Canadian consensus conference on the development of training and practice standards in advanced minimally invasive surgery

PubMed Central

Birch, Daniel W.; Bonjer, H. Jaap; Crossley, Claire; Burnett, Gayle; de Gara, Chris; Gomes, Anthony; Hagen, John; Maciver, Angus G.; Mercer, C. Dale; Panton, O. Neely; Schlachta, Chris M.; Smith, Andy J.; Warnock, Garth L.

2009-01-01

Despite the complexities of minimally invasive surgery (MIS), a Canadian approach to training surgeons in this field does not exist. Whereas a limited number of surgeons are fellowship-trained in the specialty, guidelines are still clearly needed to implement advanced MIS. Leaders in the field of gastrointestinal surgery and MIS attended a consensus conference where they proposed a comprehensive mentoring program that may evolve into a framework for a national mentoring and training system. Leadership and commitment from national experts to define the most appropriate template for introducing new surgical techniques into practice is required. This national framework should also provide flexibility for truly novel procedures such as natural orifice translumenal endoscopic surgery. PMID:19680520

Perioperative Cost Analysis of Minimally Invasive vs Open Resection of Intradural Extramedullary Spinal Cord Tumors.

PubMed

Fontes, Ricardo B V; Wewel, Joshua T; OʼToole, John E

2016-04-01

Minimally invasive spinal surgery (MIS) has emerged as a clinically effective tool but its cost-effectiveness remains unclear. No studies have compared MIS vs open surgical techniques for the treatment of intradural extramedullary (IDEM) tumors. To analyze and compare open and MIS techniques for resection of IDEM tumors, with focus on perioperative costs. Retrospective analysis of a prospectively collected database including 35 IDEM patients (18 open, 17 MIS). Perioperative data, hospital costs, and hospital and physician charges for in-hospital services associated with the index surgical procedure and readmissions within 90 days were compared. Mean estimated blood loss, operative time, preoperative hospital charges, and physician fees were similar between open and MIS techniques. Patient and tumor characteristics were similar between groups. MIS cases were associated with shorter intensive care unit and floor stay. There were 3 complications in the open group, requiring 2 readmissions and 1 reoperation. Hospital costs ($21 307.80 open, $15 015.20 MIS, P < .01), and postoperative ($75 383.48 open, $56 006.88 MIS, P < .01) and total charges ($100 779.38 open, $76 100.92 MIS, P < .01) were significantly lower in the MIS group. There were no tumor recurrences in either group. All patients except for one in the open group maintained or improved their Nurick score. Both MIS and open techniques were able to adequately treat IDEM tumors. Reductions in complication rate and intensive care unit and hospital stay led to a decrease in hospital costs of almost 30% in the MIS group. MIS resection of IDEM tumors is not only an effective and safe option, but allows faster hospital discharge and significant cost savings.

MIS capacitor studies on silicon carbide single crystals

NASA Technical Reports Server (NTRS)

Kopanski, J. J.

1990-01-01

Cubic SIC metal-insulator-semiconductor (MIS) capacitors with thermally grown or chemical-vapor-deposited (CVD) insulators were characterized by capacitance-voltage (C-V), conductance-voltage (G-V), and current-voltage (I-V) measurements. The purpose of these measurements was to determine the four charge densities commonly present in an MIS capacitor (oxide fixed charge, N(f); interface trap level density, D(it); oxide trapped charge, N(ot); and mobile ionic charge, N(m)) and to determine the stability of the device properties with electric-field stress and temperature. The section headings in the report include the following: Capacitance-voltage and conductance-voltage measurements; Current-voltage measurements; Deep-level transient spectroscopy; and Conclusions (Electrical characteristics of SiC MIS capacitors).

T-gate geometric (solution for submicrometer gate length) HEMT: Physical analysis, modeling and implementation as parasitic elements and its usage as dual gate for variable gain amplifiers

NASA Astrophysics Data System (ADS)

Gupta, Ritesh; Rathi, Servin; Kaur, Ravneet; Gupta, Mridula; Gupta, R. S.

2009-03-01

In order to achieve superior RF performance, short gate length is required for the compound semiconductor field effect transistors, but the limitation in lithography for submicrometer gate lengths leads to the formation of various metal-insulator geometries like T-gate [Sandeep R. Bahl, Jesus A. del Alamo, Physics of breakdown in InAlAs/ n +-InGaAs heterostructure field-effect transistors, IEEE Trans. Electron Devices 41 (12) (1994) 2268-2275]. These geometries are the combination of various Metal-Semiconductor (MS)/Metal-Air-Semiconductor (MAS) contacts. Moreover, field plates [S. Karmalkar, M.S. Shur, G. Simin, M. Asif Khan, Field-plate engineering for HFETs, IEEE Trans. Electron Devices 52 (2005) 2534-2540] are also being fabricated these days, mainly at the drain end ( Γ-gate) having Metal-Insulator-Semiconductor (MIS) instead of MAS contact with the intention of increasing the breakdown voltage of the device. To realize the effect of upper gate electrode in the T-gate structure and field plates, an analytical model has been proposed in the present article by dividing the whole structure into MS/MIS contact regions, applying current continuity among them and solving iteratively. The model proposed for Metal-Insulator Semiconductor High Electron Mobility Transistor (MISHEMT) [R. Gupta, S.K. Aggarwal, M. Gupta, R.S. Gupta, Analytical model for metal insulator semiconductor high electron mobility transistor (MISHEMT) for its high frequency and high power applications, J. Semicond. Technol. Sci. 6 (3) (2006) 189-198], is equally applicable to High Electron Mobility Transistors (HEMT) and has been used to formulate this model. In this paper, various structures and geometries have been compared to anticipate the need of T-gate modeling. The effect of MIS contacts has been implemented as parasitic resistance and capacitance and has also been studied to control the middle conventional gate as in dual gate technology by applying separate voltages across it. The results obtained using the proposed analytical scheme has been compared with simulated and experimental results, to prove the validity of our model.

A Management Information System for Bare Base Civil Engineering Commanders

DTIC Science & Technology

1988-09-01

initial beddown stage. The purpose of this research was to determine the feasibility of developing a microcomputer based management information system (MIS...the software best suited to synthesize four of the categories into a prototype field MIS. Keyword: Management information system , Bare bases, Civil engineering, Data bases, Information retrieval.

MIS 5e relative sea-level changes in the Mediterranean Sea: Contribution of isostatic disequilibrium

NASA Astrophysics Data System (ADS)

Stocchi, Paolo; Vacchi, Matteo; Lorscheid, Thomas; de Boer, Bas; Simms, Alexander R.; van de Wal, Roderik S. W.; Vermeersen, Bert L. A.; Pappalardo, Marta; Rovere, Alessio

2018-04-01

Sea-level indicators dated to the Last Interglacial, or Marine Isotope Stage (MIS) 5e, have a twofold value. First, they can be used to constrain the melting of Greenland and Antarctic Ice Sheets in response to global warming scenarios. Second, they can be used to calculate the vertical crustal rates at active margins. For both applications, the contribution of glacio- and hydro-isostatic adjustment (GIA) to vertical displacement of sea-level indicators must be calculated. In this paper, we re-assess MIS 5e sea-level indicators at 11 Mediterranean sites that have been generally considered tectonically stable or affected by mild tectonics. These are found within a range of elevations of 2-10 m above modern mean sea level. Four sites are characterized by two separate sea-level stands, which suggest a two-step sea-level highstand during MIS 5e. Comparing field data with numerical modeling we show that (i) GIA is an important contributor to the spatial and temporal variability of the sea-level highstand during MIS 5e, (ii) the isostatic imbalance from the melting of the MIS 6 ice sheet can produce a >2.0 m sea-level highstand, and (iii) a two-step melting phase for the Greenland and Antarctic Ice Sheets reduces the differences between observations and predictions. Our results show that assumptions of tectonic stability on the basis of the MIS 5e records carry intrinsically large uncertainties, stemming either from uncertainties in field data and GIA models. The latter are propagated to either Holocene or Pleistocene sea-level reconstructions if tectonic rates are considered linear through time.

Cost-utility analysis of minimally invasive versus open multilevel hemilaminectomy for lumbar stenosis.

PubMed

Parker, Scott L; Adogwa, Owoicho; Davis, Brandon J; Fulchiero, Erin; Aaronson, Oran; Cheng, Joseph; Devin, Clinton J; McGirt, Matthew J

2013-02-01

Two-year cost-utility study comparing minimally invasive (MIS) versus open multilevel hemilaminectomy in patients with degenerative lumbar spinal stenosis. The objective of the study was to determine whether MIS versus open multilevel hemilaminectomy for degenerative lumbar spinal stenosis is a cost-effective advancement in lumbar decompression surgery. MIS-multilevel hemilaminectomy for degenerative lumbar spinal stenosis allows for effective treatment of back and leg pain while theoretically minimizing blood loss, tissue injury, and postoperative recovery. No studies have evaluated comprehensive healthcare costs associated with multilevel hemilaminectomy procedures, nor assessed cost-effectiveness of MIS versus open multilevel hemilaminectomy. Fifty-four consecutive patients with lumbar stenosis undergoing multilevel hemilaminectomy through an MIS paramedian tubular approach (n=27) versus midline open approach (n=27) were included. Total back-related medical resource utilization, missed work, and health state values [quality adjusted life years (QALYs), calculated from EuroQuol-5D with US valuation] were assessed after 2-year follow-up. Two-year resource use was multiplied by unit costs based on Medicare national allowable payment amounts (direct cost) and work-day losses were multiplied by the self-reported gross-of-tax wage rate (indirect cost). Difference in mean total cost per QALY gained for MIS versus open hemilaminectomy was assessed as incremental cost-effectiveness ratio (ICER: COST(MIS)-COST(OPEN)/QALY(MIS)-QALY(OPEN)). MIS versus open cohorts were similar at baseline. MIS and open hemilaminectomy were associated with an equivalent cumulative gain of 0.72 QALYs 2 years after surgery. Mean direct medical costs, indirect societal costs, and total 2-year cost ($23,109 vs. $25,420; P=0.21) were similar between MIS and open hemilaminectomy. MIS versus open approach was associated with similar total costs and utility, making it a cost equivalent technology compared with the traditional open approach. MIS versus open multilevel hemilaminectomy was associated with similar cost over 2 years while providing equivalent improvement in QALYs. In our experience, MIS versus open multilevel hemilaminectomy is a cost equivalent technology for patients with lumbar stenosis-associated radicular pain.

Capacitance-voltage analysis of electrical properties for WSe2 field effect transistors with high-k encapsulation layer

NASA Astrophysics Data System (ADS)

Ko, Seung-Pil; Shin, Jong Mok; Jang, Ho Kyun; You, Min Youl; Jin, Jun-Eon; Choi, Miri; Cho, Jiung; Kim, Gyu-Tae

2018-02-01

Doping effects in devices based on two-dimensional (2D) materials have been widely studied. However, detailed analysis and the mechanism of the doping effect caused by encapsulation layers has not been sufficiently explored. In this work, we present experimental studies on the n-doping effect in WSe2 field effect transistors (FETs) with a high-k encapsulation layer (Al2O3) grown by atomic layer deposition. In addition, we demonstrate the mechanism and origin of the doping effect. After encapsulation of the Al2O3 layer, the threshold voltage of the WSe2 FET negatively shifted with the increase of the on-current. The capacitance-voltage measurements of the metal insulator semiconductor (MIS) structure proved the presence of the positive fixed charges within the Al2O3 layer. The flat-band voltage of the MIS structure of Au/Al2O3/SiO2/Si was shifted toward the negative direction on account of the positive fixed charges in the Al2O3 layer. Our results clearly revealed that the fixed charges in the Al2O3 encapsulation layer modulated the Fermi energy level via the field effect. Moreover, these results possibly provide fundamental ideas and guidelines to design 2D materials FETs with high-performance and reliability.

Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy.

PubMed

van Det, M J; Meijerink, W J H J; Hoff, C; van Veelen, M A; Pierie, J P E N

2008-11-01

With the expanding implementation of minimally invasive surgery, the operating team is confronted with challenges in the field of ergonomics. Visual feedback is derived from a monitor placed outside the operating field. This crossover trial was conducted to evaluate and compare neck posture in relation to monitor position in a dedicated minimally invasive surgery (MIS) suite and a conventional operating room. Assessment of the neck was conducted for 16 surgeons, assisting surgeons, and scrub nurses performing a laparoscopic cholecystectomy in both types of operating room. Flexion and rotation of the cervical spine were measured intraoperatively using a video analysis system. A two-question visual analog scale (VAS) questionnaire was used to evaluate posture in relation to the monitor position. Neck rotation was significantly reduced in the MIS suite for the surgeon (p = 0.018) and the assisting surgeon (p < 0.001). Neck flexion was significantly improved in the MIS suite for the surgeon (p < 0.001) and the scrub nurse (p = 0.018). On the questionnaire, the operating room team scored their posture significantly higher in the MIS suite and also indicated fewer musculoskeletal complaints. The ergonomic quality of the neck posture is significantly improved in the MIS suite for the entire operating room team.

Stratigraphy and evolution of emerged Pleistocene reefs at the Red Sea coast of Sudan

NASA Astrophysics Data System (ADS)

Hamed, Basher; Bussert, Robert; Dominik, Wilhelm

2016-02-01

Emerged Pleistocene coral reefs constitute a prominent landform along the Red Sea coast of Sudan. They are well exposed with a thickness of up to 12 m and extend over a width of about 3 km parallel to the coastline. Four major reef units that represent different reef zones are distinguished. Unit 1 is located directly at the coastline and is assigned to the rock-reef rim, while unit 2 represents the reef-front zone. Unit 3 is attributed to the reef-flat zone and unit 4 to the back-reef zone. The stratigraphic position and age of the four units respectively the facies zones are based on field relationships and δ18O analysis. Results of δ18O analysis of coral, gastropod and bivalve samples were correlated to previous age dating of correlative reefs in Sudan and other parts of the Red Sea region. Estimation of reef ages was mainly based on δ18O values of the reef-front zone (unit 2) and the observed sedimentary succession of the reefs. δ18O values of two Porites coral samples from the reef-front zone strongly suggest equivalent ages of 120 and 122 ka that correspond to marine isotope stage MIS 5.5. Based on δ18O values and the field relationship to the reef-front zone, ages of reef-flat zone (unit 3) and back-reef zone (unit 4) could be assigned to MIS 9 and MIS 7 respectively. MIS 5.1 is suggested for the reef-rock rim (unit 1). The relationship of the reef zones to individual MIS might be explained by the predominance of a specific zone during a certain stage, while other facies were less well developed and/or later eroded by wave action. The reef unit most distal from the recent coastline formed during interglacial stage MIS 7, while former studies assign this unit to interglacial stage MIS 9. Unique flourishing, high diversity and excellent preservation of corals in the back-reef unit of MIS 7 reflect growth in troughs landward of the oldest reef-flat formed during previous interglacial stage MIS 9.

Minimally invasive and computer-navigated total hip arthroplasty: a qualitative and systematic review of the literature

PubMed Central

2010-01-01

Background Both minimally invasive surgery (MIS) and computer-assisted surgery (CAS) for total hip arthroplasty (THA) have gained popularity in recent years. We conducted a qualitative and systematic review to assess the effectiveness of MIS, CAS and computer-assisted MIS for THA. Methods An extensive computerised literature search of PubMed, Medline, Embase and OVIDSP was conducted. Both randomised clinical trials and controlled clinical trials on the effectiveness of MIS, CAS and computer-assisted MIS for THA were included. Methodological quality was independently assessed by two reviewers. Effect estimates were calculated and a best-evidence synthesis was performed. Results Four high-quality and 14 medium-quality studies with MIS THA as study contrast, and three high-quality and four medium-quality studies with CAS THA as study contrast were included. No studies with computer-assisted MIS for THA as study contrast were identified. Strong evidence was found for a decrease in operative time and intraoperative blood loss for MIS THA, with no difference in complication rates and risk for acetabular outliers. Strong evidence exists that there is no difference in physical functioning, measured either by questionnaires or by gait analysis. Moderate evidence was found for a shorter length of hospital stay after MIS THA. Conflicting evidence was found for a positive effect of MIS THA on pain in the early postoperative period, but that effect diminished after three months postoperatively. Strong evidence was found for an increase in operative time for CAS THA, and limited evidence was found for a decrease in intraoperative blood loss. Furthermore, strong evidence was found for no difference in complication rates, as well as for a significantly lower risk for acetabular outliers. Conclusions The results indicate that MIS THA is a safe surgical procedure, without increases in operative time, blood loss, operative complication rates and component malposition rates. However, the beneficial effect of MIS THA on functional recovery has to be proven. The results also indicate that CAS THA, though resulting in an increase in operative time, may have a positive effect on operative blood loss and operative complication rates. More importantly, the use of CAS results in better positioning of acetabular component of the prosthesis. PMID:20470443

Design and simulation of a novel E-mode GaN MIS-HEMT based on a cascode connection for suppression of electric field under gate and improvement of reliability

NASA Astrophysics Data System (ADS)

Li, Weiyi; Zhang, Zhili; Fu, Kai; Yu, Guohao; Zhang, Xiaodong; Sun, Shichuang; Song, Liang; Hao, Ronghui; Fan, Yaming; Cai, Yong; Zhang, Baoshun

2017-07-01

We proposed a novel AlGaN/GaN enhancement-mode (E-mode) high electron mobility transistor (HEMT) with a dual-gate structure and carried out the detailed numerical simulation of device operation using Silvaco Atlas. The dual-gate device is based on a cascode connection of an E-mode and a D-mode gate. The simulation results show that electric field under the gate is decreased by more than 70% compared to that of the conventional E-mode MIS-HEMTs (from 2.83 MV/cm decreased to 0.83 MV/cm). Thus, with the discussion of ionized trap density, the proposed dual-gate structure can highly improve electric field-related reliability, such as, threshold voltage stability. In addition, compared with HEMT with field plate structure, the proposed structure exhibits a simplified fabrication process and a more effective suppression of high electric field. Project supported by the Key Technologies Support Program of Jiangsu Province (No. BE2013002-2) and the National Key Scientific Instrument and Equipment Development Projects of China (No. 2013YQ470767).

The effect of sociodemographic (mis)match between interviewers and respondents on unit and item nonresponse in Belgium.

PubMed

Vercruyssen, Anina; Wuyts, Celine; Loosveldt, Geert

2017-09-01

Interviewer characteristics affect nonresponse and measurement errors in face-to-face surveys. Some studies have shown that mismatched sociodemographic characteristics - for example gender - affect people's behavior when interacting with an interviewer at the door and during the survey interview, resulting in more nonresponse. We investigate the effect of sociodemographic (mis)matching on nonresponse in two successive rounds of the European Social Survey in Belgium. As such, we replicate the analyses of the effect of (mis)matching gender and age on unit nonresponse on the one hand, and of gender, age and education level (mis)matching on item nonresponse on the other hand. Recurring effects of sociodemographic (mis)match are found for both unit and item nonresponse. Copyright © 2017 Elsevier Inc. All rights reserved.

Low-frequency noise in AlN/AlGaN/GaN metal-insulator-semiconductor devices: A comparison with Schottky devices

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

Le, Son Phuong; Nguyen, Tuan Quy; Shih, Hong-An

2014-08-07

We have systematically investigated low-frequency noise (LFN) in AlN/AlGaN/GaN metal-insulator-semiconductor (MIS) devices, where the AlN gate insulator layer was sputtering-deposited on the AlGaN surface, in comparison with LFN in AlGaN/GaN Schottky devices. By measuring LFN in ungated two-terminal devices and heterojunction field-effect transistors (HFETs), we extracted LFN characteristics in the intrinsic gated region of the HFETs. Although there is a bias regime of the Schottky-HFETs in which LFN is dominated by the gate leakage current, LFN in the MIS-HFETs is always dominated by only the channel current. Analyzing the channel-current-dominated LFN, we obtained Hooge parameters α for the gated regionmore » as a function of the sheet electron concentration n{sub s} under the gate. In a regime of small n{sub s}, both the MIS- and Schottky-HFETs exhibit α∝n{sub s}{sup −1}. On the other hand, in a middle n{sub s} regime of the MIS-HFETs, α decreases rapidly like n{sub s}{sup −ξ} with ξ ∼ 2-3, which is not observed for the Schottky-HFETs. In addition, we observe strong increase in α∝n{sub s}{sup 3} in a large n{sub s} regime for both the MIS- and Schottky-HFETs.« less

A geometric formulation of Higgs Effective Field Theory. Measuring the curvature of scalar field space

DOE PAGES

Alonso, Rodrigo; Jenkins, Elizabeth E.; Manohar, Aneesh V.

2016-03-01

A geometric formulation of Higgs Effective Field Theory (HEFT) is presented. Experimental observables are given in terms of geometric invariants of the scalar sigma model sector such as the curvature of the scalar field manifold M. Here we show how the curvature can be measured experimentally via Higgs cross-sections, WLscattering, and the Sparameter. The one-loop action of HEFT is given in terms of geometric invariants of M. Moreover, the distinction between the Standard Model (SM) and HEFT is whether Mis flat or curved, and the curvature is a signal of the scale of new physics.

A Combined MIS/DS Course Uses Lecture Capture Technology to "Level the Playing Field" in Student Numeracy

ERIC Educational Resources Information Center

Popovich, Karen

2012-01-01

This paper describes the process taken to develop a quantitative-based and Excel™-driven course that combines "BOTH" Management Information Systems (MIS) and Decision Science (DS) modeling outcomes and lays the foundation for upper level quantitative courses such as operations management, finance and strategic management. In addition,…

Being a Girl Mathematician: Diversity of Positive Mathematical Identities in a Secondary Classroom

ERIC Educational Resources Information Center

Radovic, Darinka; Black, Laura; Salas, Christian E.; Williams, Julian

2017-01-01

The construction of positive mathematical identities (MIs) is a complex and central issue in school mathematics, where girls are usually "counted out" of the field. This study explores positive MIs (high achiever and positive relationship with mathematics) of 3 girls. We employed a nested model of identity based on a case study approach…

Interface Si donor control to improve dynamic performance of AlGaN/GaN MIS-HEMTs

NASA Astrophysics Data System (ADS)

Song, Liang; Fu, Kai; Zhang, Zhili; Sun, Shichuang; Li, Weiyi; Yu, Guohao; Hao, Ronghui; Fan, Yaming; Shi, Wenhua; Cai, Yong; Zhang, Baoshun

2017-12-01

In this letter, we have studied the performance of AlGaN/GaN metal-insulator-semiconductor high electron mobility transistors (MIS-HEMTs) with different interface Si donor incorporation which is tuned during the deposition process of LPCVD-SiNx which is adopted as gate dielectric and passivation layer. Current collapse of the MIS-HEMTs without field plate is suppressed more effectively by increasing the SiH2Cl2/NH3 flow ratio and the normalized dynamic on-resistance (RON) is reduced two orders magnitude after off-state VDS stress of 600 V for 10 ms. Through interface characterization, we have found that the interface deep-level traps distribution with high Si donor incorporation by increasing the SiH2Cl2/NH3 flow ratio is lowered. It's indicated that the Si donors are most likely to fill and screen the deep-level traps at the interface resulting in the suppression of slow trapping process and the virtual gate effect. Although the Si donor incorporation brings about the increase of gate leakage current (IGS), no clear degradation of breakdown voltage can be seen by choosing appropriate SiH2Cl2/NH3 flow ratio.

The Top 50 Articles on Minimally Invasive Spine Surgery.

PubMed

Virk, Sohrab S; Yu, Elizabeth

2017-04-01

Bibliometric study of current literature. To catalog the most important minimally invasive spine (MIS) surgery articles using the amount of citations as a marker of relevance. MIS surgery is a relatively new tool used by spinal surgeons. There is a dynamic and evolving field of research related to MIS techniques, clinical outcomes, and basic science research. To date, there is no comprehensive review of the most cited articles related to MIS surgery. A systematic search was performed over three widely used literature databases: Web of Science, Scopus, and Google Scholar. There were four searches performed using the terms "minimally invasive spine surgery," "endoscopic spine surgery," "percutaneous spinal surgery," and "lateral interbody surgery." The amount of citations included was averaged amongst the three databases to rank each article. The query of the three databases was performed in November 2015. Fifty articles were selected based upon the amount of citations each averaged amongst the three databases. The most cited article was titled "Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion" by Ozgur et al and was credited with 447, 239, and 279 citations in Google Scholar, Web of Science, and Scopus, respectively. Citations ranged from 27 to 239 for Web of Science, 60 to 279 for Scopus, and 104 to 462 for Google Scholar. There was a large variety of articles written spanning over 14 different topics with the majority dealing with clinical outcomes related to MIS surgery. The majority of the most cited articles were level III and level IV studies. This is likely due to the relatively recent nature of technological advances in the field. Furthermore level I and level II studies are required in MIS surgery in the years ahead. 5.

A high-resolution paleosecular variation record from Black Sea sediments indicating fast directional changes associated with low field intensities during marine isotope stage (MIS) 4

NASA Astrophysics Data System (ADS)

Nowaczyk, Norbert R.; Jiabo, Liu; Frank, Ute; Arz, Helge W.

2018-02-01

A total of nine sediment cores recovered from the Archangelsky Ridge in the SE Black Sea were systematically subjected to intense paleo- and mineral magnetic analyses. Besides 16 accelerator mass spectrometry (AMS) 14C ages available for another core from this area, dating was accomplished by correlation of short-term warming events during the last glacial monitored by high-resolution X-ray fluorescence (XRF) scanning as maxima in both Ca/Ti and K/Ti ratios in Black Sea sediments to the so-called 'Dansgaard-Oeschger events' recognized from Greenland ice cores. Thus, several hiatuses could be identified in the various cores during the last glacial/interglacial cycle. Finally, core sections documenting marine isotope stage (MIS) 4 at high resolution back to 69 ka were selected for detailed analyses. At 64.5 ka, according to obtained results from Black Sea sediments, the second deepest minimum in relative paleointensity during the past 69 ka occurred, with the Laschamp geomagnetic excursion at 41 ka being associated with the lowest field intensities. The field minimum during MIS 4 is associated with large declination swings beginning about 3 ka before the minimum. While a swing to 50°E is associated with steep inclinations (50-60°) according to the coring site at 42°N, the subsequent declination swing to 30°W is associated with shallow inclinations of down to 40°. Nevertheless, these large deviations from the direction of a geocentric axial dipole field (I = 61 °, D = 0 °) still can not yet be termed as 'excursional', since latitudes of corresponding virtual geomagnetic poles (VGP) only reach down to 51.5°N (120°E) and 61.5°N (75°W), respectively. However, these VGP positions at opposite sides of the globe are linked with VGP drift rates of up to 0.2° per year in between. These extreme secular variations might be the mid-latitude expression of a geomagnetic excursion with partly reversed inclinations found at several sites much further North in Arctic marine sediments between 69°N and 81°N. Thus, the pronounced intensity minimum at 64.5 ka and described directional variations might be the effect of a weak geomagnetic field with a multi-polar geometry in the middle of MIS 4.

Rational decision making in a wide scenario of different minimally invasive lumbar interbody fusion approaches and devices.

PubMed

Pimenta, Luiz; Tohmeh, Antoine; Jones, David; Amaral, Rodrigo; Marchi, Luis; Oliveira, Leonardo; Pittman, Bruce C; Bae, Hyun

2018-03-01

With the proliferation of a variety of modern MIS spine surgery procedures, it is mandatory that the surgeon dominate all aspects involved in surgical indication. The information related to the decision making in patient selection for specific procedures is mandatory for surgical success. The objective of this study is to present decision-making criteria in minimally invasive surgery (MIS) selection for a variety of patients and pathologies. In this article, practicing surgeons who specialize in various MIS approaches for spinal fusion were engaged to provide expert opinion and literature review on decision making criteria for several MIS procedures. Pros, cons, relative limitations, and case examples are provided for patient selection in treatment with MIS posterolateral fusion (MIS-PLF), mini anterior lumbar interbody fusion (mini-ALIF), lateral interbody fusion (LLIF), MIS posterior lumbar interbody fusion (MIS-PLIF) and MIS transforaminal lumbar interbody fusion (MIS-TLIF). There is a variety of aspects to consider when deciding which modern MIS surgical approach is most appropriate to use based on patient and pathologic characteristics. The surgeon must adapt them to the characteristic of each type of patients, helping them to choose the most effective and efficient therapeutic option for each case.

Identification of the meta-instability stage via synergy of fault displacement: An experimental study based on the digital image correlation method

NASA Astrophysics Data System (ADS)

Zhuo, Yan-Qun; Ma, Jin; Guo, Yan-Shuang; Ji, Yun-Tao

In stick-slip experiments modeling the occurrence of earthquakes, the meta-instability stage (MIS) is the process that occurs between the peak differential stress and the onset of sudden stress drop. The MIS is the final stage before a fault becomes unstable. Thus, identification of the MIS can help to assess the proximity of the fault to the earthquake critical time. A series of stick-slip experiments on a simulated strike-slip fault were conducted using a biaxial servo-controlled press machine. Digital images of the sample surface were obtained via a high speed camera and processed using a digital image correlation method for analysis of the fault displacement field. Two parameters, A and S, are defined based on fault displacement. A, the normalized length of local pre-slip areas identified by the strike-slip component of fault displacement, is the ratio of the total length of the local pre-slip areas to the length of the fault within the observed areas and quantifies the growth of local unstable areas along the fault. S, the normalized entropy of fault displacement directions, is derived from Shannon entropy and quantifies the disorder of fault displacement directions along the fault. Based on the fault displacement field of three stick-slip events under different loading rates, the experimental results show the following: (1) Both A and S can be expressed as power functions of the normalized time during the non-linearity stage and the MIS. The peak curvatures of A and S represent the onsets of the distinct increase of A and the distinct reduction of S, respectively. (2) During each stick-slip event, the fault evolves into the MIS soon after the curvatures of both A and S reach their peak values, which indicates that the MIS is a synergetic process from independent to cooperative behavior among various parts of a fault and can be approximately identified via the peak curvatures of A and S. A possible application of these experimental results to field conditions is provided. However, further validation is required via additional experiments and exercises.

Video stereo-laparoscopy system

NASA Astrophysics Data System (ADS)

Xiang, Yang; Hu, Jiasheng; Jiang, Huilin

2006-01-01

Minimally invasive surgery (MIS) has contributed significantly to patient care by reducing the morbidity associated with more invasive procedures. MIS procedures have become standard treatment for gallbladder disease and some abdominal malignancies. The imaging system has played a major role in the evolving field of minimally invasive surgery (MIS). The image need to have good resolution, large magnification, especially, the image need to have depth cue at the same time the image have no flicker and suit brightness. The video stereo-laparoscopy system can meet the demand of the doctors. This paper introduces the 3d video laparoscopy has those characteristic, field frequency: 100Hz, the depth space: 150mm, resolution: 10pl/mm. The work principle of the system is introduced in detail, and the optical system and time-division stereo-display system are described briefly in this paper. The system has focusing image lens, it can image on the CCD chip, the optical signal can change the video signal, and through A/D switch of the image processing system become the digital signal, then display the polarized image on the screen of the monitor through the liquid crystal shutters. The doctors with the polarized glasses can watch the 3D image without flicker of the tissue or organ. The 3D video laparoscope system has apply in the MIS field and praised by doctors. Contrast to the traditional 2D video laparoscopy system, it has some merit such as reducing the time of surgery, reducing the problem of surgery and the trained time.

A national review of the frequency of minimally invasive surgery among general surgery residents: assessment of ACGME case logs during 2 decades of general surgery resident training.

PubMed

Richards, Morgan K; McAteer, Jarod P; Drake, F Thurston; Goldin, Adam B; Khandelwal, Saurabh; Gow, Kenneth W

2015-02-01

Minimally invasive surgery (MIS) has created a shift in how many surgical diseases are treated. Examining the effect on resident operative experience provides valuable insight into trends that may be useful for restructuring the requirements of resident training. To evaluate changes in general surgery resident operative experience regarding MIS. Retrospective review of the frequency of MIS relative to open operations among general surgery residents using the Accreditation Council for Graduate Medical Education case logs for academic years 1993-1994 through 2011-2012. General surgery residency training among accredited programs in the United States. We analyzed the difference in the mean number of MIS techniques and corresponding open procedures across training periods using 2-tailed t tests with statistical significance set at P < .05. Of 6,467,708 operations with the option of MIS, 2,393,030 (37.0%) were performed with the MIS approach. Of all MIS operations performed, the 5 most common were cholecystectomy (48.5%), appendectomy (16.2%), groin hernia repair (10.0%), abdominal exploration (nontrauma) (4.4%), and antireflux procedures (3.6%). During the study period, there was a transition from a predominantly open to MIS approach for appendectomy, antireflux procedures, thoracic wedge resection, and partial gastric resection. Cholecystectomy is the only procedure for which MIS was more common than the open technique throughout the study period (P < .001). The open approach is more common for all other procedures, including splenectomy (0.7% MIS), common bile duct exploration (24.9% MIS), gastrostomy (25.9% MIS), abdominal exploration (33.1% MIS), hernia (20.3% MIS), lung resection (22.3% MIS), partial or total colectomy (39.1%), enterolysis (19.0% MIS), ileostomy (9.0% MIS), enterectomy (5.2% MIS), vagotomy (1.8% MIS), and pediatric antireflux procedures (35.9% MIS); P < .001. Minimally invasive surgery has an increasingly prominent role in contemporary surgical therapy for many common diseases. The open approach, however, still predominates in all but 5 procedures. Residents today must become efficient at performing multiple techniques for a single procedure, which demands a broader skill set than in the past.

A difference in using atomic layer deposition or physical vapour deposition TiN as electrode material in metal-insulator-metal and metal-insulator-silicon capacitors.

PubMed

Groenland, A W; Wolters, R A M; Kovalgin, A Y; Schmitz, J

2011-09-01

In this work, metal-insulator-metal (MIM) and metal-insulator-silicon (MIS) capacitors are studied using titanium nitride (TiN) as the electrode material. The effect of structural defects on the electrical properties on MIS and MIM capacitors is studied for various electrode configurations. In the MIM capacitors the bottom electrode is a patterned 100 nm TiN layer (called BE type 1), deposited via sputtering, while MIS capacitors have a flat bottom electrode (called BE type 2-silicon substrate). A high quality 50-100 nm thick SiO2 layer, made by inductively-coupled plasma CVD at 150 degrees C, is deposited as a dielectric on top of both types of bottom electrodes. BE type 1 (MIM) capacitors have a varying from low to high concentration of structural defects in the SiO2 layer. BE type 2 (MIS) capacitors have a low concentration of structural defects and are used as a reference. Two sets of each capacitor design are fabricated with the TiN top electrode deposited either via physical vapour deposition (PVD, i.e., sputtering) or atomic layer deposition (ALD). The MIM and MIS capacitors are electrically characterized in terms of the leakage current at an electric field of 0.1 MV/cm (I leak) and for different structural defect concentrations. It is shown that the structural defects only show up in the electrical characteristics of BE type 1 capacitors with an ALD TiN-based top electrode. This is due to the excellent step coverage of the ALD process. This work clearly demonstrates the sensitivity to process-induced structural defects, when ALD is used as a step in process integration of conductors on insulation materials.

Pod Mildew on Soybeans Can Mitigate the Damage to the Seed Arising from Field Mold at Harvest Time.

PubMed

Liu, Jiang; Deng, Juncai; Zhang, Ke; Wu, Haijun; Yang, Caiqiong; Zhang, Xiaowen; Du, Junbo; Shu, Kai; Yang, Wenyu

2016-12-07

Seedpods are the outermost barrier of legume plants encountered by pests and pathogens, but research on this tissue, especially regarding their chemical constituents, is limited. In the present study, a mildew-index-model-based cluster analysis was used to evaluate and identify groups of soybean genotypes with different organ-specific resistance against field mold. The constituents of soybean pods, including proteins, carbohydrates, fatty acids, and isoflavones, were analyzed. Linear regression and correlation analyses were also conducted between these main pod constituents and the organ-specific mildew indexes of seed (MIS) and pod (MIP). With increases in the contents of infection constituents, such as proteins, carbohydrates, and fatty acids, the MIP increased and the MIS decreased. The MIS decreased with increases in the contents of glycitein (GLE)-type isoflavonoids, which act as antibiotic constituents. Although the infection constituents in the soybean pods caused pod mildew, they also helped mitigate the corresponding seed mildew to a certain extent.

Evaluation of Intrinsic Charge Carrier Transport at Insulator-Semiconductor Interfaces Probed by a Non-Contact Microwave-Based Technique

PubMed Central

Honsho, Yoshihito; Miyakai, Tomoyo; Sakurai, Tsuneaki; Saeki, Akinori; Seki, Shu

2013-01-01

We have successfully designed the geometry of the microwave cavity and the thin metal electrode, achieving resonance of the microwave cavity with the metal-insulator-semiconductor (MIS) device structure. This very simple MIS device operates in the cavity, where charge carriers are injected quantitatively by an applied bias at the insulator-semiconductor interface. The local motion of the charge carriers was clearly probed through the applied external microwave field, also giving the quantitative responses to the injected charge carrier density and charge/discharge characteristics. By means of the present measurement system named field-induced time-resolved microwave conductivity (FI-TRMC), the pentacene thin film in the MIS device allowed the evaluation of the hole and electron mobility at the insulator-semiconductor interface of 6.3 and 0.34 cm2 V−1 s−1, respectively. This is the first report on the direct, intrinsic, non-contact measurement of charge carrier mobility at interfaces that has been fully experimentally verified. PMID:24212382

Charge Trapping in Interface Doped MNOS Structures.

DTIC Science & Technology

1981-07-01

Current density 55 0 JN Current density in nitride at gate 55 k Boltzmann’s constant: 1.38 x 10-23 joule /0K 85 m Effective mass of carrier 89 xi MIS...Trap Barrier Lowering by Applied Field: Poole-Frenkel Effect 90 vi Figure 3- 2: Thermally Stimulated Current System 92 Figure 3- 3: TSC Curves from a...Tungsten Atomic Concentration vs Effective Thickness 175 ix List of Tables Table 1-1: Trap Energy Levels and Spatial Densities 31 Table 2-1: Device

Effects of Camera Arrangement on Perceptual-Motor Performance in Minimally Invasive Surgery

ERIC Educational Resources Information Center

Delucia, Patricia R.; Griswold, John A.

2011-01-01

Minimally invasive surgery (MIS) is performed for a growing number of treatments. Whereas open surgery requires large incisions, MIS relies on small incisions through which instruments are inserted and tissues are visualized with a camera. MIS results in benefits for patients compared with open surgery, but degrades the surgeon's perceptual-motor…

Toward optimal implementation of cancer prevention and control programs in public health: a study protocol on mis-implementation.

PubMed

Padek, Margaret; Allen, Peg; Erwin, Paul C; Franco, Melissa; Hammond, Ross A; Heuberger, Benjamin; Kasman, Matt; Luke, Doug A; Mazzucca, Stephanie; Moreland-Russell, Sarah; Brownson, Ross C

2018-03-23

Much of the cancer burden in the USA is preventable, through application of existing knowledge. State-level funders and public health practitioners are in ideal positions to affect programs and policies related to cancer control. Mis-implementation refers to ending effective programs and policies prematurely or continuing ineffective ones. Greater attention to mis-implementation should lead to use of effective interventions and more efficient expenditure of resources, which in the long term, will lead to more positive cancer outcomes. This is a three-phase study that takes a comprehensive approach, leading to the elucidation of tactics for addressing mis-implementation. Phase 1: We assess the extent to which mis-implementation is occurring among state cancer control programs in public health. This initial phase will involve a survey of 800 practitioners representing all states. The programs represented will span the full continuum of cancer control, from primary prevention to survivorship. Phase 2: Using data from phase 1 to identify organizations in which mis-implementation is particularly high or low, the team will conduct eight comparative case studies to get a richer understanding of mis-implementation and to understand contextual differences. These case studies will highlight lessons learned about mis-implementation and identify hypothesized drivers. Phase 3: Agent-based modeling will be used to identify dynamic interactions between individual capacity, organizational capacity, use of evidence, funding, and external factors driving mis-implementation. The team will then translate and disseminate findings from phases 1 to 3 to practitioners and practice-related stakeholders to support the reduction of mis-implementation. This study is innovative and significant because it will (1) be the first to refine and further develop reliable and valid measures of mis-implementation of public health programs; (2) bring together a strong, transdisciplinary team with significant expertise in practice-based research; (3) use agent-based modeling to address cancer control implementation; and (4) use a participatory, evidence-based, stakeholder-driven approach that will identify key leverage points for addressing mis-implementation among state public health programs. This research is expected to provide replicable computational simulation models that can identify leverage points and public health system dynamics to reduce mis-implementation in cancer control and may be of interest to other health areas.

Challenges of DHS and MIS to capture the entire pattern of malaria parasite risk and intervention effects in countries with different ecological zones: the case of Cameroon.

PubMed

Massoda Tonye, Salomon G; Kouambeng, Celestin; Wounang, Romain; Vounatsou, Penelope

2018-04-06

In 2011, the demographic and health survey (DHS) in Cameroon was combined with the multiple indicator cluster survey. Malaria parasitological data were collected, but the survey period did not overlap with the high malaria transmission season. A malaria indicator survey (MIS) was also conducted during the same year, within the malaria peak transmission season. This study compares estimates of the geographical distribution of malaria parasite risk and of the effects of interventions obtained from the DHS and MIS survey data. Bayesian geostatistical models were applied on DHS and MIS data to obtain georeferenced estimates of the malaria parasite prevalence and to assess the effects of interventions. Climatic predictors were retrieved from satellite sources. Geostatistical variable selection was used to identify the most important climatic predictors and indicators of malaria interventions. The overall observed malaria parasite risk among children was 33 and 30% in the DHS and MIS data, respectively. Both datasets identified the Normalized Difference Vegetation Index and the altitude as important predictors of the geographical distribution of the disease. However, MIS selected additional climatic factors as important disease predictors. The magnitude of the estimated malaria parasite risk at national level was similar in both surveys. Nevertheless, DHS estimates lower risk in the North and Coastal areas. MIS did not find any important intervention effects, although DHS revealed that the proportion of population with an insecticide-treated nets access in their household was statistically important. An important negative relationship between malaria parasitaemia and socioeconomic factors, such as the level of mother's education, place of residence and the household welfare were captured by both surveys. Timing of the malaria survey influences estimates of the geographical distribution of disease risk, especially in settings with seasonal transmission. In countries with different ecological zones and thus different seasonal patterns, a single survey may not be able to identify all high risk areas. A continuous MIS or a combination of MIS, health information system data and data from sentinel sites may be able to capture the disease risk distribution in space across different seasons.

Emergence of increased frequency and severity of multiple infections by viruses due to spatial clustering of hosts

NASA Astrophysics Data System (ADS)

Taylor, Bradford P.; Penington, Catherine J.; Weitz, Joshua S.

2016-12-01

Multiple virus particles can infect a target host cell. Such multiple infections (MIs) have significant and varied ecological and evolutionary consequences for both virus and host populations. Yet, the in situ rates and drivers of MIs in virus-microbe systems remain largely unknown. Here, we develop an individual-based model (IBM) of virus-microbe dynamics to probe how spatial interactions drive the frequency and nature of MIs. In our IBMs, we identify increasingly spatially correlated clusters of viruses given sufficient decreases in viral movement. We also identify increasingly spatially correlated clusters of viruses and clusters of hosts given sufficient increases in viral infectivity. The emergence of clusters is associated with an increase in multiply infected hosts as compared to expectations from an analogous mean field model. We also observe long-tails in the distribution of the multiplicity of infection in contrast to mean field expectations that such events are exponentially rare. We show that increases in both the frequency and severity of MIs occur when viruses invade a cluster of uninfected microbes. We contend that population-scale enhancement of MI arises from an aggregate of invasion dynamics over a distribution of microbe cluster sizes. Our work highlights the need to consider spatially explicit interactions as a potentially key driver underlying the ecology and evolution of virus-microbe communities.

Improvement on the electrical characteristics of Pd/HfO2/6H-SiC MIS capacitors using post deposition annealing and post metallization annealing

NASA Astrophysics Data System (ADS)

Esakky, Papanasam; Kailath, Binsu J.

2017-08-01

HfO2 as a gate dielectric enables high electric field operation of SiC MIS structure and as gas sensor HfO2/SiC capacitors offer higher sensitivity than SiO2/SiC capacitors. The issue of higher density of oxygen vacancies and associated higher leakage current necessitates better passivation of HfO2/SiC interface. Effect of post deposition annealing in N2O plasma and post metallization annealing in forming gas on the structural and electrical characteristics of Pd/HfO2/SiC MIS capacitors are reported in this work. N2O plasma annealing suppresses crystallization during high temperature annealing thereby improving the thermal stability and plasma annealing followed by rapid thermal annealing in N2 result in formation of Hf silicate at the HfO2/SiC interface resulting in order of magnitude lower density of interface states and gate leakage current. Post metallization annealing in forming gas for 40 min reduces interface state density by two orders while gate leakage current density is reduced by thrice. Post deposition annealing in N2O plasma and post metallization annealing in forming gas are observed to be effective passivation techniques improving the electrical characteristics of HfO2/SiC capacitors.

Applying management information systems to staffing.

PubMed

Hanson, R L

1982-10-01

A management information system (MIS) is a tool for managing resources effectively. After reviewing some concepts and principles for effective data management, Hanson clearly applies the concepts to nurse staffing systems, which manage human resources. He defines a seven-step process for establishing an MIS, from defining the management objective to implementing the system. Pointing out that an MIS need not be computerized to be effective, Hanson presents a positive perspective and clarifies some often-misconceived notions about management information systems and the paper printouts they generate. In the next issue of JONA, a second article by Hanson will take a more detailed look at the variety, use, and usefulness of staffing statistics available from an MIS for staffing. These articles are based on material in a forthcoming book, Management Systems for Nursing Service Staffing, to be published by Aspen Systems Corporation, Rockville, Maryland.

In Vivo Anti-Herpes Simplex Virus Activity of a Sulfated Derivative of Agaricus brasiliensis Mycelial Polysaccharide

PubMed Central

Cardozo, F. T. G. S.; Larsen, I. V.; Carballo, E. V.; Jose, G.; Stern, R. A.; Brummel, R. C.; Camelini, C. M.; Rossi, M. J.; Simões, C. M. O.

2013-01-01

Agaricus brasiliensis (syn. A. subrufescens), a basidiomycete fungus native to the Atlantic forest in Brazil, contains cell walls rich in glucomannan polysaccharides. The β-(1→2)-gluco-β-(1→3)-mannan was isolated from A. brasiliensis mycelium, chemically modified by sulfation, and named MI-S. MI-S has multiple mechanisms of action, including inhibition of herpes simplex virus (HSV) attachment, entry, and cell-to-cell spread (F. T. G. S. Cardozo, C. M. Camelini, A. Mascarello, M. J. Rossi, R. J. Nunes, C. R. Barardi, M. M. de Mendonça, and C. M. O. Simões, Antiviral Res. 92:108–114, 2011). The antiherpetic efficacy of MI-S was assessed in murine ocular, cutaneous, and genital infection models of HSV. Groups of 10 mice were infected with HSV-1 (strain KOS) or HSV-2 (strain 333). MI-S was given either topically or by oral gavage under various pre- and posttreatment regimens, and the severity of disease and viral titers in ocular and vaginal samples were determined. No toxicity was observed in the uninfected groups treated with MI-S. The topical and oral treatments with MI-S were not effective in reducing ocular disease. Topical application of MI-S on skin lesions was also not effective, but cutaneously infected mice treated orally with MI-S had significantly reduced disease scores (P < 0.05) after day 9, suggesting that healing was accelerated. Vaginal administration of MI-S 20 min before viral challenge reduced the mean disease scores on days 5 to 9 (P < 0.05), viral titers on day 1 (P < 0.05), and mortality (P < 0.0001) in comparison to the control groups (untreated and vehicle treated). These results show that MI-S may be useful as an oral agent to reduce the severity of HSV cutaneous and mucosal lesions and, more importantly, as a microbicide to block sexual transmission of HSV-2 genital infections. PMID:23507287

Sea-level highstands during the Last interglacial (MIS 5e) in Mallorca

NASA Astrophysics Data System (ADS)

Lorscheid, T.; Stocchi, P.; Rovere, A.; Gómez-Pujol, L.; Mann, T.; Fornos, J. J.

2015-12-01

Last Intergalcial in the island of Mallorca (NW Mediterranean) have been the subject of research since the early 60's (Butzer & Cuerda 1960). Despite both the location and stratigraphy of MIS 5e outcrops in the island are well known, the elevation of relative sea level (RSL) markers around the island has never been measured with high-accuracy topographic techniques (e.g. DGPS) and the interpretation of the paleo RSL has never been carried out using standardized definition of the indicative meaning of each RSL marker. In this study we present the results of two field trips aimed at measuring last interglacial deposits in Mallorca with high-accuracy GPS and at establishing, surveying modern shorelines as analogs, indicative ranges and reference water level values for RSL markers across the island. Using an earth-ice coupled GIA-model we performed several model-runs for investigating isostatic adjustment since MIS 5e in the island. These results are compared with the elevation of our deposits in the field and discussed in terms of tectonics and eustasy.

Efficient III-Nitride MIS-HEMT devices with high-κ gate dielectric for high-power switching boost converter circuits

NASA Astrophysics Data System (ADS)

Mohanbabu, A.; Mohankumar, N.; Godwin Raj, D.; Sarkar, Partha; Saha, Samar K.

2017-03-01

The paper reports the results of a systematic theoretical study on efficient recessed-gate, double-heterostructure, and normally-OFF metal-insulator-semiconductor high-electron mobility transistors (MIS-HEMTs), HfAlOx/AlGaN on Al2O3 substrate. In device architecture, a thin AlGaN layer is used in the AlGaN graded barrier MIS-HEMTs that offers an excellent enhancement-mode device operation with threshold voltage higher than 5.3 V and drain current above 0.64 A/mm along with high on-current/off-current ratio over 107 and subthreshold slope less than 73 mV/dec. In addition, a high OFF-state breakdown voltage of 1200 V is achieved for a device with a gate-to-drain distance and field-plate length of 15 μm and 5.3 μm, respectively at a drain current of 1 mA/mm with a zero gate bias, and the substrate grounded. The numerical device simulation results show that in comparison to a conventional AlGaN/GaN MIS-HEMT of similar design, a graded barrier MIS-HEMT device exhibits a better interface property, remarkable suppression of leakage current, and a significant improvement of breakdown voltage for HfAlOx gate dielectric. Finally, the benefit of HfAlOx graded-barrier AlGaN MIS-HEMTs based switching devices is evaluated on an ultra-low-loss converter circuit.

Cost-effectiveness of minimally invasive versus open transforaminal lumbar interbody fusion for degenerative spondylolisthesis associated low-back and leg pain over two years.

PubMed

Parker, Scott L; Adogwa, Owoicho; Bydon, Ali; Cheng, Joseph; McGirt, Matthew J

2012-07-01

Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for lumbar spondylolisthesis allows for surgical treatment of back and leg pain while theoretically minimizing tissue injury and accelerating overall recovery. Although the authors of previous studies have demonstrated shorter length of hospital stay and reduced blood loss with MIS versus open-TLIF, short- and long-term outcomes have been similar. No studies to date have evaluated the comprehensive health care costs associated with TLIF procedures or assessed the cost-utility of MIS- versus open-TLIF. As such, we set out to assess previously unstudied end points of health care cost and cost-utility associated with MIS- versus open-TLIF. Thirty patients undergoing MIS-TLIF (n=15) or open-TLIF (n=15) for grade I degenerative spondylolisthesis associated back and leg pain were prospectively studied. Total back-related medical resource use, missed work, and health-state values (quality-adjusted life years [QALYs], calculated from EQ-5D with U.S. valuation) were assessed after two-year follow-up. Two-year resource use was multiplied by unit costs on the basis of Medicare national allowable payment amounts (direct cost) and work-day losses were multiplied by the self-reported gross-of-tax wage rate (indirect cost). Difference in mean total cost per QALY gained for MIS- versus open-TLIF was assessed as incremental cost-effectiveness ratio (ICER: COSTmis-COSTopen/QALYmis-QALYopen). MIS versus open-TLIF cohorts were similar at baseline. By two years postoperatively, patients undergoing MIS- versus open-TLIF reported similar mean QALYs gained (0.50 vs. 0.41, P=0.17). Mean total two-year cost of MIS- and open-TLIF was $35,996 and $44,727, respectively. The $8,731 two-year cost savings of MIS- versus open-TLIF did not reach statistical significance (P=0.18) for this sample size. Although our limited sample size prevented statistical significance, MIS- versus open-TLIF was associated with reduced costs over two years while providing equivalent improvement in QALYs. MIS-TLIF allows patients to leave the hospital sooner, achieve narcotic independence sooner, and return to work sooner than open-TLIF. In our experience, MIS- versus open-TLIF is a cost reducing technology in the surgical treatment of medically refractory low-back and leg pain from grade I lumbar spondylolisthesis. Copyright © 2012 Elsevier Inc. All rights reserved.

Comparative effectiveness of minimally invasive versus open transforaminal lumbar interbody fusion: 2-year assessment of narcotic use, return to work, disability, and quality of life.

PubMed

Adogwa, Owoicho; Parker, Scott L; Bydon, Ali; Cheng, Joseph; McGirt, Matthew J

2011-12-01

Retrospective cohort comparison between minimally invasive (MIS) and open transforaminal lumbar interbody fusion (TLIF). To assess 2 earlier unstudied endpoints (duration of narcotic use and return to work) and long-term pain, disability, and quality of life (QOL) for MIS-TLIF versus open-TLIF. MIS-TLIF for lumbar spondylolithesis theoretically allows for surgical treatment of back and leg pain while minimizing blood loss and tissue injury. Although earlier studies have shown shorter hospital stay and equivocal 6 and 24 month outcomes with MIS-TLIF versus open-TLIF, the effect of MIS techniques on postoperative narcotic use and return to work are poorly understood. Thirty patients undergoing MIS-TLIF (n = 15) or open-TLIF (n = 15) for grade I degenerative spondylolithesis-associated back and leg pain were enrolled. Two-year outcomes were assessed through phone interview and it included pain [visual analog scale (VAS)], low-back disability (Oswestry disability index), EuroQol-5D, occupational disability, and narcotic use. MIS-TLIF versus open-TLIF cohorts were similar at baseline. Median [interquartile range (IQR)] length of hospitalization after surgery was significantly less for MIS-TLIF versus open-TLIF [3 (3 to 3) vs 5.5 (4 to 6) d], P = 0.001. MIS-TLIF versus open-TLIF patients showed similar 2-year improvement in VAS for back pain, VAS for leg pain, Oswestry disability index, and EuroQol-5D scores. Overall, median (IQR) length of postoperative narcotic use was 3.0 (1.4 to 4.6) weeks and significantly shorter for MIS-TLIF versus open-TLIF patients [2.0 (1.0 to 3.0) vs 4.0 (1.4 to 4.6) wk, P = 0.008]. Overall, median (IQR) time to return to work was 13.9 (2.2 to 25.5) weeks and significantly shorter for MIS-TLIF versus open-TLIF patients [8.5 (4.4 to 21.4) vs 17.1 (1.8 to 35.9) wk, P = 0.02]. Both MIS-TLIF and open-TLIF provide long-term improvement in pain, disability, and EuroQol-5D in patients with back and leg pain from grade I degenerative spondylolithesis. However, MIS-TLIF may allow for shortened hospital stays, reduced postoperative narcotic use, and accelerated return to work, reducing both direct medical costs and indirect costs of lost work productivity associated with TLIF procedures.

Uracil misincorporation into DNA and folic acid supplementation123

PubMed Central

Selhub, Jacob; Chao, Wei-Hsun; Ueland, Per Magne; Hunter, David J; Baron, John A

2010-01-01

Background: Folate deficiency decreases thymidylate synthesis from deoxyuridylate, which results in an imbalance of deoxyribonucleotide that may lead to excessive uracil misincorporation (UrMis) into DNA during replication and repair. Objective: We evaluated the relation between UrMis in different tissues and the effect of folate supplementation on UrMis. Design: We analyzed UrMis concentrations in rectal mucosa (n = 92) and white blood cells (WBCs; n = 60) among individuals randomly assigned to receive supplementation with 1 mg folate/d or placebo, who were then evaluated for colorectal adenoma recurrence. Results: As expected, total homocysteine was significantly lower among the study participants who received active folate treatment (Wilcoxon's P = 0.003) than among those in the placebo group. The median UrMis concentration in rectal mucosa and WBCs among individuals treated with folate was not significantly lower than that in those who received placebo (Wilcoxon's P = 0.17). UrMis concentrations in both rectal mucosa and WBCs did not correlate significantly with folate measured in plasma and red blood cells. UrMis in rectal mucosa was marginally associated with an increased risk of adenoma recurrence (odds ratio per SD: 1.43; 95% CI: 0.91, 2.25). Conclusions: UrMis measurements in WBCs are not a robust surrogate for UrMis measurements in the rectal mucosa (Spearman correlation coefficient = 0.23, P = 0.08). Furthermore, folate supplementation in an already replete population (half treated with folic acid supplements and all exposed to folic acid fortification of the food supply) was not significantly associated with reduced UrMis in rectal mucosa cells or WBCs. Large-scale studies are needed to evaluate whether excessive UrMis concentrations are an important risk factor for colorectal neoplasia. This trial was registered at clinicaltrials.gov as NCT00272324. PMID:19923375

Comparison of the costs of nonoperative care to minimally invasive surgery for sacroiliac joint disruption and degenerative sacroiliitis in a United States commercial payer population: potential economic implications of a new minimally invasive technology

PubMed Central

Ackerman, Stacey J; Polly, David W; Knight, Tyler; Schneider, Karen; Holt, Tim; Cummings, John

2014-01-01

Introduction Low back pain is common and treatment costly with substantial lost productivity and lost wages in the working-age population. Chronic low back pain originating in the sacroiliac (SI) joint (15%–30% of cases) is commonly treated with nonoperative care, but new minimally invasive surgery (MIS) options are also effective in treating SI joint disruption. We assessed whether the higher initial MIS SI joint fusion procedure costs were offset by decreased nonoperative care costs from a US commercial payer perspective. Methods An economic model compared the costs of treating SI joint disruption with either MIS SI joint fusion or continued nonoperative care. Nonoperative care costs (diagnostic testing, treatment, follow-up, and retail pharmacy pain medication) were from a retrospective study of Truven Health MarketScan® data. MIS fusion costs were based on the Premier’s Perspective™ Comparative Database and professional fees on 2012 Medicare payment for Current Procedural Terminology code 27280. Results The cumulative 3-year (base-case analysis) and 5-year (sensitivity analysis) differentials in commercial insurance payments (cost of nonoperative care minus cost of MIS) were $14,545 and $6,137 per patient, respectively (2012 US dollars). Cost neutrality was achieved at 6 years; MIS costs accrued largely in year 1 whereas nonoperative care costs accrued over time with 92% of up front MIS procedure costs offset by year 5. For patients with lumbar spinal fusion, cost neutrality was achieved in year 1. Conclusion Cost offsets from new interventions for chronic conditions such as MIS SI joint fusion accrue over time. Higher initial procedure costs for MIS were largely offset by decreased nonoperative care costs over a 5-year time horizon. Optimizing effective resource use in both nonoperative and operative patients will facilitate cost-effective health care delivery. The impact of SI joint disruption on direct and indirect costs to commercial insurers, health plan beneficiaries, and employers warrants further consideration. PMID:24904218

The role of ultra-thin SiO2 layers in metal-insulator-semiconductor (MIS) photoelectrochemical devices (Presentation Recording)

NASA Astrophysics Data System (ADS)

Esposito, Daniel V.

2015-08-01

Solid-state junctions based on a metal-insulator-semiconductor (MIS) architecture are of great interest for a number of optoelectronic applications such as photovoltaics, photoelectrochemical cells, and photodetection. One major advantage of the MIS junction compared to the closely related metal-semiconductor junction, or Schottky junction, is that the thin insulating layer (1-3 nm thick) that separates the metal and semiconductor can significantly reduce the density of undesirable interfacial mid-gap states. The reduction in mid-gap states helps "un-pin" the junction, allowing for significantly higher built-in-voltages to be achieved. A second major advantage of the MIS junction is that the thin insulating layer can also protect the underlying semiconductor from corrosion in an electrochemical environment, making the MIS architecture well-suited for application in (photo)electrochemical applications. In this presentation, discontinuous Si-based MIS junctions immersed in electrolyte are explored for use as i.) photoelectrodes for solar-water splitting in photoelectrochemical cells (PECs) and ii.) position-sensitive photodetectors. The development and optimization of MIS photoelectrodes for both of these applications relies heavily on understanding how processing of the thin SiO2 layer impacts the properties of nano- and micro-scale MIS junctions, as well as the interactions of the insulating layer with the electrolyte. In this work, we systematically explore the effects of insulator thickness, synthesis method, and chemical treatment on the photoelectrochemical and electrochemical properties of these MIS devices. It is shown that electrolyte-induced inversion plays a critical role in determining the charge carrier dynamics within the MIS photoelectrodes for both applications.

How CEOs use management information systems for strategy implementation in hospitals.

PubMed

Naranjo-Gil, David; Hartmann, Frank

2007-04-01

Institutional and market changes seem to force hospitals across the Western world to revitalize their corporate strategies towards more cost efficiency on the one hand, and more flexibility towards customer demands on the other hand. Hospitals, however, apparently differ in the extent to which they are able to implement such strategies effectively. This paper explores whether these different levels of effectiveness depend on how hospitals' top managers' use of the available management information systems (MIS). Based on data obtained from the 218 CEOs of public hospitals in Spain, we analyze how CEOs' professional and educational backgrounds affect their use of MIS, and how the use of the MIS subsequently supports or inhibits the implementation of these strategic goals. The results indicate that CEOs with a predominant clinical background focus more on non-financial information for decision-making and prefer an interactive style of using MIS, which together support flexibility strategies. CEOs with a predominant administrative background seem more effective in establishing cost-reduction strategies, through their larger inclination to emphasize financial information in combination with a diagnostic use of the MIS. Implications for the strategic management of hospitals are outlined.

Late Pleistocene Environments of the Central Ukraine

NASA Astrophysics Data System (ADS)

Rousseau, Denis-Didier; Gerasimenko, Natalia; Matviischina, Zhanna; Kukla, George

2001-11-01

The Vyazivok loess sequence from the Dnieper Plain, Ukraine, documents regional environmental changes during the late Pleistocene and Holocene. Pedological and palynological analyses and low-field magnetic susceptibility document changes from dense temperate forest during the last interglacial maximum to open, harsh, loess-steppe during the latest Pleistocene. The Vyazivok section overlies hillwash derived from a lower Pleistocene terrace and consists of two stratified soil complexes (Kaydaky and Pryluky; marine isotope stage [MIS] 5 equivalent) separated by a layer of eolian dust (Tyasmyn silt). The lower soils in both complexes formed within forest. These soils are overlain by the Uday (MIS4) and Bug (MIS2) loess units, which are separated by boreal soils of the Vytachiv (MIS3) complex. The coldest conditions within the record occurred in the youngest loess. Holocene soils cap the Bug loess. The Vyazivok section shows remarkable similarities with other classical loess sequences in western Europe, the Czech Republic, and Austria. The Kaydaky, Pryluky, and Vytachiv deposits, correlate with the PKIII, PKII, and PKI soil complexes, respectively, of the Czech Republic. The Tyasmyn and Prylyky silt layers correspond to marker horizons from central Europe.

Assessment of the Potential for Color Overlays to Enhance the Reading Skills of Enlisted Navy Recruits

DTIC Science & Technology

2006-07-30

as an intervention . Readers with MIS symptoms read significantly faster with their chosen overlay than without it. These findings justify further...recent years, the techniques for routine diagnosis and effective intervention methods for MIS have been improved and developed. Although Irlen is...The British Royal Navy, for example, screens for MIS on a case-by-case basis and provides overlays and filters as intervention . Furthermore

Hydrological variability in the Northern Levant: a 250 ka multiproxy record from the Yammoûneh (Lebanon) sedimentary sequence

NASA Astrophysics Data System (ADS)

Gasse, F.; Vidal, L.; Develle, A.-L.; van Campo, E.

2011-11-01

The Levant is a key region in terms of both long-term hydroclimate dynamics and human cultural evolution. Our understanding of the regional response to glacial-interglacial boundary conditions is limited by uncertainties in proxy-data interpretation and the lack of long-term records from different geographical settings. The present paper provides a 250 ka paleoenvironmental reconstruction based on a multi-proxy approach from northern Levant, derived from a 36 m lacustrine-palustrine sequence cored in the small intra-mountainous karstic Yammoûneh basin from northern Lebanon. We combined time series of sediment properties, paleovegetation, and carbonate oxygen isotopes (δc), to yield a comprehensive view of paleohydrologic-paleoclimatic fluctuations in the basin over the two last glacial-interglacial cycles. Integration of all available proxies shows that Interglacial maxima (early-mid MIS 7, MIS 5.5 and early MIS 1) experienced relatively high effective moisture, evidenced by the dominance of forested landscapes (although with different forest types) associated with authigenic carbonate sedimentation in a productive waterbody. Synchronous and steep δc increases can be reconciled with enhanced mean annual moisture when changes in seasonality are taken into account. During Glacials periods (MIS 2 and MIS 6), open vegetation tends to replace the forests, favouring local erosion and detrital sedimentation. However, all proxy data reveal an overall wetting during MIS 6, while a drying trend took place during MIS4-2, leading to extremely harsh LGM conditions possibly linked to water storage as ice in the surrounding highlands. Over the past 250 ka, the Yammoûneh record shows an overall decrease in local effective water, coincident with a weakening of seasonal insolation contrasts linked to the decreasing amplitude of the eccentricity cycle. The Yammoûneh record is roughly consistent with long-term climatic fluctuations in the northeastern Mediterranean region (except during MIS 6). It suggests that the role of seasonality on effective moisture, already highlighted for MIS 1, also explains older interglacial climate. The Yammoûneh record shares some features with speleothem isotope records of western Israel, while the Dead Sea basin generally evolved in opposite directions. Changes in atmospheric circulation, regional topographic patterns and site-specific hydrological factors are invoked as potential causes of spatial heterogeneities. Further work is needed to refine the Yammoûneh chronology, better understand its functioning through hydrological and climate modelling, and acquire other long records from northern Levant to disentangle the relative effects of local versus regional factors.

Dynamics and timing of paleoglaciation on opposite flanks of the Ikh-Turgen Mountains, Central Asia

NASA Astrophysics Data System (ADS)

Blomdin, Robin; Stroeven, Arjen P.; Harbor, Jonathan M.; Gribenski, Natacha; Caffee, Marc W.; Heyman, Jakob; Rogozhina, Irina; Ivanov, Mikhail N.; Petrakov, Dmitry A.; Walther, Michael; Rudoy, Alexei N.; Zhang, Wei; Alexander, Orkhonselenge; Hättestrand, Clas; Lifton, Nathaniel A.; Jansson, Krister N.

2017-04-01

Spanning a northern sector of continental Central Asia, the Altai Mountains contains a rich record of glaciation. Still, there are few studies reconstructing the dynamics and timing of former glaciers in the region. We investigated the glacial history of two paleoglaciers, residing on opposite flanks of the Ikh-Turgen Mountains, straddling the border between Russia and Mongolia, using a combination of remote sensing, terrain analysis, field investigations and 10Be surface exposure dating. On the eastern side (Mongolia) of Ikh-Turgen, mean arithmetic exposure ages from a latero-frontal moraine indicate deglaciation during Marine Isotope Stage (MIS) 3 (45.3±2.7 ka, n=5) and MIS 2 (22.8±3.5 ka, n=4). These age constraints are consistent with other paleoclimate records from the region. Cold and wet conditions during early MIS 2 and MIS 3 likely triggered glacier expansions but the transition to a drier climate resulted in more restricted paleoglacier extents during MIS 2 than during MIS 3. Well-constrained MIS 3 glacier expansions in Central Asia are rare. We therefore speculate whether the climatic and topographic setting of the eastern flank of the Ikh-Turgen Mountains has allowed for a better preservation potential of these moraines, making them more suitable for surface exposure dating than other regions of Central Asia, or whether MIS 3 moraines occur more widespread but await to be robustly dated. Corresponding surface exposure ages, from the western side (Russia) of Ikh-Turgen, indicate a more complex story with large scatter ( 14-53 ka, n=8) making paleoclimate inference and comparison to other proxies difficult. Owing to their proximity, the paleoglaciers of Ikh-Turgen, should have responded similarly to climate forcing, yet they exhibited distinctly different behaviours. We discuss the connection between paleoglacier dynamics and style of moraine deposition and propose that differences in glacier dynamics caused differences in ice-marginal depositional environments, explaining the scatter in exposure ages on the western side. This study shows the importance of style of deposition in chronological studies of glacial landforms and demonstrates that certain moraine types can be difficult to use as paleoclimate proxies.

Examining the Error of Mis-Specifying Nonlinear Confounding Effect with Application on Accelerometer-Measured Physical Activity

ERIC Educational Resources Information Center

Lee, Paul H.

2017-01-01

Purpose: Some confounders are nonlinearly associated with dependent variables, but they are often adjusted using a linear term. The purpose of this study was to examine the error of mis-specifying the nonlinear confounding effect. Methods: We carried out a simulation study to investigate the effect of adjusting for a nonlinear confounder in the…

Uranium-series coral ages from the US Atlantic Coastal Plain-the "80 ka problem" revisited

USGS Publications Warehouse

Wehmiller, J. F.; Simmons, K.R.; Cheng, H.; Edwards, R. Lawrence; Martin-McNaughton, J.; York, L.L.; Krantz, D.E.; Shen, C.-C.

2004-01-01

Uranium series coral ages for emergent units from the passive continental margin US Atlantic Coastal Plain (ACP) suggest sea level above present levels at the end of marine oxygen isotope stage (MIS) 5, contradicting age-elevation relations based on marine isotopic or coral reef models of ice equivalent sea level. We have reexamined this problem by obtaining high precision 230Th/238U and 231Pa/235U thermal ionization mass spectrometric ages for recently collected and carefully cleaned ACP corals, many in situ. We recognize samples that show no evidence for diagenesis on the basis of uranium isotopic composition and age concordance. Combining new and earlier data, among those ages close to or within the age range of MIS 5, over 85% cluster between 65 and 85 ka BP. Of the corals that we have analyzed, those that show the least evidence for diagenesis on the basis of uranium isotopic composition and age concordance have ages between 80 and 85 ka BP, consistent with a MIS 5a correlation. The units from which these samples have been collected are all emergent and have elevations within ???3-5m of those few units where early stage 5 (???125,000 ka BP) coral ages have been obtained. The ACP appears to record an unusual history of relative sea level throughout MIS 5, a history that is also apparent in the dated coral record for Bermuda. We speculate that this history is related to the regional (near-to intermediate-field) effects of ancestral Laurentide Ice sheets on last interglacial shorelines of the western North Atlantic. ?? 2004 Elsevier Ltd and INQUA. All rights reserved.

Perception versus reality: elucidating motivation and expectations of current fellowship council minimally invasive surgery fellows.

PubMed

Watkins, Jeffrey R; Pryor, Aurora D; Truitt, Michael S; Jeyarajah, D Rohan

2018-04-17

The aim of our study is to determine minimally invasive trainee motivation and expectations for their respective fellowship. Minimally Invasive Surgery (MIS) is one of the largest non-ACGME post-residency training pathways though little is known concerning the process of residents choosing MIS as a fellowship focus. As general surgery evolves, it is important to understand resident motivation in order to better prepare them for a surgical career. A survey invitation was sent to current trainees in the Minimally Invasive and related pathways through the Fellowship Council. The participants were asked to complete a web-based questionnaire detailing demographics, experiences preparing for fellowship, motivation in choosing an MIS fellowship, and expectations for surgical practice after fellowship. Sixty-seven MIS trainees responded to the survey out of 151 invitations (44%). The Fellowship Council website, mentors, and other fellows were cited as the most helpful source of information when applying for fellowship. Trainees were active in surgical societies as residents, with 78% having membership in the ACS and 60% in SAGES. When deciding to pursue MIS as a fellowship, the desire to increase laparoscopic training was the most important factor. The least important reasons cited were lack of laparoendoscopic training in residency and desire to learn robotic surgery. The majority of trainees believed their laparoscopic skill set was above that of their residency cohort (81%). The most desired post-fellowship employment model is hospital employee (46%) followed by private practice (27%). Most fellows plan on marketing themselves as MIS surgeons (90%) or General Surgeons (78%) when in practice. Residents who choose MIS as a fellowship have a strong exposure to laparoscopy and want to become specialists in their field. Mentors and surgical societies including ACS and SAGES play a vital role in preparing residents for fellowship and practice.

A Comparison of Paleomagnetic Secular Variation during MIS 7-10 between the Bering Sea (IODP Ex. 323) and North Atlantic Ocean (ODP Leg 172): Implications for the space/time pattern of field and environmental variability (Invited)

NASA Astrophysics Data System (ADS)

Lund, S.; Okada, M.; Acton, G.; Clement, B. M.; Stoner, J. S.; Platzman, E. S.

2013-12-01

Detailed records of Brunhes paleomagnetic secular variation (PSV) during Marine Isotope Stages (MIS) 7-10 have been recovered from four IODP Ex. 323 sites in the Bering Sea (U1339, U1343-U1345) and four ODP Leg 172 sites from the subtropical North Atlantic Ocean (1060-1063). Reproducible records of PSV (both directions and paleointensity) have been recovered from three or more holes at each site and correlated among the four independent sites in each region. These PSV records provide an unprecedented database for considering patterns of long-term secular variation and evidence for excursional field behavior on a larger than individual regional scale. We will present reproducible evidence for sustained long-term secular variation in each region and assess the extent to which they may be interrelated. We have identified the times of magnetic field excursions 7α, 7β, 8α, 9α, and 9β in the Atlantic records and correlated those times to the Bering Sea records. There are no true excursions in the Bering Sea at those times, but several of these intervals mark the most anomalous field behavior in the Bering Sea during MIS 7-10. In both regions, the PSV also serves as a high-resolution chronostratigraphic tool for regional correlation of environmental variability. Both regions show clear, reproducible evidence among the sites for synchronous millennial-scale environmental variability that has not been diagnosed previously.

Mechanism of leakage of ion-implantation isolated AlGaN/GaN MIS-high electron mobility transistors on Si substrate

NASA Astrophysics Data System (ADS)

Zhang, Zhili; Song, Liang; Li, Weiyi; Fu, Kai; Yu, Guohao; Zhang, Xiaodong; Fan, Yaming; Deng, Xuguang; Li, Shuiming; Sun, Shichuang; Li, Xiajun; Yuan, Jie; Sun, Qian; Dong, Zhihua; Cai, Yong; Zhang, Baoshun

2017-08-01

In this paper, we systematically investigated the leakage mechanism of the ion-implantation isolated AlGaN/GaN metal-insulator-semiconductor high electron mobility transistors (MIS-HEMTs) on Si substrate. By means of combined DC tests at different temperatures and electric field dependence, we demonstrated the following original results: (1) It is proved that gate leakage is the main contribution to OFF-state leakage of ion-implantation isolated AlGaN/GaN MIS-HEMTs, and the gate leakage path is a series connection of the gate dielectric Si3N4 and Si3N4-GaN interface. (2) The dominant mechanisms of the leakage current through LPCVD-Si3N4 gate dielectric and Si3N4-GaN interface are identified to be Frenkel-Poole emission and two-dimensional variable range hopping (2D-VRH), respectively. (3) A certain temperature annealing could reduce the density of the interface state that produced by ion implantation, and consequently suppress the interface leakage transport, which results in a decrease in OFF-state leakage current of ion-implantation isolated AlGaN/GaN MIS-HEMTs.

Extent and timing of paleoglaciation in the Kanas Valley, Altai Mountains, China, based on remote sensing, field investigations and multiple dating methods

NASA Astrophysics Data System (ADS)

Zhang, Wei; Harbor, Jon; Cui, Zhijiu; Liu, Liang; Liu, Beibei; Fu, Yanjing; Shi, Yuanhuang; Gribenski, Natacha; Blomdin, Robin; Stroeven, Arjen; Caffee, Marc; Jansson, Krister

2014-05-01

Reconstructions of the timing and extent of past glaciation provide key constraints for paleoclimate and numerical modeling of past glacier behavior. As part of the multinational Central Asian Paleoglaciology Project we are reconstructing the timing and extent of past glaciation along and across a series of mountain ranges in central Asia using consistent methods for mapping, field investigations and numerical dating. Here we report on new findings for the Kanas Valley in northwest China, a large glaciated valley system on the south side of the Altai Mountains. Previous studies have concluded that the Kanas Valley has been shaped by a series of major glacial advances that produced overdeepened basins, a U-shaped valley cross profile, and extensive glacial and glaciofluvial deposits. Existing Optically Stimulated Luminescence (OSL) and Electron Spin Resonance (ESR) dating results suggest major glaciation in the Kanas Valley during Marine Oxygen Isotope Stages (MIS) 3, 5, and 6, but very limited MIS 2 glaciation. Limited MIS 2 glaciation has also been suggested for other parts of central Asia, and this contrasts with extensive MIS 2 glaciation in Europe and North America. Field studies in 2013 provided new evidence for the highest elevation extent of glaciation in the Kanas Valley in the vicinity of the 20-km long Lake Kanas, with the upper limit of distinct erratics on the valley sidewalls indicating past ice thicknesses here up to 1000 m. Upper limits of erratics extending from Lake Kanas to the mapped maximum down-valley extent of glaciation suggest an ice surface slope of 1.8 degrees for the lower half of the paleoglacier in the Kanas Valley, assuming that all the erratics were deposited at the same time. Systematic sampling of glacial erratics, basal till, terminal moraines, glacially eroded bedrock, and glaciofluvial deposits provided material that is being used for cosmogenic radionuclide, OSL and ESR dating of the glacial chronology, and for dating intercomparisons.

Efficacy of Lens Protection Systems: Dependency on Different Cranial CT Scans in The Acute Stroke Setting.

PubMed

Guberina, Nika; Forsting, Michael; Ringelstein, Adrian

2017-06-15

To evaluate the dose-reduction potential with different lens protectors for patients undergoing cranial computed tomography (CT) scans. Eye lens dose was assessed in vitro (α-Al2O3:C thermoluminescence dosemeters) using an Alderson-Rando phantom® in cranial CT protocols at different CT scanners (SOMATOM-Definition-AS+®(CT1) and SOMATOM-Definition-Flash® (CT2)) using two different lens-protection systems (Somatex® (SOM) and Medical Imaging Systems® (MIS)). Summarised percentage of the transmitted photons: (1) CT1 (a) unenhanced CT (nCT) with gantry angulation: SOM = 103%, MIS = 111%; (2) CT2 (a) nCT without gantry angulation: SOM = 81%, MIS = 91%; (b) CT angiography (CTA) with automatic dose-modulation technique: SOM = 39%, MIS = 74%; (c) CTA without dose-modulation technique: SOM = 22%, MIS = 48%; (d) CT perfusion: SOM = 44%, MIS = 69%. SOM showed a higher dose-reduction potential than MIS maintaining equal image quality. Lens-protection systems are most effective in CTA protocols without dose-reduction techniques. Lens-protection systems lower the average eye lens dose during CT scans up to 1/3 (MIS) and 2/3 (SOM), respectively, if the eye lens is exposed to the direct beam of radiation. Considering both the CT protocol and the material of lens protectors, they seem to be mandatory for reducing the radiation exposure of the eye lens. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Effect of minimally invasive surgery fellowship on residents' operative experience.

PubMed

Altieri, Maria S; Frenkel, Catherine; Scriven, Richard; Thornton, Deborah; Halbert, Caitlin; Talamini, Mark; Telem, Dana A; Pryor, Aurora D

2017-01-01

There is an increased need for surgical trainees to acquire advanced laparoscopic skills as laparoscopy becomes the standard of care in many areas of general surgery. Since the introduction of minimally invasive surgery (MIS) fellowships, there has been a continuing debate as to whether these fellowships adversely affect general surgery resident exposure to laparoscopic cases. The aim of our study was to examine whether the introduction of an MIS fellowship negatively impacts general surgery residents' experience at a single academic center. We describe the changes following establishment of MIS fellowship at an academic center. Resident case log system from the Accreditation Council for Graduate Medical Education was queried to obtain all PGY 1-5 resident operative case logs. Two-year time period preceding and following the institution of an MIS fellowship at our institution in 2012 was compared. P values less than 0.05 were considered statistically significant. Following initiation of the MIS fellowship, an MIS service was established. The service comprised of a fellow, midlevel resident, and intern. Operative experience was examined. From 2010-2012 to 2012-2014, residents logged a total of 272 and 585 complex laparoscopic cases, respectively. There were 43 residents from 2010 to 2013 and 44 residents from 2013 to 2014. When the two time periods were compared, a trend of increased numbers for all procedures was noted, except laparoscopic GYN/genito-urinary procedures. Average percent increase in complex general surgery procedures was 249 ± 179.8 %. Following establishment of a MIS fellowship, reported cases by residents were higher or similar to those reported nationally for laparoscopic procedures. Institution of an MIS fellowship had a favorable effect on general surgery resident operative education at a single academic training center. Residents may benefit from the presence of a fellowship at an academic center because they are able to participate in an increased number of complex laparoscopic cases.

Uranium uptake history, open-system behaviour and uranium-series ages of fossil Tridacna gigas from Huon Peninsula, Papua New Guinea

NASA Astrophysics Data System (ADS)

Ayling, Bridget F.; Eggins, Stephen; McCulloch, Malcolm T.; Chappell, John; Grün, Rainer; Mortimer, Graham

2017-09-01

Molluscs incorporate negligible uranium into their skeleton while they are living, with any uranium uptake occurring post-mortem. As such, closed-system U-series dating of molluscs is unlikely to provide reliable age constraints for marine deposits. Even the application of open-system U-series modelling is challenging, because uranium uptake and loss histories can affect time-integrated uranium distributions and are difficult to constrain. We investigate the chemical and isotopic distribution of uranium in fossil Tridacna gigas (giant clams) from Marine Isotope Stage (MIS) 5e (128-116 ka) and MIS 11 (424-374 ka) reefs at Huon Peninsula in Papua New Guinea. The large size of the clams enables detailed chemical and isotopic mapping of uranium using LA-ICPMS and LA-MC-ICPMS techniques. Within each fossil Tridacna specimen, marked differences in uranium concentrations are observed across the three Tridacna growth zones (outer, inner, hinge), with the outer and hinge zones being relatively enriched. In MIS 5e and MIS 11 Tridacna, the outer and hinge zones contain approximately 1 ppm and 5 ppm uranium respectively. In addition to uptake of uranium, loss of uranium appears prevalent, especially in the MIS 11 specimens. The effect of uranium loss is to elevate measured [230Th/238U] values with little effect on [234U/238U] values. Closed-system age estimates are on average 50% too young for the MIS 5e Tridacna, and 25% too young for the MIS 11 Tridacna. A complex, multi-stage uptake and loss history is interpreted for the fossil Tridacna and we demonstrate that they cannot provide independent, reliable geochronological controls on the timing of past reef growth at Huon Peninsula.

Plasmonic ruler on field-effect devices for kinase drug discovery applications.

PubMed

Bhalla, Nikhil; Formisano, Nello; Miodek, Anna; Jain, Aditya; Di Lorenzo, Mirella; Pula, Giordano; Estrela, Pedro

2015-09-15

Protein kinases are cellular switches that mediate phosphorylation of proteins. Abnormal phosphorylation of proteins is associated with lethal diseases such as cancer. In the pharmaceutical industry, protein kinases have become an important class of drug targets. This study reports a versatile approach for the detection of protein phosphorylation. The change in charge of the myelin basic protein upon phosphorylation by the protein kinase C-alpha (PKC-α) in the presence of adenosine 5'-[γ-thio] triphosphate (ATP-S) was detected on gold metal-insulator-semiconductor (Au-MIS) capacitor structures. Gold nanoparticles (AuNPs) can then be attached to the thio-phosphorylated proteins, forming a Au-film/AuNP plasmonic couple. This was detected by a localized surface plasmon resonance (LSPR) technique alongside MIS capacitance. All reactions were validated using surface plasmon resonance technique and the interaction of AuNPs with the thio-phosphorylated proteins quantified by quartz crystal microbalance. The plasmonic coupling was also visualized by simulations using finite element analysis. The use of this approach in drug discovery applications was demonstrated by evaluating the response in the presence of a known inhibitor of PKC-α kinase. LSPR and MIS on a single platform act as a cross check mechanism for validating kinase activity and make the system robust to test novel inhibitors. Copyright © 2015 Elsevier B.V. All rights reserved.

Effectiveness of Implementation of Electronic Malaria Information System as the National Malaria Surveillance System in Thailand

PubMed Central

2016-01-01

Background In moving toward malaria elimination, one strategy is to implement an active surveillance system for effective case management. Thailand has developed and implemented the electronic Malaria Information System (eMIS) capturing individualized electronic records of suspected or confirmed malaria cases. Objective The main purpose of this study was to determine how well the eMIS improves the quality of Thailand’s malaria surveillance system. In particular, the focus of the study was to evaluate the effectiveness of the eMIS in terms of the system users’ perception and the system outcomes (ie, quality of data) regarding the management of malaria patients. Methods A mixed-methods technique was used with the framework based on system effectiveness attributes: data quality, timeliness, simplicity, acceptability, flexibility, stability, and usefulness. Three methods were utilized: data records review, survey of system users, and in-depth interviews with key stakeholders. From the two highest endemic provinces, paper forms matching electronic records of 4455 noninfected and 784 malaria-infected cases were reviewed. Web-based anonymous questionnaires were distributed to all 129 eMIS data entry staff throughout Thailand, and semistructured interviews were conducted with 12 management-level officers. Results The eMIS is well accepted by system users at both management and operational levels. The data quality has enabled malaria personnel to perform more effective prevention and control activities. There is evidence of practices resulting in inconsistencies and logical errors in data reporting. Critical data elements were mostly completed, except for a few related to certain dates and area classifications. Timeliness in reporting a case to the system was acceptable with a delay of 3-4 days. The evaluation of quantitative and qualitative data confirmed that the eMIS has high levels of simplicity, acceptability, stability, and flexibility. Conclusions Overall, the system implemented has achieved its objective. The results of the study suggested that the eMIS helps improve the quality of Thailand’s malaria surveillance system. As the national malaria surveillance system, the eMIS’s functionalities have provided the malaria staff working at the point of care with close-to-real-time case management data quality, covering case detection, case investigation, drug compliance, and follow-up visits. Such features has led to an improvement in the quality of the malaria control program; the government officials now have quicker access to both individual and aggregated data to promptly react to possible outbreak. The eMIS thus plays one of the key roles in moving toward the national goal of malaria elimination by the next decade. PMID:27227156

Revisiting Tectonic Corrections Applied to Pleistocene Sea-Level Highstands

NASA Astrophysics Data System (ADS)

Creveling, J. R.; Mitrovica, J. X.; Hay, C.; Austermann, J.; Kopp, R. E.

2015-12-01

The robustness of stratigraphic- and geomorphic-based inferences of Quaternary peak interglacial sea levels — and equivalent minimum continental ice volumes — depends on the accuracy with which highstand markers can be corrected for vertical tectonic displacement. For sites that preserve a Marine Isotope Stage (MIS) 5e sea-level highstand marker, the customary method for estimating tectonic uplift/subsidence rate computes the difference between the local elevation of the highstand marker and a reference eustatic (i.e., global mean) MIS 5e sea-level height, typically assumed to be +6 m, and then divides this height difference by the age of the highstand marker. This rate is then applied to correct the elevation of other observed sea-level markers at that site for tectonic displacement. Subtracting a reference eustatic value from a local MIS 5e highstand marker elevation introduces two potentially significant errors. First, the commonly adopted peak eustatic MIS 5e sea-level value (i.e., +6 m) is likely too low; recent studies concluded that MIS 5e peak eustatic sea level was ~6-9 m. Second, local peak MIS 5e sea level was not globally uniform, but instead characterized by significant departures from eustasy due to glacial isostatic adjustment (GIA) in response to successive glacial-interglacial cycles and excess polar ice-sheet melt relative to present day. We present numerical models of GIA that incorporate both of these effects in order to quantify the plausible range in error of previous tectonic corrections. We demonstrate that, even far from melting ice sheets, local peak MIS 5e sea level may have departed from eustasy by 2-4 m, or more. Thus, adopting an assumed reference eustatic value to estimate tectonic displacement, rather than a site-specific GIA signal, can introduce significant error in estimates of peak eustatic sea level (and minimum ice volumes) during Quaternary highstands (e.g., MIS 11, MIS 5c and MIS 5a).

Insights into Penultimate Interglacial-Glacial Climate Change on Vegetation History at Lake Van, Turkey

NASA Astrophysics Data System (ADS)

Pickarski, N.; Litt, T.

2017-12-01

A new detailed pollen and oxygen isotope record of the penultimate interglacial-glacial cycle (ca. 250-129 ka; MIS 7-6), has been generated from the sediment core at Lake Van, Turkey. The integration of all available proxies (pollen, microscopic charcoal, δ18Obulk, and XRF) shows three temperate intervals of high effective soil moisture availability. This is evidenced by the predominance of oak steppe-forested landscapes similar to the present interglacial vegetation in this sensitive semiarid region. The wettest/warmest stage, as indicated by highest temperate tree percentages, can be broadly correlated with MIS 7c, while the amplitude of the tree population maximum during the oldest penultimate interglacial (MIS 7e) appears to be reduced due to warm but drier climatic conditions. A detailed comparison of the penultimate interglacial complex (MIS 7) to the last interglacial (MIS 5e) and the current interglacial (MIS 1) provides a vivid illustration of possible differences in the successive climatic cycles. Intervening periods of treeless vegetation (MIS 7d, 7a) were predominated by steppe elements. The occurrence of Artemisia and Chenopodiaceae during MIS 7d indicates very dry and cold climatic conditions, while higher temperate tree percentages (mainly deciduous Quercus) points to relatively humid and mild conditions throughout MIS 7b. Despite the general dominance of dry and cold desert-steppe vegetation during the penultimate glacial (MIS 6), this period can be divided into two parts: an early stage (ca. 193-157 ka) with higher oscillations in tree percentages and a later stage (ca. 157-131 ka) with lower tree percentages and subdued oscillations. Furthermore, we are able to identify the MIS 6e event (ca. 179-159 ka), which reveals clear climate variability due to rapid alternation in the vegetation cover. In comparison with long European pollen archives, speleothem isotope records from the Near East, and global climate parameters, the new high-resolution record presents an improved insight into regional vegetation dynamics and climate variability in the eastern Mediterranean region.

Soil carbon unlocked from MIS 5 to MIS 1 aged North Siberian permafrost: state and fate of decomposition

NASA Astrophysics Data System (ADS)

Schwamborn, Georg; Stapel, Janina G.; Mangelsdorff, Kai; Walz, Josefine; Knoblauch, Christian; Wetterich, Sebastian; Schirrmeister, Lutz

2017-04-01

At Bol'shoy Lyakhovsky, New Siberian Archipelago, multiple permafrost cores were obtained providing a Late Quaternary environmental record with deposits from marine isotope stages MIS 5 to MIS 1. This exceptionally long record is used to evaluate the stored potential of the freeze-locked organic matter (OM) to serve as substrate provider for greenhouse gas producing microorganisms. We relate modern signals of OM degradation from MIS 1 deposits to previous glacial-time deposits (MIS 4 and MIS 3) and to interglacial deposits (MIS 5), which may serve as an analogue for a future Arctic warmer than modern. From the oldest to the youngest, the composite record includes re-frozen MIS 5 lake deposits (sandy silt), floodplain deposits (sandy silt) from MIS 4, Ice Complex (i.e. Yedoma) deposits from MIS 4 to 3 (sandy silt), and alas deposits (sandy silt) from a drained and re-frozen thermokarst basin with MIS 1 ages. Whereas glacial-time deposits (MIS 4 and MIS 3) are fairly ice-rich with a median at 43 wt% ice content, interglacial deposits (MIS 5 and MIS 1) are moderately ice-rich with a median at 31 wt% ice content. In terms of total organic carbon content glacial-time deposits have moderate values with a median at 2.4 wt% and interglacial deposits have low values with a median at 0.4 wt%. Deposits from MIS 4 and MIS 3 possess an increased aliphatic character and therefore higher OM quality in terms of biodegradation compared to deposits from MIS 5 and MIS 1. The strongest primal and future substrate potential is stored within the glacial-time deposits, especially in those layers deposited during environmental conditions with increased moisture. The interstadial MIS 3 deposits hold the highest concentrations of pore-water acetate, which serve as optimal substrate for greenhouse gas generating microorganisms once it is unlocked from the perennially frozen ground. MIS 3 deposits also contain the highest concentrations of organic acids ester-bound to the organic matrix, implying an increased and still stored future substrate pool. In contrast, interglacial MIS 5 deposits are distinctly depleted in both primal and future substrate pools, whereas MIS 1 substrates are partly depleted in that sense. Incubation experiments reveal that moderate CO2 and low CH4 concentrations can be generated from the deposits (after 285 days at 4°C). MIS 4 and MIS 3 deposits produce markedly higher amounts of aerobic and anaerobic CO2 than MIS 5 deposits. CH4 production was only observed in MIS 5 and in a few MIS 1 samples. This points to the fact that greenhouse gas production potentials depend on particular soil properties and environmental conditions during OM deposition and the degree of degradation prior to incorporation into permafrost.

Achieving high quality standards in laparoscopic colon resection for cancer: A Delphi consensus-based position paper.

PubMed

Lorenzon, Laura; Biondi, Alberto; Carus, Thomas; Dziki, Adam; Espin, Eloy; Figueiredo, Nuno; Ruiz, Marcos Gomez; Mersich, Tamas; Montroni, Isacco; Tanis, Pieter J; Benz, Stefan Rolf; Bianchi, Paolo Pietro; Biebl, Matthias; Broeders, Ivo; De Luca, Raffaele; Delrio, Paolo; D'Hondt, Mathieu; Fürst, Alois; Grosek, Jan; Guimaraes Videira, Jose Flavio; Herbst, Friedrich; Jayne, David; Lázár, György; Miskovic, Danilo; Muratore, Andrea; Helmer Sjo, Ole; Scheinin, Tom; Tomazic, Ales; Türler, Andreas; Van de Velde, Cornelius; Wexner, Steven D; Wullstein, Christoph; Zegarski, Wojciech; D'Ugo, Domenico

2018-04-01

To investigate the rate of laparoscopic colectomies for colon cancer using registries and population-based studies. To provide a position paper on mini-invasive (MIS) colon cancer surgery based on the opinion of experts leader in this field. A systematic review of the literature was conducted using PRISMA guidelines for the rate of laparoscopy in colon cancer. Moreover, Delphi methodology was used to reach consensus among 35 international experts in four study rounds. Consensus was defined as an agreement ≥75.0%. Domains of interest included nosology, essential technical/oncological requirements, outcomes and MIS training. Forty-four studies from 42 articles were reviewed. Although it is still sub-optimal, the rate of MIS for colon cancer increased over the years and it is currently >50% in Korea, Netherlands, UK and Australia. The remaining European countries are un-investigated and presented lower rates with highest variations, ranging 7-35%. Using Delphi methodology, a laparoscopic colectomy was defined as a "colon resection performed using key-hole surgery independently from the type of anastomosis". The panel defined also the oncological requirements recognized essential for the procedure and agreed that when performed by experienced surgeons, it should be marked as best practice in guidelines, given the principles of oncologic surgery be respected (R0 procedure, vessel ligation and mesocolon integrity). The rate of MIS colectomies for cancer in Europe should be further investigated. A panel of leaders in this field defined laparoscopic colectomy as a best practice procedure when performed by an experienced surgeon respecting the standards of surgical oncology. Copyright © 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

Fast optical detecting media based on semiconductor nanostructures for recording images obtained using charges of free photocarriers

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

Kasherininov, P. G., E-mail: peter.kasherininov@mail.ioffe.ru; Tomasov, A. A.; Beregulin, E. V.

2011-01-15

Available published data on the properties of optical recording media based on semiconductor structures are reviewed. The principles of operation, structure, parameters, and the range of application for optical recording media based on MIS structures formed of photorefractive crystals with a thick layer of insulator and MIS structures with a liquid crystal as the insulator (the MIS LC modulators), as well as the effect of optical bistability in semiconductor structures (semiconductor MIS structures with nanodimensionally thin insulator (TI) layer, M(TI)S nanostructures). Special attention is paid to recording media based on the M(TI)S nanostructures promising for fast processing of highly informativemore » images and to fabrication of optoelectronic correlators of images for noncoherent light.« less

Depositional and sea-level history from MIS 6 (Termination II) to MIS 3 on the southern continental shelf of South Africa

NASA Astrophysics Data System (ADS)

Cawthra, H. C.; Jacobs, Z.; Compton, J. S.; Fisher, E. C.; Karkanas, P.; Marean, C. W.

2018-02-01

Pleistocene shoreline deposits comprised of calcified shallow marine (palaeobeach) and aeolian (palaeodune) facies found along mid-latitude coastlines can be useful indicators of past sea levels. Here, we describe a succession of such deposits that are presently exposed both above (subaerial) and below (submerged) mean sea level along the southern Cape coast of South Africa, 18 km east of the town of Mossel Bay. The submerged units provide a window on Late Pleistocene coastal processes, as palaeoshoreline deposits in this study extend to water depths of up to 55 m on the mid-shelf. Five sedimentary facies were identified in the strata and were compared to modern depositional environments of the local littoral zone, which include aeolian dune, upper shoreface, foreshore, intertidal swash and back-barrier settings. Twenty-two geological units were observed and mapped. Some of these units were directly dated with optically stimulated luminescence (OSL) dating. OSL ages were obtained for ten samples from the subaerial and twelve samples from the submerged deposits. Those geological units not directly dated were interpreted based on sedimentology and field/stratigraphic relationships to dated units. The stratigraphy and chronology of the succession indicates a record of initial deposition during Termination II (T-II) meltwater events, preceding and leading to marine isotope stage (MIS) 5e. Indicators for multiple sea-level fluctuations between MIS 5d and MIS 4, and sediment deposition at the end of MIS 4 and start of MIS 3 are also found. Both regressive and transgressive depositional cycles are well-preserved in the succession. We propose that palaeodune and palaeobeach deposits along the South Coast of South Africa have no clear preference for deposition during sea-level transgressions or regressions. Sediment deposition more closely mirrors the rate of sea level change, with deposition and preservation either during times of rapid sea-level movement, or oscillation around still-stand events. Periods of relatively slow average rise or fall of sea level are represented by erosional planation surfaces in this record.

Paleoclimatic and paleoceanographic records through Marine Isotope Stage 19 at the Chiba composite section, central Japan: A key reference for the Early-Middle Pleistocene Subseries boundary

NASA Astrophysics Data System (ADS)

Suganuma, Yusuke; Haneda, Yuki; Kameo, Koji; Kubota, Yoshimi; Hayashi, Hiroki; Itaki, Takuya; Okuda, Masaaki; Head, Martin, J.; Sugaya, Manami; Nakazato, Hiroomi; Igarashi, Atsuo; Shikoku, Kizuku; Hongo, Misao; Watanabe, Masami; Satoguchi, Yasufumi; Takeshita, Yoshihiro; Nishida, Naohisa; Izumi, Kentaro; Kawamura, Kenji; Kawamata, Moto; Okuno, Jun'ichi; Yoshida, Takeshi; Ogitsu, Itaru; Yabusaki, Hisashi; Okada, Makoto

2018-07-01

Marine Isotope Stage (MIS) 19 is an important analogue for the present interglacial because of its similar orbital configuration, especially the phasing of the obliquity maximum to precession minimum. However, sedimentary records suitable for capturing both terrestrial and marine environmental changes are limited, and thus the climatic forcing mechanisms for MIS 19 are still largely unknown. The Chiba composite section, east-central Japanese archipelago, is a continuous and expanded marine sedimentary succession well suited to capture terrestrial and marine environmental changes through MIS 19. In this study, a detailed oxygen isotope chronology is established from late MIS 20 to early MIS 18, supported by a U-Pb zircon age and the presence of the Matuyama-Brunhes boundary. New pollen, marine microfossil, and planktonic foraminiferal δ18O and Mg/Ca paleotemperature records reveal the complex interplay of climatic influences. Our pollen data suggest that the duration of full interglacial conditions during MIS 19 extends from 785.0 to 775.1 ka (9.9 kyr), which offers an important natural baseline in predicting the duration of the present interglacial. A Younger Dryas-type cooling event is present during Termination IX, suggesting that such events are linked to this orbital configuration. Millennial- to multi-millennial-scale variations in our δ18O and Mg/Ca records imply that the Subarctic Front fluctuated in the northwestern Pacific Ocean during late MIS 19, probably in response to East Asian winter monsoon variability. The climatic setting at this time appears to be related to less severe summer insolation minima at 65˚N and/or high winter insolation at 50˚N. Our records do not support a recently hypothesized direct coupling between variations in the geomagnetic field intensity and global/regional climate change. Our highly resolved paleoclimatic and paleoceanographic records, coupled with a well-defined Matuyama-Brunhes boundary (772.9 ka; duration 1.9 kyr), establish the Chiba composite section as an exceptional climatic and chronological reference section for the Early-Middle Pleistocene boundary.

A perioperative cost analysis comparing single-level minimally invasive and open transforaminal lumbar interbody fusion.

PubMed

Singh, Kern; Nandyala, Sreeharsha V; Marquez-Lara, Alejandro; Fineberg, Steven J; Oglesby, Mathew; Pelton, Miguel A; Andersson, Gunnar B; Isayeva, Darya; Jegier, Briana J; Phillips, Frank M

2014-08-01

Emerging literature suggests superior clinical short- and long-term outcomes of MIS (minimally invasive surgery) TLIFs (transforaminal lumbar interbody fusion) versus open fusions. Few studies to date have analyzed the cost differences between the two techniques and their relationship to acute clinical outcomes. The purpose of the study was to determine the differences in hospitalization costs and payments for patients treated with primary single-level MIS versus open TLIF. The impact of clinical outcomes and their contribution to financial differences was explored as well. This study was a nonrandomized, nonblinded prospective review. Sixty-six consecutive patients undergoing a single-level TLIF (open/MIS) were analyzed (33 open, 33 MIS). Patients in either cohort (MIS/open) were matched based on race, sex, age, smoking status, medical comorbidities (Charlson Comorbidity index), payer, and diagnosis. Every patient in the study had a diagnosis of either degenerative disc disease or spondylolisthesis and stenosis. Operative time (minutes), length of stay (LOS, days), estimated blood loss (EBL, mL), anesthesia time (minutes), Visual Analog Scale (VAS) scores, and hospital cost/payment amount were assessed. The MIS and open TLIF groups were compared based on clinical outcomes measures and hospital cost/payment data using SPSS version 20.0 for statistical analysis. The two groups were compared using bivariate chi-squared analysis. Mann-Whitney tests were used for non-normal distributed data. Effect size estimate was calculated with the Cohen d statistic and the r statistic with a 95% confidence interval. Average surgical time was shorter for the MIS than the open TLIF group (115.8 minutes vs. 186.0 minutes respectively; p=.001). Length of stay was also reduced for the MIS versus the open group (2.3 days vs. 2.9 days, respectively; p=.018). Average anesthesia time and EBL were also lower in the MIS group (p<.001). VAS scores decreased for both groups, although these scores were significantly lower for the MIS group (p<.001). Financial analysis demonstrated lower total hospital direct costs (blood, imaging, implant, laboratory, pharmacy, physical therapy/occupational therapy/speech, room and board) in the MIS versus the open group ($19,512 vs. $23,550, p<.001). Implant costs were similar (p=.686) in both groups, although these accounted for about two-thirds of the hospital direct costs in the MIS cohort ($13,764) and half of these costs ($13,778) in the open group. Hospital payments were $6,248 higher for open TLIF patients compared with the MIS group (p=.267). MIS TLIF technique demonstrated significant reductions of operative time, LOS, anesthesia time, VAS scores, and EBL compared with the open technique. This reduction in perioperative parameters translated into lower total hospital costs over a 60-day perioperative period. Although hospital reimbursements appear higher in the open group over the MIS group, shorter surgical times and LOS days in the MIS technique provide opportunities for hospitals to reduce utilization of resources and to increase surgical case volume. Copyright © 2014 Elsevier Inc. All rights reserved.

The More, the Better? Curvilinear Effects of Job Autonomy on Well-Being From Vitamin Model and PE-Fit Theory Perspectives.

PubMed

Stiglbauer, Barbara; Kovacs, Carrie

2017-12-28

In organizational psychology research, autonomy is generally seen as a job resource with a monotone positive relationship with desired occupational outcomes such as well-being. However, both Warr's vitamin model and person-environment (PE) fit theory suggest that negative outcomes may result from excesses of some job resources, including autonomy. Thus, the current studies used survey methodology to explore cross-sectional relationships between environmental autonomy, person-environment autonomy (mis)fit, and well-being. We found that autonomy and autonomy (mis)fit explained between 6% and 22% of variance in well-being, depending on type of autonomy (scheduling, method, or decision-making) and type of (mis)fit operationalization (atomistic operationalization through the separate assessment of actual and ideal autonomy levels vs. molecular operationalization through the direct assessment of perceived autonomy (mis)fit). Autonomy (mis)fit (PE-fit perspective) explained more unique variance in well-being than environmental autonomy itself (vitamin model perspective). Detrimental effects of autonomy excess on well-being were most evident for method autonomy and least consistent for decision-making autonomy. We argue that too-much-of-a-good-thing effects of job autonomy on well-being exist, but suggest that these may be dependent upon sample characteristics (range of autonomy levels), type of operationalization (molecular vs. atomistic fit), autonomy facet (method, scheduling, or decision-making), as well as individual and organizational moderators. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Intestinal microflora as potential modifiers of sensitizer activity in vivo

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

Sheldon, P.W.; Clarke, C.; Dawson, K.B.

1984-08-01

Treatment of mice (some bearing Lewis lung tumors), with penicillin (PEN) at 500 mg/l drinking water for one week prior to treatment with misonidazole (MIS), resulted in: the elimination of their anaerobic cecal flora; a decrease in MIS-induced neurotoxicity; an increase in pharmacological exposure to MIS; a decrease in MIS chemopotentiation; a probable increase in MIS radiosensitization; an increase in MIS induced hypothermia. Assuming no chemical interaction between PEN and MIS, these observations indicate that the intestinal microflora can influence the activity of MIS in vivo. The observed reduction in the neurotoxic but not the radiosensitizing potential of MIS followingmore » PEN treatment indicates a therapeutic benefit.« less

A review of the geologic sections and the faunal assemblages of Aurelian Mammal Age of Latium (Italy) in the light of a new chronostratigraphic framework

NASA Astrophysics Data System (ADS)

Marra, F.; Nomade, S.; Pereira, A.; Petronio, C.; Salari, L.; Sottili, G.; Bahain, J.-J.; Boschian, G.; Di Stefano, G.; Falguères, C.; Florindo, F.; Gaeta, M.; Giaccio, B.; Masotta, M.

2018-02-01

The Aurelian Mammal Age for peninsular Italy was introduced on the basis of faunal assemblages mainly recovered at sites along the Via Aurelia west of Rome. These sites exposed a set of sedimentary deposits currently attributed to the Aurelia and to the Vitinia Formations correlated with MIS 9 and MIS 7, respectively. In the present paper we reconstruct the geologic-stratigraphic setting in the western sector of Rome within the wider context of glacio-eustatically controlled, geochronologically constrained aggradational successions defined for this region. We present a chronostratigraphic study based on dedicated field surveys, that, combined with five new 40Ar/39Ar ages and eighteen trace-element and EMP glass analyses of volcanic products, allow us to revise age and correlation with the Marine Isotopic Stages for 10 sites out of 12 previously attributed to the Aurelia Formation and the Torre in Pietra Faunal Unit. In particular, we demonstrate a MIS 13/MIS 11 age for several sections along the Via Aurelia between Malagrotta and Castel di Guido. Based on this new geochronological framework, the first occurrences of Canis lupus and Vulpes vulpes in Italy are antedated to MIS 11, within the Fontana Ranuccio Faunal Unit of the Galerian Mammal Age, consistent with the wider European context. This contribution is intended as the groundwork for a revision of the Middle Pleistocene Mammal Ages of the Italian peninsula, according to the improved chronostratigraphy of the geologic sections hosting the faunal assemblages.

Mindanao Dome variability over the last 160 kyr: Episodic glacial cooling of the West Pacific Warm Pool

NASA Astrophysics Data System (ADS)

Bolliet, Timothé; Holbourn, Ann; Kuhnt, Wolfgang; Laj, Carlo; Kissel, Catherine; Beaufort, Luc; Kienast, Markus; Andersen, Nils; Garbe-Schönberg, Dieter

2011-02-01

We present sea surface, upper thermocline, and benthic δ18O data, as well as temperature and paleoproductivity proxy data, from the International Marine Global Change Study Program (IMAGES) Core MD06-3067 (6°31‧N, 126°30‧E, 1575 m water depth), located in the western equatorial Pacific Ocean within the flow path of the Mindanao Current. Our records reveal considerable glacial-interglacial and suborbital variability in the Mindanao Dome upwelling over the last 160 kyr. Dome activity generally intensified during glacial intervals resulting in cooler thermocline waters, whereas it substantially declined during interglacials, in particular in the early Holocene and early marine oxygen isotope stage (MIS) 5e, when upwelling waters did not reach the thermocline. During MIS 3 and MIS 2, enhanced surface productivity together with remarkably low SST and low upper ocean thermal contrast provide evidence for episodic glacial upwelling to the surface, whereas transient surface warming marks periodic collapses of the Mindanao Dome upwelling during Heinrich events. We attribute the high variability during MIS 3 and MIS 2 to changes in the El Niño Southern Oscillation state that affected boreal winter monsoonal winds and upper ocean circulation. Glacial upwelling intensified when a strong cyclonic gyre became established, whereas El Niño-like conditions during Heinrich events tended to suppress the cyclonic circulation, reducing Ekman transport. Thus, our findings demonstrate that variations in the Mindanao Dome upwelling are closely linked to the position and intensity of the tropical convection and also reflect far-field influences from the high latitudes.

Comparative Effectiveness of Minimally Invasive Surgery and Conventional Approaches to Major or Challenging Hepatectomy

PubMed Central

Thornblade, Lucas W; Shi, Xu; Ruiz, Alex; Flum, David R; Park, James O

2017-01-01

Background The benefits of minimally invasive surgery (MIS) for low-risk or minor liver resection are well established. There is growing interest in MIS for major hepatectomy (MH) and other challenging resections, but there remain unanswered questions of safety that prevent broad adoption of this technique. Study Design Retrospective cohort study of patients undergoing hepatectomy at 65 hospitals participating in the NSQIP Hepatopancreatobiliary Collaborative in 2014. We assessed serious morbidity or mortality (SMM, including organ-space infection and organ failure). Secondary outcomes included transfusion, bile leak, liver failure, reoperation or intervention, and 30-day readmission. We also measured factors considered to make resection more challenging (large tumors, cirrhosis, ≥3 concurrent resections, prior neoadjuvant chemotherapy, or morbid obesity). Results 2819 patients underwent hepatectomy (age 58±14 years, 53% female; 25% MIS). After adjusting for clinical and operative factors, the odds of SMM (OR=0.57, 95%CI: 0.34–0.96, p=0.03) and reoperation or intervention (OR=0.52 (0.29–0.93), p=0.03) were significantly lower for patients undergoing MIS compared with open. In the MH group (n=1,015; 13% MIS), there was no difference in the odds of SMM after MIS (OR=0.37, (0.13–1.11), p=0.08) however MIS MH met criteria for non-inferiority. There were no differences in liver-specific complications or readmission between the groups. Odds of SMM were significantly lower following MIS among patients who had received neoadjuvant chemotherapy (OR 0.33 (0.15–0.70), p=0.004). Conclusion In this large study of minimally invasive major hepatectomy, we demonstrate safety outcomes that are equivalent or superior to conventional open surgery. While the decision to offer MIS may be influenced by factors not included in this evaluation, (e.g. surgeon experience and other patient factors), these findings support its current use in major hepatectomies. PMID:28163089

Design of an integrated master-slave robotic system for minimally invasive surgery.

PubMed

Li, Jianmin; Zhou, Ningxin; Wang, Shuxin; Gao, Yuanqian; Liu, Dongchun

2012-03-01

Minimally invasive surgery (MIS) robots are commonly used in hospitals and medical centres. However, currently available robotic systems are very complicated and huge, greatly raising system costs and the requirements of operating rooms. These disadvantages have become the major impediments to the expansion of MIS robots. An integrated MIS robotic system is proposed based on the analysis of advantages and disadvantages of different MIS robots. In the proposed system, the master manipulators, slave manipulators, image display device and control system have been designed as a whole. Modular design is adopted for the control system for easy maintenance and upgrade. The kinematic relations between the master and the slave are also investigated and embedded in software to realize intuitive movements of hand and instrument. Finally, animal experiments were designed to test the effectiveness of the robot. The robot realizes natural hand-eye movements between the master and the slave to facilitate MIS operations. The experimental results show that the robot can realize similar functions to those of current commercialized robots. The integrated design simplifies the robotic system and facilitates use of the robot. Compared with the commercialized robots, the proposed MIS robot achieves similar functions and features but with a smaller size and less weight. Copyright © 2011 John Wiley & Sons, Ltd.

Climate and hydrology of the last interglaciation (MIS 5) in Owens Basin, California: Isotopic and geochemical evidence from core OL-92

USGS Publications Warehouse

Li, H.-C.; Bischoff, J.L.; Ku, T.-L.; Zhu, Z.-Y.

2004-01-01

??18O, ??13C, total organic carbon, total inorganic carbon, and acid-leachable Li, Mg and Sr concentrations on 443 samples from 32 to 83 m depth in Owens Lake core OL-92 were analyzed to study the climatic and hydrological conditions between 60 and 155 ka with a resolution of ???200 a. The multi-proxy data show that Owens Lake overflowed during wet/cold conditions of marine isotope stages (MIS) 4, 5b and 6, and was closed during the dry/warm conditions of MIS 5a, c and e. The lake partially overflowed during MIS 5d. Our age model places the MIS 4/5 boundary at ca 72.5 ka and the MIS 5/6 boundary (Termination II) at ca 140 ka, agreeing with the Devils Hole chronology. The diametrical precipitation intensities between the Great Basin (cold/wet) and eastern China (cold/dry) on Milankovitch time scales imply a climatic teleconnection across the Pacific. It also probably reflects the effect of high-latitude ice sheets on the southward shifts of both the summer monsoon frontal zone in eastern Asia and the polar jet stream in western North America during glacial periods. ?? 2003 Elsevier Ltd. All rights reserved.

The effect of abrupt climate changes and climate background conditions in Southern Europe during the last glacial

NASA Astrophysics Data System (ADS)

Knorr, Gregor; Martin-Puertas, Celia; Brauer, Achim; Lohmann, Gerrit

2015-04-01

The last glacial period is characterized by abrupt and large temperature shifts in Greenland and the North Atlantic realm. Pollen and sediment data from Lago Grande di Monticchio (MON) have demonstrated a clear imprint of these fluctuations operating at millennial time-scales. Interestingly, basic mean environmental condition changes with respect to temperature and precipitation occurred during MIS4, separating warm and dry conditions during MIS5 from relatively cold and humid conditions within MIS3. This general climate background shift is superposed by distinct millennial-scale variability at MON. Using a fully coupled atmosphere-ocean general circulation model applying boundary conditions at 32 ka BP and pre-industrial conditions as a surrogate for MIS3 and MIS5, we have simulated and analysed characteristic changes in Southern Europe during the last glacial. We find that changes in the mean state at MON are mainly related to a partial shift of the North Atlantic deep water (NADW) convection sites from the Nordic Seas to South of Iceland, the presence of the Fennoscandian ice sheet and lower greenhouse gas concentrations. These background characteristics provide the basis for enhanced zonal moisture transport from the eastern North Atlantic to Middle and Southern Europe. Furthermore, simulations of abrupt climate change scenarios show that a deactivation of the convection sites South of Iceland during MIS3 leads to cooler and dryer conditions at MON. Such temperature and precipitation changes are thought to provide a counter-acting effect on woody vegetation and associated pollen signals at MON. This is in contrast to the impact of abrupt climate perturbation scenarios during MIS5, where no significant precipitation changes are detected. Hence, the simulated changes and underlying mechanisms are largely consistent with the recorded proxy evidence with respect to both, mean state and millennial-scale changes.

Distributed-Memory Fast Maximal Independent Set

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

Kanewala Appuhamilage, Thejaka Amila J.; Zalewski, Marcin J.; Lumsdaine, Andrew

The Maximal Independent Set (MIS) graph problem arises in many applications such as computer vision, information theory, molecular biology, and process scheduling. The growing scale of MIS problems suggests the use of distributed-memory hardware as a cost-effective approach to providing necessary compute and memory resources. Luby proposed four randomized algorithms to solve the MIS problem. All those algorithms are designed focusing on shared-memory machines and are analyzed using the PRAM model. These algorithms do not have direct efficient distributed-memory implementations. In this paper, we extend two of Luby’s seminal MIS algorithms, “Luby(A)” and “Luby(B),” to distributed-memory execution, and we evaluatemore » their performance. We compare our results with the “Filtered MIS” implementation in the Combinatorial BLAS library for two types of synthetic graph inputs.« less

Additive Manufacturing Consolidation of Low-Cost Water Atomized Steel Powder Using Micro-Induction Sintering

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

Carter, William G.; Rios, Orlando; U

ORNL worked with Grid Logic Inc to demonstrate micro induction sintering (MIS) and binder decomposition of steel powders. It was shown that MIS effectively emits spatially confined electromagnetic energy that is directly coupled to metallic powders resulting in resistive heating of individual particles. The non-uniformity of particle morphology and distribution of the water atomized steel powders resulted in inefficient transfer of energy. It was shown that adhering the particles together using polymer binders resulted in more efficient coupling. Using the MIS processes, debinding and sintering could be done in a single step. When combined with another system, such as binder-jet,more » this could reduce the amount of required post-processing. An invention disclosure was filed on hybrid systems that use MIS to reduce the amount of required post-processing.« less

Further study of inversion layer MIS solar cells

NASA Technical Reports Server (NTRS)

Ho, Fat Duen

1992-01-01

Many inversion layer metal-insulator-semiconductor (IL/MIS) solar cells have been fabricated. As of today, the best cell fabricated by us has a 9.138 percent AMO efficiency, with FF = 0.641, V(sub OC) = 0.557 V, and I(sub SC) = 26.9 micro A. Efforts made for fabricating an IL/MOS solar cell with reasonable efficiencies are reported. The more accurate control of the thickness of the thin layer of oxide between aluminum and silicon of the MIS contacts has been achieved by using two different process methods. Comparison of these two different thin oxide processings is reported. The effects of annealing time of the sample are discussed. The range of the resistivity of the substrates used in the IL cell fabrication is experimentally estimated. Theoretical study of the MIS contacts under dark conditions is addressed.

Comparison of traditional gas chromatography (GC), headspace GC, and the microbial identification library GC system for the identification of Clostridium difficile.

PubMed Central

Cundy, K V; Willard, K E; Valeri, L J; Shanholtzer, C J; Singh, J; Peterson, L R

1991-01-01

Three gas chromatography (GC) methods were compared for the identification of 52 clinical Clostridium difficile isolates, as well as 17 non-C. difficile Clostridium isolates. Headspace GC and Microbial Identification System (MIS) GC, an automated system which utilizes a software library developed at the Virginia Polytechnic Institute to identify organisms based on the fatty acids extracted from the bacterial cell wall, were compared against the reference method of traditional GC. Headspace GC and MIS were of approximately equivalent accuracy in identifying the 52 C. difficile isolates (52 of 52 versus 51 of 52, respectively). However, 7 of 52 organisms required repeated sample preparation before an identification was achieved by the MIS method. Both systems effectively differentiated C. difficile from non-C. difficile clostridia, although the MIS method correctly identified only 9 of 17. We conclude that the headspace GC system is an accurate method of C. difficile identification, which requires only one-fifth of the sample preparation time of MIS GC and one-half of the sample preparation time of traditional GC. PMID:2007632

Sensitivity of the Greenland Ice Sheet to Interglacial Climate Forcing: MIS 5e Versus MIS 11

NASA Astrophysics Data System (ADS)

Rachmayani, Rima; Prange, Matthias; Lunt, Daniel J.; Stone, Emma J.; Schulz, Michael

2017-11-01

The Greenland Ice Sheet (GrIS) is thought to have contributed substantially to high global sea levels during the interglacials of Marine Isotope Stage (MIS) 5e and 11. Geological evidence suggests that the mass loss of the GrIS was greater during the peak interglacial of MIS 11 than MIS 5e, despite a weaker boreal summer insolation. We address this conundrum by using the three-dimensional thermomechanical ice sheet model Glimmer forced by Community Climate System Model version 3 output for MIS 5e and MIS 11 interglacial time slices. Our results suggest a stronger sensitivity of the GrIS to MIS 11 climate forcing than to MIS 5e forcing. Besides stronger greenhouse gas radiative forcing, the greater MIS 11 GrIS mass loss relative to MIS 5e is attributed to a larger oceanic heat transport toward high latitudes by a stronger Atlantic meridional overturning circulation. The vigorous MIS 11 ocean overturning, in turn, is related to a stronger wind-driven salt transport from low to high latitudes promoting North Atlantic Deep Water formation. The orbital insolation forcing, which causes the ocean current anomalies, is discussed.

What Are the Relationships between Teachers' Engagement with Management Information Systems and Their Sense of Accountability?

ERIC Educational Resources Information Center

Perelman, Uri

2014-01-01

Many public and private sector organizations are supported by Management Information Systems (MIS) for collection, management, analysis, and distribution of the data needed for effective decision-making and enhanced organizational management. The existing body of research on MIS in education focuses on the systems' contribution to achieving…

Validation of the three web quality dimensions of a minimally invasive surgery e-learning platform.

PubMed

Ortega-Morán, Juan Francisco; Pagador, J Blas; Sánchez-Peralta, Luisa Fernanda; Sánchez-González, Patricia; Noguera, José; Burgos, Daniel; Gómez, Enrique J; Sánchez-Margallo, Francisco M

2017-11-01

E-learning web environments, including the new TELMA platform, are increasingly being used to provide cognitive training in minimally invasive surgery (MIS) to surgeons. A complete validation of this MIS e-learning platform has been performed to determine whether it complies with the three web quality dimensions: usability, content and functionality. 21 Surgeons participated in the validation trials. They performed a set of tasks in the TELMA platform, where an e-MIS validity approach was followed. Subjective (questionnaires and checklists) and objective (web analytics) metrics were analysed to achieve the complete validation of usability, content and functionality. The TELMA platform allowed access to didactic content with easy and intuitive navigation. Surgeons performed all tasks with a close-to-ideal number of clicks and amount of time. They considered the design of the website to be consistent (95.24%), organised (90.48%) and attractive (85.71%). Moreover, they gave the content a high score (4.06 out of 5) and considered it adequate for teaching purposes. The surgeons scored the professional language and content (4.35), logo (4.24) and recommendations (4.20) the highest. Regarding functionality, the TELMA platform received an acceptance of 95.24% for navigation and 90.48% for interactivity. According to the study, it seems that TELMA had an attractive design, innovative content and interactive navigation, which are three key features of an e-learning platform. TELMA successfully met the three criteria necessary for consideration as a website of quality by achieving more than 70% of agreements regarding all usability, content and functionality items validated; this constitutes a preliminary requirement for an effective e-learning platform. However, the content completeness, authoring tool and registration process required improvement. Finally, the e-MIS validity methodology used to measure the three dimensions of web quality in this work can be applied to other clinical areas or training fields. Copyright © 2017 Elsevier B.V. All rights reserved.

Effect on neurostimulation of injectates used for perineural space expansion before placement of a stimulating catheter: normal saline versus dextrose 5% in water.

PubMed

Pham Dang, Charles; Lelong, Aurélie; Guilley, Jérôme; Nguyen, Jean Michel; Volteau, Christelle; Venet, Guillaume; Perrier, Cyril; Lejus, Corinne; Blanloeil, Yvonnick

2009-01-01

We clinically assessed the electrophysiologic effect of dextrose 5% in water (D5W) and of normal saline (NS) used for expansion of the perineural space before placing a stimulating catheter. We questioned if higher current was required with NS but not with D5W, as has been observed experimentally. This was a prospective randomized double-blind study of ASA I to II patients scheduled for total knee replacement. Patients from 2 hospitals were randomly assigned to receive unidentified injectate D5W (n = 25) or NS (n = 25). The primary outcome was the minimal intensity of stimulation (MIS) recorded before and after 2 and 5 mL of study injectates were flushed through the needle before placing a stimulating catheter for continuous femoral and sciatic nerve blocks. Secondary outcomes included, among other parameters, MIS recorded during placement of stimulating catheters. No difference between groups was found with MIS before injection. However, MIS recorded during neurostimulation via the needle in all blocks was significantly higher after 2 and 5 mL of NS than after D5W. In femoral blocks, MIS recorded during placement of catheters was higher during insertion after NS than after D5W but was not different after reaching the final site, regardless of injectate used. In sciatic blocks, MIS was not different during insertion regardless of injectate but was higher after NS than after D5W after reaching the final site. The current needed to electrostimulate the femoral or sciatic nerve was higher after injection of NS than after D5W.

Knee Extensor Strength and Gait Characteristics After Minimally Invasive Unicondylar Knee Arthroplasty vs Minimally Invasive Total Knee Arthroplasty: A Nonrandomized Controlled Trial.

PubMed

Braito, Matthias; Giesinger, Johannes M; Fischler, Stefan; Koller, Arnold; Niederseer, David; Liebensteiner, Michael C

2016-08-01

In light of the existing lack of evidence, it was the aim of this study to compare gait characteristics and knee extensor strength after medial unicondylar knee arthroplasty (MUKA) with those after total knee arthroplasty (TKA), given the same standardized minimally invasive surgery (MIS) approach in both groups. Patients scheduled for MIS-MUKA or MIS-TKA as part of clinical routine were invited to participate. A posterior cruciate ligament-retaining total knee design was used for all MIS-TKA. A 3-dimensional gait analysis was performed preoperatively with a VICON system and at 8 weeks postoperative to determine temporospatial parameters, ground reaction forces, joint angles, and joint moments. At the same 2 times, isokinetic tests were performed to obtain peak values of knee extensor torque. A multivariate analysis of variance was conducted and included the main effects time (before and after surgery) and surgical group and the group-by-time interaction effect. Fifteen MIS-MUKA patients and 17 MIS-TKA patients were eligible for the final analysis. The groups showed no differences regarding age, body mass index, sex, side treated, or stage of osteoarthritis. We determined neither intergroup differences nor time × group interactions for peak knee extensor torque or any gait parameters (temporospatial, ground reaction forces, joint angles, and joint moments). It is concluded that MUKA is not superior to TKA with regard to knee extensor strength or 3-dimensional gait characteristics at 8 weeks after operation. As gait characteristics and knee extensor strength are only 2 of the various potential outcome parameters (knee scores, activity scores…) and quadriceps strength might take a longer time to recover, our findings should be interpreted with caution. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

MIS Score: Prediction Model for Minimally Invasive Surgery.

PubMed

Hu, Yuanyuan; Cao, Jingwei; Hou, Xianzeng; Liu, Guangcun

2017-03-01

Reports suggest that patients with spontaneous intracerebral hemorrhage (ICH) can benefit from minimally invasive surgery, but the inclusion criterion for operation is controversial. This article analyzes factors affecting the 30-day prognoses of patients who have received minimally invasive surgery and proposes a simple grading scale that represents clinical operation effectiveness. The records of 101 patients with spontaneous ICH presenting to Qianfoshan Hospital were reviewed. Factors affecting their 30-day prognosis were identified by logistic regression. A clinical grading scale, the MIS score, was developed by weighting the independent predictors based on these factors. Univariate analysis revealed that the factors that affect 30-day prognosis include Glasgow coma scale score (P < 0.01), age ≥80 years (P < 0.05), blood glucose (P < 0.01), ICH volume (P < 0.01), operation time (P < 0.05), and presence of intraventricular hemorrhage (P < 0.001). Logistic regression revealed that the factors that affect 30-day prognosis include Glasgow coma scale score (P < 0.05), age (P < 0.05), ICH volume (P < 0.01), and presence of intraventricular hemorrhage (P < 0.05). The MIS score was developed accordingly; 39 patients with 0-1 MIS scores had favorable prognoses, whereas only 9 patients with 2-5 MIS scores had poor prognoses. The MIS score is a simple grading scale that can be used to select patients who are suited for minimal invasive drainage surgery. When MIS score is 0-1, minimal invasive surgery is strongly recommended for patients with spontaneous cerebral hemorrhage. The scale merits further prospective studies to fully determine its efficacy. Copyright © 2016 Elsevier Inc. All rights reserved.

A mixed solution-processed gate dielectric for zinc-tin oxide thin-film transistor and its MIS capacitance

NASA Astrophysics Data System (ADS)

Kim, Hunho; Kwack, Young-Jin; Yun, Eui-Jung; Choi, Woon-Seop

2016-09-01

Solution-processed gate dielectrics were fabricated with the combined ZrO2 and Al2O3 (ZAO) in the form of mixed and stacked types for oxide thin film transistors (TFTs). ZAO thin films prepared with double coatings for solid gate dielectrics were characterized by analytical tools. For the first time, the capacitance of the oxide semiconductor was extracted from the capacitance-voltage properties of the zinc-tin oxide (ZTO) TFTs with the combined ZAO dielectrics by using the proposed metal-insulator-semiconductor (MIS) structure model. The capacitance evolution of the semiconductor from the TFT model structure described well the threshold voltage shift observed in the ZTO TFT with the ZAO (1:2) gate dielectric. The electrical properties of the ZTO TFT with a ZAO (1:2) gate dielectric showed low voltage driving with a field effect mobility of 37.01 cm2/Vs, a threshold voltage of 2.00 V, an on-to-off current ratio of 1.46 × 105, and a subthreshold slope of 0.10 V/dec.

A mixed solution-processed gate dielectric for zinc-tin oxide thin-film transistor and its MIS capacitance

PubMed Central

Kim, Hunho; Kwack, Young-Jin; Yun, Eui-Jung; Choi, Woon-Seop

2016-01-01

Solution-processed gate dielectrics were fabricated with the combined ZrO2 and Al2O3 (ZAO) in the form of mixed and stacked types for oxide thin film transistors (TFTs). ZAO thin films prepared with double coatings for solid gate dielectrics were characterized by analytical tools. For the first time, the capacitance of the oxide semiconductor was extracted from the capacitance-voltage properties of the zinc-tin oxide (ZTO) TFTs with the combined ZAO dielectrics by using the proposed metal-insulator-semiconductor (MIS) structure model. The capacitance evolution of the semiconductor from the TFT model structure described well the threshold voltage shift observed in the ZTO TFT with the ZAO (1:2) gate dielectric. The electrical properties of the ZTO TFT with a ZAO (1:2) gate dielectric showed low voltage driving with a field effect mobility of 37.01 cm2/Vs, a threshold voltage of 2.00 V, an on-to-off current ratio of 1.46 × 105, and a subthreshold slope of 0.10 V/dec. PMID:27641430

Modeling the evolution of the Laurentide Ice Sheet from MIS 3 to the Last Glacial Maximum: an approach using sea level modeling and ice flow dynamics

NASA Astrophysics Data System (ADS)

Weisenberg, J.; Pico, T.; Birch, L.; Mitrovica, J. X.

2017-12-01

The history of the Laurentide Ice Sheet since the Last Glacial Maximum ( 26 ka; LGM) is constrained by geological evidence of ice margin retreat in addition to relative sea-level (RSL) records in both the near and far field. Nonetheless, few observations exist constraining the ice sheet's extent across the glacial build-up phase preceding the LGM. Recent work correcting RSL records along the U.S. mid-Atlantic dated to mid-MIS 3 (50-35 ka) for glacial-isostatic adjustment (GIA) infer that the Laurentide Ice Sheet grew by more than three-fold in the 15 ky leading into the LGM. Here we test the plausibility of a late and extremely rapid glaciation by driving a high-resolution ice sheet model, based on a nonlinear diffusion equation for the ice thickness. We initialize this model at 44 ka with the mid-MIS 3 ice sheet configuration proposed by Pico et al. (2017), GIA-corrected basal topography, and mass balance representative of mid-MIS 3 conditions. These simulations predict rapid growth of the eastern Laurentide Ice Sheet, with rates consistent with achieving LGM ice volumes within 15 ky. We use these simulations to refine the initial ice configuration and present an improved and higher resolution model for North American ice cover during mid-MIS 3. In addition we show that assumptions of ice loads during the glacial phase, and the associated reconstructions of GIA-corrected basal topography, produce a bias that can underpredict ice growth rates in the late stages of the glaciation, which has important consequences for our understanding of the speed limit for ice growth on glacial timescales.

A high-resolution mid-Pleistocene temperature record from Arctic Lake El'gygytgyn: a 50 kyr super interglacial from MIS 33 to MIS 31?

NASA Astrophysics Data System (ADS)

de Wet, Gregory A.; Castañeda, Isla S.; DeConto, Robert M.; Brigham-Grette, Julie

2016-02-01

Previous periods of extreme warmth in Earth's history are of great interest in light of current and predicted anthropogenic warming. Numerous so called "super interglacial" intervals, with summer temperatures significantly warmer than today, have been identified in the 3.6 million year (Ma) sediment record from Lake El'gygytgyn, northeast Russia. To date, however, a high-resolution paleotemperature reconstruction from any of these super interglacials is lacking. Here we present a paleotemperature reconstruction based on branched glycerol dialkyl glycerol tetraethers (brGDGTs) from Marine Isotope Stages (MIS) 35 to MIS 29, including super interglacial MIS 31. To investigate this period in detail, samples were analyzed with an unprecedented average sample resolution of 500 yrs from MIS 33 to MIS 30. Our results suggest the entire period currently defined as MIS 33-31 (∼1114-1062 kyr BP) was characterized by generally warm and highly variable conditions at the lake, at times out of phase with Northern Hemisphere summer insolation, and that cold "glacial" conditions during MIS 32 lasted only a few thousand years. Close similarities are seen with coeval records from high southern latitudes, supporting the suggestion that the interval from MIS 33 to MIS 31 was an exceptionally long interglacial (Teitler et al., 2015). Based on brGDGT temperatures from Lake El'gygytgyn (this study and unpublished results), warming in the western Arctic during MIS 31 was matched only by MIS 11 during the Pleistocene.

Minimally invasive surgery (MIS) for total knee replacement; medium term results with minimum five year follow-up.

PubMed

Unwin, Olivia; Hassaballa, Mohammed; Murray, James; Harries, William; Porteous, Andrew

2017-03-01

MIS TKA has been shown to offer a reduced in-patient stay, but no clinical difference at two years. Whilst there may be a benefit from earlier discharge, we need to ensure that there are no detrimental effects in the medium and long-term following MIS-TKA. To report the mid-term result from a prospective randomised controlled trial (RCT) comparing MIS-TKA with standard approach for TKA. Using knee score questionnaires, we collected patient reported outcome measures (PROMs) regarding pain and function. Sixty-six patients (from an eligible cohort of 83 patients) completed the mid-term postal follow-up. There was no significant difference between groups for change in score from pre-operative to final follow-up in all three PROMs. Mean MIS and standard group improvement was: AKSS 53 and 51 (p=0.7644), OKS 15 and 16 (p=0.2341) or WOMAC 15 and 15 (p=0.9900) respectively. Both groups showed improvement in pain and function with no significant difference between groups. There was no difference between groups for revision due to malalignment at a mean six year follow-up. In addition to the early benefits regarding hospital stay and complications, we have found that at a mean of six years there was no increase in malalignment, pain or function with MIS techniques. Copyright © 2017 Elsevier B.V. All rights reserved.

Examining the Error of Mis-Specifying Nonlinear Confounding Effect With Application on Accelerometer-Measured Physical Activity.

PubMed

Lee, Paul H

2017-06-01

Some confounders are nonlinearly associated with dependent variables, but they are often adjusted using a linear term. The purpose of this study was to examine the error of mis-specifying the nonlinear confounding effect. We carried out a simulation study to investigate the effect of adjusting for a nonlinear confounder in the estimation of a causal relationship between the exposure and outcome in 3 ways: using a linear term, binning into 5 equal-size categories, or using a restricted cubic spline of the confounder. Continuous, binary, and survival outcomes were simulated. We examined the confounder across varying measurement error. In addition, we performed a real data analysis examining the 3 strategies to handle the nonlinear effects of accelerometer-measured physical activity in the National Health and Nutrition Examination Survey 2003-2006 data. The mis-specification of a nonlinear confounder had little impact on causal effect estimation for continuous outcomes. For binary and survival outcomes, this mis-specification introduced bias, which could be eliminated using spline adjustment only when there is small measurement error of the confounder. Real data analysis showed that the associations between high blood pressure, high cholesterol, and diabetes and mortality adjusted for physical activity with restricted cubic spline were about 3% to 11% larger than their counterparts adjusted with a linear term. For continuous outcomes, confounders with nonlinear effects can be adjusting with a linear term. Spline adjustment should be used for binary and survival outcomes on confounders with small measurement error.

Foraminifera eco-biostratigraphy of the southern Evoikos outer shelf, central Aegean Sea, during MIS 5 to present

NASA Astrophysics Data System (ADS)

Drinia, Hara; Antonarakou, Assimina; Tsourou, Theodora; Kontakiotis, George; Psychogiou, Maria; Anastasakis, George

2016-09-01

The South Evoikos Basin is a marginal basin in the Aegean Sea which receives little terrigenous supply and its sedimentation is dominated by hemipelagic processes. Late Quaternary benthic and planktonic foraminifera from core PAG-155 are investigated in order to understand their response to the glacial-interglacial cycles in this region. The quantitative analysis of planktonic foraminifera, coupled with accelerator mass spectrometry (14C-AMS) radiocarbon date measurements, provide an integrated chrono-stratigraphic time framework over the last 90 ka (time interval between late Marine Isotopic Stages 5 and 1; MIS5-MIS1). The temporary appearance and disappearance as well as several abundance peaks in the quantitative distribution of selected climate-sensitive planktonic species allowed the identification of several eco-bioevents, useful to accurately mark the boundaries of the eco-biozones widely recognized in the Mediterranean records and used for large-scale correlations. The established bio-ecozonation scheme allows a detailed palaecological reconstruction for the late Pleistocene archive in the central Aegean, and furthermore provides a notable contribution for palaeoclimatic studies, facilitating intercorrelations between various oceanographic basins. The quantitative analyses of benthic foraminifera identify four distinct assemblages, namely Biofacies: Elphidium spp., Haynesina spp. Biofacies, characterized by neritic species, dominated during the transition from MIS 5 to MIS 4; Cassidulina laevigata/carinata Biofacies dominated till 42 ka (transgressive trend from MIS 4 to MIS 3); Bulimina gibba Biofacies dominated from 42 ka to 9.5 ka (extensive regression MIS 3,2 through lowstand and early transgression; beginning of MIS 1); Bulimina marginata, Uvigerina spp. Biofacies dominated from 9.5 ka to the present (late transgression through early highstand; MIS 1)., This study showed that the South Evoikos Basin which is characterized by its critical depths and connections to the open sea, and its small volume water masses that nourished foraminiferal assemblages, accurately records 5th-4th order sea level and climatic fluctuations. Especially, the basin's limited communication with the open ocean implies that any climatic signals will be recorded in an amplified fashion, and therefore this heightened sensitivity to the effects of climate variability further underlies the prominent role of such marginal basins in the understanding of the global climatic evolution.

Glacial cycles and the growth and destruction of Alaska volcanoes

NASA Astrophysics Data System (ADS)

Coombs, M. L.; Calvert, A. T.; Bacon, C. R.

2014-12-01

Glaciers have affected profoundly the growth, collapse, preservation, and possibly, eruptive behavior of Quaternary stratovolcanoes in Alaska. Holocene alpine glaciers have acted as effective agents of erosion on volcanoes north of ~55 °N and especially north of 60 °N. Cook Inlet volcanoes are particularly vulnerable as they sit atop rugged intrusive basement as high as 3000 m asl. Holocene glaciers have swept away or covered most of the deposits and dome lavas of frequently active Redoubt (60.5 °N); carved through the flanks of Spurr's active vent, Crater Peak (61.3 °N); and all but obscured the edifice of Hayes (61.6 °N), whose Holocene eruptive history is known almost exclusively though far-traveled tephra and flowage deposits. Relationships between Pleistocene eruptive histories, determined by high-precision Ar-Ar dating of lava flows, and marine oxygen isotope stages (MIS) 2-8 (Bassinot et al., 1994, EPSL, v. 126, p. 91­-108) vary with a volcano's latitude, size, and elevation. At Spurr, 26 ages cluster in interglacial periods. At Redoubt, 28 ages show a more continual eruptive pattern from the end of MIS 8 to the present, with a slight apparent increase in output following MIS 6, and almost no preservation before 220 ka. Veniaminof (56.2 °N) and Emmons (55.5°N), large, broad volcanoes with bases near sea level, had voluminous eruptive episodes during the profound deglaciations after MIS 8 and MIS 6. At Akutan (54.1 °N), many late Pleistocene lavas show evidence for ice contact; ongoing dating will be able to pinpoint ice thicknesses. Furthest south and west, away from thick Pleistocene ice on the Alaska Peninsula and mainland, the Tanaga volcanic cluster (51.9 °N) has a relatively continuous eruptive record for the last 200 k.y. that shows no clear-cut correlation with glacial cycles, except a possible hiatus during MIS 6. Finally, significant edifice collapse features have been temporally linked with deglaciations. A ~10-km3 debris-avalanche deposit from Spurr directly overlies bedrock, suggesting that edifice collapse closely followed MIS 2. The geologic history of Veniaminof suggests possible massive edifice collapse following MIS 6. A stack of westward-dipping lavas and breccias on the east flank of Redoubt Volcano erupted during MIS 6, and may have also failed during the major deglaciation of MIS 5.5.

An Investigation of Partizan Misere Games

NASA Astrophysics Data System (ADS)

Allen, Meghan Rose

2010-08-01

Combinatorial games are played under two different play conventions: normal play, where the last player to move wins, and mis play, where the last player to move loses. Combinatorial games are also classified into impartial positions and partizan positions, where a position is impartial if both players have the same available moves and partizan otherwise. Mis play games lack many of the useful calculational and theoretical properties of normal play games. Until Plambeck's indistinguishability quotient and mis monoid theory were developed in 2004, research on mis play games had stalled. This thesis investigates partizan combinatorial mis play games, by taking Plambeck's indistinguishability and mis monoid theory for impartial positions and extending it to partizan ones, as well as examining the difficulties in constructing a category of mis play games in a similar manner to Joyal's category of normal play games. This thesis succeeds in finding an infinite set of positions which each have finite mis monoid, examining conditions on positions for when * + * is equivalent to 0, finding a set of positions which have Tweedledum-Tweedledee type strategy, and the two most important results of this thesis: giving necessary and sufficient conditions on a set of positions Upsilon such that the mis monoid of Upsilon is the same as the mis monoid of * and giving a construction theorem which builds all positions ξ such that the mis monoid of ξ is the same as the mis monoid of *.

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

PubMed

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

2012-06-01

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

Paleopedological research of the dynamics alteration in environment of the Lover Volga region in the last macrocycle

NASA Astrophysics Data System (ADS)

Bagrova, Svetlana; Makeev, Alexander; Rusakov, Alexey; Yanina, Tatiana; Kurbanov, Redzhep

2017-04-01

Caspian Sea reflects in its development global climate changes, glacial-interglacial rhythms in Russian plains and mountain areas. It is stratigraphic region for drawing up a single stratigraphic and paleogeographic plan of the Upper Pleistocene of Northern Eurasia. To date, accumulated a considerable amount of material on the Quaternary history of Ponto-Caspian, based on stratigraphic, paleogeographic and geomorphological studies. However, paleopedological work in the region have been starting for the first time. Studying paleopedology in soil-sediment thickness have paramount importance, as they can reliably break down the steps of the surface on which stabilization was carried out paedogenesis with further sedimentation, and allow us to trace the stages of evolution of the environment of the region. The site (Srednyaya Akhtuba) located on the left bank of the Akhtuba River, 20 km from the Volzhsky city, the upper part of Lower Volga region. This marine terrace represented by 6 paedogenetic levels, including 7 soils (MIS1-MIS5) (Yanina, 2014) separated by sediments (precipitation) of different structure and genesis. The upper part of the section (0-150 cm) presented by a typical for the dry steppe area soil Kastanzem (WRB, 2014) (MIS1). Parent rock material is a great pack (>1m) of the Caspian marine sediments, represented by a series of layers of chocolate clays (MIS2) with interbedding of sands. Lower, is a pack (520-670 cm), formed during Atelian regression of the Caspian Sea (MIS3-MIS4), presented by one well-developed soil with truncated humus horizon and two loessic layers with signs of soil formation (rhizolithes, manganese nodule, cryogenesis structure and etc) MIS3 stage. The lower part of Atel-Ahtuba strata (910-1530 cm) is presented by carbonate loess without noticeable pedogenetic transformation. From a depth of 1530 cm begins thick layer of loess-soil series, presented by MIS5a-e Mezin pedocomplex, dedicated to the Late Khazar-Girkan transgression, with three well-preserved soils. The upper soil, Gleyic Phaeozem, has accretionary humus horizon (about 1 m), many krotovinas, and network of frost wedges 40-50 cm. Wedges start in the overlying Atel-Akhtuba loess layer indicating the beginning of the last glacial cycle (MIS4). The middle soil, Gleyic Chernozem, has first 5 cm humus horizon intermixed with Bg horizon of the upper soil (welded paleosol). Until the middle of the profile (1740 cm) are the end of the loess permafrost wedges. Gleyic features are due to seasonal overflooding. The lower soil of Mezin pedocomplex (MIS5e), Mollic Calcic Gleysol, formed in loess sediments accumulated during penultimate glaciation (MIS6) and has reworked upper boundary (10-13 cm), well-defined humus horizon with gley process. Three soils of Mezin pedocomplex have common features: semi terrestrial genesis with gleyic features due to long-term seasonal overflooding; well developed humus horizons and complex assemblage of carbonate neoformations, formed under steppe environment. Pedogenetic horizons serve as good stratigraphic markers that will help to correlate late Pleistocene soil-sedimentary sequences of the whole Caspian-Azov-Black sea region, East European Plain and link it with global stratigraphic schemes. Detailed analytical and further field studies are required to reveal further pedogenetic response to environmental changes in the area. Research was supported by Russian Science Foundation, project 14-17-00705

Comparative effectiveness of open versus minimally invasive sacroiliac joint fusion.

PubMed

Ledonio, Charles Gt; Polly, David W; Swiontkowski, Marc F; Cummings, John T

2014-01-01

The mainstay of sacroiliac joint disruption/degenerative sacroiliitis therapy has been nonoperative management. This nonoperative management often includes a regimen of physical therapy, chiropractic treatment, therapeutic injections, and possibly radiofrequency ablation at the discretion of the treating physician. When these clinical treatments fail, sacroiliac joint fusion has been recommended as the standard treatment. Open and minimally invasive (MIS) surgical techniques are typical procedures. This study aims to compare the perioperative measures and Oswestry Disability Index (ODI) outcomes associated with each of these techniques. A comparative retrospective chart review of patients with sacroiliac joint fusion and a minimum of 1 year of follow-up was performed. Perioperative measures and ODI scores were compared using the Fisher's exact test and two nonparametric tests, ie, the Mann-Whitney U test and the Wilcoxon signed-rank test. The results are presented as percent or median with range, as appropriate. Forty-nine patients from two institutions underwent sacroiliac joint fusion between 2006 and 2012. Ten patients were excluded because of incomplete data, leaving 39 evaluable patients, of whom 22 underwent open and 17 underwent MIS sacroiliac joint fusion. The MIS group was significantly older (median age 66 [39-82] years) than the open group (median age 51 [34-74] years). Surgical time and hospital stay were significantly shorter in the MIS group than in the open group. Preoperative ODI was significantly greater in the open group (median 64 [44-78]) than in the MIS group (median 53 [14-84]). Postoperative improvement in ODI was statistically significant within and between groups, with MIS resulting in greater improvement. The open and MIS sacroiliac joint fusion techniques resulted in statistically and clinically significant improvement for patients with degenerative sacroiliitis refractory to nonoperative management. However, the number of patients reaching the minimal clinically important difference and those showing overall improvement were greater in the MIS group.

Comparative effectiveness of open versus minimally invasive sacroiliac joint fusion

PubMed Central

Ledonio, Charles GT; Polly, David W; Swiontkowski, Marc F; Cummings, John T

2014-01-01

Background The mainstay of sacroiliac joint disruption/degenerative sacroiliitis therapy has been nonoperative management. This nonoperative management often includes a regimen of physical therapy, chiropractic treatment, therapeutic injections, and possibly radiofrequency ablation at the discretion of the treating physician. When these clinical treatments fail, sacroiliac joint fusion has been recommended as the standard treatment. Open and minimally invasive (MIS) surgical techniques are typical procedures. This study aims to compare the perioperative measures and Oswestry Disability Index (ODI) outcomes associated with each of these techniques. Methods A comparative retrospective chart review of patients with sacroiliac joint fusion and a minimum of 1 year of follow-up was performed. Perioperative measures and ODI scores were compared using the Fisher’s exact test and two nonparametric tests, ie, the Mann–Whitney U test and the Wilcoxon signed-rank test. The results are presented as percent or median with range, as appropriate. Results Forty-nine patients from two institutions underwent sacroiliac joint fusion between 2006 and 2012. Ten patients were excluded because of incomplete data, leaving 39 evaluable patients, of whom 22 underwent open and 17 underwent MIS sacroiliac joint fusion. The MIS group was significantly older (median age 66 [39–82] years) than the open group (median age 51 [34–74] years). Surgical time and hospital stay were significantly shorter in the MIS group than in the open group. Preoperative ODI was significantly greater in the open group (median 64 [44–78]) than in the MIS group (median 53 [14–84]). Postoperative improvement in ODI was statistically significant within and between groups, with MIS resulting in greater improvement. Conclusion The open and MIS sacroiliac joint fusion techniques resulted in statistically and clinically significant improvement for patients with degenerative sacroiliitis refractory to nonoperative management. However, the number of patients reaching the minimal clinically important difference and those showing overall improvement were greater in the MIS group. PMID:24940087

The Sexual Function Questionnaire's Medical Impact Scale (SFQ-MIS): validation among a sample of first-time mothers.

PubMed

Jawed-Wessel, Sofia; Schick, Vanessa; Herbenick, Debby

2013-11-01

Changes in sexual function can be difficult to capture, especially when an attempt is made to assess the effects of pregnancy or childbirth on the sexual function of first-time mothers. Commonly used sexual function measures are limited and fail to account for pregnancy or birth in assessment of function. The purpose of this study was to explore the utility of the Sexual Function Questionnaire Medical Impact Scale (SFQ-MIS) in assessing impact of childbirth on sexual function among first-time mothers with infants aged one year or younger. A total of 255 women completed a cross-sectional, web-based survey. Exploratory factor analysis was utilized to assess the factor structure of the SFQ-MIS scores in this sample. Variations in SFQ-MIS scores based upon participant characteristics were conducted to further evaluate the SFQ-MIS scores. SFQ-MIS score was the primary measure of interest. Factors related to pregnancy and childbirth, such as mode of delivery, infant date of birth, last menstrual period, need for an episiotomy or perineal stitches, breastfeeding status, and score on the Perceived Stress Scale, were also assessed in order to further evaluate the validity and predictive capacity of the SFQ-MIS. Results indicated one factor that accounted for 58.27% of the variance in impact on sexual function due to childbirth. Cronbach's α coefficient for all five items was acceptable (0.82). Women who were breastfeeding (P<0.05), those who had received perineal stitches after a vaginal delivery (P<0.05), and those who reported no sexual activity in the past month (P < 0.001) experienced significantly greater impact than those who were not breastfeeding, those who had not required stitches, and those who had been sexually active in the past month. The SFQ-MIS appears to be a useful and valid indicator of changes in sexual function following childbirth, such as those related to arousal, desire, and orgasm. © 2013 International Society for Sexual Medicine.

Temperature Dependences of the Product of the Differential Resistance by the Area in MIS-Structures Based on Cd x Hg1- x Te Grown by Molecularbeam Epitaxy on Alternative Si and GaAs Substrates

NASA Astrophysics Data System (ADS)

Voitsekhovskii, A. V.; Nesmelov, S. N.; Dzyadukh, S. M.; Varavin, V. S.; Vasil'ev, V. V.; Dvoretskii, S. A.; Mikhailov, N. N.; Yakushev, M. V.; Sidorov, G. Yu.

2017-06-01

In a temperature range of 9-200 K, temperature dependences of the differential resistance of space-charge region in the strong inversion mode are experimentally studied for MIS structures based on CdxHg1-xTe (x = 0.22-0.40) grown by molecular-beam epitaxy. The effect of various parameters of structures: the working layer composition, the type of a substrate, the type of insulator coating, and the presence of a near-surface graded-gap layer on the value of the product of differential resistance by the area is studied. It is shown that the values of the product RSCRA for MIS structures based on n-CdHgTe grown on a Si(013) substrate are smaller than those for structures based on the material grown on a GaAs(013) substrate. The values of the product RSCRA for MIS structures based on p-CdHgTe grown on a Si(013) substrate are comparable with the value of the analogous parameter for MIS structures based on p-CdHgTe grown on a GaAs(013) substrate.

An ostracode based paleolimnologic and paleohydrologic history of Death Valley: 200 to 0 ka

USGS Publications Warehouse

Forester, R.M.; Lowenstein, T.K.; Spencer, R.J.

2005-01-01

Death Valley, a complex tectonic and hydrologic basin, was cored from its lowest surface elevation to a depth of 186 m. The sediments range from bedded primary halite to black muds. Continental ostracodes found in the black muds indicate that those sediments were deposited in a variety of hydrologic settings ranging from deep, relatively fresh water to shallow saline lakes to spring discharge supported wetlands. The alkaline-enriched, calcium-depleted paleolake waters indicate extrabasinal streamflow and basin-margin spring discharge. The alkaline-depleted, calcium-enriched paleowetland waters indicate intrabasinal spring discharge. During Marine Isotope Stage 6 (MIS 6, ca. 180-140 ka) the hydrologic settings were highly variable, implying that complex relations existed between climate and basin hydrology. Termination II (MIS 6 to MIS 5E) was a complex multicyclic sequence of paleoenvironments, implying that climates oscillated between high and low effective moisture. MIS 4 (ca. 73-61 ka) was a spring discharge supported wetland complex. During MIS 2 (ca. 20-12 ka) the hydrologic settings were variable, although they are not fully understood because some black muds deposited during that time were lost during coring. ?? 2005 Geological Society of America.

Declining MIS Enrollment: The Death of the MIS Degree?

ERIC Educational Resources Information Center

Saunders, Gary; Lockridge, T. Maurice

2011-01-01

There is little doubt that enrollments in MIS degree programs have been declining since the recession in the technical industry in 2001. Reagan's research (2008) indicates that enrollments in MIS degree programs is only about 25% of the 2001 level. Many MIS (IS) programs have been abandoned or combined with other related programs. While many…

SLAM-based dense surface reconstruction in monocular Minimally Invasive Surgery and its application to Augmented Reality.

PubMed

Chen, Long; Tang, Wen; John, Nigel W; Wan, Tao Ruan; Zhang, Jian Jun

2018-05-01

While Minimally Invasive Surgery (MIS) offers considerable benefits to patients, it also imposes big challenges on a surgeon's performance due to well-known issues and restrictions associated with the field of view (FOV), hand-eye misalignment and disorientation, as well as the lack of stereoscopic depth perception in monocular endoscopy. Augmented Reality (AR) technology can help to overcome these limitations by augmenting the real scene with annotations, labels, tumour measurements or even a 3D reconstruction of anatomy structures at the target surgical locations. However, previous research attempts of using AR technology in monocular MIS surgical scenes have been mainly focused on the information overlay without addressing correct spatial calibrations, which could lead to incorrect localization of annotations and labels, and inaccurate depth cues and tumour measurements. In this paper, we present a novel intra-operative dense surface reconstruction framework that is capable of providing geometry information from only monocular MIS videos for geometry-aware AR applications such as site measurements and depth cues. We address a number of compelling issues in augmenting a scene for a monocular MIS environment, such as drifting and inaccurate planar mapping. A state-of-the-art Simultaneous Localization And Mapping (SLAM) algorithm used in robotics has been extended to deal with monocular MIS surgical scenes for reliable endoscopic camera tracking and salient point mapping. A robust global 3D surface reconstruction framework has been developed for building a dense surface using only unorganized sparse point clouds extracted from the SLAM. The 3D surface reconstruction framework employs the Moving Least Squares (MLS) smoothing algorithm and the Poisson surface reconstruction framework for real time processing of the point clouds data set. Finally, the 3D geometric information of the surgical scene allows better understanding and accurate placement AR augmentations based on a robust 3D calibration. We demonstrate the clinical relevance of our proposed system through two examples: (a) measurement of the surface; (b) depth cues in monocular endoscopy. The performance and accuracy evaluations of the proposed framework consist of two steps. First, we have created a computer-generated endoscopy simulation video to quantify the accuracy of the camera tracking by comparing the results of the video camera tracking with the recorded ground-truth camera trajectories. The accuracy of the surface reconstruction is assessed by evaluating the Root Mean Square Distance (RMSD) of surface vertices of the reconstructed mesh with that of the ground truth 3D models. An error of 1.24 mm for the camera trajectories has been obtained and the RMSD for surface reconstruction is 2.54 mm, which compare favourably with previous approaches. Second, in vivo laparoscopic videos are used to examine the quality of accurate AR based annotation and measurement, and the creation of depth cues. These results show the potential promise of our geometry-aware AR technology to be used in MIS surgical scenes. The results show that the new framework is robust and accurate in dealing with challenging situations such as the rapid endoscopy camera movements in monocular MIS scenes. Both camera tracking and surface reconstruction based on a sparse point cloud are effective and operated in real-time. This demonstrates the potential of our algorithm for accurate AR localization and depth augmentation with geometric cues and correct surface measurements in MIS with monocular endoscopes. Copyright © 2018 Elsevier B.V. All rights reserved.

Dead Sea drawdown and monsoonal impacts in the Levant during the last interglacial

NASA Astrophysics Data System (ADS)

Torfstein, Adi; Goldstein, Steven L.; Kushnir, Yochanan; Enzel, Yehouda; Haug, Gerald; Stein, Mordechai

2015-02-01

Sediment cores recovered by the Dead Sea Deep Drilling Project (DSDDP) from the deepest basin of the hypersaline, terminal Dead Sea (lake floor at ∼725 m below mean sea level) reveal the detailed climate history of the lake's watershed during the last interglacial period (Marine Isotope Stage 5; MIS5). The results document both a more intense aridity during MIS5 than during the Holocene, and the moderating impacts derived from the intense MIS5e African Monsoon. Early MIS5e (∼133-128 ka) was dominated by hyperarid conditions in the Eastern Mediterranean-Levant, indicated by thick halite deposition triggered by a lake-level drop. Halite deposition was interrupted however, during the MIS5e peak (∼128-122 ka) by sequences of flood deposits, which are coeval with the timing of the intense precession-forced African monsoon that generated Mediterranean sapropel S5. A subsequent weakening of this humidity source triggered extreme aridity in the Dead Sea watershed and resulting in the biggest known lake level drawdown in its history, reflected by the deposition of thick salt layers, and a capping pebble layer corresponding to a hiatus at ∼116-110 ka. The DSDDP core provides the first evidence for a direct association of the African monsoon with mid subtropical latitude climate systems effecting the Dead Sea watershed. Combined with coeval deposition of Arabia and southern Negev speleothems, Arava travertines, and calcification of Red Sea corals, the evidence points to a climatically wet corridor that could have facilitated homo sapiens migration "out of Africa" during the MIS5e peak. The hyperaridity documented during MIS5e may provide an important analogue for future warming of arid regions of the Eastern Mediterranean-Levant.

Comparison of Program Effects: The Use of Mastery Scores.

ERIC Educational Resources Information Center

Yeh, Jennie P.; Moy, Raymond

The setting of a cut-off score on a mastery test usually involves a consideration of one or more of the following elements: (1) the distribution of observed test scores; (2) the type of mastery criterion used; (3) the level of acceptable risks of mis-classification; (4) the loss of functions of mis-classifications; and (5) the distribution of true…

Effect of surface anodization on stability of orthodontic microimplant

PubMed Central

Karmarker, Sanket; Yu, Wonjae

2012-01-01

Objective To determine the effect of surface anodization on the interfacial strength between an orthodontic microimplant (MI) and the rabbit tibial bone, particularly in the initial phase after placement. Methods A total of 36 MIs were driven into the tibias of 3 mature rabbits by using the self-drilling method and then removed after 6 weeks. Half the MIs were as-machined (n = 18; machined group), while the remaining had anodized surfaces (n = 18; anodized group). The peak insertion torque (PIT) and the peak removal torque (PRT) values were measured for the 2 groups of MIs. These values were then used to calculate the interfacial shear strength between the MI and cortical bone. Results There were no statistical differences in terms of PIT between the 2 groups. However, mean PRT was significantly greater for the anodized implants (3.79 ± 1.39 Ncm) than for the machined ones (2.05 ± 1.07 Ncm) (p < 0.01). The interfacial strengths, converted from PRT, were calculated at 10.6 MPa and 5.74 MPa for the anodized and machined group implants, respectively. Conclusions Anodization of orthodontic MIs may enhance their early-phase retention capability, thereby ensuring a more reliable source of absolute anchorage. PMID:23112925

Geological support for the Umbrella Effect as a link between geomagnetic field and climate

PubMed Central

Kitaba, Ikuko; Hyodo, Masayuki; Nakagawa, Takeshi; Katoh, Shigehiro; Dettman, David L.; Sato, Hiroshi

2017-01-01

The weakening of the geomagnetic field causes an increase in galactic cosmic ray (GCR) flux. Some researchers argue that enhanced GCR flux might lead to a climatic cooling by increasing low cloud formation, which enhances albedo (umbrella effect). Recent studies have reported geological evidence for a link between weakened geomagnetic field and climatic cooling. However, more work is needed on the mechanism of this link, including whether the umbrella effect is playing a central role. In this research, we present new geological evidence that GCR flux change had a greater impact on continental climate than on oceanic climate. According to pollen data from Osaka Bay, Japan, the decrease in temperature of the Siberian air mass was greater than that of the Pacific air mass during geomagnetic reversals in marine isotope stages (MIS) 19 and 31. Consequently, the summer land-ocean temperature gradient was smaller, and the summer monsoon was weaker. Greater terrestrial cooling indicates that a reduction of insolation is playing a key role in the link between the weakening of the geomagnetic field and climatic cooling. The most likely candidate for the mechanism seems to be the increased albedo of the umbrella effect. PMID:28091595

Geological support for the Umbrella Effect as a link between geomagnetic field and climate.

PubMed

Kitaba, Ikuko; Hyodo, Masayuki; Nakagawa, Takeshi; Katoh, Shigehiro; Dettman, David L; Sato, Hiroshi

2017-01-16

The weakening of the geomagnetic field causes an increase in galactic cosmic ray (GCR) flux. Some researchers argue that enhanced GCR flux might lead to a climatic cooling by increasing low cloud formation, which enhances albedo (umbrella effect). Recent studies have reported geological evidence for a link between weakened geomagnetic field and climatic cooling. However, more work is needed on the mechanism of this link, including whether the umbrella effect is playing a central role. In this research, we present new geological evidence that GCR flux change had a greater impact on continental climate than on oceanic climate. According to pollen data from Osaka Bay, Japan, the decrease in temperature of the Siberian air mass was greater than that of the Pacific air mass during geomagnetic reversals in marine isotope stages (MIS) 19 and 31. Consequently, the summer land-ocean temperature gradient was smaller, and the summer monsoon was weaker. Greater terrestrial cooling indicates that a reduction of insolation is playing a key role in the link between the weakening of the geomagnetic field and climatic cooling. The most likely candidate for the mechanism seems to be the increased albedo of the umbrella effect.

Studies of Large-Area Inversion-Layer Metal-Insulator-Semiconductor (IL/MIS) Solar Cells and Arrays

NASA Technical Reports Server (NTRS)

Ho, Fat Duen

1996-01-01

Many inversion-layer metal-insulator-semiconductor (IL/MIS) solar cells have been fabricated. There are around eighteen 1 cm(exp 2) IL/MIS solar cells which have efficiencies greater than 7%. There are only about three 19 cm(exp 2) IL/MIS cells which have efficiencies greater than 4%. The more accurate control of the thickness of the thin layer of oxide between aluminum and silicon of the MIS contacts has been achieved. A lot of effort and progress have been made in this area. A comprehensive model for MIS contacts under dark conditions has been developed that covers a wide range of parameters. It has been applied to MIS solar cells. One of the main advantages of these models is the prediction of the range of the thin oxide thickness versus the maximum efficiencies of the MIS solar cells. This is particularly important when the thickness is increased to 25 A. This study is very useful for our investigation of the IL/MIS solar cells. The two-dimensional numerical model for the IL/MIS solar cells has been tried to develop and the results are presented in this report.

"Complexity" in Polarity Transitions at the Matuyama-Brunhes Boundary and top Jaramillo in North Atlantic Deep-sea Sediments

NASA Astrophysics Data System (ADS)

Channell, J. E. T.

2016-12-01

Integrated Ocean Drilling Program (IODP) Expedition 303 to the North Atlantic provided 16 records of the Matuyama-Brunhes polarity transition (MBT) and the top Jaramillo transition, based on u-channel and discrete samples, from holes drilled at three sites (Sites U1304, U1305 and U1306) that have mean Brunhes sedimentation rates of 16-18 cm/kyr. The MBT occurs during the transition from marine isotope stage (MIS) 19.3 to MIS 18.4, with mid-point at 773 ka, and a transition duration of 5-8 kyr. The top Jaramillo occurs during MIS 28 at 992 ka with a similar 5 kyr transition duration. Combining the new records with previously published North Atlantic records (ODP Sites 983, 984 and 1063) yields a total of 24 high sedimentation rate records. The MBT yields a repetitive pattern of transitional field states as virtual geomagnetic poles (VGPs) move from high southern latitudes to loop over the Pacific, cluster in NE Asia, and transit into the mid-latitude South Atlantic before reaching high latitudes in the Northern Hemisphere. The VGPs for the top Jaramillo transition feature a loop over the Pacific, then occupation of the NE Asia cluster before transit over the Indian Ocean to high southerly latitudes. The North Atlantic MBT records described here are very different to the longitudinally constrained North Atlantic VGP paths from MBT records that are the basis for a 2007 Bayesian inversion of the MBT field. We conclude that the relatively low sedimentation rate ( 4 cm/kyr) records utilized in the Bayesian inversion have been heavily smoothed by the remanence acquisition process, and do not adequately represent the MBT field. The VGPs at the MBT and top Jaramillo, as measured in the North Atlantic, have similarities with excursion (Iceland Basin) VGP paths, and are apparently guided by maxima in downward vertical flux in the modern non-dipole (ND) field, implying longevity in ND features through time.

Vegetation responses to interglacial warming in the Arctic: examples from Lake El'gygytgyn, Far East Russian Arctic

NASA Astrophysics Data System (ADS)

Lozhkin, A. V.; Anderson, P. M.

2013-06-01

Preliminary analyses of Lake El'gygytgyn sediment indicate a wide range of ecosystem responses to warmer than present climates. While palynological work describing all interglacial vegetation is ongoing, sufficient data exist to compare recent warm events (the postglacial thermal maximum, PGTM, and marine isotope stage, MIS5) with "super" interglaciations (MIS11, MIS31). Palynological assemblages associated with these climatic optima suggest two types of vegetation responses: one dominated by deciduous taxa (PGTM, MIS5) and the second by evergreen conifers (MIS11, MIS31). MIS11 forests show a similarity to modern Picea-Larix-Betula-Alnus forests of Siberia. While dark coniferous forest also characterizes MIS31, the pollen taxa show an affinity to the boreal forest of the lower Amur valley (southern Russian Far East). Despite vegetation differences during these thermal maxima, all glacial-interglacial transitions are alike, being dominated by deciduous woody taxa. Initially Betula shrub tundra established and was replaced by tundra with tree-sized shrubs (PGTM), Betula woodland (MIS5), or Betula-Larix (MIS11, MIS31) forest. The consistent occurrence of deciduous forest and/or high shrub tundra before the incidence of maximum warmth underscores the importance of this biome for modeling efforts. The El'gygytgyn data also suggest a possible elimination or massive reduction of Arctic plant communities under extreme warm-earth scenarios.

Life Sciences MIS

NASA Technical Reports Server (NTRS)

Dittman, R. A.; Marks, V.

1983-01-01

Management Information System, MIS, provides Life Sciences Projects Division at Johnson Space Center with automated system for project managment. MIS utilizes Tektronix 4027 color graphics display terminal and form-fillout capability. User interface with MIS data base is through series of forms.

Soil and climate modelling to explain soil differences in MIS5e and MIS13 on the Chinese Loess Plateau

NASA Astrophysics Data System (ADS)

Finke, P. A.; Yu, Y.; Yin, Q.; Bernardini, N. J.

2016-12-01

Objective Proxy records indicate that MIS5 (about 120 ka ago) was warmer than MIS13 (about 500 ka ago). Nevertheless, MIS13-soils in the Chinese loess plateau (105 -115°E and 30-40°N) are stronger developed than MIS5-soils. This has been attributed to a stronger East Asian summer monsoon. Other differences are interglacial lengths and loess deposition rates. We aimed to find explanations for soil development differences by using a soil formation model (SoilGen) with climatic inputs obtained from an earth system model (LOVECLIM). Material and Methods The LOVECLIM model is driven by time-varying insolation and greenhouse gas concentrations and was run to give monthly values for temperature, precipitation and evaporation as well the dominant vegetation type. Model results for were corrected for systematic differences between present-day observation data and simulation. Reconstructions were made for both interglacials of the amount of inblown loess, and the mineralogy and grain size distribution of the initial loess as well as the dust. These data were fed into the SoilGen model, which was used to calculate various soil parameters with depth and over time. Results Simulations show a stronger developed MIS13 soil, in terms of weathering (loss of anorthite), and redistribution of calcite, gypsum and clay. This corresponds to observed paleosoils. MIS13-soils are more leached. As simulated temperatures and annual precipitation between MIS5 and MIS13 did not vary strongly, the greater length of MIS13 seemed the main explanation for the stronger leaching and weathering. Closer analysis however showed a larger number of months in MIS13 with a precipitation surplus, even when only considering the first 22 ka. Only in such months significant leaching can occur. Conclusion Using simulation models it was demonstrated that the stronger soil expression in MIS13 than in MIS5 is likely caused by more months with a precipitation surplus, in combination with a longer duration of MIS13.

Perioperative outcomes and adverse events of minimally invasive versus open posterior lumbar fusion: meta-analysis and systematic review.

PubMed

Goldstein, Christina L; Macwan, Kevin; Sundararajan, Kala; Rampersaud, Y Raja

2016-03-01

The objective of this study was to determine the clinical comparative effectiveness and adverse event rates of posterior minimally invasive surgery (MIS) compared with open transforaminal or posterior lumbar interbody fusion (TLIF/PLIF). A systematic review of the Medline, EMBASE, PubMed, Web of Science, and Cochrane databases was performed. A hand search of reference lists was conducted. Studies were reviewed by 2 independent assessors to identify randomized controlled trials (RCTs) or comparative cohort studies including at least 10 patients undergoing MIS or open TLIF/PLIF for degenerative lumbar spinal disorders and reporting at least 1 of the following: clinical outcome measure, perioperative clinical or process measure, radiographic outcome, or adverse events. Study quality was assessed using the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) protocol. When appropriate, a meta-analysis of outcomes data was conducted. The systematic review and reference list search identified 3301 articles, with 26 meeting study inclusion criteria. All studies, including 1 RCT, were of low or very low quality. No significant difference regarding age, sex, surgical levels, or diagnosis was identified between the 2 cohorts (856 patients in the MIS cohort, 806 patients in the open cohort). The meta-analysis revealed changes in the perioperative outcomes of mean estimated blood loss, time to ambulation, and length of stay favoring an MIS approach by 260 ml (p < 0.00001), 3.5 days (p = 0.0006), and 2.9 days (p < 0.00001), respectively. Operative time was not significantly different between the surgical techniques (p = 0.78). There was no significant difference in surgical adverse events (p = 0.97), but MIS cases were significantly less likely to experience medical adverse events (risk ratio [MIS vs open] = 0.39, 95% confidence interval 0.23-0.69, p = 0.001). No difference in nonunion (p = 0.97) or reoperation rates (p = 0.97) was observed. Mean Oswestry Disability Index scores were slightly better in the patients undergoing MIS (n = 346) versus open TLIF/PLIF (n = 346) at a median follow-up time of 24 months (mean difference [MIS - open] = 3.32, p = 0.001). The result of this quantitative systematic review of clinical comparative effectiveness research examining MIS versus open TLIF/PLIF for degenerative lumbar pathology suggests equipoise in patient-reported clinical outcomes. Furthermore, a meta-analysis of adverse event data suggests equivalent rates of surgical complications with lower rates of medical complications in patients undergoing minimally invasive TLIF/PLIF compared with open surgery. The quality of the current comparative evidence is low to very low, with significant inherent bias.

Electrical characterizations of MIS structures based on variable-gap n(p)-HgCdTe grown by MBE on Si(0 1 3) substrates

NASA Astrophysics Data System (ADS)

Voitsekhovskii, A. V.; Nesmelov, S. N.; Dzyadukh, S. M.; Varavin, V. S.; Dvoretskii, S. A.; Mikhailov, N. N.; Yakushev, M. V.; Sidorov, G. Yu.

2017-12-01

Metal-insulator-semiconductor (MIS) structures based on n(p)-Hg1-xCdxTe (x = 0.22-0.40) with near-surface variable-gap layers were grown by the molecular-beam epitaxy (MBE) technique on the Si (0 1 3) substrates. Electrical properties of MIS structures were investigated experimentally at various temperatures (9-77 K) and directions of voltage sweep. The ;narrow swing; technique was used to determine the spectra of fast surface states with the exception of hysteresis effects. It is established that the density of fast surface states at the MCT/Al2O3 interface at a minimum does not exceed 3 × 1010 eV-1 × cm-2. For MIS structures based on n-MCT/Si(0 1 3), the differential resistance of the space-charge region in strong inversion mode in the temperature range 50-90 K is limited by the Shockley-Read-Hall generation in the space-charge region.

EPA MOBILE INCINERATION SYSTEM MODIFICATIONS, TESTING AND OPERATIONS - FEBRUARY 1986 TO JUNE 1989

EPA Science Inventory

The report covers the field demonstration activities of the U.S. Environmental Protection Agency's Mobile Incineration System (MIS) from February 1986 to June 1989 at the Denney Farm Site, Missouri. The activities discussed in the current report include: modifications made to the...

Artemisinin resistance containment project in Thailand. (I): Implementation of electronic-based malaria information system for early case detection and individual case management in provinces along the Thai-Cambodian border.

PubMed

Khamsiriwatchara, Amnat; Sudathip, Prayuth; Sawang, Surasak; Vijakadge, Saowanit; Potithavoranan, Thanapon; Sangvichean, Aumnuyphan; Satimai, Wichai; Delacollette, Charles; Singhasivanon, Pratap; Lawpoolsri, Saranath; Kaewkungwal, Jaranit

2012-07-29

The Bureau of Vector-borne Diseases, Ministry of Public Health, Thailand, has implemented an electronic Malaria Information System (eMIS) as part of a strategy to contain artemisinin resistance. The attempt corresponds to the WHO initiative, funded by the Bill & Melinda Gates Foundation, to contain anti-malarial drug resistance in Southeast Asia. The main objective of this study was to demonstrate the eMIS' functionality and outputs after implementation for use in the Thailand artemisinin-resistance containment project. The eMIS had been functioning since 2009 in seven Thai-Cambodian border provinces. The eMIS has covered 61 malaria posts/clinics, 27 Vector-borne Disease Units covering 12,508 hamlets at risk of malaria infections. The eMIS was designed as an evidence-based and near real-time system to capture data for early case detection, intensive case investigation, monitoring drug compliance and on/off-site tracking of malarial patients, as well as collecting data indicating potential drug resistance among patients. Data captured by the eMIS in 2008-2011 were extracted and presented. The core functionalities of the eMIS have been utilized by malaria staff at all levels, from local operational units to ministerial management. The eMIS case detection module suggested decreasing trends during 2009-2011; the number of malaria cases detected in the project areas over the years studied were 3818, 2695, and 2566, with sero-positive rates of 1.24, 0.98, and 1.16%, respectively. The eMIS case investigation module revealed different trends in weekly Plasmodium falciparum case numbers, when classified by responsible operational unit, local and migrant status, and case-detection type. It was shown that most Thai patients were infected within their own residential district, while migrants were infected either at their working village or from across the border. The data mapped in the system suggested that P. falciparum-infected cases and potential drug-resistant cases were scattered mostly along the border villages. The mobile technology application has detected different follow-up rates, with particularly low rates among seasonal and cross-border migrants. The eMIS demonstrated that it could capture essential data from individual malaria cases at local operational units, while effectively being used for situation and trend analysis at upper-management levels. The system provides evidence-based information that could contribute to the control and containment of resistant parasites. Currently, the eMIS is expanding beyond the Thai-Cambodian project areas to the provinces that lie along the Thai-Myanmar border.

Comparative Effectiveness and Economic Evaluations of Open Versus Minimally Invasive Posterior or Transforaminal Lumbar Interbody Fusion: A Systematic Review.

PubMed

Goldstein, Christina L; Phillips, Frank M; Rampersaud, Y Raja

2016-04-01

Systematic review of randomized and nonrandomized comparative studies. To summarize the literature examining comparative effectiveness and economic evaluation of minimally invasive versus open transforaminal/posterior lumbar interbody fusion (T/PLIF). Minimally invasive approaches to lumbar fusion have been proposed as an alternative to open surgery to decrease patient morbidity and improve clinical and patient-reported outcomes, with the possibility of secondary cost-savings. The comparative clinical and economic effectiveness of minimally invasive versus open T/PLIF remains largely undetermined. A systematic review of Medline, EMBASE, Web of Science, and Cochrane from database inception to September 2015 inclusive was performed. Reference lists were manually searched. Studies comparing MIS to open T/PLIF for degenerative lumbar conditions, including at least 10 patients in each arm and reporting at least one clinical, perioperative, radiographic, adverse event, or economic outcome, were included. Between database inception and October 2015, 45 studies meeting inclusion criteria were identified with 3472 subjects undergoing MIS fusion and 5925 having an open procedure. There were no significant differences in operative time between the two groups, whereas patients undergoing MIS fusion consistently demonstrated less blood loss (16.1-88.7%) and shorter hospital stays (15.0-64.0% shorter). There was no difference in variably reported VAS, ODI, SF-36, SF-12, or EQ-5D scores between the two techniques at intermediate to long-term follow-up (12-60 months). Complication rates and fusion rates were also equivalent between the two groups. Economic studies demonstrate cost-savings in favor of MIS fusion ranging from 2.5 to 49.3%. Limited quality comparative observational cohort and randomized controlled studies of MIS versus open T/PLIF consistently demonstrate improved perioperative outcomes including operative time, estimated blood loss, and length of stay with no significant difference in patient-reported outcomes or complication rates between the two groups at final follow-up. Increasing economic data suggest both direct and indirect cost-savings in favor of MIS fusion. N/A.

Metal Ion-Loaded Nanofibre Matrices for Calcification Inhibition in Polyurethane Implants

PubMed Central

Singh, Charanpreet; Wang, Xungai

2017-01-01

Pathologic calcification leads to structural deterioration of implant materials via stiffening, stress cracking, and other structural disintegration mechanisms, and the effect can be critical for implants intended for long-term or permanent implantation. This study demonstrates the potential of using specific metal ions (MI)s for inhibiting pathological calcification in polyurethane (PU) implants. The hypothesis of using MIs as anti-calcification agents was based on the natural calcium-antagonist role of Mg2+ ions in human body, and the anti-calcification effect of Fe3+ ions in bio-prosthetic heart valves has previously been confirmed. In vitro calcification results indicated that a protective covering mesh of MI-doped PU can prevent calcification by preventing hydroxyapatite crystal growth. However, microstructure and mechanical characterisation revealed oxidative degradation effects from Fe3+ ions on the mechanical properties of the PU matrix. Therefore, from both a mechanical and anti-calcification effects point of view, Mg2+ ions are more promising candidates than Fe3+ ions. The in vitro MI release experiments demonstrated that PU microphase separation and the structural design of PU-MI matrices were important determinants of release kinetics. Increased phase separation in doped PU assisted in consistent long-term release of dissolved MIs from both hard and soft segments of the PU. The use of a composite-sandwich mesh design prevented an initial burst release which improved the late (>20 days) release rate of MIs from the matrix. PMID:28644382

A prospective, multi-institutional comparative effectiveness study of lumbar spine surgery in morbidly obese patients: does minimally invasive transforaminal lumbar interbody fusion result in superior outcomes?

PubMed

Adogwa, Owoicho; Carr, Kevin; Thompson, Paul; Hoang, Kimberly; Darlington, Timothy; Perez, Edgar; Fatemi, Parastou; Gottfried, Oren; Cheng, Joseph; Isaacs, Robert E

2015-05-01

Obese and morbidly obese patients undergoing lumbar spinal fusion surgery are a challenge to the operating surgeon. Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) and open-TLIF have been performed for many years with good results; however, functional outcomes after lumbar spine surgery in this subgroup of patients remain poorly understood. Furthermore, whether index MIS-TLIF or open-TLIF for the treatment of degenerative disc disease or spondylolisthesis in morbidly obese results in superior postoperative functional outcomes remains unknown. A total of 148 (MIS-TLIF: n = 40, open-TLIF: n = 108) obese and morbidly obese patients undergoing index lumbar arthrodesis for low back pain and/or radiculopathy between January 2003 and December 2010 were selected from a multi-institutional prospective data registry. We collected and analyzed data on patient demographics, postoperative complications, back pain, leg pain, and functional disability over 2 years. Patients completed the Oswestry Disability Index (ODI), Medical Outcomes Study Short-Form 36 (SF-36), and back and leg pain numerical rating scores before surgery and then at 12 and 24 months after surgery. Clinical outcomes and complication rates were compared between both patient cohorts. Compared with preoperative status, Visual Analog Scale (VAS) back and leg pain, ODI, and SF-36 physical component score/mental component score were improved in both groups. Both MIS-TLIF and open-TLIF patients showed similar 2-year improvement in VAS for back pain (MIS-TLIF: 2.42 ± 3.81 vs. open-TLIF: 2.33 ± 3.67, P = 0.89), VAS for leg pain (MIS-TLIF: 3.77 ± 4.53 vs. open-TLIF: 2.67 ± 4.10, P = 0.18), ODI (MIS-TLIF: 11.61 ± 25.52 vs. open-TLIF: 14.88 ± 22.07, P = 0.47), and SF-36 physical component score (MIS-TLIF: 8.61 ± 17.72 vs. open-TLIF: 7.61 ± 15.55, P = 0.93), and SF-36 mental component score (MIS-TLIF: 4.35 ± 22.71 vs. open-TLIF: 5.96 ± 21.09, P = 0.69). Postoperative complications rates between both cohorts were also not significantly divergent between (12.50% vs. 11.11%, P = 0.51). MIS-TLIF is a safe and viable option for lumbar fusion in morbidly obese patients and, compared with open-TLIF, resulted in similar improvement in pain and functional disability. Postoperative complications rates between both cohorts were also not significantly divergent. Copyright © 2015 Elsevier Inc. All rights reserved.

Effect of minimally invasive technique on return to work and narcotic use following transforaminal lumbar inter-body fusion: a review.

PubMed

Parker, Scott L; Lerner, Jason; McGirt, Matthew J

2012-01-01

Low back pain is one of the most prevalent and disabling musculoskeletal conditions affecting the working population in the United States. Informed, shared decision making among patients, clinicians, and case managers about treatment options for chronic low back pain-including the role of spinal fusion where medically necessary-can have a meaningful impact on return to work, normal function, and economic outcomes. Minimally invasive techniques for lumbar spinal fusion, including transforaminal lumbar interbody fusion (MIS TLIF) have recently been introduced with the goal of smaller operative wounds, less tissue trauma, and faster postoperative recovery when compared with open fusion. Although similar long-term clinical outcomes have been reported for MIS TLIF and open TLIF, the relative merits with respect to workplace productivity have not been comprehensively investigated. Time to return to work and narcotic independence after MIS TLIF and open TLIF are important parameters that may affect overall workplace productivity, and as such are the focus of this study. This study was performed via a review of the literature. We performed a systematic literature review to identify all published articles that reported on the postoperative outcomes of patients, as assessed by return to work or narcotic independence status or both, following MIS TLIF or open TLIF. A cumulative comparison was made for all included MIS TLIF versus open TLIF surgeries. Seventy-four published studies reported postoperative outcomes following MIS TLIF or open TLIF; only five (6.8%) studies directly described time to return to work or duration of narcotic use postoperatively or both, and were therefore included into the analysis of this review. Four studies in the published literature describe time to return to work following MIS TLIF or open TLIF, and two studies describe time to narcotic independence. Overall, the reviewed literature suggests that MIS TLIF may be associated with an accelerated time to narcotic independence and return to work versus open TLIF. There are limited data regarding time to return to work and duration of postoperative narcotic use following TLIF for low back pain. The available data appear to suggest that MIS TLIF may be associated with accelerated return to work and narcotic independence compared with open TLIF. Further analysis will be necessary to quantify the impact of MIS TLIF on workplace productivity and the indirect costs borne by patients and employers. Such information will be of value to case managers, disability managers, employers, patients, and clinicians aligned on reducing morbidity and hastening return to normal function.

The monsoon imprint during the `atypical' MIS 13 as seen through north and equatorial Indian Ocean records

NASA Astrophysics Data System (ADS)

Caley, Thibaut; Malaizé, Bruno; Bassinot, Franck; Clemens, Steven C.; Caillon, Nicolas; Linda, Rossignol; Charlier, Karine; Rebaubier, Helene

2011-09-01

Previous studies have suggested that Marine Isotope Stage (MIS) 13, recognized as atypical in many paleoclimate records, is marked by the development of anomalously strong summer monsoons in the northern tropical areas. To test this hypothesis, we performed a multi-proxy study on three marine records from the tropical Indian Ocean in order to reconstruct and analyse changes in the summer Indian monsoon winds and precipitations during MIS 13. Our data confirm the existence of a low-salinity event during MIS 13 in the equatorial Indian Ocean but we argue that this event should not be considered as "atypical". Taking only into account a smaller precession does not make it possible to explain such precipitation episode. However, when considering also the larger obliquity in a more complete orbitally driven monsoon "model," one can successfully explain this event. In addition, our data suggest that intense summer monsoon winds, although not atypical in strength, prevailed during MIS 13 in the western Arabian Sea. These strong monsoon winds, transporting important moisture, together with the effect of insolation and Eurasian ice sheet, are likely one of the factors responsible for the intense monsoon precipitation signal recorded in China loess, as suggested by model simulations.

The feasibility of introducing advanced minimally invasive surgery into surgical practice

PubMed Central

Birch, Daniel W.; Misra, Monali; Farrokhyar, Forough

2007-01-01

Background This study investigates the feasibility of performing advanced minimally invasive surgery (MIS) in a nonspecialized practice environment. Methods We conducted a cross-sectional survey of all community general surgeons currently practising in Ontario. Results Few community surgeons perform a high volume (> 10 procedures per yr) of advanced MIS. Most (70%) believe it is important to acquire additional skills in advanced MIS. The most appropriate methods for learning advanced MIS are believed to be expert mentoring (79.7%), courses (77.2%) and a colleague mentor (63.9%). A total of 57.6% of respondents have attended a course in MIS while in practice, and most have access to a reasonable variety of instrumentation. Respondents believe that 57.6% of assistants, 54.8% of nurses and 43.4% of anaesthetists are relatively inexperienced with advanced MIS. Barriers to establishing advanced MIS include limited operating room access (50%), resources or equipment (45.2%) and limited expert mentoring (43.6%). Surgeons with less than 10 years of practice found lack of trained nursing staff (7.9% v. 4.2%, p = 0.01) and experienced assistants (12% v. 6.2%, p = 0.008) to be more important barriers than did those with over 10 years of practice, respectively. Conclusion Most general surgeons working in Ontario are self-taught with respect to MIS skills, and few perform a high volume of advanced MIS. Only one-half of all respondents have access to skilled MIS operating room nurses, surgical assistants or anesthesiology. Despite this, general surgeons perceive the greatest barriers to introducing advanced MIS procedures to be limited access to operating rooms, resources or equipment and limited mentoring. This study has shown that the role of the surgical team in advanced MIS may be underestimated by many general surgeons. These data have important implications in training general surgeons and in incorporating additional advanced MIS procedures into the armamentarium of general surgeons. PMID:17897513

Minimally Invasive versus Open Spine Surgery: What Does the Best Evidence Tell Us?

PubMed

McClelland, Shearwood; Goldstein, Jeffrey A

2017-01-01

Spine surgery has been transformed significantly by the growth of minimally invasive surgery (MIS) procedures. Easily marketable to patients as less invasive with smaller incisions, MIS is often perceived as superior to traditional open spine surgery. The highest quality evidence comparing MIS with open spine surgery was examined. A systematic review of randomized controlled trials (RCTs) involving MIS versus open spine surgery was performed using the Entrez gateway of the PubMed database for articles published in English up to December 28, 2015. RCTs and systematic reviews of RCTs of MIS versus open spine surgery were evaluated for three particular entities: Cervical disc herniation, lumbar disc herniation, and posterior lumbar fusion. A total of 17 RCTs were identified, along with six systematic reviews. For cervical disc herniation, MIS provided no difference in overall function, arm pain relief, or long-term neck pain. In lumbar disc herniation, MIS was inferior in providing leg/low back pain relief, rehospitalization rates, quality of life improvement, and exposed the surgeon to >10 times more radiation in return for shorter hospital stay and less surgical site infection. In posterior lumbar fusion, MIS transforaminal lumbar interbody fusion (TLIF) had significantly reduced 2-year societal cost, fewer medical complications, reduced time to return to work, and improved short-term Oswestry Disability Index scores at the cost of higher revision rates, higher readmission rates, and more than twice the amount of intraoperative fluoroscopy. The highest levels of evidence do not support MIS over open surgery for cervical or lumbar disc herniation. However, MIS TLIF demonstrates advantages along with higher revision/readmission rates. Regardless of patient indication, MIS exposes the surgeon to significantly more radiation; it is unclear how this impacts patients. These results should optimize informed decision-making regarding MIS versus open spine surgery, particularly in the current advertising climate greatly favoring MIS.

Electrical characteristics of TMAH-surface treated Ni/Au/Al2O3/GaN MIS Schottky structures

NASA Astrophysics Data System (ADS)

Reddy, M. Siva Pratap; Lee, Jung-Hee; Jang, Ja-Soon

2014-03-01

The electrical characteristics and reverse leakage mechanisms of tetramethylammonium hydroxide (TMAH) surface-treated Ni/Au/Al2O3/GaN metal-insulator-semiconductor (MIS) diodes were investigated by using the current-voltage ( I-V) and capacitance-voltage ( C-V) characteristics. The MIS diode was formed on n-GaN after etching the AlGaN in the AlGaN/GaN heterostructures. The TMAH-treated MIS diode showed better Schottky characteristics with a lower ideality factor, higher barrier height and lower reverse leakage current compared to the TMAH-free MIS diode. In addition, the TMAH-free MIS diodes exhibited a transition from Poole-Frenkel emission at low voltages to Schottky emission at high voltages, whereas the TMAH-treated MIS diodes showed Schottky emission over the entire voltage range. Reasonable mechanisms for the improved device-performance characteristics in the TMAH-treated MIS diode are discussed in terms of the decreased interface state density or traps associated with an oxide material and the reduced tunneling probability.

FIELD DEMONSTRATION OF THE LINDE OXYGEN COMBUSTION SYSTEM ON THE EPA MOBILE INCINERATOR

EPA Science Inventory

This paper summarizes the various system performance tests and the long-term operating experience of the LINDE Oxygen Combustion System installed on the U.S. Environmental Protection Agency's Mobile Incineration System (MIS) when it was in operation at the Denney Farm site in sou...

Flipping Introduction to MIS for a Connected World

ERIC Educational Resources Information Center

Law, Wai K.

2014-01-01

It has been increasingly challenging to provide an introductory coverage of the rapidly expanding fields in Information Systems (IS). The task has been further complicated by the popularity of web resources and cloud services. A new generation of technically savvy learners, while recognizing the significance of information systems, expects…

Physiological IgM Class Catalytic Antibodies Selective for Transthyretin Amyloid*

PubMed Central

Planque, Stephanie A.; Nishiyama, Yasuhiro; Hara, Mariko; Sonoda, Sari; Murphy, Sarah K.; Watanabe, Kenji; Mitsuda, Yukie; Brown, Eric L.; Massey, Richard J.; Primmer, Stanley R.; O'Nuallain, Brian; Paul, Sudhir

2014-01-01

Peptide bond-hydrolyzing catalytic antibodies (catabodies) could degrade toxic proteins, but acquired immunity principles have not provided evidence for beneficial catabodies. Transthyretin (TTR) forms misfolded β-sheet aggregates responsible for age-associated amyloidosis. We describe nucleophilic catabodies from healthy humans without amyloidosis that degraded misfolded TTR (misTTR) without reactivity to the physiological tetrameric TTR (phyTTR). IgM class B cell receptors specifically recognized the electrophilic analog of misTTR but not phyTTR. IgM but not IgG class antibodies hydrolyzed the particulate and soluble misTTR species. No misTTR-IgM binding was detected. The IgMs accounted for essentially all of the misTTR hydrolytic activity of unfractionated human serum. The IgMs did not degrade non-amyloidogenic, non-superantigenic proteins. Individual monoclonal IgMs (mIgMs) expressed variable misTTR hydrolytic rates and differing oligoreactivity directed to amyloid β peptide and microbial superantigen proteins. A subset of the mIgMs was monoreactive for misTTR. Excess misTTR was dissolved by a hydrolytic mIgM. The studies reveal a novel antibody property, the innate ability of IgMs to selectively degrade and dissolve toxic misTTR species as a first line immune function. PMID:24648510

Late to middle Pleistocene Arctic glacial history implied from a sedimentary record from the Northwind Ridge

NASA Astrophysics Data System (ADS)

Liu, Y.; Dong, L.; Shi, X.; Zhu, A.

2017-12-01

Abstract: Sediment core ARC6-C21 collected from the Northwind Ridge, western Arctic Ocean, covers the late to middle Quaternary (Marine Isotope Stages (MIS) 1-11), as estimated by correlation to earlier proposed Arctic Ocean stratigraphies and AMS14C dating of the youngest sediments. Detailed examination of the elemental composition of sediment along with grain size in core ARC6-C21 provides important new information about sedimentary environments and provenance. We use increased contents of coarse debris as an indicator of glacier collapse events at the margins of the western Arctic Ocean, and identify the provenance of these events from geochemical composition. Notably, peaks of MgO and CaO, including large dropstones, presumably track the Laurentide Ice Sheet (LIS) discharge events to the Arctic Ocean. Major LIS inputs occurred during the stratigraphic intervals estimated as MIS 3, intra-MIS 5 and 7 events, MIS 8, and MIS 10. Inputs from the East Siberian Ice Sheet (ESIS) and/or Eurasia Ice Sheet (EIS)are inferred from peaks of SiO2, K2O and Na2O associated with coarse sediment. Major ESIS and/or EIS sedimentary events occurred in the intervals estimated as MIS 2, MIS 4, MIS 6, MIS 8 and MIS 10. Keywords: Sediment core, Pleistocene, western Arctic Ocean, geochemistry, grain size, sediment provenance, glaciations

Terrestrial biomarkers in the sediment of the East Sea (Japan Sea) since the MIS 11: implications for paleoproductivity and paleoclimatic changes

NASA Astrophysics Data System (ADS)

Hyun, S.; Suh, Y. J.; Woo, K. S.; Ikehara, M.

2014-12-01

Terrestrial biomarkers such as n-alkanes and cholesterol were analyzed to infer the variations of paleoproductivity and the corresponding paleoclimatologic information from the sediment of the Korean Plateau, East Sea (Japan Sea) since the Marine Isotope Stage (MIS) 11 (ca. 400 ka). Previous studies of SST variation have shown that glacial-interglacial scale changes were quite variable with the maximum range of 26oC in MIS 7, and the minimum range of 12oC during MIS 2 and 6. The distribution of terrestrial n-alkanes signatures is characterized by the occurrence of high odd number frequency with a minor contribution of specific compound (nC27 only). Average Chain Length (ACL) and Carbon Preferences Index (CPI), both of which are derived from n-alkane combination, show similar shifting between glacial and interglacial periods. This suggests that paleovegetation communities had been changed in responding to paleoclimatological variations, and the input amount of terrestrial compound was strongly linked with paleoclimatologic changes. In particular, depleted values of δ13Corg during MIS 2, 8 and 10 were coincident with lower nitrogen isotope values indicating local paleoceanographic effects such as paleoproductivity changes. Decoupling between δ13Corg and δ15Norg during MIS 1, 3, 5, 7 and coupling of the two during MIS 8 and 11 can be observed, which appear to be interpreted as local productivity changes. In particular, high abundance of cholesterol and C21 n-alkanes, which were derived from diatom, increased during interglacial periods. Therefore, alkenones, SST and n-alkanes signatures coincide with δ13Corg and δ15Norg variations during glacial-interglacial cycles and further strongly associated with cholesterol abundance suggesting that the paleoenvironmental conditions in East Sea during glacial-interglacial periods were sensitive not only to global climate changes but also to local paleceanographic variations. Surface water circulation around the Korea Plateau associated with eustatic sea-level changes may have been linked with paleoproductivity changes, at least on the Korea Plateau of the East Sea (Japan Sea) since the last MIS 11.

Paleoproductivity vs. influx of terrestrial biomarker in sediment from the Korean Plateau, East Sea (Japan Sea) since the MIS 11

NASA Astrophysics Data System (ADS)

Hyun, Sangmin; Suh, Yean Jee; Ikehara, Miroru

2015-04-01

A piston core collected from the Korean Plateau, East Sea (Japan Sea) of Korea was conducted in terms of variations in paleoproductivity and influx of terrestrial biomarker. The distribution of terrestrial n-alkanes signatures is characterized by the occurrence of high odd number frequency with a minor contribution of specific compound (nC27 only). Average Chain Length (ACL) and Carbon Preferences Index (CPI), both of which are derived from n-alkane combination, show similar shifting between glacial and interglacial periods. Previous studies of SST variation have shown that glacial-interglacial scale changes were quite variable with the maximum range of 26oC in MIS 7, and the minimum range of 12oC during MIS 2 and 6. Therefore, paleovegetation communities had been changed in responding to paleoclimatological variations, and the input amount of terrestrial compound was strongly linked with paleoclimatologic changes. The isotopic composition of δ13C and δ15N of organic matter, which showed extreme temporal variation since MIS 11, indicates the influx of large amount of terrestrial organic matter from the neighboring terrestrial environments during MIS 2, 8 and 10. In particular, depleted values of δ13Corg during MIS 2, 8 and 10 were coincident with lower nitrogen isotope values indicating local paleoceanographic effects such as paleoproductivity changes. Decoupling between δ13Corg and δ15Norg during MIS 1, 3, 5, 7 and coupling of the two during MIS 8 and 11 can be observed, which appear to be interpreted as local productivity changes. In particular, high abundance of cholesterol and C21 n-alkanes, which were derived from diatom, increased during interglacial periods. Therefore, alkenones, SST and n-alkanes signatures coincide with δ13Corg and δ15Norg variations during glacial-interglacial cycles and further strongly associated with cholesterol abundance suggesting that the paleoenvironmental conditions in East Sea during glacial-interglacial periods were sensitive not only to global climate changes but also to local paleceanographic variations.

Comparative Study of the Difference of Perioperative Complication and Radiologic Results: MIS-DLIF (Minimally Invasive Direct Lateral Lumbar Interbody Fusion) Versus MIS-OLIF (Minimally Invasive Oblique Lateral Lumbar Interbody Fusion).

PubMed

Jin, Jie; Ryu, Kyeong-Sik; Hur, Jung-Woo; Seong, Ji-Hoon; Kim, Jin-Sung; Cho, Hyun-Jin

2018-02-01

Retrospective observatory analysis. The purpose of this study was to compare the incidence of perioperative complication, difference of cage location, and sagittal alignment between minimally invasive oblique lateral lumbar interbody fusion (MIS-OLIF) and MIS-direct lateral lumbar interbody fusion (DLIF) in the cases of single-level surgery at L4-L5. MIS-DLIF using tubular retractor has been used for the treatment of lumbar degenerative diseases; however, blunt transpsoas dissection poses a risk of injury to the lumbar plexus. As an alternative, MIS-OLIF uses a window between the prevertebral venous structures and psoas muscle. A total of 43 consecutive patients who underwent MIS-DLIF or MIS-OLIF for various L4/L5 level pathologies between November 2011 and April 2014 by a single surgeon were retrospectively reviewed. A complication classification based on the relation to surgical procedure and effect duration was used. Perioperative complications until 3-month postoperatively were reviewed for the patients. Radiologic results including the cage location and sagittal alignment were also assessed with plain radiography. There were no significant statistical differences in perioperative parameters and early clinical outcome between 2 groups. Overall, there were 13 (59.1%) approach-related complications in the DLIF group and 3 (14.3%) in the OLIF group. In the DLIF group, 3 (45.6%) were classified as persistent, however, there was no persistent complication in the OLIF group. In the OLIF group, cage is located mostly in the middle 1/3 of vertebral body, significantly increasing posterior disk space height and foraminal height compared with the DLIF group. Global and segmental lumbar lordosis was greater in the DLIF group due to anterior cage position without statistical significance. In our report of L4/L5 level diseases, the OLIF technique may decrease approach-related perioperative morbidities by eliminating the risk of unwanted muscle and nerve manipulations. Using orthogonal maneuver, cage could be safely placed more posteriorly, resulting in better disk and foraminal height restoration.

Aquatic habitat mapping with an acoustic doppler current profiler: Considerations for data quality

USGS Publications Warehouse

Gaeuman, David; Jacobson, Robert B.

2005-01-01

When mounted on a boat or other moving platform, acoustic Doppler current profilers (ADCPs) can be used to map a wide range of ecologically significant phenomena, including measures of fluid shear, turbulence, vorticity, and near-bed sediment transport. However, the instrument movement necessary for mapping applications can generate significant errors, many of which have not been inadequately described. This report focuses on the mechanisms by which moving-platform errors are generated, and quantifies their magnitudes under typical habitat-mapping conditions. The potential for velocity errors caused by mis-alignment of the instrument?s internal compass are widely recognized, but has not previously been quantified for moving instruments. Numerical analyses show that even relatively minor compass mis-alignments can produce significant velocity errors, depending on the ratio of absolute instrument velocity to the target velocity and on the relative directions of instrument and target motion. A maximum absolute instrument velocity of about 1 m/s is recommended for most mapping applications. Lower velocities are appropriate when making bed velocity measurements, an emerging application that makes use of ADCP bottom-tracking to measure the velocity of sediment particles at the bed. The mechanisms by which heterogeneities in the flow velocity field generate horizontal velocities errors are also quantified, and some basic limitations in the effectiveness of standard error-detection criteria for identifying these errors are described. Bed velocity measurements may be particularly vulnerable to errors caused by spatial variability in the sediment transport field.

Static Magnetic Cloak without a Superconductor

NASA Astrophysics Data System (ADS)

Jiang, Wei; Ma, Yungui; He, Sailing

2018-05-01

Similar to its electromagnetic counterpart, magnetic cloaking also has very important technological applications. However, the traditional method to build a static magnetic cloak requires the use of superconducting materials as the diamagnetic component, which seriously limits the practical potential because of the cryogenic condition. We show that a diamagnetic active current boundary combined with a high-permeability magnetic inner shell (MIS) can be designed to solve this problem, rendering an ideal magnetic cloaking effect at zero frequency. We first theoretically prove that a current boundary could magnetically behave as a superconductor to external observers. Based on this phenomena, we introduce a high-permeability MIS made of magnetically ultrasoft metallic sheets (permeability μ >103 ) and experimentally prove that the bilayer combination can exactly balance out the disturbance to the external probing field and, meanwhile, have a large invisible inner space. We also show that the active boundary currents can be accordingly configured to overcome the permeability and frequency band limits, leading to a robust cloak over the entire quasistatic frequency region. Our work creates an efficient way to circumvent the traditional limits of metamaterials to build magnetic cloaks for ultralow frequencies. The active-passive hybrid approach could be generally extended to yield other artificial magnetic devices or systems as well.

Sea-level records from the U.S. mid-Atlantic constrain Laurentide Ice Sheet extent during Marine Isotope Stage 3

PubMed Central

Pico, T; Creveling, J. R.; Mitrovica, J. X.

2017-01-01

The U.S. mid-Atlantic sea-level record is sensitive to the history of the Laurentide Ice Sheet as the coastline lies along the ice sheet's peripheral bulge. However, paleo sea-level markers on the present-day shoreline of Virginia and North Carolina dated to Marine Isotope Stage (MIS) 3, from 50 to 35 ka, are surprisingly high for this glacial interval, and remain unexplained by previous models of ice age adjustment or other local (for example, tectonic) effects. Here, we reconcile this sea-level record using a revised model of glacial isostatic adjustment characterized by a peak global mean sea level during MIS 3 of approximately −40 m, and far less ice volume within the eastern sector of the Laurentide Ice Sheet than traditional reconstructions for this interval. We conclude that the Laurentide Ice Sheet experienced a phase of very rapid growth in the 15 kyr leading into the Last Glacial Maximum, thus highlighting the potential of mid-field sea-level records to constrain areal extent of ice cover during glacial intervals with sparse geological observables. PMID:28555637

Schottky Barrier Height Engineering for Electrical Contacts of Multilayered MoS2 Transistors with Reduction of Metal-Induced Gap States.

PubMed

Kim, Gwang-Sik; Kim, Seung-Hwan; Park, June; Han, Kyu Hyun; Kim, Jiyoung; Yu, Hyun-Yong

2018-06-06

The difficulty in Schottky barrier height (SBH) control arising from Fermi-level pinning (FLP) at electrical contacts is a bottleneck in designing high-performance nanoscale electronics and optoelectronics based on molybdenum disulfide (MoS 2 ). For electrical contacts of multilayered MoS 2 , the Fermi level on the metal side is strongly pinned near the conduction-band edge of MoS 2 , which makes most MoS 2 -channel field-effect transistors (MoS 2 FETs) exhibit n-type transfer characteristics regardless of their source/drain (S/D) contact metals. In this work, SBH engineering is conducted to control the SBH of electrical top contacts of multilayered MoS 2 by introducing a metal-interlayer-semiconductor (MIS) structure which induces the Fermi-level unpinning by a reduction of metal-induced gap states (MIGS). An ultrathin titanium dioxide (TiO 2 ) interlayer is inserted between the metal contact and the multilayered MoS 2 to alleviate FLP and tune the SBH at the S/D contacts of multilayered MoS 2 FETs. A significant alleviation of FLP is demonstrated as MIS structures with 1 nm thick TiO 2 interlayers are introduced into the S/D contacts. Consequently, the pinning factor ( S) increases from 0.02 for metal-semiconductor (MS) contacts to 0.24 for MIS contacts, and the controllable SBH range is widened from 37 meV (50-87 meV) to 344 meV (107-451 meV). Furthermore, the Fermi-level unpinning effect is reinforced as the interlayer becomes thicker. This work widens the scope for modifying electrical characteristics of contacts by providing a platform to control the SBH through a simple process as well as understanding of the FLP at the electrical top contacts of multilayered MoS 2 .

Potential System Integration Issues in the Joint Multi-Role (JMR) Joint Common Architecture (JCA) Demonstration System

DTIC Science & Technology

2015-12-01

the MIS System/Subsystem Specification ( SSS ), and supplementary BAA document. On June 26, 2014, the SEI provided a draft interim report of the...findings and issues. The SEI team also received July 3, 2014, versions of the MIS Stakeholder Requirements, MIS SSS , and build plan and July 17, 2014...versions of the MIS SSS together with the MIS system model. On July 14–15, 2014, the SEI presented a summary of the issues at the two contractors

3D imaging with a single-aperture 3-mm objective lens: concept, fabrication, and test

NASA Astrophysics Data System (ADS)

Korniski, Ronald; Bae, Sam Y.; Shearn, Michael; Manohara, Harish; Shahinian, Hrayr

2011-10-01

There are many advantages to minimally invasive surgery (MIS). An endoscope is the optical system of choice by the surgeon for MIS. The smaller the incision or opening made to perform the surgery, the smaller the optical system needed. For minimally invasive neurological and skull base surgeries the openings are typically 10-mm in diameter (dime sized) or less. The largest outside diameter (OD) endoscope used is 4mm. A significant drawback to endoscopic MIS is that it only provides a monocular view of the surgical site thereby lacking depth information for the surgeon. A stereo view would provide the surgeon instantaneous depth information of the surroundings within the field of view, a significant advantage especially during brain surgery. Providing 3D imaging in an endoscopic objective lens system presents significant challenges because of the tight packaging constraints. This paper presents a promising new technique for endoscopic 3D imaging that uses a single lens system with complementary multi-bandpass filters (CMBFs), and describes the proof-of-concept demonstrations performed to date validating the technique. These demonstrations of the technique have utilized many commercial off-the- shelf (COTS) components including the ones used in the endoscope objective.

Superstorms at the end of the Last Interglacial (MIS 5e)? Modeling paleo waves and the transport of giant boulders.

NASA Astrophysics Data System (ADS)

Rovere, Alessio; Harris, Daniel; Casella, Elisa; Lorscheid, Thomas; Stocchi, Paolo; Nandasena, Napayalage; Sandstrom, Michael; D'Andrea, William; Dyer, Blake; Raymo, Maureen

2017-04-01

We present the results of high-resolution field surveys and wave models along the cliffs of the northern part of the Island of Eleuthera, Bahamas. Previous studies have proposed that cliff top mega-boulders were emplaced at the end of the Last Interglacial (MIS 5e, 128-116 ka) by giant swells caused by super-storms that find no counterpart in the Holocene (including historical times). Our results suggest that these boulders could have instead been transported from the cliff face to the top of the cliff by a storm analogous to the 1991 'Perfect Storm', if sea level during MIS 5e sea was more than 4 meters higher than today. We remark that the data-model approach used here is essential to interpreting the geologic evidence of extreme storms during past warm periods, which in turn, is an important tool for predicting the intensity of extreme storm events in future climates. Our results indicate that even without an increase in storm intensity, cliffs and hard coastal barriers might be subject to significant increases wave-generated stresses under conditions of sea levels modestly higher than present.

3D Imaging with a Single-Aperture 3-mm Objective Lens: Concept, Fabrication and Test

NASA Technical Reports Server (NTRS)

Korniski, Ron; Bae, Sam Y.; Shearn, Mike; Manohara, Harish; Shahinian, Hrayr

2011-01-01

There are many advantages to minimally invasive surgery (MIS). An endoscope is the optical system of choice by the surgeon for MIS. The smaller the incision or opening made to perform the surgery, the smaller the optical system needed. For minimally invasive neurological and skull base surgeries the openings are typically 10-mm in diameter (dime sized) or less. The largest outside diameter (OD) endoscope used is 4mm. A significant drawback to endoscopic MIS is that it only provides a monocular view of the surgical site thereby lacking depth information for the surgeon. A stereo view would provide the surgeon instantaneous depth information of the surroundings within the field of view, a significant advantage especially during brain surgery. Providing 3D imaging in an endoscopic objective lens system presents significant challenges because of the tight packaging constraints. This paper presents a promising new technique for endoscopic 3D imaging that uses a single lens system with complementary multi-bandpass filters (CMBFs), and describes the proof-of-concept demonstrations performed to date validating the technique. These demonstrations of the technique have utilized many commercial off-the-shelf (COTS) components including the ones used in the endoscope objective.

Design of a piezoelectric inchworm actuator and compliant end effector for minimally invasive surgery

NASA Astrophysics Data System (ADS)

Canfield, Shawn; Edinger, Ben; Frecker, Mary I.; Koopmann, Gary H.

1999-06-01

Recent advances in robotics, tele-robotics, smart material actuators, and mechatronics raise new possibilities for innovative developments in millimeter-scale robotics capable of manipulating objects only fractions of a millimeter in size. These advances can have a wide range of applications in the biomedical community. A potential application of this technology is in minimally invasive surgery (MIS). The focus of this paper is the development of a single degree of freedom prototype to demonstrate the viability of smart materials, force feedback and compliant mechanisms for minimally invasive surgery. The prototype is a compliant gripper that is 7-mm by 17-mm, made from a single piece of titanium that is designed to function as a needle driver for small scale suturing. A custom designed piezoelectric `inchworm' actuator drives the gripper. The integrated system is computer controlled providing a user interface device capable of force feedback. The design methodology described draws from recent advances in three emerging fields in engineering: design of innovative tools for MIS, design of compliant mechanisms, and design of smart materials and actuators. The focus of this paper is on the design of a millimeter-scale inchworm actuator for use with a compliant end effector in MIS.

Systematic Review of Plant-Based Homeopathic Basic Research: An Update.

PubMed

Ücker, Annekathrin; Baumgartner, Stephan; Sokol, Anezka; Huber, Roman; Doesburg, Paul; Jäger, Tim

2018-05-01

 Plant-based test systems have been described as a useful tool for investigating possible effects of homeopathic preparations. The last reviews of this research field were published in 2009/2011. Due to recent developments in the field, an update is warranted. Publications on plant-based test systems were analysed with regard to publication quality, reproducibility and potential for further research.  A literature search was conducted in online databases and specific journals, including publications from 2008 to 2017 dealing with plant-based test systems in homeopathic basic research. To be included, they had to contain statistical analysis and fulfil quality criteria according to a pre-defined manuscript information score (MIS). Publications scoring at least 5 points (maximum 10 points) were assumed to be adequate. They were analysed for the use of adequate controls, outcome and reproducibility.  Seventy-four publications on plant-based test systems were found. Thirty-nine publications were either abstracts or proceedings of conferences and were excluded. From the remaining 35 publications, 26 reached a score of 5 or higher in the MIS. Adequate controls were used in 13 of these publications. All of them described specific effects of homeopathic preparations. The publication quality still varied: a substantial number of publications (23%) did not adequately document the methods used. Four reported on replication trials. One replication trial found effects of homeopathic preparations comparable to the original study. Three replication trials failed to confirm the original study but identified possible external influencing factors. Five publications described novel plant-based test systems. Eight trials used systematic negative control experiments to document test system stability.  Regarding research design, future trials should implement adequate controls to identify specific effects of homeopathic preparations and include systematic negative control experiments. Further external and internal replication trials, and control of influencing factors, are needed to verify results. Standardised test systems should be developed. The Faculty of Homeopathy.

SST and terrestrial n-alkanes records in sediment of the Korean Plateau, East Sea (Japan Sea) during the last 400 kyr: Paleoceanographic and paleoclimatic implications

NASA Astrophysics Data System (ADS)

Hyun, Sangmin; Suh, Yean Jee; Kim, Jin Kyung

2014-05-01

SST variation was reconstructed using alkenones and their variation was compared with terrestrial n-alkanes signature from the sediment of the Korean Plateau, East Sea (Japan Sea) during the last 400 ka. SST variation showed glacial-interglacial time scale variation with a maximum temperature of 26 oC in MIS 7, and a minimum of 12 oC at MIS 2 and 6. The distribution of terrestrial n-alkanes signatures is characterized by the occurrence of high odd number predominance in most samples, however minor dominance of a specific compound (nC27 only) was the additional characteristic.bAverage Chain Length (ACL) and Carbon Preferences Index (ICP), derived from n-alkane distributions, showed a similar shifting between glacial-interglacial time-scale. This suggests that paleovegetation communities changed in response to paleoclimatological variations, and the input of terrestrial compound is strongly linked with paleoclimatology. In the previous work, isotopic composition of δ13C and δ15N of organic matter showed extreme temporal variation since MIS 11 suggesting influx of a large amount of terrestrial organic matters from the neighboring continent during MIS 2, 8 and 10. In particular, depleted values of δ13C during MIS 2, 8 and 10 were coincident with lower nitrogen isotope values indicating local paleoceanographic effects such as paleoproductivity changes. Decoupling of δ13C and δ15N during MIS 1, 3, 5, and 7, and coupling of the two during MIS 8 and 11 is observed, which can be interpreted as local productivity changes. The alkenones SST and n-alkanes signature coincided with carbon and nitrogen isotope variation in terms of glacial-interglacial time scale suggesting that the paleoenvironments in the East Sea is sensitive to the global climate changes associated with not only orbital-scale glacial-interglacial variations but also local paleceanographic variations.

Minimally Invasive Direct Lateral Interbody Fusion (MIS-DLIF): Proof of Concept and Perioperative Results.

PubMed

Abbasi, Hamid; Abbasi, Ali

2017-01-14

Minimally invasive direct lateral interbody fusion (MIS-DLIF) is a novel approach for fusions of the lumbar spine. In this proof of concept study, we describe the surgical technique and report our experience and the perioperative outcomes of the first nine patients who underwent this procedure. In this study we establish the safety and efficacy of this approach. MIS-DLIF was performed on 15 spinal levels in nine patients who failed to respond to conservative therapy for the treatment of a re-herniated disk, spondylolisthesis, or other severe disk disease of the lumbar spine. We recorded surgery time, blood loss, fluoroscopy time, patient-reported pain, and complications. Throughout the MIS-DLIF procedure, the surgeon is aided by biplanar fluoroscopic imaging to place an interbody graft or cage into the disc space through the interpleural space. A discectomy is performed in the same minimally invasive fashion. The procedure is usually completed with posterior pedicle screw fixation. MIS-DLIF took 44/85 minutes, on average, for 1/2 levels, with 54/112 ml of blood loss, and 0.3/1.7 days of hospital stay. Four of nine patients did not require overnight hospitalization and were discharged two to four hours after surgery. We did not encounter any clinically significant complications. At more than ninety days post surgery, the patients reported a statistically significant reduction of 4.5 points on a 10-point sliding pain scale. MIS-DLIF with pedicle screw fixation is a safe and clinically effective procedure for fusions of the lumbar spine. The procedure overcomes many of the limitations of the current minimally invasive approaches to the lumbar spine and is technically straightforward. MIS-DLIF has the potential to improve patient outcomes and reduce costs relative to the current standard of care and therefore warrants further investigation. We are currently expanding this study to a larger cohort and documenting long-term outcome data.

Minimally invasive versus open fusion for Grade I degenerative lumbar spondylolisthesis: analysis of the Quality Outcomes Database.

PubMed

Mummaneni, Praveen V; Bisson, Erica F; Kerezoudis, Panagiotis; Glassman, Steven; Foley, Kevin; Slotkin, Jonathan R; Potts, Eric; Shaffrey, Mark; Shaffrey, Christopher I; Coric, Domagoj; Knightly, John; Park, Paul; Fu, Kai-Ming; Devin, Clinton J; Chotai, Silky; Chan, Andrew K; Virk, Michael; Asher, Anthony L; Bydon, Mohamad

2017-08-01

OBJECTIVE Lumbar spondylolisthesis is a degenerative condition that can be surgically treated with either open or minimally invasive decompression and instrumented fusion. Minimally invasive surgery (MIS) approaches may shorten recovery, reduce blood loss, and minimize soft-tissue damage with resultant reduced postoperative pain and disability. METHODS The authors queried the national, multicenter Quality Outcomes Database (QOD) registry for patients undergoing posterior lumbar fusion between July 2014 and December 2015 for Grade I degenerative spondylolisthesis. The authors recorded baseline and 12-month patient-reported outcomes (PROs), including Oswestry Disability Index (ODI), EQ-5D, numeric rating scale (NRS)-back pain (NRS-BP), NRS-leg pain (NRS-LP), and satisfaction (North American Spine Society satisfaction questionnaire). Multivariable regression models were fitted for hospital length of stay (LOS), 12-month PROs, and 90-day return to work, after adjusting for an array of preoperative and surgical variables. RESULTS A total of 345 patients (open surgery, n = 254; MIS, n = 91) from 11 participating sites were identified in the QOD. The follow-up rate at 12 months was 84% (83.5% [open surgery]; 85% [MIS]). Overall, baseline patient demographics, comorbidities, and clinical characteristics were similarly distributed between the cohorts. Two hundred fifty seven patients underwent 1-level fusion (open surgery, n = 181; MIS, n = 76), and 88 patients underwent 2-level fusion (open surgery, n = 73; MIS, n = 15). Patients in both groups reported significant improvement in all primary outcomes (all p < 0.001). MIS was associated with a significantly lower mean intraoperative estimated blood loss and slightly longer operative times in both 1- and 2-level fusion subgroups. Although the LOS was shorter for MIS 1-level cases, this was not significantly different. No difference was detected with regard to the 12-month PROs between the 1-level MIS versus the 1-level open surgical groups. However, change in functional outcome scores for patients undergoing 2-level fusion was notably larger in the MIS cohort for ODI (-27 vs -16, p = 0.1), EQ-5D (0.27 vs 0.15, p = 0.08), and NRS-BP (-3.5 vs -2.7, p = 0.41); statistical significance was shown only for changes in NRS-LP scores (-4.9 vs -2.8, p = 0.02). On risk-adjusted analysis for 1-level fusion, open versus minimally invasive approach was not significant for 12-month PROs, LOS, and 90-day return to work. CONCLUSIONS Significant improvement was found in terms of all functional outcomes in patients undergoing open or MIS fusion for lumbar spondylolisthesis. No difference was detected between the 2 techniques for 1-level fusion in terms of patient-reported outcomes, LOS, and 90-day return to work. However, patients undergoing 2-level MIS fusion reported significantly better improvement in NRS-LP at 12 months than patients undergoing 2-level open surgery. Longer follow-up is needed to provide further insight into the comparative effectiveness of the 2 procedures.

AMH/MIS as a contraceptive that protects the ovarian reserve during chemotherapy.

PubMed

Kano, Motohiro; Sosulski, Amanda E; Zhang, LiHua; Saatcioglu, Hatice D; Wang, Dan; Nagykery, Nicholas; Sabatini, Mary E; Gao, Guangping; Donahoe, Patricia K; Pépin, David

2017-02-28

The ovarian reserve represents the stock of quiescent primordial follicles in the ovary which is gradually depleted during a woman's reproductive lifespan, resulting in menopause. Müllerian inhibiting substance (MIS) (or anti-Müllerian hormone/AMH), which is produced by granulosa cells of growing follicles, has been proposed as a negative regulator of primordial follicle activation. Here we show that long-term parenteral administration of superphysiological doses of MIS, using either an adeno-associated virus serotype 9 (AAV9) gene therapy vector or recombinant protein, resulted in a complete arrest of folliculogenesis in mice. The ovaries of MIS-treated mice were smaller than those in controls and did not contain growing follicles but retained a normal ovarian reserve. When mice treated with AAV9/MIS were paired with male breeders, they exhibited complete and permanent contraception for their entire reproductive lifespan, disrupted vaginal cycling, and hypergonadotropic hypogonadism. However, when ovaries from AAV9-MIS-treated mice were transplanted orthotopically into normal recipient mice, or when treatment with the protein was discontinued, folliculogenesis resumed, suggesting reversibility. One of the important causes of primary ovarian insufficiency is chemotherapy-induced primordial follicle depletion, which has been proposed to be mediated in part by increased activation. To test the hypothesis that MIS could prevent chemotherapy-induced overactivation, mice were given carboplatin, doxorubicin, or cyclophosphamide and were cotreated with AAV9-MIS, recombinant MIS protein, or vehicle controls. We found significantly more primordial follicles in MIS-treated animals than in controls. Thus treatment with MIS may provide a method of contraception with the unique characteristic of blocking primordial follicle activation that could be exploited to prevent the primary ovarian insufficiency often associated with chemotherapy.

The integration of minimally invasive surgery in surgical practice in a Canadian setting: results from 2 consecutive province-wide practice surveys of general surgeons over a 5-year period

PubMed Central

Hallet, Julie; Mailloux, Olivier; Chhiv, Mony; Grégoire, Roger C.; Gagné, Jean-Pierre

2015-01-01

Background Although minimally invasive surgery (MIS) has been quickly embraced, the introduction of advanced procedures appears more complex. We assessed the evolution of MIS in the province of Quebec over a 5-year period to identify areas for improvement in the modern surgical era. Methods We developed, test-piloted and conducted a self-administered questionnaire among Quebec general surgeons in 2007 and 2012 to examine stated MIS practice, MIS training and barriers and facilitators to the use of MIS. Results Response rates were 51.3% (251 of 489) in 2007 and 31.3% (153 of 491) in 2012. A significant increase was observed for performance of most advanced MIS procedures, especially for colectomy for benign (66.0% v. 84.3%, p < 0,001) and malignant diseases (43.3% v. 77.8%, p < 0,001) and for rectal surgery for malignancy (21.0% v. 54.6%, p < 0.001). More surgeons practised 3 or more advanced MIS procedures in 2012 than in 2007 (82.3% v. 64.3%, p < 0,001). At multivariate analysis, the 2007 survey administration was associated with fewer surgeons practising advanced MIS (odds ratio 0.13, 95% confidence interval 0.06–0.29). In 2012, more respondents stated they gained their skills during residency (p = 0.028). Conclusion From 2007 to 2012 there was a significant increase in advanced MIS procedures practised by general surgeons in Québec. This technique appears well established in current surgical practice. The growing place of MIS in residency training seems to be a paramount part of this development. Results from this study could be used as a baseline for studies focusing on ways to further improve the MIS practice. PMID:25598180

A comparison of open and minimally invasive surgery for hepatic and pancreatic resections using the nationwide inpatient sample

PubMed Central

Ejaz, Aslam; Sachs, Teviah; He, Jin; Spolverato, Gaya; Hirose, Kenzo; Ahuja, Nita; Wolfgang, Christopher L.; Makary, Martin A.; Weiss, Matthew; Pawlik, Timothy M.

2015-01-01

Background The use of minimally invasive surgery (MIS) techniques for pancreatic and liver operations remains ill defined. We sought to compare inpatient outcomes among patients undergoing open versus MIS pancreas and liver operations using a nationally representative cohort. Methods We queried the Nationwide Inpatient Sample database for all major pancreatic and hepatic resections performed between 2000 and 2011. Appropriate International Classification of Diseases, 9th Revision (ICD-9) coding modifiers for laparoscopy and robotic assist were used to categorize procedures as MIS. Demographics, comorbidities, and inpatient outcomes were compared between the open and MIS groups. Results A total of 65,033 resections were identified (pancreas, n = 36,195 [55.7%]; liver, n = 28,035 [43.1%]; combined pancreas and liver, n = 803 [1.2%]). The overwhelming majority of operations were performed open (n = 62,192, 95.6%), whereas 4.4% (n = 2,841) were MIS. The overall use of MIS increased from 2.3% in 2000 to 7.5% in 2011. Compared with patients undergoing an open operation, MIS patients were older and had a greater incidence of multiple comorbid conditions. After operation, the incidence of complications for MIS (pancreas, 35.4%; liver, 29.5%) was lower than for open (pancreas, 41.6%; liver, 33%) procedures (all P < .05) resulting in a shorter median length of stay (8 vs 7 days; P = .001) as well as a lower in-hospital mortality (5.1% vs 2.8%; P = .001). Conclusion During the last decade, the number of MIS pancreatic and hepatic operations has increased, with nearly 1 in 13 HPB cases now being performed via an MIS approach. Despite MIS patients tending to have more preoperative medical comorbidities, postoperative morbidity, mortality, and duration of stay compared favorably with open surgery. PMID:25017135

Minimally invasive surgery in veterinary practice: a 2010 survey of diplomates and residents of the American College of Veterinary Surgeons.

PubMed

Bleedorn, Jason A; Dykema, Jennifer L; Hardie, Robert J

2013-08-01

To report the current state of minimally invasive surgery (MIS) in veterinary surgical practice in 2010. Electronic questionnaire. Diplomates and residents of the American College of Veterinary Surgeons (ACVS). A survey (38 questions for Diplomates, 23 questions for residents) was sent electronically to 1216 Diplomates and 300 residents. Questions were organized into 5 categories to investigate: (1) caseload and distribution of MIS cases; (2) MIS training; (3) MIS benefits, morbidity, limitations and motivating factors; (4) ACVS role; and (5) demographics of the study population. Eighty-six percent of small animal (SA) Diplomates, 99% of large animal (LA) Diplomates, and 98% of residents had performed MIS. Median LA caseload (30 cases/year; range, 1-600) was significantly higher than SA caseload (20 cases/year; range, 1-350). Descending order of case distribution was: arthroscopy > laparoscopy > endoscopic upper airway > thoracoscopy. Sixty percent of Diplomates and 98% of residents received MIS training during their residency. Residents' perspective of MIS training proficiency was positively correlated to caseload. Ninety-five percent of all respondents felt postoperative morbidity was less with MIS, and were motivated by patient benefits, maintaining a high standard of care, and personal interests. Fifty-eight percent of Diplomates and 89% of residents felt ACVS should be involved in developing MIS training. MIS is widely used by ACVS Diplomates and residents in clinical practice; however, important differences exist between SA and LA surgeons and practice types. MIS training in partnership with the ACVS is needed for continued development in veterinary surgery. © Copyright 2013 by The American College of Veterinary Surgeons.

Ice Complex permafrost of MIS5 age in the Dmitry Laptev Strait coastal region (East Siberian Arctic)

NASA Astrophysics Data System (ADS)

Wetterich, Sebastian; Tumskoy, Vladimir; Rudaya, Natalia; Kuznetsov, Vladislav; Maksimov, Fedor; Opel, Thomas; Meyer, Hanno; Andreev, Andrei A.; Schirrmeister, Lutz

2016-09-01

Ice Complex deposits (locally known as the Buchchagy Ice Complex) are exposed at both coasts of the East Siberian Dmitry Laptev Strait and preserved below the Yedoma Ice Complex that formed during MIS3 and MIS2 (Marine Isotope Stage) and lateglacial-Holocene thermokarst deposits (MIS1). Radioisotope disequilibria (230Th/U) of peaty horizons date the Buchchagy Ice Complex deposition to 126 + 16/-13 kyr and 117 + 19/-14 kyr until 98 ± 5 kyr and 89 ± 5 kyr. The deposit is characterised by poorly-sorted medium-to-coarse silts with cryogenic structures of horizontal ice bands, lens-like, and lens-like reticulated segregation ice. Two peaty horizons within the Buchchagy Ice Complex and syngenetic ice wedges (2-4 m wide, up to 10 m high) are striking. The isotopic composition (δ18O, δD) of Buchchagy ice-wedge ice indicates winter conditions colder than during the MIS3 interstadial and warmer than during MIS2 stadial, and similar atmospheric winter moisture sources as during the MIS2 stadial. Buchchagy Ice Complex pollen spectra reveal tundra-steppe vegetation and harsher summer conditions than during the MIS3 interstadial and rather similar vegetation as during the MIS2 stadial. Short-term climatic variability during MIS5 is reflected in the record. Even though the regional chronostratigraphic relationship of the Buchchagy Ice Complex to the Last Interglacial remains unclear because numerical dating is widely lacking, the present study indicates permafrost (Ice Complex) formation during MIS5 sensu lato, and its preservation afterwards. Palaeoenvironmental insights into past climate and the periglacial landscape dynamics of arctic lowlands in eastern Siberia are deduced from the record.

Does MIS Surgery Allow for Shorter Constructs in the Surgical Treatment of Adult Spinal Deformity?

PubMed

Uribe, Juan S; Beckman, Joshua; Mummaneni, Praveen V; Okonkwo, David; Nunley, Pierce; Wang, Michael Y; Mundis, Gregory M; Park, Paul; Eastlack, Robert; Anand, Neel; Kanter, Adam; Lamarca, Frank; Fessler, Richard; Shaffrey, Chris I; Lafage, Virginie; Chou, Dean; Deviren, Vedat

2017-03-01

The length of construct can potentially influence perioperative risks in adult spinal deformity (ASD) surgery. A head-to-head comparison between open and minimally invasive surgery (MIS) techniques for treatment of ASD has yet to be performed. To examine the impact of MIS approaches on construct length and clinical outcomes in comparison to traditional open approaches when treating similar ASD profiles. Two multicenter databases for ASD, 1 involving MIS procedures and the other open procedures, were propensity matched for clinical and radiographic parameters in this observational study. Inclusion criteria were ASD and minimum 2-year follow-up. Independent t -test and chi-square test were used to evaluate and compare outcomes. A total of 1215 patients were identified, with 84 patients matched in each group. Statistical significance was found for mean levels fused (4.8 for circumferential MIS [cMIS] and 10.1 for open), mean interbody fusion levels (3.6 cMIS and 2.4 open), blood loss (estimated blood loss 488 mL cMIS and 1762 mL open), and hospital length of stay (6.7 days cMIS and 9.7 days open). There was no significant difference in preoperative radiographic parameters or postoperative clinical outcomes (Owestry Disability Index and visual analog scale) between groups. There was a significant difference in postoperative lumbar lordosis (43.3° cMIS and 49.8° open) and pelvic incidence-lumbar lordosis correction (10.6° cMIS and 5.2° open) in the open group. There was no significant difference in reoperation rate between the 2 groups. MIS techniques for ASD may reduce construct length, reoperation rates, blood loss, and length of stay without affecting clinical and radiographic outcomes when compared to a similar group of patients treated with open techniques. Copyright © 2017 by the Congress of Neurological Surgeons

Evolution of open radical retropubic prostatectomy--how have open surgeons responded to the challenge of minimally invasive surgery?

PubMed

Acharya, Sujeet S; Zorn, Kevin C; Shikanov, Sergey; Thong, Alan; Zagaja, Gregory P; Shalhav, Arieh L; Steinberg, Gary D

2009-11-01

With the advent of minimally invasive surgery (MIS) for treating urologic malignancies, emphasis has been placed on reducing patient morbidity and resuming normal activity. We sought to clarify whether open surgeons (OS) have modified their techniques, surgical equipment, and perioperative management in response to this trend. A survey sent to all members of the Society of Urologic Oncology assessed changes that OS performing radical retropubic prostatectomy have made in analgesia, operative technique, perioperative management, and follow-up patterns. We also assessed OS sense of competition from MIS. Surgeon perception of the influence MIS had on these changes was scored from 0 to 4 (0 = not at all, 1 = slightly, 2 = moderately, 3 = greatly, 4 =completely). Overall and major influence by MIS included scores 1-4 and 3-4, respectively. Reduced radical retropubic prostatectomy (RRP) case volume because of MIS competition was reported by 20 OS (24%), with 27 OS (32%) starting to perform MIS, and 20 (24%) doing mostly/exclusively MIS. MIS has influenced OS to reduce incision length (overall influence 56%/major influence 33%), operative time (40%/12%), blood loss (31%/17%), and transfusion rate (33%/14%). MIS has influenced OS to use new instruments (48%/44%) or loupes (20%/9%), modify dissection (45%/31%) or anastomotic technique (14%/12%), and increase the use of hemostatic agents (48%/19%). MIS has reduced convalescence in OS patients by reducing length of stay (52%/28%), time to a regular diet (40%/18%), duration of drain (21%/16%) and Foley (32%/15%), time to return to work (49%/25%), and exercise (44%/21%). MIS has changed follow-up of OS patients by increasing the use of clinical pathways (14%/9%) and validated questionnaires (22%/13%). To date, the influence of MIS on the OS has not been comprehensively assessed. This survey finds that OS report that MIS serves as major competition to the open technique and that it has influenced them to modify their surgical technique, reduce convalescence, and alter follow-up recommendations.

Volcanic synchronization of Dome Fuji and Dome C Antarctic deep ice cores over the past 216 kyr

NASA Astrophysics Data System (ADS)

Fujita, S.; Parrenin, F.; Severi, M.; Motoyama, H.; Wolff, E. W.

2015-10-01

Two deep ice cores, Dome Fuji (DF) and EPICA Dome C (EDC), drilled at remote dome summits in Antarctica, were volcanically synchronized to improve our understanding of their chronologies. Within the past 216 kyr, 1401 volcanic tie points have been identified. DFO2006 is the chronology for the DF core that strictly follows O2 / N2 age constraints with interpolation using an ice flow model. AICC2012 is the chronology for five cores, including the EDC core, and is characterized by glaciological approaches combining ice flow modelling with various age markers. A precise comparison between the two chronologies was performed. The age differences between them are within 2 kyr, except at Marine Isotope Stage (MIS) 5. DFO2006 gives ages older than AICC2012, with peak values of 4.5 and 3.1 kyr at MIS 5d and MIS 5b, respectively. Accordingly, the ratios of duration (AICC2012 / DFO2006) range between 1.4 at MIS 5e and 0.7 at MIS 5a. When making a comparison with accurately dated speleothem records, the age of DFO2006 agrees well at MIS 5d, while the age of AICC2012 agrees well at MIS 5b, supporting their accuracy at these stages. In addition, we found that glaciological approaches tend to give chronologies with younger ages and with longer durations than age markers suggest at MIS 5d-6. Therefore, we hypothesize that the causes of the DFO2006-AICC2012 age differences at MIS 5 are (i) overestimation in surface mass balance at around MIS 5d-6 in the glaciological approach and (ii) an error in one of the O2 / N2 age constraints by ~ 3 kyr at MIS 5b. Overall, we improved our knowledge of the timing and duration of climatic stages at MIS 5. This new understanding will be incorporated into the production of the next common age scale. Additionally, we found that the deuterium signals of ice, δDice, at DF tends to lead the one at EDC, with the DF lead being more pronounced during cold periods. The lead of DF is by +710 years (maximum) at MIS 5d, -230 years (minimum) at MIS 7a and +60 to +126 years on average.

Late Quaternary environmental changes inferred from n-alkane evidence in coastal area of southern Hainan Island, China

NASA Astrophysics Data System (ADS)

Wang, Mengyuan; Zheng, Zhuo

2016-04-01

The studied core was a coastal core in Hainan Island, China. It is in length of 49.01m and divided into four Units (MIS 1~MIS 6) according to lithology description. The Optically Stimulated Luminescence (OSL) attributes the sediments from Unit 3 to the Oxygen Isotope Stage of MIS 5e (Unit 3b and 3c) and 5d (Unit 3a). To interpret the origination of organic carbons and to reconstruct paleovegetation changes, n-alkane, δ13C and TOC have been used in the present research. The result of n-alkanes distribution indicates a series of changes of sedimentary environment and terrestrial input. The shallow water facies at Unit 2, 3a and 4 is mainly characterized by short carbon chain n-alkanes and relatively low concentration. Contrasting with that of deep-water marine facies of MIS 5e (Unit 3b), the n-alkane pattern is typical bimodal and the main peaks are both in short and long carbon chains. During Unit 3b-1 (MIS 5e), more terrestrial original n-alkanes contribute to the concentration of TOC than oceanic. Organic matter source is mainly terrestrial origination. Total organic matter input mechanism of TLG-01 correlates with sediment grain size (average grain size). Total organic carbon input is enhanced with the increasing of fine grain size component. The variation of CPI (25-33) value in this study correlates with hydrological energy. The highest CPI (25-33) value is shown in the high sea level period of MIS 5e, comparing with that in MIS 5d and MIS 1. High CPI value corresponds to high TOC and average grain size (Φ) value. In the weak hydrological energy sedimentary environment, more terrestrial organic matter, together with TOC, deposit in the study area. ACL (25-33) index display higher values in the interglacial period (MIS 5 and MIS 1) than MIS 3 (sediments weathered during MIS 2) and MIS 6. Paq proxy, together with δ13C, estimates the mangrove growing depth in MIS 5e. The correlation between δ13C and each carbon chain alkane state stabilize and turbulence of sedimentary environment in MIS 5e. Sediments deposit in stable weak hydrological energy environment show order and grouped alkanes distribution (Unit 3b-2). High and positive correlation coefficients of δ13C and each carbon chain alkane show the dominant alkanes contributed to organic carbon (δ13C).

Early Stages of Interface Formation at Compound Semiconductor Surfaces Studied by Scanning Tunneling Microscopy

DTIC Science & Technology

1991-10-01

classical image potential in an ideal creasing gap separation, that is specific to the form of the metal- insulator -semiconductor (MIS) junction...with which one can precisely adjust s, and hence continuously vary the vacvuum barrier, is a potentially valuable tool for investigating this effect- By... insulator -semiconductor (MIS) junction similar to that shown in Fig. I diverge at the semiconductor-vacuum and vacuum-metal interfaces [7,81. These

Large shifts in vegetation and climate during the Early Weichselian (MIS 5d-c) inferred from multi-proxy evidence at Sokli (northern Finland)

NASA Astrophysics Data System (ADS)

Helmens, Karin F.; Väliranta, Minna; Engels, Stefan; Shala, Shyhrete

2012-05-01

For decades, detailed studies on Early Weichselian deposits have been made in central Europe. In contrast, these studies are rare in Fennoscandia in northern Europe. We here integrate an extensive multi-proxy data set obtained on sediments of MIS 5d-c age that form part of a long sediment record preserved at Sokli in northern Finland. We make a detailed interpretation of the vegetation and depositional history for MIS 5d-c using pollen, macrofossils, diatoms and other siliceous microfossils, insect remains, and sediment characteristics, and combine these data with recently published estimates on July temperatures based on chironomids and selected plant indicator species in order to make inferences of paleo-climate regimes. The fossil record obtained on the seven meter thick MIS 5d-c deposit at Sokli is exceptionally rich in species due to the large variety of habitats associated with an overall fluvial depositional environment. A braided river system flanked by steppe-tundra vegetation is inferred for MIS 5d. Mean July temperatures of at least 12-14 °C are indicated by chironomids and plant indicator species and are in agreement with the presence of conifers and birch trees as recorded by macrofossils. The reconstructed environmental conditions suggest strong continental climate conditions at Sokli during MIS 5d. The gradual infilling of an oxbow lake and subsequent return to stream channel deposition is traced in great detail in the overlying gyttja and gravelly sediment of MIS 5c age. The terrestrial pollen and plant macrofossil record from the gyttja shows the establishment of birch forest followed by the spread of pine and then spruce. Rich plant indicator species assemblages indicate that the boreal environment at Sokli during MIS 5c experienced July temperatures several degrees higher than the present-day value of 13 °C. The high summer temperatures and presence of larch suggest more continental conditions. More open vegetation returned at Sokli during late MIS 5c and was followed by glaciation by the Fennoscandian Ice Sheet (MIS 5b). Despite the major differences in zonal vegetation types during MIS 5d-c, differences in reconstructed July temperatures are minor and suggest that winter temperatures combined with precipitation values mostly determined the stadial-interstadial climate variability. The most compelling conclusion from our study is that forest development during MIS 5c was remarkably similar to that recorded for the Eemian (MIS 5e) and Holocene Interglacials at the high-latitude site Sokli, and also to that inferred from MIS 5c sediments on the northern European mainland. Our results question the definition of MIS 5c in the terrestrial record of Europe as an interstadial interval of the last glacial cycle and suggest inclusion of MIS 5c together with the Eemian (MIS 5e) in an interglacial complex.

Paleolakes in the Gobi region of southern Mongolia

NASA Astrophysics Data System (ADS)

Lehmkuhl, Frank; Grunert, Jörg; Hülle, Daniela; Batkhishig, Ochirbat; Stauch, Georg

2018-01-01

Numerous lakes and remnants of paleolakes exist in western and southern Mongolia. For six basins in the area, detailed geomorphological maps were compiled, based on extensive field studies and remote sensing datasets. Several phases of high and low lake levels were reconstructed and dated by radiocarbon and optically stimulated luminescence. During the marine isotope stage (MIS) 6 lakes in southern and western Mongolia mostly disappeared. In contrast, large paleolakes existed during the last interglacial (MIS 5e) and lasted probably until the beginning of the last glacial. These huge lakes were caused by a strong East Asian summer monsoon, which reached southern and even western Mongolia. During the MIS 3 the monsoon was considerably weaker and most of the lakes were relatively small or even disappeared. Higher lake levels of this period were only recorded at the Orog Nuur. However, at this time the lake was fed by glacial melt water from the Khangai Mountains. The MIS 2 was again a very dry period. The previously supposed phase of synchronous high lake levels and glaciations in southern and western Mongolia is not supported by the data presented here. During the Holocene, lakes in the western and southern part of the study area evolved differently. Early Holocene high lake levels were reconstructed for the western lakes, while most of the southern lakes had highest lake levels in the mid-Holocene. These differences can be attributed to different moisture bearing atmospheric systems. In the late Holocene lake levels were generally low and in the last 50 years most lakes completely disappeared due to a strong human usage of the water resources.

Best-Matched Internal Standard Normalization in Liquid Chromatography-Mass Spectrometry Metabolomics Applied to Environmental Samples.

PubMed

Boysen, Angela K; Heal, Katherine R; Carlson, Laura T; Ingalls, Anitra E

2018-01-16

The goal of metabolomics is to measure the entire range of small organic molecules in biological samples. In liquid chromatography-mass spectrometry-based metabolomics, formidable analytical challenges remain in removing the nonbiological factors that affect chromatographic peak areas. These factors include sample matrix-induced ion suppression, chromatographic quality, and analytical drift. The combination of these factors is referred to as obscuring variation. Some metabolomics samples can exhibit intense obscuring variation due to matrix-induced ion suppression, rendering large amounts of data unreliable and difficult to interpret. Existing normalization techniques have limited applicability to these sample types. Here we present a data normalization method to minimize the effects of obscuring variation. We normalize peak areas using a batch-specific normalization process, which matches measured metabolites with isotope-labeled internal standards that behave similarly during the analysis. This method, called best-matched internal standard (B-MIS) normalization, can be applied to targeted or untargeted metabolomics data sets and yields relative concentrations. We evaluate and demonstrate the utility of B-MIS normalization using marine environmental samples and laboratory grown cultures of phytoplankton. In untargeted analyses, B-MIS normalization allowed for inclusion of mass features in downstream analyses that would have been considered unreliable without normalization due to obscuring variation. B-MIS normalization for targeted or untargeted metabolomics is freely available at https://github.com/IngallsLabUW/B-MIS-normalization .

Limitations of threshold voltage engineering of AlGaN/GaN heterostructures by dielectric interface charge density and manipulation by oxygen plasma surface treatments

NASA Astrophysics Data System (ADS)

Lükens, G.; Yacoub, H.; Kalisch, H.; Vescan, A.

2016-05-01

The interface charge density between the gate dielectric and an AlGaN/GaN heterostructure has a significant impact on the absolute value and stability of the threshold voltage Vth of metal-insulator-semiconductor (MIS) heterostructure field effect transistor. It is shown that a dry-etching step (as typically necessary for normally off devices engineered by gate-recessing) before the Al2O3 gate dielectric deposition introduces a high positive interface charge density. Its origin is most likely donor-type trap states shifting Vth to large negative values, which is detrimental for normally off devices. We investigate the influence of oxygen plasma annealing techniques of the dry-etched AlGaN/GaN surface by capacitance-voltage measurements and demonstrate that the positive interface charge density can be effectively compensated. Furthermore, only a low Vth hysteresis is observable making this approach suitable for threshold voltage engineering. Analysis of the electrostatics in the investigated MIS structures reveals that the maximum Vth shift to positive voltages achievable is fundamentally limited by the onset of accumulation of holes at the dielectric/barrier interface. In the case of the Al2O3/Al0.26Ga0.74N/GaN material system, this maximum threshold voltage shift is limited to 2.3 V.

The Development of the Bilingual Special Education Field: Major Issues, Accomplishments, Future Directions, and Recommendations

ERIC Educational Resources Information Center

Zhang, Chun; Choh, Su-Je

2010-01-01

In this paper, we review various challenges in regard to educating children with and without disabilities from culturally and linguistically diverse (CLD) backgrounds. The challenges discussed include (1) biased assessment that results in mis- or overrepresenting CLD students in special education, (2) difficulty distinguishing between disability…

Evaluating the APEX model for simulating streamflow and water quality on ten agricultural watersheds in the U.S.

USDA-ARS?s Scientific Manuscript database

Simulation models are increasingly used to assess water quality constituent losses from agricultural systems. Mis-use often gives irrelevant or erroneous answers. The Agricultural Policy Environmental Extender (APEX) model is emerging as one of the premier modeling tools for fields, farms, and agr...

Using Google AdWords in the MBA MIS Course

ERIC Educational Resources Information Center

Rosso, Mark A.; McClelland, Marilyn K.; Jansen, Bernard J.; Fleming, Sundar W.

2009-01-01

From February to June 2008, Google ran its first ever student competition in sponsored Web search, the 2008 Google Online Marketing Challenge (GOMC). The 2008 GOMC was based on registrations from 61 countries: 629 course sections from 468 universities participated, fielding over 4000 student teams of approximately 21,000 students. Working with a…

Guidelines for Management Information Systems in Canadian Health Care Facilities

PubMed Central

Thompson, Larry E.

1987-01-01

The MIS Guidelines are a comprehensive set of standards for health care facilities for the recording of staffing, financial, workload, patient care and other management information. The Guidelines enable health care facilities to develop management information systems which identify resources, costs and products to more effectively forecast and control costs and utilize resources to their maximum potential as well as provide improved comparability of operations. The MIS Guidelines were produced by the Management Information Systems (MIS) Project, a cooperative effort of the federal and provincial governments, provincial hospital/health associations, under the authority of the Canadian Federal/Provincial Advisory Committee on Institutional and Medical Services. The Guidelines are currently being implemented on a “test” basis in ten health care facilities across Canada and portions integrated in government reporting as finalized.

Effects of ultrathin oxides in conducting MIS structures on GaAs

NASA Technical Reports Server (NTRS)

Childs, R. B.; Ruths, J. M.; Sullivan, T. E.; Fonash, S. J.

1978-01-01

Schottky barrier-type GaAs baseline devices (semiconductor surface etched and then immediately metalized) and GaAs conducting metal oxide-semiconductor devices are fabricated and characterized. The baseline surfaces (no purposeful oxide) are prepared by a basic or an acidic etch, while the surface for the MIS devices are prepared by oxidizing after the etch step. The metallizations used are thin-film Au, Ag, Pd, and Al. It is shown that the introduction of purposeful oxide into these Schottky barrier-type structures examined on n-type GaAs modifies the barrier formation, and that thin interfacial layers can modify barrier formation through trapping and perhaps chemical reactions. For Au- and Pd-devices, enhanced photovoltaic performance of the MIS configuration is due to increased barrier height.

Millennial-scale variability to 735 ka: High-resolution climate records from Santa Barbara Basin, CA

NASA Astrophysics Data System (ADS)

White, Sarah M.; Hill, Tessa M.; Kennett, James P.; Behl, Richard J.; Nicholson, Craig

2013-06-01

Determining the ultimate cause and effect of millennial-scale climate variability remains an outstanding problem in paleoceanography, partly due to the lack of high-resolution records predating the last glaciation. Recent cores from Santa Barbara Basin provide 2500-5700 year "windows" of climate with 10-50 year resolution. Ages for three cores, determined by seismic stratigraphic correlation, oxygen isotope stratigraphy, and biostratigraphy, date to 293 ka (MIS 8), 450 ka (MIS 12), and 735 ka (MIS 18). These records sample the Late Pleistocene, during which the 100 kyr cycle strengthened and the magnitude of glacial-interglacial cyclicity increased. Thus, these records provide a test of the dependence of millennial-scale behavior on variations in glacial-interglacial cyclicity. The stable isotopic (δ18O) composition of planktonic foraminifera shows millennial-scale variability in all three intervals, with similar characteristics (duration, cyclicity) to those previously documented during MIS 3 at this site. Stadial G. bulloides δ18O values are 2.75-1.75‰ (average 2.25‰) and interstadial values are 1.75-0.5‰ (average 1‰), with rapid (decadal-scale) interstadial and stadial initiations of 1-2‰, as in MIS 3. Interstadials lasted 250-1600 years and occurred every 650-1900 years. Stadial paleotemperatures were 3.5-9.5°C and interstadial paleotemperatures were 7.5-13°C. Upwelling, evidenced by planktonic foraminiferal assemblages and δ13C, increased during interstadials, similar to MIS 3; high productivity during some stadials was reminiscent of the Last Glacial Maximum. This study builds upon previous records in showing that millennial-scale shifts were an inherent feature of Northern Hemisphere glacial climates since 735 ka, and they remained remarkably constant in the details of their amplitude, cyclicity, and temperature variability.

Minimally invasive surgery for pedal digital deformity: an audit of complications using national benchmark indicators.

PubMed

Gilheany, Mark; Baarini, Omar; Samaras, Dean

2015-01-01

There is increasing global interest and performance of minimally invasive foot surgery (MIS) however, limited evidence is available in relation to complications associated with MIS for digital deformity correction. The aim of this prospective audit is to report the surgical and medical complications following MIS for digital deformity against standardised clinical indicators. A prospective clinical audit of 179 patients who underwent MIS to reduce simple and complex digital deformities was conducted between June 2011 and June 2013. All patients were followed up to a minimum of 12 months post operatively. Data was collected according to a modified version of the Australian Council of Healthcare standards (ACHS) clinical indicator program. The audit was conducted in accordance with the National Research Ethics Service (NRES) guidelines on clinical audit. The surgical complications included 1 superficial infection (0.53%) and 2 under-corrected digits (0.67%), which required revision surgery. Two patients who underwent isolated complex digital corrections had pain due to delayed union (0.7%), which resolved by 6 months post-op. No neurovascular compromise and no medical complications were encountered. The results compare favourably to rates reported in the literature for open reduction of digital deformity. This audit has illustrated that performing MIS to address simple and complex digital deformity results in low complication rates compared to published standards. MIS procedures were safely performed in a range of clinical settings, on varying degrees of digital deformity and on a wide range of ages and health profiles. Further studies investigating the effectiveness of these techniques are warranted and should evaluate long term patient reported outcome measures, as well as developing treatment algorithms to guide clinical decision making.

Cardiac Outcomes After Ischemic Stroke or Transient Ischemic Attack: Effects of Pioglitazone in Patients With Insulin Resistance Without Diabetes Mellitus.

PubMed

Young, Lawrence H; Viscoli, Catherine M; Curtis, Jeptha P; Inzucchi, Silvio E; Schwartz, Gregory G; Lovejoy, Anne M; Furie, Karen L; Gorman, Mark J; Conwit, Robin; Abbott, J Dawn; Jacoby, Daniel L; Kolansky, Daniel M; Pfau, Steven E; Ling, Frederick S; Kernan, Walter N

2017-05-16

Insulin resistance is highly prevalent among patients with atherosclerosis and is associated with an increased risk for myocardial infarction (MI) and stroke. The IRIS trial (Insulin Resistance Intervention after Stroke) demonstrated that pioglitazone decreased the composite risk for fatal or nonfatal stroke and MI in patients with insulin resistance without diabetes mellitus, after a recent ischemic stroke or transient ischemic attack. The type and severity of cardiac events in this population and the impact of pioglitazone on these events have not been described. We performed a secondary analysis of the effects of pioglitazone, in comparison with placebo, on acute coronary syndromes (MI and unstable angina) among IRIS participants. All potential acute coronary syndrome episodes were adjudicated in a blinded fashion by an independent clinical events committee. The study cohort was composed of 3876 IRIS participants, mean age 63 years, 65% male, 89% white race, and 12% with a history of coronary artery disease. Over a median follow-up of 4.8 years, there were 225 acute coronary syndrome events, including 141 MIs and 84 episodes of unstable angina. The MIs included 28 (19%) with ST-segment elevation. The majority of MIs were type 1 (94, 65%), followed by type 2 (45, 32%). Serum troponin was 10× to 100× upper limit of normal in 49 (35%) and >100× upper limit of normal in 39 (28%). Pioglitazone reduced the risk of acute coronary syndrome (hazard ratio, 0.71; 95% confidence interval, 0.54-0.94; P =0.02). Pioglitazone also reduced the risk of type 1 MI (hazard ratio, 0.62; 95% confidence interval, 0.40-0.96; log-rank P =0.03), but not type 2 MI (hazard ratio, 1.05; 95% confidence interval, 0.58-1.91; P =0.87). Similarly, pioglitazone reduced the risk of large MIs with serum troponin >100× upper limit of normal (hazard ratio, 0.44; 95% confidence interval, 0.22-0.87; P =0.02), but not smaller MIs. Among patients with insulin resistance without diabetes mellitus, pioglitazone reduced the risk for acute coronary syndromes after a recent cerebrovascular event. Pioglitazone appeared to have its most prominent effect in preventing spontaneous type 1 MIs. URL: http://clinicaltrials.gov. Unique identifier: NCT00091949. © 2017 American Heart Association, Inc.

The MIS 5 palaeoenvironmental record in the SE Mediterranean coast of the Iberian Peninsula (Río Antas, Almería, Spain)

NASA Astrophysics Data System (ADS)

Torres, T.; Ortiz, J. E.; Blázquez, A. M.; Ruiz Zapata, B.; Gil, M. J.; Martín, T.; Sánchez-Palencia, Y.

2015-08-01

Landwards of a MIS5 bar, a borehole core (SRA) was analyzed to establish the relationship between the lagoonal record and the raised beach deposits in the surroundings of the Antas river mouth and to reconstruct the Pleistocene palaeoenvironmental evolution of the southern Mediterranean coast of the Iberian Peninsula. 63 samples were recovered for amino acid racemization dating, 86 samples for sedimentological and paleontological determination, 37 samples for pollen identification and 54 for biomarker analysis. AAR revealed that the borehole record contains MIS11, MIS6 and MIS5 deposits, the latter extensively represented. During the end of MIS6 and MIS5, a sand barrier developed and created a shallow lagoon with alternating terrestrial inputs this process being common in other Mediterranean realms. Litho- and biofacies allowed the identification of distinct paleoenvironments through time, with the presence of a lagoonal environment alternating with alluvial fan progradation. Biomarkers indicated constant input from terrestrial plants, together with variable development of aquatic macrophytes. The palynological content allowed the reconstruction of the paleoclimatological conditions during MIS6 and 5, with evidence of seven scenarios characterized by alternating arid and relatively humid conditions.

Different nature of glacial CaCO3 constituents between MIS 2 and MIS 12 in the East Sea/Japan Sea and its paleoceanographic implication

NASA Astrophysics Data System (ADS)

Khim, Boo-Keun; Tada, Ryuji; Itaki, Takuya

2014-05-01

Two piston cores (PC-05 and PC-08) were collected on the Yamato Rise in the East Sea/Japan Sea during the KR07-12 cruise. A composite core was achieved with the successful replacement of almost half of the upper part of core PC-05 by the entirety of core PC-08 based on the co-equivalence of L* values and the dark layers, because an interval (170 cm to 410 cm) of core PC-05 was considerably disturbed due to fluidization during the core execution. Chronostratigraphy of the composite core was constructed by the direct comparison of L* values to the well-dated core MD01-2407 that was obtained in the Oki Ridge. The lower-bottom of the composite core reached back to Marine Isotope Stage (MIS) 14, based on the age estimate by LR04 stacks. Downcore opal variation of the composite core exhibited the distinct orbital-scale cyclic changes; high during the interglacial and low during the glacial periods. However, downcore CaCO3 variation showed no corresponding orbital-scale cyclic change between glacial and interglacial periods. Some intervals of both periods were high in CaCO3 content. Frequent and large fluctuations in CaCO3 content seemed to be more related to the presence of dark layers containing thin lamination (TL) within the glacial and interglacial intervals. It is worthy to note that MIS 2 and MIS 12 are characterized by distinctly high CaCO3 content, showing up to 18% and 73%, respectively, among the glacial periods. Furthermore, in terms of lithology, MIS 2 was characterized by a thick dark layer (low L* values) with TL, whereas MIS 12 preserved the distinctly light layer (high L* values) with parallel laminations. Another remarkable dissimilarity between MIS 2 and MIS 12 was the nature of their CaCO3 constituent; the CaCO3 constituent of MIS 2 consisted of mostly planktonic foraminifera, whereas that of MIS 12 was mostly dump of coccolithophorids, regardless the presence of planktonic foraminifera. The distinctness of the CaCO3 constituents between MIS 2 and MIS 12 indicates that the preservation of CaCO3 contents was different temporarily during the glacial periods in the East Sea/Japan Sea. Enhanced CaCO3 preservation in MIS 2 is attributed primarily to less dissolution during the sinking through the water column or at the seafloor, but increased CaCO3 preservation in MIS 12 is mainly due to the high primary production in the surface water. With respect to the different function of the biological pump which controls CO2 cycles, the East Sea/Japan Sea clearly experienced carbonate-ocean-like state during MIS 12, despite normally silica-ocean-like state.

Effect of doping on the forward current-transport mechanisms in a metal-insulator-semiconductor contact to INP:ZN grown by metal organic vapor phase epitaxy

NASA Astrophysics Data System (ADS)

Cova, P.; Singh, A.; Medina, A.; Masut, R. A.

1998-04-01

A detailed study of the effect of doping density on current transport was undertaken in Au metal-insulator-semiconductor (MIS) contacts fabricated on Zn-doped InP layers grown by metal organic vapor phase epitaxy. A recently developed method was used for the simultaneous analysis of the current-voltage ( I- V) and capacitance-voltage ( C- V) characteristics in an epitaxial MIS diode which brings out the contributions of different current-transport mechanisms to the total current. I- V and high-frequency C- V measurements were performed on two MIS diodes at different temperatures in the range 220-395 K. The barrier height at zero bias of Au/InP:Zn MIS diodes, φ0 (1.06 V±10%), was independent both of the Zn-doping density and of the surface preparation. The interface state density distribution Nss as well as the thickness of the oxide layer (2.2±15% nm) unintentionally grown before Au deposition were independent of the Zn-doping concentration in the range 10 16< NA<10 17 cm -3; not so the effective potential barrier χ of the insulator layer and the density of the mid-gap traps. χ was much lower for the highly-doped sample. Our results indicate that at high temperatures, independent of the Zn-doping concentration, the interfacial layer-thermionic (ITE) and interfacial layer-diffusion (ID) mechanisms compete with each other to control the current transport. At intermediate temperatures, however, ITE and ID will no longer be the only dominant mechanisms in the MIS diode fabricated on the highly-doped sample. In this case, the assumption of a generation-recombination current permits a better fit to the experimental data. Analysis of the data suggests that the generation-recombination current, observed only in the highly-doped sample, is associated with an increase in the Zn-doping density. From the forward I- V data for this diode we obtained the energy level (0.60 eV from the conduction band) for the most effective recombination centers.

Developing an Introductory Level MIS Project in Accordance with AACSB Assurance of Learning Standard 15

ERIC Educational Resources Information Center

Schwieger, Dana

2012-01-01

As part of the introductory level management information systems (MIS) course, faculty are asked to introduce the students to MIS concepts as well as to help them develop technology-related skills benefitting them in their course work and beyond. However, with a vast array of MIS topics that could be covered and class time at a premium, it is…

Effect of graft source on unrelated donor hemopoietic stem cell transplantation in adults with acute myeloid leukemia after reduced-intensity or nonmyeloablative conditioning: a study from the Société Francaise de Greffe de Moelle et de Thérapie Cellulaire.

PubMed

Malard, Florent; Milpied, Noel; Blaise, Didier; Chevallier, Patrice; Michallet, Mauricette; Lioure, Bruno; Clément, Laurence; Hicheri, Yosr; Cordonnier, Catherine; Huynh, Anne; Yakoub-Agha, Ibrahim; Peffault de Latour, Regis; Mohty, Mohamad

2015-06-01

This retrospective report compared the 4-year outcomes of allogeneic stem cell transplantation (allo-SCT) in 651 adult patients with acute myeloid leukemia receiving a reduced-intensity (RIC) or nonmyeloablative conditioning (NMA) regimen according to the type of unrelated donors. These were either umbilical cord blood (UCB, n = 205), a 9/10 mismatched unrelated donor (MisMUD, n = 99), or a 10/10 matched unrelated donor (MUD, n = 347) graft. Neutrophil recovery was slower in UCB (74.5% by day 42) compared with MisMUD (94.8%) and MUD (95.6%) (P < .001). There was no significant difference in nonrelapse mortality between UCB and both MUD (hazard ratio [HR], 1.05; 95% confidence interval [CI], .62 to 1.78; P = .85) and MisMUD (HR, 1.58; 95% CI, .88 to 2.83; P = .13) The relapse/progression was similar between UCB and MisMUD (HR, .62; 95% CI, .37 to 1.03; P = .07), but was significantly lower in MUD compared with UCB (HR, .60; 95% CI, .39 to .92; P = .02). The rate of extensive chronic graft-versus-host disease (GVHD) was similar between UCB and both MUD (HR, 2.15; 95% CI, .93 to 4.97; P = .08) and MisMUD (HR, 1.84; 95% CI, .68 to 4.95; P = .23). The rate of severe grade III and IV acute GVHD was significantly increased in MisMUD compared with UCB (HR, 2.61; 95% CI, 1.30 to 5.23; P = .007). There was no significant difference in overall survival between UCB and both MisMUD (HR, .98; 95% CI, .66 to 1.45; P = .92) and MUD (HR, .74; 95% CI, .52 to 1.03; P = .08). These data suggest that in the setting of RIC/NMA, allo-SCT UCB is a valid alternative graft source, with significantly less chronic GVHD, compared with MisMUD, when there is no MUD available or when urgent transplantation is needed. Copyright © 2015 American Society for Blood and Marrow Transplantation. Published by Elsevier Inc. All rights reserved.

Centennial-scale vegetation dynamics and climate variability in SE Europe during Marine Isotope Stage 11 based on a pollen record from Lake Ohrid

NASA Astrophysics Data System (ADS)

Kousis, Ilias; Koutsodendris, Andreas; Peyron, Odile; Leicher, Niklas; Francke, Alexander; Wagner, Bernd; Giaccio, Biagio; Knipping, Maria; Pross, Jörg

2018-06-01

To better understand climate variability during Marine Isotope Stage (MIS) 11, we here present a new, centennial-scale-resolution pollen record from Lake Ohrid (Balkan Peninsula) derived from sediment cores retrieved during an International Continental Scientific Drilling Program (ICDP) campaign. Our palynological data, augmented by quantitative pollen-based climate reconstructions, provide insight into the vegetation dynamics and thus also climate variability in SE Europe during one of the best orbital analogues for the Holocene. Comparison of our palynological results with other proxy data from Lake Ohrid as well as with regional and global climate records shows that the vegetation in SE Europe responded sensitively both to long- and short-term climate change during MIS 11. The chronology of our palynological record is based on orbital tuning, and is further supported by the detection of a new tephra from the Vico volcano, central Italy, dated to 410 ± 2 ka. Our study indicates that MIS 11c (∼424-398 ka) was the warmest interval of MIS 11. The younger part of the interglacial (i.e., MIS 11b-11a; ∼398-367 ka) exhibits a gradual cooling trend passing over into MIS 10. It is characterized by considerable millennial-scale variability as inferred by six abrupt forest-contraction events. Interestingly, the first forest contraction occurred during full interglacial conditions of MIS 11c; this event lasted for ∼1.7 kyrs (406.2-404.5 ka) and was characterized by substantial reductions in winter temperature and annual precipitation. Most notably, it occurred ∼7 ka before the end of MIS 11c and ∼15 ka before the first strong ice-rafted debris event in the North Atlantic. Our findings suggest that millennial-scale climate variability during MIS 11 was established in Southern Europe already during MIS 11c, which is earlier than in the North Atlantic where it is registered only from MIS 11b onwards.

Southern California climate, hydrology and vegetation over the past ~96 ka from Baldwin Lake, San Bernardino Mountains, California

NASA Astrophysics Data System (ADS)

Glover, K. C.; Kirby, M. E.; Rhodes, E. J.; Silveira, E.; Stevens, L. R.; Lydon, S. E.; Whitaker, A.; MacDonald, G. M.

2015-12-01

Continuous paleoclimate records are scarce from terrestrial sites in Southern California beyond the Last Glacial Period (i.e. Marine Isotope Stage 2, MIS 2). Baldwin Lake in the Big Bear Valley, San Bernardino Mountains (SBM), is a playa lake in the ecotone between desert and Mediterranean climate and vegetation. We recovered a 27 m core from the site in 2012, which spans ~96 - 10 ka, based upon radiocarbon dating, infrared stimulated luminescence dating, and orbital tuning. Total organic content, total carbonate content, density, magnetic susceptibility, x-ray fluorescence, and grain size data show a lake system that responded in tandem with Marine Isotope State transitions. After the basin closed during MIS 5b, Baldwin Lake was productive for MIS 5a, then cycled through an inorganic phase to a highly organic lowstand by the end of MIS 4. A stratified lake of rapidly-deposited organic silt prevailed throughout MIS 3, then shifted to an inorganic, slow sedimentation regime during MIS 2. Paleoecological data (charcoal and fossil pollen) suggest that the Valley was most prone to wildfire during climate transitions (e.g. the end of the Last Glacial Maximum, ~21 ka). Forest cover was dominated by pine for much of the basin's history, save for the dry period at the onset of MIS 2, and a greater presence of oak woodland at the beginning of MIS 3. The reduced pine cover and increased sagebrush steppe in early MIS 2 suggests a more arid landscape of sagebrush steppe c. 29 - 25 ka, before reverting to wet conditions by the LGM. Throughout MIS 5a - 2, lake organic content fluctuates in tandem with solar radiation values; a possible link between lake productivity and insolation is currently being explored with biogenic silica (BiSi) analysis. The lake was desiccated by ~10 ka, perhaps driven by increasing insolation rates at the onset of MIS 1.

Limitations of the Current Microbial Identification System for Identification of Clinical Yeast Isolates

PubMed Central

Kellogg, James A.; Bankert, David A.; Chaturvedi, Vishnu

1998-01-01

The ability of the rapid, computerized Microbial Identification System (MIS; Microbial ID, Inc.) to identify a variety of clinical isolates of yeast species was compared to the abilities of a combination of tests including the Yeast Biochemical Card (bioMerieux Vitek), determination of microscopic morphology on cornmeal agar with Tween 80, and when necessary, conventional biochemical tests and/or the API 20C Aux system (bioMerieux Vitek) to identify the same yeast isolates. The MIS chromatographically analyzes cellular fatty acids and compares the results with the fatty acid profiles in its database. Yeast isolates were subcultured onto Sabouraud dextrose agar and were incubated at 28°C for 24 h. The resulting colonies were saponified, methylated, extracted, and chromatographically analyzed (by version 3.8 of the MIS YSTCLN database) according to the manufacturer’s instructions. Of 477 isolates of 23 species tested, 448 (94%) were given species names by the MIS and 29 (6%) were unidentified (specified as “no match” by the MIS). Of the 448 isolates given names by the MIS, only 335 (75%) of the identifications were correct to the species level. While the MIS correctly identified only 102 (82%) of 124 isolates of Candida glabrata, the predictive value of an MIS identification of unknown isolates as C. glabrata was 100% (102 of 102) because no isolates of other species were misidentified as C. glabrata. In contrast, while the MIS correctly identified 100% (15 of 15) of the isolates of Saccharomyces cerevisiae, the predictive value of an MIS identification of unknown isolates as S. cerevisiae was only 47% (15 of 32), because 17 isolates of C. glabrata were misidentified as S. cerevisiae. The low predictive values for accuracy associated with MIS identifications for most of the remaining yeast species indicate that the procedure and/or database for the system need to be improved. PMID:9574676

AMH/MIS as a contraceptive that protects the ovarian reserve during chemotherapy

PubMed Central

Kano, Motohiro; Sosulski, Amanda E.; Zhang, LiHua; Saatcioglu, Hatice D.; Wang, Dan; Nagykery, Nicholas; Sabatini, Mary E.; Gao, Guangping; Donahoe, Patricia K.; Pépin, David

2017-01-01

The ovarian reserve represents the stock of quiescent primordial follicles in the ovary which is gradually depleted during a woman’s reproductive lifespan, resulting in menopause. Müllerian inhibiting substance (MIS) (or anti-Müllerian hormone/AMH), which is produced by granulosa cells of growing follicles, has been proposed as a negative regulator of primordial follicle activation. Here we show that long-term parenteral administration of superphysiological doses of MIS, using either an adeno-associated virus serotype 9 (AAV9) gene therapy vector or recombinant protein, resulted in a complete arrest of folliculogenesis in mice. The ovaries of MIS-treated mice were smaller than those in controls and did not contain growing follicles but retained a normal ovarian reserve. When mice treated with AAV9/MIS were paired with male breeders, they exhibited complete and permanent contraception for their entire reproductive lifespan, disrupted vaginal cycling, and hypergonadotropic hypogonadism. However, when ovaries from AAV9-MIS–treated mice were transplanted orthotopically into normal recipient mice, or when treatment with the protein was discontinued, folliculogenesis resumed, suggesting reversibility. One of the important causes of primary ovarian insufficiency is chemotherapy-induced primordial follicle depletion, which has been proposed to be mediated in part by increased activation. To test the hypothesis that MIS could prevent chemotherapy-induced overactivation, mice were given carboplatin, doxorubicin, or cyclophosphamide and were cotreated with AAV9-MIS, recombinant MIS protein, or vehicle controls. We found significantly more primordial follicles in MIS-treated animals than in controls. Thus treatment with MIS may provide a method of contraception with the unique characteristic of blocking primordial follicle activation that could be exploited to prevent the primary ovarian insufficiency often associated with chemotherapy. PMID:28137855

Glacial-interglacial variations in sediment organic carbon accumulation and benthic foraminiferal assemblages on the Bermuda Rise (ODP Site 1063) during MIS 13 to 10

NASA Astrophysics Data System (ADS)

Poli, Maria Serena; Meyers, Philip A.; Thunell, Robert C.; Capodivacca, Marco

2012-09-01

We have determined organic carbon concentrations and isotopic compositions and benthic foraminiferal assemblages in sediments deposited between ˜500 and 340 ka at ODP Site 1063 on the northeastern flank of the Bermuda Rise. This time interval includes Marine Isotope Stage (MIS) 11, a particularly warm and long interglacial that was similar to today, and MIS 12, one of the most severe glacials of the last 600 kyr. During MIS 11.3, the peak of interglacial warming, organic carbon accumulation rates are low and benthic foraminiferal assemblages are dominated by Nuttallides umbonifera, a species indicative of oligotrophic environments. Higher accumulation rates during MIS 12 and 10 correspond with elevated sedimentation rates (33-36 cm/kyr). This pattern implies a combination of enhanced delivery and improved preservation of sediment organic matter during these glacial times. Organic δ13C values are less negative during MIS 12 and MIS 10 than during MIS 11, which is consistent with greater glacial-stage marine productivity. High relative abundances ofOridorsalis umbonatus during glacial intervals probably records a low but sustained flux of highly degraded organic material. Large, recurrent fluctuations in the abundance of Epistominella exiguaat the beginnings of the MIS 12 and MIS 10 glaciations suggest a marked increase in local phytoplankton blooms at these times and consequent delivery of phytodetritus to the seafloor. The most likely causes of these variations are changes in the position and strength of the Gulf Stream and its associated cold-ring eddies, combined with increased advection of terrigenous sediments from northerly locations during glacial lowstands.

Climate changes in south western Iberia and Mediterranean Outflow variations during two contrasting cycles of the last 1 Myrs: MIS 31-MIS 30 and MIS 12-MIS 11

NASA Astrophysics Data System (ADS)

Sánchez Goñi, M. F.; Llave, E.; Oliveira, D.; Naughton, F.; Desprat, S.; Ducassou, E.; Hodell, D. A.; Hernández-Molina, F. J.

2016-01-01

Grain size analysis and physical properties of Sites U1388, U1389 and U1390 collected in the Contourite Depositional System of the Gulf of Cádiz during the Integrated Ocean Drilling Program (IODP) Expedition 339 "Mediterranean Outflow" reveal relative changes in bottom current strength, a tracer of the dynamics of the Mediterranean Outflow Water (MOW), before and after the Middle Pleistocene Transition (MPT). The comparison of MOW behavior with climate changes identified by the pollen analysis and δ18O benthic foraminifera measurements of Site U1385, the Shackleton Site, collected in the south western Iberian margin shows that the interval MIS 31-MIS 30, ~ 1.1-1.05 million years ago (Ma), before the MPT, was marked by wetter climate and weaker bottom current than the interval MIS 12-MIS 11 (0.47-0.39 Ma), after the MPT. Similarly, the increase in fine particles from these glacials to interglacials and in coarse fraction from interglacials to glacials was coeval with forest and semi-desert expansions, respectively, indicating the lowering/enhancement of MOW strength during periods of regional increase/decrease of moisture. While these findings may not necessarily apply to all glacial/interglacial cycles, they nonetheless serve as excellent supporting examples of the hypothesis that aridification can serve as a good tracer for MOW intensity. The strongest regional aridity during MIS 12 coincides with a remarkable increase of coarse grain size deposition and distribution that we interpret as a maximum in MOW strength. This MOW intensification may have pre-conditioned the North Atlantic by increasing salinity, thereby triggering the strong resumption of the Meridional Overturning Circulation that could contribute to the great warmth that characterizes the MIS 11c super-interglacial.

Piezoelectric ultrasonic micro-motor system for minimally invasive surgery - the Intellimotor

NASA Astrophysics Data System (ADS)

Rogers, Geoffrey W.

2012-05-01

True micro-motor systems capable of direct and immediate integration are needed in order to advance the technological state and effectiveness of existing minimally invasive surgery (MIS) equipment. In this study, a three degree-of-freedom (DOF) piezoelectric ultrasonic micro-motor is reported, with a major diameter of only 350 μm; the Intellimotor. Upon integrating the micro-motor with a MIS micro-guidewire, a severe loss of actuation performance to the point of inoperability was observed, due to a detrimental loss of acoustic energy from the micro-motor. To combat this, two diameter 300 μm waveguide micro-Bragg reflectors (micro-BRs) were developed. A prototype micro-BR was constructed and tested to verify the ability to reflect otherwise lost acoustic energy, thereby enabling the integration of a resonant micro-actuator, such as the Intellimotor, with standard MIS equipment.

Pyeloplasty techniques using minimally invasive surgery (MIS) in pediatric patients.

PubMed

Turrà, Francesco; Escolino, Maria; Farina, Alessandra; Settimi, Alessandro; Esposito, Ciro; Varlet, François

2016-10-01

Hydronephrosis is the most common presentation of ureteropelvic junction (UPJ) obstruction. We reviewed literature, collecting data from Medline, to evaluate the current status of minimally invasive surgery (MIS) approach to pyeloplasty. Since the first pyeloplasty was described in 1939, several techniques has been applied to correct UPJ obstruction, but Anderson-Hynes dismembered pyeloplasty is established as the gold standard, to date also in MIS technique. According to literature several studies underline the safety and effectiveness of this approach for both trans- and retro-peritoneal routes, with a success rate between 81-100% and an operative time between 90-228 min. These studies have demonstrated the safety and efficacy of this procedure in the management of UPJ obstruction in children. Whether better the transperitoneal, than the retroperitoneal approach is still debated. A long learning curve is needed especially in suturing and knotting.

The Last Interglacial-Glacial cycle (MIS 5-2) re-examined based on long proxy records from central and northern Europe

NASA Astrophysics Data System (ADS)

Helmens, Karin F.

2014-02-01

Current multi-proxy studies on a long sediment sequence preserved at Sokli (N Finland), i.e. in the central area of Fennoscandian glaciations, are drastically changing classic ideas of glaciations, vegetation and climate in northern Europe during the Late Pleistocene. The sediments in the Sokli basin have escaped major glacial erosion due to non-typical bedrock conditions. In this review, the Sokli record is compared in great detail with other long proxy records from central, temperate and northern, boreal Europe. These comprise the classic records of La Grande Pile (E France) and Oerel (N Germany) and more recently obtained records from Horoszki Duże (E Poland) and Lake Yamozero (NW Russia). The focus of the review is on pollen, lithology and macrofossil- and insect-based temperature inferences. The long records are further compared with recent proxy data from nearby terrestrial sites as well as with the rapidly accumulating high-resolution proxy data from the ocean realm. The comparison allows a re-examination of the environmental history and climate evolution of the Last Interglacial-Glacial (LI-G) cycle (MIS 5-2). It shows that environmental and climate conditions during MIS 5 (ca 130-70 ka BP) were distinctly different from those during MIS 4-2 (ca 70-15 ka BP). MIS 5 is characterized by three long forested intervals (broadly corresponding to MIS 5e, 5c, 5a), both in temperate and northern boreal Europe. These mild periods were interrupted by two short, relatively cold and dry intervals (MIS 5d and 5b) with mountain-centered glaciation in Fennoscandia. Millennial scale climate events were superimposed upon these longer lasting climate fluctuations. The time interval encompassing MIS 4-2 shows open vegetation. It is characterized by two glacial maxima (MIS 4 and 2) with sub-continental scale glaciation over northern Europe and dry conditions in strongly continental eastern European settings. High amplitude climate oscillations of millennial duration characterized the climate variability of MIS 3. Mild climate conditions in early MIS 3 caused large-scale deglaciation of the Fennoscandian Ice Sheet, and ice-free conditions with Betula-dominated vegetation (including tree birch) persisted over large parts of Fennoscandia, possibly interrupted by glaciation, during major part of MIS 3 till ca 35 ka BP. Overall, MIS 5 was mostly mild with warmest or peak interglacial conditions at the very start during MIS 5e. MIS 4-2 was mostly cold with most extreme or peak glacial conditions in the closing phase during MIS 2. This points to a subdivision of the last climate cycle into an early, overall mild interglacial half and a late, overall cold glacial half, each with duration of ca 50 ka. This review also shows that the climate variability in central and northern Europe during the LI-G cycle was mostly in degrees of continentality with major shifts in winter temperature and precipitation values; summer temperatures, on the other hand, remained largely unchanged. It points to the waxing and waning of sea-ice over the North Atlantic Ocean as a possible characteristic feature of the Late Pleistocene. The present compilation, based on long terrestrial sequences, high-resolution multi-proxy data from the oceans, and quantified paleo-climate data, strongly favors a definition of entire Marine Oxygen Isotope Stage 5 as the Last Interglacial similar as in the original marine stratigraphy and the stratigraphy at La Grande Pile in France. The proxy-based climate data places the start of the Last Glacial at the base of MIS 4 and the northwest European Pleniglacial. It shows that the division between the Eemian (MIS 5e) and the Early Weichselian (MIS 5d-a) is not useful, as not relevant from a climate point of view.

Comparison of serum and plasma measurements of Müllerian inhibiting substance.

PubMed

Merhi, Zaher O; Messerlian, Geralyn M; Minkoff, Howard; Eklund, Elizabeth E; Macura, Jerzy; Feldman, Joseph; Rodriguez, Carlos; Seifer, David B

2008-06-01

The authors sought to determine whether measurement of plasma Müllerian inhibiting substance (MIS) is a suitable substitute for measurement of serum MIS. Eighteen samples of serum and plasma were examined that were drawn simultaneously. Levels of MIS were measured with an ELISA kit, and plasma levels were studied in parallel to serum samples. A 98.5% correlation was found between serum and plasma MIS values.

Climatic implications of the Quaternary fluvial tufa record in the NE Iberian Peninsula over the last 500 ka

NASA Astrophysics Data System (ADS)

Sancho, Carlos; Arenas, Concha; Vázquez-Urbez, Marta; Pardo, Gonzalo; Lozano, María Victoria; Peña-Monné, José Luis; Hellstrom, John; Ortiz, José Eugenio; Osácar, María Cinta; Auqué, Luis; Torres, Trinidad

2015-11-01

The drainage area of the Iberian Ranges (NE Spain) houses one of the most extensive Quaternary fluvial tufaceous records in Europe. In this study, tufa deposits in the Añamaza, Mesa, Piedra and Ebrón river valleys were mapped, stratigraphically described and chronologically referenced from U/Th disequilibrium series, amino acid racemization and radiocarbon methods. Tufa deposits accumulated in cascades, barrage-cascades and related damming areas developed in stepped fluvial systems. The maximum frequency of tufa deposition was identified at 120 ka (Marine Oxygen Isotope Stage [MIS] 5e), 102 ka (MIS 5c), 85 ka ( MIS 5a) and 7 ka (MIS 1), probably under warmer and wetter conditions than today. Additional phases of tufa deposition appear at 353 ka ( end of MIS 11), 258-180 ka (MIS 7) and 171-154 ka (MIS 6). Although most tufa deposition episodes are clearly correlated with interstadial periods, the occurrence of tufa deposits during the penultimate glaciation (MIS 6) is remarkable, indicating that the onset of this stage was climatically favourable in the Iberian Peninsula. Biostatic conditions and the dynamics of karstic systems regulating tufa deposition seem to be sensitive to the precipitation regime, controlled by shifts in the position of North Atlantic atmospheric belts, and summer insolation, regulated by orbital forcing.

Three-year postoperative outcomes between MIS and conventional TLIF in1-segment lumbar disc herniation.

PubMed

Lv, You; Chen, Jingyang; Chen, Jinchuan; Wu, Yuling; Chen, Xiangyang; Liu, Yi; Chu, Zhaoming; Sheng, Luxin; Qin, Rujie; Chen, Ming

2017-06-01

The aim of this study is to assess the long-term clinical and radiological outcomes between minimally invasive (MIS) and conventional transforaminal lumbar interbody fusion (TLIF) in treating one-segment lumbar disc herniation (LDH). One-hundred and six patients treated by MIS-TLIF (50 cases) or conventional TLIF (56 cases) were included. Perioperative results were evaluated. Clinical outcomes were compared preoperatively and postoperatively. Radiologic parameters were based on a comparison of preoperative and three-year postoperative lumbar lordosis, segmental lordosis, sacral slope, the cross-sectional area of the paraspinal muscle and fusion rates. MIS TILF had significantly less blood, shorter operation time, mean return to work time and lower intramuscular pressure compared with the conventional group during the operation. VAS scores for lower back pain and ODI in MIS-TLIF were significantly decreased. The mean cross-sectional area of the paraspinal muscle was significantly decreased after surgery in the conventional TLIF group and no significant intragroup differences were established in the MIS-TLIF group. No significant differences were found in fusion rate, lumbar lordosis, segmental lordosis and sacral slope. Both MIS and conventional TLIF were beneficial for patients with LDH. However, MIS-TLIF manifests a great improvement in perioperative outcomes, low back pain, disability and preventing paraspinal muscle atrophy during the follow-up period observation.

Comparing oncologic outcomes after minimally invasive and open surgery for pediatric neuroblastoma and Wilms tumor.

PubMed

Ezekian, Brian; Englum, Brian R; Gulack, Brian C; Rialon, Kristy L; Kim, Jina; Talbot, Lindsay J; Adibe, Obinna O; Routh, Jonathan C; Tracy, Elisabeth T; Rice, Henry E

2018-01-01

Minimally invasive surgery (MIS) has been widely adopted for common operations in pediatric surgery; however, its role in childhood tumors is limited by concerns about oncologic outcomes. We compared open and MIS approaches for pediatric neuroblastoma and Wilms tumor (WT) using a national database. The National Cancer Data Base from 2010 to 2012 was queried for cases of neuroblastoma and WT in children ≤21 years old. Children were classified as receiving open or MIS surgery for definitive resection, with clinical outcomes compared using a propensity matching methodology (two open:one MIS). For children with neuroblastoma, 17% (98 of 579) underwent MIS, while only 5% of children with WT (35 of 695) had an MIS approach for tumor resection. After propensity matching, there was no difference between open and MIS surgery for either tumor for 30-day mortality, readmissions, surgical margin status, and 1- and 3-year survival. However, in both tumors, open surgery more often evaluated lymph nodes and had larger lymph node harvest. Our retrospective review suggests that the use of MIS appears to be a safe method of oncologic resection for select children with neuroblastoma and WT. Further research should clarify which children are the optimal candidates for this approach. © 2017 Wiley Periodicals, Inc.

Vegetation responses to interglacial warming in the Arctic, examples from Lake El'gygytgyn, northeast Siberia

NASA Astrophysics Data System (ADS)

Lozhkin, A. V.; Anderson, P. M.

2013-01-01

Palynological data from Lake El'gygytgyn reveal responses of plant communities to a range of climatic conditions that can help assess the possible impact of global warming on arctoboreal ecosystems. Vegetation associated with climatic optima suggests two types of interglacial responses: one is dominated by deciduous taxa (the postglacial thermal maximum (PGTM) and marine isotope stage (MIS5)) and the second by evergreen conifers (MIS11, MIS31). The MIS11 forests show a similarity to Picea-Larix-Betula-Alnus forests of Siberia. While dark coniferous forest also characterizes MIS31, the pollen taxa show an affinity to the modern boreal forest of the lower Amur valley in the Russian Far East. Despite vegetation differences during the thermal maxima, all four glacial-interglacial transitions are alike, being dominated by deciduous woody taxa. Initially Betula shrub tundra established and was replaced by tundra with tree-sized shrubs (PGTM), Betula woodland (MIS5), or Betula-Larix (MIS11, MIS31) forest. The consistent occurrence of deciduous forest and/or high shrub tundra in all interglaciations as they approach or achieve maximum warmth underscores the significance of this biome for modeling efforts. The El'gygytgyn data also suggest the possible elimination or massive reduction of arctic plant communities under extreme warm-earth scenarios.

Two Late Pleistocene climate-driven incision/aggradation rhythms in the middle Dnieper River basin, west-central Russian Plain

NASA Astrophysics Data System (ADS)

Panin, Andrei; Adamiec, Grzegorz; Buylaert, Jan-Pieter; Matlakhova, Ekaterina; Moska, Piotr; Novenko, Elena

2017-06-01

In valleys of the River Seim and its tributaries in the middle Dnieper basin (west-central Russian Plain), two low terraces (T1, 10-16 m, and T0, 5-7 m above the river) and a floodplain (2-4 m) with characteristic large and small palaeochannels exist. A range of field and laboratory techniques was applied and ∼30 new numerical ages (OSL and 14C dates) were obtained to establish a chronology of incision and aggradation events that resulted in the current valley morphology. Two full incision/aggradation rhythms and one additional aggradation phase from the previous rhythm were recognized in the Late Pleistocene - Holocene climate cycle. The following events were detected. (1) Late MIS 5 - early MIS 4: aggradation of Terrace T1 following the deep incision at the end of MIS 6. (2) Late MIS 4 (40-30 ka): incision into Terrace T1 below the present-day river, formation of the main scarp in the bottom of the valley between Terrace T1 and Terrace T0/Floodplain levels. (3) MIS 2: aggradation of Terrace T0, lateral migrations of a shallow braided channel located few meters above the present-day river since ∼25 ka through the LGM. (4) 18-13 ka: incision into Terrace T0 below the modern river. Multiple-thread channels concentrated in a single flow that at some places formed large meanders. In the period 15-13 ka, high floods that rose above the present-day floods left large levees and overbank loams on Terrace T0. (5) Younger Dryas - Holocene transition: aggradation up to the modern channel level, transformation of large Late Glacial to small Holocene meanders. The established incision/aggradation rhythms are believed to be manifested over the Central Russian Plain outside the influence of ice sheets in the north and base level changes in the south. The two-phase deepening of the valley occurred in the last quarter of the last glacial epoch but can not be attributed directly to the glacial-interglacial transition. Both the detected incision events correspond to relatively warm climate phases - late MIS 3, post-LGM warming including the Bølling-Allerød interstadial. Anomalously large size of the preserved river palaeochannels prove that the post-LGM incision phase was induced by a climatically forced large increase of water runoff. Considerable increase of water discharges is considered the most probably cause for the late MIS 4 incision phase also. Therefore river incision seems to have been governed rather by changing water runoff that oscillated in phase shift with the thermal regime.

Evolving Military Intelligence: The Effect of the Military Intelligence Service (MIS) and the Military Intelligence Organization (MIO) During the Korean and Vietnam Wars

DTIC Science & Technology

2017-06-09

the MIS and MIO’s impact on the United States Army. This is significant because without understanding the guiding principles behind the formation...tactical combat commanders. MI officers should understand that impact and the remaining weaknesses of these concepts. 18 CHAPTER 2 MILITARY...personnel strength mirrored the Army’s decline through the 1950s. Among the impactful cuts were 155 billets (14 percent) from the Department of the

Application of polymer-coated metal-insulator-semiconductor sensors for the detection of dissolved hydrogen

NASA Astrophysics Data System (ADS)

Li, Dongmei; Medlin, J. W.; Bastasz, R.

2006-06-01

The detection of dissolved hydrogen in liquids is crucial to many industrial applications, such as fault detection for oil-filled electrical equipment. To enhance the performance of metal-insulator-semiconductor (MIS) sensors for dissolved hydrogen detection, a palladium MIS sensor has been modified by depositing a polyimide (PI) layer above the palladium surface. Response measurements of the PI-coated sensors in mineral oil indicate that hydrogen is sensitively detected, while the effect of interfering gases on sensor response is minimized.

Impact of continuous training through distributed practice for acquisition of minimally invasive surgical skills.

PubMed

Nakata, Bruce Negrello; Cavalini, Worens; Bonin, Eduardo A; Salvalaggio, Paolo R; Loureiro, Marcelo P

2017-10-01

Minimally invasive surgery (MIS) requires the mastery of manual skills and a specific training is required. Apart from residencies and fellowships in MIS, other learning opportunities utilize massive training, mainly with use of simulators in short courses. A long-term postgraduate course represents an opportunity to learn through training using distributed practice. The objective of this study is to assess the use of distributed practice for acquisition of basic minimally invasive skills in surgeons who participated in a long-term MIS postgraduate course. A prospective, longitudinal and quantitative study was conducted among surgeons who attended a 1-year postgraduate course of MIS in Brazil, from 2012 to 2014. They were tested through five different exercises in box trainers (peg-transfer, passing, cutting, intracorporeal knot, and suture) in the first (t0), fourth (t1) and last, eighth, (t2) meetings of this course. The time and penalties of each exercise were collected for each participant. Participant skills were assessed based on time and accuracy on a previously tested score. Fifty-seven surgeons (participants) from three consecutive groups participated in this study. There was a significant improvement in scores in all exercises. The average increase in scores between t0 and t2 was 88% for peg-transfer, 174% for passing, 149% for cutting, 130% for intracorporeal knot, and 120% for suture (p < 0.001 for all exercises). Learning through distributed practice is effective and should be integrated into a MIS postgraduate course curriculum for acquisition of core skills.

Estimation of carrier mobility and charge behaviors of organic semiconductor films in metal-insulator-semiconductor diodes consisting of high-k oxide/organic semiconductor double layers

NASA Astrophysics Data System (ADS)

Chosei, Naoya; Itoh, Eiji

2018-02-01

We have comparatively studied the charge behaviors of organic semiconductor films based on charge extraction by linearly increasing voltage in a metal-insulator-semiconductor (MIS) diode structure (MIS-CELIV) and by classical capacitance-voltage measurement. The MIS-CELIV technique allows the selective measurement of electron and hole mobilities of n- and p-type organic films with thicknesses representative of those of actual devices. We used an anodic oxidized sputtered Ta or Hf electrode as a high-k layer, and it effectively blocked holes at the insulator/semiconductor interface. We estimated the hole mobilities of the polythiophene derivatives regioregular poly(3-hexylthiophene) (P3HT) and poly(3,3‧‧‧-didodecylquarterthiophene) (PQT-12) before and after heat treatment in the ITO/high-k/(thin polymer insulator)/semiconductor/MoO3/Ag device structure. The hole mobility of PQT-12 was improved from 1.1 × 10-5 to 2.1 × 10-5 cm2 V-1 s-1 by the heat treatment of the device at 100 °C for 30 min. An almost two orders of magnitude higher mobility was obtained in MIS diodes with P3HT as the p-type layer. We also determined the capacitance from the displacement current in MIS diodes at a relatively low-voltage sweep, and it corresponded well to the classical capacitance-voltage and frequency measurement results.

Changes in detrital input, ventilation and productivity in the central Okhotsk Sea during the marine isotope stage 5e, penultimate interglacial period

NASA Astrophysics Data System (ADS)

Jimenez-Espejo, Francisco J.; García-Alix, Antonio; Harada, Naomi; Bahr, André; Sakai, Saburo; Iijima, Koichi; Chang, Qing; Sato, Keiko; Suzuki, Katsuhiko; Ohkouchi, Naohiko

2018-05-01

By presenting benthic foraminifera isotope profiles and bulk geochemical composition of core sediments, we offer a mutiproxy reconstruction of the central Okhotsk Sea oceanography between ∼130 to and ∼115 kyr, related to the marine isotopic stage 5e (MIS 5e). Sediments from the site MR0604-PC7A have been compared with paleo- sea surface temperatures and other records. This multiparameter approach allowed to recognize three periods for MIS 5e evolution, characterized by variations in marine productivity and bottom oxygenation. These variations have been ultimately associated with the production of Okhotsk Sea Intermediate Water and the presence or absence of nutrient contribution from the Pacific Deep Water into central Okhotsk Sea. Aeolian input reconstructed by Th/Sc ratio indicates higher values during the MIS 6 and MIS 5d compared with the MIS 5e. Eu∗ values indicate an input of detrital material from Kurile Islands and East-Kamchatka during the late MIS 5e, absent during the early MIS 5e and glacial periods.

Quantitative Analysis of Technological Innovation in Urology.

PubMed

Bhatt, Nikita R; Davis, Niall F; Dalton, David M; McDermott, Ted; Flynn, Robert J; Thomas, Arun Z; Manecksha, Rustom P

2018-01-01

To assess major areas of technological innovation in urology in the last 20 years using patent and publication data. Patent and MEDLINE databases were searched between 1980 and 2012 electronically using the terms urology OR urological OR urologist AND "surgeon" OR "surgical" OR "surgery". The patent codes obtained were grouped in technology clusters, further analyzed with individual searches, and growth curves were plotted. Growth rates and patterns were analyzed, and patents were correlated with publications as a measure of scientific support and of clinical adoption. The initial search revealed 417 patents and 20,314 publications. The top 5 technology clusters in descending order were surgical instruments including urinary catheters, minimally invasive surgery (MIS), lasers, robotic surgery, and image guidance. MIS and robotic surgery were the most emergent clusters in the last 5 years. Publication and patent growth rates were closely correlated (Pearson coefficient 0.78, P <.01), but publication growth rate remained constantly higher than patent growth, suggesting validated scientific support for urologic innovation and adoption into clinical practice. Patent metrics identify emergent technological innovations and such trends are valuable to understand progress in the field of urology. New surgical technologies like robotic surgery and MIS showed exponential growth in the last decade with good scientific vigilance. Copyright © 2017 Elsevier Inc. All rights reserved.

Millennial-scale variations in western Sierra Nevada precipitation during the last glacial cycle MIS 4/3 transition

NASA Astrophysics Data System (ADS)

Oster, Jessica L.; Montañez, Isabel P.; Mertz-Kraus, Regina; Sharp, Warren D.; Stock, Greg M.; Spero, Howard J.; Tinsley, John; Zachos, James C.

2014-07-01

Dansgaard-Oeschger (D-O) cycles had far-reaching effects on Northern Hemisphere and tropical climate systems during the last glacial period, yet the climatic response to D-O cycles in western North America is controversial, especially prior to 55 ka. We document changes in precipitation along the western slope of the central Sierra Nevada during early Marine Oxygen Isotope Stages (MIS) 3 and 4 (55-67 ka) from a U-series dated speleothem record from McLean's Cave. The timing of our multi-proxy geochemical dataset is coeval with D-O interstadials (15-18) and stadials, including Heinrich Event 6. The McLean's Cave stalagmite indicates warmer and drier conditions during Greenland interstadials (GISs 15-18), signified by elevated δ18O, δ13C, reflectance, and trace element concentrations, and less radiogenic 87Sr/86Sr. Our record extends evidence of a strong linkage between high-latitude warming and reduced precipitation in western North America to early MIS 3 and MIS 4. This record shows that the linkage persists in diverse global climate states, and documents the nature of the climatic response in central California to Heinrich Event 6.

A Generalized Michaelis-Menten Equation in Protein Synthesis: Effects of Mis-Charged Cognate tRNA and Mis-Reading of Codon.

PubMed

Dutta, Annwesha; Chowdhury, Debashish

2017-05-01

The sequence of amino acid monomers in the primary structure of a protein is decided by the corresponding sequence of codons (triplets of nucleic acid monomers) on the template messenger RNA (mRNA). The polymerization of a protein, by incorporation of the successive amino acid monomers, is carried out by a molecular machine called ribosome. We develop a stochastic kinetic model that captures the possibilities of mis-reading of mRNA codon and prior mis-charging of a tRNA. By a combination of analytical and numerical methods, we obtain the distribution of the times taken for incorporation of the successive amino acids in the growing protein in this mathematical model. The corresponding exact analytical expression for the average rate of elongation of a nascent protein is a 'biologically motivated' generalization of the Michaelis-Menten formula for the average rate of enzymatic reactions. This generalized Michaelis-Menten-like formula (and the exact analytical expressions for a few other quantities) that we report here display the interplay of four different branched pathways corresponding to selection of four different types of tRNA.

Properties of TiO2 thin films and a study of the TiO2-GaAs interface

NASA Technical Reports Server (NTRS)

Chen, C. Y.; Littlejohn, M. A.

1977-01-01

Titanium dioxide (TiO2) films prepared by chemical vapor deposition were investigated in this study for the purpose of the application in the GaAs metal-insulator-semiconductor field-effect transistor. The degree of crystallization increases with the deposition temperature. The current-voltage study, utilizing an Al-TiO2-Al MIM structure, reveals that the d-c conduction through the TiO2 film is dominated by the bulk-limited Poole-Frenkel emission mechanism. The dependence of the resistivity of the TiO2 films on the deposition environment is also shown. The results of the capacitance-voltage study indicate that an inversion layer in an n-type substrate can be achieved in the MIS capacitor if the TiO2 films are deposited at a temperature higher than 275 C. A process of low temperature deposition followed by the pattern definition and a higher temperature annealing is suggested for device fabrications. A model, based on the assumption that the surface state densities are continuously distributed in energy within the forbidden band gap, is proposed to interpret the lack of an inversion layer in the Al-TiO2-GaAs MIS structure with the TiO2 films deposited at 200 C.

Uranium-series ages of corals, sea level history, and palaeozoogeography, Canary Islands, Spain: an exploratory study for two Quaternary interglacial periods

USGS Publications Warehouse

Muhs, Daniel R.; Meco, Joaquín; Simmons, Kathleen R.

2014-01-01

We present the first U-series ages of corals from emergent marine deposits on the Canary Islands. Deposits at + 20 m are 481 ± 39 ka, possibly correlative to marine isotope stage (or MIS) 11, while those at + 12 and + 8 m are 120.5 ± 0.8 ka and 130.2 ± 0.8 ka, respectively, correlative to MIS 5.5. The age, elevations, and uplift rates derived from MIS 5.5 deposits on the Canary Islands allow calculations of hypothetical palaeo-sea levels during the MIS 11 high sea stand. Estimates indicate that the MIS 11 high sea stand likely was at least + 9 m (relative to present sea level) and could have been as high as + 24 m. The most conservative estimates of palaeo-sea level during MIS 11 would require an ice mass loss equivalent to all of the modern Greenland and West Antarctic ice sheets; the more extreme estimates would require additional ice mass loss from the East Antarctic ice sheet. Extralimital southern species of mollusks, found in both MIS 11 and MIS 5.5 deposits on the Canary Islands, imply warmer-than-modern sea surface temperatures during at least a part of MIS 11 and much warmer sea surface temperatures during at least a part of MIS 5.5. Both MIS 11 and MIS 5.5 marine deposits on the Canary Islands contain extralimital northern species of mollusks as well, indicating cooler-than-present waters at times during these interglacial periods. We hypothesize that the co-occurrence of extralimital southern and northern species of marine invertebrates in the fossil record of the Canary Islands reflects its geographic location with respect to major synoptic-scale controls on climate and ocean currents. Previous interglacials may have been characterized by early, insolation-forced warming, along with northward migration of the intertropical convergence zone (ITCZ), accompanied by weakened trade winds and diminished upwelling. This allowed the arrival of extralimital southern taxa from the tropical Senegalese faunal province. During later parts of the MIS 11 and 5.5 interglacials, decreased insolation may have resulted in southward migration of the ITCZ, strengthened trade winds, and re-establishment of upwelling. Such conditions may have brought about not only local extinction of the Senegalese fauna, but allowed southward migration of the cooler-water Mediterranean fauna to the Canary Islands in the later parts of interglacials, a complex palaeoclimate record that is mirrored in the deep-sea core record.

Various environments of interglacials recorded by Pleistocene paleosoils in Hungary (Central Europe)

NASA Astrophysics Data System (ADS)

Varga, György; Kis, Éva

2015-04-01

Based on stable isotope analyses of worldwide reference curves from deep sea, ice core and speleothem records, it has long been apparent that duration, intensity and climatic conditions of different interglacial periods were significantly diverse. As a consequence of negligible fresh, detrital material admixture during interglacials, the soil formation intensity and maturity of various kinds of past soils have been holding vital information on the environmental conditions at the time the soils formed. This, in turn, means that several physical and chemical properties of soils allow us to reconstruct past climatic regimes. Loess-paleosol sequences in Hungary (Central Europe) provide insight into the cyclic nature of glacial-interglacial variations of the last 1 million years. The paleosoils have been recognized as the product of warmer and moister interglacials, when the (glacial) loess material was altered by chemical weathering and pedogenic processes. 12 pedogene units from MIS-19 to MIS-5 strata were analysed in the course of this study, with a special attention to MIS-11 and MIS-19 periods, because of these can be regarded as analogues of the Holocene interglacial (due to the similarities in obliquity and eccentricity). Grain size, geochemical and (clay)mineralogical studies were elaborated and were gathered from previously published papers to quantify past weathering intensity and paleoenvironmental conditions by geochemical climofunctions. The Upper and partly, the Middle Pleistocene loess deposits are intercalated by steppe, forest-steppe and brown forest soils, while the older pedogene horizons are different kinds; these are red, Mediterranean-type soils. The MIS-5 pedocomplex consist of three parts at several Hungarian sites, however the pedogene units cannot be correlated unequivocally with the three MIS-5 warmer substages, due to the scarce absolute age data. The MIS-7 and MIS-9 stages are represented by three forest steppe soils. The MIS-11 pedocomplex and MIS-17 and MIS-19 units are thick and well-developed forest soils, formed under a more humid climate compared to the younger pedogene strata. The geochemical data and climofunctions have been supported well these findings. Contrary to the global loess-paleosoil sequences, the MIS-13 and MIS-15 soils are not so dominant in the Hungarian series. Support of the Hungarian Research Fund OTKA under contract PD108708 (for G. Varga) is gratefully acknowledged. It was additionally supported (for G. Varga) by the Bolyai János Research Scholarship of the Hungarian Academy of Sciences.

Identifying micro-inversions using high-throughput sequencing reads.

PubMed

He, Feifei; Li, Yang; Tang, Yu-Hang; Ma, Jian; Zhu, Huaiqiu

2016-01-11

The identification of inversions of DNA segments shorter than read length (e.g., 100 bp), defined as micro-inversions (MIs), remains challenging for next-generation sequencing reads. It is acknowledged that MIs are important genomic variation and may play roles in causing genetic disease. However, current alignment methods are generally insensitive to detect MIs. Here we develop a novel tool, MID (Micro-Inversion Detector), to identify MIs in human genomes using next-generation sequencing reads. The algorithm of MID is designed based on a dynamic programming path-finding approach. What makes MID different from other variant detection tools is that MID can handle small MIs and multiple breakpoints within an unmapped read. Moreover, MID improves reliability in low coverage data by integrating multiple samples. Our evaluation demonstrated that MID outperforms Gustaf, which can currently detect inversions from 30 bp to 500 bp. To our knowledge, MID is the first method that can efficiently and reliably identify MIs from unmapped short next-generation sequencing reads. MID is reliable on low coverage data, which is suitable for large-scale projects such as the 1000 Genomes Project (1KGP). MID identified previously unknown MIs from the 1KGP that overlap with genes and regulatory elements in the human genome. We also identified MIs in cancer cell lines from Cancer Cell Line Encyclopedia (CCLE). Therefore our tool is expected to be useful to improve the study of MIs as a type of genetic variant in the human genome. The source code can be downloaded from: http://cqb.pku.edu.cn/ZhuLab/MID .

When Less Is More: The indications for MIS Techniques and Separation Surgery in Metastatic Spine Disease.

PubMed

Zuckerman, Scott L; Laufer, Ilya; Sahgal, Arjun; Yamada, Yoshiya J; Schmidt, Meic H; Chou, Dean; Shin, John H; Kumar, Naresh; Sciubba, Daniel M

2016-10-15

Systematic review. The aim of this study was to review the techniques, indications, and outcomes of minimally invasive surgery (MIS) and separation surgery with subsequent radiosurgery in the treatment of patients with metastatic spine disease. The utilization of MIS techniques in patients with spine metastases is a growing area within spinal oncology. Separation surgery represents a novel paradigm where radiosurgery provides long-term control after tumor is surgically separated from the neural elements. PubMed, Embase, and CINAHL databases were systematically queried for literature reporting MIS techniques or separation surgery in patients with metastatic spine disease. PRISMA guidelines were followed. Of the initial 983 articles found, 29 met inclusion criteria. Twenty-five articles discussed MIS techniques and were grouped according to the primary objective: percutaneous stabilization (8), tubular retractors (4), mini-open approach (8), and thoracoscopy/endoscopy (5). The remaining 4 studies reported separation surgery. Indications were similar across all studies and included patients with instability, refractory pain, or neurologic compromise. Intraoperative variables, outcomes, and complications were similar in MIS studies compared to traditional approaches, and some MIS studies showed a statistically significant improvement in outcomes. Studies of mini-open techniques had the strongest evidence for superiority. Low-quality evidence currently exists for MIS techniques and separation surgery in the treatment of metastatic spine disease. Given the early promising results, the next iteration of research should include higher-quality studies with sufficient power, and will be able to provide higher-level evidence on the outcomes of MIS approaches and separation surgery. N/A.

Cost-utility analysis of posterior minimally invasive fusion compared with conventional open fusion for lumbar spondylolisthesis

PubMed Central

Rampersaud, Y. Raja; Gray, Randolph; Lewis, Steven J.; Massicotte, Eric M.; Fehlings, Michael G.

2011-01-01

Background The utility and cost of minimally invasive surgical (MIS) fusion remain controversial. The primary objective of this study was to compare the direct economic impact of 1- and 2-level fusion for grade I or II degenerative or isthmic spondylolisthesis via an MIS technique compared with conventional open posterior decompression and fusion. Methods A retrospective cohort study was performed by use of prospective data from 78 consecutive patients (37 with MIS technique by 1 surgeon and 41 with open technique by 3 surgeons). Independent review of demographic, intraoperative, and acute postoperative data was performed. Oswestry disability index (ODI) and Short Form 36 (SF-36) values were prospectively collected preoperatively and at 1 year postoperatively. Cost-utility analysis was performed by use of in-hospital micro-costing data (operating room, nursing, imaging, laboratories, pharmacy, and allied health cost) and change in health utility index (SF-6D) at 1 year. Results The groups were comparable in terms of age, sex, preoperative hemoglobin, comorbidities, and body mass index. Groups significantly differed (P < .01) regarding baseline ODI and SF-6D scores, as well as number of 2-level fusions (MIS, 12; open, 20) and number of interbody cages (MIS, 45; open, 14). Blood loss (200 mL vs 798 mL), transfusions (0% vs 17%), and length of stay (LOS) (6.1 days vs 8.4 days) were significantly (P < .01) lower in the MIS group. Complications were also fewer in the MIS group (4 vs 12, P < .02). The mean cost of an open fusion was 1.28 times greater than that of an MIS fusion (P = .001). Both groups had significant improvement in 1-year outcome. The changes in ODI and SF-6D scores were not statistically different between groups. Multivariate regression analysis showed that LOS and number of levels fused were independent predictors of cost. Age and MIS were the only predictors of LOS. Baseline outcomes and MIS were predictors of 1-year outcome. Conclusion MIS posterior fusion for spondylolisthesis does reduce blood loss, transfusion requirements, and LOS. Both techniques provided substantial clinical improvements at 1 year. The cost utility of the MIS technique was considered comparable to that of the open technique. Level of Evidence Level III. PMID:25802665

How Are MIS-5e And MIS-11 Different From Other Interglacials And the Future?

NASA Astrophysics Data System (ADS)

Yin, Q.; Berger, A.

2017-12-01

MIS-5e and MIS-11 appear in many proxy records as the warmest interglacials of the last million years although their astronomical configurations are very different. To investigate how they are different from other interglacials and between themselves, the climate of nine interglacials of the past 800,000 years has been simulated using both snapshot and transient experiments. These simulations allow to investigate the relative contributions of insolation and CO2 to the intensity and duration of each interglacial as well as the differences and similarities between the interglacials. The transient simulations which cover a large range of precession, obliquity and eccentricity allow to investigate the response of different climate variables and different regions to the three astronomical parameters. My presentation will focus on the characteristics of the climate forcing and response of MIS-5e and MIS-11 in comparison with the other intergalcials. Their duration and intensity at global and regional scales will be shown and the causes will be discussed. Unique features in astronomical forcing as well as in regional climate response are found in MIS-5e and MIS-11, which might help to understand why they appear to be among the warmest interglacials. The model results also show that the warm interval of MIS-11 is the longest, confirming its long duration as found in many proxy records. The long duration of MIS-11 is related to a particular combination of eccentricity, obliquity and precession as well as to its long-lasting high CO2 concentration. The differences between the seasonal behaviour of the past interglacials highlight the importance of seasonal climate reconstruction and therefore the necessity to obtain seasonal proxies. The simulated climate of MIS-5e and MIS-11 will also be compared with the climate of today and of the future to investigate the differences and similarities between the past warm conditions and the projected future warming. Part of the results are published in: Yin Q.Z. and Berger A., 2015. Interglacial analogues of the Holocene and its natural near future. Quaternary Science Reviews, 120, 28-46. Yin Q.Z. and Berger A., 2012. Individual contribution of insolation and CO2 to the interglacial climates of the past 800,000 years. Climate Dynamics 38:709-724.

Training potential in minimally invasive surgery in a tertiary care, paediatric urology centre.

PubMed

Schroeder, R P J; Chrzan, R J; Klijn, A J; Kuijper, C F; Dik, P; de Jong, T P V M

2015-10-01

Minimally invasive surgery (MIS) is being utilized more frequently as a surgical technique in general surgery and in paediatric urology. It is associated with a steep learning curve. Currently, the centre does not offer a MIS training programme. It is hypothesized that the number of MIS procedures performed in the low-volume specialty of paediatric urology will offer insufficient training potential for surgeons. To assess the MIS training potential of a highly specialized, tertiary care, paediatric urology training centre that has been accredited by the Joint Committee of Paediatric Urology (JCPU). The clinical activity of the department was retrospectively reviewed by extracting the annual number of admissions, outpatient consultations and operative procedures. The operations were divided into open procedures and MIS. Major ablative procedures (nephrectomy) and reconstructive procedures (pyeloplasty) were analysed with reference to the patients' ages. The centre policy is not to perform major MIS in children who are under 2 years old or who weigh less than 12 kg. Every year, this institution provides approximately 4300 out-patient consultations, 600 admissions, and 1300 procedures under general anaesthesia for children with urological problems. In 2012, 35 patients underwent major intricate MIS: 16 pyeloplasties, eight nephrectomies and 11 operations for incontinence (seven Burch, and four bladder neck procedures). In children ≥2 years of age, 16/21 of the pyeloplasties and 8/12 of the nephrectomies were performed laparoscopically. The remaining MIS procedures included 25 orchidopexies and one intravesical ureteral reimplantation. There is no consensus on how to assess laparoscopic training. It would be valuable to reach a consensus on a standardized laparoscopic training programme in paediatric urology. Often training potential is based on operation numbers only. In paediatric urology no minimum requirement has been specified. The number of procedures quoted for proficiency in MIS remains controversial. The MIS numbers for this centre correspond to, or exceed, numbers mentioned in other literature. To provide high-quality MIS training, exposure to laparoscopic procedures should be expanded. This may be achieved by centralizing patients into a common centre, collaborating with other specialities, modular training and training outside the operating theatre. Even in a high-volume, paediatric urology educational centre, the number of major MIS procedures performed remains relatively low, leading to limited training potential. Copyright © 2015. Published by Elsevier Ltd.

A Methodology for Successful MIS Projects

PubMed Central

Jacobs, Patt

1988-01-01

St. Vincent Hospital and Medical Center (SVHMC) was one of the Pacific Northwests' first hospitals to install a Medical Information System (MIS). In mid 1985 the hospital was confronted with the fact that vendor support of its MIS would be withdrawn in the near future. In 21 months a complete, fully operational MIS had to be selected, installed, and implemented. MIS projects are large, complicated sets of interrelated tasks organized to achieve a specific goal for an organization. Project management requires a sound methodology to deliver proper and necessary functions, on time, within budget, and that meet user expectations. This paper focuses on the process used to deliver the SIMON System on time and 15% under budget.

Did the Laurentide ice sheet survive through Marine Isotope Stage 9?

NASA Astrophysics Data System (ADS)

Carlson, A. E.; Tarasov, L.; Ullman, D. J.

2016-12-01

Looking at the global benthic oxygen isotope stack, only marine oxygen isotope stage (MIS) 7 stands out as an anomalous interglaciation with a higher oxygen isotope value than other interglaciations of the last half million years. However, benthic oxygen isotopes are an integrator of global ice volume plus temperature, and records of local ice-sheet change are needed to partition the sources of the global signal. Here we use the Laurentide ice-sheet (LIS) proximal record of IODP Site U1302/1303 off of Orphan Knoll to test LIS presence/absence on the eastern Canadian shield. Ice-sheet model calibrated Si relative to Sr is low in most interglaciations of the last 500 ka reflecting the removal of the LIS and its erosive power from the Canadian Shield. However, like MIS 7, MIS 9 has continued elevated inputs of Si. Furthermore, planktic oxygen isotopes do not decrease to full interglacial levels like in MIS 1, 5e and 11. MIS 9 had a similar orbital forcing as MIS 5e, but a much shorter period of elevated interglacial carbon dioxide concentration. Based on climate model simulations of LIS stability, we suggest that the reduced period of elevated atmospheric carbon dioxide allowed the LIS to survive through MIS 9 (like MIS 7), providing important constraints for the climatic thresholds necessary for a full interglaciation.

The use of Mohs micrographic surgery (MMS) for melanoma in situ (MIS) of the trunk and proximal extremities.

PubMed

Stigall, Landon E; Brodland, David G; Zitelli, John A

2016-11-01

Evaluation of the entire surgical margin results in high rates of complete excision, low local recurrence rates, and maximal tissue conservation. Although well recognized for melanoma of the head and neck, few studies have focused exclusively on the trunk and proximal extremities. We sought to evaluate the efficacy of Mohs micrographic surgery for melanoma in situ (MIS) of the trunk and proximal extremities, and determine adequate excision margins for MIS when total margin evaluation is not used. Long-term outcomes in 882 cases of MIS treated with Mohs micrographic surgery were analyzed and compared with historical controls. Rates of complete excision were determined for increasing surgical margin intervals. One local recurrence occurred in our cohort (0.1%). Only 83% of MIS were excised with a 6-mm margin. Margins of 9 mm were needed to excise 97% of MIS, statistically equivalent to thin melanomas. We used a nonrandomized, single-institution, retrospective design. Mohs micrographic surgery may cure the 17% of MIS that exceed traditional excision margins of 5 mm and is a valuable option for these patients. Surgical margins of at least 0.9 cm should be considered for MIS of the trunk and extremities when total margin evaluation is not used. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Mis-specified cells die by an active gene-directed process, and inhibition of this death results in cell fate transformation in Drosophila

PubMed Central

Werz, Christian; Lee, Tom V.; Lee, Peter L.; Lackey, Melinda; Bolduc, Clare; Stein, David S.; Bergmann, Andreas

2009-01-01

Summary Incorrectly specified or mis-specified cells often undergo cell death or are transformed to adopt a different cell fate during development. The underlying cause for this distinction is largely unknown. In many developmental mutants in Drosophila, large numbers of mis-specified cells die synchronously, providing a convenient model for analysis of this phenomenon. The maternal mutant bicoid is particularly useful model with which to address this issue because its mutant phenotype is a combination of both transformation of tissue (acron to telson) and cell death in the presumptive head and thorax regions. We show that a subset of these mis-specified cells die through an active gene-directed process involving transcriptional upregulation of the cell death inducer hid. Upregulation of hid also occurs in oskar mutants and other segmentation mutants. In hid bicoid double mutants, mis-specified cells in the presumptive head and thorax survive and continue to develop, but they are transformed to adopt a different cell fate. We provide evidence that the terminal torso signaling pathway protects the mis-specified telson tissue in bicoid mutants from hid-induced cell death, whereas mis-specified cells in the head and thorax die, presumably because equivalent survival signals are lacking. These data support a model whereby mis-specification can be tolerated if a survival pathway is provided, resulting in cellular transformation. PMID:16280349

Quantitative reconstruction of precipitation and runoff during MIS 5a, MIS 3a, and Holocene, arid China

NASA Astrophysics Data System (ADS)

Liu, Yuan; Li, Yu

2017-11-01

Marine oxygen isotope stage 5a (MIS 5a), MIS 3a, and Holocene were highlighted periods in paleoclimate studies. Many scientists have published a great number of studies in this regard, but they paid more attention to qualitative research, and there was often a lack of quantitative data. In this paper, based on chronological evidence from a paleolake in arid China, MIS 5a, MIS 3a, and Holocene lake area, the precipitation of the drainage area and the runoff of the inflowing rivers of the lake were reconstructed with ArcGIS spatial analysis software and the improved water and energy balance model which was calibrated by modern meteorological and hydrological data in the Shiyang River drainage basin. The results showed that the paleolake areas were 1824, 1124, and 628 km2 for MIS 5a, MIS 3a, and Holocene; meanwhile, the paleoprecipitation and runoff were 293.992-297.433, 271.105-274.294, and 249.431-252.373 mm and 29.103 × 108-29.496 × 108, 18.810 × 108-18.959 × 108, and 10.637 × 108-10.777 × 108 mm, respectively. The quantitative data can help us not only strengthen the understanding of paleoclimatic characteristics but also recognize the complexity and diversity of the climate system.

A comparison of registration errors with imageless computer navigation during MIS total knee arthroplasty versus standard incision total knee arthroplasty: a cadaveric study.

PubMed

Davis, Edward T; Pagkalos, Joseph; Gallie, Price A M; Macgroarty, Kelly; Waddell, James P; Schemitsch, Emil H

2015-01-01

Optimal component alignment in total knee arthroplasty has been associated with better functional outcome as well as improved implant longevity. The ability to align components optimally during minimally invasive (MIS) total knee replacement (TKR) has been a cause of concern. Computer navigation is a useful aid in achieving the desired alignment although it is limited by the error during the manual registration of landmarks. Our study aims to compare the registration process error between a standard and a MIS surgical approach. We hypothesized that performing the registration error via an MIS approach would increase the registration process error. Five fresh frozen lower limbs were routinely prepared and draped. The registration process was performed through an MIS approach. This was then extended to the standard approach and the registration was performed again. Two surgeons performed the registration process five times with each approach. Performing the registration process through the MIS approach was not associated with higher error compared to the standard approach in the alignment parameters of interest. This rejects our hypothesis. Image-free navigated MIS TKR does not appear to carry higher risk of component malalignment due to the registration process error. Navigation can be used during MIS TKR to improve alignment without reduced accuracy due to the approach.

Mis16 Independently Recognizes Histone H4 and the CENP-ACnp1-Specific Chaperone Scm3sp

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

An, Sojin; Kim, Hanseong; Cho, Uhn-Soo

2015-09-04

CENP-A is a centromere-specific histone H3 variant that is required for kinetochore assembly and accurate chromosome segregation. For it to function properly, CENP-A must be specifically localized to centromeres. In fission yeast, Scm3sp and the Mis18 complex, composed of Mis16, Eic1, and Mis18, function as a CENP-ACnp1-specific chaperone and a recruiting factor, respectively, and together ensure accurate delivery of CENP-ACnp1 to centromeres. Although how Scm3sp specifically recognizes CENP-ACnp1 has been revealed recently, the recruiting mechanism of CENP-ACnp1 via the Mis18 complex remains unknown. In this study, we have determined crystal structures of Schizosaccharomyces japonicus Mis16 alone and in complex withmore » the helix 1 of histone H4 (H4α1). Crystal structures followed by mutant analysis and affinity pull-downs have revealed that Mis16 recognizes both H4α1 and Scm3sp independently within the CENP-ACnp1/H4:Scm3sp complex. This observation suggests that Mis16 gains CENP-ACnp1 specificity by recognizing both Scm3sp and histone H4. Our studies provide insights into the molecular mechanisms underlying specific recruitment of CENP-ACnp1/H4:Scm3sp into centromeres.« less

Phytoplankton assemblages and lipid biomarkers indicate sea-surface warming and sea-ice decline in the Ross Sea during Marine Isotope sub-Stage 5e

NASA Astrophysics Data System (ADS)

Hartman, Julian D.; Sangiorgi, Francesca; Peterse, Francien; Barcena, Maria A.; Albertazzi, Sonia; Asioli, Alessandra; Giglio, Federico; Langone, Leonardo; Tateo, Fabio; Trincardi, Fabio

2016-04-01

The Marine Isotope sub-Stage 5e (~ 125 - 119 kyrs BP), the last interglacial period before the present, is believed to have been globally warmer (~ 2°C) than today. Studying this time interval might therefore provide insights into near future climate state given the ongoing climate change and global temperature increase. Of particular interest are the expected changes in polar ice cover. One important aspect of the cryosphere is sea-ice, which influences albedo, deep and surface water currents, and phytoplankton production, and thus affects the global climate system. To investigate whether changes in sea-ice cover occurred in the Southern Ocean close to Antarctica during Marine Isotope sub-Stage 5e dinoflagellate and diatom assemblages have been analyzed in core AS05-10, drilled in the continental slope off the Drygalski basin (Ross Sea) at a water depth of 2377 m. The core was drilled within the frame of the PNRA 2009/A2.01 project, an Italian project with a multidisciplinary approach, and covers the interval from Present to Marine Isotope Stage (MIS) 7. The core stratigraphy is based on diatom bioevents and on the climate cyclicity provided by the variations of the diatom assemblages. For this study we focused on the interval from MIS7 to MIS5. A strong reduction of sea-ice-loving diatom taxa with respect to open water-loving diatom taxa is observed during MIS5. In general the production of phytoplankton increases at the base of MIS5 and then slowly decreases. Dinoflagellate cysts, particularly heterotrophic species, are abundant during MIS5e only. The sea surface temperature reconstruction based on the TEX86L, a proxy based on lipid biomarkers produced by Thaumarcheota, shows a 4°C temperature increase from MIS6 to MIS5e. A slightly smaller temperature increase is observed at the onset of MIS7, but this stage is barren of heterotrophic dinoflagellates. All proxies together seem to indicate that the retreat of the summer sea-ice in the Ross Sea during MIS5e was likely greater than that during MIS7.

Additional Contribution of the Malnutrition-Inflammation Score to Predict Mortality and Patient-Reported Outcomes as Compared With Its Components in a Cohort of African Descent Hemodialysis Patients.

PubMed

Lopes, Marcelo Barreto; Silva, Luciana Ferreira; Lopes, Gildete Barreto; Penalva, Maria Auxiliadora; Matos, Cacia Mendes; Robinson, Bruce M; Lopes, Antonio Alberto

2017-01-01

The malnutrition-inflammation score (MIS) combines ten components to assess nutritional status. Higher MIS has been associated with higher mortality and poorer health-related quality of life (HRQOL) in maintenance hemodialysis (MHD) patients. It is interesting to investigate associations of each component with mortality and patient-reported outcomes (PROs), that is, HRQOL and depression symptoms, and if MIS associations are generalizable for diverse populations. This study assessed associations of MIS and its components with mortality and PROs in an African descent MHD population. Prospective cohort for mortality and cross-sectional design for PROs using data of the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO). A total of 632 MHD patients (92% black or mixed race) treated in Salvador, Brazil. MIS (range: 0-30, higher worse) and each of its ten components (range: 0-4, higher worse). Mortality, HRQOL using the KDQOL-SF, and depression symptoms using the 20-item Center for Epidemiological Studies Depression Scale. Linear regression for comparing scores and Cox regression for mortality. After extensive adjustments, MIS ≥6 was associated with 52% higher mortality (hazard ratio = 1.52; 95% confidence interval = 1.13-2.05), higher depression symptoms, and poorer HRQOL, including physical, mental, and kidney disease-targeted HRQOL measures. Weight change, comorbidity, muscle wasting, and albumin were the MIS components indicating associations between poor nutrition and higher mortality. By contrast, gastrointestinal symptoms and functional capacity were the MIS components denoting detrimental associations of poorer nutritional status with PROs. Causal conclusions are not possible. The PROHEMO results indicate that MIS components associated with mortality are not the same associated with PROs. However, the MIS showed consistent associations with mortality and PROs. These results in a population that were not the target of previous investigations, add support for using tools combining nutritional components, such as MIS, to predict outcomes in MHD populations. Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

Testing the PV-Theta Mapping Technique in a 3-D CTM Model Simulation

NASA Technical Reports Server (NTRS)

Frith, Stacey M.

2004-01-01

Mapping lower stratospheric ozone into potential vorticity (PV)- potential temperature (Theta) coordinates is a common technique employed to analyze sparse data sets. Ozone transformed into a flow-following dynamical coordinate system is insensitive to meteorological variations. Therefore data from a wide range of times/locations can be compared, so long as the measurements were made in the same airmass (as defined by PV). Moreover, once a relationship between ozone and PV/Theta is established, a full 3D ozone field can be estimated from this relationship and the 3D analyzed PV field. However, ozone data mapped in this fashion can be hampered by noisy PV fields, or "mis-matches" in the resolution and/or exact location of the ozone and PV measurements. In this study, we investigate the PV-ozone relationship using output from a recent 50-year run of the Goddard 3D chemical transport model (CTM). Model constituents are transported using off-line dynamics from the finite volume general circulation model (FVGCM). By using the internally consistent model PV and ozone fields, we minimize noise due to mis-matching and resolution issues. We calculate correlations between model ozone and PV throughout the stratosphere, and test the sensitivity of the technique to initial data resolution. To do this we degrade the model data to that of various satellite instruments, then compare the mapped fields derived from the sub-sampled data to the full resolution model data. With these studies we can determine appropriate limits for the PV-theta mapping technique in latitude, altitude, and as a function of original data resolution.

150,000 years of loess accumulation in central Alaska

NASA Astrophysics Data System (ADS)

Jensen, Britta J. L.; Evans, Michael E.; Froese, Duane G.; Kravchinsky, Vadim A.

2016-03-01

The Halfway House site in interior Alaska is arguably the most studied loess deposit in northwestern North America. The site contains a complex paleomagnetic and paleoenvironmental record, but has lacked the robust chronologic control that would allow its full potential to be exploited. Detailed reexamination of stratigraphy, paleomagnetics and tephrostratigraphy reveals a relatively complete marine isotope stage (MIS) 6 to Holocene record constrained by the Old Crow (124 ± 10 ka), VT (106 ± 10 ka), Sheep Creek-Klondike (ca. 80 ka), Dominion Creek (77 ± 8 ka) and Dawson (ca. 30.2 cal ka BP) tephras. We show two well-developed paleosols formed during Marine Isotope Stages (MIS) 5e and 5a, while MIS 5c and 5b are either poorly represented or absent. The new tephrostratigraphy presented here is the most complete one to date for the late Pleistocene and indicates MIS 5 sediments are more common than previously recognized. A magnetic excursion within the sediments is identified as the post-Blake excursion (94.1 ± 7.8 ka), providing independent age control and adding to the increasing body of evidence that Alaskan loess is a detailed recorder of variations of the Earth's magnetic field over time. A high-resolution magnetic susceptibility profile placed into this new chronostratigraphic framework supports the hypothesis that wind-intensity is the main variable controlling fluctuations in susceptibility. Correlation of the susceptibility record to global marine δ18O records is complicated by highly variable accumulation rates. We find the lowest rates of accumulation during peak warm and cold stages, while abrupt increases are associated with periods of transition between marine isotope (sub)stages. Building on previous accumulation models for Alaska, surface roughness is likely a leading variable controlling loess accumulation rates during transitions and peak cold periods, but the negligible accumulation during MIS 5e and 5a suggests that loess production was exceedingly low, negating the role of surface roughness. This interplay of variables leads to optimal conditions for loess accumulation during transitions between isotope stages, and to a somewhat lesser extent, stadials and interstadials.

Magnetic induction spectroscopy (MIS)-probe design for cervical tissue measurements.

PubMed

Wang, Jau-Yi; Healey, Timothy; Barker, Anthony; Brown, Brian; Monk, Chris; Anumba, Dilly

2017-05-01

Gradiometers have the advantage of increasing measuring sensitivity, which is particularly useful in magnetic induction spectroscopy (MIS) for bio-impedance measurements. Traditional gradiometers use a pair of field sensing coils equally distant and on opposite sides of a drive coil, which provides high immunity to interference. In this paper, a ferrite-cored coaxial gradiometer probe of 29 mm diameter has been developed for measuring the impedance spectra of cervical tissues in vivo. It consists of a ferrite rod with outer ferrite confinement screening in order to eliminate the signals from surrounding tissue. The magnetic screening efficiency was compared with an air-cored gradiometer probe. For both gradiometer probes, a drive coil and two sensing coils were wound on a borosilicate glass former aligned coaxially with two sensing coils equidistant from the drive coil. The signal sensitivity of those two MIS gradiometers has been measured using saline samples with a conductivity range between 0.1 and 1.1 S m -1 . Finite element methods using COMSOL Multiphysics have been used to simulate the distribution of sensitivity to conductivity over the face of each probe and with depth. The ferrite-cored probe has a sensitivity confined to the volume defined by the gap between the ferrite core and outer tube of ferrite while the air-cored probe without any magnetic shielding had a wide sensitivity over the face and the side of the probe. Four saline samples and one of distilled water with conductivities from 0.1 to 1.1 S m -1 have been used to make conductivity measurements at frequencies of 50 kHz, 100 kHz, and 300 kHz. The measurement accuracy of the air-cored MIS probe was 0.09 S m -1 at 50 kHz, improving to 0.05 S m -1 at 300 kHz. For the ferrite-cored MIS probe, the measurement accuracy was 0.28 S m -1 at 50 kHz, improving to 0.04 S m -1 at 300 kHz. In vivo measurements on human hand have been performed using both types of gradiometers and the conductivity is consistent with reported data.

Luminescence chronology of the loess record from the Tönchesberg section - a comparison of using quartz and feldspar as dosimeter to extend the age range beyond the Eemian

NASA Astrophysics Data System (ADS)

Dorothe Schmidt, Esther; Frechen, Manfred; Murray, Andrew S.; Tsukamoto, Sumiko

2010-05-01

The loess-paleosol sequences of the Tönchesberg section, located in the East Eifel Volcanic field (Germany) provide an excellent climate archive of the late Middle and the Upper Pleistocene in the Middle Rhine area. Loess deposits from the last Glacial (Würmian) and the penultimate Glacial (Rissian) are up to 12 m and 15 m thick, respectively, and intercalated by palaeosols. Optically stimulated luminescence (OSL), thermally transferred optically stimulated luminescence (TT-OSL) and infrared stimulated luminescence (IRSL) measurements were carried out on 14 samples from the Tönchesberg section to determine the deposition age and to set up a more reliable chronological framework for the penultimate and last interglacial-glacial cycle. The fine-grained quartz OSL and polymineral IRSL ages are in good agreement with each other and also with the geologically estimated age, but the quartz TT-OSL ages are overestimated. The OSL and IRSL ages range from 16.8 ± 1.2 to 189 ± 16 ka indicating that the youngest loess and the weakly developed soils were deposited during marine isotope stage (MIS) 2 and 3 and that the two marker loess were most likely accumulated in the transition MIS 4/5. Loess and reworked loess postdating the Eemian soil yield ages of 110-115 ka indicating that these deposits very likely correlate to MIS 5d. Loess deposits taken below the Eemian soil are attributed to the transition MIS 6/7. A weakly developed soil above the Tönchesberg scoria yield an age of 189 ± 16 ka indicating an interstadial soil formation during MIS 7. This is in good agreement with preliminary 40Ar/39Ar-ages for the Tönchesberg scoria and the intercalated tephra layers. Reliable age estimates up to ~70 ka could be obtained using quartz OSL and up to ~190 ka using the pulsed post-IR IR signal from feldspar. Hence the infrared stimulated luminescence (IRSL) is considered as the best approach to date the loess from the Middle Rhine area > 70 ka.

The effect of mis-specification on mean and selection between the Weibull and lognormal models

NASA Astrophysics Data System (ADS)

Jia, Xiang; Nadarajah, Saralees; Guo, Bo

2018-02-01

The lognormal and Weibull models are commonly used to analyse data. Although selection procedures have been extensively studied, it is possible that the lognormal model could be selected when the true model is Weibull or vice versa. As the mean is important in applications, we focus on the effect of mis-specification on mean. The effect on lognormal mean is first considered if the lognormal sample is wrongly fitted by a Weibull model. The maximum likelihood estimate (MLE) and quasi-MLE (QMLE) of lognormal mean are obtained based on lognormal and Weibull models. Then, the impact is evaluated by computing ratio of biases and ratio of mean squared errors (MSEs) between MLE and QMLE. For completeness, the theoretical results are demonstrated by simulation studies. Next, the effect of the reverse mis-specification on Weibull mean is discussed. It is found that the ratio of biases and the ratio of MSEs are independent of the location and scale parameters of the lognormal and Weibull models. The influence could be ignored if some special conditions hold. Finally, a model selection method is proposed by comparing ratios concerning biases and MSEs. We also present a published data to illustrate the study in this paper.

The comprehensive study and the reduction of contact resistivity on the n-InGaAs M-I-S contact system with different inserted insulators

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

Liao, M.-H., E-mail: mhliaoa@ntu.edu.tw; Lien, C.

2015-05-15

Five different kinds of insulators including BaTiO{sub 3}, TiO{sub 2}, Al{sub 2}O{sub 3}, CdO and ZnO on the n-type InGaAs metal-insulator-semiconductor (M-I-S) ohmic contact structure are studied. The effect for the dielectric constant (ε) of inserted insulator and the conduction band offset (CBO) between an insulator and semiconductor substrate is analyzed by a unified M-I-S contact model. Based on the theoretical model and experimental data, we demonstrates that the inserted ZnO insulator with the high electron affinity and the low CBO (∼0.1 eV) to the InGaAs substrate results in ∼10 times contact resistivity reduction, even the ε of ZnO ismore » not pretty high (∼10)« less

The effect of student-centered and teacher-centered instruction with and without conceptual advocacy on biology students' misconceptions, achievement, attitudes toward science, and cognitive retention

NASA Astrophysics Data System (ADS)

Gallop, Roger Graham

The purpose of this study was to investigate the effect of student-centered and teacher-centered instructional strategies with and without conceptual advocacy (CA) on ninth-grade biology students' misconceptions (MIS), biology achievement (ACH), attitudes toward science (ATT), and cognitive retention of scientific method and measurement, spontaneous generation, and characteristics of living things. Students were purposively selected using intact classes and assigned to one of four treatment groups (i.e., student-centered instruction without CA, student-centered instruction with CA, teacher-centered instruction with CA, and teacher-centered instruction without CA). A modified quasi-experimental design was used in which students were not matched in the conventional sense but instead, groups were shown to be equivalent on the dependent measure via a pretest. A 5-day treatment implementation period addressed science conceptions under investigation. The treatment period was based on the number of class periods teachers at the target school actually spend teaching the biological concepts under investigation using traditional instruction. At the end of the treatment period, students were posttested using the Concepts in Biology instrument and Science Questionnaire. Eight weeks after the posttest, these instruments were administered again as a delayed posttest to determine cognitive retention of the correct biological conceptions and attitudes toward science. MANCOVA and follow-up univariate ANCOVA results indicated that student-centered instruction without CA (i.e., Group 1) did not have a significant effect on students' MIS, ACH, and ATT (F = .029, p = .8658; F = .002, p =.9688, F = .292, p = .5897, respectively). On the other hand, student-centered instruction with CA (i.e., Group 2) had a significant effect on students' MIS and ACH (F =10.33, p = .0016 and F = 10.17, p = .0017, respectively), but did not on ATT (F = .433, p = .5117). Teacher-centered instruction with CA (i.e., Group 3) had a significant effect on students' MIS in favor of Group 4 (i.e., control group) (F = 4.11, p = .0444), and did not have a significant effect on ACH and ATT (F = 1.83, p = .1777 and F = 1.89, p = .1709, respectively). Student gender and teacher gender did not have a significant effect on students' MIS, ACH, and ATT. In the cognitive retention model, there was no significant difference among the research factors relative to the 3 dependent measures.

Flexible exportation mechanisms of arthrofactin in Pseudomonas sp. MIS38.

PubMed

Lim, S P; Roongsawang, N; Washio, K; Morikawa, M

2009-07-01

To obtain further insights into transportation mechanisms of a most effective biosurfactant, arthrofactin in Pseudomonas sp. MIS38. A cluster genes arfA/B/C encodes an arthrofactin synthetase complex (ArfA/B/C). Downstream of the arfA/B/C lie genes encoding a putative periplasmic protein (ArfD, 362 aa) and a putative ATP-binding cassette transporter (ArfE, 651 aa), namely arfD and arfE, respectively. The arfA/B/C, arfD, and arfE form an operon suggesting their functional connection. Gene knockout mutants ArfD:Km, ArfE:Km, ArfD:Tc/ArfE:Km, and gene overexpression strains MIS38(pME6032_arfD/E) and ArfE:Km(pME6032_arfD/E) were prepared and analysed for arthrofactin production profiles. It was found that the production levels of arthrofactin were temporally reduced in the mutants or increased in the gene overexpression strains, but they eventually became similar level to that of MIS38. Addition of ABC transporter inhibitors, glibenclamide and sodium ortho-vanadate dramatically reduced the production levels of arthrofactin. This excludes a possibility that arthrofactin is exported by diffusion with the aid of its own high surfactant activity. ArfD/E is not an exclusive but a primary exporter of arthrofactin during early growth stage. Reduction in the arthrofactin productivity of arfD and arfE knockout mutants was eventually rescued by another ABC transporter system. Effects of arfD and arfE overexpression were evident only for 1-day cultivation. Multiple ATP dependent active transporter systems are responsible for the production of arthrofactin. Pseudomonas bacteria are characterized to be endued with multiple exporter and efflux systems for secondary metabolites including antibiotics, plant toxins, and biosurfactants. The present work demonstrates exceptionally flexible and highly controlled transportation mechanisms of a most effective lipopeptide biosurfactant, arthrofactin in Pseudomonas sp. MIS38. Because lipopeptide biosurfactants are known to enhance efficacy of bioactive compounds and arfA/B/C/D/E orthologous genes are also found in plant pathogenic P. fluorescens and P. syringae strains, the knowledge would also contribute to develop a technology controlling plant diseases.

Does bad inference drive out good?

PubMed

Marozzi, Marco

2015-07-01

The (mis)use of statistics in practice is widely debated, and a field where the debate is particularly active is medicine. Many scholars emphasize that a large proportion of published medical research contains statistical errors. It has been noted that top class journals like Nature Medicine and The New England Journal of Medicine publish a considerable proportion of papers that contain statistical errors and poorly document the application of statistical methods. This paper joins the debate on the (mis)use of statistics in the medical literature. Even though the validation process of a statistical result may be quite elusive, a careful assessment of underlying assumptions is central in medicine as well as in other fields where a statistical method is applied. Unfortunately, a careful assessment of underlying assumptions is missing in many papers, including those published in top class journals. In this paper, it is shown that nonparametric methods are good alternatives to parametric methods when the assumptions for the latter ones are not satisfied. A key point to solve the problem of the misuse of statistics in the medical literature is that all journals have their own statisticians to review the statistical method/analysis section in each submitted paper. © 2015 Wiley Publishing Asia Pty Ltd.

Outline and comparison of the possible effects present in a metal-thin-film-insulator-semiconductor solar cell

NASA Technical Reports Server (NTRS)

Fonash, S. J.

1976-01-01

The advantages possible with the insertion of a thin-film insulating or semi-insulating layer between a metal and a semiconductor to form the MIS photovoltaic device have been presented previously in the literature. This MIS configuration may be considered as a specific example of a more general class of photovoltaic devices: electrode-thin-film-insulator-semiconductor devices. Since the advantages of the configuration were pointed out, there has been considerable experimental interest in these photovoltaic devices. Because the previous analysis showed that the introduction of the insulator layer could produce several different but advantageous effects, this paper presents a further outline giving a comparison of these effects together with their ramifications.

Interoperative efficiency in minimally invasive surgery suites.

PubMed

van Det, M J; Meijerink, W J H J; Hoff, C; Pierie, J P E N

2009-10-01

Performing minimally invasive surgery (MIS) in a conventional operating room (OR) requires additional specialized equipment otherwise stored outside the OR. Before the procedure, the OR team must collect, prepare, and connect the equipment, then take it away afterward. These extra tasks pose a thread to OR efficiency and may lengthen turnover times. The dedicated MIS suite has permanently installed laparoscopic equipment that is operational on demand. This study presents two experiments that quantify the superior efficiency of the MIS suite in the interoperative period. Preoperative setup and postoperative breakdown times in the conventional OR and the MIS suite in an experimental setting and in daily practice were analyzed. In the experimental setting, randomly chosen OR teams simulated the setup and breakdown for a standard laparoscopic cholecystectomy (LC) and a complex laparoscopic sigmoid resection (LS). In the clinical setting, the interoperative period for 66 LCs randomly assigned to the conventional OR or the MIS suite were analyzed. In the experimental setting, the setup and breakdown times were significantly shorter in the MIS suite. The difference between the two types of OR increased for the complex procedure: 2:41 min for the LC (p < 0.001) and 10:47 min for the LS (p < 0.001). In the clinical setting, the setup and breakdown times as a whole were not reduced in the MIS suite. Laparoscopic setup and breakdown times were significantly shorter in the MIS suite (mean difference, 5:39 min; p < 0.001). Efficiency during the interoperative period is significantly improved in the MIS suite. The OR nurses' tasks are relieved, which may reduce mental and physical workload and improve job satisfaction and patient safety. Due to simultaneous tasks of other disciplines, an overall turnover time reduction could not be achieved.

Coal-mining seismicity and ground-shaking hazard: A case study in the Trail Mountain area, Emery County, Utah

USGS Publications Warehouse

Arabasz, W.J.; Nava, S.J.; McCarter, M.K.; Pankow, K.L.; Pechmann, J.C.; Ake, J.; McGarr, A.

2005-01-01

We describe a multipart study to quantify the potential ground-shaking hazard to Joes Valley Dam, a 58-m-high earthfill dam, posed by mining-induced seismicity (MIS) from future underground coal mining, which could approach as close as ???1 km to the dam. To characterize future MIS close to the dam, we studied MIS located ???3-7 km from the dam at the Trail Mountain coal mine. A 12-station local seismic network (11 stations above ground, one below, combining eight triaxial accelerometers and varied velocity sensors) was operated in the Trail Mountain area from late 2000 through mid-2001 for the dual purpose of (1) continuously monitoring and locating MIS associated with longwall mining at a depth of 0.5-0.6 km and (2) recording high-quality data to develop ground-motion prediction equations for the shallow MIS. (Ground-motion attenuation relationships and moment-tensor results are reported in companion articles.) Utilizing a data set of 1913 earthquakes (M ??? 2.2), we describe space-time-magnitude distributions of the observed MIS and source-mechanism information. The MIS was highly correlated with mining activity both in space and time. Most of the better-located events have depths constrained within ??0.6 km of mine level. For the preponderance (98%) of the 1913 located events, only dilatational P-wave first motions were observed, consistent with other evidence for implosive or collapse-type mechanisms associated with coal mining in this region. We assess a probable maximum magnitude of M 3.9 (84th percentile of a cumulative distribution) for potential MIS close to Joes Valley Dam based on both the worldwide and regional record of coal-mining-related MIS and the local geology and future mining scenarios.

A climate model study of an intense Asian Monsoon in a La Niña-like climate of MIS-13

NASA Astrophysics Data System (ADS)

Karami, M. P.; Berger, A.; Herold, N.; Yin, Q. Z.

2012-04-01

Studying the paleo-monsoon during past interglacials is a valuable approach to improve our understanding of the monsoon system in present-day and future climates. We focus on Marine Isotopic stage 13 (MIS-13; ~0.5 Ma) which was a relatively cool interglacial, but with a paradoxically intense monsoonal precipitation over eastern and southern Asia. Our main goal is to understand the physics-based mechanism driving the intense monsoon, specifically the East Asian Summer Monsoon (EASM), during MIS-13. We applied both an intermediate complexity model (LOVECLIM) as well as fully coupled general circulation models (HadCM3 and CCSM3) to simulate pre-industrial and MIS-13 climates. The boundary conditions for MIS-13 were chosen for 506 ka with Northern-Hemisphere (NH) summer at perihelion and a CO2 concentration of 240 ppm. For pre-industrial, NH-winter occurring at perihelion and a CO2 concentration of 280 ppm were prescribed. Preliminary analysis of the model results shows different atmospheric and oceanic features in MIS-13 compared to the pre-industrial which could affect the EASM. The Northern Pacific Subtropical High (NPSH), which is an important factor in controlling the EASM, strengthened and extended to the northwest in MIS-13 partially due to cooling of the central Pacific Ocean. This in turn brought more moisture from the Central Pacific to the EASM-region and caused a northwestward shift and bending of the low-level jet along East Asia. The change in the low-level jet subsequently increased the meridional wind velocity at 850 mbar in the EASM-region providing more moisture from the tropical Pacific and Indian Oceans. In addition, higher sea-surface temperature in the Indian Ocean during MIS-13 further increased the source of moisture for the EASM. The Asian low, which is another component of the EASM-system, also shifted eastward moving the rain band northward. Moreover, it was found that MIS-13 had a dominant La Niña condition in the tropical Pacific. La Niña-type climate is normally expected to favor increases in precipitation in the EASM through the NPSH as can be seen in MIS-13. Whether there was ENSO variability around the La Niña-like background climatic state of MIS-13 or not is under further investigation. The correlation between the sea-surface temperature variability in the tropical Pacific and the EASM precipitation was found to increase in MIS-13 compared to the pre-industrial which is another factor explaining the intensified EASM in MIS13. Although our model results show high precipitation for MIS-13 qualitatively consistent with data, we are still interested in other factors that could increase the precipitation even further. *This work is supported by the European Research Council Advanced Grant EMIS (No 227348 of the Programme 'ideas')

Mouse chromosomal mapping of a murine leukemia virus integration region (Mis-1) first identified in rat thymic leukemia.

PubMed Central

Jolicoeur, P; Villeneuve, L; Rassart, E; Kozak, C

1985-01-01

We have previously identified a region of genomic DNA which constitutes the site of frequent provirus integration in rat thymomas induced by Moloney murine leukemia virus (Lemay and Jolicoeur, Proc. Natl. Acad. Sci. USA 81:38-42, 1984). This genetic locus is now designated Mis-1 (Moloney integration site). Cellular sequences homologous to Mis-1 are present in mouse DNA. Using a series of hamster-mouse somatic cell hybrids, we mapped the Mis-1 locus to mouse chromosome 15. Frequent chromosome 15 aberrations have been described in mouse thymomas. Mis-1 represents a putative new oncogene which might be involved in the initiation or maintenance or both of these neoplasms. Images PMID:4068142

Effect of annealing temperature on the electrical properties of Au/Ta2O5/n-GaN metal-insulator-semiconductor (MIS) structure

NASA Astrophysics Data System (ADS)

Prasanna Lakshmi, B.; Rajagopal Reddy, V.; Janardhanam, V.; Siva Pratap Reddy, M.; Lee, Jung-Hee

2013-11-01

We report on the effect of an annealing temperature on the electrical properties of Au/Ta2O5/n-GaN metal-insulator-semiconductor (MIS) structure by current-voltage ( I- V) and capacitance-voltage ( C- V) measurements. The measured Schottky barrier height ( Φ bo) and ideality factor n values of the as-deposited Au/Ta2O5/n-GaN MIS structure are 0.93 eV ( I- V) and 1.19. The barrier height (BH) increases to 1.03 eV and ideality factor decreases to 1.13 upon annealing at 500 ∘C for 1 min under nitrogen ambient. When the contact is annealed at 600 ∘C, the barrier height decreases and the ideality factor increases to 0.99 eV and 1.15. The barrier heights obtained from the C- V measurements are higher than those obtained from I- V measurements, and this indicates the existence of spatial inhomogeneity at the interface. Cheung’s functions are also used to calculate the barrier height ( Φ bo), ideality factor ( n), and series resistance ( R s ) of the Au/Ta2O5/n-GaN MIS structure. Investigations reveal that the Schottky emission is the dominant mechanism and the Poole-Frenkel emission occurs only in the high voltage region. The energy distribution of interface states is determined from the forward bias I- V characteristics by taking into account the bias dependence of the effective barrier height. It is observed that the density value of interface states for the annealed samples with interfacial layer is lower than that of the density value of interface states of the as-deposited sample.

MIS On-Line.

ERIC Educational Resources Information Center

Thomson, Nancy S.; Echeverria, Donna Rose; Mills, Bob

This paper describes the resources, processes and outcomes involved in the development of an introductory Management Information Systems (MIS) course designed to utilize as many of the technologies as possible to redefine the teaching/learning paradigm. The MIS-Online project at Northwest Missouri State University encompasses the available campus…

ELPIDA: a general architecture for medical imaging systems supporting telemedicine applications

NASA Astrophysics Data System (ADS)

Lymberopoulos, Dimitris C.; Spiropoulos, Kostas V.; Anastassopoulos, George C.; Kotsopoulos, Stavros A.; Solomou, Katerina G.

1995-01-01

During the next years, profound changes are expected in computer and communication technologies that will offer the medical imaging systems (MIS) industry a challenge to develop advanced telemedicine applications of high performance. Medical industry, vendors, and specialists need to agree on a universal MIS structure that will provide a stack of functions, protocols, and interfaces suitable for coordination and management of high-level image consults, reports, and review activities. Doctors and engineers have worked together to determine the types, targets, and range of such activities within a medical group working domain and to posit their impact on MIS structure. As a result, the fundamental MIS functions have been posed and organized in the form of a general MIS architecture, denoted as ELPIDA. The structure of this architecture was kept as simple as possible to allow its extension to diverse multimode operational schemes handling medical and conversational audiovisual information of different classes. The fundamentals of ELPIDA and pulmonary image diagnostic aspects have been employed for the development of a prototype MIS.

Reassessing the penultimate interglacial analog for current climate change, evidence from Antarctic dust

NASA Astrophysics Data System (ADS)

Aarons, S. M.; Aciego, S.; McConnell, J.

2017-12-01

Dust emissions and transport are linked to spatial and temporal climate variability, with dust provenance providing clues to past climate and climate impacts. The penultimate interglacial period (MIS 5e) has been suggested as an analog to Holocene climate change. We present the first evaluation of the MIS 5e ice archive developed at Taylor Glacier, East Antarctica and provide a record of dust transported to Taylor Glacier during MIS 5e. Our record shows significant differences between MIS 5e, Holocene, and pre-industrial dust transported to East Antarctica. The MIS 5e dust is sourced from New Zealand and southern South America (SSA), while the Holocene dust is sourced from local Antarctic, SSA, and potentially Australian sources. This profound change in composition suggests a variation in atmospheric transport pathways and/or paleo-environmental conditions between the interglacial periods, and indicates that MIS 5e should be reassessed as an analog for climate change and associated impacts.

Non-random Mis-segregation of Human Chromosomes.

PubMed

Worrall, Joseph Thomas; Tamura, Naoka; Mazzagatti, Alice; Shaikh, Nadeem; van Lingen, Tineke; Bakker, Bjorn; Spierings, Diana Carolina Johanna; Vladimirou, Elina; Foijer, Floris; McClelland, Sarah Elizabeth

2018-06-12

A common assumption is that human chromosomes carry equal chances of mis-segregation during compromised cell division. Human chromosomes vary in multiple parameters that might generate bias, but technological limitations have precluded a comprehensive analysis of chromosome-specific aneuploidy. Here, by imaging specific centromeres coupled with high-throughput single-cell analysis as well as single-cell sequencing, we show that aneuploidy occurs non-randomly following common treatments to elevate chromosome mis-segregation. Temporary spindle disruption leads to elevated mis-segregation and aneuploidy of a subset of chromosomes, particularly affecting chromosomes 1 and 2. Unexpectedly, we find that a period of mitotic delay weakens centromeric cohesion and promotes chromosome mis-segregation and that chromosomes 1 and 2 are particularly prone to suffer cohesion fatigue. Our findings demonstrate that inherent properties of individual chromosomes can bias chromosome mis-segregation and aneuploidy rates, with implications for studies on aneuploidy in human disease. Copyright © 2018 The Author(s). Published by Elsevier Inc. All rights reserved.

[Quality of data on early neonatal deaths].

PubMed

Pedrosa, Linda Délia Carvalho de Oliveira; Sarinho, Silvia Wanick; Ximenes, Ricardo Arraes de Alencar; Ordonha, Manoelina R

2007-01-01

To investigate the quality of official neonatal death data in Maceió, Alagoas. A descriptive study was conducted on early neonatal deaths in hospitals between January 1, 2001, and December 31, 2002, to compare data entry in the Death Certificate (DC) and Mortality Information System (MIS) with a standardized form filled out with data of medical files from the mothers and newborn. The frequency with which the following variables failed to be recorded in the DC and SIM was studied: type of death, address, age of mother, gender, birth weight, and delivery type, age at death and gestational age. MIS reliability was verified using simple concordance, sensitivity and Kappa indicator. MIS recorded 451 deaths, of which 50 were excluded. Mother's age was omitted from MIS in 44.1% of cases. 85.7% to 100% of the variables not filled in for the DC were recovered from the medical files. There was good concordance between DC and medical files for type of delivery, weight and age. Birth weight and age of mother presented the least concordance between medical files and MIS. MIS presented 69.2% sensitivity for weight and 36.3% for age of mother, thus demonstrating little capability to correctly supply information to generate perinatal health indicators. Because of incomplete filling out, quality of the DC becomes precarious and makes the MIS inadequate, even though it covers 100% of neonatal deaths in Maceió. Inefficiency of the system is increased by failure of MIS technicians to correct errors found and input all the information available.

RORγt antagonist suppresses M3 muscarinic acetylcholine receptor-induced Sjögren's syndrome-like sialadenitis.

PubMed

Tahara, M; Tsuboi, H; Segawa, S; Asashima, H; Iizuka-Koga, M; Hirota, T; Takahashi, H; Kondo, Y; Matsui, M; Matsumoto, I; Sumida, T

2017-02-01

We showed recently that M3 muscarinic acetylcholine receptor (M3R)-reactive CD3 + T cells play a pathogenic role in the development of murine autoimmune sialadenitis (MIS), which mimics Sjögren's syndrome (SS). The aim of this study was to determine the effectiveness and mechanism of action of retinoic acid-related orphan receptor-gamma t (RORγt) antagonist (A213) in MIS. Splenocytes from M3R knockout (M3R -/- ) mice immunized with murine M3R peptide mixture were inoculated into recombination-activating gene 1 knockout (Rag-1 -/- ) mice (M3R -/- →Rag-1 -/- ) with MIS. Immunized M3R -/- mice (pretransfer treatment) and M3R -/- →Rag-1 -/- mice (post-transfer treatment) were treated with A213 every 3 days. Salivary volume, severity of sialadenitis and cytokine production from M3R peptide-stimulated splenocytes and lymph node cells were examined. Effects of A213 on cytokine production were analysed by enzyme-linked immunosorbent assay (ELISA) and on T helper type 1 (Th1), Th17 and Th2 differentiation from CD4 + T cells by flow cytometry. Pretransfer A213 treatment maintained salivary volume, improved MIS and reduced interferon (IFN)-γ and interleukin (IL)-17 production significantly compared with phosphate-buffered saline (PBS) (P < 0·05). These suppressive effects involved CD4 + T cells rather than CD11c + cells. Post-transfer treatment with A213 increased salivary volume (P < 0·05), suppressed MIS (P < 0·005) and reduced IFN-γ and IL-17 production (P < 0·05). In vitro, A213 suppressed IFN-γ and IL-17 production from M3R-stimulated splenocytes and CD4 + T cells of immunized M3R -/- mice (P < 0·05). In contrast with M3R specific responses, A213 suppressed only IL-17 production from Th17 differentiated CD4 + T cells without any effect on Th1 and Th2 differentiation in vitro. Our findings suggested that RORγt antagonism is potentially suitable treatment strategy for SS-like sialadenitis through suppression of IL-17 and IFN-γ production by M3R-specific T cells. © 2016 British Society for Immunology.

Design and Configuration of a Medical Imaging Systems Computer Laboratory Syllabus

ERIC Educational Resources Information Center

Selver, M. Alper

2016-01-01

Medical imaging systems (MIS) constitute an important emergent subdiscipline of engineering studies. In the context of electrical and electronics engineering (EEE) education, MIS courses cover physics, instrumentation, data acquisition, image formation, modeling, and quality assessment of various modalities. Many well-structured MIS courses are…

Space Station Furnace Facility Management Information System (SSFF-MIS) Development

NASA Technical Reports Server (NTRS)

Mead, Robert M.

1996-01-01

Thios report summarizes the chronology, results, and lessons learned from the development of the SSFF-MIS. This system has been nearly two years in development and has yielded some valuable insights into specialized MIS development. Attachment A contains additions, corrections, and deletions by the COTR.

Electrochemical sensor based on molecularly imprinted membranes at platinum nanoparticles-modified electrode for determination of 17β-estradiol.

PubMed

Yuan, Lihua; Zhang, Jun; Zhou, Ping; Chen, Jiaxing; Wang, Ruoyu; Wen, Tingting; Li, Yun; Zhou, Xuemin; Jiang, Huijun

2011-11-15

In this paper, an electrochemical sensor for 17β-estradiol (E2) based on the molecular imprinting polymer (MIP) membranes had been constructed. 6-mercaptonicotinic acid (MNA) and E2 were first assembled on the surface of platinum nanoparticles-modified glassy carbon electrode (PtNPs/GCE) by the formation of Pt-S bonds and hydrogen-bonding interactions, and subsequently the polymer membranes were formed by electropolymerization. Finally, a novel molecularly imprinted sensor (MIS) was obtained after removal of E2. Experimental parameters such as deposition time, scan cycles, pH value and accumulation condition were optimized. Under optimal conditions, the MIS exhibited a large adsorption capacity and high selectivity. A good linearity was obtained in the range of 3.0×10(-8)-5.0×10(-5)molL(-1) (r=0.996) with an estimated detection limit of 1.6×10(-8)molL(-1). MIS had been successfully used to analyze E2 in water samples without complex pretreatment. Meanwhile, the average recoveries were higher than 93.9% with RSD<3.7%. All results above reveal that MIS is an effective electrochemical technique to determine E2 real-time in complicated matrix. Copyright © 2011 Elsevier B.V. All rights reserved.

Integrating Intellectual Property Concepts into MIS Education: An Empirical Assessment

ERIC Educational Resources Information Center

Mykytyn, Peter P., Jr.; Mykytyn, Kathleen; Harrison, David A.

2005-01-01

The evolving legal environment surrounding intellectual property (IP) and its impact on information systems, especially involving electronic commerce, and the type of education and training provided by management information systems (MIS) faculty to MIS students is a relationship that has not been investigated. Although organizations are…

Mis-Education: A Recurring Theme? Transforming Black Religious and Theological Education

ERIC Educational Resources Information Center

Wright, Almeda M.

2017-01-01

Educating ministers and religious educators with the skills to connect with a variety of congregations and communities is a difficult task. Looking specifically at theological and religious education with African Americans, there are historical criticisms of "mis-education." "Mis-education" defined by Carter G. Woodson…

Mental Space Theory and Misunderstanding

ERIC Educational Resources Information Center

Liu, Hui; Gao, Yueqin

2010-01-01

This essay attempts to conduct an explanatory research on MIS within the framework of mental space theory to demonstrate the cognitive operating process of MIS in people's social interaction and explore the deep causes lying behind the phenomenon. By text analysis, the author elaborates on the generating process of MIS, thus tracing cognitive…

Investigation of MIS-sensor sensitivity to vapor of unsymmetrical dimethylgydrazine in air

NASA Astrophysics Data System (ADS)

Filipchuk, D. V.; Litvinov, A. V.; Etrekova, M. O.; Nozdrya, D. A.

2018-01-01

The sensitivity of MIS-sensor to the products of thermal decomposition of unsymmetrical dimethylhydrazine was investigated. It is shown that MIS sensor is able to detect the concentrations of the test substance by the means of the certain products of its thermal decomposition (ammonia and nitric dioxide).

Perceived Requirements of MIS Curriculum Implementation in Bilingual Developing Countries

ERIC Educational Resources Information Center

Kabeil, Magdy M.

2005-01-01

This paper addresses additional requirements associated with implementing a standard curriculum of Management Information Systems (MIS) in bilingual developing countries where both students and workplace users speak English as a second language. In such countries, MIS graduates are required to develop bilingual computer applications and to…

A Mis-recognized Medical Vocabulary Correction System for Speech-based Electronic Medical Record

PubMed Central

Seo, Hwa Jeong; Kim, Ju Han; Sakabe, Nagamasa

2002-01-01

Speech recognition as an input tool for electronic medical record (EMR) enables efficient data entry at the point of care. However, the recognition accuracy for medical vocabulary is much poorer than that for doctor-patient dialogue. We developed a mis-recognized medical vocabulary correction system based on syllable-by-syllable comparison of speech text against medical vocabulary database. Using specialty medical vocabulary, the algorithm detects and corrects mis-recognized medical vocabularies in narrative text. Our preliminary evaluation showed 94% of accuracy in mis-recognized medical vocabulary correction.

Implementing AORN recommended practices for minimally invasive surgery: part I.

PubMed

Morton, Paula J

2012-09-01

This article focuses on the patient safety aspects of the revised AORN "Recommended practices for minimally invasive surgery" (MIS). Key considerations include ensuring proper fluid management practices, assessing patients for risk factors related to MIS, implementing precautions for electrosurgery, planning for risks related to MIS, and assessing patients postoperatively for potential complications related to MIS. Collaboration and collegiality among members of the surgical team are essential for ensuring all pertinent aspects of care are recognized and considered. Copyright © 2012 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Metal-Insulator-Semiconductor Diode Consisting of Two-Dimensional Nanomaterials.

PubMed

Jeong, Hyun; Oh, Hye Min; Bang, Seungho; Jeong, Hyeon Jun; An, Sung-Jin; Han, Gang Hee; Kim, Hyun; Yun, Seok Joon; Kim, Ki Kang; Park, Jin Cheol; Lee, Young Hee; Lerondel, Gilles; Jeong, Mun Seok

2016-03-09

We present a novel metal-insulator-semiconductor (MIS) diode consisting of graphene, hexagonal BN, and monolayer MoS2 for application in ultrathin nanoelectronics. The MIS heterojunction structure was fabricated by vertically stacking layered materials using a simple wet chemical transfer method. The stacking of each layer was confirmed by confocal scanning Raman spectroscopy and device performance was evaluated using current versus voltage (I-V) and photocurrent measurements. We clearly observed better current rectification and much higher current flow in the MIS diode than in the p-n junction and the metal-semiconductor diodes made of layered materials. The I-V characteristic curve of the MIS diode indicates that current flows mainly across interfaces as a result of carrier tunneling. Moreover, we observed considerably high photocurrent from the MIS diode under visible light illumination.

Mis-Spliced Lr34 Transcript Events in Winter Wheat.

PubMed

Fang, Tilin; Carver, Brett F; Hunger, Robert M; Yan, Liuling

2017-01-01

Lr34 in wheat is a non-race-specific gene that confers resistance against multiple fungal pathogens. The resistant allele Lr34 and the susceptible allele Lr34s can be distinguished by three polymorphisms that cause alternation of deduced amino acid sequences of Lr34 at the protein level. In seedlings of a cultivar carrying the resistant Lr34r allele, only a portion (35%) of its transcripts was correctly spliced and the majority (65%) of its transcripts were incorrectly spliced due to multiple mis-splicing events. Lr34 mis-splicing events were also observed at adult plant age when this gene exerts its function. All of the mis-spliced Lr34r cDNA transcripts observed in this study resulted in a premature stop codon due to a shift of the open reading frame; hence, the mis-spliced Lr34r cDNAs were deduced to encode incomplete proteins. Even if a cultivar has a functional Lr34 gene, its transcripts might not completely splice in a correct pattern. These findings suggested that the partial resistance conferred by a quantitative gene might be due to mis-splicing events in its transcripts; hence, the resistance of the gene could be increased by eliminating or mutating regulators that cause mis-splicing events in wheat.

Middle to Late Pleistocene environmental and climatic reconstruction of the human occurrence at Grotta Maggiore di San Bernardino (Vicenza, Italy) through the small-mammal assemblage

NASA Astrophysics Data System (ADS)

López-García, Juan Manuel; Luzi, Elisa; Peresani, Marco

2017-07-01

Grotta Maggiore di San Bernardino, located at an altitude of 135 m a.s.l. in the Berici Hills in northeastern Italy, is an archaeological site with a discontinuous sedimentary sequence dating from Marine Isotope Stage 7 (MIS 7) to MIS 3. In this paper we present for the first time a palaeoenvironmental and palaeoclimatic reconstruction of the sequence based on small-mammal (insectivore, bat and rodent) assemblages. Coupled with biochronological data and absolute dating together with previous studies on large mammals, birds and other studies on small mammals and pollen from comparable time-spans in Italy, the results enable us clearly to identify distinct climatic periods: the end of MIS 7 (7c to 7a) in units VIII-VII, MIS 5d in unit V, and probably MIS 5b in unit IV and an indeterminate MIS 3 interstadial in units III-II. Finally, the study shows that the early Middle Palaeolithic human occupation in Italy occurs during mild and temperate sub-stages of MIS 7 and that human groups with the same techno-cultural background (Mousterian) were well adapted to the changing environmental and climatic conditions of the Middle to Late Pleistocene in this part of southern Europe.

Electrical properties of GaN-based metal-insulator-semiconductor structures with Al2O3 deposited by atomic layer deposition using water and ozone as the oxygen precursors

NASA Astrophysics Data System (ADS)

Kubo, Toshiharu; Freedsman, Joseph J.; Iwata, Yasuhiro; Egawa, Takashi

2014-04-01

Al2O3 deposited by atomic layer deposition (ALD) was used as an insulator in metal-insulator-semiconductor (MIS) structures for GaN-based MIS-devices. As the oxygen precursors for the ALD process, water (H2O), ozone (O3), and both H2O and O3 were used. The chemical characteristics of the ALD-Al2O3 surfaces were investigated by x-ray photoelectron spectroscopy. After fabrication of MIS-diodes and MIS-high-electron-mobility transistors (MIS-HEMTs) with the ALD-Al2O3, their electrical properties were evaluated by current-voltage (I-V) and capacitance-voltage (C-V) measurements. The threshold voltage of the C-V curves for MIS-diodes indicated that the fixed charge in the Al2O3 layer is decreased when using both H2O and O3 as the oxygen precursors. Furthermore, MIS-HEMTs with the H2O + O3-based Al2O3 showed good dc I-V characteristics without post-deposition annealing of the ALD-Al2O3, and the drain leakage current in the off-state region was suppressed by seven orders of magnitude.

Are minimally invasive procedures harder to acquire than conventional surgical procedures?

PubMed

Hiemstra, Ellen; Kolkman, Wendela; le Cessie, Saskia; Jansen, Frank Willem

2011-01-01

It is frequently suggested that minimally invasive surgery (MIS) is harder to acquire than conventional surgery. To test this hypothesis, residents' learning curves of both surgical skills are compared. Residents had to be assessed using a general global rating scale of the OSATS (Objective Structured Assessment of Technical Skills) for every procedure they performed as primary surgeon during a 3-month clinical rotation in gynecological surgery. Nine postgraduate-year-4 residents collected a total of 319 OSATS during the 2 years and 3 months investigation period. These assessments concerned 129 MIS (laparoscopic and hysteroscopic) and 190 conventional (open abdominal and vaginal) procedures. Learning curves (in this study defined as OSATS score plotted against procedure-specific caseload) for MIS and conventional surgery were compared using a linear mixed model. The MIS curve revealed to be steeper than the conventional curve (1.77 vs. 0.75 OSATS points per assessed procedure; 95% CI 1.19-2.35 vs. 0.15-1.35, p < 0.01). Basic MIS procedures do not seem harder to acquire during residency than conventional surgical procedures. This may have resulted from the incorporation of structured MIS training programs in residency. Hopefully, this will lead to a more successful implementation of the advanced MIS procedures. Copyright © 2010 S. Karger AG, Basel.

Acute hospital costs after minimally invasive versus open lumbar interbody fusion: data from a US national database with 6106 patients.

PubMed

Wang, Michael Y; Lerner, Jason; Lesko, James; McGirt, Matthew J

2012-08-01

Retrospective multi-institutional database review. To determine if minimally invasive interbody fusion is associated with cost savings when compared with open surgery. Minimally invasive spine (MIS) surgeries are increasingly recognized as equivalent to open procedures. Although these techniques have been advocated for reducing pain, disability, and length of hospitalization, to date there has been little data demonstrating these benefits. This study analyzed inpatient hospital records from the Premier Perspective database (2002 to 2009), including patients who underwent a posterior lumbar fusion with interbody cage placement by ICD-9 code, and had implant charge codes that allowed determination if MIS pedicle screws were utilized. Exclusion criteria included a refusion surgery, deformity, >2 levels, and anterior fusion. Total costs were adjusted for covariates (age, sex, race, hospital geography and setting, payor, and comorbidities) using an analysis of covariance model. A total of 6106 patients were identified (1667 MIS and 4439 open). Length of stay (LOS) for 1-level MIS surgery averaged of 3.35 days versus 3.6 days for open surgery (P≤0.006). For 2-level MIS surgery LOS averaged of 3.4 days versus 4.03 days for open surgery (P≤0.001). Total inflation-adjusted acute hospitalization cost averaged $29,187 for 1-level MIS procedures versus $29,947 for open surgery, a nonsignificant difference (P=0.55). Total inflation-adjusted acute hospitalization cost averaged $2106 lower for 2-level MIS surgery (total costs of $33,879 for MIS vs. $35,984 for open surgery, P=0.0023). Cost savings were attributable primarily to lower room and board ($857), operating room ($359), pharmacy ($304), and laboratory ($166) costs in the MIS group. High variances in the 2-level open surgery with prolonged hospital stay also accounted for overall cost differences. This data from a large nationwide sample of hospitalizations demonstrates that MIS lumbar interbody fusion results in a statistically significant reduction in hospital LOS and a reduction in total hospital costs with 2-level surgery after adjusting for significant covariates. The majority of cost savings from MIS surgery were due to more rapid mobilization and discharge, as well as a reduction in outliers with extended hospitalizations.

Refining the timing of the MIS 5e signal, West Caicos, Bristish West Indies:implications for paleoclimatic interpretation of the stratigraphic record

NASA Astrophysics Data System (ADS)

Kerans, C.; Zahm, C.; Bachtel, S.; Hearty, P.; Cheng, H.

2017-12-01

The progressive refinement of the Last Interglacial (LIG) tropical carbonate record has focused attention on the dramatically abrupt and episodic nature of this critical approximate 12 ka time window. From initial carbonate platform flooding at 133 ka to rapid sea level fall and exposure at 118 ka, the majority of present-day Bahamian and Caribbean strata were produced in a remarkably similar pattern extending from Bermuda and the Bahamas through the Cayman Islands, Yucatan, and south to the Dominican Republic. The position of coral reefs and oolitic sands of the LIG to a first order fit the global insolation-driven climate warming signal. Less well accepted/resolved is the existence of two distinct SL peaks with an intervening sea level fall implying a non-orbitally forced climate shift during this broader highstand. West Caicos, a 10 x 5 km leeward island on the Caicos Platform is an excellent example of LIG carbonate stratigraphic complexity. We collected sub-meter-resolution whole-island airborn LIDAR and decimeter-resolution UAV-constructed DEM's of the western and southern coastal outcrops to serve as a base for decimeter-scale mapping of the MIS 11, 7?, 5e, and Holocene units of the island, with particular focus on the continuous 8.4 km west coast outcrop of the MIS 5e. Seventy-five AAR relative age assignments from ooid separates, pinned by 16 U/Th dates from corals coming from MIS stage 11, lower MIS 5e, and upper MIS 5e reefs helped establish the age model for the Pleistocene-Holocene stratigraphy. The lower MIS 5e reef system averages 128 ka with an onset age of 133 ka. Upper MIS 5e corals ranges from 123 ka to 116 ka, bracketing the intra-MIS 5e sea-level fall between to approximately 125 ka. The intra-MIS 5e fall is a distinct erosional unconformity across 5 km of continuous outcrop, truncating the upper 2.5 m of lower 5e reef. The complexity of MIS 5e record on West Caicos and in the Northern Atlantic and Caribbean platforms regionally provides important insights for those using the Pleistocene as a model for older stratigraphic successions and their linked paleoclimatic records.

A Detailed Record of Changing Surface Water Conditions From Sediments Deposited During Marine Isotope Stage 11, ODP Site 980, Northeast Atlantic Ocean

NASA Astrophysics Data System (ADS)

Arvin, T. A.; Cullen, J. L.; Oppo, D. W.; McManus, J. F.

2004-05-01

Many recent paleoceanographic studies have focused on using high sedimentation rate deep-sea sediment sections that have produced records of abrupt climate variability operating at sub-orbital time scales. This is particularly true in the North Atlantic where proxies of changing surface water conditions from high quality sediment records have repeatedly demonstrated that millennial-scale climate change has been the rule rather than the exception over the past 500 kyr, during both glacial and interglacial intervals. Abrupt climate change during warm interglacials is an area of special interest as it may relate more directly to an understanding of recent and future climate change. With this in mind we have focused our efforts on documenting millennial-scale climate change from sediments deposited at ODP Site 980, northeast Atlantic Ocean during Marine Isotope Stage (MIS) 11. We have used unsplit, whole sample >150 micron size fractions from over 200 sediment samples to record changes in the number lithic grains per gram sediment to measure changes in the input of Ice-Rafted Debris (IRD). We then compare our new IRD record to previously generated records of changing surface water conditions during MIS11: variations in oxygen isotopic composition of the surface dwelling planktic foraminifer species N. pachyderma, right coiling and changes in the relative abundance of the polar species N. pachyderma, left coiling. Our MIS11 results are then compared to compatible records from MIS5e and the Holocene. Our detailed IRD record from around 418 kya to 382 kya reveals a remarkable lack of even trace amounts IRD input into sediments at ODP Site 980. IRD concentration abruptly drops and remains 0 to trace amounts per gram as soon as benthic delta O-18 values fall to and remain at < 3.5 per mil at the onset of MIS11. Only three very small amplitude IRD events are observed over the entire 35 kyr interval. The earliest 8 kyr of MIS11 is completely devoid of any IRD, despite the fact that the relative abundance of the polar species N. pachyderma, left coiling, after dropping from near 90% to below 10% at 418 kya, rises to as high as 30% during this early MIS11 time interval. This seems to indicate the influx of non-ice bearing colder polar waters to the region above Site 980 that don't seem to be influencing he N. pachyderma, right coiling isotope record in a simple way. The MIS11 IRD record significantly differs from our records from MIS5e and the Holocene, particularly when we focus on the earliest 12 kyr of MIS11. Both the approximately 10 kyr long MIS5e interval and the last 11 kyr of the Holocene exhibit a series of between 6 and 9 discrete small amplitude increases in IRD against a background of little or no IRD. At the same time relative abundances of N. pachyderma, left coiling are considerably less during both MIS5e and the Holocene when compared to the first 10 kyr of MIS11. The evidence presented here suggests that MIS11 surface water conditions above Site 980 were somewhat different from conditions recorded in sediments from two other warm interglacial intervals, MIS5e and the Holocene and that its use as an ancient analog to modern and future climate may be less straightforward than previously thought.

ODP Site 1063 (Bermuda Rise) revisited: Oxygen isotopes, excursions and paleointensity in the Brunhes Chron

NASA Astrophysics Data System (ADS)

Channell, J. E. T.; Hodell, D. A.; Curtis, J. H.

2012-02-01

An age model for the Brunhes Chron of Ocean Drilling Program (ODP) Site 1063 (Bermuda Rise) is constructed by tandem correlation of oxygen isotope and relative paleointensity data to calibrated reference templates. Four intervals in the Brunhes Chron where paleomagnetic inclinations are negative for both u-channel samples and discrete samples are correlated to the following magnetic excursions with Site 1063 ages in brackets: Laschamp (41 ka), Blake (116 ka), Iceland Basin (190 ka), Pringle Falls (239 ka). These ages are consistent with current age estimates for three of these excursions, but not for "Pringle Falls" which has an apparent age older than a recently published estimate by ˜28 kyr. For each of these excursions (termed Category 1 excursions), virtual geomagnetic poles (VGPs) reach high southerly latitudes implying paired polarity reversals of the Earth's main dipole field, that apparently occurred in a brief time span (<2 kyr in each case), several times shorter than the apparent duration of regular polarity transitions. In addition, several intervals of low paleomagnetic inclination (low and negative in one case) are observed both in u-channel and discrete samples at ˜318 ka (MIS 9), ˜412 ka (MIS 11) and in the 500-600 ka interval (MIS 14-15). These "Category 2" excursions may constitute inadequately recorded (Category 1) excursions, or high amplitude secular variation.

The Scientific Program of the U.S. Naval Research Laboratory

DTIC Science & Technology

1958-07-01

systems, using mock-ups and simulated inputs. (2) Experimental determination of the quantitative parameters of systems, such as data-handling ability, time...naval service of equipment on ships, planes, and mis- siles are recorded, analyzed, and simulated . Methods are developed for the improve- ment of...H01 - NUCLEAR CONSTITUENTS AND STRUCTURE Theoretical and experimental studies concerned with elementary particles , field theory, nuclear structure

Comprehensive malnutrition inflammation score as a marker of nutritional status in Chinese peritoneal dialysis patients.

PubMed

Chan, Jessie Ying Wing; Che, Kit I; Lam, Karry Mau Chu; Chow, Kai-Ming; Chung, Kwok-Yi; Li, Philip Kam-Tao; Szeto, Cheuk-Chun

2007-04-01

Malnutrition is common among peritoneal dialysis (PD) patients. However, the ideal marker of nutritional status in PD patients remained controversial. We studied 165 unselected adult PD patients. We compared the comprehensive Malnutrition-Inflammation Score (MIS) and the 7-point Subjective Global Assessment (SGA) score. The mean age was 59.2 +/- 11.5 years. Seventy patients were male. MIS significantly correlated with the SGA score (r =-0.667, P < 0.001). Of the 165 patients, 132 (80.0%) had similar classification of nutritional status by SGA and MIS (Group I); 17 (10.3%) were classified as normal by SGA but moderately malnourished by MIS (Group II), while 16 (9.7%) were classified as normal by MIS but moderately malnourished by SGA (Group III). Group II had been dialysed longer than Group I (71.7 +/- 50.3 vs 40.7 +/- 37.5 months, P = 0.011). As compared with Group I, Group III was more likely to require helper for PD exchange (37.5%vs 9.7%, P = 0.004), marginally more likely to be diabetic (62.5%vs 35.6%, P = 0.085) and had a slightly higher Charlson's comorbidity score (6.13 +/- 1.78 vs 4.98 +/- 2.1, P = 0.085), although the latter two were not statistically significant. MIS has a reasonable correlation with the conventional SGA score in PD patients. Patients with limited self-care capability, diabetes and multiple comorbidities probably had worse score (i.e. worse nutrition) revealed by SGA than by MIS, while patients who had been dialysed longer had worse score revealed by MIS than by SGA.

A Last Interglacial pollen-temperature reconstruction, central North Island, New Zealand

NASA Astrophysics Data System (ADS)

Newnham, Rewi; Alloway, Brent; McGlone, Matt; Juchnowicz, Hannah; Rees, Andrew; Wilmshurst, Janet

2017-08-01

We present new pollen-temperature reconstructions for the Last Interglacial from central North Island, New Zealand using partial least squares regression (PLS) and modern analogue technique applied with the New Zealand pre-deforestation calibration pollen dataset. The pollen-bearing organic sequence includes numerous millimetre- to decimetre- thick tephra mostly from the adjacent Tongariro Volcanic Centre and is overlain by tephric cover-beds including the c. 25.4 ka cal BP Kawakawa/Oruanui Tephra. Fine-resolution pollen and preliminary diatom analyses above and below prominent tephra layers showed that significant vegetation impact followed only the thickest ashfall event (22 cm thickness), with vegetation recovery taking several hundred years. Apart from this, changes in the longer-term pollen record are likely to be related to climate oscillations that resemble the classic five-fold subdivision of MIS 5. The warmest interval, ascribed to MIS 5e, was characterised by tall, temperate rainforest, and occurs at the base of the sequence, with mean annual temperatures reaching around 1.1 °C higher than present. Mean annual temperatures declined to ∼4 °C below present during MIS 5d and MIS 5b and were within 1-2 °C of present during MIS 5c. The PLS temperature reconstructions are corroborated by estimates derived independently from elevational changes to vegetation communities, corresponding to modern temperature controls, inferred from the Karioi pollen spectra. Temperatures reconstructed quantitatively by the modern analogue technique were up to 1.3 °C higher for MIS 5e, MIS 5d and MIS 5b, possibly reflecting weaker modern vegetation analogues for these intervals.

Dialysis Malnutrition and Malnutrition Inflammation Scores: screening tools for prediction of dialysis-related protein-energy wasting in Malaysia.

PubMed

Harvinder, Gilcharan Singh; Swee, Winnie Chee Siew; Karupaiah, Tilakavati; Sahathevan, Sharmela; Chinna, Karuthan; Ahmad, Ghazali; Bavanandan, Sunita; Goh, Bak Leong

2016-01-01

Malnutrition is highly prevalent in Malaysian dialysis patients and there is a need for a valid screening tool for early identification and management. This cross-sectional study aims to examine the sensitivity of the Dialysis Malnutrition Score (DMS) and Malnutrition Inflammation Score (MIS) tools in predicting protein-energy wasting (PEW) among Malaysian dialysis patients. A total of 155 haemodialysis (HD) and 90 peritoneal dialysis (PD) patients were screened for risk of malnutrition using DMS and MIS and comparisons were made with established guidelines by International Society of Renal Nutrition and Metabolism (ISRNM) for PEW. MIS cut-off score of >=5 indicated presence of malnutrition in all patients. A total of 59% of HD and 83% of PD patients had PEW by ISRNM criteria. Based on DMS, 73% of HD and 71% of PD patients exhibited moderate malnutrition, whilst using MIS, 88% and 90%, respectively were malnourished. DMS and MIS correlated significantly in HD (r2=0.552, p<0.001) and PD (r2=0.466, p<0.001) patients. DMS and MIS had higher sensitivity values in PD (81% and 82%, respectively) compared to HD (59% and 60%, respectively) patients. The MIS cut-off scores for malnutrition classification were established (score >=5) for use amongst Malaysian dialysis patients. Both DMS and MIS are valid tools to be used for nutrition screening of dialysis patients especially those undergoing peritoneal dialysis. The DMS may be a more practical and simpler tool to be utilized in the Malaysian dialysis settings as it does not require laboratory markers.

Information Will Not Make You Well. MIS Re-examined. AIR Forum Paper 1978.

ERIC Educational Resources Information Center

Parker, John D.; Gardner, Don E.

Proponents of management information systems (MIS) have traditionally held that educational administrators are in need of better management information with which to make more informed planning and policy decisions. However, few successful implementations have been reported. Literature discussing the lack of success of MIS point to such factors as…

75 FR 8528 - Procedures for Transportation Workplace Drug and Alcohol Testing Programs

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-25

... updated U.S. DOT Alcohol Testing Form (ATF) and the Management Information System (MIS) Data Collection... included a revised U.S. DOT Alcohol Testing Form (ATF) and the Management Information System (MIS) Data...) and Management Information System (MIS) form Federal Register [73 FR 14300] and [73 FR 33140]. There...

Management Information Systems: Applications to Educational Administration.

ERIC Educational Resources Information Center

Witkin, Belle Ruth

An orientation to management information systems (MIS) is offered which presents information about MIS in the context of public education and suggests some considerations that should be taken into account in designing and operating such systems. MIS is defined as a set of operating procedures that act as a control system to automatically provide…

Concepts of Management Information Systems.

ERIC Educational Resources Information Center

Emery, J.C.

The paper attempts to provide a general framework for dealing with management information systems (MIS). An MIS is defined to have the following characteristics: (1) related to ongoing activities of an organization, (2) a man-machine system, (3) composed of a collection of subsystems, and (4) oriented around a large data base. An MIS places a…

MIS Development in Higher Education: A Framework for Systems Planning.

ERIC Educational Resources Information Center

St. John, Edward P.

An institutional management systems development study examined the Management Information Systems (MIS) needs of 23 public institutions of higher education in Missouri. The result was a model framework for other institutions to develop MIS appropriate to their needs. One of five distinct structural development phases could be related to all…

The Role of Cognitive Abilities in Laparoscopic Simulator Training

ERIC Educational Resources Information Center

Groenier, M.; Schraagen, J. M. C.; Miedema, H. A. T.; Broeders, I. A. J. M.

2014-01-01

Learning minimally invasive surgery (MIS) differs substantially from learning open surgery and trainees differ in their ability to learn MIS. Previous studies mainly focused on the role of visuo-spatial ability (VSA) on the learning curve for MIS. In the current study, the relationship between spatial memory, perceptual speed, and general…

Pharmacological intervention of HIV-1 maturation.

PubMed

Wang, Dan; Lu, Wuxun; Li, Feng

2015-11-01

Despite significant advances in antiretroviral therapy, increasing drug resistance and toxicities observed among many of the current approved human immunodeficiency virus (HIV) drugs indicate a need for discovery and development of potent and safe antivirals with a novel mechanism of action. Maturation inhibitors (MIs) represent one such new class of HIV therapies. MIs inhibit a late step in the HIV-1 Gag processing cascade, causing defective core condensation and the release of non-infectious virus particles from infected cells, thus blocking the spread of the infection to new cells. Clinical proof-of-concept for the MIs was established with betulinic acid derived bevirimat, the prototype HIV-1 MI. Despite the discontinuation of its further clinical development in 2010 due to a lack of uniform patient response caused by naturally occurring drug resistance Gag polymorphisms, several second-generation MIs with improved activity against viruses exhibiting Gag polymorphism mediated resistance have been recently discovered and are under clinical evaluation in HIV/AID patients. In this review, current understanding of HIV-1 MIs is described and recent progress made toward elucidating the mechanism of action, target identification and development of second-generation MIs is reviewed.

BatMis: a fast algorithm for k-mismatch mapping.

PubMed

Tennakoon, Chandana; Purbojati, Rikky W; Sung, Wing-Kin

2012-08-15

Second-generation sequencing (SGS) generates millions of reads that need to be aligned to a reference genome allowing errors. Although current aligners can efficiently map reads allowing a small number of mismatches, they are not well suited for handling a large number of mismatches. The efficiency of aligners can be improved using various heuristics, but the sensitivity and accuracy of the alignments are sacrificed. In this article, we introduce Basic Alignment tool for Mismatches (BatMis)--an efficient method to align short reads to a reference allowing k mismatches. BatMis is a Burrows-Wheeler transformation based aligner that uses a seed and extend approach, and it is an exact method. Benchmark tests show that BatMis performs better than competing aligners in solving the k-mismatch problem. Furthermore, it can compete favorably even when compared with the heuristic modes of the other aligners. BatMis is a useful alternative for applications where fast k-mismatch mappings, unique mappings or multiple mappings of SGS data are required. BatMis is written in C/C++ and is freely available from http://code.google.com/p/batmis/

Glaciomarine sedimentation and bottom current activity on the north-western and northern continental margins of Svalbard during the late Quaternary

NASA Astrophysics Data System (ADS)

Chauhan, Teena; Noormets, Riko; Rasmussen, Tine L.

2016-04-01

Palaeo-bottom current strength of the West Spitsbergen Current (WSC) and the influence of the Svalbard-Barents Sea Ice Sheet (SBIS) on the depositional environment along the northern Svalbard margins are poorly known. Two gravity cores from the southern Yermak Plateau and the upper slope north of Nordaustlandet, covering marine isotope stage (MIS) 1 to MIS 5, are investigated. Five lithofacies, based on grain size distribution, silt/clay ratio, content and mean of sortable silt (SS), are distinguished to characterise the contourite-dominated sedimentary environments. In addition, depositional environments are described using total organic carbon (TOC), total sulphur (TS) and calcium carbonate (CaCO3) contents of sediments. Facies A, containing coarse SS, suggests strong bottom current activity and good bottom water ventilation conditions as inferred from low TOC content. This facies was deposited during the glacial periods MIS 4, MIS 2 and during the late Holocene. Facies B is dominated by fine SS indicating weak bottom current and poor ventilation (cf. high TOC content of 1.2-1.6%), and correlates with the MIS 4/3 and MIS 2/1 transition periods. With an equal amount of clay and sand, fine SS and high content of TOC, facies C indicates reduced bottom current strength for intervals with sediment supply from proximal sources such as icebergs, sea ice or meltwater discharge. This facies was deposited during the last glacial maximum. Facies D represents mass-flow deposits on the northern Svalbard margin attributed to the SBIS advance at or near the shelf edge. Facies E sediments indicating moderate bottom current strength were deposited during MIS 5 and MIS 3, and during parts of MIS 2. This first late Quaternary proxy record of the WSC flow and sedimentation history from the northern Svalbard margin suggests that the oceanographic conditions and ice sheet processes have exerted first-order control on sediment properties.

Relative sea-level changes and glacio-isostatic adjustment on the Magdalen Islands archipelago (Atlantic Canada) from MIS 5 to the late Holocene

NASA Astrophysics Data System (ADS)

Rémillard, Audrey M.; St-Onge, Guillaume; Bernatchez, Pascal; Hétu, Bernard; Buylaert, Jan-Pieter; Murray, Andrew S.; Lajeunesse, Patrick

2017-09-01

The Magdalen Islands (Québec, Canada) in the centre of the Gulf of St. Lawrence are located in a strategic position for providing an overview of the relative sea-level (RSL) history of the Maritime Provinces of eastern Canada. Although data are available for the coastal terrestrial areas of the Maritimes, data from the Gulf are very scarce and both the RSL and glacio-isostatic adjustment (GIA) models extrapolate for this central region. This study provides new stratigraphic and chronological data from four outcrops and two coring sites on the Magdalen Islands. In addition to the five samples used mainly for age control purposes, nine new luminescence ages are presented. With these new data added to the available literature, a new RSL curve is reconstructed for the LGM to the late Holocene period and a partial curve is proposed for the interval between the late MIS 4 to the MIS 3. Data also indicate a few insights for the MIS 5 period. Results reveal that for the LGM to the late Holocene, the curve corresponds to the J-shaped curve scenario recognized in the literature. The RSL changes during this period are the result of glacio-isostatic rebound, migration and collapse of the peripheral forebulge, and eustatic sea-level changes. For the LGM to the early Holocene, glacio-isostatic depression curves displaying a few local differences are also proposed. For the late Holocene, the data constrain the curve between two types of indicators, i.e. marine and terrestrial, and indicate that the RSL has risen at least 3 m during the last two millennia. Sediments dated to the MIS 5 and the interval between the late MIS 4 and the MIS 3 illustrate that the GIA following the LGM also occurred for the MIS 5 interglacial and the MIS 3 interstadial. Finally, recent GIA models are discussed in light of the results of this paper.

The Plumbing System of a Highly Explosive Basaltic Volcano: Sunset Crater, AZ

NASA Astrophysics Data System (ADS)

Allison, C. M.; Roggensack, K.; Clarke, A. B.

2015-12-01

We seek to better understand highly explosive basaltic eruptions with specific focus on magmatic volatile solubility in alkali basalts and the magma plumbing system. Sunset Crater, an alkali basalt (~3.7 wt.% alkalis) scoria cone volcano, erupted explosively in 1085 AD. We analyzed 125 primary melt inclusions (MIs) from Sunset Crater tephra deposited by 2 subplinian phases and 1 Strombolian explosion to compare magma volatiles and storage conditions. We picked rapidly quenched free olivine crystals and selected large volume MIs (50-180 μm) located toward crystal cores. MIs are faceted and exhibit little major element composition variability with minor post entrapment crystallization (2-10%). MIs are relatively dry but CO2-rich. Water content varies from 0.4 wt.% to 1.5 wt.% while carbon dioxide abundance ranges between 1,150 ppm and 3,250 ppm. Most MIs contain >1 wt.% H2O and >2,150 ppm CO2. All observed MIs contain a vapor bubble, so we are evaluating MI vapor bubbles with Raman spectroscopy and re-homogenization experiments to determine the full volatile budget. Because knowledge of volatile solubility is critical to accurately interpret results from MI analyses, we measured H2O-CO2 solubility in the Sunset Crater bulk composition. Fluid-saturated experiments at 4 and 6 kbar indicate shallower entrapment pressures for these MIs than values calculated for this composition using existing models. Assuming fluid saturation, MIs record depths from 6 km to 14 km, including groupings suggesting two pauses for longer-term storage at ~6 km and ~10.5 km. We do not observe any significant differences in MIs from phases exhibiting different eruptive styles, suggesting that while a high CO2 content may drive rapid magma ascent and be partly responsible for highly explosive eruptions, shallower processes may govern the final eruptive character. To track shallow processes during magma ascent from depth of MI-entrapment up to the surface, we are examining MI re-entrants.

Predicted bounds on peak global mean sea level during marine isotope stages 5a and 5c

NASA Astrophysics Data System (ADS)

Creveling, Jessica R.; Mitrovica, Jerry X.; Clark, Peter U.; Waelbroeck, Claire; Pico, Tamara

2017-05-01

Estimates of marine isotope stage (MIS) 5c and 5a global mean sea level (GMSL) based on marine terraces and coastal indicators range from 15-37 m and 9-30 m below present, respectively. Tectonic displacement and glacial isostatic adjustment (GIA) complicate efforts to refine this range. We revisit this issue using numerical predictions of post-glacial sea-level change and updated estimates of site-specific tectonic signals based upon these predictions. Laurentide and Cordilleran peripheral bulge dynamics and variations in the gravitational effect of these ice masses dominate the GIA signal along the east and west coasts of North America. Published compilations suggest that MIS 5 sea-level indicators extending from Virginia to the Caribbean lie on the outer flank of the peripheral bulge, while those along a transect from Oregon to Baja California sit on the inner flank of the bulge. Our GIA modeling reconciles these data by adopting a significantly weaker (i.e., lower viscosity) upper mantle in analyzing data on the Pacific coast relative to the Atlantic, an inference supported by seismic tomography. We present a sensitivity analysis that compares the observed elevation of globally distributed high stand markers to a suite of GIA simulations that vary the Earth model and GMSL from the Last Interglaciation (MIS 5e, ∼130-115 ka) to 70 ka. We conclude that GMSL peaked at -8.5 ± 4.6 m (1σ) during MIS 5a and -9.4 ± 5.3 m during MIS 5c. A more restrictive analysis yields slightly wider bounds corresponding to -10.5 ± 5.5 m and -11.1 ± 6.6 m, respectively.

Volatile loss from melt inclusions in pyroclasts of differing sizes

NASA Astrophysics Data System (ADS)

Lloyd, Alexander S.; Plank, Terry; Ruprecht, Philipp; Hauri, Erik H.; Rose, William

2013-01-01

We have investigated the loss of H2O from olivine-hosted melt inclusions (MIs) by designing an experiment using tephra samples that cooled at different rates owing to their different sizes: ash, lapilli, and bomb samples that were deposited on the same day (10/17/74) of the sub-Plinian eruption of Volcán de Fuego in Guatemala. Ion microprobe, laser ablation-ICPMS, and electron probe analyses show that MIs from ash and lapilli record the highest H2O contents, up to 4.4 wt%. On the other hand, MIs from bombs indicate up to 30 % lower H2O contents (loss of ~1 wt% H2O) and 10 % post-entrapment crystallization of olivine. This evidence is consistent with the longer cooling time available for a bomb-sized clast, up to 10 min for a 3-4-cm radius bomb, assuming conductive cooling and the fastest H diffusivities measured in olivine (D~10-9 to 10-10 m2/s). On the other hand, several lines of evidence point to some water loss prior to eruption, during magma ascent and degassing in the conduit. Thus, results point to both slower post-eruptive cooling and slower magma ascent affecting MIs from bombs, leading to H2O loss over the timescale of minutes to hours. The important implication of this study is that a significant portion of the published data on H2O concentrations in olivine-hosted MIs may reflect unrecognized H2O loss via diffusion. This work highlights the importance of reporting clast and MI sizes in order to assess diffusive effects and the potential benefit of using water loss as a chronometer of magma ascent.

Splice Site Variants in the KCNQ1 and SCN5A Genes: Transcript Analysis as a Tool in Supporting Pathogenicity

PubMed Central

Leong, Ivone U.S.; Dryland, Philippa A.; Prosser, Debra O.; Lai, Stella W.-S.; Graham, Mandy; Stiles, Martin; Crawford, Jackie; Skinner, Jonathan R.; Love, Donald R.

2017-01-01

Background Approximately 75% of clinically definite long QT syndrome (LQTS) cases are caused by mutations in the KCNQ1, KCNH2 and SCN5A genes. Of these mutations, a small proportion (3.2-9.2%) are predicted to affect splicing. These mutations present a particular challenge in ascribing pathogenicity. Methods Here we report an analysis of the transcriptional consequences of two mutations, one in the KCNQ1 gene (c.781_782delinsTC) and one in the SCN5A gene (c.2437-5C>A), which are predicted to affect splicing. We isolated RNA from lymphocytes and used a directed PCR amplification strategy of cDNA to show mis-spliced transcripts in mutation-positive patients. Results The loss of an exon in each mis-spliced transcript had no deduced effect on the translational reading frame. The clinical phenotype corresponded closely with genotypic status in family members carrying the KCNQ1 splice variant, but not in family members with the SCN5A splice variant. These results are put in the context of a literature review, where only 20% of all splice variants reported in the KCNQ1, KCNH2 and SCN5A gene entries in the HGMDPro 2015.4 database have been evaluated using transcriptional assays. Conclusions Prediction programmes play a strong role in most diagnostic laboratories in classifying variants located at splice sites; however, transcriptional analysis should be considered critical to confirm mis-splicing. Critically, this study shows that genuine mis- splicing may not always imply clinical significance, and genotype/phenotype cosegregation remains important even when mis-splicing is confirmed. PMID:28725320

An emerging c. 100 ka record of climate change from Baldwin Lake, San Bernardino Mountains, CA, U.S

NASA Astrophysics Data System (ADS)

Glover, K. C.; MacDonald, G. M.; Kirby, M. E.; Rhodes, E. J.

2013-12-01

Big Bear Valley (elevation ~2060 m) is situated in the east-west trending San Bernardino Mountains of California, close to the transition between Mediterranean and Mojave Desert ecoregions. Baldwin Lake is the older of two basins occupying the valley, with a sediment sequence that demonstrates a high rate of deposition and an apparent synchronicity with marine isotope and global paleoclimate records. Chronology has been established with both AMS radiocarbon and infra-red stimulated luminescence (IRSL) dates. This offers the potential to further investigate paleoclimate change over the past c. 100 ka for Southern California at a high temporal resolution. Baldwin Lake's basal date of 95.9 +/- 6.7 ka is derived from IRSL on feldspar grains, placing the onset of sedimentation into the modern basin during cool MIS 5(b). Phases of high productivity in the lake, including values of up to 35% total organic matter and marl facies, correlate with warm events MIS 5(a) and MIS 3. Glacial stages are largely defined by inorganic sedimentation, though depositional regime varies between high-energy MIS 5(b) and MIS 4, and a relatively quiescent MIS 2. Future work will reconstruct vegetation change prior to MIS 1, in order to elucidate millennial-scale changes in alpine groundcover and forests in Southern California during these globally pervasive Stages.

Late Quaternary sea-level history and the antiquity of mammoths (Mammuthus exilis and Mammuthus columbi), Channel Islands NationalPark, California, USA

USGS Publications Warehouse

Muhs, Daniel R.; Simmons, Kathleen R.; Groves, Lindsey T.; McGeehin, John P.; Schumann, R. Randall; Agenbroad, Larry D.

2015-01-01

Fossils of Columbian mammoths (Mammuthus columbi) and pygmy mammoths (Mammuthus exilis) have been reported from Channel Islands National Park, California. Most date to the last glacial period (Marine Isotope Stage [MIS] 2), but a tusk of M. exilis (or immature M. columbi) was found in the lowest marine terrace of Santa Rosa Island. Uranium-series dating of corals yielded ages from 83.8 ± 0.6 ka to 78.6 ± 0.5 ka, correlating the terrace with MIS 5.1, a time of relatively high sea level. Mammoths likely immigrated to the islands by swimming during the glacial periods MIS 6 (~ 150 ka) or MIS 8 (~ 250 ka), when sea level was low and the island–mainland distance was minimal, as during MIS 2. Earliest mammoth immigration to the islands likely occurred late enough in the Quaternary that uplift of the islands and the mainland decreased the swimming distance to a range that could be accomplished by mammoths. Results challenge the hypothesis that climate change, vegetation change, and decreased land area from sea-level rise were the causes of mammoth extinction at the Pleistocene/Holocene boundary on the Channel Islands. Pre-MIS 2 mammoth populations would have experienced similar or even more dramatic changes at the MIS 6/5.5 transition.

Preparation a new sorbent based on polymeric ionic liquid for stir cake sorptive extraction of organic compounds and inorganic anions.

PubMed

Huang, Xiaojia; Wang, Yulei; Hong, Qiuyun; Liu, Yi; Yuan, Dongxing

2013-11-01

A new multi-interaction sorbent (MIS) based on polymeric ionic liquid was prepared and used as extractive medium of stir cake sorptive extraction (SCSE). In the presence of dimethyl sulfoxide, an ionic liquid, 1-vinylbenzyl-3-methylimidazolium chloride was used as monomer to copolymerize in situ with divinylbenzene to form the MIS. The influences of the content of monomer and the porogen solvent in the polymerization mixture on the extraction performance were investigated thoroughly. The MIS was characterized by infrared spectroscopy, elemental analysis, scanning electron microscopy and mercury intrusion porosimetry. Parabens and aromatic amines were used to investigate the extraction performance of MIS-SCSE for apolar and strongly polar analytes, respectively. The extraction parameters for parabens and aromatic amines were optimized. At the same time, simple and sensitive analytical methods for parabens and aromatic amines in real samples were developed by the combination of MIS-SCSE and HPLC/DAD. Some inorganic anions, such as F(-), Br(-), NO3(-), PO4(3-) and SO4(2-), were used to test the extraction performance of MIS-SCSE for anions. Results indicated that mechanism involved in the extraction of MIS is the multi-interaction modes including π-π, hydrophobic, hydrogen-bonding, dipole-dipole and anion-exchange interactions. Copyright © 2013 Elsevier B.V. All rights reserved.

A loess-paleosol record of climate and glacial history over the past two glacial-interglacial cycles (~140 ka), southern Jackson Hole, Wyoming

USGS Publications Warehouse

Pierce, Kenneth L.; Muhs, Daniel R.; Fosberg, Maynard A.; Mahan, Shannon; Rosenbaum, Joseph G.; Licciardi, Joseph M.; Pavich, Milan J.

2011-01-01

Loess accumulated on a Bull Lake outwash terrace of Marine Oxygen Isotope Stage 6 (MIS 6) age in southern Jackson Hole, Wyoming. The 9 m section displays eight intervals of loess deposition (Loess 1 to Loess 8, oldest), each followed by soil development. Our age-depth model is constrained by thermoluminescence, meteoric Be-10 accumulation in soils, and cosmogenic Be-10 surface exposure ages. We use particle size, geochemical, mineral-magnetic, and clay mineralogical data to interpret loess sources and pedogenesis. Deposition of MIS 6 loess was followed by a tripartite soil/thin loess complex (Soils 8,7, and 6) apparently reflecting the large climatic oscillations of MIS 5. Soil 8 (MIS 5e) shows the strongest development. Loess 5 accumulated during a glacial interval (similar to 76-69 ka; MIS 4) followed by soil development under conditions wetter and probably colder than present. Deposition of thick Loess 3 (similar to 43-51 ka, MIS 3) was followed by soil development comparable with that observed in Soil 1. Loess 1 (MIS 2) accumulated during the Pinedale glaciation and was followed by development of Soil 1 under a semiarid climate. This record of alternating loess deposition and soil development is compatible with the history of Yellowstone vegetation and the glacial flour record from the Sierra Nevada. Published by Elsevier Inc. on behalf of University of Washington.

Rapid thermal anneal in InP, GaAs and GaAs/GaAlAs

NASA Astrophysics Data System (ADS)

Descouts, B.; Duhamel, N.; Godefroy, S.; Krauz, P.

Ion implantation in semiconductors provides a doping technique with several advantages over more conventional doping methods and is now extensively used for device applications, e.g. field effect transistors (MESFET GaAs, MIS (InP), GaAs/GaAlAs heterojunction bipolar transistors (HBT). Because of the lattice disorder produced by the implantation, the dopant must be made electrically active by a postimplant anneal. As the device performances are very dependent on its electrical characteristics, the anneal is a very important stage of the process. Rapid anneal is known to provide less exodiffusion and less induffusion of impurities compared to conventional furnace anneal, so this technique has been used in this work to activate an n-type dopant (Si) in InP and a p-type dopant (Mg) in GaAs and GaAs/GaAIAs. These two ions have been chosen to realize implanted MIS InP and the base contacts for GaAs/GaAlAs HBTs. The experimental conditions to obtain the maximum electrical activity in these two cases will be detailed. For example, although we have not been able to obtain a flat profile in Mg + implanted GaAs/GaAlAs heterostructure by conventional thermal anneal, rapid thermal anneal gives a flat hole profile over a depth of 0.5 μm with a concentration of 1 x 10 19 cm -3.

Evaluating the costs and effectiveness of cardiovascular therapies: who cares about economic analyses?

PubMed

Califf, Robert M

2002-10-15

The field of cardiovascular medicine is providing important insights about how the costs and effectiveness of diagnostic and therapeutic technologies are managed. As health-care budgets have taken up more of the economy and as employers and patients have become concerned about the escalating costs of health care, we have entered an era in which individual practitioners must become concerned with the costs of a service relative to its benefits. Further, increasing numbers of effective therapies in a time when finances are notably constrained, we clearly cannot use all effective therapies in all patients. Increasingly, therefore, we must assess the value derived from spending incremental money on health care products and services. This exercise has been termed cost-effectiveness analysis. The case of the platelet glycoprotein IIb/IIIa inhibitor, abciximab, is used to illustrate many of the issues surrounding the collection, interpretation, and (mis) application of cost-effectiveness data. Copyright 2002 John Wiley & Sons, Ltd.

Training for an MIS Implementation: What Does it Really Cost?

PubMed Central

Jacobs, Patt

1984-01-01

Implementation of MIS systems in a hospital environment are complex, problematic, long-term endeavors. St. Vincent Hospital and Medical Center (SVHMC) completed the implementation of its base system MIS five years after the original contract was signed. The cost of that implementation in terms of time and dollars for one aspect only, training is reported.

Integrating IS Curriculum Knowledge through a Cluster-Computing Project--A Successful Experiment

ERIC Educational Resources Information Center

Kitchens, Fred L.; Sharma, Sushil K.; Harris, Thomas

2004-01-01

MIS curricula in business schools are challenged to provide MIS courses that give students a strong practical understanding of the basic technologies, while also providing enough hands-on experience to solve real life problems. As an experimental capstone MIS course, the authors developed a cluster-computing project to expose business students to…

An Empirical Study about the Critical Factors Affecting MIS Students' Job Opportunities

ERIC Educational Resources Information Center

Fang, Xiang; Lee, Sooun

2005-01-01

For the first time in many years, Management Information Systems (MIS) students and faculty are seeking ways to improve full-time job placement for program graduates. Due to sharp IT budget cuts, the slowing economy, and outsourcing, job opportunities for MIS graduates have become scarcer than ever before. In addition to achieving good academic…

Gender Differences and Intra-Gender Differences amongst Management Information Systems Students

ERIC Educational Resources Information Center

Beyer, Sylvia

2008-01-01

Few women major in Management Information Systems (MIS). The purpose of this paper is to examine the reasons for women's underrepresentation in MIS. In addition to examining gender differences, an important and novel goal of this study is to examine intra-gender differences in undergraduate students, i.e., differences among female MIS majors and…

Indian Summer Monsoon dynamics during Termination II and MIS 5e

NASA Astrophysics Data System (ADS)

Magiera, Matthias; Erhardt, Andrea M.; Hartland, Adam; Kwiecien, Ola; Cheng, Hai; Immenhauser, Adrian; Turchyn, Alexandra; Breitenbach, Sebastian F. M.

2017-04-01

The interpretation of speleothem oxygen isotope ratios (δ18O) as proxy for Indian Summer Monsoon (ISM) dynamics is ambiguous, due to multiple influencing factors. Here we combine δ18O and calcium isotope δ44Ca analyses with elemental data to delineate regional shifts in moisture source, local rainfall amount, and changes in ISM intensity and length during Termination II and MIS 5e. Oxygen isotope ratios reflect a mixed signal of moisture source dynamics and rainfall amount; δ44Ca and Mg/Ca ratios are interpreted as proxies for local effective moisture and prior calcite precipitation (PCP) in the epikarst. The age of stalagmite MAW-3 from Mawmluh Cave, NE India, is constraint by six U-series dates. 108 samples, obtained at 0.4 mm resolution from the 70 mm long speleothem sample, have been analysed for δ18O, δ44Ca and Mg/Ca. Oxygen isotope ratios were measured on a ThermoFisher Scientific MAT 253 at Ruhr-University Bochum. Elemental ratios were measured on a quadrupole ICP-MS at Waikato University. Calcium isotope ratios were analyzed on a ThermoFisher Scientific Triton at University of Cambridge. MAW-3 grew from 136 kyrs BP to 96 kyrs BP, covering Termination II and MIS 5e. Oxygen isotope values are high (ca. +0.91 ‰) during Termination II, reach a minimum during MIS 5e (-3.5 ‰), and rise again to -0.2 ‰ at the end of MIS 5e. Calcium isotope ratios range from -0.32 ‰ to -0.70 ‰ and show a positive correlation (R2= 0.7) with δ18O. High δ18O values during Termination II reflect reduced atmospheric circulation and/or a proximal moisture source (Bay of Bengal), implying lowered ISM intensity. A positive correlation of δ18O with δ44Ca suggests concurrent changes of moisture source location and local rainfall amount, with a proximal moisture source and reduced effective rainfall during periods of weak ISM. Elevated Mg/Ca ratios at such intervals corroborate PCP occurrence, which reflects dry conditions. The beginning of MIS 5e (ca. 132 kyrs BP) is marked by a rapid change to lower δ18O and δ44Ca, suggesting increased local infiltration with increasing ISM rainfall, and a concurrent change to a more distal moisture source. The MAW-3 multi-proxy record compares well with reconstructions from China and northern India, the latter being more depleted, due to Rayleigh fractionation. We suggest that multi-proxy analyses of δ18O, δ44Ca and Mg/Ca greatly help to delineate regional circulation pattern and local effective moisture dynamics in monsoonal settings.

Late Pleistocene Age Model for Site U1460, Perth Basin, SW Australian Shelf: Implications for Leeuwin Current History

NASA Astrophysics Data System (ADS)

Christensen, B. A.; Takayanagi, H.; Petrick, B.; Ishiwa, T.; Henderiks, J.; Groeneveld, J.; Mamo, B. L.; De Vleeschouwer, D.; Auer, G.; Deik, H.; Fulthorpe, C.; Gallagher, S. J.; McHugh, C.; Reuning, L.; Yokoyama, Y.

2017-12-01

The Leeuwin Current (LC) exerts an important control on modern Australian climate, but its onset is not well defined. The LC is the only southward flowing eastern boundary current. Driven by a pressure gradient set up in the Indonesian Throughflow, its warm waters support reefs to 29°S. It is seasonally controlled south of the Western Cape. Determination of the onset of the LC was a major objective of IODP Expedition 356. Expedition 356 drilling on the western Australian margin provides an opportunity to explore depositional patterns and timing in the region influenced by the current. Site U1460 was drilled in 214.5 m w.d. (Gallagher et al., 2017). Integrated calcareous nannofossil and planktonic foraminiferal biostratigraphy places the upper 86.5 m firmly within the late Pleistocene. However, the glacial- interglacial stratigraphy is uncertain because of the complexity of this shelfal depositional environment. Here we present a likely late Pleistocene stratigraphy based on integrated geochemical and paleontological datasets. A benthic foraminifer (Uvigerina peregrina) stable isotope record provides the foundation for the age model and the data are supported by SST estimates based on Tex86 and alkenones. Our age model places MIS 16 between 104 and 99 m-CSF-A, followed by an expanded MIS 15 section (99 - 50 m-CSF-A). We correlate the interval from 50 - 5 m-CSF-A with MIS 14 to MIS 8, with the largest magnitude glacial events (MIS 12, MIS 6) either condensed or represented as depositional hiatuses. A Recent 14C date at 0.34 mbsf constrains the interval from 2 - 0.5 m-CSF-A to MIS 4-3, which is in good agreement with the base of common Emiliania huxleyi (0.09 Ma) at 2.13 m-CSF-A. Thus MIS 5 is equivalent to the interval from 5 to 2 m-CSF-A. The expanded MIS 15 section follows a geometric change from slope to prograding shelf. It is associated with a shift to infaunal benthic foraminiferal assemblages, abundant sponge spicules, and a reduction in CaCO3%, suggesting that the high MIS 15 sedimentation rate results from increased productivity and/or upwelling. Our stable-isotope-based correlation, combined with paleotemperature reconstructions, points to a modern-like LC in operation at 0.6 Ma (MIS 16 onward), following a change in continental margin geometry. Alternative age-depth models are possible, and are also presented.

Specific features of the current–voltage characteristics of SiO{sub 2}/4H-SiC MIS structures with phosphorus implanted into silicon carbide

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

Mikhaylova, A. I., E-mail: m.aleksey.spb@gmail.com; Afanasyev, A. V.; Ilyin, V. A.

The effect of phosphorus implantation into a 4H-SiC epitaxial layer immediately before the thermal growth of a gate insulator in an atmosphere of dry oxygen on the reliability of the gate insulator is studied. It is found that, together with passivating surface states, the introduction of phosphorus ions leads to insignificant weakening of the dielectric breakdown field and to a decrease in the height of the energy barrier between silicon carbide and the insulator, which is due to the presence of phosphorus atoms at the 4H-SiC/SiO{sub 2} interface and in the bulk of silicon dioxide.

Relative to open surgery, minimally-invasive renal and ureteral pediatric surgery offers no improvement in 30-day complications, yet requires longer operative time: Data from the National Surgical Quality Improvement Program Pediatrics.

PubMed

Colaco, Marc; Hester, Austin; Visser, William; Rasper, Alison; Terlecki, Ryan

2018-05-01

Performance of minimally-invasive surgery (MIS) is increasing relative to open surgery. We sought to compare the contemporary rates of short-term complications of open versus laparoscopic renal and ureteral surgery in pediatric patients. A retrospective cross-sectional analysis of the National Surgical Quality Improvement Program Pediatrics database was performed of all cases in 2014 identified using CPT procedure codes for nephrectomy, partial nephrectomy (PN), ureteroneocystostomy (UNC), and pyeloplasty, and reviewed for postoperative complications. Univariate analysis was performed to determine 30-day complications, with comparison between open and MIS approaches. Receiver operator curve (ROC) analysis was performed to determine differences in body surface area (BSA) and age for open versus MIS. Review identified 207 nephrectomies, 72 PN, 920 UNC, and 625 pyeloplasties. MIS was associated with older age and larger BSA except for cases of UNC. Apart from PN, operative durations were longer with MIS. However, only PN was associated with significantly longer length of hospital stay (LOS). There was no difference in incidence of all other 30-day complications. When evaluating BSA via ROC, the area under the curve (AUC) was found to be 0.730 and was significant. Children with a BSA greater than 0.408 m 2 were more likely to have MIS (sensitivity, 66.9%; specificity, 69.3%). Regarding age, the AUC was 0.732. Children older than 637.5 days were more likely to have MIS (sensitivity, 72.8%; specificity, 63.3%). Pediatric MIS is associated with longer operative time for nephrectomy, but shorter LOS following PN. Surgical approach was not associated with difference in short-term complications.

Similar millennial climate variability on the Iberian margin during two early Pleistocene glacials and MIS 3

NASA Astrophysics Data System (ADS)

Birner, B.; Hodell, D. A.; Tzedakis, P. C.; Skinner, L. C.

2016-01-01

Although millennial-scale climate variability (<10 ka) has been well studied during the last glacial cycles, little is known about this important aspect of climate in the early Pleistocene, prior to the Middle Pleistocene Transition. Here we present an early Pleistocene climate record at centennial resolution for two representative glacials (marine isotope stages (MIS) 37-41 from approximately 1235 to 1320 ka) during the "41 ka world" at Integrated Ocean Drilling Program Site U1385 (the "Shackleton Site") on the southwest Iberian margin. Millennial-scale climate variability was suppressed during interglacial periods (MIS 37, MIS 39, and MIS 41) and activated during glacial inceptions when benthic δ18O exceeded 3.2‰. Millennial variability during glacials MIS 38 and MIS 40 closely resembled Dansgaard-Oeschger events from the last glacial (MIS 3) in amplitude, shape, and pacing. The phasing of oxygen and carbon isotope variability is consistent with an active oceanic thermal bipolar see-saw between the Northern and Southern Hemispheres during most of the prominent stadials. Surface cooling was associated with systematic decreases in benthic carbon isotopes, indicating concomitant changes in the meridional overturning circulation. A comparison to other North Atlantic records of ice rafting during the early Pleistocene suggests that freshwater forcing, as proposed for the late Pleistocene, was involved in triggering or amplifying perturbations of the North Atlantic circulation that elicited a bipolar see-saw response. Our findings support similarities in the operation of the climate system occurring on millennial time scales before and after the Middle Pleistocene Transition despite the increases in global ice volume and duration of the glacial cycles.

Accuracy of percutaneous pedicle screws for thoracic and lumbar spine fractures compared with open technique.

PubMed

Paredes, Igor; Panero, Irene; Cepeda, Santiago; Castaño-Leon, Ana M; Jimenez-Roldan, Luis; Perez-Nuñez, Ángel; Alén, Jose A; Lagares, Alfonso

2018-06-14

This study aimed to compare the accuracy of screw placement between open pedicle screw fixation and percutaneous pedicle screw fixation (MIS) for the treatment of thoracolumbar spine fractures (TSF). Forty-nine patients with acute TSF who were treated with transpedicular screw fixation from January 2013 to December 2016 were retrospectively reviewed. The patients were divided into Open and MIS groups. Laminectomy was performed in either group if needed. The accuracy of the screw placement, the evolution of the Cobb sagital angle postoperatively and at 12-month follow up and the neurological status were recorded. AO type of fracture and TLICS score were also recorded. Mean age was 42 years old. Mean TLICS score was 6,29 and 5,96 for open and MIS groups respectively. Twenty five MIS and 24 open surgeries were performed, and 350 (175 in each group) screws were inserted (7,14 per patient). Twenty-four and 13 screws were considered ̈out ̈ in the open and MIS groups respectively (Odds ratio 1,98. 0,97-4,03 p=0,056). The Cobb sagittal angle went from 13,3o to 4,5o and from 14,9o to 8,2o in the Open and MIS groups respectively (both p<0,0001). Loss of correction at 12-month follow up was 3,2o and 4,2o for the open and MIS groups respectively. No neurological worsening was observed. For the treatment of acute thoracolumbar fractures, the MIS technique seems to achieve similar results to the open technique in relation to neurological improvement and deformity correction, while placing the screws more accurately.

Insights into North Atlantic deep water formation during the peak interglacial interval of Marine Isotope Stage 9 (MIS 9)

NASA Astrophysics Data System (ADS)

Mokeddem, Zohra; McManus, Jerry F.

2017-11-01

Foraminifera abundance and stable isotope records from ODP Site 984 (61.25°N, 24.04°W, 1648 m) in the North Atlantic are used to reconstruct surface circulation variations and the relative strength of the North Atlantic Deep Water (NADW) formation over the period spanning the peak warmth of Marine Interglacial Stage (MIS) 9e ( 324-336 ka). This interval includes the preceding deglaciation, Termination 4 (T4), and the subsequent glacial inception of MIS 9d. The records indicate a greatly reduced contribution of NADW during T4, as observed in more recent deglaciations. In contrast with the most recent deglaciation, the lack of a significant NADW signal extended from T4 well into the peak interglacial MIS 9e and persisted nearly until the transition to the subsequent glacial stage MIS 9d. Although NADW formation resumed during MIS 9e, only depths greater than 2000 m appear to have been ventilated. The poorly ventilated intermediate depth of Site 984 (<2000 m) may have resulted on one hand from a general reduction of deep water ventilation by NADW during the study interval or, on the other hand, from different pathways of the spread of newly formed NADW that bypassed the study location. The intermediate depths may have also been invaded by southern-sourced waters as the formation of intermediate depth NADW weakened. The absence of any significant NADW signal at the water depth of Site 984 during the climatic optimum contrasts sharply with subsequent interglacial peaks (MIS 5e and the Holocene). Despite the perturbed intermediate depth circulation, oceanic heat transport northeastward was not interrupted and may have contributed to the relatively mild interglacial conditions of MIS 9e.

Si and GaAs photocapacitive MIS infrared detectors

NASA Technical Reports Server (NTRS)

Sher, A.; Tsuo, Y. H.; Moriarty, J. A.; Miller, W. E.; Crouch, R. K.

1980-01-01

Improvement of the previously reported photocapacitive MIS infrared detectors has led to the development of exceptional room-temperature devices. Unoptimized peak detectivities on the order of 10 to the 13th cm sq rt Hz/W, a value which exceeds the best obtainable from existing solid-state detectors, have now been consistently obtained in Si and GaAs devices using high-capacitance LaF3 or composite LaF3/native-oxide insulating layers. The measured spectral response of representative samples is presented and discussed in detail together with a simple theory which accounts for the observed behavior. The response of an ideal MIS photocapacitor is also contrasted with that of both a conventional photoconductor and a p-i-n photodiode, and reasons for the superior performance of the MIS detectors are given. Finally, fundamental studies on the electrical, optical, and noise characteristics of the MIS structures are analyzed and discussed in the context of infrared-detector applications.

The Houston Academy of Medicine--Texas Medical Center Library management information system.

PubMed Central

Camille, D; Chadha, S; Lyders, R A

1993-01-01

A management information system (MIS) provides a means for collecting, reporting, and analyzing data from all segments of an organization. Such systems are common in business but rare in libraries. The Houston Academy of Medicine-Texas Medical Center Library developed an MIS that operates on a system of networked IBM PCs and Paradox, a commercial database software package. The data collected in the system include monthly reports, client profile information, and data collected at the time of service requests. The MIS assists with enforcement of library policies, ensures that correct information is recorded, and provides reports for library managers. It also can be used to help answer a variety of ad hoc questions. Future plans call for the development of an MIS that could be adapted to other libraries' needs, and a decision-support interface that would facilitate access to the data contained in the MIS databases. PMID:8251972

Late Quaternary chronology of paleo-climatic changes in Caspian Sea region based on Lower Volga sections

NASA Astrophysics Data System (ADS)

Kurbanov, Redzhep; Yanina, Tamara; Murray, Andrew; Svitoch, Alexander; Tkach, Nikolai

2017-04-01

Lower Volga is a unique region for understanding the history of the Caspian Sea in the Pleistocene, its correlation of paleogeographic events with glacial-interglacial rhythms of the East European Plain and the global and regional climate changes. The reason is representativeness of Quaternary sections, their completeness, presence of both marine and subaerial sediments, paleontological richness of the materials and available for study. The purpose of this work is to reconstruct the paleogeographic events in the Late Pleistocene of the Lower Volga region on the basis of summarizing the study results for the Srednyaya Akhtuba reference section. Located near city of Volgograd, at Khvaynian plain natural outcrop of Srednyaya Akhtuba section, reveals in a series of exposures a unique to the region series of marine Caspian continental deposits with four levels of buried soil horizons and loess. The results were obtained during 2015 and 2016 complex field research with application of lithological, paleopedological, paleontological, paleocryological, OSL-dating, paleomagnetic methods, that allowed more fundamental approach to the chronological assessment of individual horizons. The structure of the Srednyaya Akhtuba reference section reflects a number of paleogeographic stages of development of the study area. The oldest phase (layers 22-19) is not characterized by OSL dating or faunal material. Based on the sequence of dated layers, we assume its Middle Pleistocene age (MIS-6 stage), corresponding to Moscow stage of the Dnieper glaciation of the East European Plain and the final stage of Early Khazarian transgressive era of Caspian sea. The next stage (layers 18-14), represented by three horizons of paleosols, refers to the first half of the Late Pleistocene (MIS 5). Epoch of soil formation, based on the results the OSL-dating, can be referred to the warm sub-stages (MIS 5c and 5a), with unstable climatically transitional phase from Mikulino (Eemian) interglacial to the Valdai glaciation. Lower soil horizon that has no dating, logically refers to the maximum warm era of Mikulino interglacial (MIS 5e). In the history of Caspian Sea this era responded to Late Khazarian transgressive-regressive stage (MIS 5): Late Khazarian minor transgression (level of about -10 m), characterized by warm-water, and the Hirkanian transgression with slightly cool environmental conditions. Both transgressive basins did not reach latitude of Srednyaya Akhtuba. Continuous stage of continental development of the territory, reflected in the structure of the section (layers 13-8), in the stratigraphic scheme of the Caspian region refers to Atelian formation, situated between Late Khazarian and Khvalynian transgressive epochs of the basin. Different facies complex (layers 11-9) of alluvial deposits of the section reflects the stage of initial development stage of Khvalynian transgression of the Caspian Sea - the accumulation of alluvium strata in raising erosion basis conditions, responding to interstadial Inter-Valdai warming era (MIS 3). Late Pleistocene continental development stage ends with faze of accumulation of loess sandy loam (layer 8). Obviously, it correlates with the last glacial maximum (MIS 2), dry cold era, conditions of which were not conducive to the development of the Caspian transgression - it was regressive (eltonskaya regression?) stage. Thus, the continental Atelian era of the upper (Volgograd) area of the Lower Volga region reflects three distinct paleogeographic events of the Caspian Sea history: 1. Atelian Caspian regression in conditions of Kalinin glaciation (MIS 4); 2. The initial stage of Khvalynian transgression under interstadial warming (MIS 3); 3. Regression, corresponding Ostashkovski glaciation (MIS 2). This sediments complex represents Atelian formation in Caspian region stratigraphic scheme, the amount of which is beyond the scope of the same name regression (Atelian). "Marine" stage of area development is expressed in Khvalynian complex (layers 7-3), corresponding to Early Khvalynian transgression of the Caspian Sea. This chocolate clays are interbedded with sands containing numerous shells of mollusks: Didacna protracta, D. ebersini, Dreissena rostriformis, Dr. polymorpha. OSL dates of chocolate clays (15000 ± 1000 and 13000 ± 500 years) testify their accumulation in the era of Ostashkov glaciation degradation. These data are in good agreement with the results of radiocarbon dating of mollusk shells, lying in the sand interlayers in the thickness of chocolate clays of Lower Volga [Arslanov et al., 2016], and they are contrary to the thermoluminescence results [Shahovets 1987] Research was supported by Russian Science Foundation, project 14-17-00705

Late Quaternary chronostratigraphic framework of terraces and alluvium along the lower Ohio River, southwestern Indiana and western Kentucky, USA

USGS Publications Warehouse

Counts, Ronald C.; Murari, Madhav K.; Owen, Lewis A.; Mahan, Shannon; Greenan, Michele

2015-01-01

The lower Ohio River valley is a terraced fluvial landscape that has been profoundly influenced by Quaternary climate change and glaciation. A modern Quaternary chronostratigraphic framework was developed for the lower Ohio River valley using optically stimulated luminescence (OSL) dating and allostratigraphic mapping to gain insights into the nature of fluvial responses to glacial–interglacial/stadial–interstadial transitions and Holocene climate change. River deposits, T0 (youngest) to T7 (oldest), were mapped along a 75 km reach of the lower Ohio River and were dated using 46 OSL and 5 radiocarbon samples. The examination of cores combined with OSL and radiocarbon dating shows that fluvial sediments older than marine oxygen isotope stage (MIS) 2 are present only in the subsurface. Aggradation during MIS 6 (Illinoian glaciation) filled the valley to within ∼7 m of the modern floodplain, and by ∼114 ka (MIS 5e/Sangamon interglacial) the Ohio River had scoured the MIS 6 sediments to ∼22 m below the modern floodplain surface. There were no fluvial sediments in the valley with ages between MIS 5e and the middle of MIS 3. The MIS 3 ages (∼39 ka) and stratigraphic position of T5 deposits suggest the Ohio River aggraded 8–14 m during MIS 4 or MIS 3. Near the end of MIS 3, the Ohio River incised the mid Last Glacial (mid-Wisconsinan) deposits ∼10 m and began aggrading again by ∼30 ka. Aggradation continued into MIS 2, with maximum MIS 2 aggradation occurring before ∼21 ka, which is coincident with the global Last Glacial Maximum (LGM). As the Ohio River adjusted to changing fluxes in sediment load and discharge following the LGM, it formed a sequence of fill-cut terraces in the MIS 2 outwash that get progressively younger with decreasing elevation, ranging in age from ∼21 ka to ∼13 ka. From ∼14 ka to ∼13 ka the Ohio River rapidly incised ∼3 m to form a new terrace, and by ∼12 ka at the onset of the Holocene, the Ohio River established a meandering channel pattern. The river formed a broad floodplain surface from ∼12 ka to ∼6 ka, and then incised ∼1 m and formed a fill-cut terrace from ∼6 ka to ∼5 ka. After ∼5 ka, likely in response to mid-Holocene drought in North America, the Ohio River incised ∼5 m, and by ∼4 ka the river began aggrading again. The Ohio River has aggraded ∼4 m since aggradation began at ∼4 ka. The chronostratigraphic framework and reconstructed history developed here suggest that the lower Ohio River is highly sensitive to glacial–interglacial transitions and abrupt Holocene climate change and responds rapidly to these allogenic forcings.

A reversible bipolar WORM device based on AlOxNy thin film with Al nano phase embedded

NASA Astrophysics Data System (ADS)

Zhu, W.; Li, J.; Zhang, L.; Hu, X. C.

2017-03-01

An Al-rich AlOxNy thin film based reversible Write-Once-Read-Many-Times (WORM) memory device with MIS structure could transit from high resistance state (HRS, ∼1011 Ω) to low resistance state (LRS, ∼105 Ω) by sweeping voltage up to ∼20 V. The first switching could be recorded as writing process for WORM device which may relate to conductive path are formed through the thin film. The conductive path should be formed by both Al nano phase and oxygen vacancies. Among of them, Al nano phases are not easy to move, but oxygen vacancies could migrate under high E-field or at high temperature environment. Such conductive path is not sensitive to charging effect after it formed, but it could be broken by heating effect, which may relate to the migration of excess Al ions and oxygen vacancies at high temperature. After baking LRS (ON state) WORM device at 200 °C for 2 min, the conductivity will decrease to HRS which indicates conductive path is broken and device back to HRS (OFF state) again. This phenomenon could be recorded as recovery process. Both writing and recovery process related to migration of oxygen vacancies and could be repeated over 10 times in this study. It also indicates that there is no permanent breakdown occurred in MIS structured WORM device operation. We suggest that this conductive path only can be dissolved by a temperature sensitive electro-chemical action. This WORM device could maintain at LRS over 105 s with on-off ratio over 4 orders.

Quaternary fluvial history of the Delaware River, New Jersey and Pennsylvania, USA: The effects of glaciation, glacioisostasy, and eustasy on a proglacial river system

NASA Astrophysics Data System (ADS)

Stanford, Scott D.; Witte, Ron W.; Braun, Duane D.; Ridge, John C.

2016-07-01

Fluvial, glacial, and estuarine deposits in the Delaware Valley record the response of the Delaware River to glaciation, sea-level change, and glacioisostasy during the Quaternary. Incision following an early Pleistocene glaciation created the present valley, which is inset into a Pliocene strath and fluvial plain. Middle and upper Pleistocene and Holocene deposits were laid down in this inset valley. Estuarine terraces in the lower valley and bayshore at + 20 m (probably Marine Isotope Stage [MIS] 11), + 8 m (MIS 5e), and + 3 m (MIS 5a or c), and a fluvial deposit that correlates to offshore MIS 3 marine deposits at - 20 m are at elevations consistent with glacioisostatic models. Successive incisions during lowstands in the middle and late Pleistocene lengthened, deepened, and narrowed the channel in the lower valley and shifted the channel westward in Delaware Bay. During MIS 2 glaciation, from 25 to 18 ka, the Delaware was diverted to the Hudson Shelf Valley by glacioisostatic tilting. Most glacial sediment was trapped in fluvial-lacustrine valley fills north of the terminal moraine. Incision of the valley fill was accomplished during the early stage of rebound, between 17 and 12 ka. Drainage to the Delaware shelf was restored between 15 and 13 ka as the forebulge collapsed. During incision, multiple postglacial terraces formed where the valley was perpendicular to rebound contours and so was steepened and elevated northward; and a single terrace formed where the valley paralleled the contours, and there was no differential elevation or steepening. About 65% of the original volume of MIS 2 glacial sediment remains in the main valley, and most of the eroded volume is in the channel in the lower valley beneath Holocene estuarine fill. Little glacial sediment reached the Delaware or Hudson shelf. Overbank deposition on the lower postglacial terrace and modern floodplain spans the Holocene. The volume of Holocene sediment in the estuary and bay yields a basinwide denudation rate of about 20 m/my.

A new assay for measuring chromosome instability (CIN) and identification of drugs that elevate CIN in cancer cells.

PubMed

Lee, Hee-Sheung; Lee, Nicholas C O; Grimes, Brenda R; Samoshkin, Alexander; Kononenko, Artem V; Bansal, Ruchi; Masumoto, Hiroshi; Earnshaw, William C; Kouprina, Natalay; Larionov, Vladimir

2013-05-22

Aneuploidy is a feature of most cancer cells that is often accompanied by an elevated rate of chromosome mis-segregation termed chromosome instability (CIN). While CIN can act as a driver of cancer genome evolution and tumor progression, recent findings point to the existence of a threshold level beyond which CIN becomes a barrier to tumor growth and therefore can be exploited therapeutically. Drugs known to increase CIN beyond the therapeutic threshold are currently few in number, and the clinical promise of targeting the CIN phenotype warrants new screening efforts. However, none of the existing methods, including the in vitro micronuclei (MNi) assay, developed to quantify CIN, is entirely satisfactory. We have developed a new assay for measuring CIN. This quantitative assay for chromosome mis-segregation is based on the use of a non-essential human artificial chromosome (HAC) carrying a constitutively expressed EGFP transgene. Thus, cells that inherit the HAC display green fluorescence, while cells lacking the HAC do not. This allows the measurement of HAC loss rate by routine flow cytometry. Using the HAC-based chromosome loss assay, we have analyzed several well-known anti-mitotic, spindle-targeting compounds, all of which have been reported to induce micronuclei formation and chromosome loss. For each drug, the rate of HAC loss was accurately measured by flow cytometry as a proportion of non-fluorescent cells in the cell population which was verified by FISH analysis. Based on our estimates, despite their similar cytotoxicity, the analyzed drugs affect the rates of HAC mis-segregation during mitotic divisions differently. The highest rate of HAC mis-segregation was observed for the microtubule-stabilizing drugs, taxol and peloruside A. Thus, this new and simple assay allows for a quick and efficient screen of hundreds of drugs to identify those affecting chromosome mis-segregation. It also allows ranking of compounds with the same or similar mechanism of action based on their effect on the rate of chromosome loss. The identification of new compounds that increase chromosome mis-segregation rates should expedite the development of new therapeutic strategies to target the CIN phenotype in cancer cells.

Last interglacial semi-desert expansions in southern Africa

NASA Astrophysics Data System (ADS)

Urrego, D. H.; Sanchez Goni, M.; Lechevrel, S.; Daniau, A.

2013-05-01

While our understanding of the effects of orbital-scale variability on the vegetation has grown during the past decades, empirical data from some climatically important periods and regions are still lacking. Scarce data exist for instance for deep-time glacial-interglacial cycles that could provide suitable analogs for current climate change. Recent global-scale syntheses of vegetation responses to rapid events during the last glacial have been useful, however, these global compilations clearly show that some regions, namely the southern tropics and subtropics, remain understudied. We use pollen analysis of marine sediments from core MD96-2098 to produce a paleoenvironmental record from southern Africa spanning MIS 6 to 3. Our interpretations are supported by an analysis of present-day pollen-vegetation-climate relationships for the region. We applied canonical correspondence analysis (CCA) and detrended correspondence analysis (DCA) on pollen spectra from terrestrial surface samples to investigate these relationships and to identify pollen taxa that are suitable bioclimatic indicators for the different South African biomes. Semi-desert vegetation dominated southern Africa during the MIS 5 interglacial. Expansion of the semi-desert biome into the Namib desert likely resulted from the reduction of the Benguela upwelling and a relative decrease in aridity. In its eastern boundary, the semi-desert likely expanded at the expense of grasslands as a result of increased subtropical high pressure and reduced summer precipitation. Semi-desert expansion in its southern boundary probably resulted from reduced influence of the southern westerlies and decreased winter precipitation. This atmospheric configuration was probably exacerbated during the three warm substages of MIS 5. During glacial isotopic stages MIS 6, 4 and 3 grasslands gained area over the semi-desert as summer precipitation increased. The area occupied by Fynbos vegetation was particularly large at the transition MIS 5e to 5d, and the end of MIS 4 with an increased influence of the southern westerlies and austral-winter precipitation. Small and short-lived increases of Podocarpus during transitions between isotopic stages and substages indicated increases of humidity. Our record also suggested an increase in millennial-scale variability after ca. 100 ka that could be associated with enhanced variability of the trade-wind intensity.

Comparison of the costs of nonoperative care to minimally invasive surgery for sacroiliac joint disruption and degenerative sacroiliitis in a United States Medicare population: potential economic implications of a new minimally-invasive technology

PubMed Central

Ackerman, Stacey J; Polly, David W; Knight, Tyler; Schneider, Karen; Holt, Tim; Cummings, John

2013-01-01

Introduction The economic burden associated with the treatment of low back pain (LBP) in the United States is significant. LBP caused by sacroiliac (SI) joint disruption/degenerative sacroiliitis is most commonly treated with nonoperative care and/or open SI joint surgery. New and effective minimally invasive surgery (MIS) options may offer potential cost savings to Medicare. Methods An economic model was developed to compare the costs of MIS treatment to nonoperative care for the treatment of SI joint disruption in the hospital inpatient setting in the US Medicare population. Lifetime cost savings (2012 US dollars) were estimated from the published literature and claims data. Costs included treatment, follow-up, diagnostic testing, and retail pharmacy pain medication. Costs of SI joint disruption patients managed with nonoperative care were estimated from the 2005–2010 Medicare 5% Standard Analytic Files using primary International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes 720.2, 724.6, 739.4, 846.9, or 847.3. MIS fusion hospitalization cost was based on Diagnosis Related Group (DRG) payments of $46,700 (with major complications - DRG 459) and $27,800 (without major complications - DRG 460), weighted assuming 3.8% of patients have complications. MIS fusion professional fee was determined from the 2012 Medicare payment for Current Procedural Terminology code 27280, with an 82% fusion success rate and 1.8% revision rate. Outcomes were discounted by 3.0% per annum. Results The extrapolated lifetime cost of treating Medicare patients with MIS fusion was $48,185/patient compared to $51,543/patient for nonoperative care, resulting in a $660 million savings to Medicare (196,452 beneficiaries at $3,358 in savings/patient). Including those with ICD-9-CM code 721.3 (lumbosacral spondylosis) increased lifetime cost estimates (up to 478,764 beneficiaries at $8,692 in savings/patient). Conclusion Treating Medicare beneficiaries with MIS fusion in the hospital inpatient setting could save Medicare $660 million over patients’ lifetimes. PMID:24348055

What is the value of the SAGES/AORN MIS checklist? A multi-institutional practical assessment.

PubMed

Benham, Emily; Richardson, William; Dort, Jonathan; Lin, Henry; Tummers, A Michael; Walker, Travelyan M; Stefanidis, Dimitrios

2017-04-01

Surgical safety checklists reduce perioperative complications and mortality. Given that minimally invasive surgery (MIS) is dependent on technology and vulnerable to equipment failure, SAGES and AORN partnered to create a MIS checklist to optimize case flow and minimize errors. The aim of this project was to evaluate the effectiveness of the SAGES/AORN checklist in preventing disruptions and determine its ease of use. The checklist was implemented across four institutions and completed by the operating team. To assess its effectiveness, we recorded how often the checklist identified problems and how frequently each of the 45 checklist items were not completed. The perceived usefulness, ease of use, and frustration associated with checklist use were rated on a 5-point Likert scale by the surgeon. We assessed any differences dependent on timing of checklist completion and among institutions. The checklist was performed during MIS procedures (n = 114). When used before the procedure (n = 36), the checklist identified missing items in 13 cases (36.11 %). When used after the procedure (n = 61), the checklist identified missing items in 18 cases (29.51 %) that caused a delay of 4.1 ± 11.1 min. The most frequently missed items included preference card review (14.0 %), readiness of the carbon dioxide insufflator (8.7 %), and availability of the Veress needle (3.6 %). The checklist took an average of 3.6 ± 2.7 min to complete with its usefulness rated 2.6 ± 1.5, ease of use 2.0 ± 1.2, and frustration 1.3 ± 1.1. The checklist identified problems in 24 % of cases that led to preventable delays. The checklist was easy to complete and not frustrating, indicating it could improve operative flow. This study also identified the most useful items which may help abbreviate the checklist, minimizing the frustration and time taken to complete it while maximizing its utility. These attributes of the SAGES/AORN MIS checklist should be explored in future larger-scale studies.

Learning from Action Evaluation of the Use of Multimedia Case Studies in Management Information Systems Courses

ERIC Educational Resources Information Center

Kawulich, Barbara B.

2011-01-01

This manuscript shares lessons learned from conducting an action evaluation of the use of multimedia case studies in Management Information Systems (MIS) courses. Three undergraduate MIS classes took part in the study. The purpose for using case studies in these classes was to teach students about the role of MIS in business. An action evaluation…

49 CFR Appendix H to Part 40 - DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form

Code of Federal Regulations, 2010 CFR

2010-10-01

..., App. H Appendix H to Part 40—DOT Drug and Alcohol Testing Management Information System (MIS) Data... 49 Transportation 1 2010-10-01 2010-10-01 false DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form H Appendix H to Part 40 Transportation Office of the Secretary...

49 CFR Appendix H to Part 40 - DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form

Code of Federal Regulations, 2013 CFR

2013-10-01

..., App. H Appendix H to Part 40—DOT Drug and Alcohol Testing Management Information System (MIS) Data... 49 Transportation 1 2013-10-01 2013-10-01 false DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form H Appendix H to Part 40 Transportation Office of the Secretary...

49 CFR Appendix H to Part 40 - DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form

Code of Federal Regulations, 2014 CFR

2014-10-01

..., App. H Appendix H to Part 40—DOT Drug and Alcohol Testing Management Information System (MIS) Data... 49 Transportation 1 2014-10-01 2014-10-01 false DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form H Appendix H to Part 40 Transportation Office of the Secretary...

49 CFR Appendix H to Part 40 - DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form

Code of Federal Regulations, 2012 CFR

2012-10-01

..., App. H Appendix H to Part 40—DOT Drug and Alcohol Testing Management Information System (MIS) Data... 49 Transportation 1 2012-10-01 2012-10-01 false DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form H Appendix H to Part 40 Transportation Office of the Secretary...

49 CFR Appendix H to Part 40 - DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form

Code of Federal Regulations, 2011 CFR

2011-10-01

..., App. H Appendix H to Part 40—DOT Drug and Alcohol Testing Management Information System (MIS) Data... 49 Transportation 1 2011-10-01 2011-10-01 false DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form H Appendix H to Part 40 Transportation Office of the Secretary...

Anchorage loss due to Herbst mechanics-preventable through miniscrews?

PubMed

Bremen, Julia von; Ludwig, Björn; Ruf, Sabine

2015-10-01

To assess if mandibular incisor proclination and protrusion during treatment with the Herbst/multibracket appliance can be prevented through simple screws (MIs) anchorage. After a statistical power analysis, 12 Herbst patients with MIs (100% MIs survival) ligated to the Herbst/multibracket appliance to reinforce anchorage were investigated. A control group matched for gender and skeletal maturity treated without MIs anchorage was selected. Pre- and posttreatment cephalograms were analysed for overjet reduction, mandibular incisor proclination (IL/ML), protrusion (Ii-MLp) and intrusion (Ii-ML), as well as occlusal plane inclination (OP/ML) by a single-blinded examiner. No statistically significant differences between the two groups were found concerning overjet reduction, incisor protrusion- and intrusion or occlusal plane tilt. Although the MIs group generally showed less lower incisor proclination (4.8°) than the group without skeletal anchorage (6.5°), a large interindividual variation was observed. Interradicular MIs anchorage cannot prevent anchorage loss during Herbst treatment. For the individual patient, the amount of incisor proclination and protrusion remains unpredictable. © The Author 2014. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

A 600-ka Arctic sea-ice record from Mendeleev Ridge based on ostracodes

USGS Publications Warehouse

Cronin, Thomas M.; Polyak, L.V.; Reed, D.; Kandiano, E. S.; Marzen, R. E.; Council, E. A.

2013-01-01

Arctic paleoceanography and sea-ice history were reconstructed from epipelagic and benthic ostracodes from a sediment core (HLY0503-06JPC, 800 m water depth) located on the Mendeleev Ridge, Western Arctic Ocean. The calcareous microfaunal record (ostracodes and foraminifers) covers several glacial/interglacial cycles back to estimated Marine Isotope Stage 13 (MIS 13, ∼500 ka) with an average sedimentation rate of ∼0.5 cm/ka for most of the stratigraphy (MIS 5–13). Results based on ostracode assemblages and an unusual planktic foraminiferal assemblage in MIS 11 dominated by a temperate-water species Turborotalita egelida show that extreme interglacial warmth, high surface ocean productivity, and possibly open ocean convection characterized MIS 11 and MIS 13 (∼400 and 500 ka, respectively). A major shift in western Arctic Ocean environments toward perennial sea ice occurred after MIS 11 based on the distribution of an ice-dwelling ostracode Acetabulastoma arcticum. Spectral analyses of the ostracode assemblages indicate sea ice and mid-depth ocean circulation in western Arctic Ocean varied primarily at precessional (∼22 ka) and obliquity (∼40 ka) frequencies.

[Validation of French versions of magical ideation and perceptual aberrations questionnaires].

PubMed

Dumas, P; Bouafia, S; Gutknecht, C; Saoud, M; Daléry, J; d'Amato, T

2000-01-01

Chapman and colleagues have developed symptom-oriented scales based on Meehl's manual of schizotypy, such as the Social Anhedonia (SA) and Physical Anhedonia (PhA) Scales, the Magical Ideation Scale (MIS), and the Perceptual Aberration Scale (PAS). Whereas Chapman's scales of psychosis proneness are the most internationally used instruments for the assessment of schizotypy, some of them, such as MIS and PAS, were still not available in French. We reported here the validation study of the MIS and the PAS French versions that we had published previously. This study was conducted in a sample of 233 students (males: n = 108; females: n = 125; mean age: 21.17 +/- 1.47; mean educational level: 13.36 +/- 1.06). The French versions of the MIS and the PAS have high internal reliability (MIS: Cronbach's alpha = 0.85; PAS: Cronbach's alpha = 0.88). French norms are given for each of these scales. They are respectively 19/30 for the MIS and 17/35 for the PAS high cutoff scores without any difference when gender was considered. These results are very closed to those found by Chapman and colleagues for University of Wisconsin undergraduate students.

A new ELSA time series of tephra layers and paleobotanical evidence from laminated Eifel maar sediments covering the entire last 120,000 years

NASA Astrophysics Data System (ADS)

Sirocko, Frank; Knapp, Hannes; Klee, Marlies; Rothacker, Leo; Kromer, Bernd

2014-05-01

The ELSA Project has drilled a total of 50 sediment cores (2000 m of laminated lake sediment) from Eifel maar lakes and dry maar structures during the last 15 years. These records have been dated using 7 different methods, including 370 14C dates. Ten records reveal the established palynological succession of trees during the Holocene down to the Laacher See Tephra, which is used for synchronization with seven more recently drilled laminated sediment cores, which all are 14C-dated too and analyzed for tephra, pollen and paleobotanical macroremains. The seven newly established records reveal a continuous MIS2 section with mosses, ostracods and characea oogonia. They show that the 28.000 - 40.000 BP has witnessed an open landscape dominated by grass, but with rhythmic spread of conifer trees following the Greenland interstadial/succession. Seeds of Ranunculae provide excellent material for 14C dating. Even deciduous trees are present in small amounts until 28.000 BP. The time from 48.000 to 40.000 BP is characterized by a pronounced transition from the open landscape to an early MIS3 spruce (Picea) dominated forest during Greenland Interstadial GI17-14. Modern man apparently arrived at the end of this principal vegetation change near 40,000 BP. Volcanic activity in the Eifel had a stable and pronounced recurrence from 55,000 - 30,000 BP every 4000 years, but commenced with the beginning of MIS2. This landscape evolution with a forested early MIS3 is quite different to peat and sediment records from Netherlands/ Northern Germany/Scandinavia/ Poland, but is similar to conditions in parts of Switzerland. We address the early MIS3 forest to the nearby continuously moist soils and warm conditions in the nearby Mosel valley, i.e. on those stands where wine is growing today, and which most likely had served as a local refugia even for deciduous trees during MIS4 and MIS3. The MIS5 sections of the presented ELSA records reach down at least to the beginning of MIS5d near 118,000 BP, probably even back into MIS5e. The oldest Ar/Ar dated ELSA records reach down to 480,000 BP.

Insights into MIS 3 and 4 climate in the Alps from the Baumkirchen paleo-lake site: Results of pollen analysis

NASA Astrophysics Data System (ADS)

Barrett, Samuel; Drescher-Schneider, Ruth; Starnberger, Reinhard; Spötl, Christoph

2016-04-01

The well-known Baumkirchen site of western Austria has recently been the focus of a renewed research effort. New drilling has greatly extended the length of the known lacustrine sequence to over 250 m. Luminescence dating has corroborated the late MIS 3 radiocarbon dates for the upper part of the sequence and revealed two lake phases: the upper extending from late MIS 3 back to mid MIS 3, and the lower covering late MIS 4 or early MIS 3 back possibly as far as MIS 5a. X-ray fluorescence core scanning analysis confirmed the presence of two phases which have different geochemical signals, and provided a chemistry-based stratigraphy in the visually monotonous sediments. In these uniform sediments, the only clear indication of climatic conditions from the sediments themselves is a short sequence of ice-rafted debris corresponding to the end of MIS 4. However, given their age and location within the Alps, these sediments provide an important archive of Alpine climate in the last glacial cycle. We present new results from pollen analysis and discuss them in the context of previously reported findings. Due to high sedimentation rates, pollen counts were very low. However, two stadials and two interstadials were identified. The entire lower lake phase corresponding to MIS 4 was identified as a stadial, being characterised by a very low total pollen concentrations, a dominance of herb over tree pollen and significant reworking of pre-Quaternary forms and wood fragments. The upper lake phase contains two interstadials split by an intervening stadial. The interstadials are characterised by higher total pollen concentrations and proportion of woody species including the sporadic presence of relatively warm climate species with the upper of the two appearing better developed with these indicators more strongly expressed. This upper interstadial corresponds to the location of well dated plant remains putting its age around 35 ka cal BP, strongly suggesting a correlation to Greenland interstadial 7, while the correspondence of the lower interstadial is uncertain. Overall, the vegetation of the central Inn Valley during MIS 3 and 4 was dominated by steppe-like open-vegetation (consistent with earlier work from the upper part of the sequence) with tree stands (but not forests) establishing themselves during the interstadials.

The Snowmastodon Project

USGS Publications Warehouse

Johnson, Kirk R.; Miller, Ian M.; Pigati, Jeffery S.

2014-01-01

Studies of terrestrial biotic and environmental dynamics of the last interglacial period, Marine Oxygen Isotope Stage (MIS) 5, provide insight into the effects of long-term climate change on Pleistocene ecosystems. In North America, however, there are relatively few fossil sites that definitively date to MIS 5. Even fewer contain multiple ecosystem components (vertebrates, invertebrates, plants) that have been studied in detail, and none are located at high elevation. Thus, our view of North American ecosystems during MIS 5 is, at best, an incomplete composite view, and alpine ecosystems are entirely undocumented. The Ziegler Reservoir fossil site allows us to begin filling these gaps. Discovered on October 14, 2010 by a construction crew while enlarging a small reservoir near Snowmass Village, Colorado (USA), the site is situated high in the Rocky Mountains at an elevation of ~ 2705 m. Initial excavations exposed a series of stacked fossil ecosystems, including abundant faunal and floral components. Subsequent work revealed an exceptionally diverse biota composed of nearly 6000 large bones of late Pleistocene megafauna, including mastodons, mammoths, ground sloths, horses, camels, deer, bison, black bear, coyotes, and big horn sheep. This collection is complemented by more than 200 bones from at least 40 species of small animals including otters, muskrats, minks, rabbits, beavers, frogs, lizards, snakes, fish, and birds, and more than 20,000 salamander bones. Geomorphic evidence and multiple dating techniques show that the small, ridge-top basin containing the site was formed by a lateral lobe of a valley glacier that filled, and ultimately overtopped, the Snowmass Creek drainage during the Bull Lake glaciation (MIS 6). When the glacier receded, a lake that occupied the basin began to fill slowly with what is hypothesized to be eolian sediment and occasional input from slope failures of the impounding moraine. As sedimentation continued, the lake transformed first into a shallow pond, then a marsh, and later an alpine meadow. In all, the Ziegler Reservoir sedimentary record spans the time encompassed by the end of MIS 6, all of MIS 5 and MIS 4, and the earliest part of MIS 3. MIS 5e, which is considered to be the peak warmth of the last interglacial period, is especially well represented. Preservation of organic material at the Ziegler Reservoir fossil site is exceptional. Even after more than 100,000 years of burial, sedge and willow leaves were still green, mollusks and gastropods showed color, beetle parts remained iridescent, fossil conifer cones were intact, and an entire beach of 20-meter-long driftwood logs was found intact. The exquisite preservation allowed for detailed analysis of pollen, plant macrofossils, conifer cones, and fossil wood, as well as insects, chironomids, mollusks, ostracodes, and other invertebrates — all in addition to the spectacular faunal remains. This special volume of Quaternary Research represents a comprehensive scientific report of “The Snowmastodon Project,” as the investigations at the Ziegler Reservoir fossil site came to be known. Summarizing the work of scientists from more than 20 institutions, the volume details the environments in which the animals lived, provides insight into how they died, and forms the foundation of our understanding of alpine ecosystem dynamics during the last interglacial period in the Rocky Mountains.

A review of the MIS 5e highstand deposits from Santa Maria Island (Azores, NE Atlantic): palaeobiodiversity, palaeoecology and palaeobiogeography

NASA Astrophysics Data System (ADS)

Ávila, Sérgio P.; Melo, Carlos; Silva, Luís; Ramalho, Ricardo S.; Quartau, Rui; Hipólito, Ana; Cordeiro, Ricardo; Rebelo, Ana Cristina; Madeira, Patrícia; Rovere, Alessio; Hearty, Paul J.; Henriques, Diamantino; Silva, Carlos Marques da; Martins, António M. de Frias; Zazo, Caridad

2015-04-01

The privileged location of Santa Maria Island (Azores archipelago) in the middle of the North Atlantic makes the fossiliferous outcrops on this island of utmost importance to gain a better understanding of how coeval living communities relate to the broader evolutionary and biogeographic history of the Atlantic basin during the late Neogene and the Quaternary. Here we focus on this island's MIS 5e fossil record, offering a comprehensive review on the palaeobiodiversity, palaeoecology and palaeobiogeography of the biota living in the mid North Atlantic during this interglacial. Several studies in oceanic islands stress the huge impact of sea level changes on insular communities. Pleistocene sea-level changes occur during the short-time events known as "Terminations" (associated to glacial/interglacial shifts) as well as with the onset of glaciations (associated to interglacial/glacial shifts). Both are responsible for extinctions and local disappearance of species, bottleneck effects and formation of new species, resulting in community structure changes. This work increases the number of fossil marine taxa reported from the Last Interglacial deposits of Santa Maria to 143 species. All the 19 new records are molluscs (13 gastropods and 6 bivalves), thus increasing the number of fossil molluscs to 136 species. Although thermophilic members of the "Senegalese" tropical fauna were found in these deposits, many of the most emblematic species (e.g., Persististrombus latus (=Strombus bubonius), Cymbula safiana, Harpa doris, Cardita senegalensis, Barbatia plicata, Ctena eburnea or Hyotissa hyotis) are absent, suggesting that they did not reach the Azores. Our results indicate that the main differences between the species composition of the MIS 5e and the present-day shallow-water Azorean communities are probably due to the dropping of sea surface temperature associated with the onset of the last glaciation, which had both direct and indirect effects on species ecology. A group of 21 thermophilic species was directly affected by the lower sea surface temperature, whereas a group of four sand-associated species was indirectly but similarly affected by the lowering of the sea level. Both groups have locally disappeared from the Azores. However, none of the extant endemic species found on the studied MIS 5e outcrops was apparently affected by the lowering SST. In contrast to the biogeographical relationships of the recent Azorean shallow marine molluscs, which are predominantly with the Mediterranean Region, Portugal and with the Madeira and Canary Islands archipelagos, the palaeobiogeographical relationships of the MIS 5e Azorean marine molluscs are mainly with Canaries and West Africa. Despite the general low similarity of the biogeographical relationships between the Azores and Cape Verde Archipelago, on both the recent and the MIS 5e analysis, this similarity is nevertheless higher for the MIS 5e mollusc assemblages, emphasizing the role of Cape Verde as an important source of warm-water species during the Last Interglacial.

Speleothem evidence for MIS 5c and 5a sea level above modern level at Bermuda

NASA Astrophysics Data System (ADS)

Wainer, Karine A. I.; Rowe, Mark P.; Thomas, Alexander L.; Mason, Andrew J.; Williams, Bruce; Tamisiea, Mark E.; Williams, Felicity H.; Düsterhus, André; Henderson, Gideon M.

2017-01-01

The history of sea level in regions impacted by glacio-isostasy provides constraints on past ice-sheet distribution and on the characteristics of deformation of the planet in response to loading. The Western North Atlantic-Caribbean region, and Bermuda in particular, is strongly affected by the glacial forebulge that forms as a result of the Laurentide ice-sheet present during glacial periods. The timing of growth of speleothems, at elevations close to sea level can provide records of minimum relative sea level (RSL). In this study we used U-Th dating to precisely date growth periods of speleothems from Bermuda which were found close to modern-day sea level. Results suggest that RSL at this location was above modern during MIS5e, MIS5c and MIS5a. These data support controversial previous indications that Bermudian RSL was significantly higher than RSL at other locations during MIS 5c and MIS 5a. We confirm that it is possible to explain a wide range of MIS5c-a relative sea levels observed across the Western North Atlantic-Caribbean in glacial isostatic adjustment models, but only with a limited range of mantle deformation constants. This study demonstrates the particular power of Bermuda as a gauge for response of the forebulge to glacial loading, and demonstrates the potential for highstands at this location to be significantly higher than in other regions, helping to explain the high sea levels observed for Bermuda from earlier highstands.

Inflammation and nutritional status assessment by malnutrition inflammation score and its outcome in pre-dialysis chronic kidney disease patients.

PubMed

Jagadeswaran, D; Indhumathi, E; Hemamalini, A J; Sivakumar, V; Soundararajan, P; Jayakumar, M

2018-01-09

Malnutrition-inflammation complex syndrome (MICS), hyperhomocysteinemia, calcium and phosphate levels derangement have been predicted as important contributing factors for the progression of cardiovascular burden. Among patients with earlier stage of CKD, hypoalbuminaemia and inflammation deliberated as non-traditional cardiovascular risk factors, which add more burden to circulatory disease, mortality and rapid advancement to CKD stage 5. The aim of the study is to evaluate inflammation and nutritional status of CKD patients not on dialysis using Malnutrition inflammation score (MIS) and to verify the association with mortality in the follow-up period. In this prospective cohort study 129 (66 males, 63 females) pre-dialysis CKD patients enrolled between June 2013 to August 2014 and censored until March 2017. Malnutrition and Inflammation assessed using Malnutrition inflammation score. Blood urea nitrogen, serum creatinine, albumin, Interleukin - 6, highly sensitive C reactive protein (hsCRP), total cholesterol and anthropometric data were analyzed. The Malnutrition inflammation score in pre-dialysis CKD patients ranged from 0 to 18 with the median score of two. During 36 or more months of follow-up, there were 30 (23.2%) deaths, 35 (27%) patients initiated on hemodialysis, one (0.7%) patient was initiated on peritoneal dialysis, two (1.4%) patients underwent renal transplantation and two (1.4%) patients were lost for follow-up. In this study, 33% had varying degree of malnutrition and inflammation. Patients who had MIS ≥7 had significant increase in IL-6 (p = 0.003) and HsCRP levels (p < 0.001) when compared with other tertiles of MIS. ROC curve analysis of MIS showed 56.5% sensitivity and 81% specificity in predicting death rate (AUC 0.709; 95% CI 0.604-0.815, p < 0.001). Kaplan-Meier survival analysis showed MIS ≥7 had a strong association (log rank test, p < 0.001) with mortality during 36 and more months of follow-up time. In unadjusted analyses, MIS (HR 1.140; 95% CI 1.054-1.233; p < 0.05) and HsCRP (HR 2.369; 95% CI 1.779-3.154; p < 0.001) found to be predictors of mortality. MIS and HsCRP remained predictors of mortality even after adjustments. This study shows MIS is an important factor that determines mortality in pre-dialysis CKD patients during 36 and more months of follow-up time. Patients with MIS ≥7 have high risk for mortality and needs close monitoring. In clinical setting application of MIS has a greater utilization in pre-dialysis CKD patients. Further research with longitudinal assessment of MIS and its association with outcomes are warranted. Pre-dialysis CKD patients should be assessed for their nutritional status and inflammation using MIS regularly to prevent malnutrition and its associated complications through appropriate medical and nutritional intervention. Copyright © 2018 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Ten-Step Minimally Invasive Spine Lumbar Decompression and Dural Repair Through Tubular Retractors.

PubMed

Boukebir, Mohamed Abdelatif; Berlin, Connor David; Navarro-Ramirez, Rodrigo; Heiland, Tim; Schöller, Karsten; Rawanduzy, Cameron; Kirnaz, Sertaç; Jada, Ajit; Härtl, Roger

2017-04-01

Minimally invasive spine (MIS) surgery utilizing tubular retractors has become an increasingly popular approach for decompression in the lumbar spine. However, a better understanding of appropriate indications, efficacious surgical techniques, limitations, and complication management is required to effectively teach the procedure and to facilitate the learning curve. To describe our experience and recommendations regarding tubular surgery for lumbar disc herniations, foraminal compression with unilateral radiculopathy, lumbar spinal stenosis, synovial cysts, and dural repair. We reviewed our experience between 2008 and 2014 to develop a step-by-step description of the surgical techniques and complication management, including dural repair through tubes, for the 4 lumbar pathologies of highest frequency. We provide additional supplementary videos for dural tear repair, laminotomy for bilateral decompression, and synovial cyst resection. Our overview and complementary materials document the key technical details to maximize the success of the 4 MIS surgical techniques. The review of our experience in 331 patients reveals technical feasibility as well as satisfying clinical results, with no postoperative complications associated with cerebrospinal fluid leaks, 1 infection, and 17 instances (5.1%) of delayed fusion. MIS surgery through tubular retractors is a safe and effective alternative to traditional open or microsurgical techniques for the treatment of lumbar degenerative disease. Adherence to strict microsurgical techniques will allow the surgeon to effectively address bilateral pathology while preserving stability and minimizing complications. Copyright © 2017 by the Congress of Neurological Surgeons

Investigation of the sensitivity of MIS-sensor to thermal decomposition products of cables insulation

NASA Astrophysics Data System (ADS)

Filipchuk, D. V.; Litvinov, A. V.; Etrekova, M. O.; Nozdrya, D. A.

2017-12-01

Sensitivity of the MIS-sensor to products of thermal decomposition of insulation and jacket of the most common types of cables is investigated. It is shown that hydrogen is evolved under heating the insulation to temperatures not exceeding 250 °C. Registration of the evolved hydrogen by the MIS-sensor can be used for detection of fires at an early stage.

Mediterranean Outflow and surface water variability off southern Portugal during the early Pleistocene: A snapshot at Marine Isotope Stages 29 to 34 (1020-1135 ka)

NASA Astrophysics Data System (ADS)

Voelker, Antje H. L.; Salgueiro, Emilia; Rodrigues, Teresa; Jimenez-Espejo, Francisco J.; Bahr, André; Alberto, Ana; Loureiro, Isabel; Padilha, Maria; Rebotim, Andreia; Röhl, Ursula

2015-10-01

Centennial-to-millennial scale records from IODP Site U1387, drilled during IODP Expedition 339 into the Faro Drift at 558 m water depth, now allow evaluating the climatic history of the upper core of the Mediterranean Outflow (MOW) and of the surface waters in the northern Gulf of Cadiz during the early Pleistocene. This study focuses on the period from Marine Isotope Stages (MIS) 29 to 34, i.e. the interval surrounding extreme interglacial MIS 31. Conditions in the upper MOW reflect obliquity, precession and millennial-scale variations. The benthic δ18O signal follows obliquity with the exception of an additional, smaller δ18O peak that marks the MIS 32/31 transition. Insolation maxima (precession minima) led to poor ventilation and a sluggish upper MOW core, whereas insolation minima were associated with enhanced ventilation and often also increased bottom current velocity. Millennial-scale periods of colder sea-surface temperatures (SST) were associated with short-term maxima in flow velocity and better ventilation, reminiscent of conditions known from MIS 3. A prominent contourite layer, coinciding with insolation cycle 100, was formed during MIS 31 and represents one of the few contourites developing within an interglacial period. MIS 31 surface water conditions were characterized by an extended period (1065-1091 ka) of warm SST, but SST were not much warmer than during MIS 33. Interglacial to glacial transitions experienced 2 to 3 stadial/interstadial cycles, just like their mid-to-late Pleistocene counterparts. Glacial MIS 30 and 32 recorded periods of extremely cold (< 12 °C) SST that in their climatic impact were comparable with the Heinrich events of the mid and late Pleistocene. Glacial MIS 34, on the other hand, was a relative warm glacial period off southern Portugal. Overall, surface water and MOW conditions at Site U1387 show a strong congruence with Mediterranean climate, whereas millennial-scale variations are closely linked to North Atlantic circulation changes.

Viability after myocardial infarction: can it be assessed within five minutes by low-dose dynamic iodine-123-iodophenylpentadecanoic acid imaging with a multicrystal gamma camera?

PubMed

Murray, G L; Schad, N; Bush, A J

1997-04-01

Although positron emission tomography (PET) assesses myocardial viability (V) accurately, a rapid, inexpensive substitute is needed. Therefore, the authors developed a low-dose (1 mCi) Iodine-123-Iodophenylpentadecanoic Acid (IPPA) myocardial viability scan requiring analysis of only the first three minutes of data acquired at rest with a standard multicrystal gamma camera. Twenty-one patients > 2 weeks after myocardial infarction (MI) (24 MIs, 10 anterior, 14 inferoposterior, 21 akinetic or dyskinetic) had cardiac catheterization and resting IPPA imaging. V was determined by either transmural myocardial biopsy during coronary bypass surgery (12 patients, 14 MIs) or reinjection tomographic thallium scan (9 patients, 10 MIs), and 50% of MIs were viable. The IPPA variables analyzed were: time to initial left ventricular (LV) uptake in the region of interest (ROI), the ratio of three-minute uptake in the ROI to three-minute LV uptake, three-minute clearing (counts/pixel) in the ROI (decrease in IPPA after initial uptake), and three-minute accumulation (increase in IPPA after initial uptake) in the ROI. Rules for detecting V were generated and applied to 10 healthy volunteers to determine normalcy. While three-minute uptake in nonviable MIs was only 67% of volunteers (P < 0.0001) and 75% of viable MIs, uptake alone identified only 50% of viable MIs and 75% of nonviable MIs. IPPA clearing, however, was > or = 13.5 counts/pixel in 10/12 (83%) of viable MIs, and IPPA accumulation > or = 6.75 counts/pixel identified one more viable MI, for a sensitivity for V of 11/12 (92%), with a specificity of 11/12 (92%), and a 100% normalcy rate. The authors conclude low-dose IPPA (five-minute acquisition with analysis of the first three minutes of data) has potential for providing rapid, inexpensive V data after MI. Since newer multicrystal cameras are mobile, IPPA scans can be done in emergency rooms or coronary care units generating information that might be useful in decisions regarding thrombolysis, angioplasty, or bypass surgery.

Design and Fabrication of an Elastomeric Unit for Soft Modular Robots in Minimally Invasive Surgery

PubMed Central

De Falco, Iris; Gerboni, Giada; Cianchetti, Matteo; Menciassi, Arianna

2015-01-01

In recent years, soft robotics technologies have aroused increasing interest in the medical field due to their intrinsically safe interaction in unstructured environments. At the same time, new procedures and techniques have been developed to reduce the invasiveness of surgical operations. Minimally Invasive Surgery (MIS) has been successfully employed for abdominal interventions, however standard MIS procedures are mainly based on rigid or semi-rigid tools that limit the dexterity of the clinician. This paper presents a soft and high dexterous manipulator for MIS. The manipulator was inspired by the biological capabilities of the octopus arm, and is designed with a modular approach. Each module presents the same functional characteristics, thus achieving high dexterity and versatility when more modules are integrated. The paper details the design, fabrication process and the materials necessary for the development of a single unit, which is fabricated by casting silicone inside specific molds. The result consists in an elastomeric cylinder including three flexible pneumatic actuators that enable elongation and omni-directional bending of the unit. An external braided sheath improves the motion of the module. In the center of each module a granular jamming-based mechanism varies the stiffness of the structure during the tasks. Tests demonstrate that the module is able to bend up to 120° and to elongate up to 66% of the initial length. The module generates a maximum force of 47 N, and its stiffness can increase up to 36%. PMID:26650236

Design and Fabrication of an Elastomeric Unit for Soft Modular Robots in Minimally Invasive Surgery.

PubMed

De Falco, Iris; Gerboni, Giada; Cianchetti, Matteo; Menciassi, Arianna

2015-11-14

In recent years, soft robotics technologies have aroused increasing interest in the medical field due to their intrinsically safe interaction in unstructured environments. At the same time, new procedures and techniques have been developed to reduce the invasiveness of surgical operations. Minimally Invasive Surgery (MIS) has been successfully employed for abdominal interventions, however standard MIS procedures are mainly based on rigid or semi-rigid tools that limit the dexterity of the clinician. This paper presents a soft and high dexterous manipulator for MIS. The manipulator was inspired by the biological capabilities of the octopus arm, and is designed with a modular approach. Each module presents the same functional characteristics, thus achieving high dexterity and versatility when more modules are integrated. The paper details the design, fabrication process and the materials necessary for the development of a single unit, which is fabricated by casting silicone inside specific molds. The result consists in an elastomeric cylinder including three flexible pneumatic actuators that enable elongation and omni-directional bending of the unit. An external braided sheath improves the motion of the module. In the center of each module a granular jamming-based mechanism varies the stiffness of the structure during the tasks. Tests demonstrate that the module is able to bend up to 120° and to elongate up to 66% of the initial length. The module generates a maximum force of 47 N, and its stiffness can increase up to 36%.

Strengthening of the Eastern Tropical North Pacific Oxygen Minimum Zone during Marine Isotope Stage 3 despite the intensification of Dansgaard-Oeschger and Heinrich events

NASA Astrophysics Data System (ADS)

Choumiline, K.; Lyons, T. W.; Carriquiry, J. D.; Perez-Cruz, L. L.; Raiswell, R.; Beaufort, L.; Rafter, P. A.

2017-12-01

The Eastern Tropical North Pacific (ETNP) is sensitive to climatic changes that either strengthen or weaken the Oxygen Minimum Zone (OMZ). Paleoproxy and model evidence indicate that the shifts from cold stadials (LGM, MIS4) to warm interstadials are often accompanied by sudden sea level rise, intensification of marine productivity and enhanced oceanic anoxia. These intermediate states remain enigmatic, especially with overimposed Dansgaard-Oeschger (DO) oscillations and Heinrich events. We present a high-resolution reconstruction of productivity (Corg, P, Cd, Ni, Ba) and redox (Fe/Al, FeHR/FeT, Mo, V, U) of the ETNP over the last glacial period with special emphasis on the MIS3 transition (roughly 30-60 kyr BP). We found that the OMZ was profoundly anoxic throughout that interval, based on marine sedimentary paleoproxy records. Our spatiotemporal reconstruction shows that the geographic extent of enhanced deoxygenation during the MIS3 not only encompassed the Gulf of California (Alfonso, La Paz and Guaymas Basin), Pacific margin off Mazatlan and Baja California (Soledad Basin), but also California (Santa Barbara Basin) and western Canadian margins. The OMZ achieved its peak strength during 45-60 kyr BP exposed by the highest Mo (35 mg/kg), V (120 mg/kg) and U (13 mg/kg) values, and then commenced weakening and contracting onto the LGM. Marine productivity was also reportedly high during the MIS3, mostly mirroring the redox signals. In contrast, MIS4 and LGM were well-oxygenated and depleted in redox proxies (as low as 4 mg/kg of Mo, 60 mg/kg of V and 4 mg/kg of U). Despite of enhanced anoxia or even euxinia during the MIS3, the effect of cold D-O and Heinrich events was unmistakable. Most of these perturbations corresponded to low export production (low Corg, P, Cd/Al, Ni/Al and Ba/Al) and good ventilation of the ETNP. The recoveries after these events were relatively quick and anoxic conditions were re-established within hundreds of years. As of now, there is no definitive explanation for the mechanisms by which D-O and Heinrich events exert changes in the intensity of ETNP OMZs during the MIS3, but a consensus is building. We will discuss the most popular hypotheses that involve changes in atmospheric and thermohaline circulation, as well as variability in deep-sea nutrients.

Evidence for the timing of sea-level events during MIS 3

NASA Astrophysics Data System (ADS)

Siddall, M.

2005-12-01

Four large sea-level peaks of millennial-scale duration occur during MIS 3. In addition smaller peaks may exist close to the sensitivity of existing methods to derive sea level during these periods. Millennial-scale changes in temperature during MIS 3 are well documented across much of the planet and are linked in some unknown, yet fundamental way to changes in ice volume / sea level. It is therefore highly likely that the timing of the sea level events during MIS 3 will prove to be a `Rosetta Stone' for understanding millennial scale climate variability. I will review observational and mechanistic arguments for the variation of sea level on Antarctic, Greenland and absolute time scales.

Hand preference, magical thinking and left-right confusion.

PubMed

Jaspers-Fayer, Fern; Peters, Michael

2005-03-01

Several reports suggest a significant correlation between hand preference quotients and Magical Ideation Scale (MIS) scores, such that individuals with mixed preferences have higher MIS scores. In a sample of 156 male and 257 female undergraduate university students no significant correlation was found between MIS scores and hand preference; hand preference being defined in numerous ways, and using short and long hand preference questionnaires to assess handedness. An index of left-right confusion was significantly related to MIS score, but only in females. We suggest that the role of subjects' response style and general approach to filling out questionnaires should be fully explored before "neurological" causes of links between hand preference and other questionnaire-assessed behavioural variables are invoked.

Volatile-rich komatiitic and picritic melt inclusions in Cr-spinel beach sand from Gorgona Island, Colombia

NASA Astrophysics Data System (ADS)

Shimizu, K.; Shimizu, N.; Suzuki, K.; Tatsumi, Y.; Komiya, T.; Maruyama, S.

2007-12-01

Volatile content of komatiite is a key to constrain thermal evolution of the deep Earth. We report volatile contents with major and trace element compositions of melt inclusions (MIs) in chromian spinel (Cr-spinel) from beach sands of Gorgona Island, Colombia. Gorgona Island is ~90 Ma volcanic island, where picrites and the world-youngest komatiites occur. As Cr-spinel is dense and rigid oxide mineral that crystallizes only at early stages of crystallization, it is considered to be a superior container for retaining primitive melt, even including volatiles. Volatile (H2O, CO2, S, F and Cl) and trace element (K2O, Sr, Y, Zr, Nb, Ba, La, Ce, Sm, Dy, Yb) compositions of ~80 MIs were analyzed by SIMS (Cameca-1280 and 3f, respectively) at WHOI. MIs in the Cr-spinel from Gorgona Is. are classified into three types by their host Cr-spinel compositions such as low-Ti (P-type), high-Ti with high-Cr# (BK-type) and high-Ti with low-Cr# (K-type). MIs of P-type, BK-type and K-type are mostly in compositional ranges of picrite, high TiO2 komatiite (some basalt) and low TiO2 komatiite in Gorgona Island, respectively. Water content of P-type MIs is variable, ranging from 0.05 to 0.9 wt%, whereas those of BK and K-type MIs are limited (< 0.1 wt%). On the other hand, CO2 contents of BK-type and K- type MIs are highly scattered (40 to 4200 ppm), whereas that of P-type is relatively constant at ~200 ppm. All MIs with high CO2 content (>500 ppm) do not contain (shrinkage) bubbles and many of them are low in K2O. H2O/K2O, CO2/K2O, S/K2O and F/K2O ratios are positively correlated with Y/Sr ratios, indicating degassing trends of melt at crystallization, magma mixing and/or assimilation. Undegassed H2O/K2O, CO2/K2O, S/K2O and F/K2O ratios of komatiitic (picritic) melt are estimated to be ~10 (~40), ~80 (n.d.), ~7(~3) and ~1(~0.5), respectively, which are much higher than those estimated for the depleted source mantle of the MORB [1.6, 0.7, 1.6 and 0.2, respectively; Salters, V. & Stracke, A. (2004), Composition of the depleted mantle. Geochem. Geophys. Geosys. 5 (2003GC000597)]. The results suggest that Gorgona komatiite and picrite magmas were derived from volatile-rich sources. CO2 degassing might also have contributed to eruption of high-density magmas to the surface. In addition, H2O, S, F and Cl contents in MIs in olivine from a picrite were identical to those of P-type MIs in Cr-spinel, but CO2 in olivine-hosted MIs were considerably lower (~50 ppm) than those in Cr-spinel. This indicates that entrapment pressure for MIs in Cr-spinel is likely to be greater than that for MIs in olivine. Therefore, in order to evaluate the volatile contents of undegassed magmas from oceanic islands, melt inclusions in Cr-spinel beach sand could be very useful.

Lake level fluctuations and catchment dynamics at Lake Ohrid (Macedonia, Albania) during MIS6 and MIS5

NASA Astrophysics Data System (ADS)

Francke, Alexander; Wagner, Bernd; Just, Janna; Sadori, Laura; Masi, Alessia; Vogel, Hendrik; Lindhorst, Katja; Krastel, Sebastian; Dosseto, Anthony; Rothacker, Leo; Leicher, Niklas; Gromig, Raphael

2016-04-01

Lake Ohrid, presumably the oldest lake of Europe located at the border of Macedonia and Albania, is about 30 km long, 15 km wide, and up to 290 m deep. In 2013, an ICDP deep drilling campaign was carried out under the umbrella of the Scientific Collaboration on Past Speciation Conditions in Lake Ohrid (SCOPSCO) project. At the main drill site (DEEP) in the central part of Lake Ohrid, the uppermost 568 m from a total sediment fill of ca. 700 m were recovered. Initial data from core catcher material indicate that the sediment sequence covers more than 1.2 million years. An age model, which is based on 11 tephrostratigragphic tie points and on tuning of biogeochemical proxy data versus orbital parameters reveals that that the upper 247 m of the DEEP site sequence cover the time period between 637 ka (MIS16) and the present. Inhere, we present sedimentological, (bio-)geochemical, environmental magnetic, and pollen data for the time period between MIS6 (191 ka) and MIS5 (71 ka). The data imply that MIS6 was one of the most severe glacial periods, while MIS5 was likely one of the more pronounced interglacial during the past 637 kyrs. The repercussions of these high amplitude climatic and environmental variations during this period are recorded in the sedimentological archive of Lake Ohrid. Previous studies based on hydro-acoustic and sediment core data from the northeastern part of the lake basin have shown that the lake level of Lake Ohrid was likely 60 m lower during MIS6. The ˜60 m lower lake level at Lake Ohrid during MIS6 can at least partly be explained by the ongoing subsidence, which persists in the basin until today. However, in the DEEP site sediments, the MIS6/MIS5 transition occurs at ca. 50 m sediment depth. This implies that climate-induced lake level fluctuation at Lake Ohrid are less severe compared for example to Lake Van (Turkey), were a 260 m lower lake level has been reported for the Younger Dryas. The imprint of the environmental variations between 191 ka and 71 ka can also be seen in the catchment dynamics around the lake. Extraordinary high sedimentation rates, high clastic and negligible authigenic matter concentrations in DEEP site sediments during MIS6 imply enhanced erosion in the catchment. Thereby, elemental ratios (Zr/K) and environmental magnetic data (S-ratio) suggest that predominantly the products of chemical weathered, K-depleted old soils were transported into the lake. In contrast, a low sedimentation rate despite high authigenic matter concentrations during MIS5 implies less erosion in the catchment. In order to obtain more information about the catchment dynamics at Lake Ohrid, future studies will encompass the analyses of uranium and lithium isotopes. U isotopes (234U and 238U) can be used to assess the balance between deep and shallow erosion, while Li isotopes (7Li and 6Li) can inform on the extent of chemical weathering in the sediment source area. The application of these tools on a Late Glacial to Holocene record from Lake Dojran (Macedonia, Greece) has recently shown that climatic perturbations (8.2 and 4.2 cooling event) and anthropogenic land use have a direct impact on the catchment dynamics.

Realization of synaptic learning and memory functions in Y2O3 based memristive device fabricated by dual ion beam sputtering

NASA Astrophysics Data System (ADS)

Das, Mangal; Kumar, Amitesh; Singh, Rohit; Than Htay, Myo; Mukherjee, Shaibal

2018-02-01

Single synaptic device with inherent learning and memory functions is demonstrated based on a forming-free amorphous Y2O3 (yttria) memristor fabricated by dual ion beam sputtering system. Synaptic functions such as nonlinear transmission characteristics, long-term plasticity, short-term plasticity and ‘learning behavior (LB)’ are achieved using a single synaptic device based on cost-effective metal-insulator-semiconductor (MIS) structure. An ‘LB’ function is demonstrated, for the first time in the literature, for a yttria based memristor, which bears a resemblance to certain memory functions of biological systems. The realization of key synaptic functions in a cost-effective MIS structure would promote much cheaper synapse for artificial neural network.

Understanding of the management information system based on MVC pattern

NASA Astrophysics Data System (ADS)

Chen, Sida

2018-04-01

With the development of the society, people have come to realize the significance of information, not only linguistically but also in the written form. To build an effective and efficient working flow, a new subject called Management Information System (MIS) came up. MIS is an integrated discipline, which utilizes comprehensive and systematical methods to manage information, and it enhances the work efficiency through building structured information platform. This paper demonstrates the Management Information System from shallow too deep with the understanding of MVC pattern, including its basic structure and application with ASP.NET. Also some discussions about its features are made in the last section.

Clinical Utilisation and Usefullness of the Rating Scale of Mixed States, ("Gt-Msrs"): a Multicenter Study.

PubMed

Tavormina, Giuseppe; Franza, Francesco; Stranieri, Giuseppe; Juli, Luigi; Juli, Maria Rosaria

2017-09-01

The rating scale "G.T. MSRS" has been designed to improve the clinical effectiveness of the clinician psychiatrists, by enabling them to make an early "general" diagnosis of mixed states. The knowledge of the clinical features of the mixed states and of the symptoms of the "mixity" of mood disorders is crucial: to mis-diagnose or mis-treat patients with these symptoms may increase the suicide risk and make worse the evolution of mood disorders going to the dysphoric state. This study is the second validation study of the "G.T. MSRS" rating scale, in order to demonstrate its usefullness.

Clinical utilisation of the "G.T. MSRS", the rating scale for mixed states: 35 cases report.

PubMed

Tavormina, Giuseppe

2015-09-01

The knowledge of the clinical features of the mixed states and of the symptoms of the "mixity" of mood disorders is crucial: to mis-diagnose or mis-treat patients with these symptoms may increase the suicide risk and make worse the evolution of mood disorders. The rating scale "G.T. MSRS" has been designed to improve the clinical effectiveness of both psychiatrists and GPs by enabling them to make an early "general" diagnosis of mixed states. This study presents some cases in which the "G.T. MSRS" scale has been used, in order to demonstrate its usefullness.

MIS-11 duration key to disappearance of the Greenland ice sheet

NASA Astrophysics Data System (ADS)

Robinson, Alexander; Alvarez-Solas, Jorge; Calov, Reinhard; Ganopolski, Andrey; Montoya, Marisa

2017-07-01

Palaeo data suggest that Greenland must have been largely ice free during Marine Isotope Stage 11 (MIS-11). However, regional summer insolation anomalies were modest during this time compared to MIS-5e, when the Greenland ice sheet likely lost less volume. Thus it remains unclear how such conditions led to an almost complete disappearance of the ice sheet. Here we use transient climate-ice sheet simulations to simultaneously constrain estimates of regional temperature anomalies and Greenland's contribution to the MIS-11 sea-level highstand. We find that Greenland contributed 6.1 m (3.9-7.0 m, 95% credible interval) to sea level, ~7 kyr after the peak in regional summer temperature anomalies of 2.8 °C (2.1-3.4 °C). The moderate warming produced a mean rate of mass loss in sea-level equivalent of only around 0.4 m per kyr, which means the long duration of MIS-11 interglacial conditions around Greenland was a necessary condition for the ice sheet to disappear almost completely.

A Microcontroller-Based Device for Monitoring Blood Pressure in the Field

DTIC Science & Technology

1993-12-01

Service de sant6 des Forces armies canadiennes. On a mis au point un appareil de mesure des signes vitaux, qui peut mesurer la fr~quence cardiaque et...methods for taking systolic and diastolic pressure readings include the auscultation method, the oscillometric method, and the ultrasonic method...pressures are determined from its output, are the best ways of distinguishing between the three main methods previously listed. The auscultation method

Modification of electrical properties of Au/n-type InP Schottky diode with a high-k Ba0.6Sr0.4TiO3 interlayer

NASA Astrophysics Data System (ADS)

Thapaswini, P. Prabhu; Padma, R.; Balaram, N.; Bindu, B.; Rajagopal Reddy, V.

2016-05-01

Au/Ba0.6Sr0.4TiO3 (BST)/n-InP metal/insulator/semiconductor (MIS) Schottky diodes have been analyzed by current-voltage (I-V) and capacitance-voltage (C-V) measurements. The surface morphology of the BST films on InP is fairly smooth. The Au/BST/n-InP MIS Schottky diode shows better rectification ratio and low leakage current compared to the conventional Au/n-InP metal-semiconductor (MS) Schottky diode. Higher barrier height is achieved for the MIS Schottky diode compared to the MS Schottky diode. The Norde and Cheung's methods are employed to determine the barrier height, ideality factor and series resistance. The interface state density (NSS) is determined from the forward bias I-V data for both the MS and MIS Schottky diodes. Results reveal that the NSS of the MIS Schottky diode is lower than that of the MS Schottky diode. The Poole-Frenkel emission is found dominating the reverse current in both Au/n-InP MS and Au/BST/n-InP MIS Schottky diodes, indicating the presence of structural defects and trap levels in the dielectric film.

Taphonomic problems in reconstructing sea-level history from the late Quaternary marine terraces of Barbados

USGS Publications Warehouse

Muhs, Daniel; Simmons, Kathleen R.

2017-01-01

Although uranium series (U-series) ages of growth-position fossil corals are important to Quaternary sea-level history, coral clast reworking from storms can yield ages on a terrace dating to more than one high-sea stand, confounding interpretations of sea-level history. On northern Barbados, U-series ages corals from a thick storm deposit are not always younger with successively higher stratigraphic positions, but all date to the last interglacial period (~127 ka to ~112 ka), Marine Isotope Substage (MIS) 5.5. The storm deposit ages are consistent with the ages of growth-position corals found at the base of the section and at landward localities on this terrace. Thus, in this case, analysis of only a few corals would not have led to an error in interpreting sea-level history. In contrast, a notch cut into older Pleistocene limestone below the MIS 5.5 terrace contains corals that date to both MIS 5.5 (~125 ka) and MIS 5.3 (~108 ka). We infer that the notch formed during MIS 5.3 and the MIS 5.5 corals are reworked. Similar multiple ages of corals on terraces have been reported elsewhere on Barbados. Thus, care must be taken in interpreting U-series ages of corals that are reported without consideration of taphonomy.

Comparison of the surgical outcomes of minimally invasive and open surgery for octogenarian and older compared to younger gastric cancer patients: a retrospective cohort study.

PubMed

Liu, Chien-An; Huang, Kuo-Hung; Chen, Ming-Huang; Lo, Su-Shun; Li, Anna Fen-Yau; Wu, Chew-Wun; Shyr, Yi-Ming; Fang, Wen-Liang

2017-06-12

As life expectancy continues to increase around the world, the use of minimally invasive surgery (MIS) could be beneficial for octogenarian and older gastric cancer patients. A total of 359 gastric cancer patients who underwent curative surgery between March 2011 and March 2015 were enrolled; 80 of these patients (22.2%) were octogenarians and older. Surgical approaches included MIS (50 laparoscopic and 65 robotic) and open surgery (n = 244). Surgical outcomes of MIS and open surgery in octogenarian and older patients were compared with younger patients. Among octogenarian and older patients, relative to open surgery (n = 53), MIS (n = 27) was associated with less operative blood loss, a shorter postoperative hospital stay and similar rates of surgical complications and mortality. For MIS (n = 115), octogenarian and older patients exhibited similar postoperative outcomes to those of younger patients. For open surgery (n = 244), relative to younger patients, octogenarian and older patients experienced longer postoperative hospital stays, a higher rate of wound infection and a higher incidence of pneumonia. MIS for gastric cancer is beneficial and can be performed safely in octogenarian and older patients.

ProMIS augmented reality training of laparoscopic procedures face validity.

PubMed

Botden, Sanne M B I; Buzink, Sonja N; Schijven, Marlies P; Jakimowicz, Jack J

2008-01-01

Conventional video trainers lack the ability to assess the trainee objectively, but offer modalities that are often missing in virtual reality simulation, such as realistic haptic feedback. The ProMIS augmented reality laparoscopic simulator retains the benefit of a traditional box trainer, by using original laparoscopic instruments and tactile tasks, but additionally generates objective measures of performance. Fifty-five participants performed a "basic skills" and "suturing and knot-tying" task on ProMIS, after which they filled out a questionnaire regarding realism, haptics, and didactic value of the simulator, on a 5-point-Likert scale. The participants were allotted to 2 experience groups: "experienced" (>50 procedures and >5 sutures; N = 27), and "moderately experienced" (<50 procedures and <5 sutures; N = 28). General consensus among all participants, particularly the experienced, was that ProMIS is a useful tool for training (mean: 4.67, SD: 0.48). It was considered very realistic (mean: 4.44, SD: 0.66), with good haptics (mean: 4.10, SD: 0.97) and didactic value (mean 4.10, SD: 0.65). This study established the face validity of the ProMIS augmented reality simulator for "basic skills" and "suturing and knot-tying" tasks. ProMIS was considered a good tool for training in laparoscopic skills for surgical residents and surgeons.

Marine Isotope Stage 11 : The Role of Co2, Insolation and Antarctica Ice Sheet On This Interglacial

NASA Astrophysics Data System (ADS)

Raynaud, D.; Loutre, M. F.; Ritz, C.; Barnola, J.-M.; Berger, A.; Chappellaz, J.; Jouzel, J.; Lipenkov, V.; Petit, J.-R.; Vimeux, F.

The Marine Isotopic Stage 11 (MIS 11), around 400kyr BP ago, has been suggested as an analogue for a future climate under natural forcing because of the similar condi- tions of orbitally driven insolation during this interglacial period and the one covering the Holocene and the near future. There are many open questions about unusual MIS 11 climatic conditions (length of the interglacial, temperature, sea level, marine car- bonate system), as recorded in different marine and continental records. The Antarctic Vostok ice core provides the only atmospheric record extending back to MIS 11 and we use it to discuss the Antarctic temperature, the atmospheric CO2 concentration and the ice sheet stability in the central part of East Antarctica during this interglacial. The unique nature of the Vostok atmospheric record leads us to use the available Vos- tok data to drive climate and ice sheet models for MIS 11. A model of intermediate complexity (LLN-2D model) is used to investigate the sensitivity of the simulated MIS 11 deglaciation to the interplay between insolation and CO2. It is shown that the length of the simulated interglacial depends strongly on the phasing between these two climate forcings. We also investigate the response of the Antarctic Ice Sheet to changing climate through simulations performed with the LGGE 3-D ice sheet model. The results indicate that sea level stands during MIS 11 as high as 20 m. above present level, as suggested by different elevated marine terraces, cannot be explained, except by assuming that MIS 11 was very dry over Antarctica.

Prognostic factors associated with the success rates of posterior orthodontic miniscrew implants: A subgroup meta-analysis.

PubMed

Hong, Sung-Bin; Kusnoto, Budi; Kim, Eun-Jeong; BeGole, Ellen A; Hwang, Hyeon-Shik; Lim, Hoi-Jeong

2016-03-01

To systematically review previous studies and to assess, via a subgroup meta-analysis, the combined odds ratio (OR) of prognostic factors affecting the success of miniscrew implants (MIs) inserted into the buccal posterior region. Three electronic searches that were limited to articles on clinical human studies using MIs that were published in English prior to March 2015 were conducted. The outcome measure was the success of MIs. Patient factors included age, sex, and jaw of insertion (maxilla vs. mandible), while the MI factors included length and diameter. A meta-analysis was performed on 17 individual studies. The quality of each study was assessed for non-randomized studies and quantified using the Newcastle-Ottawa Scale. The meta-analysis outcome was a combined OR. Subgroup and sensitivity analyses based on the study design, study quality, and sample size of miniscrews implanted were performed. Significantly higher success rates were revealed for MIs inserted in the maxilla, for patients ≥ 20 years of age, and for long MIs (≥ 8 mm) and MIs with a large diameter (> 1.4 mm). All subgroups acquired homogeneity, and the combined OR of the prospective studies (OR, 3.67; 95% confidence interval [CI], 2.10-6.44) was significantly higher in the maxilla than that in the retrospective studies (OR, 2.10; 95% CI, 1.60-2.74). When a treatment plan is made, these risk factors, i.e. jaw of insertion, age, MI length, and MI diameter, should be taken into account, while sex is not critical to the success of MIs.

Comparison of Accuracy between Side-Cutting Instruments and Front-Cutting Instruments in Minimally Invasive Total Knee Arthroplasty.

PubMed

Pinsornsak, Piya; Harnroongroj, Thos

2016-11-01

The specialized instrument system used in minimally invasive surgery (MIS) has been developed for reducing soft tissue trauma in total knee arthroplasty (TKA). Compared with front-cutting MIS instruments, side-cutting quadriceps sparing MIS instruments have the advantage of creating a smaller incision and causing fewer traumas to the quadriceps tendon. However, the accuracy of side-cutting instruments concerns surgeons in prosthesis malalignment. To compare the accuracy of side-cutting quadriceps sparing instruments versus front-cutting instruments in MIS-TKA. In this prospective randomized controlled study, we compared the accuracy of side-cutting quadriceps sparing instruments versus the front-cutting instruments used in MIS-TKA. Sixty knees were included in the study, with 30 knees in each group. All the operations were performed by single surgeon. Coronal alignment (tibiofemoral angle, lateral distal femoral angle, and medial proximal tibial angle), and sagittal alignment (femoral component flexion and tibial posterior slope) were measured and compared. Tibiofemoral angle, lateral distal femoral angle, and medial proximal tibial angle, all of which are considered in the assessment of acceptable coronal radiographic alignment, were not different between groups (p = 0.353, 0.500, and 0.177, respectively). However, side-cutting quadriceps sparing instruments produced less acceptable sagittal radiographic alignment, femoral component flexion (63% vs. 93%, p = 0.005), and tibial posterior slope (73% vs. 93%, p = 0.04). Side-cutting quadriceps sparing MIS-TKA instruments had similar accuracy to front-cutting MIS-TKA instruments for coronal alignment but is less accurate for sagittal alignment.

Electrical and carrier transport properties of the Au/Y2O3/n-GaN metal-insulator-semiconductor (MIS) diode with rare-earth oxide interlayer

NASA Astrophysics Data System (ADS)

Venkata Prasad, C.; Rajagopal Reddy, V.; Choi, Chel-Jong

2017-04-01

The electrical and transport properties of rare-earth Y2O3 on n-type GaN with Au electrode have been investigated by current-voltage and capacitance-voltage techniques at room temperature. The Au/Y2O3/n-GaN metal-insulator-semiconductor (MIS) diode shows a good rectification behavior compared to the Au/n-GaN metal-semiconductor (MS) diode. Statistical analysis showed that a mean barrier height (BH) and ideality factor are 0.78 eV and 1.93, and 0.96 eV and 2.09 for the Au/n-GaN MS and Au/Y2O3/n-GaN MIS diodes, respectively. Results indicate that the high BH is obtained for the MIS diode compared to the MS diode. The BH, ideality factor and series resistance are also estimated by Cheung's function and Norde method. From the forward current-voltage data, the interface state density ( N SS) is estimated for both the MS and MIS Schottky diodes, and found that the estimated N SS is lower for the MIS diode compared to the MS diode. The results reveal that the introduction of Y2O3 interlayer facilitated the reduction of N SS of the Au/n-GaN interface. Experimental results suggest that the Poole-Frenkel emission is a dominant conduction mechanism in the reverse bias region of both Au/n-GaN MS and Au/Y2O3/n-GaN MIS diodes.

The role of minimally invasive spine surgery in the management of pyogenic spinal discitis

PubMed Central

Turel, Mazda K; Kerolus, Mena; Deutsch, Harel

2017-01-01

Background: Diagnostic yields for spondylodiscitis from CT guided biopsy is low. In the recent years, minimally invasive surgery (MIS) has shown to have a low morbidity and faster recovery. For spinal infections, MIS surgery may offer an opportunity for early pain control while obtaining a higher diagnostic yield than CT-guided biopsies. The aim of this study was to review our patients who underwent MIS surgery for spinal infection and report outcomes. Methods: A retrospective review of seven patients who underwent MIS decompression and/or discectomy in the setting of discitis, osteomyelitis, spondylodiscitis, and/or an epidural abscess was identified. Patient data including symptoms, visual analog score (VAS), surgical approach, antibiotic regimen, and postoperative outcomes were obtained. Results: Of the 7 patients, 5 patients had lumbar infections and two had thoracic infections. All seven patients improved in VAS immediately after surgery and at discharge. The average VAS improved by 4.4 ± 1.9 points. An organism was obtained in 6 of the 7 (85%) patients by the operative cultures. All patients made an excellent clinical recovery without the need for further spine surgery. All patients who received postoperative imaging on follow-up showed complete resolution or dramatically improved magnetic resonance imaging changes. The follow-up ranged from 2 to 9 months. Conclusions: MIS surgery provides an opportunity for early pain relief in patients with discitis, osteomyelitis, spondylodiscitis, and/or epidural abscess by directly addressing the primary cause of pain. MIS surgery for discitis provides a higher diagnostic yield to direct antibiotic treatment. MIS surgery results in good long-term recovery. PMID:28250635

Biogeochemistry of a submerged groundwater seep ecosystem in Lake Huron near karst region of Alpena, MI

NASA Astrophysics Data System (ADS)

Kinsman-Costello, L. E.; Dick, G.; Sheik, C.; Burton, G. A.; Sheldon, N. D.

2015-12-01

Submerged groundwater seeps in Lake Huron establish ecosystems with distinctive geochemical conditions. In the Middle Island Sinkhole (MIS), a 23-m deep seep, groundwater seepage establishes low O2 (< 4 mg L-1), high sulfate (6 mM) conditions, in which a purple cyanobacteria-dominated mat thrives. The mat is capable of anoxygenic photosynthesis, oxygenic photosynthesis, and chemosynthesis. Within the top 3 cm of the mat-water interface, hydrogen sulfide concentrations increase to 1-7 mM. Little is known about the structure and function of microbes within organic-rich, high-sulfide sediments beneath the mat. Using pore water and sediment geochemical characterization along with microbial community analysis, we elucidated relationships between microbial community structure and ecosystem function along vertical gradients. In sediment pore waters, biologically reactive solutes (SO42-, NH4+, PO43-, and CH4) displayed steep vertical gradients, reflecting biological and geochemical functioning. In contrast, more conservative ions (Ca+2, Mg+2, Na+, and Cl-), did not change significantly with depth in MIS sediments, indicating groundwater influence in the sediment profile. MIS sediments contained more organic matter than typical Lake Huron sediments, and were generally higher in nutrients, metals, and sulfur (acid volatile sulfide). Using the Illumina MiSeq platform we detected 14,127 unique operational taxonomic units across sediment and surface mat samples. Microbial community composition in the MIS was distinctly different from non-groundwater affected areas at similar depth nearby in Lake Huron (ANOSIM, R= 0.74, p=0.002). MIS sediment communities were more diverse that MIS surface mat communities and changed with depth into sediments. MIS sediment community composition was related to several geochemical variables, including organic matter and multiple indicators of phosphorus availability. Elucidating the structure and function of microbial consortia in MIS, a highly unique and environmentally vulnerable ecosystem, provides a rare opportunity to understand relationships between microbial species and their environment and may provide insights into the evolution of life under ancient low-oxygen, high-sulfur conditions.

Detection of desmoplastic melanoma with dermoscopy and reflectance confocal microscopy.

PubMed

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

2017-12-01

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

Lithic technological responses to Late Pleistocene glacial cycling at Pinnacle Point Site 5-6, South Africa

PubMed Central

Brown, Kyle S.; Oestmo, Simen; Pereira, Telmo; Ranhorn, Kathryn L.; Schoville, Benjamin J.; Marean, Curtis W.

2017-01-01

There are multiple hypotheses for human responses to glacial cycling in the Late Pleistocene, including changes in population size, interconnectedness, and mobility. Lithic technological analysis informs us of human responses to environmental change because lithic assemblage characteristics are a reflection of raw material transport, reduction, and discard behaviors that depend on hunter-gatherer social and economic decisions. Pinnacle Point Site 5–6 (PP5-6), Western Cape, South Africa is an ideal locality for examining the influence of glacial cycling on early modern human behaviors because it preserves a long sequence spanning marine isotope stages (MIS) 5, 4, and 3 and is associated with robust records of paleoenvironmental change. The analysis presented here addresses the question, what, if any, lithic assemblage traits at PP5-6 represent changing behavioral responses to the MIS 5-4-3 interglacial-glacial cycle? It statistically evaluates changes in 93 traits with no a priori assumptions about which traits may significantly associate with MIS. In contrast to other studies that claim that there is little relationship between broad-scale patterns of climate change and lithic technology, we identified the following characteristics that are associated with MIS 4: increased use of quartz, increased evidence for outcrop sources of quartzite and silcrete, increased evidence for earlier stages of reduction in silcrete, evidence for increased flaking efficiency in all raw material types, and changes in tool types and function for silcrete. Based on these results, we suggest that foragers responded to MIS 4 glacial environmental conditions at PP5-6 with increased population or group sizes, ‘place provisioning’, longer and/or more intense site occupations, and decreased residential mobility. Several other traits, including silcrete frequency, do not exhibit an association with MIS. Backed pieces, once they appear in the PP5-6 record during MIS 4, persist through MIS 3. Changing paleoenvironments explain some, but not all temporal technological variability at PP5-6. PMID:28355257

The Last Interglacial in the Levant: Perspective from the ICDP Dead Sea Deep Drill Core

NASA Astrophysics Data System (ADS)

Goldstein, S. L.; Torfstein, A.; Stein, M.; Kushnir, Y.; Enzel, Y.; Haug, G. H.

2014-12-01

Sediments recovered by the ICDP Dead Sea Deep Drilling Project provide a new perspective on the climate history of the Levant during the last interglacial period MIS5. They record the extreme impacts of an intense interglacial characterized by stronger insolation, warmer mean global temperatures, and higher sea-levels than the Holocene. Results show both extreme hyper-aridity during MIS5e, including an unprecedented drawdown of Dead Sea water levels, and the impacts of a strong precession-driven African monsoon responsible for a major sapropel event (S5) in the eastern Mediterranean. Hyper-arid conditions at the beginning of MIS5e prior to S5 (~132-128 ka) are evidenced by halite deposition, indicating declining Dead Sea lake levels. Surprisingly, the hyper-arid phase is interrupted during the MIS5e peak (~128-120 ka), coinciding with the S5 sapropel, which is characterized by a thick (23 m) section of silty detritus (without any halite) whose provenance indicates southern-sourced wetness in the watershed. Upon weakening of the S5 monsoon (~120-115 ka), the return of extreme aridity resulted in an unprecedented lake level drawdown, reflected by massive salt deposition, and followed by a sediment hiatus (~115-100 ka) indicating prolonged low lake level. The resumption of section follows classic Levant patterns with more wetness during cooler MIS5b and hyper-aridity during warmer MIS5a. The ICDP core provides the first evidence for a direct linkage between an intense precession-driven African monsoon and wetness at the high subtropical latitude (~30N) of the Dead Sea watershed. Combined with coeval deposition of Negev speleothems and travertines, and calcitification of Red Sea corals, the evidence indicates a wet climatic corridor that could facilitate homo sapiens migration out of Africa during the MIS5e peak. In addition, the MIS 5e hyper-arid intervals may provide an important cautionary analogue for the impact of future warming on regional water resources.

Lithic technological responses to Late Pleistocene glacial cycling at Pinnacle Point Site 5-6, South Africa.

PubMed

Wilkins, Jayne; Brown, Kyle S; Oestmo, Simen; Pereira, Telmo; Ranhorn, Kathryn L; Schoville, Benjamin J; Marean, Curtis W

2017-01-01

There are multiple hypotheses for human responses to glacial cycling in the Late Pleistocene, including changes in population size, interconnectedness, and mobility. Lithic technological analysis informs us of human responses to environmental change because lithic assemblage characteristics are a reflection of raw material transport, reduction, and discard behaviors that depend on hunter-gatherer social and economic decisions. Pinnacle Point Site 5-6 (PP5-6), Western Cape, South Africa is an ideal locality for examining the influence of glacial cycling on early modern human behaviors because it preserves a long sequence spanning marine isotope stages (MIS) 5, 4, and 3 and is associated with robust records of paleoenvironmental change. The analysis presented here addresses the question, what, if any, lithic assemblage traits at PP5-6 represent changing behavioral responses to the MIS 5-4-3 interglacial-glacial cycle? It statistically evaluates changes in 93 traits with no a priori assumptions about which traits may significantly associate with MIS. In contrast to other studies that claim that there is little relationship between broad-scale patterns of climate change and lithic technology, we identified the following characteristics that are associated with MIS 4: increased use of quartz, increased evidence for outcrop sources of quartzite and silcrete, increased evidence for earlier stages of reduction in silcrete, evidence for increased flaking efficiency in all raw material types, and changes in tool types and function for silcrete. Based on these results, we suggest that foragers responded to MIS 4 glacial environmental conditions at PP5-6 with increased population or group sizes, 'place provisioning', longer and/or more intense site occupations, and decreased residential mobility. Several other traits, including silcrete frequency, do not exhibit an association with MIS. Backed pieces, once they appear in the PP5-6 record during MIS 4, persist through MIS 3. Changing paleoenvironments explain some, but not all temporal technological variability at PP5-6.

Robotic Surgery in Gynecology

PubMed Central

Bouquet de Joliniere, Jean; Librino, Armando; Dubuisson, Jean-Bernard; Khomsi, Fathi; Ben Ali, Nordine; Fadhlaoui, Anis; Ayoubi, J. M.; Feki, Anis

2016-01-01

Minimally invasive surgery (MIS) can be considered as the greatest surgical innovation over the past 30 years. It revolutionized surgical practice with well-proven advantages over traditional open surgery: reduced surgical trauma and incision-related complications, such as surgical-site infections, postoperative pain and hernia, reduced hospital stay, and improved cosmetic outcome. Nonetheless, proficiency in MIS can be technically challenging as conventional laparoscopy is associated with several limitations as the two-dimensional (2D) monitor reduction in-depth perception, camera instability, limited range of motion, and steep learning curves. The surgeon has a low force feedback, which allows simple gestures, respect for tissues, and more effective treatment of complications. Since the 1980s, several computer sciences and robotics projects have been set up to overcome the difficulties encountered with conventional laparoscopy, to augment the surgeon’s skills, achieve accuracy and high precision during complex surgery, and facilitate widespread of MIS. Surgical instruments are guided by haptic interfaces that replicate and filter hand movements. Robotically assisted technology offers advantages that include improved three-dimensional stereoscopic vision, wristed instruments that improve dexterity, and tremor canceling software that improves surgical precision. PMID:27200358

Luminance compensation for AMOLED displays using integrated MIS sensors

NASA Astrophysics Data System (ADS)

Vygranenko, Yuri; Fernandes, Miguel; Louro, Paula; Vieira, Manuela

2017-05-01

Active-matrix organic light-emitting diodes (AMOLEDs) are ideal for future TV applications due to their ability to faithfully reproduce real images. However, pixel luminance can be affected by instability of driver TFTs and aging effect in OLEDs. This paper reports on a pixel driver utilizing a metal-insulator-semiconductor (MIS) sensor for luminance control of the OLED element. In the proposed pixel architecture for bottom-emission AMOLEDs, the embedded MIS sensor shares the same layer stack with back-channel etched a Si:H TFTs to maintain the fabrication simplicity. The pixel design for a large-area HD display is presented. The external electronics performs image processing to modify incoming video using correction parameters for each pixel in the backplane, and also sensor data processing to update the correction parameters. The luminance adjusting algorithm is based on realistic models for pixel circuit elements to predict the relation between the programming voltage and OLED luminance. SPICE modeling of the sensing part of the backplane is performed to demonstrate its feasibility. Details on the pixel circuit functionality including the sensing and programming operations are also discussed.

Thomas checks the condition of the MIS-B middeck locker experiment

NASA Image and Video Library

1995-07-28

STS070-329-022 (13-22 JULY 1995)--- Astronaut Donald A. Thomas, mission specialist, prepares to activate the Microcapsules in Space (MIS-B) experiment on the space shuttle Discovery?s middeck. MIS-B is an Army project to improve the understanding of microencapsulated drug technology and demonstrate the feasibility of producing pharmaceutical microcapsules in the weightlessness of space. This is the second flight of the experiment, which originally flew on STS-53 in 1992. Microcapsules are tiny spheres about 50 to 100 micrometers in diameter (about the thickness of a strand of human hair). They are used to develop high-performance chemical products and innovative pharmaceuticals such as time-release prescriptions. The drug used in the MIS experiments was ampicillin.

Changes in the Thermohaline Flow due to changes in the WAIS and Astronomical Forcing during the MIS31 Superinterglacial

NASA Astrophysics Data System (ADS)

Justino, F. J.; Lindemann, D.; Kucharski, F.; Wilson, A.; Bromwich, D. H.; Stordal, F.

2017-12-01

The Marine Isotope Stage 31 (MIS31, between 1085 ka and 1055 ka) was characterised by higher extra-tropical air temperatures and a substantial recession of polar glaciers compared to today. Paleoreconstructions and model simulations have increased the understanding of the MIS31 interval, but questions remain regarding the role of the Atlantic and Pacific Oceans in modifying the climate associated with the variations in Earth's orbital parameters. Multi-century coupled climate simulations, with the astronomical configuration of the MIS31 and modified West Antarctic Ice Sheet (WAIS) topography, show an increase in the thermohaline flux and northward oceanic heat transport (OHT) in the Pacific Ocean. These oceanic changes are driven by anomalous atmospheric circulation and increased surface salinity in concert with a stronger meridional overturning circulation (MOC). The intensified northward OHT is responsible for up to 85% of the global OHT anomalies and contributes to the overall reduction in sea-ice in the Northern Hemisphere (NH) due to Earth's astronomical configuration. The relative contributions of the Atlantic Ocean to global OHT and MOC anomalies are minor compared to that of the Pacific. However, sea-ice changes are remarkable, highlighted by decreased (increased) cover in Ross (Weddell) Sea but widespread reductions of sea-ice across the NH. These modeling results have enormous implications for paleoreconstructions of the MIS31 climate that mostly assume overall ice free conditions in the vicinity of the Antarctic continent. Since these reconstructions may depict dominant signals in a particular time interval and locale, they cannot be assumed to geographically represent large-scale domains. Therefore, their ability to reproduce long-term environmental conditions should be considered with care. Finally, it is important to emphasize that understanding past interglacial intervals that are characterized by a depleted WAIS can shed light on the potential effects of increasing atmospheric CO2, as the stability of the WAIS will be a key climate factor in decades to come.

A case of early Wisconsinan ;over-chill;: New radiocarbon evidence for early extirpation of western camel (Camelops hesternus) in eastern Beringia

NASA Astrophysics Data System (ADS)

Zazula, Grant D.; MacPhee, Ross D. E.; Southon, John; Nalawade-Chavan, Shweta; Reyes, Alberto V.; Hewitson, Susan; Hall, Elizabeth

2017-09-01

There are comparatively few fossils that document the presence of the Pleistocene western camel (Camelops hesternus) in the unglaciated regions of Alaska and Yukon, northwestern North America (eastern Beringia). It has been previously reported on the basis of stratigraphic and radiocarbon data that this species was present within this region from the Sangamonian interglaciation (Marine Isotope Stage (MIS) 5) through the Last Glacial Maximum (LGM, MIS 2). However, the continued presence of western camel through the LGM is at odds with its ecological preferences as inferred from more southerly parts of the continent. Here we report 43 new radiocarbon dates on 34 western camel fossils from Alaska and Yukon, including specimens that have been dated previously. To minimize exogenous carbon contamination, we utilized either ultrafiltered collagen or single amino acid (hydroxyproline) methodologies in conducting the analyses. All samples, including previously reported specimens with finite ages, yielded ages that were either non-finite or close to the effective limit of radiocarbon dating. These results indicate that dates implying local presence of western camels in Alaska and Yukon during full-glacial conditions of MIS 2 are erroneous by as much as several tens of millennia, probably because of carbon contamination from glue or varnish used in fossil preparation and conservation. The revised radiocarbon chronology, together with other evidence, indicates that western camels were only able to occupy eastern Beringia only during Pleistocene interglaciations such as MIS 5, when forests and shrublands became the dominant regional biomes. The subsequent transition to cold, arid full-glacial conditions during the early Wisconsinan glaciation (MIS 4) around 75 000 years ago created unfavorable environmental conditions, eliminated browse, and led to their local extirpation in eastern Beringia. After their complete population loss in the Arctic and Subarctic, the range of western camels was restricted to the temperate mid-continent, where they eventually went extinct ∼13 000 years ago.

Deep-sea benthic response to rapid climatic oscillations of the last glacial cycle in the SE Bay of Biscay

NASA Astrophysics Data System (ADS)

Rodriguez-Lazaro, J.; Pascual, A.; Cacho, I.; Varela, Z.; Pena, L. D.

2017-12-01

Paleoclimatic evolution of the last 140 ka (Marine Isotopic Stages MIS 1 to MIS 5) in the South Bay of Biscay has been studied by considering microfossil changes in sediment samples of deep core PP10-17. This core was retrieved at 2882 m water depth (mwd) in the Landas Plateau and is formed by 1792 cm of clay-silt continuously deposited sediment. For this study, a total of 114 samples have been examined, yielding approximately 60 thousands of specimens of foraminifers (181 benthic species, BF) and ostracods (70 spp.). Reconstruction of the benthic response is based on the main foraminifer and ostracod species by considering their oxic/anoxic character as well as other ecological features of the assemblages. Detailed quantification of microfossils (planktonic and benthic foraminifers, ostracods) together with grain size analyses and magnetic susceptibility of the sediments allow us to characterize many of the climatic events registered in this core. Based on a robust chronostratigraphy by correlation with reference core MD95-2002 and Greenland ice core records (GICC05modelext), we are able to characterize a detailed response of benthic environments to cooling/warming, oxygen-content and productivity cycles in the region. MIS 5 has been characterized by oscillations of the planktonic/benthic foraminifer ratio (Oceanity index, OI; 60-90%); this index was higher (90-100%) and stable through the MIS 4-MIS 3 intervals. We found BF species indicators of different climatic-related events. Thus, MIS 5a, c, e interstadials are evidenced by Bulimina gibba and B. aculeata while the stadials MIS 5b, d are shown by the occurrence of Melonis pompilioides. Heinrich events, with massive iceberg discharges into the N Atlantic Ocean, are indicated by presence of Globobulimina affinis, particularly during the MIS 4 to MIS 2 interval. The beginning of MIS 4 is indicated by the appearance of new species of BF and an increase of Cassidulina laevigata. Krithe spp. and C. laevigata are good indicators of the LGM (Last Glacial Maximum, 19-23 ka) when the OI decreased. Other cooling periods (e.g. Younger Dryas, YD, around 12-13 ka) are shown as well by an increase of M. pompilioides, similar to that of the MIS 5d stadial. The Holocene (11.5 ka to present) is marked by an increase in the oceanity index, disappearance of cold-water indicators and the occurrence of Uvigerina peregrina. A shallow infaunal microhabitat of benthics foraminifers (Cibicides, Cassidulina, Uvigerina) and ostracods (Krithe, Argilloecia) has been linked to favorable bottom conditions, with oxic to slightly suboxic conditions (high diversity and equitability of assemblages) reflecting an active Atlantic Meridional Overturning Circulation (AMOC) during many D/O interstadials. The opposite conditions were established for deep infaunal BF (Bulimina, Globobulimina) where the strong dysoxic bottom conditions are indicative of poor ventilation produced by a reduction or shutdown of the AMOC during Heinrich stadials.

Comparison of esophagectomy with and without thoracotomy in a low-resource tertiary care center in a developing country.

PubMed

Kothari, K C; Nair, C Krishnan; George, P S; Patel, M H; Gatti, R C; Gurjar, G C

2011-11-01

Esophageal cancer surgery is traditionally performed by a number of open surgical approaches. Open approaches require thoracotomy and laparotomy. Developments in instrumentation and optics have allowed the use of minimally invasive approaches to esophageal cancer, which had been traditionally managed by open operation. Minimally invasive surgery (MIS) avoids thoracotomy and laparotomy and results in quicker return to normal functions and less morbidity. In this prospective study, we compared the immediate surgical and oncologic outcomes of patients who have undergone MIS with those who have had open surgery. From November 1, 2003 to March 30, 2006, 62 cases of carcinoma esophagus were operated in Surgical unit 3 (MIS unit) in the institute. Out of the 62 patients, 34 (54.8%) underwent minimally invasive esophagectomy (MIE), and the remaining 28 patients (45.2%) underwent open surgery. Both operations were done by the same team of surgeons. The groups were compared in terms of perioperative outcomes, morbidity, mortality, and adequacy of oncologic excision. The average duration for MIS was 312.35 min (60-480 min), which was more than that of open group surgery whose average duration was 261.96 min (60-360 min). This difference was found to be not significant (P < 0.110). The average blood loss was 275.74 mL (200-500 mL) in minimally invasive group compared with 312.50 (200-500 mL) in open group (P-value 0.33). Four patients (11.76%) in MIS group had been converted to open surgery. Average duration of hospitalization was 11.9 (4-24) days in MIS group compared with 12.19 (5-24) days in open group (P-value 0.282). Nine (26.47%) patients in MIS group had developed major or minor morbidity. Similarly, eight (28.57%) patients in open group had morbidity. One patient each expired in each group. The morbidity and mortality rates were not statistically significant. There were four leaks (11.76%) in MIS group and three leaks (10.71%) in open group (P-value 0.85). Regarding the extent of nodal clearance, an average number of 9.5 (0-19) nodes were removed in MIS group compared with an average of 7.26 (0-12) nodes in open group (P-value 0.05). Better visibility and magnification enabled more number of lymph nodes to be removed in MIS group. MIE is oncologically safe compared with open surgery. It has almost similar postoperative course, morbidity pattern, and duration of hospital stay as open surgery. Increased duration of procedure compared with open surgery is a disadvantage of MIS, especially in the early part of learning curve. © 2011 Copyright the Authors. Journal compilation © 2011, Wiley Periodicals, Inc. and the International Society for Diseases of the Esophagus.

Methane seep events of the southern Joetsu Knoll since middle Pleistocene based on benthic foraminifera

NASA Astrophysics Data System (ADS)

Oi, T.; Akiba, F.; Matsumoto, R.; Kakuwa, Y.

2016-12-01

Gas hydrates were collected at several sites off Joetsu which presented anomalous seismic structures. "Gas chimneys", major host structures for shallow gas hydrates, were recognized ROV off Joetsu in eastern margin of the Japan Sea, as were a number of active methane seeps. The assemblage components and carbon isotope of benthic foraminifera, which are ubiquitous in global marine settings, can indicate methane seep environments (Akimoto et al., 1994; Bhaumik and Gupta, 2007). Preliminary work by Oi et al. (2015) documented the obvious occurrences of methane related foraminifera, Rutherfordoides sp., in three core sediments recovered from Umitaka Spur, west Oki Trough and north Mogami Trough in the eastern margin of the Japan Sea, and found them to comprise the early part of the MIS 2, calculated to 28-25ka. These records suggest that active methane seep events might occur at the same time during early MIS 2, but were confined within the last 100ka. In this study, we analyzed benthic foraminiferal fossils from drilling core J04RB (core length 122 m; one of the gas hydrate bearing sites at a southern part of the Joetsu Knoll) in order to document methane seep events during the last 500ka. Firstly, we estimated sedimentation ages from diatom biostratigraphy and identification of Aso-1 tephra. Based on diatom components, we recognized a boundary between NPD (Neogene North Pacific diatom Zonations) 12 and NPD11, estimated at 300 ka (MIS8/9; Yanagisawa and Akiba, 1998). The bottom age was estimated to almost 530-560 ka (around MIS14) especially from the alternation with warm and cold diatom zones (Akiba et al., 2014). Secondary, we could suppose the paleoenvironments from benthic foraminifera as below. 1. The rare benthic foraminifera during the cold stages (MIS8, MIS10, and MIS12) indicate anoxic bottom conditions characteristic of falling sea level, just as with MIS 2. 2. We recognized the continuous distributions of tiny methane related specimens of Rutherfordoides sp. during MIS10. In order to confirm new records of active methane seep events in the Joetsu Knoll, we need to measure isotope records of this species. This study was conducted under the commission from AIST as a part of the methane hydrate research project of METI (the Ministry of Economy, Trade and Industry, Japan).

A Tianshan Mountains loess-paleosol sequence indicates anti-phase climatic variations in arid central Asia and in East Asia

NASA Astrophysics Data System (ADS)

Li, Guoqiang; Chen, Fahu; Xia, Dunsheng; Yang, He; Zhang, Xiaojian; Madsen, David; Oldknow, Chris; Wei, Haitao; Rao, Zhiguo; Qiang, Mingrui

2018-07-01

Paleoclimatic changes in arid central Asia (ACA), one of the largest arid regions in the world, are complex and the nature of these changes on orbital cycles remains unclear. Widely distributed loess records in ACA potentially provide records of paleoclimatic variation, but these records are difficult to interpret due to a lack of robust high resolution chronologies. K-feldspar pIRIR dating was employed to date 37 samples from a 13 m loess-paleosol sequence (section KS15) in an intermontane basin of the Tianshan Mountains, central ACA, NW China. The reliability of the pIRIR ages was determined by using internal checks of luminescence characteristics of the pIR50IR290 and pIR200IR290 signals, and by comparing pIR50IR290 and pIR200IR290 ages. A high resolution chronology for the loess-paleosol sequence, spanning 130-45 ka, was established using Bacon age/depth modeling. In combination with climate proxy indexes of magnetic susceptibility, total organic material, and δ13C of organic remains from the sequence, our results suggest: (1) the pIRIR ages utilizing pIR50IR290 and pIR200IR290 signals are consistent for loess samples <150 ka; (2) eolian loess was deposited in intermontane basins of the Tianshan Mountains by at least ∼150 ka, with a steadily increasing rate of loess deposition from the last interglacial to the last glacial period; (3) ACA had a moist climate, characterized by paleosol development, during periods at 117-109, 97-85, 77-70 and 58-50 ka, corresponding to MIS 5d, MIS 5b, MIS 5-4 and MIS 3c; (4) ACA had dry climates, characterized by loess deposition, at 131-117, 109-97, 85-76, 70-58 and 50-46 ka, corresponding to MIS 5e, MIS 5c, MIS a and MIS 3b; and (5) during sub-stages of MIS 5 the ACA climate was characterized by cold-moist to warm-dry shifts which appear to be related to ∼21 ka precession cycles, but inversely related to Northern Hemisphere summer insolation patterns. Moisture variation in ACA thus has an anti-phase relationship to that in monsoonal East Asia. Orbital forcing may be responsible for this moisture variation in ACA.

How are patients influenced when counseled for minimally invasive lumbar spine surgeries? A stepwise model assessing pivotal information for decision-making.

PubMed

Hey, Hwee Weng Dennis; Kumar, Nishant; Teo, Alex Quok An; Tan, Kimberly-Anne; Kumar, Naresh; Liu, Ka-Po Gabriel; Wong, Hee-Kit

2017-08-01

Although minimally invasive surgery (MIS)-transforaminal lumbar interbody fusion (TLIF) has many evidence-based short-term benefits over open TLIF, both procedures have similar long-term outcomes. Patients' preference for MIS over open TLIF may be confounded by a lack of understanding of what each approach entails. The study aimed to identify the various factors influencing patients' choice between MIS and open TLIF. This is a cross-sectional study conducted at a tertiary health-care institution. Patients, for whom TLIF procedures were indicated, were recruited over a 3-month period from specialist outpatient clinics. The outcome measure was patients' choice of surgical approach (MIS or open). All patients were subjected to a stepwise interviewing process and were asked to select between open and MIS approaches at each step. Further subgroup analysis stratifying subjects based on stages of decision-making was performed to identify key predictors of selection changes. No sources of funding were required for this study and there are no conflicts of interests. Fifty-four patients with a mean age of 55.8 years participated in the study. Thirteen (24.1%) consistently selected a single approach, whereas 31 (57.4%) changed their selection more than once during the interviewing process. Overall, 12 patients (22.2%) had a final decision different from their initial choice, and 15 patients (27.8%) were unable to decide. A large proportion of patients (65.0%) initially favored the open approach's midline incision. This proportion dropped to 16.7% (p<.001) upon mention of the term MIS. The proportion of patients favoring MIS dropped significantly following discussion on the pros and cons (p=.002) of each approach, as well as conversion or revision surgery (p=.017). Radiation and cosmesis were identified as the two most important factors influencing patients' final decisions. The longer midline incision of the open approach is cosmetically more appealing to patients than the paramedian stab wounds of MIS. The advantages of the MIS approach may not be as valued by patients as they are by surgeons. Given the equivalent long-term outcomes of both approaches, it is crucial that patients are adequately informed during preoperative counseling to achieve the best consensus decision. Copyright © 2017 Elsevier Inc. All rights reserved.

Interglacial/glacial changes in coccolith-rich deposition in the SW Pacific Ocean: An analogue for a warmer world?

NASA Astrophysics Data System (ADS)

Duncan, Bella; Carter, Lionel; Dunbar, Gavin; Bostock, Helen; Neil, Helen; Scott, George; Hayward, Bruce W.; Sabaa, Ashwaq

2016-09-01

Satellite observations of middle to high latitudes show that modern ocean warming is accompanied by increased frequency and poleward expansion of coccolithophore blooms. However, the outcomes of such events and their causal processes are unclear. In this study, marine sediment cores are used to investigate past coccolithophore production north and south of the Subtropical Front. Calcareous pelagites from subtropical waters off northernmost New Zealand (site P71) and from subantarctic waters on Campbell Plateau (Ocean Drilling Program [ODP] site 1120C) record marked changes in pelagite deposition. At both locations, foraminiferal-rich sediments dominate glacial periods whereas coccolith-rich sediments characterise specific interglacial periods. Sediment grain size has been used to determine relative abundances of coccoliths and foraminifers. Results show coccoliths prevailed around certain Marine Isotope Stage (MIS) transitions, at MIS 7b/a and MIS 2/1 at P71, and at MIS 6/5e at ODP 1120C. Palaeo-environmental proxies suggest that coccolithophore production and deposition at P71 reflect enhanced nutrient availability associated with intense winter mixing in the subtropical Tasman Sea. An increased inflow of that warm, micronutrient-bearing subtropical water in concert with upper ocean thermal stratification in late spring/summer, led to peak phytoplankton production. At ODP 1120C during MIS 6/5e, an increased inflow of subtropical water, warm sea surface temperatures and a thermally stratified upper ocean also favoured coccolithophore production. These palaeo-environmental reconstructions together with model simulations suggest that (i) future subtropical coccolithophore production at P71 is unlikely to reach abundances recorded during MIS 7b/a but (ii) future subantarctic production is likely to dominate sedimentation over Campbell Plateau as modern conditions trend towards those prevalent during MIS 5e.

Late Pleistocene climate change and landscape dynamics in the Eastern Alps: the inner-alpine Unterangerberg record (Austria)

PubMed Central

Starnberger, Reinhard; Drescher-Schneider, Ruth; Reitner, Jürgen M.; Rodnight, Helena; Reimer, Paula J.; Spötl, Christoph

2013-01-01

Drill cores from the inner-alpine valley terrace of Unterangerberg, located in the Eastern Alps of Austria, offer first insights into a Pleistocene sedimentary record that was not accessible so far. The succession comprises diamict, gravel, sand, lignite and thick, fine grained sediments. Additionally, cataclastic deposits originating from two paleo-landslide events are present. Multi-proxy analyses including sedimentological and palynological investigations as well as radiocarbon and luminescence data record the onset of the last glacial period (Würmian) at Unterangerberg at ∼120–110 ka. This first time period, correlated to the MIS 5d, was characterised by strong fluvial aggradation under cold climatic conditions, with only sparse vegetation cover. Furthermore, two large and quasi-synchronous landslide events occurred during this time interval. No record of the first Early Würmian interstadial (MIS 5c) is preserved. During the second Early Würmian interstadial (MIS 5a), the local vegetation was characterised by a boreal forest dominated by Picea, with few thermophilous elements. The subsequent collapse of the vegetation is recorded by sediments dated to ∼70–60 ka (i.e. MIS 4), with very low pollen concentrations and the potential presence of permafrost. Climatic conditions improved again between ∼55 and 45 ka (MIS 3) and cold-adapted trees re-appeared during interstadials, forming an open forest vegetation. MIS 3 stadials were shorter and less severe than the MIS 4 at Unterangerberg, and vegetation during these cold phases was mainly composed of shrubs, herbs and grasses, similar to what is known from today's alpine timberline. The Unterangerberg record ended at ∼45 ka and/or was truncated by ice during the Last Glacial Maximum. PMID:23805019

First clinical results of minimally invasive vector lumbar interbody fusion (MIS-VLIF) in spondylodiscitis and concomitant osteoporosis: a technical note.

PubMed

Rieger, Bernhard; Jiang, Hongzhen; Ruess, Daniel; Reinshagen, Clemens; Molcanyi, Marek; Zivcak, Jozef; Tong, Huaiyu; Schackert, Gabriele

2017-12-01

First description of MIS-VLIF, a minimally invasive lumbar stabilization, to evaluate its safety and feasibility in patients suffering from weak bony conditions (lumbar spondylodiscitis and/or osteoporosis). After informed consent, 12 patients suffering from lumbar spondylodiscitis underwent single level MIS-VLIF. Eight of them had a manifest osteoporosis, either. Pre- and postoperative clinical status was documented using numeric rating scale (NRS) for leg and back pain. In all cases, the optimal height for the cage was preoperatively determined using software-based range of motion and sagittal balance analysis. CT scans were obtained to evaluate correct placement of the construct and to verify fusion after 6 months. Since 2013, 12 patients with lumbar pyogenic spondylodiscitis underwent MIS-VLIF. Mean surgery time was 169 ± 28 min and average blood loss was less than 400 ml. Postoperative CT scans showed correct placement of the implants. Eleven patients showed considerable postoperative improvement in clinical scores. In one patient, we observed screw loosening. After documented bony fusion in the CT scan, the fixation system was removed in two cases to achieve lower material load. The load-bearing trajectories (vectors) of MIS-VLIF are different from those of conventional coaxial pedicle screw implantation. The dorsally converging construct combines the heads of the dorsoventral pedicle screws with laminar pedicle screws following cortical bone structures within a small approach. In case of lumbar spondylodiscitis and/or osteoporosis, MIS-VLIF relies on cortical bony structures for all screw vectors and the construct does not depend on conventional coaxial pedicle screws in the presence of inflamed, weak, cancellous or osteoporotic bone. MIS-VLIF allows full 360° lumbar fusion including cage implantation via a small, unilateral dorsal midline approach.

Paleo-surfaces of glacio-eustatically forced aggradational successions in the coastal area of Rome: Assessing interplay between tectonics and sea-level during the last ten interglacials

NASA Astrophysics Data System (ADS)

Marra, Fabrizio; Florindo, Fabio; Anzidei, Marco; Sepe, Vincenzo

2016-09-01

Recently acquired geochronological and stratigraphic data provide new information on the sedimentary successions deposited by the Paleo-Tiber River in the coastal and near-coastal area of Rome in consequence of the glacio-eustatic changes, allowing to better define their inner geometry and palaeogeographic spatial distribution. In the present work we use this revised sedimentary dataset to provide a geochronologically constrained and tectonically adjusted record of paleo sea-level indicators. Aimed at this scope, we review literature data acquired in the last 35 years and using the new geochronological constraints we pinpoint the coastal-to-fluvial terraces of MIS 5 and MIS 7, mapping their relic surfaces in an area of 30 km along the coast north and south of the Tiber River mouth, and 20 km inland of the fluvial valleys of Tiber and Aniene rivers. The geometry of these paleo-surfaces provides constraints on the relative elevation of the sea-level during the last interglacials and on the uplift rates in this region during the last 200 ka. In particular, we recognize the previously undetected terraces of MIS 5.3 and MIS 5.1 interstadials, and we assess their spatial relationship with respect to MIS 5.5, providing important information on sea-level oscillations during this time span. Comparison with sea-level indicators provided by previous aggradational successions deposited during past interglacials spanning MIS 9 through MIS 21 in the coastal area of Rome, also allows us to reconstruct the tectonic history and investigate its relationships with the Middle-Pleistocene volcanic activity of the Roman Comagmatic Region along the Tyrrhenian Sea margin of Italy in the last 900 ka.

A Prospective Randomized Peri- and Post-Operative Comparison of the Minimally Invasive Anterolateral Approach Versus the Lateral Approach

PubMed Central

Landgraeber, Stefan; Quitmann, Henning; Güth, Sebastian; Haversath, Marcel; Kowalczyk, Wojciech; Kecskeméthy, Andrés; Heep, Hansjörg; Jäger, Marcus

2013-01-01

There is still controversy as to whether minimally invasive total hip arthroplasty enhances the postoperative outcome. The aim of this study was to compare the outcome of patients who underwent total hip replacement through an anterolateral minimally invasive (MIS) or a conventional lateral approach (CON). We performed a randomized, prospective study of 75 patients with primary hip arthritis, who underwent hip replacement through the MIS (n=36) or CON (n=39) approach. The Western Ontario and McMaster Universities Osteoarthritis Index and Harris Hip score (HHS) were evaluated at frequent intervals during the early postoperative follow-up period and then after 3.5 years. Pain sensations were recorded. Serological and radiological analyses were performed. In the MIS group the patients had smaller skin incisions and there was a significantly lower rate of patients with a positive Trendelenburg sign after six weeks postoperatively. After six weeks the HHS was 6.85 points higher in the MIS group (P=0.045). But calculating the mean difference between the baseline and the six weeks HHS we evaluated no significant differences. Blood loss was greater and the duration of surgery was longer in the MIS group. The other parameters, especially after the twelfth week, did not differ significantly. Radiographs showed the inclination of the acetabular component to be significantly higher in the MIS group, but on average it was within the same permitted tolerance range as in the CON group. Both approaches are adequate for hip replacement. Given the data, there appears to be no significant long term advantage to the MIS approach, as described in this study. PMID:24191179

Towards open-source, low-cost haptics for surgery simulation.

PubMed

Suwelack, Stefan; Sander, Christian; Schill, Julian; Serf, Manuel; Danz, Marcel; Asfour, Tamim; Burger, Wolfgang; Dillmann, Rüdiger; Speidel, Stefanie

2014-01-01

In minimally invasive surgery (MIS), virtual reality (VR) training systems have become a promising education tool. However, the adoption of these systems in research and clinical settings is still limited by the high costs of dedicated haptics hardware for MIS. In this paper, we present ongoing research towards an open-source, low-cost haptic interface for MIS simulation. We demonstrate the basic mechanical design of the device, the sensor setup as well as its software integration.

Faithful anaphase is ensured by Mis4, a sister chromatid cohesion molecule required in S phase and not destroyed in G1 phase

PubMed Central

Furuya, Kanji; Takahashi, Kohta; Yanagida, Mitsuhiro

1998-01-01

The loss of sister chromatid cohesion triggers anaphase spindle movement. The budding yeast Mcd1/Scc1 protein, called cohesin, is required for associating chromatids, and proteins homologous to it exist in a variety of eukaryotes. Mcd1/Scc1 is removed from chromosomes in anaphase and degrades in G1. We show that the fission yeast protein, Mis4, which is required for equal sister chromatid separation in anaphase is a different chromatid cohesion molecule that behaves independent of cohesin and is conserved from yeast to human. Its inactivation in G1 results in cell lethality in S phase and subsequent premature sister chromatid separation. Inactivation in G2 leads to cell death in subsequent metaphase–anaphase progression but missegregation occurs only in the next round of mitosis. Mis4 is not essential for condensation, nor does it degrade in G1. Rather, it associates with chromosomes in a punctate fashion throughout the cell cycle. mis4 mutants are hypersensitive to hydroxyurea (HU) and UV irradiation but retain the ability to restrain cell cycle progression when damaged or sustaining a block to replication. The mis4 mutation results in synthetic lethality with a DNA ligase mutant. Mis4 may form a stable link between chromatids in S phase that is split rather than removed in anaphase. PMID:9808627

Evidence for millennial-scale climate change during marine isotope stages 2 and 3 at Little Lake, Western Oregon, U.S.A.

USGS Publications Warehouse

Grigg, L.D.; Whitlock, C.; Dean, W.E.

2001-01-01

Pollen and geochemical data from Little Lake, western Oregon, suggest several patterns of millennial-scale environmental change during marine isotope stage (MIS) 2 (14,100-27,600 cal yr B.P.) and the latter part of MIS 3 (27,600-42,500 cal yr B.P.). During MIS 3, a series of transitions between warm- and cold-adapted taxa indicate that temperatures oscillated by ca. 2??-4??C every 1000-3000 yr. Highs and lows in summer insolation during MIS 3 are generally associated with the warmest and coldest intervals. Warm periods at Little Lake correlate with warm sea-surface temperatures in the Santa Barbara Basin. Changes in the strength of the subtropical high and the jet stream may account for synchronous changes at the two sites. During MIS 2, shifts between mesic and xeric subalpine forests suggest changes in precipitation every 1000-3000 yr. Increases in Tsuga heterophylla pollen at 25,000 and 22,000 cal yr B.P. imply brief warmings. Minimum summer insolation and maximum global ice-volumes during MIS 2 correspond to cold and dry conditions. Fluctuations in precipitation at Little Lake do not correlate with changes in the Santa Barbara Basin and may be explained by variations in the strength of the glacial anticyclone and the position of the jet stream. ?? 2001 University of Washington.

About the age and habitat of the Kirgilyakh mammoth (Dima), Western Beringia

NASA Astrophysics Data System (ADS)

Lozhkin, A. V.; Anderson, P. M.

2016-08-01

The unearthing in 1977 of a complete frozen carcass of a young mammoth, known as the Kirgilyakh mammoth or Dima: 1) provided the first opportunity for detailed study of the anatomy of a mammoth calf; 2) provided a more detailed understanding of interstadial landscapes; and 3) suggested paleoclimatic variability occurred in Western Beringia during marine isotope stage (MIS) 3. Limited access to early Russian literature resulted in unfortunate misinformation in English-language publications. Since then, six other juvenile carcasses have been discovered in northern Siberia and additional Late Pleistocene paleobotanical records have increased understanding of MIS2 and MIS3 environments. Given the new data, it seems timely to re-examine information about the Kirgilyakh mammoth in the context of: 1) correcting mistakes about the age and environments of the site, including the manner of the mammoth's death; 2) comparing paleoenvironmental settings with that of other young mammoth carcasses; and 3) revisiting the concept of mammoth-steppe. This re-examination, which places the Kirgilyakh results in a broader spatial-temporal setting, reinforces the idea that climatic variability, including the Kirgilyakh cool interval, characterized MIS3. Unstable landscapes in mountains and lowlands were key factors in deaths of the Siberian mammoth calves. The prevalence of tundra in MIS2 model reconstructions and abundance of paleobotanical data indicating mesic tundra and forest during MIS3 suggest that classification of these intervals as mammoth-steppe is problematic.

Minimally invasive versus open sacroiliac joint fusion: are they similarly safe and effective?

PubMed

Ledonio, Charles G T; Polly, David W; Swiontkowski, Marc F

2014-06-01

The sacroiliac joint has been implicated as a source of chronic low back pain in 15% to 30% of patients. When nonsurgical approaches fail, sacroiliac joint fusion may be recommended. Advances in intraoperative image guidance have assisted minimally invasive surgical (MIS) techniques using ingrowth-coated fusion rods; however, how these techniques perform relative to open anterior fusion of the sacroiliac joint using plates and screws is not known. We compared estimated blood loss (EBL), surgical time, length of hospital stay (LOS), and Oswestry Disability Index (ODI) between patients undergoing MIS and open sacroiliac joint fusion. We retrospectively studied 63 patients (open: 36; MIS: 27) who underwent sacroiliac joint fusion with minimum 1-year followup at our institution from 2006 to 2011. Of those, 10 in the open group had incomplete records. All patients had sacroiliac joint dysfunction confirmed by image-guided intraarticular anesthetic sacroiliac joint injection and had failed nonoperative treatment. Patients were matched via propensity score, adjusting for age, sex, BMI, history of spine fusion, and preoperative ODI scores, leaving 22 in each group. Nine patients were not matched. We reviewed patient medical records to obtain EBL, length of surgery, LOS, and pre- and postoperative ODI scores. Mean followup was 13 months (range, 11-33 months) in the open group and 15 months (range, 12-26 months) in the MIS group. Patients in the open group had a higher mean EBL (681 mL versus 41 mL, p < 0.001). Mean surgical time and LOS were shorter in the MIS group than in the open group (68 minutes versus 128 minutes and 3.3 days versus 2 days, p < 0.001 for both). With the numbers available, mean postoperative ODI scores were not different between groups (47% versus 54%, p = 0.272). EBL, surgery time, and LOS favored the MIS sacroiliac fusion group. With the numbers available, ODI scores were similar between groups, though the study size was relatively small and it is possible that the study was underpowered on this end point. Because the implants used for these procedures make assessment of fusion challenging with available imaging techniques, we do not know how many patients' sacroiliac joints successfully fused, so longer followup and critical evaluation of outcomes scores over time are called for. Level III, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

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

NASA Astrophysics Data System (ADS)

Sun, Jingyuan; Yan, Zhiyuan; Du, Zhijiang

2017-06-01

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

The reliability of four widely used patellar height ratios.

PubMed

van Duijvenbode, Dennis; Stavenuiter, Michel; Burger, Bart; van Dijke, Cees; Spermon, Jacco; Hoozemans, Marco

2016-03-01

The objective of this study was to evaluate the inter-observer reliability and the intra-observer reliability of four patellar height ratios: Insall-Salvati (IS), modified Insall-Salvati (MIS), Blackburne-Peel (BP) and Caton-Deschamps (CD). The patellar height ratios were assessed by four independent examiners using weight-bearing lateral knee radiographs in 30° flexion. Intra-class correlation coefficients and Fleiss' kappa's were determined. The inter-observer reliability was excellent for the IS and moderate for the other ratios. When the ratio values were categorized, the inter-observer reliability was strong for the IS, moderate for the MIS and BP, and poor for the CD. The intra-observer reliability was excellent for the IS, MIS and CD, and strong for the BP. When the ratio values were categorized, the intra-observer reliability was strong for the IS and MIS, and moderate for the other ratios. Although the IS showed best reliability, we advise to use the MIS as it showed the second best reliability but is, according to the literature, associated with better validity.

MIS-11 duration key to disappearance of the Greenland ice sheet

PubMed Central

Robinson, Alexander; Alvarez-Solas, Jorge; Calov, Reinhard; Ganopolski, Andrey; Montoya, Marisa

2017-01-01

Palaeo data suggest that Greenland must have been largely ice free during Marine Isotope Stage 11 (MIS-11). However, regional summer insolation anomalies were modest during this time compared to MIS-5e, when the Greenland ice sheet likely lost less volume. Thus it remains unclear how such conditions led to an almost complete disappearance of the ice sheet. Here we use transient climate–ice sheet simulations to simultaneously constrain estimates of regional temperature anomalies and Greenland’s contribution to the MIS-11 sea-level highstand. We find that Greenland contributed 6.1 m (3.9–7.0 m, 95% credible interval) to sea level, ∼7 kyr after the peak in regional summer temperature anomalies of 2.8 °C (2.1–3.4 °C). The moderate warming produced a mean rate of mass loss in sea-level equivalent of only around 0.4 m per kyr, which means the long duration of MIS-11 interglacial conditions around Greenland was a necessary condition for the ice sheet to disappear almost completely. PMID:28681860

MIS-11 duration key to disappearance of the Greenland ice sheet.

PubMed

Robinson, Alexander; Alvarez-Solas, Jorge; Calov, Reinhard; Ganopolski, Andrey; Montoya, Marisa

2017-07-06

Palaeo data suggest that Greenland must have been largely ice free during Marine Isotope Stage 11 (MIS-11). However, regional summer insolation anomalies were modest during this time compared to MIS-5e, when the Greenland ice sheet likely lost less volume. Thus it remains unclear how such conditions led to an almost complete disappearance of the ice sheet. Here we use transient climate-ice sheet simulations to simultaneously constrain estimates of regional temperature anomalies and Greenland's contribution to the MIS-11 sea-level highstand. We find that Greenland contributed 6.1 m (3.9-7.0 m, 95% credible interval) to sea level, ∼7 kyr after the peak in regional summer temperature anomalies of 2.8 °C (2.1-3.4 °C). The moderate warming produced a mean rate of mass loss in sea-level equivalent of only around 0.4 m per kyr, which means the long duration of MIS-11 interglacial conditions around Greenland was a necessary condition for the ice sheet to disappear almost completely.

Preliminary Ar-40/Ar-39 age spectrum and laser probe dating of the M1 core of the Manson Impact Structure, Iowa: A K-T boundary crater candidate

NASA Technical Reports Server (NTRS)

Kunk, M. J.; Snee, L. W.; French, B. M.; Harlan, S. S.; Mcgee, J. J.

1993-01-01

Preliminary Ar-40/Ar-39 age spectrum and laser probe dating results from new drill core from the 35-km-diameter Manson Impact Structure (MIS), Iowa indicates a reasonable possibility that the MIS is a Cretaceous-Tertiary (K-T) boundary impact event. Several different types of samples from a melt-matrix breccia, a unit of apparent crater fill intersected by the M1 core, were analyzed. Ar-40/Ar-39 results from these samples indicate a maximum age for the MIS of about 65.4 plus or minus 0.4(2 sigma) Ma. Petrographic analyses of the samples indicate a high probability that all the dated samples from the melt-matrix breccia contain relict grains that were not entirely melted or degassed at the time of impact, suggesting that the actual age of the MIS could be somewhat younger than our preliminary results indicate. The results are consistent with a previously published age estimate of shocked microcline from the MIS central uplift of 65.7 plus or minus 1.0 Ma.

Abrupt sand-dune accumulation at the northeastern margin of the Tibetan Plateau challenges the wet MIS3a inferred from numerous lake-highstands

PubMed Central

Long, Hao; Fuchs, Markus; Yang, Linhai; Cheng, Hongyi

2016-01-01

Over the Tibetan Plateau and adjacent regions, numerous 14C-based lake records revealed a ubiquitous wet climatic period during 40–25 ka (late MIS 3), which is in contradiction with the global pattern of generally cold and dry climates. This paper focuses on OSL dating results of a large set of sand dunes and alluvial sediments (50 OSL ages) from the Qinwangchuan (QWC) Basin at the northeast edge of the Tibetan Plateau, with the aim to test the validity of the anomalous wet condition for the late MIS 3 interval, evidenced by numerous lake highstands. The abrupt sand dune accumulation as indication of increased aridity in the study area was OSL dated to ~40–13 ka. This dry climatic inference of the sand dune system from QWC apparently shows no wet MIS 3a event. Thus, the anomalous wet conditions revealed by high lake levels for the late MIS 3 phase may not be a universal phenomena across entire western China. PMID:27172907

Middle Palaeolithic occupation in the Thar Desert during the Upper Pleistocene: the signature of a modern human exit out of Africa?

NASA Astrophysics Data System (ADS)

Blinkhorn, James; Achyuthan, Hema; Petraglia, Michael; Ditchfield, Peter

2013-10-01

The Thar Desert marks the transition from the Saharo-Arabian deserts to the Oriental biogeographical zone and is therefore an important location in understanding hominin occupation and dispersal during the Upper Pleistocene. Here, we report the discovery of stratified Middle Palaeolithic assemblages at Katoati in the north-eastern Thar Desert, dating to Marine Isotope Stages (MIS) 5 and the MIS 4-3 boundary, during periods of enhanced humidity. Hominins procured cobbles from gravels at the site as evidenced by early stages of stone tool reduction, with a component of more formalised point production. The MIS 5c assemblages at Katoati represent the earliest securely dated Middle Palaeolithic occupation of South Asia. Distinctive artefacts identified in both MIS 5 and MIS 4-3 boundary horizons match technological entities observed in Middle Palaeolithic assemblages in South Asia, Arabia and Middle Stone Age sites in the Sahara. The evidence from Katoati is consistent with arguments for the dispersal of Homo sapiens populations from Africa across southern Asia using Middle Palaeolithic technologies.

Effect of low thermal budget annealing on surface passivation of silicon by ALD based aluminum oxide films.

PubMed

Vandana; Batra, Neha; Gope, Jhuma; Singh, Rajbir; Panigrahi, Jagannath; Tyagi, Sanjay; Pathi, P; Srivastava, S K; Rauthan, C M S; Singh, P K

2014-10-21

Thermal ALD deposited Al2O3 films on silicon show a marked difference in surface passivation quality as a function of annealing time (using a rapid thermal process). An effective and quality passivation is realized in short anneal duration (∼100 s) in nitrogen ambient which is reflected in the low surface recombination velocity (SRV <10 cm s(-1)). The deduced values are close to the best reported SRV obtained by the high thermal budget process (with annealing time between 10-30 min), conventionally used for improved surface passivation. Both as-deposited and low thermal budget annealed films show the presence of positive fixed charges and this is never been reported in the literature before. The role of field and chemical passivation is investigated in terms of fixed charge and interface defect densities. Further, the importance of the annealing step sequence in the MIS structure fabrication protocol is also investigated from the view point of its effect on the nature of fixed charges.

Pre-mRNA mis-splicing of sarcomeric genes in heart failure.

PubMed

Zhu, Chaoqun; Chen, Zhilong; Guo, Wei

2017-08-01

Pre-mRNA splicing is an important biological process that allows production of multiple proteins from a single gene in the genome, and mainly contributes to protein diversity in eukaryotic organisms. Alternative splicing is commonly governed by RNA binding proteins to meet the ever-changing demands of the cell. However, the mis-splicing may lead to human diseases. In the heart of human, mis-regulation of alternative splicing has been associated with heart failure. In this short review, we focus on alternative splicing of sarcomeric genes and review mis-splicing related heart failure with relatively well studied Sarcomeric genes and splicing mechanisms with identified regulatory factors. The perspective of alternative splicing based therapeutic strategies in heart failure has also been discussed. Copyright © 2016 Elsevier B.V. All rights reserved.

An imaging spectrometer for microgravity application

NASA Technical Reports Server (NTRS)

Wong, Wallace K.

1995-01-01

Flame structure is the result of complex interaction of mechanisms operating in both unwanted fires and controlled combustion systems. The scientific study of gas-jet diffusion flames in reduced-gravity environment is of interest because the effects of buoyancy on flow entrainment and acceleration are lessened. Measurements of flames have been restricted to cinematography, thermocouples, and radiometers. SSG, Inc. is developing an MWIR imaging spectrometer (MIS) for microgravity flame measurements. The device will be delivered to NASA Lewis at the end of this project to demonstrate flame measurements in the laboratory. With proper modifications, the MIS can be used to monitor a gas-jet flame under microgravity on a NASA Learjet or DC-9.

Reviewing the technological challenges associated with the development of a laparoscopic palpation device.

PubMed

Culmer, Peter; Barrie, Jenifer; Hewson, Rob; Levesley, Martin; Mon-Williams, Mark; Jayne, David; Neville, Anne

2012-06-01

Minimally invasive surgery (MIS) has heralded a revolution in surgical practice, with numerous advantages over open surgery. Nevertheless, it prevents the surgeon from directly touching and manipulating tissue and therefore severely restricts the use of valuable techniques such as palpation. Accordingly a key challenge in MIS is to restore haptic feedback to the surgeon. This paper reviews the state-of-the-art in laparoscopic palpation devices (LPDs) with particular focus on device mechanisms, sensors and data analysis. It concludes by examining the challenges that must be overcome to create effective LPD systems that measure and display haptic information to the surgeon for improved intraoperative assessment. Copyright © 2012 John Wiley & Sons, Ltd.

Field Investigation of Surface-Lake Processes on Ice Shelves: Results of the 2015/16 Field Campaign on McMurdo Ice Shelf, Antarctica

NASA Astrophysics Data System (ADS)

MacAyeal, Doug; Banwell, Alison; Willis, Ian; Macdonald, Grant

2016-04-01

Ice-shelf instability and breakup of the style exhibited by Larsen B Ice Shelf in 2002 remains the most difficult glaciological process of consequence to observe in detail. It is, however, vital to do so because ice-shelf breakup has the potential to influence the buttressing controls on inland ice discharge, and thus to affect sea level. Several mechanisms enabling Larsen B style breakup have been proposed, including the ability of surface lakes to introduce ice-shelf fractures when they fill and drain, thereby changing the surface loads the ice-shelf must adjust to. Our model suggest that these fractures resulted in a chain-reaction style drainage of >2750 surface lakes on the Larsen B in the days prior to its demise. To validate this and other models, we began a field project on the McMurdo Ice Shelf (MIS) during the 2015/16 austral summer. Advantages of the MIS study site are: there is considerable surface melting during 3-6 weeks of the summer season, the ice is sufficiently thin (< 30 m in places) to allow observable viscoelastic responses to relatively small loads, and it is close to a center of logistical support (McMurdo Station). Here we show initial results from the field campaign, including GPS and water-depth observations of a lake that has filled and drained over multiple week timescales in previous austral summers. We also report on the analysis of high-resolution WorldView satellite imagery from several summers that reveals the complexity of surface meltwater movement in channels and subsurface void spaces. Initial reconnaissance of the largest surface-lake features reveal that they have a central circular depression surrounded by an uplifted ring, which supports one of the central tenets of our ice-shelf flexure theory. A second field season is anticipated for the 2016/17 austral summer.

A multi-proxy record of MIS 11-12 deglaciation and glacial MIS 12 instability from the Sulmona basin (central Italy)

NASA Astrophysics Data System (ADS)

Regattieri, Eleonora; Giaccio, Biagio; Galli, Paolo; Nomade, Sebastien; Peronace, Edoardo; Messina, Paolo; Sposato, Andrea; Boschi, Chiara; Gemelli, Maurizio

2016-01-01

A multi-proxy record (lithology, XRF, CaCO3 content, carbonate δ18O and δ13C) was acquired from a sediment core drilled in the intermountain Sulmona basin (central Italy). Tephrostratigraphic analyses of three volcanic ash layers ascribe the investigated succession to the MIS 12-MIS 11 period, spanning the interval ca. 500-410 ka. Litho-pedo facies assemblage indicates predominant lacustrine deposition, interrupted by a minor sub-aerial and lake low stand episode. Variations in major and minor elements concentrations are related to changes in the clastic input to the lake. The oxygen isotopic composition of carbonate (δ18Oc) intervals is interpreted mainly as a proxy for the amount of precipitation in the high-altitude catchment of the karst recharge system. The record shows pronounced hydrological variability at orbital and millennial time-scales, which appears closely related to the Northern Hemisphere summer insolation pattern and replicates North Atlantic and west Mediterranean Sea Surface Temperature (SST) fluctuations. The MIS 12 glacial inception is marked by an abrupt reduction of precipitation, lowering of the lake level and enhanced catchment erosion. A well-defined and isotopically prominent interstadial with increased precipitation maybe related to insolation maxima-precession minima at ca. 465 ka. This interstadial ends abruptly at ca. 457 ka and it is followed by a phase of strong short-term instability. Drastic lake-level lowering and enhanced clastic flux characterized the MIS 12 glacial maximum. Lacustrine deposition restarted about 440 ka ago. The MIS 12-MIS 11 transition is characterized by a rapid increase in the precipitation, lake-level rise and reduction in the clastic input, interrupted by a short and abrupt return to drier conditions. Comparison with marine records from the Iberian margin and western Mediterranean suggests that major events of ice rafted debris deposition, related to southward migrations of the polar front, match the harshest periods in central Italy. This indicates strong teleconnections between Northern hemisphere ice sheet dynamics, North Atlantic oceanic conditions and Mediterranean continental hydrology.

Northern Mediterranean climate since the Middle Pleistocene: a 637 ka stable isotope record from Lake Ohrid (Albania/Macedonia)

NASA Astrophysics Data System (ADS)

Lacey, Jack H.; Leng, Melanie J.; Francke, Alexander; Sloane, Hilary J.; Milodowski, Antoni; Vogel, Hendrik; Baumgarten, Henrike; Zanchetta, Giovanni; Wagner, Bernd

2016-03-01

Lake Ohrid (Macedonia/Albania) is an ancient lake with unique biodiversity and a site of global significance for investigating the influence of climate, geological, and tectonic events on the generation of endemic populations. Here, we present oxygen (δ18O) and carbon (δ13C) isotope data from carbonate over the upper 243 m of a composite core profile recovered as part of the Scientific Collaboration on Past Speciation Conditions in Lake Ohrid (SCOPSCO) project. The investigated sediment succession covers the past ca. 637 ka. Previous studies on short cores from the lake (up to 15 m, < 140 ka) have indicated the total inorganic carbon (TIC) content of sediments to be highly sensitive to climate change over the last glacial-interglacial cycle. Sediments corresponding to warmer periods contain abundant endogenic calcite; however, an overall low TIC content in glacial sediments is punctuated by discrete bands of early diagenetic authigenic siderite. Isotope measurements on endogenic calcite (δ18Oc and δ13Cc) reveal variations both between and within interglacials that suggest the lake has been subject to palaeoenvironmental change on orbital and millennial timescales. We also measured isotope ratios from authigenic siderite (δ18Os and δ13Cs) and, with the oxygen isotope composition of calcite and siderite, reconstruct δ18O of lake water (δ18Olw) over the last 637 ka. Interglacials have higher δ18Olw values when compared to glacial periods most likely due to changes in evaporation, summer temperature, the proportion of winter precipitation (snowfall), and inflow from adjacent Lake Prespa. The isotope stratigraphy suggests Lake Ohrid experienced a period of general stability from marine isotope stage (MIS) 15 to MIS 13, highlighting MIS 14 as a particularly warm glacial. Climate conditions became progressively wetter during MIS 11 and MIS 9. Interglacial periods after MIS 9 are characterised by increasingly evaporated and drier conditions through MIS 7, MIS 5, and the Holocene. Our results provide new evidence for long-term climate change in the northern Mediterranean region, which will form the basis to better understand the influence of major environmental events on biological evolution within Lake Ohrid.

Sr-Nd isotopes constrain on the deposit history of the basins in the Gulf of Mexico

NASA Astrophysics Data System (ADS)

Li, Y.; Jiang, S.

2015-12-01

The Brazos-Trinity Basin IV and Ursa Basin are situated on the northern slope of the Gulf of Mexico. The Ursa basin lies in the center of late Pleistocene Mississippi River deposition, received the sediment deposition during Marine Isotope Stage (MIS) 2- 4. The Brazos-Trinity Basin IV belongs to a part of the Brazos-Trinity fan, it recorded the turbidite deposition and hemiplegic deposition during MIS1- 5. The Sr and Nd isotopic composition of the detrital composition of the sediment in both basins indicates the change of the sediment provenance during the basin-filled process. In the Ursa basin, The difference of 87Sr/86Sr ratio and ɛNd of the detrital component between MIS1,2 (87Sr/86Sr ~ 0.7219 - 0.7321, ɛNd ~ -12 - -13.4) and MIS3,4(87Sr/86Sr ~ 0.7310 - 0.7354, ɛNd ~ -16 - -17.9) is suggested to be related with the provenance change of the detrital particles since LGM. The addition of detrital particle from Appalachians with less radiogenic 87Sr/86Sr and positive ɛNd altered the character of the sediment of the Mississippi River during the last glaciation and deglaciation. In the Brazos-Trinity Basin IV, the narrow range of 87Sr/86Sr and ɛNd indicate that the sediment source of Brazos-Trinity Basin IV had not changed obviously during MIS5e to MIS2, mostly from coastal rivers such as Brazos River, Trinity River and Sabine River. The pre-fan with 87Sr/86Sr ~0.735 and ɛNd ~ -14.5 to -16.9, which is very similar to the deep sediment in the Ursa Basin with 87Sr/86Sr ~0.733 to 0.735 and ɛNd ~ -16 to -18. It is suggested that sediments of the pre-fan of the Brazos-Trinity Basin IV were supplied from the ancestral Mississippi River Delta during the low sea level (MIS 6). During the MIS5, the discharge of Mississippi River is thought switched to its present course, ~300 km to the east.

Integrated geochronology of Acheulian sites from the southern Latium (central Italy): Insights on human-environment interaction and the technological innovations during the MIS 11-MIS 10 period

NASA Astrophysics Data System (ADS)

Pereira, Alison; Nomade, Sébastien; Moncel, Marie-Hélène; Voinchet, Pierre; Bahain, Jean-Jacques; Biddittu, Italo; Falguères, Christophe; Giaccio, Biagio; Manzi, Giorgio; Parenti, Fabio; Scardia, Giancarlo; Scao, Vincent; Sottili, Gianluca; Vietti, Amina

2018-05-01

We have explored the multimethod approach combining 40Ar/39Ar on single crystal, ESR on bleached quartz, and ESR/U-series on teeth to improve the age of four neighbours "Acheulian" sites of the Frosinone Province (Latium, Italy): Fontana Ranuccio, Cava Pompi (Pofi), Isoletta, and Lademagne. Ages obtained by the three methods are in mutual agreement and confirm the potential of dating with confidence Middle Pleistocene sites of Italy using these methods. At Fontana Ranuccio, the 40Ar/39Ar age (408 ± 10 ka, full external error at 2σ) obtained for the archaeological level (unit FR4) and geochemical analyses of glass shards performed on the Unit FR2a layer allow us to attribute the studied volcanic material to the Pozzolane Nere volcanic series, a well-known caldera-forming event originated from the Colli Albani volcanic district. These new data ascribe the Fontana Ranuccio site, as well as the eponym faunal unit, to the climatic optimum of Marine Isotope Stage (MIS) 11. Ages obtained for the Cava Pompi, Isoletta, and Lademagne sites cover a relatively short period of time between 408 ka and 375 ka, spanning MIS 11 climatic optimum to the MIS 11-10 transition. Analysis of small collections of lithic industries, bifacial tools, and small cores technologies from Isoletta, Lademagne, and the neighbour site of Ceprano-Campogrande shows common technical strategies for the period comprised between MIS 11 and MIS 9 (410-325 ka), such as the elaboration of flaked elephant bone industries found over the whole Latium region. However, some features found only in the Frosinone province area, like large-sized bifaces, suggest particular regional behaviours. The presence of one Levallois core in the oldest layer of Lademagne (i.e. > 405 ± 9 ka) suggests a punctual practice of this technology, also proposed as early as MIS 10/11 in the neighbour site of Guado San Nicola (Molise) in central Italy.

Reconstruction of the North Atlantic end-member of the thermohaline circulation across the Mid-Pleistocene Transition

NASA Astrophysics Data System (ADS)

Kim, J.; Seguí, M. J.; Yehudai, M.; Goldstein, S. L.; Pena, L. D.; Raymo, M. E.; Ford, H. L.; Haynes, L.; Farmer, J. R.; Hoenisch, B.

2016-12-01

The dominant periodicity of glacial and interglacial cycles shifted from 41 ky to 100 ky at 1.2-0.8 Ma, marking the Mid-Pleistocene Transition (MPT). Pena and Goldstein (Science, 2014) investigated changes in the Earth's global thermohaline circulation (THC), focusing on South Atlantic cores, and concluded that the THC experienced major disruptions between 950-850 ka (MIS 25 to 21), which generated the climatic conditions that intensified cold periods, prolonged their duration, and stabilized 100 ky cycles. However, knowledge of the coeval North Atlantic is key for interpreting data from the Middle and South Atlantic. We report Nd isotope ratios on Fe-Mn oxide encrusted foraminifera and fish debris from DSDP Site 607 (41.001N; 32.957W, 3427m) between 1.2-0.4 Ma, as a representative of the deep North Atlantic. Pre-MPT results (MIS 35-25) show interglacial ɛNd-values of -13.5 to -14.0, similar to today, and glacial-interglacial variability of 1 ɛNd-unit. Post-MPT results after MIS 19 also show interglacial ɛNd-values of -13.5 to -14.0, but greater glacial-interglacial variability of 2 ɛNd-units. Interglacial-to-glacial transitions throughout the core shift to higher ɛNd-values indicative of weakening THC, except for MIS 26, which is uniquely more negative than the neighboring interglacials, with ɛNd reaching -14.5. During the critical MPT interval of MIS 25-21 recognized by Pena and Goldstein (2014), and continuing beyond it through MIS 19, DSDP 607 ɛNd shows higher values of -11.5 to -12.5, like post-MPT glacials. Thus for the North Atlantic, from the point of view of ɛNd in DSDP 607, post-MPT and pre-MPT interglacials are similar, and post-MPT glacials and MPT glacials are similar. Moreover, comparison to the Pena and Goldstein (2014) South Atlantic data indicates that disruptions to North Atlantic overturning may have begun as early as MIS 27, and the recovery to the pre-MPT interglacial conditions may have been delayed beyond MIS 19.

Is the use of minimally invasive fusion technologies associated with improved outcomes after elective interbody lumbar fusion? Analysis of a nationwide prospective patient-reported outcomes registry.

PubMed

McGirt, Matthew J; Parker, Scott L; Mummaneni, Praveen; Knightly, John; Pfortmiller, Deborah; Foley, Kevin; Asher, Anthony L

2017-07-01

Over the last decade, clinical investigators and biomedical industry groups have used significant resources to develop advanced technologies that enable less invasive spine fusions. These minimally invasive surgery (MIS) technologies often require increased expenditures by hospitals and payers. Although several small single center studies have suggested MIS technologies decrease surgical morbidity and reduce hospital stay, evidence documenting benefit from a patient perspective remains limited. Furthermore, MIS outcomes have yet to be evaluated from the perspective of multiple practice types representing the broad spectrum of US spine surgery. This study aimed to examine a population of patients who underwent one- or two-level interbody lumbar fusion diagnosed with lumbar stenosis or Grade 1 spondylolisthesis in an observational, prospective national registry for the purposes of determining how MIS and traditional open technologies affect postsurgical and patient-reported outcomes (PROs). This study used observational analysis of prospectively collected data. The sample consisted of cases from the National Neurosurgery Quality and Outcomes Database (N 2 QOD). Numeric rating scale for back and leg pain, Oswestry Disability Index, EuroQol-5D, return to work, and perioperative morbidity were the outcome measures. The N 2 QOD is a prospective PROs registry enrolling patients undergoing elective spine surgery from 60 hospitals in 27 US states via representative sampling. We analyzed the N 2 QOD aggregate dataset (2010-2014) to identify one- and two-level lumbar interbody fusion procedures performed for lumbar stenosis or Grade 1 spondylolisthesis with 12 months' follow-up where surgical instrumentation and implant types were clearly identified. Perioperative and 1-year outcomes were compared between cases performed with MIS enabling technologies versus traditional open technologies before and after propensity matching. There were 467 (24%) patients who underwent elective interbody lumbar fusion using MIS enabling technologies whereas 1,480 (76%) underwent the procedure using traditional open technologies. The MIS patients were slightly healthier (American Society of Anesthesiologists grade), had private insurance more frequently, and underwent two-level fusion less frequently. Unmatched, the MIS cohort was associated with reduced blood loss, a 0.7-day reduction in mean length of hospital stay, and 5% reduced need for post-discharge inpatient rehabilitation, but equivalent 90-day safety measures. After propensity matching, the MIS cohort remained associated with reduced blood loss and a shorter length of stay for one-level fusion (p<.05) but had equivalent length of stay for two-level fusion. Outcomes in all other 90-day safety measures were similar. In both unadjusted and propensity-matched comparison, MIS versus open technologies were associated with equivalent return to work, patient-reported pain, physical disability, and quality of life at 3 and 12 months' follow-up. In a representative sampling registry of elective interbody lumbar spine fusion procedures spanning 27 US states, nearly a quarter of procedures performed from 2010 to 2014 used minimally invasive enabling technologies. Regardless of approach, interbody lumbar fusion was associated with significant and sustained improvements in all measured health domains. When used in everyday care by a wide spectrum of spine surgeons in non-research settings, the use of MIS technologies was associated with reduced intraoperative blood loss but only a half-day reduction in mean length of hospital stay for one-level fusions. Minimally invasive surgery was not associated with any improved perioperative safety measures or 12-month outcomes. Although MIS enabling technologies may increase some in-hospital care efficiencies, MIS clinical outcomes are similar to open surgery for patients undergoing one- and two-level interbody lumbar fusions. Copyright © 2017 Elsevier Inc. All rights reserved.

150 000 Years of Loess Deposition in Interior Alaska as Told by Magnetic Susceptibility

NASA Astrophysics Data System (ADS)

Jensen, B. J. L.; Evans, M. E.; Froese, D. G.; Kravchinsky, V. A.

2015-12-01

The Halfway House loess deposit in interior Alaska contains a well-studied and complex paleomagnetic and paleoenvironmental record. Unfortunately, a lack of chronologic control has made it difficult to interpret the results of these studies. Detailed reexamination of stratigraphy, paleomagnetics and tephrostratigraphy reveals a relatively complete marine isotope stage (MIS) 6 to Holocene record constrained by the Old Crow (124 ± 10 ka), VT (106 ± 10 ka), Sheep Creek-Klondike (ca. 80 ka), Dominion Creek (77 ± 8 ka) and Dawson (ca. 30.2 cal ka BP) tephras. Two well-developed paleosols are shown to have formed during Marine Isotope Stages (MIS) 5e and 5a, while MIS 5c and 5b are either poorly represented or absent. A magnetic excursion is identified as the post-Blake excursion (94.1 ± 7.8 ka) and provides independent age control while adding to an increasing body of evidence that Alaskan loess is a detailed recorder of variations of the Earth's magnetic field over time. High-resolution magnetic susceptibility profiles placed into this new chronostratigraphic framework help refine loess deposition models for the interior of Alaska, while providing a means to correlate to previous magnetic studies at this site. The profiles support the hypothesis that wind-intensity is the main variable controlling fluctuations in susceptibility, with the highest susceptibility during peak glacial times and the lowest values in paleosols representing interglacials. However, the correlation of the susceptibility record to global marine d18O records is complicated by highly variable accumulation rates. We find the lowest rates of accumulation during peak warm and cold stages, while abrupt increases are associated with periods of transition between marine isotope stages, represented by intermediate susceptibility values. Previous accumulation models for Alaska have emphasized the role of surface roughness as an important variable controlling loess accumulation. However our results suggest that while this may be the case during transitions and peak cold periods, the negligible accumulation during the peak warmth of MIS 5e and 5a suggests loess production was exceedingly low, negating the role of surface roughness.

Last 900 ka river longprofile changes controlled by Yoro fault activity and glacial sea-level changes, Nobi plain, central Japan

NASA Astrophysics Data System (ADS)

Sugai, T.; Sato, T.

2015-12-01

This paper compared grain size, thickness, and lithological character of ten fluvial gravel layers formed during the glacial sea-level lowstands intervening inner bay mud layers deposited during the interglacial marine transgressional periods since the last 900 ka by integrated analyses of sediment cores including 600 m deep onein the Nobi plain, central Japan. Linkages between river long profile changes and sea-level and climate changes will be discussed. The Nobi basin is one of the representative delta type alluvial lowlands in Japan dominated by longitudinal drainage system named Kiso river system flowing southward from central Japan Alps with abundant water and sediment discharges. The basin bounded by the Yoro fault on the west has been tilted westward by the repetitive faulting activity. The basin stratigraphy and its stacking patterns suggest uniform and rapid subsidence and tilting rates of the basin with the maximum value of 1 mm yr-1 and 10-4 kyr-1 respectively produced by the Yoro fault activity under the W-E compressional regional stress field during the middle and late Quaternary periods. Tephrochronological, paleomagnetic, geochemical, and diatom analyses enabled to identify ten times repeated marine transgression-regression sequences correlated with full glacial-interglacial sea-level changes during the last 900 ka. All of the ten sequence boundaries were characterized by fluvial gravel layers were formed by the Kiso river system. The mean maximum gravel size is proportional to the magnitude of sea level lowering inferred from MIS curve, i.e. gravels deposited in MIS 12 and 16 are the largest, and those in MIS 14 and 8 are the smallest since MIS 16. This suggests that the longitudinal profile of the Kiso river system has been adjusting to the sea level changes and that the steeper longitudinal profile formed in the lower sea level periods can transport larger gravels to the drilling sites. In fact the present river bed gravel size is in proportion with the tractive force and mainly controlled by slope of the rive long-profile.

Society of Laparoendoscopic Surgeons

MedlinePlus

... physician orientation and patient outcome. Minimally Invasive Surgery Week 2018 MISWeek – The #1 MIS Meeting. Minimally Invasive ... Pacific Rim, Asian Oceanic regions … Minimally Invasive Surgery Week 2017 MISWeek – The #1 MIS Meeting. Minimally Invasive ...

A retinaculum-sparing surgical approach preserves porcine stifle joint cartilage in an experimental animal model of cartilage repair.

PubMed

Bonadio, Marcelo B; Friedman, James M; Sennett, Mackenzie L; Mauck, Robert L; Dodge, George R; Madry, Henning

2017-12-01

This study compares a traditional parapatellar retinaculum-sacrificing arthrotomy to a retinaculum-sparing arthrotomy in a porcine stifle joint as a cartilage repair model. Surgical exposure of the femoral trochlea of ten Yucatan pigs stifle joint was performed using either a traditional medial parapatellar approach with retinaculum incision and luxation of the patella (n = 5) or a minimally invasive (MIS) approach which spared the patellar retinaculum (n = 5). Both classical and MIS approaches provided adequate access to the trochlea, enabling the creation of cartilage defects without difficulties. Four full thickness, 4 mm circular full-thickness cartilage defects were created in each trochlea. There were no intraoperative complications observed in either surgical approach. All pigs were allowed full weight-bearing and full range of motion immediately postoperatively and were euthanized between 2 and 3 weeks. The traditional approach was associated with increased cartilage wear compared to the MIS approach. Two blinded raters performed gross evaluation of the trochlea cartilage surrounding the defects according to the modified ICRS cartilage injury classification. The traditional approach cartilage received a significantly worse score than the MIS approach group from both scorers (3.2 vs 0.8, p = 0.01 and 2.8 vs 0, p = 0.005 respectively). The MIS approach results in less damage to the trochlear cartilage and faster return to load bearing activities. As an arthrotomy approach in the porcine model, MIS is superior to the traditional approach.

Resolution of donor non-alcoholic fatty liver disease following liver transplantation.

PubMed

Posner, Andrew D; Sultan, Samuel T; Zaghloul, Norann A; Twaddell, William S; Bruno, David A; Hanish, Steven I; Hutson, William R; Hebert, Laci; Barth, Rolf N; LaMattina, John C

2017-09-01

Transplant surgeons conventionally select against livers displaying high degrees (>30%) of macrosteatosis (MaS), out of concern for primary non-function or severe graft dysfunction. As such, there is relatively limited experience with such livers, and the natural history remains incompletely characterized. We present our experience of transplanted livers with high degrees of MaS and microsteatosis (MiS), with a focus on the histopathologic and clinical outcomes. Twenty-nine cases were identified with liver biopsies available from both the donor and the corresponding liver transplant recipient. Donor liver biopsies displayed either MaS or MiS ≥15%, while all recipients received postoperative liver biopsies for cause. The mean donor MaS and MiS were 15.6% (range 0%-60%) and 41.3% (7.5%-97.5%), respectively. MaS decreased significantly from donor (M=15.6%) to recipient postoperative biopsies (M=0.86%), P<.001. Similarly, MiS decreased significantly from donor biopsies (M=41.3%) to recipient postoperative biopsies (M=1.8%), P<.001. At a median of 68 days postoperatively (range 4-384), full resolution of MaS and MiS was observed in 27 of 29 recipients. High degrees of MaS and MiS in donor livers resolve in recipients following liver transplantation. Further insight into the mechanisms responsible for treating fatty liver diseases could translate into therapeutic targets. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Environmental impact of minimally invasive surgery in the United States: an estimate of the carbon dioxide footprint.

PubMed

Power, Nicholas E; Silberstein, Jonathan L; Ghoneim, Tarek P; Guillonneau, Bertrand; Touijer, Karim A

2012-12-01

To attempt to quantitate the carbon footprint of minimally invasive surgery (MIS) through approximated scope 1 to 3 CO(2) emissions to identify its potential role in global warming. To estimate national usage, we determined the number of inpatient and outpatient MIS procedures using International Classification of Diseases, ninth revision-clinical modification codes for all MIS procedures in a 2009 sample collected in national databases. Need for surgery was considered essential, and therefore traditional open surgery was used as the comparator. Scope 1 (direct) CO(2) emissions resulting from CO(2) gas used for insufflation were based on both escaping procedural CO(2) and metabolic CO(2) eliminated via respiration. Scopes 2 and 3 (indirect) emissions related to capture, compression, and transportation of CO(2) to hospitals and the disposal of single-use equipment not used in open surgery were calculated. The total CO(2) emissions were calculated to be 355,924 tonnes/year. For perspective, if MIS in the United States was considered a country, it would rank 189 th on the United Nations 2008 list of countries' carbon emissions per year. Limitations include the inability to account for uncertainty using the various models and tools for approximating CO(2) emissions. CO(2) emission of MIS in the United States may have a significant environmental impact. This is the first attempt to quantify CO(2) emissions related to MIS in the United States. Strategies for reduction, while maintaining high quality medical care, should be considered.

Metal-Insulator-Semiconductor Nanowire Network Solar Cells.

PubMed

Oener, Sebastian Z; van de Groep, Jorik; Macco, Bart; Bronsveld, Paula C P; Kessels, W M M; Polman, Albert; Garnett, Erik C

2016-06-08

Metal-insulator-semiconductor (MIS) junctions provide the charge separating properties of Schottky junctions while circumventing the direct and detrimental contact of the metal with the semiconductor. A passivating and tunnel dielectric is used as a separation layer to reduce carrier recombination and remove Fermi level pinning. When applied to solar cells, these junctions result in two main advantages over traditional p-n-junction solar cells: a highly simplified fabrication process and excellent passivation properties and hence high open-circuit voltages. However, one major drawback of metal-insulator-semiconductor solar cells is that a continuous metal layer is needed to form a junction at the surface of the silicon, which decreases the optical transmittance and hence short-circuit current density. The decrease of transmittance with increasing metal coverage, however, can be overcome by nanoscale structures. Nanowire networks exhibit precisely the properties that are required for MIS solar cells: closely spaced and conductive metal wires to induce an inversion layer for homogeneous charge carrier extraction and simultaneously a high optical transparency. We experimentally demonstrate the nanowire MIS concept by using it to make silicon solar cells with a measured energy conversion efficiency of 7% (∼11% after correction), an effective open-circuit voltage (Voc) of 560 mV and estimated short-circuit current density (Jsc) of 33 mA/cm(2). Furthermore, we show that the metal nanowire network can serve additionally as an etch mask to pattern inverted nanopyramids, decreasing the reflectivity substantially from 36% to ∼4%. Our extensive analysis points out a path toward nanowire based MIS solar cells that exhibit both high Voc and Jsc values.

Postoperative dysesthesia in minimally invasive transforaminal lumbar interbody fusion: a report of five cases.

PubMed

Wang, Honggang; Zhou, Yue; Zhang, Zhengfeng

2016-05-01

Minimally invasive transforaminal lumbar interbody fusion (misTLIF) can potentially lead to dorsal root ganglion (DRG) injury which may cause postoperative dysesthesia (POD). The purpose of retrospective study was to describe the uncommon complication of POD in misTLIF. Between January 2010 and December 2014, 539 patients were treated with misTLIF in investigator group. POD was defined as dysesthetic pain or burning dysesthesia at a proper DRG innervated region, whether spontaneous or evoked. Non-steroidal antiinflammatory drugs, central non-opioid analgesic agent, neuropathic pain drugs and/or intervertebral foramen block were selectively used to treat POD. There were five cases of POD (5/539, 0.9 %), which consisted of one patient in recurrent lumbar disc herniation (1/36, 3 %), one patient in far lateral lumbar disc herniation (1/34, 3 %), and 3 patients in lumbar spondylolisthesis (3/201, 1 %). Two DRG injury cases were confirmed by revision surgery. After the treatment by drugs administration plus DRG block, all patients presented pain relief with duration from 22 to 50 days. A gradual pain moving to distal end of a proper DRG innervated region was found as the beginning of end. Although POD is a unique and rare complication and maybe misdiagnosed as nerve root injury in misTLIF, combination drug therapy and DRG block have an effective result of pain relief. The appearance of a gradual pain moving to distal end of a proper DRG innervated region during recovery may be used as a sign for the good prognosis.

Operational and Systems Requirements for an In-Flight and Field Portable Laboratory.

DTIC Science & Technology

1992-04-01

MENTPEAIOASADSYTM REIWIANALYSIS TE N M NA CH ONLRPR SUPPFiguT 2. Sequence of OU events. EVAC ATIO MIS ION3 First, the applicable parts of the AE...Systems, Inc. CSI 501 John Bunn Co. OXI-Pulse Healthdyne Model 930 Kontron Instruments 7840, 7845 Marquest PULSOX-7 Nelicor N-10, N-100, N-200, N-1000...Ries, Andrew L.; Prewitt, Lela M.; Johnson, Jeffery J., Skin Color and Ear Oximetry. Chs . 96/2, pp. 287-290 (August 1989). 13. Riley, J. B.; Burgess, B

Claire Lee Chennault and the Problem of Intelligence in China

DTIC Science & Technology

2010-06-01

and sent to the bottom of the Yangtze . With it went Chen- nault’s collection of Japanese military equipment.5 Chennault continued to col- lect...Birch back to East China to survey secret air- fields and gasoline caches, then sent him to work with the guer- rillas along the Yangtze River. He...in Beijing.19 Wil- fred Smith, the son of a mis- sionary born in China and raised on the Yangtze was a professor of Oriental history; Sam West, a

An iterative requirements specification procedure for decision support systems.

PubMed

Brookes, C H

1987-08-01

Requirements specification is a key element in a DSS development project because it not only determines what is to be done, it also drives the evolution process. A procedure for requirements elicitation is described that is based on the decomposition of the DSS design task into a number of functions, subfunctions, and operators. It is postulated that the procedure facilitates the building of a DSS that is complete and integrates MIS, modelling and expert system components. Some examples given are drawn from the health administration field.

A MIS 9/MIS 8 speleothem record of hydrological variability from Macedonia (F.Y.R.O.M.)

NASA Astrophysics Data System (ADS)

Regattieri, Eleonora; Zanchetta, Giovanni; Isola, Ilaria; Bajo, Petra; Perchiazzi, Natale; Drysdale, Russell N.; Boschi, Chiara; Hellstrom, John C.; Francke, Alexander; Wagner, Bernd

2018-03-01

The period corresponding to Marine Isotope Stages 9 (MIS 9) offers the opportunity to study orbital and sub-orbital scale climate variability under boundary conditions different from those of better studied intervals such as the Holocene and the Last Interglacial. Yet, it is poorly represented in independently-dated continental archives around the Mediterranean Region. Here, we present a speleothem stable isotope record (δ18O and δ13C) from the Former Yugoslavian Republic of Macedonia (F.Y.R.O.M., southern Balkans), which consists of two periods of growth broadly covering the ca. 332 to 292 ka and the ca. 264 to 248 ka intervals (MIS 9e-b and late MIS 8). We interpret the speleothem δ18O as mostly related to regional hydrology, with variations that can be interpreted as due to changes in rainfall amount, with higher/lower values associated to drier/wetter condition. This interpretation is corroborated by a change in mineralogical composition between aragonite and calcite at ca. 328 ka, which marks increasing precipitation at the onset of MIS 9 and occurs within a trend of decreasing δ18O values. Also the comparison with the multiproxy climate record available from the nearby Lake Ohrid seems to support the proposed interpretation. The MIS 9e interglacial appears to be characterized by wettest conditions between ca. 326 and 321 ka, i.e. lasting ca. 5 kyr. Decreasing precipitation and enhanced millennial scale variability matches the glacial inception (MIS9 d to b), with drier events at ca. 319 ka (ca. 2 kyr long) and 310 ka (ca. 1 kyr long), and a major rainfall reduction between 306 and 298 ka. The latter is followed by a prominent wetter period between 298 and 295 ka, for which carbon data values suggest high infiltration rate. Rainfall decreases again after 295 ka, and remain low until the growth interruption at ca. 292 ka. Resumption of the growth and progressive soil development, expressed by the carbon isotope record, occurred during the late part of MIS 8. Despite the rather high temporal uncertainty (average 6 ka), the speleothem hydrological record complements the environmental information provided by the Lake Ohrid record and also fits well to the framework of regional and extra-regional variability, showing similarities with pollen records from southern and western Europe, both at orbital and at sub-orbital time scale.

A Modified Protocol with Improved Detection Rate for Mis-Matched Donor HLA from Low Quantities of DNA in Urine Samples from Kidney Graft Recipients.

PubMed

Kwok, Janette; Choi, Leo C W; Ho, Jenny C Y; Chan, Gavin S W; Mok, Maggie M Y; Lam, Man-Fei; Chak, Wai-Leung; Cheuk, Au; Chau, Ka-Foon; Tong, Matthew; Chan, Kwok-Wah; Chan, Tak-Mao

2016-01-01

Urine from kidney transplant recipient has proven to be a viable source for donor DNA. However, an optimized protocol would be required to determine mis-matched donor HLA specificities in view of the scarcity of DNA obtained in some cases. In this study, fresh early morning urine specimens were obtained from 155 kidney transplant recipients with known donor HLA phenotype. DNA was extracted and typing of HLA-A, B and DRB1 loci by polymerase chain reaction-specific sequence primers was performed using tailor-made condition according to the concentration of extracted DNA. HLA typing of DNA extracted from urine revealed both recipient and donor HLA phenotypes, allowing the deduction of the unknown donor HLA and hence the degree of HLA mis-match. By adopting the modified procedures, mis-matched donor HLA phenotypes were successfully deduced in all of 35 tested urine samples at DNA quantities spanning the range of 620-24,000 ng. This urine-based method offers a promising and reliable non-invasive means for the identification of mis-matched donor HLA antigens in kidney transplant recipients with unknown donor HLA phenotype or otherwise inadequate donor information.

Real-time geometry-aware augmented reality in minimally invasive surgery.

PubMed

Chen, Long; Tang, Wen; John, Nigel W

2017-10-01

The potential of augmented reality (AR) technology to assist minimally invasive surgery (MIS) lies in its computational performance and accuracy in dealing with challenging MIS scenes. Even with the latest hardware and software technologies, achieving both real-time and accurate augmented information overlay in MIS is still a formidable task. In this Letter, the authors present a novel real-time AR framework for MIS that achieves interactive geometric aware AR in endoscopic surgery with stereo views. The authors' framework tracks the movement of the endoscopic camera and simultaneously reconstructs a dense geometric mesh of the MIS scene. The movement of the camera is predicted by minimising the re-projection error to achieve a fast tracking performance, while the three-dimensional mesh is incrementally built by a dense zero mean normalised cross-correlation stereo-matching method to improve the accuracy of the surface reconstruction. The proposed system does not require any prior template or pre-operative scan and can infer the geometric information intra-operatively in real time. With the geometric information available, the proposed AR framework is able to interactively add annotations, localisation of tumours and vessels, and measurement labelling with greater precision and accuracy compared with the state-of-the-art approaches.

ESR and 230Th/234U dating of speleothems from Aladağlar Mountain Range (AMR) in Turkey

NASA Astrophysics Data System (ADS)

Ulusoy, Ülkü; Anbar, Gül; Bayarı, Serdar; Uysal, Tonguç

2014-03-01

Electron spin resonance (ESR) and 230Th/234U ages of speleothem samples collected from karstic caves located around 3000 m elevation in the Aladağlar Mountain Range (AMR), south-central Turkey, were determined in order to provide new insight and information regarding late Pleistocene climate. ESR ages were validated with the 230Th/234U ages of test samples. The ESR ages of 21 different layers of six speleothem samples were found to range mostly between about 59 and 4 ka, which cover the Marine Oxygen Isotope Stages (MIS) MIS 3 to MIS 1. Among all, only six layers appear to have deposited during MIS 8 and 5. Most of the samples dated were deposited during the late glacial stage (MIS 2). It appears that a cooler climate with a perennial and steady recharge was more conducive to speleothem development rather than a warmer climate with seasonal recharge in the AMR during the late Quaternary. This argument supports previous findings that suggest a two -fold increase in last glacial maximum mean precipitation in Turkey with respect to the present value.

49 CFR 219.800 - Annual reports.

Code of Federal Regulations, 2010 CFR

2010-10-01

... perform a service for the railroad. (b) As a railroad, you must use the Management Information System (MIS... submission to FRA. For information on where to submit MIS forms and for the electronic version of the form...

The Insufficiency Intake of Dietary Micronutrients Associated with Malnutrition-Inflammation Score in Hemodialysis Population

PubMed Central

Xiao, Long; Yuan, Zhimin; Chen, Jianping; Wang, Zhiyu; Wang, Jingfeng; Huang, Hui

2013-01-01

The relations between dietary micronutrient, nutritional status and inflammation in hemodialysis patients are still unclear. A cross-sectional study was performed in hemodialysis population. 75 hemodialysis patients from South China participated in the dietary and nutritional assessment. Clinical and dietary data were collected. Nutritional status was assessed by Malnutrition-Inflammation Score (MIS) in addition to related anthropometric measurements. And according to the MIS score, the whole hemodialysis patients were divided into normal nutrition group and malnutrition group. The results showed that mid arm circumference (MAC) negatively correlated with MIS (r = −0.425; P = 0.002). The area under the ROC curve (AUC) for MAC was 0.737 (0.614–0.859). Comparing with the normal nutritional group, lower dietary selenium (Se), copper (Cu), iodine (I) and manganese (Mn) intake were observed among patients with malnutrition (P<0.05). While no significant differences of diverse vitamins were found. In conclusion, MAC was effective indicator for assessing nutritional and inflammatory status (P<0.05). The reduction of dietary Se, Cu, I and Mn intake level may be alarming markers for malnutrition and inflammatory status in hemodialysis patients. PMID:23825573

Utilizing Maximal Independent Sets as Dominating Sets in Scale-Free Networks

NASA Astrophysics Data System (ADS)

Derzsy, N.; Molnar, F., Jr.; Szymanski, B. K.; Korniss, G.

Dominating sets provide key solution to various critical problems in networked systems, such as detecting, monitoring, or controlling the behavior of nodes. Motivated by graph theory literature [Erdos, Israel J. Math. 4, 233 (1966)], we studied maximal independent sets (MIS) as dominating sets in scale-free networks. We investigated the scaling behavior of the size of MIS in artificial scale-free networks with respect to multiple topological properties (size, average degree, power-law exponent, assortativity), evaluated its resilience to network damage resulting from random failure or targeted attack [Molnar et al., Sci. Rep. 5, 8321 (2015)], and compared its efficiency to previously proposed dominating set selection strategies. We showed that, despite its small set size, MIS provides very high resilience against network damage. Using extensive numerical analysis on both synthetic and real-world (social, biological, technological) network samples, we demonstrate that our method effectively satisfies four essential requirements of dominating sets for their practical applicability on large-scale real-world systems: 1.) small set size, 2.) minimal network information required for their construction scheme, 3.) fast and easy computational implementation, and 4.) resiliency to network damage. Supported by DARPA, DTRA, and NSF.

An Introduction to the IP/PCT Model Implementation in IPME

DTIC Science & Technology

2011-03-01

perceptuel (TCP) mis en œuvre dans le logiciel Environnement intégré de modélisation des performances (EIMP) par Micro Analysis and Design. Ce...de la théorie du contrôle perceptuel (TCP) mis en œuvre dans le logiciel Environnement intégré de modélisation des performances (EIMP) par Micro...modèles de traitement de l’information (TI) et de la théorie du contrôle perceptuel (TCP) mis en œuvre dans le logiciel Environnement intégré de

An Auto-management Thesis Program WebMIS Based on Workflow

NASA Astrophysics Data System (ADS)

Chang, Li; Jie, Shi; Weibo, Zhong

An auto-management WebMIS based on workflow for bachelor thesis program is given in this paper. A module used for workflow dispatching is designed and realized using MySQL and J2EE according to the work principle of workflow engine. The module can automatively dispatch the workflow according to the date of system, login information and the work status of the user. The WebMIS changes the management from handwork to computer-work which not only standardizes the thesis program but also keeps the data and documents clean and consistent.

Climatic variability during the penultimate interglacial (MIS 7) and glacial (MIS 6) periods recorded in a speleothem from Kanaan cave, Lebanon (Central Levant)

NASA Astrophysics Data System (ADS)

Nehme, Carole; Verheyden, Sophie; Breitenbach, Sebastian F. M.; Gillikin, David P.; Verheyden, Anouk; Cheng, Hai; Edwards, Laurence; Hellstrom, John; Noble, Stephen R.; Farrant, Andrew R.; Sahy, Diana; Goovaerts, Thomas; Salem, Ghada; Claeys, Philippe

2017-04-01

Little is known about terrestrial climate dynamics of the Levant during the penultimate interglacial-glacial period. A well-dated stalagmite ( 194 to 154 ka) from Kanaan cave, located near the Mediterranean in Lebanon, is examined for its petrography, growth history, and stable isotope geochemistry to answer the climate instability pattern of the glacial MIS 6 and possible wet phases. A highly resolved continental climate record from the northern Levant has been recovered from this precisely U-Th-dated speleothem, spanning the late penultimate interglacial (equivalent of the MIS 7) to the mid-penultimate glacial period ( MIS 6). The stalagmite grew slowly and discontinuously with an unstable isotopic pattern from 194 and at least up to 178 ka. Subsequently, the stalagmite ceased growing from 169.5 to 163.1 ka (interpolated ages) with a hiatus of ca. 6.24 ka according to the model age. However, low δ 18O and δ 13C values indicate generally cold, but overall more humid climate compared to the last glacial (MIS 3). Higher growth rates during the mid-penultimate glacial period ( 163-154 ka) are most probably linked to increased water recharge in the vadose zone. A short More distinct layering in the upper section compared to the basal part of the stalagmite suggests stronger seasonality from 163 ka to 154 ka. Negative oxygen and carbon isotope excursions were found at ˜155.5 ka, ˜156 ka, between ˜159.6 and ˜160.1 ka and at ˜162.6 ka. The inferred Kanaan cave humid intervals during the mid-penultimate period follow variations of pollen records in the Eastern and Western Mediterranean basins and correlate well with the synthetic Greenland records and East Asian Summer Monsoon Interstadials, indicating short warm/wet periods similar to the D-O events during MIS 4-3 in the Eastern Mediterranean region.

Thermal stability of atomic layer deposition Al2O3 film on HgCdTe

NASA Astrophysics Data System (ADS)

Zhang, P.; Sun, C. H.; Zhang, Y.; Chen, X.; He, K.; Chen, Y. Y.; Ye, Z. H.

2015-06-01

Thermal stability of Atomic Layer Deposition Al2O3 film on HgCdTe was investigated by Al2O3 film post-deposition annealing treatment and Metal-Insulator-Semiconductor device low-temperature baking treatment. The effectiveness of Al2O3 film was evaluated by measuring the minority carrier lifetime and capacitance versus voltage characteristics. After annealing treatment, the minority carrier lifetime of the HgCdTe sample presented a slight decrease. Furthermore, the fixed charge density and the slow charge density decreased significantly in the annealed MIS device. After baking treatment, the fixed charge density and the slow charge density of the unannealed and annealed MIS devices decreased and increased, respectively.

Improved insulator layer for MIS devices

NASA Technical Reports Server (NTRS)

Miller, W. E.

1980-01-01

Insulating layer of supersonic conductor such as LaF sub 3 has been shown able to impart improved electrical properties to photoconductive detectors and promises to improve other metal/insulator/semiconductor (MIS) devices, e.g., MOSFET and integrated circuits.

Genetic therapies for RNA mis-splicing diseases.

PubMed

Hammond, Suzan M; Wood, Matthew J A

2011-05-01

RNA mis-splicing diseases account for up to 15% of all inherited diseases, ranging from neurological to myogenic and metabolic disorders. With greatly increased genomic sequencing being performed for individual patients, the number of known mutations affecting splicing has risen to 50-60% of all disease-causing mutations. During the past 10years, genetic therapy directed toward correction of RNA mis-splicing in disease has progressed from theoretical work in cultured cells to promising clinical trials. In this review, we discuss the use of antisense oligonucleotides to modify splicing as well as the principles and latest work in bifunctional RNA, trans-splicing and modification of U1 and U7 snRNA to target splice sites. The success of clinical trials for modifying splicing to treat Duchenne muscular dystrophy opens the door for the use of splicing modification for most of the mis-splicing diseases. Copyright © 2011 Elsevier Ltd. All rights reserved.

Minimal invasive surgery in the newborn: current status and evidence.

PubMed

Lacher, Martin; Kuebler, Joachim F; Dingemann, Jens; Ure, Benno M

2014-10-01

The evolution of minimally invasive surgery (MIS) in the newborn has been delayed due to the limited working space and the unique physiology. With the development of smaller instruments and advanced surgical skills, many of the initial obstacles have been overcome. MIS is currently used in specialized centers around the world with excellent feasibility. Obvious advantages include better cosmesis, less trauma, and better postoperative musculoskeletal function, in particular after thoracic procedures. However, the aim of academic studies has shifted from proving feasibility to a critical evaluation of outcome. Prospective randomized trials and high-level evidence for the benefit of endoscopic surgery are still scarce. Questions to be answered in the upcoming years will therefore include both advantages and potential disadvantages of MIS, especially in neonates. This review summarizes recent developments of MIS in neonates and the evidence for its use. Copyright © 2014 Elsevier Inc. All rights reserved.

Complexity in Matuyama-Brunhes polarity transitions from North Atlantic IODP/ODP deep-sea sites

NASA Astrophysics Data System (ADS)

Channell, J. E. T.

2017-06-01

Integrated Ocean Drilling Program (IODP) Expedition 303 to the North Atlantic provided 16 records of the Matuyama-Brunhes polarity transition (MBT), based on u-channel and discrete samples, from holes drilled at three sites (Sites U1304, U1305 and U1306) that have mean Brunhes sedimentation rates of 16-18 cm/kyr. The MBT occurs during the transition from marine isotope stage (MIS) 19c to MIS 18e, with mid-point at ∼773 ka, and a transition duration of ∼8 kyr. Combining the new MBT records, including one new record for the top Jaramillo, with previously published North Atlantic MBT records (ODP Sites 983, 984 and 1063) yields a total of more than 20 high-sedimentation-rate polarity transition records. The MBT yields a repetitive pattern of transitional field states as virtual geomagnetic poles (VGPs) move from high southern latitudes to loop over the Pacific, group in NE Asia, and transit into the mid-latitude South Atlantic before reaching high latitudes in the Northern Hemisphere. The VGPs for the top Jaramillo transition feature a loop over the Pacific, then a NE Asia group before transit over the Indian Ocean to high southerly latitudes. The North Atlantic MBT records described here contrast with longitudinally-constrained VGP paths for the MBT, indicating that relatively low sedimentation rate (∼4 cm/kyr) records of the MBT are heavily smoothed by the remanence acquisition process and do not adequately represent the MBT field. The VGPs at the MBT and top Jaramillo, as measured in the North Atlantic, have similarities with excursion (Iceland Basin) VGP paths, and were apparently guided by maxima in downward vertical flux similar to those seen in the modern non-dipole (ND) field, implying longevity in ND features through time.

Management information systems: their role in the marketing activities of HMOs.

PubMed

Aronow, D B

1988-01-01

HMOs are particularly dependent on their information resources in providing cost-effective, high quality, accessible care. Understanding the role of MIS in HMO marketing activities may guide administrators in evaluating information systems applications within their organizations.

Consistent Reduction in Periprocedural Myocardial Infarction With Cangrelor as Assessed by Multiple Definitions: Findings From CHAMPION PHOENIX (Cangrelor Versus Standard Therapy to Achieve Optimal Management of Platelet Inhibition).

PubMed

Cavender, Matthew A; Bhatt, Deepak L; Stone, Gregg W; White, Harvey D; Steg, Ph Gabriel; Gibson, C Michael; Hamm, Christian W; Price, Matthew J; Leonardi, Sergio; Prats, Jayne; Deliargyris, Efthymios N; Mahaffey, Kenneth W; Harrington, Robert A

2016-09-06

Cangrelor is an intravenous P2Y12 inhibitor approved to reduce periprocedural ischemic events in patients undergoing percutaneous coronary intervention not pretreated with a P2Y12 inhibitor. A total of 11 145 patients were randomized to cangrelor or clopidogrel in the CHAMPION PHOENIX trial (Cangrelor versus Standard Therapy to Achieve Optimal Management of Platelet Inhibition). We explored the effects of cangrelor on myocardial infarction (MI) using different definitions and performed sensitivity analyses on the primary end point of the trial. A total of 462 patients (4.2%) undergoing percutaneous coronary intervention had an MI as defined by the second universal definition. The majority of these MIs (n=433, 93.7%) were type 4a. Treatment with cangrelor reduced the incidence of MI at 48 hours (3.8% versus 4.7%; odds ratio [OR], 0.80; 95% confidence interval [CI], 0.67-0.97; P=0.02). When the Society of Coronary Angiography and Intervention definition of periprocedural MI was applied to potential ischemic events, there were fewer total MIs (n=134); however, the effects of cangrelor on MI remained significant (OR, 0.65; 95% CI, 0.46-0.92; P=0.01). Similar effects were seen in the evaluation of the effects of cangrelor on MIs with peak creatinine kinase-MB ≥10 times the upper limit of normal (OR, 0.64; 95% CI, 0.45-0.91) and those with peak creatinine kinase-MB ≥10 times the upper limit of normal, ischemic symptoms, or ECG changes (OR, 0.63; 95% CI, 0.48-0.84). MIs defined by any of these definitions were associated with increased risk of death at 30 days. Treatment with cangrelor reduced the composite end point of death, MI (Society of Coronary Angiography and Intervention definition), ischemia-driven revascularization, or Academic Research Consortium definite stent thrombosis (1.4% versus 2.1%; OR, 0.69; 95% CI, 0.51-0.92). MI in patients undergoing percutaneous coronary intervention, regardless of definition, remains associated with increased risk of death in the current era. Cangrelor compared with clopidogrel significantly reduces MI regardless of the definition. URL: http://clinicaltrials.gov. Unique identifier: NCT01156571. © 2016 The Authors.

Consistent Reduction in Periprocedural Myocardial Infarction With Cangrelor as Assessed by Multiple Definitions

PubMed Central

Cavender, Matthew A.; Stone, Gregg W.; White, Harvey D.; Steg, Ph. Gabriel; Gibson, C. Michael; Hamm, Christian W.; Price, Matthew J.; Leonardi, Sergio; Prats, Jayne; Deliargyris, Efthymios N.; Mahaffey, Kenneth W.; Harrington, Robert A.

2016-01-01

BACKGROUND: Cangrelor is an intravenous P2Y12 inhibitor approved to reduce periprocedural ischemic events in patients undergoing percutaneous coronary intervention not pretreated with a P2Y12 inhibitor. METHODS: A total of 11 145 patients were randomized to cangrelor or clopidogrel in the CHAMPION PHOENIX trial (Cangrelor versus Standard Therapy to Achieve Optimal Management of Platelet Inhibition). We explored the effects of cangrelor on myocardial infarction (MI) using different definitions and performed sensitivity analyses on the primary end point of the trial. RESULTS: A total of 462 patients (4.2%) undergoing percutaneous coronary intervention had an MI as defined by the second universal definition. The majority of these MIs (n=433, 93.7%) were type 4a. Treatment with cangrelor reduced the incidence of MI at 48 hours (3.8% versus 4.7%; odds ratio [OR], 0.80; 95% confidence interval [CI], 0.67–0.97; P=0.02). When the Society of Coronary Angiography and Intervention definition of periprocedural MI was applied to potential ischemic events, there were fewer total MIs (n=134); however, the effects of cangrelor on MI remained significant (OR, 0.65; 95% CI, 0.46–0.92; P=0.01). Similar effects were seen in the evaluation of the effects of cangrelor on MIs with peak creatinine kinase-MB ≥10 times the upper limit of normal (OR, 0.64; 95% CI, 0.45–0.91) and those with peak creatinine kinase-MB ≥10 times the upper limit of normal, ischemic symptoms, or ECG changes (OR, 0.63; 95% CI, 0.48–0.84). MIs defined by any of these definitions were associated with increased risk of death at 30 days. Treatment with cangrelor reduced the composite end point of death, MI (Society of Coronary Angiography and Intervention definition), ischemia-driven revascularization, or Academic Research Consortium definite stent thrombosis (1.4% versus 2.1%; OR, 0.69; 95% CI, 0.51–0.92). CONCLUSIONS: MI in patients undergoing percutaneous coronary intervention, regardless of definition, remains associated with increased risk of death in the current era. Cangrelor compared with clopidogrel significantly reduces MI regardless of the definition. CLINICAL TRIAL REGISTRATION: URL: http://clinicaltrials.gov. Unique identifier: NCT01156571. PMID:27482008

Response of diatom and silicoflagellate assemblages in the central Gulf of California to regional climate change during the past 55 kyrs

USGS Publications Warehouse

Barron, John A.; Bukry, David; Cheshire, Heather

2014-01-01

High-resolution studies of diatoms and silicoflagellates of the past 55 kyrs in cores MD02-2517/2515 from the central Gulf of California (GoC) reveal profound changes in GoC surface waters. Roperia tesselata, a diatom proxy for late winter–early spring upwelling, and Dictyocha stapedia, a subtropical silicoflagellate indicative of GoC sea surface temperatures (SSTs) > 24 °C, are common during the Holocene but rare during Marine Isotope Stage (MIS) 2 and most of MIS 3, a relationship that likely reflects a more northerly position of the North Pacific High (NPH) during the Holocene. In contrast during most of MIS 2 (~ 27–15 ka), the persistent presence of Distephanus speculum, a silicoflagellate associated with SSTs During MIS 3 (~ 55–27 ka), increased dominance of Azpeitia nodulifera (diatom) implies that stratified, tropical waters were present year round, whereas silicoflagellate assemblages suggest that stratified tropical conditions alternated with more productive, upwelling conditions on millennial timescales. Reduced biosiliceous productivity during Heinrich events likely reflected a reduction in both surface water nutrient levels and in the strength of northwest winds due to a weakened and more southerly NPH. Conversely, enhanced biosiliceous productivity during MIS 3 interstadials was probably linked to heightened nutrient levels and a strengthened NPH. Abrupt relative abundance increases of the silicoflagellate, Dictyocha aculeata, approximate the termination of MIS3 Heinrich events and may signal times when nutrient-rich deep waters associated with the resumption of enhanced Atlantic Meridional Overturning Circulation penetrated into the central Gulf.

Palaeoclimatic implications of aeolian sediments on the Miaodao Islands, Bohai Sea, East China, based on OSL dating and proxies

NASA Astrophysics Data System (ADS)

Xu, Shujian; Ding, Xinchao; Yu, Lupeng; Ni, Zhichao

2015-12-01

The loess-paleosol sequences in Shandong Province, East China, is an important aeolian archive, which can provide information for aeolian activity, palaeoclimatic change and sea level change in eastern coast of China since the last interglacial period. However, for so long, most of the studies about loess have been focused on the Chinese Loess Plateau, remaining many questions and disputes about the loess in East China. The Xianjingyuan (XJY) section on the TIA, Bohai Sea, is a representative aeolian section for islands off the eastern coast of China. In this study, optically stimulated luminescence (OSL) dating, particle size and magnetic susceptibility were applied to date and analysis the loess-paleosol sequences in this section. The results show that: (1) The OSL ages at the depths of 0.8 m, 2.5 m, and 3.9 m are 12.6 ± 1.0 ka, 19.2 ± 1.1 ka and 56.9 ± 2.6 ka, respectively, and the loess started to accumulate at ca. 86.5 ka according to the depositional rates (2) The loess accumulated mainly during the Marine Isotope Stage (MIS) 2, i.e., Last glacial maximum and deglaciation, MIS4 and MIS3b with higher depositional rate, coarser grain size, and higher magnetic susceptibility; while paleosol mainly developed during MIS3a, MIS3c and MIS5 with lower depositional rate, finer grain size and lower magnetic susceptibility. (3) The palaeoclimatic changes and aeolian sediments evolution were mainly controlled by the changes of East Asian summer monsoon and sea levels.

Safety of robotic prostatectomy over time: a national study of in-hospital injury.

PubMed

Chughtai, Bilal; Isaacs, Abby J; Mao, Jialin; Lee, Richard; Te, Alexis; Kaplan, Steven; Sedrakyan, Art

2015-02-01

To assess national trends of iatrogenic complications and associated burden of care among patients undergoing open and minimally invasive prostatectomy using a population-based cohort. Using the nationally representative cohort, we identified patients who were diagnosed with prostate cancer, and underwent prostatectomy during 2001 and 2011. We determined the risk of iatrogenic complication and length of stay (LOS) over time among open and minimally invasive surgery (MIS) patients. Hierarchical multivariable logistic regression was performed to assess the changes over time and elucidate independent predictors of iatrogenic complications. We identified 556,932 and 219,434 prostate cancer patients undergoing open and minimally invasive prostatectomy. We found that iatrogenic complications for MIS were less frequent in later years (years 09-11 vs. year 01-02 odds ratio (OR), 0.21; 95% confidence intervals (CI), 0.09-0.40). MIS was associated with higher risk of iatrogenic complications in early period (years 01-02 OR, 3.81; 95% CI, 1.72-8.41), but lower risk in late period (years 09-11 OR 0.72 95% CI 0.61-0.86). Patients who experienced iatrogenic complications tended to have longer LOS (Median: Open vs. MIS, 4 days vs. 3 day) than those who didn't (Median: Open vs. MIS, 2 days vs. 1 day), regardless of procedure type. We found that minimally invasive prostatectomy is associated with lower risk of iatrogenic complications when compared with open surgery (OS). However, as "learning curve" is overcome over time, MIS becomes safer than OS. Iatrogenic complications are not benign and seem to be associated with higher burden of inpatient care.

How do geometry-related parameters influence the clinical performance of orthodontic mini-implants? A systematic review and meta-analysis.

PubMed

Cunha, A C; da Veiga, A M A; Masterson, D; Mattos, C T; Nojima, L I; Nojima, M C G; Maia, L C

2017-12-01

The aim of this systematic review and meta-analysis was to investigate how parameters related to geometry influence the clinical performance of orthodontic mini-implants (MIs). Systematic searches were performed in electronic databases including MEDLINE, Scopus, Web of Science, Virtual Health Library, and Cochrane Library and reference lists up to March 2016. Eligibility criteria comprised clinical studies involving patients who received MIs for orthodontic anchorage, with data for categories of MI dimension, shape, and thread design and insertion site, and evaluated by assessment of primary and secondary stability. Study selection, data extraction, quality assessment, and a meta-analysis were carried out. Twenty-seven studies were included in the qualitative synthesis: five randomized, eight prospective, and 14 retrospective clinical studies. One study with a serious risk of bias was later excluded. Medium and short MIs (1.4-1.9mm diameter and 5-8mm length) presented the highest success rates (0.87, 95% CI 0.80-0.92). A maximum insertion torque of 13.28Ncm (standard error 0.34) was observed for tapered self-drilling MIs in the mandible, whereas cylindrical MIs in the maxilla presented a maximum removal torque of 10.01Ncm (standard error 0.17). Moderate evidence indicates that the clinical performance of MIs is influenced by implant geometry parameters and is also related to properties of the insertion site. However, further research is necessary to support these associations. Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Cross-cultural adaptation to Portuguese of tools for assessing the nutritional status of patients on dialysis.

PubMed

Fetter, Renata Lemos; Bigogno, Fernanda Guedes; de Oliveira, Fernanda Galvão Pasculli; Avesani, Carla Maria

2014-01-01

The 7 point subjective global assessment (7p-SGA) and the malnutrition inflammation score (MIS) are tools commonly applied for the assessment of nutritional status in dialyzed patients. Both were developed in English and require translation to Portuguese to be applied in Brazil. The cross-cultural equivalence process ensures semantic and measurement equivalence of a translated tool. To perform the cross-cultural adaptation to Portuguese of the 7p-SGA and MIS. Semantic equivalence was performed by the back-translation method and by assessing the degree of similarity between the original instrument and that back-translated from Portuguese to English (Back-translation). The assessment of the equivalence measurement was made by evaluating the intern reliability (Cronbach's α) and interobserver reliability (two observers). One-hundred and one elderly patients on hemodialysis (HD) were included. Both instruments showed a high degree of semantic similarity with results close to the maximum value (7p-SGA 96.8 ± 7.8 and MIS 99.6 ± 1.4). The intern consistency showed a Cronbach's α value for 7p-SGA of 0.72 and of 0.53 for MIS. The interobserver reproducibility of 7p-SGA was moderate (intraclass coefficient [ICC] = 0.74 [95% CI: 0.58; 0.84]), while for MIS was strong (ICC = 0.88 [95% CI: 0.81; 0.93]). The 7p-SGA and MIS translated into Portuguese can be applied for assessing the nutritional status of elderly patients on HD. Studies testing the applicability of these instruments in adult patients on HD and in peritoneal dialysis should yet be performed.

Pharyngeal mis-sequencing in dysphagia: characteristics, rehabilitative response, and etiological speculation.

PubMed

Huckabee, Maggie-Lee; Lamvik, Kristin; Jones, Richard

2014-08-15

Clinical data are submitted as documentation of a pathophysiologic feature of dysphagia termed pharyngeal mis-sequencing and to encourage clinicians and researchers to adopt more critical approaches to diagnosis and treatment planning. Recent clinical experience has identified a cohort of patients who present with an atypical dysphagia not specifically described in the literature: mis-sequenced constriction of the pharynx when swallowing. As a result, they are unable to coordinate streamlined bolus transfer from the pharynx into the esophagus. This mis-sequencing contributes to nasal redirection, aspiration, and, for some, the inability to safely tolerate an oral diet. Sixteen patients (8 females, 8 males), with a mean age of 44 years (range=25-78), had an average time post-onset of 23 months (range=2-72) at initiation of intensive rehabilitation. A 3-channel manometric catheter was used to measure pharyngeal pressure. The average peak-to-peak latency between nadir pressures at sensor-1 and sensor-2 was 15 ms (95% CI, -2 to 33 ms), compared to normative mean latency of 239 ms (95% CI, 215 to 263 ms). Rehabilitative responses are summarized, along with a single detailed case report. It is unclear from these data if pharyngeal mis-sequencing is (i) a pathological feature of impaired motor planning from brainstem damage or (ii) a maladaptive compensation developed in response to chronic dysphagia. Future investigation is needed to provide a full report of pharyngeal mis-sequencing, and the implications on our understanding of underlying neural control of swallowing. Copyright © 2014 Elsevier B.V. All rights reserved.

Substrate potential of last interglacial to Holocene permafrost organic matter for future microbial greenhouse gas production

NASA Astrophysics Data System (ADS)

Stapel, Janina G.; Schwamborn, Georg; Schirrmeister, Lutz; Horsfield, Brian; Mangelsdorf, Kai

2018-04-01

In this study the organic matter (OM) in several permafrost cores from Bol'shoy Lyakhovsky Island in NE Siberia was investigated. In the context of the observed global warming the aim was to evaluate the potential of freeze-locked OM from different depositional ages to act as a substrate provider for microbial production of greenhouse gases from thawing permafrost. To assess this potential, the concentrations of free and bound acetate, which form an appropriate substrate for methanogenesis, were determined. The largest free-acetate (in pore water) and bound-acetate (organic-matrix-linked) substrate pools were present in interstadial marine isotope stage (MIS) 3 and stadial MIS 4 Yedoma permafrost deposits. In contrast, deposits from the last interglacial MIS 5e (Eemian) contained only a small pool of substrates. The Holocene (MIS 1) deposits revealed a significant bound-acetate pool, representing a future substrate potential upon release during OM degradation. Additionally, pyrolysis experiments on the OM allocated an increased aliphatic character to the MIS 3 and 4 Late Pleistocene deposits, which might indicate less decomposed and presumably more easily degradable OM. Biomarkers for past microbial communities, including those for methanogenic archaea, also showed the highest abundance during MIS 3 and 4, which indicated OM-stimulated microbial degradation and presumably greenhouse gas production during time of deposition. On a broader perspective, Arctic warming will increase and deepen permafrost thaw and favor substrate availability from older freeze-locked permafrost deposits. Thus, the Yedoma deposits especially showed a high potential for providing substrates relevant for microbial greenhouse gas production.

Environmental Impact of Minimally Invasive Surgery in the United States: An Estimate of the Carbon Dioxide Footprint

PubMed Central

Power, Nicholas E.; Silberstein, Jonathan L.; Ghoneim, Tarek P.; Guillonneau, Bertrand

2012-01-01

Abstract Purpose To attempt to quantitate the carbon footprint of minimally invasive surgery (MIS) through approximated scope 1 to 3 CO2 emissions to identify its potential role in global warming. Patients and Methods To estimate national usage, we determined the number of inpatient and outpatient MIS procedures using International Classification of Diseases, ninth revision-clinical modification codes for all MIS procedures in a 2009 sample collected in national databases. Need for surgery was considered essential, and therefore traditional open surgery was used as the comparator. Scope 1 (direct) CO2 emissions resulting from CO2 gas used for insufflation were based on both escaping procedural CO2 and metabolic CO2 eliminated via respiration. Scopes 2 and 3 (indirect) emissions related to capture, compression, and transportation of CO2 to hospitals and the disposal of single-use equipment not used in open surgery were calculated. Results The total CO2 emissions were calculated to be 355,924 tonnes/year. For perspective, if MIS in the United States was considered a country, it would rank 189th on the United Nations 2008 list of countries' carbon emissions per year. Limitations include the inability to account for uncertainty using the various models and tools for approximating CO2 emissions. Conclusion CO2 emission of MIS in the United States may have a significant environmental impact. This is the first attempt to quantify CO2 emissions related to MIS in the United States. Strategies for reduction, while maintaining high quality medical care, should be considered. PMID:22845049

MIS Case Study: I-94 Rehabilitation Project - Detroit, Michigan.

DOT National Transportation Integrated Search

1997-01-01

ISTEA includes specific requirements for inclusion in studies of Major Investment Projects in Metropolitan Planning Areas. The State of Michigan initiated a Major Investment Study (MIS) in October 1994 for the redesign and reconstruction of a 7 mile ...

Electrical and optical properties of diketopyrrolopyrrole-based copolymer interfaces in thin film devices.

PubMed

Adil, Danish; Kanimozhi, Catherine; Ukah, Ndubuisi; Paudel, Keshab; Patil, Satish; Guha, Suchi

2011-05-01

Two donor-acceptor diketopyrrolopyrrole (DPP)-based copolymers (PDPP-BBT and TDPP-BBT) have been synthesized for their application in organic devices such as metal-insulator semiconductor (MIS) diodes and field-effect transistors (FETs). The semiconductor-dielectric interface was characterized by capacitance-voltage and conductance-voltage methods. These measurements yield an interface trap density of 4.2 × 10(12) eV⁻¹ cm⁻² in TDPP-BBT and 3.5 × 10¹² eV⁻¹ cm⁻² in PDPP-BBT at the flat-band voltage. The FETs based on these spincoated DPP copolymers display p-channel behavior with hole mobilities of the order 10⁻³ cm²/(Vs). Light scattering studies from PDPP-BBT FETs show almost no change in the Raman spectrum after the devices are allowed to operate at a gate voltage, indicating that the FETs suffer minimal damage due to the metal-polymer contact or the application of an electric field. As a comparison Raman intensity profile from the channel-Au contact layer in pentacene FETs are presented, which show a distinct change before and after biasing.

Investigating annually-resovled natural climate variability during MIS 11 using lacustrine records

NASA Astrophysics Data System (ADS)

Tye, G. J.; Palmer, A. P.; Candy, I.; Coxon, P.; Hardiman, M.

2012-04-01

Marine isotope stage 11 (MIS 11, ca 410,000 yrs BP) is considered to be one of the best analogues for current and future climate change due to the similarity of orbital forcing patterns during these two interglacials. Marine and ice-core records suggest that MIS 11 was a particularly long interglacial, characterised by stable climates. The investigation of high-resolution climate records from MIS 11 can, therefore, allow us to understand how the climate of a Holocene-like interglacial might evolve in the absence of anthropogenic modification. MIS 11 sediments preserved in the palaeolake basin at Marks Tey, eastern England, offer the potential for such a study as they are considered to be annually-laminated (varved) throughout a large part of the interglacial (Turner, 1970, 1975). The lamination sets appear to be comprised, primarily, of three regularly occurring laminae types; 1) authigenic carbonate, 2) diatom blooms, and 3) organic detritus, although there appears to be some variability in the microfacies of these laminations. The carbonate laminations are the key to the study of climate variability during MIS 11, as they represent authigenic carbonate precipitation, consistent with temperature/biologically driven changes in lake chemistry during the summer months. Oxygen isotopic analysis of the carbonate therefore gives a proxy for summer temperature. A period of key interest in the MIS 11 sequence at Marks Tey occurs during the early part of the interglacial, where there is a short-lived increase in grass pollen relative to tree pollen, termed the Non-Arboreal Pollen Zone (NAPZ). The cause of this shift in pollen has been subject to debate, with natural wildfire (Turner, 1970) or climatic deterioration (e.g. Kelly, 1964) being suggested as possible forcing mechanisms. In this study, as well as discussing the main characteristics of the MIS 11 sequence at Marks Tey, we will focus on the sedimentary, micromorphological and geochemical record of the NAPZ. In particular we discuss the potential role of abrupt, sub-Milankovitch, climate cooling in its genesis, whilst highlighting the complexity of ecological and landscape response that such a climatic event may generate. The study concludes by discussing the potential occurrence of 8.2ka-like events in pre-Holocene interglacials.

Pleistocene environmental dynamics recorded in the loess of the middle and lower Danube basin

NASA Astrophysics Data System (ADS)

Fitzsimmons, Kathryn E.; Marković, Slobodan B.; Hambach, Ulrich

2012-05-01

The substantial loess deposits of the middle and lower Danube basin in southeastern Europe represent one of the thickest and most comprehensive terrestrial palaeoenvironmental records on the continent, yet are also the least well understood. Environmental conditions over the last million years have resulted in relatively continuous deposits uninterrupted by glaciation and tundra conditions, which nevertheless reflect oscillations between relatively warm-humid (“interglacial”) and cold-dry (“glacial”) intervals. This relative environmental stability may have proven important for hominins migrating into and through the region. The loess stratigraphy comprises distinct loess-paleosol sequences, reflecting glacial-interglacial phases which can be quantified for intensity using environmental magnetism and geochemistry. These phases are emphasised by variations in vegetation and malacofauna which respond to climatic change. The loess deposits demonstrate broadly similar sedimentological characteristics across the basin. Danubian loess deposits initiated in response to the tectonic formation of the Pannonian basin, retreat of the large palaeolakes, and increased sediment supply from the Danube. The period from ˜1 Ma-500 ka (MIS 27-13) was characterised by alternating loess deposition and pedogenesis during glacial and interglacial periods respectively, in response to relatively humid, forested conditions. This period represents the opening of the Danube corridor and provides the backdrop for initial hominin arrival into Europe. After ˜500 ka, and particularly after MIS 9, loess accumulation rates increased in response to relatively more steppic, arid, environments. MIS 9 and 13-15 were the most humid phases of the last ˜600 ky. The MIS 5 interglacial period was the warmest, and relatively most humid, period preceding the Holocene, and was followed by substantially increased loess accumulation during MIS 4, which may be linked to North Atlantic circulation. The complexity of the MIS 3 interstadial paleosol suggests that conditions were not uniformly warm and wet during this time. MIS 3 corresponds with the first arrival of anatomically modern humans to Europe. The last glacial maximum and Younger Dryas of MIS 2 were characterised by substantially increased loess accumulation indicating cold steppe environments most likely influenced by the North Atlantic, although conditions were sufficiently mild that the region acted as a refugium for thermophilic biota, as may also have been the case for most of the Pleistocene glacial cycles. The Holocene soil represents relatively wamer and more humid conditions corresponding to the current interglacial.

Ice Age Reboot: Thermohaline Circulation Crisis during the Mid-Pleistocene Transition

NASA Astrophysics Data System (ADS)

Pena, L.; Goldstein, S. L.

2014-12-01

The mid-Pleistocene transition (MPT) marked a fundamental change in glacial-interglacial periodicity, when it increased from ~41- to 100-kyr cycles and developed higher amplitude climate variability. Because it took place without significant changes in the Milankovitch forcing, this fundamental change must reflect either non-linear responses of the climate system to these external forcings, or internal changes in the ocean-atmosphere-cryosphere system that led to longer periodicities and more intense glacial periods. We document using Nd isotopes a major disruption of the ocean thermohaline circulation (THC) system during the MPT between MIS 25-21 at ~950-860 ka, which effectively marks the first 100-kyr cycle, including an exceptional weakening through critical interglacial MIS 23 at ~900 ka. The data are from ODP Sites 1088 (41°8.163'S, 13°33.77'E, 2082m) and 1090 (42°54.82'S, 8°53.98E', 3702m) in the SE Atlantic Subantarctic Zone, near the upper and lower boundaries of NADW and Circumpolar Deep Water (CDW). Given evidence for nearly stable NADW and North Pacific Water (NPW) ɛNd-values over the last 2 Ma, we interpret the ɛNd variations to reflect changes in the NADW:NPW mixing fractions. During the studied pre-MPT 41-kyr world (MIS 31-25, 1,100-950 ka), at both sites the differences in glacial and interglacial ɛNd-values are small, indicating strong glacial as well as interglacial export of NADW. A major weakening of NADW export occurred during MIS 24-22, including MIS 23, which is unique as the only known interglacial in which the THC did not strengthen, and thus can be considered as a 'trans-glacial' period. The recovery into the post-MPT 100-kyr world is characterized by continued weak glacial THC. We conclude that the MPT ocean circulation crisis 'rebooted' the pacing and intensity of ice ages and facilitated the coeval drawdown of atmospheric CO2 and high latitude ice sheet growth, generating the conditions that stabilized 100-kyr cycles.

U-series vs 14C ages of deep-sea corals from the southern Labrador Sea: Sporadic development of corals and geochemical processes hampering estimation of ambient water ventilation ages

NASA Astrophysics Data System (ADS)

Hillaire-Marcel, Claude; Maccali, Jenny; Ménabréaz, Lucie; Ghaleb, Bassam; Blénet, Aurélien; Edinger, Evan

2017-04-01

Deep-sea scleractinian corals were collected with the remotely operated ROPOS vehicle off Newfounland. Fossil specimens of Desmophyllum dianthus were raised from coral graveyards at Orphan Knoll (˜1700m depth) and Flemish cap (˜2200 m depth), while live specimens were collected directly in overlying steep rock slopes. D. dianthus has an aragonitic skeleton and is thus particularly suited for U-Th dating. We obtained > 70 U-series ages along with > 20 14C measurements. Results display a discrete age distribution with two age clusters: a Bølling-Allerød and Holocene cluster with > 20 samples, and a Marine Isotope Stage (MIS) 5c cluster with ˜50 samples. Only two samples lay outside these clusters, at ˜ 64 ka and at ˜181 ka. Contrary to the New England seamounts where coral presence seems to have been continue through the last 70 ka, Orphan Knoll and Flemish Cap graveyards are marked by the absence of preserved specimens from MIS 2 to MIS 4 and throughout MIS 6. For filter-feeding deep-sea corals, access to food-rich waters is essential. Hence the Holocene and MIS 5 clusters observed in the Labrador basin might represent intervals linked to high food availability, either through production in the overlying water column, more effectively in relation to particulate and dissolved organic carbon transport via an active Western Boundary Undercurrent. Comparison of 230Th-ages vs 14C-ages in order to document changes in ventilation ages of the ambient water masses is equivocal due to the presence of some diagenetic and/or initial 230Th-excess. In addition, discrete diagenetic U-fluxes can be documented from 234U/238U vs 230Th/238U data. They point to a recent winnowing of sediment overlying the fossil corals that we link to the Holocene intensification of the Western Boundary Undercurrent, which resulted in driving Fe-Mn coatings.

The Effects and Side-Effects of Statistics Education: Psychology Students' (Mis-)Conceptions of Probability

ERIC Educational Resources Information Center

Morsanyi, Kinga; Primi, Caterina; Chiesi, Francesca; Handley, Simon

2009-01-01

In three studies we looked at two typical misconceptions of probability: the representativeness heuristic, and the equiprobability bias. The literature on statistics education predicts that some typical errors and biases (e.g., the equiprobability bias) increase with education, whereas others decrease. This is in contrast with reasoning theorists'…

Towards the Development of a Library Management Information System.

ERIC Educational Resources Information Center

Runyon, Robert S.

1981-01-01

Identifies the lack of an effective comprehensive management information system (MIS) as one major impediment to effective library administration and outlines a proposal for the development of a system based on a total systems approach, which would be made available to subscriber libraries through a network system. Twenty-three references are…

Uracil misincorporation into DNA and folic acid supplementation

USDA-ARS?s Scientific Manuscript database

BACKGROUND: Folate deficiency decreases thymidylate synthesis from deoxyuridylate, which results in an imbalance of deoxyribonucleotide that may lead to excessive uracil misincorporation (UrMis) into DNA during replication and repair. OBJECTIVE: We evaluated the relation between UrMis in different ...

The Role of Minimally Invasive Surgery in Pediatric Trauma.

PubMed

Pearson, Erik G; Clifton, Matthew S

2017-02-01

Minimally invasive surgery (MIS) in the management of blunt and penetrating pediatric trauma has evolved in the past 30 years. Laparoscopy and thoracoscopy possess high levels of diagnostic accuracy with low associated missed injury rates. Currently available data advocate limiting the use of MIS to blunt or penetrating injuries in the hemodynamically stable child. In the pediatric trauma population, MIS offers both diagnostic and therapeutic potential, as well as reduced postoperative pain, a decreased rate of postoperative complications, shortened hospital stay, and potentially reduced cost. Copyright © 2016 Elsevier Inc. All rights reserved.

Chironomid-based reconstructions of summer air temperature from lake deposits in Lyndon Stream, New Zealand spanning the MIS 3/2 transition

NASA Astrophysics Data System (ADS)

Woodward, C. A.; Shulmeister, J.

2007-01-01

We present chironomid-based temperature reconstructions from lake sediments deposited between ca 26,600 cal yr BP and 24,500 cal yr BP from Lyndon Stream, South Island, New Zealand. Summer (February mean) temperatures averaged 1 °C cooler, with a maximum inferred cooling of 3.7 °C. These estimates corroborate macrofossil and beetle-based temperature inferences from the same site and suggest climate amelioration (an interstadial) at this time. Other records from the New Zealand region also show a large degree of variability during the late Otiran glacial sequence (34,000-18,000 cal yr BP) including a phase of warming at the MIS 2/3 transition and a maximum cooling that did not occur until the global LGM (ca 20,000 cal yr BP). The very moderate cooling identified here at the MIS 2/3 transition confirms and enhances the long-standing discrepancy in New Zealand records between pollen and other proxies. Low abundances (<20%) of canopy tree pollen in records from late MIS 3 to the end of MIS 2 cannot be explained by the minor (<5 °C) cooling inferred from this and other studies unless other environmental parameters are considered. Further work is required to address this critical issue.

Optically stimulated luminescence age controls on late Pleistocene and Holocene coastal lithosomes, North Carolina, USA

USGS Publications Warehouse

Mallinson, D.; Burdette, K.; Mahan, S.; Brook, G.

2008-01-01

Luminescence ages from a variety of coastal features on the North Carolina Coastal Plain provide age control for shoreline formation and relative sea-level position during the late Pleistocene. A series of paleoshoreline ridges, dating to Marine Isotope Stage (MIS) 5a and MIS 3 have been defined. The Kitty Hawk beach ridges, on the modern Outer Banks, yield ages of 3 to 2??ka. Oxygen-isotope data are used to place these deposits in the context of global climate and sea-level change. The occurrence of MIS 5a and MIS 3 shorelines suggests that glacio-isostatic adjustment (GIA) of the study area is large (ca. 22 to 26??m), as suggested and modeled by other workers, and/or MIS 3 sea level was briefly higher than suggested by some coral reef studies. Correcting the shoreline elevations for GIA brings their elevation in line with other sea-level indicators. The age of the Kitty Hawk beach ridges places the Holocene shoreline well west of its present location at ca. 3 to 2??ka. The age of shoreline progradation is consistent with the ages of other beach ridge complexes in the southeast USA, suggesting some regionally contemporaneous forcing mechanism. ?? 2007 University of Washington.

[Quality of information analysis on basic causes of neonatal deaths recorded in the Mortality Information System: a study in Maceió, Alagoas State, Brazil, 2001-2002].

PubMed

Pedrosa, Linda Délia C O; Sarinho, Silvia W; Ordonha, Manoelina R

2007-10-01

Analysis of the quality of information on basic causes of neonatal deaths in Brazil is crucially important, since it allows one to estimate how many deaths are avoidable and provide support for policies to decrease neonatal mortality. The current study aimed to evaluate the reliability and validity of the Mortality Information System (MIS) for discriminating between basic causes of neonatal deaths and defining percentages of reducible causes. The basic causes of early neonatal deaths in hospitals in Maceió, Alagoas State, were analyzed, and the causes recorded in medical records were compared to the MIS data in order to measure reliability and validity. The modified SEADE Foundation and Wigglesworth classifications were compared to analyze the capacity for reduction of neonatal mortality. Maternal causes predominated in the medical records, as compared to respiratory disorders on the death certificates and in the MIS. The percentage of avoidable deaths may be much higher than observed from the MIS, due to imprecision in completing death certificates. Based on the MIS, the greatest problems are in early diagnosis and treatment of neonatal causes. However, the results show that the most pressing problems relate to failures in prenatal care and lack of control of diseases.

Admittance of MIS-Structures Based on HgCdTe with a Double-Layer CdTe/Al2O3 Insulator

NASA Astrophysics Data System (ADS)

Dzyadukh, S. M.; Voitsekhovskii, A. V.; Nesmelov, S. N.; Sidorov, G. Yu.; Varavin, V. S.; Vasil'ev, V. V.; Dvoretsky, S. A.; Mikhailov, N. N.; Yakushev, M. V.

2018-03-01

Admittance of MIS structures based on n( p)- Hg1-xCdxTe (at x from 0.22 to 0.40) with SiO2/Si3N4, Al2O3, and CdTe/Al2O3 insulators is studied experimentally at 77 K. Growth of an intermediate CdTe layer during epitaxy results in the almost complete disappearance of the hysteresis of electrophysical characteristics of MIS structures based on graded-gap n-HgCdTe for a small range of the voltage variation. For a wide range of the voltage variation, the hysteresis of the capacitance-voltage characteristics appears for MIS structures based on n-HgCdTe with the CdTe/Al2O3 insulator. However, the hysteresis mechanism differs from that in case of a single-layer Al2O3 insulator. For MIS structures based on p-HgCdTe, introduction of an additional CdTe layer does not lead to a significant decrease of the hysteresis phenomena, which may be due to the degradation of the interface properties when mercury leaves the film as a result of low-temperature annealing changing the conductivity type of the semiconductor.

Paleoecological and climatic implications of stable isotope results from late Pleistocene bone collagen, Ziegeleigrube Coenen, Germany

NASA Astrophysics Data System (ADS)

Wißing, Christoph; Matzerath, Simon; Turner, Elaine; Bocherens, Hervé

2015-07-01

Climatic and ecological conditions during Marine Oxygen Isotope Stage (MIS) 3 are complex and the impact of cold spells on the ecosystems in Central Europe still needs to be investigated thoroughly. Ziegeleigrube Coenen (ZC) is a late Pleistocene MIS 3 locality in the Lower Rhine Embayment of Germany, radiocarbon-dated to > 34 14C ka BP. The site yielded a broad spectrum of mammal species. We investigated the carbon (δ13C), nitrogen (δ15N) and sulfur (δ34S) isotope signatures of bone collagen, since these are valuable tools in characterizing ecological niches, environmental conditions and aspects of climate and mobility. By comparison with pre- and post-Last Glacial Maximum (LGM) sites in Central Europe we show that ZC belongs in a cold event of MIS 3 and was climatically more similar to post-LGM sites than to pre-LGM sites. However, the trophic structure resembled that of typical pre-LGM sites in Belgium. This cold event in MIS 3 changed the bottom of the foodweb, but do not seem to have had a direct impact on the occurrence of the mammalian species and their ecological distribution. Apparently the (mega-) faunal community could adapt also to harsher environmental conditions during MIS 3.

Late Quaternary uplift rate across the Shimokita peninsula, northeastern Japan forearc

NASA Astrophysics Data System (ADS)

Matsu'Ura, T.

2009-12-01

I estimated the late Quaternary uplift rate across the northeastern Japan forearc (Shimokita peninsula) by using the height distribution of MIS 5.5 marine terraces as determined from tephra and cryptotephra stratigraphy. The heights of inner-margins (shoreline angles) of the MIS 5.5 marine terrace surface were previously reported to be 43-45 m and 30 m around Shiriyazaki and Gamanosawa, respectively. These heights decrease westward and are possibly due to a west-dipping offshore fault. But in some places, the heights of terrace inner-margins are probably overestimated by thick sediments. I found the MIS 5.5 wave-cut platform which is overlain by gravels and loess deposits containing a basal Toya tephra horizon (MIS 5.4) at Shiriyazaki by boring. The MIS 5.5 wave-cut platform (paleo sea level) is about 25 m above sea level, nearly half of the reported height of the terrace inner-margin. My result shows that the late Quaternary uplift rate across the Shimokita peninsula should be reconsidered. Further studies are also required whether or not the intra-plate (offshore) fault is a factor of the forearc uplifting at the peninsula. This research project has been conducted under the research contract with Nuclear and Industrial Safety Agency (NISA).

Contrasting pollen histories of MIS 5e and the Holocene from Lake Titicaca (Bolivia/Peru)

NASA Astrophysics Data System (ADS)

Hanselman, Jennifer A.; Gosling, William D.; Paduano, Gina M.; Bush, Mark B.

2005-10-01

Two long sediment records (cores LTO1-2B and LT01-3B) from Lake Titicaca, Bolivia/Peru, are compared with a previously analysed Holocene record from this lake (core NE98-1PC). The Holocene records of LT01-2B and NE98-1PC are similar. There are striking differences, however, between the MIS 5e sections of the long cores and the Holocene records. In these records, temperature is probably the dominant parameter that determines the total fossil pollen concentration and is used to time the onset and termination of deglaciation. In contrast, the relative and absolute abundance of specific taxa (e.g. Polylepis/Acaena, Chenopodiaceae) are indicators of relative moisture availability. Although the Holocene contains a period of aridity between ca. 8000 cal. yr BP and 4300 cal. yr BP, it is a minor event compared with the more extreme aridity of MIS 5e. Core LT01-3B showed similar trends during MIS 5e when compared to LT01-2B, as did NE98-1PC when comparing Holocene records. MIS 5e and the Holocene are markedly different interglacials, depicted by shifts in pollen concentration and taxa representation over time.

Undegassed Carbon Content from a Highly Depleted Segment of the Mid-Atlantic Ridge (1-5°S): Evidence from Melt Inclusions

NASA Astrophysics Data System (ADS)

Le Voyer, M.; Kelley, K. A.; Cottrell, E.; Hauri, E. H.

2014-12-01

As carbon solubility is low in basalts, MORB contain little dissolved CO2 (189±61 ppm, 1σ, n=600 [1]). A global negative correlation between CO2/Nb (proxy for amount of CO2 lost by degassing) and Ba/La (proxy for source enrichment) indicates that depleted MORB are less affected by degassing than enriched MORB: CO2/Nb ratios range from 0-100 for samples with Ba/La>4, while CO2/Nb range from 50 to 400 for samples with Ba/La<4 [1]. To assess the CO2 content of undegassed MORB, we analyzed the volatile content of 70 olivine-hosted, glassy melt inclusions (MIs) from four basalts dredged along MAR 1-5°S, a ridge segment that produces highly depleted MORB in terms of trace element enrichment and radiogenic isotopes [2, 3]. MIs contain CO2 contents (180-1420 ppm) that are higher than their respective matrix glasses (130-220 ppm, typical for vapor-saturated melts erupted at 3-5 km b.s.l.). One of the four dredges (EN061 5D-3Ag) contains MIs that do not exhibit shrinkage bubbles. For this sample only, we find a positive correlation between the CO2 content (240-770 ppm) and the Cl content (6-20 ppm) of the MIs that is not found in the matrix glasses (see Fig.). We infer that the correlation between CO2 and Cl, both highly incompatible in silicate minerals during fractional crystallization, is strong evidence for vapor-undersaturation, as any CO2 degassing would have erased the correlation. Together with MIs from the Siqueiros Fracture Zone [4] and from northern Iceland [5], the MIs from EN061 5D-3Ag may represent another occurrence of carbon-undersaturated MORB. Our results will be used to model the primary carbon content of MORB and of the depleted upper mantle. Note that the average Cl content of the matrix glasses (20±1 ppm) is higher than those of the MIs (12±3 ppm, see Fig.). This indicates either that the matrix glasses assimilated a small amount of seawater Cl, or that the MIs are all more depleted than the matrix glass. We will acquire major and trace element data in order to further investigate the origin of the low Cl and high CO2 contents in these MIs. Ref. [1] Le Voyer et al. 2014 Goldschmidt abstr. [2] Schilling et al. 1994 JGR 99 [3] Kelley et al. 2013 G3 [4] Saal et al. 2002 Nature 419 [5] Hauri and Saal 2009 EOS Fall suppl. AGU abstr.

New Fluid Prevents Railway Ice

NASA Technical Reports Server (NTRS)

2001-01-01

Through a licensing agreement between NASA's Ames Research Center and Midwest Industrial Supply, Inc. (MIS), two MIS products have been enhanced with NASA's anti-icing fluid technology. MIS offers the new fluid in two commercial products, the Zero Gravity(TM) Third Rail Anti-Icer/Deicer and the Ice Free Switch(R). Using NASA's fluid technology, these products form a protective-coating barrier that prevents the buildup of ice and snow. Applying the fluid to the railway components prior to ice or snowstorm works as an anti-icing fluid, remaining in place to melt precipitation as it hits the surface. It also functions as a deicing fluid. If applied to an already frozen switch or rail, it will quickly melt the ice, free the frozen parts, and then remain in place to prevent refreezing. Additional benefits include the ability to cling to vertical rail surfaces and resist the effects of rain and wind. With the Ice Free Switch, it takes only five minutes to treat the switch by spraying, brushing, or pouring on the product. Ice Free Switch requires as little as one gallon per switch whereas other deicing fluids require five to ten gallons of liquid to effectively melt ice. Zero Gravity serves the same anti-icing/deicing purposes but applies fluid to the third rail through a system that is easily installed onto mass transit cars. A tank of fluid and a dispensing system are placed underneath the train car and the fluid is applied as the train runs its route.

Surgical and clinical efficacy of sacroiliac joint fusion: a systematic review of the literature.

PubMed

Zaidi, Hasan A; Montoure, Andrew J; Dickman, Curtis A

2015-07-01

The sacroiliac joint (SIJ) and surgical intervention for treating SIJ pain or dysfunction has been a topic of much debate in recent years. There has been a resurgence in the implication of this joint as the pain generator for many patients experiencing low-back pain, and new surgical methods are gaining popularity within both the orthopedic and neurosurgical fields. There is no universally accepted gold standard for diagnosing or surgically treating SIJ pain. The authors systematically reviewed studies on SIJ fusion in the neurosurgical and orthopedic literature to investigate whether sufficient evidence exists to support its use. A literature search was performed using MEDLINE, Google Scholar, and OvidSP-Wolters Kluwer Health for all articles regarding SIJ fusion published from 2000 to 2014. Original, peer-reviewed, prospective or retrospective scientific papers with at least 2 patients were included in the study. Exclusion criteria included follow-up shorter than 1-year, nonsurgical treatment, inadequate clinical data as determined by 2 independent reviewers, non-English manuscripts, and nonhuman subjects. A total of 16 peer-reviewed journal articles met the inclusion criteria: 5 consecutive case series, 8 retrospective studies, and 3 prospective cohort studies. A total of 430 patients were included, of whom 131 underwent open surgery and 299 underwent minimally invasive surgery (MIS) for SIJ fusion. The mean duration of follow-up was 60 months for open surgery and 21 months for MIS. SIJ degeneration/arthrosis was the most common pathology among patients undergoing surgical intervention (present in 257 patients [59.8%]), followed by SIJ dysfunction (79 [18.4%]), postpartum instability (31 [7.2%]), posttraumatic (28 [6.5%]), idiopathic (25 [5.8%]), pathological fractures (6 [1.4%]), and HLA-B27+/rheumatoid arthritis (4 [0.9%]). Radiographically confirmed fusion rates were 20%-90% for open surgery and 13%-100% for MIS. Rates of excellent satisfaction, determined by pain reduction, function, and quality of life, ranged from 18% to 100% with a mean of 54% in open surgical cases. For MIS patients, excellent outcome, judged by patients' stated satisfaction with the surgery, ranged from 56% to 100% (mean 84%). The reoperation rate after open surgery ranged from 0% to 65% (mean 15%). Reoperation rate after MIS ranged from 0% to 17% (mean 6%). Major complication rates ranged from 5% to 20%, with 1 study that addressed safety reporting a 56% adverse event rate. Surgical intervention for SIJ pain is beneficial in a subset of patients. However, with the difficulty in accurate diagnosis and evidence for the efficacy of SIJ fusion itself lacking, serious consideration of the cause of pain and alternative treatments should be given before performing the operation.

The Changing Environment of Management Information Systems.

ERIC Educational Resources Information Center

Tagawa, Ken

1982-01-01

The promise of mainframe computers in the 1970s for management information systems (MIS) is largely unfulfilled, and newer office automation systems and data communication systems are designed to be responsive to MIS needs. The status of these innovations is briefly outlined. (MSE)

Cognitive Processes and Students' Misconceptions in Science.

ERIC Educational Resources Information Center

Smith, Deborah C.

Several categories of misconceptions which appear to be emerging across studies are discussed. They include: mis-perceptions; stunted conceptions; mis-translations; confused conceptions; lost conceptions; and true misconceptions. True misconceptions are metaphors and analogies which represent truly complete systems of explanation but are…

New chronology of the best developed loess/paleosol sequence of Hungary capturing the past 1.1 ma: Implications for correlation and proposed pan-Eurasian stratigraphic schemes

NASA Astrophysics Data System (ADS)

Sümegi, P.; Gulyás, S.; Molnár, D.; Sümegi, B. P.; Almond, P. C.; Vandenberghe, J.; Zhou, L.; Pál-Molnár, E.; Törőcsik, T.; Hao, Q.; Smalley, I.; Molnár, M.; Marsi, I.

2018-07-01

In this paper, we are presenting a revised chronology of the best developed, longest (100 m) LPS in Hungary dating back 1.1 Ma: borehole Udvari-2A. It is based on a non-tuned age-depth model, built on the position of the Matuyama-Brunhes Boundary, Jaramillo and Olduvai Subchrons. Furthermore, on the assignment of formerly recorded uninterpreted geomagnetic reversals in both chrons. Other chronometric tools (AMS 14C dating, biostratigraphy, tephrostratigraphy) yielding absolute ages and/or ensuring validation of these were also used. Records of a Middle Pleistocene gastropod index fossil Neostyriaca corynodes (400 -140 ka) facilitated verification of ages between MIS 10 and MIS 6. Multiple age control points at 15, 25, 27, 45, 120, 191, 362, 430, 670, 780, 900, 990, 1070 ka were established for the last ca. 1.1 Ma. The resulting chronology is the best resolved independent one so far among Danubian Basin LPSs. In light of our data, the S3-S4 units were fused as S3 in all Serbian, and some Romanian sites and re-correlated with MIS 9. The results also point to a misassignment of the S5 units at these sites to MIS 13-15 leading to erroneous conclusions regarding paleoclimatic conditions and cyclicity. In our new stratigraphic scheme, these S5 paleosols were taken to represent the S4 paleosol and recorrelated with MIS 11. Finally, an ideal stratigraphic column dating back 1.1 Ma for SW Hungary was constructed and correlated with the Chinese loess/paleosol sequence of Xifeng and the benthic oxygen isotope record down to MIS 31.

Mode change of millennial CO2 variability during the last glacial cycle associated with a bipolar marine carbon seesaw

PubMed Central

Bereiter, Bernhard; Lüthi, Dieter; Siegrist, Michael; Schüpbach, Simon; Stocker, Thomas F.; Fischer, Hubertus

2012-01-01

Important elements of natural climate variations during the last ice age are abrupt temperature increases over Greenland and related warming and cooling periods over Antarctica. Records from Antarctic ice cores have shown that the global carbon cycle also plays a role in these changes. The available data shows that atmospheric CO2 follows closely temperatures reconstructed from Antarctic ice cores during these variations. Here, we present new high-resolution CO2 data from Antarctic ice cores, which cover the period between 115,000 and 38,000 y before present. Our measurements show that also smaller Antarctic warming events have an imprint in CO2 concentrations. Moreover, they indicate that during Marine Isotope Stage (MIS) 5, the peak of millennial CO2 variations lags the onset of Dansgaard/Oeschger warmings by 250 ± 190 y. During MIS 3, this lag increases significantly to 870 ± 90 y. Considerations of the ocean circulation suggest that the millennial variability associated with the Atlantic Meridional Overturning Circulation (AMOC) undergoes a mode change from MIS 5 to MIS 4 and 3. Ocean carbon inventory estimates imply that during MIS 3 additional carbon is derived from an extended mass of carbon-enriched Antarctic Bottom Water. The absence of such a carbon-enriched water mass in the North Atlantic during MIS 5 can explain the smaller amount of carbon released to the atmosphere after the Antarctic temperature maximum and, hence, the shorter lag. Our new data provides further constraints for transient coupled carbon cycle-climate simulations during the entire last glacial cycle. PMID:22675123

SAGES's advanced GI/MIS fellowship curriculum pilot project.

PubMed

Weis, Joshua J; Goldblatt, Matthew; Pryor, Aurora; Dunkin, Brian J; Brunt, L Michael; Jones, Daniel B; Scott, Daniel J

2018-06-01

The American health care system faces deficits in quality and quantity of surgeons. SAGES is a major stakeholder in surgical fellowship training and is responsible for defining the curriculum for the Advanced GI/MIS fellowship. SAGES leadership is actively adapting this curriculum. The process of reform began in 2014 through a series of iterative meetings and discussions. A working group within the Resident and Fellow Training Committee reviewed case log data from 2012 to 2015. These data were used to propose new criteria designed to provide adequate exposure to core content. The working group also proposed using video assessment of an MIS case to provide objective assessment of competency. Case log data were available for 326 fellows with a total of 85,154 cases logged (median 227 per fellow). The working group proposed new criteria starting with minimum case volumes for five defined categories including foregut (20), bariatrics (25), inguinal hernia (10), ventral hernia (10), and solid organ/colon/thoracic (10). Fellows are expected to perform an additional 75 complex MIS cases of any category for a total of 150 required cases overall. The proposal also included a minimum volume of flexible endoscopy (50) and submission of an MIS foregut case for video assessment. The new criteria more clearly defined which surgeon roles count for major credit within individual categories. Fourteen fellowships volunteered to pilot these new criteria for the 2017-2018 academic year. The new SAGES Advanced GI/MIS fellowship has been crafted to better define the core content that should be contained in these fellowships, while still allowing sufficient heterogeneity so that individual learners can tailor their training to specific areas of interest. The criteria also introduce innovative, evidence-based methods for assessing competency. Pending the results of the pilot program, SAGES will consider broad implementation of the new fellowship criteria.

Mode change of millennial CO2 variability during the last glacial cycle associated with a bipolar marine carbon seesaw.

PubMed

Bereiter, Bernhard; Lüthi, Dieter; Siegrist, Michael; Schüpbach, Simon; Stocker, Thomas F; Fischer, Hubertus

2012-06-19

Important elements of natural climate variations during the last ice age are abrupt temperature increases over Greenland and related warming and cooling periods over Antarctica. Records from Antarctic ice cores have shown that the global carbon cycle also plays a role in these changes. The available data shows that atmospheric CO(2) follows closely temperatures reconstructed from Antarctic ice cores during these variations. Here, we present new high-resolution CO(2) data from Antarctic ice cores, which cover the period between 115,000 and 38,000 y before present. Our measurements show that also smaller Antarctic warming events have an imprint in CO(2) concentrations. Moreover, they indicate that during Marine Isotope Stage (MIS) 5, the peak of millennial CO(2) variations lags the onset of Dansgaard/Oeschger warmings by 250 ± 190 y. During MIS 3, this lag increases significantly to 870 ± 90 y. Considerations of the ocean circulation suggest that the millennial variability associated with the Atlantic Meridional Overturning Circulation (AMOC) undergoes a mode change from MIS 5 to MIS 4 and 3. Ocean carbon inventory estimates imply that during MIS 3 additional carbon is derived from an extended mass of carbon-enriched Antarctic Bottom Water. The absence of such a carbon-enriched water mass in the North Atlantic during MIS 5 can explain the smaller amount of carbon released to the atmosphere after the Antarctic temperature maximum and, hence, the shorter lag. Our new data provides further constraints for transient coupled carbon cycle-climate simulations during the entire last glacial cycle.

Stability of kinetochore-microtubule attachment and the role of different KMN network components in Drosophila.

PubMed

Feijão, Tália; Afonso, Olga; Maia, André F; Sunkel, Claudio E

2013-10-01

Kinetochores bind spindle microtubules and also act as signaling centers that monitor this interaction. Defects in kinetochore assembly lead to chromosome missegregation and aneuploidy. The interaction between microtubules and chromosomes involves a conserved super-complex of proteins, known as the KNL1Mis12Ndc80 (KMN) network, composed by the KNL1 (Spc105), Mis12, and Ndc80 complexes. Previous studies indicate that all components of the network are required for kinetochore-microtubule attachment and all play relevant functions in chromosome congression, biorientation, and segregation. Here, we report a comparative study addressing the role of the different KMN components using dsRNA and in vivo fluorescence microscopy in Drosophila S2 cells allowing us to suggest that different KMN network components might perform different roles in chromosome segregation and the mitotic checkpoint signaling. Depletion of different components results in mostly lateral kinetochore-microtubule attachments that are relatively stable on depletion of Mis12 or Ndc80 but very unstable after Spc105 depletion. In vivo analysis on depletion of Mis12, Ndc80, and to some extent Spc105, shows that lateral kinetochore-microtubule interactions are still functional allowing poleward kinetochore movement. We also find that different KMN network components affect differently the localization of spindle assembly checkpoint (SAC) proteins at kinetochores. Depletion of Ndc80 and Spc105 abolishes the mitotic checkpoint, whereas depletion of Mis12 causes a delay in mitotic progression. Taken together, our results suggest that Mis12 and Ndc80 complexes help to properly orient microtubule attachment, whereas Spc105 plays a predominant role in the kinetochore-microtubule attachment as well as in the poleward movement of chromosomes, SAC response, and cell viability. Copyright © 2013 Wiley Periodicals, Inc.

Minimally invasive "separation surgery" plus adjuvant stereotactic radiotherapy in the management of spinal epidural metastases.

PubMed

Turel, Mazda K; Kerolus, Mena G; O'Toole, John E

2017-01-01

This study aimed to describe the application of minimally invasive surgery (MIS) in separation surgery combined with postoperative stereotactic body radiation therapy (SBRT) in patients with symptomatic metastatic epidural spinal disease. Three techniques are described: (1) MIS posterior separation surgery alone, (2) MIS posterolateral separation surgery with percutaneous pedicle screw placement, and (3) MIS lateral corpectomy with percutaneous pedicle screw placement. Seven representative cases are presented in which the above techniques were applied and after which postoperative SBRT was performed. The seven representative patients (3 male, 4 female) had a mean age of 54 years (range, 46-62 years). Two patients had a primary diagnosis of cholangiocarcinoma and in one patient each a diagnosis of breast, renal, lung adenocarcinoma, melanoma, and urothelial squamous cell carcinoma as their primary tumor. All patients had additional multiorgan disease apart from the metastatic spine involvement. Three patients underwent operations in the lumbar spine, two in the thoracic spine, and one in each of the thoraco-lumbar and lumbo-sacral spine. The average operating time was 149 ± 60.3 min (range, 90-240 min). The mean estimated blood loss was 188.8 cc. The mean length of stay in the hospital was 4 days (range, 3-7 days). There were no surgical complications. All patients received postoperative SBRT (typically 24 Gy in 3 fractions) at a mean of 43.2 days after surgery (range, 30-83). Early reports such as this suggest that MIS techniques can be successfully and safely applied in accomplishing "separation surgery" with adjuvant SBRT in the management of metastatic spinal disease. The potential advantages conferred by MIS techniques such as shortened hospital stay, decreased blood loss, reduced perioperative complications, and earlier initiation of adjuvant radiation are highly desirable in the treatment of this challenging patient population.

Thickness engineering of atomic layer deposited Al2O3 films to suppress interfacial reaction and diffusion of Ni/Au gate metal in AlGaN/GaN HEMTs up to 600 °C in air

NASA Astrophysics Data System (ADS)

Suria, Ateeq J.; Yalamarthy, Ananth Saran; Heuser, Thomas A.; Bruefach, Alexandra; Chapin, Caitlin A.; So, Hongyun; Senesky, Debbie G.

2017-06-01

In this paper, we describe the use of 50 nm atomic layer deposited (ALD) Al2O3 to suppress the interfacial reaction and inter-diffusion between the gate metal and semiconductor interface, to extend the operation limit up to 600 °C in air. Suppression of diffusion is verified through Auger electron spectroscopy (AES) depth profiling and X-ray diffraction (XRD) and is further supported with electrical characterization. An ALD Al2O3 thin film (10 nm and 50 nm), which functions as a dielectric layer, was inserted between the gate metal (Ni/Au) and heterostructure-based semiconductor material (AlGaN/GaN) to form a metal-insulator-semiconductor high electron mobility transistor (MIS-HEMT). This extended the 50 nm ALD Al2O3 MIS-HEMT (50-MIS) current-voltage (Ids-Vds) and gate leakage (Ig,leakage) characteristics up to 600 °C. Both, the 10 nm ALD Al2O3 MIS-HEMT (10-MIS) and HEMT, failed above 350 °C, as evidenced by a sudden increase of approximately 50 times and 5.3 × 106 times in Ig,leakage, respectively. AES on the HEMT revealed the formation of a Ni-Au alloy and Ni present in the active region. Additionally, XRD showed existence of metal gallides in the HEMT. The 50-MIS enables the operation of AlGaN/GaN based electronics in oxidizing high-temperature environments, by suppressing interfacial reaction and inter-diffusion of the gate metal with the semiconductor.

Magnetic induction spectroscopy: non-contact measurement of the electrical conductivity spectra of biological samples

NASA Astrophysics Data System (ADS)

Barai, A.; Watson, S.; Griffiths, H.; Patz, R.

2012-08-01

Measurement of the electrical conductivity of biological tissues as a function of frequency, often termed ‘bioelectrical impedance spectroscopy (BIS)’, provides valuable information on tissue structure and composition. In implementing BIS though, there can be significant practical difficulties arising from the electrode-sample interface which have likely limited its deployment in industrial applications. In magnetic induction spectroscopy (MIS) these difficulties are eliminated through the use of fully non-contacting inductive coupling between the sensors and sample. However, inductive coupling introduces its own set of technical difficulties, primarily related to the small magnitudes of the induced currents and their proportionality with frequency. This paper describes the design of a practical MIS system incorporating new, highly-phase-stable electronics and compares its performance with that of electrode-based BIS in measurements on biological samples including yeast suspensions in saline (concentration 50-400 g l-1) and solid samples of potato, cucumber, tomato, banana and porcine liver. The shapes of the MIS spectra were in good agreement with those for electrode-based BIS, with a residual maximum discrepancy of 28%. The measurement precision of the MIS was 0.05 S m-1 at 200 kHz, improving to 0.01 S m-1 at a frequency of 20 MHz, for a sample volume of 80 ml. The data-acquisition time for each MIS measurement was 52 s. Given the value of spectroscopic conductivity information and the many advantages of obtaining these data in a non-contacting manner, even through electrically-insulating packaging materials if necessary, it is concluded that MIS is a technique with considerable potential for monitoring bio-industrial processes and product quality.

Late Pleistocene lithostratigraphy and sequences in the southwestern Mesopotamia (Argentina): Evidences of the last interglacial stage

NASA Astrophysics Data System (ADS)

Ernesto, Brunetto; Soledad, Ferrero Brenda; Ignacio, Noriega Jorge

2015-03-01

The aim of this paper is to show the stratigraphic record of the Late Pleistocene corresponding to the distal region of the Paraná River basin. It displays sedimentological, paleontological and geochronological evidences that characterise the last interglacial-glacial cycle. In particular, strong environmental records are shown for the Last Interglacial Stage (LIS). Salto Ander Egg Formation (SAEF) is defined as a new lithostratigraphic unit representative of the Late Pleistocene in southwestern Mesopotamia. This unit is formed of complex fluvial deposits, which contains a heterogeneous collection of sub-environments, of ages ranging from 120 to 60 ky BP. The clast-supported gravel facies containing sparse boulders indicate high flow during a humid climate. The large and middle-scale architectures of fluvial sedimentary bodies evidence the relationship between the sediment accommodation and the sea level oscillations. Three sub-sequences identified in the succession suggest a transgressive trend during the MIS5e, a highstand stage in MIS5c, and a minor transgressive cycle during MIS3. A Brazilian faunal association collected at the bottom of the sequence and sedimentological interpretations display wet and warm climatic conditions, typical of tropical or subtropical environments. Such environmental conditions are characteristic of the maximum of the last interglacial stage (MIS5e) and show a signal stronger than the signal of the current interglacial stage. All these data show a direct correlation between the increases of paleodischarges and the elevation of the sea level. The whole sequence is completed with transitional swampy deposits, accumulated probably during the MIS3/MIS2 transition, and the typical loess of the Tezanos Pinto Formation, mantled during the Last Maximum Glacial.

Tracking dust deposition around the North Pacific Gyre over the past 500kyr

NASA Astrophysics Data System (ADS)

Costa, K.; McManus, J. F.; Winckler, G.; Anderson, R. F.; Middleton, J. L.; Mukhopadhyay, S.

2017-12-01

Across the North Pacific, dust delivery and distribution depends on atmospheric transport and precipitation, and dust fluxes generally decrease with distance away from the Asian continent. While it is well established that dust fluxes vary on glacial-interglacial timescales, how the dust distribution from the source to the sediment may have evolved is poorly constrained, largely due to a lack of long dust flux records from this region. Here we reconstruct dust flux variability from six piston cores on the Juan de Fuca Ridge in the Northeastern Pacific over the past 500kyr using 232Th as a lithogenic tracer and 230Th normalization to calculate fluxes. Minimal spatial variability between the six cores allows the compilation of a single regional dust flux stack. Dust fluxes vary by a factor of two between glacial, high-dust flux, and interglacial, low-dust flux periods, consistent with global patterns. Interglacial periods MIS7 and MIS9 dust fluxes remain relatively high compared to the adjacent glacial periods MIS6 and MIS 8 so that dust fluxes are fairly constant (3.3±0.6 ug 232Th/cm2kyr) from 135-335ka, excepting the high-lithogenic feature at 272ka (turbidite). Dust fluxes may be highest in MIS10 (6.0 ug 232Th/cm2kyr) than more recent glacial periods, for example MIS2 (3.9 ug 232Th/cm2kyr). Five multicores add high-resolution data for the last 30kyr. We compare these new records from the Northeast Pacific with dust flux records from the Northwest Pacific and the Equatorial Pacific to better constrain how dust deposition varied at different locations around the North Pacific Gyre on glacial-interglacial timescales.

Limit load solution for electron beam welded joints with single edge weld center crack in tension

NASA Astrophysics Data System (ADS)

Lu, Wei; Shi, Yaowu; Li, Xiaoyan; Lei, Yongping

2012-05-01

Limit loads are widely studied and several limit load solutions are proposed to some typical geometry of weldments. However, there are no limit load solutions exist for the single edge crack weldments in tension (SEC(T)), which is also a typical geometry in fracture analysis. The mis-matching limit load for thick plate with SEC(T) are investigated and the special limit load solutions are proposed based on the available mis-matching limit load solutions and systematic finite element analyses. The real weld configurations are simplified as a strip, and different weld strength mis-matching ratio M, crack depth/width ratio a/ W and weld width 2H are in consideration. As a result, it is found that there exists excellent agreement between the limit load solutions and the FE results for almost all the mis-matching ration M, a/ W and ligament-to-weld width ratio ( W-a)/ H. Moreover, useful recommendations are given for evaluating the limit loads of the EBW structure with SEC(T). For the EBW joints with SEC(T), the mis-matching limit loads can be obtained assuming that the components are wholly made of base metal, when M changing from 1.6 to 0.6. When M decreasing to 0.4, the mis-matching limit loads can be obtained assuming that the components are wholly made of base metal only for large value of ( W-a)/ H. The recommendations may be useful for evaluating the limit loads of the EBW structures with SEC(T). The engineering simplifications are given for assessing the limit loads of electron beam welded structure with SEC(T).

Impacts of polar ice sheets on the East Asian monsoon during the MIS-13 interglacial

NASA Astrophysics Data System (ADS)

Shi, Feng; Yin, Qiuzhen; Nikolova, Irina; Guo, Zhengtang; Berger, Andre

2017-04-01

Among all the interglacials of the last one million years, Marine Isotope Stage (MIS) 13 has the highest δ18O value over the past 800 ka in the deep-sea sediments. This would indicate that MIS-13 is the coolest interglacial if assuming δ18O mainly represents global ice volume. The Antarctic ice core records show also that MIS-13 is the coolest interglacial over Antarctica with almost the lowest greenhouse gases concentrations (GHG). However, many proxy records from the northern hemisphere (NH) indicate that MIS-13 is at least as warm as or even warmer than the recent interglacials, with extremely strong summer monsoon and a possible melting of Greenland ice sheet. In this study, based on proxy reconstructions, different scenarios regarding the size of the Greenland and Antarctic ice sheets are made, and the response of the East Asian summer monsoon to these scenarios are tested by using the models HadCM3 and LOVECLIM as well as factor separation analysis and under the astronomical and GHG configurations of MIS-13. The results show that the influence of the disappearance of Greenland ice sheet on the surface temperature is quite localized, mainly over the northern high latitudinal regions, however, the influence of the bigger southern Hemisphere (SH) ice sheet on the surface temperature is very global, especially in the southern hemisphere. This ice sheet condition has an impact on the precipitation pattern over tropical-subtropical regions. It causes much more summer precipitation over all the East Asian monsoon region, in consistent with the paleosol record from southern China. The scenario of melted Greenland ice sheet and of larger SH ice sheets provides one of the explanations of the strong monsoon rainfall documented by the proxy data.

The effect of Be and Cr electrode deposition rate on the performance of MIS solar cells

NASA Astrophysics Data System (ADS)

Moharram, A. H.; Panayotatos, P.; Yeh, J. L.; Lalevic, B.

1985-07-01

An experimental study has been performed on MIS solar cells with Be, Cr and layered Cr-Be electrodes on single crystal Si, Wacker and Monsanto poly-Si substrates. Electrical characterization in the dark and under illumination was correlated to X-ray and Auger spectroscopy results. It was found that the electrode deposition rate directly affects the oxygen content of the electrodes for all metal-substrate configurations. This oxygen is believed to originate from the deposition ambient as well as from the SiO2 layer. In the case of cells with Cr and layered Cr-Be electrodes oxygen acts to reduce the electrode work function (thus increasing the open-circuit voltage) in direct proportion to the relative content of oxygen to chromium.

RNAi or overexpression: Alternative therapies for Spinocerebellar Ataxia Type 1

PubMed Central

Keiser, Megan S.; Geoghegan, James C.; Boudreau, Ryan L.; Lennox, Kim A.; Davidson, Beverly L.

2014-01-01

Spinocerebellar Ataxia Type 1 (SCA1) is an autosomal dominant late onset neurodegenerative disease caused by an expanded polyglutamine tract in ataxin-1. Here, we compared the protective effects of overexpressing ataxin-1-like using recombinant AAVs, or reducing expression of mutant ataxin-1 using virally delivered RNA interference (RNAi), in a transgenic mouse model of SCA1. For the latter, we used an artificial microRNA (miR) design that optimizes potency, efficacy and safety to suppress ataxin-1 expression (miS1). Delivery of either ataxin-1-like or miS1 viral vectors to SCA1 mice cerebella resulted in widespread cerebellar Purkinje cell transduction and improved behavioral and histological phenotypes. Our data indicate the utility of either approach as a possible therapy for SCA1 patients. PMID:23583610

78 FR 56737 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-13

... system as the ``Organized Crime Drug Enforcement Task Forces Management Information System'' (OCDETF MIS... Task Forces Management Information System (OCDETF MIS). SECURITY CLASSIFICATION: Unclassified. SYSTEM... Office of Management and Budget (OMB) Circular No. A-130, notice is hereby given that the Department of...

Strategic Planning for Management Information Systems.

ERIC Educational Resources Information Center

Ein-Dor, Phillip; Segev, Eli

1978-01-01

Two factors predominate in determining the appropriateness of strategic plans for management information systems (MIS)--explicitness (the degree to which the process is conscious, formal, and documented) and situational fit (the degree to which the MIS is compatible with the specific organization and its members). (Author/IRT)

The Quench Control of Water Estimates in Convergent Margin Magmas

NASA Astrophysics Data System (ADS)

Gavrilenko, M.; Krawczynski, M.; Ruprecht, P.

2017-12-01

Mineral-hosted glassy melt inclusions (MIs) have been used to quantify magma volatile contents for several decades. Despite the growing number of volatile studies utilizing MIs, it has not been tested whether there is a physical limit on how much dissolved volatiles a glassy MI can contain. We explored the limits of MIs as hydrous magma recorders in an experimental study, showing that there is a limit of dissolved H2O that glassy MIs cannot exceed. These results show there is potential bias in the glassy MI data set; they can only faithfully record pre-eruptive H2O contents in the upper-most part of the Earth's crust where H2O-solubility is low. The current MI database cannot be used to robustly estimate the full range of arc magmas and therefore assess volatile budgets in primitive or evolved compositions. Such magmas may contain much larger amounts of H2O than currently recognized and the diversity of magma evolutionary pathways in subduction zones is likely being significantly underappreciated.

Sex Differences in Magical Ideation: A Community-Based Twin Study

PubMed Central

Karcher, Nicole R.; Slutske, Wendy S.; Kerns, John G.; Piasecki, Thomas M.; Martin, Nicholas G.

2014-01-01

Two questions regarding sex differences in magical ideation were investigated in this study: (1) whether there are mean level sex differences on the Magical Ideation Scale (MIS), and (2) whether there are quantitative and/or qualitative sex differences in the genetic contributions to variation on this scale. These questions were evaluated using data obtained from a large community sample of adult Australian twins (N=4,355) that included opposite-sex pairs. Participants completed a modified 15-item version of the MIS within a larger assessment battery. Women reported both higher means and variability on the MIS than men; this was also observed within families (in opposite-sex twin pairs). Biometric modeling indicated that the proportion of variation in MIS scores due to genetic influences (indicating quantitative sex differences) and the specific latent genetic contributions to this variation (indicating qualitative sex differences) were the same in men and women. These findings clarify the nature of sex differences in magical ideation and point to avenues for future research. PMID:24364500

Decoding noises in HIV computational genotyping.

PubMed

Jia, MingRui; Shaw, Timothy; Zhang, Xing; Liu, Dong; Shen, Ye; Ezeamama, Amara E; Yang, Chunfu; Zhang, Ming

2017-11-01

Lack of a consistent and reliable genotyping system can critically impede HIV genomic research on pathogenesis, fitness, virulence, drug resistance, and genomic-based healthcare and treatment. At present, mis-genotyping, i.e., background noises in molecular genotyping, and its impact on epidemic surveillance is unknown. For the first time, we present a comprehensive assessment of HIV genotyping quality. HIV sequence data were retrieved from worldwide published records, and subjected to a systematic genotyping assessment pipeline. Results showed that mis-genotyped cases occurred at 4.6% globally, with some regional and high-risk population heterogeneities. Results also revealed a consistent mis-genotyping pattern in gp120 in all studied populations except the group of men who have sex with men. Our study also suggests novel virus diversities in the mis-genotyped cases. Finally, this study reemphasizes the importance of implementing a standardized genotyping pipeline to avoid genotyping disparity and to advance our understanding of virus evolution in various epidemiological settings. Copyright © 2017 Elsevier Inc. All rights reserved.

Depth Perception of Surgeons in Minimally Invasive Surgery.

PubMed

Bogdanova, Rositsa; Boulanger, Pierre; Zheng, Bin

2016-10-01

Minimally invasive surgery (MIS) poses visual challenges to the surgeons. In MIS, binocular disparity is not freely available for surgeons, who are required to mentally rebuild the 3-dimensional (3D) patient anatomy from a limited number of monoscopic visual cues. The insufficient depth cues from the MIS environment could cause surgeons to misjudge spatial depth, which could lead to performance errors thus jeopardizing patient safety. In this article, we will first discuss the natural human depth perception by exploring the main depth cues available for surgeons in open procedures. Subsequently, we will reveal what depth cues are lost in MIS and how surgeons compensate for the incomplete depth presentation. Next, we will further expand our knowledge by exploring some of the available solutions for improving depth presentation to surgeons. Here we will review the innovative approaches (multiple 2D camera assembly, shadow introduction) and devices (3D monitors, head-mounted devices, and auto-stereoscopic monitors) for 3D image presentation from the past few years. © The Author(s) 2016.

Thin film memory matrix using amorphous and high resistive layers

NASA Technical Reports Server (NTRS)

Thakoor, Anilkumar P. (Inventor); Lambe, John (Inventor); Moopen, Alexander (Inventor)

1989-01-01

Memory cells in a matrix are provided by a thin film of amorphous semiconductor material overlayed by a thin film of resistive material. An array of parallel conductors on one side perpendicular to an array of parallel conductors on the other side enable the amorphous semiconductor material to be switched in addressed areas to be switched from a high resistance state to a low resistance state with a predetermined level of electrical energy applied through selected conductors, and thereafter to be read out with a lower level of electrical energy. Each cell may be fabricated in the channel of an MIS field-effect transistor with a separate common gate over each section to enable the memory matrix to be selectively blanked in sections during storing or reading out of data. This allows for time sharing of addressing circuitry for storing and reading out data in a synaptic network, which may be under control of a microprocessor.

Unexpected weak seasonal climate in the western Mediterranean region during MIS 31, a high-insolation forced interglacial

NASA Astrophysics Data System (ADS)

Oliveira, Dulce; Sánchez Goñi, Maria Fernanda; Naughton, Filipa; Polanco-Martínez, J. M.; Jimenez-Espejo, Francisco J.; Grimalt, Joan O.; Martrat, Belen; Voelker, Antje H. L.; Trigo, Ricardo; Hodell, David; Abrantes, Fátima; Desprat, Stéphanie

2017-04-01

Marine Isotope Stage 31 (MIS 31) is an important analogue for ongoing and projected global warming, yet key questions remain about the regional signature of its extreme orbital forcing and intra-interglacial variability. Based on a new direct land-sea comparison in SW Iberian margin IODP Site U1385 we examine the climatic variability between 1100 and 1050 ka including the ;super interglacial; MIS 31, a period dominated by the 41-ky obliquity periodicity. Pollen and biomarker analyses at centennial-scale-resolution provide new insights into the regional vegetation, precipitation regime and atmospheric and oceanic temperature variability on orbital and suborbital timescales. Our study reveals that atmospheric and SST warmth during MIS 31 was not exceptional in this region highly sensitive to precession. Unexpectedly, this warm stage stands out as a prolonged interval of a temperate and humid climate regime with reduced seasonality, despite the high insolation (precession minima values) forcing. We find that the dominant forcing on the long-term temperate forest development was obliquity, which may have induced a decrease in summer dryness and associated reduction in seasonal precipitation contrast. Moreover, this study provides the first evidence for persistent atmospheric millennial-scale variability during this interval with multiple forest decline events reflecting repeated cooling and drying episodes in SW Iberia. Our direct land-sea comparison shows that the expression of the suborbital cooling events on SW Iberian ecosystems is modulated by the predominance of high or low-latitude forcing depending on the glacial/interglacial baseline climate states. Severe dryness and air-sea cooling is detected under the larger ice volume during glacial MIS 32 and MIS 30. The extreme episodes, which in their climatic imprint are similar to the Heinrich events, are likely related to northern latitude ice-sheet instability and a disruption of the Atlantic Meridional Overturning Circulation (AMOC). In contrast, forest declines during MIS 31 are associated to neither SST cooling nor high-latitude freshwater forcing. Time-series analysis reveals a dominant cyclicity of about 6 ky in the temperate forest record, which points to a potential link with the fourth harmonic of precession and thus low-latitude insolation forcing.

Final validation of the ProMisE molecular classifier for endometrial carcinoma in a large population-based case series.

PubMed

Kommoss, S; McConechy, M K; Kommoss, F; Leung, S; Bunz, A; Magrill, J; Britton, H; Kommoss, F; Grevenkamp, F; Karnezis, A; Yang, W; Lum, A; Krämer, B; Taran, F; Staebler, A; Lax, S; Brucker, S Y; Huntsman, D G; Gilks, C B; McAlpine, J N; Talhouk, A

2018-05-01

We have previously developed and confirmed a pragmatic molecular classifier for endometrial cancers; ProMisE (Proactive Molecular Risk Classifier for Endometrial Cancer). Inspired by the Cancer Genome Atlas, ProMisE identifies four prognostically distinct molecular subtypes and can be applied to diagnostic specimens (biopsy/curettings) enabling earlier informed decision-making. We have strictly adhered to the Institute of Medicine (IOM) guidelines for the development of genomic biomarkers, and herein present the final validation step of a locked-down classifier before clinical application. We assessed a retrospective cohort of women from the Tübingen University Women's Hospital treated for endometrial carcinoma between 2003 and 2013. Primary outcomes of overall, disease-specific, and progression-free survival were evaluated for clinical, pathological, and molecular features. Complete clinical and molecular data were evaluable from 452 women. Patient age ranged from 29 to 93 (median 65) years, and 87.8% cases were endometrioid histotype. Grade distribution included 282 (62.4%) G1, 75 (16.6%) G2, and 95 (21.0%) G3 tumors. 276 (61.1%) patients had stage IA disease, with the remaining stage IB [89 (19.7%)], stage II [26 (5.8%)], and stage III/IV [61 (13.5%)]. ProMisE molecular classification yielded 127 (28.1%) MMR-D, 42 (9.3%) POLE, 55 (12.2%) p53abn, and 228 (50.4%) p53wt. ProMisE was a prognostic marker for progression-free (P = 0.001) and disease-specific (P = 0.03) survival even after adjusting for known risk factors. Concordance between diagnostic and surgical specimens was highly favorable; accuracy 0.91, κ 0.88. We have developed, confirmed, and now validated a pragmatic molecular classification tool (ProMisE) that provides consistent categorization of tumors and identifies four distinct prognostic molecular subtypes. ProMisE can be applied to diagnostic samples and thus could be used to inform surgical procedure(s) and/or need for adjuvant therapy. Based on the IOM guidelines this classifier is now ready for clinical evaluation through prospective clinical trials.

Differentiation of MIS 9 and MIS 11 in the continental record: vegetational, faunal, aminostratigraphic and sea-level evidence from coastal sites in Essex, UK

NASA Astrophysics Data System (ADS)

Roe, Helen M.; Coope, G. Russell; Devoy, Robert J. N.; Harrison, Colin J. O.; Penkman, Kirsty E. H.; Preece, Richard C.; Schreve, Danielle C.

2009-11-01

Multidisciplinary investigations of the vegetational, faunal and sea-level history inferred from the infills of buried channels on the coast of eastern Essex have a direct bearing on the differentiation of MIS 11 and MIS 9 in continental records. New data are presented from Cudmore Grove, an important site on Mersea Island that can be linked to the terrace sequence of the River Thames. The vegetational history has been reconstructed from a pollen sequence covering much of the interglacial represented. The temperate nature of the climate is apparent from a range of fossil groups, including plant remains, vertebrates (especially the rich herpetofauna), molluscs and beetles, which all have strong thermophilous components. The beetle data have been used to derive a Mutual Climatic Range reconstruction, suggesting that mean July temperatures were about 2 °C warmer than modern values for southeast England, whereas mean January temperatures may have been slightly colder. The sea-level history has been reconstructed from the molluscs, ostracods and especially the diatoms, which indicate that the marine transgression occurred considerably earlier in the interglacial cycle than at the neighbouring Hoxnian site at Clacton. There are a number of palynological similarities between the sequence at Cudmore Grove and Clacton, especially the presence of Abies and the occurrence of Azolla filiculoides megaspores. Moreover, both sites have yielded Palaeolithic archaeology, indeed the latter is the type site of the Clactonian (flake-and-core) industry. However, the sites can be differentiated on the basis of mammalian biostratigraphy, new aminostratigraphic data, as well as the differences in the sea-level history. The combined evidence suggests that the infill of the channel at Cudmore Grove accumulated during MIS 9, whereas the deposits at Clacton formed during MIS 11. The infill of a much later channel, yielding non-marine molluscs and vertebrates including Hippopotamus, appears to have formed during the Ipswichian (MIS 5e). This evidence is compared with other important sites of late Middle Pleistocene age in Britain and elsewhere on the continent and the importance of a multidisciplinary approach is stressed.

Differentiation of MIS 9 and MIS 11 in the continental record: vegetational, faunal, aminostratigraphic and sea-level evidence from coastal sites in Essex, UK

PubMed Central

Roe, Helen M.; Coope, G. Russell; Devoy, Robert J.N.; Harrison, Colin J.O.; Penkman, Kirsty E.H.; Preece, Richard C.; Schreve, Danielle C.

2009-01-01

Multidisciplinary investigations of the vegetational, faunal and sea-level history inferred from the infills of buried channels on the coast of eastern Essex have a direct bearing on the differentiation of MIS 11 and MIS 9 in continental records. New data are presented from Cudmore Grove, an important site on Mersea Island that can be linked to the terrace sequence of the River Thames. The vegetational history has been reconstructed from a pollen sequence covering much of the interglacial represented. The temperate nature of the climate is apparent from a range of fossil groups, including plant remains, vertebrates (especially the rich herpetofauna), molluscs and beetles, which all have strong thermophilous components. The beetle data have been used to derive a Mutual Climatic Range reconstruction, suggesting that mean July temperatures were about 2 °C warmer than modern values for southeast England, whereas mean January temperatures may have been slightly colder. The sea-level history has been reconstructed from the molluscs, ostracods and especially the diatoms, which indicate that the marine transgression occurred considerably earlier in the interglacial cycle than at the neighbouring Hoxnian site at Clacton. There are a number of palynological similarities between the sequence at Cudmore Grove and Clacton, especially the presence of Abies and the occurrence of Azolla filiculoides megaspores. Moreover, both sites have yielded Palaeolithic archaeology, indeed the latter is the type site of the Clactonian (flake-and-core) industry. However, the sites can be differentiated on the basis of mammalian biostratigraphy, new aminostratigraphic data, as well as the differences in the sea-level history. The combined evidence suggests that the infill of the channel at Cudmore Grove accumulated during MIS 9, whereas the deposits at Clacton formed during MIS 11. The infill of a much later channel, yielding non-marine molluscs and vertebrates including Hippopotamus, appears to have formed during the Ipswichian (MIS 5e). This evidence is compared with other important sites of late Middle Pleistocene age in Britain and elsewhere on the continent and the importance of a multidisciplinary approach is stressed. PMID:20119485

Effects of Preoperative Simulation on Minimally Invasive Hybrid Lumbar Interbody Fusion.

PubMed

Rieger, Bernhard; Jiang, Hongzhen; Reinshagen, Clemens; Molcanyi, Marek; Zivcak, Jozef; Grönemeyer, Dietrich; Bosche, Bert; Schackert, Gabriele; Ruess, Daniel

2017-10-01

The main focus of this study was to evaluate how preoperative simulation affects the surgical work flow, radiation exposure, and outcome of minimally invasive hybrid lumbar interbody fusion (MIS-HLIF). A total of 132 patients who underwent single-level MIS-HLIF were enrolled in a cohort study design. Dose area product was analyzed in addition to surgical data. Once preoperative simulation was established, 66 cases (SIM cohort) were compared with 66 patients who had previously undergone MIS-HLIF without preoperative simulation (NO-SIM cohort). Dose area product was reduced considerably in the SIM cohort (320 cGy·cm 2 NO-SIM cohort: 470 cGy·cm 2 ; P < 0.01). Surgical time was shorter for the SIM cohort (155 minutes; NO-SIM cohort, 182 minutes; P < 0.05). SIM cohort had a better outcome in Numeric Rating Scale back at 6 months follow-up compared with the NO-SIM cohort (P < 0.05). Preoperative simulation reduced radiation exposure and resulted in less back pain at the 6 months follow-up time point. Preoperative simulation provided guidance in determining the correct cage height. Outcome controls enabled the surgeon to improve the procedure and the software algorithm. Copyright © 2017 Elsevier Inc. All rights reserved.

Minimally Invasive 2D Navigation-Assisted Treatment of Thoracolumbar Spinal Fractures in East Africa: A Case Report

PubMed Central

Njoku, Innocent; Wanin, Othman; Assey, Anthony; Shabani, Hamisi; Ngerageza, Japhet G; Berlin, Connor D

2016-01-01

Spinal surgery under Eastern-African circumstances is technically demanding and associated with significant complications, such as blood loss, infection, and wound breakdown. We report a spinal trauma case that was performed using minimally invasive surgery (MIS) and navigation, and hypothesize that these newer techniques may enable surgeons to perform effective spinal surgery with minimal complications and good outcomes.  During the 2014 First Hands-on Neurotrauma Course held in Dar es Salaam, Tanzania, we successfully performed three minimally invasive and two-dimensional (2D) navigated spinal surgeries to decompress and stabilize patients with complete and incomplete spinal injuries. In this report, we present a case of a paraplegic patient with a T12 burst fracture who tolerated MIS surgery with no intraoperative complications, and is doing well with no postoperative complications one year after surgery. Minimally invasive spinal surgery and 2D navigation may offer advantages in resource-poor countries. As part of the Weill Cornell Tanzania Neurosurgery project and in conjunction with the Foundation for International Education in Neurological Surgery (as well as other organizations), further experiences with 2D navigation and MIS surgery will be recorded in 2015. A neurotrauma registry has already been implemented to better understand the current management of neurotrauma in Eastern Africa. PMID:27026832

Electrical characteristics and interface properties of ALD-HfO2/AlGaN/GaN MIS-HEMTs fabricated with post-deposition annealing

NASA Astrophysics Data System (ADS)

Kubo, Toshiharu; Egawa, Takashi

2017-12-01

HfO2/AlGaN/GaN metal-insulator-semiconductor (MIS)-type high electron mobility transistors (HEMTs) on Si substrates were fabricated by atomic layer deposition of HfO2 layers and post-deposition annealing (PDA). The current-voltage characteristics of the MIS-HEMTs with as-deposited HfO2 layers showed a low gate leakage current (I g) despite the relatively low band gap of HfO2, and a dynamic threshold voltage shift (ΔV th) was observed. After PDA above 500 °C, ΔV th was reduced from 2.9 to 0.7 V with an increase in I g from 2.2 × 10-7 to 4.8 × 10-2 mA mm-1. Effects of the PDA on the HfO2 layer and the HfO2/AlGaN interface were investigated by x-ray photoelectron spectroscopy (XPS) using synchrotron radiation. XPS data showed that oxygen vacancies exist in the as-deposited HfO2 layers and they disappeared with an increase in the PDA temperature. These results indicate that the deep electron traps that cause ΔV th are related to the oxygen vacancies in the HfO2 layers.

Experiences From Developing and Upgrading a Web-Based Surveillance System for Malaria Elimination in Cambodia

PubMed Central

Mellor, Steve; Aryal, Siddhi; Sovannaroth, Siv; Roca-Feltrer, Arantxa

2017-01-01

Strengthening the surveillance component is key toward achieving country-wide malaria elimination in Cambodia. A Web-based upgraded malaria information system (MIS) was deemed to essentially act as the central component for surveillance strengthening. New functionality (eg, data visualization) and operational (eg, data quality) attributes of the system received particular attention. However, building from the lessons learned in previous systems’ developments, other aspects unique to Cambodia were considered to be equally important; for instance, feasibility issues, particularly at the field level (eg, user acceptability at various health levels), and sustainability needs (eg, long-term system flexibility). The Cambodian process of identifying the essential changes and critical attributes for this new information system can provide a model for other countries at various stages of the disease control and elimination continuum. Sharing these experiences not only facilitates the establishment of “best practices” but also accelerates global and regional malaria elimination efforts. In this article, Cambodia’s experience in developing and upgrading its MIS to remain responsive to country-specific needs demonstrates the necessity for considering functionality, operationalization, feasibility, and sustainability of an information system in the context of malaria elimination. PMID:28615155

Minimally Invasive Surgery (MIS) Approaches to Thoracolumbar Trauma.

PubMed

Kaye, Ian David; Passias, Peter

2018-03-01

Minimally invasive surgical (MIS) techniques offer promising improvements in the management of thoracolumbar trauma. Recent advances in MIS techniques and instrumentation for degenerative conditions have heralded a growing interest in employing these techniques for thoracolumbar trauma. Specifically, surgeons have applied these techniques to help manage flexion- and extension-distraction injuries, neurologically intact burst fractures, and cases of damage control. Minimally invasive surgical techniques offer a means to decrease blood loss, shorten operative time, reduce infection risk, and shorten hospital stays. Herein, we review thoracolumbar minimally invasive surgery with an emphasis on thoracolumbar trauma classification, minimally invasive spinal stabilization, surgical indications, patient outcomes, technical considerations, and potential complications.

The chief information officer--capturing healthcare's rare bird.

PubMed

Krinsky, M L

1986-08-01

While we occasionally conducted MIS executive searches during the 1970s, the recent pace has quickened substantially. Healthcare corporations need the MIS executive or CIO to keep the organization technologically and managerially current. Downsizing of acute-care facilities, expansion of outpatient services and creation of new programs have put a premium on current, computer-generated data. Skilled managers must rely on an efficient, flexible data processing department to evaluate options and make decisions about corporate strategy and program development. A presentable, articulate, personable MIS executive is a key ingredient in a successful management team. The position will continue to grow in importance and prominence in the fast-changing healthcare delivery industry.

Struggling with imaginaries of trauma and trust: the refugee experience in Switzerland.

PubMed

Gross, Corina Salis

2004-06-01

This article discusses some effects of migration politics on asylum seekers and refugees and on the Swiss health services. It is based on multisited ethnographic research that tracked interpretative concepts of the refugee experience. Following a grounded theory approach, it identifies imaginaries of trauma and trust as key categories in the field of transnational migration and health. The psychiatric concept of trauma and a more popularized discourse of traumatic memory are strongly emphasized in all of the investigated field sites: the providers of primary health care and psychosocial services and representatives of social welfare agencies and law-making bodies use this "diagnosis" extensively. This leads refugees to develop tactics of a) identifying with the trauma discourse in order to become "good refugees" and achieve legal status in Switzerland; b) struggling with the ascribed pathologies and suffering from retraumatizing effects of these predominant trauma policies; and c) trying to refuse or subvert them by emphasizing the existence of structural violence in the receiving countries. An analysis of the interactions of health providers and refugees shows that it takes place in an environment of social and economic insecurity and in a shared imaginary of (mis)trust, putting at stake the moral economy of recent migration politics and the refugee experience.

Management Information Systems, Planning, and Public Community Colleges.

ERIC Educational Resources Information Center

Ritch, Stephen W.; Munro, Robert J.

Management Information Systems (MIS), originally developed in the areas of accounting, management science, and computer processing, are now being applied to decision-making in educational settings. Definitions of MIS are numerous and often vague, but management systems (as distinguished from other information systems) should promote real-time…

Public Management Information Systems: Theory and Prescription.

ERIC Educational Resources Information Center

Bozeman, Barry; Bretschneider, Stuart

1986-01-01

The existing theoretical framework for research in management information systems (MIS) is criticized for its lack of attention to the external environment of organizations, and a new framework is developed which better accommodates MIS in public organizations: public management information systems. Four models of publicness that reflect external…

Rationalizing Management Information System Costs.

ERIC Educational Resources Information Center

Parden, Robert J.

This paper examines the proposition that management information systems (MIS) for colleges and universities are not achieving their original objectives of supporting better management decisions by providing more and better information in a more timely manner. As a consequence, the MIS activity should be reduced in scope, and standardized to…

Language, Violence, and Indian Mis-education.

ERIC Educational Resources Information Center

Russell, Caskey

2002-01-01

Traces the history of institutionalized violence--both physical and symbolic--within American Indian education; the legacy of shame and guilt from the boarding school era, when oppression was internalized; and the relationship of such "mis-education" to the decline of Tlingit language and culture in southwestern Alaska. Discusses…

The Graduate MIS Security Course: Objectives and Challenges

ERIC Educational Resources Information Center

Jensen, Bradley K.; Guynes, Carl S.; Nyaboga, Andrew

2009-01-01

Given the magnitude of real and potential losses, both private and public employers increasingly expect graduates of management information systems (MIS) programs to understand information security concepts. The infrastructure requirements for the course includes setting up a secure laboratory environment to accommodate the development of viruses…

Recruitment of Hispanic Students into MIS Curricula

ERIC Educational Resources Information Center

McHaney, Roger; Martin, Dawne

2007-01-01

This paper provides several suggestions Hispanic student recruitment and retention in MIS or other business curricula. Cultural considerations like allocentrism and familialism are discussed along with the situation at K-State. It is believed that the recruitment and retention of Hispanic students can be influenced positively by considering…

Insight to Marine Isotope Stage 13 using Late Pleistocene relaxation models of ice volume and carbon cycle change

NASA Astrophysics Data System (ADS)

Lisiecki, L. E.; Herrero, C.; García-Olivares, A.

2016-12-01

The Marine Isotope Stage (MIS) 13 interglacial is unusual in that warm Northern Hemisphere conditions were accompanied by relatively cool Southern Hemisphere conditions and because it was preceded by a mild glaciation (MIS 14) with less ice volume and higher CO2 levels than the two preceding glacial maxima. Here we investigate Late Pleistocene glacial cycles, and MIS 13 in particular, using two relaxation models from García-Olivares & Herrero [2013] that describe the relationships between global ice volume (V), atmospheric CO2 (C) and the extent of the Antarctic ice shelves (A). The two models differ in parameterizing deep ocean stratification as either a function of V and A (model 3τ) or as a function of C and A (model LS). Note that global ice volume, V, is most closely related to Northern hemisphere climate, whereas C and A are most closely related to Antarctic climate. Here we present the results of using a sea level stack [Spratt & Lisiecki, 2016] as the ice volume tuning target instead of benthic δ18O. We find that tuning to the sea level stack dramatically improves the simulation of MIS 13 in the 3τ model. With the sea level stack, 3τ correctly reproduces the weak amplitudes of MIS 13 and 14 and a double peak in CO2 during MIS 13, whereas the LS model does not reproduce these features using either tuning target. The first peak in CO2 follows a minor ice volume decrease at 530 kyr but significantly precedes a second, larger sea level rise at 500 kyr. The later sea level rise coincides with a second benthic δ18O decrease and likely triggered the second CO2 peak. This two-step transition to peak interglacial conditions might be caused by deep ocean stratification and Antarctic ice cover acting out of phase: weakened stratification produced an initial pulse of CO2 from the deep ocean, but because Antarctic warming was unusually weak, the Antarctic ice shelf remained relatively wide and less CO2 than usual was released from the deep ocean. Because ocean stratification in the 3τ model is affected by both hemispheres, hemispheric asymmetry during MIS 13 produced a less stable stratification that allowed for a second CO2 pulse. Thus, the unusual hemispheric asymmetry during MIS 13 allows us to identify the influences of both Northern and Southern hemisphere climate on deep ocean stratification and its role in regulating atmospheric CO2.

Phytoplankton assemblages and (bio)geochemical proxies indicate enhanced productivity and sea-ice decline in the Ross Sea during Marine Isotope sub-Stage 5e

NASA Astrophysics Data System (ADS)

Hartman, Julian; Sangiorgi, Francesca; Albertazzi, Sonia; Ángeles Bárcena, Mariá; Bijl, Peter; Giglio, Federico; Langone, Leonardo; Peterse, Francien; Tateo, Fabio; Trincardi, Fabio; Asioli, Alessandra

2017-04-01

Sea ice is an important component of the Antarctic cryosphere. It plays an important role in climate (e.g. albedo, gas exchange with the atmosphere), ocean circulation and primary productivity. Although sea ice has been increasing on average around Antarctica as a result of current global climate change, long-term model predictions expect sea ice to decline. To better understand the changes in sea-ice cover and its consequences on the oceanography, biology and geochemistry of the Southern Ocean during on-going and near-future warming it is important to study past periods of global warming, such as the Last Interglacial (LIG, 125-119 ka), also known as Marine Isotope sub-Stage 5e (MIS5e). During MIS5e global temperatures were on average 2°C warmer than present-day, the same temperature set as maximum global warming limit during the recent Paris Agreement (COP21). We investigated changes in sea-ice cover and environmental conditions by means of diatom, palynological, foraminifer and (bio)geochemical data in a sediment core (AS05-10) from the continental slope of the Drygalski Basin, Ross Sea (2377 mbsl) encompassing the MIS5e. The core was collected within the frame of the PNRA 2009/A2.01 project, an Italian project with a multidisciplinary approach, and covers approximately the last 350 kyr according to an age model based on diatom bioevents and cyclostratigraphy. The productivity proxies, e.g., excess barium, magnetic susceptibility and diatom abundances show a strong relation to the glacial-interglacial cycles. The rapid deglaciations preceding MIS5e and MIS7e are characterized by Ice Rafted Debris and the presence of reworked material. Subsequently, each interglacial is characterized by enhanced productivity related to a decrease in annual sea-ice cover. The beginning of each interglacial is also marked by changes in the fossil assemblages and organic geochemical proxies indicative of high nutrient conditions and water column stratification due to fresh water discharge. Annual sea-ice cover was most reduced during MIS5e. Diatoms indicate that surface water conditions were much more open during MIS5e than during the other marine isotope stages. Furthermore, there was a brief period of reduced bottom water oxygenation during MIS5e, which has led to enhanced preservation of fossil organic material in the sediments. Possibly, this is caused by a reduced influence of oxygen-rich High Salinity Shelf Water due to freshening of the shelf waters.

Paleosols in low-order streams and valley heads in the Araucaria Plateau - Record of continental environmental conditions in southern Brazil at the end of MIS 3

NASA Astrophysics Data System (ADS)

Paisani, Julio Cesar; Pontelli, Marga Eliz; Osterrieth, Margarita Luisa; Paisani, Sani Daniela Lopes; Fachin, Andressa; Guerra, Simone; Oliveira, Leandro

2014-10-01

The Araucaria Plateau is a geomorphological unit that occupies approximately three-quarters of the terrain in the southern region of Brazil. The plateau displays different altitudinal levels (600 to <1400 m a.s.l.) that are locally recognized as remnants of planed surfaces (S8-S1). These surfaces are maintained by basic (S3-S8) and acidic (S1 and S2) volcanic flows from the Neocretaceous period of the Paraná Basin. The largest extent of this plateau is located in a humid subtropical climate zone. Colluvial, colluvial-alluvial, alluvial sediments and paleosols (Ab diagnostic horizons) occur predominantly in S2. The paleosols are located in low-hierarchical-order fossil valleys (first- to fourth-order in Strahler's stream classification) and valley heads, which are referred to as paleovalleys in this paper. We employed these paleosols as stratigraphic level markers of the pedogenesis of the regional Upper Quaternary and propose their importance as records of the paleoenvironmental conditions of the Araucaria Plateau in areas above 1200 m a.s.l. These paleosols were dated by 14C and show ages between 23.8 ± 0.05 kyr BP (28.06-29.08 kyr cal. BP) and 41.16 ± 0.48 kyr BP (44.13-45.58 kyr cal. BP). The calibrated ages are related to Marine Isotope Stage 3 (MIS 3), in which the last period of global warming occurred (approximately 60-25 kyr cal. BP). We integrated the morphological, pedogeochemical, clay fraction mineralogy, micromorphological and δC-13 analyses of five paleosols from S2 to verify the paleoenvironmental conditions of the Araucaria Plateau and its correspondence with the paleoclimatic phenomena that were identified on a global scale during MIS 3 in the Southern Hemisphere. We obtained the following conclusions: a) the properties of paleosols reflect pedological processes that are adjusted to the paleoenvironmental conditions at the end of MIS 3 and the transition to MIS 2 (Last Glacial Maximum); b) aplasmogenic partial acidolysis was the predominant pedogeochemical process during MIS 3; c) during this period, the water regime was sufficiently humid to develop hydromorphic horizons in the valley bottoms of the entire drainage network to the valley heads; d) regional change toward a drier hydric regime occurred in MIS 2, when erosion of the paleosols predominated; and e) in MIS 1 (current Holocene interglacial), burial of the paleosols and relief inversion occurred, which resulted in fossilization of the valleys.