada da doença, apresentando resultados sobre o nível de integração dos cuidados, as intervenções prioritárias utilizadas nos programas e o seu efeito, nomeadamente, nos doentes.Material e Métodos: A revisão de literatura identificou 1 251 artigos, publicados entre 2006 e 2011. Depois de uma criteriosa seleção identificaram-se para a análise bibliométrica e discussão crítica, 61 artigos.Resultados: Realçamos o facto de serem os Estados Unidos da América o país que mais publica sobre esta matéria; A doença mais reportada é a diabetes mellitus e o domínio de intervenção da gestão integrada da doença, predominante, é o ‘apoio ao auto-cuidado’. A maioria dos estudos foram implementados por managed care organizations, médicos de medicina geral e familiar organizados para o efeito ou hospitais. Das 360 intervenções reportadas, as mais utilizadas são as dirigidas aos doentes e aos profissionais. Os resultados mais observados nos doentes, aquando da monitorização dos programas, são: resposta clínica, utilização de serviços e estado de saúde.Discussão: Cada país tem a sua própria forma de implementar a estratégia de gestão integrada da doença. O foco de atenção da prática clínica é o empoderamento dos doentes, particularmente através da promoção da auto-gestão. Os resultados clínicos e os de utilização dos serviços para além de serem os mais utilizados, são também, aqueles com maior impacto nos programas de gestão integrada da doença.Conclusão: O sistema de saúde Português ainda enfrenta sérios desafios no tocante à coordenação e integração de cuidados dirigidos à pessoa com doença crónica pelo que se sugere a atualização do programa.

  9. Acute Ischemic Stroke on Cancer Patients, a Distinct Etiology? A Case-Control Study.

    PubMed

    Carrilho Romeiro, Ana; Valadas, Anabela; Marques, José

    2015-01-01

    Introdução: Actualmente ainda não se encontra claramente definido se a etiologia do acidente vascular cerebral isquémico agudo difere entre doentes com e sem cancro. O acidente vascular cerebral isquémico e o cancro apresentam factores de risco comuns. No entanto, a literatura sugere que os doentes com cancro apresentam condições específicas que aumentam o risco de acidente vascular cerebral. O nosso objectivo foi comparar a etiologia do acidente vascular cerebral isquémico entre doentes com cancro e sem cancro. Material e Métodos: Estudo de caso-controlo realizado em doentes internados numa Unidade de acidente vascular cerebral entre Janeiro de 2007 e Dezembro de 2012. Os casos foram definidos como doentes com o diagnóstico concomitante de acidente vascular cerebral isquémico agudo e cancro; os controlos apenas com o diagnóstico de acidente vascular cerebral. Foram comparados entre os grupos: idade, género, factores de risco vasculares e etiologia do acidente vascular cerebral. Resultados: Foram identificados 56 casos, 64,3% do género masculino, com idade média de 71 anos; 21 doentes apresentavam doença neoplásica activa. O cancro gastrointestinal (25,9%) foi o mais frequente. Foram incluídos 151 controlos, emparelhados para a idade e género. A comparação dos factores de risco vasculares entre casos e controlos não revelou diferenças estatisticamente significativas, excepto para a diabetes mellitus, mais frequente no grupo de controlo (16,1% vs 33,8%, p = 0,02). A presença de história de eventos trombóticos prévios foi mais frequente na coorte de doentes com doença neoplásica (8,9% vs 0,7%, p = 0,007). O subtipo de etiologia do acidente vascular cerebral (classificação TOAST) âoutra etiologiaâ foi mais frequente nos doentes com cancro (13,04% vs 0,83%, p < 0,01), e a presença de um estado pró-trombótico foi mais frequente nos doentes com neoplasia activa.Discussão: Os resultados obtidos no nosso estudo permitiram definir dois

  10. Pharmacist-Led Medication Reviews to Identify and Collaboratively Resolve Drug-Related Problems in Psychiatry – A Controlled, Clinical Trial

    PubMed Central

    Wolf, Carolin; Pauly, Anne; Mayr, Andreas; Grömer, Teja; Lenz, Bernd; Kornhuber, Johannes; Friedland, Kristina

    2015-01-01

    Aim of the study This prospective, controlled trial aimed to assess the effect of pharmacist-led medication reviews on the medication safety of psychiatric inpatients by the resolution of Drug-Related Problems (DRP). Both the therapy appropriateness measured with the Medication Appropriateness Index (MAI) and the number of unsolved DRP per patient were chosen as primary outcome measures. Methods Depending on their time of admission, 269 psychiatric patients that were admitted to a psychiatric university hospital were allocated in control (09/2012-03/2013) or intervention group (05/2013-12/2013). In both groups, DRP were identified by comprehensive medication reviews by clinical pharmacists at admission, during the hospital stay, and at discharge. In the intervention group, recommendations for identified DRP were compiled by the pharmacists and discussed with the therapeutic team. In the control group, recommendations were not provided except for serious or life threatening DRP. As a primary outcome measure, the changes in therapy appropriateness from admission to discharge as well as from admission to three months after discharge (follow-up) assessed with the MAI were compared between both groups. The second primary outcome was the number of unsolved DRP per patient after completing the study protocol. The DRP type, the relevance and the potential of drugs to cause DRP were also evaluated. Results The intervention led to a reduced MAI score by 1.4 points per patient (95% confidence interval [CI]: 0.8–2.0) at discharge and 1.3 points (95% CI: 0.7–1.9) at follow-up compared with controls. The number of unsolved DRP in the intervention group was 1.8 (95% CI: 1.5–2.1) less than in control. Conclusion The pharmaceutical medication reviews with interdisciplinary discussion of identified DRP appears to be a worthy strategy to improve medication safety in psychiatry as reflected by less unsolved DRP per patient and an enhanced appropriateness of therapy. The

  11. Investigating the Impacts of Climate, Hydrology, and Asian Monsoon Intensity on a 13 kyr Speleothem Record from Laos

    NASA Astrophysics Data System (ADS)

    Yang, Hongying

    I present a high- resolution record of Southeast Asian Monsoon (SEAM) evolution compiled from delta18O measurements conducted on five U-Th dated speleothems from Tham Mai Cave in northern Laos (20.75N, 102.65E), a key site at the interface between the Indian and East Asian monsoon systems. The speleothem oxygen isotope records are tied to robust uranium-series dates and indicate the records span from 0.79 to 13 kyr BP with sub-decadal resolution. During the Holocene, the Tham Mai speleothem delta18O records are characterized by lower values during the early to mid-Holocene with increasing values towards the late Holocene. This is similar to trends seen throughout the Asian monsoon region, reflecting the strong insolation control on monsoon strength and ITCZ position. The Younger Dryas is characterized by an abrupt delta 18O increase and is synchronous with the even observed in Chinese speleothem records and Greenland ice cores within age uncertainties. This suggests that the SEAM weakened in sync with high-latitude abrupt cooling events. Four speleothems from Tham Mai cave grew contemporaneously from 4,300 years BP to 9,000 years BP. These four samples show a similar delta 18O pattern, despite a 1.2‰ between sample delta18 O variability is observed. A lumped parameter forward model method (KarstFor model) is used to assess to which extent this 1.2‰ discrepancy can be attributed to hydrological variability. Results suggested that this 1.2‰ discrepancy can be generated due to hydrological variability within one cave. To better interpret interannual delta18O variability in high-resolution oxygen isotope records in the Asian Monsoon region, I utilize existing simulations from a spectrally nudged isotope-enabled general circulation model (IsoGSM) to investigate the climatic controls on delta18 Op at four cave locations along the Asian monsoon region. Results show that delta18Op at the four cave sites reflects large-scale ocean-atmosphere processes, instead of

  12. Modelagem do vento e da fotosfera de AG Carinae

    NASA Astrophysics Data System (ADS)

    Groh, J. H.; Damineli, A.

    2003-08-01

    A trajetória evolutiva das estrelas de alta massa depende fortemente de suas taxas de perda de massa. Apesar do rápido progresso no estudo destas estrelas, a taxa de perda de massa e outros parâmetros físicos básicos, como a temperatura superficial e a velocidade terminal do vento ainda não estão bem determinados. Isto ocorre devido à presença de ventos irregulares, rápidos e fortes ao redor destas estrelas, tornando a interpretação dos seus espectros uma tarefa difícil. Assim, a modelagem do vento e da fotosfera dessas estrelas está sendo cada vez mais usada para obter tais parâmetros a partir dos espectros. O aumento da taxa de perda de massa durante a fase LBV (Variáveis Luminosas Azuis), comparado com outros tipos de estrelas, tem sido atribuído a instabilidades do tipo S Doradus. Dispomos de uma base de dados espectroscópicos cobrindo 22 anos de observações de AG Carinae, incluindo um ciclo S Doradus completo, com espectros CCD em alta resolução na faixa óptica e infravermelha. Utilizamos o programa desenvolvido por Schmutz (1997) para uma análise preliminar desse ciclo, obtendo a taxa de perda de massa a partir da linha do Ha. Não existe uma correlação clara da taxa de perda de massa com mudanças da temperatura efetiva, do raio da estrela e do fluxo na banda V. A estrela atingiu seu mínimo fotométrico (raio mínimo) em 1990 e o máximo fotométrico (raio máximo) em 1995, enquanto que o fluxo máximo da linha do Ha ocorreu em 1996. Além disso a taxa de perda de massa não segue esse ciclo, contrariamente às idéias correntes. Para fazer um modelo mais realista estamos usando o programa CMFGEN (Hillier & Miller), que trata a fotosfera e o vento estelar de forma consistente, considerando a radiação fora do equilíbrio termodinâmico (NLTE) e com blanketting total de linhas. Simulamos o espectro de AG Carinae em duas épocas extremas do ciclo S Dor para testar os resultados obtidos com o modelo mais simplificado.

  13. [Characterization and Evolution of Avoidable Admissions in Portugal: The Impact of Two Methodologic Approaches].

    PubMed

    Sarmento, João; Alves, Conceição; Oliveira, Paula; Sebastião, Rita; Santana, Rui

    2015-01-01

    Introdução: O objectivo deste estudo é avaliar a performance dos sistemas de saúde através dos internamentos evitáveis, dado que estes têm vindo a ganhar importância a nível internacional. Foram utilizadas duas metodologias distintas para a identificação dos internamentos por Ambulatory Care Sensitive Conditions, fazendo uma descrição da realidade e a evolução destes em Portugal. Material e Métodos: Analisámos mais de 12 milhões de internamentos entre 2000 e 2012, utilizando as bases de dados de resumos de alta nacionais. Utilizaram-se duas metodologias de identificação das Ambulatory Care Sensitive Conditions, determinando a sua concordância. Calculámos cenários de melhoria potencial. Resultados: Em 2012, 4,4% e 32,5% dos internamentos por causas médicas seriam evitáveis segundo a metodologia canadiana e espanhola respectivamente. Os internamentos são mais frequentes nas crianças e nos idosos, divergindo as suas causas de acordo com o grupo etário e a metodologia utilizada. A taxa de internamentos no período em análise diminuiu 20% segundo a metodologia canadiana e aumentou 16% segundo a espanhola. Existem agregados regionais de performance acima e abaixo da média nacional. A concord ncia entre as duas metodologias é baixa. Estimaram-se reduções potenciais entre 20,3% e 53,5% dos internamentos.Discussão: Os internamentos evitáveis assumem um volume considerável em Portugal. Apesar de em teoria serem evitáveis a sua eliminação por completo não é uma possibilidade prática, no entanto, o seu estudo possibilita a avaliação e monitorização de resultados e o estabelecimento de prioridades de intervenção. Conclusão: Para uma caracterização mais precisa dos internamentos evitáveis é necessário consensualizar em Portugal a metodologia para a sua identificação.

  14. Hearing symptoms personal stereos.

    PubMed

    da Luz, Tiara Santos; Borja, Ana Lúcia Vieira de Freitas

    2012-04-01

    Introdução: Práticos e portáteis os estéreos pessoais se tornaram acessórios quase indispensáveis no dia a dia. Estudos revelam que os tocadores de música portáteis podem causar danos auditivos a longo prazo para quem ouve música em alto volume por um tempo prolongado.Objetivo: verificar a prevalência de sintomas auditivos em usuários de tocadores amplificados e conhecer os seus hábitos de usoMétodo: Estudo prospectivo observacional de corte transversal realizado em três instituições de ensino da cidade de Salvador- BA, sendo duas de rede pública e uma da rede privada. Responderam ao questionário 400 estudantes, de ambos os sexos, entre 14 e 30 anos que referiram o hábito de utilizar estéreos pessoais.Resultados: Os sintomas mais prevalentes foram hiperacusia (43,5%), plenitude auricular (30,5%) e zumbido (27,5), sendo que o zumbido é o sintoma mais presente na população mais jovem. Quanto aos hábitos diários: 62,3% usam frequentemente, 57% em intensidades elevadas, 34% em períodos prolongados. Verificou-se uma relação inversa entre tempo de exposição e a faixa de idade (p = 0,000) e direta com a prevalência do zumbido.Conclusão: Apesar de admitirem ter conhecimento sobre os danos que a exposição a som de alta intensidade pode causar a audição, os hábitos diários dos jovens evidenciam o uso inadequado dos estéreos portáteis caracterizados por longos períodos de exposição, intensidades elevadas, uso frequente e preferência pelos fones de inserção. A alta prevalência de sintomas após o uso sugere um risco maior para a audição desses jovens.

  15. [Gestational diabetes and the new screening test's impact].

    PubMed

    Massa, Ana Catarina; Rangel, Ricardo; Cardoso, Manuela; Campos, Ana

    2015-01-01

    Introdução: Em 2011, foi introduzido um novo rastreio para a diabetes gestacional que permitiu um diagnóstico mais precoce e de maior número de casos com o intuito de reduzir complicações maternas e perinatais. O objectivo deste estudo foi avaliar a prevalência da diabetes gestacional, comparar resultados obstétricos e perinatais do anterior e presente rastreio e os resultados e realização da prova de reclassificação pós-parto. Material e Métodos: Estudo retrospectivo em gestações simples e diabetes gestacional diagnosticados em 2009 (n = 223) e 2012 (n = 237), vigiadas na Maternidade Dr. Alfredo da Costa, Portugal. Após consulta de processos clínicos procedeu-se à análise de características demográficas, história médica e obstétrica, aumento ponderal durante a gravidez, idade gestacional do diagnóstico, terapêutica utilizada, resultados perinatais e reclassificação pós-parto, seguida de comparação destas variáveis entre os anos de 2009 e 2012. Resultados: Em 2012, houve maior prevalência de diabetes gestacional, ganho ponderal inferior (p < 0,001), maior recurso à terapêutica farmacológica (p < 0,001) e aumento dos casos diagnosticados no primeiro e segundo trimestres (p < 0,001). Relativamente aos resultados neonatais, o peso médio do recém-nascido ao nascer foi significativamente menor (p = 0,001) com diminuição dos recém-nascidos grandes para a idade gestacional (p = 0,002). A taxa de reclassificação pós-parto foi semelhante nos dois anos mas em 2012 houve um aumento dos resultados normais e diminuição das anomalias da glicémia em jejum. Discussão: Critérios mais apertados do actual rastreio permitiram a redução da maioria das complicações da diabetes gestacional levantando novas questões. Conclusão: A introdução do actual rastreio resultou num aumento de prevalência, diagnóstico mais precoce e redução da macrossomia.

  16. Melhoramentos no código Wilson-Devinney para binárias eclipsantes

    NASA Astrophysics Data System (ADS)

    Vieira, L. A.; Vaz, L. P. R.

    2003-08-01

    A análise de curvas de luz e velocidades radiais de sistemas binários eclipsantes pode ser feita por meio de vários modelos. Um desses é o Modelo Wilson-Devinney (WD). Ao longo dos anos, esse modelo sofreu várias alterações em seus códigos principais, com a finalidade de torná-lo mais consistente tanto fíisica como numericamente. O Modelo WD tem sido melhorado de várias maneiras em seus dois códigos: um para a predição das curvas de luz teórica e de velocidade radiais e outra para as soluções destas curvas. Teoricamente, na física do modelo, nós introduzimos a possibilidade de levar em conta os efeitos do movimento apsidal. Numericamente, nós introduzimos a possibilidade de usar o Método SIMPLEX no procedimento da solução, como uma alternativa para o já implementado Método de Mínimos Quadrados (Least Squares Method). Estas modificações, juntamente com outras já introduzidas pelo nosso grupo anteriormente, tornam o código mais eficiente na solução das curvas de luz e de velocidade radiais de binárias eclipsantes. Como o modelo tem sido usado para analisar sistemas com componentes pré-sequência principal (TY CrA, Casey et al. 1998, Vaz et al. 1998), SM 790, Stassun et al. 2003), este melhoramento beneficiará estes casos também. Apresentamos os resultados obtidos com a modificação do código WD por meio do uso de dados da estrela GL Carinae, comprovando, (1) que os parâmetros orbitais calculados por nós são coerentes com os obtidos anteriormente na literatura (Giménez & Clausen, 1986) e com os obtidos por Faria (1987), e (2) que a implementação do Método SIMPLEX torna o código mais lento mas completamente consistente internamente e evita os problemas gerados pelo uso do Método de Mínimos Quadrados, tais como imprecisão no cálculo das derivadas parciais e convergência para mínimos locais.

  17. Identificabilidade e estabilidade dos parâmetros no método Grade of Membership (GoM): considerações metodológicas e práticas

    PubMed Central

    Guedes, Gilvan Ramalho; Caetano, André Junqueira; Machado, Carla Jorge; Brondízio, Eduardo Sonewend

    2011-01-01

    O método Grade of Membership (GoM) tem sido cada vez mais utilizado por demógrafos brasileiros e tem a vantagem de possuir um parâmetro que mensura a heterogeneidade individual, com base nas correlações não-observáveis entre as categorias de resposta das variáveis de interesse, gerando um medida do grau de pertencimento de cada indivíduo a perfis extremos. Alguns autores, contudo, chamam atenção para questões importantes na calibragem dos modelos finais que utilizam o programa GoM versão 3.4, como o problema de identificabilidade – soluções múltiplas para parâmetros estimados. Neste artigo, é sugerido um procedimento capaz de identificar um modelo final com solução única que descreva os tipos puros mais fidedignos à base de dados, em uma tentativa de otimização. Para ilustrar esse processo, utilizou-se uma base de dados correspondente a um levantamento econômico e sociodemográfico de uma população de pequenos agricultores residentes ao longo da Rodovia Transamazônica, no Estado do Pará. Também identificou-se a existência de instabilidade nos parâmetros estimados pelo programa GoM 3.4, sendo proposto um método de estabilização de seus valores. Com esses procedimentos combinados, os usuários do programa GoM 3.4 poderão descrever sua base de dados de forma mais adequada e responder às críticas sobre questões de identificabilidade e estabilidade dos modelos resultantes. Essas soluções empíricas são relevantes por afetarem cálculos de prevalência e de incidência de eventos de interesse, além de trazerem consequências importantes sobre o ponto e o momento corretos para intervenções de políticas públicas ou de planejamento prospectivo em análises de projeção. PMID:21709732

  18. Evaluation of functional recovery by motor functional independence measure test of elderly after hip fracture in Serbia.

    PubMed

    Radosavljevic, Natasa; Nikolic, Dejan; Lazovic, Milica; Radosavljevic, Zoran; Jeremic, Aleksandar

    2014-01-01

    Introdução: o objectivo do estudo é a avaliação do nível de independência funcional através da aplicação da escala de Medida da Independência Funcional (Functional Independence Measure [FIM]) em doentes com idade superior a 65 anos, após fractura da anca.Material e Métodos: Foram estudados 203 doentes após fractura da anca, aplicando a escala MIF em 3 momentos: admissão do doente no hospital (Período 1), no momento da alta (Período 2) e 3 meses após a alta (Período 3); os doentes foram englobados em 3 grupos etários: Grupo65-74 , Grupo75-84 e Grupo+85 e em dois grupos, consoante o Índice de Gravidade (IG): grupo 0-1,99 (IG1) e grupo ≥ 2 (IG2).Resultados: No grupo de doentes com idêntico IG, observou-se um aumento dos valores da MIF no Período 2 e 3 em ambos osgéneros e nas primeiras duas classes etárias, ao passo que em doentes acima dos 85 anos, com IG mais elevado, observámos uma variação não significativa dos valores da MIF entre o momento da alta hospitalar e 3 meses após a alta.Discussão: A melhoria mais significativa da MIF foi obtida em doentes do sexo feminino no primeiro e terceiro grupos etários e com IG mais elevado.Conclusão: O género não constitui um factor preditivo significativo da recuperação da independência funcional medida através da aplicação da escala MIF em doentes com fractura da anca, embora a MIF no momento da admissão seja um bom indicador de recuperação funcional em doentes do sexo feminino em certos grupos etários (primeiro e terceiro grupos etários).

  19. Aerobic program in persons with stroke: a systematic review.

    PubMed

    Francica, Juliana V; Bigongiari, Aline; Mochizuki, Luis; Miranda, Maria Luiza J; Rodrigues, Bruno

    2014-01-01

    Introdução: O objetivo deste estudo foi realizar uma revisão sistemática sobre o exercício após acidente vascular cerebral.Material e Métodos: Para isso, foi realizada uma revisão sistemática de ensaios clínicos randomizados e controlados publicados no PubMed e PEDro. Os critérios para inclusão dos artigos foram: Estudos - ensaios clínicos randomizados ou controlados; participantes - adultos de qualquer idade com diagnóstico clínico de acidente vascular cerebral; intervenções - qualquer treino físico aeróbio que vise melhorar a capacidade e/ou função cardiovascular. Dois revisores independentes categorizaram os ensaios selecionados, avaliaram a qualidade metodológica e extraíram os dados relevantes. A análise realizada foi dos vários protocolos usados tanto para a avaliaçãoe treino de indivíduos pós-acidente vascular cerebral.Resultados: De acordo com estudos clínicos analisados, uma vasta gama de instrumentos foi utilizada para medir a capacidade funcional dos pacientes. Ergometria e ergoespirometria foram os principais dispositivos da avaliação da capacidade cardiovascular. Treino\\exercício na bicicleta ergométrica foi a estratégia de treino mais comumente usada, e fisioterapia convencional (baseada em alongamentos, fortalecimentos, treino de equilíbrio, coordenação e marcha) foi a terapia de controle mais frequente.Discussão: A duração do programa variou de 4 semanas a 6 meses, a frequência semanal média foi de três sessões por semana, enquanto que a intensidade do treinamento variou de 40 a 80% da frequência cardíaca máxima ou VO2 máximo. A duração de sessões de treino variou entre 25 minutos a 1 hora.Conclusão: O treino físico é uma ferramenta promissora para o tratamento de pacientes pós-AVC, tanto em termos de melhoria da capacidade funcional e da capacidade cardiovascular. No entanto, mais estudos são necessários para ampliar a área de atuação terapêutica nesta população.

  20. PubMed

    Guedes, Gilvan Ramalho; Caetano, André Junqueira; Machado, Carla Jorge; Brondízio, Eduardo Sonewend

    2010-01-01

    O método Grade of Membership (GoM) tem sido cada vez mais utilizado por demógrafos brasileiros e tem a vantagem de possuir um parâmetro que mensura a heterogeneidade individual, com base nas correlações não-observáveis entre as categorias de resposta das variáveis de interesse, gerando um medida do grau de pertencimento de cada indivíduo a perfis extremos. Alguns autores, contudo, chamam atenção para questões importantes na calibragem dos modelos finais que utilizam o programa GoM versão 3.4, como o problema de identificabilidade - soluções múltiplas para parâmetros estimados. Neste artigo, é sugerido um procedimento capaz de identificar um modelo final com solução única que descreva os tipos puros mais fidedignos à base de dados, em uma tentativa de otimização. Para ilustrar esse processo, utilizou-se uma base de dados correspondente a um levantamento econômico e sociodemográfico de uma população de pequenos agricultores residentes ao longo da Rodovia Transamazônica, no Estado do Pará. Também identificou-se a existência de instabilidade nos parâmetros estimados pelo programa GoM 3.4, sendo proposto um método de estabilização de seus valores. Com esses procedimentos combinados, os usuários do programa GoM 3.4 poderão descrever sua base de dados de forma mais adequada e responder às críticas sobre questões de identificabilidade e estabilidade dos modelos resultantes. Essas soluções empíricas são relevantes por afetarem cálculos de prevalência e de incidência de eventos de interesse, além de trazerem consequências importantes sobre o ponto e o momento corretos para intervenções de políticas públicas ou de planejamento prospectivo em análises de projeção.

  1. Pilot study to test the feasibility of a trial design and complex intervention on PRIoritising MUltimedication in Multimorbidity in general practices (PRIMUMpilot)

    PubMed Central

    Muth, Christiane; Harder, Sebastian; Uhlmann, Lorenz; Rochon, Justine; Fullerton, Birgit; Güthlin, Corina; Erler, Antje; Beyer, Martin; van den Akker, Marjan; Perera, Rafael; Knottnerus, André; Valderas, Jose M; Gerlach, Ferdinand M; Haefeli, Walter E

    2016-01-01

    Objective To improve medication appropriateness and adherence in elderly patients with multimorbidity, we developed a complex intervention involving general practitioners (GPs) and their healthcare assistants (HCA). In accordance with the Medical Research Council guidance on developing and evaluating complex interventions, we prepared for the main study by testing the feasibility of the intervention and study design in a cluster randomised pilot study. Setting 20 general practices in Hesse, Germany. Participants 100 cognitively intact patients ≥65 years with ≥3 chronic conditions, ≥5 chronic prescriptions and capable of participating in telephone interviews; 94 patients completed the study. Intervention The HCA conducted a checklist-based interview with patients on medication-related problems and reconciled their medications. Assisted by a computerised decision-support system (CDSS), the GPs discussed medication intake with patients and adjusted their medication regimens. The control group continued with usual care. Outcome measures Feasibility of the intervention and required time were assessed for GPs, HCAs and patients using mixed methods (questionnaires, interviews and case vignettes after completion of the study). The feasibility of the study was assessed concerning success of achieving recruitment targets, balancing cluster sizes and minimising drop-out rates. Exploratory outcomes included the medication appropriateness index (MAI), quality of life, functional status and adherence-related measures. MAI was evaluated blinded to group assignment, and intra-rater/inter-rater reliability was assessed for a subsample of prescriptions. Results 10 practices were randomised and analysed per group. GPs/HCAs were satisfied with the interventions despite the time required (35/45 min/patient). In case vignettes, GPs/HCAs needed help using the CDSS. The study made no patients feel uneasy. Intra-rater/inter-rater reliability for MAI was excellent. Inclusion

  2. PubMed

    Guedes, Gilvan Ramalho; Caetano, André Junqueira; Machado, Carla Jorge; Brondízio, Eduardo Sonewend

    2010-01-01

    O método Grade of Membership (GoM) tem sido cada vez mais utilizado por demógrafos brasileiros e tem a vantagem de possuir um parâmetro que mensura a heterogeneidade individual, com base nas correlações não-observáveis entre as categorias de resposta das variáveis de interesse, gerando um medida do grau de pertencimento de cada indivíduo a perfis extremos. Alguns autores, contudo, chamam atenção para questões importantes na calibragem dos modelos finais que utilizam o programa GoM versão 3.4, como o problema de identificabilidade - soluções múltiplas para parâmetros estimados. Neste artigo, é sugerido um procedimento capaz de identificar um modelo final com solução única que descreva os tipos puros mais fidedignos à base de dados, em uma tentativa de otimização. Para ilustrar esse processo, utilizou-se uma base de dados correspondente a um levantamento econômico e sociodemográfico de uma população de pequenos agricultores residentes ao longo da Rodovia Transamazônica, no Estado do Pará. Também identificou-se a existência de instabilidade nos parâmetros estimados pelo programa GoM 3.4, sendo proposto um método de estabilização de seus valores. Com esses procedimentos combinados, os usuários do programa GoM 3.4 poderão descrever sua base de dados de forma mais adequada e responder às críticas sobre questões de identificabilidade e estabilidade dos modelos resultantes. Essas soluções empíricas são relevantes por afetarem cálculos de prevalência e de incidência de eventos de interesse, além de trazerem consequências importantes sobre o ponto e o momento corretos para intervenções de políticas públicas ou de planejamento prospectivo em análises de projeção. PMID:21709732

  3. Immunotherapy strategies for spinal cord injury.

    PubMed

    Wang, Yong-Tang; Lu, Xiu-Min; Chen, Kai-Ting; Shu, Ya-Hai; Qiu, Chun-Hong

    2015-01-01

    Regeneration in the central nervous system (CNS) of adult mammalian after traumatic injury is limited, which often causes permanent functional motor and sensory loss. After spinal cord injury (SCI), the lack of regeneration is mainly attributed to the presence of a hostile microenvironment, glial scarring, and cavitation. Besides, inflammation has also been proved to play a crucial role in secondary degeneration following SCI. The more prominent treatment strategies in experimental models focus mainly on drugs and cell therapies, however, only a few strategies applied in clinical studies and therapies still have only limited effects on the repair of SCI. Recently, the interests in immunotherapy strategies for CNS are increasing in number and breadth. Immunotherapy strategies have made good progresses in treating many CNS degenerative disorders, such as Alzheimer's disease (AD), Parkinson's disease (PD), stroke, and multiple sclerosis (MS). However, the strategies begin to be considered to the treatment of SCI and other neurological disorders in recent years. Besides anti-inflamatory therapy, immunization with protein vaccines and DNA vaccines has emerged as a novel therapy strategy because of the simplicity of preparation and application. An inflammatory response followed by spinal cord injury, and is controled by specific signaling molecules, such as some cytokines playing a crucial role. As a result, appropriate immunoregulation, the expression of pro-inflammatory cytokines and anti-inflammatory cytokines may be an effective therapy strategy for earlier injury of spinal cord. In addition, myelinassociated inhibitors (MAIs) in the injured spinal cord, such as Nogo, myelin-associated glycoprotein (MAG) and oligodendrocyte- myelin glycoprotein (OMgp) are known to prevent axonal regeneration through their co-receptors, and to trigger demyelinating autoimmunity through T cell-mediated harmful autoimmune response. The antagonism of the MAIs through vaccinating with

  4. Quality of Recovery after Anesthesia: Validation of the Portuguese Version of the 'Quality of Recovery 15' Questionnaire.

    PubMed

    Sá, Ana Carolina; Sousa, Gabriela; Santos, Alice; Santos, Cristina; Abelha, Fernando José

    2015-01-01

    Introdução: O questionário "Quality of Recovery 15" tem sido utilizado para o estudo da qualidade de recuperação após anestesia. O objetivo deste estudo foi validar a versão Portuguesa do questionário "Quality of Recovery 15". Material e Métodos: Após aprovação pela Comissão de ética institucional, foi realizado um estudo de coorte prospectivo em doentes submetidos a cirurgia eletiva de junho a agosto de 2013. A versão portuguesa do "Quality of Recovery 15" foi aplicada antes da cirurgia (T0) e 24 h após a cirurgia (T1) em 170 doentes. Os doentes incapazes de dar consentimento informado ou com comprometimento cognitivo foram excluídos. Má qualidade de recuperação foi definida para pontuações de "Quality of Recovery 15" em T1 inferiores à média das pontuações de "Quality of Recovery 15" menos 1 desvio padrão. Confiabilidade e discordãncia entre observadores foram avaliadas por meio da correlação intraclasse. Testes não-paramétricos foram utilizados para comparações. Resultados: Observou-se uma correlação negativa entre pontuações de "Quality of Recovery 15" e tempo de internamento na Unidade Pós-Anestésica (p = -0,264, p = 0,004) e tempo de internamento hospitalar (p = -0,274, p = 0,004). Trinta e dois doentes (19%) tiveram má qualidade de recuperação. Os doentes com má qualidade de recuperação tinham mais frequentemente diabetes mellitus e hipertensão arterial e estavam medicados com antidepressivos com mais frequência. Os doentes com má qualidade de recuperação foram mais frequentemente submetidos a anestesia combinada e menos frequente a anestesia geral e locorregional (p = 0,008). O questionário teve boa consistência interna; a confiabilidade do teste-reteste foi boa. Discussão: A versão portuguesa do "Quality of Recovery 15" mostrou boa correlação com a versão original. Conclusão: Este questionário parece ser uma avaliação precisa e confiável para a qualidade de recuperação.

  5. [Weight control attempts among Portuguese adults: prevalence, motives and behavioral strategies].

    PubMed

    Santos, Inês; Andrade, Ana M; Teixeira, Pedro J

    2015-01-01

    Introdução: Em Portugal não existem dados atuais sobre tentativas de controlo do peso nem sobre estratégias e motivos na base dessas tentativas na população. Este estudo teve como objectivos determinar a prevalência das tentativas de perda/manutenção do peso e identificar as estratégias comportamentais e os motivos associados, numa amostra representativa da população adulta portuguesa. Material e Métodos: Estudo transversal constituído por 1098 indivíduos adultos. A informação sociodemográfica, os dados antropométricos e as estratégias e motivos associados à perda/manutenção do peso foram recolhidos por entrevista telefónica. Resultados: Cerca de 44% dos adultos portugueses (53% de mulheres e 35% dos homens) estão ativamente a tentar controlar o peso. Salienta-se que 22% das mulheres com peso normal tentam perder peso e que 53% dos homens e 34% das mulheres com peso excessivo não o fazem. Entre os homens, 49% com nível educacional superior estão a tentar controlar o peso versus 32% com nível educacional básico. A estratégia mais frequentemente adoptada para gerir o peso é o consumo regular de hortícolas e os motivos mais referenciados são melhorar a saúde/prevenir doenças e melhorar o bem-estar. Discussão e Conclusão: Mais de metade das mulheres e cerca de um terço dos homens em Portugal estão ativamente a tentar gerir o seu peso, utilizando estratégias comportamentais consistentes com as recomendações de saúde pública. Os motivos de saúde e bem-estar predominam sobre os restantes. Este estudo contribui para o conhecimento da gestão do peso em Portugal, alertando para o desenvolvimento de estratégias de prevenção da obesidade adequadas ao perfil da população.

  6. [Urinary tract infections in a cohort of kidney transplant recipients].

    PubMed

    Bispo, Ana; Fernandes, Milene; Toscano, Cristina; Marques, Teresa; Machado, Domingos; Weigert, André

    2014-01-01

    Introdução: A infeção do trato urinário é a complicação infeciosa mais comum no período pós transplante renal, estando a sua frequência pouco caracterizada na população portuguesa. Este trabalho teve como objetivo determinar a incidência de infeções do trato urinário e infeções do trato urinário recorrentes em transplantados renais. Material e Métodos: Tratou-se de um estudo observacional de coorte retrospetiva, com consulta dos processos clínicos de doentes transplantados entre Janeiro de 2004 e Dezembro de 2005, no Hospital de Santa Cruz, com seguimento durante cinco anos ou até à data de perda de enxerto, morte ou perda de follow-up. Após uma análise descritiva da população, utilizámos testes bivariados para identificação de fatores associados a infeções do trato urinário. Resultados: Em 127 doentes incluídos com seguimento de 593 doentes/ ano, 53 (41,7%) tiveram pelo menos um episódio de infeção do trato urinário e 21 (16,5%) tiveram infeções do trato urinário recorrentes. O género feminino foi o único fator associado com ocorrência de infeções do trato urinário (p < 0,001, OR = 7,08, RR = 2,95) e infeções do trato urinário recorrentes (p < 0,001, OR = 4,66, RR = 2,83). Os agentes etiológicos mais frequentes foram Escherichia coli (51,6%), Klebsiella pneumoniae (15,5%) e Enterobacter spp (9,9%). As infeções do trato urinário não causaram aumento de mortalidade ou perda de enxerto, mas foram a principal causa de internamentos hospitalares. Discussão: Na nossa população, apenas o género feminino foi identificado como fator de risco para o desenvolvimento de infeções do trato urinário, recorrentes ou não. Escherichia coli foi o agente etiológico mais frequente. Conclusão: Apesar das medidas preventivas adotadas, as infeções do trato urinário continuam a ser uma importante causa de morbilidade e de internamentos hospitalares.

  7. [Disciplinary Actions in Gynecology and Obstetrics in the North of Portugal from Year 2008 to 2012].

    PubMed

    Silva, Francisco; Rodrigues E Rodrigues, Manuel; Bernardes, João

    2015-01-01

    Introdução: As ações disciplinares podem ter um impacto significativo na vida dos médicos e dos doentes. O objetivo deste trabalho foi a avaliação das ações disciplinares em Ginecologia e Obstetrícia ocorridas na região norte de Portugal nos anos 2008 a 2012.Material e Métodos: Estudo descritivo retrospetivo baseado nos dados anonimizados disponíveis nos relatórios anuais de atividades do Conselho Disciplinar da Seção Regional Norte da Ordem dos Médicos dos anos 2008 a 2012. Calculámos a proporção de ações disciplinares em Ginecologia e Obstetrícia sobre o número total de especialistas inscritos. Avaliámos também os tipos de queixoso, de arguido, de instituição, de queixa e de decisão envolvidos. Para comparação de proporções utilizámos intervalos de confiança de 95%.Resultados: De 2008 a 2012, registou-se um total de 1040 ações disciplinares na região norte de Portugal. A Ginecologia e Obstetrícia foi a quarta especialidade mais afetada, com 54 queixas, 43 das quais relacionadas com alegada negligência médica e a mais afetada, se considerarmos apenas este tipo de queixa. Os queixosos e os arguidos mais frequentes foram, respetivamente, doentes em nome próprio e profissionais do sexo feminino, com idade compreendida entre os 41 e 60 anos. Das 54 ações disciplinares registadas, 52 foram concluídas sem penalização e duas aguardam decisão.Discussão: Os resultados estão genericamente de acordo com os de outros autores.Conclusões: A Ginecologia e Obstetrícia foi a quarta especialidade com maior risco de ação disciplinar na região norte de Portugal nos anos 2008 a 2012 e a primeira se considerarmos só as queixas de alegada negligência médica. Todas as ações disciplinares foram arquivadas, sem penalização dos médicos visados, com exceção de duas que se encontram ainda em avaliação.

  8. [Bone Fractures in a Neonatal Intensive Care Unit].

    PubMed

    Machado, Angela; Rocha, Gustavo; Silva, Ana Isabel; Alegrete, Nuno; Guimarães, Hercília

    2015-01-01

    Introdução: As fraturas ósseas são raras durante o período neonatal. Algumas das fraturas, sobretudo as de ossos longos, podem ocorrer durante o parto. Por outro lado, os recém-nascidos internados em Unidades de Cuidados Intensivos Neonatais têm um risco aumentado de fraturas ósseas por várias razões.Objetivo: Avaliar a incidência e caracterizar as fraturas ósseas nos recém-nascidos internados numa Unidade de Cuidados Intensivos Neonatais nível III.Material e Métodos: Análise retrospetiva dos recém-nascidos internados na Unidade de Cuidados Intensivos Neonatais com o diagnóstico na alta de uma ou mais fraturas ósseas, entre janeiro de 1996 a junho de 2013.Resultados: Oitenta recém-nascidos apresentaram uma ou mais fraturas ósseas. Em 76 (95%) recém-nascidos, as fraturas foram atribuídas a traumatismo do parto. A fratura mais comum foi da clavícula em 60 (79%) recém-nascidos, seguida da fratura craniana em 6 (8%) recém-nascidos. Em dois (2,5%) recém-nascidos, prematuros de extremo baixo peso, as fraturas foram interpretadas como decorrentes de osteopenia da prematuridade. Ambos apresentaram fraturas múltiplas, um dos quais de várias costelas.Conclusão: Uma mudança das práticas obstétricas, aliada à melhoria dos cuidados prestados ao recém-nascido prematuro contribuíram para a diminuição da incidência de fraturas ósseas no período neonatal. Contudo nos recém-nascidos prematuros o seu diagnóstico pode estar subestimado, dado o elevado risco de desenvolvimento de fratura que estes recém-nascidos apresentam.

  9. Imagens do céu ontem e hoje - um multimídia interativo de astronomia e uma nova exposição no MAST

    NASA Astrophysics Data System (ADS)

    Caretta, C. A.; Lima, F. P.; Requeijo, F.; Vieira, G. G.; Alves, F.; Valente, M. E. A.; de Almeida, R.; de Garcia, G. C.; Quixadá, A. C.

    2003-08-01

    "Imagens do Céu Ontem e Hoje" é o título de uma nova exposição que está sendo inaugurada no Museu de Astronomia e Ciências Afins (MCT), que inclui experimentos interativos, maquetes, réplicas e 8 terminais de computador com um multimídia interativo sobre Astronomia para consulta dos visitantes. O multimídia apresenta um conteúdo bastante extenso, que engloba quase todos os temas em Astronomia, consistindo numa fonte de divulgação e pesquisa para um público que vai das crianças até estudantes universitários. O conteúdo está distribuído em mais de 500 páginas de texto divididas em 4 módulos: "O Universo", "Espectroscopia", "Telescópios" e "Observando o Céu". Cada módulo é subdividido em 5 seções, em média, cada uma iniciada por uma animação que ilustra os temas a serem abordados na seção. Ao final da animação, uma lista de temas é apresentada sob o título "Saiba Mais". Para exemplificar, o módulo "O Universo" contém as seguintes seções: "O Universo visto pelo homem", "Conhecendo o Sistema Solar", "Indo além do Sistema Solar", "Nossa Galáxia, a Via-Láctea" e "Indo mais além, a imensidão do Universo". A seção "Conhecendo o Sistema Solar", por sua vez, tem os seguintes temas: "A origem do Sistema Solar", "O Sol", "Os planetas", "Satélites, asteróides, cometas e outros bichos..." e "O Sistema Solar em números". Cada texto é repleto de imagens, quadros, desenhos, esquemas, etc, além de passatempos ao final de cada seção, incluindo jogos interativos, quadrinhos e curiosidades, que auxiliam o aprendizado de forma divertida. Apresentamos neste trabalho as idéias gerais que permearam a produção da exposição, e uma viagem pelo multimídia para exemplificar sua estrutura e conteúdo. O multimídia será posteriormente disponibilizado para o público externo pela página eletrônica do MAst e/ou por intermédio de uma publicação comercial.

  10. Geographical and Genetic Divergence Among Papaya ringspot virus Populations Within Hainan Province, China.

    PubMed

    Zhao, Hui; Jia, Rui Zong; Zhang, Yu-Liang; Zhu, Yun Judy; Zeng, Hui-Cai; Kong, Hua; McCafferty, Heather; Guo, An-Ping; Peng, Ming

    2016-08-01

    Papaya ringspot virus (PRSV) severely affects the global papaya industry. Transgenic papaya has been proven to have effective resistance to PRSV isolates from Hawaii, Thailand, Taiwan, and other countries. However, those transgenic cultivars failed to show resistance to Hainan Island isolates. Some 76 PRSV samples, representative of all traditional papaya planting areas across five cities (Wen Chang, n = 13; Cheng Mai, n = 14; Chang Jiang, n = 11; Le Dong, n = 25; and San Ya, n = 13) within Hainan Province, were investigated. Results revealed three genetic diversity groups (Hainan I, II, and III) that correlated with geographical distribution. Frequent mutations among PRSV isolates from Hainan were also observed. The high genetic divergence in PRSV isolates from Hainan is likely to be the cause of the failure of genetically modified papaya that targets sequence-specific virus.

  11. Buracos negros primordiais e astrofísica observacional

    NASA Astrophysics Data System (ADS)

    Custódio, P. S.; Horvath, J. E.

    2003-02-01

    A história da física contemporânea é pródiga em grandes descobertas (a Relatividade e a Mecânica Quântica entre as mais importantes) até meados dos anos '30. O peso destes desenvolvimentos é tão grande que outros feitos de grande porte (por exemplo, a teoria da nucleossíntese nas estrelas) são geralmente considerados como "filhotes" dos primeiros, ao menos na imaginação popular. Porém, algumas exceções à regra não-escrita são dignas de menção. Entre estas últimas está a descoberta por S.W.Hawking e colaboradores das propriedades de emissão dos buracos negros, trabalho que iniciou uma disciplina com vida própria denominada Termodinâmica de Buracos Negros.

  12. Ostéogenèse imparfaite: à propos de quatre cas à Ouagadougou (Burkina Faso)

    PubMed Central

    Kaboré, Aïssata; Cissé, Aissata; Yonaba, Caroline; Savadogo, Hamidou; Ouédraogo, Sylvie Armelle; Dao, Lassina; Kaboret, Sonia; Nagalo, Kisito; Koueta, Fla; Bandré, Emile; Yé, Diarra; Kam, Ludovic

    2015-01-01

    L'ostéogenèse imparfaite (OI) regroupe un ensemble d'affections constitutionnelles de gravité variable dû à une anomalie de la production du collagène et de la matrice de l'os entraînant une fragilité osseuse. La présente étude rapporte quatre cas d'ostéogenèse imparfaite suivis aux Centres Hospitaliers Universitaires Charles de Gaulle et Yalgado Ouédraogo. Le but de ce travail était d'analyser les aspects cliniques, thérapeutiques et évolutifs de la maladie. Cette étude souligne la nécessité d'améliorer la prise en charge de cette maladie rare mais non exceptionnelle et handicapante. PMID:26834922

  13. Leitbilder und Handlungsstrategien für die Raumentwicklung in Deutschland. Entwicklungs-, Umsetzungs- und Fortschreibungsprozess der Bund-Länder-Strategie für Städte und Regionen

    NASA Astrophysics Data System (ADS)

    Issaoui, Mariam; Sinz, Manfred

    2010-09-01

    Die Ministerkonferenz für Raumordnung stellte im Mai 2010 fest, dass sich die „Leitbilder und Handlungsstrategien für die Raumentwicklung in Deutschland“ (2006) bewährt haben und bei der Gestaltung der räumlichen Entwicklung umgesetzt werden. Um die Leitbilder den sich verändernden wirtschaftlichen, sozialen und naturräumlichen Rahmenbedingungen anzupassen und die Erkenntnisse aus dem bisherigen Diskussions- und Umsetzungsprozess in Politik und Praxis einzubeziehen, sind sie zu ergänzen und weiterzuentwickeln. Im Mittelpunkt der Fortschreibung werden die Themen „Partnerschaften und Strategien für Stadtregionen und ländliche Räume“, „Mobilität und Logistik“ sowie „Klimaschutz und Energieversorgung“ stehen.

  14. Amplification sans bruit d'images optiques

    NASA Astrophysics Data System (ADS)

    Gigan, S.; Delaubert, V.; Lopez, L.; Treps, N.; Maitre, A.; Fabre, C.

    2004-11-01

    Nous utilisons un Oscillateur Paramétrique Optique (OPO) pompé sous le seuil dans le but d'amplifier une image multimode transverse sans dégradation du rapport signal à bruit. Le dispositif expérimental met en œuvre un OPO de type II triplement résonant et semi-confocal pour le faisceau amplifié. L'existence d'effets quantiques lors de l'amplification multimode dans un tel dispositif a été montrée expérimentalement. Plus généralement, ceci nous a amené à étudier les propriétés quantiques transverses des faisceaux lumineux amplifiés. Une telle étude peut trouver des applications non seulement en imagerie, mais également dans le traitement quantique de l'information.

  15. Paralysie du nerf abducens droit révélant une pansinusite

    PubMed Central

    Bouzidi, Adil; Iferkhass, Said; Hansali, Zine El Abidine; Elmallaoui, Mohammed; Laktaoui, Abdelkader

    2015-01-01

    L'association entre la sinusite, en particulier, sphénoïdale et la paralysie oculomotrice a été déjà décrite dans la littérature, mais reste très rare. Nous rapportons un cas d'une patiente âgée de 14 ans sans antécédents pathologiques particuliers consultant pour une une paralysie du VI gauche survenant dans un contexte fébrile. L'examen ophtalmologiquet complété par un bilan radiologique, à révélé une pansunisite du même coté. Les auteures suggèrent que devant toute paralysie oculomotrice, et après avoir éliminé une étiologie tumorale, il faut rechercher à un foyer infectieux locorégional et le bien traite. PMID:26327958

  16. Investigation of Student Reasoning about Harmonic Motions

    NASA Astrophysics Data System (ADS)

    Tongnopparat, N.; Poonyawatpornkul, J.; Wattanakasiwich, P.

    This study aimed to investigate student reasoning about harmonic oscillations. We conducted a semi-structured interview based on three situations of harmonic motions—(1) a mass attaching to spring and horizontally oscillating without damping, (2) the same situation but vertically oscillating and (3) a mass attaching to spring and oscillating in viscous liquid. Forty-five second-year students taking a vibrations and wave course at Chiang Mai University, Thailand participated in a fifteen-minute interview, which was video-recorded. The videos were transcribed and analyzed by three physics instructors. As results, we found that most students had misconceptions about angular frequency and energy mostly in the second and third situations.

  17. Love as harm reduction: fighting AIDS and stigma in Vietnam

    PubMed Central

    2009-01-01

    In the summer of 2009, I visited a humble orphanage for children with HIV/AIDS in Vietnam. Here, like many parts in the world, the very existence of marginalized people with stigmatized illness is hidden away. Relegated to the shadows of society, these children lacked something more fundamental than housing, shelter, nutrition and medications. They lacked families to love and care for them unconditionally. One might think it self-evident that a visit to an orphanage for children with HIV would be profound, but the profundity wasn't where I expected to find it. It was in how the children had created their own family, loving each other like brothers and sisters, and the way the priest who operated the shelters was more than a Father, he was a dad to dozens of children. This is an account of love as harm reduction in the Mai Tam orphanage in Ho Chi Minh City. PMID:19958526

  18. Lignes directrices pour la détection, la prise en charge et la prévention de l’hyperbilirubinémie chez les nouveau-nés à terme et peu prématurés (35 semaines d’âge gestationnel ou plus) – Résumé

    PubMed Central

    2007-01-01

    L’hyperbilirubinémie est très courante et généralement bénigne chez les nouveau-nés à terme et peu prématurés de 35 et 36 semaines complètes d’âge gestationnel. L’hyperbilirubinémie gravissime est rare, mais peut provoquer des anomalies neurologiques à long terme. Le congé précoce du nouveau-né en santé, notamment lorsque l’allaitement n’est pas entièrement établi, peut s’associer à un retard de diagnostic d’hyperbilirubinémie importante. Des lignes directrices pour prédire, prévenir, dépister, surveiller et traiter l’hyperbilirubinémie grave sont présentées.

  19. [Clinical and Epidemiological Study of Complicated Infection by Varicella-Zoster Virus in the Pediatric Age].

    PubMed

    Maia, Catarina; Fonseca, Jacinta; Carvalho, Isabel; Santos, Helena; Moreira, Diana

    2015-01-01

    Introdução: Em Portugal, a incidência da infeção complicada por vírus varicela-zoster e respetivos custos é desconhecida. O objetivo deste estudo foi descrever as características clinico-epidemiológicas dos doentes em idade pediátrica internados com o diagnóstico de infeção complicada por vírus varicela-zoster. Material e Métodos: Estudo descritivo, baseado na análise dos processos clínicos dos doentes internados entre janeiro de 1999 e julho de 2013, com diagnóstico de infeção complicada por vírus varicela-zoster. Resultados: Foram internados 94 doentes por infeção complicada a vírus varicela-zoster, dois por reativação de infeção latente. A mediana da idade foi 38 (IQR 18 - 65) meses. As complicações mais frequentes foram as infeciosas (70,2%), destacando-se a sobreinfeção bacteriana da pele/tecido celular subcut'neo (37,2%) e as complicações respiratórias (24,5%). Seguiram-se as complicações neurológicas (19,1%), gastrointestinais (9,6%), hematológicas (5,3%) e osteoarticulares (4,3%). Diagnosticaram-se 38 (40,4%) infeções bacterianas invasivas, seis com bacteriemia. A mediana da idade na admissão foi mais elevada nas complicações imunológicas relativamente às complicações infeciosas. As complicações neurológicas ocorreram preferencialmente em crianças saudáveis, enquanto as complicações infeciosas, nomeadamente as infeções bacterianas invasivas foram mais frequentes nos doentes medicados com ibuprofeno e/ou corticoide. A evolução foi favorável na maioria dos casos. Discussão: As complicações da infeção pelo vírus varicela-zoster ocorreram preferencialmente em idade pré-escolar e doentes saudáveis. As complicações infeciosas, nomeadamente as dermatológicas e respiratórias, foram as mais frequentes, tendo sido verificada associação com a terapêutica prévia com ibuprofeno e /ou corticoide.Conclusão: Estudos multicêntricos deverão ser planeados com o intuito de otimizar e ajustar as

  20. L’alimentation des enfants ayant une déficience neurologique

    PubMed Central

    2009-01-01

    La malnutrition, qu’il s’agisse de sous-alimentation ou de suralimentation, est courante chez les enfants ayant une déficience neurologique. Les besoins en énergie sont difficiles à définir au sein de cette population hétérogène. De plus, on manque d’information sur ce qui constitue la croissance normale chez ces enfants. Des facteurs non nutritionnels peuvent influer sur la croissance, mais des facteurs nutritionnels, tels qu’un apport calorique insuffisant, des pertes excessives d’éléments nutritifs et un métabolisme énergétique anormal, contribuent également au retard de croissance de ces enfants. La malnutrition est liée à une importante morbidité, tandis que la réadaptation nutritionnelle améliore l’état de santé global. Le soutien nutritionnel doit faire partie intégrante de la prise en charge des enfants ayant une déficience nutritionnelle et viser non seulement à améliorer l’état nutritionnel, mais également la qualité de vie des patients et de leur famille. Au moment d’envisager une intervention nutritionnelle, il faut tenir compte du dysfonctionnement oromoteur, du reflux gastro-œsophagien et de l’aspiration pulmonaire, et une équipe multidisciplinaire doit se concerter. Il faut repérer rapidement les enfants vulnérables à des troubles nutritionnels et procéder à une évaluation de leur état nutritionnel au moins une fois par année, et plus souvent chez les nourrissons et les jeunes enfants ou chez les enfants qui risquent de souffrir de malnutrition. Il faut optimiser l’apport oral s’il est sécuritaire, mais entreprendre une alimentation entérale chez les enfants ayant un dysfonctionnement oromoteur qui provoque une aspiration marquée ou chez ceux qui sont incapables de maintenir un état nutritionnel suffisant au moyen de l’apport oral. Il faut réserver l’alimentation par sonde nasogastrique aux interventions à court terme, mais si une intervention nutritionnelle prolongée s

  1. HIV/sexual and reproductive health program for HIV prevention: the youth-adult partnership with schools approach.

    PubMed

    Fongkaew, Warunee; Fongkaew, Kangwan; Muecke, Marjorie

    2006-10-01

    The aim of the present study was to describe the development and evaluation of a program designed to prevent HIV/AIDS. A participatory action research (PAR) approach was used in collaboration with ten schools in Chiang Mai Province, Thailand, to develop a youth- adult partnership with schools (YAPS) model. The YAPS model included curricula using participatory learning experiences, edutainment approaches, and skills building strategies for enhancing youth leaders'capacities. Results showed that the YAPS model was effective in leadership role preparation and in empowering youth leaders to undertake activities on their own, initiate creativity and share knowledge on sexuality education and HIV prevention messages with students in schools. The use of partnerships and the participatory process mobilized parents, teachers, and school administrators to play a proactive role in sexuality education and HIV prevention for early adolescents in schools, resulting in the integration of the program into the school system. PMID:17128849

  2. The androgen receptor gene mutations database.

    PubMed

    Gottlieb, B; Trifiro, M; Lumbroso, R; Pinsky, L

    1997-01-01

    The current version of the androgen receptor (AR) gene mutations database is described. The total number of reported mutations has risen from 212 to 272. We have expanded the database: (i) by adding a large amount of new data on somatic mutations in prostatic cancer tissue; (ii) by defining a new constitutional phenotype, mild androgen insensitivity (MAI); (iii) by placing additional relevant information on an internet site (http://www.mcgill.ca/androgendb/ ). The database has allowed us to examine the contribution of CpG sites to the multiplicity of reports of the same mutation in different families. The database is also available from EMBL (ftp.ebi.ac.uk/pub/databases/androgen) or as a Macintosh Filemaker Pro or Word file (MC33@musica,mcgill.ca)

  3. In-Situ atomic force microscopic observation of ion beam bombarded plant cell envelopes

    NASA Astrophysics Data System (ADS)

    Sangyuenyongpipat, S.; Yu, L. D.; Brown, I. G.; Seprom, C.; Vilaithong, T.

    2007-04-01

    A program in ion beam bioengineering has been established at Chiang Mai University (CMU), Thailand, and ion beam induced transfer of plasmid DNA molecules into bacterial cells (Escherichia coli) has been demonstrated. However, a good understanding of the fundamental physical processes involved is lacking. In parallel work, onion skin cells have been bombarded with Ar+ ions at energy 25 keV and fluence1-2 × 1015 ions/cm2, revealing the formation of microcrater-like structures on the cell wall that could serve as channels for the transfer of large macromolecules into the cell interior. An in-situ atomic force microscope (AFM) system has been designed and installed in the CMU bio-implantation facility as a tool for the observation of these microcraters during ion beam bombardment. Here we describe some of the features of the in-situ AFM and outline some of the related work.

  4. Ion Beam Bombardment of Biological Tissue

    NASA Astrophysics Data System (ADS)

    Sangyuenyongpipat, S.; Yu, L. D.; Vilaithong, T.; Phanchaisri, B.; Anuntalabhochai, S.; Brown, I. G.

    2003-10-01

    While ion implantation has become a well-established technique for the surface modification of inorganic materials, the ion bombardment of cellular tissue has received little research attention. A program in ion beam bioengineering has been initiated at Chiang Mai University, and the ion beam induced transfer of plasmid DNA molecules into bacterial cells (E. coli) has been demonstrated. Subsequent work has been directed toward exploration of ion beam bombardment of plant cells in an effort to understand the possible mechanisms involved in the DNA transfer. In particular, ion beam bombardment of onion cells was carried out and the effects investigated. Among the novel features observed is the formation of "microcraters" - sub-micron surface features that could provide a pathway for the transfer of large molecules into the interior cell region. Here we describe our onion skin ion bombardment investigations.

  5. Geographical and Genetic Divergence Among Papaya ringspot virus Populations Within Hainan Province, China.

    PubMed

    Zhao, Hui; Jia, Rui Zong; Zhang, Yu-Liang; Zhu, Yun Judy; Zeng, Hui-Cai; Kong, Hua; McCafferty, Heather; Guo, An-Ping; Peng, Ming

    2016-08-01

    Papaya ringspot virus (PRSV) severely affects the global papaya industry. Transgenic papaya has been proven to have effective resistance to PRSV isolates from Hawaii, Thailand, Taiwan, and other countries. However, those transgenic cultivars failed to show resistance to Hainan Island isolates. Some 76 PRSV samples, representative of all traditional papaya planting areas across five cities (Wen Chang, n = 13; Cheng Mai, n = 14; Chang Jiang, n = 11; Le Dong, n = 25; and San Ya, n = 13) within Hainan Province, were investigated. Results revealed three genetic diversity groups (Hainan I, II, and III) that correlated with geographical distribution. Frequent mutations among PRSV isolates from Hainan were also observed. The high genetic divergence in PRSV isolates from Hainan is likely to be the cause of the failure of genetically modified papaya that targets sequence-specific virus. PMID:27070425

  6. Incident Shock-Transverse Jet Interactions at Mach 1.9: Effect of Shock Impingement Location

    NASA Astrophysics Data System (ADS)

    Zare-Behtash, H.; Lo, K. H.; Erdem, E.; Kontis, K.; Lin, J.; Ukai, T.; Obayashi, S.

    The scramjet engine is an efficient design for high-speed propulsion, requiring injection of fuel into a supersonic flow in a short amount of time. Due to the nature of the flow numerous shock waves exist within the combustor of a scramjet, significantly altering the flow characteristics and performance of the engine as the flow Mach number or attitude is changed. According to Mai et al. [1] the location of impingement of the incident shock, relative to the fuel injection location, has significant impact on the mixing and flame-holding properties. This emphasises the importance of understanding and hence the need for controlling the dynamic interactions that are created. Of course another fertile area where transverse jet injections are studied for their application is the creation of forces and moments for pitch and attitude control [2, 3].

  7. Cubitus varus: l'ostéotomie de soustraction externe a-t-elle toujours sa place? Etude rétrospective à propos de 25 cas

    PubMed Central

    Chagou, Aniss; Bassir, Réda Allah; Rhanim, Abdelkarim; Lahlou, Abdou; Berrada, Mohammed Saleh; Yaacoubi, Moradh

    2016-01-01

    Le cubitus varus est cal vicieuxle plus souvent secondaire à des fractures supracondyliennes déplacées de l'extrémité inférieure de l'humérus chez l'enfant. Différentes techniques chirurgicales ont été proposées avec un taux de réussite différents mais aussi un taux de complications rapportées différents. Nous évaluons à travers une étude rétrospective de 25 cas colligés au centre hospitalier universitaire de Rabat, les résultats de la technique de soustraction externe que nous utilisons dans notre formation pour prendre en charge cette déformation. PMID:27516828

  8. Cancer du sein historique à propos d'un cas!!! Comment réagir

    PubMed Central

    Laghzaoui, Omar

    2016-01-01

    Le cancer du sein localement avancé est une entité qui se fait rare dans les pays développés alors qu'on continue de recevoir des patientes à un stade avancé dans les pays africains. Nous proposant le cas d'une patiente intellectuelle prise en charge à l'hôpital militaire, Meknès, Maroc; qui a décelé la présence d'un nodule du sein droit par l'autopalpation mais elle n'a consulté le médecin que six mois après, dans un état historique de cancer du sein localement avancé. Le but de notre publication est donc de soulever les anomalies contemporaines aboutissant au retard diagnostic du cancer du sein et de proposer des solutions pour mieux sensibiliser la population. PMID:27642397

  9. A New Technique for Reduction the Phase Induced Intensity Noise in SAC-OCDMA Systems

    NASA Astrophysics Data System (ADS)

    Abd, Thanaa Hussein; Aljunid, Syed Alwee; Fadhil, Hilal Adnan

    2011-12-01

    A new code for reduction the phase induced intensity noise has been presented. The new code is proposed for Spectral Amplitude-Coding Optical Code Division Multiple Accesses (SAC-OCDMA). This new code family we call it Dynamic Cyclic Shift (DCS) code. The DCS code reduced the effect of Multi Access Interference (MAI) due to it is the property of variable cross correlation. We find that the performance of the DCS code is a batter than other SAC-OCDMA codes such as; Random Diagonal (RD) code, Modified Quadratic Congruence (MQC) code and Modified Frequency Hopping (MFH) code. Through the mathematical calculation and simulation analysis, for the bit-error rate of DCS code is significantly better than other SAC-OCDMA codes, the effect of Phase Induced Intensity Noise is reduced. In addition, proofof-principle simulations of 10 Gb/s for 20 km have been successfully demonstrated and achieved low BER compared to the other codes.

  10. Infrared-thermography imaging system multiapplications for manufacturing

    NASA Astrophysics Data System (ADS)

    Stern, Sharon A.

    1990-03-01

    Imaging systems technology has been utilized traditionally for diagnosing structural envelope or insulation problems in the general thermographic comunity. Industrially, new applications for utilizing thermal imaging technology have been developed i n pred i cti ve/preventi ye mai ntenance and prod uct moni tori ng prociures at Eastman Kodak Company, the largest photographic manufacturering producer in the world. In the manufacturing processes used at Eastman Kodak Company, new applications for thermal imaging include: (1) Fluid transfer line insulation (2) Web coating drying uniformity (3) Web slitter knives (4) Heating/cooling coils (5) Overheated tail bearings, and (6) Electrical phase imbalance. The substantial cost benefits gained from these applications of infrared thermography substantiate the practicality of this approach and indicate the desirability of researching further appl i cati ons.

  11. L'engelure causée par le butane commercial au cours d’un accident industriel

    PubMed Central

    Assi-Dje Bi Dje, V.; Abhe, C.M.; Sie-Essoh, J.B.; Kouamé, K.; Vilasco, B.

    2014-01-01

    Summary Les engelures sont encore exceptionnelles en Afrique sub-saharienne, mais l’essor des industries pétrochimiques en rapport avec la promotion d’une large utilisation du gaz domestique (butane commercial) expose au risque de survenue de ce type de brûlures abusivement dites gelures. Nous rapportons un cas de brûlures au froid par gaz de pétrole liquéfié (GPL) en milieu professionnel dont le diagnostic de gravité et la prise en charge tardifs ont défavorisé l’évolution locale. Le respect des mesures de sécurité au sein des usines reste néanmoins le principal moyen de prévention de ce type de brûlures méconnues. PMID:26170791

  12. Displacement and HIV: Factors Influencing Antiretroviral Therapy Use by Ethnic Shan Migrants in Northern Thailand.

    PubMed

    Murray, Jordan K; DiStefano, Anthony S; Yang, Joshua S; Wood, Michele M

    2016-01-01

    Migrant populations face increased HIV vulnerabilities, including limited access to antiretroviral therapy. Civil conflict in Myanmar has displaced thousands of people from the minority Shan ethnic group into northern Thailand, where they bear a disproportionate HIV burden. To identify barriers and facilitators of antiretroviral therapy use in this population, we conducted a rapid ethnographic assessment and case study with a clinical sample of Shan migrants receiving treatment for HIV in a district hospital in Chiang Mai, Thailand, Thai nurses providing their care, and health care administrators (n = 23). Barriers included fears of arrest and deportation, communication difficulties, perceived social marginalization, limited HIV knowledge, and lack of finances. Facilitating factors included hospital-based migrant registration services and community outreach efforts involving support group mobilization, referral practices, and radio broadcasts. These findings provided a contextualized account to inform policies, community interventions, and nursing practice to increase treatment access for minority migrant groups. PMID:27188762

  13. Métastases musculaires squelettique asymptomatique d'un cancer bronchique non à petites cellules

    PubMed Central

    Raoufi, Mohammed; Oukabli, Mohamed; Biyi, Abdelhamid; Elouazzani, Hanane; Rhorfi, Ismail Abderrahman; Abid, Ahmed

    2015-01-01

    Le cancer bronchique reste parmi les cancers les plus agressifs malgré les avancées diagnostiques et thérapeutiques, les métastases à distance constituent l’élément majeur d'un mauvais pronostic. Nous rapportons une observation de métastases musculaires chez un patient porteur d'un cancer du poumon inopérable. La détection de cette métastase était grâce au TEP scan au 18 FDG. Ce bilan a conduit à un traitement par chimiothérapie systémique après biopsie exérèse de la localisation fessière. Les métastases musculaires squelettiques du cancer bronchique sont rares mais bien qu'indiquant un mauvais pronostic, elles sont accessibles à un traitement local efficace. PMID:26918076

  14. Calibration de la magnitude absolue.

    NASA Astrophysics Data System (ADS)

    Gómez, A. E.; Mennessier, M. O.

    Les parallaxes mesurées par Hipparcos permettront d'obtenir des magnitudes absolues individuelles meilleures que ±0m4 pour les étoiles placées dans un volume de rayon inférieur à 150 pc environ autour du soleil. Les algorithmes développés dans le cadre de l'exploitation des données d'Hipparcos, basés sur la méthode de maximum de vraisemblance, permettent non seulement de faire une estimation de la magnitude absolue moyenne d'un groupe physiquement homogène d'étoiles, de son comportement cinématique et de sa distribution spatiale mais aussi d'estimer une magnitude absolue individuelle pour chaque étoile de l'échantillon considéré.

  15. Traitement chirurgical d'une luxation fracture parcellaire de la tete femorale pipkin II irreductible: à propos d'un cas

    PubMed Central

    Abid, Hatim; Mechchat, Atif; El Idrissi, Mohammed; Shimi, Mohammed; El Ibrahimi, Abdelhalim; El Mrini, Abdelmajid

    2014-01-01

    L'irréductibilité d'une luxation-fracture parcellaire de la tête fémorale est une entité pathologique rare dont le traitement est chirurgical. Dans la littérature, les avis des auteurs divergent concernant le choix de la voie d'abord, mais la conservation du fragment céphalique est la règle. Indépendamment de la qualité de la prise en charge, les résultats mauvais et passables sont très importants estimés à 50% au bout de 10 ans, et l’évolution arthrosique à long terme semble être inéluctable. PMID:25489358

  16. Metabolic discrimination of mango juice from various cultivars by band-selective NMR spectroscopy.

    PubMed

    Koda, Masanori; Furihata, Kazuo; Wei, Feifei; Miyakawa, Takuya; Tanokura, Masaru

    2012-02-01

    NMR-based metabolic analysis of foods has been widely applied in food science. In this study, we performed discrimination of five different mango cultivars, Awin, Carabao, Keitt, Kent, and Nam Dok Mai, using metabolic analysis with band-selective excitation NMR spectra. A combination of unsupervised principal component analysis (PCA) with low-field region (1)H NMR spectra obtained by band-selective excitation provided a good discriminant model of the five mango cultivars. Using F(2)-selective 2D NMR spectra, we also identified various minor components in the mango juice. Signal assignment of the minor components facilitated the interpretation of the loading plot, and it was found that arginine, histidine, phenylalanine, glutamine, shikimic acid, and trigonelline were important for classification of the five mango cultivars.

  17. Luxation postérieure de l’épaule chez un sujet sportif traitée par transfert pédiculé du sub-scapulaire

    PubMed Central

    El Alaoui, Adil; Rabhi, Ilyas; Bah, Aliou; Sbiyaa, Mouhcine; Mezzani, Amine; Alami, Badr; Marzouki, Amine; Boutayeb, Fawzi

    2015-01-01

    La luxation postérieure de l’épaule constitue une lésion rare et un piège diagnostique et mettant en jeu le pronostic fonctionnel de l'articulation de l’épaule. Les signes cliniques et radiologiques des luxations postérieures de l’épaule ont été bien définis dans la littérature par Bernageau et Patte, mais elles passent le plus souvent inaperçues. Nous rapportons un cas de luxation postérieure de l’épaule chez un sujet sportif de 22 ans pratiquant le Hand-Ball, traité par la technique de transfert pédiculé du sub-scapulaire. PMID:26985271

  18. Choc hémorragique suite à une ponction biopsie rénale (PBR): à propos d'un cas

    PubMed Central

    El Hammoumi, Jalal; Boukatta, Brahim; Houari, Nawfal; Elbouazzaoui, Abderrahim; Sbai, Hicham; Kanjaa, Nabil

    2015-01-01

    La ponction biopsie rénale (PBR) est un examen indispensable en néphrologie mais à risque de complications graves surtout hémorragique. Nous rapportons l'observation d'un patient âgé de 27 ans ayant bénéficié d'une PBR pour un diagnostic étiologique d'une insuffisance rénale aigue, l’évolution après la biopsie a été marquée par l'installation d'un choc hémorragique d'où la prise en charge en réanimation avec une néphrectomie d'hémostase. PMID:26848362

  19. Development and psychometric evaluation of the Thai Human Papillomavirus Beliefs Scale.

    PubMed

    Juntasopeepun, Phanida; Davidson, Patricia M; Chang, Sungwon; Suwan, Natthawan; Phianmongkhol, Yupin; Srisomboon, Jatupol

    2011-12-01

    In this study, we developed and evaluated the psychometric properties of the Thai Human Papillomavirus Beliefs Scale. The Scale was tested on 386 young women aged 18-24 years in Chiang Mai, Thailand. Content validity of the Scale was evaluated by a panel of experts, construct validity was determined using exploratory factor analysis, and reliability was assessed for stability and internal consistency. Factor analysis provided empirical support for the existence of four factors, which accounted for 67.7% of the total variance: perceived susceptibility, perceived seriousness, perceived benefits, and perceived barriers. Cronbach's α reliability coefficients for the four subscales ranged from 0.59 to 0.86. Factors predicting intention to receive the papillomavirus vaccine were perceived susceptibility, perceived benefits, and perceived barriers. The Thai Human Papillomavirus Beliefs Scale demonstrated promising psychometric properties, indicating that it might be a useful instrument for assessing young women's human papillomavirus and cervical cancer-associated beliefs, and for predicting human papillomavirus vaccination intention.

  20. A correlation study between ankle brachial pressure index and the severity of coronary artery disease.

    PubMed

    Benyakorn, Thoetphum; Kuanprasert, Sarun; Rerkasem, Kittipan

    2012-06-01

    Previous studies have shown that there was a correlation between low ankle brachial pressure index (ABPI) and the presence of the coronary artery disease (CAD). However, few studies have investigated the correlation between ABPI and the severity of CAD by using a scoring system. The authors aimed to investigate this correlation by using ABPI and CAD diagnosed by coronary angiography (CAG). A total of 213 consecutive patients awaiting CAG in Maharaj Nakorn Chiang Mai Hospital from July 2009 to November 2009 were enrolled in this study. The ABPI was measured before CAG. The severity of CAD was graded on CAG by using SYNTAX scores. The authors found a significantly negative correlation between ABPI and SYNTAX scores (correlation coefficient = -.172, P = .01). The authors concluded that ABPI appeared to correlate negatively with the severity of CAD in the Thai population. PMID:22561522

  1. Factors affecting Thai workers' use of hearing protection.

    PubMed

    Tantranont, Kunlayanee; Srisuphan, Wichit; Kaewthummanukul, Thanee; Suthakorn, Weeraporn; Jormsri, Pantip; Salazar, Mary K

    2009-11-01

    This study used an ecological model to examine Thai workers' beliefs and attitudes toward using occupational hearing protection. Data collection involved focus group sessions with 28 noise-exposed workers at four factories in Chiang Mai Province and an interview with a safety officer at each organization. Detailed content analysis resulted in the identification of three types of factors influencing the use of hearing protection: intrapersonal, including preventing impaired hearing, noise annoyance, personal discomfort, and interference with communication; interpersonal, including coworker modeling, supervisor support, and supervisor modeling; and organizational, including organizational rules and regulations, provision of hearing protection devices, dissemination of knowledge and information, noise monitoring, and hearing testing. Effective hearing protection programs depend on knowledge of all of these factors. Strategies to promote workers' use of hearing protection should include the complete range of factors having the potential to affect workers' hearing.

  2. Un cosmologiste oublié: Jean Henri Lambert

    NASA Astrophysics Data System (ADS)

    Débarbat, Suzanne; Lévy, Jacques

    Si les travaux de Kepler ont eu une large influence sure les progrès réalisés en astronomie au cours du 17e siècle, le Siècle de lumières a vu apparaître de nouvelles conceptions. La court vie de J.H. lambert s'inscrit dans le 18e siècle. Il s'agit d'un nom bien connu dans différents domaines (photométrie, projections cartographiques, mathématiques appliquées, etc.); mais il n'est guàre mentionné en cosmologie, alors que Lambert y a fourni une contribution originale offrant quelques suprenantes anticipations...

  3. Multiple Access in Ultra-Wideband Communications Using Multiple Pulses

    SciTech Connect

    Nekoogar, F; Dowla, F

    2003-04-11

    Multiple access (MA) in UWB communication is an area of active research. To date several time-division or code-division pulse amplitude modulation (PAM) or pulse position modulation (PPM) schemes have been proposed to separate multiple users in UWB communications. Conventionally, all users employ the same pulse shape and modulate the transmit pulse based on changing amplitude or position. One concern with using the same pulse for all channels is that the multiple access interference (MAI) increases as the number of users increase. This is due to increased cross-correlation between similar pulses of the different channels, raising thus the noise floor in such systems. In this paper we introduce and study the performance of a new MA scheme in the context of multiple orthogonal transmitted-reference (T-R) short duration (nsec) chirp pulses in the presence of multipath and additive white Gaussian noise (AWGN).

  4. Hémangiome intestinal: une cause inhabituelle d'hémorragie digestive inexpliquée, rapport d'un cas

    PubMed Central

    Kharrasse, Ghizlane; Hadjkacem, Hanane; Azouguagh, Rachid; Soufi, Mehdi; El Malki, Omar; Ismaili, Moulay Ezzahy; Mohcine, Raouf; Ifrine, Lahcen; Belkouchi, Abdelkader

    2014-01-01

    Les hémangiomes de l'intestin grêle (HG) sont des tumeurs bénignes et rares du tube digestif, parfois responsables d'hémorragie digestive. Le diagnostic positif de ces lésions est souvent difficile mais rendu plus aisé grâce à l'avènement de la vidéo capsule endoscopique (VCE), le traitement est essentiellement chirurgical. Nous rapportons une nouvelle observation d'un hémangiome caverneux du jéjunum révélé par une hémorragie digestive récidivante et diagnostiqué par VCE et nous discutons l'apport de cet examen dans la prise en charge de l'hémorragie digestive inexpliquée tout en la comparant aux autres explorations actuellement disponibles. PMID:25709722

  5. CONDENSED MATTER: STRUCTURE, MECHANICAL AND THERMAL PROPERTIES: Antisite Defects of the L12 Structure Determined by the Phase Field Microelasticity Model

    NASA Astrophysics Data System (ADS)

    Zhang, Jing; Chen, Zheng; Lu, Yan-Li; Wang, Yong-Xin; Zhao, Yan

    2009-06-01

    A phase field microelasticity simulation is performed to examine the antisite defect of L12-Ni3Al in Ni75 Al5.3 V19.7 ternary alloy. Combinimg strain energy with the phase field model leads to an atom configuration change as time proceeds. For the Ni sublattice, the antisite defect AlNi, the equilibrium occupancy probability (OP) of which declines, precedes NiNi and VNi in reaching equilibrium; subsequently, NiNi and VNi present a phenomenon of symmetrical rise and decline individually. Similarly, for the Al sublattice, the antisite defect NiAl, the OP of which eventually rises, takes fewer time steps than AlAi and VAl to attain equilibrium. Thereafter, AlAl rises while VAl declines symmetrically at the axes of the NiAlMAI curve. Furthermore, the OP for the Al sublattice is much more sensitive to strain energy than that for the Ni sublattice.

  6. Historique en grandes enjambées de la thermodynamique de l'équilibre

    NASA Astrophysics Data System (ADS)

    Hertz, J.

    2004-12-01

    La Thermodynamique, une science totalement nouvelle au XIXème siècle, a germé en France en contrepoint des idées du siècle des Lumières, dans le milieu particulier des anciens élèves de l’Ecole Polytechnique, officiers supérieurs formés pour l’armée républicaine ou napoléonienne, mais qui ne trouvaient plus leur place dans l’armée de la Restauration. Ils se convertissaient en ingénieurs civils des métiers industriels en pleine expansion, comme le développement de la machine à vapeur ou des chemins de fer. La plupart d’entre eux, plutôt libre-penseurs, adhéraient aux idées scientistes du « positivisme », véhiculées dans les Loges de la Franc-Maçonnerie du Grand Orient de France et plus particulièrement dans les cercles Saint-Simoniens, premiers adeptes du socialisme industriel. C’est ainsi que naquit en 1824, dans le cerveau subtil mais brouillon de Sadi Carnot toute la vision illuminée de cette science nouvelle, incompréhensible pour ses contemporains. Elle ressuscita en 1834 sous la plume d’un Emile Clapeyron qui avait pris conscience de l’immensité de l’œuvre de Sadi Carnot. Mais le rappel de Clapeyron demeura également sans écho pendant dix années. Le réveil de la Thermodynamique se fera désormais hors de France par des hommes de grande pratique religieuse et généralement protestants. C’est ainsi que William Thomson en Ecosse et Rudolph Clausius, venu de Prusse, achevèrent l’œuvre de leurs deux prédécesseurs et que la Thermodynamique mécano-thermique fut définitivement établie en 1864. La thermodynamique chimique peut être attribuée à un seul génie mathématicien, Josiah Willard Gibbs qui travaillait tout seul au Yale College de New-Haven, dans le Connecticut, et rédigea sa nouvelle théorie entre 1875 et 1878. Enfin l’interprétation statistique du second principe sera l’œuvre en 1877 d’un Autrichien, Ludwig Boltzmann, homme génial mais fragile qui eut le temps d’insuffler ses id

  7. Œdème vulvaire massif pendant la grossesse: à propos d'un cas

    PubMed Central

    El Hassani, Moulay Elmehdi; Kassidi, Farid; Benabdejlil, Youssef; Kouach, Jaouad; Moussaoui, Driss Rahali; Dehayni, Mohammed

    2014-01-01

    L’œdème vulvaire massif est rare pendant la grossesse, mais requiert une attention particulière car il peut se greffer de complications maternelles et fœtales. Il peut être associé à plusieurs pathologies spécifiques ou non spécifiques à la grossesse dont le diagnostic fait appel obligatoirement à un interrogatoire et un examen clinique minutieux, puis à un bilan biologique standard. Le traitement doit être étiologique chaque fois que possible à coté du traitement symptomatique. Cette situation peut nécessiter un accouchement par césarienne. En dehors du risque potentiel de nécrose tissulaire et du risque exceptionnel de décès maternel associé à l’œdème vulvaire massif du post-partum l’évolution est favorable sous traitement bien conduit. PMID:25922627

  8. Atrophie cérébelleuse post accident d’électrisation se manifestant par un état d'agitation psychomotrice: à propos de 2 cas

    PubMed Central

    Bugeme, Marcellin; Mukuku, Olivier; Kiji, John Makong; Ruhindiza, Bienvenu Mukuku; Muyumba, Emmanuel

    2015-01-01

    Les accidents d’électrisation (AE) sont relativement fréquents dans la vie quotidienne. L'atrophie cérébelleuse représente une complication rare. Nous rapportons deux cas d'atrophie cérébelleuse qui se sont manifestés révélés par un état d'agitation psychomotrice. L'atteinte du cervelet était bilatérale chez le premier tandis que chez le deuxième, elle était unilatérale droite associée à celle du cerveau droit. La particularité que présentent nos deux observations est non seulement la rareté de l'atrophie cérébelleuse dans les complications neurologiques post AE mais aussi par son mode d'expression clinique. PMID:26175837

  9. Artificial wetlands and water quality improvement.

    PubMed

    Shutes, R B

    2001-05-01

    This paper illustrates the role of plants to assist the treatment of water pollution in man-made wetlands in tropical and temperate climates. It also considers the potential for environmental education of these wetland systems. The management and natural treatment of pollution is described in the Mai Po Marshes, Hong Kong and a wetland in London which is also an important site for birds. The design of the Putrajaya Lake and Wetland system in Malaysia is compared with a constructed wetland and lake for the treatment of urban surface runoff in a new residential development in the United Kingdom. The benefits of these natural systems are discussed in the context of the global trend for introducing sustainable methods of environmental management and low cost pollution treatment systems.

  10. Development of the acquisition model of online information resources at Faculty of Medicine Library, Khon Kaen University.

    PubMed

    Thanapaisal, Soodjai; Thanapaisal, Chaiwit

    2013-09-01

    Faculty of Medicine Library, Khon Kaen University started to acquire online information resources since 2001 with the subscriptions to 2 databases. Nowadays it has 29 items of subscriptions and the expenses on online information resources reach to 17 million baht, more than 70 percent of the information resources budget, serving the academic purposes of the Faculty of Medicine. The problems of online information resources acquisition fall into 4 categories, and lead to 4 aspects conforming the model of the acquisition, comparing or benchmarking with the 4 selected medical school libraries in Bangkok, Chiang Mai, and Songkhla, and discussion with some other Thai and foreign libraries. The acquisition model of online information resources is developed from those problems and proposed for Faculty of Medicine Library, Khon Kaen University as well as for any medical libraries which prefer.

  11. A Review on Successive Interference Cancellation Scheme Based on Optical CDMA Network

    NASA Astrophysics Data System (ADS)

    Alsowaidi, N.; Eltaif, T.; Mokhtar, M. R.

    2014-12-01

    Due to various desirable features of optical code division multiple access (OCDMA), it is believed this technique once developed and commercially available will be an integral part of optical access networks. Optical CDMA system suffers from a problem called multiple access interference (MAI) which limits the number of active users, it occurs when number of active users share the same carriers. The aim of this paper is to review successive interference cancellation (SIC) scheme based on optical CDMA system. The paper also reviews the system performance in presence of shot noise, thermal noise, and phase-induced intensity noise (PIIN). A comprehensive review on the mathematical model of SIC scheme using direct detection (DS) and spectral amplitude coding (SAC) were presented in this article.

  12. Blind Adaptive Interference Suppression Based on Set-Membership Constrained Constant-Modulus Algorithms With Dynamic Bounds

    NASA Astrophysics Data System (ADS)

    de Lamare, Rodrigo C.; Diniz, Paulo S. R.

    2013-03-01

    This work presents blind constrained constant modulus (CCM) adaptive algorithms based on the set-membership filtering (SMF) concept and incorporates dynamic bounds {for interference suppression} applications. We develop stochastic gradient and recursive least squares type algorithms based on the CCM design criterion in accordance with the specifications of the SMF concept. We also propose a blind framework that includes channel and amplitude estimators that take into account parameter estimation dependency, multiple access interference (MAI) and inter-symbol interference (ISI) to address the important issue of bound specification in multiuser communications. A convergence and tracking analysis of the proposed algorithms is carried out along with the development of analytical expressions to predict their performance. Simulations for a number of scenarios of interest with a DS-CDMA system show that the proposed algorithms outperform previously reported techniques with a smaller number of parameter updates and a reduced risk of overbounding or underbounding.

  13. [Serum Erythropoietin as Prognostic Marker in Myelodysplastic Syndromes].

    PubMed

    Cortesão, Emília; Tenreiro, Rita; Ramos, Sofia; Pereira, Marta; César, Paula; Carda, José P; Gomes, Marília; Rito, Luís; Magalhães, Emília; Gonçalves, Ana C; Silva, Nuno C E; Geraldes, Catarina; Pereira, Amélia; Ribeiro, Letícia; Nascimento Costa, José M; Ribeiro, Ana B Sarmento

    2015-01-01

    Introdução: A síndrome mielodisplásica é uma doença heterogénea caracterizada por displasia, medula hipercelular, citopenias e risco de evolução para leucemia aguda. Outros factores de prognóstico, nomeadamente, fibrose medular, elevação da enzima desidrogenase do lactato e 2-microglobulina têm sido descritos, contudo, a decisão terapêutica baseia-se no score do International Prognostic Scoring System. Material e Métodos: Este trabalho teve como objectivo analisar a relevãncia da eritropoietina sérica ao diagnóstico, em doentes com síndrome mielodisplásica de novo, avaliando o seu impacto na sobrevivência global e a sua implementação como factor de prognóstico. Recolhemos dados clínicos e laboratoriais de 102 doentes com síndrome mielodisplásica de novo diagnosticada entre outubro/2009 e março/2014. A análise de sobrevivência foi efectuada recorrendo à metodologia de Kaplan-Meier, de acordo com os valores de eritropoietina. Resultados: A amostra, de 102 doentes, apresenta uma mediana de idades de 74 anos e relação masculino/feminino igual a 0,8. Os doentes com o subtipo citopenia refratária com displasia unilinha apresentam, em média, valores de eritropoietina significativamente mais baixos, em oposição aos doentes com o subtipo 5q- que apresentam a média de eritropoietina sérica mais elevada (p < 0,05). Onze doentes evoluíram para leucemia aguda; estes têm, em média, eritropoietina sérica superior (p < 0,05). Adicionalmente, a eritropoietina sérica acima do limite superior da normalidade associa-se a menor sobrevivência (p = 0,0336). Após ajuste do modelo de regressão de Cox, o valor preditivo da eritropoietina para a sobrevivência global manteve-se (p < 0,001). Em análise multivariada, a eritropoietina sérica demonstrou ser um factor de prognóstico independente (p < 0,001). Discussão: A eritropoietina sérica é um factor preditivo de resposta à terapêutica com eritropoietina subcut'nea, sendo que os doentes

  14. Exstrophie vésicale : à propos d'un cas diagnostiqué tardivement

    PubMed Central

    Tshimbayi, Michel; Ndua, Danny; Kazadi, Costa; Kwete, Laurent Shamashanga; Bugeme, Marcellin; Mubinda, Patrick Kiopine; Mukuku, Olivier

    2014-01-01

    L'exstrophie vésicale est une forme particulière de malfaçon du tractus génito-urinaire. Son diagnostic est possible par l’échographie dès le premier trimestre de grossesse mais dans la plupart des pays en développement il est diagnostiqué à la naissance faute par manque de surveillance prénatale. Nous rapportons un cas que nous a été amené pour prise en charge d'une plaie hypogastrique depuis la naissance et après une exstrophie vésicale fut diagnostiquée. PMID:25120885

  15. Grossesses extra utérines successives et bilharziose tubaire chez une touriste française

    PubMed Central

    Laroche, Justine; Mottet, Nicolas; Malincenco, Marianna; Gay, Catherine; Royer, Pierre Yves; Riethmuller, Didier

    2016-01-01

    La bilharziose est la seconde endémie parasitaire mondiale et ses atteintes génito urinaires sont bien décrites. Les grossesses ectopiques (GEU) sur obstruction tubaire par les œufs de bilharziose sont rapportées dans les populations africaines. La bilharziose affecte aussi les voyageurs mais l'atteinte de l'appareil génital féminin est plus rare. Nous rapportons un cas exceptionnel de deux GEU successives sur bilharziose tubaire chez une patiente d'origine Française, sept ans après un voyage touristique au Mali, la première découverte sur pièce de salpingectomie et la seconde ayant nécessité une salpingotomie controlatérale avec une injection de méthotrexate, deux mois plus tard. PMID:27200124

  16. An overview of joint inversion in earthquake source imaging

    NASA Astrophysics Data System (ADS)

    Koketsu, Kazuki

    2016-06-01

    We reviewed joint inversion studies of the rupture processes of significant earthquakes, using the definition of a joint inversion in earthquake source imaging as a source inversion of multiple kinds of datasets (waveform, geodetic, or tsunami). Yoshida and Koketsu (Geophys J Int 103:355-362, 1990), and Wald and Heaton (Bull Seismol Soc Am 84:668-691, 1994) independently initiated joint inversion methods, finding that joint inversion provides more reliable rupture process models than single-dataset inversion, leading to an increase of joint inversion studies. A list of these studies was made using the finite-source rupture model database (Mai and Thingbaijam in Seismol Res Lett 85:1348-1357, 2014). Outstanding issues regarding joint inversion were also discussed.

  17. Lipome du corps calleux: à propos d'un cas avec revue de littérature

    PubMed Central

    Zhari, Bouchra; Mattiche, Houda; Boumdine, Hassan; Amil, Touriya; Ennouali, Hassan

    2015-01-01

    Le lipome du corps calleux est une malformation congénitale très rare, qui peut être associée à des degrés divers de dysgénésie du corps calleux. Son extension dans le ventricule latéral est encore plus rare. Il est souvent asymptomatique, mais peut se présenter par une épilepsie, hémiplégie, démence ou de simples céphalées. La tomodensitométrie et l'imagerie par résonance magnétique permettent facilement le diagnostic. Nous rapportons le cas d'une jeune fille de 14 ans, souffrant de simples céphalées, chez qui on découvre un lipome du corps calleux avec extension au ventricule latéral. PMID:26526933

  18. Les tumeurs glomiques de la main: une étude rétrospective de 11 cas

    PubMed Central

    Boussakri, Hassan; Elibrahimi, Abdelhalim; Hahem, Chafik; Bachiri, Mohammed; Hammas, Nawal; Elidrissi, Mohammed; Shimi, Mohamed; Roux, Jean Luc; Elmrini, Abdelmajid

    2016-01-01

    Tumeur glomique selon MASSON est une prolifération neuro-myo-arterielle bénigne. Elle représente environ 1% -5% de toutes les tumeurs de la main. La douleur est le signe clinique principal. Le diagnostic de certitude repose sur un faisceau d’arguments: clinique et radiologique, mais seul l’histologie qui permet la confirmation. Une série de 11 patientsa été revue rétrospectivement, l’âge moyen était de 36,27ans avec un recul moyen de 34,40 mois, et des extrêmes de 8 et 48 ans. L’exérèse chirurgicale étaitréalisée chez tous les patients. Cette stratégie nous a permis d’obtenir des résultats satisfaisants. PMID:27800115

  19. 25th Birthday Cern- Restaurant

    SciTech Connect

    2006-05-05

    Cérémonie du 25ème anniversaire du Cern avec plusieurs orateurs et la présence de nombreux autorités cantonales et communales genevoises et personnalités, directeurs généraux, ministres, chercheurs.... Le conseiller féderal et chef du département des affaires étrangères de la confédération Monsieur Pierre Aubert prend la parole pour célébrer à la fois les résultats très remarquables de la coopération internationale en matière scientifique, mais aussi la volonté politique des états européens de mettre en commun leurs ressources pour faire oeuvre d'avenir. Un grand hommage est aussi donné aux deux directeurs disparus, les prof.Bakker et Gregory.

  20. A model for the construction of elementary concepts

    NASA Astrophysics Data System (ADS)

    von Glasersfeld, Ernst

    1999-03-01

    In his paper Les épistémologies constructivistes: Un nouveau commencement (Sciences de la Société, n°40, 1997), Jean-Louis Le Moigne poses the question: "Le rêve d'une connaissance autoréférentielle se fondant sur elle-même, est sans doute fascinant … Mais est-il scientifiquement raisonnable?". Building on the work of Jean Piaget, I shall try to show through a developmental analysis of elementary, scientifically relevant concepts, such as `change', `object permanence', `space', and `time', that the notion of the thinking subject's construction of knowledge constitutes a more reasonable foundation for science than the traditional belief in the representation of objective reality.

  1. [Juvenile Pompe disease: retrospective clinical study].

    PubMed

    Loureiro Neves, Filipa; Garcia, Paula Cristina; Madureira, Núria; Araújo, Henriqueta; Rodrigues, Fidjy; Estêvão, Maria Helena; Lacerda, Lúcia; Diogo Matos, Luísa Maria

    2013-01-01

    Introdução: A doença de Pompe ou glicogenose tipo II é uma doença autossómica recessiva por deficiência de maltase ácida. É uma entidade rara, com prevalência de 1/40.000 nas populações holandesa e afro-americana e 1/46000 na população australiana. Embora se distingam três formas de apresentação (infantil, juvenil e do adulto), observa-se um amplo espectro clínico. Em Portugal está disponível terapêutica enzimática de substituição desde 2006.Material e Métodos: Fez-se o estudo retrospetivo de quatro doentes (duas das quais irmãs), baseado na revisão dos processos clínicos.Resultados: Em todas, a doença manifestou-se no segundo ano de vida. O tempo até ao diagnóstico variou entre dois e onze anos. Aquando do diagnóstico, todas apresentavam miopatia com atraso de aquisições motoras e em duas havia hipertrofia miocárdica. A suspeita clínica surgiu por insuficiência respiratória em contexto infeccioso em duas doentes. Em todas havia elevação da creatina quinase e das aminotransferases. Todas evoluíram com insuficiência respiratória crónica por síndrome restritiva. O diagnóstico foi baseado na diminuição da atividade da maltase ácida em fibroblastos (0 a 1,5% do limite inferior do normal). Na biópsia muscular, realizada em três doentes, demonstrou-se acumulação lisossómica de glicogénio. Todas apresentavam a mutação c.1064T > C no exão 6 do gene GAA (glucosidase-alpha-acid), em homozigotia numa delas, associada às mutações c.1666A > G no exão 12 e c.2065G > A no exão 15 nas duas irmãs e à mutação c.380G > T no exão 2 na doente mais nova. Todas iniciaram terapia enzimática de substituiçãologo que disponível, com boa tolerância. A doente mais jovem faleceu pouco depois. As outras mantêm medidas de suporteventilatório e fisioterapia, deslocando-se a mais velha, em cadeira de rodas, mantendo a irmã marcha independente e necessitando a mais nova de andarilho.Conclusão: Os nossos casos incluem

  2. [A community-based study of stroke code users in northern Portugal].

    PubMed

    Moutinho, Mariana; Magalhães, Rui; Correia, Manuel; Silva, M Carolina

    2013-01-01

    Introdução: Em 2002 Portugal detinha uma das mais altas taxas de mortalidade por doenças cerebrovasculares entre os países europeus. Várias estratégias foram adoptadas para melhorar a prevenção da doença e o seu tratamento na fase aguda, entre as quais a criação da Via Verde do Acidente Vascular Cerebral. O objectivo deste trabalho é descrever a utilização e resultados desta estratégia no contexto de um registo prospectivo comunitário na Região Norte de Portugal. Material e Métodos: Foram registados todos os AVCs ocorridos entre 1 de Outubro de 2009 e 30 de Setembro de 2010 nos utentes inscritos no agrupamento de centros de saúde do Porto Ocidental e nos de Mirandela e Vila Pouca de Aguiar. Para a detecção de casos utilizaram-se múltiplas fontes de informação: notificação via WEB, e-mail, Alerta P1 e pesquisas sistemáticas em registos disponibilizados pelas entidades envolvidas - urgências hospitalares, listas de altas, procedimentos de diagnóstico, óbitos, Via Verde do Acidente Vascular Cerebral e serviço de atendimento de situações urgentes. Resultados: Ocorreram 600 AVCs em 241 000 habitantes (taxa de incidência de 250 / 100 000), dos quais 434 foram primeiros na vida (180 / 100 000). Foram registados 72 acessos à Via Verde do Acidente Vascular Cerebral, dos quais 66,7% foram diagnosticados como AVC. Considerando os quatro critérios de activação (idade ≤ 80 anos, independência funcional, sinais/sintomas do AVC e tempo após episódio ≤ 3 horas), só 15,9% dos doentes a poderiam utilizar e, dos utilizadores, apenas 56,3% satisfaziam esses critérios. Dos doentes com critérios de activação, foram internados 96,3% pela VV pré-hospitalar, 83,3% pela VV intra/inter-hospitalar e 64,0% dos restantes; a fibrinólise foi realizada em 77,3%, 36,4% e 17,4% dos doentes com enfarte cerebral, respectivamente. O Rankin pós- AVC é mais grave nos utilizadores da VV pré-hospitalar (70,3% vs. 35,3%), mas estes apresentam mais

  3. Rôle de la radiothérapie dans le traitement de l'améloblastome: à propos de deux cas

    PubMed Central

    El Mazghi, Abderrahman; Bouhafa, Touria; El Kacemi, Hanan; Loukili, Kaoutar; Chbani, Laila; Kebdani, Taieb; Hassouni, Khalid

    2014-01-01

    L'améloblastome est une tumeur odontogène bénigne mais à pouvoir agressif et invasif local important. C'est une tumeur rare, elle représente 1% des tumeurs des maxillaires. Le rôle de la radiothérapie dans son traitement est actuellement démontré pour les tumeurs inopérables. Nous rapportons 2 cas d'améloblastomes mandibulaires chez deux patients qui ont bénéficié d'une radiothérapie externe à la dose de 60 Gy. L’évolution a été marquée par une rémission complète de la maladie dans les deux cas avec un recul de 2 et 5 ans. PMID:25722762

  4. Die Europäische Union, die Europäische Gemeinschaft und ihre Rechtsordnung, die Europäische Lebensmittelkontrolle

    NASA Astrophysics Data System (ADS)

    Gallhoff, Gudrun; Rimkus, Gerhard G.

    Die Europäische Union (EU) ist ein Zusammenschluss von siebenundzwanzig unabhängigen Staaten, um deren wirtschaftliche, politische und soziale Zusammenarbeit zu verstärken. Seit 1. Mai 2007 hat sie die folgenden Mitglieder: Österreich, Belgien, Bulgarien, Dänemark, Finnland, Frankreich, Deutschland, Griechenland, Irland, Italien, Luxemburg, die Niederlande, Portugal, Spanien, Schweden, das Vereinigte Königreich von Großbritannien und Nordirland, Zypern, die Tschechische Republik, Estland, Ungarn, Lettland, Litauen, Malta, Polen, Rumänien, die Slowakei und Slowenien [1]. (Hinweis: Die Republik Zypern hat juristisch Souveränität über die ganze Insel, da die Türkische Republik Nordzypern international nicht anerkannt wird.)

  5. PSOLV: a code for calculating the potentials and densities in MFTF-B

    SciTech Connect

    Colborn, J.A.

    1983-08-17

    Code PSOLV solves for potential and densities at the cardinal points of MFTF-B. The code is equipped to handle both the throttle-coil and the axicell geometries. For the throttle-coil case, the potential at point MXO is input, while the potentials and densities at points MAI, b, and A are calculated. For the axicell case, the code must additionally solve for the potentials and densities at points X and MXO. PSOLV is intended primarily for use as a subroutine in TREQ, a code being developed by Rensink that calculates the densities and potentials at the cardinal points of MFTF-B as a function of time. TREQ is to be used for modeling start-up behavior.

  6. Avortements non médicalisés: état des lieux à travers une étude rétrospective de 451 cas traités à l'hôpital militaire d'instruction Moulay Ismail Meknès, Maroc

    PubMed Central

    Laghzaoui, Omar

    2016-01-01

    L'avortement non médicalisé est un fléau dans le monde entier mais notamment en Afrique où il constitue un marché lucratif pour les tradipraticiens qui exposent les patientes à des complications graves voir mortelles. Notre étude rétrospective de 451 dossiers représente un échantillon exhaustif de cette pratique au Maroc soulevant les raisons qui poussent les femmes à l'avortement non médicalisé, la tranche d’âge la plus concernée, les conditions et les complications inhérentes à l'acte. Notre travail aboutit sur la nécessité d'intervenir avant la grossesse en développant la notion de contraception chez les jeunes filles dès la scolarité pour minimiser ces pratiques non sanitaires. PMID:27642422

  7. [A new approach to improving air in habitable pressurized modules].

    PubMed

    Argunova, A M; Odelevskiĭ, V K; Strogonova, L B

    2009-01-01

    Habitable pressurized modules, including space cabin, should provide ecologically efficient and physiologically auspicious conditions. The regenerated air should be comparable with fresh air of the natural environment humans belonged with over thousand years of evolution. Air scrubbing system GALOINHALATOR IGK-02 (MAI, patent No. 2209093) comprises eco-pure minerals from the salt rocks in Verkhnekamsk (the Urals). The portable automatic system controls air saturation with negative light aeroions and fine salt aerosols at preset levels. The laboratory, clinical and model tests demonstrated bactericide and bacteriostatic effects of air produced by GALOINHALATOR and the mineral ability to adsorb harmful volatile admixtures. Breathing decontaminated and ionized air during long stay in a pressurized module is beneficial to human performance, immunity, and chronic diseases prevention. PMID:19621806

  8. The impact of embedded support for underprepared students in a college chemistry course

    NASA Astrophysics Data System (ADS)

    Hesser, Tiffany L.

    This quasi-experimental study examined the impact of embedded support on academic success for students requiring remediation in college chemistry. Additional support for underprepared students incorporated within a course is recommended by Connecticut's Public Act 12-40, An Act Concerning College Readiness and Completion. For this study, embedded support consisted of weekly instructional support sessions and introduced the concepts of metacognitive awareness and motivation in learning. Students' progression through the course was measured using a series of standardized questions. Metacognitive awareness and motivation levels were measure at the start and completion of the semester using the Metacognitive Awareness Inventory (MAI) and Motivated Student Learning Questionnaire (MSLQ). It was found that with embedded support, underprepared students performed academically at a level equivalent to that of their college-ready peers. Based on these results, this embedded support model as an evidence-based practice should be considered in class development or policies surrounding students identified as underprepared.

  9. Simplificando a luneta com lente de óculos

    NASA Astrophysics Data System (ADS)

    Canalle, J. B. G.; de Souza, A. C. F.

    2003-08-01

    A principal ferramenta de trabalho do astrônomo é o telescópio. O manuseio do mesmo é sempre motivo de enorme curiosidade por parte de alunos do ensino fundamental ou médio e até mesmo dos respectivos professores. Visando propiciar o acesso de alunos e professores ou interessados em geral a uma luneta de fácil construção, com materiais alternativos, de fácil localização no comércio, de baixo custo, resistente ao manuseio de alunos, simplificamos a montagem de uma luneta construída com lente de óculos, de 1 ou 2 graus positivos, e monóculo de fotografia, publicado por este autor no CCEF, vol.11(3), 212, 1994. Esta luneta, a qual permite ver as crateras lunares, apresentava como maior dificuldade de construção o tripé e o local de formação da imagem. Substituímos o tripé de madeira por uma simples garrafa PET de 2 litros cheia d'água. No lugar da ocular usamos a lente do monóculo de fotografia (ou visor de fotografia) encaixado dentro de uma bucha de redução curta, de 40 x 32 mm, e esta não mais dentro de uma luva (conexão hidráulica) de 40 mm de diâmetro, mas sim encostada no próprio tubo de PVC móvel (o qual permite o ajuste do foco) de 40 mm de diâmetro e presa a este por outro tubo de 40 mm de diâmetro e 10 cm de comprimento, serrado ao longo do seu comprimento. Com isto podemos ajustar a posição deste tubo de 10 cm também para que uma das suas extremidades coincida com o local de formação da imagem. Desta forma o observador saberá o local exato da formação da imagem, o que não era evidente na montagem anterior e causava uma dificuldade inicial até se descobrir a posição exata em que se deveria colocar o olho. Deste maneira, a montagem inicial que já era simples ficou ainda mais simples, mais barata e mais confortável para o uso. Um exemplar da mesma será exposto durante a XXIX Reunião Anual da Sociedade Astronômica Brasileira para inspeção e uso dos participantes.

  10. [Health care associated multidrug-resistant bacteria in a pediatric hospital: five year experience].

    PubMed

    Mação, Patrícia; Lopes, João Casalta; Oliveira, Henrique; Oliveira, Guiomar; Rodrigues, Fernanda

    2013-01-01

    Introdução: Nos últimos anos tem-se assistido a um aumento das infeções por bactérias multirresistentes. Os dados pediátricos no global, e em particular em Portugal, são escassos.Objectivos: Avaliar a evolução das infeções por bactérias multirresistentes associadas aos cuidados de saúde num hospital pediátrico.Material e Métodos: Estudo retrospetivo de incidência efetuado nas enfermarias médicas, cirúrgicas e de cuidados intensivos num hospital pediátrico nível III, entre Janeiro de 2005 e Dezembro de 2009. As bactérias multirresistentes estudadas foram Staphylococcus aureus meticilino-resistente (SAMR), bacilos gram negativos produtores de β-lactamases de espectro expandido (ESBL), Enterococcus spp resistentes à vancomicina (ERV), Pseudomonas aeruginosa multirresistentes (PAMR) e Acinetobacter baumanii resistente aos carbapenems. Foram analisados dados demográficos, clínicos, laboratoriais, terapêuticos e presença de fatores de risco.Resultados: Durante o período de estudo foram identificadas 106 bactérias multirresistentes associadas, correspondentes a 72 crianças, com predomínio do sexo masculino (65,3%). As bactérias multirresistentes mais frequentemente identificadas foram SAMR (35,8%), PAMR (29,2%) e bacilos gram negativos com fenótipo ESBL (17,9%). Destas 106 bactérias multirresistentes, 45 (42,5%) foram identificadas em infeção. Ao longo do período de estudo, a proporção anual de infeções por bactérias multirresistentes variou entre 32,0% em 2006 e 55,6% em 2009 (p = 0,376). A taxa de incidência global de infeção por estas bactérias foi de 0,400 por 1 000 dias de internamento, correspondendo a 0,274 infeções por 100 internamentos, valor que se manteve estável ao longo dos cinco anos. Predominaram as infeções da corrente sanguínea (31,1%), intra-abdominais (20,0%), associadas a cateter venoso central (17,8%) e da pele e tecidos moles (11,1%). Todas as crianças tinham fatores de risco e os mais

  11. Design of pulse waveform for waveform division multiple access UWB wireless communication system.

    PubMed

    Yin, Zhendong; Wang, Zhirui; Liu, Xiaohui; Wu, Zhilu

    2014-01-01

    A new multiple access scheme, Waveform Division Multiple Access (WDMA) based on the orthogonal wavelet function, is presented. After studying the correlation properties of different categories of single wavelet functions, the one with the best correlation property will be chosen as the foundation for combined waveform. In the communication system, each user is assigned to different combined orthogonal waveform. Demonstrated by simulation, combined waveform is more suitable than single wavelet function to be a communication medium in WDMA system. Due to the excellent orthogonality, the bit error rate (BER) of multiuser with combined waveforms is so close to that of single user in a synchronous system. That is to say, the multiple access interference (MAI) is almost eliminated. Furthermore, even in an asynchronous system without multiuser detection after matched filters, the result is still pretty ideal and satisfactory by using the third combination mode that will be mentioned in the study.

  12. Pyomyosite tuberculeuse primitive chez une patiente immunocompétente: à propos d'un cas

    PubMed Central

    Daghfous, Alifa; Bouzaidi, Khaled; Marhoul, Lamia Rezgui

    2014-01-01

    L'atteinte du muscle strié au cours de la tuberculose chez un sujet immunodéprimé ou à partir de l'extension d'un foyer ostéo-articulaire de voisinage est rare mais bien connue. Toutefois, l'atteinte primitive est exceptionnelle ainsi que celle chez un sujet immunocompétent. L'imagerie par résonnance magnétique (IRM) est d'un grand apport pour le diagnostic avec une excellente sensibilité. Nous rapportons un cas de pyomyosite tuberculeuse primitive du mollet chez une patiente non immunodéprimé tout en précisant l'apport de l'IRM. PMID:25821543

  13. Cultural Alimentation in Latin America

    SciTech Connect

    2005-12-15

    Le Prof. Paolo Freire(nom?) a dirigé en Brésil un plan national d'alphabétisatation d'adultes. La base de sa méthode est d'essayer de ne pas rester sur la mécanique du mot, mais de le relier avec la réalité sociale et donner un réveillement critique de la conscience populaire en face de la réalité historique du pays. Il était professeur d'histoire et de philosophie de Récife, puis exilé et depuis il était prof. à Harvard, a travaillé à l'Unesco et est maintenant conseiller spécial à l'Office d'Education du centre oecuménique des églises

  14. Factors affecting Thai workers' use of hearing protection.

    PubMed

    Tantranont, Kunlayanee; Srisuphan, Wichit; Kaewthummanukul, Thanee; Suthakorn, Weeraporn; Jormsri, Pantip; Salazar, Mary K

    2009-11-01

    This study used an ecological model to examine Thai workers' beliefs and attitudes toward using occupational hearing protection. Data collection involved focus group sessions with 28 noise-exposed workers at four factories in Chiang Mai Province and an interview with a safety officer at each organization. Detailed content analysis resulted in the identification of three types of factors influencing the use of hearing protection: intrapersonal, including preventing impaired hearing, noise annoyance, personal discomfort, and interference with communication; interpersonal, including coworker modeling, supervisor support, and supervisor modeling; and organizational, including organizational rules and regulations, provision of hearing protection devices, dissemination of knowledge and information, noise monitoring, and hearing testing. Effective hearing protection programs depend on knowledge of all of these factors. Strategies to promote workers' use of hearing protection should include the complete range of factors having the potential to affect workers' hearing. PMID:19873942

  15. Ostéonécrose aseptique de la tête fémorale chez une patiente atteinte d'artérite de Takayasu

    PubMed Central

    Loukil, Hanen; Frikha, Faten; Snoussi, Mouna; Ben Salah, Raida; Bahloul, Zouhir

    2014-01-01

    L'ONA n'est pas une maladie spécifique, mais c'est l'aboutissement de diverses conditions pathologiques dont la plupart altère la circulation sanguine. Elle peut compliquer toutes les maladies systémiques et auto-immunes essentiellement le lupus érythémateux systémique. Sa survenue au cours de l'artérite de Takayasu a été exceptionnellement rapportée. Nous rapportons l'observation d'une femme âgée de 69 ans, et suivie pour artérite de Takayasu qui se présentait pour des douleurs de la hanche gauche. Un scanner de la hanche gauche avait confirmé le diagnostic d'une ostéonecrose aseptique de la tête fémorale gauche stade 3. PMID:25419330

  16. Manifestations bucco-dentaires de la sclérodermie systémique

    PubMed Central

    Salem, Bouomrani; Rim, Bel Hadj Ali; Sihem, Ben Khoud; Maher, Béji

    2013-01-01

    Nous rapportons l'observation d'une jeune femme de 26 ans ayant une sclérodermie systémique diffuse présentant une atteinte bucco-dentaire complexe: microstomie, hyperplasie gingivale, parodontite, dépôts tartriques, caries multiples et chevauchement dentaire antéro-inférieur. Nous discuterons à travers cette observation les manifestations bucco-dentaires de cette connectivite qui sont loin d’être rares mais souvent négligées par les cliniciens malgré leur retentissement fonctionnel majeur. Il convient de surveiller régulièrement l’état bucco-dentaire chez tout patient sclérodermique afin de diagnostiquer précocement ces atteintes. Diagnostiquées à un stade tardif les complications bucco-dentaires de la sclérodermie seront très difficiles à traiter. PMID:24778751

  17. [Primary study on the life of Liu Chun, a famous Ming physician].

    PubMed

    Ren, Y; Gu, J; Gong, C

    2000-07-01

    Liu Chun, a famous physician of the Ming dynasty, born in a prestigious family in Wuling (Tai County, Jiangsu Province). He studied medicine from his father Liu Juquan and Mr. Feng Tinggan in his early years. It was said Liu Chun moved to Chang'an (now Xi'an, Shaanxi Province) in 1368 and lived there for about twenty years, then moved to Liangzhou along with the army (Wuwei County, Gansu Province) before 1395 and resided in Ganzhou (Zhangye County, Gansu Province). He wrote many medical books, including Yi jing xiao xue, Yu ji wei yi, Za bing zhi li and Shang han zhi li, all published after his death. His other two books Tai su mai jue and Shou qin yang lao bu yi could not be found. It was inferred that Liu Chun who lived for about seventy years might be born in 1340 and died in 1412. PMID:11624688

  18. Female Sexuality in Thai Discourses about Maechii ('lay nuns').

    PubMed

    Muecke, Marjorie

    2004-05-01

    By examining competing discourses about women who are maechii (or 'lay nuns') in Buddhist Thai society, this paper demonstrates that, although maechii vow to be celibate, social constructions of their role are grounded in sexuality. The discourses examined are those of the Buddhist canon and Sangha (Order of Monkhood), the Thai Maechii Institute, the mass media, and the government. The analysis is supplemented with field observations and interviews with monks, maechii, and lay persons. Findings suggest that maechii comprise an ambiguous category linguistically, Buddhistically, and in terms of their sexuality. Case studies of the founders of nunneries conducted in ChiangMai indicate that maechii leaders have been resisting the prevalent views that most maechii are social misfits, yet also are capable of undermining monks' celibacy and, by extension, the larger social order. The analysis contributes to the understanding of the interconnectedness of gender and sexuality in contemporary Thai society.

  19. The role of Mycobacteria Other Than Tuberculosis (MOTT) in patients with cystic fibrosis.

    PubMed

    Hjelt, K; Højlyng, N; Howitz, P; Illum, N; Munk, E; Valerius, N H; Fursted, K; Hansen, K N; Heltberg, I; Koch, C

    1994-01-01

    The purpose of this study was to estimate the frequency of and evaluate the clinical impact of pulmonary mycobacterial infections among cystic fibrosis (CF) patients. 185 CF patients aged 2.2-38.5 years were screened by sputum samples and by intracutaneous skin tests against tuberculin and sensitins produced from Mycobacterium chelonae subsp. abscessus, M. avium, M. intracellulare and M. scrofulaceum (the MAIS complex). The skin tests towards the sensitins in BCG-vaccinated patients (n = 60) were significantly influenced by the vaccination. 26 of the remaining 125 non-vaccinated patients had > or = 1 positive skin test (95% confidence limits 15-29%). The majority reacted against the MAIS complex. However, the reactions were similar to those of healthy siblings and an age-matched control group. Moreover, the lung function, growth and HbA1c were similar among skin test positive and negative patients. Three patients had repeated positive sputum cultures, the point prevalence being 1.6% (M. intracellulare, n = 2 and M. chelonae subsp. abscessus, n = 1). During the subsequent 4 years, 4 additional patients with M. chelonae subsp. abscessus were identified. Based on clinical observations, 5 of the infected patients were considered asymptomatic, while 2 might have been symptomatic. In 1 patient, M. chelonae subsp. abscessus disappeared spontaneously. Despite intensive treatment with new antibiotics against Mycobacteria Other Than Tuberculosis (MOTT) in 4 patients, the mycobacteria were not eradicated. In conclusion, MOTT infection was rare and the clinical impact difficult to prove. Treatment should focus on clinical improvement in the individual patient suspected of suffering from significant symptomatic infection. Eradication of the bacteria should not be expected. PMID:7855554

  20. Deformation along the western Indian plate boundary: new constraints from differential and multi-aperture InSAR data inversion for the 2008, Baluchistan (Western Pakistan) seismic sequence.

    NASA Astrophysics Data System (ADS)

    Pezzo, Giuseppe; Merryman Boncori, John Peter; Atzori, Simone; Antonioli, Andrea; Salvi, Stefano

    2014-05-01

    We use Synthetic Aperture Radar Differential Interferometry (DInSAR) and Multi-Aperture Interferometry (MAI) to constrain the sources of the three largest events of the 2008 Baluchistan (western Pakistan) seismic sequence, namely two Mw 6.4 events only 12 hours apart and an Mw 5.7event occurred 40 days later. The sequence took place in the Quetta Syntaxis, the most seismically active region of Baluchistan, tectonically located between the colliding Indian Plate and the Afghan block of the Eurasian Plate. Elastic dislocation modelling of the surface displacements, derived from ascending and descending ENVISAT ASAR acquisitions, yields slip distributions with peak values of 80 cm and 70 cm for the two main events on a pair of strike-slip near-vertical faults, and values up to 50 cm for the largest aftershock on a NE-SW strike-slip fault. The MAI measurements, with their high sensitivity to the north-south motion component, are crucial in this area to resolve the fault plane ambiguity of moment tensors. We also studied the relationships between the largest earthquakes of the sequence by means of the Coulomb Failure Function to verify the agreement of our source modelling with the stress variations induced by the October 28 earthquake on the October 29 fault plane, and the stress variations induced by the two mainshocks on the December 09 fault plane. Our results provide insight into the deformation style of the Quetta Syntaxis, suggesting that right-lateral slip released at intermediate depths on large NW fault planes is compatible with contemporaneous left-lateral activation on NE-SW minor faults at shallower depths, in agreement with a bookshelf deformation mechanism.

  1. Variations of total electron content in the equatorial anomaly region in Thailand

    NASA Astrophysics Data System (ADS)

    Chowdhary, V. Rajesh; Tripathi, N. K.; Arunpold, Sanit; Raju, Durairaju Kumaran

    2015-01-01

    This paper presents the first results of total electron content (TEC), derived by analyzing dual frequency Novatel GSV4004 GPS receiver's data which were installed by the SCINDA project, located at the Asian Institute of Technology, Bangkok (AITB, 14.079N, 100.612E) and Chiang Mai University, Chiang Mai (CHGM, 18.480N, 98.570E) with magnetic latitude of 4.13°N and 8.61°N respectively in Thailand, for the year 2011. These two stations are separated by 657 km in the equatorial anomaly region. The highest TEC values occurred from 1500 to 1900 LT throughout the study period. The diurnal, monthly and seasonal GPS-TEC have been plotted and analyzed. The diurnal peaks in GPS-TEC is observed to be maximum during equinoctial months (March, April, September and October) and minimum in solstice months (January, February, June, July and December). These high TEC values have been attributed to the solar extreme ultra-violet ionization coupled with the upward vertical E × B drift. A comparison of both station's TEC has been carried out and found that CHGM station experiences higher values of TEC than AITB station, due to formation of ionization crest over the CHGM station. Also, TEC values have shown increasing trend due to approaching solar maximum. These results from both stations were also compared with the TEC derived from the International Reference Ionosphere's (IRI) recently released, IRI-2012 model. Results have shown positive correlation with IRI-2012 model. Although, IRI-model does not show any response to geomagnetic activity, the IRI model normally remains smooth and underestimates TEC during a storm.

  2. Risk estimation of HNA-3 incompatibility and alloimmunization in Thai populations.

    PubMed

    Nathalang, Oytip; Intharanut, Kamphon; Siriphanthong, Kanokpol; Nathalang, Siriporn; Leetrakool, Nipapan

    2015-01-01

    Severe transfusion-related acute lung injury (TRALI) is often due to antibodies in blood components directed against human neutrophil antigen (HNA)-3a. This study aimed to report the genotype frequencies of the HNA-3 system and to estimate the potential risk of HNA-3 incompatibility and alloimmunization in two Thai populations. Eight hundred DNA samples obtained from 500 unrelated healthy blood donors at the National Blood Centre, Thai Red Cross Society, Bangkok and 300 samples from the Blood Bank, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand were included. HNA-3 genotyping was performed using an in-house polymerase chain reaction with sequence-specific primer (PCR-SSP) technique. The observed frequencies of the HNA-3a/3a, HNA-3a/3b, and HNA-3b/3b genotypes were 0.528, 0.380, and 0.092 in central Thais and 0.600, 0.350, and 0.050 in northern Thais, respectively. The frequencies were used to estimate HNA-3 incompatibility and risk of HNA-3a alloimmunization. The HNA-3 incompatibility in central Thais (33.28%) was higher than northern Thais (28.75%), corresponding to a significantly higher probability of HNA-3a alloimmunization (P<0.05) similar to Japanese and Chinese populations. This study showed the high risk of HNA-3 incompatibility and alloimmunization, especially in central Thai blood donors. A molecular-based identification of the HNA-3 genotype of female donors is suggested to reduce the risk of TRALI following plasma and whole blood allogeneic transfusion.

  3. Art & Astronomie - impressions celestes

    NASA Astrophysics Data System (ADS)

    Nazé, Yaël

    2015-10-01

    Ce livre revisite l'histoire de l'art dans ce qu'elle a de plus universel : son rapport au ciel. De l'Orient à l'Occident, de l'Antiquité à l'époque contemporaine, du classique au plus inattendu, il crée un espace singulier où se mêlent art et science, un musée imaginaire croisant sensibilité intime et compréhension du Cosmos, un jeu sans cesse réinventé...; car il n'y a pas une seule manière de regarder les étoiles. Bien sûr, le ciel possède un énorme pouvoir évocateur, une force inspiratrice à nulle autre pareille, mais l'inspiration n'est pas la seule des relations entre l'art et l'astronomie. En effet, les artistes peuvent apporter leur grain de sel aux révolutions scientifiques, tandis que l'astronomie peut aider à comprendre certaines œuvres. Avec près de 600 illustrations, cet ouvrage n'a pas pour but d'égrener la liste exhaustive des représentations de ciel étoilé, clair de lune, ambiance crépusculaire ou soleil de midi, mais plutôt d'aborder les multiples relations entre l'art et la science. Il s'agit d'une invitation à un voyage aux frontières mouvantes et incertaines des plus belles réalisations de l'esprit humain.

  4. A Time Domain Along-Track SAR Interferometry Method

    NASA Astrophysics Data System (ADS)

    Cao, N.; Lee, H.; Jung, H. C.

    2015-12-01

    Differential interferometric synthetic aperture radar (DInSAR) has already been proven to be a useful technique for measuring ground displacement at millimeter level. One major drawback of traditional DInSAR technique is that only 1-D deformation in slant range direction can be detected. In order to obtain along-track displacement using a single InSAR pair, two major attempts have been made. The first one is based on cross-correlation between two SAR amplitude images. The second attempt is based on split-beam processing to generate two SAR images from forward- and backward-looking beams. Comparing with the former method, this multiple-aperture SAR interferometry (MAI) can achieve much better measurement accuracy. The major drawback of the MAI method is degraded signal to noise ratio (SNR) and along-track resolution since total along-track integration time decreases in the split-beam procedure. In order to improve the SNR and along-track resolution as well as to extract the terrain displacement in the along-track direction, a time domain along-track SAR interferometry method is proposed in this study. Using traditional time domain backprojection method, the phase component corresponding to slant range direction offset can be estimated and removed from the range compressed SAR signal. Then a phase estimation procedure is implemented to obtain the phase component in the along-track direction. Using ALOS PALSAR data over Kilauea Volcano area in Hawai'i, our experimental results demonstrate the improved performance of the proposed method in extracting 2-D terrain deformation map from one pair of SAR images.

  5. Enema reduction of intussusception: the success rate of hydrostatic and pneumatic reduction

    PubMed Central

    Khorana, Jiraporn; Singhavejsakul, Jesda; Ukarapol, Nuthapong; Laohapensang, Mongkol; Wakhanrittee, Junsujee; Patumanond, Jayanton

    2015-01-01

    Purpose Intussusception is a common surgical emergency in infants and children. The incidence of intussusception is from one to four per 2,000 infants and children. If there is no peritonitis, perforation sign on abdominal radiographic studies, and nonresponsive shock, nonoperative reduction by pneumatic or hydrostatic enema can be performed. The purpose of this study was to compare the success rates of both the methods. Methods Two institutional retrospective cohort studies were performed. All intussusception patients (ICD-10 code K56.1) who had visited Chiang Mai University Hospital and Siriraj Hospital from January 2006 to December 2012 were included in the study. The data were obtained by chart reviews and electronic databases, which included demographic data, symptoms, signs, and investigations. The patients were grouped according to the method of reduction followed into pneumatic reduction and hydrostatic reduction groups with the outcome being the success of the reduction technique. Results One hundred and seventy episodes of intussusception occurring in the patients of Chiang Mai University Hospital and Siriraj Hospital were included in this study. The success rate of pneumatic reduction was 61% and that of hydrostatic reduction was 44% (P=0.036). Multivariable analysis and adjusting of the factors by propensity scores were performed; the success rate of pneumatic reduction was 1.48 times more than that of hydrostatic reduction (P=0.036, 95% confidence interval [CI] =1.03–2.13). Conclusion Both pneumatic and hydrostatic reduction can be performed safely according to the experience of the radiologist or pediatric surgeon and hospital setting. This study showed that pneumatic reduction had a higher success rate than hydrostatic reduction. PMID:26719697

  6. Progrès récents dans l'utilisation de la Chromatographie Gazeuse Inverse pour la détermination des propriétés acide-base des surfaces solides

    NASA Astrophysics Data System (ADS)

    Papirer, E.; Brendlé, E.

    1998-01-01

    Inverse Gas Chromatography (IGC) is a method well suited for the study of divided solids, but also of fibres. In this paper, the principles of IGC, its advantages such as ease and rapidity of measurement, but also limitations due essentially to the energetic heterogeneity of the solid surfaces are discussed. Finally, a new procedure allowing to estimate the acidity and basicity of the surface involving topology concepts of the molecules used to probe the surface is presented. Experimental results of the Laboratory, but also results extracted from the literature concerning silica, titanium dioxide, poly(methyl methacrylate) and poly(ethylene) fibers, are taken to verify the proposed method. La chromatographie Gazeuse Inverse (CGI) s'avère comme une méthode de choix pour l'étude des solides divisés, mais aussi de fibres. Après avoir rappelé quelques principes de base de la CGI, les avantages de la méthode comme la facilité de mise en oeuvre, sa rapidité..., nous soulignerons ses limites qui sont essentiellement à attribuer à l'hétérogénéité énergétique des surfaces solides. Finalement, nous décrirons une nouvelle approche de l'acidité et de la basicité de surface grâce à l'utilisation des concepts de topologie des molécules employées pour sonder la surface. Des résultats expérimentaux obtenus au Laboratoire, mais aussi tirés de la littérature et concernant la silice, l'oxyde de titane, la poly(méthacrylate de méthyle) et les fibres de poly(éthylène), permettent d'illustrer la pertinence de la méthode proposée.

  7. Genome-Wide Identification of SSR and SNP Markers Based on Whole-Genome Re-Sequencing of a Thailand Wild Sacred Lotus (Nelumbo nucifera)

    PubMed Central

    Zhu, Zhixuan; Wang, Xiaolei; Ke, Weidong; Ding, Yi

    2015-01-01

    Genomic resources such as single nucleotide polymorphism (SNPs), insertions and deletions (InDels) and SSRs (simple sequence repeats) are essential for crop improvement and better utilization in genetic breeding. However, the resources for the sacred lotus (Nelumbo nucifera Gaertn.) are still limited. In the present study, to dissect large-scale genomic molecular marker resources for sacred lotus, we re-sequenced a Thailand sacred lotus cultivar ‘Chiang Mai wild lotus’ and compared with the reported lotus genome ‘Middle lake wild lotus’. A total of 3,180,059 SNPs, 328, 251 InDels and 14,191 SVs were found between the two genomes. The functional impact analyses of these SNPs indicated that they may be involved in metabolic processes, binding, catalytic activity, etc. Mining the genome sequences for SSRs showed that 191,657 SSRs were identified with a frequency of one SSR per 4.23 kb and 103,656 SSR primer pairs were designed. Furthermore, 14, 502 EST-SSRs were also indentified using the available RNA-seq data in the NCBI. A subset of 150 SSRs (genomic and EST-SSRs) was randomly selected for validation and genetic diversity analysis. The genotypes could be easily distinguished using these SSR markers and the ‘Chiang Mai wild lotus’ was obviously differentiated from the other Chinese accessions. This study provides considerable amounts of genomic resources and markers for the quantitative trait locus (QTL) identification and molecular selection of the species, which could have a potential role in various applications in sacred lotus breeding. PMID:26606530

  8. Performance of Multi-User Transmitter Pre-Processing Assisted Multi-Cell IDMA System for Downlink Transmission

    NASA Astrophysics Data System (ADS)

    Partibane, B.; Nagarajan, V.; Vishvaksenan, K. S.; Kalidoss, R.

    2015-06-01

    In this paper, we present the performance of multi-user transmitter pre-processing (MUTP) assisted coded-interleave division multiple access (IDMA) system over correlated frequency-selective channels for downlink communication. We realize MUTP using singular value decomposition (SVD) technique, which exploits the channel state information (CSI) of all the active users that is acquired via feedback channels. We consider the MUTP technique to alleviate the effects of co-channel interference (CCI) and multiple access interference (MAI). To be specific, we estimate the CSI using least square error (LSE) algorithm at each of the mobile stations (MSs) and perform vector quantization using Lloyd's algorithm, and feedback the bits that represents the quantized magnitudes and phases to the base station (BS) through the dedicated low rate noisy channel. Finally we recover the quantized bits at the BS to formulate the pre-processing matrix. The performance of MUTP aided IDMA systems are evaluated for five types of delay spread distributions pertaining to long-term evolution (LTE) and Stanford University Interim (SUI) channel models. We also compare the performance of MUTP with minimum mean square error (MMSE) detector for the coded IDMA system. The considered TP scheme alleviates the effects of CCI with less complex signal detection at the MSs when compared to MMSE detector. Further, our simulation results reveal that SVD-based MUTP assisted coded IDMA system outperforms the MMSE detector in terms of achievable bit error rate (BER) with low signal-to-noise ratio (SNR) requirement by mitigating the effects of CCI and MAI.

  9. Microvariabilidade da polarização óptica e do fluxo infravermelho de 3C 279

    NASA Astrophysics Data System (ADS)

    Andruchow, I.; Cellone, S. A.; Romero, G. E.; Dominici, T. P.; Abraham, Z.

    2003-08-01

    Neste trabalho mostramos um estudo sobre a existência e o comportamento da microvariabilidade na polarização óptica no blazar 3C 279. As medidas de polarização foram feitas durante quatro noites em março/2002 com o telescópio de 2.15 m do CASLEO, utilizando o polarímetro CASPROF. As observações mostraram que o grau de polarização linear é composto por duas componentes: uma relativa ao flickering em escalas de tempo de minutos e outra com variações em escalas de tempo de dias. Neste último caso a variação do grau de polarização está correlacionada com variações intraday no infravermelho próximo, cujos dados foram obtidos simultaneamente durante duas noites no telescópio de 1.60 m do LNA, utilizando a CamIV. Além disso, o ângulo de polarização apresentou uma variação súbita de mais de 10 graus em algumas horas, o que poderia ser causado pela injeção de um novo choque no jato. Esta idéia é apoiada pelo comportamento da variabilidade no infravermelho em escalas de tempo mais longas, que foi acompanhado durante três meses após o término da campanha coordenada com observações adicionais no LNA.

  10. Mycobactericidal activity of selected disinfectants using a quantitative suspension test.

    PubMed

    Griffiths, P A; Babb, J R; Fraise, A P

    1999-02-01

    In this study, a quantitative suspension test carried out under both clean and dirty conditions was used to assess the activity of various instrument and environmental disinfectants against the type strain NCTC 946 and an endoscope washer disinfector isolate of Mycobacterium chelonae, Mycobacterium fortuitum NCTC 10,394, Mycobacterium tuberculosis H37 Rv NCTC 7416 and a clinical isolate of Mycobacterium avium-intracellulare (MAI). The disinfectants tested were; a chlorine releasing agent, sodium dichloroisocyanurate (NaDCC) at 1000 ppm and 10,000 ppm av Cl; chlorine dioxide at 1100 ppm av ClO2 (Tristel, MediChem International Limited); 70% industrial methylated spirits (IMS); 2% alkaline glutaraldehyde (Asep, Galan); 10% succinedialdehyde and formaldehyde mixture (Gigasept, Schulke & Mayr); 0.35% peracetic acid (NuCidex, Johnson & Johnson); and a peroxygen compound at 1% and 3% (Virkon, Antec International). Results showed that the clinical isolate of MAI was much more resistant than M. tuberculosis to all the disinfectants, while the type strains of M. chelonae and M. fortuitum were far more sensitive. The washer disinfector isolate of M. chelonae was extremely resistant to 2% alkaline activated glutaraldehyde and appeared to be slightly more resistant than the type strain to Nu-Cidex, Gigasept, Virkon and the lower concentration of NaDCC. This study has shown peracetic acid (Nu-Cidex), chlorine dioxide (Tristel), alcohol (IMS) and high concentrations of a chlorine releasing agent (NaDCC) are rapidly mycobactericidal. Glutaraldehyde, although effective, is a slow mycobactericide. Gigasept and Virkon are poor mycobactericidal agents and are not therefore recommended for instruments or spillage if mycobacteria are likely to be present. PMID:10063473

  11. Formes hémorragiques graves de la fièvre de la vallée du Rift: à propos de 5 cas

    PubMed Central

    Salem, Mohamed Lemine Ould; Baba, Sidi El Wafi Ould; Fall-Malick, Fatimetou Zahra; Boushab, Boushab Mohamed; Ghaber, Sidi Mohamed; Mokhtar, Abdelwedoud

    2016-01-01

    La fièvre de la vallée du Rift (FVR) est une arbovirose due à un virus à ARN appartenant à la famille de Bunyaviridae (genre phlebovirus). C'est une zoonose touchant principalement les animaux mais pouvant aussi contaminer l'homme, soit directement par la manipulation des viandes ou avortons d'animaux malades ou indirectement par la piqure de moustiques infectées (Aèdes sp, anophèles sp, Culex sp). Dans la majorité des cas, l'infection humaine à FVR est asymptomatique, mais elle peut également se manifester par un syndrome fébrile modérée d’évolution favorable. Néanmoins, certains patients peuvent développer un syndrome hémorragique et/ou des lésions neurologiques d’évolution mortelle. Nous décrivons l’évolution de cinq cas de patients atteints de la FVR, admis dans le service de médecine interne du Centre Hospitalier National de Nouakchott (Mauritanie), le mois d'Octobre 2015 et présentant tous, un syndrome hémorragique dans un contexte fébrile. L’évolution n’était favorable que pour 2 des cinq patients. Les 3 autres sont décédés, deux dans un tableau de choc hémorragique et dans un état de choc septique. PMID:27642413

  12. Protéger les nourrissons contre la coqueluche

    PubMed Central

    Gilley, Meghan; Goldman, Ran D.

    2014-01-01

    Résumé Question Compte tenu du taux à la hausse de la coqueluche chez les enfants, plusieurs familles m’ont demandé quels moyens prendre pour protéger leurs tout-petits de cette infection. Quelles devraient être mes recommandations à ces familles? Réponse La coqueluche est une maladie évitable qui est endémique dans le monde entier. Chez les adultes, la coqueluche cause une maladie bénigne semblable à un rhume, suivie d’une toux persistante. Chez les nourrissons, elle peut causer de l’apnée, des convulsions, une encéphalopathie, une bronchopneumonie et la mort. Les décès dus à la coqueluche se produisent dans 86 % des cas chez des nourrissons de moins de 4 mois. La stratégie du cocooning, c’est-à-dire la vaccination des adultes en étroit contact avec des nourrissons, est recommandée par de nombreuses agences mondiales et nationales, mais elle ne prévient probablement que 20 % des cas de coqueluche chez les nourrissons. La vaccination durant la grossesse est plus efficace, mais elle n’est pas encore approuvée au Canada. Il n’a pas été démontré que la vaccination à la naissance soit uniformément efficace et elle n’est donc pas recommandée à l’heure actuelle.

  13. Effect of acute gamma irradiation on Curcuma alismatifolia varieties and detection of DNA polymorphism through SSR marker.

    PubMed

    Taheri, Sima; Abdullah, Thohirah Lee; Ahmad, Zaiton; Abdullah, Nur Ashikin Psyquay

    2014-01-01

    The effects of eight different doses (0, 10, 20, 25, 35, 40, 60, and 100 Gy) of acute gamma irradiation on 44 (three varieties of Curcuma alismatifolia: Chiang Mai Red, Sweet Pink, Kimono Pink, and one Curcuma hybrid (Doi Tung 554) individual plants were investigated. Radiation sensitivity tests revealed that the LD50 values of the varieties were achieved at 21 Gy for Chiang Mai Red, 23 Gy for Sweet Pink, 25 Gy for Kimono Pink, and 28 Gy for Doi Tung 554. From the analysis of variance (ANOVA), significant variations were observed for vegetative traits, flowering development, and rhizome characteristics among the four varieties of Curcuma alismatifolia and dose levels as well as the dose × variety interaction. In irradiated plants, the leaf length, leaf width, inflorescence length, the number of true flowers, the number of pink bracts, number of shoots, plant height, rhizome size, number of storage roots, and number of new rhizomes decreased significantly (P < 0.05) as the radiation dose increased. The cophenetic correlation coefficient (CCC) between genetic dissimilarity matrix estimated from the morphological characters and the UPGMA clustering method was r = 0.93, showing a proof fit. In terms of genetic variation among the acutely irradiated samples, the number of presumed alleles revealed by simple sequence repeats ranged from two to seven alleles with a mean value of 3.1, 4.5, and 5.3 alleles per locus for radiation doses of 0, 10, and 20 Gy, respectively. The average values of the effective number of alleles, Nei's gene diversity, and Shannon's information index were 2.5-3.2, 0.51-0.66, and 0.9-1.3, respectively. The constructed dendrogram grouped the entities into seven clusters. Principal component analysis (PCA) supported the clustering results. Consequently, it was concluded that irradiation with optimum doses of gamma rays efficiently induces mutations in Curcuma alismatifolia varieties.

  14. Continental breakup and UHP rock exhumation in action: GPS results from the Woodlark Rift, Papua New Guinea

    NASA Astrophysics Data System (ADS)

    Wallace, Laura M.; Ellis, Susan; Little, Tim; Tregoning, Paul; Palmer, Neville; Rosa, Robert; Stanaway, Richard; Oa, John; Nidkombu, Edwin; Kwazi, John

    2014-11-01

    show results from a network of campaign Global Positioning System (GPS) sites in the Woodlark Rift, southeastern Papua New Guinea, in a transition from seafloor spreading to continental rifting. GPS velocities indicate anticlockwise rotation (at 2-2.7°/Myr, relative to Australia) of crustal blocks north of the rift, producing 10-15 mm/yr of extension in the continental rift, increasing to 20-40 mm/yr of seafloor spreading at the Woodlark Spreading Center. Extension in the continental rift is distributed among multiple structures. These data demonstrate that low-angle normal faults in the continents, such as the Mai'iu Fault, can slip at high rates nearing 10 mm/yr. Extensional deformation observed in the D'Entrecasteaux Islands, the site of the world's only actively exhuming Ultra-High Pressure (UHP) rock terrane, supports the idea that extensional processes play a critical role in UHP rock exhumation. GPS data do not require significant interseismic coupling on faults in the region, suggesting that much of the deformation may be aseismic. Westward transfer of deformation from the Woodlark Spreading Center to the main plate boundary fault in the continental rift (the Mai'iu fault) is accommodated by clockwise rotation of a tectonic block beneath Goodenough Bay, and by dextral strike slip on transfer faults within (and surrounding) Normanby Island. Contemporary extension rates in the Woodlark Spreading Center are 30-50% slower than those from seafloor spreading-derived magnetic anomalies. The 0.5 Ma to present seafloor spreading estimates for the Woodlark Basin may be overestimated, and a reevaluation of these data in the context of the GPS rates is warranted.

  15. Anticholinergiques et hyperactivité vésicale

    PubMed Central

    Qarro, Abdelmounaim; Asseban, Mohammed; Bazine, Khalil; Najoui, Mohammed; Samir, Jamaleddine; Ouhbi, Youssef; Beddouch, Amoqrane; Lezrek, Mohammed; Alami, Mohammed

    2014-01-01

    Résumé L’hyperactivité vésicale (HAV) (overactive bladder [OAB]) se caractérise par une urgenturie, avec ou sans incontinence urinaire, associée à une pollakiurie diurne (> 8 épisodes) et à une nycturie (> 1 épisode). Elle touche 27 % des hommes et 43 % des femmes de plus de 40 ans. Elle a d’importantes répercussions sur les activités quotidiennes ainsi que sur le profil psychologique et sexuel. Elle résulte d’une contraction anormale du détrusor liée à une stimulation de certains récepteurs muscariniques. Il existe cinq sous-types de récepteurs muscariniques (M1, M2, M3, M4 et M5) situés dans la vessie, mais aussi dans d’autres organes : le cerveau, les yeux, les ganglions sympathiques, les glandes salivaires et le cœur. Même si les récepteurs M2 sont les plus nombreux, ce sont essentiellement les récepteurs M3 qui interviennent dans la contraction vésicale. Les anticholinergiques constituent la pierre angulaire du traitement de cette affection. Plusieurs molécules sont actuellement sur le marché, mais jusqu’à présent, aucun médicament n’exerce d’action sélective sur la vessie. De plus, ils ont tous des effets secondaires. Il est possible d’en atténuer l’intensité en amorçant un traitement progressif à raison de faibles doses croissantes. PMID:24454599

  16. Analysis of the stability of housekeeping gene expression in the left cardiac ventricle of rats submitted to chronic intermittent hypoxia.

    PubMed

    Julian, Guilherme Silva; Oliveira, Renato Watanabe de; Tufik, Sergio; Chagas, Jair Ribeiro

    2016-01-01

    Obstructive sleep apnea (OSA) has been associated with oxidative stress and various cardiovascular consequences, such as increased cardiovascular disease risk. Quantitative real-time PCR is frequently employed to assess changes in gene expression in experimental models. In this study, we analyzed the effects of chronic intermittent hypoxia (an experimental model of OSA) on housekeeping gene expression in the left cardiac ventricle of rats. Analyses via four different approaches-use of the geNorm, BestKeeper, and NormFinder algorithms; and 2-ΔCt (threshold cycle) data analysis-produced similar results: all genes were found to be suitable for use, glyceraldehyde-3-phosphate dehydrogenase and 18S being classified as the most and the least stable, respectively. The use of more than one housekeeping gene is strongly advised. RESUMO A apneia obstrutiva do sono (AOS) tem sido associada ao estresse oxidativo e a várias consequências cardiovasculares, tais como risco aumentado de doença cardiovascular. A PCR quantitativa em tempo real é frequentemente empregada para avaliar alterações na expressão gênica em modelos experimentais. Neste estudo, analisamos os efeitos da hipóxia intermitente crônica (um modelo experimental de AOS) na expressão de genes de referência no ventrículo cardíaco esquerdo de ratos. Análises a partir de quatro abordagens - uso dos algoritmos geNorm, BestKeeper e NormFinder e análise de dados 2-ΔCt (ciclo limiar) - produziram resultados semelhantes: todos os genes mostraram-se adequados para uso, sendo que gliceraldeído-3-fosfato desidrogenase e 18S foram classificados como o mais e o menos estável, respectivamente. A utilização de mais de um gene de referência é altamente recomendada.

  17. DRESS syndrome: à propos de trois observations

    PubMed Central

    Chebbi, Wafa; Souissi, Jihed; Chelli, Jihène; Larbi, Fatma; Zantour, Baha; Habib Sfar, Mohamed

    2014-01-01

    Le syndrome d'hypersensibilité médicamenteuse ou Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) est une toxidermie rare mais sévère. Nous rapportons trois observations de DRESS syndromes secondaires à la prise de carbamazipine dans deux cas et de salazopyrine dans un cas. Le délai moyen entre la prise médicamenteuse et la survenue du DRESS syndrome était de six semaines. Le médicament incriminé était arrêté d'une façon définitive dans tous les cas. Une corticothérapie par voie générale était instaurée chez tous les patients devant l'atteinte hépatique sévère. L’évolution était favorable avec disparation des lésions cutanées et normalisation du bilan hépatique. Le diagnostic du syndrome DRESS doit être évoqué devant un tableau associant une éruption fébrile et des signes systémiques faisant suite à une prise médicamenteuse. La précocité du diagnostic est fondamentale pour l'arrêt définitif des médicaments suspects. Le traitement n'est pas bien codifié mais repose actuellement sur la corticothérapie générale. PMID:25810802

  18. Value of quantitative pathological variables as prognostic factors in advanced ovarian carcinoma.

    PubMed Central

    Brinkhuis, M; Baak, J P; Meijer, G A; van Diest, P J; Mogensen, O; Bichel, P; Neijt, J P

    1996-01-01

    AIMS: To evaluate correlations among clinical, pathological, morphometric, stereological, and DNA flow cytometric variables and their prognostic value in advanced ovarian cancer. METHODS: Tissue was collected from 180 patients with advanced ovarian cancer. All 180 had undergone debulking surgery and were being treated with cisplatin. Long term follow up was available for all patients. The mitotic activity index (MAI), volume % of epithelium (VPE), mean nuclear area (MNA), standard deviation of the nuclear area (SDNA), estimates of volume weighted mean nuclear volume (nu v), and variables obtained from minimum spanning tree (MST) analysis were assessed in the least differentiated tumour section in each case. DNA flow cytometry was also performed. RESULTS: Quantitative pathological features differed significantly with respect to histological grade. The MAI, MNA, SDNA, and the number of points connected to three neighbours differed significantly among the different DNA ploidy groups. The VPE and number of points connected to two or three neighbours differed significantly between FIGO stages III and IV. Fifty two (29%) patients survived. FIGO stage, residual disease and SDNA had prognostic significance on both univariate and multivariate survival analysis. In patients with FIGO III stage disease and residual tumour nodes < or = 2 cm in diameter (67 patients, 29 (43%) survivors) a prognostic index was established based on SDNA and of the line length of the MST. The median survival time was not reached in a subgroup of patients with favourable prognosis (overall survival 57%). Median survival was 32 months for patients with an unfavourable index score (overall survival 28%). CONCLUSION: Morphometric variables have important additional value in predicting prognosis in patients with advanced ovarian cancer. PMID:8655681

  19. Twenty Years of Autologous Stem Cell Transplantation in Diffuse Large B-Cell Lymphoma: A Single Portuguese Center Experience.

    PubMed

    Dantas Brito, Margarida; Campilho, Fernando; Branca, Rosa; Vaz, Carlos; Roncon, Susana; Campos, António

    2016-03-01

    Introdução: O linfoma não Hodgkin difuso de grandes células B pode ser curado em 60% - 70% dos doentes. O transplante autológo de progenitores hematopoiéticos é o tratamento de intenção curativa standard à recidiva. Este tratamento intensivo após primeira remissão num grupo selecionado de doentes de alto risco é controverso e fez parte da estratégia do nosso Serviço durante alguns anos. Material e Métodos: Estudo retrospectivo, consulta do processo clínico. Resultados: Este estudo analisa o outcome de 113 doentes transplantados entre 1992 e 2012. Formaram-se quatro grupos com base no status pré-transplante: a) primeira remissão completa após 1 ciclo de quimioterapia (n = 64); b) segunda remissão completa após ≥ duas linhas de quimioterapia (n = 15); c) segunda remissão completa (n = 15); d) doença mais avançada (n = 19). O protocolo de quimioterapia de primeira linha mais utilizado foi R-CHOP (n = 71) e CHOP (n = 28). O seguimento mediano foi de 34 meses (1 - 221). Aos cinco anos a sobrevivência global foi de 73% (± 5) e a sobrevivência livre de progressão 75% (± 5). Conclusão: A imunoquimioterapia convencional seguida de transplante autólogo é uma opção segura e eficaz no tratamento de casos selecionados de linfoma difuso de grandes células B. Na nossa casuística cerca de 70% dos doentes de alto risco atingiram remissões duráveis com esta estratégia terapêutica.

  20. Aquecimento alfvênico viscoso-resistivo em discos de acresção ao redor de estrelas T Tauri clássicas

    NASA Astrophysics Data System (ADS)

    Santana, W. M.; Vasconcelos, M. J.

    2003-08-01

    Com a crescente disponibilidade de dados observacionais sobre estrelas T Tauri, a busca por modelos mais precisos vem se tornando cada vez maior. Estes modelos devem explicar, entre outras coisas, o mecanismo dissipativo responsável pelo transporte de momento angular no disco de acresção que acredita-se, circunda estas estrelas. O mecanismo mais viável, do ponto de vista teórico, é uma instabilidade MHD conhecida como "instabilidade magnetorotacional ou Balbus-Hawley" (IBH). Esta instabilidade veio mostrar que o campo magnético desempenha um papel importante na evolução destes objetos mas requer, no entanto, um acoplamento mínimo entre o gás e o campo magnético no disco que não é atingido para os valores de temperatura obtidos do modelo padrão. Contudo, alguns mecanismos de aquecimento para o disco precisam ser examinados. Neste trabalho, propomos a dissipação de ondas Alfvén como uma fonte de aquecimento para o disco. Se o gás apresentar uma condutividade elétrica finita e viscosidade, teremos um tipo de amortecimento para as ondas denominado amortecimento viscoso-resistivo que será aqui considerado. Este mecanismo é aplicado ao modelo de disco em camadas. Calculam-se as taxas de aquecimento Alfvênico, a temperatura efetiva do disco bem como as taxas de ionização decorrentes deste aquecimento e do aquecimento gerado pela absorção de raios cósmicos. Comparações com os dados observacionais de Kitamura et. al. (2001) são efetuadas, ressaltando-se os pontos comuns entre suas observações e nossos dados teóricos.