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Sample records for mouth floor enlargements

  1. Morphology and morphometry of the human sublingual glands in mouth floor enlargements of edentulous patients

    PubMed Central

    de SÁ, Josiane Costa Rodrigues; TOLENTINO, Elen de Souza; AZEVEDO-ALANIS, Luciana Reis; IWAKI FILHO, Liogi; LARA, Vanessa Soares; DAMANTE, José Humberto

    2013-01-01

    Asymptomatic mouth floor enlargements may be observed in edentulous patients. These masses, which protrude from the mouth floor, may complicate the fitting of dentures and require surgery. Whether this "entity" may be considered an anatomical variation of the mouth floor or represent specific alterations in the sublingual gland is not known. Objective The aim of this work is to investigate the morphological and morphometric aspects of the sublingual glands of edentulous patients with mouth floor enlargements and compare the glands of these patients with the sublingual glands of human cadavers. Material and Methods Microscopic evaluation was performed on human sublingual glands from edentulous patients with mouth floor enlargements (n=20) and edentulous cadavers (n=20). The patients and cadavers were of similar ages. The data were compared using Mann-Whitney U, Fisher's exact and Student's t tests (p<0.05). Results Acinar atrophy, duct-like structures, mononuclear infiltrates, replacement of parenchyma with fibrous/adipose tissue, mucous extravasation and oncocytosis were similar between the groups (p>0.05). Only the variables "autolysis" and "congested blood vessels" presented statistical difference between groups (p=0.014; p=0.043). The morphometric study revealed that the volume densities of acini, ducts, stroma and adipose tissue were similar between the groups (p>0.05). Conclusion The microscopic characteristics of the sublingual glands in mouth floor enlargements in edentulous patients correspond to characteristics associated with the normal aging process. The glands are not pathological and represent an age-related alteration that occurs with or without the presence of the mouth floor enlargements. PMID:24473720

  2. MOUTH FLOOR ENLARGEMENTS RELATED TO THE SUBLINGUAL GLANDS IN EDENTULOUS OR PARTIALLY EDENTULOUS PATIENTS. A MICROSCOPIC STUDY

    PubMed Central

    Iwaki, Liogi; Damante, José Humberto; Consolaro, Alberto; Bonachela, Wellington Cardoso; Damante, Carla Andreotti

    2006-01-01

    Mouth floor enlargements (MFE) are observed in edentulous and partially edentulous patients, impairing denture fitting, and have recently been described in the literature as hyperplasias of the sublingual glands. Objective: This study aims at describing the microscopic aspects of MFE that contribute to their final diagnosis. Methods: Twenty-four specimens were surgically removed from the enlarged mouth floor of 19 patients (15 females and 4 males). Patient age ranged from 48 to 74 years, with a mean of 57 years. The main surgical indication was to permit or improve the fitting of dentures. Six patients were completely edentulous and 13 were partially edentulous. The material was processed for microscopic examination and stained with hematoxylin-eosin, Mallory's trichrome and periodic-acid Schiff (PAS). Results and Conclusions: The epithelium of the mouth floor was normal in 17 cases, hyperplastic in 4 and atrophic in 3. Six of the 24 sublingual glands removed were microscopically normal, while the other specimens presented acinar atrophy with hyperplasia of duct-like structures. Interstitial fibrosis was observed in 18 cases and was accompanied by adipose tissue infiltration in 15. Decreased lymphoid tissue was observed in 16 samples and oncocytosis was present in 5 cases. We suggest that MFE in edentulous or partially edentulous patients should be considered as an entity for the text books. PMID:19089274

  3. [Epidermoid cyst of the mouth floor].

    PubMed

    Sanjuán Rodríguez, S; Morán Penco, J M; Ruiz Orpez, A; Santamaria Ossorio, J I; Berchi García, F J

    2003-07-01

    The epidermoid cysts are frequent during childhood, however mouth floor location are very unusual, because of their more difficult diagnosis and therapeutic approach. We present a 5 years old male, symptoms free until a week before, when his parents noticed a well defined mass in the mouth floor. A physical examination leaded to the diagnosis of possible epidermoid cyst. The tumor was excised through an introral approach. A review of different diagnostic means and surgical management are undertaken.

  4. Imaging of pediatric floor of mouth lesions.

    PubMed

    Edwards, Rachael M; Chapman, Teresa; Horn, David L; Paladin, Angelisa M; Iyer, Ramesh S

    2013-03-01

    There is a vast spectrum of pathology that afflicts the floor of mouth in children. These span inflammatory conditions, vascular malformations, developmental anomalies, benign tumors and malignancies. While this area is readily evaluated on clinical exam, imaging is often performed to better characterize the disorder prior to management. The imaging modalities most frequently utilized are US, CT and MR. The purpose of this article is to describe the primary conditions that occur in this location in children so that radiologists may provide an appropriate differential diagnosis. These include ranula, venolymphatic malformation, dermoid, teratoma, foregut duplication cyst, hairy polyp, thyroglossal duct cyst and rhabdomyosarcoma. For each pathological condition, there will be a focus on describing its imaging manifestation. Floor of mouth anatomy, imaging approach during both prenatal and postnatal life and etiologies will be discussed. Surgical considerations and operative photographs will also be presented.

  5. Nonsyndromic palate Synechia with floor of mouth

    PubMed Central

    Naidoo, Sharan; Bütow, Kurt W.

    2015-01-01

    To discuss the embryological basis, sequela and management of intraoral synechia, and to report on the incidence of this condition at a facial cleft deformity clinic (FCDC), with specific attention to two rare cases of mucosal bands involving the floor of the mouth and palate. Review of the literature and a retrospective analysis of FCDC and case report of two cases. During the period of 30 years (1983–2013), the FCDC - University of Pretoria has managed in excess of 4000 cases. A review of the clinic statistics revealed only six cases in which intraoral synechiae occurred. The rarity of this condition at the FCDC is in keeping with the rare incidence in the international literature. Four syndromic cases were identified. Three cases were cleft palate lateral synechia syndrome, and one was an orofacial digital syndrome. Two nonsyndromic cases were identified, and both cases involved the floor of the mouth and palate. The attending physicians and surgeons should be aware of the most appropriate timing for management of this condition, in order to avoid unwanted sequelae. Supportive care should be provided, and emergency airway protocol should be available for all cases. A differential diagnosis should be considered which includes syndromic conditions. PMID:26389045

  6. Imaging the floor of the mouth and the sublingual space.

    PubMed

    La'porte, Sarah J; Juttla, Jaspal K; Lingam, Ravi K

    2011-01-01

    A wide range of pathologic processes may involve the floor of the mouth, the part of the oral cavity that is located beneath the tongue. They include lesions that arise uniquely in this location (eg, ranula, submandibular duct obstruction) as well as various malignancies, inflammatory processes, and vascular abnormalities that may also occur elsewhere in the head and neck. Some lesions that arise in superficial tissues such as the mucosa may be easily diagnosed at physical examination. However, computed tomography, magnetic resonance imaging, or ultrasonography may be necessary for a reliable assessment of lesion extension to deeper structures. In such cases, knowledge of the complex muscular, vascular, glandular, ductal, and neural anatomy of the region is important for accurate diagnosis and treatment planning. Familiarity with the radiologic imaging appearances of the floor of the mouth and recognition of anatomic landmarks such as the mylohyoid and hyoglossus muscles are especially useful for localizing disease within this region.

  7. Mucoepidermoid Carcinoma of Floor of the Mouth – A Rarity

    PubMed Central

    Nandan, S.R.K.; Kulkarni, Pavan G; Dorankula, Shyam Prasad Reddy; Muddana, Keerthi

    2015-01-01

    Mucoepidermoid Carcinoma (MEC) is one of the most commonly occurring malignant salivary gland neoplasm, and contributes 2.8%–15% of all salivary gland tumours. More than half of these cases involve the major salivary glands, primarily the parotid glands and minor salivary glands. Sublingual salivary glands neoplasms are very rare and constitute 0.5% and 1% of all epithelial salivary tumours and approximately 1.5% of the major salivary glands carcinomas. Here we describe a case report of low grade mucoepidermoid carcinoma in the floor of the mouth in a 70-year-old female patient that was mimicking like a ranula clinically. PMID:26813873

  8. Incidence of intraglandular lymph nodes within submandibular gland, and involvement by floor of mouth cancer.

    PubMed

    Fives, Cassie; Feeley, Linda; Sadadcharam, Mira; O'Leary, Gerard; Sheahan, Patrick

    2017-01-01

    Resection of the submandibular gland is generally undertaken as an integral component of level I neck dissection for oral cancer. However, it is unclear whether lymph nodes are present within the submandibular gland which may form the basis of lymphatic spread. Our purpose was to investigate the frequency of lymph nodes within the submandibular gland, and the incidence and mechanism of submandibular gland involvement in floor of mouth cancer. Retrospective review of 177 patients with oral cancer undergoing neck dissection. Original pathology slides of floor of mouth cases were re-reviewed by two pathologists to determine frequency of intraglandular lymph nodes, and incidence and mechanism of submandibular gland involvement by cancer. The overall incidence of cervical metastases was 36.4 %, of whom 44 % had level I metastases. Level I metastases were significantly more common in floor of mouth than tongue cancers (p = 0.004). Among 50 patients with floor of mouth cancer undergoing re-review of pathology slides, intraglandular lymph nodes were not found in any of 69 submandibular glands. Submandibular gland involvement by cancer was present in two patients, representing 1 % of all oral cancers, and 4 % FOM cases. Mechanisms of involvement were direct extension, and by an apparent novel mechanism of carcinoma growing along bilateral Wharton's ducts. Despite the high incidence of level I metastasis in floor of mouth, lymphatic metastases to submandibular gland are unlikely based on absence of intraglandular lymph nodes. We describe a previously unreported mechanism of submandibular gland involvement.

  9. A hemangioma on the floor of the mouth presenting as a ranula.

    PubMed

    Skoulakis, Charalampos E; Khaldi, Lubna; Serletis, Demetre; Semertzidis, Themistoklis

    2008-11-01

    A painless, bluish, submucosal swelling on one side of the floor of the mouth usually indicates the presence of a ranula. Rarely, such a swelling may be caused by an inflammatory disease process in a salivary gland, a neoplasm in the sublingual salivary gland, a lymphatic nodular swelling, or embryologic cysts. We report a patient with swelling in the floor of her mouth that was clinically diagnosed as a ranula. Suspicion arose during surgery that it was a vascular tumor and, on histologic testing, the swelling was confirmed to be a hemangioma. To our knowledge, this is the first report in the literature of a hemangioma presenting as a ranula.

  10. [Giant fibrolipoma of the floor of the mouth. Presentation of a clinical case].

    PubMed

    Oliveros-Chaparro, C; Bogarin-Rodríguez, J; Sánchez-Méndez, M

    2001-06-01

    The fibrolipoma is a benign tumor variant of the lipoma, characterized by the presence of adipose and fibrous tissues. The authors report a case of a big oral fibrolipoma in a 72 year old woman. After surgery, a mass of 13 x 8 x 6 cm was obtained. The tumor had an implantation pedicle of 1 cm, on the floor of the mouth. The microscopic evaluation showed the presence of polygonal cells grouped into nests and separated by fibrous connective tissue septa. We have not found any report in the literature related to a fibrolipoma located on the floor of the mouth with the characteristics presented in this work.

  11. Smooth enlargement of human standing sway by instability due to weak reaction floor and noise

    PubMed Central

    Funato, Tetsuro; Aoi, Shinya; Tomita, Nozomi; Tsuchiya, Kazuo

    2016-01-01

    Human quiet standing is accompanied by body sway. The amplitude of this body sway is known to be larger than would be predicted from simple noise effects, and sway characteristics are changed by neurological disorders. This large sway is thought to arise from nonlinear control with prolonged periods of no control (intermittent control), and a nonlinear control system of this kind has been predicted to exhibit bifurcation. The presence of stability-dependent transition enables dynamic reaction that depends on the stability of the environment, and can explain the change in sway characteristics that accompanies some neurological disorders. This research analyses the characteristics of a system model that induces transition, and discusses whether human standing reflects such a mechanism. In mathematical analysis of system models, (intermittent control-like) nonlinear control with integral control is shown to exhibit Hopf bifurcation. Moreover, from the analytical solution of the system model with noise, noise is shown to work to smooth the enlargement of sway around the bifurcation point. This solution is compared with measured human standing sway on floors with different stabilities. By quantitatively comparing the control parameters between human observation and model prediction, enlargement of sway is shown to appear as predicted by the model analysis. PMID:26909186

  12. An Improved Genetic Fuzzy Logic Control Method to Reduce the Enlargement of Coal Floor Deformation in Shearer Memory Cutting Process

    PubMed Central

    Tan, Chao; Xu, Rongxin; Wang, Zhongbin; Si, Lei; Liu, Xinhua

    2016-01-01

    In order to reduce the enlargement of coal floor deformation and the manual adjustment frequency of rocker arms, an improved approach through integration of improved genetic algorithm and fuzzy logic control (GFLC) method is proposed. The enlargement of coal floor deformation is analyzed and a model is built. Then, the framework of proposed approach is built. Moreover, the constituents of GA such as tangent function roulette wheel selection (Tan-RWS) selection, uniform crossover, and nonuniform mutation are employed to enhance the performance of GFLC. Finally, two simulation examples and an industrial application example are carried out and the results indicate that the proposed method is feasible and efficient. PMID:27217824

  13. An Improved Genetic Fuzzy Logic Control Method to Reduce the Enlargement of Coal Floor Deformation in Shearer Memory Cutting Process.

    PubMed

    Tan, Chao; Xu, Rongxin; Wang, Zhongbin; Si, Lei; Liu, Xinhua

    2016-01-01

    In order to reduce the enlargement of coal floor deformation and the manual adjustment frequency of rocker arms, an improved approach through integration of improved genetic algorithm and fuzzy logic control (GFLC) method is proposed. The enlargement of coal floor deformation is analyzed and a model is built. Then, the framework of proposed approach is built. Moreover, the constituents of GA such as tangent function roulette wheel selection (Tan-RWS) selection, uniform crossover, and nonuniform mutation are employed to enhance the performance of GFLC. Finally, two simulation examples and an industrial application example are carried out and the results indicate that the proposed method is feasible and efficient.

  14. [Haematoma of the floor of the mouth associated to acute myocardial infarction].

    PubMed

    Pelaz, Alejandro; Bayón, Jeremías; Gallego, Lorena; Junquera, Luis

    2011-01-01

    We report the case of an 80-year-old man who developed a haematoma in the floor of the mouth after receiving alteplase in the treatment of an acute myocardial infarction. Both the treatment received and appropriate preventive measures to avoid such haematomas are described.

  15. Epidermoid cyst of the floor of the mouth

    PubMed Central

    Baliga, Mohan; Shenoy, Nandita; Poojary, Dharnappa; Mohan, Ram; Naik, Ramdas

    2014-01-01

    Dermoid cysts are malformations that are rarely seen in the oral cavity. An intraoral dermoid cyst grows slowly, but may enlarge and interfere with deglutition and speech, or can pose a critical risk to the airway and therefore require immediate surgical intervention. Dermoid cysts may develop above or below the mylohyoid muscle, causing a submental or submandibular swelling. Surgical excision is the treatment of choice and recurrence is rare. An intraoral approach for the treatment of large lesions presenting above the mylohyoid muscle provides good cosmetic and functional results. We report a case of a 26-year-old female who developed an epidermoid cyst presenting as a large sublingual swelling causing speech and swallowing difficulties. The lesion was surgically excised using an intraoral approach. Microscopic examination revealed a dermoid cyst of the epidermoid type. This case shows that dermoid cysts may be successfully diagnosed and managed using a series of simple yet effective clinical procedure. PMID:25298725

  16. Epidermoid Cyst in the Floor of the Mouth of a 3-Year-Old

    PubMed Central

    Pascual Dabán, Rossana; García Díez, Eloy; González Navarro, Beatriz; López-López, José

    2015-01-01

    Epidermoid cysts are a rare entity in the oral cavity and are even less frequent in the floor of the mouth, representing less than 0.01% of all the cases. We present the case of a 3-year-old girl with a growth in the floor of the mouth with 2 months of evolution and without changes since it was discovered by her parents. The lesion was asymptomatic; it did not cause dysphagia, dyspnea, or any other alteration. A CT scan with contrast was done which revealed the location and exact size of the lesion, allowing an intraoral approach for its excision. The histological examination confirmed the clinical speculation of an epidermoid cyst. PMID:25694831

  17. Giant cystadenoma of the floor of the mouth: A case report

    PubMed Central

    Castro, Victor Labres da Silva; Corrêa, Tiago Fernando Aires; Guimarães, Valeriana de Castro; Nery, Gustavo Vasconcelos; Ferreira, João Batista

    2013-01-01

    Summary Introduction: Cystadenoma is an uncommon epithelial neoplasia that arises from the salivary glands. The malignancy can affect structures such as the larynx, nasopharynx, buccal mucosa, and palate. Objective: To describe a case of a giant cystadenoma of the floor of the mouth treated at a public hospital in midwestern Brazil. Case report: The patient was a 46-year-old woman with complaints of difficulties in articulating words and swallowing solid food and vocal fatigue. The progression of the disease since the initial consultation, the results of clinical examinations, and the outcome of surgery are described. Finals Comments: Cystadenoma must be considered in the differential diagnosis of cystic injuries in the floor of the mouth if the patient's symptoms are suggestive of this malignancy. PMID:25992001

  18. A toothbrush impalement injury of the floor of mouth in autism child.

    PubMed

    Sasaki, Ryo; Uchiyama, Hiroto; Okamoto, Toshihiro; Fukada, Kenji; Ogiuchi, Hideki; Ando, Tomohiro

    2013-12-01

    Penetrating injuries in the oral cavity are common in children. However, penetrating injuries with retained foreign bodies are rare. We report a case of a toothbrush impalement injury of the floor of the mouth in a child with autism. A 5-year-old boy with autism presented with an accidentally impaled toothbrush in the oral cavity. He was taken to the operation room and examined under general anesthesia. The handle of the toothbrush was cut off using rib scissors for mask ventilation, and intra-oral intubation was performed. The toothbrush was located approximately 2.5 cm into the floor of the mouth. The toothbrush was removed uneventfully. Intravenous antibiotic therapy was instituted during hospitalization, and discharge from the hospital occurred 4 days after the operation.

  19. Intraoral Neurinoma of the Lingual Nerve: An Uncommon Tumor in Floor of the Mouth

    PubMed Central

    Kumar kuppusamy, Santhosh; Ramkumar, Subramaniyam; Narasimhan, Malathi; Azariah Dhiravia Sargunam, Emmanuel

    2014-01-01

    Neurinoma or schwannoma is an uncommon benign tumor that arises primarily from the nerve sheath of Schwann cells. About 25% has been reported in head and neck region extracranially, but only 1% in the intraoral origin. Intraorally, the tongue is the most common site followed by the palate, floor of the mouth, lips and buccal mucosa. In review of literature, intraoral schwannoma of the lingual nerve origin has not been reported frequently. So, we present a case of intraoral neurinoma of the lingual nerve. PMID:24639903

  20. Symptomatic Floor-of-Mouth Swelling with Neck Extension in a 14-Year-Old Girl

    PubMed Central

    Dayton, Kristin; Ryan, Matthew F.

    2014-01-01

    A plunging ranula is a soft-tissue mass stemming from a mucous extravasation cyst of the sublingual gland which can herniate through the mylohyoid muscle. We describe a case in which a 14-year-old girl presented with a rapidly expanding mass on the floor of her mouth affecting her ability to swallow and speak and causing tracheal compression. The patient was initially managed conservatively with antibiotics and steroids; however, the mass continued to expand necessitating emergent bedside incision and drainage and subsequent surgical intervention. The pathophysiology and management options for ranulas are also discussed herein. PMID:25548707

  1. Spontaneous remission of a squamous cell carcinoma of the floor of the mouth.

    PubMed

    de Andrade Sousa, Alexandre; Lopes Rena, Rafael; Souza Silva, Guilherme; Marcos Arantes Soares, João; Porcaro-Salles, José Maria; Nunes, Laiz; Alves Mesquita, Ricardo; Jham, Bruno Correia

    2014-10-01

    Spontaneous remission is a rare, but well recognized event in oncology. Certain tumours, such as melanomas, hypernephromas and neuroblastomas, are known for showing spontaneous regression. Similarly, spontaneous regression of oral lymphomas, as well as oropharyngeal and recurrent tongue carcinomas, has been reported. Here, we present a novel case of a patient with a primary squamous cell carcinoma on the floor of the mouth whose tumour regressed spontaneously in three months, without any treatment. We also review of the literature on the spontaneous remission of oral cancer and discuss possible mechanisms for this phenomenon.

  2. Non-Infiltrating Angiolipoma of Floor of Mouth-A Rare Case Report and Literature Review

    PubMed Central

    Bhuyan, Ruchi; Debta, Priyanka; Debta, Fakir Mohan

    2017-01-01

    Angiolipoma, a subtype of lipoma is a benign tumour in which adipose tissue and vascular component are intermingled. The tumour occurs commonly in the trunk and extremities and very rarely seen in maxillofacial region. Here we report a case of Non-Infiltrating Angiolipoma (NIAL) in floor of mouth which is the second case to be reported in literature to the best of our knowledge. We have reviewed all NIAL cases involving the oral cavity from 2008 to 2016 and found 12 cases of NIAL and assessment was made according to age, sex, site and size of lesion for better understanding of the lesion and its nature. PMID:28384985

  3. Case report of complicated epidermoid cyst of the floor of the mouth: Radiology-histopathology correlation

    PubMed Central

    Mirza, Salman; Fadl, Shaima; Napaki, Sarbar; Abualruz, AbdulRahman

    2014-01-01

    Epidermoid cysts, true dermoid cysts and teratoid cysts compose the spectrum of cystic teratomas, which are defined as neoplasms whose tissue are derivatives of more than one germ layer, foreign to that part of the body from which the tumor arises. Epidermoid cysts of the floor of the mouth are rare lesions and are much less common than dermoid cysts in the head and neck. This case reports a 43-year-old male patient who presented with a longstanding midline swelling in the submental region. Initial imaging was done using ultrasound followed by computed tomography (CT) scan. Biopsy was taken and revealed a cyst wall lined with epidermal squamous epithelium along with areas of focal ulceration suggesting chronic inflammatory changes of the wall of the epidermoid cyst. There are characteristic and even pathognomonic imaging features of epidermoid cysts at the floor of the mouth in ultrasound and CT scan. Imaging has an important role in the surgical management plan according to the size and location of the cyst in relation to geniohyoid and mylohyoid muscles. PMID:25320687

  4. Sentinel node biopsy in relation to survival in floor of the mouth carcinoma.

    PubMed

    Alvarez, J; Bidaguren, A; McGurk, M; Diaz-Basterra, G; Brunsó, J; Andikoetxea, B; Martín, J C; Barbier, L; Arteagoitia, I; Santamaría, J A

    2014-03-01

    Promising results have been obtained with sentinel node biopsy (SNB) in early oral carcinoma, but the floor of the mouth remains a site at risk of misdiagnosis. A retrospective and prospective study was designed to test the safety of SNB by comparing survival among patients with early stage carcinoma of the floor of the mouth (FOM) undergoing SNB, to a control group managed traditionally by a combination of clinical observation and elective neck dissection (END). A total of 63 patients with early stage carcinoma of the FOM were treated between 1991 and 2005. In the control group, 26 patients were managed with END and nine by close observation. In the test group, 28 patients were managed prospectively with SNB. Regional recurrence occurred in 23% (8/35) of control patients and 25% (7/28) of test patients. Approximately 25% of patients were successfully treated by salvage surgery. Disease-specific survival was 65.5% for control patients and 85% for SNB patients; the difference was not statistically significant. The use of SNB in the management of cancers of the FOM did not adversely affect survival and prevented 69.5% of patients undergoing unnecessary neck dissections, while clinical progress was better in the SNB group than in controls.

  5. Unusual case of calculus in floor of mouth: a case report.

    PubMed

    Bahadure, Rakesh N; Thosar, Nilima; Jain, Eesha S

    2012-09-01

    Calculus consists of mineralized bacterial plaque that forms on the surfaces of natural teeth. It is supragingival or subgingival depending upon its relation with gingival margin. The two most common locations for supragingival calculus are the buccal surfaces of maxillary molars and lingual surfaces of mandibular anterior teeth. It is very important to rule out the predisposing factor for calculus formation. In the present case of an 11-year- old female child, 1.2 × 1.5 cm large indurated mass suggestive of calculus in the left side of floor of mouth was observed. After surgical removal, along with indurated mass, an embedded root fragment was seen. Biochemical analysis of the specimen detected the calcium and phosphate ions approximately equals to the level in calculus. Thus, we diagnosed it as a calculus. Oral hygiene instructions and regular follow-up was advised. How to cite this article: Bahadure RN, Thosar N, Jain ES. Unusual Case of Calculus in Floor of Mouth: A Case Report. Int J Clin Pediatr Dent 2012;5(3):223-225.

  6. The functional intraoral Glasgow scale in floor of mouth carcinoma: longitudinal assessment of 62 consecutive patients.

    PubMed

    Ellabban, Mohamed A; Shoaib, Taimur; Devine, John; McMahon, Jeremy; Morley, Stephen; Adly, Osama A; Farrag, Sherif H; Moati, Taha A; Soutar, David

    2013-03-01

    The functional integrity of the floor of the mouth (FOM) is essential in maintaining tongue mobility, deglutition, and control and disposal of saliva. The present study focused on reporting oral function using functional intraoral Glasgow scale (FIGS) in patients who had surgical ablation and reconstruction of FOM carcinoma with or without chemo-radiotherapy. The study included patients who had surgical treatment of floor of mouth cancer in two regional head and neck units in Glasgow, UK between January 2006 and August 2007. Patients were assessed using FIGS before surgery, 2 months, 6 months and 1 year after surgery. It is a five-point scale self-questionnaire to allow patients to self-assess speech, chewing and swallowing. The maximum total score is 15 points. The influence of socio-demographic parameters, tumour characteristics and surgical parameters was addressed in the study. A total of 62 consecutive patients were included in the study; 41 (66.1 %) were males and 21 (33.9 %) were females. The patients' mean age at the time of diagnosis was 60.6 years. Fifty (80.6 %) patients had unilateral origin of FOM tumours and 10 (19.4 %) had bilateral origin. Peroral approach was the most common approach used in 35 (56.4 %) patients. The mean preoperative FIGS score was 14. Two months after surgery, it droped to 9.4 then started to increase gradually thereafter and recorded 10.1 at 6 months and 11 at 1 year. Unilateral FOM resection recorded better score than bilateral and lateral FOM tumours than anterior at 1 year postoperatively. Furthermore, direct closure showed better functional outcome than loco-regional and free flaps. The FIGS is a simple and comprehensive way of assessing a patient's functional impairment following surgery in the FOM. Tumour site and size, surgical access, surgical resection and method of reconstruction showed significant influence on oral function following surgical resection. A well-designed rehabilitation programme is required to improve

  7. Carcinoma of the floor of the mouth: a 20-year experience

    SciTech Connect

    Aygun, C.; Salazar, O.M.; Sewchand, W.; Amornmarn, R.; Prempree, T.

    1984-05-01

    From 1955 to 1975, 116 patients with squamous cell carcinoma of the floor of the mouth were primarily treated by irradiation in the Department of Radiation Oncology, University of Maryland at Baltimore. Of these, 93 evaluable patients yielded loco-regional control rates of 83, 85, 42 and 21% for Stages I-IV, respectively. A palisading technique of radium needle implants was used, either alone or combined with external beam therapy, for early tumors (Stages I-II). Patients with early lesions and truly negative nodes (N/sub 0/) only received irradiation to the primary tumor bed. No subsequent nodal neck failures have occurred in 13 of such patients. The overall complication rate for the entire series was 17% with only 8 patients requiring surgery. No differences in complication rates were found among the treatment modalities employed. The distribution of lymph nodal involvement by anatomical level, correlation of histological differentation or tumor aggressiveness at presentation, the dosimetric analysis of the palisading interstitial technique, the spread and failure patterns and other observations are discussed.

  8. Lowering of the mouth floor and vestibuloplasty to support a mandibular overdenture retained by two implants. A case report

    PubMed Central

    Figueiredo, Rui; Gay-Escoda, Cosme

    2014-01-01

    In Oral Implantology most of the procedures are predictable and have high success rates. The use of osseointegrated implants as a therapeutic option for the rehabilitation of patients with severe mandibular atrophy has decreased the need for pre-prosthetic surgery Nevertheless, complications may occur during implant surgery and also once the prosthesis has been placed. This paper describes the case of a totally edentulous patient with an upper complete removable denture and an implant-retained overdenture with two implants in the intermentonian region. During clinical examination, the implant abutments were totally covered by soft tissue since the floor of the mouth was elevated. The panoramic radiography showed severe mandibular atrophy. Vestibuloplasty was performed together with the lowering of the floor of the mouth under general anesthesia and nasotracheal intubation to expose the implants. A new prosthesis was fabricated for the patient to prevent recurrence and improve the patient’s chewing ability as it formed a physical barrier against soft tissue migration on prosthetic attachments. Key words:Vestibuloplasty, lowering of the mouth floor, complications in oral implantology. PMID:25136438

  9. Lowering of the mouth floor and vestibuloplasty to support a mandibular overdenture retained by two implants. A case report.

    PubMed

    Cortell-Ballester, Isidoro; Figueiredo, Rui; Gay-Escoda, Cosme

    2014-07-01

    In Oral Implantology most of the procedures are predictable and have high success rates. The use of osseointegrated implants as a therapeutic option for the rehabilitation of patients with severe mandibular atrophy has decreased the need for pre-prosthetic surgery Nevertheless, complications may occur during implant surgery and also once the prosthesis has been placed. This paper describes the case of a totally edentulous patient with an upper complete removable denture and an implant-retained overdenture with two implants in the intermentonian region. During clinical examination, the implant abutments were totally covered by soft tissue since the floor of the mouth was elevated. The panoramic radiography showed severe mandibular atrophy. Vestibuloplasty was performed together with the lowering of the floor of the mouth under general anesthesia and nasotracheal intubation to expose the implants. A new prosthesis was fabricated for the patient to prevent recurrence and improve the patient's chewing ability as it formed a physical barrier against soft tissue migration on prosthetic attachments. Key words:Vestibuloplasty, lowering of the mouth floor, complications in oral implantology.

  10. Complex oncologic reconstruction of a mandibular and floor of mouth defect with a fibula free flap in an achondroplastic patient.

    PubMed

    García-Rozado, Alvaro; Martín Sastre, Roberto J; López Cedrún, José L

    2003-01-01

    The fibular free flap is seen as one of the foremost technical options in mandibular reconstruction, especially in those defects where long bone is required. Cases with squamous-cell carcinoma of the floor of the mouth with mandibular spread and subsequent segmentary mandibular removal are the cornerstone examples. A case of squamous-cell carcinoma of the whole floor of the mouth with mandibular invasion is reported. Radical resection of the floor of the mouth and bilateral mandibular horizontal ramus was performed, with a bony defect extending from angle to angle. The patient revealed an achondroplastic condition, with remarkable dwarfism and long-bone morphological alterations, that minimized the potential fibular length to transfer. A microsurgical reconstruction with an osteocutaneous fibular free flap was undertaken. The flap design was technically compromised by the forward bowing of the fibula and the ossification of the interosseous membrane. Specific intraoperative strategies for dealing with anatomic variations are discussed. The fibular free flap is an excellent technique for mandibular reconstruction. Morphological deviations can modify the design of the flap. Achondroplasia is not a deterrent in successful use of the free fibula flap for reconstruction of the head and neck in adequately selected cases.

  11. Intra-oral cancer at the Massachusetts General Hospital. Squamous cell carcinoma of the floor of the mouth.

    PubMed Central

    Ildstad, S T; Bigelow, M E; Remensnyder, J P

    1983-01-01

    A retrospective review of 163 consecutive patients with biopsy-proven, invasive squamous cell carcinoma of the floor of the mouth who underwent inpatient treatment at the Massachusetts General Hospital during the 15-year period from January 1962 through December 1976 is presented. The stage at first presentation, clinical features of the disease, incidence of second primary tumors, analysis of therapeutic modalities, and survival statistics are compared with reports from other large centers. Floor of mouth tumors comprised 28%, (163/592) of oral squamous cell carcinomas seen at the Massachusetts General Hospital during that time period. Seventy-one per cent of floor of mouth tumors were in men and 29% in women; women tended to present earlier in the course of their disease. Thirty-seven patients (23%) developed a secondary primary malignancy, and four of these 37 patients developed two second primaries. Distant metastatic disease appeared in 6% of patients with Stage I, II, or III disease and 26% of patients with Stage IV disease. Radiation therapy alone and surgery alone resulted in equivalent long-term survival rates for early stage disease. In more advanced stages (III and IV), a combined approach utilizing surgery and radiation therapy obtained superior results for short-term survival than either modality alone. The importance of early diagnosis and treatment and suggestions for development of cooperative protocols in an attempt to improve salvage of patients with this disease is discussed. PMID:6848053

  12. A Case of Primary Combined Squamous Cell Carcinoma with Neuroendocrine (Atypical Carcinoid) Tumor in the Floor of the Mouth

    PubMed Central

    Terada, Kazuhiro; Uchida, Fumihiko; Kanno, Naomi; Yanagawa, Toru; Bukawa, Hiroki

    2016-01-01

    The combined squamous cell carcinoma (SCC) with neuroendocrine (atypical carcinoid (AC)) tumor is extremely rare in the head and neck. We present here the first case of SCC with AC arising in the floor of the mouth of 65-year-old man. The tumor is comprised of two components of SCC and AC in the biopsy specimen. Neuroendocrine tumor component was classified as AC from the punctate necrosis and 2–10>/10 HPF. Immunohistochemical staining was HMW-CK/34B (+) and P63 (+) in SCC and synaptophysin (+) and CD56 (+) in AC. The pathological diagnosis of SCC with AC was made from both the morphological and immunological exam. Concurrent chemoradiotherapy was performed with radiotherapy 70.2 Gy and chemotherapy of CDDP and VP-16. Although the treatment effect was complete response both of primary tumor and of neck metastases, the recurrence of the primary tumor was after 6 months. Bilateral modified radical neck dissection and tumor resection of the floor of the mouth with reconstructive surgery of anterior lateral thigh free flap were performed. Although the primary and neck tumor did not recur, the multiple lung metastases and mediastinum lymph node metastases occurred at 6 months after surgery. PMID:28116178

  13. [Anatomical study on the facial nerve innervating the floor of the mouth in chondrichthyes. Homology of the chorda tympani].

    PubMed

    Takahashi, K; Kobayashi, K

    1989-10-01

    This paper deals with the results of the investigation of the facial nerves of chondrichthyes in order to consider the phylogenetic origin of the Chorda tympani in human. Six species of elasmobranchs (Chlamydoselachus anguineus, Cephaloscyllium umbratile, Squalus acanthias, Dasyatis akajei, Raja kwangtungensis and Mobura diabolus) were dissected under a stereoscopic microscope for this purpose, and the following results were obtained. Ramus palatinus and R. pre-spiracularis were observed as pre-trematic branches, while R. mandibularis externus, R. mandibularis internus and R. hyoideus originating from R. hyomandibularis were observed as post-trematicus of the facial proper in chondrichtyes. The rami intermedii indicated by Tanaka and Nakao (1979) were observed only in Dasyatis akajei. The R. hyomandibularis of Squalus acanthias had cutaneous branches, and the same branches were described in Chimaera by Takahashi and Kobayashi (1988). R. pre-spiracularis and R. mandibularis internus supply the floor of mouth in Squalus acanthias. As for the other chondrichthyes, R. mandibularis internus was only the one that could be found at the floor of mouth cavity under a stereoscopic microscope. From the observations described above and from previous studies, it may be concluded that the problem of whether the Chorda tympani is homologous with whether the pre- or post-trematicus of branchial nerves seems to depend on the animal species.

  14. Delayed postoperative radiation therapy in local control of squamous cell carcinoma of the tongue and floor of the mouth

    PubMed Central

    Amar, Ali; Chedid, Helma Maria; Curioni, Otávio Alberto; Dedivitis, Rogério Aparecido; Rapoport, Abrão; Cernea, Claudio Roberto; Brandão, Lenine Garcia

    2014-01-01

    Objective To evaluate the effect of time between surgery and postoperative radiation therapy on local recurrence of squamous cell carcinoma of the tongue and floor of the mouth. Methods A total of 154 patients treated between 1996 and 2007 were selected considering local recurrence rate and time of the adjuvant radiotherapy. Results Local recurrence was diagnosed in 54 (35%) patients. Radiation therapy reduced the rate of local recurrences, although with no statistical significance. The time between surgery and initiation of postoperative radiotherapy did not significantly influence the risk of local recurrence in patients referred to adjuvant treatment (p=0.49). Conclusion In the presence of risk factors for local recurrence, a short delay in starting the adjuvant radiation therapy does not contraindicate its performance. PMID:25628200

  15. Choristoma involving the floor of the mouth and the anterior tongue: a case of teratoid cyst with gastric and respiratory epithelia.

    PubMed

    Pentenero, Monica; Marino, Roberto; Familiari, Ubaldo; Gandolfo, Sergio

    2013-10-01

    Oral dysontogenic cysts result from defective embryonic development. Among them teratoid cysts are the most unusual presentation and may be lined by gastric, intestinal, respiratory, squamous, ciliated epithelium or even pancreatic structures. Teratoid cysts containing respiratory and gastrointestinal epithelium have typically been called choristomas. This article describes a 15-year-old boy presenting a choristoma involving both the floor of the mouth and the anterior tongue and characterized by the presence of squamous epithelium with skin adnexa, gastric and respiratory epithelium.

  16. Fontanelles - enlarged

    MedlinePlus

    Soft spot - large; Newborn care - enlarged fontanelle; Neonatal care - enlarged fontanelle ... causes: Achondroplasia Apert syndrome Cleidocranial dysostosis Congenital rubella Neonatal hypothyroidism Osteogenesis imperfecta Rickets

  17. Enlarged prostate

    MedlinePlus

    BPH; Benign prostatic hyperplasia (hypertrophy); Prostate - enlarged ... The actual cause of prostate enlargement is unknown. Factors linked to aging and changes in the cells of the testicles may have a role in the growth ...

  18. Does elective neck dissection in T1/T2 carcinoma of the oral tongue and floor of the mouth influence recurrence and survival rates?

    PubMed

    Kelner, Natalie; Vartanian, José Guilherme; Pinto, Clóvis Antônio Lopes; Coutinho-Camillo, Cláudia Malheiros; Kowalski, Luiz Paulo

    2014-09-01

    The aim of this study was to evaluate the results of elective neck dissection compared with observation (control group) in selected cases of early carcinoma of the oral tongue and floor of the mouth. It was a retrospective analysis of 222 patients who had the tumour resected (161 also had elective neck dissection). Occult lymph node metastases were detected in 33/161 (21%), and neck recurrences were diagnosed in 10 of the 61 patients in the control group (16%). Occult lymph node metastases reduced the 5-year disease-specific survival from 90% to 65% (p=0.001) and it was 96% among the controls. The 5-year disease-specific survival was 85% in the group treated by neck dissection and 96% in the observation group (p=0.09). Rigorous follow-up of selected low risk patients is associated with high rates of salvage, and overall survival was similar to the observed survival in patients treated by elective neck dissection. Observation is a reasonable option in the treatment of selected patients.

  19. Proposed method to study the factors affecting local control with combined external beam and interstitial implantation of mobile tongue and floor of mouth

    SciTech Connect

    Hintz, B.L.; Kagan, A.R.; Chan, P.; Rao, A.R.; Nussbaum, H.; Ryoo, M.C.; Wollin, M.

    1986-12-01

    Twenty-seven patients with squamous cell carcinoma of the mobile tongue and floor of the mouth were treated with external beam and interstitial radiation. Good prognostic factors were T1N0, T2N0, superficial tumors, tumor shrinkage by 75% with external beam, and no apparent tumor clinically 2 months after treatment. On the other hand, T3N0, T1-3N1, and deeply necrotic tumors had a poor prognosis. We recommend using a flexible afterloading system to implant the initial local tumor volume (not just the residual nidus) that does not exceed 45 cm3. The minimum (reference) dose was prescribed to a surface 1/2 cm beyond the most peripheral rim of radioactive sources. For acceptable local control and complication rates, our suggested minimum (reference) doses are less than or equal to 7500 rads for T1 (or a time-dose-fractionation (TDF) of 131-140), less than or equal to 8000 rads for T2 (TDF of 131-140), and probably less than 8500 rads for T3 (TDF of less than or equal to 150). These guidelines should be considered preliminary.

  20. Dry Mouth

    MedlinePlus

    ... of this page please turn Javascript on. Dry Mouth What Is Dry Mouth? Dry mouth is the feeling that there is ... when a person has dry mouth. How Dry Mouth Feels Dry mouth can be uncomfortable. Some people ...

  1. Quality of life outcome measures using UW-QOL questionnaire v4 in early oral cancer/squamous cell cancer resections of the tongue and floor of mouth with reconstruction solely using local methods.

    PubMed

    Boyapati, Raghuram P; Shah, Ketan C; Flood, Valerie; Stassen, Leo F A

    2013-09-01

    Cancer treatment either by surgery alone or in a combination of surgery, radiotherapy±chemotherapy has significant consequences on the physical, mental, emotional and psychosocial wellbeing of the patient. Measurement of quality of life (QOL) is necessary to understand the patient's perception of their own treatment, as clinicians' views can be biased. Reconstruction of a cancerous defect with a free vascular flap is ideal in large, often composite defects, provided it is appropriate to the advanced stage and prognosis of the disease, medical condition of the patient, availability of surgical and financial resources and allows the prosthetic rehabilitation of the anatomic area. Using University of Washington Quality of life 4 questionnaire (UW-QOL4), we assessed the QOL of 38 patients, who underwent local surgical reconstructions after resection of T1/T2 tongue/floor of mouth squamous cell carcinoma defects. Objective assessment of speech and swallow function was also carried out using therapy outcome measure (TOM) scores by the speech and language therapy team (SALT) aiming to see the differences in the scores obtained in patients who underwent post-operative radiotherapy. Our study, conducted 6months after completion of all oncologic treatment for the primary disease, showed satisfactory levels of quality of life parameters with good function showing that local reconstructive methods are successful and may have benefits in the management of early oral cancers involving the tongue and floor of mouth. They are beneficial by providing a good quality in terms of function, by reducing the operating time, the surgical morbidity, simplifying post-operative care and thereby becoming an efficient, effective and a cost effective method.

  2. Dry Mouth

    MedlinePlus

    ... or chewing tobacco can increase dry mouth symptoms. Methamphetamine use. Methamphetamine use can cause severe dry mouth and damage to teeth, a condition also known as "meth mouth." If you don't have enough saliva ...

  3. Mouth Disorders

    MedlinePlus

    Your mouth is one of the most important parts of your body. Any problem that affects your mouth can make it hard to eat, drink or even smile. Some common mouth problems include Cold sores - painful sores on the ...

  4. Dry Mouth

    MedlinePlus

    Dry mouth is the feeling that there is not enough saliva in your mouth. Everyone has a dry mouth once in a while - if they are nervous, ... under stress. But if you have a dry mouth all or most of the time, it can ...

  5. 9. (5 X 7 enlargement from 4 X 5 negative) ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. (5 X 7 enlargement from 4 X 5 negative) FIRST FLOOR, WINDOW MOLDING ON SOUTH WALL LOOKING SOUTH - Sites Homestead, Monongahela National Forest (Tract 390) East of Route 28, Seneca Rocks, Pendleton County, WV

  6. Mouth Cancer

    MedlinePlus

    ... is sometimes called oral cancer or oral cavity cancer. Mouth cancer is one of several types of cancer grouped in a category called head and neck cancers. Mouth cancer and other head and neck cancers are ...

  7. 5. Light tower, stairs to second floor, looking northeast from ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. Light tower, stairs to second floor, looking northeast from first floor - Little River Light Station, East end of Little River Island, at mouth of Little River & entrance to Cutler Harbor, Cutler, Washington County, ME

  8. Enlarged prostate gland

    MedlinePlus

    ... enlarges in size in a process called benign hypertrophy, which means that the gland got larger without ... in several of the symptoms of benign prostatic hypertrophy, or BPH. Symptoms may include a slowed or ...

  9. Mouth ulcers

    MedlinePlus

    ... include: Canker sores Gingivostomatitis Herpes simplex ( fever blister ) Leukoplakia Oral cancer Oral lichen planus Oral thrush A ... chap 22. Read More Canker sore Cellulitis Gingivostomatitis Leukoplakia Lichen planus Mouth sores Oral cancer Tooth abscess ...

  10. Mouth Sores

    MedlinePlus

    ... contains fluoride. Note that whitening toothpastes may contain hydrogen peroxide, which can irritate sore mouths. Remove and clean ... mixed with 2 cups water or 1 teaspoon salt and 1 teaspoon baking soda mixed with 1 ...

  11. Cryotherapy for Treatment of Mouth Mucocele.

    PubMed

    Aulakh, Kamaldeep K; Brar, Ramandeep S; Azad, Anurag; Sharma, Swati; Anand, Abhishek; Jyoti, Bhuvan

    2016-01-01

    A mucocele is a common salivary gland disorder that most commonly affects young adults. A 35-year-old female patient reported to the Department of Oral and Maxillofacial Surgery, with the chief complaint of swelling on the left side of floor of mouth. The aim of this case report is to present the management of mucocele present in floor of the mouth in a young female patient using liquid nitrogen cryosurgery. The present case report has also discussed mechanism of action, current protocol of cryosurgery with emphasis on clinical pros and cons along with the clinical outcomes.

  12. Cryotherapy for Treatment of Mouth Mucocele

    PubMed Central

    Aulakh, Kamaldeep K; Brar, Ramandeep S; Azad, Anurag; Sharma, Swati; Anand, Abhishek; Jyoti, Bhuvan

    2016-01-01

    A mucocele is a common salivary gland disorder that most commonly affects young adults. A 35-year-old female patient reported to the Department of Oral and Maxillofacial Surgery, with the chief complaint of swelling on the left side of floor of mouth. The aim of this case report is to present the management of mucocele present in floor of the mouth in a young female patient using liquid nitrogen cryosurgery. The present case report has also discussed mechanism of action, current protocol of cryosurgery with emphasis on clinical pros and cons along with the clinical outcomes. PMID:27843280

  13. Third Floor Plan, Second Floor Plan, First Floor Plan, Ground ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Third Floor Plan, Second Floor Plan, First Floor Plan, Ground Floor Plan, West Bunkhouse - Kennecott Copper Corporation, On Copper River & Northwestern Railroad, Kennicott, Valdez-Cordova Census Area, AK

  14. First and Second Floor Window Sills; First Floor, Second Floor, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    First and Second Floor Window Sills; First Floor, Second Floor, and Third Floor Door Jambs; Stair and Second Floor Baseboards; First Floor Window Jamb - National Home for Disabled Volunteer Soldiers - Battle Mountain Sanitarium, Treasurer's Quarters, 500 North Fifth Street, Hot Springs, Fall River County, SD

  15. Dry mouth during cancer treatment

    MedlinePlus

    Chemotherapy - dry mouth; Radiation therapy - dry mouth; Transplant - dry mouth; Transplantation - dry mouth ... National Cancer Institute. Chemotherapy and you: support for people with cancer. Updated May 2007. ... ...

  16. Burning Mouth Syndrome and "Burning Mouth Syndrome".

    PubMed

    Rifkind, Jacob Bernard

    2016-03-01

    Burning mouth syndrome is distressing to both the patient and practitioner unable to determine the cause of the patient's symptoms. Burning mouth syndrome is a diagnosis of exclusion, which is used only after nutritional deficiencies, mucosal disease, fungal infections, hormonal disturbances and contact stomatitis have been ruled out. This article will explore the many causes and treatment of patients who present with a chief complaint of "my mouth burns," including symptomatic treatment for those with burning mouth syndrome.

  17. Floors: Selection and Maintenance.

    ERIC Educational Resources Information Center

    Berkeley, Bernard

    Flooring for institutional, commercial, and industrial use is described with regard to its selection, care, and maintenance. The following flooring and subflooring material categories are discussed--(1) resilient floor coverings, (2) carpeting, (3) masonry floors, (4) wood floors, and (5) "formed-in-place floors". The properties, problems,…

  18. Job Enlargement: A Multidimensional Process

    ERIC Educational Resources Information Center

    Donaldson, Lex

    1975-01-01

    An evaluation study into the effects of a job enlargement exercise indicates that the expected increases in satisfaction associated with greater work variety, novelty, and felt use of abilities were achieved. (Author/MLF)

  19. Burning mouth syndrome.

    PubMed

    Crow, Heidi C; Gonzalez, Yoly

    2013-02-01

    Pain in the tongue or oral tissues described as "burning" has been referred to by many terms including burning mouth syndrome. When a burning sensation in the mouth is caused by local or systemic factors, it is called secondary burning mouth syndrome and when these factors are treated the pain will resolve. When burning mouth syndrome occurs in the absence of identified risk indicators, the term primary burning mouth syndrome is utilized. This article focuses on descriptions, etiologic theories, and management of primary burning mouth syndrome, a condition for which underlying causative agents have been ruled out.

  20. Mouth Problems and HIV

    MedlinePlus

    ... orientation. This information is for people who have mouth (oral) problems related to HIV infection. It explains ... look like. It also describes where in the mouth they occur and how they are treated. They ...

  1. Pelvic Floor Disorders

    MedlinePlus

    ... NICHD Research Information Clinical Trials Resources and Publications Pelvic Floor Disorders: Condition Information Skip sharing on social media links Share this: Page Content What is the pelvic floor? The term "pelvic floor" refers to the group ...

  2. Enlarging NATO: The Russian Factor.

    DTIC Science & Technology

    1996-01-01

    Responses to Enlargement 104 Summary 107 Contents vii Chapter Five RESOURCES FORSTATISM 109 Russia’s Economy HO Defense Policy: Getting... Economy Will Bear 144 Procurement. Requirements 145 All-Volunteer Force 147 Summary 147 Combat Capability 148 Technology 148 Skills and Doctrine...absorb capitalism, re- cover lost wealth, and build a modern economy . Moreover, Russia will lack the military strength of the Soviet Union by a

  3. Mouth and Teeth (For Parents)

    MedlinePlus

    ... system , but it does much more than get digestion started. The mouth — especially the teeth, lips, and ... Mouth and Teeth Do The first step of digestion involves the mouth and teeth. Food enters the ...

  4. Mixed-Up Floors.

    ERIC Educational Resources Information Center

    Shaw, Richard

    2001-01-01

    Examines the maintenance management problems inherent in cleaning multiple flooring materials revealing the need for school officials to keep it simple when choosing flooring types. Also highlighted is a carpet recycling program used by Wright State University (Ohio). (GR)

  5. Cleaning up Floor Care.

    ERIC Educational Resources Information Center

    Carr, Richard; McLean, Doug

    1995-01-01

    Discusses how educational-facility maintenance departments can cut costs in floor cleaning through careful evaluation of floor equipment and products. Tips for choosing carpet detergents are highlighted. (GR)

  6. The Slowly Enlarging Ventriculus Terminalis

    PubMed Central

    Woodley-Cook, Joel; Konieczny, Magdalena; Spears, Julian

    2016-01-01

    Summary Background A cerebral spinal fluid (CSF) cavity within the conus medullaris has been described by the term ventriculus terminalis (VT) or the fifth ventricle. The finding of a VT on MRI imaging of the lumbar spine is often incidental but may be found in patients with low back pain or neuromuscular deficits. These lesions, when identified, are thought to regress or remain stable in terms of size, although some have been described to enlarge in the presence of post-traumatic meningeal hemorrhages or deformities of the vertebral canal. Case Report We describe a case of a slowly growing VT in a patient with progressing lower limb weakness without any history or imaging findings of trauma or spinal canal abnormalities. Conclusions We present an intriguing case of a slowly growing VT in a woman with progressive neurological symptoms. Surgical fenestration provided complete symptomatic relief and follow-up imaging two years after surgery demonstrated no evidence of recurrence. This, to our knowledge, is the first described case of a slowly enlarging VT independent of any other imaging findings. PMID:27867442

  7. FIRST FLOOR FRONT ROOM. SECOND FLOOR HAS BEEN REMOVED NOTE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    FIRST FLOOR FRONT ROOM. SECOND FLOOR HAS BEEN REMOVED-- NOTE PRESENCE OF SECOND FLOOR WINDOWS (THE LATTER FLOOR WAS REMOVED MANY YEARS AGO), See also PA-1436 B-12 - Kid-Physick House, 325 Walnut Street, Philadelphia, Philadelphia County, PA

  8. Burning Mouth Syndrome

    MedlinePlus

    ... iron)  Infection in the mouth, such as a yeast infection  Acid reflux TREATMENT Your doctor will help ... the underlying medical condition, such as diabetes or yeast infection, is treated. If a drug is causing ...

  9. Burning Mouth Syndrome

    MedlinePlus

    ... iron) Infection in the mouth, such as a yeast infection Acid reflux Back to Top Treatment Your ... the underlying medical condition, such as diabetes or yeast infection, is treated. If a drug is causing ...

  10. The Fungal Defensin Family Enlarged

    PubMed Central

    Wu, Jiajia; Gao, Bin; Zhu, Shunyi

    2014-01-01

    Fungi are an emerging source of peptide antibiotics. With the availability of a large number of model fungal genome sequences, we can expect that more and more fungal defensin-like peptides (fDLPs) will be discovered by sequence similarity search. Here, we report a total of 69 new fDLPs encoded by 63 genes, in which a group of fDLPs derived from dermatophytes are defined as a new family (fDEF8) according to sequence and phylogenetic analyses. In the oleaginous fungus Mortierella alpine, fDLPs have undergone extensive gene expansion. Our work further enlarges the fungal defensin family and will help characterize new peptide antibiotics with therapeutic potential. PMID:25230677

  11. Cerebrospinal Fluid Leak in Cochlear Implantation: Enlarged Cochlear versus Enlarged Vestibular Aqueduct (Common Cavity Excluded)

    PubMed Central

    Polizzi, Valeria; Formigoni, Patrizia; Russo, Carmela; Tribi, Lorenzo

    2016-01-01

    Objective. To share our experience of cerebrospinal fluid gusher in cochlear implantation in patients with enlarged cochlear or vestibular aqueduct. Study Design. Case series with comparison and a review of the literature. Methods. A retrospective study was performed. Demographic and radiological results of patients with enlarged cochlear aqueduct or enlarged vestibular aqueduct in 278 consecutive cochlear implant recipients, including children and adults, were evaluated between January 2000 and December 2015. Results. Six patients with enlarged cochlear aqueduct and eight patients with enlarged vestibular aqueduct were identified. Cerebrospinal fluid gusher occurs in five subjects with enlarged cochlear aqueduct and in only one case of enlarged vestibular aqueduct. Conclusion. Based on these findings, enlarged cochlear aqueduct may be the best risk predictor of cerebrospinal fluid gusher at cochleostomy during cochlear implant surgery despite enlarged vestibular aqueduct. PMID:27847516

  12. Algorithm For Enlargement Of Digitized Images

    NASA Technical Reports Server (NTRS)

    Rhea, William J.

    1993-01-01

    Digital Image Enlarging Balanced Reconstruction Algorithm (DIEBRA) enlarges digitized image composed of square pixels to make image look more like real scene. Synthesizes enlarged image at greater number of pixels, smoothing out blockiness while providing resolution finer than original pixels and closer to scene. Based on more-realistic treatment of pixels, not as points but as areas representing spatial-resolution elements or fields of view of imaging instrument.

  13. Pseudoangiomatous stromal hyperplasia causing massive breast enlargement.

    PubMed

    Bourke, Anita Geraldine; Tiang, Stephen; Harvey, Nathan; McClure, Robert

    2015-10-16

    Pseudoangiomatous stromal hyperplasia (PASH) of the breast is a benign mesenchymal proliferative process, initially described by Vuitch et al. We report an unusual case of a 46-year-old woman who presented with a 6-week history of bilateral massive, asymmetrical, painful enlargement of her breasts, without a history of trauma. On clinical examination, both breasts were markedly enlarged and oedematous, but there were no discrete palpable masses. Preoperative image-guided core biopsies and surgery showed PASH. PASH is increasingly recognised as an incidental finding on image-guided core biopsy performed for screen detected lesions. There are a few reported cases of PASH presenting as rapid breast enlargement. In our case, the patient presented with painful, asymmetrical, massive breast enlargement. Awareness needs to be raised of this entity as a differential diagnosis in massive, painful breast enlargement.

  14. Floors: Care and Maintenance.

    ERIC Educational Resources Information Center

    Post Office Dept., Washington, DC.

    Guidelines, methods and policies regarding the care and maintenance of post office building floors are overviewed in this handbook. Procedures outlined are concerned with maintaining a required level of appearance without wasting manpower. Flooring types and characteristics and the particular cleaning requirements of each type are given along with…

  15. School Flooring Factors

    ERIC Educational Resources Information Center

    McGrath, John

    2012-01-01

    With all of the hype that green building is receiving throughout the school facility-management industry, it's easy to overlook some elements that may not be right in front of a building manager's nose. It is helpful to examine the role floor covering plays in a green building project. Flooring is one of the most significant and important systems…

  16. FIRST FLOOR REAR ROOM. SECOND FLOOR HAS BEEN REMOVED NOTE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    FIRST FLOOR REAR ROOM. SECOND FLOOR HAS BEEN REMOVED-- NOTE PRESENCE OF SECOND FLOOR WINDOWS AT LEFT. See also PA-1436 B-6 - Kid-Physick House, 325 Walnut Street, Philadelphia, Philadelphia County, PA

  17. FIRST FLOOR REAR ROOM. SECOND FLOOR HAS BEEN REMOVED NOTE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    FIRST FLOOR REAR ROOM. SECOND FLOOR HAS BEEN REMOVED-- NOTE PRESENCE OF SECOND FLOOR WINDOWS AT LEFT. See also PA-1436 B-13 - Kid-Physick House, 325 Walnut Street, Philadelphia, Philadelphia County, PA

  18. Healthy Mouth for Your Baby

    MedlinePlus

    ... Institute of Dental and Craniofacial Research A Healthy Mouth For Your Baby Healthy teeth are important—even ... fact sheet can help you keep your baby’s mouth healthy and give him a healthy start! 1. ...

  19. Hand-foot-mouth disease

    MedlinePlus

    ... this page: //medlineplus.gov/ency/article/000965.htm Hand-foot-mouth disease To use the sharing features on this page, please enable JavaScript. Hand-foot-mouth disease is a common viral infection ...

  20. Hand, Foot and Mouth Disease

    MedlinePlus

    ... What's this? Submit Button Past Emails CDC Features Hand, Foot & Mouth Disease Language: English Español (Spanish) Recommend on Facebook Tweet Share Compartir Hand, foot, and mouth disease is common in infants ...

  1. Maturation of the MOUTh Intervention

    PubMed Central

    Jablonski-Jaudon, Rita A.; Kolanowski, Ann M.; Winstead, Vicki; Jones-Townsend, Corteza; Azuero, Andres

    2016-01-01

    The purpose of the current article is to describe a personalized practice originally conceived as a way to prevent and minimize care-resistant behavior to provide mouth care to older adult with dementia. The original intervention, Managing Oral Hygiene Using Threat Reduction Strategies (MOUTh), matured during the clinical trial study into a relationship-centered intervention with emphasis on developing strategies that support residents behavioral health and staff involved in care. Relationships that were initially pragmatic (i.e., focused on the task of completing mouth care) developed into more personal and responsive relationships that involved deeper engagement between mouth care providers and nursing home (NH) residents. Mouth care was accomplished and completed in a manner enjoyable to NH residents and mouth care providers. The MOUTh intervention may also concurrently affirm the dignity and personhood of the care recipient because of its emphasis on connecting with older adults. PMID:26934969

  2. Enlarged prostate - what to ask your doctor

    MedlinePlus

    ... as men get older. This is called benign prostatic hyperplasia (BPH). An enlarged prostate may cause you problems ... nlm.nih.gov/pubmed/23234640 . Roehrborn CG. Benign prostatic hyperplasia: Etiology, pathophysiology, epidemiology, and natural history. In: Wein ...

  3. Genetics Home Reference: enlarged parietal foramina

    MedlinePlus

    ... parietal foramina is an inherited condition of impaired skull development. It is characterized by enlarged openings (foramina) ... that form the top and sides of the skull. This condition is due to incomplete bone formation ( ...

  4. Burning mouth syndrome.

    PubMed

    Thoppay, Jaisri R; De Rossi, Scott S; Ciarrocca, Katharine N

    2013-07-01

    Burning mouth syndrome (BMS) is a chronic condition that is characterized by burning symptoms of the oral mucosa without obvious clinical examination findings. This syndrome has complex characteristics, but its cause remains largely enigmatic, making treatment and management of patients with BMS difficult. Despite not being accompanied by evident organic changes, BMS can significantly reduce the quality of life for such patients. Therefore, it is incumbent on dental professionals to diagnose and manage patients with BMS as a part of comprehensive care.

  5. A Sea Floor Penetrometer.

    DTIC Science & Technology

    processed through an analog-to-digital (A/D) converter, and stored in the memory of a mini-computer. Computer algorithms are applied to the deceleration data to provide real-time sea floor classification.

  6. Non-focal enlargement in pancreatic carcinoma

    SciTech Connect

    Wittenberg, J.; Simeone, J.F.; Ferrucci, J.T. Jr.; Mueller, P.R.; van Sonnenberg, E.; Neff, C.C.

    1982-07-01

    Pancreatic adenocarcinoma can appear radiographically as enlargement of the major part of the pancreas. In this series, part or all of three or more pancreatic segments (head, neck, body, and tail) were involved in 27% of patients with adenocarcinoma who had computed tomography. Differentiation from pure pancreatitis may require additional radiographic studies. The varied tissue composition of a pancreas enlarged by adenocarcinoma will often require biopsy of multiple sites for confirmation.

  7. Burning Mouth Syndrome: update.

    PubMed

    Spanemberg, Juliana Cassol; Rodríguez de Rivera Campillo, Eugenia; Salas, Enric Jané; López López, José

    2014-06-01

    Burning Mouth Syndrome (BMS) is a chronic disorder that predominately affects middle-aged women in the postmenopausal period. The condition is distinguished by burning symptoms of the oral mucosa and the absence of any clinical signs. The etiology of BMS is complex and it includes a variety of factors. Local, systemic and psychological factors such as stress, anxiety and depression are listed among the possible causes of BMS. BMS may sometimes be classified as BMS Type I, II or III. Although this syndrome is not accompanied by evident organic alterations and it does not present health risks, it can significantly reduce the patient's quality of life. This study analyzes the available literature related to BMS, and makes special reference to its therapeutic management. The pages that follow will also discuss the diagnostic criteria that should be respected, etiological factors, and clinical aspects. We used the PubMed database and searched it by using the keywords "burning mouth syndrome", "BMS and review", and "burning mouth and review", in the title or abstract of the publication. BMS treatment usually steers towards the management of the symptoms; however, the specific local factors that could play a significant role in worsening the oral burning sensation should be eradicated. The most widely accepted treatment options that show variable results include tricyclic antidepressants, benzodiazepines and antipsychotic drugs; nevertheless there are other therapies that can also be carried out. Professionals that work in the field of dentistry should formulate standardized symptomatic and diagnostic criteria in order to more easily identify the most effective and reliable strategies in BMS treatment through multidisciplinary research.

  8. [Pelvic floor and pregnancy].

    PubMed

    Fritel, X

    2010-05-01

    Congenital factor, obesity, aging, pregnancy and childbirth are the main risk factors for female pelvic floor disorders (urinary incontinence, anal incontinence, pelvic organ prolapse, dyspareunia). Vaginal delivery may cause injury to the pudendal nerve, the anal sphincter, or the anal sphincter. However the link between these injuries and pelvic floor symptoms is not always determined and we still ignore what might be the ways of prevention. Of the many obstetrical methods proposed to prevent postpartum symptoms, episiotomy, delivery in vertical position, delayed pushing, perineal massage, warm pack, pelvic floor rehabilitation, results are disappointing or limited. Caesarean section is followed by less postnatal urinary incontinence than vaginal childbirth. However this difference tends to disappear with time and following childbirth. Limit the number of instrumental extractions and prefer the vacuum to forceps could reduce pelvic floor disorders after childbirth. Ultrasound examination of the anal sphincter after a second-degree perineal tear is useful to detect and repair infra-clinic anal sphincter lesions. Scientific data is insufficient to justify an elective cesarean section in order to avoid pelvic floor symptoms in a woman without previous disorders.

  9. Burning mouth syndrome

    PubMed Central

    Jimson, Sudha; Rajesh, E.; Krupaa, R. Jayasri; Kasthuri, M.

    2015-01-01

    Burning mouth syndrome (BMS) is a complex disorder that is characterized by warm or burning sensation in the oral mucosa without changes on physical examination. It occurs more commonly in middle-aged and elderly women and often affects the tip of the tongue, lateral borders, lips, hard and soft palate. This condition is probably of multi-factorial origin, often idiopathic, and its etiopathogensis is unknown. BMS can be classified into two clinical forms namely primary and secondary BMS. As a result, a multidisciplinary approach is required for better control of the symptoms. In addition, psychotherapy and behavioral feedback may also help eliminate the BMS symptoms. PMID:26015707

  10. Burning mouth syndrome.

    PubMed

    Torgerson, Rochelle R

    2010-01-01

    Burning mouth syndrome (BMS) is a chronic condition characterized by burning of the oral mucosa, with or without dysgeusia and xerostomia, in the setting of no underlying systemic disease or identifiable abnormalities on physical examination or laboratory testing. BMS disproportionately affects postmenopausal women. The pathophysiology of the disease is unknown; no single treatment has proven universally successful. In light of these shortcomings, having a practical approach to the evaluation and management of patients with BMS can improve both patient quality of life and physician satisfaction.

  11. Burning Mouth Syndrome.

    PubMed

    Klasser, Gary D; Grushka, Miriam; Su, Nan

    2016-08-01

    Burning mouth syndrome (BMS) is an enigmatic, misunderstood, and under-recognized painful condition. Symptoms associated with BMS can be varied, thereby providing a challenge for practitioners and having a negative impact on oral health-related quality of life for patients. Management also remains a challenge for practitioners because it is currently only targeted for symptom relief without a definitive cure. There is an urgent need for further investigations to determine the efficacy of different therapies because this is the only way viable therapeutic options can be established for patients with this chronic and painful syndrome.

  12. Lateral cephalometry: A simple and economical clinical guide for assessment of nasopharyngeal free airway space in mouth breathers.

    PubMed

    Grewal, Navneet; Godhane, Alkesh V

    2010-04-01

    Nasopharyngeal obstruction by adenoid enlargement is one of the main causes of mouth breathing. Cephalometric radiographs and rhinomanometric tests to evaluate nasal obstruction have been available for several decades. Various lines and areas have been interpreted by number of investigators to implicate the enlarged adenoid in a casual relationship with mouth breathing and the subsequent effect on vertical facial growth. The aim of this paper is to review lateral cephalometric tracing methods combined with newer Auto-cad surface area measurement program so that assessment of the nasopharyngeal free airway space can be done based on it, before more rigorous ear-nose-throat follow up is needed for the patient.

  13. Lateral cephalometry: A simple and economical clinical guide for assessment of nasopharyngeal free airway space in mouth breathers

    PubMed Central

    Grewal, Navneet; Godhane, Alkesh V.

    2010-01-01

    Nasopharyngeal obstruction by adenoid enlargement is one of the main causes of mouth breathing. Cephalometric radiographs and rhinomanometric tests to evaluate nasal obstruction have been available for several decades. Various lines and areas have been interpreted by number of investigators to implicate the enlarged adenoid in a casual relationship with mouth breathing and the subsequent effect on vertical facial growth. The aim of this paper is to review lateral cephalometric tracing methods combined with newer Auto-cad surface area measurement program so that assessment of the nasopharyngeal free airway space can be done based on it, before more rigorous ear-nose-throat follow up is needed for the patient. PMID:22114385

  14. Cooling Floor AC Systems

    NASA Astrophysics Data System (ADS)

    Jun, Lu; Hao, Ding; Hong, Zhang; Ce, Gao Dian

    The present HVAC equipments for the residential buildings in the Hot-summer-and-Cold-winter climate region are still at a high energy consuming level. So that the high efficiency HVAC system is an urgently need for achieving the preset government energy saving goal. With its advantage of highly sanitary, highly comfortable and uniform of temperature field, the hot-water resource floor radiation heating system has been widely accepted. This paper has put forward a new way in air-conditioning, which combines the fresh-air supply unit and such floor radiation system for the dehumidification and cooling in summer or heating in winter. By analyze its advantages and limitations, we found that this so called Cooling/ Heating Floor AC System can improve the IAQ of residential building while keep high efficiency quality. We also recommend a methodology for the HVAC system designing, which will ensure the reduction of energy cost of users.

  15. Burning mouth syndrome.

    PubMed

    Gurvits, Grigoriy E; Tan, Amy

    2013-02-07

    Burning mouth syndrome is a debilitating medical condition affecting nearly 1.3 million of Americans. Its common features include a burning painful sensation in the mouth, often associated with dysgeusia and xerostomia, despite normal salivation. Classically, symptoms are better in the morning, worsen during the day and typically subside at night. Its etiology is largely multifactorial, and associated medical conditions may include gastrointestinal, urogenital, psychiatric, neurologic and metabolic disorders, as well as drug reactions. BMS has clear predisposition to peri-/post menopausal females. Its pathophysiology has not been fully elucidated and involves peripheral and central neuropathic pathways. Clinical diagnosis relies on careful history taking, physical examination and laboratory analysis. Treatment is often tedious and is aimed at correction of underlying medical conditions, supportive therapy, and behavioral feedback. Drug therapy with alpha lipoic acid, clonazepam, capsaicin, and antidepressants may provide symptom relief. Psychotherapy may be helpful. Short term follow up data is promising, however, long term prognosis with treatment is lacking. BMS remains an important medical condition which often places a recognizable burden on the patient and health care system and requires appropriate recognition and treatment.

  16. Atypical And Severe Enlargement Of Right Atrium.

    PubMed

    Siniscalchi, Carmine; Rossetti, Pietro; Rocci, Anna; Rubino, Pasquale; Basaglia, Manuela; Gaibazzi, Nicola; Quintavalla, Roberto

    2016-09-13

    A 76 year-old woman was admitted to the Emergency Department for recent-onset dyspnea and cough. The electrocardiogram was considered inconclusive. A thoracic X-ray showed global cardiac profile enlargement. Computed tomography, acutely performed in the clinical suspicion of atypical pneumonia/myocarditis or pericardial effusion, showed cardiac enlargement especially of the right chambers. In order to investigate Ebstein's anomaly, pericardial cysts, tumors or other conditions of the right heart a simple trans-thoracic echocardiogram was performed. Four chambers view showed a giant right atrium aneurysm with moderate tricuspid regurgitation without stenosis or typical Ebstein's echocardiographic pattern.

  17. A newborn with unilateral limb enlargement.

    PubMed

    Sharma, Shanel; Maino, Anna P F; Husain, Shad M; Adams, Gill G W

    2012-03-01

    On routine neonatal examination, a newborn term male was noted to have unilateral enlargement of the right lower limb, loose thickened red skin over the palm and widening of all the fingers on the right hand. His body was pinker and warmer on the right side compared with the left and he had a right undescended testicle and hypoplastic scrotum. Radiological examination of the lower limbs demonstrated the enlargement of the soft tissue of the right lower limb compared to the left (Fig. 1). Therefore, the diagnosis was unclear from this constellation of findings and an ophthalmic assessment was requested.

  18. 16. STATIC TEST TOWER REMOVABLE FLOOR LEVEL VIEW OF FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    16. STATIC TEST TOWER REMOVABLE FLOOR LEVEL VIEW OF FLOOR THAT FOLDS BACK TO ALLOW ROCKET PLACEMENT. - Marshall Space Flight Center, Saturn Propulsion & Structural Test Facility, East Test Area, Huntsville, Madison County, AL

  19. 16. SANDSORTING BUILDING, FIRST FLOOR, MEZZANINE ON LEFT (BELOW FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    16. SAND-SORTING BUILDING, FIRST FLOOR, MEZZANINE ON LEFT (BELOW FLOOR ARE CONCRETE AND STORAGE BINS), LOOKING NORTH - Mill "C" Complex, Sand-Sorting Building, South of Dee Bennet Road, near Illinois River, Ottawa, La Salle County, IL

  20. 45. SECOND FLOOR WAREHOUSE, WITH CRANE AND WOODEN BLOCK FLOORING. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    45. SECOND FLOOR WAREHOUSE, WITH CRANE AND WOODEN BLOCK FLOORING. VIEW TO NORTH. - Ford Motor Company Long Beach Assembly Plant, Assembly Building, 700 Henry Ford Avenue, Long Beach, Los Angeles County, CA

  1. Two and Three Bedroom Units: First Floor Plan, Second Floor ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Two and Three Bedroom Units: First Floor Plan, Second Floor Plan, South Elevation (As Built), North Elevation (As Built), East Elevation (As Built), East Elevation (Existing), North Elevation (Existing) - Aluminum City Terrace, East Hill Drive, New Kensington, Westmoreland County, PA

  2. Enlarging Our Perspectives on Two American Revolutions

    ERIC Educational Resources Information Center

    Branson, Margaret Stimmann

    1976-01-01

    Examines ways in which social studies teachers can help students identify and evaluate significant changes in the past and present and enlarge their perspectives on change. Information on the roles of women in the first American Revolution and insights on the present revolution are provided. (Author/DB)

  3. The lancelet and ammocoete mouths.

    PubMed

    Yasui, Kinya; Kaji, Takao

    2008-10-01

    The evolutionary history of the vertebrate mouth has long been an intriguing issue in comparative zoology. When the prevertebrate state was considered, the oral structure in adult lancelets (amphioxus) was traditionally referred to because of its general similarity to that of the ammocoete larva of lampreys. The larval mouth in lancelets, however, shows a peculiar developmental mode. Reflecting this, the affinity of the lancelet mouth has long been argued, but is still far from a consensus. The increase in available data from molecular biology, comparative developmental biology, paleontology, and other related fields makes it prudent to discuss morphological homology and homoplasy. Here, we review how the lancelet mouth has been interpreted in the study of evolution of the vertebrate mouth, as well as recent advances in chordate studies. With this background of increased knowledge, our innervation analysis supports the interpretation that the morphological similarity in the oral apparatus between ammocoetes and lancelets is a homoplasy caused by their similar food habits.

  4. [Materials for mouth protectors].

    PubMed

    Kloeg, E F; Collys, K

    2003-01-01

    Taking into account the number of teeth which are yearly irreversible traumatised during sport activities, the general use of mouthguards would contribute positively to the prevention of dental injuries. Custom-made mouthguards are more comfortable to wear and offer better retention and protection than stock and mouth-formed mouthguards. Different kinds of materials are available on the market for the construction of mouthguards. A polyethylene-polyvinylacetate copolymer (EVA) is the most suitable material. EVA allows the inclusion of hard or soft layers within the mouthguard. The thickness of a mouthguard is important for the reduction of applied forces to teeth: energy absorption capacity increases with material thickness. Increased thickness however, is associated with a reduction of comfort. Therefore, it is important that dentists take the patients' wishes and demands on both comfort and protection into consideration. A description of the clinical and technical method for the construction of a custom made mouthguard is given.

  5. [Burning mouth syndrome (glossalgia)].

    PubMed

    2014-01-01

    Burning mouth syndrome (glossalgia) is manifested by oral pin and tingling sensations, numbness and even burning and severe pains, more frequently in the tongue. Unpleasant sensations may involve the anterior two thirds of the tongue or be extended to the front part of the hard palate and the mucous membrane of the lower lip. This condition is characterized by "mirror" and "food dominant" symptoms, disordered salivation, dysgeusia, or psychological disorders. The disease shows a chronic course. Its etiology may be multifactorial. There are no universally accepted diagnostic criteria; the diagnosis of glossalgia is made to rule out all other causes. A thorough examination should be conducted to establish a differential diagnosis. Glossalgia occurs primarily in middle-aged and elderly people. Women get sick much more frequently than men of the same age. Glossalgia remains difficult to treat. Continuous symptomatic treatment and follow-up help relieve its symptoms.

  6. Burning Mouth Syndrome.

    PubMed

    Kamala, K A; Sankethguddad, S; Sujith, S G; Tantradi, Praveena

    2016-01-01

    Burning mouth syndrome (BMS) is multifactorial in origin which is typically characterized by burning and painful sensation in an oral cavity demonstrating clinically normal mucosa. Although the cause of BMS is not known, a complex association of biological and psychological factors has been identified, suggesting the existence of a multifactorial etiology. As the symptom of oral burning is seen in various pathological conditions, it is essential for a clinician to be aware of how to differentiate between symptom of oral burning and BMS. An interdisciplinary and systematic approach is required for better patient management. The purpose of this study was to provide the practitioner with an understanding of the local, systemic, and psychosocial factors which may be responsible for oral burning associated with BMS, and review of treatment modalities, therefore providing a foundation for diagnosis and treatment of BMS.

  7. Burning mouth syndrome.

    PubMed

    Nasri-Heir, Cibele

    2012-01-01

    According to the International Association for the Study of Pain, burning mouth Syndrome (BMS) is defined as a burning pain in the tongue or other oral mucous membrane in the absence of clinical signs or laboratory findings. The etiology is unknown and presents a challenge for both researchers and clinicians. The management of BMS is still not satisfactory. The prognosis is poor and the burning sensation can last for many years causing a dramatic impact on the patient's quality of life. It is important to distinguish between true BMS and symptomatic burning sensation which occurs when the burning sensation is secondary to a local or systemic pathologic condition. Currently, there are no defined diagnostic criteria for BMS. A diagnosis is usually reached by exclusion of other diseases. This may lead to misdiagnoses, presenting an obstacle to successful treatment.

  8. Chronic pelvic floor dysfunction.

    PubMed

    Hartmann, Dee; Sarton, Julie

    2014-10-01

    The successful treatment of women with vestibulodynia and its associated chronic pelvic floor dysfunctions requires interventions that address a broad field of possible pain contributors. Pelvic floor muscle hypertonicity was implicated in the mid-1990s as a trigger of major chronic vulvar pain. Painful bladder syndrome, irritable bowel syndrome, fibromyalgia, and temporomandibular jaw disorder are known common comorbidities that can cause a host of associated muscular, visceral, bony, and fascial dysfunctions. It appears that normalizing all of those disorders plays a pivotal role in reducing complaints of chronic vulvar pain and sexual dysfunction. Though the studies have yet to prove a specific protocol, physical therapists trained in pelvic dysfunction are reporting success with restoring tissue normalcy and reducing vulvar and sexual pain. A review of pelvic anatomy and common findings are presented along with suggested physical therapy management.

  9. Floor of Hellas Basin

    NASA Technical Reports Server (NTRS)

    2002-01-01

    [figure removed for brevity, see original site]

    With a diameter of roughly 2000 km and a depth of over 7 km, the Hellas Basin is the largest impact feature on Mars. Because of its great depth, there is significantly more atmosphere to peer through in order to see its floor, reducing the quality of the images taken from orbit. This THEMIS image straddles a scarp between the Hellas floor and an accumulation of material at least a half kilometer thick that covers much of the floor. The southern half of the image contains some of this material. Strange ovoid landforms are present here that give the appearance of flow. It is possible that water ice or even liquid water was present in the deposits and somehow responsible for the observed landscape. The floor of Hellas remains a poorly understood portion of the planet that should benefit from the analysis of new THEMIS data.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in

  10. Rupture of the stomach following mouth-to-mouth respiration

    PubMed Central

    Solowiejczyk, M.; Wapnick, S.; Koren, E.; Mandelbaum, J.

    1974-01-01

    Successful repair and survival after rupture of the stomach in a patient who received mouth-to-mouth respiration is presented. We were able to find only one report in the literature where rupture of the stomach occurred following this manoeuvre—the patient did not survive. The possible aetiological factors and measures designed to avoid this complication are discussed. ImagesFig. 1 PMID:4469046

  11. Aortic Root Enlargement or Sutureless Valve Implantation?

    PubMed Central

    Baikoussis, Nikolaos G.; Dedeilias, Panagiotis; Argiriou, Michalis

    2016-01-01

    Aortic valve replacement (AVR) in patients with a small aortic annulus is a challenging issue. The importance of prosthesis–patient mismatch (PPM) post aortic valve replacement (AVR) is controversial but has to be avoided. Many studies support the fact that PPM has a negative impact on short and long term survival. In order to avoid PPM, aortic root enlargement may be performed. Alternatively and keeping in mind that often some comorbidities are present in old patients with small aortic root, the Perceval S suturelles valve implantation could be a perfect solution. The Perceval sutureless bioprosthesis provides reasonable hemodynamic performance avoiding the PPM and providing the maximum of aortic orifice area. We would like to see in the near future the role of the aortic root enlargement techniques in the era of surgical implantation of the sutureless valve (SAVR) and the transcatheter valve implantation (TAVI). PMID:28028424

  12. Enlarged pancreas: not always a cancer.

    PubMed

    Calculli, Lucia; Festi, Davide; Pezzilli, Raffaele

    2015-02-01

    Pancreatic fat accumulation has been described with various terms including pancreatic lipomatosis, pancreatic steatosis, fatty replacement, fatty infiltration, fatty pancreas, lipomatous pseudohypertrophy and nonalcoholic fatty pancreas disease. It has been reported to be associated with type 2 diabetes mellitus, acute pancreatitis, pancreatic cancer and the formation of pancreatic fistula. The real incidence of this condition is still unknown. We report a case of pancreatic steatosis in a non-obese female patient initially diagnosed with a mass in the head of the pancreas. Magnetic resonance imaging (MRI) was carried out to define the characteristics of the pancreatic mass. MRI confirmed the diagnosis of fat pancreas. Enlarged pancreas is not always a cancer, but pancreatic steatosis is characterized by pancreatic enlargement. MRI could give a definite diagnosis of pancreatic steatosis or cancer.

  13. Penile enlargement: from medication to surgery.

    PubMed

    Nugteren, Helena M; Balkema, G T; Pascal, A L; Schultz, W C M Weijmar; Nijman, J M; van Driel, M F

    2010-01-01

    Penis lengthening pills, stretch apparatus, vacuum pumps, silicone injections, and lengthening and thickening operations are available for men who worry about their penis size. Surgery is thus far the only proven scientific method for penile enlargement. In this article, we consider patient selection, outcome evaluation, and techniques applied. In our view, sexological counseling and detailed explanation of risks and complications are mandatory before any operative intervention.

  14. Quantitative characterization of airspace enlargement in emphysema.

    PubMed

    Parameswaran, Harikrishnan; Majumdar, Arnab; Ito, Satoru; Alencar, Adriano M; Suki, Béla

    2006-01-01

    The mean linear intercept (L(m)) can be used to estimate the surface area for gas exchange in the lung. However, in recent years, it is most commonly used as an index for characterizing the enlargement of airspaces in emphysema and the associated severity of structural destruction in the lung. Specifically, an increase in L(m) is thought to result from an increase in airspace sizes. In this paper, we examined how accurately L(m) measures the linear dimensions of airspaces from histological sections and a variety of computer-generated test images. To this end, we developed an automated method for measuring linear intercepts from digitized images of tissue sections and calculate L(m) as their mean. We examined how the shape of airspaces and the variability of their sizes influence L(m) as well as the distribution of linear intercepts. We found that, for a relatively homogeneous enlargement of airspaces, L(m) was a reliable index for detecting emphysema. However, in the presence of spatial heterogeneities with a large variability of airspace sizes, L(m) did not significantly increase and sometimes even decreased compared with its value in normal tissue. We also developed an automated method for measuring the area and computed an equivalent diameter of each individual airspace that is independent of shape. Finally, we introduced new indexes based on the moments of diameter that we found to be more reliable than L(m) to characterize airspace enlargement in the presence of heterogeneities.

  15. Modular Flooring System

    NASA Technical Reports Server (NTRS)

    Thate, Robert

    2012-01-01

    The modular flooring system (MFS) was developed to provide a portable, modular, durable carpeting solution for NASA fs Robotics Alliance Project fs (RAP) outreach efforts. It was also designed to improve and replace a modular flooring system that was too heavy for safe use and transportation. The MFS was developed for use as the flooring for various robotics competitions that RAP utilizes to meet its mission goals. One of these competitions, the FIRST Robotics Competition (FRC), currently uses two massive rolls of broadloom carpet for the foundation of the arena in which the robots are contained during the competition. The area of the arena is approximately 30 by 72 ft (approximately 9 by 22 m). This carpet is very cumbersome and requires large-capacity vehicles, and handling equipment and personnel to transport and deploy. The broadloom carpet sustains severe abuse from the robots during a regular three-day competition, and as a result, the carpet is not used again for competition. Similarly, broadloom carpets used for trade shows at convention centers around the world are typically discarded after only one use. This innovation provides a green solution to this wasteful practice. Each of the flooring modules in the previous system weighed 44 lb (.20 kg). The improvements in the overall design of the system reduce the weight of each module by approximately 22 lb (.10 kg) (50 %), and utilize an improved "module-to-module" connection method that is superior to the previous system. The MFS comprises 4-by-4-ft (.1.2-by- 1.2-m) carpet module assemblies that utilize commercially available carpet tiles that are bonded to a lightweight substrate. The substrate surface opposite from the carpeted surface has a module-to-module connecting interface that allows for the modules to be connected, one to the other, as the modules are constructed. This connection is hidden underneath the modules, creating a smooth, co-planar flooring surface. The modules are stacked and strapped

  16. Mouth and Teeth (For Parents)

    MedlinePlus

    ... infection, a dentist might need to remove them. Human teeth are made up of four different types of ... previous continue Normal Development of the Mouth and Teeth Humans are diphyodont, meaning that they develop two sets ...

  17. Crater Wall and Floor

    NASA Technical Reports Server (NTRS)

    2003-01-01

    [figure removed for brevity, see original site]

    3D Projection onto MOLA data [figure removed for brevity, see original site]

    The impact crater observed in this THEMIS image taken in Terra Cimmeria suggests sediments have filled the crater due to the flat and smooth nature of the floor compared to rougher surfaces at higher elevations. The abundance of several smaller impact craters on the floor of the larger crater indicate however that the flat surface has been exposed for an extended period of time. The smooth surface of the crater floor and rougher surfaces at higher elevations are observed in the 3-D THEMIS image that is draped over MOLA topography (2X vertical exaggeration).

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

    Image information: VIS instrument. Latitude -22.9, Longitude 155.7 East (204.3 West). 19 meter/pixel resolution.

  18. An unusual case of generalized severe gingival enlargement during pregnancy.

    PubMed

    McIntosh, Crystal L; Kolhatkar, Shilpa; Winkler, James R; Ojha, Junu; Bhola, Monish

    2010-01-01

    Increased hormone levels that are present during puberty and pregnancy are associated with localized or generalized gingival enlargement. This article reviews the gingival alterations that can occur during pregnancy and describes a case of generalized severe gingival enlargement associated with pregnancy and its management. A 36-year-old woman had severe bilateral gingival enlargement of short duration. The patient denied taking any medications. The laboratory report revealed no systemic abnormalities; however, the report disclosed that she was pregnant. Surgical therapy for the gingival enlargement included gingivectomy and gingivoplasty of all quadrants, which reduced the size of the enlarged gingiva. Postoperative visits demonstrated uneventful healing, with no recurrence seen at the one-year follow-up appointment. It appears that the English literature includes only one other case report that discusses generalized gingival enlargement during pregnancy. Pregnancy-related gingival enlargement should be included as a differential diagnosis in women who have non-drug-induced generalized gingival enlargement.

  19. Treating Enlarged Prostate (BPH): Which Drugs Work Best

    MedlinePlus

    ... the prostate gets larger. This is called prostate enlargement, or BPH (benign prostatic hyperplasia). Why should I ... alpha-blocker doxazosin for a first treatment. Prostate enlargement affects millions of men, including about half of ...

  20. [Pelvic floor muscle training and pelvic floor disorders in women].

    PubMed

    Thubert, T; Bakker, E; Fritel, X

    2015-05-01

    Our goal is to provide an update on the results of pelvic floor rehabilitation in the treatment of urinary incontinence and genital prolapse symptoms. Pelvic floor muscle training allows a reduction of urinary incontinence symptoms. Pelvic floor muscle contractions supervised by a healthcare professional allow cure in half cases of stress urinary incontinence. Viewing this contraction through biofeedback improves outcomes, but this effect could also be due by a more intensive and prolonged program with the physiotherapist. The place of electrostimulation remains unclear. The results obtained with vaginal cones are similar to pelvic floor muscle training with or without biofeedback or electrostimulation. It is not known whether pelvic floor muscle training has an effect after one year. In case of stress urinary incontinence, supervised pelvic floor muscle training avoids surgery in half of the cases at 1-year follow-up. Pelvic floor muscle training is the first-line treatment of post-partum urinary incontinence. Its preventive effect is uncertain. Pelvic floor muscle training may reduce the symptoms associated with genital prolapse. In conclusion, pelvic floor rehabilitation supervised by a physiotherapist is an effective short-term treatment to reduce the symptoms of urinary incontinence or pelvic organ prolapse.

  1. Novel carbocyle enlargement in aqueous medium

    SciTech Connect

    Li, C.J.; Chen, D.L.; Lu, Y.Q.; Haberman, J.X.; Mague, J.T.

    1996-05-01

    For two-atom ring expansions, the photochemical method of [2+2] cyclization-decyclization is the most successful. The [2+2] cycloaddition of an acetylenic ester to an enamine of a cyclic ketone and subsequent opening of the annulated cyclobutene moiety formed in another useful method for two-carbon ring expansion. We report here a novel two-atom carbocycle enlargement based on the indium-mediated Barbier-Grignard type reaction in water. 7 refs., 1 fig., 1 tab.

  2. Candor Chasma Floor

    NASA Technical Reports Server (NTRS)

    2005-01-01

    [figure removed for brevity, see original site] Context image for PIA03080 Candor Chasma Floor

    This VIS image shows part of the layered and wind sculpted deposit that occurs on the floor of Candor Chasma.

    Image information: VIS instrument. Latitude 6.6S, Longitude 284.4E. 17 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  3. Canyon Floor Deposits

    NASA Technical Reports Server (NTRS)

    2005-01-01

    [figure removed for brevity, see original site] Context image for PIA03598 Canyon Floor Deposits

    The layered and wind eroded deposits seen in this VIS image occur on the floor of Chandor Chasma.

    Image information: VIS instrument. Latitude 5.2S, Longitude 283.4E. 17 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  4. Spallanzani Cr. Floor

    NASA Technical Reports Server (NTRS)

    2005-01-01

    [figure removed for brevity, see original site] Context image for PIA03632 Spallanzani Cr. Floor

    This image was taken by one of the Mars Student Imaging Project (MSIP) teams. Their target is the unusual floor deposits in Spallanzani Crater. The wind may have affected the surface of the layered deposit. Small dunes have formed near the southern margin.

    Image information: VIS instrument. Latitude 57.9S, Longitude 86.5E. 17 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  5. Floor of Juventae Chasma

    NASA Technical Reports Server (NTRS)

    2002-01-01

    (Released 30 May 2002) Juventae Chasma is an enormous box canyon (250 km X 100 km) which opens to the north and forms the outflow channel Maja Vallis. Most Martian outflow channels such as Maja, Kasei, and Ares Valles begin at point sources such as box canyons and chaotic terrain and then flow unconfined into a basin region. This image captures a portion of the western floor of Juventae Chasma and shows a wide variety of landforms. Conical hills, mesas, buttes and plateaus of layered material dominate this scene and seem to be 'swimming' in vast sand sheets. The conical hills have a spur and gully topography associated with them while the flat topped buttes and mesas do not. This may be indicative of different materials that compose each of these landforms or it could be that the flat-topped layer has been completely eroded off of the conical hills thereby exposing a different rock type. Both the conical hills and flat-topped buttes and mesas have extensive scree slopes (heaps of eroded rock and debris). Ripples, which are inferred to be dunes, can also be seen amongst the hills. No impact craters can be seen in this image, indicating that the erosion and transport of material down the canyon wall and across the floor is occurring at a relatively rapid rate, so that any craters that form are rapidly buried or eroded.

  6. 48 CFR 6101.3 - Time: enlargement; computation [Rule 3].

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Time: enlargement..., GENERAL SERVICES ADMINISTRATION CONTRACT DISPUTE CASES 6101.3 Time: enlargement; computation . (a) Time... enlargement of time may be granted even though the request was filed after the time for taking the...

  7. USAREUR 2010: Harnessing the Potential of NATO Enlargement

    DTIC Science & Technology

    2007-11-02

    in The Challenge of NATO Enlargement, 20. 28 Jeffrey Simon, “NATO Enlargement: Crossing the Rubicon ,” in NATO after Fifty Years, ed. S. Victor...11_10_99Europe.htm>. Internet. Accessed 29 September 2002. Simon, Jeffrey. “NATO Enlargement: Crossing the Rubicon .” In NATO after Fifty Years, ed. S. Victor

  8. Bilateral parotid enlargement due to malnutrition under the influence of the media in an adolescent in Lithuania.

    PubMed

    Mieliauskaite, Diana; Venalis, Algirdas; Graziene, Vida; Kirdaite, Gailute

    2007-07-01

    The elimination of censorship for the media in post-communist countries in transition has contributed to increases in the prevalence of several medical problems. Children and adolescents are particularly vulnerable to the messages conveyed through the media, which influence their perceptions and behaviour. We describe a case of bilateral parotid enlargement due to malnutrition under the influence of self-prescribed diet in an adolescent. A 15-year-old girl reported to our institution under suspicion of Sjögren's syndrome for medical advice. Two months ago she developed persistent bilateral parotid enlargement and a dry mouth. Her medical history revealed a weight loss due to "self-prescribed" reduce diet. Social questioning clarified high use of the media and influence on the body concept and self image. On extra oral examination, a diffuse parotid enlargement was seen bilaterally. The examination of the mouth showed a low moisture level of the intraoral mucosa. The unstimulated whole salivary flow rate was 2 ml in 15 min. Laboratory findings evidenced anemia (107 g/l). The serum albumin concentration indicated a reduced level (28 g/l). Search for antinuclear antibodies, anti-SSA antibodies, anti-SSB, -Sm, -RNP and anti-double-stranded DNA antibodies was negative. Evaluation for antibodies against hepatitis C, cytomegalovirus and Epstein-Barr virus infection and HIV rendered negative results. A histopathologic examination of labial salivary gland biopsy revealed a picture of sialoadenosis. From the above investigations, a diagnosis of sialoadenosis due to malnutrition was made.

  9. 4. STAIR, FROM SECOND FLOOR TO THIRD FLOOR, FROM NORTHEAST. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    4. STAIR, FROM SECOND FLOOR TO THIRD FLOOR, FROM NORTHEAST. Plan of stair is elliptical, the inside well measuring 54' on major axis and 14' on minor axis. ALSO NOTE HIGH REEDED WAINSCOT - Saltus-Habersham House, 802 Bay Street, Beaufort, Beaufort County, SC

  10. 18. FOURTH FLOOR BLDG. 28, RAISED CONCRETE SLAB FLOOR WITH ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    18. FOURTH FLOOR BLDG. 28, RAISED CONCRETE SLAB FLOOR WITH BLOCKS AND PULLEYS OVERHEAD LOOKING NORTHEAST. - Fafnir Bearing Plant, Bounded on North side by Myrtle Street, on South side by Orange Street, on East side by Booth Street & on West side by Grove Street, New Britain, Hartford County, CT

  11. Floor Plans: Section "AA", Section "BB"; Floor Framing Plans: Section ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Floor Plans: Section "A-A", Section "B-B"; Floor Framing Plans: Section "A-A", Section "B-B" - Fort Washington, Fort Washington Light, Northeast side of Potomac River at Fort Washington Park, Fort Washington, Prince George's County, MD

  12. VIEW OF WIDE STAIR TO SECOND FLOOR FROM GROUND FLOOR. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW OF WIDE STAIR TO SECOND FLOOR FROM GROUND FLOOR. VIEW FACING SOUTH - U.S. Naval Base, Pearl Harbor, Ford Island Polaris Missile Lab & U.S. Fleet Ballistic Missile Submarine Training Center, Between Lexington Boulvevard and the sea plane ramps on the southwest side of Ford Island, Pearl City, Honolulu County, HI

  13. 13. Bottom floor, tower interior showing concrete floor and cast ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. Bottom floor, tower interior showing concrete floor and cast iron bases for oil butts (oil butts removed when lighthouse lamp was converted to electric power.) - Block Island Southeast Light, Spring Street & Mohegan Trail at Mohegan Bluffs, New Shoreham, Washington County, RI

  14. 18. MAIN FLOOR HOLDING TANKS Main floor, looking at ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    18. MAIN FLOOR - HOLDING TANKS Main floor, looking at holding tanks against the west wall, from which sluice gates are seen protruding. Right foreground-wooden holding tanks. Note narrow wooden flumes through which fish were sluiced into holding and brining tanks. - Hovden Cannery, 886 Cannery Row, Monterey, Monterey County, CA

  15. Modelling the pelvic floor for investigating difficulties during childbirth

    NASA Astrophysics Data System (ADS)

    Li, Xinshan; Kruger, Jennifer A.; Chung, Jae-Hoon; Nash, Martyn P.; Nielsen, Poul M. F.

    2008-03-01

    Research has suggested that athletes involved in high-intensity sports for sustained periods have a higher probability of experiencing prolonged second stage of labour compared to non-athletes. The mechanism responsible for this complication is unknown but may depend on the relative size or tone of the pelvic floor muscles. Prolonged training can result in enlargement and stiffening of these muscles, providing increased resistance as the fetal head descends through the birth canal during a vaginal birth. On the other hand, recent studies have suggested an association between increased muscle bulk in athletes and higher distensibility. This project aims to use mathematical modelling to study the relationship between the size and tone of the pelvic floor muscles and the level of difficulty during childbirth. We obtained sets of magnetic resonance (MR) images of the pelvic floor region for a female athlete and a female non-athlete. Thirteen components of the pelvic floor were segmented and used to generate finite element (FE) models. The fetal head data was obtained by laser scanning a skull replica and a FE model was fitted to these data. We used contact mechanics to simulate the motion of the fetal head moving through the pelvic floor, constructed from the non-athlete data. A maximum stretch ratio of 3.2 was induced in the muscle at the left lateral attachment point to the pubis. We plan to further improve our modelling framework to include active muscle contraction and fetal head rotations in order to address the hypotheses that there is a correlation between the level of difficulty and the size or tone of the pelvic floor muscles.

  16. Ocean floor boundaries.

    PubMed

    Hedberg, H D

    1979-04-13

    The base of the continental slope, combined with the concepts of a boudary zone, a technical advisory boundary commission, and special treatment for restricted seas, offers a readily attainable, natural, practicable, and equitable boundary between national and international jurisdiction over the ocean floor. There is no point in bringing into the boundary formula the unnecessary added complication of thickness of sediments, as recently proposed. Review of the U.S. offshore brings out the critical importance with respect to energy resources of proper choice of boundary principles and proper determination of the base-of-continent line about our shores. The advice of the pertinent science and technology community should urgently be sought and contributed to decisions on offshore boundaries.

  17. Floor-plan radar

    NASA Astrophysics Data System (ADS)

    Falconer, David G.; Ueberschaer, Ronald M.

    2000-07-01

    Urban-warfare specialists, law-enforcement officers, counter-drug agents, and counter-terrorism experts encounter operational situations where they must assault a target building and capture or rescue its occupants. To minimize potential casualties, the assault team needs a picture of the building's interior and a copy of its floor plan. With this need in mind, we constructed a scale model of a single- story house and imaged its interior using synthetic-aperture techniques. The interior and exterior walls nearest the radar set were imaged with good fidelity, but the distal ones appear poorly defined and surrounded by ghosts and artifacts. The latter defects are traceable to beam attenuation, wavefront distortion, multiple scattering, traveling waves, resonance phenomena, and other effects not accounted for in the traditional (noninteracting, isotropic point scatterer) model for radar imaging.

  18. Flow Along Valley Floors

    NASA Technical Reports Server (NTRS)

    2003-01-01

    [figure removed for brevity, see original site]

    Released 9 May 2003

    Lines indicative of flow in a valley floor (east to west) cut across similar lines in a slightly smaller valley (southeast to northwest), indicating both that material flowed along the valley floor (as opposed to across it) and that relative flow ages may be determined from crosscutting relationships.

    Image information: VIS instrument. Latitude 39.6, Longitude 31.1East (328.9). 19 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  19. What's New in Floor Care.

    ERIC Educational Resources Information Center

    Griffin, William R.

    1999-01-01

    Examines some of the new equipment, chemicals, and procedures in floor care to help educational facility managers develop floor care programs and improve performance. Trends include more mechanization, higher concentrations and environmentally preferable products for cleaning, and the use of written cleaning procedures. (GR)

  20. Conductance enlargement in picoscale electroburnt graphene nanojunctions

    PubMed Central

    Sadeghi, Hatef; Mol, Jan A.; Lau, Chit Siong; Briggs, G. Andrew D.; Warner, Jamie; Lambert, Colin J.

    2015-01-01

    Provided the electrical properties of electroburnt graphene junctions can be understood and controlled, they have the potential to underpin the development of a wide range of future sub-10-nm electrical devices. We examine both theoretically and experimentally the electrical conductance of electroburnt graphene junctions at the last stages of nanogap formation. We account for the appearance of a counterintuitive increase in electrical conductance just before the gap forms. This is a manifestation of room-temperature quantum interference and arises from a combination of the semimetallic band structure of graphene and a cross-over from electrodes with multiple-path connectivity to single-path connectivity just before breaking. Therefore, our results suggest that conductance enlargement before junction rupture is a signal of the formation of electroburnt junctions, with a picoscale current path formed from a single sp2 bond. PMID:25730863

  1. Patient with bilateral breast enlargement and hypospadias.

    PubMed

    Ali, A A; Ahmed, T; Rashid, M M

    2009-01-01

    A 20 year old man was admitted in the surgical unit of Dhaka Medical College Hospital on August 2007 presented with Hypospadias & underdeveloped penis from childhood, gradual enlargement of both breasts for the last 10 years, absence of axillary and pubic hair from puberty & painful swelling of both testes for the last 3 years. The patient was regarded as a female upto the age of 10 years. He has got no voice change since puberty. On examination he had average body built, there was bilateral gynaecomastia, hypospadias, rudimentary penis & absence of pubic and axillary hair. His testosterone level, serum prolactin level, serum progesterone level, serum estradiol level was done. Cytology on buccal smear done and ultrasonography revealed no ovary and uterus. Ultimately patient was diagnosed as a case of androgen insensitivity syndrome (AIS). The case is reported for clinical awareness & to share our experience.

  2. Laparoscopy for pelvic floor disorders.

    PubMed

    Van Geluwe, B; Wolthuis, A; D'Hoore, A

    2014-02-01

    Surgical treatment of pelvic floor disorders has significantly evolved during the last decade, with increasing understanding of anatomy, pathophysiology and the minimally-invasive 'revolution' of laparoscopic surgery. Laparoscopic pelvic floor repair requires a thorough knowledge of pelvic floor anatomy and its supportive components before repair of defective anatomy is possible. Several surgical procedures have been introduced and applied to treat rectal prolapse syndromes. Transabdominal procedures include a variety of rectopexies with the use of sutures or prosthesis and with or without resection of redundant sigmoid colon. Unfortunately there is lack of one generally accepted standard treatment technique. This article will focus on recent advances in the management of pelvic floor disorders affecting defecation, with a brief overview of contemporary concepts in pelvic floor anatomy and different laparoscopic treatment options.

  3. Simple Solutions for Treating Dry Mouth

    MedlinePlus

    Patient Education Sheet Simple Solutions for Treating Dry Mouth Clinicians: Please make as many copies of this ... Philadelphia, for authoring “Simple Solutions for Treating Dry Mouth.” Ask your family doctor to discontinue or provide ...

  4. Dry Mouth? Don't Delay Treatment

    MedlinePlus

    ... Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products For Consumers Home For Consumers Consumer Updates Dry Mouth? Don' ... or neck cancer. back to top Advice for Consumers If you have persistent dry mouth: Talk to ...

  5. Mouth and neck radiation - discharge

    MedlinePlus

    ... of salt and 2 tablespoons (30 grams) of baking soda in 4 cups (1 liter) of water DO NOT use rinses that have alcohol in them. You may use an antibacterial rinse 2 to 4 times a day for gum disease. To further take care of your mouth: DO NOT eat foods or drink beverages that ...

  6. Making A Precisely Level Floor

    NASA Technical Reports Server (NTRS)

    Simpson, William G.; Walker, William H.; Cather, Jim; Burch, John B.; Clark, Keith M.; Johnston, Dwight; Henderson, David E.

    1989-01-01

    Floor-pouring procedure yields large surface level, smooth, and hard. Floor made of self-leveling, slow-curing epoxy with added black pigment. Epoxy poured to thickness no greater than 0.33 in. (0.84 cm) on concrete base. Base floor seasoned, reasonably smooth and level, and at least 4 in. (10cm) thick. Base rests on thermal barrier of gravel or cinders and contains no steel plates, dividers, or bridges to minimize thermal distortion. Metal retaining wall surrounds base.

  7. Low floor mass transit vehicle

    DOEpatents

    Emmons, J. Bruce; Blessing, Leonard J.

    2004-02-03

    A mass transit vehicle includes a frame structure that provides an efficient and economical approach to providing a low floor bus. The inventive frame includes a stiff roof panel and a stiff floor panel. A plurality of generally vertical pillars extend between the roof and floor panels. A unique bracket arrangement is disclosed for connecting the pillars to the panels. Side panels are secured to the pillars and carry the shear stresses on the frame. A unique seating assembly that can be advantageously incorporated into the vehicle taking advantage of the load distributing features of the inventive frame is also disclosed.

  8. Flooring choices for newborn ICUs.

    PubMed

    White, R D

    2007-12-01

    Floors are a major element of newborn intensive care unit (NICU) construction. They provide visual cues, sound control, and with certain materials, some degree of physical comfort for workers. Flooring materials may entail a significant cost for installation and upkeep and can have substantial ecological impact, both in the choice of the flooring itself, as well as the substances used to clean it. In this article the important aspects to consider for each factor are explored and recommendations are offered for appropriate choices in various NICU areas.

  9. 21. VIEW OF THE FIRST FLOOR PLAN. THE FIRST FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    21. VIEW OF THE FIRST FLOOR PLAN. THE FIRST FLOOR WAS USED FOR DEPLETED AND ENRICHED URANIUM FABRICATION. THE ORIGINAL DRAWING HAS BEEN ARCHIVED ON MICROFILM. THE DRAWING WAS REPRODUCED AT THE BEST QUALITY POSSIBLE. LETTERS AND NUMBERS IN THE CIRCLES INDICATE FOOTER AND/OR COLUMN LOCATIONS. - Rocky Flats Plant, Uranium Rolling & Forming Operations, Southeast section of plant, southeast quadrant of intersection of Central Avenue & Eighth Street, Golden, Jefferson County, CO

  10. 23. VIEW OF THE FIRST FLOOR PLAN. THE FIRST FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    23. VIEW OF THE FIRST FLOOR PLAN. THE FIRST FLOOR HOUSED ADMINISTRATIVE OFFICES, THE CENTRAL COMPUTING, UTILITY SYSTEMS, ANALYTICAL LABORATORIES, AND MAINTENANCE SHOPS. THE ORIGINAL DRAWING HAS BEEN ARCHIVED ON MICROFILM. THE DRAWING WAS REPRODUCED AT THE BEST QUALITY POSSIBLE. LETTERS AND NUMBERS IN THE CIRCLES INDICATE FOOTER AND/OR COLUMN LOCATIONS. - Rocky Flats Plant, General Manufacturing, Support, Records-Central Computing, Southern portion of Plant, Golden, Jefferson County, CO

  11. 22. VIEW OF THE SECOND FLOOR PLAN. THE SECOND FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    22. VIEW OF THE SECOND FLOOR PLAN. THE SECOND FLOOR CONTAINS THE AIR PLENUM ND SOME OFFICE SPACE. THE ORIGINAL DRAWING HAS BEEN ARCHIVED ON MICROFILM. THE DRAWING WAS REPRODUCED AT THE BEST QUALITY POSSIBLE. LETTERS AND NUMBERS IN THE CIRCLES INDICATE FOOTER AND/OR COLUMN LOCATIONS. - Rocky Flats Plant, Uranium Rolling & Forming Operations, Southeast section of plant, southeast quadrant of intersection of Central Avenue & Eighth Street, Golden, Jefferson County, CO

  12. Sea-Floor Mapping and Benthic Habitat GIS for the Elwha River Delta Nearshore, Washington

    USGS Publications Warehouse

    Cochrane, Guy R.; Warrick, Jonathan A.; Sagy, Yael; Finlayson, David; Harney, Jodi

    2008-01-01

    From March 1531, 2005, more than 252 km (19.5 km2) of seafloor offshore of the Elwha River Delta in the central Strait of Juan de Fuca was mapped by the USGS Coastal and Marine Geology Program. The purpose of this nearshore mapping was to (1) obtain high resolution bathymetry and acoustic reflectance properties of the seabed, (2) examine and record geologic characteristics of the seafloor, and (3) construct maps of sea-floor geomorphology and habitat. Substrate distribution was characterized with video-supervised statistical classification of the sonar data. Substrate of the survey was dominated by mixed sand-gravel and sand. Numerous boulder reefs were observed west of the river mouth within Freshwater Bay, whereas the sea-floor immediately adjacent to the river mouth was dominated by sand.

  13. Enlarged cerebrospinal fluid spaces in infants with subdural hematomas

    SciTech Connect

    Kapila, A.; Trice, J.; Spies, W.G.; Siegel, B.A.; Gado, M.H.

    1982-03-01

    Computed tomography in 16 infants with subdural hematomas showed enlarged basal cisterns, a wide interhemispheric fissure, prominent cortical sulci, and varying degrees of ventricular enlargement. Radionuclide cisternography in eight of the 16 patients showed findings consistent with enlargement of the subarachnoid space rather than those of communicating hydrocephalus. Clinical findings and brief follow-up showed no convincing evidence for cerebral atrophy in 13 patients. These findings suggest that the enlarged subarachnoid space, which is encountered in some infants and may be a developmental variant, predisposes such infants to subdural hematomas.

  14. Enlarged vestibular aqueduct in pediatric SNHL

    PubMed Central

    Dewan, Karuna; Wippold, Franz J.; Lieu, Judith E C

    2010-01-01

    Objective Comparison of the Cincinnati criteria (midpoint >0.9 mm or operculum >1.9 mm) to the Valvassori criterion (midpoint ≥ 1.5 mm) for enlarged vestibular aqueduct (EVA) in pediatric cochlear implant patients. Study Design Cohort study Subjects 130 Pediatric cochlear implant recipients. Methods We reviewed temporal bone CT scans to measure the vestibular aqueduct midpoint and opercular width. Results The Cincinnati criteria identified 44% of patients with EVA versus 16% with the Valvassori criterion (P<0.01). Of those with EVA, 45% were unilateral and 55% were bilateral using Cincinnati criteria; 64% were unilateral and 36% bilateral using Valvassori criterion (P<0.01). The Cincinnati criteria diagnosed 70 ears with EVA classified as normal using the Valvassori criterion (P<0.01);59 lacked another medical explanation for their hearing loss. Conclusion The Cincinnati criteria identified a large percentage of pediatric cochlear implant patients with EVA who might otherwise have no known etiology for their deafness. PMID:19328346

  15. Pelvic floor muscle training exercises

    MedlinePlus

    ... nlm.nih.gov/pubmed/22258946 . Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment, ... nlm.nih.gov/pubmed/20091581 . Herderschee R, Hay-Smith EJC, Herbison GP, Roovers JP, Heineman MJ. Feedback ...

  16. Gulf of california: a result of ocean-floor spreading and transform faulting.

    PubMed

    Larson, R L; Menard, H W; Smith, S M

    1968-08-23

    Ocean-floor spreading tore southern Baja California from mainland Mexico 4 million years ago and has subsequently rafted it 260 kilometers to the northwest along the Tamayo Fracture Zone. Magnetic-anomaly profiles indicate spreading at the mouth of the gulf at 3.0 centimeters per year and a rise-crest offset of 75 kilometers inside the gulf across the Tamayo Fracture Zone.

  17. [Severe limitation of mouth opening].

    PubMed

    Reiter, S; Winocur, E; Gavish, A; Eli, I

    2004-10-01

    Limitation of mouth opening is a common source of referral to an orofacial pain clinic with a proposed diagnosis of Temporomandibular Joint Dysfunction (TMD). The word "trismus" is defined by the American academy of orofacial pain as: "Myospasm of masticatory muscles specifically causing limited jaw opening; early symptom of tetanus". Therefore, once trismus is suspected, TMD should be ruled out. However, it is not uncommon to find the usage of this term to describe severe limitation of opening by causes other than myospasm, therefore posing the risk of misdiagnosis. The purpose of this article is to describe the differential diagnosis of hard end limitation of opening with emphasis on the clinical tools used to differentiate between muscle source of hard end limitation and other sources of hard end limitation. Several cases of hard end limitation of mouth opening are presented and through them major principles of orofacial diagnosis are discussed.

  18. Channel Floor Yardangs

    NASA Technical Reports Server (NTRS)

    2004-01-01

    [figure removed for brevity, see original site]

    Released 19 July 2004 The atmosphere of Mars is a dynamic system. Water-ice clouds, fog, and hazes can make imaging the surface from space difficult. Dust storms can grow from local disturbances to global sizes, through which imaging is impossible. Seasonal temperature changes are the usual drivers in cloud and dust storm development and growth.

    Eons of atmospheric dust storm activity has left its mark on the surface of Mars. Dust carried aloft by the wind has settled out on every available surface; sand dunes have been created and moved by centuries of wind; and the effect of continual sand-blasting has modified many regions of Mars, creating yardangs and other unusual surface forms.

    The yardangs in this image are forming in channel floor deposits. The channel itself is funneling the wind to cause the erosion.

    Image information: VIS instrument. Latitude 4.5, Longitude 229.7 East (133.3 West). 19 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are

  19. 13. Photocopy of 1920 drawing titled: BUILDING 78, 3RD FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. Photocopy of 1920 drawing titled: BUILDING 78, 3RD FLOOR BALCONY AND FIRE ESCAPES, including plans for skylight and North Elevation. HABS photograph is an 8x10' contact print made from a high contrast negative of an enlargement made from microfiche. Original is in the collection of Department of Public Works, Puget Sound Naval Shipyard, Bremerton, WA. - Puget Sound Naval Shipyard, Administration Building, Farragut Avenue, Bremerton, Kitsap County, WA

  20. Tangential Floor in a Classroom Setting

    ERIC Educational Resources Information Center

    Marti, Leyla

    2012-01-01

    This article examines floor management in two classroom sessions: a task-oriented computer lesson and a literature lesson. Recordings made in the computer lesson show the organization of floor when a task is given to students. Temporary or "incipient" side floors (Jones and Thornborrow, 2004) emerge beside the main floor. In the literature lesson,…

  1. Enlargement of the Baldone near-surface radioactive waste repository

    SciTech Connect

    Dreimanis, A.

    2007-07-01

    A unified analysis of the enlargement of the Baldone near-surface radioactive waste (RW) repository RADONS considers the interplay of the existing engineering, safety and infrastructure premises, with the foreseen newly socio-technical features. This enlargement consists in construction of two additional RW disposal vaults and in building a long-term storage facility for spent sealed sources at the RADONS territory. Our approach is based on consecutive analysis of following basic elements: - the origin of enlargement - the RADONS safety analysis and a set of optimal socio-technical solutions of Salaspils research reactor decommissioning waste management; - the enlargement - a keystone of the national RW management concept, including the long-term approach; - the enlargement concept - the result of international co-operation and obligations; - arrangement optimization of new disposal and storage space; - environmental impact assessment for the repository enlargement - the update of socio-technical studies. The study of the public opinion revealed: negative attitude to repository enlargement is caused mainly due to missing information on radiation level and on the RADONS previous operations. These results indicate: basic measures to improve the public attitude to repository enlargement: the safety upgrade, public education and compensation mechanisms. A detailed stakeholders engagement and public education plan is elaborated. (author)

  2. Functional anatomy of pelvic floor.

    PubMed

    Rocca Rossetti, Salvatore

    2016-03-31

    Generally, descriptions of the pelvic floor are discordant, since its complex structures and the complexity of pathological disorders of such structures; commonly the descriptions are sectorial, concerning muscles, fascial developments, ligaments and so on. On the contrary to understand completely nature and function of the pelvic floor it is necessary to study it in the most unitary view and in the most global aspect, considering embriology, philogenesy, anthropologic development and its multiple activities others than urological, gynaecological and intestinal ones. Recent acquirements succeeded in clarifying many aspects of pelvic floor activity, whose musculature has been investigated through electromyography, sonography, magnetic resonance, histology, histochemistry, molecular research. Utilizing recent research concerning not only urinary and gynecologic aspects but also those regarding statics and dynamics of pelvis and its floor, it is now possible to study this important body part as a unit; that means to consider it in the whole body economy to which maintaining upright position, walking and behavior or physical conduct do not share less than urinary, genital, and intestinal functions. It is today possible to consider the pelvic floor as a musclefascial unit with synergic and antagonistic activity of muscular bundles, among them more or less interlaced, with multiple functions and not only the function of pelvic cup closure.

  3. Effects of different floor types and levels of washing of waterers on broiler performance and bacteria count of drinking water.

    PubMed

    Andrews, L D; Stamps, L K; Moore, R W; Newberry, L A

    1993-07-01

    The objective of the present experiment was to determine the effect of different flooring materials and washing of waterers on broiler performance. The floor treatments were 1) black, plastic-coated expanded metal, relatively rigid (B); 2) white plastic, semi-rigid, with rectangular openings (WR); 3) white plastic, semi-rigid, with square openings (WS); and 4) 3 cm of rice hull litter (C). One hanging waterer was placed in each pen. Wash treatments were 1) trough and bell washed every Monday, Wednesday, and Friday (AW); 2) wash trough only on Monday, Wednesday, and Friday (TW); and 3) the waterers were never washed after the 2nd wk (NW). Broilers reared on C has significantly lower BW than those broilers on B floors. Broilers reared on the B and WS floors had significantly higher breast blister scores and percentage of birds with blisters than broilers reared on C floors. Broilers reared on C had lower enlarged feather follicle scores than those reared on all raised floors and a lower percentage of enlarged feather follicles than those broilers reared on WS or WR floors. Broilers reared on WS+TW had significantly better feed conversion than WS+AW, B+TW, and B+AW treatments. Broilers reared on WR+TW treatment were significantly higher in breast blister score than broilers reared on WR+AW, C+TW, and C+AW treatments. Broilers reared on C+TW and C+AW treatments were significantly lower in breast blister score except for broilers reared on C+NW, WR+AW, and WS+AW treatments. Broilers reared on C+NW treatment were significantly lower in enlarged feather follicle score than those broilers reared on B+TW, WR+AW, and WS+NW treatments.(ABSTRACT TRUNCATED AT 250 WORDS)

  4. Effects of floor space during transport and journey time on indicators of stress and transport losses of market-weight pigs.

    PubMed

    Pilcher, C M; Ellis, M; Rojo-Gómez, A; Curtis, S E; Wolter, B F; Peterson, C M; Peterson, B A; Ritter, M J; Brinkmann, J

    2011-11-01

    The effects of floor space on the trailer and journey time during transport from the farm to the packing plant on indicators of stress (open-mouth breathing, muscle tremors, and skin discoloration) and on the incidence of transport losses (dead on arrival, nonambulatory, noninjured, and nonambulatory, injured) were evaluated in a study involving 160 loads of market-weight pigs (BW 124.7 ± 4.38 kg) using a split-plot design with a 2 × 6 factorial arrangement of treatments: 1) journey time [main plot; short (<1 h) and long (3 h)] and 2) floor space (subplot; 0.396, 0.415, 0.437, 0.462, 0.489, and 0.520 m(2)/pig, which is equivalent to 0.317, 0.332, 0.350, 0.370, 0.391, and 0.416 m(2)/100 kg of BW, respectively). Two consecutively loaded trailers were randomly allotted to journey time treatment. Floor space treatments were compared in the front 3 compartments on the top and bottom decks of the trailer and were created by varying the number of pigs per compartment, which confounds the effect of floor space with group size. Of the 17,652 pigs transported in 954 test compartments, 0.24% died or became nonambulatory. Neither journey time nor floor space had an effect (P > 0.05) on the incidence of dead and nonambulatory, injured pigs, or on total transport losses. There were interactions (P < 0.05) between journey time and floor space treatments for the incidences of nonambulatory, noninjured pigs and open-mouth breathing. For 2 of the smallest floor spaces (0.415 and 0.437 m(2)/pig), the incidence of nonambulatory, noninjured pigs was greater on short than on long journeys; for the other 4 floor spaces there was no effect (P > 0.05) of journey time. The incidence of open-mouth breathing for the 3 smallest floor spaces was greater (P < 0.05) for short than long journeys, whereas there was no effect (P > 0.05) of journey time for the 3 greatest floor spaces. The frequency of skin discoloration was greater (P < 0.001) for pigs transported at the 2 smallest floor spaces

  5. Pelvic Floor Ultrasound: A Review.

    PubMed

    Dietz, Hans Peter

    2017-03-01

    Female pelvic floor dysfunction encompasses a number of prevalent conditions and includes pelvic organ prolapse, urinary and fecal incontinence, obstructed defecation, and sexual dysfunction. In most cases neither etiology nor pathophysiology are well understood. Imaging has great potential to enhance both research and clinical management capabilities, and to date this potential is underutilized. Of the available techniques such as x-ray, computed tomography, magnetic resonance imaging, and ultrasound, the latter is generally superior for pelvic floor imaging, especially in the form of perineal or translabial imaging. The technique is safe, simple, cheap, easily accessible and provides high spatial and temporal resolutions.

  6. Nonneoplastic enlargement of the pituitary gland in children.

    PubMed

    Aquilina, Kristian; Boop, Frederick A

    2011-05-01

    Primary neoplasms of the pituitary gland are uncommon in children. Physiological enlargement of the gland, however, is universal and can sometimes be confused with a tumor. Due to widespread availability of MR imaging, the number of children referred to pediatric neurosurgeons with an enlarged pituitary associated with nonspecific symptoms, most commonly headache, is increasing. In this review, the authors illustrate two common causes of pituitary enlargement in children, namely physiological hypertrophy of puberty, more commonly seen in females, and secondary hyperplasia caused by hypothyroidism. The importance of early and accurate diagnosis, without recourse to extensive endocrine investigations or inappropriate surgery, is underscored.

  7. Burning Mouth Syndrome and Menopause

    PubMed Central

    Dahiya, Parveen; Kamal, Reet; Kumar, Mukesh; Niti; Gupta, Rajan; Chaudhary, Karun

    2013-01-01

    Menopause is a physiological process typically occurring in the fifth decade of life. One of the most annoying oral symptoms in this age group is the burning mouth syndrome (BMS), which may be defined as an intraoral burning sensation occurring in the absence of identifiable oral lesion or laboratory findings. Pain in burning mouth syndrome may be described as burning, tender, tingling, hot, scalding, and numb sensation in the oral mucosa. Multiple oral sites may be involved, but the anterior two-third part and the tip of tongue are most commonly affected site. There is no definite etiology for BMS other than the precipitating causative factors, and it is still considered idiopathic. Various treatment options like use of benzodiazepine, anti-depressants, analgesics, capsaicin, alpha lipoic acids, and cognitive behavioral therapy are found to be effective, but definite treatment is still unknown. The present article discusses some of the recent concepts of etiopathogenesis of BMS as well as the role of pharmacotherapeutic management in this disorder. PMID:23411996

  8. Burning mouth syndrome and menopause.

    PubMed

    Dahiya, Parveen; Kamal, Reet; Kumar, Mukesh; Niti; Gupta, Rajan; Chaudhary, Karun

    2013-01-01

    Menopause is a physiological process typically occurring in the fifth decade of life. One of the most annoying oral symptoms in this age group is the burning mouth syndrome (BMS), which may be defined as an intraoral burning sensation occurring in the absence of identifiable oral lesion or laboratory findings. Pain in burning mouth syndrome may be described as burning, tender, tingling, hot, scalding, and numb sensation in the oral mucosa. Multiple oral sites may be involved, but the anterior two-third part and the tip of tongue are most commonly affected site. There is no definite etiology for BMS other than the precipitating causative factors, and it is still considered idiopathic. Various treatment options like use of benzodiazepine, anti-depressants, analgesics, capsaicin, alpha lipoic acids, and cognitive behavioral therapy are found to be effective, but definite treatment is still unknown. The present article discusses some of the recent concepts of etiopathogenesis of BMS as well as the role of pharmacotherapeutic management in this disorder.

  9. The pelvic floor in health and disease.

    PubMed Central

    Shelton, A A; Welton, M L

    1997-01-01

    Normal pelvic floor function involves a set of learned and reflex responses that are essential for the normal control and evacuation of stool. A variety of functional disturbances of the pelvic floor, including incontinence and constipation, are not life threatening, but can cause significant distress to affected patients. Understanding the normal anatomy and physiology of the pelvic floor is essential to understanding and treating these disorders of defecation. This article describes the normal function of the pelvic floor, the diagnostic tools available to investigate pelvic floor dysfunction, and the etiology, diagnosis, and management of the functional pelvic floor disorders that lead to incontinence and constipation. Images Figure 1. PMID:9291746

  10. How do plants enlarge? A balancing act; Final report

    SciTech Connect

    Boyer, J.S.

    1996-12-31

    Cells of plants are surrounded by strong walls that prevent rupture from internal pressures that can be two or three times that of an automobile tire. In this way, the walls protect the cytoplasm. However, at the same time, the cells can enlarge as they grow. How this balancing act works and how it enlarges the plant were the subject of a recent conference at the University of Delaware in Lewes. The aim was to identify areas for future research that could explain the enlargement of whole plants. There is a large practical need to predict and modify plant enlargement but the additional processes that overlie the molecular ones need to be integrated with the molecular information before a picture will emerge. How best to accomplish this involved input from cross-disciplinary areas in biomechanics, physics and engineering as well as molecular biology, biochemistry and ultrastructure.

  11. 2. Historic American Buildings Survey L. D. Andrew, Photographer Enlarged ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. Historic American Buildings Survey L. D. Andrew, Photographer Enlarged Photo From photo of Miss Edith Johnston, Savannah, Ga. 1936 VIEW OF FRONT AND RIGHT SIDE (Restoration 1936) - Wild Heron Plantation, Little Ogeechee River Vicinity, Savannah, Chatham County, GA

  12. 1. Historic American Buildings Survey L. D. Andrew, Photographer Enlarged ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. Historic American Buildings Survey L. D. Andrew, Photographer Enlarged Photo From Photo of Miss Edith Johnston's, Savannah, Ga. 1936 VIEW OF FRONT AND SIDE (Before Restoration, 1936). - Wild Heron Plantation, Little Ogeechee River Vicinity, Savannah, Chatham County, GA

  13. 1. Historic American Buildings Survey L. D. Andrew, Photographer (Enlarged ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. Historic American Buildings Survey L. D. Andrew, Photographer (Enlarged by) Aug. 6, 1936 Photographed by Harold Bush-Brown SIDE VIEW - Covered Bridge, Spanning Soap Creek, Atlanta, Fulton County, GA

  14. Ploughing the deep sea floor.

    PubMed

    Puig, Pere; Canals, Miquel; Company, Joan B; Martín, Jacobo; Amblas, David; Lastras, Galderic; Palanques, Albert

    2012-09-13

    Bottom trawling is a non-selective commercial fishing technique whereby heavy nets and gear are pulled along the sea floor. The direct impact of this technique on fish populations and benthic communities has received much attention, but trawling can also modify the physical properties of seafloor sediments, water–sediment chemical exchanges and sediment fluxes. Most of the studies addressing the physical disturbances of trawl gear on the seabed have been undertaken in coastal and shelf environments, however, where the capacity of trawling to modify the seafloor morphology coexists with high-energy natural processes driving sediment erosion, transport and deposition. Here we show that on upper continental slopes, the reworking of the deep sea floor by trawling gradually modifies the shape of the submarine landscape over large spatial scales. We found that trawling-induced sediment displacement and removal from fishing grounds causes the morphology of the deep sea floor to become smoother over time, reducing its original complexity as shown by high-resolution seafloor relief maps. Our results suggest that in recent decades, following the industrialization of fishing fleets, bottom trawling has become an important driver of deep seascape evolution. Given the global dimension of this type of fishery, we anticipate that the morphology of the upper continental slope in many parts of the world’s oceans could be altered by intensive bottom trawling, producing comparable effects on the deep sea floor to those generated by agricultural ploughing on land.

  15. Flooring for Schools: Unsightly Walkways

    ERIC Educational Resources Information Center

    Baxter, Mark

    2011-01-01

    Many mattress manufacturers recommend that consumers rotate their mattresses at least twice a year to help prevent soft spots from developing and increase the product's life span. It's unfortunate that the same kind of treatment can't be applied to flooring for schools, such as carpeting, especially in hallways. Being able to flip or turn a carpet…

  16. Risk remaining from fine particle contaminants after vacuum cleaning of hard floor surfaces.

    PubMed

    Hunt, Andrew; Johnson, David L; Brooks, J; Griffith, Daniel A

    2008-12-01

    In the indoor environment, settled surface dust often functions as a reservoir of hazardous particulate contaminants. In many circumstances, a major contributing source to the dust pool is exterior soil. Young children are particularly susceptible to exposure to both outdoor derived soil and indoor derived dust present in the indoor dust pool. This is because early in life the exploratory activities of the infant are dominated by touching and mouthing behavior. Inadvertent exposure to dust through mouth contact and hand-to-mouth activity is an inevitable consequence of infant development. Clean-up of indoor dust is, in many circumstances, critically important in efforts to minimize pediatric exposure. In this study, we examine the efficiency of vacuum cleaner removal of footwear-deposited soil on vinyl floor tiles. The study utilized a 5 x 10 foot (c. 152.5 x 305 cm) test surface composed of 1-foot-square (c. 30.5 x 30.5 cm) vinyl floor tiles. A composite test soil with moderately elevated levels of certain elements (e.g., Pb) was repeatedly introduced onto the floor surface by footwear track-on. The deposited soil was subsequently periodically removed from randomly selected tiles using a domestic vacuum cleaner. The mass and loading of soil elements on the tiles following vacuuming were determined both by wet wipe collection and by subsequent chemical analysis. It was found that vacuum cleaner removal eliminated much of the soil mass from the floor tiles. However, a small percentage of the mass was not removed and a portion of this residual mass could be picked up by moistened hand-lifts. Furthermore, although the post-vacuuming tile soil mass was sizably reduced, for some elements (notably Pb) the concentration in the residual soil was increased. We interpret this increased metal concentration to be a particle size effect with smaller particles (with a proportionately higher metal content) remaining in situ after vacuuming.

  17. Ubx Regulates Differential Enlargement and Diversification of Insect Hind Legs

    PubMed Central

    Mahfooz, Najmus; Turchyn, Nataliya; Mihajlovic, Michelle; Hrycaj, Steven; Popadić, Aleksandar

    2007-01-01

    Differential enlargement of hind (T3) legs represents one of the hallmarks of insect evolution. However, the actual mechanism(s) responsible are yet to be determined. To address this issue, we have now studied the molecular basis of T3 leg enlargement in Oncopeltus fasciatus (milkweed bug) and Acheta domesticus (house cricket). In Oncopeltus, the T3 tibia displays a moderate increase in size, whereas in Acheta, the T3 femur, tibia, and tarsus are all greatly enlarged. Here, we show that the hox gene Ultrabithorax (Ubx) is expressed in the enlarged segments of hind legs. Furthermore, we demonstrate that depletion of Ubx during embryogenesis has a primary effect in T3 legs and causes shortening of leg segments that are enlarged in a wild type. This result shows that Ubx is regulating the differential growth and enlargement of T3 legs in both Oncopeltus and Acheta. The emerging view suggests that Ubx was co-opted for a novel role in regulating leg growth and that the transcriptional modification of its expression may be a universal mechanism for the evolutionary diversification of insect hind legs. PMID:17848997

  18. Gingival enlargements: Differential diagnosis and review of literature

    PubMed Central

    Agrawal, Amit Arvind

    2015-01-01

    Gingival enlargement is one of the frequent features of gingival diseases. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician. They can be categorized based on their etiopathogenesis, location, size, extent, etc. Based on the existing knowledge and clinical experience, a differential diagnosis can be formulated. Subsequently, after detailed investigation, clinician makes a final diagnosis or diagnosis of exclusion. A perfect diagnosis is critically important, since the management of these lesions and prevention of their recurrence is completely dependent on it. Furthermore, in some cases where gingival enlargement could be the primary sign of potentially lethal systemic diseases, a correct diagnosis of these enlargements could prove life saving for the patient or at least initiate early treatment and improve the quality of life. The purpose of this review article is to highlight significant findings of different types of gingival enlargement which would help clinician to differentiate between them. A detailed decision tree is also designed for the practitioners, which will help them arrive at a diagnosis in a systematic manner. There still could be some lesions which may present in an unusual manner and make the diagnosis challenging. By knowing the existence of common and rare presentations of gingival enlargement, one can keep a broad view when formulating a differential diagnosis of localized (isolated, discrete, regional) or generalized gingival enlargement. PMID:26380825

  19. FREQUENCY OF MOUTHING BEHAVIOR IN YOUNG CHILDREN

    EPA Science Inventory

    Young children, as compared to adults, are more likely to be exposed after a pesticide application due to potential hand- and object-to-mouth contacts in contaminated areas. However, relatively few studies have specifically evaluated mouthing behavior in children <60 months of...

  20. FREQUENCY OF MOUTHING BEHAVIOR IN YOUNG CHILDREN

    EPA Science Inventory

    Young children may be more likely than adults to be exposed to pesticides following a residential application as a result of hand- and object-to-mouth contacts in contaminated areas. However, relatively few studies have specifically evaluated mouthing behavior in children less ...

  1. Organ or Stem Cell Transplant and Your Mouth

    MedlinePlus

    ... Stem Cell Transplant and Your Mouth Organ or Stem Cell Transplant and Your Mouth Main Content Key Points​ ... Your Dentist Before Transplant Before an organ or stem cell transplant, have a dental checkup. Your mouth should ...

  2. How Are Pelvic Floor Disorders Diagnosed?

    MedlinePlus

    ... Information Clinical Trials Resources and Publications How are pelvic floor disorders diagnosed? Skip sharing on social media links ... fee ). This test is used to evaluate the pelvic floor and rectum while the patient is having a ...

  3. Raise the Floor When Remodeling Science Labs

    ERIC Educational Resources Information Center

    Nation's Schools, 1972

    1972-01-01

    A new remodeling idea adopts the concept of raised floor covering gas, water, electrical, and drain lines. The accessible floor has removable panels set into an adjustable support frame 24 inches above a concrete subfloor. (Author)

  4. Hospital Room Floors May Harbor 'Superbugs'

    MedlinePlus

    ... fullstory_163886.html Hospital Room Floors May Harbor 'Superbugs' But that area often overlooked when it comes ... Hospital room floors may be more of a "superbug" threat than many hospital staffers realize, new research ...

  5. Sea-Floor Spreading and Transform Faults

    ERIC Educational Resources Information Center

    Armstrong, Ronald E.; And Others

    1978-01-01

    Presents the Crustal Evolution Education Project (CEEP) instructional module on Sea-Floor Spreading and Transform Faults. The module includes activities and materials required, procedures, summary questions, and extension ideas for teaching Sea-Floor Spreading. (SL)

  6. [Dehydration due to "mouth broken"].

    PubMed

    Meijler, D P M; van Mossevelde, P W J; van Beek, R H T

    2012-09-01

    Two children were admitted to a medical centre due to dehydration after an oral injury and the extraction of a tooth. One child complained of "mouth broken". Dehydration is the most common water-electrolyte imbalance in children. Babies and young children are prone to dehydration due to their relatively large body surface area, the high percentage extracellular fluid, and the limited ability of the kidneys to conserve water. After the removal ofa tooth, after an oral trauma or in case of oral discomfort, a child is at greater risk of dehydration by reduced fluid and food intake due to oral pain and/or discomfort and anxiety to drink. In those cases, extra attention needs to be devoted to the intake of fluids.

  7. Design issues for floor control protocols

    NASA Astrophysics Data System (ADS)

    Dommel, Hans-Peter; Garcia-Luna-Aceves, Jose J.

    1995-03-01

    Floor control allows users of networked multimedia applications to remotely share resources like cursors, data views, video and audio channels, or entire applications without access conflicts. Floors are mutually exclusive permissions, granted dynamically to collaborating users, mitigating race conditions and guaranteeing fair and deadlock- free resource access. Although floor control is an early concept within computer-supported cooperative work, no framework exists and current floor control mechanisms are often limited to simple objects. While small-scale collaboration can be facilitated by social conventions, the importance of floors becomes evident for large-scale application sharing and teleconferencing orchestration. In this paper, the concept of a scalable session protocol is enhanced with floor control. Characteristics of collaborative environments are discussed, and session and floor control are discerned. The system's and user's requirements perspectives are discussed, including distributed storage policies, packet structure and user-interface design for floor presentation, manipulation, and triggering conditions for floor migration. Interaction stages between users, and scenarios of participant withdrawal, late joins, and establishment of subgroups are elicited with respect to floor generation, bookkeeping, and passing. An API is proposed to standardize and integrate floor control among shared applications. Finally, a concise classification for existing systems with a notion of floor control is introduced.

  8. 14 CFR 25.793 - Floor surfaces.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Floor surfaces. 25.793 Section 25.793 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS... Floor surfaces. The floor surface of all areas which are likely to become wet in service must have...

  9. 49 CFR 38.59 - Floor surfaces.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Floor surfaces. 38.59 Section 38.59 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY SPECIFICATIONS FOR TRANSPORTATION VEHICLES Rapid Rail Vehicles and Systems § 38.59 Floor surfaces. Floor...

  10. 36 CFR 1192.59 - Floor surfaces.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Floor surfaces. 1192.59 Section 1192.59 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION BARRIERS COMPLIANCE... Rail Vehicles and Systems § 1192.59 Floor surfaces. Floor surfaces on aisles, places for standees,...

  11. The Secrets of Effective Floor Care.

    ERIC Educational Resources Information Center

    Michels, Ed

    2002-01-01

    Discusses the importance of staff training and a maintenance program to the care of hard floors. Describes four key features to look for in a computer-based training program and types of floor pads and matting used to keep flooring clean. (EV)

  12. TINY FEET NO TREAT TO FLOORS.

    ERIC Educational Resources Information Center

    SMALLEY, DAVE E.

    A DISCUSSION OF FLOOR MAINTENANCE AND CARE INTERMS OF BROKEN, WARPED, AND OTHERWISE DAMAGED CONDITIONS WHICH OFTEN REQUIRE REPLACEMENTS GIVES SUGGESTIONS FOR VARIOUS TYPES OF FLOORING MATERIAL. WOOD FLOOR CONDITIONS MAY INCLUDE--(1) CUPPED BOARDS, (2) BUCKLING BOARDS, AND (3) BROKEN BOARDS. A DETAILED DISCUSSION IS GIVEN OF METHODS FOR REMOVING…

  13. [Surgical dilemmas. Sinus floor elevation].

    PubMed

    ten Bruggenkate, C M; Schulten, E A J M; Zijderveld, S A

    2008-12-01

    Limited alveolar bone height prevents the placement of dental implants. Sinus floor elevation is an internal augmentation of the maxillary sinus that allows implants to be placed. The principle of this surgical procedure is the preparation of a 'top hinge door', that is raised together with the Schneiderian membrane in the cranial direction. The space which created under this lid is filled with a bone transplant. Autogenous bone is the standard transplant material, despite the fact that a second surgery site is necessary. Under certain circumstances bone substitutes can be used, with a longer healing phase. If sufficient alveolar bone height is available to secure implant stability, simultaneous implantation and sinus floor elevation are possible. Considering the significant anatomical variation in the region of the maxillary sinus, a sound knowledge of the anatomy is of great importance.

  14. Obesity and pelvic floor dysfunction.

    PubMed

    Ramalingam, Kalaivani; Monga, Ash

    2015-05-01

    Obesity is associated with a high prevalence of pelvic floor disorders. Patients with obesity present with a range of urinary, bowel and sexual dysfunction problems as well as uterovaginal prolapse. Urinary incontinence, faecal incontinence and sexual dysfunction are more prevalent in patients with obesity. Uterovaginal prolapse is also more common than in the non-obese population. Weight loss by surgical and non-surgical methods plays a major role in the improvement of these symptoms in such patients. The treatment of symptoms leads to an improvement in their quality of life. However, surgical treatment of these symptoms may be accompanied by an increased risk of complications in obese patients. A better understanding of the mechanism of obesity-associated pelvic floor dysfunction is essential.

  15. Decreased chewing activity during mouth breathing.

    PubMed

    Hsu, H-Y; Yamaguchi, K

    2012-08-01

    This study examined the effect of mouth breathing on the strength and duration of vertical effect on the posterior teeth using related functional parameters during 3 min of gum chewing in 39 nasal breathers. A CO(2) sensor was placed over the mouth to detect expiratory airflow. When no airflow was detected from the mouth throughout the recording period, the subject was considered a nasal breather and enrolled in the study. Electromyographic (EMG) activity was recorded during 3 min of gum chewing. The protocol was repeated with the nostrils occluded. The strength of the vertical effect was obtained as integrated masseter muscle EMG activity, and the duration of vertical effect was also obtained as chewing stroke count, chewing cycle variation and EMG activity duration above baseline. Baseline activity was obtained from the isotonic EMG activity during jaw movement at 1.6 Hz without making tooth contact. The duration represented the percentage of the active period above baseline relative to the 3-min chewing period. Paired t-test and repeated analysis of variance were used to compare variables between nasal and mouth breathing. The integrated EMG activity and the duration of EMG activity above baseline, chewing stroke count and chewing cycle significantly decreased during mouth breathing compared with nasal breathing (P<0.05). Chewing cycle variance during mouth breathing was significantly greater than nasal breathing (P<0.05). Mouth breathing reduces the vertical effect on the posterior teeth, which can affect the vertical position of posterior teeth negatively, leading to malocclusion.

  16. Clinical parameters predictive of enlargement of melanocytic choroidal lesions.

    PubMed Central

    Augsburger, J J; Schroeder, R P; Territo, C; Gamel, J W; Shields, J A

    1989-01-01

    The authors followed up 197 melanotic choroidal lesions (62 categorised as benign naevi, 76 classified as suspicious naevi, 41 diagnosed as dormant melanomas, and 18 categorised as active melanomas) left untreated after their initial clinical documentation. Thirty-nine of these lesions enlarged during a five-year follow-up interval (cumulative proportion of lesions that enlarged = 26.2% by Kaplan-Meier method). Individual clinical parameters predictive of lesion enlargement (p less than 0.01) included larger size of the lesion, especially lesion thickness, presence of retinal detachment, location of the lesion's posterior margin within 2 disc diameters of the optic disc, presence of symptoms, and presence of orange pigment clumps on the lesion's surface. The best combination of these parameters for prediction of lesion enlargement, as identified by multivariate Cox regression analysis, consisted of thickness of the lesion, retinal detachment, and symptoms. The five-year incidence of lesion enlargement for patients with none of these prognostic parameters was 5.8%, while that for patients with all three unfavourable parameters simultaneously was 90.6%. Images PMID:2605146

  17. An improved method for echographic detection of left atrial enlargement

    NASA Technical Reports Server (NTRS)

    Brown, O. R.; Harrison, D. C.; Popp, R. L.

    1974-01-01

    Echographic dimensions of the aortic root and left atrium were compared in 170 patients in order to assess dilation of the left atrium with reference to the relatively nondistensible fibrous aortic root. In 50 patients without cause for left atrial or aortic enlargement, the ratio of left atrial/aortic root dimensions was 0.87 to 1.11. In 80 patients with known cause for left atrial enlargement, the left atrial/aortic root ratio was greater than or equal to 1.17. In 40 patients with isolated valve disease, dilation of both the aortic root and the left atrium resulted in a left atrial/aortic root dimension ratio less than 1.17 in some patients. Despite this consideration, the comparison of left atrial and aortic root dimension appears to be as specific as, and more sensitive than, previously proposed methods for the evaluation of left atrial enlargement.

  18. Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma

    PubMed Central

    2016-01-01

    Popliteal entrapment syndrome caused by isolated popliteus muscle enlargement is very rare, although its occurrence has been reported after discrete trauma. However, popliteal artery stenosis with combined peroneal and proximal tibial neuropathy caused by popliteus muscle enlargement without preceding trauma has not been reported. A 57-year-old man presented with a tingling sensation and pain in his left calf. He had no previous history of an injury. The symptoms were similar to those of lumbosacral radiculopathy. Calf pain became worse despite treatment, and the inability to flex his toes progressed. Computed tomography angiography and magnetic resonance imaging of the lower extremity showed popliteal artery stenosis caused by popliteus muscle enlargement and surrounding edema. An electrodiagnostic study confirmed combined peroneal and proximal tibial neuropathy at the popliteal fossa. Urgent surgical decompression was performed because of the progressive neurologic deficit and increasing neuropathic pain. The calf pain disappeared immediately after surgery, and he was discharged after the neurologic functions improved. PMID:27446794

  19. Influence of Mouth Breathing on the Dentofacial Growth of Children: A Cephalometric Study

    PubMed Central

    Basheer, Bahija; Hegde, K Sundeep; Bhat, Sham S; Umar, Dilshad; Baroudi, Kusai

    2014-01-01

    Background: The involvement of mouth breathing, facial, and structural growth alterations, especially during childhood has been discussed in medical and dental literature. The relevance of airway obstruction and its assumed effect on facial growth continues to be debated. Materials and Methods: This study was aimed at assessing the dental and soft tissue abnormalities in mouth breathing children with and without adenoid hypertrophy. Fifty children aged between 6 and 12 years following otolaryngological examination were divided into three groups: Group I (MBA): Twenty mouth breathing children with enlarged adenoids and 60% of nasopharynx obstruction; Group II (MB): Twenty mouth breathing children without any nasal obstruction; Group III (nasal breathers [NB]): Ten nose breathing healthy individuals (control group). Digital lateral cephalograms were obtained and the dental and soft tissue parameters were assessed using the cephalometric software, Dolphin Imaging 11.5 version. Comparison was done using one-way ANOVA and post-hoc analysis. Results: There was a significant increase in IMPA (P = 0.001 and 0.007 respectively), interlabial gap (P = 0.007 and 0.002 respectively) and facial convexity (P < 0.001 and 0.001 respectively) in both MBA and MB groups when compared to NB. The upper incisor proclination (P = 0.012) and facial convexity (P = 0.003) were significantly higher in mouthbreathers with adenoid hypertrophy. However, upper incisor proclination (P = 0.009) was statistically signifi cant only in group MB when compared to NB. Conclusion: All subjects with mouth-breathing habit exhibited a significant increase in lower incisor proclination, lip incompetency and convex facial profile. The presence of adenoids accentuated the facial convexity and mentolabial sulcus depth. PMID:25628484

  20. Arachnoid cyst slit valves: the mechanism for arachnoid cyst enlargement.

    PubMed

    Halani, Sameer H; Safain, Mina G; Heilman, Carl B

    2013-07-01

    Arachnoid cysts are common, accounting for approximately 1% of intracranial mass lesions. Most are congenital, clinically silent, and remain static in size. Occasionally, they increase in size and produce symptoms due to mass effect or obstruction. The mechanism of enlargement of arachnoid cysts is controversial. One-way slit valves are often hypothesized as the mechanism for enlargement. The authors present 4 cases of suprasellar prepontine arachnoid cysts in which a slit valve was identified. The patients presented with hydrocephalus due to enlargement of the cyst. The valve was located in the arachnoid wall of the cyst directly over the basilar artery. The authors believe this slit valve was responsible for the net influx of CSF into the cyst and for its enlargement. They also present 1 case of an arachnoid cyst in the middle cranial fossa that had a small circular opening but lacked a slit valve. This cyst did not enlarge but surgery was required because of rupture and the development of a subdural hygroma. One-way slit valves exist and are a possible mechanism of enlargement of suprasellar prepontine arachnoid cysts. The valve was located directly over the basilar artery in each of these cases. Caudad-to-cephalad CSF flow during the cardiac cycle increased the opening of the valve, whereas cephalad-to-caudad CSF flow during the remainder of the cardiac cycle pushed the slit opening against the basilar artery and decreased the size of the opening. Arachnoid cysts that communicate CSF via circular, nonslit valves are probably more likely to remain stable.

  1. Burning mouth syndrome: Current concepts

    PubMed Central

    Nasri-Heir, Cibele; Zagury, Julyana Gomes; Thomas, Davis; Ananthan, Sowmya

    2015-01-01

    Burning mouth syndrome (BMS) is a chronic pain condition. It has been described by the International Headache Society as “an intra-oral burning or dysesthetic sensation, recurring daily for more than 2 h/day for more than 3 months, without clinically evident causative lesions.” BMS is frequently seen in women in the peri-menopausal and menopausal age group in an average female/male ratio of 7:1. The site most commonly affected is the anterior two-thirds of the tongue. The patient may also report taste alterations and oral dryness along with the burning. The etiopathogenesis is complex and is not well-comprehended. The more accepted theories point toward a neuropathic etiology, but the gustatory system has also been implicated in this condition. BMS is frequently mismanaged, partly because it is not well-known among healthcare providers. Diagnosis of BMS is made after other local and systemic causes of burning have been ruled out as then; the oral burning is the disease itself. The management of BMS still remains a challenge. Benzodiazepines have been used in clinical practice as the first-line medication in the pharmacological management of BMS. Nonpharmacological management includes cognitive behavioral therapy and complementary and alternative medicine (CAM). The aim of this review is to familiarize healthcare providers with the diagnosis, pathogenesis, and general characteristics of primary BMS while updating them with the current treatment options to better manage this group of patients. PMID:26929531

  2. Foot-and-Mouth Disease

    PubMed Central

    Grubman, Marvin J.; Baxt, Barry

    2004-01-01

    Foot-and-mouth disease (FMD) is a highly contagious disease of cloven-hoofed animals. The disease was initially described in the 16th century and was the first animal pathogen identified as a virus. Recent FMD outbreaks in developed countries and their significant economic impact have increased the concern of governments worldwide. This review describes the reemergence of FMD in developed countries that had been disease free for many years and the effect that this has had on disease control strategies. The etiologic agent, FMD virus (FMDV), a member of the Picornaviridae family, is examined in detail at the genetic, structural, and biochemical levels and in terms of its antigenic diversity. The virus replication cycle, including virus-receptor interactions as well as unique aspects of virus translation and shutoff of host macromolecular synthesis, is discussed. This information has been the basis for the development of improved protocols to rapidly identify disease outbreaks, to differentiate vaccinated from infected animals, and to begin to identify and test novel vaccine candidates. Furthermore, this knowledge, coupled with the ability to manipulate FMDV genomes at the molecular level, has provided the framework for examination of disease pathogenesis and the development of a more complete understanding of the virus and host factors involved. PMID:15084510

  3. Burning mouth syndrome: Current concepts.

    PubMed

    Nasri-Heir, Cibele; Zagury, Julyana Gomes; Thomas, Davis; Ananthan, Sowmya

    2015-01-01

    Burning mouth syndrome (BMS) is a chronic pain condition. It has been described by the International Headache Society as "an intra-oral burning or dysesthetic sensation, recurring daily for more than 2 h/day for more than 3 months, without clinically evident causative lesions." BMS is frequently seen in women in the peri-menopausal and menopausal age group in an average female/male ratio of 7:1. The site most commonly affected is the anterior two-thirds of the tongue. The patient may also report taste alterations and oral dryness along with the burning. The etiopathogenesis is complex and is not well-comprehended. The more accepted theories point toward a neuropathic etiology, but the gustatory system has also been implicated in this condition. BMS is frequently mismanaged, partly because it is not well-known among healthcare providers. Diagnosis of BMS is made after other local and systemic causes of burning have been ruled out as then; the oral burning is the disease itself. The management of BMS still remains a challenge. Benzodiazepines have been used in clinical practice as the first-line medication in the pharmacological management of BMS. Nonpharmacological management includes cognitive behavioral therapy and complementary and alternative medicine (CAM). The aim of this review is to familiarize healthcare providers with the diagnosis, pathogenesis, and general characteristics of primary BMS while updating them with the current treatment options to better manage this group of patients.

  4. Spleen and liver enlargement in a patient with rheumatoid arthritis.

    PubMed

    Bedoya, María Eugenia; Ceccato, Federico; Paira, Sergio

    2015-01-01

    We describe the case of a 51-year-old woman with a seropositive, erosive, and non-nodular rheumatoid arthritis of 15 year of evolution. The patient had poor compliance with medical visits and treatment. She came to the clinic with persistent pancytopenia and spleen and liver enlargement. Liver and bone marrow biopsies were carried out and amyloidosis, neoplasias and infections were ruled out. We discuss the differential diagnosis of pancytopenia and spleen and liver enlargement in a long-standing rheumatoid arthritis patient.

  5. Coastal Processes Study of San Bernard River Mouth, Texas: Stability and Maintenance of Mouth

    DTIC Science & Technology

    2002-08-01

    This report documents an investigation of the coastal and inlet physical processes acting at the San Bernard River mouth, Texas. The U.S. Army...Brazos River and the San Bernard River and vicinity. In recent years, a spit has grown from northeast to southwest across the San Bernard River mouth...for maintaining the San Bernard River mouth. The San Bernard River is located in north-central Texas and flows through the alluvial valleys of the

  6. Hookworm - mouth of the organism (image)

    MedlinePlus

    This photograph shows the front section of the hookworm, and the mouth parts which it uses to ... blood for nourishment, are visible. Three species of hookworm cause infection in the United States, including this ...

  7. Dynamics of Mouth Opening in Hydra.

    PubMed

    Carter, Jason A; Hyland, Callen; Steele, Robert E; Collins, Eva-Maria S

    2016-03-08

    Hydra, a simple freshwater animal famous for its regenerative capabilities, must tear a hole through its epithelial tissue each time it opens its mouth. The feeding response of Hydra has been well-characterized physiologically and is regarded as a classical model system for environmental chemical biology. However, due to a lack of in vivo labeling and imaging tools, the biomechanics of mouth opening have remained completely unexplored. We take advantage of the availability of transgenic Hydra lines to perform the first dynamical analysis, to our knowledge, of Hydra mouth opening and test existing hypotheses regarding the underlying cellular mechanisms. Through cell position and shape tracking, we show that mouth opening is accompanied by changes in cell shape, but not cellular rearrangements as previously suggested. Treatment with a muscle relaxant impairs mouth opening, supporting the hypothesis that mouth opening is an active process driven by radial contractile processes (myonemes) in the ectoderm. Furthermore, we find that all events exhibit the same relative rate of opening. Because one individual can open consecutively to different amounts, this suggests that the degree of mouth opening is controlled through neuronal signaling. Finally, from the opening dynamics and independent measurements of the elastic properties of the tissues, we estimate the forces exerted by the myonemes to be on the order of a few nanoNewtons. Our study provides the first dynamical framework, to our knowledge, for understanding the remarkable plasticity of the Hydra mouth and illustrates that Hydra is a powerful system for quantitative biomechanical studies of cell and tissue behaviors in vivo.

  8. Dry Mouth - Multiple Languages: MedlinePlus

    MedlinePlus

    ... مع عالج السرطان - العربية Bilingual PDF Health Information Translations Chinese - Simplified (简体中文) Dry Mouth with Cancer Treatment 癌症治疗造成的口腔干燥 - 简体中文 (Chinese - Simplified) Bilingual PDF Health Information Translations Chinese - Traditional (繁體中文) Dry Mouth with Cancer Treatment ...

  9. Scaling on a limestone flooring

    NASA Astrophysics Data System (ADS)

    Carmona-Quiroga, P. M.; Blanco-Varela, M. T.; Martínez-Ramírez, S.

    2012-04-01

    Natural stone can be use on nearly every surface, inside and outside buildings, but decay is more commonly reported from the ones exposed to outdoor aggressively conditions. This study instead, is an example of limestone weathering of uncertain origin in the interior of a residential building. The stone, used as flooring, started to exhibit loss of material in the form of scaling. These damages were observed before the building, localized in the South of Spain (Málaga), was inhabited. Moreover, according to the company the limestone satisfies the following European standards UNE-EN 1341: 2002, UNE-EN 1343: 2003; UNE-EN 12058: 2004 for floorings. Under these circumstances the main objective of this study was to assess the causes of this phenomenon. For this reason the composition of the mortar was determined and the stone was characterized from a mineralogical and petrological point of view. The last material, which is a fossiliferous limestone from Egypt with natural fissure lines, is mainly composed of calcite, being quartz, kaolinite and apatite minor phases. Moreover, under different spectroscopic and microscopic techniques (FTIR, micro-Raman, SEM-EDX, etc) samples of the weathered, taken directly from the buildings, and unweathered limestone tiles were examined and a new mineralogical phase, trona, was identified at scaled areas which are connected with the natural veins of the stone. In fact, through BSE-mapping the presence of sodium has been detected in these veins. This soluble sodium carbonate would was dissolved in the natural waters from which limestone was precipitated and would migrate with the ascendant capilar humidity and crystallized near the surface of the stone starting the scaling phenomenon which in historic masonry could be very damaging. Therefore, the weathering of the limestone would be related with the hygroscopic behaviour of this salt, but not with the constructive methods used. This makes the limestone unable to be used on restoration

  10. 46 CFR 502.102 - Enlargement of time to file documents.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 9 2010-10-01 2010-10-01 false Enlargement of time to file documents. 502.102 Section... AND PROCEDURE Time § 502.102 Enlargement of time to file documents. (a) Motions for enlargement of...) Replies to such motions for enlargement of time shall conform to the requirements of § 502.74....

  11. 17. Historic photograph, photographer unknown, 1943. ENLARGEMENT OF PORTION OF ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    17. Historic photograph, photographer unknown, 1943. ENLARGEMENT OF PORTION OF PHOTOGRAPH AZ-10-16, SHOWING WOOD TOWER BEFORE CONCRETE WAS ADDED. NOTE GUY CABLE CONNECTED TO TOP RIGHT OF TOWER. - Verde River Sheep Bridge, Spanning Verde River (Tonto National Forest), Cave Creek, Maricopa County, AZ

  12. The Print and Computer Enlargement System--PACE. Final Report.

    ERIC Educational Resources Information Center

    Morford, Ronald A.

    The Print and Computer Enlargement (PACE) System is being designed as a portable computerized reading and writing system that enables a low-vision person to read regular print and then create and edit text using large-print computerized output. The design goal was to develop a system that: weighed no more than 12 pounds so it could be easily…

  13. Construction and enlargement of traversable wormholes from Schwarzschild black holes

    SciTech Connect

    Koyama, Hiroko; Hayward, Sean A.

    2004-10-15

    Analytic solutions are presented which describe the construction of a traversable wormhole from a Schwarzschild black hole, and the enlargement of such a wormhole, in Einstein gravity. The matter model is pure radiation which may have negative-energy density (phantom or ghost radiation) and the idealization of impulsive radiation (infinitesimally thin null shells) is employed.

  14. The Optiscope Enlarger: A Report of Initial Field Trials

    ERIC Educational Resources Information Center

    Hellinger, George O.; Berger, Arthur W.

    1972-01-01

    Thirty randomly selected, low vision patients were evaluated on their performance in viewing a standard near-point chart and selected materials without any vision aids, then with their customary low vision aid handheld, and finally, with their customary low vision aid viewed in an optiscope enlarger. (GW)

  15. 9. 8' X 10' Enlargement from 4' x 5' negative ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. 8' X 10' Enlargement from 4' x 5' negative Kevin Kriesel-Coons, Photographer PUMPS AFTER REMOVAL FROM PUMPHOUSE BEFORE EXCAVATION OF POND AREA IN 1989. PHOTOGRAPHED LYING ON GROUND NEAR CROSSCUT STEAM PLANT BUILDING. - Crosscut Steam Plant, Indian Bend Pond & Pump Ditch, North side Salt River near Mill Avenue & Washington Street, Tempe, Maricopa County, AZ

  16. Congenital enlargement of the suburethral diverticulum in a Holstein calf

    PubMed Central

    Vogel, Susan R.; Doré, Elizabeth; Breteau, Gaëlle; Desrochers, André; Babkine, Marie; Nichols, Sylvain

    2011-01-01

    A 3-month-old, female Holstein calf was examined because of marked perineal swelling and tenesmus of 4-days duration. A congenitally enlarged urethral diverticulum was diagnosed using fluoroscopic and ultrasonographic imaging techniques. The urethral diverticulum was surgically resected and the perineal area was reconstructed. PMID:21532825

  17. 23. Photocopy of photograph (4 x 5 inch enlargement of ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    23. Photocopy of photograph (4 x 5 inch enlargement of 1940 3-1/4 x 4-1/4 inch print by R. Nevan McCullough; in Cultural Resource files, Supervisor's Office, Mt. Baker-Snoqualmie National Forest) SOUTH FRONT - Suntop Lookout, Forest Road 510, Mt. Baker-Snoqualmie National Forest, Greenwater, Pierce County, WA

  18. Construction and enlargement of traversable wormholes from Schwarzschild black holes

    NASA Astrophysics Data System (ADS)

    Koyama, Hiroko; Hayward, Sean A.

    2004-10-01

    Analytic solutions are presented which describe the construction of a traversable wormhole from a Schwarzschild black hole, and the enlargement of such a wormhole, in Einstein gravity. The matter model is pure radiation which may have negative-energy density (phantom or ghost radiation) and the idealization of impulsive radiation (infinitesimally thin null shells) is employed.

  19. 30. Photocopy from enlarged microfiche of 1896 drawing captioned: Part ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    30. Photocopy from enlarged microfiche of 1896 drawing captioned: Part of Plan C/80 showing changes proposed in end doors of Storehouse, then under construction by the Penn Bridge Co. of Beaver Falls, Pa. - Puget Sound Naval Shipyard, Pattern Shop, Farragut Avenue, Bremerton, Kitsap County, WA

  20. 24. Lake Hodges Flume conduit enlargement. April 1930. Courtesy of ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    24. Lake Hodges Flume conduit enlargement. April 1930. Courtesy of the Mandeville Department of Special Collections, Central Library, University of California, San Diego. - Lake Hodges Flume, Along San Dieguito River between Lake Hodges & San Dieguito Reservoir, Rancho Santa Fe, San Diego County, CA

  1. Income, Deprivation and Economic Stress in the Enlarged European Union

    ERIC Educational Resources Information Center

    Whelan, Christopher T.; Maitre, Bertrand

    2007-01-01

    At risk of poverty indicators based on relative income measures suggest that within the enlarged EU societies located at quite different points on a continuum of affluence have similar levels of poverty. Substantial differences in levels of income between societies do not in themselves invalidate this approach. However, the relative income…

  2. Photographic Enlargement of Printed Music: Technique, Application, and Implications.

    ERIC Educational Resources Information Center

    Flynn, Pauline T.; Rich, A. Jeanette

    1982-01-01

    Addressed a need for enlargement of music when retirement home residents were deprived of a self-fulfillment opportunity from choir activities due to failing eyesight. A photographic process yielded the needed feasible large reproductions. Innovative application of this technique affords wide-ranging potential for positive benefit beyond music…

  3. Amygdala and Hippocampus Enlargement during Adolescence in Autism

    ERIC Educational Resources Information Center

    Groen, Wouter; Teluij, Michelle; Buitelaar, Jan; Tendolkar, Indira

    2010-01-01

    Objective: The amygdala and hippocampus are key components of the neural system mediating emotion perception and regulation and are thought to be involved in the pathophysiology of autism. Although some studies in children with autism suggest that there is an enlargement of amygdala and hippocampal volume, findings in adolescence are sparse.…

  4. 22. PHOTOGRAPHIC ENLARGEMENT OF UPPER PHOTOGRAPH ON PAGE 986 IN ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    22. PHOTOGRAPHIC ENLARGEMENT OF UPPER PHOTOGRAPH ON PAGE 986 IN Keystone Coal Buyers Catalog, 1922, VIEW SOUTH, COMMUNITY OF ETHEL; ETHEL COAL COMPANY MINE SUPPLY BUILDING IS LOCATED IN MID-GROUND LEFT OF CENTER PARTIALLY OBSCURED BY ROOF OF HOUSE IN FOREGROUND - Ethel Coal Company & Supply Building, Left fork of Dingess Run (Ethel Hollow), Ethel, Logan County, WV

  5. 23. PHOTOGRAPHIC ENLARGEMENT OF UPPER PHOTOGRAPH ON PAGE 986 IN ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    23. PHOTOGRAPHIC ENLARGEMENT OF UPPER PHOTOGRAPH ON PAGE 986 IN Keystone Coal Buyers Catalog, 1922, VIEW SOUTH, COMMUNITY OF ETHEL; ETHEL COAL COMPANY MINE SUPPLY BUILDING IS LOCATED IN MID-GROUND IN CENTER PARTIALLY OBSCURED BY ROOF OF HOUSE IN FOREGROUND - Ethel Coal Company & Supply Building, Left fork of Dingess Run (Ethel Hollow), Ethel, Logan County, WV

  6. Does Society Matter? Life Satisfaction in the Enlarged Europe

    ERIC Educational Resources Information Center

    Bohnke, Petra

    2008-01-01

    Life satisfaction is quite heterogeneously distributed across countries of the enlarged European Union. Previous research has shown how living conditions within individual countries, such as access to material and emotional resources, are important for personal well-being, but it has been less successful in explaining differences between…

  7. Crash Tests of Protective Airplane Floors

    NASA Technical Reports Server (NTRS)

    Carden, H. D.

    1986-01-01

    Energy-absorbing floors reduce structural buckling and impact forces on occupants. 56-page report discusses crash tests of energy-absorbing aircraft floors. Describes test facility and procedures; airplanes, structural modifications, and seats; crash dynamics; floor and seat behavior; and responses of anthropometric dummies seated in airplanes. Also presents plots of accelerations, photographs and diagrams of test facility, and photographs and drawings of airplanes before, during, and after testing.

  8. The floor plate: multiple cells, multiple signals.

    PubMed

    Placzek, Marysia; Briscoe, James

    2005-03-01

    One of the key organizers in the CNS is the floor plate - a group of cells that is responsible for instructing neural cells to acquire distinctive fates, and that has an important role in establishing the elaborate neuronal networks that underlie the function of the brain and spinal cord. In recent years, considerable controversy has arisen over the mechanism by which floor plate cells form. Here, we describe recent evidence that indicates that discrete populations of floor plate cells, with characteristic molecular properties, form in different regions of the neuraxis, and we discuss data that imply that the mode of floor plate induction varies along the anteroposterior axis.

  9. Pelvic floor muscle rehabilitation using biofeedback.

    PubMed

    Newman, Diane K

    2014-01-01

    Pelvic floor muscle exercises have been recommended for urinary incontinence since first described by obstetrician gynecologist Dr. Arnold Kegel more than six decades ago. These exercises are performed to strengthen pelvic floor muscles, provide urethral support to prevent urine leakage, and suppress urgency. In clinical urology practice, expert clinicians also teach patients how to relax the muscle to improve bladder emptying and relieve pelvic pain caused by muscle spasm. When treating lower urinary tract symptoms, an exercise training program combined with biofeedback therapy has been recommended as first-line treatment. This article provides clinical application of pelvic floor muscle rehabilitation using biofeedback as a technique to enhance pelvic floor muscle training.

  10. Side Elevation; 1/4 Plans of Floor Framing, Floor Planking, Roof ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Side Elevation; 1/4 Plans of Floor Framing, Floor Planking, Roof Framing and Roof; Longitudinal Section, Cross Section, End Elevation - Eames Covered Bridge, Spanning Henderson Creek, Oquawka, Henderson County, IL

  11. Children's mouthing and food-handling behavior in an agricultural community on the US/Mexico border.

    PubMed

    Black, Kathleen; Shalat, Stuart L; Freeman, Natalie C G; Jimenez, Marta; Donnelly, Kirby C; Calvin, James A

    2005-05-01

    Children's mouthing and food-handling activities were measured during a study of nondietary ingestion of pesticides in a south Texas community. Mouthing data on 52 children, ranging in age from 7 to 53 months, were collected using questionnaires and videotaping. Data on children's play and hand-washing habits were also collected. Children were grouped into four age categories: infants (7-12 months), 1-year-olds (13-24 months), 2-year-olds (25-36 months) and preschoolers (37-53 months). The frequency and type of events prompting hand washing did not vary by age category except for hand washing after using the bathroom; this increased with increasing age category. Reported contact with grass and dirt also increased with increasing age category. The median hourly hand-to-mouth frequency for the four age groups ranged from 9.9 to 19.4, with 2-year-olds having the lowest frequency and preschoolers having the highest. The median hourly object to mouth frequency ranged from 5.5 to 18.1 across the four age categories; the frequency decreased as age increased (adjusted R(2)=0.179; P=0.003). The median hourly hand-to-food frequency for the four age groups ranged from 10.0 to 16.1, with the highest frequency being observed in the 1-year-olds. Hand-to-mouth frequency was associated with food contact frequency, particularly for children over 12 months of age (adjusted R(2)=0.291; P=0.002). The frequency and duration of hand-to-mouth, object-to-mouth and food-handling behaviors were all greater indoors than outdoors. Infants were more likely to remain indoors than children in other age groups. The time children spent playing on the floor decreased with increasing age (adjusted R(2)=0.096; P=0.031). Parental assessment was correlated with hand-to-mouth activity but not with object-to-mouth activity. The highest combined (hand and object) mouthing rates were observed among infants, suggesting that this age group has the greatest potential for exposure to environmental toxins.

  12. Eastern Floor of Holden Crater

    NASA Technical Reports Server (NTRS)

    2002-01-01

    (Released 15 April 2002) The Science Today's THEMIS image covers territory on the eastern floor of Holden Crater, which is located in region of the southern hemisphere called Noachis Terra. Holden Crater is 154 km in diameter and named after American Astronomer Edward Holden (1846-1914). This image shows a mottled surface with channels, hills, ridges and impact craters. The largest crater seen in this image is 5 km in diameter. This crater has gullies and what appears to be horizontal layers in its walls. The Story With its beautiful symmetry and gullies radially streaming down to the floor, the dominant crater in this image is an impressive focal point. Yet, it is really just a small crater within a much larger one named Holden Crater. Take a look at the context image to the right to see just how much bigger Holden Crater is. Then come back to the image strip that shows the mottled surface of Holden Crater's eastern floor in greater detail, and count how many hills, ridges, channels, and small impact craters can be seen. No perfectly smooth terrain abounds there, that's for sure. The textured terrain of Holden Crater has been particularly intriguing ever since the Mars Orbital Camera on the Mars Global Surveyor spacecraft found evidence of sedimentary rock layers there that might have formed in lakes or shallow seas in Mars' ancient past. This finding suggests that Mars may have been more like Earth long ago, with water on its surface. Holden Crater might even have held a lake long ago. No one knows for sure, but it's an exciting possibility. Why? If water was once on the surface of Mars long enough to form sedimentary materials, maybe it was there long enough for microbial life to have developed too. (Life as we know it just isn't possible without the long-term presence of liquid water.) The question of life on the red planet is certainly tantalizing, but scientists will need to engage in a huge amount of further investigation to begin to know the answer. That

  13. The origin of mouth-exhaled ammonia.

    PubMed

    Chen, W; Metsälä, M; Vaittinen, O; Halonen, L

    2014-09-01

    It is known that the oral cavity is a production site for mouth-exhaled NH3. However, the mechanism of NH3 production in the oral cavity has been unclear. Since bacterial urease in the oral cavity has been found to produce ammonia from oral fluid urea, we hypothesize that oral fluid urea is the origin of mouth-exhaled NH3. Our results show that under certain conditions a strong correlation exists between oral fluid urea and oral fluid ammonia (NH4(+)+NH3) (rs = 0.77, p < 0.001). We also observe a strong correlation between oral fluid NH3 and mouth-exhaled NH3 (rs = 0.81, p < 0.001). We conclude that three main factors affect the mouth-exhaled NH3 concentration: urea concentration, urease activity and oral fluid pH. Bacterial urease catalyses the hydrolysis of oral fluid urea to ammonia (NH4(+)+NH3). Oral fluid ammonia (NH4(+)+NH3) and pH determine the concentration of oral fluid NH3, which evaporates from oral fluid into gas phase and turns to mouth-exhaled NH3.

  14. Mouth sticks: their past, present and future.

    PubMed

    Toor nee Bachoo, I K; Tabiat-Pour, S; Critchlow, S B

    2015-09-11

    Patients with physical disabilities precluding functional use of their limbs can benefit enormously from the expertise of the dental profession. The dental clinician is able to not only meet the routine oral health needs of these patients, but possesses the unique skills and knowledge to provide specialised oral prosthetic appliances which can facilitate a range of independent activities. Mouth sticks, as they are commonly known, are dental prostheses that are held intra-orally by the patient and manipulated to perform numerous actions such as drawing, writing and painting. They have been well documented within dental and occupational therapy literature and reports of their fabrication date back over 150 years, albeit in a very rudimentary form. The enduring value of mouth sticks to the physically disabled population is that they can provide a degree of self-reliance which would otherwise not be afforded to them. This article discusses the evolution of mouth sticks, principles of mouth stick design, patient selection criteria and treatment planning considerations. We present two recent clinical cases where mouth sticks have been indicated and have been indispensable to the user, detailing the clinical and laboratory stages involved.

  15. Statement on mouth cancer diagnosis and prevention.

    PubMed

    Scully, C; Kirby, J

    2014-01-01

    The number of people being diagnosed with mouth cancer (oral cancer) is increasing, with notable rises in incidence in younger people and in females. There are certain lifestyle habits that can increase the risk of mouth cancer, such as smoking or chewing tobacco, drinking alcohol above recommended levels (especially in those who also smoke), and chewing betel nut (areca nut). Infection with human papillomavirus (HPV) increases the risk of some types of mouth cancer, and too much sun exposure may also raise the risk of lip cancers. The signs and symptoms of mouth cancer can often be seen or felt, and any red or white patch, ulcer or lump can be an early sign if it lasts for three or more weeks. If people notice any of these changes, they should seek help from their dentist, doctor, or another healthcare professional without delay, because if mouth cancer is diagnosed at an early stage, when the lesions are small, treatment is generally less complicated and more effective.

  16. 16. THIRD FLOOR BLDG. 28A, DETAIL CUTOUT IN FLOOR FOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    16. THIRD FLOOR BLDG. 28A, DETAIL CUTOUT IN FLOOR FOR WOOD BLOCK FLOORING LOOKING EAST. - Fafnir Bearing Plant, Bounded on North side by Myrtle Street, on South side by Orange Street, on East side by Booth Street & on West side by Grove Street, New Britain, Hartford County, CT

  17. Burning mouth syndrome: an enigmatic disorder.

    PubMed

    Javali, M A

    2013-01-01

    Burning mouth syndrome (BMS) is a chronic oral pain or burning sensation affecting the oral mucosa, often unaccompanied by mucosal lesions or other evident clinical signs. It is observed principally in middle-aged patients and postmenopausal women and may be accompanied by xerostomia and altered taste. Burning mouth syndrome is characterized by an intense burning or stinging sensation, preferably on the tongue or in other areas of mouth. This disorder is one of the most common, encountered in the clinical practice. This condition is probably of multifactorial origin; however the exact underlying etiology remains uncertain. This article discusses several aspects of BMS, updates current knowledge about the etiopathogenesis and describes the clinical features as well as the diagnosis and management of BMS patients.

  18. A new psoralen derivative with enlarged antiproliferative properties.

    PubMed

    Dalla Via, Lisa; González-Gómez, Jose Carlos; Pérez-Montoto, Lázaro Guillermo; Santana, Lourdes; Uriarte, Eugenio; Marciani Magno, Sebastiano; Gia, Ornella

    2009-05-15

    Following our results with benzopsoralens as potent photochemotherapeutic agents, we report the antiproliferative evaluation of nitrogenated isoster upon and without UVA irradiation. The evaluated pyridazinopsoralen showed a higher photochemotherapeutic activity with respect to the well-known drug, 8-MOP, and a significant cytotoxicity, also in the dark. This result enlarges the interest in this tetracyclic psoralen derivative skeleton in the search of new anticancer agents.

  19. Abdominal cavity myolipoma presenting as an enlarging incisional hernia.

    PubMed

    Moore, Mark O; Richardson, Michael L; Rubin, Brian P; Baird, Geoffrey S

    2006-01-01

    We present a case of an abdominal cavity myolipoma which herniated through a low transverse abdominal (Pfannenstiel) incision, and presented as an enlarging abdominal wall mass. Magnetic resonance imaging (MRI) prior to surgery demonstrated an encapsulated solid tumor mass demonstrating fat signal and and increased T2-weighted signal. Postsurgical histological tissue diagnosis was myolipoma. Recognition of the intra- and extraperitoneal location of this abdominal tumor was essential for accurate surgical planning.

  20. Breast enlargement after two reduction mastoplasties: a case report.

    PubMed

    Mottura, A Aldo

    2007-01-01

    In 1989, a bilateral breast reduction was performed for a large-breasted woman. She returned 1 year later with bilateral breast enlargement as severe as in the original case. The operation was repeated but in a more aggressive way. She became pregnant 2 years later, and both her small breasts began to grow again until they became gigantic. Hormonal tests showed results within the standard limits, and no medical treatment was effective. After the delivery, her breasts reduced in size spontaneously.

  1. Learning4Life on the Exhibit Floor

    ERIC Educational Resources Information Center

    Sullivan, Margaret

    2009-01-01

    The exhibit floor is a wealth of knowledge. One can read, view, and listen to information presented in many formats. Somewhere on the exhibit floor there are experts on every topic, ready and waiting for one's questions. But like any research topic, frequently a structured search is required to find the best answers. This article discusses how to…

  2. 9 CFR 91.26 - Concrete flooring.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Concrete flooring. 91.26 Section 91.26... LIVESTOCK FOR EXPORTATION Inspection of Vessels and Accommodations § 91.26 Concrete flooring. (a) Pens aboard an ocean vessel shall have a 3 inch concrete pavement, proportioned and mixed to give 2000...

  3. 9 CFR 91.26 - Concrete flooring.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Concrete flooring. 91.26 Section 91.26... LIVESTOCK FOR EXPORTATION Inspection of Vessels and Accommodations § 91.26 Concrete flooring. (a) Pens aboard an ocean vessel shall have a 3 inch concrete pavement, proportioned and mixed to give 2000...

  4. 9 CFR 91.26 - Concrete flooring.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Concrete flooring. 91.26 Section 91.26... LIVESTOCK FOR EXPORTATION Inspection of Vessels and Accommodations § 91.26 Concrete flooring. (a) Pens aboard an ocean vessel shall have a 3 inch concrete pavement, proportioned and mixed to give 2000...

  5. 9 CFR 91.26 - Concrete flooring.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Concrete flooring. 91.26 Section 91.26... LIVESTOCK FOR EXPORTATION Inspection of Vessels and Accommodations § 91.26 Concrete flooring. (a) Pens aboard an ocean vessel shall have a 3 inch concrete pavement, proportioned and mixed to give 2000...

  6. 9 CFR 91.26 - Concrete flooring.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Concrete flooring. 91.26 Section 91.26... LIVESTOCK FOR EXPORTATION Inspection of Vessels and Accommodations § 91.26 Concrete flooring. (a) Pens aboard an ocean vessel shall have a 3 inch concrete pavement, proportioned and mixed to give 2000...

  7. On-grade insulated panel floor system

    SciTech Connect

    Bjornson, D.; Briscoe, J.; Brown, G.Z.; Fremouw, S.; Kline, J.; Northcutt, D.

    1999-07-01

    The on-grade insulated panel floor system combines floor and foundation to reduce cost, increase energy and structural performance, and provide easy dismantling and recycling upon demolition. The system uses one-sided structural insulated panels (SIPs with one layer of OSB attached to foam insulation), a compacted gravel bed, and engineered lumber for the perimeter beam. Tests show that an on-grade panel floor system of 20 ft by 36 ft (6.1 by 11.0 m) is $895 less expensive and has a 55% better insulating value than an insulated concrete slab, exceeds deflection and flatness criteria for wood and concrete slab floors and supports structural loads in excess of those in residential construction. The flexible nature of the foam and wood may also improve the standing comfort of the floor compared to a concrete slab floor. In addition, the panel and engineered wood components increase the recyclability of the floor. The system is easily adaptable to use over an existing concrete floor.

  8. Lightweight Integrally Armored Floor (LIAF) Ballistic Testing

    DTIC Science & Technology

    2011-03-01

    UHMWPE ), and a mini-core sandwich structure which serves as the walking surface of the floor system (Figure 1). Specimen details are covered in...SIDE Strike Face Backing Plate (walking surface) Ballistic Material ( UHMWPE ) Projectile Lightweight Integrally Armored Floor (LIAF

  9. Surficial Geology of the Floor of Lake Mead (Arizona and Nevada) as Defined by Sidescan-Sonar Imagery, Lake-Floor Topography, and Post-Impoundment Sediment Thickness

    USGS Publications Warehouse

    Twichell, D.C.; Cross, V.A.

    2009-01-01

    Sidescan-sonar imagery collected in Lake Mead during 1999-2001, a period of high lake level, has been used to map the surficial geology of the floor of this large reservoir that formed upon completion of the Hoover Dam in 1935. Four surficial geologic units were identified and mapped: rock exposures and alluvial deposits that existed prior to the formation of the lake and thin post-impoundment sediments ( 1 m) deposited since the lake formed. Exposures of rock are most extensive in the narrow, steep-sided sections of the lake, while alluvial deposits are most extensive on the gentle flanks of the broader basin sections of the lake. Post-impoundment sediment is restricted to the floors of the original river valleys that now lie below lake level. These sediments are thickest in the deltas that form at the mouths of the Colorado River and its tributaries, but cover the entire length of the valley floors of the lake. This sediment distribution is consistent with deposition from turbidity currents. Lake level has dropped more than 30 m between collection of the sidescan imagery and publication of this report. During this time, thick delta deposits have been eroded and redistributed to deeper parts of the lake by turbidity currents. While present-day post-impoundment sediment distribution should be similar to what it was in 2001, the thickness may be greater in some of the deeper parts of the lake now.

  10. Nystagmus in Enlarged Vestibular Aqueduct: A Case Series

    PubMed Central

    White, Judith; Krakovitz, Paul

    2015-01-01

    Enlarged vestibular aqueduct (EVA) is one of the commonly identified congenital temporal bone abnormalities associated with sensorineural hearing loss. Hearing loss may be unilateral or bilateral, and typically presents at birth or in early childhood. Vestibular symptoms have been reported in up to 50% of affected individuals, and may be delayed in onset until adulthood. The details of nystagmus in patients with EVA have not been previously reported. The objectives were to describe the clinical history, vestibular test findings and nystagmus seen in a case series of patients with enlarged vestibular aqueduct anomaly. Chart review, included computed tomography temporal bones, infrared nystagmography with positional and positioning testing, caloric testing, rotary chair and vibration testing. Clinical history and nystagmus varied among the five patients in this series. All patients were initially presumed to have benign paroxysmal positional vertigo, but repositioning treatments were not effective, prompting referral, further testing and evaluation. In three patients with longstanding vestibular complaints, positional nystagmus was consistently present. One patient had distinct recurrent severe episodes of positional nystagmus. Nystagmus was unidirectional and horizontal. In one case horizontal nystagmus was consistently reproducible with seated head turn to the affected side, and reached 48 d/s. Nystagmus associated with enlarged vestibular aqueduct is often positional, and can be confused with benign paroxysmal positional vertigo. Unexplained vestibular symptoms in patients with unilateral or bilateral sensorineural hearing loss should prompt diagnostic consideration of EVA. PMID:26557362

  11. Stochastic Schrödinger evolution over piecewise enlarged filtrations

    NASA Astrophysics Data System (ADS)

    Mengütürk, Levent Ali

    2016-03-01

    This paper constructs a nonlinear filtering framework that admits appearances of new information processes at random times by introducing piecewise enlargements of filtrations and proposes a new energy-based Schrodinger evolution expressed as a stochastic differential equation on a complex Hilbert space. Each information process is modeled as the sum of a random variable taking the eigenvalues of a Hamiltonian and an independent Brownian bridge noise. It is shown that under a piecewise enlarged filtration, the wave function is a jump-diffusion process until it collapses at some terminal time. In between discontinuities, the dynamics of the state vector are governed by different Wiener processes and diffusion coefficients. This motivates the introduction of an inclusive chain of Kolmogorov probability spaces or a *-isomorphic chain of commutative von Neumann probability spaces, on which the quantum system evolves differently based on the number of active information processes. The expectation of the Hamiltonian at a given state is the solution of a second-order nonlinear differential equation determined by one of the possible regimes that the quantum system belongs to. It is shown that the collapse rate is a submartingale with positive jumps and the Shannon entropy process is a supermartingale with expected negative jumps when passing to higher-order probability spaces. The framework is extended to the case when the Hamiltonian is modeled as a function of a set of commutative operators, where each operator is associated with a different piecewise enlarged filtration.

  12. Male pelvic floor: history and update.

    PubMed

    Dorey, Grace

    2005-08-01

    Our understanding of the male pelvic floor has evolved over more than 2,000 years. Gradually medical science has sought to dispel ancient myths and untruths. The male pelvic floor has many diverse functions. Importantly, it helps to support the abdominal contents, maintains urinary and fecal continence, and plays a major role in gaining and maintaining penile erection. Weakness of the male pelvic floor muscles may cause urinary and fecal incontinence and erectile dysfunction. Function may be restored in each of these areas by a comprehensive pelvic floor muscle training program. Spasm of the pelvic floor muscles may produce pain and require relaxation techniques. Additional research is needed to add further evidence to our knowledge base.

  13. Ciguatera neurotoxin poisoning mimicking burning mouth syndrome.

    PubMed

    Heir, Gary M

    2005-01-01

    Burning mouth syndrome is a condition in which the patient perceives a sensation of intraoral burning, typically of the anterior tongue. This article presents a case report of a patient presenting for orofacial pain evaluation in whom ciguatera neurotoxin poisoning is diagnosed. The clinician should be aware of neurotoxin poisoning as a possible cause of symptoms of burning mouth, especially among patients who have recently traveled to a tropical area. Recognition of this condition in this case highlights the need for a detailed and accurate patient history.

  14. Floor temperature preference of sows at farrowing.

    PubMed

    Phillips; Fraser; Pawluczuk

    2000-03-22

    A preference testing apparatus was used to provide sows with continuous access to three identical farrowing crates, each with a different floor temperature. The concrete floor under each crate contained copper pipe through which temperature-controlled water was circulated to achieve unoccupied floor temperatures of 22 degrees C (+/-3.5), 29 degrees C (+/-1) and 35 degrees C (+/-1). Eighteen sows were tested in the apparatus. Video recording was used to determine sow position from 7 days before farrowing (Days -7 to -1) to 14 days after (Days 1 to 14). On Days -7 to -1, sows showed no significant preference among the three temperatures when selecting a resting area. Once farrowing had begun, there was a significant increase (P<0.01) in the use of the 35 degrees C floor and it became the most preferred resting area for Days 1 to 3. After this interval, use of the 35 degrees C floor declined significantly (P<0.01), and use of the cooler floors increased, resulting in no significant thermal preference during Days 4 to 6. There was a further decline in the use of the 35 degrees C floor after Days 4 to 6 (P<0.01) to the extent that the coolest floor (22 degrees C) became the most preferred from Days 7 to 14. In summary, sows showed a pronounced increase in preference for a warm floor during the 3 days after the start of farrowing. This change in preference may explain how free-living sows select a suitable thermal environment for their young, and why sows try to avoid metal flooring at the time of farrowing.

  15. Right Ventricular Enlargement In Utero: Is It Coarctation?

    PubMed

    Sivanandam, Shanthi; Nyholm, Jessica; Wey, Andrew; Bass, John L

    2015-10-01

    Antenatal diagnosis of right heart enlargement has a wide spectrum of differential diagnosis from maternal, placental and fetal causes, and outcomes of all are not known. Coarctation of the aorta is in the differential diagnosis of right heart enlargement. In our study, we focused to measure multiple cardiac dimensions in fetuses with right heart enlargement to identify the fetus with coarctation of the aorta utilizing echocardiographic measurements. Ten cardiovascular dimensions were measured from fetal studies between 20- and 34-week gestation, and six were measured on postnatal echocardiograms. Z-scores for the cardiac dimensions were calculated, and each variable for fetuses and infants was tested using a two-sample t test between patients with and without coarctation. We excluded fetuses with TAPVR, Shone complex, interrupted aortic arch, Ebstein anomaly or HLHS. Of the 31 fetuses with in utero right heart enlargement, 11 had coarctation postnatally and 20 did not have coarctation. We compared the fetal and newborn cardiac dimensions between the groups. The mean fetal carotid-subclavian index (CS Index) was 0.7 mm with coarctation compared with 1.1 mm without coarctation (p < 0.0001). The mean difference in diameter z-scores for fetal aortic isthmus (p < 0.0001), mitral valve (<0.001) and aortic valve (p < 0.009) was also significantly different. Similar significant differences were noted postnatally in the diameters of the cardiac dimensions between the coarctation and no-coarctation group: CS index (p < 0.0001), aortic isthmus (p < 0.0002) and aortic valve annulus (p < 0.007). A spectrum of diagnoses was found postnatally in fetuses with right heart enlargement, including a normal heart. The likelihood of identifying fetuses with coarctation of the aorta and planning for postnatal management can be refined by noninvasive screening measurements. A smaller CS index and smaller diameters of the aortic isthmus, mitral valve and aortic valve were significantly

  16. Typical Newel Post, First Floor Newel Post, Typical Baluster, Typical ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Typical Newel Post, First Floor Newel Post, Typical Baluster, Typical Nosing, First Floor Stringer Profile, Second Floor Stringer Profile - National Home for Disabled Volunteer Soldiers - Battle Mountain Sanitarium, Treasurer's Quarters, 500 North Fifth Street, Hot Springs, Fall River County, SD

  17. 23. FIRST AND SECOND FLOOR: STAIRCASE AND MAIN ENTRY WAY ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    23. FIRST AND SECOND FLOOR: STAIRCASE AND MAIN ENTRY WAY ON FIRST AND SECOND FLOOR FROM LANDING BETWEEN FIRST AND SECOND FLOOR LOOKING EAST - Masonic Temple, 1111-1119 Eleventh Street, Altoona, Blair County, PA

  18. 5. INTERIOR, CENTRAL BLOCK, FIRST FLOOR, VIEW THROUGH DOORWAY IN ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. INTERIOR, CENTRAL BLOCK, FIRST FLOOR, VIEW THROUGH DOORWAY IN EAST WALL OF NORTHEAST ROOM, SHOWING (EAST) WALL OF EAST ROOM (FIRST AND SECOND FLOORS), AND SECOND FLOOR JOISTS - Bulows Minde Estate House, Bulows Minde, Bulows Minde, St. Croix, VI

  19. 41. Ground level photograph of two floors of skeleton complete ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    41. Ground level photograph of two floors of skeleton complete with 3rd and 4th floors being started,upper floors of county bldg visible - Chicago City Hall, 121 North LaSalle Street, Chicago, Cook County, IL

  20. CANAL EXITING FLUME AND BEGINNING EARTHLINED MAIN SECTION AT MOUTH ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    CANAL EXITING FLUME AND BEGINNING EARTH-LINED MAIN SECTION AT MOUTH OF PLATTE RIVER CANYON. VIEW TO WEST - High Line Canal, Mouth of South Platte River to confluence with Second Creek, Denver, Denver County, CO

  1. Head and Neck Radiation Treatment and Your Mouth

    MedlinePlus

    ... Head and Neck Radiation Treatment and Your Mouth Head and Neck Radiation Treatment and Your Mouth Main Content Are ... Being Treated With Radiation for Cancer in Your Head or Neck? If so, this booklet can help you. While ...

  2. Mouthwash Helps Kill Gonorrhea Germs in Mouth, Throat: Study

    MedlinePlus

    ... gov/news/fullstory_162649.html Mouthwash Helps Kill Gonorrhea Germs in Mouth, Throat: Study Listerine's maker has ... A commercial brand of mouthwash can help control gonorrhea bacteria in the mouth, and daily use may ...

  3. Organ or Stem Cell Transplant and Your Mouth

    MedlinePlus

    Organ or Stem Cell Transplant and Your Mouth KEY POINTS n Have a dental checkup before your transplant procedure. n See your ... problems . SEE YOUR DENTIST Before an organ or stem cell transplant, have a dental checkup. Your mouth BEFORE ...

  4. Food-and-Mouth Disease Vaccines

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Foot-and-mouth disease (FMD) is a highly contagious disease of domestic and wild cloven-hoofed animals. This disease has affected most areas of the world, often causing extensive epizootics in livestock, mostly farmed cattle and swine, although sheep, goats and many wild species are also susceptible...

  5. Zoology: A New Mouth for Amphioxus.

    PubMed

    Soukup, Vladimir; Kozmik, Zbynek

    2016-05-09

    Deuterostomes - a key subdivision of animals - are characterized by the mouth developing anteriorly as a rupture between the outer epithelium and the foregut wall. A new study of amphioxus challenges this view and proposes separate evolutionary origins of deuterostome oral openings.

  6. Animal health: foot-and-mouth disease

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Foot-and-mouth disease (FMD) is one of the most contagious viral diseases that can affect cloven-hoofed livestock and wild animals. Outbreaks of FMD have caused devastating economic losses and the slaughter of millions of animals in many regions of the world affecting the food chain and global devel...

  7. Mouth cancer in inflammatory bowel diseases.

    PubMed

    Giagkou, E; Christodoulou, D K; Katsanos, K H

    2016-05-01

    Mouth cancer is a major health problem. Multiple risk factors for developing mouth cancer have been studied and include history of tobacco and alcohol abuse, age over 40, exposure to ultraviolet radiation, human papilloma virus infection (HPV), nutritional deficiencies, chronic irritation, and existence or oral potentially malignant lesions such as leukoplakia and lichen planus. An important risk factor for mouth cancer is chronic immunosuppression and has been extensively reported after solid organ transplantation as well as HIV-infected patients. Diagnosis of inflammatory bowel disease (IBD) is not yet considered as a risk factor for oral cancer development. However, a significant number of patients with IBD are receiving immunosuppressants and biological therapies which could represent potential oral oncogenic factors either by direct oncogenic effect or by continuous immunosuppression favoring carcinogenesis, especially in patients with HPV(+) IBD. Education on modifiable risk behaviors in patients with IBD is the cornerstone of prevention of mouth cancer. Oral screening should be performed for all patients with IBD, especially those who are about to start an immunosuppressant or a biologic.

  8. Mouth Disorders - Multiple Languages: MedlinePlus

    MedlinePlus

    ... List of All Topics All Mouth Disorders - Multiple Languages To use the sharing features on this page, please enable JavaScript. Hmong (Hmoob) Russian (Русский) Spanish (español) Vietnamese (Tiếng Việt) Hmong (Hmoob) ...

  9. Dunes in a Crater Floor

    NASA Technical Reports Server (NTRS)

    2003-01-01

    [figure removed for brevity, see original site]

    Released 6 August 2003

    This image shows the floor of a crater just north of the Argyre basin in the southern hemisphere. Dark dunes have been pushed up against the northeastern interior rim of the crater, indicating that the prevailing winds blow from the southwest.

    Image information: VIS instrument. Latitude -35.7, Longitude 324.1 East (35.9 West). 19 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  10. Pulsations, interpulsations, and sea-floor spreading.

    NASA Technical Reports Server (NTRS)

    Pessagno, E. A., Jr.

    1973-01-01

    It is postulated that worldwide transgressions (pulsations) and regressions (interpulsations) through the course of geologic time are related to the elevation and subsidence of oceanic ridge systems and to sea-floor spreading. Two multiple working hypotheses are advanced to explain major transgressions and regressions and the elevation and subsidence of oceanic ridge systems. One hypothesis interrelates the sea-floor spreading hypothesis to the hypothesis of sub-Mohorovicic serpentinization. The second hypothesis relates the sea-floor spreading hypothesis to a hypothesis involving thermal expansion and contraction.

  11. Ultrasound Imaging of the Pelvic Floor.

    PubMed

    Stone, Daniel E; Quiroz, Lieschen H

    2016-03-01

    This article discusses the background and appraisal of endoluminal ultrasound of the pelvic floor. It provides a detailed anatomic assessment of the muscles and surrounding organs of the pelvic floor. Different anatomic variability and pathology, such as prolapse, fecal incontinence, urinary incontinence, vaginal wall cysts, synthetic implanted material, and pelvic pain, are easily assessed with endoluminal vaginal ultrasound. With pelvic organ prolapse in particular, not only is the prolapse itself seen but the underlying cause related to the anatomic and functional abnormalities of the pelvic floor muscle structures are also visualized.

  12. Maximal and submaximal mouth opening with mouth gags in cats: implications for maxillary artery blood flow.

    PubMed

    Martin-Flores, M; Scrivani, P V; Loew, E; Gleed, C A; Ludders, J W

    2014-04-01

    The use of spring-loaded mouth gags in cats can be associated with the development of central neurological deficits, including blindness. In this species, the maxillary arteries are the main source of blood supply to the retinae and brain. Spring-loaded gags generate constant force after placement that could contribute to bulging of the soft tissues between the mandible and the tympanic bulla. Under these circumstances, the maxillary arteries can become compressed as they course between these osseous structures. Smaller gags that might apply less force to the mouth were investigated to determine if they preserved maxillary artery blood flow. Six healthy adult cats were anesthetized. Electroretinography (ERG) and magnetic resonance angiography (MRA) were performed without the use of a mouth gag and during submaximal (plastic mouth gags of 20, 30 and 42 mm in length between canine teeth) and maximal mouth opening. Maximal mouth opening produced alterations in ERG waveforms consistent with circulatory compromise in 1/6 cats and reductions in signal intensity during MRA in 4/6 cats. Placement of a 42 mm plastic gag produced a reduction in MRA signal in 1/6 cats. No changes were observed with smaller gags. The force applied against the mouth was significantly higher with the spring-loaded gag than with any other gags. The use of a smaller mouth gags was associated with fewer alterations of indicators of maxillary artery blood flow. Nevertheless, a 42 mm plastic gag, equivalent to the size of a needle cap, resulted in an abnormal MRA in one cat.

  13. Diagnostic dilemmas in enlarged and diffusely hemorrhagic adrenal glands.

    PubMed

    Diolombi, Mairo L; Khani, Francesca; Epstein, Jonathan I

    2016-07-01

    We have noted an increasing number of cases of enlarged adrenal glands where the underlying diagnosis was masked by a diffusely hemorrhagic process. We identified from our database 59 cases (32 consults, 27 routine) of adrenal glands with diffuse (>25%) hemorrhage received between 2000 and 2014. Fifty-three adrenalectomies and 6 biopsies were identified. The diagnoses after central review were 41 adrenocortical adenomas, 1 nodular adrenocortical hyperplasia with associated myelolipoma, 1 benign adrenocortical cyst, and 10 nonneoplastic adrenal glands with hemorrhage. A definitive diagnosis for the 6 biopsies was precluded by the sample size. The adrenocortical adenomas (size, 1-13 cm; 25%-95% hemorrhage) showed clear cell change in the neoplastic area (10%-80% of the tumor), 19 showed focal calcification (1 with ossification), 11 showed areas of papillary endothelial hyperplasia, 10 showed scattered lymphoplasmacytic inflammation, 6 showed benign cortical tissue extending beyond the adrenal capsule into soft tissue, 1 showed necrosis in the form of ghost cells, 2 showed lipomatous change, and 6 were associated with incidental benign lesions (1 cortical cyst, 1 schwannoma, and 4 myelolipomas). Twenty-four of the adrenocortical adenomas were consults where the referring pathologist had trouble classifying the lesion. Of the 10 nonneoplastic adrenals (4.5-22 cm; 40%-80% hemorrhage), 2 were consults. In summary, pathologists have difficulties recognizing adrenocortical adenomas in the setting of a massively enlarged and hemorrhagic adrenal gland. Although there is a correlation between adrenocortical malignancy and size, hemorrhage into nonmalignant adrenal glands can result in markedly enlarged adrenals.

  14. Alongshore sediment bypassing as a control on river mouth morphodynamics

    NASA Astrophysics Data System (ADS)

    Nienhuis, Jaap H.; Ashton, Andrew D.; Nardin, William; Fagherazzi, Sergio; Giosan, Liviu

    2016-04-01

    River mouths, shoreline locations where fluvial and coastal sediments are partitioned via erosion, trapping, and redistribution, are responsible for the ultimate sedimentary architecture of deltas and, because of their dynamic nature, also pose great management and engineering challenges. To investigate the interaction between fluvial and littoral processes at wave-dominated river mouths, we modeled their morphologic evolution using the coupled hydrodynamic and morphodynamic model Delft3D-SWAN. Model experiments replicate alongshore migration of river mouths, river mouth spit development, and eventual spit breaching, suggesting that these are emergent phenomena that can develop even under constant fluvial and wave conditions. Furthermore, we find that sediment bypassing of a river mouth develops though feedbacks between waves and river mouth morphology, resulting in either continuous bypassing pathways or episodic bar bypassing pathways. Model results demonstrate that waves refracting into the river mouth bar create a zone of low alongshore sediment transport updrift of the river mouth, which reduces sediment bypassing. Sediment bypassing, in turn, controls the river mouth migration rate and the size of the river mouth spit. As a result, an intermediate amount of river discharge maximizes river mouth migration. The fraction of alongshore sediment bypassing can be predicted from the balance between the jet and the wave momentum flux. Quantitative comparisons show a match between our modeled predictions of river mouth bypassing and migration rates observed in natural settings.

  15. Enlargement of choroid plexus in complex regional pain syndrome.

    PubMed

    Zhou, Guangyu; Hotta, Jaakko; Lehtinen, Maria K; Forss, Nina; Hari, Riitta

    2015-09-21

    The choroid plexus, located in brain ventricles, has received surprisingly little attention in clinical neuroscience. In morphometric brain analysis, we serendipitously found a 21% increase in choroid plexus volume in 12 patients suffering from complex regional pain syndrome (CRPS) compared with age- and gender-matched healthy subjects. No enlargement was observed in a group of 8 patients suffering from chronic pain of other etiologies. Our findings suggest involvement of the choroid plexus in the pathogenesis of CRPS. Since the choroid plexus can mediate interaction between peripheral and brain inflammation, our findings pinpoint the choroid plexus as an important target for future research of central pain mechanisms.

  16. Enlarging vertebral body pneumatocysts in the cervical spine.

    PubMed

    Kitagawa, Tomoaki; Fujiwara, Atsushi; Tamai, Kazuya; Kobayashi, Naoki; Saiki, Kazuhiko; Omata, Sadatoshi; Saotome, Koichi

    2003-09-01

    An intravertebral pneumatocyst is a relatively rare condition, and its natural course and etiology are unclear. We report a case of intravertebral pneumatocysts in the C5 vertebra that gradually enlarged during a 16-month period as documented by follow-up CT. In addition, direct communication was observed between the gas in the intervertebral disk and another pneumatocyst in the C6 vertebral body, which suggests that the gas in the pneumatocyst had an association with the gas in the degenerated intervertebral disk.

  17. Unusual presentation of hidradenitis suppurativa with massive enlargement of penis.

    PubMed

    Baughman, Steven M; Cespedes, R Duane

    2004-08-01

    Hidradenitis suppurativa is a chronic, recurrent inflammatory disease affecting the cutaneous apocrine glands and resulting in their obstruction. This enigmatic disease causes recurrent episodes of infection, edema, scarring, and fibrosis of surrounding tissues. We present the case of a 55-year-old man with two decades of inguinal hidradenitis suppurativa that resulted in extensive penile subcutaneous lymphedema and enlargement secondary to scarring and obstructive lymphadenopathy. Reconstructive phalloplasty to restore normal penile function was required. Minimal recurrent induration, normal cutaneous sensation, and normal voiding and erectile function were noted at 3 years of follow-up.

  18. Painful unilateral temporalis muscle enlargement: reactive masticatory muscle hypertrophy.

    PubMed

    Katsetos, Christos D; Bianchi, Michael A; Jaffery, Fizza; Koutzaki, Sirma; Zarella, Mark; Slater, Robert

    2014-06-01

    An instance of isolated unilateral temporalis muscle hypertrophy (reactive masticatory muscle hypertrophy with fiber type 1 predominance) confirmed by muscle biopsy with histochemical fiber typing and image analysis in a 62 year-old man is reported. The patient presented with bruxism and a painful swelling of the temple. Absence of asymmetry or other abnormalities of the craniofacial skeleton was confirmed by magnetic resonance imaging and cephalometric analyses. The patient achieved symptomatic improvement only after undergoing botulinum toxin injections. Muscle biopsy is key in the diagnosis of reactive masticatory muscle hypertrophy and its distinction from masticatory muscle myopathy (hypertrophic branchial myopathy) and other non-reactive causes of painful asymmetric temporalis muscle enlargement.

  19. Idiopathic salivary gland enlargement (sialadenosis) in dogs: a microscopic study.

    PubMed

    Sozmen, M; Brown, P J; Whitbread, T J

    2000-06-01

    A histological, histochemical and morphometric study was performed on submandibular salivary glands from 13 dogs which had presented with a submandibular mass or swelling that proved to be a portion of non-inflammatory and non-neoplastic submandibular salivary gland. There were no consistent changes in lectin-binding histochemistry or immunohistochemical expression of various cell markers, and, in most cases, there was no measurable difference in acinar size in the affected gland. The possible explanation for the clinical salivary gland enlargement is therefore unclear.

  20. Enlargement of the Excluded Left Atrial Appendage With Thrombus.

    PubMed

    Aoyagi, Shigeaki; Tobinaga, Satoru; Saisho, Hiroyuki

    2017-02-07

    We report progressive enlargement of the excluded left atrial appendage (LAA) with a thrombus in a patient who had undergone valve surgery and endocardial suture closure of the LAA previously. Echocardiography and CT detected no communication between the LAA and the left atrium. Magnetic resonance imaging showed the LAA was filled with fresh and old thrombi. Coronary arteriography demonstrated small left coronary artery-LAA fistulae. At surgery, successful exclusion of the LAA was confirmed after removal of the thrombi. Persistent inflow of blood through the coronary artery fistulae to the excluded LAA may be the primary mechanism of this pathology.

  1. 46 CFR 502.228 - Request for enlargement of time for filing exceptions and replies thereto.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 9 2010-10-01 2010-10-01 false Request for enlargement of time for filing exceptions... § 502.228 Request for enlargement of time for filing exceptions and replies thereto. Requests for enlargement of time within which to file exceptions, and briefs in support thereof, or replies to...

  2. 46 CFR 502.222 - Requests for enlargement of time for filing briefs.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 9 2010-10-01 2010-10-01 false Requests for enlargement of time for filing briefs. 502.222 Section 502.222 Shipping FEDERAL MARITIME COMMISSION GENERAL AND ADMINISTRATIVE PROVISIONS RULES... enlargement of time for filing briefs. Requests for enlargement of time within which to file briefs...

  3. Floor Maintenance: Tips from the Experts.

    ERIC Educational Resources Information Center

    O'Connor, Shannon

    2001-01-01

    Presents advice from three university maintenance directors on what they see as the most important parts involved in keeping floors in top shape. Training, staff motivation, flexible scheduling, and proper use of supplies are addressed. (GR)

  4. Floor Fractured Craters around Syrtis Major, Mars

    NASA Astrophysics Data System (ADS)

    Bamberg, M.; Jaumann, R.; Asche, H.

    2012-04-01

    Craters around Syrtis Major are eroded and/or refilled. Syrtis Major is one of the large Hesperian-aged volcanic regions on Mars. Basaltic deposits originating from nearby Syrtis Major cover the floor of impact craters. In particular some craters exhibit a fractured floor. Floor Fractured Craters can be divided in types. The grade of erosion and the geologic process, which formed the crater, can be different. Type 1: Crater floor affected by pit chains or narrow crevices which are sometimes discontinuous. Type 2: More developed and dense networks of crevices as type 1. Crevices are wide and deep enough to be detected. A circular moat starts to develop as crevices concentrate along the rim. Type 3: Mainly distinguished from type 2 by the presence of a fully developed circular moat. The flat central part is divided into several blocks by crevices. Type 4: They show also a continuous moat along the rim but the central part consists of many flat-top blocks and small conical mounds. Type 5: Crater floor has many mounds of irregular sizes, but the flattop blocks are absent. It should be noted that the knobby surface shows typical characteristics of chaotic terrains and could be alternatively classified as such. Type 6: Crater without a circular moat, crevices are not fully developed, flat-top blocks are present. Fractured floor could have been reshaped through geologic processes. Floor fractured craters can be found in three different areas. The first area is located in the south-eastern part of Syrtis Major, bordering to the highlands. Volcanic features like lava flow fronts, lava flows and wrinkle ridges dominate this region. The crater floor is separated in sharp-edged plates and the interior seems to be flooded by basaltic material. The second area is in the north of Syrtis Major and transcend to the chaotic terrain further north. Near the martian dichotomy boundary fluvial activity was the decisive process. The crater rims are highly eroded, channels are cutting

  5. Late extrusion of alloplastic orbital floor implants.

    PubMed

    Brown, A E; Banks, P

    1993-06-01

    Complications following the use of alloplastic orbital floor implants are well documented but it is not widely recognised that these can occur many years after initial treatment. Three patients who presented with late extrusion of an implant through the facial skin are reported. This complication occurred 10, 16 and 17 years respectively after treatment of the orbital floor fracture. The tissue reaction to silicone rubber and Teflon inplants is reviewed and the possible cause for this late complication is discussed.

  6. [Functional anatomy of the female pelvic floor: interdisciplinary continence and pelvic floor surgery].

    PubMed

    Muctar, S; Schmidt, W U; Batzill, W; Westphal, J

    2011-07-01

    Knowledge of functional anatomy is a prerequisite for the safe and targeted reconstructive therapy of incontinence and the prolapse syndrome of the female pelvic floor. We illustrate the interaction of muscles and connective tissue of the pelvic floor with anatomical illustrations and demonstrate their impact on the function of the urethra, bladder, vagina, uterus and rectum. Examples for the therapeutic rationale for a surgical reconstruction of the pelvic floor are defined and justified from their functional anatomy.

  7. Capsule of Cryptococcus neoformans grows by enlargement of polysaccharide molecules

    PubMed Central

    Frases, Susana; Pontes, Bruno; Nimrichter, Leonardo; Viana, Nathan B.; Rodrigues, Marcio L.; Casadevall, Arturo

    2009-01-01

    The human pathogenic fungus Cryptococcus neoformans has a distinctive polysaccharide (PS) capsule that enlarges during infection. The capsule is essential for virulence, but the mechanism for capsular growth is unknown. In the present study, we used dynamic light scattering (LS) analysis of capsular PS and optical tweezers (OT) to explore the architecture of the capsule. Analysis of capsular PS from cells with small and large capsules by dynamic LS revealed a linear correlation between PS effective diameter and microscopic capsular diameter. This result implied that capsule growth was achieved by the addition of molecules with larger effective diameter, such that some molecules can span the entire diameter of the capsule. Measurement of polystyrene bead penetration of C. neoformans capsules by using OT techniques revealed that the outer regions were penetrable, but not the inner regions. Our results provide a mechanism for capsular enlargement based on the axial lengthening of PS molecules and suggest a model for the architecture of a eukaryotic microbial capsule. PMID:19164571

  8. An enlarged cell wall proteome of Arabidopsis thaliana rosettes.

    PubMed

    Hervé, Vincent; Duruflé, Harold; San Clemente, Hélène; Albenne, Cécile; Balliau, Thierry; Zivy, Michel; Dunand, Christophe; Jamet, Elisabeth

    2016-12-01

    Plant cells are surrounded by cell walls playing many roles during development and in response to environmental constraints. Cell walls are mainly composed of polysaccharides (cellulose, hemicelluloses and pectins), but they also contain proteins which are critical players in cell wall remodeling processes. Today, the cell wall proteome of Arabidopsis thaliana, a major dicot model plant, comprises more than 700 proteins predicted to be secreted (cell wall proteins-CWPs) identified in different organs or in cell suspension cultures. However, the cell wall proteome of rosettes is poorly represented with only 148 CWPs identified after extraction by vacuum infiltration. This new study allows enlarging its coverage. A destructive method starting with the purification of cell walls has been performed and two experiments have been compared. They differ by the presence/absence of protein separation by a short 1D-electrophoresis run prior to tryptic digestion and different gradient programs for peptide separation before mass spectrometry analysis. Altogether, the rosette cell wall proteome has been significantly enlarged to 361 CWPs, among which 213 newly identified in rosettes and 57 newly described. The identified CWPs fall in four major functional classes: 26.1% proteins acting on polysaccharides, 11.1% oxido-reductases, 14.7% proteases and 11.7% proteins possibly related to lipid metabolism.

  9. Primary Enlarged Craniotomy in Organized Chronic Subdural Hematomas

    PubMed Central

    CALLOVINI, Giorgio Maria; BOLOGNINI, Andrea; CALLOVINI, Gemma; GAMMONE, Vincenzo

    2014-01-01

    The aim of the study is to evaluate the efficacy of craniotomy and membranectomy as initial treatment of organized chronic subdural hematoma (OCSH). We retrospectively reviewed a series of 34 consecutive patients suffering from OCSH, diagnosed by magnetic resonance imaging (MRI) or contrast computer tomography (CCT) in order to establish the degree of organization and determine the intrahematomal architecture. The indication to perform a primary enlarged craniotomy as initial treatment for non-liquefied chronic subdural hematoma (CSDH) with multilayer loculations was based on the hematoma MRI appearance—mostly hyperintense in both T1- and T2-weighted images with a hypointense web- or net-like structure within the hematoma cavity. The reason why some hematomas evolve towards a complex and organized architecture remains unclear; the most common aspect to come to light was the “long standing” of the CSDHs which, in our series, had an average interval of 10 weeks between head injury and initial scan. Recurrence was found to have occurred in 2 patients (6% of cases) in the form of acute subdural hematoma. One patient died as the result of an intraventricular and subarachnoid haemorrhage, while 2 patients (6%) suffered an haemorrhagic stroke ipsilateral to the OCSH. Eighty-nine percent of cases had a good recovery, while 11% remained unchanged or worsened. In select cases, based on the MRI appearance, primary enlarged craniotomy seems to be the treatment of choice for achieving a complete recovery and a reduced recurrence rate in OCSH. PMID:24305027

  10. Bone tunnel enlargement on anterior cruciate ligament reconstruction

    PubMed Central

    Leonardi, Adriano Barros de Aguiar; Duarte, Aires; Severino, Nilson Roberto

    2014-01-01

    Objective: To assess the presence of tibial bone tunnel enlargement after surgical reconstruction of the anterior cruciate ligament using quadruple graft of the flexor tendons and correlate the functional results in their presence. Methods: The studied lasted six months and included 25 patients, with ages ranging from 18 to 43 years old. Assessment was based on radiographs taken immediately postoperatively and at the third and sixth month of follow up in the anterior cruciate ligament reconstruction. Reconstruction of ligaments was performed with tendon grafts of the semitendinosus and gracilis muscle fixated in the femur with transverse metal screw and in the tibia with interference screws. Patients were evaluated objectively by tests ligament, graded from zero to four crosses and subjectively by the Lysholm method preoperative and after sixth month follow up. Results: Significant increase in the tunnels diameters were observed, 20.56% for radiographs in the anteroposterior view, 26.48% in profile view and 23.22% in computed tomography. Descriptive statistics showed significant improvement in subjective and objective clinical parameters. Conclusions: The bone tunnel enlargement is a phenomenon found in the first months after surgical reconstruction of the anterior cruciate ligament and it has no implications on clinical outcomes in the short term. Level of Evidence II, Prospective Study. PMID:25328430

  11. Enlargement and Contracture of C2-Ceramide Channels

    PubMed Central

    Siskind, Leah J.; Davoody, Amirparviz; Lewin, Naomi; Marshall, Stephanie; Colombini, Marco

    2003-01-01

    Ceramides are known to play a major regulatory role in apoptosis by inducing cytochrome c release from mitochondria. We have previously reported that ceramide, but not dihydroceramide, forms large and stable channels in phospholipid membranes and outer membranes of isolated mitochondria. C2-ceramide channel formation is characterized by conductance increments ranging from <1 to >200 nS. These conductance increments often represent the enlargement and contracture of channels rather than the opening and closure of independent channels. Enlargement is supported by the observation that many small conductance increments can lead to a large decrement. Also the initial conductances favor cations, but this selectivity drops dramatically with increasing total conductance. La+3 causes rapid ceramide channel disassembly in a manner indicative of large conducting structures. These channels have a propensity to contract by a defined size (often multiples of 4 nS) indicating the formation of cylindrical channels with preferred diameters rather than a continuum of sizes. The results are consistent with ceramides forming barrel-stave channels whose size can change by loss or insertion of multiple ceramide columns. PMID:12944273

  12. Primary enlarged craniotomy in organized chronic subdural hematomas.

    PubMed

    Callovini, Giorgio Maria; Bolognini, Andrea; Callovini, Gemma; Gammone, Vincenzo

    2014-01-01

    The aim of the study is to evaluate the efficacy of craniotomy and membranectomy as initial treatment of organized chronic subdural hematoma (OCSH). We retrospectively reviewed a series of 34 consecutive patients suffering from OCSH, diagnosed by magnetic resonance imaging (MRI) or contrast computer tomography (CCT) in order to establish the degree of organization and determine the intrahematomal architecture. The indication to perform a primary enlarged craniotomy as initial treatment for non-liquefied chronic subdural hematoma (CSDH) with multilayer loculations was based on the hematoma MRI appearance--mostly hyperintense in both T1- and T2-weighted images with a hypointense web- or net-like structure within the hematoma cavity. The reason why some hematomas evolve towards a complex and organized architecture remains unclear; the most common aspect to come to light was the "long standing" of the CSDHs which, in our series, had an average interval of 10 weeks between head injury and initial scan. Recurrence was found to have occurred in 2 patients (6% of cases) in the form of acute subdural hematoma. One patient died as the result of an intraventricular and subarachnoid haemorrhage, while 2 patients (6%) suffered an haemorrhagic stroke ipsilateral to the OCSH. Eighty-nine percent of cases had a good recovery, while 11% remained unchanged or worsened. In select cases, based on the MRI appearance, primary enlarged craniotomy seems to be the treatment of choice for achieving a complete recovery and a reduced recurrence rate in OCSH.

  13. ETRA, TRA642. ON BASEMENT FLOOR. IBEAM COLUMNS SUPPORTING CONSOLE FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    ETRA, TRA-642. ON BASEMENT FLOOR. I-BEAM COLUMNS SUPPORTING CONSOLE FLOOR HAVE BEEN SURROUNDED BY CONCRETE IN RECTANGULAR PILLARS. BASEMENT FLOOR IS BEING PREPARED FOR PLACEMENT OF CONCRETE. ABOVE CEILING IS CONSOLE FLOOR, IN WHICH CUT-OUT HAS PRESERVED SPACE FOR REACTOR AND ITS SHIELDING. CIRCULAR FORM IN REACTOR AREA IS CONCRETE FORMING. NOTE VERTICAL CONDUIT AT INTERVALS AROUND REACTOR PITS. INL NEGATIVE NO. 56-1237. Jack L. Anderson, Photographer, 4/17/1956 - Idaho National Engineering Laboratory, Test Reactor Area, Materials & Engineering Test Reactors, Scoville, Butte County, ID

  14. Psychological profile in burning mouth syndrome.

    PubMed

    Al Quran, Firas A M

    2004-03-01

    Thirty-two patients with burning mouth syndrome and 32 matched control subjects were evaluated for their personality profile using a comprehensive, reliable, and validated inventory. All subjects were requested to complete the Neo PI-R questionnaire that measures the 5 dimensions of personality and their facets. A t-test and univariate correlations (Pearson's correlation coefficient) were used to compare the 2 groups. Results show high significant differences in some personality factors. Neuroticism and all its facets, which include anxiety, angry hostility, depression, self-consciousness, impulsiveness and vulnerability, were significant at P<.001. Other domains like extraversion, openness, and conscientiousness showed significant differences also (P<.05). Many personality characteristics differentiate burning mouth syndrome patients from controllers according to the Neo PI-R and this should affect the treatment plan according to the identified characteristics.

  15. Social media: the word of mouth revolution.

    PubMed

    Garven, Joseph J

    2010-01-01

    Many dental practices today find themselves uncertain about the new social media universe, and in particular with how to relate to younger patients. The power of social networking is its immediate access to the word of mouth exchange of information, and the word of mouth avenue itself is recognized as the single most effective form of advertising. To tap into that phenomenon, begin by investing a small amount of time and effort to understand the basics of social networking. Sign up for Facebook and Twitter. First-hand experience interacting in a social network is the vital first step. The bottom line is simply this: To begin to understand this new arena of communication, you first have to join the conversation.

  16. Pain Part 8: Burning Mouth Syndrome.

    PubMed

    Beneng, Kiran; Renton, Tara

    2016-04-01

    Burning mouth syndrome (BMS) is a rare but impactful condition affecting mainly post-menopausal women resulting in constant pain and significant difficulty with eating, drinking and daily function. The aetiology of BMS remains an enigma. Recent evidence suggests it likely to be neuropathic in origin, the cause of which remains unknown. There is no cure for this condition and the unfortunate patients remain managed on a variety of neuropathic pain medication, salivary substitutes and other non-medical interventions that help the patient 'get through the day'. Some simple strategies can assist both clinician and patient to manage this debilitating condition. CPD/Clinical Relevance: The dental team will recognize patients presenting with burning mouth syndrome. They are difficult patients to manage and are often referred to secondary care and, ultimately, depend on their general medical practitioners for pain management.

  17. Burning mouth syndrome and secondary oral burning.

    PubMed

    Minor, Jacob S; Epstein, Joel B

    2011-02-01

    Burning mouth syndrome is a complex disorder of unclear etiology that is most prevalent in perimenopausal women. It is often accompanied by dysguesia and subjective xerostomia. Recent evidence implicates both central and peripheral neuropathies, possibly representing a phantom pain syndrome in some patients. Ensuring that the patient's oral burning is not secondary to some other local or systemic factor is central to appropriate management. Current standard therapies include clonazepam, paroxetine, and cognitive behavioral therapy, and several promising new alternatives are described.

  18. 76 FR 7098 - Dealer Floor Plan Pilot Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-09

    ... ADMINISTRATION 13 CFR Parts 120 and 121 Dealer Floor Plan Pilot Program AGENCY: U.S. Small Business... Dealer Floor Plan Pilot Program to make available 7(a) loan guaranties for lines of credit that provide floor plan financing. This new Dealer Floor Plan Pilot Program was created in the Small Business...

  19. 9 CFR 354.222 - Floors, walls, ceilings, etc.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 2 2013-01-01 2013-01-01 false Floors, walls, ceilings, etc. 354.222 Section 354.222 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... Facilities § 354.222 Floors, walls, ceilings, etc. (a) Floors. All floors in rooms where exposed products...

  20. Aortic Annulus Enlargement: Early and Long-Terms Results

    PubMed Central

    Dumani, Selman; Likaj, Ermal; Dibra, Laureta; Beca, Vera; Kuci, Saimir; Refatllari, Ali

    2017-01-01

    AIM: Patient-prosthesis mismatch (PPM) is a common occurrence in aortic valve surgery. Even the discussions about the impact of this phenomenon on the results of aortic valve surgery, the management of this problem remain one of the main topics in this kind of surgery. One of the ways of a solution is aortic annulus enlargement. The main topic of this study is to evaluate the early and longterm results of this technique in our country. METHODS: During the period January 2010 –January 2015, 641 patients performed aortic valve surgery. In ten patients we performed aortic annulus enlargement according to Manouguian technique to avoid severe patient-prothesis mismatch. Operative mortality and perioperative complications (low cardiac output, pulmonary complications, etc..) were considered the indicators of the early results. Survival, clinical presentation according to NYHA, quality of life were the indicators to evaluate long-term results. Preoperative and postoperative echocardiographic data were also used to evaluate our results. We collected the data from hospital registrations and periodical clinical visit and echographic examination after hospital discharge. RESULTS: In our group, 6 of 10 patients were diagnosed with stenotic aortic valve, two patients had aortic valve regurgitation and two mixed valve pathology. Four patients had concomitant cardiac surgery procedure, mitral or CABG. In all cases, aortic valve pathology was the primary diagnose. In the preoperative echocardiographic examination mean transvalvular gradient was 54.3 ± 6.42. We had no death during early or late postoperative period. Only one patient had pulmonary complications and long time of respiratory assistance because of his pulmonary pathology. The same patient had low cardiac output and wound infection. Early after surgery mean transprostethic gradient was 16.2 ± 3.44 and late postoperative was 15.9 ± 4.3. No patient had the severe patient-prothesis mismatch. Mean follow-up was 49 ± 20

  1. de Quervain thyroiditis in a young boy following hand-foot-mouth disease.

    PubMed

    Engkakul, Pontipa; Mahachoklertwattana, Pat; Poomthavorn, Preamrudee

    2011-04-01

    de Quervain thyroiditis, also known as subacute thyroiditis, is a self-limited inflammatory disease of the thyroid gland. It is extremely rare in children. The hallmarks for diagnosis are painful thyroid enlargement, elevated inflammatory markers, and decreased uptake of the thyroid gland on thyroid scintigraphy. Viral infection has been proposed to be associated with de Quervain thyroiditis. Coxsackie virus has been reported to be one of the viruses associated with the disease. To our knowledge, childhood de Quervain thyroiditis associated with hand-foot-mouth disease caused by coxsackie infection has never been reported. We report a 2.7-year-old boy who presented with typical features of de Quervain thyroiditis following hand-foot-mouth disease caused by coxsackie B4 infection. He had a brief thyrotoxic phase initially, followed by transient hypothyroid phase and euthyroidism thereafter. His thyroid scintigraphy showed a typical faint uptake at the diagnosis, and an improvement of the thyroid scan and uptake was shown 8 weeks later. He was treated with prednisolone and nearly complete resolution was documented within 2 months. Careful evaluation of the patient led to the correct diagnosis and appropriate management.

  2. Venous cystic adventitial disease presenting as an enlarging groin mass.

    PubMed

    Scott, Mark F; Gavin, Timothy; Levin, Steven

    2014-02-01

    Venous cystic adventitial disease is an exceedingly rare vascular disorder, with 12 cases reported in the past decade. A 60-year-old woman presented with a painful, palpable groin mass without leg swelling. She was initially thought to have a nonreducible inguinal hernia. A computed tomography scan was obtained that revealed a cystic mass involving the right common femoral vein. Previous imaging revealed that the mass had enlarged over time. In the operating room, the cyst wall was excised without compromising vein integrity. The patient had an uneventful recovery and her pain resolved. We review the presentation, diagnosis, and treatment of this condition. We believe that the rapid evolution of this lesion suggests that an unknown inciting factor triggers its onset and growth.

  3. Acute respiratory failure in a rapidly enlarging benign cervical goitre.

    PubMed

    Garingarao, Carlo Jan; Añonuevo-Cruz, Cecille; Gasacao, Ryan

    2013-07-22

    Benign goitres have the potential to reach massive sizes if neglected, but most have a protracted course that may or may not present with compressive symptoms. We report the case of a 57-year-old man who presented with a rapidly enlarging nodular goitre resulting in acute respiratory failure. Endotracheal intubation and emergency total thyroidectomy were performed, revealing massive thyroid nodules with minimal intrathoracic extension and tracheal erosion. Despite a course and clinical findings suggestive of malignant disease, histopathology was consistent with a benign multinodular goitre. Several cases of benign goitres necessitating endotracheal intubation have been reported. Airway compromise was attributed to a significant intrathoracic component, or inciting events such as thyroid haemorrhage, pregnancy, radioiodine uptake or major surgery. Obstructive symptoms may not correlate well with objective measures of upper airway obstruction such as radiographs or flow volume loops.

  4. Measurements of enlarged blood pump models using Laser Doppler Anemometer.

    PubMed

    Chua, L P; Yu, S C; Leo, H L

    2000-01-01

    In an earlier study (Chua et al., 1998, 1999a), a 5:1 enlarged model of the Kyoto-NTN Magnetically Suspended Centrifugal Blood Pump (Akamatsu et al., 1995) with five different impeller blade profiles was designed and constructed. Their respective flow characteristics with respect to (1) the three different blade profile designs: forward, radial, and backward, (2) the number of blades used, and (3) the rotating speed were investigated. Among the five impeller designs, the results obtained suggested that impellers A and C designs should be adopted if higher head is required. Impellers A and C therefore were selected for the flow in between their blades to be measured using Laser Doppler Anemometer (LDA), so as to have a better understanding of the flow physics with respect to the design parameters.

  5. Bilateral extraocular muscles enlargement from Kimura's disease of the orbit

    PubMed Central

    Gonçalves, Allan Christian Pieroni; Moritz, Rodrigo B; Aldred, Vera L.; Monteiro, Mário Luiz Ribeiro

    2016-01-01

    Kimura's disease (KD) is a rare chronic inflammatory disease of unclear etiology, characterized by subcutaneous nodules, mainly in the head and neck region, frequently associated with regional lymphadenopathy. Orbital involvement is infrequent and when it occurs, usually affects the eyelid or the lacrimal gland. We report a case of a 44-year-old man that presented with bilateral slowly progressive proptosis that was initially misdiagnosed as Graves’ Ophthalmopathy. 15 months of worsening proptosis and the development of facial and temporal swelling led to further investigation. Computed tomography and magnetic resonance imaging showed enlargement of all recti muscles and diffuse orbital infiltration. An orbital biopsy was performed and was consistent with the diagnosis of KD. Long term oral corticosteroid showed marked improvement of proptosis and facial swelling. This case serves to emphasize that KD should be included in the differential diagnosis of inflammatory diseases of the orbit, even when characterized by predominant involvement of the extraocular muscles. PMID:24088630

  6. An unusual myopathy: speckled muscle fibers due to enlarged mitochondria.

    PubMed

    Jeffree, Rosalind L; Wills, Edward J; Harper, Clive

    2007-07-01

    We report a 52-year-old woman who presented with a 6-month history of proximal muscle weakness, elevated serum creatine kinase, and myopathic pattern on electromyography (EMG). Histology of the muscle shows a speckled pattern due to clustering of enlarged mitochondria. The pathology resembles that of selenium deficiency. The patient was found to have borderline low serum selenium and also low vitamin D and thyroid-stimulating hormone. The cause of this unusual myopathy is probably multifactorial. This case is important because the unusual pathological picture represents a potentially treatable myopathy. In addition, we hope that publication of the complex clinical and biochemical abnormalities of this case, in conjunction with other case reports, may facilitate future elucidation of muscle mitochondrial function and dysfunction.

  7. Hemorrhage from an enlarged emphysematous bulla during commercial air travel.

    PubMed

    Chen, Chien-Wen; Perng, Wann-Cherng; Li, Min-Hui; Yan, Horng-Chin; Wu, Chin-Pyng

    2006-12-01

    Pulmonary bullae are a common late complication in patients with emphysema. Non-communicating emphysematous bullae may expand during air travel when the ambient pressure is reduced, resulting in various forms of barotrauma including pneumothorax and air embolism. We report a 62-yr-old man with emphysema who developed hemoptysis during international commercial air travel. CT scan of the chest obtained after the travel showed air-fluid level in an enlarged bulla. He underwent resection of the bulla and had a full recovery. This is a unique presentation of stretch injury of a bulla as a form of pulmonary barotrauma occurring during commercial air travel. With the most recent ruling by the Federal Aviation Administration to allow patients with advanced chronic obstructive lung disease to travel by air with their own supplemental oxygen devices, physicians need to be aware of this type of pulmonary barotrauma and properly advise such patients who are planning to travel by air.

  8. [Aging-related changes of the female pelvic floor].

    PubMed

    Scheiner, David; Betschart, Cornelia; Perucchini, Daniele

    2010-01-01

    The pelvic floor as lower closure of the abdominal cavity has to withstand the abdominal pressure. Meanwhile, the pelvic floor has to allow physiologic functions like micturition, defecation, sexual function and reproduction. But while pregnancy and vaginal delivery damage the pelvic floor directly, chronic stress like caugh, heavy lifting, or obesity lead to a chronic overstraining of the pelvic floor. Aging, structural changes, and possibly estrogen deficiency have a negative impact on the pelvic floor.

  9. OCT Minimum Intensity as a Predictor of Geographic Atrophy Enlargement

    PubMed Central

    Stetson, Paul F.; Yehoshua, Zohar; Garcia Filho, Carlos Alexandre A.; Portella Nunes, Renata; Gregori, Giovanni; Rosenfeld, Philip J.

    2014-01-01

    Purpose. We determined whether the minimum intensity (MI) of the optical coherence tomography (OCT) A-scans within the retina can predict locations of growth at the margin of geographic atrophy (GA) and the growth rate outside the margin. Methods. The OCT scans were analyzed at baseline and 52 weeks. Expert graders manually segmented OCT images of GA. The 52-week follow-up scans were registered to the baseline scan coordinates for comparison. The OCT MI values were studied within a 180-μm margin around the boundary of GA at baseline. Baseline MI values were compared in areas of progression and nonprogression of the GA, and sensitivity and specificity were assessed for prediction of growth at the margin. Average MI values in the margins were compared to overall growth rates to evaluate the prediction of growth outside the margins. Results. A statistically significant increase in MI (P < 0.05) was seen in areas of growth in 21/24 cases (88%), and 22/24 cases (92%) when the foveal subfield was excluded. Locations of growth within the margins at 52 weeks were predicted with 61% sensitivity and 61% specificity. The MI values correlated significantly with overall growth rate, and high and low growth rate subjects were identified with 80% sensitivity and 64% specificity. Conclusions. The MI may be increased at the margins of GA lesions before enlargement, which may indicate disruption or atrophy of the photoreceptors in these areas before GA becomes apparent. Increased MI may help predict areas of enlargement of GA, and may relate to overall growth rate and be a useful screening tool for GA. (ClinicalTrials.gov number, NCT00935883.) PMID:24408973

  10. The cleaning of ward floors and the bacteriological study of floor-cleaning machines

    PubMed Central

    Bate, J. G.

    1961-01-01

    Current trends in ward flooring materials and cleaning methods are considered from the point of view of the hospital bacteriologist. Methods employed in an investigation into the bacteriological safety of a number of floor-cleaning machines are described, and some considerations governing the choice of vacuum cleaners for ward use are discussed. Images PMID:13687726

  11. 24. FIFTH FLOOR BLDG. 28B, DETAIL WOOD BLOCK FLOORING LOOKING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    24. FIFTH FLOOR BLDG. 28B, DETAIL WOOD BLOCK FLOORING LOOKING NORTH. - Fafnir Bearing Plant, Bounded on North side by Myrtle Street, on South side by Orange Street, on East side by Booth Street & on West side by Grove Street, New Britain, Hartford County, CT

  12. 23. FIFTH FLOOR BLDG. 28B, DETAIL WOOD BLOCK FLOORING LOOKING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    23. FIFTH FLOOR BLDG. 28B, DETAIL WOOD BLOCK FLOORING LOOKING WEST. - Fafnir Bearing Plant, Bounded on North side by Myrtle Street, on South side by Orange Street, on East side by Booth Street & on West side by Grove Street, New Britain, Hartford County, CT

  13. Total pelvic floor ultrasound for pelvic floor defaecatory dysfunction: a pictorial review.

    PubMed

    Hainsworth, Alison J; Solanki, Deepa; Schizas, Alexis M P; Williams, Andrew B

    2015-01-01

    Total pelvic floor ultrasound is used for the dynamic assessment of pelvic floor dysfunction and allows multicompartmental anatomical and functional assessment. Pelvic floor dysfunction includes defaecatory, urinary and sexual dysfunction, pelvic organ prolapse and pain. It is common, increasingly recognized and associated with increasing age and multiparity. Other options for assessment include defaecation proctography and defaecation MRI. Total pelvic floor ultrasound is a cheap, safe, imaging tool, which may be performed as a first-line investigation in outpatients. It allows dynamic assessment of the entire pelvic floor, essential for treatment planning for females who often have multiple diagnoses where treatment should address all aspects of dysfunction to yield optimal results. Transvaginal scanning using a rotating single crystal probe provides sagittal views of bladder neck support anteriorly. Posterior transvaginal ultrasound may reveal rectocoele, enterocoele or intussusception whilst bearing down. The vaginal probe is also used to acquire a 360° cross-sectional image to allow anatomical visualization of the pelvic floor and provides information regarding levator plate integrity and pelvic organ alignment. Dynamic transperineal ultrasound using a conventional curved array probe provides a global view of the anterior, middle and posterior compartments and may show cystocoele, enterocoele, sigmoidocoele or rectocoele. This pictorial review provides an atlas of normal and pathological images required for global pelvic floor assessment in females presenting with defaecatory dysfunction. Total pelvic floor ultrasound may be used with complementary endoanal ultrasound to assess the sphincter complex, but this is beyond the scope of this review.

  14. ETR, TRA642. FLOOR PLAN UNDER BALCONY ON CONSOLE FLOOR. MOTORGENERATOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    ETR, TRA-642. FLOOR PLAN UNDER BALCONY ON CONSOLE FLOOR. MOTOR-GENERATOR SETS AND OTHER ELECTRICAL EQUIPMENT. PHILLIPS PETROLEUM COMPANY ETR-D-1781, 7/1960. INL INDEX NO. 532-0642-00-706-020384, REV. 1. - Idaho National Engineering Laboratory, Test Reactor Area, Materials & Engineering Test Reactors, Scoville, Butte County, ID

  15. Association between halitosis and mouth breathing in children

    PubMed Central

    Motta, Lara Jansiski; Bachiega, Joanna Carolina; Guedes, Carolina Cardoso; Laranja, Lorena Tristão; Bussadori, Sandra Kalil

    2011-01-01

    OBJECTIVE: To determine whether there is a correlation between halitosis and mouth breathing in children. STUDY DESIGN: Fifty-five children between 3 and 14 years of age were divided into two groups (nasal and mouth breathing) for the assessment of halitosis. A descriptive analysis was conducted on the degree of halitosis in each group. The chi-square test was used for comparison between groups, with a 5% level of significance. RESULTS: There was a significantly greater number of boys with the mouth-breathing pattern than girls. A total of 23.6% of the participants had no mouth odor, 12.7% had mild odor, 12.7% had moderate odor and 50.9% had strong odor. There was a statistically significant association between halitosis and mouth breathing. CONCLUSIONS: The occurrence of halitosis was high among the children evaluated, and there was a statistically significant association between halitosis and mouth breathing. PMID:21808855

  16. Anatomical aspects of sinus floor elevations.

    PubMed

    van den Bergh, J P; ten Bruggenkate, C M; Disch, F J; Tuinzing, D B

    2000-06-01

    Inadequate bone height in the lateral part of the maxilla forms a contra-indication for implant surgery. This condition can be treated with an internal augmentation of the maxillary sinus floor. This sinus floor elevation, formerly called sinus lifting, consists of a surgical procedure in which a top hinge door in the lateral maxillary sinus wall is prepared and internally rotated to a horizontal position. The new elevated sinus floor, together with the inner maxillary mucosa, will create a space that can be filled with graft material. Sinus lift procedures depend greatly on fragile structures and anatomical variations. The variety of anatomical modalities in shape of the inner aspect of the maxillary sinus defines the surgical approach. Conditions such as sinus floor convolutions, sinus septum, transient mucosa swelling and narrow sinus may form a (usually relative) contra-indication for sinus floor elevation. Absolute contra-indications are maxillary sinus diseases (tumors) and destructive former sinus surgery (like the Caldwell-Luc operation). The lateral sinus wall is usually a thin bone plate, which is easily penetrated with rotating or sharp instruments. The fragile Schneiderian membrane plays an important role for the containment of the bonegraft. The surgical procedure of preparing the trap door and luxating it, together with the preparation of the sinus mucosa, may cause a mucosa tear. Usually, when these perforations are not too large, they will fold together when turning the trap door inward and upward, or they can be glued with a fibrin sealant, or they can be covered with a resorbable membrane. If the perforation is too large, a cortico-spongious block graft can be considered. However, in most cases the sinus floor elevation will be deleted. Perforations may also occur due to irregularities in the sinus floor or even due to immediate contact of sinus mucosa with oral mucosa. Obstruction of the antro-nasal foramen is, due to its high location, not a

  17. Novel sensors for the Artificial Mouth

    NASA Astrophysics Data System (ADS)

    Djeghlaf, Lyes; Mielle, Patrick; Maratray, Jacques; Launay, Jérôme; Temple-Boyer, Pierre; Salles, Christian

    2011-09-01

    Similarly to human chewing, tasty compounds are released in saliva during the food piece mastication in the `Artificial Mouth', and so, are available continuously. Glutamate is present in numerous food, as taste enhancer, has a nice and sought "umami" taste, specific receptors and different inter individual sensitivities, and is a fair marker of the release of tasty compounds. The three sensors (for pH, salt, or glutamate concentration) have the same size, so they are easily interchangeable. Up to now, only one kind of parameter may be analysed at a time by the different sensors. Nevertheless, combined electrodes may be developed in the future.

  18. [Burning mouth syndrome - a joint biopsychosocial approach].

    PubMed

    Arpone, Francesca; Combremont, Florian; Weber, Kerstin; Scolozzi, Paolo

    2016-02-10

    Burning mouth syndrome (BMS) is a medical condition that is often refractory to conventional diagnostic and therapeutic methods. Patients suffering from BMS can benefit from a biopsychosocial approach in a joint, medical-psychological consultation model. Such a consultation exists at Geneva University Hospitals, involving the collaboration of the maxillo-facial and oral surgery division and the division of liaison psychiatry and crisis intervention, in order to take into account the multiple factors involved in BMS onset and persistence. This article will describe BMS clinical presentation, and present an integrate approach to treat these patients.

  19. Wave-Current Interaction in Coastal Inlets and River Mouths

    DTIC Science & Technology

    2014-09-30

    unlimited. Wave-Current Interaction in Coastal Inlets and River Mouths Tim T. Janssen Theiss Research, El Granada, CA 94018 t: 415 609 5359 ; e...river mouth processes, 2) better understand the role of current shear, wave inhomogeneity and nonlinearity in wave-current interaction through...DATES COVERED 00-00-2014 to 00-00-2014 4. TITLE AND SUBTITLE Wave-Current Interaction in Coastal Inlets and River Mouths 5a. CONTRACT NUMBER 5b

  20. A new technique for enlargement and reconstruction of digital sensor imagery

    NASA Technical Reports Server (NTRS)

    Rhea, W. Joseph

    1991-01-01

    A new image enlargement and reconstruction routine, the digital image enlarging balanced reconstruction algorithm (DIEBRA), is described. Using a highly modified form of 'balanced' two-dimensional polynomial interpolation, this program enlarges digital imagery, creating synthetic high spatial resolution images. Statistical analysis shows the DIEBRA-generated imagery to be significantly closer to true high spatial resolution imagery at all frequencies than imagery generated by a cubic convolutional reconstruction filter.

  1. A&M. TAN607 floor plans. Shows three floor levels of pool, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    A&M. TAN-607 floor plans. Shows three floor levels of pool, hot shop, and warm shop. Includes view of pool vestibule, personnel labyrinth, location of floor rails, and room numbers of office areas, labs, instrument rooms, and stairways. This drawing was re-drawn to show as-built features in 1993. Ralph M. Parsons 902-3-ANP-607-A 96. Date of original: December 1952. Approved by INEEL Classification Office for public release. INEEL index code no. 034-0607-00-693-106748 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

  2. Gingival Enlargement in a Case of Variant Jones Syndrome: a Case Report

    PubMed Central

    DA, Roopa; Singh, Shinkhala; Gupta, Ira; Gopal, Saumiya

    2016-01-01

    Gingival enlargement can be caused by a variety of etiological factors like inflammation, drugs, and systemic diseases or can be presented as a part of a syndrome. One such syndrome is Jones Syndrome, which is associated with gingival enlargement and progressive hearing loss. We present here a case of fifteen-year-old boy with gingival enlargement, hearing loss, and generalized alveolar bone loss and diagnosed as Jones syndrome. The diagnosis was made based on history, clinical, radiographic, and histopathological findings. Gingival enlargement was surgically managed using gingivectomy and no recurrence was observed. The patient showed remarkable esthetical and functional improvement. PMID:26966711

  3. Low dose amlodipine-induced gingival enlargement: A clinical case series

    PubMed Central

    Tripathi, Amitandra Kumar; Mukherjee, Sudarshana; Saimbi, Charanjit Singh; Kumar, Vivek

    2015-01-01

    Gingival enlargement sometimes has an adverse effect of certain systemic drugs such as the use of anticonvulsants, phenytoin, antihypertensive, calcium channel blockers and immunosuppressant, cyclosporine. Amlodipine, a relatively newer calcium channel blocker drugs, exhibit adverse effect of gingival enlargement in middle to older aged adults. There are very few reports of amlodipine-induced gingival enlargement at a lower dose (5 mg). In this article, three cases of amlodipine-induced gingival enlargement in the age range of 50-65 years old hypertensive patient with a lower dose of amlodipine (5 mg). PMID:25684923

  4. A technique of aortic annulus enlargement with a Freestyle stentless bioprosthesis.

    PubMed

    Bical, Olivier M; Nutu, Ovidiu; Deleuze, Philippe

    2012-02-01

    We describe our surgical technique to manage a small aortic annulus during aortic valve replacement. Starting with the posterior annular enlargement incision described by Manouguian, a stentless porcine aortic root, with excision of the left and right porcine coronary segments and conservation of the mural wall (Freestyle MS design, Medtronic, Minneapolis, MN ), was used. The Freestyle bioprosthesis enlarges the aortic annulus using a direct suture of the valve on the enlarged annulus, and the aorta is closed by a direct suture of the mural wall of the bioprosthesis. Therefore, the aortic annulus enlargement is made only using the aortic bioprosthesis, without other material.

  5. In vivo phospholipid biosynthesis in cotton cotyledons during glyoxysome enlargement

    SciTech Connect

    Chapman, K.D.; Trelease, R.N. )

    1990-05-01

    The surface are of cottonseed glyoxysomes increases about 4 fold within 36 h after imbibition. Membrane phospholipid must become available to glyoxysomes to accommodate expansion. Incubation of cotyledons (18-h-old) in 14C-choline (1 h) resulted in at least 85% recovery of 14C-phosphatidylcholine (PC) in membranes comigrating on sucrose gradients (20-59% w/w) with antimycin A-insensitive cytochrome c reductase (CCR) activity and choline- and ethanolaminephosphotransferase (CPT and EPT) activities (ER at about 24% w/w sucrose). Chase experiments with 3.4 M choline chloride for 2, 12, or 24 h led to increasing proportions of 14C-PC (36% after 24 h) recovery in mitochondria. No transfer of 14C-PC to enlarging glyoxysomes was detected. Incubations in 14C-ethanolamine yielded ER labeling after only 30 min. 14C-PE chased into mitochondria membranes more rapidly than PC (45% after 12 h), and no 14C-PE chased into glyoxysome membranes. Evidence for synthesis of 14C-PC from 14C-PE was found after 12 h chase with 1 M ethanolamine hydrochloride. Our results indicate that ER is the primary site of PC and PE synthesis in vivo and that ER contributes newly synthesized PC and PE to mitochondrial membranes but not to expanding glyoxysomal membranes. This is different from membrane biogenesis of glyoxysomes proliferating in castor bean endosperm.

  6. Chondroitin sulphate proteoglycan and embryonic brain enlargement in the chick.

    PubMed

    Gato, A; Moro, J A; Alonso, M I; Pastor, J F; Represa, J J; Barbosa, E

    1993-07-01

    Previous studies of the early development of the neural tube have shown the existence of an intraneural fluid, which causes a positive pressure inside this primordium, and seems to play a key role in the early development of the central nervous system. In the present study we investigated the composition and synthesis of this intraneural fluid. By using a sequential method, which includes fixation with glutaraldehyde plus cetylpyridinium chloride, opening the neural cavity after critical point drying and scanning electron microscopy analysis, we found a water-soluble extracellular matrix that filled up the brain vesicles of chick embryos at the earliest stages of the neural tube. An ultrastructural study of the neural epithelium during these stages revealed the existence of a secretion process in the neural cells toward the apical side, the future neural cavity. An immunocytochemical study to assess the nature of the secreted material has shown that the intraneural matrix contains chondroitin sulphate proteoglycan, which appeared homogeneously distributed throughout the neural cavity. Our findings demonstrate that the intraneural liquid is a fluid of complex composition and includes chondroitin sulphate proteoglycan as an osmotically active molecule. This suggests a morphogenetic role for the proteoglycan during early brain enlargement. The neural ectoderm is a polarized epithelium from early developmental stages and secretes the intraneural matrix.

  7. Assembly and enlargement of the primary cell wall in plants

    NASA Technical Reports Server (NTRS)

    Cosgrove, D. J.

    1997-01-01

    Growing plant cells are shaped by an extensible wall that is a complex amalgam of cellulose microfibrils bonded noncovalently to a matrix of hemicelluloses, pectins, and structural proteins. Cellulose is synthesized by complexes in the plasma membrane and is extruded as a self-assembling microfibril, whereas the matrix polymers are secreted by the Golgi apparatus and become integrated into the wall network by poorly understood mechanisms. The growing wall is under high tensile stress from cell turgor and is able to enlarge by a combination of stress relaxation and polymer creep. A pH-dependent mechanism of wall loosening, known as acid growth, is characteristic of growing walls and is mediated by a group of unusual wall proteins called expansins. Expansins appear to disrupt the noncovalent bonding of matrix hemicelluloses to the microfibril, thereby allowing the wall to yield to the mechanical forces generated by cell turgor. Other wall enzymes, such as (1-->4) beta-glucanases and pectinases, may make the wall more responsive to expansin-mediated wall creep whereas pectin methylesterases and peroxidases may alter the wall so as to make it resistant to expansin-mediated creep.

  8. Hydrodynamic drag constrains head enlargement for mouthbrooding in cichlids.

    PubMed

    Van Wassenbergh, Sam; Potes, Nuno Zavattieri; Adriaens, Dominique

    2015-08-06

    Presumably as an adaptation for mouthbrooding, many cichlid fish species have evolved a prominent sexual dimorphism in the adult head. Since the head of fishes serves as a bow during locomotion, an evolutionary increase in head volume to brood more eggs can trade-off with the hydrodynamic efficiency of swimming. Here, the differences between males and females in three-dimensional shape and size of the external head surfaces and the effect thereof on drag force during locomotion was analysed for the Nile tilapia (Oreochromis niloticus), a maternal mouthbrooder. To do so, three-dimensional body surface reconstructions from laser scans and computational fluid dynamics simulations were performed. After scaling the scanned specimens to post-cranial body volume, in order to theoretically equalize propulsive power, the external volume of the head of females was 27% larger than that of males (head length + 14%; head width + 9%). These differences resulted in an approximate 15% increase in drag force. Yet, hydrodynamics imposed important constraints on the adaptation for mouthbrooding as a much more drastic drop in swimming efficiency seems avoided by mainly enlarging the head along the swimming direction.

  9. Interface fluctuations for deposition on enlarging flat substrates

    NASA Astrophysics Data System (ADS)

    Carrasco, I. S. S.; Takeuchi, K. A.; Ferreira, S. C.; Oliveira, T. J.

    2014-12-01

    We investigate solid-on-solid models that belong to the Kardar-Parisi-Zhang (KPZ) universality class on substrates that expand laterally at a constant rate by duplication of columns. Despite the null global curvature, we show that all investigated models have asymptotic height distributions and spatial covariances in agreement with those expected for the KPZ subclass for curved surfaces. In 1 + 1 dimensions, the height distribution and covariance are given by the GUE Tracy-Widom distribution and the Airy2 process instead of the GOE and Airy1 foreseen for flat interfaces. These results imply that when the KPZ class splits into curved and flat subclasses, as conventionally considered, the expanding substrate may play a role equivalent to, or perhaps more important than, the global curvature. Moreover, the translational invariance of the interfaces evolving on growing domains allowed us to accurately determine, in 2 + 1 dimensions, the analog of the GUE Tracy-Widom distribution for height distribution and that of the Airy2 process for spatial covariance. Temporal covariance is also calculated and shown to be universal in each dimension and in each of the two subclasses. A logarithmic correction associated with the duplication of columns is observed and theoretically elucidated. Finally, crossover between regimes with fixed-size and enlarging substrates is also investigated.

  10. Concentric Crater Floor Deposits in Daedalia Planum

    NASA Technical Reports Server (NTRS)

    2003-01-01

    [figure removed for brevity, see original site]

    Released 3 September 2003

    Concentric crater floor deposits in Daedalia Planum. Lava flows appear to be converging on this crater from the northeast as well as on the crater floor. The concentric floor deposits may be the result of exposed and eroded layers of sediment that make up the crater floor.

    Image information: VIS instrument. Latitude -22.3, Longitude 221.5 East (138.5 West). 19 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  11. Sea Floor off San Diego, California

    USGS Publications Warehouse

    Dartnell, Peter; Gibbons, Helen

    2009-01-01

    Ocean-floor image generated from multibeam-bathymetry data acquired by the U.S. Geological Survey (USGS); Woods Hole Oceanographic Institution; Scripps Institution of Oceanography; California State University, Monterey Bay; and Fugro Pelagos. To learn more, visit http://pubs.usgs.gov/sim/2007/2959/.

  12. Extending the sub-sea-floor biosphere.

    PubMed

    Roussel, Erwan G; Bonavita, Marie-Anne Cambon; Querellou, Joël; Cragg, Barry A; Webster, Gordon; Prieur, Daniel; Parkes, R John

    2008-05-23

    Sub-sea-floor sediments may contain two-thirds of Earth's total prokaryotic biomass. However, this has its basis in data extrapolation from ~500-meter to 4-kilometer depths, whereas the deepest documented prokaryotes are from only 842 meters. Here, we provide evidence for low concentrations of living prokaryotic cells in the deepest (1626 meters below the sea floor), oldest (111 million years old), and potentially hottest (~100 degrees C) marine sediments investigated. These Newfoundland margin sediments also have DNA sequences related to thermophilic and/or hyperthermophilic Archaea. These form two unique clusters within Pyrococcus and Thermococcus genera, suggesting unknown, uncultured groups are present in deep, hot, marine sediments (~54 degrees to 100 degrees C). Sequences of anaerobic methane-oxidizing Archaea were also present, suggesting a deep biosphere partly supported by methane. These findings demonstrate that the sub-sea-floor biosphere extends to at least 1600 meters below the sea floor and probably deeper, given an upper temperature limit for prokaryotic life of at least 113 degrees C and increasing thermogenic energy supply with depth.

  13. Performance Support on the Shop Floor.

    ERIC Educational Resources Information Center

    Kasvi, Jyrki J. J.; Vartiainen, Matti

    2000-01-01

    Discussion of performance support on the shop floor highlights four support systems for assembly lines that incorporate personal computer workstations in local area networks and use multimedia documents. Considers new customer-focused production paradigms; organizational learning; knowledge development; and electronic performance support systems…

  14. Seeing Results in Flooring for Schools

    ERIC Educational Resources Information Center

    Simmons, Brian

    2011-01-01

    Operations staffs at education facilities of all sizes are tasked with selecting a hard floor cleaning program that is cost-effective, efficient and highly productive. With an increased focus on the sustainability of an environment, facility managers also must select a program that meets sustainability goals while maintaining a healthful, safe…

  15. Organizational Learning in Shop Floor Level

    ERIC Educational Resources Information Center

    Cheung, Che Keung; Geng, Shuang; Chuah, Kong Bieng; Chau, Yiu Chung; Kwong, Kar Fai

    2016-01-01

    Purpose: This paper aims to present the result of the pilot run of a research project which aims at evaluating the applicability of project-based action learning (PAL) to shop floor organizational learning (OL) component in a manufacturing company in Dongguan, China. How the PAL framework was introduced and implemented is described. The factors…

  16. Building Trades. Block III. Floor Framing.

    ERIC Educational Resources Information Center

    Texas A and M Univ., College Station. Vocational Instructional Services.

    This document contains three units of a course on floor framing to be used as part of a building trades program. Each unit consists, first, of an informational lesson, with complete lesson plan for the teacher's use. Included in each lesson plan are the lesson aim; lists of teaching aids, materials, references, and prerequisites for students;…

  17. Treatment of Burning Mouth Syndrome With Amisulpride

    PubMed Central

    Rodriguez-Cerdeira, Carmen; Sanchez-Blanco, Elena

    2012-01-01

    Background Burning mouth syndrome (BMS) is a frequently occurring disease characterized by a burning or painful sensation in the tongue and/or other oral sites without clinical mucosal abnormalities or lesions. Its etiopathology is unknown, although local, systemic, and psychological factors have been associated with BMS. The syndrome is multifactorial, and its management remains unsatisfactory. The purpose of this study was to obtain preliminary data regarding the efficacy and tolerability of amisulpride in BMS treatment. Methods The subjects were treated with amisulpride (50 mg/day) for 24 weeks. Efficacy assessment included a visual analogue scale (VAS) for pain intensity, the Hamilton Rating Scale for Depression (HAM-D), the Hamilton Rating Scale for Anxiety (HASM-A), and the Clinical Global Impression Scale-Efficacy Index (CGI-EI). Results The treatment regimens resulted in a significant improvement in burning mouth symptoms from baseline at week 24, as indicated by the quantitative mean illness duration VAS score, HAM-D, and HAM-A. Amisulpride appears to be effective and patients show a rapid response to treatment. No serious adverse effects were encountered in these patients. Conclusions Amisulpride is effective and well tolerated as a short-term treatment. It is particularly efficacious at the start of treatment and has shorter response latency. Double-blind placebo-controlled trials are needed for further assessment of the efficacy of amisulpride in BMS treatment. PMID:22719802

  18. Burning mouth syndrome: a review and update.

    PubMed

    Silvestre, Francisco J; Silvestre-Rangil, Javier; López-Jornet, Pía

    2015-05-16

    Burning mouth syndrome (BMS) is mainly found in middle aged or elderly women and is characterized by intense burning or itching sensation of the tongue or other regions of the oral mucosa. It can be accompanied by xerostomia and dysgeusia. The syndrome generally manifests spontaneously, and the discomfort is typically of a continuous nature but increases in intensity during the evening and at night. Although BMS classically has been attributed to a range of factors, in recent years evidence has been obtained relating it peripheral (sensory C and/or trigeminal nerve fibers) or central neuropathic disturbances (involving the nigrostriatal dopaminergic system). The differential diagnosis requires the exclusion of oral mucosal lesions or blood test alterations that can produce burning mouth sensation. Patient management is based on the avoidance of causes of oral irritation and the provision of psychological support. Drug treatment for burning sensation in primary BMS of peripheral origin can consist of topical clonazepam, while central type BMS appears to improve with the use of antidepressants such as duloxetine, antiseizure drugs such as gabapentin, or amisulpride.

  19. FLOOR PLAN OF MAIN PROCESSING BUILDING (CPP601), FIRST FLOOR SHOWING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    FLOOR PLAN OF MAIN PROCESSING BUILDING (CPP-601), FIRST FLOOR SHOWING SAMPLE CORRIDORS AND EIGHTEEN CELLS AND ADJOINING REMOTE ANALYTICAL FACILITY (CPP-627) SHOWING REMOTE ANALYTICAL FACILITIES LAB, DECONTAMINATION ROOM, AND MULTICURIE CELL ROOM. TO LEFT ARE LABORATORY BUILDING (CPP-602) AND MAINTENANCE BUILDING (CPP-630). INL DRAWING NUMBER 200-0601-00-706-051979. ALTERNATE ID NUMBER CPP-E-1979. - Idaho National Engineering Laboratory, Idaho Chemical Processing Plant, Fuel Reprocessing Complex, Scoville, Butte County, ID

  20. FLOOR PLAN OF MAIN PROCESSING BUILDING (CPP601), SECOND FLOOR SHOWING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    FLOOR PLAN OF MAIN PROCESSING BUILDING (CPP-601), SECOND FLOOR SHOWING PROCESS MAKEUP AREA AND EIGHTEEN CELLS AND ADJOINING REMOTE ANALYTICAL FACILITY (CPP-627) SHOWING COLD LAB, DECONTAMINATION ROOM, MULTICURIE CELL ROOM, AND OFFICES. TO LEFT ARE LABORATORY BUILDING (CPP-602) AND MAINTENANCE BUILDING (CPP-630). INL DRAWING NUMBER 200-0601-00-706-051980. ALTERNATE ID NUMBER CPP-E-1980. - Idaho National Engineering Laboratory, Idaho Chemical Processing Plant, Fuel Reprocessing Complex, Scoville, Butte County, ID

  1. Interior view of groundfloor porch showing exposed concrete floor slab ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Interior view of ground-floor porch showing exposed concrete floor slab system, facing west. - Albrook Air Force Station, Field Officer's Quarters, West side of Dargue Avenue Circle, Balboa, Former Panama Canal Zone, CZ

  2. View of double floor boards with mortises cross beams, showing ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View of double floor boards with mortises cross beams, showing spikes and flooring nails (Lower board layer exposed) - Silas C. Read Sawmill, Outlet of Maxwell Lake near North Range Road, Fort Gordon, Richmond County, GA

  3. 30. GENERAL TEST ROOM IN 1946 ADDITION, FOURTH FLOOR, LOOKING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    30. GENERAL TEST ROOM IN 1946 ADDITION, FOURTH FLOOR, LOOKING WEST. ORIGINALLY HAD SUSPENDED ACOUSTICAL CEILINGS WITH FLOURESCENT LIGHTING AND ASPHALT MASTIC TILE FLOORS - Underwriters' Laboratories, 207-231 East Ohio Street, Chicago, Cook County, IL

  4. 32. Coffee bean sluiceway on ground floor showing chute bringing ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    32. Coffee bean sluiceway on ground floor showing chute bringing beans from first floor hopper. HAER PR, 6-MAGU, 1B-17 - Hacienda Buena Vista, PR Route 10 (Ponce to Arecibo), Magueyes, Ponce Municipio, PR

  5. 8. DETAIL: GENERATOR FLOOR DIABLO POWERHOUSE SHOWING BUTTERFLY VALVE CONTROL, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    8. DETAIL: GENERATOR FLOOR DIABLO POWERHOUSE SHOWING BUTTERFLY VALVE CONTROL, MOSAIC TILE FLOOR, AS SEEN FROM VISITORS GALLERY, 1989. - Skagit Power Development, Diablo Powerhouse, On Skagit River, 6.1 miles upstream from Newhalem, Newhalem, Whatcom County, WA

  6. 3. MILK BARN, INTERIOR VIEW OF GROUND FLOOR, LOOKING 132 ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. MILK BARN, INTERIOR VIEW OF GROUND FLOOR, LOOKING 132 DEGREES SOUTHEAST, SHOWING RAISED FLOOR OF CENTRAL AISLE. - Hudson-Cippa-Wolf Ranch, Milk Barn, Sorento Road, Sacramento, Sacramento County, CA

  7. 50. Ground floor, looking northwest at former location of ground ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    50. Ground floor, looking northwest at former location of ground floor (bottom) level of milk room - Sheffield Farms Milk Plant, 1075 Webster Avenue (southwest corner of 166th Street), Bronx, Bronx County, NY

  8. 11. BUILDING 1: FIRST FLOOR (Center Section), WEST AND NORTH ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    11. BUILDING 1: FIRST FLOOR (Center Section), WEST AND NORTH WALLS, SHOWING TWO TIERS OF COLUMNS WITH SECOND FLOOR REMOVED - Boston Beer Company, 225-249 West Second Street, South Boston, Suffolk County, MA

  9. 46. NORTHEAST CORNER OF SECOND FLOOR WAREHOUSE, WITH DETAIL OF ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    46. NORTHEAST CORNER OF SECOND FLOOR WAREHOUSE, WITH DETAIL OF WOODEN BLOCK FLOORING. VIEW TO NORTH. - Ford Motor Company Long Beach Assembly Plant, Assembly Building, 700 Henry Ford Avenue, Long Beach, Los Angeles County, CA

  10. 21. REMAINS OF HOP BAILING CHUTE ON SECOND FLOOR; THIS ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    21. REMAINS OF HOP BAILING CHUTE ON SECOND FLOOR; THIS CHUTE EXTENDS TO THE GROUND FLOOR. - James W. Seavey Hop Driers, 0.6 mile East from junction of Highway 99 & Alexander Avenue, Corvallis, Benton County, OR

  11. 20. REMAINS OF HOP BAILING CHUTE ON GROUND FLOOR; THIS ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    20. REMAINS OF HOP BAILING CHUTE ON GROUND FLOOR; THIS CHUTE EXTENDS TO THE SECOND FLOOR. - James W. Seavey Hop Driers, 0.6 mile East from junction of Highway 99 & Alexander Avenue, Corvallis, Benton County, OR

  12. 27 CFR 46.231 - Floor stocks tax return.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette....28T09, 2009 Floor Stocks Tax Return—Tobacco Products and Cigarette Papers and Tubes, is available...

  13. 73. STAIR PASSAGE LOOKING SOUTHEAST, SECOND FLOOR, LOCATED AT EAST ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    73. STAIR PASSAGE LOOKING SOUTHEAST, SECOND FLOOR, LOCATED AT EAST END OF HOUSE OVER FIRST FLOOR KITCHEN WING, BETWEEN TWO BEDROOMS - Carter's Grove, U.S. Route 60 vicinity, Williamsburg, Williamsburg, VA

  14. 5. EAST SECTION OF BUILDING, FIRST FLOOR, WEST ROOM. NOTE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. EAST SECTION OF BUILDING, FIRST FLOOR, WEST ROOM. NOTE OVEN AT LEFT. All construction original except wood flooring, plumbing and electricity. - Ralph Izard House, Kitchen Building, 110 Broad Street, Charleston, Charleston County, SC

  15. Refrigeration Plant, North Elevation, Second Floor Plan, East Elevation, Ground ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Refrigeration Plant, North Elevation, Second Floor Plan, East Elevation, Ground Floor Plan, Section A-A - Kennecott Copper Corporation, On Copper River & Northwestern Railroad, Kennicott, Valdez-Cordova Census Area, AK

  16. 18. 1925 Main Factory building, interior, second floor, view looking ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    18. 1925 Main Factory building, interior, second floor, view looking northeast at opening in the floor for dropping warp rolls - North Star Woolen Mill, 109 Portland Avenue South, Minneapolis, Hennepin County, MN

  17. 20. View of second floor to the Cherry Hill lettuce ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    20. View of second floor to the Cherry Hill lettuce shed looking at floor area - Richmond Hill Plantation, Cherry Hill Lettuce Shed, East of Richmond Hill on Ford Neck Road, Richmond Hill, Bryan County, GA

  18. 27. INTERIOR, FIRST FLOOR, SOUTH ENTRANCE, SOUTH LOBBY, DETAIL OF ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    27. INTERIOR, FIRST FLOOR, SOUTH ENTRANCE, SOUTH LOBBY, DETAIL OF BRONZE SEAL IN FLOOR (4' x 5' negative; 8' x 10' print) - U.S. Department of the Interior, Eighteenth & C Streets Northwest, Washington, District of Columbia, DC

  19. 3. FIRST FLOOR, FRONT SOUTHWEST CORNER ROOM WITH STAIRWAY TO ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. FIRST FLOOR, FRONT SOUTHWEST CORNER ROOM WITH STAIRWAY TO SECOND FLOOR - Penn School Historic District, Benezet House, 1 mile South of Frogmore, Route 37, St Helena Island, Frogmore, Beaufort County, SC

  20. CAR MACHINE SHOP, SECOND FLOOR, PAINT SPRAY ROOM EXTERIOR AND ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    CAR MACHINE SHOP, SECOND FLOOR, PAINT SPRAY ROOM EXTERIOR AND ATTIC FLOOR SUPPORT COLUMNS AND BEAMS, LOOKING WEST. - Southern Pacific, Sacramento Shops, Car Machine Shop, 111 I Street, Sacramento, Sacramento County, CA

  1. 27 CFR 46.231 - Floor stocks tax return.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette....28T09, 2009 Floor Stocks Tax Return—Tobacco Products and Cigarette Papers and Tubes, is available...

  2. 27 CFR 46.233 - Payment of floor stocks tax.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... PRODUCTS AND CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Filing Requirements § 46.233 Payment of floor stocks tax....

  3. 27 CFR 46.231 - Floor stocks tax return.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette....28T09, 2009 Floor Stocks Tax Return—Tobacco Products and Cigarette Papers and Tubes, is available...

  4. 25. FIRST FLOOR, EAST DRAWING ROOM MANTLE. Details of mantle ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    25. FIRST FLOOR, EAST DRAWING ROOM MANTLE. Details of mantle are copied in the major first floor rooms on the door and window cornices and architraves. - Charles Edmonston House, 21 East Battery Street, Charleston, Charleston County, SC

  5. NORTHEAST ELEVATION SHOWING THE COVERED PROMENADE AT THE FIRST FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    NORTHEAST ELEVATION SHOWING THE COVERED PROMENADE AT THE FIRST FLOOR AND THREE WINDOWS (BOARDED) AT THE SECOND FLOOR. VIEW FACING SOUTHWEST - U.S. Naval Base, Pearl Harbor, Theater, Hornet Avenue between Enterprise & Pokomoke Streets, Pearl City, Honolulu County, HI

  6. Formaldehyde and TVOC emission behavior of laminate flooring by structure of laminate flooring and heating condition.

    PubMed

    An, Jae-Yoon; Kim, Sumin; Kim, Hyun-Joong

    2011-03-15

    Formaldehyde was measured with a desiccator, a 20 L chamber and the FLEC method. The formaldehyde emission rate from laminate was the highest at 32 °C using the desiccator, which then decreased with time. The formaldehyde emission using the 20 L small chamber and FLEC showed a similar tendency. There was a strong correlation between the formaldehyde and total volatile organic compounds (TVOCs) with both types of floorings using the two different methods. The formaldehyde emission rate and TVOC results were higher when tested using the FLEC method than with the 20 L small chamber method. The emission rate was affected by the joint edge length in laminate flooring. Toluene, ethylbenzene and xylene were the main VOCs emitted from laminate flooring, and there were more unidentified VOCs emitted than identified VOCs. The samples heated with a floor heating system emitted more formaldehyde than those heated using an air circulation system due to the temperature difference between the bottom panel and flooring. The TVOC emission level of the samples was higher when an air circulation system was used than when a floor heating system was used due to the high ventilation rate.

  7. Competing adiabatic Thouless pumps in enlarged parameter spaces

    NASA Astrophysics Data System (ADS)

    Lopes, Pedro L. e. S.; Ghaemi, Pouyan; Ryu, Shinsei; Hughes, Taylor L.

    2016-12-01

    The transfer of conserved charges through insulating matter via smooth deformations of the Hamiltonian is known as quantum adiabatic, or Thouless, pumping. Central to this phenomenon are Hamiltonians whose insulating gap is controlled by a multidimensional (usually two-dimensional) parameter space in which paths can be defined for adiabatic changes in the Hamiltonian, i.e., without closing the gap. Here, we extend the concept of Thouless pumps of band insulators by considering a larger, three-dimensional parameter space. We show that the connectivity of this parameter space is crucial for defining quantum pumps, demonstrating that, as opposed to the conventional two-dimensional case, pumped quantities depend not only on the initial and final points of Hamiltonian evolution but also on the class of the chosen path and preserved symmetries. As such, we distinguish the scenarios of closed/open paths of Hamiltonian evolution, finding that different closed cycles can lead to the pumping of different quantum numbers, and that different open paths may point to distinct scenarios for surface physics. As explicit examples, we consider models similar to simple models used to describe topological insulators, but with doubled degrees of freedom compared to a minimal topological insulator model. The extra fermionic flavors from doubling allow for extra gapping terms/adiabatic parameters—besides the usual topological mass which preserves the topology-protecting discrete symmetries—generating an enlarged adiabatic parameter space. We consider cases in one and three spatial dimensions, and our results in three dimensions may be realized in the context of crystalline topological insulators, as we briefly discuss.

  8. Malignant rhabdoid tumor of the floor of mouth: first reported case in the oral cavity of an adult.

    PubMed

    Wetzel, Stephanie L; Kerpel, Stanley; Reich, Renee F; Freedman, Paul D

    2015-06-01

    Malignant rhabdoid tumors (MRTs) are exceedingly rare lesions. To our knowledge, only 2 cases have been reported in the oral cavity, with both examples occurring in infants. The current case is the third reported case of MRT of the oral cavity and the first reported case to occur in an adult at this location. The following report describes the clinical, histologic and immunohistochemical features of this tumor.

  9. The use of a metal detector for localisation of a metallic foreign body in the floor of the mouth.

    PubMed

    Moore, U J; Fanibunda, K; Gross, M J

    1993-06-01

    The case illustrates the valuable assistance provided by a metal detector in localising an elusive broken instrument which was hidden in a recess on the medial side of the mandibular angle and encapsulated in fibrous tissue. A relative degree of sophistication built into the detector aided early localisation.

  10. A Coat Reduces Mouthing: It Worked in My Classroom.

    ERIC Educational Resources Information Center

    Simpson, Annette M.

    1988-01-01

    A coat was adapted for a 20-year-old severely handicapped woman to control her practice of "mouthing" her hands and clothing. Velcro strips attached to the coat held the student's arms down long enough to allow for differential reinforcement of appropriate behavior, which successfully reduced the rate of mouthing. (JDD)

  11. 4. LIGHTHOUSE SITE OFFSHORE AT MOUTH OF FEDERAL CHANNEL, AND ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    4. LIGHTHOUSE SITE OFFSHORE AT MOUTH OF FEDERAL CHANNEL, AND WEST END OF NORTH TRAINING WALL, LOOKING SOUTHEAST FROM THE WATER TOWARD THE BUILDINGS OF THE FORMER ALAMEDA NAVAL AIR STATION, ALONG THE SOUTH SIDE. - Oakland Harbor Training Walls, Mouth of Federal Channel to Inner Harbor, Oakland, Alameda County, CA

  12. A Flipped Spoon and Chin Prompt to Increase Mouth Clean

    ERIC Educational Resources Information Center

    Dempsey, Jack; Piazza, Cathleen C.; Groff, Rebecca A.; Kozisek, Jennifer M.

    2011-01-01

    We treated the liquid refusal of a 15-month-old girl using 2 antecedent manipulations: flipped spoon and chin prompt. Use of the chin prompt in the absence of the flipped spoon failed to produce increases in mouth clean (a product measure of swallowing). By contrast, modest increases in mouth clean resulted from the implementation of the flipped…

  13. Body-enlarging effect of royal jelly in a non-holometabolous insect species, Gryllus bimaculatus.

    PubMed

    Miyashita, Atsushi; Kizaki, Hayato; Sekimizu, Kazuhisa; Kaito, Chikara

    2016-06-15

    Honeybee royal jelly is reported to have body-enlarging effects in holometabolous insects such as the honeybee, fly and silkmoth, but its effect in non-holometabolous insect species has not yet been examined. The present study confirmed the body-enlarging effect in silkmoths fed an artificial diet instead of mulberry leaves used in the previous literature. Administration of honeybee royal jelly to silkmoth from early larval stage increased the size of female pupae and adult moths, but not larvae (at the late larval stage) or male pupae. We further examined the body-enlarging effect of royal jelly in a non-holometabolous species, the two-spotted cricket Gryllus bimaculatus, which belongs to the evolutionarily primitive group Polyneoptera. Administration of royal jelly to G. bimaculatus from its early nymph stage enlarged both males and females at the mid-nymph and adult stages. In the cricket, the body parts were uniformly enlarged in both males and females; whereas the enlarged female silkmoths had swollen abdomens. Administration of royal jelly increased the number, but not the size, of eggs loaded in the abdomen of silkmoth females. In addition, fat body cells were enlarged by royal jelly in the silkmoth, but not in the cricket. These findings suggest that the body-enlarging effect of royal jelly is common in non-holometabolous species, G. bimaculatus, but it acts in a different manner than in holometabolous species.

  14. Relation of electrocardiographic changes in pulmonary embolism to right ventricular enlargement.

    PubMed

    Stein, Paul D; Matta, Fadi; Sabra, Michel J; Treadaway, Brent; Vijapura, Chirag; Warren, Robert; Joshi, Parth; Sadiq, Muhammad; Kofoed, J Thomas; Hughes, Patrick; Chabala, Stephen D; Keyes, Daniel C; Kakish, Edward; Hughes, Mary J

    2013-12-15

    The electrocardiographic (ECG) findings in patients with pulmonary embolism (PE) and no previous cardiopulmonary disease are well documented; however, investigation of the relation of ECG abnormalities to right ventricular (RV) enlargement has been limited. The purpose of the present investigation was to assess further the relation of ECG changes in acute PE to RV cavity enlargement (dilation). The records of patients hospitalized from January 2009 to December 2012 with acute PE and no previous cardiopulmonary disease were reviewed. A total of 289 patients were included. RV cavity enlargement was present in 141 patients (49%). Normal ECG findings were less prevalent in patients with PE and RV enlargement than those with PE and no RV enlargement (35 of 141 [25%] vs 56 of 148 [38%]; p = 0.02). One or more of the traditional ECG manifestations of acute cor pulmonale (S1Q3T3, complete right bundle branch block, P pulmonale, or right axis deviation) was found in 18 of 141 patients (13%) with RV enlargement and 13 of 148 (8.8%) with a normal size RV (p = NS). None of the ECG abnormalities was sensitive for RV enlargement. The specificity of P and QRS abnormalities was high. The positive predictive values were ≤83% or had wide 95% confidence intervals. The negative predictive values ranged from 50% to 61%. In conclusion, ECG findings were not useful for the detection or exclusion of RV cavity enlargement in patients with acute PE.

  15. Merit Pay and Job Enlargement as Reforms: Incentives, Implementation, and Teacher Response.

    ERIC Educational Resources Information Center

    Firestone, William A.

    1991-01-01

    Based on intensive case studies of two school districts, this study compared two teacher work reforms: merit pay and job enlargement. Interviews with 64 teachers and 53 administrators, supplemented by over 1,300 survey responses, indicate the efficacy of each approach and the potential advantages of job enlargement. (SLD)

  16. 13. INTERIOR VIEW, FIRST FLOOR SHOWING THE ELEVATORS FEEDING GRAIN ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. INTERIOR VIEW, FIRST FLOOR SHOWING THE ELEVATORS FEEDING GRAIN FROM THE SECOND FLOOR TO THE GRINDING STONES, WITH GRAIN ELEVATORS IN BACKGROUND (NOTE OUTLINE ON THE FLOOR WHERE ROLLER MILLS WERE ORIGINALLY PLACED) - Schech's Mill, Beaver Creek State Park, La Crescent, Houston County, MN

  17. What Do You Really Know About Floor Finishes & Strippers?

    ERIC Educational Resources Information Center

    Wirth, T. J.

    1972-01-01

    An independent testing laboratory reveals the results of comparative studies done on vinyl flooring and the question of to wax or not to wax'' and which waxes work best with what flooring; and provides six evaluation tips on floor strippers. (EA)

  18. 27 CFR 46.233 - Payment of floor stocks tax.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2014-04-01 2014-04-01 false Payment of floor stocks... PRODUCTS AND CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Filing Requirements § 46.233 Payment of floor stocks tax....

  19. 27 CFR 46.195 - Floor stocks requirements.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2012-04-01 2011-04-01 true Floor stocks requirements... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 General § 46.195 Floor stocks requirements. (a) Take inventory....

  20. 27 CFR 46.231 - Floor stocks tax return.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2014-04-01 2014-04-01 false Floor stocks tax return... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Filing Requirements § 46.231 Floor stocks tax return. Form...

  1. 27 CFR 46.195 - Floor stocks requirements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Floor stocks requirements... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 General § 46.195 Floor stocks requirements. (a) Take inventory....

  2. 27 CFR 46.221 - Floor stocks tax rates.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2013-04-01 2013-04-01 false Floor stocks tax rates. 46... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Tax Liability Calculation § 46.221 Floor stocks tax rates....

  3. 27 CFR 46.233 - Payment of floor stocks tax.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2013-04-01 2013-04-01 false Payment of floor stocks... PRODUCTS AND CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Filing Requirements § 46.233 Payment of floor stocks tax....

  4. 27 CFR 46.221 - Floor stocks tax rates.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2014-04-01 2014-04-01 false Floor stocks tax rates. 46... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Tax Liability Calculation § 46.221 Floor stocks tax rates....

  5. 27 CFR 46.195 - Floor stocks requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2011-04-01 2011-04-01 false Floor stocks requirements... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 General § 46.195 Floor stocks requirements. (a) Take inventory....

  6. 27 CFR 46.233 - Payment of floor stocks tax.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2012-04-01 2011-04-01 true Payment of floor stocks tax... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Filing Requirements § 46.233 Payment of floor stocks tax....

  7. 27 CFR 46.195 - Floor stocks requirements.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2014-04-01 2014-04-01 false Floor stocks requirements... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 General § 46.195 Floor stocks requirements. (a) Take inventory....

  8. 27 CFR 46.231 - Floor stocks tax return.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2013-04-01 2013-04-01 false Floor stocks tax return... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Filing Requirements § 46.231 Floor stocks tax return. Form...

  9. 27 CFR 46.195 - Floor stocks requirements.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2013-04-01 2013-04-01 false Floor stocks requirements... CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 General § 46.195 Floor stocks requirements. (a) Take inventory....

  10. 36 CFR 1192.117 - Floors, steps and thresholds.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 36 Parks, Forests, and Public Property 3 2013-07-01 2012-07-01 true Floors, steps and thresholds. 1192.117 Section 1192.117 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION BARRIERS... Intercity Rail Cars and Systems § 1192.117 Floors, steps and thresholds. (a) Floor surfaces on aisles,...

  11. 29 CFR 1926.855 - Manual removal of floors.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... floor arch, debris and other material shall be removed from such arch and other adjacent floor area... inches wide, formed of planks not less than 2 inches thick if wood, or of equivalent strength if metal... upon exposed beams. (d) Stringers of ample strength shall be installed to support the flooring...

  12. 75 FR 70061 - Dealer Floor Plan Pilot Program Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-16

    ... ADMINISTRATION Dealer Floor Plan Pilot Program Meeting AGENCY: U.S. Small Business Administration (SBA). ACTION... agenda for a meeting regarding the Dealer Floor Plan Pilot Program established in the Small Business Jobs Act of 2010. The meeting will be open to the public. DATES: The Dealer Floor Plan Pilot...

  13. Evaluation of Respiratory Muscle Strength in Mouth Breathers: Clinical Evidences

    PubMed Central

    Andrade da Cunha, Renata; Andrade da Cunha, Daniele; Assis, Roberta Borba; Bezerra, Luciana Ângelo; Justino da Silva, Hilton

    2013-01-01

    Introduction The child who chronically breathes through the mouth may develop a weakness of the respiratory muscles. Researchers and clinical are seeking for methods of instrumental evaluation to gather complementary data to clinical evaluations. With this in mind, it is important to evaluate breathing muscles in the child with Mouth Breathing. Objective To develop a review to investigate studies that used evaluation methods of respiratory muscle strength in mouth breathers. Data Synthesis  The authors were unanimous in relation to manovacuometry method as a way to evaluate respiratory pressures in Mouth Breathing children. Two of them performed with an analog manovacuometer and the other one, digital. The studies were not evaluated with regard to the method efficacy neither the used instruments. Conclusion There are few studies evaluating respiratory muscle strength in Mouth Breathing people through manovacuometry and the low methodological rigor of the analyzed studies hindered a reliable result to support or refuse the use of this technique. PMID:25992108

  14. Genomics and outbreaks: foot and mouth disease.

    PubMed

    Freimanis, G L; Di Nardo, A; Bankowska, K; King, D J; Wadsworth, J; Knowles, N J; King, D P

    2016-04-01

    Foot and mouth disease virus (FMDV) is an animal pathogen of global economic significance. Identifying the sources of outbreaks plays an important role in disease control; however, this can be confounded by the ease with which FMDV can spread via movement of infected livestock and animal products, aerosols or fomites, e.g. contaminated persons and objects. As sequencing technologies have advanced, this review highlights the uses of viral genomic data in helping to understand the global distribution and transboundary movements of FMDV, and the role that these approaches have played in control and surveillance programmes. The recent application of next-generation sequencing platforms to address important epidemiological and evolutionary challenges is discussed with particular reference to the advent of 'omics' technologies.

  15. An overview of burning mouth syndrome.

    PubMed

    Salerno, Carmen; Di Stasio, Dario; Petruzzi, Massimo; Lauritano, Dorina; Gentile, Enrica; Guida, Agostino; Maio, Claudio; Tammaro, Mariasofia; Serpico, Rosario; Lucchese, Alberta

    2016-01-01

    Burning mouth syndrome (BMS) is characterised by the presence of a burning sensation in the oral mucosa in the absence of any clinically apparent mucosal sign. It occurs more commonly in older women and often affects the tongue tip and lateral borders, lips, and hard and soft palates. Besides the burning sensation, patients with BMS may complain of unremitting oral mucosal pain, dysgeusia, and xerostomia. The exact pathophysiology of primary BMS remains unknown. A major challenge for the clinician is the treatment of BMS: identifying possible causative factors is the first step, but BMS is often idiopathic. Drug therapy, in addition to behavioural therapy and psychotherapy, may help to eliminate the symptoms. Considering the growing incidence of BMS in older people, further research is required to determine the true efficacy of current management strategies for patients with this disorder.

  16. Idiopathic gingival enlargement associated with generalized aggressive periodontitis in a 19-year-old female

    PubMed Central

    Shetty, Arvind; Gupta, Neha; Shetty, Devanand; Kadakia, Rukshit

    2014-01-01

    Gingival enlargement, one of the manifestations of gingival and periodontal disease, is also known as gingival overgrowth. Idiopathic gingival enlargement is a rare gingival overgrowth, which is of an undetermined cause. This unknown etiology has now been linked to specific genes and idiopathic gingival enlargement is at times referred to as hereditary gingival enlargement. This condition is a benign, slow growing proliferation of gingival tissues. Aggressive periodontitis is the rapid form of periodontal disease which is characterized by extensive periodontal tissue destruction, increased host-susceptibility toward periodontal disease progress and a genetic predilection toward disease occurrence. We present a rare case of idiopathic gingival fibromatosis associated with generalized aggressive periodontitis in a young female. The patient presented with classic clinical and radiographic presentation associated with gingival enlargement and aggressive periodontitis. The diagnosis was then confirmed by histopathological and neutrophil functions tests. PMID:24872638

  17. Susceptibilities of Candida albicans mouth isolates to antifungal agents, essentials oils and mouth rinses.

    PubMed

    Carvalhinho, Sara; Costa, Ana Margarida; Coelho, Ana Cláudia; Martins, Eugénio; Sampaio, Ana

    2012-07-01

    Forty Candida albicans strains isolated from patient's mouth with fixed orthodontic appliances were analyzed to their susceptibilities to antifungal agents, mouth rinses and essential oils. Susceptibility to fluconazole, econazole, miconazole and ketoconazole, amphotericin B and nystatin was assessed by the disk diffusion (DD) method based on the Clinical and Laboratory Standards Institute M44-A protocol, and by Etest (fluconazole and amphotericin B). The susceptibilities to mouth rinses and essential oils were also determined by the DD technique. All isolates tested were susceptible (S) to amphotericin B, nystatin and fluconazole. The overall concordance between the DD and the Etest was 100% for amphotericin and fluconazole. One isolate was resistant to econazole (2.5%) and the other to ketoconazole (2.5%). Econazole and ketoconazole had the highest percentages of susceptible dose dependent (SDD), 55 and 95%, respectively. Regarding to the susceptibility isolates profile, seven phenotypes were detected, and the 3 more represented (90% of the isolates) of them were SDD to one, two or three azoles. The study of mouth rinses showed a high variability of efficacy against C. albicans. The results showed that the isolates susceptibility to essential oils differed (P < 0.05). The profile activity was: cinnamon > laurel > mint > eucalyptus > rosemary > lemon > myrrh > tangerine. The main finding was that the susceptibility to cinnamon and laurel varied among the three more representative antifungal phenotypes (P < 0.05). The susceptibility of econazole-SDD isolates to cinnamon and lemon was higher than those of the econazole-S yeasts (P < 0.05). In contrast, econazole-SDD isolates were less affected by laurel than econazole-S counterparts (P < 0.05).

  18. RFID Data Cleaning for Shop Floor Applications

    NASA Astrophysics Data System (ADS)

    Ziekow, Holger; Ivantysynova, Lenka; Günter, Oliver

    In several case studies we found that shop-floor applications in manufacturing pose special challenges to cleaning RFID data. The underlying problem in many scenarios is the uncertainty about the exact location of observed RFID tags. Simple filter s provided in common middleware solutions do not cope well with these challenges. Therefore we have developed an approach based on maximum-likelihood estimation to infer a tag's location within the reader range. This enables improved RFID data cleaning in a number of application scenarios. We stress the benefits of our approach along exemplary application scenarios that we found in manufacturing. In simulations and experiments with real world data we show that our approach outperforms existing solutions. Our approach can extend RFID middleware or reader firmware, to improve the use of RFID in a range of shop-floor applications.

  19. Laparoscopic herniorrhaphy. Transabdominal preperitoneal floor repair.

    PubMed

    Felix, E L; Michas, C A; McKnight, R L

    1994-02-01

    The purpose of this study was to evaluate the results of a laparoscopic transabdominal preperitoneal (TAPP) approach to inguinal hernia repair which dissected the entire inguinal floor and repaired the indirect, direct, and femoral areas in all patients without tension. In our series, 183 patients had 205 hernia repairs and were followed for more than 6 months. Of this group, 128 hernias were indirect, 55 direct, 22 pantaloon, 26 recurrent, and 22 bilateral. All 12 females and the first 11 males had a single-buttress repair with polypropylene mesh. The other 160 male patients had a double-buttress repair. With median follow-up of 12 months, ranging from 6 to 21 months, no recurrences were found. Patients returned to normal activity in an average of 1 week. Dissection and buttressing of the entire inguinal floor with mesh appeared to solve the problem of early recurrence first seen in laparoscopic herniorrhaphy.

  20. Mouth-watering words: Articulatory inductions of eating-like mouth movements increase perceived food palatability.

    PubMed

    Topolinski, Sascha; Boecker, Lea

    2016-04-01

    We explored the impact of consonantal articulation direction of names for foods on expected palatability for these foods (total N = 256). Dishes (Experiments 1-2) and food items (Experiment 3) were labeled with names whose consonants either wandered from the front to the back of the mouth (inward, e.g., PASOKI) or from the back to the front of the mouth (outward; e.g., KASOPI). Because inward (outward) wandering consonant sequences trigger eating-like (expectoration-like) mouth movements, dishes and foods were rated higher in palatability when they bore an inward compared to an outward wandering name. This effect occurred already under silent reading and for hungry and satiated participants alike. As a boundary condition, this articulation effect did occur when also additional visual information on the product was given (Experiment 3), but vanished when this visual information was too vivid and rich in competing palatability cues (Experiment 2). Future marketing can exploit this effect by increasing the appeal of food products by using inward wandering brand names, that is, names that start with the lips and end in the throat.

  1. Space Radar Image of Giza Egypt - with enlargement

    NASA Technical Reports Server (NTRS)

    1994-01-01

    This radar image shows the area west of the Nile River near Cairo, Egypt. The Nile River is the dark band along the right side of the image and it flows approximately due North from the bottom to the right. The boundary between dense urbanization and the desert can be clearly seen between the bright and dark areas in the center of the image. This boundary represents the approximate extent of yearly Nile flooding which played an important part in determining where people lived in ancient Egypt. This land usage pattern persists to this day. The pyramids at Giza appear as three bright triangles aligned with the image top just at the boundary of the urbanized area. They are also shown enlarged in the inset box in the top left of the image. The Great Pyramid of Khufu (Cheops in Greek) is the northern most of the three Giza pyramids. The side-looking radar illuminates the scene from the top, the two sides of the pyramids facing the radar reflect most of the energy back to the antenna and appear radar bright; the two sides away from the radar reflect less energy back and appear dark Two additional pyramids can be seen left of center in the lower portion of the image. The modern development in the desert on the left side of the image is the Sixth of October City, an area of factories and residences started by Anwar Sadat to relieve urban crowding. The image was taken on April 19, 1994 by the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) aboard the shuttle Endeavour. SIR-C/X-SAR, a joint mission of the German, Italian and the United States space agencies, is part of NASA's Mission to Planet Earth. The image is centered on latitude 29.72 degrees North latitude and 30.83 degrees East longitude. The area shown is approximately 20 kilometers by 30 kilometers. The colors in the image are assigned to different frequencies and polarizations of the radar as follows: red is L-band horizontally transmitted, horizontally received; green is C

  2. Ocean floor mounting of wave energy converters

    DOEpatents

    Siegel, Stefan G

    2015-01-20

    A system for mounting a set of wave energy converters in the ocean includes a pole attached to a floor of an ocean and a slider mounted on the pole in a manner that permits the slider to move vertically along the pole and rotate about the pole. The wave energy converters can then be mounted on the slider to allow adjustment of the depth and orientation of the wave energy converters.

  3. The Medusa Sea Floor Monitoring System

    NASA Astrophysics Data System (ADS)

    Flynn, F. T.; Schultz, A.; Gupta, M.; Powers, L.; Klinkhammer, G.

    2004-12-01

    The Medusa Sea Floor Monitoring System (MSMS) is a technology development project that is designed to enable fundamental research into understanding the potential for and limits to chemolithoautotrophic life. This is life within which inorganic carbon is converted to organic carbon and where only inorganic compounds serve as electron acceptors and electron donors. Such life forms are postulated to be capable of surviving in a Europan ocean. If we can prove that such life forms exist on Earth it would provide credence to the hypothesis that they might exist on other planets or moons in our Solar System. It has been hypothesized that one environment which might foster such life is associated with sub-seafloor hydrothermal vent structures. The goal of the MSMS project is to develop an instrument capable of testing this hypothesis. The MSMS instrument is an evolution of a sea floor monitoring system developed by Dr. Adam Schultz. Its design is the result of many generations of hardware and dive programs. Medusa provides the capability to measure and sample effluent and influent sea floor hydraulic flows associated with hydrothermal vent structures, active sea mounds, and sea floor bore holes. Through this proposal we are developing the next generation Medusa system and initiating the integration of several select chemical and biological sensors into the Medusa backbone. These sensors are an in situ flow-through spectral chemistry system, a cavity ringdown 12C/13C system, and an intrinsic fluorescence instrument. der way. This instrument can be used to target and discriminate between biological samples for automated sample collection

  4. Floor of Lake Tahoe, California and Nevada

    USGS Publications Warehouse

    Dartnell, Peter; Gibbons, Helen

    2011-01-01

    Lake-floor depths shown by color, from light tan (shallowest) to blue (deepest). Arrows on map (C) show orientations of perspective views. A, view toward McKinney Bay over blocks tumbled onto the lake floor by a massive landslide 10s to 100s of thousands of years ago; dark triangular block near center is approximately 1.5 km (0.9 mi) across and 120 m (390 ft) high. B, view toward South Lake Tahoe and Emerald Bay (on right) over sediment waves as much as 10 m (30 ft) high, created by sediment flowing down the south margin of the lake. Slopes appear twice as steep as they are. Lake-floor imagery from U.S. Geological Survey (USGS) multibeam bathymetric data and U.S. Army Corps of Engineers bathymetric lidar data. Land imagery generated by overlaying USGS digital orthophoto quadrangles (DOQs) on USGS digital elevation models (DEMs). All data available at http://tahoe.usgs.gov/.

  5. [Pelvic floor disorders from the surgeon's viewpoint].

    PubMed

    Schiedeck, T H

    2013-10-01

    Pelvic floor disorders present very differently with regard to symptoms and manifestation. Both diagnostic and treatment options require specific experience and an interdisciplinary approach. Diagnostic work-up is primarily based on medical history, physical examination and procto-rectoscopy. Furthermore, endosonography and perineal sonography have also gained importance. In almost all cases following these basic examinations conservative therapy options should be considered. As the interdisciplinary concept is very important, for careful diagnosis of pelvic floor disorders it became crucial to find an adequate form of treatment. Every decision for surgical therapy should not only focus on the results of previous examinations but should also consider the individual situation of each patient. In pelvic floor disorders a large variety of symptoms are confronted with a vast number of different and often highly specific procedures. The decisions on who to treat and how to treat are not only based on individual patient requests and desires but also on the experience and preference of the surgeon.

  6. Basaltic injections into floored silicic magma chambers

    NASA Astrophysics Data System (ADS)

    Wiebe, R. A.

    Recent studies have provided compelling evidence that many large accumulations of silicic volcanic rocks erupted from long-lasting, floored chambers of silicic magma that were repeatedly injected by basaltic magma. These basaltic infusions are commonly thought to play an important role in the evolution of the silicic systems: they have been proposed as a cause for explosive silicic eruptions [Sparks and Sigurdsson, 1977], compositional variation in ash-flow sheets [Smith, 1979], mafic magmatic inclusions in silicic volcanic rocks [Bacon, 1986], and mixing of mafic and silicic magmas [Anderson, 1976; Eichelberger, 1978]. If, as seems likely, floored silicic magma chambers have frequently been invaded by basalt, then plutonic bodies should provide records of these events. Although plutonic evidence for mixing and commingling of mafic and silicic magmas has been recognized for many years, it has been established only recently that some intrusive complex originated through multiple basaltic injections into floored chambers of silicic magma [e.g., Wiebe, 1974; Michael, 1991; Chapman and Rhodes, 1992].

  7. Assessment of the quantities and distribution of K East Basin floor sludge constituents

    SciTech Connect

    Hecht, S.L.

    1996-10-01

    Floor sludge constituent masses and their spatial distribution within K East Basin were calculated. This information will be beneficial in the assessing the acceptability of K Basin sludge in the Tank Waste Remediation System and in the design and/or operational practices related to retrieval and handling of this K Basin sludge. Calculations were made based on results from recent laboratory chemical and radionuclides analyses of sludge sampled from thirteen locations in K East main basin. This concentration data was mathematically processed to determine the various constituents concentration distribution throughout the basin floor. This data was further processed, along with data previously generated from the analysis of measured sludge depths, to give both basin total masses and associated spatial distribution of the various sludge constituents. Results of these calculations, showed that the major gravimetric constituents of the sludge are iron (1505 kg), uranium (1387 kg), aluminum, sodium and c2@15cium. Significant amounts of fissionable materials were also calculated: u (9.92 kg) and 239pU (3.42 kg). The calculated distribution of sludge constituent masses showed distinct patterns. Sludge constituent associated with corroded spent nuclear fuel were concentrated near the north-west corner of the basin. Aluminum and iron, and many other elements are mainly located near the mouth of the South Load Out Pit. A value of 10,200 Ci of alpha (5%) + beta (95%) radioactivity was calculated for the total basin floor sludge, and was concentrated near the north-west corner of the basin and near the Dummy Elevator Pit.

  8. 112. Stage level floor structure. Generial view from downstage left, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    112. Stage level floor structure. Generial view from downstage left, facing northeast, showing structural supports for the stage floor after some of the flooring was removed. Openings in the stage floor could be made by rolling eight movable sections to the side and down under the fixed floor (see sheet 4 of 9, notes 1A and 1B). Once opened, another floor section of the same size as the opening could be raised to stage level by a hydraulic ram (type D1). The movable section in the foreground is in the retracted position, with its top surface below the flange of the beam supporting the fixed floor. Compare it to the height of the un-retracted section to the left (see sheet 6 of 9, notes 2A and 2B). - Auditorium Building, 430 South Michigan Avenue, Chicago, Cook County, IL

  9. Hedgehog activity controls opening of the primary mouth.

    PubMed

    Tabler, Jacqueline M; Bolger, Trióna G; Wallingford, John; Liu, Karen J

    2014-12-01

    To feed or breathe, the oral opening must connect with the gut. The foregut and oral tissues converge at the primary mouth, forming the buccopharyngeal membrane (BPM), a bilayer epithelium. Failure to form the opening between gut and mouth has significant ramifications, and many craniofacial disorders have been associated with defects in this process. Oral perforation is characterized by dissolution of the BPM, but little is known about this process. In humans, failure to form a continuous mouth opening is associated with mutations in Hedgehog (Hh) pathway members; however, the role of Hh in primary mouth development is untested. Here, we show, using Xenopus, that Hh signaling is necessary and sufficient to initiate mouth formation, and that Hh activation is required in a dose-dependent fashion to determine the size of the mouth. This activity lies upstream of the previously demonstrated role for Wnt signal inhibition in oral perforation. We then turn to mouse mutants to establish that SHH and Gli3 are indeed necessary for mammalian mouth development. Our data suggest that Hh-mediated BPM persistence may underlie oral defects in human craniofacial syndromes.

  10. On the Conventionalization of Mouth Actions in Australian Sign Language.

    PubMed

    Johnston, Trevor; van Roekel, Jane; Schembri, Adam

    2016-03-01

    This study investigates the conventionalization of mouth actions in Australian Sign Language. Signed languages were once thought of as simply manual languages because the hands produce the signs which individually and in groups are the symbolic units most easily equated with the words, phrases and clauses of spoken languages. However, it has long been acknowledged that non-manual activity, such as movements of the body, head and the face play a very important role. In this context, mouth actions that occur while communicating in signed languages have posed a number of questions for linguists: are the silent mouthings of spoken language words simply borrowings from the respective majority community spoken language(s)? Are those mouth actions that are not silent mouthings of spoken words conventionalized linguistic units proper to each signed language, culturally linked semi-conventional gestural units shared by signers with members of the majority speaking community, or even gestures and expressions common to all humans? We use a corpus-based approach to gather evidence of the extent of the use of mouth actions in naturalistic Australian Sign Language-making comparisons with other signed languages where data is available--and the form/meaning pairings that these mouth actions instantiate.

  11. Left atrial enlargement in the early stage of hypertensive heart disease: a common but ignored condition.

    PubMed

    Su, Guanhua; Cao, Heng; Xu, Sudan; Lu, Yongxin; Shuai, Xinxin; Sun, Yufei; Liao, Yuhua; Li, Jingdong

    2014-03-01

    How to identify the early signs of hypertensive heart disease is the key to block or reverse the process of heart failure. The aim of this study was to evaluate the predictive value of left atrial (LA) enlargement in the early stage of hypertensive heart disease and to explore the correlations between LA enlargement and heart failure with normal ejection fraction (HFnEF), as well as the metabolic syndrome (MetS). Baseline clinical characteristics, biochemical indices, electrocardiographic and echocardiographic data were collected from 341 consecutive patients with essential hypertension. Among those patients, LA enlargement was more frequently presented than LV enlargement (57.2% vs 17.9%). Compared with patients without HFnEF, the prevalence of LA enlargement was higher in patients with HFnEF (82.9% vs 49.0%, P<.0001). From grade 2 to grade 3 hypertension, LA size was significantly larger in patients with MetS (P<.01) than those without. Multivariate linear regression analyses showed that age, body mass index, waist circumference, triglyceride level, and left ventricular diameter were independent predictors of LA enlargement. The simple measurement for identification of LA enlargement potentially allows early recognition of those patients at risk for heart failure, particularly among patients with MetS.

  12. ES1 is a mitochondrial enlarging factor contributing to form mega-mitochondria in zebrafish cones.

    PubMed

    Masuda, Takamasa; Wada, Yasutaka; Kawamura, Satoru

    2016-03-01

    Total mass of mitochondria increases during cell proliferation and differentiation through mitochondrial biogenesis, which includes mitochondrial proliferation and growth. During the mitochondrial growth, individual mitochondria have been considered to be enlarged independently of mitochondrial fusion. However, molecular basis for this enlarging process has been poorly understood. Cone photoreceptor cells in the retina possess large mitochondria, so-called mega-mitochondria that have been considered to arise via the enlarging process. Here we show that ES1 is a novel mitochondria-enlarging factor contributing to form mega-mitochondria in cones. ES1 is specifically expressed in cones and localized to mitochondria including mega-mitochondria. Knockdown of ES1 markedly reduced the mitochondrial size in cones. In contrast, ectopic expression of ES1 in rods significantly increased both the size of individual mitochondria and the total mass of the mitochondrial cluster without changing the number of them. RNA-seq analysis showed that ERRα and its downstream mitochondrial genes were significantly up-regulated in the ES1-expressing rods, suggesting facilitation of mitochondrial enlargement via ERRα-dependent processes. Furthermore, higher energy state was detected in the ES1-expressing rods, indicating that the enlarged mitochondria by ES1 are capable of producing high energy. ES1 is the mitochondrial protein that is first found to promote enlargement of individual mitochondria.

  13. Cooperative diplomacy: Citizens, sovereignty, and the logic of democratic enlargement

    NASA Astrophysics Data System (ADS)

    Ndungu, Anthony Mark

    2000-12-01

    that intergovernmental agreement on compliance questions is most likely to occur when decision-making and policy-implementing processes are decentralized, and when governments establish and support decentralized intra- and trans-governmental institutions that enable private domestic groups of individuals to participate in international governance through two mechanisms. First, those decentralized institutions facilitate the formation of transnational coalitions of politically autonomous private domestic groups that can serve as a ``horizontal transmission belt'' for ideas and practices among private and public proponents of the major opposing domestic positions, thereby generating public transnational deliberation on compliance, monitoring and distributive questions. Second, politically autonomous private domestic groups can, by engaging in performance-based partnerships with senior government officials, also serve as a ``vertical transmission belt'' between domestic and intergovernmental regimes and vice versa, thereby encouraging their respective governments to adapt the social practices in issue-specific domestic regimes to international structural forces. These findings have significant ramifications for the concept of democratic enlargement, the institutionalization of competitive pluralism in non- liberal states. The robustness, across changes in administrations both at home and abroad, of the norms codified in international agreements may hinge on institutionalizing the participation of politically autonomous private domestic groups in decentralized intra- and trans-governmental decision-making and policy- implementing processes.

  14. Phonological similarity effect is abolished by a silent mouthing task.

    PubMed

    Saito, S

    1993-04-01

    This experiment was designed to examine the effect of silent mouthing on the phonological similarity effect. 16 undergraduates were tested for serial recall of visually presented letter sequences that were either phonologically similar or dissimilar. The letter sequences had to be remembered under two conditions, a control condition and a silent mouthing condition in which subjects had to articulate irrelevant words silently during the study period. Analysis showed the clear advantage of the dissimilar sequence over the similar one in the control condition. In contrast, this phonological similarity effect disappeared in the silent mouthing condition. This result is consistent with the working memory model.

  15. Burning mouth syndrome: a discussion of a complex pathology.

    PubMed

    Zur, Eyal

    2012-01-01

    Burning mouth syndrome is a complex pathology for which there is very little information about the etiology and pathogenesis. This lack of knowledge leaves patients with suboptimal treatments. This article discusses the existing scientific evidence about this disease. Since topical oral use of clonazepam have been shown to be effective and safe to treat some patients suffering with burning mouth syndrome, formulations including clonazepam are included with this article. Compounding topical preparations of clonazepam offers opportunities for compounding pharmacists to be more involved in improving the quality of life of burning mouth syndrome patients.

  16. Successful management of phenytoin and phenobarbitone induced gingival enlargement: A multimodal approach

    PubMed Central

    Priyadharshini, V.; Belure, Vinita V.; Triveni, M. G.; Tarun Kumar, A. B.; Mehta, D. S.

    2014-01-01

    Medication-related gingival enlargement is a common reactionary phenomenon that occurs with the use of several types of therapeutic agents, including antiepileptic drugs (AEDs). This disorder has been documented since 1939, shortly after the introduction of phenytoin. In the present case, a concise review of literature concerning the etiopathogenesis and management of AEDs (phenobarbitone and phenytoin) induced gingival enlargement has been described. It is vital that not only the periodontist, but also dental surgeons and medical practitioners should become aware of the potential etiologic agents, characteristic features, and the differential diagnosis of drug induced gingival enlargement in order to be able to prevent, diagnose and successfully manage the condition. PMID:24963262

  17. MTRETR MAINTENANCE SHOP, TRA653. FLOOR PLAN FOR FIRST FLOOR: MACHINE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    MTR-ETR MAINTENANCE SHOP, TRA-653. FLOOR PLAN FOR FIRST FLOOR: MACHINE SHOP, ELECTRICAL AND INSTRUMENT SHOP, TOOL CRIB, ELECTRONIC SHOP, LOCKER ROOM, SPECIAL TEMPERATURE CONTROLLED ROOM, AND OFFICES. "NEW" ON DRAWING REFERS TO REVISION OF 11/1956 DRAWING ON WHICH AREAS WERE DESIGNATED AS "FUTURE." HUMMEL HUMMEL & JONES 810-MTR-ETR-653-A-7, 5/1957. INL INDEX NO. 532-0653-00-381-101839, REV. 2. - Idaho National Engineering Laboratory, Test Reactor Area, Materials & Engineering Test Reactors, Scoville, Butte County, ID

  18. A&M. TAN607 floor plan for first floor. Shows stepped door ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    A&M. TAN-607 floor plan for first floor. Shows stepped door plug design from hot shop into special services cubicle, cubicle windows, and other details. This drawing was re-drawn to show as-built conditions in 1985. Ralph M. Parsons 902-3-ANP-607-A 99. Date of original: January 1955. Approved by INEEL Classification Office for public release. INEEL index code no. 034-0607-00-693-106751 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

  19. Burning mouth syndrome: a review and update.

    PubMed

    Sun, Andy; Wu, Kai-Ming; Wang, Yi-Ping; Lin, Hung-Pin; Chen, Hsin-Ming; Chiang, Chun-Pin

    2013-10-01

    Burning mouth syndrome (BMS) is characterized by the presence of burning sensation of the oral mucosa in the absence of clinically apparent mucosal alterations. It occurs more commonly in middle-aged and elderly women and often affects the tongue tip and lateral borders, lips, and hard and soft palate. In addition to a burning sensation, the patients with BMS may also complain unremitting oral mucosal pain, dysgeusia, and xerostomia. BMS can be classified into two clinical forms: primary and secondary BMS. The primary BMS is essential or idiopathic, in which the organic local/systemic causes cannot be identified and a neuropathological cause is likely. The diagnosis of primary BMS depends mainly on exclusion of etiological factors. The secondary BMS is caused by local, systemic, and/or psychological factors; thus, its diagnosis depends on identification of the exact causative factor. When local, systemic or psychological factors are present, treatment or elimination of these factors usually results in a significant clinical improvement of BMS symptoms. Vitamin, zinc, or hormone replacement therapy has been found to be effective for reducing the oral burning or pain symptom in some BMS patients with deficiency of the corresponding factor. If patients still have the symptoms after the removal of potential causes, drug therapy should be instituted. Previous randomized controlled clinical trials found that drug therapy with capsaicin, alpha-lipoic acid, clonazepam, and antidepressants may provide relief of oral burning or pain symptom. In addition, psychotherapy and behavioral feedback may also help eliminate the BMS symptoms.

  20. Buffing, burnishing, and stripping of vinyl asbestos floor tile

    SciTech Connect

    Hollett, B.A.; Edwards, A.; Clark, P.J.

    1995-10-01

    Studies were conducted to evaluate airborne asbestos concentrations during the three principal types of preventative maintenance (low-speed spray-buffing, ultra high-speed burnishing, and wet-stripping) used on asbestos-containing floor tiles. These were done under pre-existing and prepared levels of floor care maintenance. Airborne asbestos concentrations were measured before and during each floor care procedure to determine the magnitude of the increase in airborne asbestos levels during each procedure. Airborne total fiber concentrations were also measured for comparison with the Occupational Safety and Health Administration`s (OSHA) Permissible Exposure Limit (PEL) of 0.1 f/cm{sup 3}. Low-speed spray-buffing and wet-stripping were evaluated on pre-existing floor conditions and three levels of prepared floor care conditions (poor, medium, and good). Ultra high-speed burnishing and wet-stripping were evaluated on two levels of prepared floor care conditions (poor and good). Floor care conditions were defined in consultation with the Chemical Specialty Manufacturers Association and other representatives of floor-care chemical manufacturers. Controlled studies were conducted in an unoccupied building at the decommissioned Chanute Air Force Base in Rantoul, Illinois, with the cooperation of the U.S. Air Force. The building offered approximately 8600 ft{sup 2} of open floor space tiled with 9-inch by 9-inch resilient floor tile containing approximately 5% chrysotile asbestos.

  1. Deflection of resilient materials for reduction of floor impact sound.

    PubMed

    Lee, Jung-Yoon; Kim, Jong-Mun

    2014-01-01

    Recently, many residents living in apartment buildings in Korea have been bothered by noise coming from the houses above. In order to reduce noise pollution, communities are increasingly imposing bylaws, including the limitation of floor impact sound, minimum thickness of floors, and floor soundproofing solutions. This research effort focused specifically on the deflection of resilient materials in the floor sound insulation systems of apartment houses. The experimental program involved conducting twenty-seven material tests and ten sound insulation floating concrete floor specimens. Two main parameters were considered in the experimental investigation: the seven types of resilient materials and the location of the loading point. The structural behavior of sound insulation floor floating was predicted using the Winkler method. The experimental and analytical results indicated that the cracking strength of the floating concrete floor significantly increased with increasing the tangent modulus of resilient material. The deflection of the floating concrete floor loaded at the side of the specimen was much greater than that of the floating concrete floor loaded at the center of the specimen. The Winkler model considering the effect of modulus of resilient materials was able to accurately predict the cracking strength of the floating concrete floor.

  2. Foot-and-mouth disease virus L peptidase

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Foot-and-mouth disease virus (FMDV), equine rhinitis A virus (ERAV) and bovine rhinitis B virus (BRBV) comprise the genus Aphthovirus of the Picornaviridae family. Seven genera within this family, Aphthoviruses, Cardioviruses, Erboviruses (ERBV), Kobuviruses, Senecaviruses, Sapeloviruses, and Tescho...

  3. 2. Photocopy of 1827 map of mouth of Cuyahoga River ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. Photocopy of 1827 map of mouth of Cuyahoga River from Corps of Engineers files, Buffalo District. This is the earliest map of the Cleveland Harbor in the Corps' files. - Cleveland Breakwater at Cleveland Harbor, Cleveland, Cuyahoga County, OH

  4. Efficient approach to Chinese phoneme mouth-shape recognition

    NASA Astrophysics Data System (ADS)

    Zhong, Xiao; Ma, Shaoping; Zhang, Bo

    2001-09-01

    Recent research results show the recognition rates of all kinds mouth-shape recognition systems are not high enough because of the improper feature selection and extraction for mouth-shape images and the false classification for those features on the boundary of different categories. This paper presents a statistical approach, called CPMSR, for mouth-shape recognition at the phoneme level. The feature-extracting module for this approach is based on research results of phonetics and personal investigation at a deaf school. The analyzing module employs Support Vector Machine (SVM) technique, which is a useful tool dealing with boundary points problem. With these improvements our experiment achieved the satisfactory recognition rate of over 90% for 5 vowels and 24 consonants' mouth-shapes.

  5. 21. DETAILED FRONTAL VIEW WEST OF FURNACE 2, SHOWING MOUTHS ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    21. DETAILED FRONTAL VIEW WEST OF FURNACE 2, SHOWING MOUTHS WITH ROLLERS FOR MOVING TRAYS IN AND OUT OF THE OVENS. - Vulcan Crucible Steel Company, Building No. 3, 100 First Street, Aliquippa, Beaver County, PA

  6. 7. DETAIL VIEW OF LOWER MOUTH OF FISH LADDER AT ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    7. DETAIL VIEW OF LOWER MOUTH OF FISH LADDER AT ROCK OUTCROPPING, SHOWING NATURAL CARVED ROCK POOLS, UPPER PORTION OF FISH LADDER VISIBLE IN DISTANCE, LOOKING SOUTHWEST (UPSTREAM) - Van Arsdale Dam, South Fork of Eel River, Ukiah, Mendocino County, CA

  7. Correct Diagnosis Provides Relief for Those with Dry Mouth

    MedlinePlus

    ... information you need from the Academy of General Dentistry Sunday, April 9, 2017 About | Contact InfoBites Quick ... issue of AGD Impact , the Academy of General Dentistry's (AGD) monthly newsmagazine. Dry mouth, also known as ...

  8. Hardness and shock absorption of silicone rubber for mouth guards.

    PubMed

    Auroy, P; Duchatelard, P; Zmantar, N E; Hennequin, M

    1996-04-01

    Silicone rubbers have general properties that make them suitable for the fabrication of custom-made mouth guards. This study evaluated the shock absorption properties and Shore A hardness of several silicone rubbers and derived products, compared their values with those of materials commonly used for the manufacture of mouth guards, and correlated the shock absorption and transmission abilities of these different materials with their Shore hardness. Silicone rubbers absorb shock better than the materials currently used for custom-made mouth guards. In addition, to adapt mouth guards to particular sports, the properties of the silicone rubbers can be appropriately modified by the addition of oils or glass fiber reinforcement. Statistical analysis of hardness values and transmitted forces for the 27 materials tested indicates that the maximum transmitted force increases with hardness. However, this relationship is not linear, and departure from linearity is greatest for minimal and maximal hardness values.

  9. Ocean Floor Geomagnetic Data Collection System.

    DTIC Science & Technology

    1982-12-01

    gOoPoCS1o41a or too$ 000g¢fe .oe gmo Item 20. (continued) acquisition time, synchronization with land site data. and a data format that is readily...collection systemi co ,)s.st ad of two channels, each with a coil artenna sensor,, oreamplifier, variable gain amplifier, voltage ontrol .’ oscillator...Line Buoyancy Sphere Instrumentation I Sphere I Two 30 Meter I Coaxial Cables Sensor Spheres en , Non -me taic Stand Sea Floor Figure 1. 2 Diagram af

  10. Physical activity and the pelvic floor.

    PubMed

    Nygaard, Ingrid E; Shaw, Janet M

    2016-02-01

    Pelvic floor disorders are common, with 1 in 4 US women reporting moderate to severe symptoms of urinary incontinence, pelvic organ prolapse, or fecal incontinence. Given the high societal burden of these disorders, identifying potentially modifiable risk factors is crucial. Physical activity is one such potentially modifiable risk factor; the large number of girls and women participating in sport and strenuous training regimens increases the need to understand associated risks and benefits of these exposures. The aim of this review was to summarize studies reporting the association between physical activity and pelvic floor disorders. Most studies are cross-sectional and most include small numbers of participants. The primary findings of this review include that urinary incontinence during exercise is common and is more prevalent in women during high-impact sports. Mild to moderate physical activity, such as brisk walking, decreases both the odds of having and the risk of developing urinary incontinence. In older women, mild to moderate activity also decreases the odds of having fecal incontinence; however, young women participating in high-intensity activity are more likely to report anal incontinence than less active women. Scant data suggest that in middle-aged women, lifetime physical activity increases the odds of stress urinary incontinence slightly and does not increase the odds of pelvic organ prolapse. Women undergoing surgery for pelvic organ prolapse are more likely to report a history of heavy work than controls; however, women recruited from the community with pelvic organ prolapse on examination report similar lifetime levels of strenuous activity as women without this examination finding. Data are insufficient to determine whether strenuous activity while young predisposes to pelvic floor disorders later in life. The existing literature suggests that most physical activity does not harm the pelvic floor and does provide numerous health benefits for

  11. Patient-specific biomechanical modeling of ventricular enlargement in hydrocephalus from longitudinal magnetic resonance imaging.

    PubMed

    Chen, Yasheng; Fan, Zheng; Ji, Songbai; Muenzer, Joseph; An, Hongyu; Lin, Weili

    2013-01-01

    Ogden type of hyperelastic constitutive law has recently emerged in modeling ventricular enlargement in hydrocephalic brain with finite element method, but this material property for brain tissue has not been investigated in a patient-specific setting in hydrocephalus. Consequently, the accuracy of the simulated ventricular enlargement using this hyperelastic tissue property remains unknown. In this study, we evaluated this brain material model in four patients with communicating hydrocephalus under a small trans-mantle pressure difference (TPMD) between brain ventricle and subarachnoid space (< 1 mmHg). Based upon changes in ventricular geometries obtained with sequential MRI, we found that this hyper-elastic model has a great flexibility and accuracy in modeling ventricular enlargement (with errors less than 1 mm). Our study supports the utility of this hyperelastic constitutive law for future hydrocephalus modeling and suggests that the observed ventricular enlargement in these patients may be caused by a slight increase in TMPD.

  12. Aortic valve replacement with concomitant annular enlargement for small aortic annulus of less than 19 mm.

    PubMed

    Takakura, H; Sasaki, T; Hashimoto, K; Hachiya, T; Onoguchi, K; Oshiumi, M; Takeuchi, S

    2000-06-01

    Three female patients with aortic stenosis associated with a severely small annulus underwent aortic valve replacement. In intraoperative measurements, a 19-mm obtulator could not pass through the aortic annulus in each case. We therefore concluded that it would be difficult to implant an appropriate-sized prosthesis in a routine fashion, so we performed an annular enlargement in a modified Nicks procedure. By using a wide teardrop-shaped patch for enlargement and slightly tilting insertion of a prosthesis, a 21 mm bileaflet mechanical prosthesis could be inserted into the enlarged annulus. Despite being a simpler method than other enlarging procedures, a two- or three-sizes larger prosthesis than the native annulus can be inserted with relative ease. Thus, the use of a 19 mm mechanical prosthesis may be avoidable in most adult cases.

  13. Development and evolution of the vertebrate primary mouth.

    PubMed

    Soukup, Vladimír; Horácek, Ivan; Cerny, Robert

    2013-01-01

    The vertebrate oral region represents a key interface between outer and inner environments, and its structural and functional design is among the limiting factors for survival of its owners. Both formation of the respective oral opening (primary mouth) and establishment of the food-processing apparatus (secondary mouth) require interplay between several embryonic tissues and complex embryonic rearrangements. Although many aspects of the secondary mouth formation, including development of the jaws, teeth or taste buds, are known in considerable detail, general knowledge about primary mouth formation is regrettably low. In this paper, primary mouth formation is reviewed from a comparative point of view in order to reveal its underestimated morphogenetic diversity among, and also within, particular vertebrate clades. In general, three main developmental modes were identified. The most common is characterized by primary mouth formation via a deeply invaginated ectodermal stomodeum and subsequent rupture of the bilaminar oral membrane. However, in salamander, lungfish and also in some frog species, the mouth develops alternatively via stomodeal collar formation contributed both by the ecto- and endoderm. In ray-finned fishes, on the other hand, the mouth forms via an ectoderm wedge and later horizontal detachment of the initially compressed oral epithelia with probably a mixed germ-layer derivation. A very intriguing situation can be seen in agnathan fishes: whereas lampreys develop their primary mouth in a manner similar to the most common gnathostome pattern, hagfishes seem to undergo a unique oropharyngeal morphogenesis when compared with other vertebrates. In discussing the early formative embryonic correlates of primary mouth formation likely to be responsible for evolutionary-developmental modifications of this area, we stress an essential role of four factors: first, positioning and amount of yolk tissue; closely related to, second, endoderm formation during

  14. 33. NEARLY VERTICAL AERIAL VIEW OF THE MOUTH OF THE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    33. NEARLY VERTICAL AERIAL VIEW OF THE MOUTH OF THE FEDERAL CHANNEL, LOOKING TO THE NORTHWEST. NEITHER ALAMEDA NAVAL AIR STATION NOR OAKLAND NAVAL SUPPLY CENTER HAVE BEEN BUILT. No date, probably mid-1930's. U.S. Navy photograph. Original print on file at the National Archives, San Bruno, California. - Oakland Harbor Training Walls, Mouth of Federal Channel to Inner Harbor, Oakland, Alameda County, CA

  15. Management of antithrombotic therapy before full-mouth extraction.

    PubMed

    Powless, R Andrew; Omar, Hesham R; Mangar, Devanand; Camporesi, Enrico M

    2013-06-01

    The management of antiplatelet and anticoagulant therapy before full-mouth extraction is a major concern for dentists. Approach should vary depending on the risk of bleeding and adverse cardiac events. We have adapted a more conservative approach with continuation of antiplatelet therapy in the majority of patients while implementing local hemostatic measures with good outcomes. Specific recommendations are provided for antiplatelet therapy before mouth extraction.

  16. 30. VERTICAL AERIAL VIEW OF THE MOUTH OF THE FEDERAL ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    30. VERTICAL AERIAL VIEW OF THE MOUTH OF THE FEDERAL CHANNEL, SCALE 1:14,400. TO THE SOUTH OF THE CHANNEL ARE THE RUNWAYS OF THE FORMER ALAMEDA NAVAL AIR STATION; TO THE NORTH ARE THE BERTHS AND BUILDINGS OF THE FORMER NAVAL SUPPLY CENTER, OAKLAND. Date and time of photography '12-9-98 10:51." - Oakland Harbor Training Walls, Mouth of Federal Channel to Inner Harbor, Oakland, Alameda County, CA

  17. Occlusal concepts in full mouth rehabilitation: an overview.

    PubMed

    Tiwari, Bhawana; Ladha, Komal; Lalit, Aaruti; Dwarakananda Naik, B

    2014-12-01

    Restoration of occlusion in patients with severely worn dentition is a challenging situation as every case is unique in itself. There is great apprehension involved in reconstructing debilitated dentition due to widely divergent views concerning the choice of an appropriate occlusal scheme for successful full mouth rehabilitation. This article is an overview of the various occlusal concepts/philosophies in full mouth rehabilitation which will help the clinician select an appropriate occlusal scheme for an individual case.

  18. Burning mouth syndrome due to herpes simplex virus type 1.

    PubMed

    Nagel, Maria A; Choe, Alexander; Traktinskiy, Igor; Gilden, Don

    2015-04-01

    Burning mouth syndrome is characterised by chronic orofacial burning pain. No dental or medical cause has been found. We present a case of burning mouth syndrome of 6 months duration in a healthy 65-year-old woman, which was associated with high copy numbers of herpes simplex virus type 1 (HSV-1) DNA in the saliva. Her pain resolved completely after antiviral treatment with a corresponding absence of salivary HSV-1 DNA 4 weeks and 6 months later.

  19. Total laparoscopic hysterectomy of very enlarged uterus (3030 g): case report and review of the literature

    PubMed Central

    Roviglione, Giovanni; Pesci, Anna; Quintana, Sara; Bruni, Francesco; Clarizia, Roberto

    2014-01-01

    Fibromatosis is the most frequent benign uterine pathology of fertile women, rarely causing anomalous enlargement of the uterus. Traditionally the surgical treatment has been abdominal hysterectomy. However, development of minimally invasive techniques has led to major safeness of the laparoscopic route. We report a case of total laparoscopic hysterectomy performed on a uterus weighting more than 3,000 g and present a review of the literature about the laparoscopic approach to very enlarged uteri. PMID:25097706

  20. Total laparoscopic hysterectomy of very enlarged uterus (3030 g): case report and review of the literature.

    PubMed

    Ceccaroni, Marcello; Roviglione, Giovanni; Pesci, Anna; Quintana, Sara; Bruni, Francesco; Clarizia, Roberto

    2014-06-01

    Fibromatosis is the most frequent benign uterine pathology of fertile women, rarely causing anomalous enlargement of the uterus. Traditionally the surgical treatment has been abdominal hysterectomy. However, development of minimally invasive techniques has led to major safeness of the laparoscopic route. We report a case of total laparoscopic hysterectomy performed on a uterus weighting more than 3,000 g and present a review of the literature about the laparoscopic approach to very enlarged uteri.

  1. Marked bilateral parotid enlargement in metabolic syndrome: a case report and review of the literature.

    PubMed

    Nassour, Dima N; Patel, Sudhirkumar V; Kosseifi, Semaan G; Jordan, Richard M; Peiris, Alan N

    2007-01-01

    Bilateral non inflammatory salivary gland enlargement (sialadenosis) is seen with a diverse number of diseases. It is commonly recognized in alcoholism, anorexia and bulimia nervosa and HIV infections. The association between diabetes mellitus and sialadenosis has been reported rarely in the last three decades. We report a patient with sialadenosis in association with metabolic syndrome. We discuss the clinical implications of this novel association including possible regression of salivary gland enlargement with intensive glycemic and lipid control.

  2. Female pelvic floor anatomy: the pelvic floor, supporting structures, and pelvic organs.

    PubMed

    Herschorn, Sender

    2004-01-01

    The development of novel, less invasive therapies for stress urinary incontinence in women requires a thorough knowledge of the relationship between the pathophysiology of incontinence and anatomy. This article provides a review of the anatomy of the pelvic floor and lower urinary tract. Also discussed is the hammock hypothesis, which describes urethral support within the pelvis and provides an explanation of the continence mechanism.

  3. Associations between 'valentine' heart shape, atrial enlargement and cardiomyopathy in cats.

    PubMed

    Winter, Matthew D; Giglio, Robson F; Berry, Clifford R; Reese, David J; Maisenbacher, Herbert W; Hernandez, Jorge A

    2015-06-01

    'Valentine' heart shape is a common qualifier used in veterinary radiology to describe a cardiac silhouette with focal enlargement at the level of the base of the heart in feline patients. Anecdotally, this sign has been thought to be related to biatrial enlargement and also to hypertrophic cardiomyopathy (HCM). However, to our knowledge, there has been no study performed to assess the association between cardiac chamber enlargement and cardiac disease with the 'valentine'-shaped heart. The aim of this study was to verify the association between the 'valentine' heart shape observed in ventrodorsal thoracic radiographs and the presence of singular or combined cardiac chamber enlargement, and also the presence and type of cardiomyopathy (CM) in cats. A search of the database of the Small Animal Veterinary Hospital of the University of Florida for cats with a radiology report of thoracic radiographs that contained the words 'valentine' and 'biatrial', and echocardiography performed within 1 week, was undertaken; 41 cases met the inclusion criteria. Eighty-two percent of the cats of the study sample had some form of CM. The 'valentine' heart shape was associated with biatrial enlargement in 41% of the patients in our study sample that had some form of CM and just 8% of cases diagnosed with HCM, suggesting that the 'valentine' heart shape has a low association with HCM or biatrial enlargement; however, it should be considered a sign of feline CM.

  4. Histological and immunohistochemical features of gingival enlargement in a patient with AML.

    PubMed

    Sonoi, Norihiro; Soga, Yoshihiko; Maeda, Hiroshi; Ichimura, Koichi; Yoshino, Tadashi; Aoyama, Kazutoshi; Fujii, Nobuharu; Maeda, Yoshinobu; Tanimoto, Mitsune; Logan, Richard; Raber-Durlacher, Judith; Takashiba, Shogo

    2012-07-01

    Here, we discuss the pathophysiology of leukemia-associated gingival enlargement based on a case of acute myelomonocytic leukemia (AML-M4) with typical gingival enlargement. Uniquely, this patient was well enough to allow full periodontal examination and incisional gingival biopsy to be performed both before and after chemotherapy. The patient was a 39-year-old Japanese woman with AML-M4 showing gingival enlargement. Histological and immunohistochemical features of gingiva and bacterial counts in the periodontal pockets were examined before and after chemotherapy. The results were as follows: (1) infiltration of myelomonocytic blasts in enlarged gingiva; (2) resolution of gingival enlargement with complete remission of AML by anticancer chemotherapy; and (3) the numbers of bacteria in the periodontal pockets were not high and were not altered before or after chemotherapy. In patients with AML-M4, remarkable mucosal enlargement is not generally observed in the body except in the gingiva. We hypothesized that antigens derived from periodontal bacteria, even if they are not present in large numbers, could act as chemoattractants for myelomonocytic leukemic cells.

  5. 115. Stage Level floor structure. Detail of the ends of ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    115. Stage Level floor structure. Detail of the ends of three movable stage floor sections. An inclined steel angle track attached to the web of the floor beam allows the sections to roll under the fixed floor. The upper section of the inclined track is hinged so it can be moved upward by a cam mechanism to raise the end of the movable section level with the stage floor. A similar mechanism was used to open and close the floor sections for the star lifts (see sheet 4 of 9, note 6; sheet 8 of 9, details 5, 6A and 6B; sheet 6 of 9, notes 2A, 2B, and 3; and photo IL-1007-120). The pulley, and tongue extending out from the end of the movable section, were used to move the sections back and forth. - Auditorium Building, 430 South Michigan Avenue, Chicago, Cook County, IL

  6. Female pelvic floor dysfunction--an imaging perspective.

    PubMed

    Dietz, Hans Peter

    2011-12-20

    Female pelvic floor dysfunction encompasses a range of morbidities, including urinary incontinence, female pelvic organ prolapse, anal incontinence and obstructed defecation. Patients often present with symptoms covered by several specialties including gastroenterology, colorectal surgery, urology and gynecology. Imaging can therefore bring clinicians from multiple specialties together by revealing that we frequently deal with different aspects of one underlying problem or pathophysiological process. This article provides an interdisciplinary imaging perspective on the pelvic floor. Modern pelvic floor imaging comprises defecation proctography, translabial and endorectal ultrasound, and static and dynamic MRI. This Perspectives focuses on the potential use of translabial ultrasound, including 3D and 4D applications, for diagnosis of pelvic floor disorders. Over the next decade, pelvic floor imaging will most likely be integrated into mainstream diagnostics in obstetrics and gynecology and colorectal surgery. Using imaging to facilitate communication between different specialties has the potential to greatly improve the multidisciplinary management of complex pelvic floor disorders.

  7. The influence of different footwear on floor contamination.

    PubMed

    Hambraeus, A; Malmborg, A S

    1979-01-01

    The importance of walking as a source of floor contamination and the influence of different footwear routines on floor contamination was evaluated. The contamination of a floor due to walking was about 16 times higher than contamination of the floor due to sedimentation only, measured with impression plates. No significant difference in floor contamination could be seen with different footwear (ordinary shoes, clean shoes, shoe covers). In all experiments the amount of bacteria, was low in the morning and increased in the middle of the day when a steady state seemed to be reached. The number of Staphylococcus aureus continued to increase. A footwear regimen is only recommended in areas where floors are cleaned frequently during the day as in operating wards.

  8. 48. STAIRWAY TO THE SECOND FLOOR, SOUTH END OF THE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    48. STAIRWAY TO THE SECOND FLOOR, SOUTH END OF THE EAST WING. STAIRWAY AND WOODEN DECK ADDED IN 1976. WOODEN DECK FILLS A CIRCULAR HOLE LEFT IN THE FLOOR FOR THE POSSIBLE ADDITION OF A THIRD BISCUIT AND KILN. A SMALLER HOLE WAS LEFT IN THE WEST WING FLOOR TO ALLOW CONSTRUCTION OF AN ADDITIONAL GLAZE KILN. NEITHER EXTRA KILN WAS BUILT. - Moravian Pottery & Tile Works, Southwest side of State Route 313 (Swamp Road), Northwest of East Court Street, Doylestown, Bucks County, PA

  9. Mouth of the Ob River, Russia

    NASA Technical Reports Server (NTRS)

    2002-01-01

    These images from the Moderate Resolution Imaging Spectroradiometer (MODIS) on the Terra satellite shows the cause and effect of the large-scale seasonal flooding experienced on rivers throughout Siberia each year. Because many Siberian rivers flow from south to north, they flood regularly in the spring as meltwater from southern latitudes backs up against the still-frozen northern reaches of the rivers.These images show the Ob' River on the western edge of the Central Siberian Plateau. The images from June 20, 2002, show the mouth of the Ob' River (large river at left) where it empties into Kara Sea. In the false-color image, Vegetation appears in bright green, water appears dark blue or black, and ice appears bright blue. The ice is still choking the river's outlet to the sea.The effect of this ice block on the more southern stretches of the river can be seen in the images captured on June 17. In the false-color image, water is black, vegetation is in shades of gold and green, and clouds are pale orange. In the northernmost portion of the Ob' visible in this image (the Ob' runs southeast to northwest in the image), what is normally a fine mesh of braided streams and branches of the river channel has become almost a lake in places. The flood waters have engorged the river to 52 kilometers (32 miles) wide in places. Rivers can back up for hundreds of miles, and cause devastating flooding for towns and villages along the banks. Often, explosives are dropped into ice jams in an effort to free the river and give the flood waters a chance to escape. The spring and summer floods of 2002 have proven to be quite severe and perhaps as many as 100,000 people have been affected across the country. Credit: Jacques Descloitres, MODIS Land Rapid Response Team, NASA/GSFC

  10. Probiotics: health benefits in the mouth.

    PubMed

    Stamatova, Iva; Meurman, Jukka H

    2009-12-01

    Probiotics or health-beneficial bacteria have only recently been introduced in dentistry and oral medicine after years of successful use in mainly gastro-intestinal disorders. The concept of bacteriotherapy and use of health-beneficial micro-organisms to heal diseases or support immune function was first introduced in the beginning of the 20th century. Later the concept lead to the development of modem dairy industry and even today most probiotic strains are lactobacilli or bifidobacteria used in milk fermentation. The mechanisms of probiotic action are mainly unknown but the inter-microbial species interactions are supposed to play a key role in this together with their immuno-stimulatory effects. The introduction of probiotic bacteria in the mouth calls for ascertainment of their particular safety. Since acid production from sugar is detrimental to teeth, care must be taken not to select strains with high fermentation capacity. The first randomized controlled trials have nevertheless shown that probiotics may control dental caries in children due to their inhibitory action against cariogenic streptococci. Less evidence exists on their role in periodontal disease or oral yeast infections. Furthermore the best vehicles for oral probiotic applications need to be assessed. So far mainly dairy products have been investigated but other means such as probiotics in chewing gums or lozenges have also been studied. From the clinical practitioner's point of view direct recommendations for the use of probiotics cannot yet be given. However, scientific evidence so far indicates that probiotic therapy may be a reality also in dentistry and oral medicine in the future.

  11. [Burning mouth syndrome: pathogenic and therapeutic concepts].

    PubMed

    Ferensztajn, Ewa; Łojko, Dorota; Rybakowski, Janusz

    2013-01-01

    Burning mouth syndrome (BMS) is a chronic pain condition characterized by pain, burning sensations and dryness within an oral mucosa, without any clinical changes of the latter. It occurs approximately seven times more frequently in women, mostly in perimenopausal age. The psychiatric aspect of BMS is significant: the most frequent co-morbidities are depression and anxiety disorders, and a number of psychotropic drugs play an essential role in its treatment. In the present review, the most important pathogenic and treatment concepts of BMS have been discussed. The BMS may be similar to neuropathic pain and has some related pathogenic elements with fibromyalgia and the restless leg syndrome. In primary BMS, the features of presynaptic dysfunction of dopaminergic neurons and deficiency of endogenous dopamine levels have been demonstrated. Other neurotransmitters such as serotonin, noradrenaline, histamine as well as hormonal and inflammatory factors may also play a role in the pathogenesis of BMS. In the pharmacological treatment of BMS a variety of drugs have been used including benzodiazepines, anticonvulsants, antidepressants and atypical antipsychotic drugs. In the final part of the paper, the possibility of using atypical antipsychotic drug, olanzapine, in the treatment of BMS has been discussed. In the context of the recent studies on this topic, a case of female patient with the BMS lasting more than ten years has been mentioned, in whom the treatment with olanzapine brought about a rapid and significant reduction of symptoms. The probable mechanism of the therapeutic effect of olanzapine in BMS can include its effect on dopaminergic receptors and probably also on histaminergic, noradrenergic and serotonergic ones.

  12. TOO MANY MOUTHS promotes cell fate progression in stomatal development of Arabidopsis stems.

    PubMed

    Bhave, Neela S; Veley, Kira M; Nadeau, Jeanette A; Lucas, Jessica R; Bhave, Sanjay L; Sack, Fred D

    2009-01-01

    Mutations in TOO MANY MOUTHS (TMM), which encodes a receptor-like protein, cause stomatal patterning defects in Arabidopsis leaves but eliminate stomatal formation in stems. Stomatal development in wild-type and tmm stems was analyzed to define TMM function. Epidermal cells in young tmm stems underwent many asymmetric divisions characteristic of entry into the stomatal pathway. The resulting precursor cells, meristemoids, appropriately expressed cell fate markers such as pTMM:GFP. However, instead of progressing developmentally by forming a guard mother cell, the meristemoids arrested, dedifferentiated, and enlarged. Thus asymmetric divisions are necessary but not sufficient for stomatal formation in stems, and TMM promotes the fate and developmental progression of early precursor cells. Comparable developmental and mature stomatal phenotypes were also found in tmm hypocotyls and in the proximal flower stalk. TMM is also a positive regulator of meristemoid division in leaves suggesting that TMM generally promotes meristemoid activity. Our results are consistent with a model in which TMM interacts with other proteins to modulate precursor cell fate and progression in an organ and domain-specific manner. Finally, the consistent presence of a small number of dedifferentiated meristemoids in mature wild-type stems suggests that precursor cell arrest is a normal feature of Arabidopsis stem development.

  13. Opposition of carbohydrate in a mouth-rinse solution to the detrimental effect of mouth rinsing during cycling time trials.

    PubMed

    Gam, Sharon; Guelfi, Kym J; Fournier, Paul A

    2013-02-01

    Studies have reported that rinsing the mouth with a carbohydrate (CHO) solution improves cycling time-trial performance compared with rinsing with a placebo solution. However, no studies have compared the effect of mouth rinsing with a no-mouth-rinse control condition. The aim of this study was to compare the effects of a CHO mouth rinse with those of a placebo rinse and a no-rinse condition. Ten male cyclists completed three 1,000-kJ cycling time trials in a randomized, counterbalanced order. At every 12.5% of the time trial completed, participants were required to rinse their mouths for 5 s with either a 6.4% maltodextrin solution (CHO), water (WA), or no solution (CON). Heart rate and ratings of perceived exertion (RPE) were recorded every 25% of the time trial completed. Time to completion was faster in both CHO (65.7 ± 11.07 min) and CON (67.6 ± 12.68 min) than in WA (69.4 ± 13.81 min; p = .013 and p = .042, respectively). The difference between CHO and CON approached significance (p = .086). There were no differences in heart rate or RPE between any conditions. In summary, repeated mouth rinsing with water results in decreased performance relative to not rinsing at all. Adding CHO to the rinse solution appears to oppose this fall in performance, possibly providing additional benefits to performance compared with not rinsing the mouth at all. This brings into question the magnitude of the effect of CHO mouth rinsing reported in previous studies that did not include a no-rinse condition.

  14. 18. First floor, sun porch room, looking north Veterans ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    18. First floor, sun porch room, looking north - Veterans Administration Center, Officers Duplex Quarters, 5302 East Kellogg (Legal Address); 5500 East Kellogg (Common Address), Wichita, Sedgwick County, KS

  15. site plan, floor plan, southeast and east elevations, detail showing ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    site plan, floor plan, southeast and east elevations, detail showing original front entrance, interior detail showing fireplace in elevation - Neiman House, 1930 Providence Road, Charlotte, Mecklenburg County, NC

  16. 9. FIRST FLOOR CAR BARN SPACE. VIEW TO NORTHWEST. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. FIRST FLOOR CAR BARN SPACE. VIEW TO NORTHWEST. - Commercial & Industrial Buildings, Key City Electric Street Railroad, Powerhouse & Storage Barn, Eighth & Washington Streets, Dubuque, Dubuque County, IA

  17. Ergonomic Assessment of Floor-based and Overhead Lifts

    PubMed Central

    Waters, Thomas R.; Dick, Robert; Lowe, Brian; Werren, Dwight; Parsons, Kelley

    2015-01-01

    Manual full-body vertical lifts of patients have high risk for developing musculoskeletal disorders. Two primary types of battery-powered lift assist devices are available for these tasks: floor-based and overhead-mounted devices. Studies suggest that the operation of floor-based devices may require excessive pushing and pulling forces and that overhead-mounted devices are safer and require lower operating forces. This study evaluated required operating hand forces and resulting biomechanical spinal loading for overhead-mounted lifts versus floor-based lifts across various floor surfaces and patient weight conditions. We did not examine differences in how operators performed the tasks, but rather focused on differences in required operating forces and estimated biomechanical loads across various exposure conditions for a typical operator. Findings show that the floor-based lifts exceeded recommended exposure limits for pushing and pulling for many of the floor/weight conditions and that the overhead-mounted lifts did not. As expected, forces and spinal loads were greater for nonlinoleum floor surfaces compared with linoleum floors. Based on these findings, it is suggested that overhead-mounted devices be used whenever possible, particularly in instances where carpeted floors would be encountered. PMID:26550545

  18. INTERIOR OF SECOND FLOOR AIRFIELD MANAGEMENT SUPERINTENDENT'S OFFICE. VIEW TO ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    INTERIOR OF SECOND FLOOR AIRFIELD MANAGEMENT SUPERINTENDENT'S OFFICE. VIEW TO SOUTHEAST - Plattsburgh Air Force Base, Base Operations Building, Idaho at Alabama Avenue, Plattsburgh, Clinton County, NY

  19. Pelvic Organ Prolapse: New Concepts in Pelvic Floor Anatomy.

    PubMed

    Maldonado, Pedro A; Wai, Clifford Y

    2016-03-01

    As the field of reconstructive pelvic surgery continues to evolve, with descriptions of new procedures to repair pelvic organ prolapse, it remains imperative to maintain a functional understanding of pelvic floor anatomy and support. The goal of this review was to provide a focused, conceptual approach to differentiating anatomic defects contributing to prolapse in the various compartments of the vagina. Rather than provide exhaustive descriptions of pelvic floor anatomy, basic pelvic floor anatomy is reviewed, new and historical concepts of pelvic floor support are discussed, and relevance to the surgical management of specific anatomic defects is addressed.

  20. [Use of bone blocks by sinus floor lifting].

    PubMed

    Nazarian, D N; Karaian, A S; Zakharov, G K; Seniuk, A N; Aliev, S E

    2014-01-01

    The paper presents clinical cases illustrating two sinus floor lifting technique performed for dental implant placement in areas with maxillary sinus floor atrophy: bone block fixation for vertical augmentation (used for immediate implant placement by sinus floor atrophy to 1 mm thickness) and perforation closure. Sinus floor perforations wider than 5 mm were repaired by mandible bone graft providing the possibility of immediate implantation. Bone block was fixed between cortical layers of the maxilla with no internal fixation. Free bone blocks provide additional primary stability of dental implants.

  1. 19. CLASSROOM 312 (SECOND FLOOR). VIEW TO SOUTHWEST. OTHER CENTRAL ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    19. CLASSROOM 312 (SECOND FLOOR). VIEW TO SOUTHWEST. OTHER CENTRAL (SOUTH) BLOCK CLASSROOMS ARE SIMILAR - Frederika Bremer Intermediate School, 1214 Lowry Avenue North, Minneapolis, Hennepin County, MN

  2. 13. VIEW INTO BLOCK AREA SHOWING KEY MECHANISM, NOTE FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. VIEW INTO BLOCK AREA SHOWING KEY MECHANISM, NOTE FLOOR SEPARATION AT THRESHOLD AND KEY-WINDING MECHANISM - Montgomery County Jail, Washington & Spring Streets, Crawfordsville, Montgomery County, IN

  3. Interior view of second floor sleeping area; camera facing south. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Interior view of second floor sleeping area; camera facing south. - Mare Island Naval Shipyard, Marine Barracks, Cedar Avenue, west side between Twelfth & Fourteenth Streets, Vallejo, Solano County, CA

  4. INTERIOR FIRST FLOOR WEST CENTRAL ELEVATOR LOBBY DETAIL VIEW, FACING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    INTERIOR FIRST FLOOR WEST CENTRAL ELEVATOR LOBBY DETAIL VIEW, FACING SOUTHEAST. - NASA Industrial Plant, Systems Integration & Checkout Facility, 12214 Lakewood Boulevard, Downey, Los Angeles County, CA

  5. Distinct modes of floor plate induction in the chick embryo.

    PubMed

    Patten, Iain; Kulesa, Paul; Shen, Michael M; Fraser, Scott; Placzek, Marysia

    2003-10-01

    To begin to reconcile models of floor plate formation in the vertebrate neural tube, we have performed experiments aimed at understanding the development of the early floor plate in the chick embryo. Using real-time analyses of cell behaviour, we provide evidence that the principal contributor to the early neural midline, the future anterior floor plate, exists as a separate population of floor plate precursor cells in the epiblast of the gastrula stage embryo, and does not share a lineage with axial mesoderm. Analysis of the tissue interactions associated with differentiation of these cells to a floor plate fate reveals a role for the nascent prechordal mesoderm, indicating that more than one inductive event is associated with floor plate formation along the length of the neuraxis. We show that Nr1, a chick nodal homologue, is expressed in the nascent prechordal mesoderm and we provide evidence that Nodal signalling can cooperate with Shh to induce the epiblast precursors to a floor-plate fate. These results indicate that a shared lineage with axial mesoderm cells is not a pre-requisite for floor plate differentiation and suggest parallels between the development of the floor plate in amniote and anamniote embryos.

  6. 5. GENERAL VIEW, SECOND FLOOR, SHOWING TYPICAL WINDOW TRIM AND ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. GENERAL VIEW, SECOND FLOOR, SHOWING TYPICAL WINDOW TRIM AND THE PRESSED METAL CEILING, VIEW FROM SOUTHWEST. - 443 Seventh Street, Northwest (Commercial Building), Washington, District of Columbia, DC

  7. INTERIOR SECOND FLOOR EAST ENGINEERING DESIGN AREA DETAIL VIEW, FACING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    INTERIOR SECOND FLOOR EAST ENGINEERING DESIGN AREA DETAIL VIEW, FACING NORTH. - NASA Industrial Plant, Systems Integration & Checkout Facility, 12214 Lakewood Boulevard, Downey, Los Angeles County, CA

  8. 13. FOURTH FLOOR ROASTING ROOM, SHOWING CLERESTORY. VIEW TO SOUTH. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. FOURTH FLOOR ROASTING ROOM, SHOWING CLERESTORY. VIEW TO SOUTH. - Commercial & Industrial Buildings, McFadden Coffee & Spice Company, Factory & Warehouse, 145 First Street, Dubuque, Dubuque County, IA

  9. 19. VIEW TO SOUTHWEST OF FIRST FLOOR SHOWING CONVEYOR FOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    19. VIEW TO SOUTHWEST OF FIRST FLOOR SHOWING CONVEYOR FOR MOVING MATERIAL TO SECOND FLOOR. (NOTE: THIS IS NOT AN ORIGINAL CONVEYOR FOR MOVING BODY PARTS) STAIRS IN BACKGROUND LEAD TO SECOND FLOOR VIA TOILET ROOM NO. 4 AND COAT ROOM AT MEZZANINES LEVEL SITUATED BETWEEN THE TWO SETS OF STAIRS. THERE ARE THREE OTHER TOILET/COAT ROOM MEZZANINES TO THE NORTH LOCATED ALONG THE WALL BETWEEN THE FIRST AND SECOND FLOORS, BEHIND AND TO THE LEFT OF THE STAIRS IS A FREIGHT ELEVATOR SHAFT. - Rosie the Riveter National Historical Park, Ford Assembly Plant, 1400 Harbour Way South, Richmond, Contra Costa County, CA

  10. 95. ROOM 402 (LAW LIBRARY), EAST WING, FOURTH FLOOR, LOOKING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    95. ROOM 402 (LAW LIBRARY), EAST WING, FOURTH FLOOR, LOOKING SOUTHEAST - Smithsonian Institution Building, 1000 Jefferson Drive, between Ninth & Twelfth Streets, Southwest, Washington, District of Columbia, DC

  11. 13. DISPATCHER'S OFFICE OF SECOND FLOOR HEAD HOUSE. VIEW TO ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. DISPATCHER'S OFFICE OF SECOND FLOOR HEAD HOUSE. VIEW TO NORTHEAST. - Commercial & Industrial Buildings, Chicago, Milwaukee & St. Paul Railroad Freight Depot, Sixth & White Streets, Dubuque, Dubuque County, IA

  12. 14. DISPATCHER'S OFFICE OF SECOND FLOOR HEAD HOUSE. VIEW TO ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    14. DISPATCHER'S OFFICE OF SECOND FLOOR HEAD HOUSE. VIEW TO SOUTH. - Commercial & Industrial Buildings, Chicago, Milwaukee & St. Paul Railroad Freight Depot, Sixth & White Streets, Dubuque, Dubuque County, IA

  13. PHYSICAL ACTIVITY AND THE PELVIC FLOOR

    PubMed Central

    Nygaard, Ingrid E.; Shaw, Janet M.

    2015-01-01

    Pelvic floor disorders (PFDs) are common, with one in four U.S. women reporting moderate to severe symptoms of urinary incontinence, pelvic organ prolapse or fecal incontinence. Given the high societal burden of these disorders, identifying potentially modifiable risk factors is crucial. Physical activity is one such potentially modifiable risk factor; the large number of girls and women participating in sport and strenuous training regimens increases the need to understand associated risks and benefits of these exposures. The aim of this review is to summarize studies reporting the association between physical activity and PFDs. Most studies are cross-sectional and most include small numbers of participants. The primary findings of this review include: Urinary incontinence during exercise is common and is more prevalent in women during high-impact sports. Mild to moderate physical activity, such as brisk walking, decreases both the odds of having and the risk of developing urinary incontinence. In older women, mild to moderate activity also decreases the odds of having fecal incontinence; however, young women participating in high intensity activity are more likely to report anal incontinence than less active women. Scant data suggest that in middle-aged women, lifetime physical activity increases the odds of stress urinary incontinence slightly and does not increase the odds of pelvic organ prolapse. Women undergoing surgery for pelvic organ prolapse are more likely to report a history of heavy work than controls; however, women recruited from the community with pelvic organ prolapse on examination report similar lifetime levels of strenuous activity as women without this exam finding. Data are insufficient to determine whether strenuous activity while young predisposes to pelvic floor disorders later in life. The existing literature suggests that most physical activity does not harm the pelvic floor and does provide numerous health benefits for women. However

  14. Grounding Abstractness: Abstract Concepts and the Activation of the Mouth.

    PubMed

    Borghi, Anna M; Zarcone, Edoardo

    2016-01-01

    One key issue for theories of cognition is how abstract concepts, such as freedom, are represented. According to the WAT (Words As social Tools) proposal, abstract concepts activate both sensorimotor and linguistic/social information, and their acquisition modality involves the linguistic experience more than the acquisition of concrete concepts. We report an experiment in which participants were presented with abstract and concrete definitions followed by concrete and abstract target-words. When the definition and the word matched, participants were required to press a key, either with the hand or with the mouth. Response times and accuracy were recorded. As predicted, we found that abstract definitions and abstract words yielded slower responses and more errors compared to concrete definitions and concrete words. More crucially, there was an interaction between the target-words and the effector used to respond (hand, mouth). While responses with the mouth were overall slower, the advantage of the hand over the mouth responses was more marked with concrete than with abstract concepts. The results are in keeping with grounded and embodied theories of cognition and support the WAT proposal, according to which abstract concepts evoke linguistic-social information, hence activate the mouth. The mechanisms underlying the mouth activation with abstract concepts (re-enactment of acquisition experience, or re-explanation of the word meaning, possibly through inner talk) are discussed. To our knowledge this is the first behavioral study demonstrating with real words that the advantage of the hand over the mouth is more marked with concrete than with abstract concepts, likely because of the activation of linguistic information with abstract concepts.

  15. Grounding Abstractness: Abstract Concepts and the Activation of the Mouth

    PubMed Central

    Borghi, Anna M.; Zarcone, Edoardo

    2016-01-01

    One key issue for theories of cognition is how abstract concepts, such as freedom, are represented. According to the WAT (Words As social Tools) proposal, abstract concepts activate both sensorimotor and linguistic/social information, and their acquisition modality involves the linguistic experience more than the acquisition of concrete concepts. We report an experiment in which participants were presented with abstract and concrete definitions followed by concrete and abstract target-words. When the definition and the word matched, participants were required to press a key, either with the hand or with the mouth. Response times and accuracy were recorded. As predicted, we found that abstract definitions and abstract words yielded slower responses and more errors compared to concrete definitions and concrete words. More crucially, there was an interaction between the target-words and the effector used to respond (hand, mouth). While responses with the mouth were overall slower, the advantage of the hand over the mouth responses was more marked with concrete than with abstract concepts. The results are in keeping with grounded and embodied theories of cognition and support the WAT proposal, according to which abstract concepts evoke linguistic-social information, hence activate the mouth. The mechanisms underlying the mouth activation with abstract concepts (re-enactment of acquisition experience, or re-explanation of the word meaning, possibly through inner talk) are discussed. To our knowledge this is the first behavioral study demonstrating with real words that the advantage of the hand over the mouth is more marked with concrete than with abstract concepts, likely because of the activation of linguistic information with abstract concepts. PMID:27777563

  16. Prognostic significance of left atrial enlargement in a general population: results of the PAMELA study.

    PubMed

    Bombelli, Michele; Facchetti, Rita; Cuspidi, Cesare; Villa, Paolo; Dozio, Dario; Brambilla, Gianmaria; Grassi, Guido; Mancia, Giuseppe

    2014-12-01

    We estimated the risk of cardiovascular events, cardiovascular mortality, and all-cause mortality associated with left atrium (LA) enlargement alone or combined with echocardiographic left ventricular hypertrophy (LVH) in 1785 representatives of the general population of Monza recruited for the Pressioni Arteriose Monitorate E Loro Associazioni (PAMELA) study. LA enlargement was assessed by measuring LA diameter via echocardiography. LA enlargement was defined as a LA diameter>2.3 cm/m2, whereas LVH was defined as a left ventricular mass index≥114 g/m2 and 99 g/m2 in men and women, respectively. Death certificates and hospital diagnoses were collected over an average 148 months follow-up. During follow-up, there were 175 deaths (of which 59 for cardiovascular causes) and 139 cardiovascular fatal and nonfatal events. Compared with subjects with neither LA enlargement nor LVH, subjects with isolated LA enlargement exhibited a significant increase in the adjusted risk of combined fatal and nonfatal cardiovascular events (hazard ratio, 2.0; confidence interval, 1-4.1; P=0.04), although not of cardiovascular death or all-cause death. The adjusted (for baseline covariates, including ambulatory blood pressure) risk of fatal and nonfatal cardiovascular events, cardiovascular death, and all-cause death was significantly increased also in subjects with isolated LVH (hazard ratio, 2.2, 3.4, 2.1, respectively; P=0.001 for all), whereas no further increase was seen in subjects with both LA and left ventricular abnormalities. Thus, like LVH, LA enlargement is an independent long-term predictor of cardiovascular events. The cardiovascular risk, however, is not further increased when LA enlargement is superimposed on an increase of LV mass.

  17. Floors and Toilets: Association of Floors and Sanitation Practices with Fecal Contamination in Peruvian Amazon Peri-Urban Households.

    PubMed

    Exum, Natalie G; Olórtegui, Maribel Paredes; Yori, Pablo Peñataro; Davis, Meghan F; Heaney, Christopher D; Kosek, Margaret; Schwab, Kellogg J

    2016-07-19

    Over two billion people worldwide lack access to an improved sanitation facility that adequately retains or treats feces. This results in the potential for fecal material containing enteric pathogens to contaminate the environment, including household floors. This study aimed to assess how floor type and sanitation practices impacted the concentration of fecal contamination on household floors. We sampled 189 floor surfaces within 63 households in a peri-urban community in Iquitos, Peru. All samples were analyzed for colony forming units (CFUs) of E. coli, and households were evaluated for their water, sanitation, and hygiene characteristics. Results of multivariate linear regression indicated that households with improved sanitation and cement floors in the kitchen area had reduced fecal contamination to those with unimproved sanitation and dirt floors (Beta: -1.18 log10 E. coli CFU/900 cm(2); 95% confidence interval [CI]: -1.77, -0.60). Households that did not versus did share their sanitation facility also had less contaminated kitchen floors (Beta: -0.65 log10 E. coli CFU/900 cm(2); 95% CI: -1.15, -0.16). These findings suggest that the sanitation facilities of a home may impact the microbial load found on floors, contributing to the potential for household floors to serve as an indirect route of fecal pathogen transmission to children.

  18. A randomised crossover comparison of mouth-to-face-shield ventilation and mouth-to-pocket-mask ventilation by surf lifeguards in a manikin.

    PubMed

    Adelborg, K; Bjørnshave, K; Mortensen, M B; Espeseth, E; Wolff, A; Løfgren, B

    2014-07-01

    Thirty surf lifeguards (mean (SD) age: 25.1 (4.8) years; 21 male, 9 female) were randomly assigned to perform 2 × 3 min of cardiopulmonary resuscitation on a manikin using mouth-to-face-shield ventilation (AMBU LifeKey) and mouth-to-pocket-mask ventilation (Laerdal Pocket Mask). Interruptions in chest compressions, effective ventilation (visible chest rise) ratio, tidal volume and inspiratory time were recorded. Interruptions in chest compressions per cycle were increased with mouth-to-face-shield ventilation (mean (SD) 8.6 (1.7) s) compared with mouth-to-pocket-mask ventilation (6.9 (1.2) s, p < 0.0001). The proportion of effective ventilations was less using mouth-to-face-shield ventilation (199/242 (82%)) compared with mouth-to-pocket-mask ventilation (239/240 (100%), p = 0.0002). Tidal volume was lower using mouth-to-face-shield ventilation (mean (SD) 0.36 (0.20) l) compared with mouth-to-pocket-mask ventilation (0.45 (0.20) l, p = 0.006). No differences in inspiratory times were observed between mouth-to-face-shield ventilation and mouth-to-pocket-mask ventilation. In conclusion, mouth-to-face-shield ventilation increases interruptions in chest compressions, reduces the proportion of effective ventilations and decreases delivered tidal volumes compared with mouth-to-pocket-mask ventilation.

  19. Flatness floor system by caterpillar rail

    NASA Astrophysics Data System (ADS)

    Motoyama, Teizou; Motoyama, Tomomi

    2000-01-01

    The grooves on the floor to allow sliding of automatic doors in office buildings, hospitals, etc., can cause inconvenience or even accidents because the wheels of wheel chairs or high-heeled shoes can get stuck within the grooves. In addition, collection of rainwater and dust within the grooves impede the proper functioning of the automatic doors. As a counter measure to this problem, a caterpillar-like retractable groove cover was designed and made from stainless steel. Since the edges of the cover required high precision, high speed laser processing was applied in the making of its component parts. The caterpillar cover design, laser processing conditions, durability testing by repetition of door opening/closing etc. are explained in this paper. The covers developed through this study were installed in the automatic doors of a high rise building and have been found to be effective in overcoming the problems mentioned above.

  20. Floor tile and mastic removal project report

    SciTech Connect

    Not Available

    1992-11-01

    A test program was developed and coordinated with State and Federal Regulators and carried out at Fort Sill, Oklahoma. This program was carefully designed to create the worst conditions in order to evaluate whether asbestos fibers are released when asbestos containing floor tile and mastic are removed. There were over 1,000 samples taken and analyzed during the execution of the program. The conclusions reached were based upon analysis of the critical samples using the Transmission Electron Microscope (TEM) technology. Additionally, the TEM procedures were used to evaluate personnel samples to determine whether those fibers found were asbestos or other materials. Most of the (TEM) samples were analyzed by the US Environmental Protection Agency (EPA) Risk Reduction Engineering Laboratory in Cincinnati, Ohio.

  1. Burning mouth syndrome: the role of contact hypersensitivity.

    PubMed

    Virgili, A; Corazza, M; Trombelli, L; Arcidiacono, A

    1996-11-01

    The burning mouth syndrome is characterized by an unpleasant sensation of burning in the oral cavity, without clinical signs. Causal factors may be psychogenic, systemic or local. The aim of the study was to determine the significance of contact allergy in the pathogenesis of burning mouth syndrome. Fifteen patients with burning mouth syndrome were studied through anamnesis and laboratory analysis. Epicutaneous patch tests were performed with the Italian standard series (GIRDCA - Gruppo Italiano di Ricerca Dermatiti da Contatto ed Ambientali), preservative and dental series. The same tests were carried out in 12 healthy age- and sex-matched subjects. The number of patients affected by burning mouth syndrome with a positive reaction to patchtesting was 6 out of 15, while the number of allergic patients in the control group was 3 out of 12. No association could be found between positive reaction at patchtesting and exposure to allergens. Contact allergy in burning mouth syndrome seems not to play a primary role; nevertheless, it is advisable to perform patch tests in selected patients to identify a possible aetiological agent.

  2. Symbiotic symbolization by hand and mouth in sign language.

    PubMed

    Sandler, Wendy

    2009-04-01

    Current conceptions of human language include a gestural component in the communicative event. However, determining how the linguistic and gestural signals are distinguished, how each is structured, and how they interact still poses a challenge for the construction of a comprehensive model of language. This study attempts to advance our understanding of these issues with evidence from sign language. The study adopts McNeill's criteria for distinguishing gestures from the linguistically organized signal, and provides a brief description of the linguistic organization of sign languages. Focusing on the subcategory of iconic gestures, the paper shows that signers create iconic gestures with the mouth, an articulator that acts symbiotically with the hands to complement the linguistic description of objects and events. A new distinction between the mimetic replica and the iconic symbol accounts for the nature and distribution of iconic mouth gestures and distinguishes them from mimetic uses of the mouth. Symbiotic symbolization by hand and mouth is a salient feature of human language, regardless of whether the primary linguistic modality is oral or manual. Speakers gesture with their hands, and signers gesture with their mouths.

  3. Association between oral habits, mouth breathing and malocclusion.

    PubMed

    Grippaudo, C; Paolantonio, E G; Antonini, G; Saulle, R; La Torre, G; Deli, R

    2016-10-01

    The ratio of bad habits, mouth breathing and malocclusion is an important issue in view of prevention and early treatment of disorders of the craniofacial growth. While bad habits can interfere with the position of the teeth and normal pattern of skeletal growth, on the other hand obstruction of the upper airway, resulting in mouth breathing, changes the pattern of craniofacial growth causing malocclusion. Our crosssectional study, carried out on 3017 children using the ROMA index, was developed to verify if there was a significant correlation between bad habits/mouth breathing and malocclusion. The results showed that an increase in the degree of the index increases the prevalence of bad habits and mouth breathing, meaning that these factors are associated with more severe malocclusions. Moreover, we found a significant association of bad habits with increased overjet and openbite, while no association was found with crossbite. Additionally, we found that mouth breathing is closely related to increased overjet, reduced overjet, anterior or posterior crossbite, openbite and displacement of contact points. Therefore, it is necessary to intervene early on these aetiological factors of malocclusion to prevent its development or worsening and, if already developed, correct it by early orthodontic treatment to promote eugnatic skeletal growth.

  4. Symbiotic symbolization by hand and mouth in sign language*

    PubMed Central

    Sandler, Wendy

    2010-01-01

    Current conceptions of human language include a gestural component in the communicative event. However, determining how the linguistic and gestural signals are distinguished, how each is structured, and how they interact still poses a challenge for the construction of a comprehensive model of language. This study attempts to advance our understanding of these issues with evidence from sign language. The study adopts McNeill’s criteria for distinguishing gestures from the linguistically organized signal, and provides a brief description of the linguistic organization of sign languages. Focusing on the subcategory of iconic gestures, the paper shows that signers create iconic gestures with the mouth, an articulator that acts symbiotically with the hands to complement the linguistic description of objects and events. A new distinction between the mimetic replica and the iconic symbol accounts for the nature and distribution of iconic mouth gestures and distinguishes them from mimetic uses of the mouth. Symbiotic symbolization by hand and mouth is a salient feature of human language, regardless of whether the primary linguistic modality is oral or manual. Speakers gesture with their hands, and signers gesture with their mouths. PMID:20445832

  5. 76 FR 26685 - Multilayered Wood Flooring From the People's Republic of China: Alignment of Final Countervailing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... International Trade Administration Multilayered Wood Flooring From the People's Republic of China: Alignment of... multilayered wood flooring (``wood flooring'') from the People's Republic of China (``PRC'') with the final... wood flooring from the PRC. See Multilayered Wood Flooring from the People's Republic of...

  6. STEEL BEAMS FOR FIRST FLOOR BEING READIED FOR CONCRETE POUR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    STEEL BEAMS FOR FIRST FLOOR BEING READIED FOR CONCRETE POUR UNDER WEATHER SHELTER DURING COLD WINTER. NOTE ABUNDANCE OF BEAMS; THE FLOOR WILL SUPPORT HEAVY LOADS. INL NEGATIVE NO. 1175. Unknown Photographer, 12/20/1950 - Idaho National Engineering Laboratory, Test Reactor Area, Materials & Engineering Test Reactors, Scoville, Butte County, ID

  7. 4. AERIAL VIEW, LOOKING SOUTHSOUTHWEST, OF BUILDING 371 GROUND FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    4. AERIAL VIEW, LOOKING SOUTH-SOUTHWEST, OF BUILDING 371 GROUND FLOOR UNDER CONSTRUCTION. THE GROUND FLOOR, WHICH CONTAINS THE MAJORITY OF THE PLUTONIUM RECOVERY PROCESSING EQUIPMENT, IS DIVIDED INTO COMPARTMENTS BY FIREWALLS, AIRLOCKS, AND USE OF NEGATIVE AIR PRESSURE. (1/7/75) - Rocky Flats Plant, Plutonium Recovery Facility, Northwest portion of Rocky Flats Plant, Golden, Jefferson County, CO

  8. INTERIOR VIEW OF THE SECOND FLOOR HALL. SHOWING THE IRON ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    INTERIOR VIEW OF THE SECOND FLOOR HALL. SHOWING THE IRON RAIL, TONGUE-AND-GROOVE WOOD FLOOR, AND THE SLIDING WINDOW TO BEDROOM 3. VIEW FACING SOUTHEAST. - Hickam Field, Officers' Housing Type N, 204B Second Street, Honolulu, Honolulu County, HI

  9. 76 FR 76435 - Multilayered Wood Flooring From China

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-07

    ... COMMISSION Multilayered Wood Flooring From China Determinations On the basis of the record \\1\\ developed in... China of multilayered wood flooring, provided for in subheadings 4409.10, 4409.29, 4412.31, 4412.32... orders on imports of this product from China. Background The Commission instituted these...

  10. 75 FR 79019 - Multilayered Wood Flooring From China

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... COMMISSION Multilayered Wood Flooring From China Determinations On the basis of the record \\1\\ developed in... reason of imports from China of multilayered wood flooring, provided for in subheadings 4409.10, 4409.29... than fair value (LTFV) and subsidized by the Government of China. \\1\\ The record is defined in Sec....

  11. 50. INTERIOR VIEW TO SOUTH AT FIRST FLOOR MACHINE SHOP: ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    50. INTERIOR VIEW TO SOUTH AT FIRST FLOOR MACHINE SHOP: Interior view towards south of the machine shop located on the first floor of the powerhouse and car barn. Compare this view with CA-12-74, taken seventeen years earlier. - San Francisco Cable Railway, Washington & Mason Streets, San Francisco, San Francisco County, CA

  12. 12. INTERIOR OF COVERED WALKWAY BEHIND SECOND FLOOR APARTMENTS FROM ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    12. INTERIOR OF COVERED WALKWAY BEHIND SECOND FLOOR APARTMENTS FROM OPPOSITE VIEW OF CA-XXX-11. DOOR AT PHOTO LEFT OPENS INTO THE KITCHEN OF THE WEST SIDE SECOND FLOOR APARTMENT. VIEW TO EAST. - Lee Vining Creek Hydroelectric System, Triplex Cottage, Lee Vining Creek, Lee Vining, Mono County, CA

  13. 27 CFR 46.233 - Payment of floor stocks tax.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PRODUCTS AND CIGARETTE PAPERS AND TUBES Floor Stocks Tax on Certain Tobacco Products, Cigarette Papers, and Cigarette Tubes Held for Sale on April 1, 2009 Filing Requirements § 46.233 Payment of floor stocks tax. (a) Electronic funds transfer. If the dealer pays any other excise taxes collected by TTB by electronic...

  14. 9. SANDSORTING BUILDING, SIXTH (TOP) FLOOR, VIEW OF ELECTRIC MOTOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. SAND-SORTING BUILDING, SIXTH (TOP) FLOOR, VIEW OF ELECTRIC MOTOR THAT POWERS ELEVATOR No. (ELEVATOR No. 2 EXTENDS FROM THE THIRD TO THE SIXTH FLOOR) AND WOODEN CHUTE, LOOKING NORTHWEST - Mill "C" Complex, Sand-Sorting Building, South of Dee Bennet Road, near Illinois River, Ottawa, La Salle County, IL

  15. 10. SANDSORTING BUILDING, FIFTH FLOOR, VIEW OF STAIRWAY LEADING TO ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    10. SAND-SORTING BUILDING, FIFTH FLOOR, VIEW OF STAIRWAY LEADING TO SIXTH FLOOR, ELEVATOR No. 2, AND WOODEN STAIRWAY (LEFT) LEADING TO PLATFORM FOR ACCESS TO WOODEN CHUTES (WOODEN CHUTES CAN BE SEEN PARALLELLING STAIRWAY), LOOKING SOUTHEAST - Mill "C" Complex, Sand-Sorting Building, South of Dee Bennet Road, near Illinois River, Ottawa, La Salle County, IL

  16. 13. Missile site control building, third and fourth floor interior, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. Missile site control building, third and fourth floor interior, showing east corner and former electrical equipment area, room #306. This building was salvaged and sealed in the 1970's; the lower floors also suffered flooding - Stanley R. Mickelsen Safeguard Complex, Missile Site Control Building, Northeast of Tactical Road; southeast of Tactical Road South, Nekoma, Cavalier County, ND

  17. 5. VIEW OF INTERIOR OF BUILDING 220, DECORATIVE FLOOR AT ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. VIEW OF INTERIOR OF BUILDING 220, DECORATIVE FLOOR AT ENTRANCE. VINYL TILE INLAID FLOOR WITH A RED BACKGROUND, GREEN EMBLEM, BROWN AND WHITE EAGLE, RED AND WHITE SHIELD, BLACK ANCHOR, RED ARROWS AND LETTERING. - U.S. Naval Base, Pearl Harbor, Brig, Neville Way near Ninth Street at Marine Barracks, Pearl City, Honolulu County, HI

  18. 49 CFR 38.117 - Floors, steps and thresholds.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 1 2011-10-01 2011-10-01 false Floors, steps and thresholds. 38.117 Section 38.117 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY SPECIFICATIONS FOR TRANSPORTATION VEHICLES Intercity Rail Cars and Systems § 38.117 Floors,...

  19. 49 CFR 38.117 - Floors, steps and thresholds.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false Floors, steps and thresholds. 38.117 Section 38.117 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY SPECIFICATIONS FOR TRANSPORTATION VEHICLES Intercity Rail Cars and Systems § 38.117 Floors,...

  20. 6. Photographic copy of floor plan drawing, dated August 10, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    6. Photographic copy of floor plan drawing, dated August 10, 1968, Selfridge ANG Base, in possession of Selfridge Base Museum, Mt. Clemens, Michigan. FLOOR PLANS BLDGS. 1582 & 1584. - Selfridge Field, Building Nos. 1582, 1583, 1584, South of East Joy Boulevard, west of Taxiway C, Mount Clemens, Macomb County, MI