Delayed closure of the palatal defect using buccal inversion and palatal rotation flaps after maxillectomy.

PubMed

Jung, Seunggon; Kook, Min-Suk; Park, Hong-Ju; Oh, Hee-Kyun

2013-03-01

Maxillectomy leaves oronasal and oroantral defects that result in functional impairment of mastication, deglutition, and speech. Many treatment options are suggested and tried including the palatal flap as local flap. Although palatal flaps have been used to repair various oral cavity defects, they have certain limitations due to the dimensions. The amount and location of the palatal tissues available are important for palatal repair. Secondary intentional healing after maxillectomy will allow the epithelialization of the defect margin adjacent to remained palate, and there will be more mucosa that is available for closure of the defect. We delayed the closure of the palatal defect, while the patient underwent prosthetic treatment for functional recovery in 5 maxillectomy patients. Delayed closure of palatal defect with local flap was done at 10.8 ± 7.9 months after the maxillectomy. While delayed closure in hemimaxillectomy patients left postoperative fistula, it provided separation of the oral cavity and nasal/sinus cavity and adequate surface for prosthesis in partial maxillectomy patients.

The Cambrian Ross Orogeny in northern Victoria Land (Antarctica) and New Zealand: A synthesis

USGS Publications Warehouse

Federico, L.; Capponi, G.; Crispini, L.; Bradshaw, J.D.

2007-01-01

In the Cambrian, the paleo-Pacific margin of the Gondwana supercontinent included East Antarctica, Australia, Tasmania and New Zealand and was affected by themajor Ross-Delamerian Orogeny. In Antarctica, evidence suggests that this resulted from oblique subduction and that in northern Victoria Land it was accompanied by the opening and subsequent closure of a back-arc basin. Comparison of the type and timing of sedimentary, magmatic and metamorphic events in areas noted above shows strong similarities between northern Victoria Land and New Zealand. In both regions Middle Cambrian volcanites are interpreted as arc/back-arc assemblages produced by west-directed subduction; sediments interbedded with the volcanites show provenance both from the arc and from the Gondwana margin and therefore place the basin close to the continent. Back-arc closure in the Late Cambrian was likely accomplished through a second subduction system

76 FR 17964 - Renewal of Agency Information Collection for Home-Living Programs and School Closure and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-31

... School Closure and Consolidation, currently authorized by OMB Control Number 1076-0164, to the Office of... do so. III. Data OMB Control Number: 1076-0164. Title: Home-living Programs and School Closure and...

[Evaluation of the external tissue extender (Ete) in secondary wound closure].

PubMed

Zutt, Markus; Beckmann, Iris; Kretschmer, Lutz

2003-09-01

For surgical closure of large skin defects, elaborate reconstructive plastic surgery or other methods such as internal subcutaneous balloon tissue expanders are required in order to avoid tension on the closure margins. Here we point to the benefits and disadvantages of an improved and simple method of secondary wound closure by secondary sutures. We employed a system called External Tissue Extender (ETE), which consists of silicone strings and plastic stoppers pulling the corresponding surgical sites together and evenly distributing the tension. Possible indications in dermatologic surgery and our experiences with this technique are outlined. Implantation and handling of the ETE are very easy and fast. The functional results are good and the cosmetic outcome satisfactory. More invasive surgical procedures can be avoided by using this method. A major disadvantage is the possibility of developing necrosis under the plastic stoppers. According to our experience, the ETE is a useful alternative indicated in certain dermatosurgical situations.

Post-Closure Strategy for Use-Restricted Sites on the Nevada National Security Site, Nevada Test and Training Range, and Tonopah Test Range, Nevada

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

Silvas, A. J.

The purpose of this Post-Closure Strategy is to provide a consistent methodology for continual evaluation of post-closure requirements for use-restricted areas on the Nevada National Security Site (NNSS), Nevada Test and Training Range (NTTR), and Tonopah Test Range (TTR) to consolidate, modify, or streamline the program. In addition, this document stipulates the creation of a single consolidated Post-Closure Plan that will detail the current post-closure requirements for all active use restrictions (URs) and outlines its implementation and subsequent revision. This strategy will ensure effective management and control of the post-closure sites. There are currently over 200 URs located on themore » NNSS, NTTR, and TTR. Post-closure requirements were initially established in the Closure Report for each site. In some cases, changes to the post-closure requirements have been implemented through addenda, errata sheets, records of technical change, or letters. Post-closure requirements have been collected from these multiple sources and consolidated into several formats, such as summaries and databases. This structure increases the possibility of inconsistencies and uncertainty. As more URs are established and the post-closure program is expanded, the need for a comprehensive approach for managing the program will increase. Not only should the current requirements be obtainable from a single source that supersedes all previous requirements, but the strategy for modifying the requirements should be standardized. This will enable more effective management of the program into the future. This strategy document and the subsequent comprehensive plan are to be implemented under the assumption that the NNSS and outlying sites will be under the purview of the U.S. Department of Energy, National Nuclear Security Administration for the foreseeable future. This strategy was also developed assuming that regulatory control of the sites remains static. The comprehensive plan is not intended to be a permanent long-term stewardship plan. However, it is intended to clarify requirements and identify components to effectively manage the sites until regulatory requirements are met or management of the site changes. The Environmental Management Program is required to manage these sites until the NNSS Environmental Restoration program is completed, currently planned for 2030. Prior to completion of the Environmental Restoration program, additional planning will be conducted to ensure that long-term stewardship of the sites is maintained. A comprehensive post-closure plan can be transitioned effectively into any future site-wide long-term stewardship program that may be developed. Therefore, the post-closure plan will include current aspects of the post-closure program that are also important aspects of long-term stewardship, including the following: • Management of physical and engineering controls such as fences, signs, and soil covers • Management of institutional and administrative controls such as use restrictions and real estate systems • Management of monitoring and maintenance programs • Management of information related to the sites such as geographic information system data and related documentation The strategy will also allow for periodic review and modification of any aspect of the program to ensure continued effectiveness.« less

Paleozoic tectonics in the eastern part of Central Asian Orogenic Belt

NASA Astrophysics Data System (ADS)

Liu, Yongjiang; Li, Weimin; Feng, Zhiqiang; Neubauer, Franz

2017-04-01

The Central Asian Orogenic Belt (CAOB) is the largest accretionary orogen in the world, which is responsible for considerable Phanerozoic juvenile crustal growth. The NE China and its adjacent areas compose the eastern segment of the CAOB, which is a key area for providing important evidence of the CAOB evolution and understanding the NE Asian tectonics. The eastern segment of the CAOB is composed tectonically of four micro-blocks and four sutures, i.e. Erguna block (EB), Xing'an block (XB), Songliao-Xilinhot block (SXB), Jiamusi block (JB), Xinlin-Xiguitu suture (XXS), Heihe-Hegenshan suture (HHS), Mudanjiang-Yilan suture (MYS) and Solonker-Xar Moron-Changchun-Yanji suture (SXCYS). The EB and XB were amalgamated by westward subduction, oceanic island accretions and final collision in ca. 500 Ma. The XB and SXB were amalgamated by subduction-related Early Paleozoic marginal arc, Late Paleozoic marginal arc and final collision in the late Early Carboniferous to early Late Carboniferous. The JB probably had been attached to the SXB in the Early Paleozoic, but broken apart from the SXB in the Triassic and collided back in the Jurassic. The closure of Paleo-Asian Ocean had experienced a long continue/episodic subduction-accretion processes on margins of the NCC to the south and the SXB to the north from the Early to Late Paleozoic. The final closure happened along the SXCYS, from west Solonker, Sonid Youqi, Kedanshan (Keshenketengqi), Xar Moron River through Songliao Basin via Kailu, Tongliao, Horqin Zuoyizhongqi, Changchun, to the east Panshi, Huadian, Dunhua, Yanji, with a scissors style closure in time from the Late Permian-Early Triassic in the west to the Late Permian-Middle Triassic in the east. The amalgamated blocks should compose a united micro-continent, named as Jiamusi-Mongolia Block (JMB) after Early Carboniferous, which bounded by Mongo-Okhotsk suture to the northwest, Solonker-Xar Moron-Changchun suture to the south and the eastern margin of JB to the east.

[Velopharyngeal closure pattern and speech performance among submucous cleft palate patients].

PubMed

Heng, Yin; Chunli, Guo; Bing, Shi; Yang, Li; Jingtao, Li

2017-06-01

To characterize the velopharyngeal closure patterns and speech performance among submucous cleft palate patients. Patients with submucous cleft palate visiting the Department of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University between 2008 and 2016 were reviewed. Outcomes of subjective speech evaluation including velopharyngeal function, consonant articulation, and objective nasopharyngeal endoscopy including the mobility of soft palate, pharyngeal walls were retrospectively analyzed. A total of 353 cases were retrieved in this study, among which 138 (39.09%) demonstrated velopharyngeal competence, 176 (49.86%) velopharyngeal incompetence, and 39 (11.05%) marginal velopharyngeal incompetence. A total of 268 cases were subjected to nasopharyngeal endoscopy examination, where 167 (62.31%) demonstrated circular closure pattern, 89 (33.21%) coronal pattern, and 12 (4.48%) sagittal pattern. Passavant's ridge existed in 45.51% (76/167) patients with circular closure and 13.48% (12/89) patients with coronal closure. Among the 353 patients included in this study, 137 (38.81%) presented normal articulation, 124 (35.13%) consonant elimination, 51 (14.45%) compensatory articulation, 36 (10.20%) consonant weakening, 25 (7.08%) consonant replacement, and 36 (10.20%) multiple articulation errors. Circular closure was the most prevalent velopharyngeal closure pattern among patients with submucous cleft palate, and high-pressure consonant deletion was the most common articulation abnormality. Articulation error occurred more frequently among patients with a low velopharyngeal closure rate.

A comparison of two endoscopic closures: over-the-scope clip (OTSC) versus KING closure (endoloop + clips) in a randomized long-term experimental study.

PubMed

Dolezel, R; Ryska, O; Kollar, M; Juhasova, J; Kalvach, J; Ryska, M; Martinek, J

2016-11-01

Both over-the-scope clip (OTSC) and KING (endoloop + clips) closures provide reliable and safe full-thickness endoscopic closure. Nevertheless, OTSC clip demonstrated significantly inferior histological healing in the short-term follow-up. To compare OTSC versus KING closure of a perforation with regard to long-term effectiveness and macroscopic and histological quality of healing. We performed a randomized experimental study with 16 mini-pigs (mean weight 43.2 ± 11.2 kg). A standardized perforation was performed on the anterior sigmoid wall. KING closure (n = 8) was attained by approximation of an endoloop fixed to the margins of a perforation with endoclips. OTSC closure (n = 8) was performed by deploying OTSC (OVESCO) over the defect. Pigs underwent a control sigmoidoscopy 8 months after the closure to assess the macroscopic quality of healing. Then, autopsy was performed and the rectosigmoid was sent for histopathological assessment. All closures were completed successfully without air leaks. The duration of closure was similar in both techniques (OTSC 17.8 ± 7.6 min vs. KING 19.6 ± 8.8 min). At autopsy, all KING closures (100 %) were healed with a flat scar without signs of leakage. Microscopically, no inflammatory changes were observed after KING closure. In the OTSC group, microscopic ulcers were present in two pigs (25 %), cryptal abscesses in three pigs (38 %) and significant neutrophil accumulation in all eight pigs (P < 0.01). Giant cell granulomas, dysplasia or abundant scarification was not observed in either group. Both OTSC and KING closures offer a long-term reliable seal of a gastrointestinal perforation without stenosis or fistulas. KING closure provides long-term histologically superior healing.

Use of adhesive surgical tape with the absorbable continuous subcuticular suture.

PubMed

Kolt, Jeremy D

2003-08-01

The absorbable continuous subcuticular suture is frequently used to close surgical incisions where the aim is healing by primary intention. A form of adhesive surgical tape is commonly also placed over the wound but this combination closure seems to have its development based on anecdotal, rather than experimental evidence. The present study reviews the scientific literature on the development of sutureless wound closure and presents the current evidence for the use of combination wound closure. Review was undertaken of the medical literature using the PubMed Internet database and cross-referencing major -articles on the subject. The following combinations of key words were searched: skin closure, wound closure, suture technique, sutureless, adhesive tape, op-site, staples, subcuticular suture, complication, infection and scars. Taped closure alone has advantages of lower wound infection rates and greater wound tensile strength, but disadvantages of epidermal reaction, skin edge inversion, doubtful safety and time required for meticulous surgical technique. The use of the continuous absorbable subcuticular suture allows accurate skin edge approximation, which increases the safety margin. The combination closure has a slightly superior cosmetic result to sutureless techniques but no study has been performed to compare the results of combination subcuticular suture and tape, with tape or subcuticular suture alone. There is no evidence in the scientific literature to justify or support the practice of closing a surgical wound with both subcuticular suture and adhesive surgical tape.

Predictors of Premature Match Closure in Youth Mentoring Relationships.

PubMed

Kupersmidt, Janis B; Stump, Kathryn N; Stelter, Rebecca L; Rhodes, Jean E

2017-03-01

Although mentoring is a popular and effective means of intervention with youth, the positive effects of mentoring can be diminished by premature match closure of relationships. Program, mentor, and mentee characteristics were examined as predictors of premature match closure. Secondary data analyses were conducted on a large national database of mentoring programs consisting of match and youth risk information from 170 mentoring programs and 6468 matches from across the U.S. Premature closure was associated with mentee age at match inception and 19 individual mentee characteristics. The set of mentee characteristics were examined as part of a cumulative risk index encompassing seven conceptually combined categories including family background characteristics, school functioning problems, engagement in risky health behaviors, self-regulation difficulties, engagement in illegal or criminal activities, and internalizing and externalizing behavior problems. Both the age of mentees when matched and the cumulative risk index score significantly predicted premature closure. Results are discussed in terms of directions for future research and suggestions for enhancing mentoring program practices. © Society for Community Research and Action 2017.

Timing of the final closure of the Paleo-Asian Ocean in the Alxa Terrane: Constraints from geochronology and geochemistry of Late Carboniferous to Permian gabbros and diorites

NASA Astrophysics Data System (ADS)

Liu, Qian; Zhao, Guochun

2017-04-01

The Alxa Terrane is a crucial place situated between the North China Craton to the east and the Tarim Craton to the west. The Late Paleozoic magmatic record in the Alxa Terrane places important constraints on the timing of the final closure of the middle segment of the Paleo-Asian Ocean (PAO). In this study, new LA-ICPMS zircon U-Pb dating results reveal ca. 300-268 Ma gabbros and diorites in the Bayan Nuru area in the eastern part of the Alxa Terrane. The 300 Ma gabbros show plagioclase accumulations with anorthite compositions (An92-95), arc-like geochemical affinities with relative enrichment in large ionic lithophile elements and depletion in high field strength elements (e.g., Ti, Nb and Ta), as well as negative Hf(t) (-6.01 to -1.75) and Nd(t) (-9.5 to -7.1) values and high initial 87Sr/86Sr ratios (0.707157-0.707220). These features indicate a magma source of an enriched lithospheric mantle metasomatized by high fluid activities. In comparison, the 280-268 Ma gabbros and diorites also have arc-like geochemical affinities but show increasingly evolved isotope compositions, implying more sediment inputs. Compiled zircon ɛHf(t) and whole-rock ɛNd(t) values of the magmatic rocks in the Alxa Terrane decrease from the Late Carboniferous to the Early Permian, and increase from the Middle Permian to the Triassic. The considerably large spread in ɛHf(t) and ɛNd(t) values at ca. 280-265 Ma likely reflects a tectonic switch from a subduction setting to a post-collisional setting, corresponding to the timing of the final closure of the PAO in the Alxa Terrane. Thus, the PAO progressively closed from west to east along the northern margin of the Tarim Craton, the Alxa Terrane, and then the northern margin of the North China Craton during Late Carboniferous to Middle Triassic time. This work was financially supported by a NSFC Project (41190075) entitled "Final Closure of the Paleo-Asian ocean and Reconstruction of East Asian Blocks in Pangea", the fifth research project in the NSFC Major Program (41190070) "Reconstruction of East Asian Blocks in Pangea", a Hong Kong RGC GRF (HKU7063/13P and 17301915), NSFC General Projects (41230207 and 41390441) and a HKU Seed Funding Programme for Basic Research (201311159126).

Software Review: A program for testing capture-recapture data for closure

USGS Publications Warehouse

Stanley, Thomas R.; Richards, Jon D.

2005-01-01

Capture-recapture methods are widely used to estimate population parameters of free-ranging animals. Closed-population capture-recapture models, which assume there are no additions to or losses from the population over the period of study (i.e., the closure assumption), are preferred for population estimation over the open-population models, which do not assume closure, because heterogeneity in detection probabilities can be accounted for and this improves estimates. In this paper we introduce CloseTest, a new Microsoft® Windows-based program that computes the Otis et al. (1978) and Stanley and Burnham (1999) closure tests for capture-recapture data sets. Information on CloseTest features and where to obtain the program are provided.

The Evaluator's Role in Recommending Program Closure: A Model for Decision Making and Professional Responsibility

ERIC Educational Resources Information Center

Eddy, Rebecca M.; Berry, Tiffany

2009-01-01

Evaluators face challenges when programs consistently fail to meet expectations for performance or improvement and consequently, evaluators may recommend that closing a program is the most prudent course of action. However, the evaluation literature provides little guidance regarding when an evaluator might recommend program closure. Given…

Simple Skin-Stretching Device in Assisted Tension-Free Wound Closure.

PubMed

Cheng, Li-Fu; Lee, Jiunn-Tat; Hsu, Honda; Wu, Meng-Si

2017-03-01

Numerous conventional wound reconstruction methods, such as wound undermining with direct suture, skin graft, and flap surgery, can be used to treat large wounds. The adequate undermining of the skin flaps of a wound is a commonly used technique for achieving the closure of large tension wounds; however, the use of tension to approximate and suture the skin flaps can cause ischemic marginal necrosis. The purpose of this study is to use elastic rubber bands to relieve the tension of direct wound closure for simultaneously minimizing the risks of wound dehiscence and wound edge ischemia that lead to necrosis. This retrospective study was conducted to evaluate our clinical experiences with 22 large wounds, which involved performing primary closures under a considerable amount of tension by using elastic rubber bands in a skin-stretching technique after a wide undermining procedure. Assessment of the results entailed complete wound healing and related complications. All 22 wounds in our study showed fair to good results except for one. The mean success rate was approximately 95.45%. The simple skin-stretching design enabled tension-free skin closure, which pulled the bilateral undermining skin flaps as bilateral fasciocutaneous advancement flaps. The skin-stretching technique was generally successful.

Critical Incident Effects on Principals: Using School Closure as the Context

ERIC Educational Resources Information Center

Lenarduzzi, Grant P.

2015-01-01

The effect of critical incidents on school principals has been marginally investigated. Principal leadership has many pleasures, but it is often replete with problematic circumstances. The skilled school-based leader requires rationality and diplomacy to manage conflict successfully. This study examined the perceived effects of a critical…

System Level Health Disparities in California Emergency Departments: Minorities and Medicaid Patients are at Higher Risk of Losing Their EDs

PubMed Central

Hsia, Renee Y.; Srebotnjak, Tanja; Kanzaria, Hemal K.; McCulloch, Charles; Auerbach, Andrew D.

2015-01-01

Study Objective Emergency Department (ED) closures threaten community access to emergency services, but few data exist to describe factors associated with closure. We evaluated factors associated with ED closure in California and sought to determine if hospitals serving more vulnerable populations have a higher rate of ED closure. Methods Retrospective cohort study of California hospital EDs between 1998 and 2008, using hospital and patient level data from the California Office of Statewide Planning and Development (OSHPD), as well as OSHPD Patient Discharge Data. We examined the effects of hospital and patient factors on the hospital's likelihood of ED closure using Cox proportional hazards models. Results In 4,411 hospital-years of observation, 29 of 401 (7.2%) EDs closed. In a model adjusted for total ED visits, hospital discharges, trauma center and teaching status, ownership, operating margin, and urbanicity, hospitals with more black patients (OR 1.41 per increase in proportion of blacks by 0.1, 95% CI 1.16-1.72) and Medi-Cal recipients (OR 1.17 per increase in proportion insured by Medi-Cal by 0.1, 95% CI 1.02-1.34) had higher odds for ED closure, as did for-profit institutions (OR 1.65, 95% CI 1.13-2.41). Conclusion The population served by EDs and hospitals’ profit model are associated with ED closure. Whether our findings are a manifestation of poorer reimbursement in at-risk EDs is unclear. PMID:22093435

Evolution of passive continental margins and initiation of subduction zones

NASA Astrophysics Data System (ADS)

Cloetingh, S. A. P. L.; Wortel, M. J. R.; Vlaar, N. J.

1982-05-01

Although the initiation of subduction is a key element in plate tectonic schemes for evolution of lithospheric plates, the underlying mechanisms are not well understood. Plate rupture is an important aspect of the process of creating a new subduction zone, as stresses of the order of kilobars are required to fracture oceanic lithosphere1. Therefore initiation of subduction could take place preferentially at pre-existing weakness zones or in regions where the lithosphere is prestressed. As such, transform faults2,3 and passive margins4,5 where the lithosphere is downflexed under the influence of sediment loading have been suggested. From a model study of passive margin evolution we found that ageing of passive margins alone does not make them more suitable sites for initiation of subduction. However, extensive sediment loading on young lithosphere might be an effective mechanism for closure of small ocean basins.

76 FR 4720 - Renewal of Agency Information Collection for Homeliving Programs and School Closure and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-26

... Number 1076-0164, which expires on March 31, 2011. DATES: Interested persons are invited to submit... able to do so. III. Data OMB Control Number: 1076-0164. Title: Homeliving Programs and School Closure...

Simple skin-stretching device in assisted tension-free wound closure

PubMed Central

Cheng, Li-Fu; Lee, Jiunn-Tat; Hsu, Honda; Wu, Meng-Si

2017-01-01

Background Numerous conventional wound reconstruction methods such as wound undermining with direct suture, skin graft, and flap surgery can be used to treat large wounds. The adequate undermining of the skin flaps of a wound is a commonly used technique for achieving the closure of large tension wounds; however, the use of tension to approximate and suture the skin flaps can cause ischemic marginal necrosis. The purpose of this study is to use elastic rubber bands to relieve the tension of direct wound closure for simultaneously minimizing the risks of wound dehiscence and wound edge ischemia that lead to necrosis. Materials and Methods This retrospective study was conducted to evaluate our clinical experiences with 22 large wounds, which involved performing primary closures under a considerable amount of tension by using elastic rubber bands in a skin-stretching technique following a wide undermining procedure. Assessment of the results entailed complete wound healing and related complications. Results All 22 wounds in our study showed fair to good results except for one. The mean success rate was approximately 95.45%. Conclusion The simple skin-stretching design enabled tension-free skin closure, which pulled the bilateral undermining skin flaps as bilateral fasciocutaneous advancement flaps. The skin-stretching technique was generally successful. PMID:28195891

Sedimentation patterns in the Barberton Mountain Land, South Africa, and the Pilbara Block, Australia: Evidence for Archean rifted continental margins

NASA Astrophysics Data System (ADS)

Eriksson, Kenneth A.

1982-01-01

Archean supracrustal sequences in the Barberton Mountain Land, South Africa, and the Pilbara Block, Australia, consist of lower volcanic and upper dominantly terrigenous clastic intervals. As evidenced by the paleoenvironments of intercalated sedimentary horizons, volcanism occurred mainly in shallow waters. The overlying ca 3.3 Ga sedimentary intervals contain various common as well as unique paleoenvironments, the understanding of which places significant constraints on Archean crustal models. Lateral and vertical associations of inferred paleoenvironments are used to interpret the geotectonic history of the Archean depositories. The early sedimentary history of the greenstone belts is characterized by terrestrial and subaqueous graben-fill associations of facies related to the initial rift stage of basin development. Continued rifting and initial spreading produced submarine grabens within which ironformations accumulated in response to waning volcanism. Source area uplift resulted in progradation of submarine fans across the basinal chemical sediments. The turbidites are gradational directly into braided alluvial sediments, in part of fan delta origin, suggesting that the continental to marine transition occurred along a narrow continental shelf. In the Barberton Mountain Land the steep-rift margin was succeeded by the development of a stable continental shelf or shelf rise margin through progradation of the turbidite wedge possibly in association with a eustatic rise in sea-level related to continued spreading. On this shelf extensive tidal, deltaic and barrier beach sediments accumulated. Sedimentation was terminated by closure of the passive margin oceans. The late-Archean Pongola Supergroup in South Africa is considered to be the late-orogenic molasse response to this closure and represents the completion of the Wilson cycle.

Favourable results of Mohs micrographic surgery for basal cell carcinoma.

PubMed

Gniadecki, Robert; Glud, Martin; Mortensen, Kia; Bang, Bo; Biskup, Edyta; Omland, Silje Haukali

2015-12-01

Basal cell carcinoma (BCC) is the most common malignant neoplasm with an annual incidence approaching 200/100,000 person-years. Mohs micrographic surgery (MMS) is widely used in North America and in Europe for treatment of BCC. This technique ensures radical tumour removal, sparing of the surrounding healthy skin, and it also offers higher cure rates than standard tumour excision with a predefined margin of healthy skin. The superiority of MMS relies on the fact that the entire (100%) margin of the excised tissue is examined microscopically for residual tumour in contrast to the traditional histopathological examination, in which 2% of the margin is examined. In Denmark, MMS was first introduced by us in 2012. In the present study, we retrospectively included all patients who underwent MMS from May 2012 to June 2015. A total of 231 patients with 263 BCC were included. The mean age was 66.1 years. The most common localisations were the forehead (31.3%), the nose (31.0%) and the cheek (14.7%). Primary BCC comprised 54.0%; the remaining cases were relapses, most frequently after curettage (36.9%), radiotherapy (18.9%) and photodynamic therapy (11.7%). MMS leads to 40% smaller skin defects than standard excisions with 4 or 6 mm margins. Closure of skin defects was achieved by side-to-side closure in 49% and by local flaps in 40%. There were no relapses during the observation time. The safety, cosmetic and functional outcome were excellent. We recommend that MMS be included in the Danish BCC treatment guidelines, especially for high-risk BCC in the face, in line with standard practice in Europe and the United States. none. not relevant.

Control of aperture closure initiation during reach-to-grasp movements under manipulations of visual feedback and trunk involvement in Parkinson's disease.

PubMed

Rand, Miya Kato; Lemay, Martin; Squire, Linda M; Shimansky, Yury P; Stelmach, George E

2010-03-01

The present project was aimed at investigating how two distinct and important difficulties (coordination difficulty and pronounced dependency on visual feedback) in Parkinson's disease (PD) affect each other for the coordination between hand transport toward an object and the initiation of finger closure during reach-to-grasp movement. Subjects with PD and age-matched healthy subjects made reach-to-grasp movements to a dowel under conditions in which the target object and/or the hand were either visible or not visible. The involvement of the trunk in task performance was manipulated by positioning the target object within or beyond the participant's outstretched arm to evaluate the effects of increasing the complexity of intersegmental coordination under different conditions related to the availability of visual feedback in subjects with PD. General kinematic characteristics of the reach-to-grasp movements of the subjects with PD were altered substantially by the removal of target object visibility. Compared with the controls, the subjects with PD considerably lengthened transport time, especially during the aperture closure period, and decreased peak velocity of wrist and trunk movement without target object visibility. Most of these differences were accentuated when the trunk was involved. In contrast, these kinematic parameters did not change depending on the visibility of the hand for both groups. The transport-aperture coordination was assessed in terms of the control law according to which the initiation of aperture closure during the reach occurred when the hand distance-to-target crossed a hand-target distance threshold for grasp initiation that is a function of peak aperture, hand velocity and acceleration, trunk velocity and acceleration, and trunk-target distance at the time of aperture closure initiation. When the hand or the target object was not visible, both groups increased the hand-target distance threshold for grasp initiation compared to its value under full visibility, implying an increase in the hand-target distance-related safety margin for grasping. The increase in the safety margin due to the absence of target object vision or the absence of hand vision was accentuated in the subjects with PD compared to that in the controls. The pronounced increase in the safety margin due to absence of target object vision for the subjects with PD was further accentuated when the trunk was involved compared to when it was not involved. The results imply that individuals with PD have significant limitations regarding neural computations required for efficient utilization of internal representations of target object location and hand motion as well as proprioceptive information about the hand to compensate for the lack of visual information during the performance of complex multisegment movements.

FACTORS ASSOCIATED WITH CLOSURES OF EMERGENCY DEPARTMENTS IN THE UNITED STATES

PubMed Central

Hsia, Renee Y.; Kellerman, Arthur L.; Shen, Yu-Chu

2014-01-01

Context Between 1998 and 2008, the number of hospital-based emergency departments (EDs) in the United States declined, while the number of ED visits increased, particularly visits by publicly-insured and uninsured patients. Little is known about the hospital, community, and market factors associated with ED closures. Federal law requiring EDs to treat all in need regardless of a patient’s ability to pay may make EDs more vulnerable to the market forces that govern US health care. Objective To determine hospital, community, and market factors associated with ED closures. Design ED and hospital organizational information from 1990 through 2009 was acquired from the American Hospital Association (AHA) Annual Surveys (annual response rates ranging from 84–92%) and merged with hospital financial and payer mix information available through 2007 from Medicare hospital cost reports. We evaluated 3 sets of risk factors: hospital characteristics (safety-net as defined by hospitals caring for more than double their Medicaid share of discharges, compared with other hospitals within a 15-mile radius) ownership, teaching status, system membership, hospital size, case-mix), county population demographics (race, poverty, uninsurance, elderly), and market factors (ownership mix, profit margin, location in a competitive market, presence of other EDs). Setting All general, acute, non-rural, short-stay hospitals in the US with an operating ED anytime from 1990–2009. Main Outcome Closure of an emergency department anytime during the study period. Results The number of hospitals with EDs in non-rural areas declined from 2446 in 1990 to 1779 in 2009, with 1041 EDs closing and 374 hospitals opening EDs. Based on analysis of 2,814 urban acute care hospitals, constituting 36,335 hospital-year observations over an 18-year study interval (1990–2007), for-profit hospitals and those with low profit margins were more likely to close than their counterparts (26% vs 16%; HR 1.8, 95% CI 1.5 to 2.1 and 36% vs 18%; HR 1.9, 95% CI 1.6 to 2.3, respectively]. Hospitals in more competitive markets had a significantly higher risk of closing their EDs (34% vs 17%; HR 1.3, 95% CI 1.1 to 1.6), as did safety-net hospitals (10% vs 6%; HR 1.4, 95% CI 1.1 to 1.7) and those serving a higher share of populations in poverty (37% vs 31%; HR 1.4, 95% CI 1.1 to 1.7). Conclusion From 1990 to 2009, the number of hospital EDs in non-rural areas declined by 27%, with for-profit ownership, location in a competitive market, safety-net status, and low profit margin associated with increased risk of ED closure. PMID:21586713

The Rising Rate of Rural Hospital Closures.

PubMed

Kaufman, Brystana G; Thomas, Sharita R; Randolph, Randy K; Perry, Julie R; Thompson, Kristie W; Holmes, George M; Pink, George H

2016-01-01

Since 2010, the rate of rural hospital closures has increased significantly. This study is a preliminary look at recent closures and a formative step in research to understand the causes and the impact on rural communities. The 2009 financial performance and market characteristics of rural hospitals that closed from 2010 through 2014 were compared to rural hospitals that remained open during the same period, stratified by critical access hospitals (CAHs) and other rural hospitals (ORHs). Differences were tested using Pearson's chi-square (categorical variables) and Wilcoxon rank test of medians. The relationships between negative operating margin and (1) market factors and (2) utilization/staffing factors were explored using logistic regression. In 2009, CAHs that subsequently closed from 2010 through 2014 had, in general, lower levels of profitability, liquidity, equity, patient volume, and staffing. In addition, ORHs that closed had smaller market shares and operated in markets with smaller populations compared to ORHs that remained open. Odds of unprofitability were associated with both market and utilization factors. Although half of the closed hospitals ceased providing health services altogether, the remainder have since converted to an alternative health care delivery model. Financial and market characteristics appear to be associated with closure of rural hospitals from 2010 through 2014, suggesting that it is possible to identify hospitals at risk of closure. As closure rates show no sign of abating, it is important to study the drivers of distress in rural hospitals, as well as the potential for alternative health care delivery models. © 2015 National Rural Health Association.

Defense Base Realignment and Closure Budget Data for the Closure of Fort Devens, Massachusetts

DTIC Science & Technology

1995-08-01

provides the results of the audit of one project, valued at $2.75 million, for the closure and realignment of Fort Devens, Massachusetts. This audit also...assessed the adequacy of the management control program as it applied to the audit objective.

Estimating the effect of hospital closure on areawide inpatient hospital costs: a preliminary model and application.

PubMed Central

Shepard, D S

1983-01-01

A preliminary model is developed for estimating the extent of savings, if any, likely to result from discontinuing a specific inpatient service. By examining the sources of referral to the discontinued service, the model estimates potential demand and how cases will be redistributed among remaining hospitals. This redistribution determines average cost per day in hospitals that receive these cases, relative to average cost per day of the discontinued service. The outflow rate, which measures the proportion of cases not absorbed in other acute care hospitals, is estimated as 30 percent for the average discontinuation. The marginal cost ratio, which relates marginal costs of cases absorbed in surrounding hospitals to the average costs in those hospitals, is estimated as 87 percent in the base case. The model was applied to the discontinuation of all inpatient services in the 75-bed Chelsea Memorial Hospital, near Boston, Massachusetts, using 1976 data. As the precise value of key parameters is uncertain, sensitivity analysis was used to explore a range of values. The most likely result is a small increase ($120,000) in the area's annual inpatient hospital costs, because many patients are referred to more costly teaching hospitals. A similar situation may arise with other urban closures. For service discontinuations to generate savings, recipient hospitals must be low in costs, the outflow rate must be large, and the marginal cost ratio must be low. PMID:6668181

Corporate social responsibility for regional sustainability after mine closure: a case study of mining company in Indonesia

NASA Astrophysics Data System (ADS)

Syarif, Andi Erwin; Hatori, Tsuyoshi

2017-06-01

Creating a soft-landing path for mine closure is key to the sustainability of the mining region. In this research, we presents a case of mine closure in Soroako, a small mining town in the north-east of South Sulawesi province, in the center of Sulawesi Island in Indonesia. Especially we investigates corporate social responsibility (CSR) programs of a mining company, PT Vale Indonesia Tbk (PTVI), towards a soft-landing of mine closure in this region. The data of the CSR programs are gathered from in-depth interviews, the annual reports and managerial reports. Furthermore we presents an integrated view of CSR to close mining in a sustainable manner. We then evaluate CSR strategies of the company and its performance from this viewpoint. Based on these steps, the way to improve the CSR mine closure scenario for enhancing the regional sustainability is discussed and recommended.

Large, long range tensile forces drive convergence during Xenopus blastopore closure and body axis elongation

PubMed Central

Kasprowicz, Eric M; Davidson, Lance A; Keller, Raymond

2018-01-01

Indirect evidence suggests that blastopore closure during gastrulation of anamniotes, including amphibians such as Xenopus laevis, depends on circumblastoporal convergence forces generated by the marginal zone (MZ), but direct evidence is lacking. We show that explanted MZs generate tensile convergence forces up to 1.5 μN during gastrulation and over 4 μN thereafter. These forces are generated by convergent thickening (CT) until the midgastrula and increasingly by convergent extension (CE) thereafter. Explants from ventralized embryos, which lack tissues expressing CE but close their blastopores, produce up to 2 μN of tensile force, showing that CT alone generates forces sufficient to close the blastopore. Uniaxial tensile stress relaxation assays show stiffening of mesodermal and ectodermal tissues around the onset of neurulation, potentially enhancing long-range transmission of convergence forces. These results illuminate the mechanobiology of early vertebrate morphogenic mechanisms, aid interpretation of phenotypes, and give insight into the evolution of blastopore closure mechanisms. PMID:29533180

Role of local to regional-scale collisions in the closure history of the Southern Neotethys, exemplified by tectonic development of the Kyrenia Range active margin/collisional lineament, N Cyprus

NASA Astrophysics Data System (ADS)

Robertson, Alastair; Kinnaird, Tim; McCay, Gillian; Palamakumbura, Romesh; Chen, Guohui

2016-04-01

Active margin processes including subduction, accretion, arc magmatism and back-arc extension play a key role in the diachronous, and still incomplete closure of the S Neotethys. The S Neotethys rifted along the present-day Africa-Eurasia continental margin during the Late Triassic and, after sea-floor spreading, began to close related to northward subduction during the Late Cretaceous. The northern, active continental margin of the S Neotethys was bordered by several of the originally rifted continental fragments (e.g. Taurides). The present-day convergent lineament ranges from subaqueous (e.g. Mediterranean Ridge), to subaerial (e.g. SE Turkey). The active margin development is partially obscured by microcontinent-continent collision and post-collisional strike-slip deformation (e.g. Tauride-Arabian suture). However, the Kyrenia Range, N Cyprus provides an outstanding record of convergent margin to early stage collisional processes. It owes its existence to strong localised uplift during the Pleistocene, which probably resulted from the collision of a continental promontory of N Africa (Eratosthenes Seamount) with the long-lived S Neotethyan active margin to the north. A multi-stage convergence history is revealed, mainly from a combination of field structural, sedimentological and igneous geochemical studies. Initial Late Cretaceous convergence resulted in greenschist facies burial metamorphism that is likely to have been related to the collision, then rapid exhumation, of a continental fragment (stage 1). During the latest Cretaceous-Palaeogene, the Kyrenia lineament was characterised by subduction-influenced magmatism and syn-tectonic sediment deposition. Early to Mid-Eocene, S-directed thrusting and folding (stage 2) is likely to have been influenced by the suturing of the Izmir-Ankara-Erzincan ocean to the north ('N Neotethys'). Convergence continued during the Neogene, dominated by deep-water terrigenous gravity-flow accumulation in a foredeep setting. Further S-directed compression took place during Late Miocene-earliest Pliocene (stage 3) in an oblique left-lateral stress regime, probably influenced by the collision of the Tauride and Arabian continents to the east. Strong uplift of the active margin lineament then took place during the Pleistocene, related to incipient continental collision (stage 4). The uplift is documented by a downward-younging flight of marine and continental terrace deposits on both flanks of the Kyrenia Range. The geological record of the S Neotethyan active continental margin, based on regional to global plate kinematic reconstructions, appears to have been dominated by on-going convergence (with possible temporal changes), punctuated by the effects of relatively local to regional-scale collisional events. Similar processes are likely to have affected other S Neotethyan segments and other convergent margins.

Transition and closeout of the Fernald Closure Project

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

Bilson, H.E.; Terry, T.; Reising, J.

The U.S. Department of Energy (DOE) and Fluor Fernald have completed the majority of the cleanup of the Fernald Site. The over 1,000 acre complex for processing uranium has been demolished and soil contamination has been remediated. With acres of wetlands and prairies replacing the buildings and waste pits. At the end of the project the focus shifted to developing demonstrating the completion of the project and the contract, as well as ensuring a smooth transition of the facility from the DOE's Environmental Management (EM) Program to the DOE's Legacy Management (LM) Program. Working with the DOE, each portion ofmore » the closure contract was examined for specific closure definition. From this negotiation effort the Comprehensive Exit and Transition Plan (CE/T Plan) was written. The CE/T Plan is intended to assist DOE in the analysis that the site is ready for transfer into long-term stewardship (LTS) (also referred to as legacy management) and that Fluor Fernald, Inc. has satisfactorily completed the closure contract statement of work elements. Following the Lessons Learned from the closure of the Rocky Flats Site, the DOE's Legacy Management Program created a matrix of Transition Elements required to ensure adequate information was in place to allow the new prime contractor to perform the Legacy Management scope of work. The transition plan included over 1,000 elements broken down into functional areas and relied on specific Fernald Responsibility Transition Packages (RTPs) for detailed transition actions. The template for Closure and Transition Planning used at the Fernald Site was developed using the best Lessons Learned from across the DOE Complex. The template could be used for other sites, and lessons learned from this closure and transition will be appropriate for all closure projects. (authors)« less

Functional renormalization group for the U (1 )-T56 tensorial group field theory with closure constraint

NASA Astrophysics Data System (ADS)

Lahoche, Vincent; Ousmane Samary, Dine

2017-02-01

This paper is focused on the functional renormalization group applied to the T56 tensor model on the Abelian group U (1 ) with closure constraint. For the first time, we derive the flow equations for the couplings and mass parameters in a suitable truncation around the marginal interactions with respect to the perturbative power counting. For the second time, we study the behavior around the Gaussian fixed point, and show that the theory is nonasymptotically free. Finally, we discuss the UV completion of the theory. We show the existence of several nontrivial fixed points, study the behavior of the renormalization group flow around them, and point out evidence in favor of an asymptotically safe theory.

Defense Base Realignment and Closure Budget Data for the Closure of Naval Training Center San Diego, California

DTIC Science & Technology

1995-06-06

provides the audit results for 4 military construction projects, valued at $14.4 million, for realignment and closure of Naval Tralning Center San Diego...California. The audit also assessed the adequacy of the management control program as it applied to the audit objective.

45 CFR 303.11 - Case closure criteria.

Code of Federal Regulations, 2011 CFR

2011-10-01

... the best interests of the child to establish paternity in a case involving incest or forcible rape, or... 45 Public Welfare 2 2011-10-01 2011-10-01 false Case closure criteria. 303.11 Section 303.11... STANDARDS FOR PROGRAM OPERATIONS § 303.11 Case closure criteria. (a) The IV-D agency shall establish a...

Closure of hazardous and mixed radioactive waste management units at DOE facilities. [Contains glossary

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

Not Available

This is document addresses the Federal regulations governing the closure of hazardous and mixed waste units subject to Resource Conservation and Recovery Act (RCRA) requirements. It provides a brief overview of the RCRA permitting program and the extensive RCRA facility design and operating standards. It provides detailed guidance on the procedural requirements for closure and post-closure care of hazardous and mixed waste management units, including guidance on the preparation of closure and post-closure plans that must be submitted with facility permit applications. This document also provides guidance on technical activities that must be conducted both during and after closure ofmore » each of the following hazardous waste management units regulated under RCRA.« less

The End of Tethys: Opening and Closing of Oceans between Australia, India and SE Asia

NASA Astrophysics Data System (ADS)

Hall, R.

2008-12-01

SE Asia has grown by closure of Tethyan oceans south of Asia, principally by addition of fragments rifted from the Gondwana margins, resulting in a mosaic of continental crust and arc/ophiolite sutures. A new reconstruction identifies the blocks rifted from West and NW Australia in the Late Jurassic. They are now in Borneo, Java and Sulawesi, not West Burma as often assumed. Rifting in the Banda and Argo regions began at about 160 Ma, possibly due to south-directed subduction at the north Gondwana margin. Greater India is proposed to have extended north to the northern edge of the Exmouth Plateau and began to separate from Australia at about 140 Ma. The Banda and Argo blocks collided with the SE Asian margin between 110 and 90 Ma. At 90 Ma the Woyla intra-oceanic arc also collided with the Sumatra margin. This terminated subduction beneath Sundaland. The Indian and Australian plates were separated by a leaky transform from about 90 to 75 Ma which became a slightly convergent transform from about 75 to 55 Ma. This transform boundary is considered the eastern end of Tethys from the mid Cretaceous. There was a completely different history of subduction north of India compared to that north of Australia. The subduction history is recorded in the deep mantle by distinctive velocity anomalies which change from east to west abruptly at about 110°E. Between 90 and 45 Ma, India moved rapidly north with north-directed subduction within Tethys and at the Asian margin. It collided with an intra-oceanic arc at about 57 Ma, west of Sumatra, but continued to move north. The first contact of India with Asia was probably about 45 Ma, an estimate dependent on the shape of Greater India and the Asian margin; final ocean closure was later. North of Australia, between 90 and 45 Ma, there was no subduction beneath Sumatra and Java. During this interval south Sundaland was a mainly passive margin with some strike-slip deformation and extension. At 45 Ma Australia began to move north and subduction resumed beneath Indonesia. This was a time of major changes in lengths of subduction boundaries which may be of global importance. Subduction has continued to the present. The structure of the now-subducted ocean floor south of Indonesia, and the rifted NW Australian margin, subsequently influenced the Cenozoic development of SE Asia.

Sampling and monitoring for closure

USGS Publications Warehouse

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

2007-01-01

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

A computable expression of closure to efficient causation.

PubMed

Mossio, Matteo; Longo, Giuseppe; Stewart, John

2009-04-07

In this paper, we propose a mathematical expression of closure to efficient causation in terms of lambda-calculus; we argue that this opens up the perspective of developing principled computer simulations of systems closed to efficient causation in an appropriate programming language. An important implication of our formulation is that, by exhibiting an expression in lambda-calculus, which is a paradigmatic formalism for computability and programming, we show that there are no conceptual or principled problems in realizing a computer simulation or model of closure to efficient causation. We conclude with a brief discussion of the question whether closure to efficient causation captures all relevant properties of living systems. We suggest that it might not be the case, and that more complex definitions could indeed create crucial some obstacles to computability.

Community Environmental Response Facilitation Act (CERFA) report, Fort Holabird Crime Records Center, Baltimore, Maryland

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

Not Available

Public Laws designated more than 100 Department of Army facilities for closure and realignment. As a result, it became necessary to expedite the environmental investigation and cleanup process, as necessary, prior to the release and reuse of Army Base Realignment and Closure (BRAC) property. The BRAC environmental restoration program was established in 1989 with the first round (BRAC 88) of base closures and continued with subsequent rounds (BRAC 91, BRAC 93, etc.). As a result of the BRAC program, Fort Holabird Crime Records Center has been investigated to determine its environmental condition.

76 FR 72643 - Western Pacific Pelagic Fisheries; Closure of the Hawaii Shallow-Set Pelagic Longline Fishery Due...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-25

.... 080225267-91393-03] RIN 0648-XA370 Western Pacific Pelagic Fisheries; Closure of the Hawaii Shallow- Set...: Temporary rule; fishery closure. SUMMARY: NMFS closes the shallow-set pelagic longline fishery north of the Equator for all vessels registered under the Hawaii longline limited access program. The shallow-set...

Elastic-plastic analysis of a propagating crack under cyclic loading

NASA Technical Reports Server (NTRS)

Newman, J. C., Jr.; Armen, H., Jr.

1974-01-01

Development and application of a two-dimensional finite-element analysis to predict crack-closure and crack-opening stresses during specified histories of cyclic loading. An existing finite-element computer program which accounts for elastic-plastic material behavior under cyclic loading was modified to account for changing boundary conditions - crack growth and intermittent contact of crack surfaces. This program was subsequently used to study the crack-closure behavior under constant-amplitude and simple block-program loading.

An effect comparison between Furlow double opposing Z-plasty and two-flap palatoplasty on velopharyngeal closure.

PubMed

Dong, Y; Dong, F; Zhang, X; Hao, F; Shi, P; Ren, G; Yong, P; Guo, Y

2012-05-01

The aim of this study was to compare velopharyngeal closure between patients who underwent Furlow palatoplasty and two-flap palatoplasty. A retrospective review of 88 patients with incomplete palate cleft was performed. 48 patients (17 males; 31 females) aged 2-28 years received Furlow palatoplasty. 40 patients (17 males; 23 females) aged 2-21 years received two-flap palatoplasty. Velopharyngeal function was categorized as adequate, marginal or inadequate. Complications associated with the operation were documented. Statistically significant differences were not found amongst sex distribution, age at operation, follow-up time, and preoperative speech intelligibility. After primary repairs using Furlow and two-flap palatoplasty, the surgeon's incidence of postoperative palatal fistula was 0%. The complications were not significantly different between the two groups. The authors achieved the lowest reported incidence of postoperative palatal fistulas in primary Furlow palatoplasty. The outcomes of the velopharyngeal closure were better in patients who received Furlow palatoplasty (P<0.05). Furlow palatoplasty was more effective than two-flap palatoplasty in obtaining perfect velopharyngeal closure. A probable explanation may be that Furlow palatoplasty can reposition and overlap the divergent palatal muscle and lengthen the soft palate. Copyright © 2012 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Dermatofibrosarcoma protuberans of the vulva: margins assessment and reconstructive options - a report of two cases.

PubMed

Bertolli, Eduardo; Bretchbuhl, Eduard Renè; Camarço, William Ricardo; Campagnari, Mariane; Molina, André Sapata; Baiocchi, Glauco; Macedo, Mariana Petaccia; Pinto, Clovis Antonio; Cunha, Isabela Werneck; Neto, João Pedreira

2014-12-29

Dermatofibrosarcoma Protuberans (DFSP) of the vulva is rare and oncologic surgery with free margins may lead to severe functional damage, requiring multidisciplinary approach regarding resection, margin assessment and reconstruction.Case Report: Two cases of DFSP in vulva were treated in a single institution. A 28-year-old patient with an incisional biopsy in the vulvar region revealing DFSP underwent a partial vulvectomy with clitoris preservation. Pathological studies revealed free margins and reconstructive surgery was performed. This patient is disease free in a 40 months follow up. The other, a 57-year-old patient was also referred after an incomplete resection of a DFSP in the vulvar region. A 1-cm margim resection followed by Complete Circumferential and Peripheral Deep Margin Assessment (CCPDMA) was performed. Although the upper lateral margin was positive, it was possible to perform another wide local excision with preservation of the clitoris and primary closure. DFSP of the vulva requires an accurate evaluation of margins, resections following oncological principles and reconstruction. Although being a very challenging lesion that usually implies difficult surgical management, if treated in a multidisciplinary environment, with surgical oncologists, experienced dermatopathologists and reconstructive surgeons can achieve good results. Even in difficult cases that presents with large lesions and compromising challenging areas, a complete oncologic resection can be performed minimizing functional damage for the patient.

Jurassic subduction initiation in the western and central Neo-Tethys and the origin of the Balkan ophiolites

NASA Astrophysics Data System (ADS)

Van Hinsbergen, D. J. J.; Maffione, M.

2017-12-01

Jurassic subduction initiation in the Neo-Tethys Ocean was the first, critical step of a long tectonic process that eventually led to the collision of the Adria-Africa and Eurasia plates and the formation of a 6000 km long Alpine orogenic belt spanning from the Balkan Peninsula to Iran. Investigating the process of subduction initiation in the Neo-Tethys during the Jurassic is crucial to (i) reconstruct the complex geological evolution of this orogen from its initial stages, and (ii) shed new lights over the enigmatic kinematics and driving mechanisms of subduction initiation. Records of the initial closure of the Neo-Tethys are today preserved in a fragmented belt of Middle Jurassic ophiolites (170-160 Ma) distributed above the Alpine orogen. In particular, the well-preserved and extensively studied ophiolites of the Balkan Peninsula offer a unique chance to study the mechanisms leading to the closure of the western domain of the Neo-Tethys. Here we provide the first quantitative constraints on the geometry of the Jurassic Neo-Tethyan subduction system using a net tectonic rotation analysis based on paleomagnetic and structural geological data from the sheeted dyke complexes of various ophiolites of Serbia (Maljen, Ibar) and Greece (Othris, Pindos, Vourinos, Guevgueli). Our results show that closure of the western Neo-Tethys was accommodated by two subduction zones, one intra-oceanic, formed at the N-S trending Neo-Tethyan ridge, the other initiated at the European passive margin and curving southward from a N-S to a NW-SE direction following the shape of the passive margin. We propose that these two subduction zones formed upon propagation of subduction(s) initiated in the central Neo-Tethys (modern Turkey) in the late Early Jurassic ( 185-180 Ma).

Natural resources and their prospects in the closed basins of rift valley marginal grabens in northern Ethiopia

NASA Astrophysics Data System (ADS)

Meaza, Hailemariam; Frankl, Amaury; Poesen, Jean; Zenebe, Amanuel; Deckers, Jozef; Vaneetvelde, Veerle; Lanckriet, Sil; Nyssen, Jan

2016-04-01

With increasing population, producing more food and fibers has led to an expansion of the area under cultivation. For this, much attention is given to low-lying flat areas in search of suitable agricultural lands. The objectives of this paper are therefore: (1) to review the opportunities and challenges of natural resources in the marginal grabens for rural development; (2) to highlight the knowledge gaps and priorities in research and development in the marginal grabens, and (3) to supplement the literature review through repeat transect walks, focus group discussions and interviews across the western rift valley of northern Ethiopia. The paper shows that marginal grabens along the rift valleys are rich both in blue and green water resources due to their topographical and geological characteristics. Spate irrigation has been a growing water management practice to respond to soil moisture deficit. Besides, marginal grabens are fertile plains as a result of alluvial deposition that could be suitable for agricultural development. However, rainfall variability and groundwater withdrawal lead to graben basin closure and salinization. Notably, riverbed incisions and sediment deposition affects drainage systems and water supply in the marginal grabens. As a result, socioeconomic and natural capital of the marginal graben farmers are continuously threatened. Thus, the benefits of natural resources for rural development in the marginal grabens along the rift valley can be optimized if the current bottlenecks are converted into opportunities. A better understanding of the complex marginal graben system via a robust land evaluation framework will improve livelihoods of the communities that live in the (closed) marginal grabens. Keywords: population pressure, marginal grabens, endorheic lakes, salinization, Ethiopia

Marginal ulcer perforation: a single center experience.

PubMed

Natarajan, S K; Chua, D; Anbalakan, K; Shelat, V G

2017-10-01

Marginal ulcer (MU) is defined as ulcer on the jejunal side of the gastrojejunostomy (GJ) anastomosis. Most MUs are managed medically but those with complications like bleeding or perforation require intervention. It is recommended that GJ anastomosis be revised in patients with MU perforation (MUP). The aim of this case series is to study the clinical presentation and management of MUP. Three hundred and thirty-two patients who underwent emergency surgery for perforated peptic ulcer at a single center were studied over a period of 5 years. Nine patients (2.7 %) presented with MUP. GJ was previously done for either complicated peptic ulcer (n = 4) or for suspected gastric malignancy (n = 5). Two patients had previously completed H. pylori therapy. None of the patients presented with septic shock. MU was on the jejunal side of GJ in all patients. The median MUP size was 10 mm. Four patients (44.4 %) had omental patch repair, three (33.3 %) had primary closure, and one each had revision of GJ and jejunal serosal patch repair. There were no leaks, intra-abdominal abscess or reoperation and no malignancies. MUP patients do not present with septic shock. Omental patch repair or primary closure is sufficient enough. Revision of Billroth-II-GJ into Roux-en-Y-GJ is not mandatory.

The spectraplakin Short stop is an essential microtubule regulator involved in epithelial closure in Drosophila

PubMed Central

Takács, Zsanett; Vilmos, Péter; Lénárt, Péter; Röper, Katja; Erdélyi, Miklós

2017-01-01

ABSTRACT Dorsal closure of the Drosophila embryonic epithelium provides an excellent model system for the in vivo analysis of molecular mechanisms regulating cytoskeletal rearrangements. In this study, we investigated the function of the Drosophila spectraplakin Short stop (Shot), a conserved cytoskeletal structural protein, during closure of the dorsal embryonic epithelium. We show that Shot is essential for the efficient final zippering of the opposing epithelial margins. By using isoform-specific mutant alleles and genetic rescue experiments with truncated Shot variants, we demonstrate that Shot functions as an actin–microtubule cross-linker in mediating zippering. At the leading edge of epithelial cells, Shot regulates protrusion dynamics by promoting filopodia formation. Fluorescence recovery after photobleaching (FRAP) analysis and in vivo imaging of microtubule growth revealed that Shot stabilizes dynamic microtubules. The actin- and microtubule-binding activities of Shot are simultaneously required in the same molecule, indicating that Shot is engaged as a physical crosslinker in this process. We propose that Shot-mediated interactions between microtubules and actin filaments facilitate filopodia formation, which promotes zippering by initiating contact between opposing epithelial cells. PMID:28062848

Resource Management and Contingencies in Aerospace Concurrent Engineering

NASA Technical Reports Server (NTRS)

Karpati, Gabe; Hyde, Tupper; Peabody, Hume; Garrison, Matthew

2012-01-01

significant concern in designing complex systems implementing new technologies is that while knowledge about the system is acquired incrementally, substantial financial commitments, even make-or-break decisions, must be made upfront, essentially in the unknown. One practice that helps in dealing with this dichotomy is the smart embedding of contingencies and margins in the design to serve as buffers against surprises. This issue presents itself in full force in the aerospace industry, where unprecedented systems are formulated and committed to as a matter of routine. As more and more aerospace mission concepts are generated by concurrent design laboratories, it is imperative that such laboratories apply well thought-out contingency and margin structures to their designs. The first part of this publication provides an overview of resource management techniques and standards used in the aerospace industry. That is followed by a thought provoking treatise on margin policies. The expose presents the actual flight telemetry data recorded by the thermal discipline during several recent NASA Goddard Space Flight Center missions. The margins actually achieved in flight are compared against pre-flight predictions, and the appropriateness and the ramifications of having designed with rigid margins to bounding stacked worst case conditions are assessed. The second half of the paper examines the particular issues associated with the application of contingencies and margins in the concurrent engineering environment. In closure, a discipline-by-discipline disclosure of the contingency and margin policies in use at the Integrated Design Center at NASA s Goddard Space Flight Center is made.

On the stability and instantaneous velocity of grasped frictionless objects

NASA Technical Reports Server (NTRS)

Trinkle, Jeffrey C.

1992-01-01

A quantitative test for form closure valid for any number of contact points is formulated as a linear program, the optimal objective value of which provides a measure of how far a grasp is from losing form closure. Another contribution of the study is the formulation of a linear program whose solution yields the same information as the classical approach. The benefit of the formulation is that explicit testing of all possible combinations of contact interactions can be avoided by the algorithm used to solve the linear program.

Achieving a Successful Closure of an Anterior Tympanic Membrane Perforation: Evidence-Based Systematic Review.

PubMed

Visvanathan, Vikranth; Vallamkondu, Vamsidhar; Bhimrao, Sanjiv K

2018-06-01

Objectives Surgical repair of a tympanic membrane perforation is a common otologic procedure. However, achieving a successful closure can be challenging, especially if the anterior margin of the tympanic membrane is involved. The aim of this study was to systematically review the literature on evidence published in closure of anterior tympanic membrane perforations. Data Sources The following data sources were searched: Cochrane Central Register of Controlled Trials (1997 to August, 3 2017), MEDLINE (February 1948 to August 3, 2017), and Embase (1975 to August 3, 2017). Data Extraction Two authors independently reviewed titles and abstracts. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines were followed. For the purpose of this study, the inclusion criteria were as follows; (1) studies reporting surgical technique for closure of anterior tympanic membrane perforations, (2) primary cases only, (3) articles published in the English language, (4) minimum 6-month follow-up, and (5) recorded pre- and postoperative audiometry. The exclusion criteria were non-English language articles, revision surgery, and no audiometric outcomes. Results On initial search, a total of 181 articles were identified (PubMed, n = 136; Cochrane, n = 28; Embase, n = 17). Based on the criteria, 136 articles were excluded. Full text of 45 articles was reviewed, and a further 24 articles were excluded. A total of 21 articles fulfilled the criteria for study inclusion. Conclusions All published evidence is level 4. High-quality controlled studies are required to determine the most effective method for closure of anterior tympanic membrane perforation.

Phanerozoic continental growth and gold metallogeny of Asia

USGS Publications Warehouse

Goldfarb, Richard J.; Taylor, Ryan D.; Collins, Gregory S.; Goryachev, Nicolay A.; Orlandini, Omero Felipe

2014-01-01

The Asian continent formed during the past 800 m.y. during late Neoproterozoic through Jurassic closure of the Tethyan ocean basins, followed by late Mesozoic circum-Pacific and Cenozoic Himalayan orogenies. The oldest gold deposits in Asia reflect accretionary events along the margins of the Siberia, Kazakhstan, North China, Tarim–Karakum, South China, and Indochina Precambrian blocks while they were isolated within the Paleotethys and surrounding Panthalassa Oceans. Orogenic gold deposits are associated with large-scale, terrane-bounding fault systems and broad areas of deformation that existed along many of the active margins of the Precambrian blocks. Deposits typically formed during regional transpressional to transtensional events immediately after to as much as 100 m.y. subsequent to the onset of accretion or collision. Major orogenic gold provinces associated with this growth of the Asian continental mass include: (1) the ca. 750 Ma Yenisei Ridge, ca. 500 Ma East Sayan, and ca. 450–350 Ma Patom provinces along the southern margins of the Siberia craton; (2) the 450 Ma Charsk belt of north-central Kazakhstan; (3) the 310–280 Ma Kalba belt of NE Kazakhstan, extending into adjacent NW Xinjiang, along the Siberia–Kazakhstan suture; (4) the ca. 300–280 Ma deposits within the Central Asian southern and middle Tien Shan (e.g., Kumtor, Zarmitan, Muruntau), marking the closure of the Turkestan Ocean between Kazakhstan and the Tarim–Karakum block; (5) the ca. 190–125 Ma Transbaikal deposits along the site of Permian to Late Jurassic diachronous closure of the Mongol–Okhotsk Ocean between Siberia and Mongolia/North China; (6) the probable Late Silurian–Early Devonian Jiagnan belt formed along the margin of Gondwana at the site of collision between the Yangtze and Cathaysia blocks; (7) Triassic deposits of the Paleozoic Qilian Shan and West Qinling orogens along the SW margin of the North China block developed during collision of South China; and (8) Jurassic(?) ores on the margins of the Subumusu block in Myanmar and Malaysia. Circum-Pacific tectonism led to major orogenic gold province formation along the length of the eastern side of Asia between ca. 135 and 120 Ma, although such deposits are slightly older in South Korea and slightly younger in the Amur region of the Russian Southeast. Deformation related to collision of the Kolyma–Omolon microcontinent with the Pacific margin of the Siberia craton led to formation of 136–125 Ma ores of the Yana–Kolyma belt (Natalka, Sarylakh) and 125–119 Ma ores of the South Verkhoyansk synclinorium (Nezhdaninskoe). Giant ca. 125 Ma gold provinces developed in the Late Archean uplifted basement of the decratonized North China block, within its NE edge and into adjacent North Korea, in the Jiaodong Peninsula, and in the Qinling Mountains. The oldest gold-bearing magmatic–hydrothermal deposits of Asia include the ca. 485 Ma Duobaoshan porphyry within a part of the Tuva–Mongol arc, ca. 355 Ma low-sulfidation epithermal deposits (Kubaka) of the Omolon terrane accreted to eastern Russia, and porphyries (Bozshakol, Taldy Bulak) within Ordovican to Early Devonian oceanic arcs formed off the Kazakhstan microcontinent. The Late Devonian to Carboniferous was marked by widespread gold-rich porphyry development along the margins of the closing Ob–Zaisan, Junggar–Balkhash, and Turkestan basins (Amalyk, Oyu Tolgoi); most were formed in continental arcs, although the giant Oyu Tolgoi porphyry was part of a near-shore oceanic arc. Permian subduction-related deformation along the east side of the Indochina block led to ca. 300 Ma gold-bearing skarn and disseminated gold ore formation in the Truong Son fold belt of Laos, and along the west side to ca. 250 Ma gold-bearing skarns and epithermal deposits in the Loei fold belt of Laos and Thailand. In the Mesozoic Transbaikal region, extension along the basin margins subsequent to Mongol–Okhotsk closure was associated with ca. 150–125 Ma formation of important auriferous epithermal (Balei), skarn (Bystray), and porphyry (Kultuminskoe) deposits. In northeastern Russia, Early Cretaceous Pacific margin subduction and Late Cretaceous extension were associated with epithermal gold-deposit formation in the Uda–Murgal (Julietta) and Okhotsk–Chukotka (Dukat, Kupol) volcanic belts, respectively. In southeastern Russia, latest Cretaceous to Oligocene extension correlates with other low-sulfidation epithermal ores that formed in the East Sikhote–Alin volcanic belt. Other extensional events, likely related to changing plate dynamics along the Pacific margin of Asia, relate to epithermal–skarn–porphyry districts that formed at ca. 125–85 Ma in northeastmost China and ca. 105–90 Ma in the Coast Volcanic belt of SE China. The onset of strike slip along a part of the southeastern Pacific margin appears to correlate with the giant 148–135 Ma gold-rich porphyry–skarn province of the lower and middle Yangtze River. It is still controversial as to whether true Carlin-like gold deposits exist in Asia. Those deposits that most closely resemble the Nevada (USA) ores are those in the Permo-Triassic Youjiang basin of SW China and NE Vietnam, and are probably Late Triassic in age, although this is not certain. Other Carlin-like deposits have been suggested to exist in the Sepon basin of Laos and in the Mongol–Okhotsk region (Kuranakh) of Transbaikal.

9 CFR 381.301 - Containers and closures.

Code of Federal Regulations, 2013 CFR

2013-01-01

... AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY... examination should be based upon a statistical sampling plan. (2) All empty containers, closures, and flexible... the container plant records are made available to Program employees. Additional teardown examinations...

9 CFR 381.301 - Containers and closures.

Code of Federal Regulations, 2012 CFR

2012-01-01

... AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY... examination should be based upon a statistical sampling plan. (2) All empty containers, closures, and flexible... the container plant records are made available to Program employees. Additional teardown examinations...

9 CFR 381.301 - Containers and closures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY... examination should be based upon a statistical sampling plan. (2) All empty containers, closures, and flexible... the container plant records are made available to Program employees. Additional teardown examinations...

9 CFR 381.301 - Containers and closures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY... examination should be based upon a statistical sampling plan. (2) All empty containers, closures, and flexible... the container plant records are made available to Program employees. Additional teardown examinations...

Amchitka Mud Pit Sites 2006 Post-Closure Monitoring and Inspection Report, Amchitka Island, Alaska, Rev. No.: 0

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

Matthews, Patrick

2006-09-01

In 2001, the U.S. Department of Energy (DOE), National Nuclear Security Administration (NNSA/NSO) remediated six areas associated with Amchitka mud pit release sites located on Amchitka Island, Alaska. This included the construction of seven closure caps. To ensure the integrity and effectiveness of remedial action, the mud pit sites are to be inspected every five years as part of DOE's long-term monitoring and surveillance program. In August of 2006, the closure caps were inspected in accordance with the ''Post-Closure Monitoring and Inspection Plan for Amchitka Island Mud Pit Release Sites'' (Rev. 0, November 2005). This post-closure monitoring report provides themore » 2006 cap inspection results.« less

VR closure rates for two vocational models.

PubMed

Fraser, Virginia V; Jones, Amanda M; Frounfelker, Rochelle; Harding, Brian; Hardin, Teresa; Bond, Gary R

2008-01-01

The Individual Placement and Support (IPS) model of supported employment is an evidence-based practice for individuals with psychiatric disabilities. To be financially viable, IPS programs require funding from the state-federal vocational rehabilitation (VR) system. However, some observers have questioned the compatibility of IPS and the VR system. Using a randomized controlled trial comparing IPS to a well-established vocational program called the Diversified Placement Approach (DPA), we examined rates of VR sponsorship and successful VR closures. We also describe the establishment of an active collaboration between a psychiatric rehabilitation agency and the state VR system to facilitate rapid VR sponsorship for IPS clients. Both IPS and DPA achieved a 44% rate of VR Status 26 closure when considering all clients entering the study. IPS and DPA averaged similar amount of time to achieve VR sponsorship. Time from vocational program entry to Status 26 was 51 days longer on average for IPS. Even though several IPS principles seem to run counter to VR practices, such as zero exclusion and rapid job search, we found IPS closure rates comparable to those for DPA, a vocational model that screens for readiness, provides prevocational preparation, and extensively uses agency-run businesses.

40 CFR 265.113 - Closure; time allowed for closure.

Code of Federal Regulations, 2010 CFR

2010-07-01

... includes an amended waste analysis plan, ground-water monitoring and response program, human exposure....113 Section 265.113 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) INTERIM STATUS STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND...

Report to Congress on a Compliance Plan for the Underground Storage Tank Program

EPA Pesticide Factsheets

Learn about identification of USTs that are not in compliance with Subtitle I of the Solid Waste Disposal Act or are in temporary closure, and determine the ownership of USTs not in compliance or in temporary closure

77 FR 27827 - Self-Regulatory Organizations; Chicago Mercantile Exchange Inc.; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-11

... margin calculations for these portfolios and perform ``what if'' analyses. The portfolio margining... Change Relating to Adoption of Interest Rate Futures Contracts Portfolio Margining Program With Eris... adopt an interest rate futures contracts portfolio margining program with Eris Exchange, LLC (``Eris...

Transportation impacts of the Chicago River closure to prevent an asian carp infestation.

DOT National Transportation Integrated Search

2012-07-01

This project develops a simple linear programming model of the Upper Midwest regions rail transportation network to test : whether a closure of the Chicago River to freight traffic would impact the capacity constraint of the rail system. The result :...

RMA Abandoned Well Closure Program. Final Task Plan, Version 3.0.

DTIC Science & Technology

1989-05-01

20503. 1 . AGENCY USE ONLY (Leave blank) 2. REPORT DATE" 0 3. REPORT TYPE AND DATES COVERED _T 05/00/89 __________________ 4. TITLE AND SUBTITLE S...AQUIFERS. THE SCOPE OF WORK INCLUDES: 1 . COMPILATION OF A WELL INVENTORY AND DATABASE 2. FIELD LOCATION OF WELLS 3. CLEANING AND CLOSURE OF...APPROXIMATELY 350 WELT- 4. DOCUMENTATION OF CLOSURE ACTIVITIES. SECTIONS OF THIS TASK PLAN DETAIL-INFORMATION ON: 1 . ABANDONED WELL IDENTIFICATION AND LOCATION

Periorbital hemangiomas.

PubMed

Goldberg, N S; Rosanova, M A

1992-10-01

1. Any hemangioma that involves the upper or lower lid and leads to partial closure in infancy may interfere with or prevent development of normal binocular vision in a matter of days to weeks. 2. Hemangiomas least likely to interfere with vision are lower lid lesions occupying one third of the lid margin or less, not extending beyond the eyelid region, and resolving early. 3. Hemangiomas associated with deprivation amblyopia (with or without anisometropia) are lesions occupying more than one half of the lid margin, extending beyond the eyelid region, resolving late, and obstructing the visual axis. 4. Hemangiomas associated with isolated anisometropic amblyopia are local but bulky lesions that are usually but not always restricted to the upper lid, closing the eye partly and resolving late. 5. The treatment of choice for periorbital hemangiomas is corticosteroids, either systemic or intralesional.

Geodynamic models of the Wilson Cycle: From rifts to mountains to rifts

NASA Astrophysics Data System (ADS)

Buiter, Susanne; Tetreault, Joya; Torsvik, Trond

2015-04-01

The Wilson Cycle theory that oceans close and reopen along the former suture is a fundamental concept in plate tectonics. The theory suggests that subduction initiates at a passive margin, closing the ocean, and that future continental extension localises at the ensuing collision zone. Each stage of the Wilson Cycle will therefore be characterised by inherited structural and thermal heterogeneities. Here we investigate the role of Wilson Cycle inheritance by considering the influence of (1) passive margin structure on continental collision and (2) collision zones on passive margin formation. Passive margins may be preferred locations for subduction initiation because inherited faults and areas of exhumed serpentinized mantle may weaken a margin enough to localise shortening. If subduction initiates at a passive margin, the shape and structure of the passive margins will affect future continental collision. Our review of present-day passive margins along the Atlantic and Indian Oceans reveals that most passive margins are located on former collision zones. Continental break-up occurs on relatively young sutures, such as Morocco-Nova Scotia, and on very old sutures, such as the Greenland-Labrador and East Antarctica-Australia systems. This implies that it is not always post-collisional collapse that initiates the extensional phase of a Wilson Cycle. We highlight the impact of collision zone inheritance on continental extension and rifted margin architecture. We show numerical experiments of one Wilson Cycle of subduction, collision, and extension. Subduction initiates at a tapered passive margin. Closure of a 60 Ma ocean leads to continental collision and slab break-off, followed by some tens of kilometres of slab eduction. Mantle flow above the sinking detached slab enhances deformation in the rift area. The resulting rift exposes not only continental crust, but also subduction-related sediments and oceanic crust remnants. Renewed subduction in the post-collision phase is enabled by lithosphere delamination and slab rollback, leading to back-arc extension in a style similar to the Tyrrhenian Sea.

10 CFR 60.51 - License amendment for permanent closure.

Code of Federal Regulations, 2014 CFR

2014-01-01

... description of the program for post-permanent closure monitoring of the geologic repository. (2) A detailed... postclosure controlled area and geologic repository operations area by monuments that have been designed... tests, experiments, and any other analyses relating to backfill of excavated areas, shaft sealing, waste...

10 CFR 60.51 - License amendment for permanent closure.

Code of Federal Regulations, 2013 CFR

2013-01-01

... description of the program for post-permanent closure monitoring of the geologic repository. (2) A detailed... postclosure controlled area and geologic repository operations area by monuments that have been designed... tests, experiments, and any other analyses relating to backfill of excavated areas, shaft sealing, waste...

10 CFR 60.51 - License amendment for permanent closure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... description of the program for post-permanent closure monitoring of the geologic repository. (2) A detailed... postclosure controlled area and geologic repository operations area by monuments that have been designed... tests, experiments, and any other analyses relating to backfill of excavated areas, shaft sealing, waste...

10 CFR 60.51 - License amendment for permanent closure.

Code of Federal Regulations, 2011 CFR

2011-01-01

... description of the program for post-permanent closure monitoring of the geologic repository. (2) A detailed... postclosure controlled area and geologic repository operations area by monuments that have been designed... tests, experiments, and any other analyses relating to backfill of excavated areas, shaft sealing, waste...

10 CFR 60.51 - License amendment for permanent closure.

Code of Federal Regulations, 2012 CFR

2012-01-01

... description of the program for post-permanent closure monitoring of the geologic repository. (2) A detailed... postclosure controlled area and geologic repository operations area by monuments that have been designed... tests, experiments, and any other analyses relating to backfill of excavated areas, shaft sealing, waste...

The Continental Margins Program in Georgia

USGS Publications Warehouse

Cocker, M.D.; Shapiro, E.A.

1999-01-01

From 1984 to 1993, the Georgia Geologic Survey (GGS) participated in the Minerals Management Service-funded Continental Margins Program. Geological and geophysical data acquisition focused on offshore stratigraphic framework studies, phosphate-bearing Miocene-age strata, distribution of heavy minerals, near-surface alternative sources of groundwater, and development of a PC-based Coastal Geographic Information System (GIS). Seven GGS publications document results of those investigations. In addition to those publications, direct benefits of the GGS's participation include an impetus to the GGS's investigations of economic minerals on the Georgia coast, establishment of a GIS that includes computer hardware and software, and seeds for additional investigations through the information and training acquired as a result of the Continental Margins Program. These addtional investigations are quite varied in scope, and many were made possible because of GIS expertise gained as a result of the Continental Margins Program. Future investigations will also reap the benefits of the Continental Margins Program.From 1984 to 1993, the Georgia Geologic Survey (GGS) participated in the Minerals Management Service-funded Continental Margins Program. Geological and geophysical data acquisition focused on offshore stratigraphic framework studies, phosphate-bearing Miocene-age strata, distribution of heavy minerals, near-surface alternative sources of groundwater, and development of a PC-based Coastal Geographic Information System (GIS). Seven GGS publications document results of those investigations. In addition to those publications, direct benefits of the GGS's participation include an impetus to the GGS's investigations of economic minerals on the Georgia coast, establishment of a GIS that includes computer hardware and software, and seeds for additional investigations through the information and training acquired as a result of the Continental Margins Program. These additional investigations are quite varied in scope, and many were made possible because of GIS expertise gained as a result of the Continental Margins Program. Future investigations will also reap the benefits of the Continental Margins Program.

Management of complex abdominal wall defects associated with penetrating abdominal trauma.

PubMed

Arul, G Suren; Sonka, B J; Lundy, J B; Rickard, R F; Jeffery, S L A

2015-03-01

The paradigm of Damage Control Surgery (DCS) has radically improved the management of abdominal trauma, but less well described are the options for managing the abdominal wall itself in an austere environment. This article describes a series of patients with complex abdominal wall problems managed at the UK-led Role 3 Medical Treatment Facility (MTF) in Camp Bastion, Afghanistan. Contemporaneous review of a series of patients with complex abdominal wall injuries who presented to the Role 3 MTF between July and November 2012. Five patients with penetrating abdominal trauma associated with significant damage to the abdominal wall were included. All patients were managed using DCS principles, leaving the abdominal wall open at the end of the first procedure. Subsequent management of the abdominal wall was determined by a multidisciplinary team of general and plastic surgeons, intensivists and specialist nurses. The principles of management identified included minimising tissue loss on initial laparotomy by joining adjacent wounds and marginal debridement of dead tissue; contraction of the abdominal wall was minimised by using topical negative pressure dressing and dermal-holding sutures. Definitive closure was timed to allow oedema to settle and sepsis to be controlled. Closure techniques include delayed primary closure with traction sutures, components separation, and mesh closure with skin grafting. A daily multidisciplinary team discussion was invaluable for optimal decision making regarding the most appropriate means of abdominal closure. Dermal-holding sutures were particularly useful in preventing myostatic contraction of the abdominal wall. A simple flow chart was developed to aid decision making in these patients. This flow chart may prove especially useful in a resource-limited environment in which returning months or years later for closure of a large ventral hernia may not be possible. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Role of vision in aperture closure control during reach-to-grasp movements.

PubMed

Rand, Miya K; Lemay, Martin; Squire, Linda M; Shimansky, Yury P; Stelmach, George E

2007-08-01

We have previously shown that the distance from the hand to the target at which finger closure is initiated during the reach (aperture closure distance) depends on the amplitude of peak aperture, as well as hand velocity and acceleration. This dependence suggests the existence of a control law according to which a decision to initiate finger closure during the reach is made when the hand distance to target crosses a threshold that is a function of the above movement-related parameters. The present study examined whether the control law is affected by manipulating the visibility of the hand and the target. Young adults made reach-to-grasp movements to a dowel under conditions in which the target or the hand or both were either visible or not visible. Reaching for and grasping a target when the hand and/or target were not visible significantly increased transport time and widened peak aperture. Aperture closure distance was significantly lengthened and wrist peak velocity was decreased only when the target was not visible. Further analysis showed that the control law was significantly different between the visibility-related conditions. When either the hand or target was not visible, the aperture closure distance systematically increased compared to its value for the same amplitude of peak aperture, hand velocity, and acceleration under full visibility. This implies an increase in the distance-related safety margin for grasping when the hand or target is not visible. It has been also found that the same control law can be applied to all conditions, if variables describing hand and target visibility were included in the control law model, as the parameters of the task-related environmental context, in addition to the above movement-related parameters. This suggests that that the CNS utilizes those variables for controlling grasp initiation based on a general control law.

Role of vision in aperture closure control during reach-to-grasp movements

PubMed Central

Rand, Miya K.; Lemay, Martin; Squire, Linda M.; Shimansky, Yury P.; Stelmach, George E.

2007-01-01

We have previously shown that the distance from the hand to the target at which finger closure is initiated during the reach (aperture closure distance) depends on the amplitude of peak aperture, as well as hand velocity and acceleration. This dependence suggests the existence of a control law according to which a decision to initiate finger closure during the reach is made when the hand distance to target crosses a threshold that is a function of the above movement-related parameters. The present study examined whether the control law is affected by manipulating the visibility of the hand and the target. Young adults made reach-to-grasp movements to a dowel under conditions in which the target or the hand or both were either visible or not visible. Reaching for and grasping a target when the hand and/or target were not visible significantly increased transport time and widened peak aperture. Aperture closure distance was significantly lengthened and wrist peak velocity was decreased only when the target was not visible. Further analysis showed that the control law was significantly different between the visibility-related conditions. When either the hand or target was not visible, the aperture closure distance systematically increased compared to its value for the same amplitude of peak aperture, hand velocity, and acceleration under full visibility. This implies an increase in the distance-related safety margin for grasping when the hand or target is not visible. It has been also found that the same control law can be applied to all conditions, if variables describing hand and target visibility were included in the control law model, as the parameters of the task-related environmental context, in addition to the above movement-related parameters. This suggests that that the CNS utilizes those variables for controlling grasp initiation based on a general control law. PMID:17476491

10 CFR 63.51 - License amendment for permanent closure.

Code of Federal Regulations, 2011 CFR

2011-01-01

... to compliance with § 63.113. (2) A description of the program for post-permanent closure monitoring... that have been designed, fabricated, and emplaced to be as permanent as is practicable; (ii) Placement..., pertinent to compliance with § 63.113. (5) The results of tests, experiments, and any other analyses...

10 CFR 63.51 - License amendment for permanent closure.

Code of Federal Regulations, 2012 CFR

2012-01-01

... to compliance with § 63.113. (2) A description of the program for post-permanent closure monitoring... that have been designed, fabricated, and emplaced to be as permanent as is practicable; (ii) Placement..., pertinent to compliance with § 63.113. (5) The results of tests, experiments, and any other analyses...

76 FR 31340 - Medicare Program; Notification of Closure of St. Vincent's Medical Center

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-31

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-1587-N... & Medicaid Services (CMS), HHS. ACTION: Notice. SUMMARY: This notice announces the closure of St. Vincent's Medical Center and the initiation of an application process for hospitals to apply to the Centers for...

78 FR 20035 - Adequacy of Oregon Municipal Solid Waste Landfill Permit Program

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-03

... to issue Research, Development, and Demonstration (RD&D) Permits to owners and operators of MSWLF... Landfill (MSWLF) criteria in 40 CFR part 258 to allow Research, Development, and Demonstration (RD&D... authority for variance of criteria for groundwater monitoring, closure and post-closure requirements (except...

From rock to magma and back again: The evolution of temperature and deformation mechanism in conduit margin zones

NASA Astrophysics Data System (ADS)

Heap, Michael J.; Violay, Marie; Wadsworth, Fabian B.; Vasseur, Jérémie

2017-04-01

Explosive silicic volcanism is driven by gas overpressure in systems that are inefficient at outgassing. The zone at the margin of a volcanic conduit-thought to play an important role in the outgassing of magma and therefore pore pressure changes and explosivity-is the boundary through which heat is exchanged from the hot magma to the colder country rock. Using a simple heat transfer model, we first show that the isotherm for the glass transition temperature (whereat the glass within the groundmass transitions from a glass to an undercooled liquid) moves into the country rock when the magma within the conduit can stay hot, or into the conduit when the magma is quasi-stagnant and cools (on the centimetric scale over days to months). We then explore the influence of a migrating viscous boundary on compactive deformation micromechanisms in the conduit margin zone using high-pressure (effective pressure of 40 MPa), high-temperature (up to 800 °C) triaxial deformation experiments on porous andesite. Our experiments show that the micromechanism facilitating compaction in andesite is localised cataclastic pore collapse at all temperatures below the glass transition of the amorphous groundmass glass Tg (i.e., rock). In this regime, porosity is only reduced within the bands of crushed pores; the porosity outside the bands remains unchanged. Further, the strength of andesite is a positive function of temperature below the threshold Tg due to thermal expansion driven microcrack closure. The micromechanism driving compaction above Tg (i.e., magma) is the distributed viscous flow of the melt phase. In this regime, porosity loss is distributed and is accommodated by the widespread flattening and closure of pores. We find that viscous flow is much more efficient at reducing porosity than cataclastic pore collapse, and that it requires stresses much lower than those required to form bands of crushed pores. Our study therefore highlights that temperature excursions can result in a change in deformation micromechanism that drastically alters the mechanical and hydraulic properties of the material within the conduit margin zone, with possible implications for pore pressure augmentation and explosive behaviour.

Initial Closure of the Neo-Tethys and Kinematics of the Arabian Crustal Shortening

NASA Astrophysics Data System (ADS)

Pirouz, M.; Avouac, J. P.; Hassanzadeh, J.; Kirschvink, J. L.; Bahroudi, A.

2017-12-01

Exposed transition from passive margin to foreland basin sedimentation in the High Zagros provides chronological constraints on the initial stage of Arabia-Eurasia collision and closure of the Neo-Tethys. Magnetostratigraphy and strontium isotope stratigraphy along two sections near the Zagros suture display that the top of the passive margin Asmari formation has an age of 28 - 29 Ma and is overlain by foreland deposits with a major hiatus. The base of the foreland deposits has an age of ca. 26 Ma in the western Zagros and 21.5 Ma in the eastern Zagros. We detect the onset of forebulge formation within the Asmari Formation around 25 Ma. Combined with available age constraints across the Zagros, our results show that the unconformity is diachronous and records the southwestward migration of the flexural bulge within the Arabian plate at an average rate of 24±2 mm/yr since the collision. We conclude that closure of the Neo-Tethys formed the Zagros collisional wedge at 27±2 Ma. Hence, the Arabia-Eurasia collision could not be the main driver of global cooling which started near the Eocene-Oligocene boundary (ca. 33.7 Ma). We estimate 650 km of forebulge migration since the onset of the collision which consists of 350 km of shortening across the orogen, and 300 km of widening of the wedge and increasing flexural rigidity of Arabia. The average rate of shortening across the Zagros is estimated to be ca. 13 mm/yr over the last 27 Myr; a value comparable to the modern rate. Palinspastic restoration of structural cross-sections and crustal volume conservation accounts for only ca. 200 km of shortening across the Zagros and metamorphic Sanandaj-Sirjan belt implying that at least 150 km of the Arabian crust was underthrust beneath Eurasia without contributing to crustal thickening, possibly due to eclogitization.

Impact of social characteristics on the treatment of patients with ischaemic events and patent foramen ovale.

PubMed

Schurter, David; Braun, Julia; Jenni, Rolf; Van Der Loo, Bernd

2012-02-01

Percutaneous closure of a patent foramen ovale (PFO) is a technically simple and safe procedure. PFO is a common finding present in up to one third of the population. Although several conditions such as stroke, migraine, and sleep apnoea have been associated with a PFO, as underlined by observational studies, no causal relationship has been documented so far. As this setting may potentially leave more space for the involved physicians for the choice of treatment, we hypothesized that social characteristics of the patient with a PFO might play a role. We retrospectively analysed the data of 153 patients with a cerebrovascular and/or peripheral ischaemic event with the diagnosis of a PFO as documented in echocardiography from 2000 until 2005 at the University Hospital in Zurich, Switzerland. Forty-four patients (= 23%) underwent catheter-based PFO closure. There was no significant difference with respect to age (<40 years: P = 0.094, ns; 40-59 years: P = 0.923, ns; > or =60 years: P= 0.234, ns), gender (P = 0.356, ns) and insurance status (<40 years: P= 0.15, ns; 40-59 years: P= 0.37, ns; 60 years: P = 0.26, ns) between those who underwent percutaneous PFO closure and those who did not. We conclude from this single-centre experience that social characteristics of patients only have a marginal impact on the indication of percutaneous closure of a PFO, if at all.

78 FR 32663 - Medicare Program; Notification of Closure of Teaching Hospitals and Opportunity To Apply for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-31

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-1459-N... Slots AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. SUMMARY: This notice announces the closure of two teaching hospitals and the initiation of an application process where hospitals...

No-migration variance petition. Appendices C--J: Volume 5, Revision 1

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

Not Available

1990-03-01

Volume V contains the appendices for: closure and post-closure plans; RCRA ground water monitoring waver; Waste Isolation Division Quality Program Manual; water quality sampling plan; WIPP Environmental Procedures Manual; sample handling and laboratory procedures; data analysis; and Annual Site Environmental Monitoring Report for the Waste Isolation Pilot Plant.

Achieving and documenting closure in plant growth facilities

NASA Technical Reports Server (NTRS)

Knott, W. M.; Sager, John C.; Wheeler, Ray

1992-01-01

As NASA proceeds with its effort to develop a Controlled Ecological Life Support System (CELSS) that will provide life support to crews during long duration space missions, it must address the question of facility and system closure. The concept of closure as it pertains to CELSS and engineering specifications, construction problems and monitoring procedures used in the development and operation of a closed plant growth facility for the CELSS program are described. A plant growth facility is one of several modules required for a CELSS. A prototype of this module at Kennedy Space Center is the large (7m tall x 3.5m diameter) Biomass Production Chamber (BPC), the central facility of the CELSS Breadboard Project. The BPC is atmospherically sealed to a leak rate of approximately 5 percent of its total volume per 24 hours. This paper will discuss the requirements for atmospheric closure in the facility, present CO2 and trace gas data from initial tests of the BPC with and without plants, and describe how the chamber was sealed atmospherically. Implications that research conducted in this type of facility will have for the CELSS program are discussed.

Numerical Modeling of ROM Panel Closures at WIPP

NASA Astrophysics Data System (ADS)

Herrick, C. G.

2016-12-01

The Waste Isolation Pilot Plant (WIPP) in New Mexico is a U.S. DOE geologic repository for permanent disposal of defense-related transuranic (TRU) waste. Waste is emplaced in panels excavated in a bedded salt formation (Salado Fm.) at 655 m bgs. In 2014 the U.S. EPA approved the new Run-of-Mine Panel Closure System (ROMPCS) for WIPP. The closure system consists of 100 feet of run-of-mine (ROM) salt sandwiched between two barriers. Nuclear Waste Partnership LLC (the M&O contractor for WIPP) initiated construction of the ROMPCS. The design calls for three horizontal ROM salt layers at different compaction levels ranging from 70-85% intact salt density. Due to panel drift size constraints and equipment availability the design was modified. Three prototype panel closures were constructed: two having two layers of compacted ROM salt (one closure had 1% water added) and a third consisting of simply ROM salt with no layering or added water. Sampling of the prototype ROMPCS layers was conducted to determine the following ROM salt parameters: thickness, moisture content, emplaced density, and grain-size distribution. Previous modeling efforts were performed without knowledge of these ROM salt parameters. This modeling effort incorporates them. The program-accepted multimechanism deformation model is used to model intact salt room creep closure. An advanced crushed salt model is used to model the ROM salt. Comparison of the two models' results with the prototypes' behavior is given. Our goal is to develop a realistic, reliable model that can be used for ROM salt applications at WIPP. Sandia National Laboratories is a multi-program laboratory operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the U. S. Department of Energy's National Nuclear Security Administration under contract DE-AC04-94AL85000. This research is funded by WIPP programs administered by the Office of Environmental Management (EM) of the U.S Department of Energy SAND2016-7259A

Proposed modifications to the RCRA post-closure permit for the Chestnut Ridge Hydrogeologic Regime at the U.S. Department of Energy Y-12 Plant, Oak Ridge, Tennessee

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

NONE

1997-05-01

This report presents proposed modifications to several conditions of the Resource Conservation and Recovery Act (RCRA) Post-Closure Permit (PCP) for the Chestnut Ridge Hydrogeologic Regime (CRHR) (permit number TNHW-088, EPA ID No. TN3 89 009 0001). These permit conditions define the requirements for RCRA post-closure detection groundwater monitoring at the Chestnut Ridge Sediment Disposal Basin (CRSDB) and Kerr Hollow Quarry (KHQ), and RCRA post-closure corrective action groundwater monitoring at the Chestnut Ridge Security Pits (CRSPs). Modification of these PCP conditions is requested to: (1) clarify the planned integration of RCRA post-closure corrective action groundwater monitoring at the CRSPs with themore » monitoring program to be established in the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) record of decision (ROD), (2) revise several of the current technical requirements for groundwater monitoring based on implementation of the RCRA monitoring programs during 1996, (3) replace several of the technical procedures included in the PCP with updated versions recently issued by the Y-12 Plant Groundwater Protection Program (GWPP), and (4) correct inaccurate regulatory citations and references to permit conditions and permit attachments. With these modifications, the Y- 12 Plant will continue to meet the full intent of all regulatory obligations for post-closure care of these facilities. Section 2 provides the technical justification for each proposed permit modification. Section 3.0 contains proposed changes to Section II of the PCP. Modifications to site-specific permit conditions are presented in Section 4.0 (CRSDB), Section 5.0 (CRSPs), and Section 6.0 (KHQ). Sections 7.0 and 8.0 reference updated and revised procedures for groundwater sampling, and monitoring well plugging and abandonment, respectively. Appendix A includes all proposed revisions to the permit attachments.« less

Debris control design achievements of the booster separation motors

NASA Technical Reports Server (NTRS)

Smith, G. W.; Chase, C. A.

1985-01-01

The stringent debris control requirements imposed on the design of the Space Shuttle booster separation motor are described along with the verification program implemented to ensure compliance with debris control objectives. The principal areas emphasized in the design and development of the Booster Separation Motor (BSM) relative to debris control were the propellant formulation and nozzle closures which protect the motors from aerodynamic heating and moisture. A description of the motor design requirements, the propellant formulation and verification program, and the nozzle closures design and verification are presented.

Efficacy of a Single Dose of Basic Fibroblast Growth Factor: Clinical Observation for 1 Year.

PubMed

Suzuki, Hirotaka; Makiyama, Kiyoshi; Hirai, Ryoji; Matsuzaki, Hiroumi; Furusaka, Toru; Oshima, Takeshi

2016-11-01

Basic fibroblast growth factor promotes wound healing by accelerating healthy granulation and epithelialization. However, the duration of the effects of a single intracordal injection of basic fibroblast growth factor has not been established, and administration intervals and timing have yet to be standardized. Here, we administered a single injection to patients with insufficient glottic closure and conducted follow-up examinations with high-speed digital imaging to determine the duration of the treatment response. Case series. For treatment, 20 µg/mL recombinant human basic fibroblast growth factor was injected into two vocal cords. The following examinations were performed before the procedure and at 3-month intervals for 12 months starting at 1 month postinjection: Grade, Roughness, Breathiness, Asthenia, and Strain (GRBAS) scale assessment, maximum phonation time, acoustic analysis, high-speed digital imaging, glottal wave analysis, and kymographic analysis. Postinjection, the GRBAS scale score decreased, and the maximum phonation time was prolonged. In addition, the mean minimum glottal area and mean minimum glottal distance decreased. These changes were significant at 12 months postinjection compared with preinjection. However, there were no significant changes in the vibrations of the vocal cord margins. The intracordal injection of basic fibroblast growth factor improved insufficient glottic closure without reducing the vibrations of the vocal cord margins. This effect remained evident at 12 months postinjection. A single injection can be expected to yield a sufficient and persistent long-term effect. Copyright © 2016 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

Tectonic setting for ophiolite obduction in Oman.

USGS Publications Warehouse

Coleman, R.G.

1981-01-01

The Samail ophiolite is part of an elongate belt in the Middle East that forms an integral part of the Alpine mountain chains that make up the N boundary of the Arabian-African plate. The Samail ophiolite represents a portion of the Tethyan ocean crust formed at a spreading center of Middle Cretaceous age (Cenomanian). During the Cretaceous spreading of the Tethyan Sea, Gondwana Land continued its dispersal, and the Arabian-African plate drifted northward about 10o. These events, combined with the opposite rotation of Eurasia and Africa, initiated the closing of the Tethyan during the Late Cretaceous. At the early stages of closure, downwarping of the Arabian continental margin, combined with the compressional forces of closure from the Eurasian plate, initiated obduction of the Tethyan oceanic crust along preexisting transform faults and still-hot oceanic crust was detached along oblique NE dipping thrust faults. Plate configurations combined with palinspastic reconstructions show that subduction and attendant large-scale island arc volcanism did not commence until after the Tethyan sea began to close and the Samail ophiolite was emplaced southward across the Arabian continental margin. The Samail ophiolite nappe now rests upon a melange consisting mainly of pelagic sediments, volcanics and detached fragments of the basal amphibolites, which in turn rest on autochthonous shelf carbonates of the Arabian platform. Following emplacement (Eocene) of the Samail ophiolite, the Tethyan oceanic crust began northward subduction, and active arc volcanism started just N of the present Jaz Murian depression in Iran.-Author

Early Neogene foreland of the Zagros, implications for the initial closure of the Neo-Tethys and kinematics of crustal shortening

NASA Astrophysics Data System (ADS)

Pirouz, Mortaza; Avouac, Jean-Philippe; Hassanzadeh, Jamshid; Kirschvink, Joseph L.; Bahroudi, Abbas

2017-11-01

We study the transition from passive margin to foreland basin sedimentation now exposed in the High Zagros belt to provide chronological constraints on the initial stage of Arabia-Eurasia collision and closure of the Neo-Tethys. We performed magnetostratigraphy and strontium isotope stratigraphy along two sections near the Zagros suture which expose the oldest preserved foreland deposits: the Shalamzar section in the west and the Dehmoord section in the east. The top of the passive margin Asmari formation has an age of 28-29 Ma in the High Zagros and is overlain by foreland deposits with a major basal unconformity representing 7 Myr of hiatus. The base of the foreland deposits has an age of 21.5 Ma at Dehmoord and ca. 26 Ma at Shalamzar. The sedimentation rate increased from 30 m/Myr in the passive margin to 247 m/Myr in the foreland. Combined with available age constraints across the Zagros, our results show that the unconformity is diachronous and records the southwestward migration of the flexural bulge within the Arabian plate at an average rate of 24 ± 2 mm/yr over the last 27 Ma. The time evolution of sediment accumulation in the Zagros foreland follows the prediction from a flexural model, as the foreland is thrust beneath the orogenic wedge and loaded by the wedge and basin fill. We detect the onset of forebulge formation within the Asmari Formation around 25 Ma. We conclude that closure of the Neo-Tethys formed the Zagros collisional wedge at 27 ± 2 Ma. Hence, the Arabia-Eurasia collision was probably not the main driver of global cooling which started near the Eocene-Oligocene boundary (ca. 33.7 Ma). We estimate 650 km of forebulge migration since the onset of the collision which consists of 350 km of shortening across the orogen, and 300 km of widening of the wedge and increasing flexural rigidity of Arabia. We conclude the average rate of shortening across the Zagros to be ca. 13 mm/yr over the last 27 Myr; a value comparable to the modern rate. Palinspastic restoration of structural cross-sections and crustal volume conservation comprise only ca. 200 km of shortening across the Zagros and metamorphic Sanandaj-Sirjan belt implying that at least 150 km of the Arabian crust was underthrust beneath Eurasia without contributing to crustal thickening, possibly due to eclogitization.

Program budgeting and marginal analysis: a case study in chronic airflow limitation.

PubMed

Crockett, A; Cranston, J; Moss, J; Scown, P; Mooney, G; Alpers, J

1999-01-01

Program budgeting and marginal analysis is a method of priority-setting in health care. This article describes how this method was applied to the management of a disease-specific group, chronic airflow limitation. A sub-program flow chart clarified the major cost drivers. After assessment of the technical efficiency of the sub-programs and careful and detailed analysis, incremental and decremental wish lists of activities were established. Program budgeting and marginal analysis provides a framework for rational resource allocation. The nurturing of a vigorous program management group, with members representing all participants in the process (including patients/consumers), is the key to a successful outcome.

Legal Aspects of Program Closure.

ERIC Educational Resources Information Center

Hample, Stephen R.

1982-01-01

Legal issues in program discontinuance and resulting lawsuits are considered, including liability to the faculty, students, and other constituencies; freedom of speech; due process; contractual obligations; legal defense; and consideration of program alternatives. A list of related resources is appended. (MSE)

Columbus Closure Project Released without Radiological Restrictions

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

Henderson, G.

2007-07-01

The Columbus Closure Project (CCP), a historic radiological research complex, was cleaned up for future use without radiological restriction in 2006. The CCP research and development site contributed to national defense, nuclear fuel fabrication, and the development of safe nuclear reactors in the United States until 1988 when research activities were concluded for site decommissioning. In November of 2003, the Ohio Field Office of the U.S. Department of Energy contracted ECC/E2 Closure Services, LLC (Closure Services) to complete the removal of radioactive contamination from of a 1955 era nuclear sciences area consisting of a large hot cell facility, research reactormore » building and underground piping. The project known as the Columbus Closure Project (CCP) was completed in 27 months and brought to a close 16 years of D and D in Columbus, Ohio. This paper examines the project innovations and challenges presented during the Columbus Closure Project. The examination of the CCP includes the project regulatory environment, the CS safety program, accelerated clean up innovation, project execution strategies and management of project waste issues and the regulatory approach to site release 'without radiological restrictions'. (authors)« less

Modeling and Simulating Passenger Behavior for a Station Closure in a Rail Transit Network

PubMed Central

Yin, Haodong; Han, Baoming; Li, Dewei; Wu, Jianjun; Sun, Huijun

2016-01-01

A station closure is an abnormal operational situation in which the entrances or exits of a rail transit station have to be closed for some time due to an unexpected incident. A novel approach is developed to estimate the impacts of the alternative station closure scenarios on both passenger behavioral choices at the individual level and passenger demand at the disaggregate level in a rail transit network. Therefore, the contributions of this study are two-fold: (1) A basic passenger behavior optimization model is mathematically constructed based on 0–1 integer programming to describe passengers’ responses to alternative origin station closure scenarios and destination station closure scenarios; this model also considers the availability of multi-mode transportation and the uncertain duration of the station closure; (2) An integrated solution algorithm based on the passenger simulation is developed to solve the proposed model and to estimate the effects of a station closure on passenger demand in a rail transit network. Furthermore, 13 groups of numerical experiments based on the Beijing rail transit network are performed as case studies with 2,074,267 records of smart card data. The comparisons of the model outputs and the manual survey show that the accuracy of our proposed behavior optimization model is approximately 80%. The results also show that our model can be used to capture the passenger behavior and to quantitatively estimate the effects of alternative closure scenarios on passenger flow demand for the rail transit network. Moreover, the closure duration and its overestimation greatly influence the individual behavioral choices of the affected passengers and the passenger demand. Furthermore, if the rail transit operator can more accurately estimate the closure duration (namely, as g approaches 1), the impact of the closure can be somewhat mitigated. PMID:27935963

Modeling and Simulating Passenger Behavior for a Station Closure in a Rail Transit Network.

PubMed

Yin, Haodong; Han, Baoming; Li, Dewei; Wu, Jianjun; Sun, Huijun

2016-01-01

A station closure is an abnormal operational situation in which the entrances or exits of a rail transit station have to be closed for some time due to an unexpected incident. A novel approach is developed to estimate the impacts of the alternative station closure scenarios on both passenger behavioral choices at the individual level and passenger demand at the disaggregate level in a rail transit network. Therefore, the contributions of this study are two-fold: (1) A basic passenger behavior optimization model is mathematically constructed based on 0-1 integer programming to describe passengers' responses to alternative origin station closure scenarios and destination station closure scenarios; this model also considers the availability of multi-mode transportation and the uncertain duration of the station closure; (2) An integrated solution algorithm based on the passenger simulation is developed to solve the proposed model and to estimate the effects of a station closure on passenger demand in a rail transit network. Furthermore, 13 groups of numerical experiments based on the Beijing rail transit network are performed as case studies with 2,074,267 records of smart card data. The comparisons of the model outputs and the manual survey show that the accuracy of our proposed behavior optimization model is approximately 80%. The results also show that our model can be used to capture the passenger behavior and to quantitatively estimate the effects of alternative closure scenarios on passenger flow demand for the rail transit network. Moreover, the closure duration and its overestimation greatly influence the individual behavioral choices of the affected passengers and the passenger demand. Furthermore, if the rail transit operator can more accurately estimate the closure duration (namely, as g approaches 1), the impact of the closure can be somewhat mitigated.

Immediate tight sealing of skin incisions using an innovative temperature-controlled laser soldering device: in vivo study in porcine skin.

PubMed

Simhon, David; Halpern, Marisa; Brosh, Tamar; Vasilyev, Tamar; Ravid, Avi; Tennenbaum, Tamar; Nevo, Zvi; Katzir, Abraham

2007-02-01

A feedback temperature-controlled laser soldering system (TCLS) was used for bonding skin incisions on the backs of pigs. The study was aimed: 1) to characterize the optimal soldering parameters, and 2) to compare the immediate and long-term wound healing outcomes with other wound closure modalities. A TCLS was used to bond the approximated wound margins of skin incisions on porcine backs. The reparative outcomes were evaluated macroscopically, microscopically, and immunohistochemically. The optimal soldering temperature was found to be 65 degrees C and the operating time was significantly shorter than with suturing. The immediate tight sealing of the wound by the TCLS contributed to rapid, high quality wound healing in comparison to Dermabond or Histoacryl cyanoacrylate glues or standard suturing. TCLS of incisions in porcine skin has numerous advantages, including rapid procedure and high quality reparative outcomes, over the common standard wound closure procedures. Further studies with a variety of skin lesions are needed before advocating this technique for clinical use.

Magnetic resonance imaging study of eye congenital birth defects in mouse model

PubMed Central

Tucker, Zachary; Mongan, Maureen; Meng, Qinghang; Xia, Ying

2017-01-01

Purpose Embryonic eyelid closure is a well-documented morphogenetic episode in mammalian eye development. Detection of eyelid closure defect in humans is a major challenge because eyelid closure and reopen occur entirely in utero. As a consequence, congenital eye defects that are associated with failure of embryonic eyelid closure remain unknown. To fill the gap, we developed a mouse model of defective eyelid closure. This preliminary work demonstrates that the magnetic resonance imaging (MRI) approach can be used for the detection of extraocular muscle abnormalities in the mouse model. Methods Mice with either normal (Map3k1+/−) or defective (Map3k1−/−) embryonic eyelid closure were used in this study. Images of the extraocular muscles were obtained with a 9.4 T high resolution microimaging MRI system. The extraocular muscles were identified, segmented, and measured in each imaging slice using an in-house program. Results In agreement with histological findings, the imaging data show that mice with defective embryonic eyelid closure develop less extraocular muscle than normal mice. In addition, the size of the eyeballs was noticeably reduced in mice with defective embryonic eyelid closure. Conclusions We demonstrated that MRI can potentially be used for the study of extraocular muscle in the mouse model of the eye open-at-birth defect, despite the lack of specificity of muscle group provided by the current imaging resolution. PMID:28848319

Installation restoration program. Closure assessment report for UST removals at sites 4 and 5 - petroleum, oils, and lubricants facility. Virginia Air National Guard, 192nd Fighter Group, Richmond International Airport, Sandston, Virginia. Final report

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

NONE

The objectives of the closure assessment were to determine the extent of contaminated soil adjacent to the USTs requiring excavation, to provide documentation of soil and groundwater conditions following excavation, and to document closure activities in accordance with applicable VADEQ regulations. During closure activities, ASI provided technical support to the Base to ensure that the UST removal contractor (E K, Inc.) hereinafter referred to as the Contractor was in compliance with the technical requirements (as specified in the Plans and Specifications for Removal of Abandoned Underground Storage Tanks, Virginia Air National Guard, Richmond International Airport, Sandston, VA., dated July 1991more » and revised April 1992, and Addendum Numbers 1 through 7) of the contract. ASI was also responsible for collecting soil and/or groundwater closure samples from the excavations, and providing off-site fixed based laboratory analysis to verify clean conditions within the excavations.« less

Limited resection for duodenal gastrointestinal stromal tumors: Surgical management and clinical outcome

PubMed Central

Hoeppner, Jens; Kulemann, Birte; Marjanovic, Goran; Bronsert, Peter; Hopt, Ulrich Theodor

2013-01-01

AIM: To analyze our experience in patients with duodenal gastrointestinal stromal tumors (GIST) and review the appropriate surgical approach. METHODS: We retrospectively reviewed the medical records of all patients with duodenal GIST surgically treated at our medical institution between 2002 and 2011. Patient files, operative reports, radiological charts and pathology were analyzed. For surgical therapy open and laparoscopic wedge resections and segmental resections were performed for limited resection (LR). For extended resection pancreatoduodenectomy was performed. Age, gender, clinical symptoms of the tumor, anatomical localization, tumor size, mitotic count, type of resection resectional status, neoadjuvant therapy, adjuvant therapy, risk classification and follow-up details were investigated in this retrospective study. RESULTS: Nine patients (5 males/4 females) with a median age of 58 years were surgically treated. The median follow-up period was 45 mo (range 6-111 mo). The initial symptom in 6 of 9 patients was gastrointestinal bleeding (67%). Tumors were found in all four parts of the duodenum, but were predominantly located in the first and second part of the duodenum with each 3 of 9 patients (33%). Two patients received neoadjuvant medical treatment with 400 mg imatinib per day for 12 wk before resection. In one patient, the GIST resection was done by pancreatoduodenectomy. The 8 LRs included a segmental resection of pars 4 of the duodenum, 5 wedge resections with primary closure and a wedge resection with luminal closure by Roux-Y duodeno-jejunostomy. One of these LRs was done minimally invasive; seven were done in open fashion. The median diameter of the tumors was 54 mm (14-110 mm). Using the Fletcher classification scheme, 3/9 (33%) tumors had high risk, 1/9 (11%) had intermediate risk, 4/9 (44%) had low risk, and 1/9 (11%) had very low risk for aggressive behaviour. Seven resections showed microscopically negative transsection margins (R0), two showed positive margins (R1). No patient developed local recurrence during follow-up. The one patient who underwent pancreatoduodenectomy died due to progressive disease with hepatic metastasis but without evidence of local recurrence. Another patient died in complete remission due to cardiac disease. Seven of the nine patients are alive disease-free. CONCLUSION: In patients with duodenal GIST, limited surgical resection with microscopically negative margins, but also with microscopically positive margins, lead to very good local and systemic disease-free survival. PMID:23515427

Uplifted ophiolitic rocks on Isla Gordon, southernmost Chile: implications for the closure history of the Rocas Verdes marginal basin and the tectonic evolution of the Beagle Channel region

NASA Astrophysics Data System (ADS)

Cunningham, W. D.

1994-04-01

A succession of mafic rocks that includes gabbro, sheeted dikes and deformed pillow basalts has been mapped in detail on Isla Gordon, southernmost Chile and is identified as an upper ophiolitic complex representing the uplifted floor of the Late Jurassic-Early Cretaceous Rocas Verdes marginal basin. The complex was uplifted, deformed, and regionally metamorphosed prior to the intrusion of an undeformed 90 Ma granodiorite that cuts the complex. The complex appears para-autochthonous, is gently tilted to the northeast and is internally sheared by near-vertical foliation zones. No evidence for obduction was observed although the base of the complex is not exposed. The ophiolitic rocks have been regionally metamorphosed to mid-upper greenschist levels. Isla Gordon is bounded by the northwest and southwest arms of the Beagle Channel, two important structural boundaries in the southernmost Andes that are interpreted to have accommodated north-side-up and left-lateral displacements. Directly north of Isla Gordon is the Cordillera Darwin metamorphic complex that exposes the highest grade metamorphic rocks in the Andes south of Peru. On the north coast of Isla Gordon a volcaniclastic turbidite sequence that is interpreted to have been deposited above the mafic floor is metamorphosed to lower greenschist levels in strong metamorphic contrast to amphibolite-grade othogneisses exposed in Cordillera Darwin only 2 km away across the northwest arm of the Beagle Channel. The profound metamorphic break across the northwest arm of the Beagle Channel and the regional northeast tilt of the ophiolitic complex are consistent with the previously proposed hypothesis that Isla Gordon represents the upper plate to an extensional fault that accommodated tectonic unroofing of Cordillera Darwin. However, limited structural evidence for extension was identified in this study to support the model and further work is needed to determine the relative importance of contractional, extensional and strike-slip displacements during the closure of the Rocas Verdes marginal basin and uplift of Cordillera Darwin. The Isla Gordon ophiolitic complex is correlative with other regional occurrences of ophiolitic rocks including the previously studied Tortuga, Sarmiento and Larsen Harbour complexes. The existence of the Isla Gordon ophiolitic complex helps link the known occurrences of the marginal basin floor into a semi-continuous belt that sheds light on the original continuity of the basin.

The Impact of Public Hospital Closure on Medical and Residency Education: Implications and Recommendations

PubMed Central

Walker, Kara Odom; Calmes, Daphne; Hanna, Nancy; Baker, Richard

2010-01-01

Background Challenges around safety-net hospital closure have impacted medical student and resident exposure to urban public healthcare sites that may influence their future practice choices. Objective To assess the impact of the closure of a public safety-net teaching hospital for the clinical medical education of Charles Drew University medical students and residents. Method Retrospective cohort study of medical students’ and residents’ and clinical placement into safety-net experiences after the closure of the primary teaching hospital. Results The hospital closure impacted both medical student and residency training experiences. Only 71% (17/24) of medical student rotations and 13% (23/180) of residents were maintained at public safety-net clinical sittings. The closure of the public safety-net hospital resulted in the loss of 36% of residency training spots sponsored by historically black medical schools in the United States and an even larger negative impact on the number of physicians training in underserved urban areas of Los Angeles County. Conclusion While the medical educational program changes undertaken in the wake of hospital closure have negatively affected the immediate clinical educational experiences of medical students and residents, it remains to be seen whether the training site location changes will alter their long-term preferences in specialty choice and practice location. PMID:19110905

The impact of public hospital closure on medical and residency education: implications and recommendations.

PubMed

Walker, Kara Odom; Calmes, Daphne; Hanna, Nancy; Baker, Richard

2008-12-01

Challenges around safety-net hospital closure have impacted medical student and resident exposure to urban public healthcare sites that may influence their future practice choices. To assess the impact of the closure of a public safety-net teaching hospital for the clinical medical education of Charles Drew University medical students and residents. Retrospective cohort study of medical students' and residents' and clinical placement into safety-net experiences after the closure of the primary teaching hospital. The hospital closure impacted both medical student and residency training experiences. Only 71% (17/24) of medical student rotations and 13% (23/180) of residents were maintained at public safety-net clinical sittings. The closure of the public safety-net hospital resulted in the loss of 36% of residency training spots sponsored by historically black medical schools in the United States and an even larger negative impact on the number of physicians training in underserved urban areas of Los Angeles County. While the medical educational program changes undertaken in the wake of hospital closure have negatively affected the immediate clinical educational experiences of medical students and residents, it remains to be seen whether the training site location changes will alter their long-term preferences in specialty choice and practice location.

On-orbit demonstration of automated closure and capture using ESA-developed proximity operations technologies and an existing, serviceable NASA Explorer Platform spacecraft

NASA Technical Reports Server (NTRS)

Hohwiesner, Bill; Claudinon, Bernard

1991-01-01

The European Space Agency (ESA) has been working to develop an autonomous rendezvous and docking capability since 1984 to enable Hermes to automatically dock with Columbus. As a result, ESA with Matra, MBB, and other space companies have developed technologies that are also directly supportive of the current NASA initiative for Automated Rendezvous and Capture. Fairchild and Matra would like to discuss the results of the applicable ESA/Matra rendezvous and capture developments, and suggest how these capabilities could be used, together with an existing NASA Explorer Platform satellite, to minimize new development and accomplish a cost effective automatic closure and capture demonstration program. Several RV sensors have been developed at breadboard level for the Hermes/Columbus program by Matra, MBB, and SAAB. Detailed algorithms for automatic rendezvous, closure, and capture have been developed by ESA and CNES for application with Hermes to Columbus rendezvous and docking, and they currently are being verified with closed-loop software simulation. The algorithms have multiple closed-loop control modes and phases starting at long range using GPS navigation. Differential navigation is used for coast/continuous thrust homing, holdpoint acquisition, V-bar hopping, and station point acquisition. The proximity operation sensor is used for final closure and capture. A subset of these algorithms, comprising the proximity operations algorithms, could easily be extracted and tailored to a limited objective closure and capture flight demonstration.

Collective Protection (COLPRO) Novel Closures Testing

DTIC Science & Technology

2013-03-28

science and technology programs for future ColPro systems may include interfaces such as novel designs using zippers, hook-and-pile closures, and...necessitate new testing procedures. Additionally, stand- ards of performance must be adjusted as technologies advance. Test procedures and parameters...listed in this TOP may require updating to accommodate new technologies in test items or in test instrumentation. Any variation to the TOP procedures

Automated method for determining Instron Residual Seal Force of glass vial/rubber closure systems.

PubMed

Ludwig, J D; Nolan, P D; Davis, C W

1993-01-01

Instron Residual Seal Force (IRSF) of glass vial/rubber closure systems was determined using an Instron 4501 Materials Testing System. Computer programs were written to process raw data and calculate IRSF values. Preliminary experiments indicated both the appearance of the stress-deformation curves and precision of the derived IRSF values were dependent on the internal dimensions and top surface geometry of the cap anvil. Therefore, a series of five cap anvils varying in shape and dimensions were machined to optimize performance and precision. Vials capped with West 4416/50 PURCOAT button closures or Helvoet compound 6207 lyophilization closures were tested with each cap anvil. Cap anvils with spherical top surfaces and narrow internal dimensions produced more precise results and more uniform stress-deformation curves than cap anvils with flat top surfaces and wider internal dimensions.

Ancient Laurentian detrital zircon in the closing Iapetus Ocean, Southern Uplands terrane, Scotland

NASA Astrophysics Data System (ADS)

Waldron, John W. F.; Floyd, James D.; Simonetti, Antonio; Heaman, Larry M.

2008-07-01

Early Paleozoic sandstones in the Southern Uplands terrane ofScotland were deposited during closure of the Iapetus Oceanbetween Laurentia and Avalonia. Their tectonic setting and sourcesare controversial, and different authors have supported subduction-accretion,extensional continental-margin development, or back-arc basinsettings. We report new U-Pb detrital zircon ages from fiveLate Ordovician sandstones from the Northern Belt of the SouthernUplands and test models of their tectonic setting. The U-Pbzircon age distributions are dominated by peaks characteristicof sources in Laurentia and include grains as old as 3.6 Ga,older than any previously recorded in the British CaledonidesSE of the Laurentian foreland. Discordant grains in one samplesuggest derivation via erosion of metasedimentary rocks incorporatedin the Grampian-Taconian orogen. Rare Neoproterozoic grains,previously interpreted as originating from a peri-Gondwananterrane, may be derived from igneous rocks associated with Iapetanrifting. Only rare zircons are contemporary with the depositionalages. The results are difficult to reconcile with extensionalcontinental-margin and back-arc models, but they support anactive continental-margin subduction-accretion model. Closesimilarities with distributions from the Newfoundland Appalachiansare consistent with sinistral transpression during closing ofthe Iapetus Ocean.

The Superfund Innovative Technology Evaluation Program SUMMARY AND CLOSURE REPORT

EPA Science Inventory

The Superfund Innovative Technology Evaluation (SITE) Program promoted the development, commercialization, and implementation of innovative hazardous waste treatment technologies for 20 years. SITE offered a mechanism for conducting joint technology demonstration and evaluation ...

Taking Closure to the Next Level - 13030

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

Feist, E.T.

2013-07-01

The River Corridor Closure Project (RCCP) is the Hanford Site's first closure project and when it is complete, in 2015, it will have cleaned up 220 mi{sup 2} of contaminated land adjacent to the Columbia River. Washington Closure Hanford (WCH) was selected by the DOE to manage the removal and cleanup of Hanford's nuclear legacy along the River Corridor. Work began in 2005 and is now more than 85% complete with more than 2 years left in the contract. A Closure Team was commissioned in December 2009 and has since issued a closure strategy and a disciplined three-phase approach tomore » transition land parcels to DOE, Richland Operations Office (DOE-RL) as cleanup is completed. This process supports DOE-RL objectives for progressive footprint reduction based on the division of the River Corridor into geographical land parcels. It also allows for incremental area-by-area transition and turnover to the Long-Term Stewardship program. Several important milestones stand between now and the successful end of the RCCP. They include overall funding impacts, working with DOE-RL on new scope additions, meeting regulatory milestones, and maintaining a strong safety performance. (authors)« less

Nasopharyngoscopic Analyses through Anterior Maxillary Distraction Osteogenesis for Adolescent Patients With Cleft Palate.

PubMed

Imai, Yoshimichi; Nakajo, Tetsu; Nishimura, Kazuaki; Kanzaki, Hiroyuki; Daimaruya, Takayoshi; Satoh, Akimitsu; Igarashi, Kaoru; Tachi, Masahiro

2018-03-01

Anterior maxillary distraction osteogenesis (AMDO) is a novel technique for correcting hypoplastic maxilla by sagittal expansion of the maxilla. Recent reports suggest that AMDO does not have an effect on fragile velopharyngeal function in patients with cleft palate. Furthermore, no studies have evaluated the impact of AMDO on velopharyngeal function.We adopted AMDO to correct severe hypoplastic maxilla in adolescent patients with cleft palate and evaluated its impact on velopharyngeal space and function in 8 patients aged 12 to 21 years who underwent AMDO from 2006 to 2014. All the patients had received treatment for cleft palate; however, they still exhibited marginal velopharyngeal insufficiency. The mean activation of the distractor was 10.9 ± 0.9 mm.We determined changes in velopharyngeal closure ratio and closure pattern via nasopharyngoscopy. Additionally, skeletal changes were evaluated using lateral cephalograms.The mean horizontal advancement in the cephalogram obtained 1 year after the distraction was +6.4 mm. Nasopharyngoscopic examination revealed that no deterioration of velopharyngeal gap had occurred after AMDO in all 8 patients. The velopharyngeal closure pattern changed from coronal to circular in 1 patient.Our results indicate that AMDO achieved correction of hypoplastic maxilla without deterioration in velopharyngeal gap and function. Therefore, AMDO is an effective and optimal approach for correcting hypoplastic maxilla especially in patients with fragile velopharyngeal function, such as those with cleft palate.

Wetland vegetation in Manzala lagoon, Nile Delta coast, Egypt: Rapid responses of pollen to altered nile hydrology and land use

USGS Publications Warehouse

Bernhardt, C.E.; Stanley, J.-D.; Horton, B.P.

2011-01-01

The pollen record in a sediment core from Manzala lagoon on the Nile delta coastal margin of Egypt, deposited from ca. AD 1860 to 1990, indicates rapid coastal wetland vegetation responses to two primary periods of human activity. These are associated with artificially altered Nile hydrologic regimes in proximal areas and distal sectors located to ???1200 km south of Manzala. Freshwater wetland plants that were dominant, such as Typha and Phragmites, decreased rapidly, whereas in the early 1900s, brackish water wetland species (e.g., Amaranthaceae) increased. This change occurred after closure of the Aswan Low Dam in 1902. The second major modification in the pollen record occurred in the early 1970s, after Aswan High Dam closure from 1965 to 1970, when Typha pollen abundance increased rapidly. Massive population growth occurred along the Nile during the 130 years represented by the core section. During this time, the total volume of lagoon water decreased because of conversion of wetland areas to agricultural land, and input of organic-rich sediment, sewage (municipal, agricultural, industrial), and fertilizer in Manzala lagoon increased markedly. Although the wetland plant community has continued to respond to increasingly intensified and varied human-induced pressures in proximal sectors, the two most marked changes in Manzala pollen best correlate with distal events (i.e., closure of the two dams at Aswan). The study also shows that the two major vegetation changes in Manzala lagoon each occurred less than 10 years after closure upriver of the Low and High dams that markedly altered the Nile regime from Upper Egypt to the coast. ?? 2011, the Coastal Education & Research Foundation (CERF).

Defense Base Realignment and Closure Budget Data for MCGuire Air Force Base, New Jersey

DTIC Science & Technology

1995-08-04

The overall audit objective was to determine the accuracy of Defense base realignment and closure military construction budget data. This report provides the results of the audit of two projects, valued at $22.4 miilion, for the realignment of McGuire Air Force Base, New Jersey. The audit also assessed the adequacy of the management control program as it applied to the overall audit objective.

A revised subduction inception model to explain the Late Cretaceous, doubly vergent orogen in the pre-collisional western Tethys: evidences from the Northern Apennine

NASA Astrophysics Data System (ADS)

Meneghini, Francesca; Marroni, Michele; Pandolfi, Luca

2017-04-01

Orogenic processes are widely demonstrated to be strongly controlled by inherited structures. The paleogeography of the converging margins, and the tectonic processes responsible for their configuration, will influence the location of subduction initiation, the distribution of deformation between upper and lower plate, the shape of the accretionary prism and of the subsequent orogeny, through controlling the development of single or doubly-vergent orogens, and, as a corollary, the modality of exhumation of metamorphosed units. The "alpine age" collisional belts of the Mediterranean area are characterized by tangled architectures derived from the overlapping of several deformation events related to a multiphase, long history that comprises not only the collision of continental margins, but that can be regarded as an heritage of both the rifting-related configuration of the continental margins, and the subduction-related structures. The Northern Apennines is a segment of these collisional belts that originated by the Late Cretaceous-Middle Eocene closure of the northern branch of the western Tethys, and the subsequent Late Eocene-Early Oligocene continental collision between the Europe and Adria plates. Due to a different configuration of the paired Adria and Europe continental margins, inherited from a rifting phase dominated by asymmetric, simple-shear kinematics, the Northern Apennines expose a complex groups of units, referred to as Ligurian Units, that record the incorporation into the subduction factory of either fragments of the Ligure-Piemontese oceanic domain (i.e. Internal Ligurian Units), and various portions of the thinned Adria margin (i.e. External Ligurian Units), describable as an Ocean-Continent Transition Zone (OCTZ). The structural relationships between these groups of Units are crucial for the definition of the pre-collisional evolution of the belt and have been the subject of big debates in the literature, together with the location and orientation of subduction initiation. We have reviewed the ages and characteristics of the tectono-metamorphic events recorded in both the External and Internal Ligurian Units. Deformation and metamorphism in the External Ligurian Units pre-dates the subduction-related metamorphism recorded in the ocean-derived Internal Ligurian Units. We thus propose that closure of the Ligure-Piemontese branch of the western Tethys occurred through a subduction that nucleated inside the OCTZ of Adria, instead of localizing at the boundary between the oceanic basin and the Adria margin, and developed a doubly-vergent prism fed firstly by both continental extensional allochthons and ocean-derived rocks from the OCTZ, and only after by rocks and sediments from the oceanic realm. We believe that this revised location of the inception of subduction, and the subsequent pre-collisional architecture, considered as inherited from the rifting and the oceanic opening phases, allow reconciling most of the controversies on the geodynamic evolution of the Apenninic orogeny, prior to collision.

Reframing Resilience: Pilot Evaluation of a Program to Promote Resilience in Marginalized Older Adults

ERIC Educational Resources Information Center

Fullen, Matthew C.; Gorby, Sean R.

2016-01-01

Resilience has been described as a paradigm for aging that is more inclusive than models that focus on physiological and functional abilities. We evaluated a novel program, Resilient Aging, designed to influence marginalized older adults' perceptions of their resilience, self-efficacy, and wellness. The multiweek group program incorporated an…

A general program to compute the multivariable stability margin for systems with parametric uncertainty

NASA Technical Reports Server (NTRS)

Sanchez Pena, Ricardo S.; Sideris, Athanasios

1988-01-01

A computer program implementing an algorithm for computing the multivariable stability margin to check the robust stability of feedback systems with real parametric uncertainty is proposed. The authors present in some detail important aspects of the program. An example is presented using lateral directional control system.

Sampling and monitoring for closure

USGS Publications Warehouse

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

2004-01-01

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

Margins within Margins?: Voices Speaking through a Study of the Provision of an Educational Program for the Children of One Australian Show Circuit.

ERIC Educational Resources Information Center

Rose, C. G.; And Others

This paper examines the tactics used by the Showmen's Guild of Australasia in successfully lobbying for the development of a distance education program for their children. The Guild is considered to be a "marginalized" group, meaning members have less access to wealth, power, and status. Since 1930, members of the Showmen's Guild and…

7 CFR 225.7 - Program monitoring and assistance.

Code of Federal Regulations, 2011 CFR

2011-01-01

... school closures during the period from October through April (or at any time of the year in an area with... available all necessary Program materials in sufficient time to enable applicant sponsors to prepare adequately for the Program. (c) Food specifications and meal quality standards. With the assistance of the...

Economic Impact of the Critical Access Hospital Program on Kentucky's Communities

ERIC Educational Resources Information Center

Ona, Lucia; Davis, Alison

2011-01-01

Context: In 1997, the Medicare Rural Hospital Flexibility Grant Program created the Critical Access Hospital (CAH) Program as a response to the financial distress of rural hospitals. It was believed that this program would reduce the rate of rural hospital closures and improve access to health care services in rural communities. Objective: The…

Monitoring Potential Transport of Radioactive Contaminants in Shallow Ephemeral Channels: FY2013 and FY2014 (revised)

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

Mizell, Steve A.; Miller, Julianne J.; McCurdy, Greg D.

The Desert Research Institute (DRI) is conducting a field assessment of the potential for contaminated soil to be transported from the Smoky Contamination Area (CA) as a result of storm runoff, which supports National Nuclear Security Administration (NNSA) efforts to complete regulatory closure of the Soils Corrective Action Unit (CAU) contamination areas. The work is intended to confirm the likely mechanism of transport and determine the meteorological conditions that might cause movement of contaminated soils, as well as determine the particle size fraction that is most closely associated with transported radionuclide-contaminated soils. These data will facilitate the appropriate closure designmore » and post-closure monitoring program.« less

Conceptual design of a Bitter-magnet toroidal-field system for the ZEPHYR Ignition Test Reactor

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

Williams, J.E.C.; Becker, H.D.; Bobrov, E.S.

1981-05-01

The following problems are described and discussed: (1) parametric studies - these studies examine among other things the interdependence of throat stresses, plasma parameters (margins of ignition) and stored energy. The latter is a measure of cost and is minimized in the present design; (2) magnet configuration - the shape of the plates are considered in detail including standard turns, turns located at beam ports, diagnostic and closure flanges; (3) ripple computation - this section describes the codes by which ripple is computed; (4) field diffusion and nuclear heating - the effect of magnetic field diffusion on heating is consideredmore » along with neutron heating. Current, field and temperature profiles are computed; (5) finite element analysis - the two and three dimensional finite element codes are described and the results discussed in detail; (6) structures engineering - this considers the calculation of critical stresses due to toroidal and overturning forces and discusses the method of constraint of these forces. The Materials Testing Program is also discussed; (7) fabrication - the methods available for the manufacture of the constituent parts of the Bitter plates, the method of assembly and remote maintenance are summarized.« less

Automated design and optimization of flexible booster autopilots via linear programming. Volume 2: User's manual

NASA Technical Reports Server (NTRS)

Hauser, F. D.; Szollosi, G. D.; Lakin, W. S.

1972-01-01

COEBRA, the Computerized Optimization of Elastic Booster Autopilots, is an autopilot design program. The bulk of the design criteria is presented in the form of minimum allowed gain/phase stability margins. COEBRA has two optimization phases: (1) a phase to maximize stability margins; and (2) a phase to optimize structural bending moment load relief capability in the presence of minimum requirements on gain/phase stability margins.

Development of a score and probability estimate for detecting angle closure based on anterior segment optical coherence tomography.

PubMed

Nongpiur, Monisha E; Haaland, Benjamin A; Perera, Shamira A; Friedman, David S; He, Mingguang; Sakata, Lisandro M; Baskaran, Mani; Aung, Tin

2014-01-01

To develop a score along with an estimated probability of disease for detecting angle closure based on anterior segment optical coherence tomography (AS OCT) imaging. Cross-sectional study. A total of 2047 subjects 50 years of age and older were recruited from a community polyclinic in Singapore. All subjects underwent standardized ocular examination including gonioscopy and imaging by AS OCT (Carl Zeiss Meditec). Customized software (Zhongshan Angle Assessment Program) was used to measure AS OCT parameters. Complete data were available for 1368 subjects. Data from the right eyes were used for analysis. A stepwise logistic regression model with Akaike information criterion was used to generate a score that then was converted to an estimated probability of the presence of gonioscopic angle closure, defined as the inability to visualize the posterior trabecular meshwork for at least 180 degrees on nonindentation gonioscopy. Of the 1368 subjects, 295 (21.6%) had gonioscopic angle closure. The angle closure score was calculated from the shifted linear combination of the AS OCT parameters. The score can be converted to an estimated probability of having angle closure using the relationship: estimated probability = e(score)/(1 + e(score)), where e is the natural exponential. The score performed well in a second independent sample of 178 angle-closure subjects and 301 normal controls, with an area under the receiver operating characteristic curve of 0.94. A score derived from a single AS OCT image, coupled with an estimated probability, provides an objective platform for detection of angle closure. Copyright © 2014 Elsevier Inc. All rights reserved.

High-pressure amphibolite facies dynamic metamorphism and the Mesozoic tectonic evolution of an ancient continental margin, east- central Alaska

USGS Publications Warehouse

Dusel-Bacon, C.; Hansen, V.L.; Scala, J.A.

1995-01-01

Ductilely deformed amphibolite facies tectonites comprise two adjacent terranes in east-central Alaska: the northern, structurally higher Taylor Mountain terrane and the southern, structurally lower Lake George subterrane of the Yukon-Tanana terrane. The pressure, temperature, kinematic and age data are interpreted to indicate that the metamorphism of the Taylor Mountain terrane and Lake George subterrane took place during different phases of a latest Palaeozoic through early Mesozoic shortening episode resulting from closure of an ocean basin now represented by klippen of the Seventymile-Slide Mountain terrane. High- to intermediate-pressure metamorphism of the Taylor Mountain terrane took place within a SW-dipping (present-day coordinates) subduction system. High- to intermediate-pressure metamorphism of the Lake George subterrane and the structural contact zone occurred during NW-directed overthrusting of the Taylor Mountain, Seventymile-Slide Mountain and Nisutlin terranes, and imbrication of the continental margin in Jurassic time. -from Authors

Defensive Gin-Trap Closure Response of Tenebrionid Beetle, Zophobas atratus, Pupae

PubMed Central

Ichikawa, Toshio; Kurauchi, Toshiaki; Yamawaki, Yoshifumi

2012-01-01

Pupae of the beetle Zophobas atratus Fab. (Coleoptera: Tenebrionidae) have jaws called gin traps on the lateral margin of their jointed abdominal segments. When a weak tactile stimulation was applied to the intersegmental region between the two jaws of a gin trap in a resting pupa, the pupa rapidly closed and reopened single or multiple gin traps adjacent to the stimulated trap for 100200 ms. In response to a strong stimulation, a small or large rotation of the abdominal segments occurred after the rapid closure of the traps. Analyses of trajectory patterns of the last abdominal segment during the rotations revealed that the rotational responses were graded and highly variable with respect to the amplitudes of their horizontal and vertical components. The high variability of these rotational responses is in contrast with the low variability (or constancy) of abdominal rotations induced by the tactile stimulation of cephalic and thoracic appendages. Since the closed state of the gin traps lasts only for a fraction of a second, the response may mainly function to deliver a “painful” stimulus to an attacker rather than to cause serious damage. PMID:23448309

Defensive gin-trap closure response of tenebrionid beetle, Zophobas atratus, pupae.

PubMed

Ichikawa, Toshio; Kurauchi, Toshiaki; Yamawaki, Yoshifumi

2012-01-01

Pupae of the beetle Zophobas atratus Fab. (Coleoptera: Tenebrionidae) have jaws called gin traps on the lateral margin of their jointed abdominal segments. When a weak tactile stimulation was applied to the intersegmental region between the two jaws of a gin trap in a resting pupa, the pupa rapidly closed and reopened single or multiple gin traps adjacent to the stimulated trap for 100200 ms. In response to a strong stimulation, a small or large rotation of the abdominal segments occurred after the rapid closure of the traps. Analyses of trajectory patterns of the last abdominal segment during the rotations revealed that the rotational responses were graded and highly variable with respect to the amplitudes of their horizontal and vertical components. The high variability of these rotational responses is in contrast with the low variability (or constancy) of abdominal rotations induced by the tactile stimulation of cephalic and thoracic appendages. Since the closed state of the gin traps lasts only for a fraction of a second, the response may mainly function to deliver a "painful" stimulus to an attacker rather than to cause serious damage.

[Morphological classification and velopharyngeal function analysis of submucous cleft palate patients].

PubMed

Heng, Yin; Chunli, Guo; Bing, Shi; Yang, Li; Jingtao, Li

2016-10-01

To enhance the accuracy in diagnosis and management of submucous cleft palate via a thorough analysis of its anatomical and functional details. Two hundred seventy-six submucous cleft palate cases from 2008 to 2014 were retrospectively investigated. Subgroup analysis were performed on the basis of preoperative velopharyngeal function, palatal morphology, cleft lip concurrence, and patient motives for treatment. Among the included cases, 96 (34.78%) were presented as velopharyngeal competence (VPC), 151 (54.71%) as velopharyngeal insufficiency (VPI), and 29 (10.51%) as marginal VPI (MVPI). Eighty cases (28.99%) also demonstrated cleft lip deformity, and 196 cases (71.01%) were merely submucous cleft palate. Compared with patients with submucous cleft palate only, those with cleft lips exhibited higher rates of complete velopharyngeal closure. The pathological spectrum of submucous cleft palate varied significantly. Only 103 (37.32%) cases met all the three diagnostic criteria proposed by Calnan. Given that the velopharyngeal closure rate varies among the subgroups, the factors analyzed in this study should be considered in the personalized manage-ment of submucous cleft palate.

Immediate Tight Sealing of Skin Incisions Using an Innovative Temperature-controlled Laser Soldering Device

PubMed Central

Simhon, David; Halpern, Marisa; Brosh, Tamar; Vasilyev, Tamar; Ravid, Avi; Tennenbaum, Tamar; Nevo, Zvi; Katzir, Abraham

2007-01-01

Background: A feedback temperature-controlled laser soldering system (TCLS) was used for bonding skin incisions on the backs of pigs. The study was aimed: 1) to characterize the optimal soldering parameters, and 2) to compare the immediate and long-term wound healing outcomes with other wound closure modalities. Materials and Methods: A TCLS was used to bond the approximated wound margins of skin incisions on porcine backs. The reparative outcomes were evaluated macroscopically, microscopically, and immunohistochemically. Results: The optimal soldering temperature was found to be 65°C and the operating time was significantly shorter than with suturing. The immediate tight sealing of the wound by the TCLS contributed to rapid, high quality wound healing in comparison to Dermabond or Histoacryl cyanoacrylate glues or standard suturing. Conclusions: TCLS of incisions in porcine skin has numerous advantages, including rapid procedure and high quality reparative outcomes, over the common standard wound closure procedures. Further studies with a variety of skin lesions are needed before advocating this technique for clinical use. PMID:17245173

Development of Numerical Extended Hydrodynamics for Transition-Regime Non-Equilibrium Flows Encountered in Semiconductor Manufacturing Processes

NASA Technical Reports Server (NTRS)

Groth, Clinton P. T.; Roe, Philip L.

1998-01-01

Six months of funding was received for the proposed three year research program (funding for the period from March 1, 1997 to August 31, 1997). Although the official starting date for the project was March 1, 1997, no funding for the project was received until July 1997. In the funded research period, considerable progress was made on Phase I of the proposed research program. The initial research efforts concentrated on applying the 10-, 20-, and 35-moment Gaussian-based closures to a series of standard two-dimensional non-reacting single species test flow problems, such as the flat plate, couette, channel, and rearward facing step flows, and to some other two-dimensional flows having geometries similar to those encountered in chemical-vapor deposition (CVD) reactors. Eigensystem analyses for these systems for the case of two spatial dimensions was carried out and efficient formulations of approximate Riemann solvers have been formulated using these eigenstructures. Formulations to include rotational non-equilibrium effects into the moment closure models for the treatment of polyatomic gases were explored, as the original formulations of the closure models were developed strictly for gases composed of monatomic molecules. The development of a software library and computer code for solving relaxing hyperbolic systems in two spatial dimensions of the type arising from the closure models was also initiated. The software makes use of high-resolution upwind finite-volumes schemes, multi-stage point implicit time stepping, and automatic adaptive mesh refinement (AMR) to solve the governing conservation equations for the moment closures. The initial phase of the code development was completed and a numerical investigation of the solutions of the 10-moment closure model for the simple two-dimensional test cases mentioned above was initiated. Predictions of the 10-moment model were compared to available theoretical solutions and the results of direct-simulation Monte Carlo (DSMC) calculations. The first results of this study were presented at a meeting last year.

Extended negative pressure wound therapy-assisted dermatotraction for the closure of large open fasciotomy wounds in necrotizing fasciitis patients

PubMed Central

2014-01-01

Background Necrotizing fasciitis (NF) is a rapid progressive infection of the subcutaneous tissue or fascia and may result in large open wounds. The surgical options to cover these wounds are often limited by the patient condition and result in suboptimal functional and cosmetic wound coverage. Dermatotraction can restore the function and appearance of the fasciotomy wound and is less invasive in patients with comorbidities. However, dermatotraction for scarred, stiff NF fasciotomy wounds is often ineffective, resulting in skin necrosis. The authors use extended negative pressure wound therapy (NPWT) as an assist in dermatotraction to close open NF fasciotomy wounds. The authors present the clinical results, followed by a discussion of the clinical basis of extended NPWT-assisted dermatotraction. Methods A retrospective case series of eight patients with NF who underwent open fasciotomy was approved for the study. After serial wound preparation, dermatotraction was applied in a shoelace manner using elastic vessel loops. Next, the extended NPWT was applied over the wound. The sponge was three times wider than the wound width, and the transparent covering drape almost encircled the anatomical wound area. The negative pressure of the NPWT was set at a continuous 100 mmHg by suction barometer. The clinical outcome was assessed based on wound area reduction after treatment and by the achievement of direct wound closure. Results After the first set of extended NPWT-assisted dermatotraction procedures, the mean wound area was significantly decreased (658.12 cm2 to 29.37 cm2; p = 0.002), as five out of eight patients achieved direct wound closure. One patient with a chest wall defect underwent latissimus dorsi musculocutaneous flap coverage, with primary closure of the donor site. Two Fournier’s gangrene patients underwent multiple sets of treatment and finally achieved secondary wound closure with skin grafts. The patients were followed up for 18.3 months on average and showed satisfactory results without wound recurrence. Conclusions Extended NPWT-assisted dermatotraction advances scarred, stiff fasciotomy wound margins synergistically in NF and allows direct closure of the wound without complications. This method can be another good treatment option for the NF patient with large open wounds whose general condition is unsuitable for extensive reconstructive surgery. PMID:24731449

78 FR 39730 - Medicare Program; Notification of Closure of Teaching Hospitals and Opportunity To Apply for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-02

..., Medicare--Hospital Insurance; and Program No. 93.774, Medicare-- Supplementary Medical Insurance Program.... SUMMARY: This document corrects a typographical error that appeared in the notice published in the Federal... typographical error that is identified and corrected in the Correction of Errors section below. II. Summary of...

A Randomized, Controlled Study Comparing Two Standardized Closure Methods of Laparoscopic Port Sites

PubMed Central

Chen, Kai; Klapper, Allan S.; Voige, Hayley

2010-01-01

Objectives: To compare octyl-cyanoacrylate tissue adhesive (OCT) with the standard suture technique for the closure of laparoscopic port sites. Methods: This was a randomized clinical trial of 40 patients. All participants had 2 lower abdominal ports, with one port closed using OCT while the opposite port was closed with 4-0 monocryl suture. An evaluation of the wound was performed 2 weeks to 4 weeks after surgery. The Hollander Wound Evaluation Scale (HWES, including step-off of borders, contour irregularities, margin separation, edge inversion, excessive distortion, and overall appearance) was used for cosmetic evaluation. Complications, such as erythema, warmth, tenderness, drainage, and wound infection, were evaluated. Analysis of complications was performed using the chi-square test, and cosmetic evaluation including individual components of the HWES was compared with the t test, P<0.05 considered significant. Results: Eighty wounds were evaluated in 40 patients. The number of patients with complications including erythema (1/40 vs. 16/40), tenderness (1/40 vs. 19/40), and drainage (1/40 vs. 9/40) was lower with OCT than with sutures, respectively (all P<0.001). The ports closed with OCT had higher overall HWES, ie, better cosmetic score (5.92±0.05 vs 5.50±0.13) and lower margin separation (1/40 vs. 10/40) but had higher contour irregularity (6/40 vs. 1/40) (all P<0.05). However, skin contour irregularity was significantly better when OCT was applied using fine tissue forceps (P=0.002). Conclusion: Laparoscopic ports closed with OCT had fewer early complications, such as wound erythema, tenderness, and drainage. Ports closed with OCT had a better cosmetic appearance. PMID:21333194

Objects as closures: Abstract semantics of object oriented languages

NASA Technical Reports Server (NTRS)

Reddy, Uday S.

1989-01-01

We discuss denotational semantics of object-oriented languages, using the concept of closure widely used in (semi) functional programming to encapsulate side effects. It is shown that this denotational framework is adequate to explain classes, instantiation, and inheritance in the style of Simula as well as SMALLTALK-80. This framework is then compared with that of Kamin, in his recent denotational definition of SMALLTALK-80, and the implications of the differences between the two approaches are discussed.

[Feasibility of device closure for multiple atrial septal defects using 3D printing and ultrasound-guided intervention technique].

PubMed

Qiu, X; Lü, B; Xu, N; Yan, C W; Ouyang, W B; Liu, Y; Zhang, F W; Yue, Z Q; Pang, K J; Pan, X B

2017-04-25

Objective: To investigate the feasibility of trans-catheter closure of multiple atrial septal defects (ASD) monitored by trans-thoracic echocardiography (TTE) under the guidance of 3D printing heart model. Methods: Between April and August 2016, a total of 21 patients (8 male and 13 female) with multiple ASD in Fuwai Hospital of Chinese Academy of Medical Sciences underwent CT scan and 3-dimensional echocardiography for heart disease model produced by 3D printing technique. The best occlusion program was determined through the simulation test on the model. Percutaneous device closure of multiple ASD was performed follow the predetermined program guided by TTE. Clinical follow-up including electrocardiogram and TTE was arranged at 1 month after the procedure. Results: The trans-catheter procedure was successful in all 21 patients using a single atrial septal occluder. Mild residual shunt was found in 5 patient in the immediate postoperative period, 3 of them were disappeared during postoperative follow-up. There was no death, vascular damage, arrhythmia, device migration, thromboembolism, valvular dysfunction during the follow-up period. Conclusion: The use of 3D printing heart model provides a useful reference for transcatheter device closure of multiple ASD achieving through ultrasound-guided intervention technique, which appears to be safe and feasible with good outcomes of short-term follow-up.

Closure development for high-level nuclear waste containers for the tuff repository; Phase 1, Final report

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

Robitz, E.S. Jr.; McAninch, M.D. Jr.; Edmonds, D.P.

1990-09-01

This report summarizes Phase 1 activities for closure development of the high-level nuclear waste package task for the tuff repository. Work was conducted under U.S. Department of Energy (DOE) Contract 9172105, administered through the Lawrence Livermore National Laboratory (LLNL), as part of the Yucca Mountain Project (YMP), funded through the DOE Office of Civilian Radioactive Waste Management (OCRWM). The goal of this phase was to select five closure processes for further evaluation in later phases of the program. A decision tree methodology was utilized to perform an objective evaluation of 15 potential closure processes. Information was gathered via a literaturemore » survey, industrial contacts, and discussions with project team members, other experts in the field, and the LLNL waste package task staff. The five processes selected were friction welding, electron beam welding, laser beam welding, gas tungsten arc welding, and plasma arc welding. These are felt to represent the best combination of weldment material properties and process performance in a remote, radioactive environment. Conceptual designs have been generated for these processes to illustrate how they would be implemented in practice. Homopolar resistance welding was included in the Phase 1 analysis, and developments in this process will be monitored via literature in Phases 2 and 3. Work was conducted in accordance with the YMP Quality Assurance Program. 223 refs., 20 figs., 9 tabs.« less

Paleomagnetic Constraints on the Tectonic History of the Mesozoic Ophiolite and Arc Terranes of Western Mexico

NASA Astrophysics Data System (ADS)

Boschman, L.; Van Hinsbergen, D. J. J.; Langereis, C. G.; Molina-Garza, R. S.; Kimbrough, D. L.

2017-12-01

The North American Cordillera has been shaped by a long history of accretion of arcs and other buoyant crustal fragments to the western margin of the North American Plate since the Early Mesozoic. Accretion of these terranes resulted from a complex tectonic history interpreted to include episodes of both intra-oceanic subduction within the Panthalassa/Pacific Ocean, as well as continental margin subduction along the western margin of North America. Western Mexico, at the southern end of the Cordillera, contains a Late Cretaceous-present day long-lived continental margin arc, as well as Mesozoic arc and SSZ ophiolite assemblages of which the origin is under debate. Interpretations of the origin of these subduction-related rock assemblages vary from far-travelled exotic intra-oceanic island arc character to autochthonous or parautochthonous extended continental margin origin. We present new paleomagnetic data from four localities: (1) the Norian SSZ Vizcaíno peninsula Ophiolite; (2) its Lower Jurassic sedimentary cover; and (3) Barremian and (4) Aptian sediments derived from the Guerrero arc. The data show that the Mexican ophiolite and arc terranes have a paleolatitudinal plate motion history that is equal to that of the North American continent. This suggests that these rock assemblages were part of the overriding plate and were perhaps only separated from the North American continent by temporal fore- or back-arc spreading. These spreading phases resulted in the temporal existence of tectonic plates between the North American and Farallon Plates, and upon closure of the basins, in the growth of the North American continent without addition of any far-travelled exotic terranes.

Transformation from Paleo-Asian Ocean closure to Paleo-Pacific subduction: New constraints from granitoids in the eastern Jilin-Heilongjiang Belt, NE China

NASA Astrophysics Data System (ADS)

Ma, Xing-Hua; Zhu, Wen-Ping; Zhou, Zhen-Hua; Qiao, Shi-Lei

2017-08-01

The eastern Jilin-Heilongjiang Belt (EJHB) of NE China is a unique orogen that underwent two stages of evolution within the tectonic regimes of the Paleo-Asian and Paleo-Pacific oceans. 158 available zircon U-Pb ages, including 26 ages obtained during the present study and 132 ages from the literature, were compiled and analyzed for the Mesozoic and Cenozoic granitoids from the EJHB and the adjacent Russian Sikhote-Alin Orogenic Belt (SAOB), to examine the temporal-spatial distribution of the granitoids and to constrain the tectonic evolution of the East Asian continental margin. Five stages of granitic magmatism can be identified: Early Triassic (251-240 Ma), Late Triassic (228-215 Ma), latest Triassic to Middle Jurassic (213-158 Ma), Early Cretaceous (131-105 Ma), and Late Cretaceous to Paleocene (95-56 Ma). The Early Triassic granitoids are restricted to the Yanbian region along the Changchun-Yanji Suture, and show geochemical characteristics of magmas from a thickened lower crust source, probably due to the final collision of the combined NE China blocks with the North China Craton. The Late Triassic granitoids, with features of A-type granites, represent post-collisional magmatic activities that were related to post-orogenic extension, marking the end of the tectonic evolution of the Paleo-Asian Ocean. The latest Triassic to Paleocene granitoids with calc-alkaline characteristics were NE-trending emplaced along the EJHB and SAOB and young towards the coastal region, and represent continental marginal arc magmas that were associated with the northwestwards subduction of the Paleo-Pacific Plate. Two periods of magmatic quiescence (158-131 and 105-95 Ma) correspond to changes in the subduction direction of the Paleo-Pacific Plate from oblique relative to the continental margin to subparallel. Taking all this into account, we conclude that: (1) the final closure of the Paleo-Asian Ocean occurred along the Changchun-Yanji Suture during the Early Triassic; (2) the onset of the subduction of the Paleo-Pacific Plate beneath the East Asian continental margin probably took place during the latest Triassic (ca. 215 Ma); (3) changes in the drifting direction of the Paleo-Pacific Plate were responsible for the intermittent magmatic activities; and (4) roll-back of the subducted plate resulted in the oceanwards migration of the magmatic arc and large-scale back-arc extension throughout NE China during the Early Cretaceous.

Adults in Programs for the "Academically Underprepared"

ERIC Educational Resources Information Center

Isserlis, Janet

2008-01-01

Adult basic education represents a marginalized field that addresses the needs of a largely marginalized population: adults who are viewed through a deficit lens labeling them as being underprepared. This article examines particular challenges and strengths of adult learners in basic education programs (including literacy, English language, and…

48 CFR 226.7102 - Policy.

Code of Federal Regulations, 2010 CFR

2010-10-01

... DEFENSE SOCIOECONOMIC PROGRAMS OTHER SOCIOECONOMIC PROGRAMS Preference for Local and Small Businesses 226.7102 Policy. Businesses located in the vicinity of a military installation that is being closed or realigned under a base closure law, including 10 U.S.C. 2687, and small and small disadvantaged businesses...

Defense Base Realignment and Closure Budget Data for Naval Air Technical Training Center, Naval Air Station Pensacola, Florida

DTIC Science & Technology

1994-06-07

023- S -94 Military Construction Projects Budgeted January 14, 1994 and Programmed for Bases Identified for Closure or Realignment 028-C-93...deferred to this analysis as the more accurate basis for design and construction costs, rather than the gross estimates in the 1391’ s submitted much...solutions( s ), it is imperative that design and construction costs, operation/maintenance costs, the specific health care needs of the population to

Objects as closures - Abstract semantics of object oriented languages

NASA Technical Reports Server (NTRS)

Reddy, Uday S.

1988-01-01

The denotational semantics of object-oriented languages is discussed using the concept of closure widely used in (semi) functional programming to encapsulate side effects. It is shown that this denotational framework is adequate to explain classes, instantiation, and inheritance in the style of Simula as well as SMALLTALK-80. This framework is then compared with that of Kamin (1988), in his recent denotational definition of SMALLTALK-80, and the implications of the differences between the two approaches are discussed.

Core disruptive accident margin seal

DOEpatents

Golden, Martin P.

1979-01-01

Apparatus for sealing the annulus defined within a substantially cylindrical rotatable riser assembly and plug combination of a nuclear reactor closure head. The apparatus comprises an inflatable sealing mechanism disposed in one portion of the riser assembly near the annulus such that upon inflation the sealing mechanism is radially actuated against the other portion of the riser assembly thereby sealing the annulus. The apparatus further comprises a connecting mechanism which places one end of the sealing mechanism in fluid communication with the reactor cover gas so that overpressurization of the reactor cover gas will increase the radial actuation of the sealing mechanism thus enhancing sealing of the annulus.

Flank and Lumbar Hernia Repair.

PubMed

Beffa, Lucas R; Margiotta, Alyssa L; Carbonell, Alfredo M

2018-06-01

Flank and lumbar hernias are challenging because of their rarity and anatomic location. Several challenges exist when approaching these specific abdominal wall defects, including location, innervation of the lateral abdominal wall musculature, and their proximity to bony landmarks. These hernias are confined by the costal margin, spine, and pelvic brim, which makes closure of the defect, including mesh placement, difficult. This article discusses the anatomy of lumbar and flank hernias, the various etiologies for these hernias, and the procedural steps for open and robotic preperitoneal approaches. The available clinical evidence regarding outcomes for various repair techniques is also reviewed. Copyright © 2018 Elsevier Inc. All rights reserved.

Marginalized Student Access to Technology Education

NASA Astrophysics Data System (ADS)

Kurtcu, Wanda M.

The purpose of this paper is to investigate how a teacher can disrupt an established curriculum that continues the cycle of inequity of access to science, technology, engineering, and math (STEM) curriculum by students in alternative education. For this paper, I will focus on the technology components of the STEM curriculum. Technology in the United States, if not the world economy, is developing at a rapid pace. Many areas of day to day living, from applying for a job to checking one's bank account online, involve a component of science and technology. The 'gap' in technology education is emphasized between the 'haves and have-nots', which is delineated along socio-economic lines. Marginalized students in alternative education programs use this equipment for little else than remedial programs and credit recovery. This level of inequity further widens in alternative education programs and affects the achievement of marginalized students in credit recovery or alternative education classes instead of participation technology classes. For the purposes of this paper I focus on how can I decrease the inequity of student access to 21st century technology education in an alternative education program by addressing the established curriculum of the program and modifying structural barriers of marginalized student access to a technology focused curriculum.

Presurgical language fMRI: Clinical practices and patient outcomes in epilepsy surgical planning.

PubMed

Benjamin, Christopher F A; Li, Alexa X; Blumenfeld, Hal; Constable, R Todd; Alkawadri, Rafeed; Bickel, Stephan; Helmstaedter, Christoph; Meletti, Stefano; Bronen, Richard; Warfield, Simon K; Peters, Jurriaan M; Reutens, David; Połczyńska, Monika; Spencer, Dennis D; Hirsch, Lawrence J

2018-03-12

The goal of this study was to document current clinical practice and report patient outcomes in presurgical language functional MRI (fMRI) for epilepsy surgery. Epilepsy surgical programs worldwide were surveyed as to the utility, implementation, and efficacy of language fMRI in the clinic; 82 programs responded. Respondents were predominantly US (61%) academic programs (85%), and evaluated adults (44%), adults and children (40%), or children only (16%). Nearly all (96%) reported using language fMRI. Surprisingly, fMRI is used to guide surgical margins (44% of programs) as well as lateralize language (100%). Sites using fMRI for localization most often use a distance margin around activation of 10mm. While considered useful, 56% of programs reported at least one instance of disagreement with other measures. Direct brain stimulation typically confirmed fMRI findings (74%) when guiding margins, but instances of unpredicted decline were reported by 17% of programs and 54% reported unexpected preservation of function. Programs reporting unexpected decline did not clearly differ from those which did not. Clinicians using fMRI to guide surgical margins do not typically map known language-critical areas beyond Broca's and Wernicke's. This initial data shows many clinical teams are confident using fMRI not only for language lateralization but also to guide surgical margins. Reported cases of unexpected language preservation when fMRI activation is resected, and cases of language decline when it is not, emphasize a critical need for further validation. Comprehensive studies comparing commonly-used fMRI paradigms to predict stimulation mapping and post-surgical language decline remain of high importance. © 2018 The Authors Human Brain Mapping Published by Wiley Periodicals, Inc.

The design of multirate digital control systems

NASA Technical Reports Server (NTRS)

Berg, M. C.

1986-01-01

The successive loop closures synthesis method is the only method for multirate (MR) synthesis in common use. A new method for MR synthesis is introduced which requires a gradient-search solution to a constrained optimization problem. Some advantages of this method are that the control laws for all control loops are synthesized simultaneously, taking full advantage of all cross-coupling effects, and that simple, low-order compensator structures are easily accomodated. The algorithm and associated computer program for solving the constrained optimization problem are described. The successive loop closures , optimal control, and constrained optimization synthesis methods are applied to two example design problems. A series of compensator pairs are synthesized for each example problem. The succesive loop closure, optimal control, and constrained optimization synthesis methods are compared, in the context of the two design problems.

The measurement of mangrove characteristics in southwest Florida using SPOT multispectral data

NASA Technical Reports Server (NTRS)

Jensen, John R.; Lin, Hongyue; Yang, Xinghe; Ramsey, Elijah, III; Davis, Bruce A.; Thoemke, Chris W.

1991-01-01

An intensive in situ sampling program near Marco Island, Florida during 19-23 October 1988 collected information on mangrove type, maximum canopy height, and percent canopy closure. These data were correlated with selected vegetation index information derived from analysis of SPOT multispectral (XS) data obtained on 21 October 1988. The Normalized Difference (ND) vegetation index information was the most highly correlated index with percent canopy closure (r = 0.91). Percent canopy closure information can be used as a surrogate for mangrove density which is of great value when predicting which parts of the mangrove ecosystem are at greatest risk after an oil spill occurs. Such information is very valuable when constructing oil spill Environmental Sensitivity Index (ESI) Maps for tropical regions of the world.

Access and Retention of Marginalized Populations within Undergraduate Music Education Degree Programs

ERIC Educational Resources Information Center

Fitzpatrick, Kate R.; Henninger, Jacqueline C.; Taylor, Don M.

2014-01-01

The purpose of this collective instrumental case study was to examine the experiences of six undergraduate students from traditionally marginalized populations with regard to their preparation for, admission to, and retention within a music education degree program. Analyzed and reported through the lens of critical theory, data sources included…

12 CFR 221.122 - Applicability of margin requirements to credit in connection with Insurance Premium Funding...

Code of Federal Regulations, 2011 CFR

2011-01-01

... in connection with Insurance Premium Funding Programs. 221.122 Section 221.122 Banks and Banking...) Interpretations § 221.122 Applicability of margin requirements to credit in connection with Insurance Premium Funding Programs. (a) The Board has been asked numerous questions regarding purpose credit in connection...

12 CFR 221.122 - Applicability of margin requirements to credit in connection with Insurance Premium Funding...

Code of Federal Regulations, 2010 CFR

2010-01-01

... in connection with Insurance Premium Funding Programs. 221.122 Section 221.122 Banks and Banking...) Interpretations § 221.122 Applicability of margin requirements to credit in connection with Insurance Premium Funding Programs. (a) The Board has been asked numerous questions regarding purpose credit in connection...

SURBAL: computerized metes and bounds surveying

Treesearch

Roger N. Baughman; James H. Patric

1970-01-01

A computer program has been developed at West Virginia University for use in metes and bounds surveying. Stations, slope distances, slope angles, and bearings are primary information needed for this program. Other information needed may include magnetic deviation, acceptable closure error, desired map scale, and title designation. SURBAL prints out latitudes and...

Decision Rules Used in Academic Program Closure: Where the Rubber Meets the Road.

ERIC Educational Resources Information Center

Eckel, Peter D.

2002-01-01

Adopted a decision/action rationality framework to explore the criteria used to close academic programs at four universities. Findings suggested that decisions are based upon criteria other than those usually stated (e.g., cost, quality, and centrality), and that process leads to criteria generation. (EV)

Defunct Grants-Special Considerations for Termination Effectiveness.

ERIC Educational Resources Information Center

Whittington, Ronaele R.; Brand, Chrystal R.

1980-01-01

Charts the phases of denial, anger, bargaining, depression, acceptance, and hope in a rural work-study program for disadvantaged youth that lost its funding. An overview of national studies and reports on client terminations and program terminations is outlined. Closure-oriented tasks for the practitioner and implications for program…

Integrated Research/Education University Aircraft Design Program Development

DTIC Science & Technology

2017-04-06

iterations and loop shaping compared to MIMO control methods. Despite the drawbacks, loop closure and classical methods are the design methods most commonly...AFRL-AFOSR-VA-TR-2017-0077 Integrated Research/Education University Aircraft Design Program Development Eli Livne UNIVERSITY OF WASHINGTON 4333...SUBTITLE Integrated Research/Education University Aircraft Design Program Development 5a.  CONTRACT NUMBER 5b.  GRANT NUMBER FA9550-14-1-0027 5c.  PROGRAM

[Application of modified adjustable skin stretching and secure wound-closure system in repairing of skin and soft tissue defect].

PubMed

Dong, Qiqiang; Gu, Guojun; Wang, Lijun; Fu, Keda; Xie, Shuqiang; Zhang, Songjian; Zhang, Huafeng; Wu, Zhaosen

2017-12-01

To investigate the application of modified adjustable skin stretching and secure wound-closure system in repairing of skin and soft tissue defect. Between March 2016 and April 2017, 21 cases of skin and soft tissue defects were repaired with the modified adjustable skin stretching and secure wound-closure system (the size of regulating pressure and the times of adjustment were determined according to the color, temperature, capillary response, and swelling degree of the skin edge). There were 11 males and 10 females, with an average age of 49.2 years (range, 21-67 years). Among them, 1 case was the residual wound after amputation of leg; 18 cases were the wounds after traumatic injury operation, including 4 cases in the lower leg, 3 cases in the knee joint, 7 cases in the upper limb, and 4 cases in the foot; and 2 cases were diabetic feet. The skin defect area ranged from 4.0 cm×2.5 cm to 21.0 cm×10.0 cm. Skin defect wounds closed directly in one stage in 4 cases; 12 cases were closed after continuously stretching for 5-14 days (mean, 10 days); 5 cases were reduced to less than one-half area, and the wound healed after the second skin grafting or flap repairing. All the 21 patients were followed up 3-12 months (mean, 5.2 months). The wound was linear healing with small scar, and no invasive margin, poor blood flow, necrosis, and poor sensory function happened. The modified adjustable skin stretching and secure wound-closure system can reduce the skin and soft tissue defects or close the wound directly, and even replace the skin graft and skin flap repairing. It was a good method for the treatment of skin and soft tissue defect.

Columbia River Wildlife Mitigation Habitat Evaluation Procedures Report / Scotch Creek Wildlife Area, Berg Brothers, and Douglas County Pygmy Rabbit Projects.

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

Ashley, Paul R.

1997-01-01

This Habitat Evaluation Procedure study was conducted to determine baseline habitat units (HUs) on the Scotch Creek, Mineral Hill, Pogue Mountain, Chesaw and Tunk Valley Habitat Areas (collectively known as the Scotch Creek Wildlife Area) in Okanogan County, Sagebrush Flat and the Dormaler property in Douglas County, and the Berg Brothers ranch located in Okanogan County within the Colville Reservation. A HEP team comprised of individuals from the Washington Department of Fish and Wildlife, the Confederated Tribes of the Colville Reservation, and the Natural Resources Conservation Service (Appendix A) conducted baseline habitat surveys using the following HEP evaluation species: mulemore » deer (Odocoileus hemionus), sharp-tailed grouse (Tympanuchus phasianellus), pygmy rabbit (Brachylagus idahoensis), white-tailed deer (Odocoileus virginiana), mink (Mustela vison), Canada goose (Branta canadensis), downy woodpecker (Picoides pubescens), Lewis woodpecker (Melanerpes lewis), and Yellow warbler (Dendroica petechia). Results of the HEP analysis are listed below. General ratings (poor, marginal, fair, etc.,) are described in Appendix B. Mule deer habitat was marginal lacking diversity and quantify of suitable browse species. Sharp-tailed grouse habitat was marginal lacking residual nesting cover and suitable winter habitat Pygmy rabbit habitat was in fair condition except for the Dormaier property which was rated marginal due to excessive shrub canopy closure at some sites. This report is an analysis of baseline habitat conditions on mitigation project lands and provides estimated habitat units for mitigation crediting purposes. In addition, information from this document could be used by wildlife habitat managers to develop management strategies for specific project sites.« less

The Role of Margin in Link Design and Optimization

NASA Technical Reports Server (NTRS)

Cheung, K.

2015-01-01

Link analysis is a system engineering process in the design, development, and operation of communication systems and networks. Link models that are mathematical abstractions representing the useful signal power and the undesirable noise and attenuation effects (including weather effects if the signal path transverses through the atmosphere) that are integrated into the link budget calculation that provides the estimates of signal power and noise power at the receiver. Then the link margin is applied which attempts to counteract the fluctuations of the signal and noise power to ensure reliable data delivery from transmitter to receiver. (Link margin is dictated by the link margin policy or requirements.) A simple link budgeting approach assumes link parameters to be deterministic values typically adopted a rule-of-thumb policy of 3 dB link margin. This policy works for most S- and X-band links due to their insensitivity to weather effects. But for higher frequency links like Ka-band, Ku-band, and optical communication links, it is unclear if a 3 dB link margin would guarantee link closure. Statistical link analysis that adopted the 2-sigma or 3-sigma link margin incorporates link uncertainties in the sigma calculation. (The Deep Space Network (DSN) link margin policies are 2-sigma for downlink and 3-sigma for uplink.) The link reliability can therefore be quantified statistically even for higher frequency links. However in the current statistical link analysis approach, link reliability is only expressed as the likelihood of exceeding the signal-to-noise ratio (SNR) threshold that corresponds to a given bit-error-rate (BER) or frame-error-rate (FER) requirement. The method does not provide the true BER or FER estimate of the link with margin, or the required signalto-noise ratio (SNR) that would meet the BER or FER requirement in the statistical sense. In this paper, we perform in-depth analysis on the relationship between BER/FER requirement, operating SNR, and coding performance curve, in the case when the channel coherence time of link fluctuation is comparable or larger than the time duration of a codeword. We compute the "true" SNR design point that would meet the BER/FER requirement by taking into account the fluctuation of signal power and noise power at the receiver, and the shape of the coding performance curve. This analysis yields a number of valuable insights on the design choices of coding scheme and link margin for the reliable data delivery of a communication system - space and ground. We illustrate the aforementioned analysis using a number of standard NASA error-correcting codes.

76 FR 19512 - Self-Regulatory Organizations; The Options Clearing Corporation; Notice of Filing of Proposed...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-07

... clearing organizations. In the internal cross-margining program, there is no need for two separate accounts... Organizations; The Options Clearing Corporation; Notice of Filing of Proposed Rule Change to Allow for an Expansion of OCC's Internal Cross-Margining Program to Include the Ability of a Pair of Affiliated Clearing...

Fulfilling Their Dreams: Marginalized Urban Youths' Perspectives on a Culturally Sensitive Social and Emotional Learning Program

ERIC Educational Resources Information Center

Slaten, Christopher D.; Rivera, Roberto C.; Shemwell, Daniel; Elison, Zachary M.

2016-01-01

A growing body of research suggests educators need to focus on cultivating social and emotional competencies that youth will need to thrive in the new knowledge economy (Durlak, Weissberg, Dymnicki, Taylor, & Schellinger, 2011). For marginalized urban youth, in particular, few have derived programs and interventions to assist with these…

Analysis of primary gingivoperiosteoplasty in alveolar cleft repair. Part I: Facial growth.

PubMed

Henkel, K O; Gundlach, K K

1997-10-01

The primary gingivoperiosteoplasty by Millard consists of presurgical active orthognathic treatment ('Latham device') of the alveolar margins at the age of 3 months and of surgical closure of the alveolar cleft with local gingivoperiosteal flaps at the age of 5 months. The aim of this investigation was to analyse the facial growth following this treatment. The following material was studied: lateral head X-rays and plaster casts from 146 patients with unilateral (UCLP) and bilateral (BCLP) clefts of lip and palate from birth to 16 years of age. Ninety-one of these patients formed the control group, who received neither gingivoperiosteoplasty nor pre-surgical active orthognathic treatment. The same surgeon and orthodontist treated all 146 patients. A three-dimensional growth disturbance after gingivoperiosteoplasty was observed: 42% patients with UCLP and 40% patients with BCLP had an 'open bite' following closure of the alveolar cleft (control group 5%/10%). The length of the upper jaw in patients who underwent gingivoperiosteoplasty was shorter than in the control group. The frequency of posterior cross bite was also higher in the gingivoperiosteoplasty group. These results demonstrate that treatment with a 'Latham device' disturbs facial growth. Therefore, this treatment should be abandoned.

Correction of Large Oro-antral Communications From Previously Failed Implant Treatment: Reconstruction of Hard and Soft Tissues.

PubMed

Petrungaro, Paul S; Gonzalez, Santiago; Villegas, Carlos

2018-02-01

As dental implants become more popular for the treatment of partial and total edentulism and treatment of "terminal dentitions," techniques for the management of the atrophic posterior maxillae continue to evolve. Although dental implants carry a high success rate long term, attention must be given to the growing numbers of revisions or retreatment of cases that have had previous dental implant treatment and/or advanced bone replacement procedures that, due to either poor patient compliance, iatrogenic error, or poor quality of the pre-existing alveolar and/or soft tissues, have led to large osseous defects, possibly with deficient soft-tissue volume. In the posterior maxillae, where the poorest quality of bone in the oral cavity exists, achieving regeneration of the alveolar bone and adequate volume of soft tissue remains a complex procedure. This is made even more difficult when dealing with loss of dental implants previously placed, aggressive bone reduction required in various implant procedures, and/or residual sinus infections precluding proper closure of the oral wound margins. The purpose of this article is to outline a technique for the total closure of large oro-antral communications, with underlying osseous defects greater than 15 mm in width and 30 mm in length, for which multiple previous attempts at closure had failed, to achieve not only the reconstruction of adequate volume and quality of soft tissues in the area of the previous fistula, but also total regeneration of the osseous structures in the area of the large void.

Comparative analysis of angiogenic gene expression in normal and impaired wound healing in diabetic mice: effects of extracorporeal shock wave therapy.

PubMed

Zins, Stephen R; Amare, Mihret F; Tadaki, Douglas K; Elster, Eric A; Davis, Thomas A

2010-12-01

Impaired wound healing is a persistent clinical problem which has been treated with mixed results. Studies aimed at elucidating the mechanism of impaired wound healing have focused on small cohorts of genes which leave an incomplete picture of the wound healing process. We aimed to investigate impaired wound healing via a comprehensive panel of angiogenic/inflammation-related genes and wound closure kinetics with and without the application of extracorporeal shock wave therapy (ESWT), which has been demonstrated to improve wound healing. Full-thickness skin from the dorsal surface of "normal" (BALB/c) and "impaired" (db (+)/db (+)) mice was excised, and wound margin tissue was harvested 2, 7, and 10 days post injury. A separate, but identical wound model was established over 40 days in order to measure wound closure kinetics. Over time, the normal non-ESWT treated wounds exhibited varying patterns of elevated expression of 25-30 genes, whereas wounds with impaired healing displayed prolonged elevated expression of only a few genes (CXCL2, CXCL5, CSF3, MMP9, TGF-α). In response to ESWT, gene expression was augmented in both types of wounds, especially in the expression of PECAM-1; however, ESWT had no effect on wound closure in either model. In addition, multiple doses of ESWT exacerbated the delayed wound healing, and actually caused the wounds to initially increase in size. These data provide a more complete picture of impaired wound healing, and a way to evaluate various promising treatments.

High-performance space shuttle auxiliary propellant valve system

NASA Technical Reports Server (NTRS)

Smith, G. M.

1973-01-01

Several potential valve closures for the space shuttle auxiliary propulsion system (SS/APS) were investigated analytically and experimentally in a modeling program. The most promising of these were analyzed and experimentally evaluated in a full-size functional valve test fixture of novel design. The engineering investigations conducted for both model and scale evaluations of the SS/APS valve closures and functional valve fixture are described. Preliminary designs, laboratory tests, and overall valve test fixture designs are presented, and a final recommended flightweight SS/APS valve design is presented.

Base Realignment and Closure Environmental Evaluation (BRAC EE) Fort Devens, Massachusetts

DTIC Science & Technology

1995-09-01

Not Sampled ......... 6 2.3.2 Transformer Sites Sampled ........................ 7 2.4 Soil Sampling Protocol and Analytical Program ...Evaluation (AREE) 66. The study included evaluating the current PCB Transformer Management Program administered by the Fort Devens Environmental Management...Office (EMO), the Fort Devens Spill Contingency Plan, and the ongoing transformer inspection program . Personnel in both the Fort Devens EMO and the Fort

Retraining Programs for Displaced Workers in the Post-Industrial Era: An Exploration of Government Policies and Programs in Canada and England.

ERIC Educational Resources Information Center

White, Melissa

2003-01-01

Introduces the problem of widespread worker displacement. Argues the problem is more severe in regions where the employment base centers on a single industry or resource. Considers two government programs developed to address the need resulting from closure of the Canadian northern cod fishery and decline of the mining industry in England. (CAJ)

Enhanced Preliminary Assessment Fort Devens, Massachusetts

DTIC Science & Technology

1992-04-30

remedial programs and RCRA corrective actions at Fort Devens . The areas regulated under RCRA will require closure when no longer in...under which the work in the MEP has been developed requires full integration of CERCLA remedial programs and RCRA corrective actions at Fort Devens ...AREEs 65 and 67, asbestos and radon, respectively. Fort Devens has ongoing programs that deal with these concerns. Any remedial action or disturbance

Toward Affordable Systems: Portfolio Analysis and Management for Army Science and Technology Programs

DTIC Science & Technology

2009-01-01

PROGRAM ELEMENT NUMBER 6. AUTHOR (S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Rand...Decision Authority MDAP major defense acquisition program Abbreviations xxvii MIC marginal implementation cost MOMC marginal operating and...the Milestone Decision Authority (MDA).1 1 This section is based on U.S. Army, 2003, pp. 30–33. This 2003 Army document had taken into account the

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

Bird, P.R.; Johns, C.C.; Clark-Lowes, D.D.

Western Turkey consists of a number of tectonic terranes joined together by a network of suture zones. The terranes originated as microcontinental plates that rifted away from the continental margins forming the northern and southern boundaries of the Tethyan sea. These micro-continents were united by a series of collisions beginning in the Late Triassic and ending in the Miocene, with the final closure of the Tethyan sea. The sedimentary cover of the microcontinents consists of Paleozoic and Mesozoic passive margin and rift basin sequences containing numerous potential source and reservoir intervals. Most of these sequences show affinities with Gondwanaland, withmore » the notable exception of the Istanbul nappe, which is strongly Laurasian in character. Forearc basin sequences were also deposited on the margins of the microcontinents during early Tertiary plate convergence. Ensuing continental collisions resulted in compressional deformation of sedimentary cover sequences. The intensity of deformation ranged from basin inversion producing numerous potential hydrocarbon traps, to large-scale overthrusting. Following continental suturing, continued compression in eastern Turkey has been accommodated since the Miocene by westward escape of continental lithosphere between the North and South Anatolian transform faults. Neotectonic pull-apart basins formed in response to these movements, accumulating large thicknesses of Miocene-Pliocene carbonates and clastic sediments. Potential reservoirs in the Neotectonic basins may be sourced either in situ or from underlying Paleozoic and Mesozoic source rocks that remain within the hydrocarbon generating window today.« less

Global budgets in Maryland: early evidence on revenues, expenses, and margins in regulated and unregulated services.

PubMed

Malmmose, Margit; Mortensen, Karoline; Holm, Claus

2018-04-02

Maryland implemented one of the most aggressive payment innovations the nation has seen in several decades when it introduced global budgets in all its acute care hospitals in 2014. Prior to this, a pilot program, total patient revenue (TPR), was established for 8 rural hospitals in 2010. Using financial hospital report data from the Health Services Cost Review Commission from 2007 to 2013, we examined the hospitals' financial results including revenue, costs, and profit/loss margins to explore the impact of the adoption of the TPR pilot global budget program relative to the remaining hospitals in the state. We analyze financial results for both regulated (included in the global budget and subject to rate-setting) and unregulated services in order to capture a holistic image of the hospitals' actual revenue, cost and margin structures. Common size and difference-in-differences analyses of the data suggest that regulated profit ratios for treatment hospitals increased (from 5% in 2007 to 8% in 2013) and regulated expense-to-gross patient revenue ratios decreased (75% in 2007 and 68% in 2013) relative to the controls. Simultaneously, the profit margins for treatment hospitals' unregulated services decreased (- 12% in 2007 and - 17% in 2013), which reduced the overall margin significantly. This analysis therefore indicates cost shifting and less profit gain from the program than identified by solely focusing on the regulated margins.

34 CFR 361.88 - Reporting requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... RSA-911 data: (1) The number of individuals who exited the VR program in each closure category as specified in the definition of “Exit the VR program” under § 361.81. (2) The number of individuals who exited the VR program in competitive, self-, or BEP employment with earnings at or above the minimum wage...

34 CFR 361.88 - Reporting requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... RSA-911 data: (1) The number of individuals who exited the VR program in each closure category as specified in the definition of “Exit the VR program” under § 361.81. (2) The number of individuals who exited the VR program in competitive, self-, or BEP employment with earnings at or above the minimum wage...

34 CFR 361.88 - Reporting requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... RSA-911 data: (1) The number of individuals who exited the VR program in each closure category as specified in the definition of “Exit the VR program” under § 361.81. (2) The number of individuals who exited the VR program in competitive, self-, or BEP employment with earnings at or above the minimum wage...

34 CFR 361.88 - Reporting requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... RSA-911 data: (1) The number of individuals who exited the VR program in each closure category as specified in the definition of “Exit the VR program” under § 361.81. (2) The number of individuals who exited the VR program in competitive, self-, or BEP employment with earnings at or above the minimum wage...

34 CFR 361.88 - Reporting requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... RSA-911 data: (1) The number of individuals who exited the VR program in each closure category as specified in the definition of “Exit the VR program” under § 361.81. (2) The number of individuals who exited the VR program in competitive, self-, or BEP employment with earnings at or above the minimum wage...

Good Teaching Matters, Teachers Matter, and Teacher Education Matters

ERIC Educational Resources Information Center

Gordon, Lynn Melby

2012-01-01

This paper was the keynote address at the June 6, 2012 Occidental College completion ceremony for new teachers completing their teacher credential program. This occasion was momentous because it was the final new teacher graduation that Occidental College would hold, due to the previously announced closure of the teacher preparation program by the…

A Research Based Sport Management Curricular Model: Undergraduate and Graduate Programs.

ERIC Educational Resources Information Center

Kelley, Dennie R.; And Others

This paper brings to closure a series of evaluation/action research studies on needs assessment by: (1) sport management personnel in sport business/agencies; (2) faculty in charge of curriculum in all known undergraduate and graduate sport management programs in higher education; and (3) undergraduate and graduate majors in sport management from…

Federal Agency Program Realignment and Closure Act

THOMAS, 111th Congress

Rep. Sullivan, John [R-OK-1

2009-02-12

House - 05/04/2009 Referred to the Subcommittee on Government Management, Organization, and Procurement. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

U-Pb thermochronology of rutile from Alpine Corsica: constraints on the thermal evolution of the European margin during Jurassic continental breakup

NASA Astrophysics Data System (ADS)

Ewing, T. A.; Beltrando, M.; Müntener, O.

2017-12-01

U-Pb thermochronology of rutile can provide valuable temporal constraints on the exhumation history of the lower crust, given its moderate closure temperature and the occurrence of rutile in appropriate lithologies. We present an example from Alpine Corsica, in which we investigate the thermal evolution of the distal European margin during Jurassic continental rifting that culminated in the opening of the Alpine Tethys ocean. The Belli Piani unit of the Santa Lucia nappe (Corsica) experienced minimal Alpine overprint and bears a striking resemblance to the renowned Ivrea Zone lower crustal section (Italy). At its base, a 2-4 km thick gabbroic complex contains slivers of granulite facies metapelites that represent Permian lower crust. Zr-in-rutile temperatures and U-Pb ages were determined for rutile from three metapelitic slivers from throughout the Mafic Complex. High Zr-in-rutile temperatures of 850-950 °C corroborate textural evidence for rutile formation during Permian granulite facies metamorphism. Lower Zr-in-rutile temperatures of 750-800 °C in a few grains are partly associated with elongate strings of rutile within quartz ribbons, which record recrystallisation of some rutile during high-temperature shearing. Zr thermometry documents that both crystallisation and re-crystallisation of rutile occurred above the closure temperature of Pb in rutile, such that the U-Pb system can be expected to record cooling ages uncomplicated by re-crystallisation. Our new high-precision single-spot LA-ICPMS U-Pb dates are highly consistent between and within samples. The three samples gave ages from 160 ± 1 Ma to 161 ± 2 Ma, with no other age populations detected. The new data indicate that the Santa Lucia lower crust last cooled through 550-650 °C at 160 Ma, coeval with the first formation of oceanic crust in the Tethys. The new data are compared to previous depth profiling rutile U-Pb data for the Belli Piani unit1, and exploited to cast light on the tectonothermal evolution of the Santa Lucia lower crust in the Jurassic. The new data integrated with published data from the Ivrea zone allow comparison of the thermal evolution of the opposing European (Santa Lucia) and Adriatic (Ivrea) continental margins created by rifting associated with the opening of the Tethys. 1Seymour NM et al., 2016, Tectonics 35, 2439-2466

Closure of a giant saphenous vein graft aneurysm with embolization coil.

PubMed

Kumar, Ashwani; Santana, Dixon; Jenkins, Leigh Ann

2009-01-01

Aneurysms of saphenous vein grafts (SVGs) to coronary arteries are rare, usually asymptomatic and found incidentally. We report a case of an 84-year-old female who was found to have 8.1 x 8.4 cm aneurysm of an SVG to obtuse marginal (OM) artery. The aneurysm was prior to the distal anastamosis but no flow into the OM artery was noted. Cook Tornado Embolization Coils were used successfully to occlude the SVG proximal to the aneurysm. No complications occurred. The use of embolization coils is an effective and safe method for aneurysm occlusion when the anatomy is suitable and especially when patient is high risk for repeat surgical intervention.

Closure of a Giant Saphenous Vein Graft Aneurysm with Embolization Coil

PubMed Central

Kumar, Ashwani; Santana, Dixon; Jenkins, Leigh Ann

2009-01-01

Aneurysms of saphenous vein grafts (SVGs) to coronary arteries are rare, usually asymptomatic and found incidentally. We report a case of an 84-year-old female who was found to have 8.1 × 8.4 cm aneurysm of an SVG to obtuse marginal (OM) artery. The aneurysm was prior to the distal anastamosis but no flow into the OM artery was noted. Cook Tornado Embolization Coils were used successfully to occlude the SVG proximal to the aneurysm. No complications occurred. The use of embolization coils is an effective and safe method for aneurysm occlusion when the anatomy is suitable and especially when patient is high risk for repeat surgical intervention. PMID:19946632

76 FR 52937 - Ball Bearings and Parts Thereof From France, Germany, and Italy: Final Results of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-24

... programming and other errors in the margin calculations. Therefore, the final results are different from the... certain companies. We have corrected programming and other errors in the margins we included in the... Technologies GmbH; Italy--Schaeffler Italia S.r.l./WPB Water Pump Bearing GmbH & Co. KG/The Schaeffler Group...

The Marginal Effects of High School Visits: A Step toward an Empirically Driven Marketing Program. AIR 2002 Forum Paper.

ERIC Educational Resources Information Center

Aguilar, Lore; Gillespie, Donald A.

Admissions officers devote substantial resources to high school visits and other recruiting events. Economic theory indicates that the best measure of effectiveness is marginal productivity. Subjects in this study were applicants to a large, Catholic, urban university and all students who participated in recruiting programs in fall 2002.…

A second-order closure analysis of turbulent diffusion flames. [combustion physics

NASA Technical Reports Server (NTRS)

Varma, A. K.; Fishburne, E. S.; Beddini, R. A.

1977-01-01

A complete second-order closure computer program for the investigation of compressible, turbulent, reacting shear layers was developed. The equations for the means and the second order correlations were derived from the time-averaged Navier-Stokes equations and contain third order and higher order correlations, which have to be modeled in terms of the lower-order correlations to close the system of equations. In addition to fluid mechanical turbulence models and parameters used in previous studies of a variety of incompressible and compressible shear flows, a number of additional scalar correlations were modeled for chemically reacting flows, and a typical eddy model developed for the joint probability density function for all the scalars. The program which is capable of handling multi-species, multistep chemical reactions, was used to calculate nonreacting and reacting flows in a hydrogen-air diffusion flame.

The Single Sex Debate for Girls in Science: a Comparison Between Two Informal Science Programs on Middle School Students' STEM Identity Formation

NASA Astrophysics Data System (ADS)

Hughes, Roxanne M.; Nzekwe, Brandon; Molyneaux, Kristen J.

2013-10-01

Currently, there are policy debates regarding the efficacy and legality of single sex formal and informal education programs. This issue is particularly poignant in science education due to the historical marginalization of women in these fields. This marginalization has resulted in women being positioned as a stigmatized group within many science, technology, engineering, and mathematics (STEM) related fields. Research points to adolescence as the age where this sense of marginalization begins to develop. As a result, policy responses have utilized various frameworks such as: increased access for women, changing pedagogy to address women's learning styles, changing the language and culture of science to prevent marginalization of stigmatized groups, and finally exploring the role that individual identity plays in the marginalization of women. This study adds to the policy debate as it applies to single sex education by comparing middle school participants' STEM identity formation during two informal science learning environments (an all girls' STEM camp and a co-educational STEM camp). Additionally, this study focuses on the influence of camp activities within two informal science education programs: particularly the provision of role models and authentic STEM research activities, as means to improve STEM identity and make these fields relevant to the lives of middle school students. The results indicate that both camps improved girls' STEM identities. These findings suggest that the single sex environment is not as important to STEM identity as the pedagogy used within the program.

Online Student Evaluation Improves Course Experience Questionnaire Results in a Physiotherapy Program

ERIC Educational Resources Information Center

Tucker, Beatrice; Jones, Sue; Straker, Leon

2008-01-01

This paper reports the use of an online student evaluation system, Course Experience on the Web (CEW), in a physiotherapy program to improve their Course Experience Questionnaire (CEQ) results. CEW comprises a course survey instrument modeled on the CEQ and a tailored unit survey instrument. Closure of the feedback loop is integral in the CEW…

Decision Rules Used in Academic Program Closure: Where the Rubber Meets the Road.

ERIC Educational Resources Information Center

Eckel, Peter D.

This study examines, from an organizational perspective, decision rules guiding program discontinuance, testing the framework of decision rule rationality versus action rationality. A multi-site case study method was used; interviews were conducted with 11-16 individuals at each of four research I or II universities that had discontinued at least…

Co-ordination of growth, gas exchange and hydraulics define the carbon safety margin in tree species with contrasting drought strategies.

PubMed

Mitchell, P J; O'Grady, A P; Tissue, D T; Worledge, D; Pinkard, E A

2014-05-01

Gas exchange, growth, water transport and carbon (C) metabolism diminish during drought according to their respective sensitivities to declining water status. The timing of this sequence of declining physiological functions may determine how water and C relations compromise plant survival. In this paper, we test the hypothesis that the degree of asynchrony between declining C supply (photosynthesis) and C demand (growth and respiration) determines the rate and magnitude of changes in whole-plant non-structural carbohydrates (NSC) during drought. Two complementary experiments using two tree species (Eucalyptus globulus Labill. and Pinus radiata D. Don) with contrasting drought response strategies were performed to (i) assess changes in radial stem growth, transpiration, leaf water potential and gas exchange in response to chronic drought, and (ii) evaluate the concomitant impacts of these drought responses on the temporal patterns of NSC during terminal drought. The three distinct phases of water stress were delineated by thresholds of growth cessation and stomatal closure that defined the 'carbon safety margin' (i.e., the difference between leaf water potential when growth is zero and leaf water potential when net photosynthesis is zero). A wider C safety margin in E. globulus was defined by an earlier cessation of growth relative to photosynthesis that reduced the demand for NSC while maintaining C acquisition. By contrast, the narrower C safety margin in P. radiata was characterized by a synchronous decline in growth and photosynthesis, whereby growth continued under a declining supply of NSC from photosynthesis. The narrower C safety margin in P. radiata was associated with declines in starch concentrations after ∼ 90 days of chronic drought and significant depletion of starch in all organs at mortality. The observed divergence in the sensitivity of drought responses is indicative of a potential trade-off between maintaining hydraulic safety and adequate C availability. © The Author 2014. Published by Oxford University Press. All rights reserved.

DRI Technical Program: Emerging Dynamics of the Marginal Ice Zone Ice, Ocean and Atmosphere Interactions in the Arctic Marginal Ice Zone. Year 3 Annual Report

DTIC Science & Technology

2014-09-30

Institution The Scottish Association for Marine Science tmaksym@whoi.edu Phil.Hwang@sams.ac.uk LONG-TERM GOALS This DRI TECHNICAL PROGRAM (Emerging...jpw28@bas.ac.uk tmaksym@whoi.edu Co-PRINCIPAL INVESTIGATOR: Byongjun (Phil) Hwang The Scottish Association for Marine Science Phil.Hwang@sams.ac.uk 2

A Collective Pursuit of Learning the Possibility to Be: The CAMP Experience Assisting Situationally Marginalized Mexican American Students to a Successful Student Identity

ERIC Educational Resources Information Center

Reyes, Reynaldo, III

2007-01-01

Many students of Mexican descent must learn how to be successful students. This study describes 5 students of Mexican descent from situationally marginalized lives who were a part of a support and retention scholarship program (College Assistance Migrant Program--CAMP). These case studies document how they perceived their learning and how they…

The Single Sex Debate for Girls in Science: A Comparison between Two Informal Science Programs on Middle School Students' STEM Identity Formation

ERIC Educational Resources Information Center

Hughes, Roxanne M.; Nzekwe, Brandon; Molyneaux, Kristen J.

2013-01-01

Currently, there are policy debates regarding the efficacy and legality of single sex formal and informal education programs. This issue is particularly poignant in science education due to the historical marginalization of women in these fields. This marginalization has resulted in women being positioned as a stigmatized group within many…

Feasibility of Using Fluorescence Spectrophotometry to Develop a Sensitive Dye Immersion Method for Container Closure Integrity Testing of Prefilled Syringes.

PubMed

Lu, Xujin; Lloyd, David K; Klohr, Steven E

2016-01-01

A feasibility study was conducted for a sensitive and robust dye immersion method for the measurement of container closure integrity of unopened prefilled syringes using fluorescence spectrophotometry as the detection method. A Varian Cary Eclipse spectrofluorometer was used with a custom-made sample holder to position the intact syringe in the sample compartment for fluorescence measurements. Methylene blue solution was initially evaluated as the fluorophore in a syringe with excitation at 607 nm and emission at 682 nm, which generated a limit of detection of 0.05 μg/mL. Further studies were conducted using rhodamine 123, a dye with stronger fluorescence. Using 480 nm excitation and 525 nm emission, the dye in the syringe could be easily detected at levels as low as 0.001 μg/mL. The relative standard deviation for 10 measurements of a sample of 0.005 μg/mL (with repositioning of the syringe after each measurement) was less than 1.1%. A number of operational parameters were optimized, including the photomultiplier tube voltage, excitation, and emission slit widths. The specificity of the testing was challenged by using marketed drug products and a protein sample, which showed no interference to the rhodamine detection. Results obtained from this study demonstrated that using rhodamine 123 for container closure integrity testing with in-situ (in-syringe) fluorescence measurements significantly enhanced the sensitivity and robustness of the testing and effectively overcame limitations of the traditional methylene blue method with visual or UV-visible absorption detection. Ensuring container closure integrity of injectable pharmaceutical products is necessary to maintain quality throughout the shelf life of a sterile drug product. Container closure integrity testing has routinely been used to evaluate closure integrity during product development and production line qualification of prefilled syringes, vials, and devices. However, container closure integrity testing has recently gained industry attention due to increased regulatory agency scrutiny regarding the analytical rigor of container closure integrity testing methods and expectations to use container closure integrity testing in lieu of sterility tests in stability programs. Methylene blue dye is often used for dye ingress testing of container closure integrity, but we found it unsuitable for reliable detection of small breaches in prefilled syringes of drug product. This work describes the suitability and advantages of using a fluorescent dye and spectroscopic detection for a robust, sensitive, and quality control-friendly container closure integrity testing method for prefilled syringes. © PDA, Inc. 2016.

Development of explosively driven launcher for meteoroid studies

NASA Technical Reports Server (NTRS)

Baum, D. W.

1973-01-01

The results of a continuing program to develop an explosively driven 2-stage hypervelocity launcher capable of achieving velocities between 15 and 20 km/sec are described. Previous efforts had identified incomplete barrel collapse as a limiting factor in launcher performance. Correlation of experimental and computational results obtained in the present study indicate that boundary-layer gases within the barrel act to prevent complete closure. Simplified calculations suggest that in-contact explosives may have insufficient energy densities to collapse the barrel against a developed boundary layer. Higher energy densities, sufficient to produce complete closure, were obtained with the use of steel flyer plates accelerated by a phased explosive lens. However, when flat flyer plates were impacted on the barrel, the sides of the barrel were observed to rupture and leak gas prior to barrel closure. A promising solution to this problem (untested) is to produce a symmetrical collapse with a cylindrical tube around the barrel.

Annual Report, Fall 2016: Identifying Cost Effective Tank Waste Characterization Approaches

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

Reboul, S. H.; DiPrete, D. P.

2016-12-12

This report documents the activities that were performed during the second year of a project undertaken to improve the cost effectiveness and timeliness of SRNL’s tank closure characterization practices. The activities performed during the first year of the project were previously reported in SRNL-STI-2015-00144. The scope of the second year activities was divided into the following three primary tasks: 1) develop a technical basis and strategy for improving the cost effectiveness and schedule of SRNL’s tank closure characterization program; 2) initiate the design and assembly of a new waste removal system for improving the throughput and reducing the personnel dosemore » associated with extraction chromatography radiochemical separations; and 3) develop and perform feasibility testing of three alternative radiochemical separation protocols holding promise for improving high resource demand/time consuming tank closure sample analysis methods.« less

From rifting to orogeny; using sediments to unlock the secrets of the Greater Caucasus

NASA Astrophysics Data System (ADS)

Vincent, Stephen; Guo, Li; Lavrishchev, Vladimir; Maynard, James; Harland, Melise

2017-04-01

The western Greater Caucasus formed by the tectonic inversion of the western strand of the Greater Caucasus Basin, a Mesozoic rift that opened at the southern margin of Laurasia. Facies analysis has identified fault-bounded regions of basinal, turbiditic and hemipelagic sediments. These are flanked by areas of marginal, shallow marine sediments to the north and south. Subsidence analysis derived from lithology, thickness and palaeowater depth data indicates that the main phase of rifting occurred during the Aalenian to Bajocian synchronous with that in the eastern Alborz and, possibly, the South Caspian Basin. Secondary episodes of subsidence during the late Tithonian to Berriasian and Hauterivian to early Aptian are tentatively linked to initial rifting within the western, and possibly eastern, Black Sea, and during the late Campanian to Danian to the opening of the eastern Black Sea. Initial uplift, subaerial exposure and sediment derivation from the western Greater Caucasus occurred at the Eocene-Oligocene transition. Oligocene and younger sediments on the southern margin of the former basin were derived from the inverting basin and uplifted parts of its northern margin, indicating that the western Greater Caucasus Basin had closed by this time. The previous rift flanks were converted to flexural basins that accumulated thick, typically hemipelagic and turbiditic sediments in the early, underfilled, stage of their development. A predominance of pollen representing a montane forest environment (dominated by Pinacean pollen) within these sediments suggests that the uplifting Caucasian hinterland had a paleoaltitude of around 2 km from Early Oligocene time. The closure of the western Greater Caucasus Basin and significant uplift of the range at c. 34 Ma is earlier than stated in many studies and needs to be incorporated into geodynamic models for the Arabia-Eurasia region.

Improving ethical and participatory practice for marginalized populations in biomedical HIV prevention trials: lessons from Thailand.

PubMed

Allman, Dan; Ditmore, Melissa Hope; Kaplan, Karyn

2014-01-01

This paper presents findings from a qualitative investigation of ethical and participatory issues related to the conduct of biomedical HIV prevention trials among marginalized populations in Thailand. This research was deemed important to conduct, as several large-scale biomedical HIV prevention trials among marginalized populations had closed prematurely in other countries, and a better understanding of how to prevent similar trial closures from occurring in the future was desired. In-depth key informant interviews were held in Bangkok and Chiang Mai, Thailand. Interviews were audio recorded, transcribed, translated and thematically analyzed. The Good Participatory Practice Guidelines for Biomedical HIV Prevention Trials (GPP) guided this work. Fourteen interviews were conducted: 10 with policymakers, academic and community-based researchers and trial staff and four with representatives of non-governmental organizations (NGOs). Suggested ways to improve ethical and participatory practice centered on standards of HIV prevention, informed consent, communication and human rights. In particular, the need to overcome language and literacy differences was identified. Key informants felt communication was the basis of ethical understanding and trust within biomedical HIV prevention trial contexts, and thus fundamental to trial participants' ability to exercise free will. Biomedical HIV prevention trials present opportunities for inclusive and productive ethical and participatory practice. Key informants suggested that efforts to improve practice could result in better relationships between research stakeholders and research investigative teams and by extension, better, more ethical participatory trials. This research took place in Thailand and its findings apply primarily to Thailand. However, given the universality of many ethical considerations, the results of this study can inform the improvement of ethical and participatory practice in other parts of the world where biomedical HIV prevention trials occur, and where clinical trials in marginalized populations continue.

The Development of Dynamic Human Reliability Analysis Simulations for Inclusion in Risk Informed Safety Margin Characterization Frameworks

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

Jeffrey C. Joe; Diego Mandelli; Ronald L. Boring

2015-07-01

The United States Department of Energy is sponsoring the Light Water Reactor Sustainability program, which has the overall objective of supporting the near-term and the extended operation of commercial nuclear power plants. One key research and development (R&D) area in this program is the Risk-Informed Safety Margin Characterization pathway, which combines probabilistic risk simulation with thermohydraulic simulation codes to define and manage safety margins. The R&D efforts to date, however, have not included robust simulations of human operators, and how the reliability of human performance or lack thereof (i.e., human errors) can affect risk-margins and plant performance. This paper describesmore » current and planned research efforts to address the absence of robust human reliability simulations and thereby increase the fidelity of simulated accident scenarios.« less

Power, discourse, and resistance: Poststructuralist influences in nursing.

PubMed

Holmes, Dave; Gagnon, Marilou

2018-01-01

Based on our respective research programs (psychiatry, forensic psychiatry, public health, HIV/AIDS, harm reduction) this article aims to use purposely non-conventional means to present the substantial contribution of poststructuralist perspectives to knowledge development in nursing science in general and in our current research in particular. More specifically, we call on the work of Michel Foucault and Deleuze & Guattari to politicize nursing science using examples from our empirical research programs with marginal and often highly marginalized populations. We discuss the concepts of power, discourse, and resistance to illustrate the essential contribution of poststructuralism to marginal, even "nomadic", nursing research. © 2017 John Wiley & Sons Ltd.

An evaluation of abdominal wall closure in general surgical and gynecological residents.

PubMed

Williams, Z; Williams, S; Easley, H A; Seita, H M; Hope, W W

2017-12-01

To evaluate abdominal wall closure knowledge base and technical skills in surgical and OB/GYN residents. Residents consented to participate in a skills laboratory and quiz. The skills portion involved closure of a 10-cm incision on a simulated abdominal wall. Participants were timed, filmed, and graded using a standardized grading system. Thirty surgical and OB/GYN residents participated. All residents reported closing the abdominal wall continuously, 97% preferred slowly absorbing sutures (28/29), 97% preferred taking 1-cm bites (29/30), and 93% spaced bites 1 cm apart (27/29). However, 77% (10/13) of surgery residents identified 4:1 as the ideal suture to wound length ratio; 47% (7/15) of OB/GYN residents believed it to be 2:1, and another 40% (6/15) indicated 3:1 (p < 0.0001). In the simulation, OB/GYN residents used significantly fewer stitches (p = 0.0028), significantly more distance between bites (p < 0.0001), and significantly larger bite size (p < 0.0001) than surgery residents. When graded, there was no significant difference between programs. Despite some knowledge regarding the principles of abdominal wall closure among surgical and OB/GYN residents, more instruction is needed. We identified some differences in knowledge base and techniques for abdominal wall closure among general surgery and OB/GYN residents, which are likely due to differences in educational curriculums.

Dislocated Workers. Trade Adjustment Assistance Program Flawed. Statement of Linda G. Morra, Director of Education and Employment Issues, Human Resources Division. Testimony before the Subcommittee on Employment, Housing and Aviation, Committee on Government Operations, House of Representatives.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC. Div. of Human Resources.

The Trade Adjustment Assistance (TAA) program is designed to help the more than 1 million workers per year who lose their jobs because of permanent layoffs or plant closures, due in part because of imports. Studies show, however, that the TAA program fails to meet the seven goals of a successful reemployment assistance program: (1) TAA benefits…

Secretion of SDF-1α by bone marrow-derived stromal cells enhances skin wound healing of C57BL/6 mice exposed to ionizing radiation

PubMed Central

Landry, Yannick; Lê, Oanh; Mace, Kimberly A; Restivo, Terry E; Beauséjour, Christian M

2010-01-01

Abstract Patients treated for cancer therapy using ionizing radiation (IR) have delayed tissue repair and regeneration. The mechanisms mediating these defects remain largely unknown at present, thus limiting the development of therapeutic approaches. Using a wound healing model, we here investigate the mechanisms by which IR exposure limits skin regeneration. Our data show that induction of the stromal cell-derived growth factor 1α (SDF-1α) is severely impaired in the wounded skin of irradiated, compared to non-irradiated, mice. Hence, we evaluated the potential of bone marrow-derived multipotent stromal cells (MSCs), which secrete high levels of SDF-1α, to improve skin regeneration in irradiated mice. Injection of MSCs into the wound margin led to remarkable enhancement of skin healing in mice exposed to IR. Injection of irradiated MSCs into the wound periphery of non-irradiated mice delayed wound closure, also suggesting an important role for the stromal microenvironment in skin repair. The beneficial actions of MSCs were mainly paracrine, as the cells did not differentiate into keratinocytes. Specific knockdown of SDF-1α expression led to drastically reduced efficiency of MSCs in improving wound closure, indicating that SDF-1α secretion by MSCs is largely responsible for their beneficial action. We also found that one mechanism by which SDF-1α enhances wound closure likely involves increased skin vascularization. Our findings collectively indicate that SDF-1α is an important deregulated cytokine in irradiated wounded skin, and that the decline in tissue regeneration potential following IR can be reversed, given adequate microenvironmental support PMID:19725920

Reconstructing Plate Boundaries in the Jurassic Neo-Tethys From the East and West Vardar Ophiolites (Greece and Serbia)

NASA Astrophysics Data System (ADS)

Maffione, Marco; van Hinsbergen, Douwe J. J.

2018-03-01

Jurassic subduction initiation in the Neo-Tethys Ocean eventually led to the collision of the Adria-Africa and Eurasia continents and the formation of an 6,000 km long Alpine orogen spanning from Iberia to Iran. Reconstructing the location and geometry of the plate boundaries of the now disappeared Neo-Tethys during the initial moments of its closure is instrumental to perform more realistic plate reconstructions of this region, of ancient ocean basins in general, and on the process of subduction initiation. Neo-Tethyan relics are preserved in an ophiolite belt distributed above the Dinaric-Hellenic fold-thrust belt. Here we provide the first quantitative constraints on the geometry of the spreading ridges and trenches active in the Jurassic Neo-Tethys using a paleomagnetically based net tectonic rotation analysis of sheeted dykes and dykes from the West and East Vardar Ophiolites of Serbia (Maljen and Ibar) and Greece (Othris, Pindos, Vourinos, and Guevgueli). Based on our results and existing geological evidence, we show that initial Middle Jurassic ( 175 Ma) closure of the western Neo-Tethys was accommodated at a N-S trending, west dipping subduction zone initiated near and parallel to the spreading ridge. The West Vardar Ophiolites formed in the forearc parallel to this new trench. Simultaneously, the East Vardar Ophiolites formed above a second N-S to NW-SE trending subduction zone located close to the European passive margin. We tentatively propose that this second subduction zone had been active since at least the Middle Triassic, simultaneously accommodating the closure of the Paleo-Tethys and the back-arc opening of Neo-Tethys.

Tectono-stratigraphy of the Orhaniye Basin, Turkey: Implications for collision chronology and Paleogene biogeography of central Anatolia

NASA Astrophysics Data System (ADS)

Licht, A.; Coster, P.; Ocakoğlu, F.; Campbell, C.; Métais, G.; Mulch, A.; Taylor, M.; Kappelman, John; Beard, K. Christopher

2017-08-01

Located along the İzmir-Ankara-Erzincan Suture (IAES), the Maastrichtian - Paleogene Orhaniye Basin has yielded a highly enigmatic -yet poorly dated- Paleogene mammal fauna, the endemic character of which has suggested high faunal provincialism associated with paleogeographic isolation of the Anatolian landmass during the early Cenozoic. Despite its biogeographic significance, the tectono-stratigraphic history of the Orhaniye Basin has been poorly documented. Here, we combine sedimentary, magnetostratigraphic, and geochronological data to infer the chronology and depositional history of the Orhaniye Basin. We then assess how our new data and interpretations for the Orhaniye Basin impact (1) the timing and mechanisms of seaway closure along the IAES and (2) the biogeographic evolution of Anatolia. Our results show that the Orhaniye Basin initially developed as a forearc basin during the Maastrichtian, before shifting to a retroarc foreland basin setting sometime between the early Paleocene and 44 Ma. This chronology supports a two-step scenario for the assemblage of the central Anatolian landmass, with incipient collision during the Paleocene - Early Eocene and final seaway retreat along the IAES during the earliest Late Eocene after the last marine incursion into the foreland basin. Our dating for the Orhaniye mammal fauna (44-43 Ma) indicates the persistence of faunal endemism in northern Anatolia until at least the late Lutetian despite the advanced stage of IAES closure. The tectonic evolution of dispersal corridors linking northern Anatolia with adjacent parts of Eurasia was not directly associated with IAES closure and consecutive uplifts, but rather with the build-up of continental bridges on the margins of Anatolia, in the Alpine and Tibetan-Himalayan orogens.

Oral paracetamol versus oral ibuprofen for closure of haemodynamically significant patent ductus arteriosus in preterm neonates (<32 weeks): a blinded, randomised, active-controlled, non-inferiority trial

PubMed Central

Kumar, Ashutosh; Sundaram, Venkataseshan; Yadav, Rahul; Oleti, Tejo Pratap; Murki, Srinivas; Krishna, Arun; Sundaram, Mangalabharathi; Saini, Shiv Sajan; Dutta, Sourabh

2017-01-01

Introduction Haemodynamically significant patent ductus arteriosus (hsPDA) is a common cause of mortality and morbidity in preterm infants. Existing medical therapies with ibuprofen or indomethacin have multiple adverse effects. Hence, an alternative drug like paracetamol given through oral route with less side effects need to be tested in an appropriate study design with least risk of bias to arrive at a conclusion. Methods and analysis Multisite, randomised, active-controlled, non-inferiority design. The primary objective is to study the efficacy of oral paracetamol for closure of hsPDA in comparison to oral ibuprofen in preterm neonates of <32 weeks’ gestation. Randomisation web-based and allocation concealment would be done; the treating team, investigators, outcome assessors and laboratory personnel would be blinded from the intervention. Echocardiography images would be coded for independent review. Closure of PDA by the end of last dose of study drug or earlier would be the study endpoint. A sample size of 196 neonates would be enrolled with a non-inferiority margin of 15%. Both intention-to-treat and per-protocol analysis will be done to assess the effect of contamination and protocol violations in the primary outcome. Ethics and dissemination The trial would follow international code of ethics for clinical trial. The trial protocol was approved by the Institute Ethics Committee of all three centres. All serious adverse events would be reported in detail to the Institute Ethics Committee. A written informed consent would be obtained from one of the parents. No plan has been made for dissemination. Trial registration number CTRI/2014/08/004805. PMID:29637155

Premature femoral neck physeal closure in Perthes' disease.

PubMed

Bowen, J R; Schreiber, F C; Foster, B K; Wein, B K

1982-01-01

One hundred premature femoral neck physeal closures in 430 hips with Perthes' disease have occurred in two patterns central and lateral. Abnormal physeal growth can be demonstrated early by a narrowed physeal plate with overlying avascular epiphysis and marked metaphyseal reaction below. Subsequently, a bony bridge forms between the metaphysis and epiphysis. If the physeal closure is central, the mature hip will have a short femoral neck, a relatively round femoral head, a trochanter that has overgrown the femoral head, a short leg, and a mildly deformed acetabulum. If the physeal closure is lateral, the mature hip will have a femoral head that is externally tilted as the medial neck lengthens and the lateral neck remains short, a trochanter that has overgrown the femoral head, an oval femoral head, a short leg, and a deformed acetabulum. A physeal arrest is a contraindication for a varus osteotomy because it accentuates the deformity, especially in the greater trochanter. The leg-length discrepancy may be treated by epiphysiodesis of the contralateral femur, when necessary, and the abductor muscle insufficiency may be treated by an exercise program or distal and lateral transfer of the greater trochanter.

Bounds on stochastic chemical kinetic systems at steady state

NASA Astrophysics Data System (ADS)

Dowdy, Garrett R.; Barton, Paul I.

2018-02-01

The method of moments has been proposed as a potential means to reduce the dimensionality of the chemical master equation (CME) appearing in stochastic chemical kinetics. However, attempts to apply the method of moments to the CME usually result in the so-called closure problem. Several authors have proposed moment closure schemes, which allow them to obtain approximations of quantities of interest, such as the mean molecular count for each species. However, these approximations have the dissatisfying feature that they come with no error bounds. This paper presents a fundamentally different approach to the closure problem in stochastic chemical kinetics. Instead of making an approximation to compute a single number for the quantity of interest, we calculate mathematically rigorous bounds on this quantity by solving semidefinite programs. These bounds provide a check on the validity of the moment closure approximations and are in some cases so tight that they effectively provide the desired quantity. In this paper, the bounded quantities of interest are the mean molecular count for each species, the variance in this count, and the probability that the count lies in an arbitrary interval. At present, we consider only steady-state probability distributions, intending to discuss the dynamic problem in a future publication.

Technical Review of Retrieval and Closure Plans for the INEEL INTEC Tank Farm Facility

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

Bamberger, Judith A; Burks, Barry L; Quigley, Keith D

2001-09-28

The purpose of this report is to document the conclusions of a technical review of retrieval and closure plans for the Idaho National Energy and Environmental Laboratory (INEEL) Idaho Nuclear Technology and Engineering Center (INTEC) Tank Farm Facility. In addition to reviewing retrieval and closure plans for these tanks, the review process served as an information exchange mechanism so that staff in the INEEL High Level Waste (HLW) Program could become more familiar with retrieval and closure approaches that have been completed or are planned for underground storage tanks at the Oak Ridge National Laboratory (ORNL) and Hanford sites. Thismore » review focused not only on evaluation of the technical feasibility and appropriateness of the approach selected by INEEL but also on technology gaps that could be addressed through utilization of technologies or performance data available at other DOE sites and in the private sector. The reviewers, Judith Bamberger of Pacific Northwest National Laboratory (PNNL) and Dr. Barry Burks of The Providence Group Applied Technology, have extensive experience in the development and application of tank waste retrieval technologies for nuclear waste remediation.« less

Geochronological and sedimentological evidences of Panyangshan foreland basin for tectonic control on the Late Paleozoic plate marginal orogenic belt along the northern margin of the North China Craton

NASA Astrophysics Data System (ADS)

Li, Jialiang; Zhou, Zhiguang; He, Yingfu; Wang, Guosheng; Wu, Chen; Liu, Changfeng; Yao, Guang; Xu, Wentao; Zhao, Xiaoqi; Dai, Pengfei

2017-08-01

There is a wide support that the Inner Mongolia Palaeo-uplift on the northern margin of the North China Craton has undergone an uplifting history. However, when and how did the uplift occurred keeps controversial. Extensive field-based structural, metamorphic, geochemical, geochronological and geophysical investigations on the Inner Mongolia Palaeo-uplift, which suggested that the Inner Mongolia Palaeo-uplift was an uplifted region since the Early Precambrian or range from Late Carboniferous-Early Jurassic. The geochemical characteristics of the Late Paleozoic to Early Mesozoic intrusive rocks indicated that the Inner Mongolia Palaeo-uplift was an Andean-type continental margin that is the extensional tectonic setting. To address the spatial and temporal development of the Inner Mongolia Palaeo-uplift, we have carried out provenance analysis of Permian sedimentary rocks which collected from the Panyangshan basin along the northern margin of the North China Craton. The QFL diagram revealed a dissected arc-recycled orogenic tectonic setting. Moreover, the framework grains are abundant with feldspar (36-50%), indicating the short transport distance and unstable tectonic setting. Detrital zircon U-Pb analysis ascertained possible provenance information: the Precambrian basement ( 2490 and 1840 Ma) and continental arc magmatic action ( 279 and 295 Ma) along the northern margin of the North China Craton. The projection in rose diagrams of the mean palaeocurrent direction, revealing the SSW and SSE palaeoflow direction, also shows the provenance of the Panyangshan basin sources mainly from the Inner Mongolia Palaeo-uplift. The andesite overlying the Naobaogou Formation has yielded U-Pb age of 277.3 ± 1.4 Ma. The additional dioritic porphyry dike intruded the Naobaogou and Laowopu Formations, which has an emplacement age of 236 ± 1 Ma. The above data identify that the basin formed ranges from Early Permian to Middle Triassic (277-236 Ma). Accordingly, the Inner Mongolia Palaeo-uplift also was developed in the Early Permian to Middle Triassic (277-236 Ma), related to the final closure of the Paleo-Asian Ocean. Furthermore, we advocate that the tectonic setting of Inner Mongolia Palaeo-uplift probably belonged to the plate marginal orogenic belt during Early Permian-Middle Triassic.

Geochronological and sedimentological evidences of Panyangshan foreland basin for tectonic control on the Late Paleozoic plate marginal orogenic belt along the northern margin of the North China Craton

NASA Astrophysics Data System (ADS)

Li, Jialiang; Zhou, Zhiguang; He, Yingfu; Wang, Guosheng; Wu, Chen; Liu, Changfeng; Yao, Guang; Xu, Wentao; Zhao, Xiaoqi; Dai, Pengfei

2018-06-01

There is a wide support that the Inner Mongolia Palaeo-uplift on the northern margin of the North China Craton has undergone an uplifting history. However, when and how did the uplift occurred keeps controversial. Extensive field-based structural, metamorphic, geochemical, geochronological and geophysical investigations on the Inner Mongolia Palaeo-uplift, which suggested that the Inner Mongolia Palaeo-uplift was an uplifted region since the Early Precambrian or range from Late Carboniferous-Early Jurassic. The geochemical characteristics of the Late Paleozoic to Early Mesozoic intrusive rocks indicated that the Inner Mongolia Palaeo-uplift was an Andean-type continental margin that is the extensional tectonic setting. To address the spatial and temporal development of the Inner Mongolia Palaeo-uplift, we have carried out provenance analysis of Permian sedimentary rocks which collected from the Panyangshan basin along the northern margin of the North China Craton. The QFL diagram revealed a dissected arc-recycled orogenic tectonic setting. Moreover, the framework grains are abundant with feldspar (36-50%), indicating the short transport distance and unstable tectonic setting. Detrital zircon U-Pb analysis ascertained possible provenance information: the Precambrian basement ( 2490 and 1840 Ma) and continental arc magmatic action ( 279 and 295 Ma) along the northern margin of the North China Craton. The projection in rose diagrams of the mean palaeocurrent direction, revealing the SSW and SSE palaeoflow direction, also shows the provenance of the Panyangshan basin sources mainly from the Inner Mongolia Palaeo-uplift. The andesite overlying the Naobaogou Formation has yielded U-Pb age of 277.3 ± 1.4 Ma. The additional dioritic porphyry dike intruded the Naobaogou and Laowopu Formations, which has an emplacement age of 236 ± 1 Ma. The above data identify that the basin formed ranges from Early Permian to Middle Triassic (277-236 Ma). Accordingly, the Inner Mongolia Palaeo-uplift also was developed in the Early Permian to Middle Triassic (277-236 Ma), related to the final closure of the Paleo-Asian Ocean. Furthermore, we advocate that the tectonic setting of Inner Mongolia Palaeo-uplift probably belonged to the plate marginal orogenic belt during Early Permian-Middle Triassic.

Summary Report on the Audit of Defense Base Realignment and Closure Budget Data

DTIC Science & Technology

1996-04-03

management control program as it applied to the audit objectives. This report summarizes the results of the specific objectives in Finding A and discusses the management control objective in Finding B.

40 CFR 63.961 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES (CONTINUED) National Emission... air emissions to the atmosphere by blocking an opening to the individual drain system. Closure devices...

Practical operational implementation of Teton Pass avalanche monitoring infrasound system.

DOT National Transportation Integrated Search

2008-12-01

Highway snow avalanche forecasting programs typically rely on weather and field observations to make road closure and hazard : evaluations. Recently, infrasonic avalanche monitoring technology has been developed for practical use near Teton Pass, WY ...

CELSS Transportation Analysis

NASA Technical Reports Server (NTRS)

Olson, R. L.; Gustan, E. A.; Vinopal, T. J.

1985-01-01

Regenerative life support systems based on the use of biological material was considered for inclusion in manned spacecraft. Biological life support systems are developed in the controlled ecological life support system (CELSS) program. Because of the progress achieved in the CELSS program, it is determined which space missions may profit from use of the developing technology. Potential transportation cost savings by using CELSS technology for selected future manned space missions was evaluated. Six representative missions were selected which ranged from a low Earth orbit mission to those associated with asteroids and a Mars sortie. The crew sizes considered varied from four persons to five thousand. Other study parameters included mission duration and life support closure percentages, with the latter ranging from complete resupply of consumable life support materials to 97% closure of the life support system. The analytical study approach and the missions and systems considered, together with the benefits derived from CELSS when applicable are described.

COVER: A user's guide to the CANOPY and SHRUBS extension of the Stand Prognosis Model

Treesearch

Melinda Moeur

1985-01-01

The COVER model predicts vertical and horizontal tree canopy closure, tree foliage biomass, and the probability of occurrence, height, and cover of shrubs in forest stands. This paper documents use of the COVER program, an adjunct to the Stand Prognosis Model. Preparation of input, interpretation of output, program control, model characteristics, and example...

Control Relevant Modeling and Design of Scramjet-Powered Hypersonic Vehicles

NASA Astrophysics Data System (ADS)

Dickeson, Jeffrey James

This report provides an overview of scramjet-powered hypersonic vehicle modeling and control challenges. Such vehicles are characterized by unstable non-minimum phase dynamics with significant coupling and low thrust margins. Recent trends in hypersonic vehicle research are summarized. To illustrate control relevant design issues and tradeoffs, a generic nonlinear 3DOF longitudinal dynamics model capturing aero-elastic-propulsive interactions for wedge-shaped vehicle is used. Limitations of the model are discussed and numerous modifications have been made to address control relevant needs. Two different baseline configurations are examined over a two-stage to orbit ascent trajectory. The report highlights how vehicle level-flight static (trim) and dynamic properties change over the trajectory. Thermal choking constraints are imposed on control system design as a direct consequence of having a finite FER margin. The implication of this state-dependent nonlinear FER margin constraint, the right half plane (RHP) zero, and lightly damped flexible modes, on control system bandwidth (BW) and FPA tracking has been discussed. A control methodology has been proposed that addresses the above dynamics while providing some robustness to modeling uncertainty. Vehicle closure (the ability to fly a trajectory segment subject to constraints) is provided through a proposed vehicle design methodology. The design method attempts to use open loop metrics whenever possible to design the vehicle. The design method is applied to a vehicle/control law closed loop nonlinear simulation for validation. The 3DOF longitudinal modeling results are validated against a newly released NASA 6DOF code.

Mass extraction container closure integrity physical testing method development for parenteral container closure systems.

PubMed

Yoon, Seung-Yil; Sagi, Hemi; Goldhammer, Craig; Li, Lei

2012-01-01

Container closure integrity (CCI) is a critical factor to ensure that product sterility is maintained over its entire shelf life. Assuring the CCI during container closure (C/C) system qualification, routine manufacturing and stability is important. FDA guidance also encourages industry to develop a CCI physical testing method in lieu of sterility testing in a stability program. A mass extraction system has been developed to check CCI for a variety of container closure systems such as vials, syringes, and cartridges. Various types of defects (e.g., glass micropipette, laser drill, wire) were created and used to demonstrate a detection limit. Leakage, detected as mass flow in this study, changes as a function of defect length and diameter. Therefore, the morphology of defects has been examined in detail with fluid theories. This study demonstrated that a mass extraction system was able to distinguish between intact samples and samples with 2 μm defects reliably when the defect was exposed to air, water, placebo, or drug product (3 mg/mL concentration) solution. Also, it has been verified that the method was robust, and capable of determining the acceptance limit using 3σ for syringes and 6σ for vials. Sterile products must maintain their sterility over their entire shelf life. Container closure systems such as those found in syringes and vials provide a seal between rubber and glass containers. This seal must be ensured to maintain product sterility. A mass extraction system has been developed to check container closure integrity for a variety of container closure systems such as vials, syringes, and cartridges. In order to demonstrate the method's capability, various types of defects (e.g., glass micropipette, laser drill, wire) were created in syringes and vials and were tested. This study demonstrated that a mass extraction system was able to distinguish between intact samples and samples with 2 μm defects reliably when the defect was exposed to air, water, placebo, or drug product (3 mg/mL concentration) solution. Also, it was verified that the method showed consistent results, and was able to determine the acceptance limit using 3σ for syringes and 6σ for vials.

Use of nonlinear programming to optimize performance response to energy density in broiler feed formulation.

PubMed

Guevara, V R

2004-02-01

A nonlinear programming optimization model was developed to maximize margin over feed cost in broiler feed formulation and is described in this paper. The model identifies the optimal feed mix that maximizes profit margin. Optimum metabolizable energy level and performance were found by using Excel Solver nonlinear programming. Data from an energy density study with broilers were fitted to quadratic equations to express weight gain, feed consumption, and the objective function income over feed cost in terms of energy density. Nutrient:energy ratio constraints were transformed into equivalent linear constraints. National Research Council nutrient requirements and feeding program were used for examining changes in variables. The nonlinear programming feed formulation method was used to illustrate the effects of changes in different variables on the optimum energy density, performance, and profitability and was compared with conventional linear programming. To demonstrate the capabilities of the model, I determined the impact of variation in prices. Prices for broiler, corn, fish meal, and soybean meal were increased and decreased by 25%. Formulations were identical in all other respects. Energy density, margin, and diet cost changed compared with conventional linear programming formulation. This study suggests that nonlinear programming can be more useful than conventional linear programming to optimize performance response to energy density in broiler feed formulation because an energy level does not need to be set.

Filamin A Mediates Wound Closure by Promoting Elastic Deformation and Maintenance of Tension in the Collagen Matrix

PubMed Central

Mohammadi, Hamid; Pinto, Vanessa I.; Wang, Yongqiang; Hinz, Boris; Janmey, Paul A.; McCulloch, Christopher A.

2016-01-01

Cell-mediated remodeling and wound closure are critical for efficient wound healing, but the contribution of actin-binding proteins to contraction of the extracellular matrix is not defined. We examined the role of filamin A (FLNa), an actin filament cross-linking protein, in wound contraction and maintenance of matrix tension. Conditional deletion of FLNa in fibroblasts in mice was associated with ~ 4 day delay of full-thickness skin wound contraction compared with wild-type (WT) mice. We modeled the healing wound matrix using cultured fibroblasts plated on grid-supported collagen gels that create lateral boundaries, which are analogues to wound margins. In contrast to WT cells, FLNa knockdown (KD) cells could not completely maintain tension when matrix compaction was resisted by boundaries, which manifested as relaxed matrix tension. Similarly, WT cells on cross-linked collagen, which requires higher levels of sustained tension, exhibited approximately fivefold larger deformation fields and approximately twofold greater fiber alignment compared with FLNa KD cells. Maintenance of boundary-resisted tension markedly influenced the elongation of cell extensions: in WT cells, the number (~50%) and length (~300%) of cell extensions were greater than FLNa KD cells. We conclude that FLNa is required for wound contraction, in part by enabling elastic deformation and maintenance of tension in the matrix. PMID:26134946

Fidgetin-like 2: a microtubule-based regulator of wound healing

PubMed Central

Charafeddine, Rabab A.; Makdisi, Joy; Schairer, David; O’Rourke, Brian P.; Diaz-Valencia, Juan D.; Chouake, Jason; Kutner, Allison; Krausz, Aimee; Adler, Brandon; Nacharaju, Parimala; Liang, Hongying; Mukherjee, Suranjana; Friedman, Joel M.; Friedman, Adam; Nosanchuk, Joshua D.; Sharp, David J.

2015-01-01

Wound healing is a complex process driven largely by the migration of a variety of distinct cell types from the wound margin into the wound zone. In this study, we identify the previously uncharacterized microtubule-severing enzyme, Fidgetin-like 2 (FL2), as a fundamental regulator of cell migration that can be targeted in vivo using nanoparticle-encapsulated siRNA to promote wound closure and regeneration. In vitro, depletion of FL2 from mammalian tissue culture cells results in a more than two-fold increase in the rate of cell movement, due in part to a significant increase in directional motility. Immunofluorescence analyses indicate that FL2 normally localizes to the cell edge, importantly to the leading edge of polarized cells, where it regulates the organization and dynamics of the microtubule cytoskeleton. To clinically translate these findings, we utilized a nanoparticle-based siRNA delivery platform to locally deplete FL2 in both murine full-thickness excisional and burn wounds. Topical application of FL2 siRNA nanoparticles to either wound type results in a significant enhancement in the rate and quality of wound closure both clinically and histologically relative to controls. Taken together, these results identify FL2 as a promising therapeutic target to promote the regeneration and repair of cutaneous wounds. PMID:25756798

Unintended costs and consequences of school closures implemented in preparation for Hurricane Isaac in Harrison County School District, Mississippi, August-September 2012

PubMed Central

Zheteyeva, Yenlik; Rainey, Jeanette J.; Gao, Hongjiang; Jacobson, Evin U.; Adhikari, Bishwa B.; Shi, Jianrong; Mpofu, Jonetta J.; Bhavnani, Darlene; Dobbs, Thomas; Uzicanin, Amra

2017-01-01

Introduction School closures, while an effective measure against the spread of disease during a pandemic, may carry unintended social and economic consequences for students and families. We evaluated these costs and consequences following a 4-day school closure in Mississippi’s Harrison County School District (HCSD). Methods In a survey of all households with students enrolled in HCSD, we collected information on difficulties related to the school closure, including interruption of employment and pay, loss of access to subsidized school meals, and arrangement of alternative childcare. We analyzed this information in the context of certain demographic characteristics of the survey respondents and households, such as race, level of education, and income. We also estimated the average number of lost work days and documented the childcare alternatives chosen by households affected by the school closure. Results We received 2,229 (28.4%) completed surveys from an estimated 7,851 households eligible to participate. About half (1,082 [48.5%]) of the households experienced at least some difficulty during the closure, primarily in three areas: uncertainty about duration of the closure, lost income, and the effort of arranging alternate childcare. Adults working outside the home, particularly the major wage earner in the household, were more likely to suffer lost income while schools were closed, an effect mitigated by paid leave benefits. Difficulty arranging childcare was reported most frequently by respondents with lower levels of education and households with younger children. Beyond the top three concerns expressed by households in HCSD, the survey also shed light on the issue of food insecurity when subsidized school meals are not available. Reported by 17.9% of households participating in the subsidized school lunch program, difficulty providing meals during the closure was associated with higher numbers of dependent children, selection of “other” as the race of the household respondent, and lower levels of education. Conclusion To help prevent undue financial hardship in families of school children, public health authorities and school administrators should provide recommendations for childcare alternatives and paid leave or remote work options during prolonged school closures, particularly to households in which all adults work outside of the home. PMID:29091717

The Soft Palate Friendly Speech Bulb for Velopharyngeal Insufficiency.

PubMed

Kahlon, Sukhdeep Singh; Kahlon, Monaliza; Gupta, Shilpa; Dhingra, Parvinder Singh

2016-09-01

Velopharyngeal insufficiency is an anatomic defect of the soft palate making palatopharyngeal sphincter incomplete. It is an important concern to address in patients with bilateral cleft lip and palate. Speech aid prosthesis or speech bulbs are best choice in cases where surgically repaired soft palate is too short to contact pharyngeal walls during function but these prosthesis have been associated with inadequate marginal closure, ulcerations and patient discomfort. Here is a case report of untreated bilateral cleft lip and palate associated with palatal insufficiency treated by means of palate friendly innovative speech bulb. This modified speech bulb is a combination of hard acrylic and soft lining material. The hard self-curing acrylic resin covers only the hard palate area and a permanent soft silicone lining material covering the soft palate area. A claw-shaped wire component was extended backwards from acrylic and was embedded in soft silicone to aid in retention and approximation of two materials. The advantage of adding the soft lining material in posterior area helped in covering the adequate superior extension and margins for maximal pharyngeal activity. This also improved the hypernasality, speech, comfort and overall patient acceptance.

Simulation of active tectonic processes for a convecting mantle with moving continents

USGS Publications Warehouse

Trubitsyn, V.; Kaban, M.; Mooney, W.; Reigber, C.; Schwintzer, P.

2006-01-01

Numerical models are presented that simulate several active tectonic processes. These models include a continent that is thermally and mechanically coupled with viscous mantle flow. The assumption of rigid continents allows use of solid body equations to describe the continents' motion and to calculate their velocities. The starting point is a quasi-steady state model of mantle convection with temperature/ pressure-dependent viscosity. After placing a continent on top of the mantle, the convection pattern changes. The mantle flow subsequently passes through several stages, eventually resembling the mantle structure under present-day continents: (a) Extension tectonics and marginal basins form on boundary of a continent approaching to subduction zone, roll back of subduction takes place in front of moving continent; (b) The continent reaches the subduction zone, the extension regime at the continental edge is replaced by strong compression. The roll back of the subduction zone still continues after closure of the marginal basin and the continent moves towards the upwelling. As a result the ocean becomes non-symmetric and (c) The continent overrides the upwelling and subduction in its classical form stops. The third stage appears only in the upper mantle model with localized upwellings. ?? 2006 The Authors Journal compilation ?? 2006 RAS.

New zircon U-Pb LA-ICP-MS ages and Hf isotope data from the Central Pontides (Turkey): Geological and geodynamic constraints

NASA Astrophysics Data System (ADS)

Çimen, Okay; Göncüoğlu, M. Cemal; Simonetti, Antonio; Sayit, Kaan

2018-05-01

The Central Pontides in northern Anatolia is located on the accretionary complex formed by the closure of Neotethyan Intra-Pontide Ocean between the southern Eurasian margin (Istanbul-Zonguldak Terrane) and the Cimmerian Sakarya Composite Terrane. Among other components of the oceanic lithosphere, it comprises not yet well-dated felsic igneous rocks formed in arc-basin as well as continent margin settings. In-situ U-Pb age results for zircons from the arc-basin system (öangaldağ Metamorphic Complex) and the continental arc (Devrekani Metadiorite and Granitoid) yield ages of 176 ± 6 Ma, 163 ± 9 Ma and 165 ± 3 Ma, respectively. Corresponding in-situ average (initial) 176Hf/177Hf initial ratios are 0.28261 ± 0.00003, 0.28267 ± 0.00002 and 0.28290 ± 0.00004 for these units and indicative of a subduction-modified mantle source. The new U-Pb ages and Hf isotope data from these oceanic and continental arc units together with regional geological constraints support the presence of a multiple subduction system within the Intra-Pontide Ocean during the Middle Jurassic.

NRC Continental Margins Workshop

NASA Astrophysics Data System (ADS)

Katsouros, Mary Hope

The Ocean Studies Board of the National Research Council is organizing a workshop, “Continental Margins: Evolution of Passive Continental Margins and Active Marginal Processes,” to stimulate discussion and longterm planning in the scientific community about the evolution of all types of continental margins. We want to coordinate academic, industry, and government agency efforts in this field, and to enhance communication between sea-based and land-based research programs.The continental margins constitute the only available record of the long-term dynamic interaction of oceanic and continental lithosphere. Of great interest are the unique structures and thick sedimentary sequences associated with this interaction. A major focus of the workshop will be to define strategies for exploring and understanding the continental margins in three dimensions and through geologic time. The workshop will be divided into 7 working groups, each concentrating on a major issue in continental margins research. A background document is being prepared summarizing recent research in specific continental margin fields and identifying key scientific and technical issues.

NanTroSEIZE in 3-D: Creating a Virtual Research Experience in Undergraduate Geoscience Courses

NASA Astrophysics Data System (ADS)

Reed, D. L.; Bangs, N. L.; Moore, G. F.; Tobin, H.

2009-12-01

Marine research programs, both large and small, have increasingly added a web-based component to facilitate outreach to K-12 and the public, in general. These efforts have included, among other activities, information-rich websites, ship-to-shore communication with scientists during expeditions, blogs at sea, clips on YouTube, and information about daily shipboard activities. Our objective was to leverage a portion of the vast collection of data acquired through the NSF-MARGINS program to create a learning tool with a long lifespan for use in undergraduate geoscience courses. We have developed a web-based virtual expedition, NanTroSEIZE in 3-D, based on a seismic survey associated with the NanTroSEIZE program of NSF-MARGINS and IODP to study the properties of the plate boundary fault system in the upper limit of the seismogenic zone off Japan. The virtual voyage can be used in undergraduate classes at anytime, since it is not directly tied to the finite duration of a specific seagoing project. The website combines text, graphics, audio and video to place learning in an experiential framework as students participate on the expedition and carry out research. Students learn about the scientific background of the program, especially the critical role of international collaboration, and meet the chief scientists before joining the sea-going expedition. Students are presented with the principles of 3-D seismic imaging, data processing and interpretation while mapping and identifying the active faults that were the likely sources of devastating earthquakes and tsunamis in Japan in 1944 and 1948. They also learn about IODP drilling that began in 2007 and will extend through much of the next decade. The website is being tested in undergraduate classes in fall 2009 and will be distributed through the NSF-MARGINS website (http://www.nsf-margins.org/) and the MARGINS Mini-lesson section of the Science Education Resource Center (SERC) (http://serc.carleton.edu/margins/collection.html) in early 2010.

Biosphere 2 test module experimentation program

NASA Technical Reports Server (NTRS)

Alling, Abigail; Leigh, Linda S.; Maccallum, Taber; Alvarez-Romo, Norberto

1990-01-01

The Biosphere 2 Test Module is a facility which has the capability to do either short or long term closures: five month closures with plants were conducted. Also conducted were investigations of specific problems, such as trace gas purification by bioregenerative systems by in-putting a fixed concentration of a gas and observing its uptake over time. In other Test Module experiments, the concentration of one gas was changed to observe what effects this has on other gases present or on the system. The science of biospherics which encompasses the study of closed biological systems provides an opening into the future in space as well as in the Earth's biosphere.

300 Area process trench sediment analysis report

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

Zimmerman, M.G.; Kossik, C.D.

1987-12-01

This report describes the results of a sampling program for the sediments underlying the Process Trenches serving the 300 Area on the Hanford reservation. These Process Trenches were the subject of a Closure Plan submitted to the Washington State Department of Ecology and to the US Environmental Protection Agency in lieu of a Part B permit application on November 8, 1985. The closure plan described a proposed sampling plan for the underlying sediments and potential remedial actions to be determined by the sample analyses results. The results and proposed remedial action plan are presented and discussed in this report. 50more » refs., 6 figs., 8 tabs.« less

Severe Accident Sequence Analysis Program: Anticipated transient without scram simulations for Browns Ferry Nuclear Plant Unit 1

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

Dallman, R J; Gottula, R C; Holcomb, E E

1987-05-01

An analysis of five anticipated transients without scram (ATWS) was conducted at the Idaho National Engineering Laboratory (INEL). The five detailed deterministic simulations of postulated ATWS sequences were initiated from a main steamline isolation valve (MSIV) closure. The subject of the analysis was the Browns Ferry Nuclear Plant Unit 1, a boiling water reactor (BWR) of the BWR/4 product line with a Mark I containment. The simulations yielded insights to the possible consequences resulting from a MSIV closure ATWS. An evaluation of the effects of plant safety systems and operator actions on accident progression and mitigation is presented.

Base Realignment and Closure (BRAC) Environmental Restoration Program Management Plan

DTIC Science & Technology

1999-04-01

ENVIRONMENTAL PROGRAM 5 4.1 Environmental Restoration (Cleanup, Compliance and Unexploded Ordnance) 6 4.2 National Environmental Policy Act (NEPA...Realignment Act) to create a process to close bases and realign the force infrastructure. The law addressed National Environmental Policy Act (NEPA...primarily through provisions contained in the National Defense Authorization Acts for Fiscal Years 1992 through 1997. Appendix A of the BRAC Reuse

Virtual and Traditional Slides for Teaching Cellular Morphology to Medical Laboratory Science Undergraduates: A Comparative Study of Performance Outcomes, Retention, and Self-Efficacy Beliefs

ERIC Educational Resources Information Center

Solberg, Brooke L.

2011-01-01

As a result of massive retirement and educational program expense and closure, the field of Medical Laboratory Science (MLS) is facing a critical workforce shortage. Combatting this issue by increasing undergraduate class size is a difficult proposition due to the intense psychomotor curricular requirements of MLS programs. Technological advances…

Tank waste remediation system nuclear criticality safety program management review

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

BRADY RAAP, M.C.

1999-06-24

This document provides the results of an internal management review of the Tank Waste Remediation System (TWRS) criticality safety program, performed in advance of the DOE/RL assessment for closure of the TWRS Nuclear Criticality Safety Issue, March 1994. Resolution of the safety issue was identified as Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone M-40-12, due September 1999.

Identifying Gaps in the Performance of Pediatric Trainees Who Receive Marginal/Unsatisfactory Ratings.

PubMed

Li, Su-Ting T; Tancredi, Daniel J; Schwartz, Alan; Guillot, Ann; Burke, Ann; Trimm, R Franklin; Guralnick, Susan; Mahan, John D; Gifford, Kimberly A

2018-01-01

To perform a derivation study to determine in which subcompetencies marginal/unsatisfactory pediatric residents had the greatest deficits compared with their satisfactorily performing peers and which subcompetencies best discriminated between marginal/unsatisfactory and satisfactorily performing residents. Multi-institutional cohort study of all 21 milestones (rated on four or five levels) reported to the Accreditation Council for Graduate Medical Education, and global marginal/unsatisfactory versus satisfactory performance reported to the American Board of Pediatrics. Data were gathered in 2013-2014. For each level of training (postgraduate year [PGY] 1, 2, and 3), mean differences between milestone levels of residents with marginal/unsatisfactory and satisfactory performance adjusted for clustering by program and C-statistics (area under receiver operating characteristic curve) were calculated. A Bonferroni-corrected significance threshold of .0007963 was used to account for multiple comparisons. Milestone and overall performance evaluations for 1,704 pediatric residents in 41 programs were obtained. For PGY1s, two subcompetencies had almost a one-point difference in milestone levels between marginal/unsatisfactory and satisfactory trainees and outstanding discrimination (≥ 0.90): organize/prioritize (0.93; C-statistic: 0.91) and transfer of care (0.97; C-statistic: 0.90). The largest difference between marginal/unsatisfactory and satisfactory PGY2s was trustworthiness (0.78). The largest differences between marginal/unsatisfactory and satisfactory PGY3s were ethical behavior (1.17), incorporating feedback (1.03), and professionalization (0.96). For PGY2s and PGY3s, no subcompetencies had outstanding discrimination. Marginal/unsatisfactory pediatric residents had different subcompetency gaps at different training levels. While PGY1s may have global deficits, senior residents may have different performance deficiencies requiring individualized counseling and targeted performance improvement plans.

Whose banner are we waving? Exploring STEM partnerships for marginalized urban youth

NASA Astrophysics Data System (ADS)

Ridgeway, Monica L.; Yerrick, Randy K.

2018-03-01

This case study examines after school programming in citizen science from the perspective of Critical Race Theory. During the course of enacting community outreach projects this data was used to examine the positioning of experts, student, and teachers within the program. This study explores the role of race and ethnicity, and the ways in which marginalization can manifest itself with black urban youth and teachers. Implications for partner selection and training are addressed.

Making a Comeback in the New Century.

ERIC Educational Resources Information Center

Sturgeon, Julie

2001-01-01

Reveals how Ohio's Central State University avoided state closure with a bold mission to rebuild both the academic programs and the facilities. What the new century holds for maintenance, software, card systems, contract services, and security and online purchasing are discussed. (GR)

9 CFR 318.301 - Containers and closures.

Code of Federal Regulations, 2012 CFR

2012-01-01

... AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY... container integrity. Such an examination should be based upon a statistical sampling plan. (2) All empty... the establishment and the container plant records are made available to Program employees. Additional...

9 CFR 318.301 - Containers and closures.

Code of Federal Regulations, 2013 CFR

2013-01-01

... AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY... container integrity. Such an examination should be based upon a statistical sampling plan. (2) All empty... the establishment and the container plant records are made available to Program employees. Additional...

9 CFR 318.301 - Containers and closures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY... container integrity. Such an examination should be based upon a statistical sampling plan. (2) All empty... the establishment and the container plant records are made available to Program employees. Additional...

9 CFR 318.301 - Containers and closures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY... container integrity. Such an examination should be based upon a statistical sampling plan. (2) All empty... the establishment and the container plant records are made available to Program employees. Additional...

13 CFR 120.380 - Program.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Special Purpose Loans Defense... loans to help eligible small businesses transition from defense to civilian markets, or eligible individuals adversely impacted by base closures or defense cutbacks to acquire or open and operate a small...

13 CFR 120.380 - Program.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Special Purpose Loans Defense... loans to help eligible small businesses transition from defense to civilian markets, or eligible individuals adversely impacted by base closures or defense cutbacks to acquire or open and operate a small...

13 CFR 120.380 - Program.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Special Purpose Loans Defense... loans to help eligible small businesses transition from defense to civilian markets, or eligible individuals adversely impacted by base closures or defense cutbacks to acquire or open and operate a small...

13 CFR 120.380 - Program.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Special Purpose Loans Defense... loans to help eligible small businesses transition from defense to civilian markets, or eligible individuals adversely impacted by base closures or defense cutbacks to acquire or open and operate a small...

13 CFR 120.380 - Program.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Special Purpose Loans Defense... loans to help eligible small businesses transition from defense to civilian markets, or eligible individuals adversely impacted by base closures or defense cutbacks to acquire or open and operate a small...

Genesis of giant promontories during two-stage continental breakup and implications for post-Rodinia circum-Arctic margins (Invited)

NASA Astrophysics Data System (ADS)

Bradley, D. C.

2013-12-01

Giant promontories are a seldom-noted feature of the present-day population of passive margins. A number of them formed during the breakup of Pangea: the South Tasman Rise and Naturaliste Plateau off Australia, the Grand Banks and Florida off North America, the Falkland Plateau off South America, and the Horn of Africa. Giant promontories protrude hundreds of kms seaward from a corner of the continent and are not to be confused with the low-amplitude irregularies that occur at intervals along most passive margins. Giant promontories that might have formed during the breakup of the earlier supercontinents, Rodinia and Nuna, have not been recognized. Properties of the modern examples suggest some identifying criteria. They are cored by continental crust that was created or last reworked during the previous collisional cycle. Judging from the examples listed, the early histories of the two flanks of a promontory will differ because separate continents or microcontinents drift away in different directions at different times. For example, the eastern flank of the >500-km-long South Tasman Rise formed when the Lord Howe Rise separated from Australia at ca. 85 Ma, whereas the western flank formed when Antarctica moved past at ca. 65-33 Ma. (Age spans of various passive margins quoted herein are from Bradley, 2008, Earth Sci. Rev. 91:1-26.) During ocean closure (typically, arc-passive margin collision), a promontory may be exposed to earlier and more intense tectonism than elsewhere along the margin. Unique events are also possible. For example, the tip of Florida experienced a glancing collision with Cuba during the Paleogene, an event that was not felt elsewhere along the Gulf or Atlantic margins of the southeastern U.S. Giant promontories are unlikely to have deep lithospheric keels and may be prone to being dislodged and rotated during collision. Thus, what starts as a promontory may end up as a microcontinent in an orogen. The case for giant promontories in the circum-Arctic has not been thoroughly assessed, but the shape of Laurentia and the ages of its Paleozoic margins suggest that promontories dating from breakup of Rodinia may have jutted from its NE and (or) NW corners. The NE corner lies at the junction of an eastern (Caledonian) passive margin that existed from ca. 815 to 444 Ma and a northern (Innuitian) passive margin that existed from ca. 620 to 444 Ma. The hypothetical NE promontory would have attached to northern East Greenland where early Paleozoic passive-margin deposits are notably lacking. Nearby remnants of the NE promontory might include the Yermak plateau off North Greenland, the Morris Jessup plateau off Svalbard, or parts of Svalbard itself. A hypothetical NW Laurentian promontory would have attached somewhere between Banks Island in the Canadian Arctic, where the 620-444 Ma Innuitian margin is truncated along the present-day rifted margin, and east-central Alaska, site of the most northerly rocks that can be confidently placed along the ca. 710-385 Ma Cordilleran passive margin. Remnants of this promontory might include older rocks of the Ruby terrane and (or) the northeastern Brooks Range, both in Alaska. Either hypothetical promontory would have been involved in orogenesis associated with the postulated extrusion of terranes through the gap between Laurentia and Siberia.

Osteology of Galeamopus pabsti sp. nov. (Sauropoda: Diplodocidae), with implications for neurocentral closure timing, and the cervico-dorsal transition in diplodocids

PubMed Central

Mateus, Octávio

2017-01-01

Diplodocids are among the best known sauropod dinosaurs. Numerous specimens of currently 15 accepted species belonging to ten genera have been reported from the Late Jurassic to Early Cretaceous of North and South America, Europe, and Africa. The highest diversity is known from the Upper Jurassic Morrison Formation of the western United States: a recent review recognized 12 valid, named species, and possibly three additional, yet unnamed ones. One of these is herein described in detail and referred to the genus Galeamopus. The holotype specimen of Galeamopus pabsti sp. nov., SMA 0011, is represented by material from all body parts but the tail, and was found at the Howe-Scott Quarry in the northern Bighorn Basin in Wyoming, USA. Autapomorphic features of the new species include a horizontal canal on the maxilla that connects the posterior margin of the preantorbital and the ventral margin of the antorbital fenestrae, a vertical midline groove marking the sagittal nuchal crest, the presence of a large foramen connecting the postzygapophyseal centrodiapophyseal fossa and the spinopostzygapophyseal fossa of mid- and posterior cervical vertebrae, a very robust humerus, a laterally placed, rugose tubercle on the concave proximal portion of the anterior surface of the humerus, a relatively stout radius, the absence of a distinct ambiens process on the pubis, and a distinctly concave posteroventral margin of the ascending process of the astragalus. In addition to the holotype specimen SMA 0011, the skull USNM 2673 can also be referred to Galeamopus pabsti. Histology shows that the type specimen SMA 0011 is sexually mature, although neurocentral closure was not completed at the time of death. Because SMA 0011 has highly pneumatized cervical vertebrae, the development of the lamination appears a more important indicator for individual age than neurocentral fusion patterns. SMA 0011 is one of very few sauropod specimens that preserves the cervico-dorsal transition in both vertebrae and ribs. The association of ribs with their respective vertebrae shows that the transition between cervical and dorsal vertebrae is significantly different in Galeamopus pabsti than in Diplodocus carnegii or Apatosaurus louisae, being represented by a considerable shortening of the centra from the last cervical to the first dorsal vertebra. Diplodocids show a surprisingly high diversity in the Morrison Formation. This can possibly be explained by a combination of geographical and temporal segregation, and niche partitioning. PMID:28480132

Risk Informed Margins Management as part of Risk Informed Safety Margin Characterization

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

Curtis Smith

2014-06-01

The ability to better characterize and quantify safety margin is important to improved decision making about Light Water Reactor (LWR) design, operation, and plant life extension. A systematic approach to characterization of safety margins and the subsequent margin management options represents a vital input to the licensee and regulatory analysis and decision making that will be involved. In addition, as research and development in the LWR Sustainability (LWRS) Program and other collaborative efforts yield new data, sensors, and improved scientific understanding of physical processes that govern the aging and degradation of plant SSCs needs and opportunities to better optimize plantmore » safety and performance will become known. To support decision making related to economics, readability, and safety, the Risk Informed Safety Margin Characterization (RISMC) Pathway provides methods and tools that enable mitigation options known as risk informed margins management (RIMM) strategies.« less

Experiences with Recruitment of Marginalized Groups in a Danish Health Promotion Program: A Document Evaluation Study.

PubMed

Rasmussen, Marianne; Poulsen, Eva Kanstrup; Rytter, Anne Stoffersen; Kristiansen, Tine Mechlenborg; Bak, Carsten Kronborg

2016-01-01

Studies have found that marginalized groups living in deprived neighborhoods are less likely to participate in health programs compared to the majority of society. This study evaluates recruitment approaches conducted during a national government-funded project in 12 deprived neighborhoods across Denmark between 2010 and 2014. The aim of this study was to understand how recruitment approaches could promote participation in health programs within deprived neighborhoods to reach marginalized groups. Documents from all 12 of the included municipalities were collected to conduct a document evaluation. The collected documents consisted of 1,500 pages of written material with 12 project descriptions, three midterm and 10 final evaluations. The collected data were analyzed through a qualitative content analysis. The results are based on the fact that only 10 municipalities have developed evaluations related to recruitment, and only three evaluations provided a description of which marginalized groups were recruited. Challenges related to recruitment consist of difficulties involving the target group, including general distrust, language barriers and a lack of ability to cope with new situations and strangers. Additional geographical challenges emerged, especially in rural areas. Positive experiences with recruitment approaches were mainly related to relationship building and trust building, especially through face-to-face contact and the project employees' presence in the neighborhood. Additionally, adjusting some of the interventions and the recruitment strategy increased participation. This study found that relation and trust between the residents and the project employees is an important factor in the recruitment of marginalized groups in deprived neighborhoods as well as adjusting the health interventions or recruitment strategy to the target groups. In future research, it is necessary to examine which recruitment approaches are effective under which circumstances to increase participation among marginalized groups.

10 CFR 60.140 - General requirements.

Code of Federal Regulations, 2012 CFR

2012-01-01

... and it will continue until permanent closure. (c) The program shall include in situ monitoring, laboratory and field testing, and in situ experiments, as may be appropriate to accomplish the objective as... REGULATORY COMMISSION (CONTINUED) DISPOSAL OF HIGH-LEVEL RADIOACTIVE WASTES IN GEOLOGIC REPOSITORIES...

10 CFR 60.140 - General requirements.

Code of Federal Regulations, 2011 CFR

2011-01-01

... and it will continue until permanent closure. (c) The program shall include in situ monitoring, laboratory and field testing, and in situ experiments, as may be appropriate to accomplish the objective as... REGULATORY COMMISSION (CONTINUED) DISPOSAL OF HIGH-LEVEL RADIOACTIVE WASTES IN GEOLOGIC REPOSITORIES...

10 CFR 60.140 - General requirements.

Code of Federal Regulations, 2014 CFR

2014-01-01

... and it will continue until permanent closure. (c) The program shall include in situ monitoring, laboratory and field testing, and in situ experiments, as may be appropriate to accomplish the objective as... REGULATORY COMMISSION (CONTINUED) DISPOSAL OF HIGH-LEVEL RADIOACTIVE WASTES IN GEOLOGIC REPOSITORIES...

10 CFR 60.140 - General requirements.

Code of Federal Regulations, 2013 CFR

2013-01-01

... and it will continue until permanent closure. (c) The program shall include in situ monitoring, laboratory and field testing, and in situ experiments, as may be appropriate to accomplish the objective as... REGULATORY COMMISSION (CONTINUED) DISPOSAL OF HIGH-LEVEL RADIOACTIVE WASTES IN GEOLOGIC REPOSITORIES...

10 CFR 60.140 - General requirements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... and it will continue until permanent closure. (c) The program shall include in situ monitoring, laboratory and field testing, and in situ experiments, as may be appropriate to accomplish the objective as... REGULATORY COMMISSION (CONTINUED) DISPOSAL OF HIGH-LEVEL RADIOACTIVE WASTES IN GEOLOGIC REPOSITORIES...

Incentive pricing and cost recovery at the basin scale.

PubMed

Ward, Frank A; Pulido-Velazquez, Manuel

2009-01-01

Incentive pricing programs have potential to promote economically efficient water use patterns and provide a revenue source to compensate for environmental damages. However, incentive pricing may impose disproportionate costs and aggravate poverty where high prices are levied for basic human needs. This paper presents an analysis of a two-tiered water pricing system that sets a low price for subsistence needs, while charging a price equal to marginal cost, including environmental cost, for discretionary uses. This pricing arrangement can promote efficient and sustainable water use patterns, goals set by the European Water Framework Directive, while meeting subsistence needs of poor households. Using data from the Rio Grande Basin of North America, a dynamic nonlinear program, maximizes the basin's total net economic and environmental benefits subject to several hydrological and institutional constraints. Supply costs, environmental costs, and resource costs are integrated in a model of a river basin's hydrology, economics, and institutions. Three programs are compared: (1) Law of the River, in which water allocations and prices are determined by rules governing water transfers; (2) marginal cost pricing, in which households pay the full marginal cost of supplying treated water; (3) two-tiered pricing, in which households' subsistence water needs are priced cheaply, while discretionary uses are priced at efficient levels. Compared to the Law of the River and marginal cost pricing, two-tiered pricing performs well for efficiency and adequately for sustainability and equity. Findings provide a general framework for formulating water pricing programs that promote economically and environmentally efficient water use programs while also addressing other policy goals.

MARGINS: Toward a novel science plan

NASA Astrophysics Data System (ADS)

Mutter, John C.

A science plan to study continental margins has been in the works for the past 3 years, with almost 200 Earth scientists from a wide variety of disciplines gathering at meetings and workshops. Most geological hazards and resources are found at continental margins, yet our understanding of the processes that shape the margins is meager.In formulating this MARGINS research initiative, fundamental issues concerning our understanding of basic Earth-forming processes have arisen. It is clear that a business-as-usual approach will not solve the class of problems defined by the MARGINS program; the solutions demand approaches different from those used in the past. In many cases, a different class of experiment will be required, one that is well beyond the capability of individual principle investigators to undertake on their own. In most cases, broadly based interdisciplinary studies will be needed.

Predicting Financial Distress and Closure in Rural Hospitals.

PubMed

Holmes, George M; Kaufman, Brystana G; Pink, George H

2017-06-01

Annual rates of rural hospital closure have been increasing since 2010, and hospitals that close have poor financial performance relative to those that remain open. This study develops and validates a latent index of financial distress to forecast the probability of financial distress and closure within 2 years for rural hospitals. Hospital and community characteristics are used to predict the risk of financial distress 2 years in the future. Financial and community data were drawn for 2,466 rural hospitals from 2000 through 2013. We tested and validated a model predicting a latent index of financial distress (FDI), measured by unprofitability, equity decline, insolvency, and closure. Using the predicted FDI score, hospitals are assigned to high, medium-high, medium-low, and low risk of financial distress for use by practitioners. The FDI forecasts 8.01% of rural hospitals to be at high risk of financial distress in 2015, 16.3% as mid-high, 46.8% as mid-low, and 28.9% as low risk. The rate of closure for hospitals in the high-risk category is 4 times the rate in the mid-high category and 28 times that in the mid-low category. The ability of the FDI to discriminate hospitals experiencing financial distress is supported by a c-statistic of .74 in a validation sample. This methodology offers improved specificity and predictive power relative to existing measures of financial distress applied to rural hospitals. This risk assessment tool may inform programs at the federal, state, and local levels that provide funding or support to rural hospitals. © 2016 National Rural Health Association.

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

Bouchard, P.J.

A forthcoming revision to the R6 Leak-before-Break Assessment Procedure is briefly described. Practical application of the LbB concepts to safety-critical nuclear plant is illustrated by examples covering both low temperature and high temperature (>450{degrees}C) operating regimes. The examples highlight a number of issues which can make the development of a satisfactory LbB case problematic: for example, coping with highly loaded components, methodology assumptions and the definition of margins, the effect of crack closure owing to weld residual stresses, complex thermal stress fields or primary bending fields, the treatment of locally high stresses at crack intersections with free surfaces, the choicemore » of local limit load solution when predicting ligament breakthrough, and the scope of calculations required to support even a simplified LbB case for high temperature steam pipe-work systems.« less

On the modelling of scalar and mass transport in combustor flows

NASA Technical Reports Server (NTRS)

Nikjooy, M.; So, R. M. C.

1989-01-01

Results are presented of a numerical study of swirling and nonswirling combustor flows with and without density variations. Constant-density arguments are used to justify closure assumptions invoked for the transport equations for turbulent momentum and scalar fluxes, which are written in terms of density-weighted variables. Comparisons are carried out with measurements obtained from three different axisymmetric model combustor experiments covering recirculating flow, swirling flow, and variable-density swirling flow inside the model combustors. Results show that the Reynolds stress/flux models do a credible job of predicting constant-density swirling and nonswirling combustor flows with passive scalar transport. However, their improvements over algebraic stress/flux models are marginal. The extension of the constant-density models to variable-density flow calculations shows that the models are equally valid for such flows.

Surgical management of haemangiopericytoma involving the biceps femoris muscle in four dogs.

PubMed

Connery, N A; Bellenger, C R

2002-11-01

Four dogs with haemangiopericytoma of the subcutaneous tissue overlying and infiltrating the biceps femoris muscle were successfully managed using complete resection of the involved muscle with 2 to 3 cm skin margins. Postoperatively, no local recurrence was noted in any of the dogs in a follow-up period of four to 33 months (mean 22 months). Wound dehiscence, attributed to increased tension and inadequate exercise restriction, occurred in two of the four cases. Closure of the large cutaneous deficit in the craniolateral thigh and stifle was achieved by rotation of a flank-fold skin flap in one case. Strict exercise restriction and the use of a Robert Jones dressing may prevent muscle suture disruption. These measures should enable primary wound healing in the region to progress without complication.

RCRA, superfund and EPCRA hotline training module. Introduction to: Closure/post-closure (40 cfr parts 264/265, subpart g) updated July 1996

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

NONE

1996-07-01

The module explains the difference between closure and post-closure. It lists the types of facilities that are subject to closure/post-closures and defines the difference between partial and final closure. It specifies who submits a closure plan and when a closure plan must be submitted, lists the steps in the process, and states the time frame for submittal. It identifies when and how a closure must be amended. It explains the time frame for notification of closure and the deadlines for beginning and completing closure. It specifies which facilities need contingent post-closure plans and lists and the elements of post-closure andmore » cites the requirements. It specifies the conditions and timing for amending a post-closure plan and states who must certify closure/post-closure.« less

Late tectonic uplift of an inverted oceanic basin in South East Asia: the case of Palawan Island (western Philippines)

NASA Astrophysics Data System (ADS)

Meresse, F.; Savva, D.; Pubellier, M.; Steuer, S.; Franke, D.; Cordey, F.; Muller, C.; Sapin, F.; Mouly, B.; Auxiètre, J.-L.

2012-04-01

The elongated island of Palawan, bounded by two marginal basins, the South China Sea to the North and the Sulu Sea to the South is composed of remnants of an inverted basin (Proto-South China Sea) thrusted onto the margin of a continental terrane which rifted away from the Chinese-Vietnamese margin. Based on field observations coupled with seismic and drill-holes data, our study focuses on the structural architecture of the island in order to decipher the geodynamic evolution of the southern margin of the South China Sea. Structurally, the Palawan Island consists of: (i) the Palawan wedge, which extends towards the South China Sea is composed of deformed slope to deep ocean deposits of Cretaceous (north Palawan) to Tertiary (central and south Palawan) ages. This accretionnary wedge is characterized by small wavelength folds of mainly NE-SW trend. Offshore, the unconformable Middle-Late Miocene Tabon limestones unit postdates the last stages of the Palawan wedge growth/setting; (ii) On top of this wedge lie thrust slices of ophiolite bodies comprising ribbon cherts of Albian age as indicated by radiolarians.; these bodies are likely to be relicts of the now-subducted Proto South China Sea; (iii) The central and southern parts of the Palawan island are characterized by a large wavelength antiform of NE-SW trend. This structure is sealed by the slightly tilted Early Pliocene marls unit; (iv) The island also presents necking zones bordered by N-S trending transform faults. This area witnessed the geodynamic evolution of the South East Asia which consists of a succession of opening/closure of oceanic basins and block accretions. The Palawan Island therefore results of the closing of the Proto-South China Sea which once formed both the Palawan accretionary wedge and the overlying ophiolite tectonic slices. During a later compressive event, the rifted continental margin which composes the basement of the Island was inverted, inducing the uplift and the large scale folding of the Palawan Island. In a final stage, the strain relaxing results in the formation of the necking zones, probably reactivating the inherited transform faults of the Proto-South China Sea. Keywords: Palawan Island; South China Sea; oceanic basin; inverted margin; Ophiolite.

Role of Groundwater Monitoring for Closure of Underground Nuclear Tests on the Nevada Test Site

NASA Astrophysics Data System (ADS)

Chapman, J. B.; Pohlmann, K.; Pohll, G.; Russell, C.

2009-12-01

Over 800 underground nuclear tests were conducted at the Nevada Test Site in a variety of hydrogeologic environments. As of the 1996 Environmental Impact Statement for the site, more than 100 million curies of radioactivity remained in the subsurface from these tests, much of it near or below the water table. The U.S. Department of Energy Environmental Management program is implementing a closure strategy for these sites that anticipates closure-in-place, natural attenuation, and institutional controls. Groundwater monitoring is a key component of this strategy, but its role is significantly evolved from that of a detection- or compliance-based monitoring concept. Indeed, monitoring is part of the integrated closure process itself, not an activity confined to a static post-closure period. The reasons for this evolution derive from the complex hydrogeologic conditions, the long time-frames of concern, and recognition that a significant degree of uncertainty is irreducible. The hundreds of test locations are grouped into Corrective Action Units that measure over 100 km2 in area and extend to depths in excess of 1000 m. Despite concerted data collection efforts, the technical basis for closure of these large regions relies heavily on complex numerical models of flow and transport. The inherent uncertainties in these models present challenges for reaching regulatory acceptance of closure, and challenges for confidently locating monitoring wells. The solution now being pursued for the NTS is to integrate model evaluation and monitoring. In addition to standard goals of contaminant detection and protection of human health, an explicit monitoring objective is to increase confidence in model results by assessing the reliability of model forecasts. The initial monitoring network is expected to eventually transition to a long-term closure design, with less emphasis on confidence-building as uncertainty in forecasts is reduced. The methodology for this iterative process of monitoring and model refinement will incorporate expert-judgment and Bayesian updating of model input parameters to provide a cost-beneficial monitoring network that is expected to reduce model prediction uncertainty. This approach to monitoring for these large and complex contaminant areas is consistent with the underlying reliance on model predictions and will ensure that water quality samples are collected in a manner and location that is consistent with the current understanding of contaminant flowpaths.

Monitoring Potential Transport of Radioactive Contaminants in Shallow Ephemeral Channels: FY2015 and FY2016

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

Mizell, Steve A; Miller, Julianne J; McCurdy, Greg

The Desert Research Institute (DRI) is conducting a field assessment of the potential for contaminated soil to be transported from the Smoky Contamination Area (CA) as a result of storm runoff. This activity supports Nevada Nuclear Security Administration (NNSA) efforts to complete regulatory closure of the Soils Corrective Action Unit (CAU) contamination areas. The work is intended to confirm the likely mechanism of transport and determine the meteorological conditions that might cause movement of contaminated soils, as well as determine the particle size fraction that is most closely associated with transported radionuclide-contaminated soils. These data will facilitate the appropriate closuremore » design and post-closure monitoring program.« less

Subduction history of the Paleo-Pacific plate beneath the Eurasian continent: Evidence from Mesozoic igneous rocks and accretionary complex in NE Asia

NASA Astrophysics Data System (ADS)

Xu, W.

2015-12-01

Mesozoic magmatisms in NE China can be subdivided into seven stages, i.e., Late Triassic, Early Jurassic, Middle Jurassic, Late Jurassic, early Early Cretaceous, late Early Cretaceous, and Late Cretaceous. Late Triassic magmatisms consist of calc-alkaline igneous rocks in the Erguna Massif, and bimodal igneous rocks in eastern margin of Eurasian continent. The former reveals southward subduction of the Mongol-Okhotsk oceanic plate, the latter reveals an extensional environment (Xu et al., 2013). Early Jurassic magmatisms are composed of calc-alkaline igneous rocks in the eastern margin of the Eurasian continent and the Erguna Massif, revealing westward subduction of the Paleo-pacific plate and southward subduction of the Mongol-Okhotsk oceanic plate (Tang et al., 2015), respectively. Middle Jurassic magmatism only occur in the Great Xing'an Range and the northern margin of the NCC, and consists of adakitic rocks that formed in crustal thickening, reflecting the closure of the Mongol-Okhotsk ocean (Li et al., 2015). Late Jurassic and early Early Cretaceous magmatisms only occur to the west of the Songliao Basin, and consist of trackyandesite and A-type of rhyolites, revealing an extensional environment related to delamination of thickened crust. The late Early Cretaceous magmatisms are widespread in NE China, and consist of calc-alkaline volcanics in eastern margin and bimodal volcanics in intracontinent, revealing westward subduction of the Paleo-pacific plate. Late Cretaceous magmatisms mainly occur to the east of the Songliao Basin, and consist of calc-alkaline volcanics in eastern margin and alkaline basalts in intracontinent (Xu et al., 2013), revealing westward subduction of the Paleo-pacific plate. The Heilongjiang complex with Early Jurassic deformation, together with Jurassic Khabarovsk complex in Russia Far East and Mino-Tamba complex in Japan, reveal Early Jurassic accretionary history. Additionally, the Raohe complex with the age of ca. 169 Ma was intruded by the 110-130 Ma massive granitoids, suggesting late Early Cretaceous accretionary event. From late Early Cretaceous to Late Cretaceous, the spatial extent of magmatisms was reduced from west to east, revealing roll-back of subducted slab. This research was financially supported by the NSFC (41330206).

Predicting Employment Outcomes of Consumers of State-Operated Comprehensive Rehabilitation Centers

ERIC Educational Resources Information Center

Beach, David Thomas

2009-01-01

This study used records from a state-operated comprehensive rehabilitation center to investigate possible predictive factors related to completing comprehensive rehabilitation center programs and successful vocational rehabilitation (VR) case closure. An analysis of demographic data of randomly selected comprehensive rehabilitation center…

78 FR 2284 - Methodology for Selecting Job Corps Centers for Closure; Comments Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-10

... (GED), and career technical training credentials, including industry-recognized credentials, state... align existing career technical training programs to technical standards established by industries or... technical training. Both PIPs and CAPs are used for continued monitoring and implemented for USDA and...

40 CFR 146.72 - Post-closure care.

Code of Federal Regulations, 2010 CFR

2010-07-01

....72 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED... endanger a USDW. (3) Submit a survey plat to the local zoning authority designated by the Director. The... as the address of the Regional Environmental Protection Agency Office to which it was submitted; (3...

40 CFR 146.72 - Post-closure care.

Code of Federal Regulations, 2011 CFR

2011-07-01

....72 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED... endanger a USDW. (3) Submit a survey plat to the local zoning authority designated by the Director. The... as the address of the Regional Environmental Protection Agency Office to which it was submitted; (3...

45 CFR 303.11 - Case closure criteria.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Public Welfare Regulations Relating to Public Welfare OFFICE OF CHILD SUPPORT ENFORCEMENT (CHILD SUPPORT ENFORCEMENT PROGRAM), ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... child is at least 18 years old and action to establish paternity is barred by a statute of limitations...

ANALYTICAL METHODS FOR ASSESSING THE MAGNITUDE OF HUMAN INGESTION OF RECREATIONAL WATER DURING SWIMMING ACTIVITY

EPA Science Inventory

The EPA's Beaches Environmental Assessment, Closure, and Health (BEACH) Program is a multi-year, multifaceted strategy for reducing human exposure to certain risks from infectious pathogenic organisms associated with human behavior, and activities related to hygienic practices, o...

Tethys- and Atlas-related deformations in the Triassic Basin, Algeria

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

Jackson, J.S.; Moore, S.R.; Quarles, A.I.

1995-08-01

Petroleum provinces of Algeria can be divided into Paleozoic and Mesozoic domains. Paleozoic basins are located on the Gondwanaland paleo-continent where the last significant tectonic episode is ascribed to the Late Paleozoic Hercynian Orogeny. Mesozoic basins are located on the south margin of the Neo-Tethyan seaway. These basins were subject to varying degrees of contractional deformation during the Cenozoic Atlas Orogeny. The Triassic Basin of Algeria is a Tethyan feature located above portions of the Paleozoic Oued M`ya and Ghadames Basins. Paleozoic strata are deeply truncated at the Hercynian Unconformity on a broad arch between the older basins. This ismore » interpreted to reflect rift margin rebound during Carboniferous time. Continental Lower Triassic sediments were deposited in a series of northeast trending basins which opened as the Neo-Tethys basin propagated from east to west between Africa and Europe. Middle Triassic marine transgression from the east resulted in evaporate deposition persisting through the Early Jurassic. Passive margin subsidence associated with carbonate marine deposition continued through the Early Cretaceous. Several zones of coeval wrench deformation cross the Atlas and adjoining regions. In the Triassic Basin, inversion occurred before the end of the Early Cretaceous. This episode created discrete uplifts, where major hydrocarbon accumulations have been discovered, along northeast trending lineaments. During the Eocene, the main phase of the Atlas Orogeny produced low amplitude folding of Jurassic and Cretaceous sediments. The folds detach within the Triassic-Jurassic evaporate interval. Many of these folds have been tested without success, as the deeper reservoirs do not show structural closure.« less

A harbinger of plate tectonics: a commentary on Bullard, Everett and Smith (1965) 'The fit of the continents around the Atlantic'.

PubMed

Dewey, John F

2015-04-13

In the 1960s, geology was transformed by the paradigm of plate tectonics. The 1965 paper of Bullard, Everett and Smith was a linking transition between the theories of continental drift and plate tectonics. They showed, conclusively, that the continents around the Atlantic were once contiguous and that the Atlantic Ocean had grown at rates of a few centimetres per year since the Early Jurassic, about 160 Ma. They achieved fits of the continental margins at the 500 fathom line (approx. 900 m), not the shorelines, by minimizing misfits between conjugate margins and finding axes, poles and angles of rotation, using Euler's theorem, that defined the unique single finite difference rotation that carried congruent continents from contiguity to their present positions, recognizing that the real motion may have been more complex around a number of finite motion poles. Critically, they were concerned only with kinematic reality and were not restricted by considerations of the mechanism by which continents split and oceans grow. Many of the defining features of plate tectonics were explicit or implicit in their reconstructions, such as the torsional rigidity of continents, Euler's theorem, closure of the Tethyan ocean(s), major continental margin shear zones, the rapid rotation of small continental blocks (Iberia) around nearby poles, the consequent opening of small wedge-shaped oceans (Bay of Biscay), and misfit overlaps (deltas and volcanic piles) and underlaps (stretched continental edges). This commentary was written to celebrate the 350th anniversary of the journal Philosophical Transactions of the Royal Society.

A harbinger of plate tectonics: a commentary on Bullard, Everett and Smith (1965) ‘The fit of the continents around the Atlantic’

PubMed Central

Dewey, John F.

2015-01-01

In the 1960s, geology was transformed by the paradigm of plate tectonics. The 1965 paper of Bullard, Everett and Smith was a linking transition between the theories of continental drift and plate tectonics. They showed, conclusively, that the continents around the Atlantic were once contiguous and that the Atlantic Ocean had grown at rates of a few centimetres per year since the Early Jurassic, about 160 Ma. They achieved fits of the continental margins at the 500 fathom line (approx. 900 m), not the shorelines, by minimizing misfits between conjugate margins and finding axes, poles and angles of rotation, using Euler's theorem, that defined the unique single finite difference rotation that carried congruent continents from contiguity to their present positions, recognizing that the real motion may have been more complex around a number of finite motion poles. Critically, they were concerned only with kinematic reality and were not restricted by considerations of the mechanism by which continents split and oceans grow. Many of the defining features of plate tectonics were explicit or implicit in their reconstructions, such as the torsional rigidity of continents, Euler's theorem, closure of the Tethyan ocean(s), major continental margin shear zones, the rapid rotation of small continental blocks (Iberia) around nearby poles, the consequent opening of small wedge-shaped oceans (Bay of Biscay), and misfit overlaps (deltas and volcanic piles) and underlaps (stretched continental edges). This commentary was written to celebrate the 350th anniversary of the journal Philosophical Transactions of the Royal Society. PMID:25750142

The Role of Embryologic Fusion Planes in the Invasiveness and Recurrence of Basal Cell Carcinoma: A Classic Mix-Up of Causation and Correlation.

PubMed

Armstrong, Linus T D; Magnusson, Mark R; Guppy, Michelle P B

2015-12-01

The facial embryologic fusion planes as regions of mesenchymal and ectodermal fusion of the primordial facial processes during embryological development have been suggested to influence the spread, invasiveness, pathogenesis, and recurrence of cutaneous carcinoma. This study sought to establish whether basal cell carcinoma (BCC) originating in embryologic fusion planes has a greater propensity for earlier depth of invasion, leading to an increased rate of lesion recurrence. Facial BCCs excised in a single surgeon practice over 2 years were allocated into 2 anatomic domains according to their correlation with embryologic fusion planes. Lesion depth of invasion, surface area, and margins of excision were analyzed in conjunction with recurrence data over the following 70-80 months. Of the 331 lesions examined, 70 were located in embryologic fusion planes. No difference was found in the mean surface area and depth of invasion for lesions located in the 2 domains (P > 0.05). Ten lesion recurrences were identified, none of which were located in embryologic fusion planes. Recurrent lesions were excised with a significantly greater percentage of close and incomplete excision margins (P < 0.05). BCC arising in embryologic fusion planes are not more invasive or at greater risk of recurrence. Excision margins seem to have the greatest influence on lesion recurrence. Because of the paucity of superfluous tissue and the cosmetic and functionally sensitive nature of these areas of embryologic fusion, specialist treatment of these lesions is recommended to ensure that adequacy of excision is not neglected at the cost of ease of closure and cosmesis.

Evaluating Rifean Corridor Closure using Detrital Zircon Sediment Provenance of the Taza-Guercif Basin, Morocco

NASA Astrophysics Data System (ADS)

Pratt, J. R.; Barbeau, D. L.; Emran, A.

2013-12-01

In the late Miocene, the connection between the Mediterranean Sea and Atlantic Ocean was tectonically severed leading to severe evaporative draw down of Mediterranean sea level such that the entire basin was desiccated or near desiccated in an event from ~5.96-5.33 Ma known as the Messinian Salinity Crisis (MSC). The MSC sequestered 6% of global ocean salinity into evaporite deposits, created a deep, dry and hot basin that altered global atmospheric circulation, opened passageways for mammal migration between Europe, Africa and Arabia and ended in the largest flood observed in the geologic record. The combined effects of the Messinian Salinity Crisis make it the most important oceanic event in the last 20 million years, yet despite the dramatic ramifications of the MSC, the exact nature of its cause has remained both elusive and controversial. By examining the sedimentary provenance of Rifean Corridor, this research evaluates the progression of corridor closure and the tectonic context of the initiation of the Messinian Salinity Crisis. The difficulty in evaluating the progression of closure is due to the tectonic complexity of the Africa-Eurasia convergent plate boundary in north-central Morocco. The shortening associated with the tectonic convergence is accommodated by two genetically and tectonically distinct orogenic systems, the Rif and Atlas mountain belts, which lie in juxtaposition to the slab-rollback dominated Alboran Sea. The basins of the Rifean corridor lie between these two orogens and as such shortening and uplift associated with either or both ranges could be the cause of the corridor closure. Several hypotheses have been posited for the tectonic controls on basin emergence including slab-rollback related delamination on the Alboran margin, domal uplift of the Middle Atlas as well as a more traditional propagation of the Rifean orogenic wedge. This research provides the first quantitative provenance data for the Taza-Guercif basin in the form of LA-ICP-MS detrital zircon analysis of 10 samples from the basin-fill and 3 samples from two separate domains within the Rif. The new data reveal a lack of dramatic shifts in provenance within the basin-fill tied to corridor closure but instead reveal more subtle changes in peak zircon ages. Peak age shifts from 600 Ma to 700 Ma periodically within the strata in both open marine marls and within turbidites derived from the Middle Atlas in a pattern consistent with changes in basin bathymetry. Basin samples show an age-distribution consistent with the Rifean samples, which acquire an slight overprinting of Middle Atlas ages in the latter half of the succession. The data point to a progressive closure of the corridor through the advancement of the Rifean orogenic wedge with minor influence from uplift within the core of the Middle Atlas without a major shift in provenance during rapid basin emergence.

The Tompkins County Solid Waste Annual Fee: Background and overview

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

Penniman, P.W.

1995-05-01

This report outlines the development by Tompkins County of a new revenue source for solid waste programs -- The Solid Waste Annual Fee. Over the past two decades in New York State, regulatory demands and the decline in available landfill space have combined to cause a rapid escalation in the cost of solid waste disposal. While the New York State Department of Environmental Conservation (NYSDEC) has implemented tighter regulations for the siting of solid waste landfills, they have also mandated the permitting or closure of all existing landfills in the state. The result is that all communities have been requiredmore » to invest millions of dollars in landfill siting, closure and solid waste processing facilities. In addition, programs for reducing and recycling solid wastes have been mandated to reduce the outflow to landfills. Until recent years, solid waste services in most New York counties have been funded almost entirely through a collection of property taxes. During the past six years, fiscal stress has stimulated a movement toward funding solid waste programs by other means. Alternatives to the property tax include: (1) special assessment taxes or fees; (2) user charges (including tipping fees); and (3) intergovernment grants.« less

Barriers to Education for the Marginalized Adult Learner

ERIC Educational Resources Information Center

Flynn, Sarah; Brown, Jason; Johnson, Andrew; Rodger, Susan

2011-01-01

This qualitative study examines barriers to adult education by the marginalized adult learner. We adopted an inclusive approach by interviewing potential adult learners who had not participated in adult education programs due to illiteracy. Five overlapping themes related to barriers emerged and were categorized as: family values and…

77 FR 50730 - Self-Regulatory Organizations; Chicago Mercantile Exchange, Inc.; Notice of Filing and Order...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-22

... (``CFTC''), and currently operates a substantial business clearing both IRS and interest rate futures... Proposed Rule Change To Amend Rules To Facilitate Customer Portfolio Margining of Interest Rate Futures and...'') and interest rate futures clearing offerings by establishing a portfolio margining program for...

Marginal Maidens and Educational Policy for Women's Institutions.

ERIC Educational Resources Information Center

Connor, Kathleen M.

Unfavorable world and national economic and social trends of recent years have been paralleled by a reduced commitment to social services for marginalized peoples, including educational programs for women inmates. The potential negative results for future levels of delinquency and crime cannot be precisely calculated, according to sociologists and…

40 CFR 265.310 - Closure and post-closure care.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 27 2013-07-01 2013-07-01 false Closure and post-closure care. 265.310... DISPOSAL FACILITIES Landfills § 265.310 Closure and post-closure care. (a) At final closure of the landfill... subsoils present. (b) After final closure, the owner or operator must comply with all post-closure...

40 CFR 265.310 - Closure and post-closure care.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Closure and post-closure care. 265.310... DISPOSAL FACILITIES Landfills § 265.310 Closure and post-closure care. (a) At final closure of the landfill... subsoils present. (b) After final closure, the owner or operator must comply with all post-closure...

40 CFR 265.310 - Closure and post-closure care.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 26 2014-07-01 2014-07-01 false Closure and post-closure care. 265.310... DISPOSAL FACILITIES Landfills § 265.310 Closure and post-closure care. (a) At final closure of the landfill... subsoils present. (b) After final closure, the owner or operator must comply with all post-closure...

40 CFR 264.228 - Closure and post-closure care.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Closure and post-closure care. 264.228... Surface Impoundments § 264.228 Closure and post-closure care. (a) At closure, the owner or operator must... materials are left in place at final closure, the owner or operator must comply with all post-closure...

40 CFR 264.228 - Closure and post-closure care.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 27 2013-07-01 2013-07-01 false Closure and post-closure care. 264.228... Surface Impoundments § 264.228 Closure and post-closure care. (a) At closure, the owner or operator must... materials are left in place at final closure, the owner or operator must comply with all post-closure...

40 CFR 264.228 - Closure and post-closure care.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Closure and post-closure care. 264.228... Surface Impoundments § 264.228 Closure and post-closure care. (a) At closure, the owner or operator must... materials are left in place at final closure, the owner or operator must comply with all post-closure...

40 CFR 264.228 - Closure and post-closure care.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 26 2011-07-01 2011-07-01 false Closure and post-closure care. 264.228... Surface Impoundments § 264.228 Closure and post-closure care. (a) At closure, the owner or operator must... materials are left in place at final closure, the owner or operator must comply with all post-closure...

40 CFR 264.228 - Closure and post-closure care.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 26 2014-07-01 2014-07-01 false Closure and post-closure care. 264.228... Surface Impoundments § 264.228 Closure and post-closure care. (a) At closure, the owner or operator must... materials are left in place at final closure, the owner or operator must comply with all post-closure...

Armorican provenance for the mélange deposits below the Lizard ophiolite (Cornwall, UK): evidence for Devonian obduction of Cadomian and Lower Palaeozoic crust onto the southern margin of Avalonia

NASA Astrophysics Data System (ADS)

Strachan, Rob A.; Linnemann, Ulf; Jeffries, Teresa; Drost, Kerstin; Ulrich, Jens

2014-07-01

Devonian sedimentary rocks of the Meneage Formation within the footwall of the Lizard ophiolite complex in SW England are thought to have been derived from erosion of the over-riding Armorican microplate during collision with Avalonia and the closure of the Rheic Ocean. We further test this hypothesis by comparison of their detrital zircon suites with those of autochthonous Armorican strata. Five samples analysed from SW England (Avalonia) and NW France (Armorica) have a bimodal U-Pb zircon age distribution dominated by late Neoproterozoic to middle Cambrian (c. 710-518 Ma) and Palaeoproterozoic (c. 1,800-2,200 Ma) groupings. Both can be linked with lithologies exposed within the Cadomian belt as well as the West African craton, which is characterized by major tectonothermal events at 2.0-2.4 Ga. The detrital zircon signature of Avalonia is distinct from that of Armorica in that there is a much larger proportion of Mesoproterozoic detritus. The common provenance of the samples is therefore consistent with: (a) derivation of the Meneage Formation mélange deposits from the Armorican plate during Rheic Ocean closure and obduction of the Lizard Complex and (b) previous correlation of quartzite blocks within the Meneage Formation with the Ordovician Grès Armoricain Formation of NW France.

[Use of a linear stapler device in total laryngectomy].

PubMed

Liu, Xue-kui; Li, Hao; Liu, Wei-wei; Li, Qiu-li; Li, Quan; Zhang, Xin-rui; Zhang, Xing; Guo, Zhu-ming; Zeng, Zong-yuan

2012-07-01

To evaluate the value of using a linear stapler device for the closure of the pharynx during total laryngectomy. Sixteen total laryngectomies were performed between August 2010 and December 2011, during the operation, the TA 60 linear stapler was used for pharyngeal closure. Among these patients, two patients had the history of pre-operative radiotherapy, four patients recurred after radiotherapy, ten patients were treated for the first time. 100 ml methylene blue was injected into the newly closed laryngopharyngeal cavity through the nasopharyngeal breather pipe for checking up whether it was watertight or not. Among the sixteen patients, methylene blue leakage from the mucosal joint of the gular cavity closed by the stapler were not found in fifteen patients, it was only found in one patient. The transudatory places were sutured with absorbable Vicryl sutures. This patient healed well without pharyngocutaneous fistula. Negative surgical margins were achieved in all patients. No patient needed to be transferred to open surgery. Using a linear stapler device in total laryngectomy, 45 minutes could be saved as compaired to manual suture. One patient developed a light pharyngocutaneous fistula. The incidence of pharyngocutaneous fistula was 6.25% (1/16). This stapled closed technique for pharyngoplasty is efficient, eliminates the risk of wound contamination, saves operation time and decreases the incidence of pharyngocutaneous fistula. This technique can be recommended as alternative for repairing the pharynx in patients undergoing total laryngectomy.

Hydraulic adjustments underlying drought resistance of Pinus halepensis.

PubMed

Klein, Tamir; Cohen, Shabtai; Yakir, Dan

2011-06-01

Drought-induced tree mortality has increased over the last decades in forests around the globe. Our objective was to investigate under controlled conditions the hydraulic adjustments underlying the observed ability of Pinus halepensis to survive seasonal drought under semi-arid conditions. One hundred 18-month saplings were exposed in the greenhouse to 10 different drought treatments, simulating combinations of intensities (fraction of water supply relative to control) and durations (period with no water supply) for 30 weeks. Stomata closed at a leaf water potential (Ψ(l)) of -2.8 MPa, suggesting isohydric stomatal regulation. In trees under extreme drought treatments, stomatal closure reduced CO(2) uptake to -1 µmol m(-2) s(-1), indicating the development of carbon starvation. A narrow hydraulic safety margin of 0.3 MPa (from stomatal closure to 50% loss of hydraulic conductivity) was observed, indicating a strategy of maximization of CO2 uptake in trees otherwise adapted to water stress. A differential effect of drought intensity and duration was observed, and was explained by a strong dependence of the water stress effect on the ratio of transpiration to evapotranspiration T/ET and the larger partitioning to transpiration associated with larger irrigation doses. Under intense or prolonged drought, the root system became the main target for biomass accumulation, taking up to 100% of the added biomass, while the stem tissue biomass decreased, associated with up to 60% reduction in xylem volume.

Factors Impacting School Closure and Configuration

ERIC Educational Resources Information Center

Corrales, Antonio

2017-01-01

Newly implemented state policy dealing with school finance created several consequences in a school district to include school configuration and restructuring of educational programs. This case describes how a new school finance law changes the entire dynamic of a school district and its newly appointed superintendent. The superintendent…

Cultural humility and working with marginalized populations in developing countries.

PubMed

Kools, Susan; Chimwaza, Angela; Macha, Swebby

2015-03-01

Population health needs in developing countries are great and countries are scaling up health professional education to meet these needs. Marginalized populations, in particular, are vulnerable to poor health and health care. This paper presents a culturally appropriate diversity training program delivered to Global Health Fellows who are educators and leaders in health professions in Malawi and Zambia. The purpose of this interprofessional education experience was to promote culturally competent and humble care for marginalized populations. © The Author(s) 2014.

Submarine landslide and tsunami hazards offshore southern Alaska: Seismic strengthening versus rapid sedimentation

NASA Astrophysics Data System (ADS)

Sawyer, Derek E.; Reece, Robert S.; Gulick, Sean P. S.; Lenz, Brandi L.

2017-08-01

The southern Alaskan offshore margin is prone to submarine landslides and tsunami hazards due to seismically active plate boundaries and extreme sedimentation rates from glacially enhanced mountain erosion. We examine the submarine landslide potential with new shear strength measurements acquired by Integrated Ocean Drilling Program Expedition 341 on the continental slope and Surveyor Fan. These data reveal lower than expected sediment strength. Contrary to other active margins where seismic strengthening enhances slope stability, the high-sedimentation margin offshore southern Alaska behaves like a passive margin from a shear strength perspective. We interpret that seismic strengthening occurs but is offset by high sedimentation rates and overpressure. This conclusion is supported by shear strength outside of the fan that follow an active margin trend. More broadly, seismically active margins with wet-based glaciers are susceptible to submarine landslide hazards because of the combination of high sedimentation rates and earthquake shaking.

An Overview of the Tropospheric Aerosol Radiative Forcing Observational Experiment

NASA Technical Reports Server (NTRS)

Russell, P. B.; Chan, K. Roland (Technical Monitor)

1997-01-01

Aerosol effects on atmospheric radiation are a leading source of uncertainty in predicting future climate. As a result, the International Global Atmospheric Chemistry Program has established a Focus on Atmospheric Aerosols (IGAC/FAA) and endorsed a series of aerosol field campaigns. TARFOX, the second in the IGAC/FAA series, was designed to reduce this uncertainty by measuring aerosol properties and effects in the US eastern seaboard, where one of the world's major plumes of industrial haze moves from the continent over the Atlantic Ocean. TARFOX's objectives are to: 1. Make simultaneous measurements of: (a) aerosol effects on radiation fields, and (b) the chemical, physical, and optical properties of the aerosols causing those effects. 2. Perform a variety of closure studies by using overdetermined data sets to test the mutual consistency of measurements and calculations of a wide range of aerosol properties and effects. 3. Use the results of the closure studies to assess and reduce uncertainties in estimates of aerosol radiative forcing, as well as to guide future field programs. An important subset of the closure studies is tests and improvements of algorithms used to derive aerosol properties and radiative effects from satellite measurements. The TARFOX Intensive Field Period (IFP) was conducted July 10-31, 1996. It included coordinated measurements from four satellites (GOES-8, NOAA-14, ERS-2, LANDSAT), four aircraft (ER-2, C-130, C-131, and a modified Cessna), land sites, and ships. A variety of aerosol conditions was sampled, ranging from relatively clean behind frontal passages to moderately polluted with aerosol optical depths exceeding 0.5 at mid-visible wavelengths. The latter conditions included separate incidents of enhancements caused primarily by anthropogenic sources and another incident of enhancement apparently influenced by recent fog processing. Spatial gradients of aerosol optical thickness were sampled to aid in isolating aerosol effects from other radiative effects and to more tightly constrain closure tests, including those of satellite retrievals. This talk gives an overview of TARFOX goals, rationale, methods, and initial key findings.

Audit Report. Quick-Reaction Report on the Review of Defense Base Closure and Realignment Budget Data for Carswell, Barksdale, Dyess, Minot, and Tinker Air Force Bases

DTIC Science & Technology

1992-11-27

for 10 construction pr~n’jcts for realigning Carswell AFB was not adeauately documented as required by Air Force Regulation (AFR) 86-1, " Programming ...Engineering Programming , Standard Facility Requirements." paragraph 24-70, allows for a total of 25,200 square feet of space for tne warehouse and...cantonment area, and replaced an existing capability. The fact that a replacement wash rack was previously programmed does not alter this requirement

The influence of paleo currents upon the Santaren Channel and the adjacent carbonate platforms, Bahamas.

NASA Astrophysics Data System (ADS)

Paulat, Marco; Lüdmann, Thomas; Betzler, Christian; Eberli, Gregor; Lindhorst, Sebastian

2015-04-01

The closure of the Central American Seaway and the reorganization of the ocean currents had a global impact on earth's climate. The sedimentation of the Great Bahama Bank (GBB) and the smaller Cay Sal Bank (CSB) are influenced by the Atlantic North Equatorial Current and the Florida Current. New high-resolution multichannel seismic data sets tied to the IODP leg 166 wells document that the shape of Bahama Banks and the sedimentation processes in the Santaren Channel (SC) between GBB and CSB are strongly related to changes in the strength of these currents. Since the Upper Miocene, the SC is filled up by a huge package of drift sediments, namely the Santaren Drift (SD). The buildup of the SD causes a local high in the recent bathymetry perpendicular to the surrounding steep platform slopes. The SD shows a typical mounded morphology and progrades northwards in direction of the Florida Channel. The SD was established during the late Miocene. Seismic facies and internal configuration indicate an environment of a stable north flowing current with a major depocenter related to the center of the SC. Additionally, a second depocenter at the central eastern flank of CSB established and preserved till early Pleistocene when the slope sedimentation starts to dominate. This depocenter points to a strengthened countercurrent component in the eastern SC. From the lower Pliocene to the upper Pleistocene the volume of the SD expanded, associated with an intensification of the current in the SC along its eastern flank, indicated by deep erosional channels parallel to the margin of GBB in the northern part of the survey area. This trend probably was initiated as a consequence of current reorganization due to the final closure of the Central American Seaway. Lower slope sediments from GBB are eroded or only minor parts are preserved from lower Pliocene to upper Pleistocene. With late Pliocene falling sea-level, gravitational slope sedimentation from GBB into the SC increased with concurrent decrease in sedimentation rate of the SD. The drift depocenter shifted toward the margin of the GBB, approaching the modern situation.

Hierarchical Marginal Land Assessment for Land Use Planning

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

Kang, Shujiang; Post, Wilfred M; Wang, Dali

2013-01-01

Marginal land provides an alternative potential for food and bioenergy production in the face of limited land resources; however, effective assessment of marginal lands is not well addressed. Concerns over environmental risks, ecosystem services and sustainability for marginal land have been widely raised. The objective of this study was to develop a hierarchical marginal land assessment framework for land use planning and management. We first identified major land functions linking production, environment, ecosystem services and economics, and then classified land resources into four categories of marginal land using suitability and limitations associated with major management goals, including physically marginal land,more » biologically marginal land, environmental-ecological marginal land, and economically marginal land. We tested this assessment framework in south-western Michigan, USA. Our results indicated that this marginal land assessment framework can be potentially feasible on land use planning for food and bioenergy production, and balancing multiple goals of land use management. We also compared our results with marginal land assessment from the Conservation Reserve Program (CRP) and land capability classes (LCC) that are used in the US. The hierarchical assessment framework has advantages of quantitatively reflecting land functions and multiple concerns. This provides a foundation upon which focused studies can be identified in order to improve the assessment framework by quantifying high-resolution land functions associated with environment and ecosystem services as well as their criteria are needed to improve the assessment framework.« less

Impacts of Hospital Budget Limits in Rochester, New York

PubMed Central

Friedman, Bernard; Wong, Herbert S.

1995-01-01

During 1980-87, eight hospitals in the Rochester, New York area participated in an experimental program to limit total revenue. This article analyzes: increase of costs for Rochester hospitals; trends for inputs and compensation; and cash flow margins. Real expense per case grew annually by about 3 percent less in Rochester. However, after 1984, Medicare prospective payment had an effect of similar size outside Rochester. Some capital inputs to hospital care were restrained, as were wages and particularly benefits. The program did not generally raise or stabilize hospital revenue margins, while the ratio of cash flow to debt trended down. Financial stringency of this program relative to alternatives may have contributed to its end. PMID:10151889

Impacts of hospital budget limits in Rochester, New York.

PubMed

Friedman, B; Wong, H S

1995-01-01

During 1980-87, eight hospitals in the Rochester, New York area participated in an experimental program to limit total revenue. This article analyzes: increase of costs for Rochester hospitals; trends for inputs and compensation; and cash flow margins. Real expense per case grew annually by about 3 percent less in Rochester. However, after 1984, Medicare prospective payment had an effect of similar size outside Rochester. Some capital inputs to hospital care were restrained, as were wages and particularly benefits. The program did not generally raise or stabilize hospital revenue margins, while the ratio of cash flow to debt trended down. Financial stringency of this program relative to alternatives may have contributed to its end.

Biological life support systems for martian missions: some problems and prospects

NASA Astrophysics Data System (ADS)

Tikhomirov, A. A.; Ushakova, S. A.; Kovaleva, N. P.; Lasseur, C.

Taking into account the experience of scientific researches obtained during experiments in the BIOS - 3 of the Institute of Biophysics of Siberian Branch of Russian Academy of Science (IBP SB RAS) and the MELISSA program (ESA), approaches in creation biological life support systems for a flight period and a fixed-site base of Martian mission are considered. Various alternate variants of designing of elements of BLSS based on use of Chlorella and/or Spirulina, and also greenhouses with higher plants for the flight period of Martian mission are analyzed. For this purpose construction of BLSS ensuring full closure of matter turnover according to gas exchange and water and partial closure on the human's exometabolites is supposed. For the fixed site Martian station BLSS based on use of higher plants with a various degree of closure of internal mass exchange are suggested. Various versions of BLSS configuration and degree of closure of mass exchange depending on duration of Martian mission, the diet type of a crew and some other conditions are considered. Special attention is given to problems of reliability and tolerance of matter turnover processes in BLSS which maintenance is connected, in particular, with additional oxygen reproduction inside a system. Technologies for realization of BLSS of various configurations are offered and justified. The auxiliary role of the physicochemical methods in BLSS functioning both for the flight period and for the crew stay on Mars is justified.

Circumferential resection margins and perineal complications after neoadjuvant long-course chemoradiotherapy followed by extralevator abdominoperineal excision of the rectum: Five years of activity at a single institution.

PubMed

Gravante, Gianpiero; Miah, Anur; Mann, Christopher D; Stephenson, James Andrews; Gani, Mohamed Akil Dilawar; Sharpe, David; Norwood, Michael; Boyle, Kirsten; Miller, Andrew; Hemingway, David

2016-07-01

Prone extralevator abdominoperineal excision of the rectum (ELAPE) has been introduced to improve the circumferential resection margins (CRM) compared with traditional APER. We present short-term results achieved with prone ELAPE preceded by neoadjuvant chemoradiotherapy during the last 5 years of activity. A retrospective review was conducted. Prone ELAPE operations performed between September 2010 and August 2014 at Leicester Royal Infirmary preceded by neoadjuvant chemoradiotherapy. Data regarding demographics, staging, neoadjuvant therapies, intraoperative perforations, and perineal complications were collected. Seventy-two patients were included. Pretreatment radiological T4 were 25.0%, histological T4 2.8%. Intraoperative perforations occurred in 2.8%, CRM was involved in 11.1%. Perineal complications consisted of superficial wound infections (20.8%), full thickness dehiscences (16.7%), hematomas (9.7%), pelvic collections (6.9%), and perineal hernias (5.6%). In our experience, prone ELAPE preceded by long-course chemoradiotherapy has been successfully used in the last 5 years to resect low rectal tumors. Perineal wound complications rates are similar to those presented in series using direct perineal closures. J. Surg. Oncol. 2016;114:86-90. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Health and indigenous people: intercultural health as a new paradigm toward the reduction of cultural and social marginalization?

PubMed

Torri, Maria Costanza

2010-01-01

The precarious socio-economic and health conditions of indigenous populations legitimize claims of marginalization and attest to the inherent inequality that indigenous groups suffer. In the last few years, advocates have urged the use of traditional indigenous health practices as more culturally fitting for most indigenous populations. An intercultural health program can reduce the conditions of social and cultural marginalization in an indigenous population. However, accepting and integrating indigenous medicine into a westernized health system presents a major challenge to intercultural healthcare in Latin America. The objective of this paper is to analyze the case of Makewe hospital, one of the first and few examples of intercultural health initiatives in Chile. The paper will examine the implementation of this initiative and the main challenges in creating an effective intercultural health program.

40 CFR 265.228 - Closure and post-closure care.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Closure and post-closure care. 265.228... DISPOSAL FACILITIES Surface Impoundments § 265.228 Closure and post-closure care. (a) At closure, the owner... impoundment and provide post-closure care for a landfill under subpart G and § 265.310, including the...

40 CFR 265.228 - Closure and post-closure care.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 26 2011-07-01 2011-07-01 false Closure and post-closure care. 265.228... DISPOSAL FACILITIES Surface Impoundments § 265.228 Closure and post-closure care. (a) At closure, the owner... impoundment and provide post-closure care for a landfill under subpart G and § 265.310, including the...

Supporting Displaced Workers for Successful Retraining.

ERIC Educational Resources Information Center

Bugler, Helen; Newhook, Brenda

In response to the closure and down-sizing of fish plants in Newfoundland, Cabot College (CC) established a Student Support Services Unit (SSSU) to offer special counseling and advising services to the more than 100 students expected to undertake vocational retraining at CC under the province's Fisheries Adjustment Program. The SSSU hired two…

Cyanobacteria: State Monitoring Programs, Beach Closures, and Potential Human Health Risks

EPA Science Inventory

New England is rich in freshwater lakes and ponds, many of which are subject to cyanobacteria (blue-green algae) blooms that can limit recreational use and cause health problems. This study was conducted to better understand the health risks to human and animal populations that a...

7 CFR 225.14 - Requirements for sponsor participation.

Code of Federal Regulations, 2010 CFR

2010-01-01

... an unanticipated school closure during the period from October through April (or at any time of the..., from submitting a new application if they have participated in the program at any time during the... and have the capability and the facilities to provide the meal service planned for the number of...

7 CFR 225.14 - Requirements for sponsor participation.

Code of Federal Regulations, 2011 CFR

2011-01-01

... an unanticipated school closure during the period from October through April (or at any time of the..., from submitting a new application if they have participated in the program at any time during the... and have the capability and the facilities to provide the meal service planned for the number of...

45 CFR 261.41 - How will we determine the caseload reduction credit?

Code of Federal Regulations, 2010 CFR

2010-10-01

... ASSISTANCE (ASSISTANCE PROGRAMS), ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN..., or other administrative data sources and analyses. (2) We will accept the information and estimates... closures, or other administrative data sources to validate the accuracy of the State estimates. (b) In...

Small Schools Task Force. Final Report.

ERIC Educational Resources Information Center

Eugene School District 4J, OR.

In the spring of 1975 the Eugene (Oregon) school board appointed a task force to make a comprehensive study related to all aspects of possible closure of small schools. Consideration was given to population and enrollment trends; economics; building condition; school size; school design; neighborhood and community implications; program capacity;…

34 CFR 685.214 - Closed school discharge.

Code of Federal Regulations, 2014 CFR

2014-07-01

... closure date is the date that the school ceases to provide educational instruction in all programs, as... 34 Education 4 2014-07-01 2014-07-01 false Closed school discharge. 685.214 Section 685.214... Provisions § 685.214 Closed school discharge. (a) General. (1) The Secretary discharges the borrower's (and...

Retrenchment in Education: Hierarchical Decision Models for Instructional Program Termination, District Consolidations and School Closures.

ERIC Educational Resources Information Center

Wholeben, Brent Edward

A number of key issues facing elementary, secondary, and postsecondary educational administrators during retrenchment require a hierarchical decision-modeling approach. This paper identifies and discusses the use of a hierarchical multiple-alternatives modeling formulation (computer-based) that compares and evaluates a group of solution…

Compression in the Superintendent Ranks

ERIC Educational Resources Information Center

Saron, Bradford G.; Birchbauer, Louis J.

2011-01-01

Sadly, the fiscal condition of school systems now not only is troublesome, but in some cases has surpassed all expectations for the worst-case scenario. Among the states, one common response is to drop funding for public education to inadequate levels, leading to permanent program cuts, school closures, staff layoffs, district dissolutions and…

75 FR 12746 - Difenzoquat; Registration Review Case Closure; Notice of Availability

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-17

... on human health or the environment. Through this program, EPA is ensuring that each pesticide's registration is based on current scientific and other knowledge, including its effects on human health and the..., human health, farm worker, and agricultural advocates; the chemical industry; pesticide users; and...

75 FR 57782 - Clofencet; Registration Review Case Closure; Notice of Availability

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-22

... on human health or the environment. Through this program, EPA is ensuring that each pesticide's registration is based on current scientific and other knowledge, including its effects on human health and the..., human health, farm worker, and agricultural advocates; the chemical industry; pesticide users; and...

23 CFR 511.309 - Provisions for traffic and travel conditions reporting.

Code of Federal Regulations, 2012 CFR

2012-04-01

... requirements for traffic and travel conditions made available by real-time information programs are: (1... or less from the time the hazardous conditions, blockage, or closure is observed. (4) Travel time information. The timeliness for the availability of travel time information along limited access roadway...

78 FR 22529 - Information on Surplus Land at a Military Installation Designated for Disposal: Naval Air Station...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-16

... Installation Designated for Disposal: Naval Air Station Alameda, Alameda, California AGENCY: Department of the... at Naval Air Station Alameda, Alameda, California. FOR FURTHER INFORMATION CONTACT: Ms. Laura Duchnak, Director, Naval Facilities Engineering Command, Base Realignment and Closure Program Management Office...

Adspots and Green Eyes: 'National' Identity in Irish TV Commercials and Other 'Marginal' Areas of Irish Television.

ERIC Educational Resources Information Center

McBride, Stephanie

This paper discusses the relationship between national identity and the so-called "marginal" areas of Irish television, i.e., advertisements, continuity announcements, and promotional trailers. The following issues are considered: (1) how these "spaces" between television programs compare in terms of use and influence to…

Integrating Art and Music into Social Studies Instruction

ERIC Educational Resources Information Center

Risinger, C. Frederick

2012-01-01

The author truly believes that the marginalization of social studies is not only harming the profession, it is jeopardizing the democracy. But if social studies is in jeopardy, consider the colleagues in the arts and music. Art and music programs have been reduced or eliminated in thousands of schools throughout the nation. Marginalizing art and…

Aboriginal Business Capacity Building Programs in the Central Interior of British Columbia: A Collaborative Project between the University and Communities

ERIC Educational Resources Information Center

Kunkel, Titi; Schorcht, Blanca; Brazzoni, Randall

2011-01-01

Aboriginal communities in Canada are typically marginalized, have very low employment participation rates, and have limited economic infrastructure. The downturn in global economies further marginalized these communities. The University of Northern British Columbia's (UNBC) Continuing Studies department piloted an Aboriginal and Small Business…

Cdc42 is required in a genetically distinct subset of cardiac cells during Drosophila dorsal vessel closure

PubMed Central

Swope, David; Kramer, Joseph; King, Tiffany R.; Cheng, Yi-Shan; Kramer, Sunita G.

2017-01-01

The embryonic heart tube is formed by the migration and subsequent midline convergence of two bilateral heart fields. In Drosophila the heart fields are organized into two rows of cardioblasts (CBs). While morphogenesis of the dorsal ectoderm, which lies directly above the Drosophila dorsal vessel (DV), has been extensively characterized, the migration and concomitant fundamental factors facilitating DV formation remain poorly understood. Here we provide evidence that DV closure occurs at multiple independent points along the A-P axis of the embryo in a “buttoning” pattern, divergent from the zippering mechanism observed in the overlying epidermis during dorsal closure. Moreover, we demonstrate that a genetically distinct subset of CBs is programmed to make initial contact with the opposing row. To elucidate the cellular mechanisms underlying this process, we examined the role of Rho GTPases during cardiac migration using inhibitory and overexpression approaches. We found that Cdc42 shows striking cell-type specificity during DV formation. Disruption of Cdc42 function specifically prevents CBs that express the homeobox gene tinman from completing their dorsal migration, resulting in a failure to make connections with their partnering CBs. Conversely, neighboring CBs that express the orphan nuclear receptor, seven-up, are not sensitive to Cdc42 inhibition. Furthermore, this phenotype was specific to Cdc42 and was not observed upon perturbation of Rac or Rho function. Together with the observation that DV closure occurs through the initial contralateral pairing of tinman-expressing CBs, our studies suggest that the distinct buttoning mechanism we propose for DV closure is elaborated through signaling pathways regulating Cdc42 activity in this cell type. PMID:24949939

40 CFR 264.146 - Use of a mechanism for financial assurance of both closure and post-closure care.

Code of Federal Regulations, 2013 CFR

2013-07-01

... assurance of both closure and post-closure care. 264.146 Section 264.146 Protection of Environment... mechanism for financial assurance of both closure and post-closure care. An owner or operator may satisfy the requirements for financial assurance for both closure and post-closure care for one or more...

Helping people in a minimally conscious state develop responding and stimulation control through a microswitch-aided program.

PubMed

Lancioni, Giulio E; Singh, Nirbhay N; O'Reilly, Mark F; Sigafoos, Jeff; D'Amico, Fiora; Buonocunto, Francesca; Navarro, Jorge; Lanzilotti, Crocifissa; Fiore, Pietro; Megna, Marisa; Damiani, Sabino; Marvulli, Riccardo

2017-06-01

Postcoma persons in a minimally conscious state (MCS) and with extensive motor impairment cannot independently access and control environmental stimulation. Assessing the effects of a microswitch-aided program aimed at helping MCS persons develop responding and stimulation control and conducting a social validation/evaluation of the program. A single-subject ABAB design was used for each participant to determine the impact of the program on his or her responding. Staff interviews were used for the social validation/evaluation of the program. Rehabilitation and care facilities that the participants attended. Eleven MCS persons with extensive motor impairment and lack of speech or any other functional communication. For each participant, baseline (A) phases were alternated with intervention (B) phases during which the program was used. The program relied on microswitches to monitor participants' specific responses (e.g., prolonged eyelid closures) and on a computer system to enable those responses to control stimulation. In practice, the participants could use a simple response such as prolonged eyelid closure to generate a new stimulation input. Sixty-six staff people took part in the social validation of the program. They were to compare the program to basic and elaborate forms of externally controlled stimulation, scoring each of them on a six-item questionnaire. All participants showed increased response frequencies (and thus higher levels of independent stimulation input/control) during the B phases of the study. Their frequencies for each intervention phase more than doubled their frequencies for the preceding baseline phase with the difference between the two being clearly significant (P<0.01). Staff involved in the social validation procedure provided significantly higher scoring (P<0.01) for the program on five of the six questionnaire items. A microswitch-aided program can be an effective and socially acceptable tool in the work with MCS persons. The participants and staff's data can be taken as an encouragement for the use of a microswitch-aided program within care and rehabilitation settings for MCS persons.

Harm reduction services as a point-of-entry to and source of end-of-life care and support for homeless and marginally housed persons who use alcohol and/or illicit drugs: a qualitative analysis.

PubMed

McNeil, Ryan; Guirguis-Younger, Manal; Dilley, Laura B; Aubry, Tim D; Turnbull, Jeffrey; Hwang, Stephen W

2012-05-17

Homeless and marginally housed persons who use alcohol and/or illicit drugs often have end-of-life care needs that go unmet due to barriers that they face to accessing end-of-life care services. Many homeless and marginally housed persons who use these substances must therefore rely upon alternate sources of end-of-life care and support. This article explores the role of harm reduction services in end-of-life care services delivery to homeless and marginally housed persons who use alcohol and/or illicit drugs. A qualitative case study design was used to explore end-of-life care services delivery to homeless and marginally housed persons in six Canadian cities. A key objective was to explore the role of harm reduction services. 54 health and social services professionals participated in semi-structured qualitative interviews. All participants reported that they provided care and support to this population at end-of-life. Harm reduction services (e.g., syringe exchange programs, managed alcohol programs, etc.) were identified as a critical point-of-entry to and source of end-of-life care and support for homeless and marginally housed persons who use alcohol and/or illicit drugs. Where possible, harm reduction services facilitated referrals to end-of-life care services for this population. Harm reduction services also provided end-of-life care and support when members of this population were unable or unwilling to access end-of-life care services, thereby improving quality-of-life and increasing self-determination regarding place-of-death. While partnerships between harm reduction programs and end-of-life care services are identified as one way to improve access, it is noted that more comprehensive harm reduction services might be needed in end-of-life care settings if they are to engage this underserved population.

40 CFR 265.146 - Use of a mechanism for financial assurance of both closure and post-closure care.

Code of Federal Regulations, 2013 CFR

2013-07-01

... assurance of both closure and post-closure care. 265.146 Section 265.146 Protection of Environment... Use of a mechanism for financial assurance of both closure and post-closure care. An owner or operator may satisfy the requirements for financial assurance for both closure and post-closure care for one or...

Biofuel development, food security and the use of marginal land in China.

PubMed

Qiu, Huanguang; Huang, Jikun; Keyzer, Michiel; van Veen, Wim; Rozelle, Scott; Fisher, Guenther; Ermolieva, Tatiana

2011-01-01

With concerns of energy shortages, China, like the United States, European Union, and other countries, is promoting the development of biofuels. However, China also faces high future demand for food and feed, and so its bioenergy program must try to strike a balance between food and fuel. The goals of this paper are to provide an overview of China's current bioethanol program, identify the potential for using marginal lands for feedstock production, and measure the likely impacts of China's bioethanol development on the nation's future food self-sufficiency. Our results indicate that the potential to use marginal land for bioethanol feedstock production is limited. Applying a modeling approach based on highly disaggregated data by region, our analysis shows that the target of 10 million t of bioethanol by 2020 seems to be a prudent target, causing no major disturbances in China's food security. But the expansion of bioethanol may increase environmental pressures due to the higher levels of fertilizer use. This study shows also that if China were able to cultivate 45% of its required bioethanol feedstock on new marginal land, it would further limit negative effects of the bioethanol program on the domestic and international economy, but at the expense of having to apply another 750 thousand t of fertilizer. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Economic Analysis of Immunization Strategies for PRRS Control [corrected].

PubMed

Linhares, Daniel C L; Johnson, Clayton; Morrison, Robert B

2015-01-01

Porcine reproductive and respiratory syndrome virus (PRRSv) is a swine-specific pathogen that causes significant increases in production costs. When a breeding herd becomes infected, in an attempt to hasten control and elimination of PRRSv, some veterinarians have adopted a strategy called load-close-expose which consists of interrupting replacement pig introductions into the herd for several weeks (herd closure) and exposing the whole herd to a replicating PRRSv to boost herd immunity. Either modified-live virus (MLV) vaccine or live field-virus inoculation (FVI) is used. This study consisted of partial budget analyses to compare MLV to FVI as the exposure method of load-close-expose program to control and eliminate PRRSv from infected breeding herds, and secondly to estimate benefit / cost of vaccinating sow herds preventatively. Under the assumptions used in this study, MLV held economic advantage over FVI. However, sensitivity analysis revealed that decreasing margin over variable costs below $ 47.32, or increasing PRRSv-attributed cost above $18.89 or achieving time-to-stability before 25 weeks resulted in advantage of FVI over MLV. Preventive vaccination of sow herds was beneficial when the frequency of PRRSv infection was at least every 1 year and 9 months [corrected]. The economics of preventative vaccination was minimally affected by cost attributed to field-type PRRSv infection on growing pigs or by the breeding herd productivity level. The models developed and described in this paper provide valuable tools to assist veterinarians in their efforts to control PRRSv.

A Worst-Case Approach for On-Line Flutter Prediction

NASA Technical Reports Server (NTRS)

Lind, Rick C.; Brenner, Martin J.

1998-01-01

Worst-case flutter margins may be computed for a linear model with respect to a set of uncertainty operators using the structured singular value. This paper considers an on-line implementation to compute these robust margins in a flight test program. Uncertainty descriptions are updated at test points to account for unmodeled time-varying dynamics of the airplane by ensuring the robust model is not invalidated by measured flight data. Robust margins computed with respect to this uncertainty remain conservative to the changing dynamics throughout the flight. A simulation clearly demonstrates this method can improve the efficiency of flight testing by accurately predicting the flutter margin to improve safety while reducing the necessary flight time.

Independent Predictors of Prognosis Based on Oral Cavity Squamous Cell Carcinoma Surgical Margins.

PubMed

Buchakjian, Marisa R; Ginader, Timothy; Tasche, Kendall K; Pagedar, Nitin A; Smith, Brian J; Sperry, Steven M

2018-05-01

Objective To conduct a multivariate analysis of a large cohort of oral cavity squamous cell carcinoma (OCSCC) cases for independent predictors of local recurrence (LR) and overall survival (OS), with emphasis on the relationship between (1) prognosis and (2) main specimen permanent margins and intraoperative tumor bed frozen margins. Study Design Retrospective cohort study. Setting Tertiary academic head and neck cancer program. Subjects and Methods This study included 426 patients treated with OCSCC resection between 2005 and 2014 at University of Iowa Hospitals and Clinics. Patients underwent excision of OCSCC with intraoperative tumor bed frozen margin sampling and main specimen permanent margin assessment. Multivariate analysis of the data set to predict LR and OS was performed. Results Independent predictors of LR included nodal involvement, histologic grade, and main specimen permanent margin status. Specifically, the presence of a positive margin (odds ratio, 6.21; 95% CI, 3.3-11.9) or <1-mm/carcinoma in situ margin (odds ratio, 2.41; 95% CI, 1.19-4.87) on the main specimen was an independent predictor of LR, whereas intraoperative tumor bed margins were not predictive of LR on multivariate analysis. Similarly, independent predictors of OS on multivariate analysis included nodal involvement, extracapsular extension, and a positive main specimen margin. Tumor bed margins did not independently predict OS. Conclusion The main specimen margin is a strong independent predictor of LR and OS on multivariate analysis. Intraoperative tumor bed frozen margins do not independently predict prognosis. We conclude that emphasis should be placed on evaluating the main specimen margins when estimating prognosis after OCSCC resection.

Lithospheric Response of the Anatolian Plateau in the Realm of the Black Sea and the Eastern Mediterranean

NASA Astrophysics Data System (ADS)

Ergun, Mustafa

2016-04-01

The Eastern Mediterranean and the Middle East make up the southern boundary of the Tethys Ocean for the last 200 Ma by the disintegration of the Pangaea and closure of the Tethys Ocean. It covers the structures: Hellenic and Cyprus arcs; Eastern Anatolian Fault Zone; Bitlis Suture Zone and Zagros Mountains. The northern boundary of the Tethys Ocean is made up the Black Sea and the Caspian Sea, and it extends up to Po valley towards the west (Pontides, Caucasus). Between these two zones the Alp-Himalayan orogenic belt is situated where the Balkan, Anatolia and the Iran plateaus are placed as the remnants of the lost Ocean of the Tethys. The active tectonics of the eastern Mediterranean is the consequences of the convergence between the Africa, Arabian plates in the south and the Eurasian plate in the north. These plates act as converging jaws of vise forming a crustal mosaic in between. The active crustal deformation pattern reveals two N-S trending maximum compression or crustal shortening syntaxes': (i) the eastern Black Sea and the Arabian plate, (ii) the western Black Sea and the Isparta Angle. The transition in young mountain belts, from ocean crust through the agglomeration of arc systems with long histories of oceanic closures, to a continental hinterland is well exemplified by the plate margin in the eastern Mediterranean. The boundary between the African plate and the Aegean/Anatolian microplate is in the process of transition from subduction to collision along the Cyprus Arc. Since the Black Sea has oceanic lithosphere, it is actually a separate plate. However it can be considered as a block, because the Black Sea is a trapped oceanic basin that cannot move freely within the Eurasian Plate. Lying towards the northern margin of orogenic belts related to the closure of the Tethys Ocean, it is generally considered to be a result of back-arc extension associated with the northward subduction of the Tethyan plate to the south. Interface oceanic lithosphere at the leading edge of the northward moving African Plate in the eastern Mediterranean Sea and the deforming Aegean-Anatolian Plate continental lithosphere forms the northward dipping Hellenic and Cyprean subduction zones in the south. Since there is a velocity differential between the northward motion of African and Arabian Plates (10 mm/yr and 18 mm/yr, respectively), this difference is accommodated along the sinistral strike-slip Dead Sea Fault that forms the plate boundary between the African and the Arabian Plates. Continental crust forms from structurally thickened remnants of oceanic crust and overlying sediments, which are then invaded by arc magmatism. Understanding this process is a first order problem of lithospheric dynamics. The transition in young mountain belts, from ocean crust through the agglomeration of arc systems with long histories of oceanic closures, to a continental hinterland is well exemplified by the plate margin in the eastern Mediterranean. Mountains are subject to erosion, which can disturb isostatic compensation. If the eroded mountains are no longer high enough to justify their deep root-zones, the topography is isostatically overcompensated. Similarly, the buoyancy forces that result from overcompensation of mountainous topography cause vertical uplift. The Eastern Mediterranean Basin, having 100 milligal gravity values lower than other isostatically compensated oceans, it is in general overcompensated. Normally the Eastern Mediterranean Basin should rise under its present isostatic condition. It is known, however, that the Eastern Mediterranean Basin with its thick sediment-filled basins is actually sinking. Anatolia, having 100 milligals gravity values higher than other isostatically compensated zones of the world, is in general undercompensated. Normal isostatic conditions require that Anatolia should sink. It is known, however, that Anatolia, with the exception of local grabens, is rising. While the Black Sea, having 100-milligal lower gravity value than other isostatically compensated oceans, it is in general overcompensated and The Black Sea basin with very thick sedimentary cover (more than 12-14 km thick) is actually sinking.

Reconstruction of palatal defect using mucoperiosteal hinge flap and pushback palatoplasty.

PubMed

Lee, S I; Lee, H S; Hwang, K

2001-11-01

This article describes a simple, new surgical technique to provide a complete two-layer closure of palatal defect resulting from a surgical complication of trans palatal resection of skull base chordoma. The nasal layer was reconstructed with triangular shape oral mucoperiosteal turn over hinge flap based on anterior margin of palatal defect and rectangular shaped lateral nasal mucosal hinge flaps. The oral layer was reconstructed with conventional pushback V-Y advancement 2-flaps palatoplasty. Each layer of the flaps were secured with two key mattress suture for flap coaptation. This technique has some advantages: simple, short operation time, one-stage procedure, no need of osteotomy. It can close small- to medium-sized palatal defect of palate or wide cleft palate and can prevent common complication of oronasal fistula, which could be caused by tension.

Performance Assessment Program for the Savannah River Site Liquid Waste Facilities - 13610

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

Rosenberger, Kent H.

2013-07-01

The Liquid Waste facilities at the U.S. Department of Energy's (DOE) Savannah River Site (SRS) are operated by Liquid Waste Operations contractor Savannah River Remediation LLC (SRR). A separate Performance Assessment (PA) is prepared to support disposal operations at the Saltstone Disposal Facility and closure evaluations for the two liquid waste tank farm facilities at SRS, F-Tank Farm and H-Tank Farm. A PA provides the technical basis and results to be used in subsequent documents to demonstrate compliance with the pertinent requirements identified in operations and closure regulatory guidance. The Saltstone Disposal Facility is subject to a State of Southmore » Carolina industrial solid waste landfill permit and the tank farms are subject to a state industrial waste water permit. The three Liquid Waste facilities are also subject to a Federal Facility Agreement approved by the State, DOE and the Environmental Protection Agency (EPA). Due to the regulatory structure, a PA is a key technical document reviewed by the DOE, the State of South Carolina and the EPA. As the waste material disposed of in the Saltstone Disposal Facility and the residual material in the closed tank farms is also subject to reclassification prior to closure via a waste determination pursuant to Section 3116 of the Ronald W. Reagan National Defense Authorization Act of Fiscal Year 2005, the U.S. Nuclear Regulatory Commission (NRC) is also a reviewing agency for the PAs. Pursuant to the Act, the NRC also has a continuing role to monitor disposal actions to assess compliance with stated performance objectives. The Liquid Waste PA program at SRS represents a continual process over the life of the disposal and closure operations. When the need for a PA or PA revision is identified, the first step is to develop a conceptual model to best represent the facility conditions. The conceptual model will include physical dimensions of the closed system, both the engineered and natural system, and modeling input parameters associated with the modeled features, both initial values (at the time of facility closure) and degradation rates/values. During the development of the PA, evaluations are conducted to reflect not only the results associated with the best available information at the time but also to evaluate potential uncertainties and sensitivities associated with the modeled system. While the PA will reflect the modeled system results from the best available information, it will also identify areas for future work to reduce overall PA uncertainties moving forward. DOE requires a PA Maintenance Program such that work continues to reduce model uncertainties, thus bolstering confidence in PA results that support regulatory decisions. This maintenance work may include new Research and Development activities or modeling as informed by previous PA results and other new information that becomes available. As new information becomes available, it is evaluated against previous PAs and appropriate actions are taken to ensure continued confidence in the regulatory decisions. Therefore, the PA program is a continual process that is not just the development of a PA but seeks to incorporate new information to reduce overall model uncertainty and provide continuing confidence in regulatory decisions. (author)« less

Data report: Permeabilities of eastern equatorial Pacific and Peru margin sediments

USGS Publications Warehouse

Gamage, Kusali; Bekins, Barbara A.; Screaton, Elizabeth; Jørgensen, Bo B.; D'Hondt, Steven L.; Miller, D. Jay

2006-01-01

Constant-flow permeability tests were conducted on core samples from Ocean Drilling Program Leg 201 from the eastern equatorial Pacific and the Peru margin. Eighteen whole-round core samples from Sites 1225, 1226, 1227, 1230, and 1231 were tested for vertical permeabilities. Sites 1225, 1226, and 1231 represent sediments of the open ocean, whereas Sites 1227 and 1230 represent sediments of the ocean margin. Measured vertical permeabilities vary from ~8 x 10–19 m2 to ~1 x 10–16 m2 for a porosity range of 45%–90%.

Incorporating Cutting Edge Scientific Results from the Margins-Geoprisms Program into the Undergraduate Curriculum: The Subduction Factory

NASA Astrophysics Data System (ADS)

Penniston-Dorland, S.; Stern, R. J.; Edwards, B. R.; Kincaid, C. R.

2014-12-01

The NSF-MARGINS Program funded a decade of research on continental margin processes. The NSF-GeoPRISMS Mini-lesson Project, funded by NSF-TUES, is designed to integrate fundamental results from the MARGINS program into open-source college-level curriculum. Three Subduction Factory (SubFac) mini-lessons were developed as part of this project. These include hands-on examinations of data sets representing 3 key components of the subduction zone system: 1) Heat transfer in the subducted slab; 2) Metamorphic processes happening at the plate interface; and 3) Typical magmatic products of arc systems above subduction zones. Module 1: "Slab Temperatures Control Melting in Subduction Zones, What Controls Slab Temperature?" allows students to work in groups using beads rolling down slopes as an analog for the mathematics of heat flow. Using this hands-on, exploration-based approach, students develop an intuition for the mathematics of heatflow and learn about heat conduction and advection in the subduction zone environment. Module 2: "Subduction zone metamorphism" introduces students to the metamorphic rocks that form as the subducted slab descends and the mineral reactions that characterize subduction-related metamorphism. This module includes a suite of metamorphic rocks available for instructors to use in a lab, and exercises in which students compare pressure-temperature estimates obtained from metamorphic rocks to predictions from thermal models. Module 3: "Central American Arc Volcanoes, Petrology and Geochemistry" introduces students to basic concepts in igneous petrology using the Central American volcanic arc, a MARGINS Subduction Factory focus site, as an example. The module relates data from two different volcanoes - basaltic Cerro Negro (Nicaragua) and andesitic Ilopango (El Salvador) including hand sample observations and major element geochemistry - to explore processes of mantle and crustal melting and differentiation in arc volcanism.

Quantitative and qualitative evaluation of a web-based, interactive approach for teaching the management of angle-closure glaucoma.

PubMed

Blumberg, Dana M; Quigley, Harry A; Goldberg, Harry R

2009-02-01

To construct a validated Internet-based teaching system that improves diagnostic and therapeutic skills related to glaucoma diagnosis. Nonrandomized clinical trial. Thirty-four glaucoma specialists and 21 ophthalmologists-in-training. An interactive program was designed to improve the recognition of gonioscopic findings and to manage angle-closure glaucoma (ACG) patients, including technical information in performing gonioscopy, ability to recognize angle structures, and treatment choices. The behavior of participants permitted the assessment of degree of improvement related to the interaction. The program content was validated by 5 academic glaucoma subspecialists. Then, 34 fellowship-trained glaucoma specialists and 21 ophthalmology residents accessed the program. Results were evaluated using paired and nonpaired t tests and analysis of variance. Comparison of pretest and posttest scores of residents and glaucoma specialists on measures of gonioscopy recognition and questions related to ACG management. Residents improved their recognition of gonioscopic findings after viewing the program (P<0.0001), scoring significantly worse than glaucoma specialists before interacting with the program (P<0.0001), but scoring at equivalent levels to specialists after viewing the program (P=0.34). The time necessary to improve knowledge by interacting with the program was significantly related to year of residency training (P<0.0001, analysis of variance). The rate of correct answers to management questions related to ACG increased with increasing years of experience in ophthalmology, validating the education methodology (P<0.0001). A web-based teaching approach for diagnosis and management of ACG evaluated the knowledge of ophthalmologists in a manner consistent with their expected expertize. Statistically significant improvements in validated knowledge of ACG were demonstrated for this educational method.

[The economic margins of activities of a bovine practitioner on dairy farms].

PubMed

van Genugten, A J M; van Haaften, J A; Hogeveen, H

2011-11-01

Because of lower margins and market liberalisation veterinarians and farmers are increasingly negotiating rates. Therefore, the margins of veterinarians are under pressure. In addition, the sales if drugs, performance of operations or giving of advice are more and more separated. These developments give veterinarians uncertainty about the profitability of their activities for dairy farmers. Not much is known about margins on veterinary activities on dairy farms. Moreover, it is interesting to see how much margins of the bovine practitioner differ between veterinary practises and dairy farms. In this study, invoices for bovine activities of 14 veterinary practises were combined with milk production registration data of the dairy farms of these practices. This way, the gross margin per bovine practitioner could be studied for the different veterinary practise. Moreover the relation between gross margin and specification of the veterinary practise could be studied. Finally, the gross margin per dairy farm and the factors that influenced this gross margin were studied. The most important result was the observation that the gross margin per bovine practitioner was dependent on the number of dairy farms per practitioner, the margin on drugs and the region of the veterinary practise. The size of the veterinary practise, the share of the dairy farming within the practise and the source of the gross margin (drugs, time or operations) did not influence the gross margin. Variables that explained the gross margin per dairy farm were, amongst others, the number of dairy cows, the milk production level of the farms and participation in PIR-DAP (a system to support the veterinarians herd health and management program). There is no relation of gross margin per dairy farm and the veterinary practise or region.

Mentoring and Academic Resilience: Academic Progress in a Predominantly White Institution as a Historically Marginalized Student

ERIC Educational Resources Information Center

Reed-Hendon, Caryn Y.

2013-01-01

Mentoring for historically marginalized students in the post-secondary education years has been used as a means to mitigate factors of attrition in academic programs. As a student development construct, academic resilience utilizes protective processes for managing behavioral and emotional responses to difficult situations inside and outside of…

Light Water Reactor Sustainability Program: Risk-Informed Safety Margins Characterization (RISMC) Pathway Technical Program Plan

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

Smith, Curtis; Rabiti, Cristian; Martineau, Richard

Safety is central to the design, licensing, operation, and economics of Nuclear Power Plants (NPPs). As the current Light Water Reactor (LWR) NPPs age beyond 60 years, there are possibilities for increased frequency of Systems, Structures, and Components (SSCs) degradations or failures that initiate safety-significant events, reduce existing accident mitigation capabilities, or create new failure modes. Plant designers commonly “over-design” portions of NPPs and provide robustness in the form of redundant and diverse engineered safety features to ensure that, even in the case of well-beyond design basis scenarios, public health and safety will be protected with a very high degreemore » of assurance. This form of defense-in-depth is a reasoned response to uncertainties and is often referred to generically as “safety margin.” Historically, specific safety margin provisions have been formulated, primarily based on “engineering judgment.”« less

ROCOPT: A user friendly interactive code to optimize rocket structural components

NASA Technical Reports Server (NTRS)

Rule, William K.

1989-01-01

ROCOPT is a user-friendly, graphically-interfaced, microcomputer-based computer program (IBM compatible) that optimizes rocket components by minimizing the structural weight. The rocket components considered are ring stiffened truncated cones and cylinders. The applied loading is static, and can consist of any combination of internal or external pressure, axial force, bending moment, and torque. Stress margins are calculated by means of simple closed form strength of material type equations. Stability margins are determined by approximate, orthotropic-shell, closed-form equations. A modified form of Powell's method, in conjunction with a modified form of the external penalty method, is used to determine the minimum weight of the structure subject to stress and stability margin constraints, as well as user input constraints on the structural dimensions. The graphical interface guides the user through the required data prompts, explains program options and graphically displays results for easy interpretation.

MIZEX (Marginal Ice Zone Program): A Program for Mesoscale Air-Ice-Ocean Interaction Experimemts om Arctic Marginal Ice Zones. V. MIZEX 84. Summer Experiment PI (Principal Investigator) Preliminary Reports,

DTIC Science & Technology

1984-10-01

164 W.O. Smith, L.A. Codispoti and S.L. Smith Biological Production ................................................. 168 H.-J. Neubert ...in the vicinity of the Kvit Bj orn. 78 Ii The MIZEX-84 High Frequency Accelerometer Study Paul K. Becker and Seelye Martin The field portion of the...w,-9 tested. 4 Natural Tritium Content Hanns-J. Neubert * ~ At station no. 333 (see Fiq.) a hole of’ >7000 m was f’ound. To qet inf’ormation about

Injection and adhesion palatoplasty: a preliminary study in a canine model.

PubMed

Martínez-Álvarez, Concepción; González-Meli, Beatriz; Berenguer-Froehner, Beatriz; Paradas-Lara, Irene; López-Gordillo, Yamila; Rodríguez-Bobada, Cruz; González, Pablo; Chamorro, Manuel; Arias, Pablo; Hilborn, Jöns; Casado-Gómez, Inmaculada; Martínez-Sanz, Elena

2013-08-01

Raising mucoperiosteal flaps in traditional palatoplasty impairs mid-facial growth. Hyaluronic acid-based hydrogels have been successfully tested for minimally invasive craniofacial bone generation in vivo as carriers of bone morphogenetic protein-2 (BMP-2). We aimed to develop a novel flapless technique for cleft palate repair by injecting a BMP-2 containing hydrogel. Dog pups with congenital cleft palate were either non-treated (n=4) or treated with two-flap palatoplasty (n=6) or with the proposed injection/adhesion technique (n=5). The experimental approach was to inject a hyaluronic acid-based hydrogel containing hydroxyapatite and BMP-2 subperiosteally at the cleft palate margins of pups aged six weeks. At week ten, a thin strip of the medial edge mucosa was removed and the margins were closed directly. Occlusal photographs and computed tomography (CT) scans were obtained up to week 20. Four weeks after the gel injection the cleft palate margins had reached the midline and engineered bone had enlarged the palatal bones. Removal of the medial edge mucosa and suturing allowed complete closure of the cleft. Compared to traditional palatoplasty, the injection/adhesion technique was easier, and the post-surgical recovery was faster. CT on week 20 revealed some overlapping or "bending" of palatal shelves in the two-flap repair group, which was not observed in the experimental nor control groups. A minimally invasive technique for cleft palate repair upon injectable scaffolds in a dog model of congenital cleft palate is feasible. Results suggest better growth of palatal bones. This represents an attractive clinical alternative to traditional palatoplasty for cleft palate patients. Copyright © 2013 Elsevier Inc. All rights reserved.

The Role of Embryologic Fusion Planes in the Invasiveness and Recurrence of Basal Cell Carcinoma: A Classic Mix-Up of Causation and Correlation

PubMed Central

Armstrong, Linus T. D.; Guppy, Michelle P. B.

2015-01-01

Abstract Background: The facial embryologic fusion planes as regions of mesenchymal and ectodermal fusion of the primordial facial processes during embryological development have been suggested to influence the spread, invasiveness, pathogenesis, and recurrence of cutaneous carcinoma. This study sought to establish whether basal cell carcinoma (BCC) originating in embryologic fusion planes has a greater propensity for earlier depth of invasion, leading to an increased rate of lesion recurrence. Methods: Facial BCCs excised in a single surgeon practice over 2 years were allocated into 2 anatomic domains according to their correlation with embryologic fusion planes. Lesion depth of invasion, surface area, and margins of excision were analyzed in conjunction with recurrence data over the following 70–80 months. Results: Of the 331 lesions examined, 70 were located in embryologic fusion planes. No difference was found in the mean surface area and depth of invasion for lesions located in the 2 domains (P > 0.05). Ten lesion recurrences were identified, none of which were located in embryologic fusion planes. Recurrent lesions were excised with a significantly greater percentage of close and incomplete excision margins (P < 0.05). Conclusions: BCC arising in embryologic fusion planes are not more invasive or at greater risk of recurrence. Excision margins seem to have the greatest influence on lesion recurrence. Because of the paucity of superfluous tissue and the cosmetic and functionally sensitive nature of these areas of embryologic fusion, specialist treatment of these lesions is recommended to ensure that adequacy of excision is not neglected at the cost of ease of closure and cosmesis. PMID:26894007

Submarine Landslide Hazards Offshore Southern Alaska: Seismic Strengthening Versus Rapid Sedimentation

NASA Astrophysics Data System (ADS)

Sawyer, D.; Reece, R.; Gulick, S. P. S.; Lenz, B. L.

2017-12-01

The southern Alaskan offshore margin is prone to submarine landslides and tsunami hazards due to seismically active plate boundaries and extreme sedimentation rates from glacially enhanced mountain erosion. We examine the submarine landslide potential with new shear strength measurements acquired by Integrated Ocean Drilling Program Expedition 341 on the continental slope and Surveyor Fan. These data reveal lower than expected sediment strength. Contrary to other active margins where seismic strengthening enhances slope stability, the high-sedimentation margin offshore southern Alaska behaves like a passive margin from a shear strength perspective. We interpret that seismic strengthening occurs but is offset by high sedimentation rates and overpressure within the slope and Surveyor Fan. This conclusion is supported because shear strength follows an expected active margin profile outside of the fan, where background sedimentation rates occur. More broadly, seismically active margins with wet-based glaciers are susceptible to submarine landslide hazards because of the combination of high sedimentation rates and earthquake shaking

10 CFR 60.111 - Performance of the geologic repository operations area through permanent closure.

Code of Federal Regulations, 2012 CFR

2012-01-01

... retrieval throughout the period during which wastes are being emplaced and, thereafter, until the completion of a preformance confirmation program and Commission review of the information obtained from such a... retrievability. (3) For purposes of this paragraph, a reasonable schedule for retrieval is one that would permit...

10 CFR 60.111 - Performance of the geologic repository operations area through permanent closure.

Code of Federal Regulations, 2013 CFR

2013-01-01

... retrieval throughout the period during which wastes are being emplaced and, thereafter, until the completion of a preformance confirmation program and Commission review of the information obtained from such a... retrievability. (3) For purposes of this paragraph, a reasonable schedule for retrieval is one that would permit...

10 CFR 60.111 - Performance of the geologic repository operations area through permanent closure.

Code of Federal Regulations, 2014 CFR

2014-01-01

... retrieval throughout the period during which wastes are being emplaced and, thereafter, until the completion of a preformance confirmation program and Commission review of the information obtained from such a... retrievability. (3) For purposes of this paragraph, a reasonable schedule for retrieval is one that would permit...

10 CFR 60.111 - Performance of the geologic repository operations area through permanent closure.

Code of Federal Regulations, 2011 CFR

2011-01-01

... retrieval throughout the period during which wastes are being emplaced and, thereafter, until the completion of a preformance confirmation program and Commission review of the information obtained from such a... retrievability. (3) For purposes of this paragraph, a reasonable schedule for retrieval is one that would permit...

Defense Base Realignment and Closure Military Construction Budget Data for Sheppard Air Force Base, Wichita Falls, Texas

DTIC Science & Technology

1995-06-23

provides the results of the audit of one project, valued at $1.8 million, for the repair of roads on Sheppard Air Force Base, Wichita Falls, Texas. The ... audit also assessed the adequacy of the management control program as it applied to the audit objectives.

50 CFR 665.252 - Harvest limitation program.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Grounds for Permit Area 1 will be set annually for the calendar year and shall: (1) Apply to the total... the overall harvest guideline for Crustacean Permit Area 1 will be reached; (ii) Closure date after... Permit Area 1 is prohibited by any permitted vessel that is not operating a VMS unit certified by NMFS...

50 CFR 665.252 - Harvest limitation program.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Grounds for Permit Area 1 will be set annually for the calendar year and shall: (1) Apply to the total... the overall harvest guideline for Crustacean Permit Area 1 will be reached; (ii) Closure date after... Permit Area 1 is prohibited by any permitted vessel that is not operating a VMS unit certified by NMFS...

50 CFR 665.252 - Harvest limitation program.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Grounds for Permit Area 1 will be set annually for the calendar year and shall: (1) Apply to the total... the overall harvest guideline for Crustacean Permit Area 1 will be reached; (ii) Closure date after... Permit Area 1 is prohibited by any permitted vessel that is not operating a VMS unit certified by NMFS...

32 CFR 174.7 - Retention for DoD Component use and transfer to other Federal agencies.

Code of Federal Regulations, 2014 CFR

2014-07-01

... agencies. (a) To speed the economic recovery of communities affected by closures and realignments, the... Secretary concerned, the Transition Coordinator, and the DoD Office of Economic Adjustment Project Manager... requested property would provide greater long-term economic benefits for the program than acquisition of a...

32 CFR 174.7 - Retention for DoD Component use and transfer to other Federal agencies.

Code of Federal Regulations, 2013 CFR

2013-07-01

... agencies. (a) To speed the economic recovery of communities affected by closures and realignments, the... Secretary concerned, the Transition Coordinator, and the DoD Office of Economic Adjustment Project Manager... requested property would provide greater long-term economic benefits for the program than acquisition of a...

32 CFR 174.7 - Retention for DoD Component use and transfer to other Federal agencies.

Code of Federal Regulations, 2010 CFR

2010-07-01

... agencies. (a) To speed the economic recovery of communities affected by closures and realignments, the... Secretary concerned, the Transition Coordinator, and the DoD Office of Economic Adjustment Project Manager... requested property would provide greater long-term economic benefits for the program than acquisition of a...

32 CFR 174.7 - Retention for DoD Component use and transfer to other Federal agencies.

Code of Federal Regulations, 2011 CFR

2011-07-01

... agencies. (a) To speed the economic recovery of communities affected by closures and realignments, the... Secretary concerned, the Transition Coordinator, and the DoD Office of Economic Adjustment Project Manager... requested property would provide greater long-term economic benefits for the program than acquisition of a...

32 CFR 174.7 - Retention for DoD Component use and transfer to other Federal agencies.

Code of Federal Regulations, 2012 CFR

2012-07-01

... agencies. (a) To speed the economic recovery of communities affected by closures and realignments, the... Secretary concerned, the Transition Coordinator, and the DoD Office of Economic Adjustment Project Manager... requested property would provide greater long-term economic benefits for the program than acquisition of a...

PRINCE EDWARD COUNTY, AV HELPS VIRGINIA'S DEPRIVED.

ERIC Educational Resources Information Center

EDGERTON, WILBERT D.

DISCUSSED IS THE ESTABLISHMENT OF THE PRINCE EDWARD COUNTY FREE SCHOOLS IN VIRGINIA. MANY OF THE CHILDREN HAD NOT ATTENDED SCHOOLS FOR 4 YEARS FOLLOWING THE CLOSURE OF THE PUBLIC SCHOOLS AND, THEREFORE, THE TRADITIONAL EDUCATIONAL PROGRAM WAS FELT TO BE INADEQUATE FOR THESE STUDENTS. THE FREE SCHOOLS INITIATED UNGRADED CLASSES, TEAM TEACHING, AN…

75 FR 44144 - Washington: Final Authorization of State Hazardous Waste Management Program Revisions

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-28

....19. 400(3)(c)(xiii)(A) Correction--the 265.300 Subpart word N--Landfills, carbonaceous related... recycling Subpart G exception from related; closure and 264.140, financial 265.140 Subpart responsibility H...) Correction--chang 264.143. e ``resource reclamation units'' to ``recycling units''. 620(4)(d)(iv...

Studying Turbulence Using Numerical Simulation Databases. Proceedings of the 1987 Summer Program

NASA Technical Reports Server (NTRS)

Moin, Parviz (Editor); Reynolds, William C. (Editor); Kim, John (Editor)

1987-01-01

The focus was on the use of databases obtained from direct numerical simulations of turbulent flows, for study of turbulence physics and modeling. Topics addressed included: stochastic decomposition/chaos/bifurcation; two-point closure (or k-space) modeling; scalar transport/reacting flows; Reynolds stress modeling; and structure of turbulent boundary layers.

76 FR 55917 - Medicare Program; Notification of Closure of St. Vincent's Medical Center; Extension of the...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-09

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-1587-N2... Submission of Applications AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice of... hospitals to apply to the Centers for Medicare & Medicaid Services (CMS) to receive St. Vincent's Medical...

Assessment of MSIV full closure for Santa Maria de Garona Nuclear Power Plant using TRAC-BF1 (G1J1)

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

Crespo, J.L.; Fernandez, R.A.

1993-06-01

This document presents a spurious Main Steam Isolation Value (MSIV) closure analysis for Santa Maria de Garorta Nuclear Power Plan describing the problems found when comparing calculated and real data. The plant is a General Electric Boiling Water Reactor 3, containment type Mark 1. It is operated by NUCLENOR, S.A. and was connected to the grid in 1971. The analysis has been performed by the Apphed Physics Department from the University of Cantabria and the Analysis and Operation Section from NUCLENOR, S.A. as a part of an agreement for developing an engineering simulator of operational transients and accidents for Santamore » Maria de Gamma Power Plant. The analysis was performed using the frozen version of TRAC-BFI (GlJl) code and is the second of two NUCLENOR contributions to the International Code Applications and Assessment Program (ICAP). The code was run in a Cyber 932 with operating system NOS/VE, property of NUCLENOR, S.A.. A programming effort was carried out in order to provide suitable graphics from the output file.« less

Plotting performance improvement progress through the development of a trauma dashboard.

PubMed

Hochstuhl, Diane C; Elwell, Sean

2014-01-01

Performance improvement processes are the core of a pediatric trauma program. The ability to identify, resolve, and trend specific indicators related to patient care and to show effective loop closure can be especially challenging. Using the hospital's overall quality process as a template, the trauma program built its own electronic dashboard. Our maturing trauma PI program now guides the overall trauma care. All departments own at least one performance indicator and must provide action plans for improvement. Utilization of an electronic dashboard for trauma performance improvement has provided a highly visible scorecard, which highlights successes and tracks areas needing improvement.

Advanced life support technology development for the Space Exploration Initiative

NASA Technical Reports Server (NTRS)

Evanich, Peggy L.; Voecks, Gerald E.; Seshan, P. K.

1990-01-01

An overview is presented of NASA's advanced life support technology development strategy for the Space Exploration Initiative. Three basic life support technology areas are discussed in detail: air revitalization, water reclamation, and solid waste management. It is projected that regenerative life support systems will become increasingly more complex as system closure is maximized. Advanced life support technology development will utilize three complementary elements, including the Research and Technology Program, the Regenerative Life Support Program, and the Technology Testbed Validations.

A Simulation Modeling Framework to Optimize Programs Using Financial Incentives to Motivate Health Behavior Change.

PubMed

Basu, Sanjay; Kiernan, Michaela

2016-01-01

While increasingly popular among mid- to large-size employers, using financial incentives to induce health behavior change among employees has been controversial, in part due to poor quality and generalizability of studies to date. Thus, fundamental questions have been left unanswered: To generate positive economic returns on investment, what level of incentive should be offered for any given type of incentive program and among which employees? We constructed a novel modeling framework that systematically identifies how to optimize marginal return on investment from programs incentivizing behavior change by integrating commonly collected data on health behaviors and associated costs. We integrated "demand curves" capturing individual differences in response to any given incentive with employee demographic and risk factor data. We also estimated the degree of self-selection that could be tolerated: that is, the maximum percentage of already-healthy employees who could enroll in a wellness program while still maintaining positive absolute return on investment. In a demonstration analysis, the modeling framework was applied to data from 3000 worksite physical activity programs across the nation. For physical activity programs, the incentive levels that would optimize marginal return on investment ($367/employee/year) were higher than average incentive levels currently offered ($143/employee/year). Yet a high degree of self-selection could undermine the economic benefits of the program; if more than 17% of participants came from the top 10% of the physical activity distribution, the cost of the program would be expected to always be greater than its benefits. Our generalizable framework integrates individual differences in behavior and risk to systematically estimate the incentive level that optimizes marginal return on investment. © The Author(s) 2015.

A simulation modeling framework to optimize programs using financial incentives to motivate health behavior change

PubMed Central

Basu, Sanjay; Kiernan, Michaela

2015-01-01

Introduction While increasingly popular among mid- to large-size employers, using financial incentives to induce health behavior change among employees has been controversial, in part due to poor quality and generalizability of studies to date. Thus, fundamental questions have been left unanswered: to generate positive economic returns on investment, what level of incentive should be offered for any given type of incentive program and among which employees? Methods We constructed a novel modeling framework that systematically identifies how to optimize marginal return on investment from programs incentivizing behavior change by integrating commonly-collected data on health behaviors and associated costs. We integrated “demand curves” capturing individual differences in response to any given incentive with employee demographic and risk factor data. We also estimated the degree of self-selection that could be tolerated, i.e., the maximum percentage of already-healthy employees who could enroll in a wellness program while still maintaining positive absolute return on investment. In a demonstration analysis, the modeling framework was applied to data from 3,000 worksite physical activity programs across the nation. Results For physical activity programs, the incentive levels that would optimize marginal return on investment ($367/employee/year) were higher than average incentive levels currently offered ($143/employee/year). Yet a high degree of self-selection could undermine the economic benefits of the program; if more than 17% of participants came from the top 10% of the physical activity distribution, the cost of the program would be expected to always be greater than its benefits. Discussion Our generalizable framework integrates individual differences in behavior and risk to systematically estimate the incentive level that optimizes marginal return on investment. PMID:25977362

The rise and fall of dental therapy in Canada: a policy analysis and assessment of equity of access to oral health care for Inuit and First Nations communities.

PubMed

Leck, Victoria; Randall, Glen E

2017-07-20

Inequality between most Canadians and those from Inuit and First Nations communities, in terms of both access to oral health care services and related health outcomes, has been a long-standing problem. Efforts to close this equity gap led to the creation of dental therapy training programs. These programs were designed to produce graduates who would provide services in rural and northern communities. The closure of the last dental therapy program in late 2011 has ended the supply of dental therapists and governments do not appear to have any alternative solutions to the growing gap in access to oral health care services between most Canadians and those from Inuit and First Nations communities. A policy analysis of the rise and fall of the dental therapy profession in Canada was conducted using historical and policy documents. The analysis is framed within Kingdon's agenda-setting framework and considers why dental therapy was originally pursued as an option to ensure equitable access to oral health care for Inuit and First Nations communities and why this policy has now been abandoned with the closure of Canada's last dental therapy training school. The closure of the last dental therapy program in Canada has the potential to further reduce access to dental care in some Inuit and First Nations communities. Overlaps between federal and provincial jurisdiction have contributed to the absence of a coordinated policy approach to address the equity gap in access to dental care which will exacerbate the inequalities in comparison to the general population. The analysis suggests that while a technically feasible policy solution is available there continues to be no politically acceptable solution and thus it remains unlikely that a window of opportunity for policy change will open any time soon. In the absence of federal government leadership, the most viable option forward may be incremental policy change. Provincial governments could expand the scope of practice for dental hygienists in the hope that it may support enhanced access, consumer choice, and efficiency in the delivery of oral health care to Inuit and First Nations communities in Canada.

Economic evaluation of progeny-testing and genomic selection schemes for small-sized nucleus dairy cattle breeding programs in developing countries.

PubMed

Kariuki, C M; Brascamp, E W; Komen, H; Kahi, A K; van Arendonk, J A M

2017-03-01

In developing countries minimal and erratic performance and pedigree recording impede implementation of large-sized breeding programs. Small-sized nucleus programs offer an alternative but rely on their economic performance for their viability. We investigated the economic performance of 2 alternative small-sized dairy nucleus programs [i.e., progeny testing (PT) and genomic selection (GS)] over a 20-yr investment period. The nucleus was made up of 453 male and 360 female animals distributed in 8 non-overlapping age classes. Each year 10 active sires and 100 elite dams were selected. Populations of commercial recorded cows (CRC) of sizes 12,592 and 25,184 were used to produce test daughters in PT or to create a reference population in GS, respectively. Economic performance was defined as gross margins, calculated as discounted revenues minus discounted costs following a single generation of selection. Revenues were calculated as cumulative discounted expressions (CDE, kg) × 0.32 (€/kg of milk) × 100,000 (size commercial population). Genetic superiorities, deterministically simulated using pseudo-BLUP index and CDE, were determined using gene flow. Costs were for one generation of selection. Results show that GS schemes had higher cumulated genetic gain in the commercial cow population and higher gross margins compared with PT schemes. Gross margins were between 3.2- and 5.2-fold higher for GS, depending on size of the CRC population. The increase in gross margin was mostly due to a decreased generation interval and lower running costs in GS schemes. In PT schemes many bulls are culled before selection. We therefore also compared 2 schemes in which semen was stored instead of keeping live bulls. As expected, semen storage resulted in an increase in gross margins in PT schemes, but gross margins remained lower than those of GS schemes. We conclude that implementation of small-sized GS breeding schemes can be economically viable for developing countries. The Authors. Published by the Federation of Animal Science Societies and Elsevier Inc. on behalf of the American Dairy Science Association®. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).

Management of hidradenitis suppurativa wounds with an internal vacuum-assisted closure device.

PubMed

Chen, Y Erin; Gerstle, Theodore; Verma, Kapil; Treiser, Matthew D; Kimball, Alexandra B; Orgill, Dennis P

2014-03-01

Hidradenitis suppurativa is a chronic, debilitating disease that is difficult to treat. Once medical management fails, wide local excision offers the best chance for cure. However, the resultant wound often proves too large or contaminated for immediate closure. The authors performed a retrospective chart review of hidradenitis cases managed surgically between 2005 and 2010. Data collected included patient characteristics, management method, and outcomes. Approximately half of the patients received internal vacuum-assisted closure therapy using the vacuum-assisted closure system and delayed closure and half of the patients received immediate primary closure at the time of their excision. Delayed closure consisted of closing the majority of the wound in a linear fashion following internal vacuum-assisted closure while accepting healing by means of secondary intention for small wound areas. Patients managed with internal vacuum-assisted closure had wounds on average four times larger in area than patients managed without internal vacuum-assisted closure. In both groups, all wounds were eventually closed primarily. Healing times averaged 2.2 months with internal vacuum-assisted closure and 2.7 months without. At an average follow-up time of 2.3 months, all patients with internal vacuum-assisted closure had no recurrence of their local disease. Severe hidradenitis presents a treatment challenge, as surgical excisions are often complicated by difficult closures and unsatisfactory recurrence rates. This study demonstrates that wide local excision with reasonable outcomes can be achieved using accelerated delayed primary closure. This method uses internal vacuum-assisted closure as a bridge between excision and delayed primary closure, facilitating closure without recurrence in large, heavily contaminated wounds. Therapeutic, III.

Light Water Reactor Sustainability Program FY13 Status Update for EPRI - RISMC Collaboration

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

Smith, Curtis

2013-09-01

The purpose of the Risk Informed Safety Margin Characterization (RISMC) Pathway research and development (R&D) is to support plant decisions for risk-informed margins management with the aim to improve economics, reliability, and sustain safety of current NPPs. Goals of the RISMC Pathway are twofold: (1) Develop and demonstrate a risk-assessment method coupled to safety margin quantification that can be used by NPP decision makers as part of their margin recovery strategies. (2) Create an advanced "RISMC toolkit" that enables more accurate representation of NPP safety margin. In order to carry out the R&D needed for the Pathway, the Idaho Nationalmore » Laboratory (INL) is collaborating with the Electric Power Research Institute (EPRI) in order to focus on applications of interest to the U.S. nuclear power industry. This report documents the collaboration activities performed between INL and EPRI during FY2013.« less

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

G. N. Doyle

Corrective Action Unit (CAU) 254 is located in Area 25 of the Nevada Test Site (NTS), approximately 100 kilometers (km) (62 miles) northwest of Las Vegas, Nevada. The site is located within the Reactor Maintenance, Assembly and Disassembly (R-MAD) compound and consists of Building 3126, two outdoor decontamination pads, and surrounding areas within an existing fenced area measuring approximately 50 x 37 meters (160 x 120 feet). The site was used from the early 1960s to the early 1970s as part of the Nuclear Rocket Development Station program to decontaminate test-car hardware and tooling. The site was reactivated in themore » early 1980s to decontaminate a radiologically contaminated military tank. This Closure Report (CR) describes the closure activities performed to allow un-restricted release of the R-MAD Decontamination Facility.« less

Reducing Risky Sexual Behavior and Substance Use Among Currently and Formerly Homeless Adults Living With HIV

PubMed Central

Desmond, Katherine; Comulada, W. Scott; Arnold, Elizabeth Mayfield; Johnson, Mallory

2009-01-01

Objectives. We examined the efficacy of the Healthy Living Program in reducing risky sexual behavior and substance use among adults with HIV infection who were marginally housed (i.e., homeless at some point over a 37-month period). Methods. We had previously conducted a randomized controlled trial with 936 adults living with HIV infection. In that study, 3 intervention modules of 5 sessions each addressed different goals: reducing risky sexual acts and drug use, improving the quality of life, and adhering to healthful behaviors. Participants were interviewed at baseline and at 5, 10, 15, 20, and 25 months; 746 completed 4 or more assessments. In this study, we analyzed sexual behavior and drug use outcomes for the 35% (n = 270 of 767) of participants who were considered marginally housed. Results. Among the marginally housed participants, there were significantly greater reductions in unprotected risky sexual acts, the number of sexual partners of HIV negative or unknown serostatus, alcohol or marijuana use, and hard drug use among the intervention group than among the control group. Conclusions. Intensive, skill-focused intervention programs may improve the lives of marginally housed adults living with HIV infection. PMID:18799777

Margins: a status report from the Annual Meeting of the American Society of Breast Surgeons.

PubMed

Harness, Jay K; Giuliano, Armando E; Pockaj, Barbara A; Downs-Kelly, Erinn

2014-10-01

Since the emergence of breast conserving surgery (BCS) as an alternative to mastectomy in the 1980's, there has been little consensus on what constitutes acceptable margins for cases of invasive breast cancer, how best to evaluate margins in the operating room, or an understanding of the challenging process of margin assessment by pathologists. The program committee for the 15th Annual Meeting of The American Society of Breast Surgeons organized a plenary session to discuss the latest thinking and guidelines for these important issues. The SSO/ASTRO Consensus Guideline on Margins for BCS was an important focus of discussion. The SSO/ASTRO consensus panelists concluded that "no ink on tumor" is an adequate surgical margin for BCS in patients with invasive breast cancers. Intraoperative strategies to decrease the incidence of positive margins include intraoperative localization techniques (wire-localization, ultrasound, radioactive seed) and intraoperative margin assessments with specimen radiography, imprint cytology, and frozen section. Studies also demonstrate the positive effect of shave margins with or without intraoperative margin assessment. The College of American Pathologists protocols for breast specimen margin evaluation consider multiple variables that can impact the proper assessment of margins. These variables include: tissue fixation time, specimen orientation, cold ischemia time, leaking ink, specimen pancaking and others that surgeons need to be aware of. Determining when "enough is enough" should not only be the application of guidelines and national standards, but also a multidisciplinary discussion between breast cancer specialists for what is right for the individual patient's unique circumstances.

3013 DE INNER CONTAINER CLOSURE WELD CORROSION EVALUATION

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

Mickalonis, J.

Destructive evaluation (DE) of 3013 containers is one part of the U. S. Department of Energy Integrated Surveillance Program. During standard DE of 3013 containers, visual examinations for pitting and stress corrosion cracking (SCC) are performed on the accessible surfaces of the outer, inner, and convenience containers, which make up the 3013 container. As a result of 3013 DE additional analysis, the area near the inner container closure weld has been identified as being a region of increased corrosion susceptibility, which may provide a pathway for corrosive gases to the outer container. This area has a higher residual stress, anmore » altered microstructure, and less corrosion resistant weld oxides as a result of the welding process as well as a lower temperature than other areas of the container, which may increase the absorption of moisture on the surface. The deposition of moisture in this stressed region could lead to pitting and stress corrosion cracking. During FY2013, the inner container closure weld area was more closely evaluated on several archived samples from DE containers. These containers included FY09 DE2, FY12 DE4, FY12 DE6 and FY12 DE7 and the Hanford High Moisture Container. The additional examinations included visual observations with a stereomicroscope, scanning electron microscopy along with energy dispersive spectroscopy for chemical analysis, and serial metallography of the sidewall and lid that are part of the inner container closure weld region. Pitting was observed in all the samples taken from the closure weld regions of the examined inner containers. This pitting was generally less 20 μm with most less than 5m. These pits were similar in depth to those observed in the vapor exposed surfaces of teardrops in the shelf life corrosion testing. Cracking was not observed on either the vapor-exposed surfaces of the teardrop coupons or the inner container closure weld region. Further testing is necessary to determine if the conditions in the welded inner container could support SCC during the 50 year life time for the 3013 container.« less

Evaporitic sedimentation in the Southeastern Anatolian Foreland Basin: New insights on the Neotethys closure

NASA Astrophysics Data System (ADS)

Yeşilova, Çetin; Helvacı, Cahit; Carrillo, Emilio

2018-07-01

We integrate stratigraphic, petrographic and geochemical analysis of subsurface data (wells) together with field surveys to study the sedimentation of a marginal Miocene sub-basin of the Southeastern Anatolian Foreland Basin (SEAFB; SE Turkey). This sub-basin, located in the Batman-Siirt region, is characterized by the existence of evaporites (carbonates, sulphates and chlorides) and alluvial detritus which were divided in the following five lithostratigraphic members, from older to younger: Lower and Upper Yapılar; and Lower, Middle and Upper Sulha. These members deposited in an epicontinental mudflat during the Early Miocene. Both the bromine content and the sulphur and oxygen isotope composition (δ34SV-CDT and δ18OV-SMOW) of halite and sulphates samples, respectively, also suggest a marine origin of the precipitation brines. However, influence of geothermal fluids and dissolution-and-re-precipitation of evaporites from uplifted areas in these brines, such as the Early Miocene members and/or Triassic units, is interpreted. Comparing and integrating our results with data documented in previous works, it is here recognized that the depositional model of the studied sub-basin differs from that which explain the coeval sedimentation of units situated in the western part of the SEAFB. Moreover, our model shows some depositional and paleoenvironmental similarities with Miocene evaporites located in the Mesopotamian Foreland Basin. This work provides valuable insights on the Middle Miocene Salinity Crisis which is related to the evolution of the Neotethys closure.

Successful treatment of complex traumatic and surgical wounds with a foetal bovine dermal matrix.

PubMed

Hayn, Ernesto

2014-12-01

A foetal bovine dermal repair scaffold (PriMatrix, TEI Biosciences) was used to treat complex surgical or traumatic wounds where the clinical need was to avoid skin flaps and to build new tissue in the wound that could be reepithelialised from the wound margins or closed with a subsequent application of a split-thickness skin graft (STSG). Forty-three consecutive cases were reviewed having an average size of 79·3 cm(2) , 50% of which had exposed tendon and/or bone. In a subset of wounds (44·7%), the implantation of the foetal dermal collagen scaffold was also augmented with negative pressure wound therapy (NPWT). Complete wound healing was documented in over 80% of the wounds treated, whether the wound was treated with the foetal bovine dermal scaffold alone (95·2%) or when supplemented with NPWT (82·4%). The scaffold successfully incorporated into wounds with exposed tendon and/or bone to build vascularised, dermal-like tissue. The new tissue in the wound supported STSGs however, in the majority of the cases (88·3%); wound closure was achieved through reepithelialisation of the incorporated dermal scaffold by endogenous wound keratinocytes. The foetal bovine dermal repair scaffold was found to offer an effective alternative treatment strategy for definitive closure of challenging traumatic or surgical wounds on patients who were not suitable candidates for tissue flaps. © 2013 The Authors. International Wound Journal © 2013 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Computational and Experimental Study of the Mechanics of Embryonic Wound Healing

PubMed Central

Varner, Victor D.; Taber, Larry A.

2013-01-01

Wounds in the embryo show a remarkable ability to heal quickly without leaving a scar. Previous studies have found that an actomyosin ring (“purse string”) forms around the wound perimeter and contracts to close the wound over the course of several dozens of minutes. Here, we report experiments that reveal an even faster mechanism which remarkably closes wounds by more than 50% within the first 30 seconds. Circular and elliptical wounds (~100 µm in size) were made in the blastoderm of early chick embryos and allowed to heal, with wound area and shape characterized as functions of time. The closure rate displayed a biphasic behavior, with rapid constriction lasting about a minute, followed by a period of more gradual closure to complete healing. Fluorescent staining suggests that both healing phases are driven by actomyosin contraction, with relatively rapid contraction of fibers at cell borders within a relatively thick ring of tissue (several cells wide) around the wound followed by slower contraction of a thin supracellular actomyosin ring along the margin, consistent with a purse string mechanism. Finite-element modeling showed that this idea is biophysically plausible, with relatively isotropic contraction within the thick ring giving way to tangential contraction in the thin ring. In addition, consistent with experimental results, simulated elliptical wounds heal with little change in aspect ratio, and decreased membrane tension can cause these wounds to open briefly before going on to heal. These results provide new insight into the healing mechanism in embryonic epithelia. PMID:23973771

Comparison of geoelectrical/tectonic models for suture zones in the western U.S.A. and eastern Europe: are black shales a possible source of high conductivities?

USGS Publications Warehouse

Stanley, W.D.

1989-01-01

Large-scale geoelectrical anomalies have been mapped with geomagnetic depth sounding (GDS) and magnetotelluric (MT) surveys in the Carpathian Mountains region. These anomalies are associated with the zone of closure between stable Europe and a complex of microplates in front of the converging African plate. The zone of closure, or suture zone, is largely occupied by an extensive deformed flysch belt. The models derived to fit the observed geoelectrical data are useful in the study of other suture zones, and Carpathian structures have been compared with areas currently being studied in the western Cordillera of the U.S.A. Models derived for a smaller-scale suture zone mapped in western Washington State have features that are similar to the Carpathian models. The geoelectrical models for both the Carpathian and Washington anomalies require dipping conductive slabs of 1-5 ?? m material that extends to depths > 20 km. In both instances there is evidence that these materials may merge with lower crustal-mantle conductors along the down-dip margins of the slab. The main conductive units are interpreted to be sedimentary rocks that have been partially subducted due to collisional processes. Heat flow is low in both regions and it is difficult to explain fully the deep conduction mechanisms; however, evidence suggests that the conduction at depth may include electronic conduction in sulfide mineral or carbon films as well as ionic conduction in fluids or partial melt. ?? 1989.

The effect of ondansetron on analgesic efficacy of acetaminophen after hysterectomy: A randomized double blinded placebo controlled trial.

PubMed

Koyuncu, Onur; Leung, Steve; You, Jing; Oksar, Menekse; Turhanoglu, Selim; Akkurt, Cagla; Dolapcioglu, Kenan; Sahin, Hanifi; Sessler, Daniel I; Turan, Alparslan

2017-08-01

To determine that perioperative ondansetron reduces the analgesic efficacy of acetaminophen. Randomized, double-blinded study. 120 patients ASA I-II who underwent abdominal hysterectomy. All the patients were given 1g acetaminophen at skin closure. Patients were divided into two groups; ondansetron HCl (8mg, 2ml IV) (Group I, N=60) and saline (2ml IV) (Group II, N=60) at the skin closure. Postoperative pain scores (VAS) while resting in bed and sitting, total opioid consumption were noted. Patients randomized to ondansetron had significantly worse pain scores upon arrival to the recovery unit [by 1.7 (99.7% CI: 0.75, 2.59) cm] and at 1h [by 1.3 (0.5, 2.1) cm] while resting in bed. Pain scores while sitting were also significantly greater in ondansetron group at arrival in PACU by 0.6 (99.7% CI: 0.1, 1.0) cm. Thereafter, pain scores did not differ significantly. Median total opioid (tramadol) consumption was 441 [Q1, Q3: 280, 578] mg in the ondansetron group and 412 [309, 574] mg in the placebo group, P=0.95. Ondansetron significantly decreased the analgesic effect of acetaminophen during the initial postoperative period. Our results thus confirm that acetaminophen analgesia is partially mediated by serotonin receptors. However, the reduction was of marginal clinical importance and short-lived. Copyright © 2017 Elsevier Inc. All rights reserved.

The strength of graduated drivers license programs and fatalities among teen drivers and passengers.

PubMed

Morrisey, Michael A; Grabowski, David C; Dee, Thomas S; Campbell, Christine

2006-01-01

The purpose of this study is to investigate the effects of differentially stringent graduated drivers license programs on teen driver fatalities, day-time and night-time teen driver fatalities, fatalities of teen drivers with passengers present, and fatalities among teen passengers. The study uses 1992-2002 data on motor vehicle fatalities among 15-17-year-old drivers from the Fatality Analysis Reporting System to identify the effects of "good", "fair", and "marginal" GDL programs based upon designations by the Insurance Institute for Highway Safety. Analysis is conducted using conditional negative binomial regressions with fixed effects. "Good" programs reduce total fatalities among young drivers by 19.4% (c.i. -33.0%, -5.9%). "Fair" programs reduce night-time young driver fatalities by 12.6% (c.i. -23.9%, -1.2%), but have no effect on day-time fatalities. "Marginal" programs had no statistically meaningful effect on driver fatalities. All three types of programs reduced teen passenger fatalities, but the effects of limitations on the number of passengers appear to have had only minimal effects in reducing fatalities among young drivers themselves. Stronger GDL programs are more effective than weaker programs in reducing teenage motor vehicle fatalities.

Natural orifice transluminal endoscopic surgery gastrotomy closure with an over-the-endoscope clip: a randomized, controlled porcine study (with videos).

PubMed

von Renteln, Daniel; Schmidt, Arthur; Vassiliou, Melina C; Gieselmann, Maria; Caca, Karel

2009-10-01

Secure endoscopic closure of transgastric natural orifice transluminal endoscopic surgery (NOTES) access is of paramount importance. The over-the-scope clip (OTSC) system has previously been shown to be effective for NOTES gastrotomy closure. To compare OTSC gastrotomy closure with surgical closure. Randomized, controlled animal study. Animal facility laboratory. Thirty-six female domestic pigs. Gastrotomies were created by using a needle-knife and an 18-mm balloon. The animals were subsequently randomized to either open surgical repair with interrupted sutures or endoscopic repair with 12-mm OTSCs. In addition, pressurized leak tests were performed in ex vivo specimens of 18-mm scalpel incisions closed with suture (n = 14) and of intact stomachs (n = 10). The mean time for endoscopic closure was 9.8 minutes (range 3-22, SD 5.5). No complications occurred during either type of gastrotomy closure. At necropsy, examination of all OTSC and surgical closures demonstrated complete sealing of gastrotomy sites without evidence of injury to adjacent organs. Pressurized leak tests showed a mean burst pressure of 83 mm Hg (range 30-140, SD 27) for OTSC closures and 67 mm Hg (range 30-130, SD 27.7) for surgical sutures. Ex vivo hand-sewn sutures of 18-mm gastrotomies (n = 14) exhibited a mean burst pressure of 65 mm Hg (range 20-140, SD 31) and intact ex vivo stomachs (n = 10) had a mean burst pressure of 126 mm Hg (range 90-170, SD 28). The burst pressure of ex vivo intact stomachs was significantly higher compared with OTSC closures (P < .01), in vivo surgical closures (P < .01), and ex vivo hand-sewn closures (P < .01). There was a trend toward higher burst pressures in the OTSC closures compared with surgical closures (P = .063) and ex vivo hand-sewn closures (P = .094). In vivo surgical closures demonstrated similar burst pressures compared with ex vivo hand-sewn closures (P = .848). Nonsurvival setting. Endoscopic closure by using the OTSC system is comparable to surgical closure in a nonsurvival porcine model. This technique is easy to perform and is suitable for NOTES gastrotomy closure.

[Radiological control intraoperatory of a surgical piece in non palpable breast lesions].

PubMed

Ruvalcaba Limón, Eva; Espejo Fonseca, Ruby; Bautista Piña, Verónica; Madero Preciado, Luis; Capurso Garcia, Marino; Serratos Garduño, José Eduardo; Hohenstein, Fernando Guisa; Rodríguez Cuevas, Sergio

2009-09-01

nonconcrete the mammary injuries are frequent in programs of detection of breast cancer, estereotaxic or ecographic marking is required to realize its split. The intrasurgical radiation control of the surgical piece is indispensable to evaluate the margins of the mammary cancer. to determine the effectiveness of the intrasurgical radiation control of the surgical piece in nonconcrete mammary injuries to diminish the surgical reinterventions to extend margins. women with nonconcrete mammary injuries to those who biopsy by split became, previous marking and intraoperating radiation control of the surgical piece to value margins (suitable margin the same or major of 10 mm, smaller inadequate margin of 10 mm). Intrasurgical reesicion in inadequate radiological margins became. The demographic characteristics, masto-ecographics images, histopathology of the injuries and the radiological-histopatol6gica correlation of the margins studied. Cross-sectional, prospective and descriptive study. 103 patients with 113 nonconcrete mammary injuries included themselves, with age average of 51,35 (32-73) years. In all the injuries the intrasurgical radiation control became of the surgical piece. The prevalence of mammary cancer was of 28.3% (32/113), that corresponds to stellar images (42.8%), suspicious microcalcifications with density (39.2%), microcalcifications (31.2%) and nodules (20%). Of the 32 cancers, 16 had inadequate radiological margins that required intraoperating reescision; suitable histopatologic margins in 100% were obtained (16/16). The 16 (62.5%) cancers without intraoperating reescisi6n by suitable radiological margins had suitable histopatologic margins and 37.5% (6/16) inadequate ones that required surgical reinterventionn to control the margins. The discrepancy between margins was related to microcalcifications in 83.3% of the injuries. the intrasurgical radiation control of the surgical piece is effective to evaluate margins; the intrasurgical reescisión changed inadequate margins to suitable in 50% (16/32) of the cancers; only 18.7% (6/32) of the total of cases required another surgery to control the margins.

Exploring social support and job satisfaction among associate degree program directors in California.

PubMed

Mintz-Binder, Ronda D; Fitzpatrick, Joyce J

2009-01-01

A troubling trend noted in California has been an increase in the number of open positions for program directors of associate degree registered nursing (ADRN) programs. Positions remain open for extended periods of time, and the number of qualified applicants for such positions is insufficient. The loss of and ensuing slow replacement of ADRN program directors can put these programs in jeopardy of student admission suspension, or, worse yet, closure by the state nursing board. In this exploratory study, variables of social support and job satisfaction were studied. Variables were found to be limited opportunities for peer interaction, expressed discontent, and retention concerns. A significant positive relationship between job satisfaction and social support was noted. Recommendations for future research are offered.

Evaluation of the Momentum Closure Schemes in MPAS-Ocean

NASA Astrophysics Data System (ADS)

Zhao, Shimei; Liu, Yudi; Liu, Wei

2018-04-01

In order to compare and evaluate the performances of the Laplacian viscosity closure, the biharmonic viscosity closure, and the Leith closure momentum schemes in the MPAS-Ocean model, a variety of physical quantities, such as the relative reference potential energy (RPE) change, the RPE time change rate (RPETCR), the grid Reynolds number, the root mean square (RMS) of kinetic energy, and the spectra of kinetic energy and enstrophy, are calculated on the basis of results of a 3D baroclinic periodic channel. Results indicate that: 1) The RPETCR demonstrates a saturation phenomenon in baroclinic eddy tests. The critical grid Reynolds number corresponding to RPETCR saturation differs between the three closures: the largest value is in the biharmonic viscosity closure, followed by that in the Laplacian viscosity closure, and that in the Leith closure is the smallest. 2) All three closures can effectively suppress spurious dianeutral mixing by reducing the grid Reynolds number under sub-saturation conditions of the RPETCR, but they can also damage certain physical processes. Generally, the damage to the rotation process is greater than that to the advection process. 3) The dissipation in the biharmonic viscosity closure is strongly dependent on scales. Most dissipation concentrates on small scales, and the energy of small-scale eddies is often transferred to large-scale kinetic energy. The viscous dissipation in the Laplacian viscosity closure is the strongest on various scales, followed by that in the Leith closure. Note that part of the small-scale kinetic energy is also transferred to large-scale kinetic energy in the Leith closure. 4) The characteristic length scale L and the dimensionless parameter D in the Leith closure are inherently coupled. The RPETCR is inversely proportional to the product of D and L. When the product of D and L is constant, both the simulated RPETCR and the inhibition of spurious dianeutral mixing are the same in all tests using the Leith closure. The dissipative scale in the Leith closure depends on the parameter L, and the dissipative intensity depends on the parameter D. 5) Although optimal results may not be achieved by using the optimal parameters obtained from the 2D barotropic model in the 3D baroclinic simulation, the total energies are dissipative in all three closures. Dissipation is the strongest in the biharmonic viscosity closure, followed by that in the Leith closure, and that in the Laplacian viscosity closure is the weakest. Mesoscale eddies develop the fastest in the biharmonic viscosity closure after the baroclinic adjustment process finishes, and the kinetic energy reaches its maximum, which is attributed to the smallest dissipation of enstrophy in the biharmonic viscosity closure. Mesoscale eddies develop the slowest, and the kinetic energy peak value is the smallest in the Laplacian viscosity closure. Results in the Leith closure are between that in the biharmonic viscosity closure and the Laplacian viscosity closure.

40 CFR 264.151 - Wording of the instruments.

Code of Federal Regulations, 2013 CFR

2013-07-01

... assurance for closure or post-closure care is demonstrated through the financial test specified in subpart H... parts 264 and 265. The current closure and/or post-closure cost estimates covered by such a test are... CFR parts 264 and 265. The current closure and/or post-closure cost estimate covered by the test are...

40 CFR 264.151 - Wording of the instruments.

Code of Federal Regulations, 2012 CFR

2012-07-01

... assurance for closure or post-closure care is demonstrated through the financial test specified in subpart H... parts 264 and 265. The current closure and/or post-closure cost estimates covered by such a test are... CFR parts 264 and 265. The current closure and/or post-closure cost estimate covered by the test are...

40 CFR 264.151 - Wording of the instruments.

Code of Federal Regulations, 2010 CFR

2010-07-01

... assurance for closure or post-closure care is demonstrated through the financial test specified in subpart H... parts 264 and 265. The current closure and/or post-closure cost estimates covered by such a test are... CFR parts 264 and 265. The current closure and/or post-closure cost estimate covered by the test are...

40 CFR 264.118 - Post-closure plan; amendment of plan.

Code of Federal Regulations, 2014 CFR

2014-07-01

... days after an unexpected event has occurred which has affected the post-closure plan. An owner or... 40 Protection of Environment 26 2014-07-01 2014-07-01 false Post-closure plan; amendment of plan... FACILITIES Closure and Post-Closure § 264.118 Post-closure plan; amendment of plan. (a) Written Plan. The...

40 CFR 264.118 - Post-closure plan; amendment of plan.

Code of Federal Regulations, 2011 CFR

2011-07-01

... days after an unexpected event has occurred which has affected the post-closure plan. An owner or... 40 Protection of Environment 26 2011-07-01 2011-07-01 false Post-closure plan; amendment of plan... FACILITIES Closure and Post-Closure § 264.118 Post-closure plan; amendment of plan. (a) Written Plan. The...

40 CFR 264.118 - Post-closure plan; amendment of plan.

Code of Federal Regulations, 2012 CFR

2012-07-01

... days after an unexpected event has occurred which has affected the post-closure plan. An owner or... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Post-closure plan; amendment of plan... FACILITIES Closure and Post-Closure § 264.118 Post-closure plan; amendment of plan. (a) Written Plan. The...

40 CFR 264.118 - Post-closure plan; amendment of plan.

Code of Federal Regulations, 2013 CFR

2013-07-01

... days after an unexpected event has occurred which has affected the post-closure plan. An owner or... 40 Protection of Environment 27 2013-07-01 2013-07-01 false Post-closure plan; amendment of plan... FACILITIES Closure and Post-Closure § 264.118 Post-closure plan; amendment of plan. (a) Written Plan. The...

40 CFR 264.118 - Post-closure plan; amendment of plan.

Code of Federal Regulations, 2010 CFR

2010-07-01

... days after an unexpected event has occurred which has affected the post-closure plan. An owner or... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Post-closure plan; amendment of plan... FACILITIES Closure and Post-Closure § 264.118 Post-closure plan; amendment of plan. (a) Written Plan. The...

Multidisciplinary scientific program of investigation of the structure and evolution of the Demerara marginal plateau

NASA Astrophysics Data System (ADS)

Loncke, Lies; Basile, Christophe; Roest, Walter; Graindorge, David; Mercier de Lépinay, Marion; Klinghelhoefer, Frauke; Heuret, Arnauld; Pattier, France; Tallobre, Cedric; Lebrun, Jean-Frédéric; Poetisi, Ewald; Loubrieu, Benoît; Iguanes, Dradem, Margats Scientific Parties, Plus

2017-04-01

Mercier de Lépinay et al. published in 2016 an updated inventory of transform passive margins in the world. This inventory shows that those margins represent 30% of continental passive margins and a cumulative length of 16% of non-convergent margins. It also highlights the fact that many submarine plateaus prolong transform continental margins, systematically at the junction of oceanic domains of different ages. In the world, we identified twenty of those continental submarine plateaus (Falklands, Voring, Demerara, Tasman, etc). Those marginal plateaus systematically experiment two phases of deformation: a first extensional phase and a second transform phase that allows the individualization of those submarine reliefs appearing on bathymetry as seaward continental-like salients. The understanding of the origin, nature, evolution of those marginal plateaus has many scientific and economic issues. The Demerara marginal plateau located off French Guiana and Surinam belongs to this category of submarine provinces. The French part of this plateau has been the locus of a first investigation in 2003 in the framework of the GUYAPLAC cruise dedicated to support French submissions about extension of the limit of the continental shelf beyond 200 nautical miles. This cruise was the starting point of a scientific program dedicated to geological investigations of the Demerara plateau that was sustained by different cruises and collaborations (1) IGUANES (2013) that completed the mapping of this plateau including off Surinam, allowed to better understand the segmentation of the Northern edge of this plateau, and to evidence the combined importance of contourite and mass-wasting processes in the recent sedimentary evolution of this domain, (2) Collaboration with TOTAL (Mercier de Lépinay's PhD thesis) that allowed to better qualify the two main phases of structural evolution of the plateau respectively during Jurassic times for its Western border, Cretaceous times for its Northern and Eastern border (2) DRADEM (2016) (see poster session) that better mapped the continental slope domain of the transform margin north of the Demerara plateau and was dedicated to the dredging of rocks outcropping on the continental slope, suspected to be Cretaceous in age and older, (3) MARGATS (2016) (see poster session) that was dedicated to the better understanding of the internal structure of the plateau and its different margins using multi-channels seismic and refraction methods. The combination of all those experiments allow us to paint an integrated portrait of the Demerara marginal plateau - that may be very useful in understanding the processes involved (1) in the individualization of such plateaus (volcanism, heritages, kinematics, …) (2) in their evolution (subsidence, mass-wasting processes, domains of deep-sea current acceleration). In the future, those scientific advances may allow to better define the natural resources associated with such marginal domains.

Functional Performance of Pyrovalves

NASA Technical Reports Server (NTRS)

Bement, Laurence J.

1996-01-01

Following several flight and ground test failures of spacecraft systems using single-shot, 'normally closed' pyrotechnically actuated valves (pyrovalves), a government/industry cooperative program was initiated to assess the functional performance of five qualified designs. The goal of the program was to improve performance-based requirements for the procurement of pyrovalves. Specific objectives included the demonstration of performance test methods, the measurement of 'blowby' (the passage of gases from the pyrotechnic energy source around the activating piston into the valve's fluid path), and the quantification of functional margins for each design. Experiments were conducted in-house at NASA on several units each of the five valve designs. The test methods used for this program measured the forces and energies required to actuate the valves, as well as the energies and the pressures (where possible) delivered by the pyrotechnic sources. Functional performance ranged widely among the designs. Blowby cannot be prevented by o-ring seals; metal-to-metal seals were effective. Functional margin was determined by dividing the energy delivered by the pyrotechnic sources in excess to that required to accomplish the function by the energy required for that function. All but two designs had adequate functional margins with the pyrotechnic cartridges evaluated.

Development of robotic program: an Asian experience.

PubMed

Sahabudin, R M; Arni, T; Ashani, N; Arumuga, K; Rajenthran, S; Murali, S; Patel, V; Hemal, A; Menon, M

2006-06-01

Robotic surgery was started in the Department of Urology, Hospital Kuala Lumpur, in April 2004. We present our experience in developing the program and report the results of our first 50 cases of robotic radical prostatectomy. A three-arm da Vinci robotic system was installed in our hospital in March 2004. Prior to installation, the surgeons underwent training at various centers in the United States and Paris. The operating theatre was renovated to house the system. Subsequently, the initial few cases were done with the help of proctors. Data were prospectively collected on all patients who underwent robot-assisted radical prostatectomy for localized carcinoma of the prostate. Fifty patients underwent robot assisted radical prostatectomy from March 2004 to June 2005. Their ages ranged from 52 to 75 years, (average age 60.2 years). PSA levels ranged from 2.5 to 35 ng/ml (mean 10.6 ng/ml). Prostate volume ranged from 18 to 130 cc (average 32.4 cc). Average operating time for the first 20 cases was 4 h and for the next 30 cases was 2.5 h. Patients were discharged 1-3 days post-operatively. Catheters were removed on the fifth day following a cystogram. The positive margin rate as defined by the presence of cancer cells at the inked margin was 30%. Twenty-one patients had T1c disease and one had T1b on clinical staging. Of these, two were apical margin positive. Twenty-six patients had T2 disease and eight of them were apical margin positive. Two patients had T3 disease, one of whom was apical margin positive. Five patients (10%) had PSA recurrence. Five patients had a poorly differentiated carcinoma and the rest had Gleason 6 or 7. Eighty percent of the patients were continent on follow-up at 3 months. Of those who were potent before the surgery, 50% were potent at 3-6 months. The robotic surgery program was successfully implemented at our center on the lines of a structured program, developed at Vattikuti Urology Institute (VUI). We succeeded in creating a team and safely implemented the robotic program in our system. Adequate funding and extensive training followed by a short term proctoring are essential for this implementation.

Geology of continental margins

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

Not Available

With continued high interest in offshore petroleum exploration, the 1977 AAPG Short Course presents the latest interpretations of new data bearing on the geology and geophysics of continental margins. Seven well-known earth scientists have organized an integrated program covering major topics involved in the development of ocean basins and continental margins with emphasis on the slopes and rises. The discussion of plate tectonics and evolution of continental margins is followed by presentations on the stratigraphy and structure of pull-apart and compressional margins. Prospective petroleum source rocks, their organic content, rate of burial, and distribution on slopes and rises of differentmore » margin types is covered. Prospective reservoir rock patterns are related to depositional processes and to the sedimentary and structural histories for different types of continental margins. Finally, the seismic recognition of depositional facies on slopes and rises for different margin types with varying rates of sediment supply during eustatic sea-level changes are discussed. The course with this syllabus offers an invaluable opportunity for explorationists to refresh their understanding of the geology associated with an important petroleum frontier. In addition, the course sets forth a technical frame of reference for the case-histoy papers to be presented later in the AAPG Research Symposium on the Petroleum Potential of Slopes, Rises, and Plateaus.« less

The Effect of Water or Wax-based Binders on the Chemical and Morphological Characteristics of the Margin Ceramic-Framework Interface.

PubMed

Güler, Umut; de Queiroz, José Renato Cavalcanti; de Oliveira, Luiz Fernando Cappa; Canay, Senay; Ozcan, Mutlu

2015-09-01

This study evaluated the effect of binder choice in mixing ceramic powder on the chemical and morphological features between the margin ceramic-framework interfaces. Titanium and zirconia frameworks (15 x 5 x 0.5 mm3) were veneered with margin ceramics prepared with two different binders, namely a) water/conventional or b) wax-based. For each zirconia framework material, four different margin ceramics were used: a- Creation Zi (Creation Willi Geller International); b- GC Initial Zr (GC America); Triceram (Dentaurum); and d- IPS emax (voclar Vivadent). For the titanium framework, three different margin ceramics were used: a- Creation Ti (Creation Willi Geller International); b- Triceram (Dentaurum); and c- VITA Titaniumkeramik (Vita Zahnfabrik). The chemical composition of the framework-margin ceramic interface was analyzed using Energy Dispersive X-ray Spectroscopy (EDS) and porosity level was quantified within the margin ceramic using an image program (ImageJ) from four random areas (100 x 100 pixels) on each SEM image. EDS analysis showed the presence of Carbon at the margin ceramic-framework interface in the groups where wax-based binder technique was used with the concentration being the highest for the IPS emax ZirCAD group. While IPS system (IPS ZirCAD and IPS Emax) presented higher porosity concentration using wax binder, in the other groups wax-based binder reduced the porosity of margin ceramic, except for Titanium - Triceram combination.

78 FR 70067 - Notice of Availability of the Final Environmental Impact Statement for the Proposed Pan Mine...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-22

..._programs/minerals/mining_projects/pan_mine_project.html . FOR FURTHER INFORMATION CONTACT: Miles Kreidler...: Midway Gold US, Inc. (Midway) proposes to construct and operate an open-pit gold mining operation in the... years, which includes 13 years of mining and additional time for associated construction, closure, and...

Attitudes of Community Developmental Services Agency Staff toward Issues of Inclusion for Individuals with Intellectual Disabilities

ERIC Educational Resources Information Center

Jones, Jessica; Ouellette-Kuntz, Helene; Vilela, Tania; Brown, Hilary

2008-01-01

In many countries, the shift in policy surrounding intellectual disabilities (ID) from segregation to inclusion has resulted in the closure of large-scale institutions in favor of integrated community programs and living accommodations. Because the success of the community inclusion movement lies in the hands of the staff who implement these…

A Survey of Timber Impacted Schools and Communities in Southeast Alaska.

ERIC Educational Resources Information Center

South East Regional Resource Center, Juneau, AK.

This survey examines the impact of reduced timber harvests and mill closures by the U.S. Forest Service on timber-dependent schools and communities in the Tongass National Forest in southeast Alaska. One purpose was to recommend educational programs and services that are necessary to remediate these impacts on children. Between 1990 and 1995,…

Transition-Age Youths with Visual Impairments in Vocational Rehabilitation: A New Look at Competitive Outcomes and Services

ERIC Educational Resources Information Center

Giesen, J. Martin; Cavenaugh, Brenda S.

2012-01-01

Introduction: Given the low rate of closure of cases for employment, the study presented here analyzed the characteristics of consumers and services that predict competitive employment for youths with visual impairments who are making the transition from secondary education to employment in the vocation rehabilitation program. Methods: Using data…

Are Low-Performing Schools Adopting Practices Promoted by School Improvement Grants? NCEE Evaluation Brief. NCEE 2015-4001

ERIC Educational Resources Information Center

Herrmann, Mariesa; Dragoset, Lisa; James-Burdumy, Susanne

2014-01-01

The federal School Improvement Grants (SIG) program aims to improve student achievement by promoting the implementation of four school intervention models: transformation, turnaround, restart, and closure. Previous research provides evidence that low-performing schools adopt some practices promoted by the four models, but little is known about how…

Under Secretary of Defense (Comptroller) > Budget Materials > Budget1998

Science.gov Websites

(Comptroller) Under Secretary of Defense (Comptroller) Home About OUSD(C) OUSD(C) Top Leaders OUSD(C) Org Chart functionalStatements OUSD(C) History FMR Budget Materials Budget Execution Financial Management Improving Financial Closure Program (C-1) PDF icon Excel icon Links to Budget Materials Budget Execution Flexibilities

Under Secretary of Defense (Comptroller) > Budget

Science.gov Websites

(Comptroller) Under Secretary of Defense (Comptroller) Home About OUSD(C) OUSD(C) Top Leaders OUSD(C) Org Chart functionalStatements OUSD(C) History FMR Budget Materials Budget Execution Financial Management Improving Financial Military Construction, Family Housing, and Base Realignment and Closure Program (C-1) PDF icon Excel icon

A relatively nonrestrictive approach to reducing campsite impact: Caney Creek Wilderness, Arkansas

Treesearch

David N. Cole; Thomas E. Ferguson

2009-01-01

An excessive number of highly impacted campsites led managers of the Caney Creek Wilderness to attempt to reduce campsite impacts with a program of trail relocation, education, closure of selected campsites, and site restoration. The strategy involved increasing the concentration of use somewhat, without resorting to the restrictiveness of a designated campsite policy...

76 FR 65698 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-24

... Atlantic surfclam and ocean quahog Georges Bank Closure Area to continue testing the safety and efficacy of... research project that has been ongoing since 2006. NMS has made a preliminary determination that the...: http://www.nero.noaa.gov/sfd/clams . This project is a pilot program with the goal of determining if...

40 CFR 261.151 - Wording of the instruments.

Code of Federal Regulations, 2013 CFR

2013-07-01

... assurance for closure or post-closure care is demonstrated through the financial test specified in subpart H... parts 264 and 265. The current closure and/or post-closure cost estimates covered by such a test are... financial test specified in subpart H of 40 CFR parts 264 and 265. The current closure and/or post-closure...

50 CFR 660.360 - Recreational fishery-management measures.

Code of Federal Regulations, 2011 CFR

2011-10-01

... authorized for recreational fishing are hook-and-line and spear. Spears may be propelled by hand or by... when the closure is in effect. The closure is not in effect at this time. This closure may be imposed... when the closure is in effect. The closure is not in effect at this time. This closure may be imposed...

50 CFR 660.360 - Recreational fishery-management measures.

Code of Federal Regulations, 2012 CFR

2012-10-01

... authorized for recreational fishing are hook-and-line and spear. Spears may be propelled by hand or by... when the closure is in effect. The closure is not in effect at this time. This closure may be imposed... when the closure is in effect. The closure is not in effect at this time. This closure may be imposed...

The description of a new species of the Neotropical land crab genus Gecarcinus Leach, 1814 (Crustacea, Decapoda, Brachyura, Gecarcinidae)

PubMed Central

Perger, Robert; Wall, Adam

2014-01-01

Abstract In this contribution a new species of the land crab genus Gecarcinus Leach, 1814, from the Neotropical Pacific coast of South America is described and illustrated. In addition to its unique body color, Gecarcinus nobilii sp. n. is distinguished from congeners by a distinctly wider carapace front and differences in the shape of the infraorbital margin. The new species is not isolated from Gecarcinus populations from the Pacific coast of Central America by an insurmountable geographic barrier. Considering the closure of the Panamanian Isthmus as a calibration point for morphological divergence between the trans-isthmian mainland populations of Gecarcinus, the virtual lack of morphological differentiation (other than color) between them and the distinctness of G. nobilii sp. n. suggests that G. nobilii sp. n. evolved from a common ancestor before the Isthmus closed. PMID:25152688

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

PubMed

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

2016-01-01

Sometimes, drug product for parenteral administration is stored in a frozen state (e.g., -20 °C or -80 °C), particularly during early stages of development of some biotech molecules in order to provide sufficient stability. Shipment of frozen product could potentially be performed in the frozen state, yet possibly at different temperatures, for example, using dry ice (-80 °C). Container closure systems of drug products usually consist of a glass vial, rubber stopper, and an aluminum crimped cap. In the frozen state, the glass transition temperature (Tg) of commonly used rubber stoppers is between -55 and -65 °C. Below their Tg, rubber stoppers are known to lose their elastic properties and become brittle, and thus potentially fail to maintain container closure integrity in the frozen state. Leaks during frozen temperature storage and transportation are likely to be transient, yet, can possibly risk container closure integrity and lead to microbial contamination. After thawing, the rubber stopper is supposed to re-seal the container closure system. Given the transient nature of the possible impact on container closure integrity in the frozen state, typical container closure integrity testing methods (used at room temperature conditions) are unable to evaluate and thus confirm container closure integrity in the frozen state. Here we present the development of a novel method (thermal physical container closure integrity) for direct assessment of container closure integrity by a physical method (physical container closure integrity) at frozen conditions, using a modified He leakage test. In this study, different container closure systems were evaluated with regard to physical container closure integrity in the frozen state to assess the suitability of vial/stopper combinations and were compared to a gas headspace method. In summary, the thermal physical container closure integrity He leakage method was more sensitive in detecting physical container closure integrity impact than gas headspace and aided identification of an unsuitable container closure system. Sometimes, drug product for parenteral administration is stored in a frozen state (e.g., -20 °C or -80 °C), particularly during early stages of development of some biotech molecules in order to provide sufficient stability. Container closure systems for drug products usually consist of a glass vial, rubber stopper, and an aluminum crimped cap. In the frozen state, the glass transition temperature (Tg) of commonly used rubber stoppers is between -55 and -65 °C. Leaks during frozen temperature storage and transportation are likely to be transient, yet they can possibly risk container closure integrity and lead to microbial contamination and sterility breach. After thawing, the rubber stopper is expected to re-seal the container closure system. Given the transient nature of the possible impact on container closure integrity in the frozen state, typical container closure integrity testing methods (used at room temperature conditions) are unable to evaluate and thus confirm container closure integrity in the frozen state. Here we present the development of a novel method (thermal container closure integrity) for direct measurement of container closure integrity by a physical method (physical container closure integrity) at frozen conditions, using a modified He leakage test. In this study, we found that the thermal container closure integrity He leakage method was more sensitive in detecting physical container closure integrity impact than gas headspace and aided identification of an unsuitable container closure system. © PDA, Inc. 2016.

Thermochronometry Across the Austroalpine-Pennine Boundary, Central Alps, Switzerland: Orogen-Perpendicular Normal Fault Slip on a Major "Overthrust" and Its Implications for Orogenesis

NASA Astrophysics Data System (ADS)

Price, Jason B.; Wernicke, Brian P.; Cosca, Michael A.; Farley, Kenneth A.

2018-03-01

Fifty-one new and 309 published thermochronometric ages (nine systems with closure temperatures ranging from 450 to 70°C) from the Graubünden region of the Central Alps demonstrate that a pronounced thermal mismatch between the Austroalpine allochthon (Alpine "orogenic lid") and the Pennine zone persisted until at least 29 Ma and, allowably, until circa 18 Ma. The observed mismatch supports previous suggestions that the famous "overthrust" between the Austroalpine allochthon and the Pennine zone, historically regarded as primarily an Eocene top-north thrust fault, is in fact primarily an Oligocene-Miocene normal fault that has a minimum of 60 km of displacement with top-south or top-southeast sense of shear. Two hallmarks of Alpine geology, deposition of the foredeep Molasse and emplacement of the Helvetic nappes, appear to be coeval, peripheral manifestations of crustal thickening via the interposition of the Pennine zone as a northward intruding wedge between the Austroalpine "lid" and the European cratonic margin, with the Helvetic system (European margin) acting as the "floor" of the wedge. We presume the Penninic wedge is driven by the buoyant rise of subducted crust no longer able to remain attached to the descending slab. If so, emplacement of the Pennine wedge could have occurred mainly after Adria was juxtaposed against cratonic Europe.

Thermochronometry across the Austroalpine-Pennine boundary, Central Alps, Switzerland: Orogen-perpendicular normal fault slip on a major ‘overthrust’ and its implications for orogenesis

USGS Publications Warehouse

Price, Jason B.; Wernicke, Brian P.; Cosca, Michael A.; Farley, Kenneth A.

2018-01-01

Fifty‐one new and 309 published thermochronometric ages (nine systems with closure temperatures ranging from ~450 to 70°C) from the Graubünden region of the Central Alps demonstrate that a pronounced thermal mismatch between the Austroalpine allochthon (Alpine “orogenic lid”) and the Pennine zone persisted until at least 29 Ma and, allowably, until circa 18 Ma. The observed mismatch supports previous suggestions that the famous “overthrust” between the Austroalpine allochthon and the Pennine zone, historically regarded as primarily an Eocene top‐north thrust fault, is in fact primarily an Oligocene‐Miocene normal fault that has a minimum of 60 km of displacement with top‐south or top‐southeast sense of shear. Two hallmarks of Alpine geology, deposition of the foredeep Molasse and emplacement of the Helvetic nappes, appear to be coeval, peripheral manifestations of crustal thickening via the interposition of the Pennine zone as a northward intruding wedge between the Austroalpine “lid” and the European cratonic margin, with the Helvetic system (European margin) acting as the “floor” of the wedge. We presume the Penninic wedge is driven by the buoyant rise of subducted crust no longer able to remain attached to the descending slab. If so, emplacement of the Pennine wedge could have occurred mainly after Adria was juxtaposed against cratonic Europe.

Entropy Filtered Density Function for Large Eddy Simulation of Turbulent Reacting Flows

NASA Astrophysics Data System (ADS)

Safari, Mehdi

Analysis of local entropy generation is an effective means to optimize the performance of energy and combustion systems by minimizing the irreversibilities in transport processes. Large eddy simulation (LES) is employed to describe entropy transport and generation in turbulent reacting flows. The entropy transport equation in LES contains several unclosed terms. These are the subgrid scale (SGS) entropy flux and entropy generation caused by irreversible processes: heat conduction, mass diffusion, chemical reaction and viscous dissipation. The SGS effects are taken into account using a novel methodology based on the filtered density function (FDF). This methodology, entitled entropy FDF (En-FDF), is developed and utilized in the form of joint entropy-velocity-scalar-turbulent frequency FDF and the marginal scalar-entropy FDF, both of which contain the chemical reaction effects in a closed form. The former constitutes the most comprehensive form of the En-FDF and provides closure for all the unclosed filtered moments. This methodology is applied for LES of a turbulent shear layer involving transport of passive scalars. Predictions show favor- able agreements with the data generated by direct numerical simulation (DNS) of the same layer. The marginal En-FDF accounts for entropy generation effects as well as scalar and entropy statistics. This methodology is applied to a turbulent nonpremixed jet flame (Sandia Flame D) and predictions are validated against experimental data. In both flows, sources of irreversibility are predicted and analyzed.

Resource Conservation and Recovery Act closure report: Area 2 Bitcutter and Postshot Containment Shops Injection Wells, Correction Action Unit 90

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

NONE

This Closure Report provides documentation of the activities conducted during the Resource Conservation and Recovery Act (RCRA) closure of the Bitcutter and Postshot Containment Shops Injection Wells located in Area 2 of the Nevada Test Site (NTS), Oak Spring Quadrangle (USGS, 1986), Township 10 South, Range 53 East, Nye County, Nevada. This report discusses the Bitcutter Shop Inside Injection Well (CAU 90-A) closure-in-place and the Bitcutter Shop Outside Injection Well (CAU 90-B) and Postshot Containment Shop Injection Well (CAU 90-C) clean closures. This Closure Report provides background information about the unit, the results of the characterization activities and actions conductedmore » to determine the closure design. It also provides a discussion of the drainage analysis, preliminary closure activities, final closure activities, waste management activities, and the Post-Closure Care requirements.« less

Linearly exact parallel closures for slab geometry

NASA Astrophysics Data System (ADS)

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

2013-08-01

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

Inclusion of Marginalized Boys: A Survey of a Summer School Using Positive Psychology Interventions

ERIC Educational Resources Information Center

Andersen, Frans Ørsted; Nissen, Poul; Poulsen, Line

2016-01-01

Marginalized boys at risk of dropping out of high school have for a long time been a problem in the Western world. 100 such Danish 14-16 year old boys were in the summers of 2013, 2014 and 2015 exposed to a new school program, "The Boys Academy," inspired by Seligman and the American KIPP schools suggesting seven character strengths to…

The Social Cost of Trading: Measuring the Increased Damages from Sulfur Dioxide Trading in the United States

ERIC Educational Resources Information Center

Henry, David D., III; Muller, Nicholas Z.; Mendelsohn, Robert O.

2011-01-01

The sulfur dioxide (SO[subscript 2]) cap and trade program established in the 1990 Clean Air Act Amendments is celebrated for reducing abatement costs ($0.7 to $2.1 billion per year) by allowing emissions allowances to be traded. Unfortunately, places with high marginal costs also tend to have high marginal damages. Ton-for-ton trading reduces…

Empowering Equity in Postsecondary Transition for Marginalized Culturally and Linguistically Diverse Students with Disabilities by Implementing a Culturally Responsive Summary of Performance Teacher Training and Support Program

ERIC Educational Resources Information Center

Jez, Rebekka Joanne

2011-01-01

Marginalized culturally and linguistically diverse students with special needs often struggle after high school. Many special educators are unaware of legal mandates and best practice in postsecondary transition, especially the intricate needs when working this group. The culturally responsive Summary of Performance (CRSOP) training and support…

Fallacies Leading to the Marginalization of Future CBRN Capabilities

DTIC Science & Technology

2013-05-23

Leading to the Marginalization of Future CBRN Capabilities 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Tammy R...word monograph. At the time, this hurdle appeared daunting for this fearful soul . Through the support, guidance and faith of certain individuals the... Sampling and Identification of Biological, Chemical, and Radiological Agents SSE Sensitive Site Exploitation STANAG Standardization Agreement SUPCOM

Highly integrated digital engine control system on an F-15 airplane

NASA Technical Reports Server (NTRS)

Burcham, F. W., Jr.; Haering, E. A., Jr.

1984-01-01

The Highly Integrated Digital Electronic Control (HIDEC) program will demonstrate and evaluate the improvements in performance and mission effectiveness that result from integrated engine/airframe control systems. This system is being used on the F-15 airplane. An integrated flightpath management mode and an integrated adaptive engine stall margin mode are implemented into the system. The adaptive stall margin mode is a highly integrated mode in which the airplane flight conditions, the resulting inlet distortion, and the engine stall margin are continuously computed; the excess stall margin is used to uptrim the engine for more thrust. The integrated flightpath management mode optimizes the flightpath and throttle setting to reach a desired flight condition. The increase in thrust and the improvement in airplane performance is discussed.

Observations on early and delayed colostomy closure.

PubMed

Tade, A O; Salami, B A; Ayoade, B A

2011-06-01

Traditional treatment of a variety of colorectal pathologies had included a diverting colostomy that was closed eight or more weeks later during a readmission. The aim of this retrospective study was to determine the outcomes of early colostomy closure and delayed colostomy closure in patients with temporary colostomies following traumatic and non-traumatic colorectal pathologies. In this study early colostomy closure was the closure of a colostomy within three weeks of its construction, while delayed colostomy closure referred to closure after 3 weeks. Complete records of the 37 adult patients who had temporary colostomy constructed and closed between Jan. 1997 December 2003 for various colorectal pathologies were studied. Fourteen patients had early colostomy closure while 23 had delayed closure. In the early colostomy closure group there were 10 men and 4 women. The mean age of the patients was 28yr with a range of 18-65yr. Colostomies were closed 9-18 days after initial colostomy construction. There was no mortality. Morbidity rate 28.6% (4 out of 14). There were two faecal fistulas (14.3%). Twenty-three patients had delayed colostomy closure 8 weeks to 18 months after initial colostomy construction. These were patients unfit for early surgery after initial colostomy construction because of carcinoma, significant weight loss, or sepsis. There was no mortality. Morbidity rate was 26.1%. There were 3 faecal fistulas (13.2%). Outcomes following early colostomy closure and delayed closure were comparable. Patients fit for surgery should have early closure whilst patients who may have compromised health should have delayed closure.

Towards a More Meaningful Involvement of Librarians in Academic Program Reviews

ERIC Educational Resources Information Center

Bowker, Lynne

2018-01-01

Purpose: Using a descriptive case study approach, this paper aims to validate academic librarians' perceptions that they are marginalized by faculty during academic program reviews, and recommends ways for the two groups to collaborate more effectively to make program reviews more meaningful. Design/methodology/approach: The paper describes a case…

Indigenous Worldviews in Intercultural Education: Teachers' Construction of Interculturalism in a Bilingual Quechua-Spanish Program

ERIC Educational Resources Information Center

Valdiviezo, Laura Alicia

2010-01-01

This paper examines teachers' implementation of a bilingual intercultural education (BIE) program in Peru. This program is inspired by global policies that promote cultural pluralism and educational access to marginalized indigenous populations. Broadly addressed in policy in Andean countries, interculturalism in Peru has remained a core…

Teacher Reform in Indonesia: Can Offshore Programs Create Lasting Pedagogical Shift?

ERIC Educational Resources Information Center

Allen, William; Hyde, Mervyn; Whannel, Robert; O'Neill, Maureen

2018-01-01

Regional and national interest in reforming teaching in Indonesia has seen governments, NGOs and education specialists combine to drive pedagogical changes among school teachers there. Results of these programs have been indifferent at best. This paper reports on teacher reform programs in Provinsi Papua, one of the most marginal societies in…

System for closure of a physical anomaly

DOEpatents

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

2014-11-11

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

Stapler vs suture closure of pancreatic remnant after distal pancreatectomy: a meta-analysis.

PubMed

Zhou, Wei; Lv, Ran; Wang, Xianfa; Mou, Yiping; Cai, Xiujun; Herr, Ingrid

2010-10-01

Suture closure and stapler closure of the pancreatic remnant after distal pancreatectomy are the techniques used most often. The ideal choice remains a matter of debate. Five bibliographic databases covering 1970 to July 2009 were searched. Sixteen articles met the inclusion criteria. Stapler closure was performed in 671 patients, while suture closure was conducted in 1,615 patients. The pancreatic fistula rate ranged from 0% to 40.0% for stapler closure of the pancreatic stump and from 9.3% to 45.7% for the suture closure technique. There were no significant difference between the stapler and suture closure groups with respect to the pancreatic fistula formation rate (22.1% vs 31.2%; odds ratio, .85; 95% confidence interval, .66-1.08), although there was a trend toward favoring stapler closure. In 4 studies including 437 patients, stapler closure was associated with a trend (not statistically significant) toward a reduction in intra-abdominal abscess (odds ratio, .53; 95% confidence interval, .24-1.15). No significant differences occur between suture and stapler closure with respect to the pancreatic fistula or intra-abdominal abscess after distal pancreatectomy, though there is a trend favoring stapler closure. Copyright © 2010 Elsevier Inc. All rights reserved.

Effect of Smaller Left Ventricular Capture Threshold Safety Margins to Improve Device Longevity in Recipients of Cardiac Resynchronization-Defibrillation Therapy.

PubMed

Steinhaus, Daniel A; Waks, Jonathan W; Collins, Robert; Kleckner, Karen; Kramer, Daniel B; Zimetbaum, Peter J

2015-07-01

Device longevity in cardiac resynchronization therapy (CRT) is affected by the pacing capture threshold (PCT) and programmed pacing amplitude of the left ventricular (LV) pacing lead. The aims of this study were to evaluate the stability of LV pacing thresholds in a nationwide sample of CRT defibrillator recipients and to determine potential longevity improvements associated with a decrease in the LV safety margin while maintaining effective delivery of CRT. CRT defibrillator patients in the Medtronic CareLink database were eligible for inclusion. LV PCT stability was evaluated using ≥2 measurements over a 14-day period. Separately, a random sample of 7,250 patients with programmed right atrial and right ventricular amplitudes ≤2.5 V, LV thresholds ≤ 2.5 V, and LV pacing ≥90% were evaluated to estimate theoretical battery longevity improvement using LV safety margins of 0.5 and 1.5 V. Threshold stability analysis in 43,256 patients demonstrated LV PCT stability of <0.5 V in 77% of patients and <1 V in 95%. Device longevity analysis showed that the use of a 0.5-V safety margin increased average battery longevity by 0.62 years (95% confidence interval 0.61 to 0.63) compared with a safety margin of 1.5 V. Patients with LV PCTs >1 V had the greatest increases in battery life (mean increase 0.86 years, 95% confidence interval 0.85 to 0.87). In conclusion, nearly all CRT defibrillator patients had LV PCT stability <1.0 V. Decreasing the LV safety margin from 1.5 to 0.5 V provided consistent delivery of CRT for most patients and significantly improved battery longevity. Copyright © 2015 Elsevier Inc. All rights reserved.

Deep-sea environment and biodiversity of the West African Equatorial margin

NASA Astrophysics Data System (ADS)

Sibuet, Myriam; Vangriesheim, Annick

2009-12-01

The long-term BIOZAIRE multidisciplinary deep-sea environmental program on the West Equatorial African margin organized in partnership between Ifremer and TOTAL aimed at characterizing the benthic community structure in relation with physical and chemical processes in a region of oil and gas interest. The morphology of the deep Congo submarine channel and the sedimentological structures of the deep-sea fan were established during the geological ZAIANGO project and helped to select study sites ranging from 350 to 4800 m water depth inside or near the channel and away from its influence. Ifremer conducted eight deep-sea cruises on board research vessels between 2000 and 2005. Standardized methods of sampling together with new technologies such as the ROV Victor 6000 and its associated instrumentation were used to investigate this poorly known continental margin. In addition to the study of sedimentary environments more or less influenced by turbidity events, the discovery of one of the largest cold seeps near the Congo channel and deep coral reefs extends our knowledge of the different habitats of this margin. This paper presents the background, objectives and major results of the BIOZAIRE Program. It highlights the work achieved in the 16 papers in this special issue. This synthesis paper describes the knowledge acquired at a regional and local scale of the Equatorial East Atlantic margin, and tackles new interdisciplinary questions to be answered in the various domains of physics, chemistry, taxonomy and ecology to better understand the deep-sea environment in the Gulf of Guinea.

Stump closure of a thick pancreas using stapler closure increases pancreatic fistula after distal pancreatectomy.

PubMed

Kawai, Manabu; Tani, Masaji; Okada, Ken-ichi; Hirono, Seiko; Miyazawa, Motoki; Shimizu, Astusi; Kitahata, Yuji; Yamaue, Hiroki

2013-09-01

The appropriate surgical stump closure after distal pancreatectomy (DP) is still controversial. This study investigated the benefits and risks of stapler closure during DP. The risk factors of pancreatic fistulas were investigated in 122 DPs among 3 types of stump closure: hand-sewn suture (n = 32), bipolar scissors (n = 45), and stapler closure (n = 45). There was no significant difference in the incidence of pancreatic fistula between the 3 types of stump closure (hand-sewn suture [44%] vs bipolar scissors [37.7%] vs stapler closure [35.5%]). By using receiver operating characteristics curves, 12 mm was the best cutoff value of the thickness of the pancreas for pancreatic fistulas after DP using stapler closure. Three factors (ie, male sex, body mass index >25 kg/m(2), and stapler closure) were independent risk factors of pancreatic fistulas after DP with a pancreas thicker than 12 mm. A pancreas thicker than 12 mm significantly increased the incidence of pancreatic fistulas after DP using stapler closure. Copyright © 2013 Elsevier Inc. All rights reserved.

The Tell-Rif belt in the geodynamic frame of the West Mediterranean

NASA Astrophysics Data System (ADS)

Leprêtre, Rémi; Frizon de Lamotte, Dominique; Combier, Violaine; Gorini, Christian; Eschard, Remi

2017-04-01

The Tell-Rif (Tell in Algeria and Tunisia; Rif in Morocco) or Maghrebides is the orogenic system fringing the West Mediterranean basins to the south. This system comprises 3 major tectonic-paleogeographic zones from north to south: (1) the internal zones (AlKaPeCa for Alboran, Kabylies, Peloritan, Calabria) originated from the former northern European margin of the Maghrebian Tethys (MT); (2) the "flyschs zone" regarded as the former sedimentary cover of the MT and (3) the external zones, the former southern African passive margin of the MT. In the geodynamic frame of the West Mediterranean basins formation, the Tell-Rif is interpreted as the direct result of the progressive closure of the MT until the collision between AlKaPeCa and Africa at 17 Ma and the propagation of the deformation within Africa. Such a scenario gives a consistent explanation for the off-shore geodynamics and is now shared by almost all the authors. Nevertheless, all the geodynamic models do not integrate recent developments regarding the geology the Tell-Rif. In particular, the following points must be integrated in any models: (1) The importance of pre-Late Oligocene (pre-30 Ma) contractional events not only in the Atlas System, where they are well established, but also in the Tell-Rif system, where their effects are often ignored or minimized; (2) The existence of MP-BT metamorphic rocks associated with fragments of ophiolites in the Eastern External Rif and likely in the Western External Tell suggesting that the southern Maghrebian Tethys margin is more complicated than what could be expected for a single linear oceanic domain; (3) The presence over the Rif and western Tell of wide Miocene basins developed along with the ones of the West Mediterranean Basins. Among these basins, the Cheliff Basin occupies a large part of the western Tell in Algeria. These elements must be taken into account for a reassessment of the complex relationships between the West Mediterranean Basins and the surrounding mountain belts. Integration of these major issues allows us to re-evaluate the configuration of the African margin before the inversion and to propose a kinematic scenario for the Tell-Rif.

40 CFR 264.258 - Closure and post-closure care.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Waste Piles § 264.258 Closure and post-closure care. (a) At closure, the owner or operator must remove... that apply to landfills (§ 264.310). (c)(1) The owner or operator of a waste pile that does not comply...(c) or § 264.251(b), must: (i) Include in the closure plan for the pile under § 264.112 both a plan...

The Effect of Rural Hospital Closures on Community Economic Health

PubMed Central

Holmes, George M; Slifkin, Rebecca T; Randolph, Randy K; Poley, Stephanie

2006-01-01

Objective To examine the effect of rural hospital closures on the local economy. Data Sources U.S. Census Bureau, OSCAR, Medicare Cost Reports, and surveys of individuals knowledgeable about local hospital closures. Study Design Economic data at the county level for 1990–2000 were combined with information on hospital closures. The study sample was restricted to rural counties experiencing a closure during the sample period. Longitudinal regression methods were used to estimate the effect of hospital closure on per-capita income, unemployment rate, and other community economic measures. Models included both leading and lagged closure terms allowing a preclosure economic downturn as well as time for the closure to be fully realized by the community. Data Collection Information on closures was collected by contacting every state hospital association, reconciling information gathered with that contained in the American Hospital Association file and OIG reports. Principal Findings Results indicate that the closure of the sole hospital in the community reduces per-capita income by $703 (p<0.05) or 4 percent (p<0.05) and increases the unemployment rate by 1.6 percentage points (p<0.01). Closures in communities with alternative sources of hospital care had no long-term economic impact, although income decreased for 2 years following the closure. Conclusions The local economic effects of a hospital closure should be considered when regulations that affect hospitals' financial well-being are designed or changed. PMID:16584460

APPARATUS AND METHOD FOR WELDING END CLOSURE TO CONTAINER

DOEpatents

Frantz, C.E.; Correy, T.B.

1959-08-01

A semi-automatic apparatus is described for welding a closure to the open end of a can containing a nuclear fuel slug. An arc is struck at the center of the closure and is shifted to a region near its periphery. Then the assembly of closure, can, and fuel slug is rotated so that the peripheral region of the closure is preheated. Next the arc is shifted to the periphery itself of the closure, and the assembly is rotated so that the closure is welded to the can.

Positive Catch & Economic Benefits of Periodic Octopus Fishery Closures: Do Effective, Narrowly Targeted Actions 'Catalyze' Broader Management?

PubMed

Oliver, Thomas A; Oleson, Kirsten L L; Ratsimbazafy, Hajanaina; Raberinary, Daniel; Benbow, Sophie; Harris, Alasdair

2015-01-01

Eight years of octopus fishery records from southwest Madagascar reveal significant positive impacts from 36 periodic closures on: (a) fishery catches and (b) village fishery income, such that (c) economic benefits from increased landings outweigh costs of foregone catch. Closures covered ~20% of a village's fished area and lasted 2-7 months. Octopus landings and catch per unit effort (CPUE) significantly increased in the 30 days following a closure's reopening, relative to the 30 days before a closure (landings: +718%, p<0.0001; CPUE: +87%, p<0.0001; n = 36). Open-access control sites showed no before/after change when they occurred independently of other management ("no ban", n = 17/36). On the other hand, open-access control sites showed modest catch increases when they extended a 6-week seasonal fishery shutdown ("ban", n = 19/36). The seasonal fishery shutdown affects the entire region, so confound all potential control sites. In villages implementing a closure, octopus fishery income doubled in the 30 days after a closure, relative to 30 days before (+132%, p<0.001, n = 28). Control villages not implementing a closure showed no increase in income after "no ban" closures and modest increases after "ban" closures. Villages did not show a significant decline in income during closure events. Landings in closure sites generated more revenue than simulated landings assuming continued open-access fishing at that site (27/36 show positive net earnings; mean +$305/closure; mean +57.7% monthly). Benefits accrued faster than local fishers' time preferences during 17-27 of the 36 closures. High reported rates of illegal fishing during closures correlated with poor economic performance. We discuss the implications of our findings for broader co-management arrangements, particularly for catalyzing more comprehensive management.

Lace Up for Healthy Feet: The Impact of Shoe Closure on Plantar Stress Response.

PubMed

Rahemi, Hadi; Armstrong, David G; Enriquez, Ana; Owl, Joshua; Talal, Talal K; Najafi, Bijan

2017-07-01

This study examined the impact of shoe closure on plantar thermal stress response (TSR), which is known to be a surrogate of shear stress and skin perfusion. It is aimed to explore potential impact of shoe closure on increasing risk factors associated with plantar ulcers in people with diabetic peripheral neuropathy (DPN). Fifteen eligible subjects were enrolled. The left foot was used as a reference and fitted to a self-adjusted and habitual lace-tightening method by each subject. The right foot was used as a test closure and fitted into three lace closure conditions: loose, tight, and preset optimal closure (reel clutch, BOA technology). Thermal images were taken after 5 minutes of acclimatization (pre-trial) and immediately after 200 walking steps in each shoe closure condition (post-trial). TSR was calculated from the thermal images. TSR was significantly higher in the test closure with loose (70.24%, P = .000) and tight (66.85%, P = .007) and lower (-206.53%, P = .000) in the preset optimal closure when compared to the reference closure. Only lace closure conditions affected TSR with no significant impact from age, BMI, and gender in our sample in a multivariable regression model. The results from this study suggest that shoelace closure technique can have a profound effect on TSR. It therefore stands to reason that optimal lace closure may have an impact in reducing risk of plantar ulcers in people with DPN. Interestingly, results revealed that even a self-adjusted lace closure may not be necessarily optimal and a preset closure setting like reel clutch might ultimately be recommended to minimize risk. Further study is warranted to confirm or refute these interesting results.

[Factors influencing the prognosis of patent ductus arteriosus in very low birth weight infants].

PubMed

Wang, Chen-Hong; Shi, Li-Ping; Ma, Xiao-Lu; Luo, Fang; Chen, Zheng; Lin, Hui-Jia; DU, Li-Zhong

2016-08-01

To investigate the factors influencing the prognosis of patent ductus arteriosus (PDA) in very low birth weight (VLBW) infants. A total of 194 VLBW infants who were admitted from January 2012 to December 2014 were enrolled as study subjects. According to cardiac ultrasound findings and treatment outcome, these infants were divided into non-PDA group, spontaneous closure group, pharmaceutical closure group, and surgical closure group. Their clinical and echocardiographic characteristics were analyzed. The spontaneous closure rate of PDA was 58.7%. The spontaneous closure group showed significantly higher gestational age, birth weight, and proportion of small-for-gestational-age infants than the pharmaceutical and surgical closure groups (P<0.05). The pharmaceutical and surgical closure groups had a significantly higher incidence rate of neonatal respiratory distress syndrome and a significantly higher proportion of infants who were given pulmonary surfactant (PS) than the spontaneous closure group (P<0.05). During different periods of time, the spontaneous closure group had a significantly smaller ductus arteriosus diameter than the pharmaceutical and surgical closure groups (P<0.05). The multivariate logistic regression analysis showed that gestational age, application of PS, and ductus arteriosus diameter at 48 hours were significantly associated with the prognosis of PDA. The major transductal flow pattern in the spontaneous closure group was closing pattern, while in the pharmaceutical and surgical closure groups, the main flow patterns were pulmonary hypertension and growing patterns within 48 hours and growing pattern on days 4 and 7. The VLBW infants have a high spontaneous closure rate of PDA. A decreased closure rate of PDA is associated with the lower gestational age and the application of PS. PDA with a large ductus arteriosus diameter and a growing or pulsatile flow pattern cannot easily achieve spontaneous closure.

Development of an Integrated Leachate Treatment Solution for the Port Granby Waste Management Facility - 12429

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

Conroy, Kevin W.; Vandergaast, Gerald

2012-07-01

The Port Granby Project (the Project) is located near the north shore of Lake Ontario in the Municipality of Clarington, Ontario, Canada. The Project consists of relocating approximately 450,000 m{sup 3} of historic Low-Level Radioactive Waste (LLRW) and contaminated soil from the existing Port Granby Waste Management Facility (WMF) to a proposed Long-Term Waste Management Facility (LTWMF) located adjacent to the WMF. The LTWMF will include an engineered waste containment facility, a Wastewater Treatment Plant (WTP), and other ancillary facilities. A series of bench- and pilot-scale test programs have been conducted to identify preferred treatment processes to be incorporated intomore » the WTP to treat wastewater generated during the construction, closure and post-closure periods at the WMF/LTWMF. (authors)« less

Dynamic Programming and Transitive Closure on Linear Pipelines.

DTIC Science & Technology

1984-05-01

four partitions. 2.0 - 1.9 1.0t N. N 3N N -8 4 24 Figure41 An ideal solution to small problem sizes is to design an algorithm on an array where the...12 References [1] A.V. Aho, J. Hopcroft, and J.D. Ullman. The Design and Analysis of Computer Algorithms, Addison-Wesley, (1974). - " [2] R. Aubusson...K.E. Batcher, " Design of a Massively Parallel Processor," IEEE-TC, Vol. C-9, No. 9, (September, 1980), pp. 83-840. [4] K.Q. Brown, "Dynamic Programming

Large scale obduction of preserved oceanic crust: linking the Lesser Caucasus and NE Anatolian ophiolites and implications for the formation of the Lesser Caucasus-Pontides Arc

NASA Astrophysics Data System (ADS)

Hassig, Marc; Rolland, Yann; Sosson, Marc; Galoyan, Ghazar; Sahakyan, Lilit; Topuz, Gultelin; Farouk Çelik, Omer; Avagyan, Ara; Muller, Carla

2014-05-01

During the Mesozoic, the Southern margin of the Eurasian continent was involved in the closure of the Paleotethys and opening Neotethys Ocean. Later, from the Jurassic to the Eocene, subductions, obductions, micro-plate accretions, and finally continent-continent collision occurred between Eurasia and Arabia, and resulted in the closure of Neotethys. In the Lesser Caucasus and NE Anatolia three main domains are distinguished from South to North: (1) the South Armenian Block (SAB) and the Tauride-Anatolide Platform (TAP), Gondwanian-derived continental terranes; (2) scattered outcrops of ophiolite bodies, coming up against the Sevan-Akera and Ankara-Erzincan suture zones; and (3) the Eurasian plate, represented by the Eastern Pontides margin and the Somkheto-Karabagh Arc. The slivers of ophiolites are preserved non-metamorphic relics of the now disappeared Northern Neotethys oceanic domain overthrusting onto the continental South Armenian Block (SAB) as well as on the Tauride-Anatolide plateform from the north to the south. It is important to point out that the major part of this oceanic lithosphere disappeared by subduction under the Eurasian Margin to the north. In the Lesser Caucasus, works using geochemical whole-rock analyses, 40Ar/39Ar dating of basalts and gabbro amphiboles and paleontological dating have shown that the obducted oceanic domain originates from a back-arc setting formed throughout Middle Jurassic times. The comprehension of the geodynamic evolution of the Lesser Caucasus supports the presence of two north dipping subduction zones: (1) a subduction under the Eurasian margin and to the south by (2) an intra-oceanic subduction allowing the continental domain to subduct under the oceanic lithosphere, thus leading to ophiolite emplacement. To the West, the NE Anatolian ophiolites have been intensely studied with the aim to characterize the type of oceanic crust which they originated from. Geochemical analyses have shown similar rock types as in Armenia, Mid Ocean Ridge Basalt (MORB) to volcanic arc rocks and Intra-Plate Basalts (IPB). Lithostratigraphic comparisons have shown that the relations between the three units, well identified in the Lesser Caucasus, are similar to those found in NE Anatolia, including the emplacement of stratigraphically conform and discordant deposits. New field data has also shed light on an outcrop of low-grade metamorphic rocks of volcanic origin overthrusted by the ophiolites towards the south on the northern side of the Erzincan basin, along the North Anatolian Fault (NAF). We extend our model for the Lesser Caucasus to NE Anatolia and infer that the missing of the volcanic arc formed above the intra-plate subduction may be explained by its dragging under the obducting ophiolite with scaling by faulting and tectonic erosion. In this large scale model the blueschists of Stepanavan, the garnet amphibolites of Amasia and the metamorphic arc complex of Erzincan correspond to this missing volcanic arc. We propose that the ophiolites of these two zones originate from the same oceanic domain and were emplaced during the same obduction event. This reconstructed ophiolitic nappe represents a preserved non-metamorphic oceanic domain over-thrusting up to 200km of continental domain along more than 500km. Distal outcrops of this exceptional object were preserved from latter collision which was concentrated along the suture zones.

40 CFR 264.280 - Closure and post-closure care.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Section 264.280 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Land Treatment § 264.280 Closure and post-closure care. (a) During the closure period the owner or...

40 CFR 264.280 - Closure and post-closure care.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Section 264.280 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Land Treatment § 264.280 Closure and post-closure care. (a) During the closure period the owner or...

40 CFR 264.280 - Closure and post-closure care.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Section 264.280 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Land Treatment § 264.280 Closure and post-closure care. (a) During the closure period the owner or...

40 CFR 264.280 - Closure and post-closure care.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Section 264.280 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Land Treatment § 264.280 Closure and post-closure care. (a) During the closure period the owner or...

Multi-rater feedback with gap analysis: an innovative means to assess communication skill and self-insight.

PubMed

Calhoun, Aaron W; Rider, Elizabeth A; Peterson, Eleanor; Meyer, Elaine C

2010-09-01

Multi-rater assessment with gap analysis is a powerful method for assessing communication skills and self-insight, and enhancing self-reflection. We demonstrate the use of this methodology. The Program for the Approach to Complex Encounters (PACE) is an interdisciplinary simulation-based communication skills program. Encounters are assessed using an expanded Kalamazoo Consensus Statement Essential Elements Checklist adapted for multi-rater feedback and gap analysis. Data from a representative conversation were analyzed. Likert and forced-choice data with gap analysis are used to assess performance. Participants were strong in Demonstrating Empathy and Providing Closure, and needed to improve Relationship Building, Gathering Information, and understanding the Patient's/Family's Perspective. Participants under-appraised their abilities in Relationship Building, Providing Closure, and Demonstrating Empathy, as well as their overall performance. The conversion of these results into verbal feedback is discussed. We describe an evaluation methodology using multi-rater assessment with gap analysis to assess communication skills and self-insight. This methodology enables faculty to identify undervalued skills and perceptual blind spots, provide comprehensive, data driven, feedback, and encourage reflection. Implementation of graphical feedback forms coupled with one-on-one discussion using the above methodology has the potential to enhance trainee self-awareness and reflection, improving the impact of educational programs. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.

Percutaneous left atrial appendage closure vs warfarin for atrial fibrillation: a randomized clinical trial.

PubMed

Reddy, Vivek Y; Sievert, Horst; Halperin, Jonathan; Doshi, Shephal K; Buchbinder, Maurice; Neuzil, Petr; Huber, Kenneth; Whisenant, Brian; Kar, Saibal; Swarup, Vijay; Gordon, Nicole; Holmes, David

2014-11-19

While effective in preventing stroke in patients with atrial fibrillation (AF), warfarin is limited by a narrow therapeutic profile, a need for lifelong coagulation monitoring, and multiple drug and diet interactions. To determine whether a local strategy of mechanical left atrial appendage (LAA) closure was noninferior to warfarin. PROTECT AF was a multicenter, randomized (2:1), unblinded, Bayesian-designed study conducted at 59 hospitals of 707 patients with nonvalvular AF and at least 1 additional stroke risk factor (CHADS2 score ≥1). Enrollment occurred between February 2005 and June 2008 and included 4-year follow-up through October 2012. Noninferiority required a posterior probability greater than 97.5% and superiority a probability of 95% or greater; the noninferiority margin was a rate ratio of 2.0 comparing event rates between treatment groups. Left atrial appendage closure with the device (n = 463) or warfarin (n = 244; target international normalized ratio, 2-3). A composite efficacy end point including stroke, systemic embolism, and cardiovascular/unexplained death, analyzed by intention-to-treat. At a mean (SD) follow-up of 3.8 (1.7) years (2621 patient-years), there were 39 events among 463 patients (8.4%) in the device group for a primary event rate of 2.3 events per 100 patient-years, compared with 34 events among 244 patients (13.9%) for a primary event rate of 3.8 events per 100 patient-years with warfarin (rate ratio, 0.60; 95% credible interval, 0.41-1.05), meeting prespecified criteria for both noninferiority (posterior probability, >99.9%) and superiority (posterior probability, 96.0%). Patients in the device group demonstrated lower rates of both cardiovascular mortality (1.0 events per 100 patient-years for the device group [17/463 patients, 3.7%] vs 2.4 events per 100 patient-years with warfarin [22/244 patients, 9.0%]; hazard ratio [HR], 0.40; 95% CI, 0.21-0.75; P = .005) and all-cause mortality (3.2 events per 100 patient-years for the device group [57/466 patients, 12.3%] vs 4.8 events per 100 patient-years with warfarin [44/244 patients, 18.0%]; HR, 0.66; 95% CI, 0.45-0.98; P = .04). After 3.8 years of follow-up among patients with nonvalvular AF at elevated risk for stroke, percutaneous LAA closure met criteria for both noninferiority and superiority, compared with warfarin, for preventing the combined outcome of stroke, systemic embolism, and cardiovascular death, as well as superiority for cardiovascular and all-cause mortality. clinicaltrials.gov Identifier: NCT00129545.

Metalloproteinase Expression is Associated with Traumatic Wound Failure

DTIC Science & Technology

2010-04-01

Traumatic amputation- no.(%) 15 Size of wound (cm3 )* Associated vascular injury- no.(%) 7 Wound closure method no.(%) Suture 29 Skin graft 9 Number...definitive closure or coverage with skin graft . Im- paired wound healing included delayed wound closure or wound dehiscence after closure or coverage...closure time period of 10 d. Dehiscence was defined as spontaneous partial or com- plete wound disruption after primary closure or > 90% skin graft loss

The River Corridor Closure Contract How Washington Closure Hanford is Closing A Unique Department of Energy Project - 12425

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

Feist, E.T.

2012-07-01

Cleanup of the Hanford River Corridor has been one of Hanford Site's top priorities since the early 1990's. This urgency is due to the proximity of hundreds of waste sites to the Columbia River and the groundwater that continues to threaten the Columbia River. In April 2005, the U.S. Department of Energy, Richland Operations Office (DOE-RL) awarded the Hanford River Corridor Closure Contract (RCCC), a cost-plus incentive-fee closure contract with a 2015 end date and first of its kind at Hanford Site, to Washington Closure Hanford (WCH), a limited-liability company owned by URS, Bechtel National, and CH2M HILL. WCH ismore » a single-purpose company whose goal is to safely, compliantly, and efficiently accelerate cleanup in the Hanford River Corridor and reduce or eliminate future obligations to DOE-RL for maintaining long-term stewardship over the site. Accelerated performance of the work-scope while keeping a perspective on contract completion presents challenges that require proactive strategies to support the remaining work-scope through the end of the RCCC. This paper outlines the processes to address the challenges of completing work-scope while planning for contract termination. WCH is responsible for cleanup of the River Corridor 569.8 km{sup 2} (220 mi{sup 2}) of the 1,517.7 km{sup 2} (586 mi{sup 2}) Hanford Site's footprint reduction. At the end of calendar year 2011, WCH's closure implementation is well underway. Fieldwork is complete in three of the largest areas within the RCCC scope (Segments 1, 2, and 3), approximately 44.5% of the River Corridor (Figure 3). Working together, DOE-RL and WCH are in the process of completing the 'paper work' that will document the completion of the work-scope and allow DOE-RL to relieve WCH of contractual responsibilities and transition the completed areas to the Long-Term Stewardship Program, pending final action RODs. Within the next 4 years, WCH will continue to complete cleanup of the River Corridor following the completion goals. As field work-scope is completed, progressive reductions of business processes, physical facilities, and staff will occur. Organizations will collapse and flatten commensurate with workload. WCH employees will move on to new endeavors, proud of their accomplishments and the legacy they are leaving behind as being the first and largest environmental cleanup closure contract at Hanford. (authors)« less

Novel application of polyelectrolyte multilayers as nanoscopic closures with hermetic sealing.

PubMed

Marcott, Stephanie A; Ada, Sena; Gibson, Phillip; Camesano, Terri A; Nagarajan, R

2012-03-01

Closure systems for personnel protection applications, such as protective clothing or respirator face seals, should provide effective permeation barrier to toxic gases. Currently available mechanical closure systems based on the hook and loop types (example, Velcro) do not provide adequate barrier to gas permeation. To achieve hermetic sealing, we propose a nonmechanical, nanoscopic molecular closure system based on complementary polyelectrolyte multilayers, one with a polycation outermost layer and the other with a polyanion outermost layer. The closure surfaces were prepared by depositing polyelectrolyte multilayers under a variety of deposition conditions, on conformable polymer substrates (thin films of polyethylene teraphthalate, PET or polyimide, PI). The hermetic sealing property of the closures was evaluated by measuring the air flow resistance using the dynamic moisture permeation cell (DMPC) at different humidity conditions. The DMPC measurements show that the polyelectrolyte multilayer closures provide significantly large resistance to air flow, approximately 20-800 times larger than that possible with conventional hook and loop type closure systems, at all humidity levels (from 5 to 95% relative humidity). Hence, from the point of view of providing a hermetic seal against toxic gas permeation, the polyelectrolyte multilayer closures are viable candidates for further engineering development. However, the adhesive strength of the multilayer closures measured by atomic force microscopy suggests that the magnitude of adhesion is much smaller than what is possible with mechanical closures. Therefore, we envisage the development of a composite closure system combining the mechanical closure to provide strong adhesion and the multilayer closure to provide hermetic sealing. © 2012 American Chemical Society

32 CFR 989.25 - Base closure and realignment.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 32 National Defense 6 2013-07-01 2013-07-01 false Base closure and realignment. 989.25 Section 989... PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.25 Base closure and realignment. Base closure or realignment may entail special requirements for environmental analysis. The permanent base closure...

32 CFR 989.25 - Base closure and realignment.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 32 National Defense 6 2012-07-01 2012-07-01 false Base closure and realignment. 989.25 Section 989... PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.25 Base closure and realignment. Base closure or realignment may entail special requirements for environmental analysis. The permanent base closure...

The Effect of Postoperative Face-Down Positioning and of Long- versus Short-Acting Gas in Macular Hole Surgery: Results of a Registry-Based Study.

PubMed

Essex, Rohan W; Kingston, Zabrina S; Moreno-Betancur, Margarita; Shadbolt, Bruce; Hunyor, Alex P; Campbell, William G; Connell, Paul P; McAllister, Ian L

2016-05-01

To determine whether sulfur hexafluoride (SF6) gas is noninferior to longer-acting gases in macular hole surgery and whether withholding postoperative face-down positioning (FDP) is noninferior to FDP. Registry-style, prospective, nonrandomized, observational cohort study. Patients with idiopathic macular holes undergoing primary surgery. Surgeons were invited to submit clinical details of all macular hole cases receiving surgery. Baseline demographic and clinical information were collected, as well as details of surgical intervention and postoperative posturing advice. Primary follow-up data were collected 3 months postoperatively. Macular hole closure at 3 months. A noninferiority approach was used, with a noninferiority margin set at 5% decreased frequency of success. A total of 2456 eyes of 2367 patients were included in the study. Outcomes were available in 94.9% of cases (2330/2456). The rate of macular hole closure was 95.0% (2214/2330). Sulfur hexafluoride gas was found to be noninferior to longer-acting gases (95% confidence interval [CI] for adjusted effect on success, -1.76 to +2.25), and noninferiority was demonstrated regardless of macular hole size. Although withholding FDP was found to be noninferior to FDP for the study population as a whole (95% CI for adjusted effect on success, -4.21 to +0.64), the result was inconclusive in holes >400 μm in diameter (95% CI, -9.31 to +1.04). Lack of internal limiting membrane (ILM) peel, increasing hole size, hole duration ≥9 months, increasing age, and 20-gauge surgery all were associated with lower odds of success. Vitreous attachment to the hole margin was not associated with outcome when corrected for hole size, and combined phacovitrectomy surgery was not observed to affect the odds of success in phakic eyes. Sulfur hexafluoride gas tamponade was noninferior to longer-acting gases in the surgical management of macular hole. Withholding FDP was noninferior to FDP in holes ≤400 μm in diameter. In holes >400 μm in diameter, noninferiority of withholding FDP could not be concluded. We would advise caution if posturing is withheld in this group on the basis of the results of this study and of others. Copyright © 2016 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

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

NASA Astrophysics Data System (ADS)

Metcalfe, I.

2013-04-01

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

MIZEX. A Program for Mesoscale Air-Ice-Ocean Interaction Experiments in Arctic Marginal Ice Zones. II. A Science Plan for a Summer Marginal Ice Zone Experiment in the Fram Strait/Greenland Sea: 1984.

DTIC Science & Technology

1983-05-01

size and thickness characteris- tics. N’ore complete analysis will require combin- ing ice data with data obtained by the oceano - graphic... sol concentration and microwave brightness tem- perature. A long-range aircraft and a light aircraft Hying from Spitzbergen will study mesoscale

The Use of a Structured Literacy Program To Facilitate the Inclusion of Marginal and Special Education Students into Regular Classes.

ERIC Educational Resources Information Center

Center, Yola; Freeman, Louella

This research review examined the use of a whole class early literacy program in classes which included disadvantaged and at-risk children in Australia. The program, Schoolwide Early Language and Literacy (SWELL), is based on an interactive compensatory theory of literacy acquisition adapted from Success for All, a U.S. early literacy program. The…

The High Stability Engine Control (HISTEC) Program: Flight Demonstration Phase

NASA Technical Reports Server (NTRS)

DeLaat, John C.; Southwick, Robert D.; Gallops, George W.; Orme, John S.

1998-01-01

Future aircraft turbine engines, both commercial and military, must be able to accommodate expected increased levels of steady-state and dynamic engine-face distortion. The current approach of incorporating sufficient design stall margin to tolerate these increased levels of distortion would significantly reduce performance. The objective of the High Stability Engine Control (HISTEC) program is to design, develop, and flight-demonstrate an advanced, integrated engine control system that uses measurement-based estimates of distortion to enhance engine stability. The resulting distortion tolerant control reduces the required design stall margin, with a corresponding increase in performance and decrease in fuel burn. The HISTEC concept has been developed and was successfully flight demonstrated on the F-15 ACTIVE aircraft during the summer of 1997. The flight demonstration was planned and carried out in two phases, the first to show distortion estimation, and the second to show distortion accommodation. Post-flight analysis shows that the HISTEC technologies are able to successfully estimate and accommodate distortion, transiently setting the stall margin requirement on-line and in real-time. This allows the design stall margin requirement to be reduced, which in turn can be traded for significantly increased performance and/or decreased weight. Flight demonstration of the HISTEC technologies has significantly reduced the risk of transitioning the technology to tactical and commercial engines.

Examining marginalized communities and local conservation institutions: the case of Nepal's Annapurna Conservation Area.

PubMed

Dahal, Smriti; Nepal, Sanjay K; Schuett, Michael A

2014-01-01

In developing countries, participatory conservation initiatives have been criticized for many reasons, mainly for excluding marginalized groups which have led to unequal benefits. Using concepts from the literature on participation, conservation, and political ecology, this research explored the participation of marginal groups, i.e., poor, women, lower caste, and landless, in management institutions in Nepal's Annapurna Conservation Area. Field work for this research was conducted through the use of interviews and participant observation during August-October 2010. Results show that although marginal groups were involved in local management institutions, their representation was minimal and had not led to meaningful participation or empowerment to influence the decisions being made in conservation and development programs. Our study findings indicate that the involvement of marginal groups in local initiatives is complex and influenced by several factors. The study concludes that the Annapurna Conservation Area Project needs to re-orient its conservation projects by adopting a more inclusive form of participation and move beyond the quota system.

Examining Marginalized Communities and Local Conservation Institutions: The Case of Nepal's Annapurna Conservation Area

NASA Astrophysics Data System (ADS)

Dahal, Smriti; Nepal, Sanjay K.; Schuett, Michael A.

2014-01-01

In developing countries, participatory conservation initiatives have been criticized for many reasons, mainly for excluding marginalized groups which have led to unequal benefits. Using concepts from the literature on participation, conservation, and political ecology, this research explored the participation of marginal groups, i.e., poor, women, lower caste, and landless, in management institutions in Nepal's Annapurna Conservation Area. Field work for this research was conducted through the use of interviews and participant observation during August-October 2010. Results show that although marginal groups were involved in local management institutions, their representation was minimal and had not led to meaningful participation or empowerment to influence the decisions being made in conservation and development programs. Our study findings indicate that the involvement of marginal groups in local initiatives is complex and influenced by several factors. The study concludes that the Annapurna Conservation Area Project needs to re-orient its conservation projects by adopting a more inclusive form of participation and move beyond the quota system.

A Prospective Cohort Study of Outpatient Interdisciplinary Rehabilitation of Chronic Headache Patients.

PubMed

Krause, Steven J; Stillman, Mark J; Tepper, Deborah E; Zajac, Deborah

2017-03-01

To evaluate the efficacy of an intensive outpatient program designed to improve functioning and reduce psychological impairment in chronic headache patients. Chronic headaches, occurring 15 or more days per month, for three or more months, may arise from multiple International Classification of Headache Disorders diagnoses: Chronic Migraine, Chronic Tension Type Headache, New Daily Persistent Headache, Chronic Post Traumatic Headaches, and Medication Overuse Headache. Several interdisciplinary programs that treat patients with chronic headaches have reported decreases in headache frequency. This study sought to evaluate the effect of a 3 week interdisciplinary treatment program for patients with chronic headache disorders on headache severity, functional status, and psychological impairment. Subjects were 379 patients admitted to an outpatient chronic headache treatment program. Assessments of headache severity, psychological status, and functional impairment were completed by 371 (97.8%) of these at the time of admission. At discharge, 340 subjects (89.7%) provided assessment data, and 152 (40.1%) provided data at 1-year follow-up. Subjects' mean ratings on a 0-10 scale for their headache pain in the prior week declined, and these improvements were maintained at follow-up. (Estimated marginal means on a 0-10 scale for Average pain: admission 6.1, discharge 3.5, follow-up 3.3; for Least pain: admission 3.2; discharge 1.5; follow-up 1.3; for Worst pain: admission 8.2; discharge 6.4; follow-up 5.7), and similar results were found for current pain (admission 4.7; discharge 2.8; follow-up 2.4): Measures of functional impairment also improved following treatment, and these gains were maintained at 12 month follow up (Estimated marginal mean Headache Impact Test-6 score: admission 66.1, discharge 55.4, follow-up 51.9; Estimated marginal mean Pain Disability Index score: admission 36.2, discharge 14.1, follow-up 11.6). As measured by the Depression, Anxiety and Stress Scale, anxiety and reactivity to stress decreased following treatment, and remained improved at follow-up (Estimated marginal mean score for Anxiety: admission 8.7, discharge 5.2, follow-up 4.4; Estimated marginal mean score for stress: admission 14.9, discharge 7.2, follow-up 7.6). Depression decreased with treatment, but while 1-year follow-up depression scores remained significantly lower than at admission, they were also significantly higher than at discharge (Estimated marginal means: admission 13.3, discharge 4.1, follow-up 6.6). The study supports the efficacy of the treatment model. Limitations of the study and suggestions for future research are also discussed. © 2017 American Headache Society.

Terraced margins of inflated lava flows on Earth and Mars

NASA Astrophysics Data System (ADS)

Zimbelman, J. R.; Garry, W. B.; Bleacher, J. E.; Crumpler, L. S.

2011-12-01

When fluid basaltic lava flows are emplaced over a shallow regional slope (typically much less than one degree), the lava flows often display impressive characteristics of inflation. Here we describe a distinctive marginal characteristic that is often developed along the margins of endogenously inflated basaltic lava flows; discreet topographic levels of the emplaced lava that are here termed 'terraced margins'. Terraced margins were first noted at the distal end of the Carrizozo lava flow in central New Mexico, where they are particularly well expressed, but terraces have also been observed along some margins of the McCartys lava flow (NM), the distal end of the 1859 Mauna Loa lava flow (HI), and lava flows at Craters of the Moon (ID). Differential Global Positioning System surveys across several terraced margins reveal consistent topographic characteristics: the upper surface of each terrace level is at roughly one half the height of the sheet lobe from which it emerges; when a terrace becomes the source of an additional outbreak, the upper surface of the second terrace is at roughly one half the height of the source terrace; often a subtle topographic depression is present along the contact between a terrace and its source sheet lobe, suggesting that the terrace outflow starts at a level roughly one-third the height of the source lobe; the upper surfaces of both the source sheet lobe and associated terraces are level to within tens of centimeters across length scales of many tens to hundreds of meters, indicative of inflation of all components. The field observations will be used as the constraints for modeling of the inflation and terracing mechanisms, an effort that has only recently started. The multiple imaging data sets now available for Mars have revealed the presence of terraced margins on some lava flows on Mars. Although detailed topographic data are not currently available for the Martian examples identified so far, the presence of terraced margins for lava flows on both Earth and Mars indicates that the terracing mechanism is intimately associated with the lava flow inflation process. This work was supported by grants from the Planetary Geology and Geophysics program of NASA (NNX09AD88G) and the Scholarly Studies program of the Smithsonian Institution.

Advancing Understanding of Earthquakes by Drilling an Eroding Convergent Margin

NASA Astrophysics Data System (ADS)

von Huene, R.; Vannucchi, P.; Ranero, C. R.

2010-12-01

A program of IODP with great societal relevance is sampling and instrumenting the seismogenic zone. The zone generates great earthquakes that trigger tsunamis, and submarine slides thereby endangering coastal communities containing over sixty percent of the earth’s population. To asses and mitigate this endangerment it is urgent to advance understanding of fault dynamics that allows more timely anticipation of hazardous seismicity. Seismogenesis on accreting and eroding convergent plate boundaries apparently differ because of dissimilar materials along the interplate fault. As the history of instrumentally recorded earthquakes expands the difference becomes clearer. The more homogeneous clay, silt and sand subducted at accreting margins is associated with great earthquakes (M 9) whereas the fragmented upper plate rock that can dominate subducted material along an eroding margin plate interface is associated with many tsunamigenic earthquakes (Bilek, 2010). Few areas have been identified where the seismogenic zone can be reached with scientific drilling. In IODP accreting margins are studied on the NanTroSeize drill transect off Japan where the ultimate drilling of the seismogenic interface may occur by the end of IODP. The eroding Costa Rica margin will be studied in CRISP where a drill program will begin in 2011. The Costa Rican geophysical site survey will be complete with acquisition and processing of 3D seismic data in 2011 but the entire drilling will not be accomplished in IODP. It is appropriate that the accreting margin study be accomplished soon considering the indications of a pending great earthquake that will affect a country that has devoted enormous resources to IODP. However, understanding the erosional end-member is scientifically as important to an understanding of fault mechanics. Transoceanic tsunamis affect the entire Pacific rim where most subduction zones are eroding margins. The Costa Rican subduction zone is less complex operationally and perhaps geologically than the Nankai margin. The developing Central American countries do not have the resources to contribute to IODP but this should not deter acquiring the scientific insights proposed in CRISP considering the broader scientific benefits. Such benefits include the first sampling and instrumentation of an actively eroding plate interface and drilling near or into an earthquake asperity. Drilling an eroding margin should significantly advance understanding of subduction zone fault mechanisms and help improve assessment of future hazardous earthquakes and tsunamis.

The Shuttering of Educational Studies: Neoliberalism, the Political Spectacle, and Social Injustice at a "World Class" University

ERIC Educational Resources Information Center

Dunn, Alyssa Hadley; Faison, Morgan Zacheya-Jewel

2015-01-01

This article examines the September 2012 closure of the Division of Educational Studies (DES) at Emory University. The authors present this discussion as an example of the ways that the neoliberalization of higher education contributes to the extinction of educational foundations programs. What happened at Emory is symptomatic of the impact that…

Building outside the Box. Public-Private Partnership: A Strategy for Improved Public School Buildings.

ERIC Educational Resources Information Center

Twenty-First Century School Fund, Washington, DC.

This publication describes the creation of a new school building for James F. Oyster Bilingual Elementary School in Washington, DC. Despite the success of its academic program, the school's 70-year-old building had become unsafe and unsuitable for teaching and learning and was threatened with closure in 1993 because of the district's fiscal…

Exploring the Role of Elementary Parent Involvement Coordinators in a North Georgia Title I Charter School District

ERIC Educational Resources Information Center

Elrod, Philip

2015-01-01

This study explored the role of elementary parent involvement coordinators (EPIC) in a Northeast Georgia Title I Charter School District. EPICs were charged with facilitating programs designed to build social capital and network closure for families. This nested case study explored the experiences of five EPICs, each located in one of the five…

Small Crack Growth and Fatigue Life Predictions for High-Strength Aluminium Alloys. Part 1; Experimental and Fracture Mechanics Analysis

NASA Technical Reports Server (NTRS)

Wu, X. R.; Newman, J. C.; Zhao, W.; Swain, M. H.; Ding, C. F.; Phillips, E. P.

1998-01-01

The small crack effect was investigated in two high-strength aluminium alloys: 7075-T6 bare and LC9cs clad alloy. Both experimental and analytical investigations were conducted to study crack initiation and growth of small cracks. In the experimental program, fatigue tests, small crack and large crack tests A,ere conducted under constant amplitude and Mini-TWIST spectrum loading conditions. A pronounced small crack effect was observed in both materials, especially for the negative stress ratios. For all loading conditions, most of the fatigue life of the SENT specimens was shown to be crack propagation from initial material defects or from the cladding layer. In the analysis program, three-dimensional finite element and A weight function methods were used to determine stress intensity factors and to develop SIF equations for surface and corner cracks at the notch in the SENT specimens. A plastisity-induced crack-closure model was used to correlate small and large crack data, and to make fatigue life predictions, Predicted crack-growth rates and fatigue lives agreed well with experiments. A total fatigue life prediction method for the aluminum alloys was developed and demonstrated using the crack-closure model.

Household responses to school closure resulting from outbreak of influenza B, North Carolina.

PubMed

Johnson, April J; Moore, Zack S; Edelson, Paul J; Kinnane, Lynda; Davies, Megan; Shay, David K; Balish, Amanda; McCarron, Meg; Blanton, Lenee; Finelli, Lyn; Averhoff, Francisco; Bresee, Joseph; Engel, Jeffrey; Fiore, Anthony

2008-07-01

School closure is a proposed strategy for reducing influenza transmission during a pandemic. Few studies have assessed how families respond to closures, or whether other interactions during closure could reduce this strategy's effect. Questionnaires were administered to 220 households (438 adults and 355 children) with school-age children in a North Carolina county during an influenza B virus outbreak that resulted in school closure. Closure was considered appropriate by 201 (91%) households. No adults missed work to solely provide childcare, and only 22 (10%) households required special childcare arrangements; 2 households incurred additional costs. Eighty-nine percent of children visited at least 1 public location during the closure despite county recommendations to avoid large gatherings. Although behavior and attitudes might differ during a pandemic, these results suggest short-term closure did not cause substantial hardship for parents. Pandemic planning guidance should address the potential for transmission in public areas during school closure.

Seven-year follow-up of percutaneous closure of patent foramen ovale.

PubMed

Mirzada, Naqibullah; Ladenvall, Per; Hansson, Per-Olof; Johansson, Magnus Carl; Furenäs, Eva; Eriksson, Peter; Dellborg, Mikael

2013-12-01

Observational studies favor percutaneous closure of patent foramen ovale (PFO) over medical treatment to reduce recurrent stroke while randomized trials fail to demonstrate significant superiority of percutaneous PFO closure. Few long-term studies are available post PFO closure. This study reports long-term clinical outcomes after percutaneous PFO closure. Between 1997 and 2006, 86 consecutive eligible patients with cerebrovascular events, presumably related to PFO, underwent percutaneous PFO closure. All 86 patients were invited to a long-term follow-up, which was carried out during 2011 and 2012. Percutaneous PFO closure was successfully performed in 85 of 86 patients. The follow-up rate was 100%. No cardiovascular or cerebrovascular deaths occurred. Two patients (both women) died from lung cancer during follow-up. Follow-up visits were conducted for 64 patients and the remaining 20 patients were followed up by phone. The mean follow-up time was 7.3 years (5 to 12.4 years). Mean age at PFO closure was 49 years. One patient had a minor stroke one month after PFO closure and a transient ischemic attack (TIA) two years afterwards. One other patient suffered from a TIA six years after closure. No long-term device-related complications were observed. Percutaneous PFO closure was associated with very low risk of recurrent stroke and is suitable in most patients. We observed no mortality and no long-term device-related complications related to PFO closure, indicating that percutaneous PFO closure is a safe and efficient treatment even in the long term.

Imagining and Moving beyond the ESL Bubble: Facilitating Communities of Practice through the ELL Ambassadors Program

ERIC Educational Resources Information Center

Przymus, Steve Daniel

2016-01-01

When educators do not facilitate English language learners' (ELLs) social integration in schools, this can perpetuate ELLs' marginalized status and the plateauing of ELLs' English language development. This study highlights a program for secondary ELLs called the ELL Ambassadors program, which partnered ELLs with non-ELLs based on shared…

Girls' Education and Discursive Spaces for Empowerment: Perspectives from Rural India

ERIC Educational Resources Information Center

Shah, Payal P.

2011-01-01

This article examines a national girls' education program and its role in addressing gender inequality in the Indian state of Gujarat. In 2004, the Ministry of Education, Government of India, enacted the Kasturba Gandhi Balika Vidyala (KGBV) program. As a national program designed to increase educational access for the most marginalized girls, the…

The Nature and Frequency of Inclusion of People with Disabilities in Program Evaluation

ERIC Educational Resources Information Center

Jacobson, Miriam R.; Azzam, Tarek; Baez, Jeanette G.

2013-01-01

Although evaluation theorists over the last two decades have argued for the importance of including stakeholders from marginalized groups in program planning and research, little is known about the degree of inclusion in program evaluation practice. In particular, we know little about the type and level of inclusion of people with intellectual,…

Classrooms of Spatial Justice: Counter-Spaces and Young Men of Color in a GED Program

ERIC Educational Resources Information Center

Schwartz, Joni

2014-01-01

This article, based on an ethnographic study of an urban General Education Development (GED) program, suggests that for some marginalized young men of color, Adult education programs are counter-spaces of spatial justice in opposition to previous negative school spaces. Framed by critical race theory (CRT) and drawing on critical geography and…

A Comparison of Large-Scale Reforestation Techniques Commonly Used on Abandoned Fields in the Lower Mississippi Alluvial Vally

Treesearch

Callie Jo Schweitzer; John A. Stanturf

1999-01-01

Reforesting abandoned land in the lower Mississippi alluvial valley has attracted heightened attention. Currently, federal cost share programs, such as the Wetland Reserve Program and the Conservation Reserve Program, are enticing landowners to consider reforesting lands that are marginally productive for agriculture. This study examined four reforestation techniques...

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

Unwin, Stephen D.; Lowry, Peter P.; Layton, Robert F.

This is a working report drafted under the Risk-Informed Safety Margin Characterization pathway of the Light Water Reactor Sustainability Program, describing statistical models of passives component reliabilities.

On-Board Chemical Propulsion

NASA Technical Reports Server (NTRS)

Schneider, Steven J.

1997-01-01

NASA Lewis Research Center's On-Board Propulsion program (OBP) is developing low-thrust chemical propulsion technologies for both satellite and vehicle reaction control applications. There is a vigorous international competition to develop new, highperformance bipropellant engines. High-leverage bipropellant systems are critical to both commercial competitiveness in the international communications market and to cost-effective mission design in government sectors. To significantly improve bipropellant engine performance, we must increase the thermal margin of the chamber materials. Iridium-coated rhenium (Ir/Re) engines, developed and demonstrated under OBP programs, can operate at temperatures well above the constraints of state-of-practice systems, providing a sufficient margin to maximize performance with the hypergolic propellants used in most satellite propulsion systems.

System Guidelines for EMC Safety-Critical Circuits: Design, Selection, and Margin Demonstration

NASA Technical Reports Server (NTRS)

Lawton, R. M.

1996-01-01

Demonstration of required safety margins on critical electrical/electronic circuits in large complex systems has become an implementation and cost problem. These margins are the difference between the activation level of the circuit and the electrical noise on the circuit in the actual operating environment. This document discusses the origin of the requirement and gives a detailed process flow for the identification of the system electromagnetic compatibility (EMC) critical circuit list. The process flow discusses the roles of engineering disciplines such as systems engineering, safety, and EMC. Design and analysis guidelines are provided to assist the designer in assuring the system design has a high probability of meeting the margin requirements. Examples of approaches used on actual programs (Skylab and Space Shuttle Solid Rocket Booster) are provided to show how variations of the approach can be used successfully.

Highly integrated digital engine control system on an F-15 airplane

NASA Technical Reports Server (NTRS)

Burcham, F. W., Jr.; Haering, E. A., Jr.

1984-01-01

The highly integrated digital electronic control (HIDEC) program will demonstrate and evaluate the improvements in performance and mission effectiveness that result from integrated engine-airframe control systems. This system is being used on the F-15 airplane at the Dryden Flight Research Facility of NASA Ames Research Center. An integrated flightpath management mode and an integrated adaptive engine stall margin mode are being implemented into the system. The adaptive stall margin mode is a highly integrated mode in which the airplane flight conditions, the resulting inlet distortion, and the engine stall margin are continuously computed; the excess stall margin is used to uptrim the engine for more thrust. The integrated flightpath management mode optimizes the flightpath and throttle setting to reach a desired flight condition. The increase in thrust and the improvement in airplane performance is discussed in this paper.

The Cost of Increasing Physical Activity and Maintaining Weight for Mid-Life Sedentary African American Women

PubMed Central

Johnson, Tricia; Schoeny, Michael; Fogg, Louis; Wilbur, JoEllen

2015-01-01

Objective To evaluate the marginal costs of increasing physical activity and maintaining weight for a lifestyle physical activity program targeting sedentary African American women. Methods Outcomes included change in minutes of total moderate to vigorous physical activity, leisure time moderate to vigorous physical activity and walking per week, and weight stability between baseline and maintenance at 48 weeks. Marginal cost effectiveness ratios (MCERs) were calculated for each outcome, and 95% confidence intervals were computed using a bootstrap method. The analysis was from the societal perspective and calculated in 2013 US dollars. Results For the 260 participants in the analysis, program costs were $165 ± 19, and participant costs were $164 ± 35, for a total cost of $329 ± 49. The MCER for change in walking was $1.50/min/wk (95% CI: 1.28, 1.87), $1.73/min/wk (95% CI: 1.41, 2.18) for change in moderate to vigorous physical activity, and $1.94/min/wk (95% CI: 1.58, 2.40) for leisure-time moderate to vigorous physical activity. The MCER for weight stability was $412 (95% CI: 399, 456). Discussion The Women's Lifestyle Physical Activity Program is a relatively low cost strategy for increasing physical activity. The marginal cost of increasing physical activity is lower than for weight stability. The participant costs related to time in the program were nearly half of the total costs, suggesting that practitioners and policy-makers should consider the participant cost when disseminating a lifestyle physical activity program into practice. PMID:26797232

Patent foramen ovale closure and medical treatments for secondary stroke prevention: a systematic review of observational and randomized evidence.

PubMed

Kitsios, Georgios D; Dahabreh, Issa J; Abu Dabrh, Abd Moain; Thaler, David E; Kent, David M

2012-02-01

Patients discovered to have a patent foramen ovale in the setting of a cryptogenic stroke may be treated with percutaneous closure, antiplatelet therapy, or anticoagulants. A recent randomized trial (CLOSURE I) did not detect any benefit of closure over medical treatment alone; the optimal medical therapy is also unknown. We synthesized the available evidence on secondary stroke prevention in patients with patent foramen ovale and cryptogenic stroke. A MEDLINE search was performed for finding longitudinal studies investigating medical treatment or closure, meta-analysis of incidence rates (IR), and IR ratios of recurrent cerebrovascular events. Fifty-two single-arm studies and 7 comparative nonrandomized studies and the CLOSURE I trial were reviewed. The summary IR of recurrent stroke was 0.36 events (95% confidence interval [CI], 0.24-0.56) per 100 person-years with closure versus 2.53 events (95% CI, 1.91-3.35) per 100 person-years with medical therapy. In comparative observational studies, closure was superior to medical therapy (IR ratio=0.19; 95% CI, 0.07-0.54). The IR for the closure arm of the CLOSURE I trial was higher than the summary estimate from observational studies; there was no significant benefit of closure over medical treatment (P=0.002 comparing efficacy estimates between observational studies and the trial). Observational and randomized data (9 studies) comparing medical therapies were consistent and suggested that anticoagulants are superior to antiplatelets for preventing stroke recurrence (IR ratio=0.42; 95% CI, 0.18-0.98). Although further randomized trial data are needed to precisely determine the effects of closure on stroke recurrence, the results of CLOSURE I challenge the credibility of a substantial body of observational evidence strongly favoring mechanical closure over medical therapy.

Closure Report for Corrective Action Unit 127: Areas 25 and 26 Storage Tanks, Nevada Test Site, Nevada

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

NSTec Environmental Restoration

CAU 127, Areas 25 and 26 Storage Tanks, consists of twelve CASs located in Areas 25 and 26 of the NTS. The closure alternatives included no further action, clean closure, and closure in place with administrative controls. The purpose of this Closure Report is to provide a summary of the completed closure activities, documentation of waste disposal, and analytical data to confirm that the remediation goals were met.

40 CFR 265.1202 - Closure and post-closure care.

Code of Federal Regulations, 2010 CFR

2010-07-01

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

Margin-maximizing feature elimination methods for linear and nonlinear kernel-based discriminant functions.

PubMed

Aksu, Yaman; Miller, David J; Kesidis, George; Yang, Qing X

2010-05-01

Feature selection for classification in high-dimensional spaces can improve generalization, reduce classifier complexity, and identify important, discriminating feature "markers." For support vector machine (SVM) classification, a widely used technique is recursive feature elimination (RFE). We demonstrate that RFE is not consistent with margin maximization, central to the SVM learning approach. We thus propose explicit margin-based feature elimination (MFE) for SVMs and demonstrate both improved margin and improved generalization, compared with RFE. Moreover, for the case of a nonlinear kernel, we show that RFE assumes that the squared weight vector 2-norm is strictly decreasing as features are eliminated. We demonstrate this is not true for the Gaussian kernel and, consequently, RFE may give poor results in this case. MFE for nonlinear kernels gives better margin and generalization. We also present an extension which achieves further margin gains, by optimizing only two degrees of freedom--the hyperplane's intercept and its squared 2-norm--with the weight vector orientation fixed. We finally introduce an extension that allows margin slackness. We compare against several alternatives, including RFE and a linear programming method that embeds feature selection within the classifier design. On high-dimensional gene microarray data sets, University of California at Irvine (UCI) repository data sets, and Alzheimer's disease brain image data, MFE methods give promising results.

In vivo imaging of epithelial wound healing in the cnidarian Clytia hemisphaerica demonstrates early evolution of purse string and cell crawling closure mechanisms.

PubMed

Kamran, Zach; Zellner, Katie; Kyriazes, Harry; Kraus, Christine M; Reynier, Jean-Baptiste; Malamy, Jocelyn E

2017-12-19

All animals have mechanisms for healing damage to the epithelial sheets that cover the body and line internal cavities. Epithelial wounds heal either by cells crawling over the wound gap, by contraction of a super-cellular actin cable ("purse string") that surrounds the wound, or some combination of the two mechanisms. Both cell crawling and purse string closure of epithelial wounds are widely observed across vertebrates and invertebrates, suggesting early evolution of these mechanisms. Cnidarians evolved ~600 million years ago and are considered a sister group to the Bilateria. They have been much studied for their tremendous regenerative potential, but epithelial wound healing has not been characterized in detail. Conserved elements of wound healing in bilaterians and cnidarians would suggest an evolutionary origin in a common ancestor. Here we test this idea by characterizing epithelial wound healing in live medusae of Clytia hemisphaerica. We identified cell crawling and purse string-mediated mechanisms of healing in Clytia epithelium that appear highly analogous of those seen in higher animals, suggesting that these mechanisms may have emerged in a common ancestor. Interestingly, we found that epithelial wound healing in Clytia is 75 to >600 times faster than in cultured cells or embryos of other animals previously studied, suggesting that Clytia may provide valuable clues about optimized healing efficiency. Finally, in Clytia, we show that damage to the basement membrane in a wound gap causes a rapid shift between the cell crawling and purse string mechanisms for wound closure. This is consistent with work in other systems showing that cells marginal to a wound choose between a super-cellular actin cable or lamellipodia formation to close wounds, and suggests a mechanism underlying this decision. 1. Cell crawling and purse string mechanisms of epithelial wound healing likely evolved before the divergence of Cnidaria from the bilaterian lineage ~ 600mya 2. In Clytia, the choice between cell crawling and purse string mechanisms of wound healing depends on interactions between the epithelial cells and the basement membrane.

Evolution of Northeastern Mexico during the early Mesozoic: potential areas for research and exploration José Rafael Barboza-Gudiño

NASA Astrophysics Data System (ADS)

Barboza-Gudiño, R.

2013-05-01

The lower Mesozoic succession of central and northeastern Mexico was deposited in a late Paleozoic-early Mesozoic remnant basin, formed at the westernmost culmination of the Ouachita-Marathon geosuture, after closure of the Rheic Ocean. Triassic fluvial deposits of El Alamar Formation (El Alamar River) are distributed in Tamaulipas and Nuevo Leon as remnants of a continental succession deposited close to the western margin of equatorial Pangea, such fluvial systems flowed to the ocean, located to the west and contributed to construction of the so-called Potosí submarine fan (Zacatecas Formation). Petrographic, geochemical, and detrital zircon geochronology studies indicate that both, marine and continental Triassic successions, come from a continental block and partially from a recycled orogen, showing grenvillian (900-1300 Ma) and Pan-African (500-700 Ma) zircon age populations, typical for peri-gondwanan blocks, in addition to zircons from the Permo-Triassic East Mexico arc (240-280 Ma). The absence of detrital zircons from the southwestern North American craton, represent a strong argument against left lateral displacement of Mexico to the southwest during the Jurassic up to their actual position, as proposed by the Mojave-Sonora megashear hypothesis. Towards the end of the Triassic or in earliest Jurassic time, began the subduction along the western margin of Pangea, which causes deformation of the Late Triassic Zacatecas Formation and subsequent magmatism in the continental Jurassic arc known as "Nazas Arc ", whose remnants are now exposed in central- to northeastern Mexico. Wide distributed in northern Mexico occurred also deposition of a red bed succession, overlying or partially interstratified with the Early to Middle Jurassic volcanic rocks of the Nazas Formation. To the west and southwest, such redbeds change transitionally to marine and marginal sedimentary facies which record sedimentation at the ancient paleo-pacific margin of Mexico (La Boca and Huayacocotla formations). The Middle to Upper Jurassic La Joya Formation overlies unconformable all continental and marine-marginal successions and older rocks, and records the transgressive basal deposits of the Gulf series, changing upsection to the evaporites and limestone of the Oxfordian Zuloaga Group. Successive intraoceanic subduction zones to the West sparked magmatic arcs whose accretion in the continental margin produced the consolidation of much of the Mexican territory up to the current Pacific margin. Scattered isolated outcrops from the Early Mesozoic succession in central- and northeastern Mexico allow interpretation of tectonic setting and paleogeography associated to each stratigraphic unit, revealing a strongly different geologic evolution than the previously established models, opening a range of new possibilities and areas of opportunity for mining and fossil fuels exploration. However, most of the Triassic-Jurassic rocks or stratigraphic units in northern Mexico lie under many hundreds of meters of a Cretaceous-Cenozoic cover. Their recognition and preliminary evaluation implies the use of indirect techniques like geophysical methods, before drilling or subsurface mining.

A prospective study of two methods of closing surgical scalp wounds.

PubMed

Adeolu, A A; Olabanji, J K; Komolafe, E O; Ademuyiwa, A O; Awe, A O; Oladele, A O

2012-02-01

Scalp wounds are commonly closed in two layers, although single layer closure is feasible. This study prospectively compared the two methods of closing scalp wounds. Patients with non-traumatic scalp wounds were allocated to either the single layer closure group or the multilayer closure group. We obtained relevant data from the patients. The primary outcome measures were wound edge related complications, rate of suturing and cost of sutures used for suturing. Thirty-one wounds were in the single layer closure group and 30 were in the multilayer closure group. Age range was 1-80 years. The most common indication for making a scalp incision was subdural hematoma, representing 27.8% of all the indications. The most common surgery was burr hole drainage of subdural hematoma. Polyglactin acid suture was used for the inner layer and polyamide -00- for the final layer in the multilayer closure group. Only the latter suture was used for the single layer closure method. Total cost of suturing per wound in the single layer closure group was N= 100 (0.70USD) and N= 800 (5.30USD) in the multilayer group. The mean rate of closure was 0.39 ± 1.89 mm/sec for single layer closure and 0.23 ± 0.89 mm/sec in multilayer closure. The difference was statistically significant. Wound edge related complication rate was 19.35% in the single layer closure group and 16.67% in the multilayer closure method group. The difference was not statistically significant (z: 0.00, p value: 1.000; Pearson chi-squared (DF = 1)= 0.0075, p = 0.0785). The study shows that closing the scalp in one layer is much faster and more cost effective compared to the multilayer closure method. We did not observe significant difference in the complication rates in the two methods of closure. Long-term outcome, especially cosmetic outcome, remains to be determined in this preliminary study.

Evaluation of left ventricular function by tissue Doppler and speckle-derived strain rate echocardiography after percutaneous ductus closure.

PubMed

Amoogzar, Hamid; Shakiba, Ali Mohammad; Derakhshan, Dorna; Ajami, Gholamhossein; Cheriki, Sirous; Borzouee, Mohammad; Edraki, Mohammad Reza; Mehdizadegan, Nima

2015-01-01

The aim of this study was to evaluate the left ventricular systolic and diastolic function before and after transcatheter percutaneous patent ductus arteriosus (PDA) closure. 21 children (age >6 months old) diagnosed with hemodynamically significant PDA underwent percutaneous PDA closure. Conventional, Doppler and tissue Doppler imaging and speckled-derived strain rate echocardiography were done at pre-closure, 1 day (early) and 1 month (late) post-closure. Mean age of the patients (female/male: 1.3) was 17.54 ± 24.7 months with the mean PDA diameter of 3.6 ± 0.8 mm. Systolic measures (ejection fraction, shortening fraction) reduced significantly early after PDA closure (P < 0.05). After 1 month, both improved significantly; ultimately, after 1 month no change was observed in systolic function measures compared with the pre-closure status. Early and late diastolic flow velocities of mitral (E M and A M) reduced considerably in early and late post-closure time (P < 0.05). Both early tissue Doppler early velocity of lateral mitral annulus (E'M) and early to late velocity ratio (E'M/A'M) of lateral mitral annulus decreased significantly (P = 0.02) in early post-closure. After 1 month, E'M increased considerably. (P = 0.01) but E'M/A'M had an insignificant rise (P > 0.05). E M/E'M ratio did not change in early post-closure but it had a considerable reduction in the subsequent month compared with the pre- and early post-closure (P < 0.001 for both occasions). Global and segmental longitudinal strain measures reduced significantly early after PDA closure (P < 0.05) but it improved remarkably in the subsequent month. Transcatheter PDA closure causes a significant decrease in left ventricular performance early after PDA closure which recovers completely within 1 month. Also PDA size can affect post-closure left ventricular function.

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

PubMed

Eliya-Masamba, Martha C; Banda, Grace W

2013-10-22

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