Sample records for obtaining adequate intracuff

  1. Comparison of 2 cuff inflation methods of laryngeal mask airway Classic for safe use without cuff manometer in adults.

    PubMed

    Kim, Min-Soo; Lee, Jeong-Rim; Shin, Yang-Sik; Chung, Ji-Won; Lee, Kyu-Ho; Ahn, Ki Ryang

    2014-03-01

    This single-center, prospective, randomized, double-blind, 2-arm, parallel group comparison trial was performed to establish whether the adult-sized laryngeal mask airway (LMA) Classic (The Laryngeal Mask Company Ltd, Henley-on-Thames, UK) could be used safely without any consideration of cuff hyperinflation when a cuff of the LMA Classic was inflated using half the maximum inflation volume or the resting volume before insertion of device. Eighty patients aged 20 to 70 years scheduled for general anesthesia using the LMA Classic were included. Before insertion, the cuff was partially filled with half the maximum inflation volume in the half volume group or the resting volume created by opening the pilot balloon valve to equalize with atmospheric pressure in the resting volume group. Several parameters regarding insertion, intracuff pressure, airway leak pressure, and leakage volume/fraction were collected after LMA insertion. The LMA Classic with a partially inflated cuff was successfully inserted in all enrolled patients. Both groups had the same success rate of 95% at the first insertion attempt. The half volume group had a lower mean intracuff pressure compared with the resting volume group (54.5 ± 16.1 cm H2O vs 61.8 ± 16.1 cm H2O; P = .047). There was no difference in airway leak pressure or leakage volume/fraction between the 2 groups under mechanical ventilation. The partially inflated cuff method using half the maximum recommended inflation volume or the resting volume is feasible with the adult-sized LMA Classic, resulting in a high success rate of insertion and adequate range of intracuff pressures. Copyright © 2014 Elsevier Inc. All rights reserved.

  2. Cuffed endotracheal tubes in children: the effect of the size of the cuffed endotracheal tube on intracuff pressure.

    PubMed

    Krishna, Senthil G; Hakim, Mumin; Sebastian, Roby; Dellinger, Heather L; Tumin, Dmitry; Tobias, Joseph D

    2017-05-01

    In children, the size of the cuffed endotracheal tube is based on various age-based formulas. However, such formulas may over or underestimate the size of the cuffed endotracheal tube. There are no data on the impact of different-sized cuffed endotracheal tubes (ETT) on the intracuff pressure in children. The current study measures intracuff pressure with different-sized cuffed ETT. The study was conducted in an in vitro and in vivo phase. For the in vitro phase, 10 cuffed ETT of size 4.0, 4.5, and 5 mm internal diameter (ID) each were randomly placed inside a 1.0 cm ID plastic tube (mimicking the trachea), which was in turn connected to a 1 l test lung. After inflation of the cuff using the air leak test at a continuous positive airway pressure of 20 cmH 2 O, the intracuff pressure was measured. The in vivo phase was conducted in 100 children (4-8 years) and were randomly divided into two groups to receive either a cuffed endotracheal tube based on the Khine formula (Group R) or a cuffed endotracheal tube that was a half-size (0.5 mm ID) smaller (Group S). Following the inflation of the cuff to seal the trachea, the intracuff pressure was measured. In the in vitro phase, the intracuff pressure was 45 ± 6, 23 ± 1, and 14 ± 6 cmH 2 O with size 4.0, 4.5, and 5 mm ID cuffed ETT, respectively (F-test P < 0.001 for difference among three groups). In the in vivo phase, the mean intracuff pressure in Group R was 25 ± 19 cmH 2 O vs 37 ± 35 cmH 2 O in Group S (95% CI of difference: 1, 23; P = 0.039). If the cuffed endotracheal tube is too small, the trachea can still be sealed by inflating the cuff with additional air. However, this transforms the cuff from the intended high-volume, low-pressure cuff to an undesirable high-volume, high-pressure cuff. © 2017 John Wiley & Sons Ltd.

  3. Leakage of fluid around endotracheal tube cuffs: a cadaver study

    PubMed Central

    Lucius, Ralph; Ewald, Kristian

    2013-01-01

    Background The aim of the study was to evaluate the leakage of liquid past the cuffs of tracheal tubes in fresh frozen human heads. Methods Six truncated fresh frozen heads were used and intubated with 8.0 mm endotracheal tubes. The intracuff pressures tested were 30 and 100 cmH2O. Subsequently, 20 ml of each of two oral antiseptic rinses (0.2% chlorhexidine and octenidine [octenidol®, Schülke & Mayr GmbH, Norderstedt, Germany]) was applied for thirty seconds in the mouth. During the trial, leakage of the cuffs was examined. Results The sealing between the tracheal cuff and tracheal wall was leakage-proof for all tested intracuff pressures and all tested antiseptic rinses. However, approximately 5.6 ml and 1.8 ml leaked into the esophagus and remained as a cuff-puddle, respectively. Conclusions The sealing between an endotracheal tube cuff with an intracuff pressure of 30 cmH2O and the tracheal wall is leakage-proof during oral care with antiseptic rinsing. An increase of intracuff pressure to 100 cmH2O does not appear to be required. PMID:24363847

  4. The effect of user experience and inflation technique on endotracheal tube cuff pressure using a feline airway simulator.

    PubMed

    White, Donna M; Redondo, José I; Mair, Alastair R; Martinez-Taboada, Fernando

    2017-09-01

    The effect of user experience and inflation technique on endotracheal tube cuff pressure using a feline airway simulator. Prospective, experimental clinical study. Participants included veterinary students at the beginning (group S1) and end (group S2) of their 2-week anaesthesia rotation and veterinary anaesthetists (group A). The feline airway simulator was designed to simulate an average size feline trachea, intubated with a 4.5 mm low-pressure, high-volume cuffed endotracheal tube, connected to a Bain breathing system with oxygen flow of 2 L minute -1 . Participants inflated the on-endotracheal tube cuff by pilot balloon palpation and by instilling the minimum occlusive volume (MOV) required for loss of airway leaks during manual ventilation. Intracuff pressures were measured by manometers obscured to participants and ideally were 20-30 cm H 2 O. Student t, Fisher exact, and Chi-squared tests were used where appropriate to analyse data (p < 0.05). Participants were 12 students and eight anaesthetists. Measured intracuff pressures for palpation and MOV, respectively, were 19 ± 12 and 29 ± 19 cm H 2 O for group S1, 10 ± 5 and 20 ± 11 cm H 2 O for group S2 and 13 ± 6 and 29 ± 18 cm H 2 O for group A. All groups performed poorly at achieving intracuff pressures within the ideal range. There was no significant difference in intracuff pressures between techniques. Students administered lower (p = 0.02) intracuff pressures using palpation after their training. When using palpation and MOV for cuff inflation operators rarely achieved optimal intracuff pressures. Experience had no effect on this skill and, as such, a cuff manometer is recommended. Copyright © 2017 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.

  5. Performance of the PneuX System: A Bench Study Comparison With 4 Other Endotracheal Tube Cuffs.

    PubMed

    Chenelle, Christopher T; Itagaki, Taiga; Fisher, Daniel F; Berra, Lorenzo; Kacmarek, Robert M

    2017-01-01

    Cuff design affects microaspiration, a risk factor for pneumonia. We questioned whether the PneuX low-volume fold-free cuff design would prevent cuff leakage and maintain the same tracheal wall pressure as high-volume, low-pressure (HVLP) cuffs. We evaluated 4 HVLP-cuffed endotracheal tubes (ETTs), Hi-Lo (polyvinyl chloride [PVC]), Microcuff (polyurethane [PU]), SealGuard (PU + tapered), and TaperGuard (PVC + tapered), and the PneuX with its dedicated tracheal seal monitor. In Part 1, we determined tracheal wall pressure using each cuff's capacity to support water columns across recommended intracuff pressures. In Part 2, we evaluated the tracheal seal monitor function at recommended settings. In Part 3, we compared leakage volumes of all ETTs during 30 min of simulated mechanical ventilation or during 8 h if no leak occurred. Parts 1 and 3 were performed with/without lubrication and PEEP. In Part 1, PneuX cuffs exerted an average tracheal wall pressure of 27.4 ± 2.4 cm H 2 O at the recommended intracuff pressure of approximately 80 cm H 2 O. Tracheal wall pressure did not differ among HVLP cuffs (19.6 ± 1.4 to 29.5 ± 1.4 cm H 2 O). In Part 2, preinflation intracuff pressure affected the time to obtain tracheal seal monitor pressure attainment (P < .01). The tracheal seal monitor generated average calculated tracheal wall pressure of 33.4 ± 1.2 cm H 2 O. In Part 3, PneuX ETT showed no leak across 8 h for all trials. Overall, leakage volume was lower with PU (P < .01) and PneuX (P < .01) than with PVC cuffs, regardless of shape, and lower with lubrication and/or PEEP (all P < .01). In each HVLP cuff, lubrication alone eliminated leak at an intracuff pressure of ≤30 cm H 2 O. The PneuX cuff generally exerted acceptable tracheal wall pressure, but the tracheal wall pressure monitor allowed pressures exceeding 30 cm H 2 O in some trials and was the only ETT to prevent leak in all tests. For HVLP cuffs, leak was reduced by PU and PEEP and eliminated by lubrication. Copyright © 2017 by Daedalus Enterprises.

  6. Does cuff pressure monitoring reduce postoperative pharyngolaryngeal adverse events after LMA-ProSeal insertion? A parallel group randomised trial.

    PubMed

    Vasanth Karthik, R; Ranganathan, Priya; Kulkarni, Atul P; Sharma, Kailash S

    2014-10-01

    The incidence of postoperative pharyngolaryngeal complications after laryngeal mask airway (LMA) insertion can be as high as 50%. Over-inflation of the LMA cuff may be a causal factor. We conducted a single-centre parallel group randomised trial to determine whether maintaining LMA-ProSeal intra-cuff pressures below 60 cm H2O decreases postoperative pharyngolaryngeal complications. We recruited 120 adult patients who were scheduled to undergo elective surgery under general anaesthesia. Appropriate sized LMA-ProSeal was inserted and the cuff was inflated with air (to no more than the maximum recommended volume) until there was no audible leak. Patients were randomised to either the control group (n = 60), where the intra-cuff pressure was noted and no further action was taken, or to the pressure-monitored group (n = 60), where intra-cuff pressure was maintained below 60 cm H2O. Pharyngolaryngeal complications consisting of sore throat, dysphonia and dysphagia were assessed at 1, 2, and 24 h postoperatively. Patients, anaesthesiologists and assessors were blinded to group allocation. The primary outcome was a composite endpoint of any pharyngolaryngeal complication at any of the three time points. Secondary outcomes were the incidence of individual outcomes at each time point. The incidence of pharyngolaryngeal complications at any time point was 42% in the routine care group and 32% in the pressure-monitored group (95% CI for difference +28 to -7%, p = 0.26). There was no difference between groups for any of the secondary outcomes. Our study failed to demonstrate a statistically significant reduction in postoperative pharyngolaryngeal complications by limiting intra-cuff pressures in the LMA-Proseal.

  7. Optimal degree of mouth opening for laryngeal mask airway function during oral surgery.

    PubMed

    Sanuki, Takuro; Sugioka, Shingo; Hirokane, Motoko; Son, Hiroki; Uda, Rumiko; Akatsuka, Masafumi; Kotani, Junichiro

    2011-04-01

    This study was performed to determine the optimal degree of mouth opening in anesthetized patients requiring laryngeal mask airway (LMA) during oral surgery. A single, experienced LMA user inserted the LMA in 15 patients who were scheduled for elective oral surgery. Oropharyngeal leak pressure, intracuff pressure, and fiberoptic assessment of the LMA position were sequentially documented in 5 mouth conditions-opening of 1.4 (neutral position), 2, 3, 4, and 5 cm-and any resulting ventilatory difficulties were recorded. Oropharyngeal leak pressure with the mouth open 4 cm (21.8 ± 3.2 cm H(2)O, P = .025) and 5 cm (27.3 ± 7.2 cm H(2)O, P < .001) was significantly higher than in the neutral position (18.1 ± 1.5 cm H(2)O), as was intracuff pressure (neutral position, 60.0 ± 0 cm H(2)O; 4 cm, 72.6 ± 5.1 cm H(2)O [P < .001]; and 5 cm, 86.9 ± 14.4 cm H(2)O [P < .001]). LMA position, observed by fiberoptic bronchoscopy, was unchanged by mouth opening, being similar in the 5 mouth conditions (P = .999). In addition, ventilation difficulties (abnormal capnograph curves or inadequate tidal volume) occurred in 2 of 15 patients (13%) and 7 of 15 patients (53%) (P < .001) with the mouth opening of 4 and 5 cm, respectively. This study showed that a mouth opening over 4 cm led to substantial increases in oropharyngeal leak pressure and intracuff pressure of the LMA, warranting caution, because gastric insufflation, sore throat, and ventilation difficulties may occur. A mouth opening of 3 cm achieves acceptable airway conditions for anesthetized patients requiring LMA. Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  8. Tracheal tube cuff inflation guided by pressure volume loop closure associated with lower postoperative cuff-related complications: Prospective, randomized clinical trial.

    PubMed

    Almarakbi, Waleed A; Kaki, Abdullah M

    2014-07-01

    The main function of an endotracheal tube (ETT) cuff is to prevent aspiration. High cuff pressure is usually associated with postoperative complications. We tried to compare cuff inflation guided by pressure volume loop closure (PV-L) with those by just to seal technique (JS) and assess the postoperative incidence of sore throat, cough and hoarseness. In a prospective, randomized clinical trial, 100 patients' tracheas were intubated. In the first group (n = 50), ETT cuff inflation was guided by PV-L, while in the second group (n. = 50) the ETT cuff was inflated using the JS technique. Intracuff pressures and volumes were measured. The incidence of postoperative cuff-related complications was reported. Demographic data and durations of intubation were comparable between the groups. The use of PV-L was associated with a lesser amount of intracuff air [4.05 (3.7-4.5) vs 5 (4.8-5.5), P < 0.001] and lower cuff pressure than those in the JS group [18.25 (18-19) vs 33 (32-35), P ≤ 0.001]. The incidence of postextubation cuff-related complications was significantly less frequent among the PV-L group patients as compared with the JS group patients (P ≤ 0.009), except for hoarseness of voice, which was less frequent among the PV-L group, but not statistically significant (P ≤ 0.065). Multiple regression models for prediction of intra-cuff pressure after intubation and before extubation revealed a statistically significant association with the technique used for cuff inflation (P < 0.0001). The study confirms that PV-L-guided ETT cuff inflation is an effective way to seal the airway and associates with a lower ETT cuff pressure and lower incidence of cuff-related complications.

  9. Efficacy of cuff inflation media to prevent postintubation-related emergence phenomenon: air, saline and alkalinized lignocaine.

    PubMed

    Shroff, Prerana P; Patil, Vijay

    2009-06-01

    We wished to examine the efficacy of different media used for inflation of tracheal tube cuffs. In our prospective randomized, controlled study over 3 months, there were 150 patients of either sex undergoing surgery under general anaesthesia with controlled ventilation with nitrous oxide and oxygen. The patients were divided into three equal groups (air, isotonic saline and alkalinized lignocaine as inflation media) using sealed envelope technique. The volume of the inflation medium, intracuff pressure, duration of intubation, volume of the inflation medium withdrawn from the cuff and complications like tube intolerance, coughing on tube, restlessness, hoarseness, sore throat, breathlessness and laryngospasm were analysed. Continuous data are presented as mean +/- SD, whereas categorical data are presented as frequencies and percentages. A [chi]2, analysis of variance and student's t-test were used to analyse the data. A P value less than 0.05 was considered as statistically significant. Age, sex, duration of intubation, intracuff pressure at the time of intubation were comparable. After intubation at all intervals, the intracuff pressure was higher in the air group with statistical significance at 5 min, 30 min, 1 h and just before extubation when air and saline groups were comparable and at all intervals after intubation up to just before extubation when air and lignocaine groups were comparable. The volume of air increased just before extubation in the air group, as compared with a fall in volume in the other groups. Tube intolerance, hoarseness and sore throat were least in the lignocaine group. We found that alkalinized 2% lignocaine and saline are better cuff inflation media, than air.

  10. A pilot study to examine the effect of the Tulip oropharyngeal airway on ventilation immediately after mask ventilation following the induction of anaesthesia.

    PubMed

    Robinson, P N; Shaikh, A; Sabir, N M; Vaughan, D J A; Kynoch, M; Hasan, M

    2014-07-01

    The Tulip airway is an adult, disposable, single-sized oropharyngeal airway, that is connectable to an anaesthetic circuit. After a standardised induction of anaesthesia in 75 patients, the ease of insertion, intracuff pressure and intracuff volume were measured, as were the end-tidal carbon dioxide levels, airway pressures and tidal volumes over three breaths. Successful first-time insertion was achieved in 72 patients (96%, CI 88.8-99.2%) and after two attempts in 74 patients (99%, CI 92.8-100%). There was outright failure only in one patient. In 60 patients (80%, CI 72.2-90.4%), the Tulip airway provided a patent airway without additional manoeuvres, but in 14 patients, jaw thrust or head extension was necessary for airway patency. The main need for these adjuncts appeared to be an initial under-inflation of the cuff. These promising results are consistent with recent manikin studies using this device. © 2014 The Association of Anaesthetists of Great Britain and Ireland.

  11. A canine model of tracheal stenosis induced by cuffed endotracheal intubation

    PubMed Central

    Su, Zhuquan; Li, Shiyue; Zhou, Ziqing; Chen, Xiaobo; Gu, Yingying; Chen, Yu; Zhong, Changhao; Zhong, Minglu; Zhong, Nanshan

    2017-01-01

    Postintubation tracheal stenosis is a complication of endotracheal intubation. The pathological mechanism and risk factors for endotracheal intubation-induced tracheal stenosis remain not fully understood. We aimed to establish an animal model and to investigate risk factors for postintubation tracheal stenosis. Beagles were intubated with 4 sized tubes (internal diameter 6.5 to 8.0 mm) and cuff pressures of 100 to 200 mmHg for 24 hr. The status of tracheal wall was evaluated by bronchoscopic and histological examinations. The model was successfully established by cuffed endotracheal intubation using an 8.0 mm tube and an intra-cuff pressure of 200 mmHg for 24 hr. When the intra-cuff pressures were kept constant, a larger sized tube would induce a larger tracheal wall pressure and more severe injury to the tracheal wall. The degree of tracheal stenosis ranged from 78% to 91% at 2 weeks postextubation. Histological examination demonstrated submucosal infiltration of inflammatory cells, hyperplasia of granulation tissue and collapse of tracheal cartilage. In summary, a novel animal model of tracheal stenosis was established by cuffed endotracheal intubation, whose histopathological feathers are similar to those of clinical cases of postintubation tracheal stenosis. Excessive cuff pressure and over-sized tube are the risk factors for postintubation tracheal stenosis. PMID:28349955

  12. The effect of esophagogastroduodenoscopy probe insertion on the intracuff pressure of airway devices in children during general anesthesia.

    PubMed

    Balaban, Onur; Kamata, Mineto; Hakim, Mumin; Tumin, Dmitry; Tobias, Joseph D

    2017-04-01

    Given the size of the esophagogastroduodenoscopy (EGD) probe and the compressibility of the pediatric airway, the EGD probe may increase the intracuff pressure (IP) of an airway device. The current study evaluated IP changes during EGD examination under general anesthesia in pediatric patients. Following the induction of anesthesia, a laryngeal mask airway (LMA) or endotracheal tube (ETT) was placed without neuromuscular blockade. The IP was measured at baseline, during EGD probe insertion, while the EGD probe was in place, and after probe removal. The study cohort included 101 patients (mean age 11.3 years). The airway was secured with an LMA and an ETT in 88 and 13 patients, respectively. The IP increased from 27 ± 15 cmH 2 O at baseline to 34 ± 17 cmH 2 O during probe insertion (p < 0.001), remained at 33 ± 16 cmH 2 O while the probe was in place, and decreased to 26 ± 14 cmH 2 O after probe removal. The IP of the LMA or ETT increased during EGD probe insertion and remained elevated while the probe was in place. High IP may compromise mucosal perfusion resulting in a sore throat when using an LMA or the potential for airway damage if an ETT is used. Removal of air from the cuff and titration of the IP should be considered after EGD insertion.

  13. Acquired tracheoesophageal fistula due to high intracuff pressure.

    PubMed

    Hameed, Akmal A; Mohamed, Hasan; Al-Mansoori, Motasem

    2008-01-01

    High-compliance endotracheal tube cuffs are used to prevent gas leak and also pulmonary aspiration in mechanically ventilated patients. However, the use of the usual cuff inflation volumes may cause tracheal damage and lead to tracheoesophageal fistula.Tracheostomy tube cuffs seal against the tracheal wall and prevent leakage of air around the tube, assuring that the tidal volume is delivered to the lungs. In the past, high-pressure cuffs were used, but these contributed to tracheal injury and have been replaced by high-volume, low-pressure cuffs. For long-term applications, some newer tubes have low-profile (tight to shaft) cuffs that facilitate the tracheostomy tube changes by eliminating the lip that forms when standard cuffs are deflated.

  14. 10 CFR 503.35 - Inability to obtain adequate capital.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... capital investment, through tariffs, without unreasonably adverse economic effect on its service area... 10 Energy 4 2010-01-01 2010-01-01 false Inability to obtain adequate capital. 503.35 Section 503... New Facilities § 503.35 Inability to obtain adequate capital. (a) Eligibility. Section 212(a)(1)(D) of...

  15. Tracheal cuff pressure monitoring in the ICU: a literature review and survey of current practice in Queensland.

    PubMed

    Talekar, C R; Udy, A A; Boots, R J; Lipman, J; Cook, D

    2014-11-01

    The application of tracheal cuff pressure monitoring is likely to vary between institutions. The aim of this study was therefore to review current evidence concerning this intervention in the intensive care unit (ICU) and to appraise regional practice by performing a state-wide survey. Publications for review were identified through searches of PubMed, EMBASE and Cochrane (1977 to 2014). All studies in English relevant to critical care and with complete data were included. Survey questions were developed by small-group consensus. Public and private ICUs across Queensland were contacted, with responses obtained from a representative member of the medical or nursing staff. Existing literature suggests significant variability in tracheal cuff pressure monitoring in the ICU, particularly in the applied technique, frequency of assessment and optimal intra-cuff pressures. Twenty-nine respondents completed the survey, representing 80.5% (29/36) of ICUs in Queensland. Twenty-eight out of twenty-nine respondents reported routinely monitoring tracheal cuff function, primarily employing cuff pressure measurement (26/28). Target cuff pressures varied, with 3/26 respondents aiming for 10 to 20 cmH2O, 10/26 for 21 to 25 cmH2O, and 13/26 for 26 to 30 cmH2O. Fifteen out of twenty-nine reported they had no current guideline or protocol for tracheal cuff management and only 16/29 indicated there was a dedicated area in the clinical record for reporting cuff intervention. Our results indicate that many ICUs across Queensland routinely measure tracheal cuff function, with most utilising pressure monitoring devices. Consistent with existing literature, the optimum cuff pressure remains uncertain. Most, however, considered that this should be a routine part of ICU care.

  16. Leakage of fluid in different types of tracheal tubes.

    PubMed

    Winklmaier, U; Wüst, K; Schiller, S; Wallner, F

    2006-10-01

    The aim of this study was to evaluate leakage of liquids, i.e., water and saliva, past low-pressure cuffs of tracheostomy tubes. Three different types of tracheostomy tubes, TRACOE vario (TRACOE Medical GmbH, Germany), Rüsch Ultra-Tracheoflex (Rüsch GmbH, Germany), and Portex Blue Line Ultra (Smiths Medical, UK) were tested in isolated pig tracheas. Sixty samples (10 tubes each of 7- and 8-mm inner diameter of each type) were used. Four different experiments were devised: type 1 (water and artificial ventilation), type 2 (water and no artificial ventilation), type 3 (saliva and artificial ventilation), and type 4 (saliva and no artificial ventilation). Six milliliters of water or artificial saliva were infused over the cuff and the volume of fluid that leaked past the cuff was measured after 5, 10, and 15 min. Intracuff pressure was also measured three times. The saliva experiments resulted in less leakage than the water experiments. Leakage after treatment with water or artificial saliva is higher without artificial ventilation than with ventilation. The amount of leakage among the tubes with respect to manufacturer showed statistically significant results. However, there were no differences among tracheostomy tubes with respect to internal diameter.

  17. First "glass" education: telementored cardiac ultrasonography using Google Glass- a pilot study.

    PubMed

    Russell, Patrick M; Mallin, Michael; Youngquist, Scott T; Cotton, Jennifer; Aboul-Hosn, Nael; Dawson, Matt

    2014-11-01

    The objective of this study was to determine the feasibility of telementored instruction in bedside ultrasonography (US) using Google Glass. The authors sought to examine whether first-time US users could obtain adequate parasternal long axis (PSLA) views to approximate ejection fraction (EF) using Google Glass telementoring. This was a prospective, randomized, single-blinded study. Eighteen second-year medical students were randomized into three groups and tasked with obtaining PSLA cardiac imaging. Group A received real-time telementored education through Google Glass via Google Hangout from a remotely located expert. Group B received bedside education from the same expert. Group C represented the control and received no instruction. Each subject was given 3 minutes to obtain a best PSLA cardiac imaging using a portable GE Vscan. Image clips obtained by each subject were stored. A second expert, blinded to instructional mode, evaluated images for adequacy and assigned an image quality rating on a 0 to 10 scale. Group A was able to obtain adequate images six out of six times (100%) with a median image quality rating of 7.5 (interquartile range [IQR] = 6 to 10) out of 10. Group B was also able to obtain adequate views six out of six times (100%), with a median image quality rating of 8 (IQR = 7 to 9). Group C was able to obtain adequate views one out of six times (17%), with a median image quality of 0 (IQR = 0 to 2). There were no statistically significant differences between Group A and Group B in the achievement of adequate images for E-point septal separation measurement or in image quality. In this pilot/feasibility study, novice US users were able to obtain adequate imaging to determine a healthy patient's EF through telementored education using Google Glass. These preliminary data suggest telementoring as an adequate means of medical education in bedside US. This conclusion will need to be validated with larger, more powerful studies including evaluation of pathologic findings and varying body habitus among models. © 2014 by the Society for Academic Emergency Medicine.

  18. 23 CFR 669.13 - Effect of failure to certify or to adequately obtain proof of payment.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS ENFORCEMENT OF HEAVY VEHICLE USE TAX § 669.13 Effect of failure... not adequately obtaining proof of payment of the heavy vehicle use tax as a condition of registration...

  19. Jumbo forceps are superior to standard large-capacity forceps in obtaining diagnostically adequate inflammatory bowel disease surveillance biopsy specimens.

    PubMed

    Elmunzer, B Joseph; Higgins, Peter D R; Kwon, Yong M; Golembeski, Christopher; Greenson, Joel K; Korsnes, Sheryl J; Elta, Grace H

    2008-08-01

    In inflammatory bowel disease (IBD) surveillance colonoscopy, an increased number of biopsy specimens correlates with a higher dysplasia detection rate. Larger biopsy specimens may also increase the diagnostic yield. To compare a new jumbo forceps with a standard large-capacity forceps in obtaining diagnostically adequate IBD surveillance biopsy specimens. Prospective single-center study. Twenty-four patients who were undergoing an IBD surveillance colonoscopy were enrolled. As part of standard IBD surveillance, 8 paired biopsy specimens were obtained from the rectosigmoid by using the jumbo forceps and a standard large-capacity forceps. Biopsy specimens were deemed adequate if they met all 3 of the following criteria: (1) length > or =3 mm, (2) penetration into the muscularis mucosa, and (3) < 20% crush artifact. The proportion of adequate biopsy specimens obtained with the jumbo forceps was significantly higher than that obtained with the large-capacity control forceps (67% vs 48%, P < .0001). The average length of the biopsy specimen obtained with the jumbo forceps was 4.00 mm (95% CI, 3.81-4.20 mm) compared with 3.19 mm (95% CI, 2.99-3.38 mm) with the large-capacity (control) forceps. (1) No validated outcome measurement for the quality of GI biopsy specimens exists and (2) in this study, interobserver variability between pathologists was high. The jumbo forceps was superior to a standard large-capacity forceps in obtaining diagnostically adequate IBD surveillance biopsy specimens. Because biopsy specimens obtained with the jumbo forceps were larger, the use of this forceps for IBD surveillance will allow the endoscopist to sample a larger colonic mucosal surface area, potentially resulting in an increased dysplasia detection rate.

  20. 21 CFR 740.10 - Labeling of cosmetic products for which adequate substantiation of safety has not been obtained.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 7 2013-04-01 2013-04-01 false Labeling of cosmetic products for which adequate..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS Warning Statements § 740.10 Labeling of cosmetic products for which adequate substantiation of safety has not been...

  1. 21 CFR 740.10 - Labeling of cosmetic products for which adequate substantiation of safety has not been obtained.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 7 2012-04-01 2012-04-01 false Labeling of cosmetic products for which adequate..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS Warning Statements § 740.10 Labeling of cosmetic products for which adequate substantiation of safety has not been...

  2. 21 CFR 740.10 - Labeling of cosmetic products for which adequate substantiation of safety has not been obtained.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 7 2010-04-01 2010-04-01 false Labeling of cosmetic products for which adequate..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS Warning Statements § 740.10 Labeling of cosmetic products for which adequate substantiation of safety has not been...

  3. 21 CFR 740.10 - Labeling of cosmetic products for which adequate substantiation of safety has not been obtained.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 7 2011-04-01 2010-04-01 true Labeling of cosmetic products for which adequate..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS Warning Statements § 740.10 Labeling of cosmetic products for which adequate substantiation of safety has not been...

  4. 21 CFR 740.10 - Labeling of cosmetic products for which adequate substantiation of safety has not been obtained.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 7 2014-04-01 2014-04-01 false Labeling of cosmetic products for which adequate..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS COSMETIC PRODUCT WARNING STATEMENTS Warning Statements § 740.10 Labeling of cosmetic products for which adequate substantiation of safety has not been...

  5. Postoperative infections after major heart surgery and prevention of ventilator-associated pneumonia: a one-day European prevalence study (ESGNI-008).

    PubMed

    Bouza, E; Hortal, J; Muñoz, P; Pascau, J; Pérez, M J; Hiesmayr, M

    2006-11-01

    Few data have been published on the prevalence of postoperative infection in patients undergoing major heart surgery (MHS). The degree of compliance with standard measures used to prevent them is unknown. This study assessed the prevalence of infections, particularly ventilator-associated pneumonia (VAP), in patients undergoing MHS in 42 institutions from 13 European countries. On the study day, there were 321 postoperative MHS patients, of whom 164 (51%) were mechanically ventilated. The overall prevalence of infection was 26.8%. Lower respiratory tract infections represented 57% of all the infections present on the study day. Other infections included intravenous-catheter-related bloodstream infections (2.8%), surgical site infections (2.2%), urinary tract infections (0.9%) and postoperative mediastinitis (0.9%). Of the mechanically ventilated patients, 55 (33.5%) were not being nursed in a semi-recumbent position, 36 (22%) had heat-moisture exchangers with no antibacterial filters, and intracuff pressure was not monitored in 78 patients (47.6%). Only 13 patients (8%) were given continuous subglottic suctioning, 64 patients (39%) did not receive postural oscillation, and gastric overdistension was not actively prevented in 23 patients (14%). In conclusion, these data from intensive care units across Europe provide information on postoperative infections in an important subset of the patient population, and stress the need for active interventions to prevent VAP in patients undergoing MHS.

  6. Summary appraisals of the Nation's ground-water resources; Great Basin region

    USGS Publications Warehouse

    Eakin, Thomas E.; Price, Don; Harrill, J.R.

    1976-01-01

    Only a few areas of the Great Basin Region have been studied in detail sufficient to enable adequate design of an areawide groundwater development. These areas already have been developed. As of 1973 data for broadly outlining the ground-water resources of the region had been obtained. However, if large-scale planned development is to become a reality, a program for obtaining adequate hydrologic and related data would be a prerequisite. Ideally, the data should be obtained in time to be available for the successively more intensive levels of planning required to implement developments.

  7. Estimation and Optimization of the Parameters Preserving the Lustre of the Fabrics

    NASA Astrophysics Data System (ADS)

    Prodanova, Krasimira

    2009-11-01

    The paper discusses the optimization of the continuance of the Damp-Heating Process of a steaming iron press machine, and the preserving of the lustre of the fabrics. In order to be obtained high qualitative damp-heating processing, it is necessary to monitor parameters such as temperature, damp, and pressure during the process. The purpose of the present paper is a mathematical model to be constructed that adequately describes the technological process using multivariate data analysis. It was established that the full factorial design of type 23 is not adequate. The research has proceeded with central rotatable design of experiment. The obtained model adequately describes the technological process of damp-heating treatment in the defined factor space. The present investigation is helpful to the technological improvement and modernization in sewing companies.

  8. Comparison of the Cytobrush®, dermatological curette and oral CDx® brush test as methods for obtaining samples of RNA for molecular analysis of oral cytology.

    PubMed

    Reboiras-López, M D; Pérez-Sayáns, M; Somoza-Martín, J M; Gayoso-Diz, P; Barros-Angueira, F; Gándara-Rey, J M; García-García, A

    2012-06-01

    Interest in oral exfoliative cytology has increased with the availability of molecular markers that may lead to the earlier diagnosis of oral squamous cell carcinoma. This research aims to compare the efficacy of three different instruments (Cytobrush, curette and Oral CDx brush) in providing adequate material for molecular analysis. One hundred and four cytological samples obtained from volunteer healthy subjects were analysed using all three instruments. The clinical and demographical variables under study were age, sex and smoking habits. The three instruments were compared for their ability to obtain adequate samples and for the amount of RNA obtained using quantitative real-time polymerase chain reaction (PCR-qRT) analysis of the Abelson (ABL) housekeeping gene. RNA of the ABL gene has been quantified by number of copies. Adequate samples were more likely to be obtained with a curette (90.6%) or Oral CDx (80.0%) than a Cytobrush (48.6%); P < 0.001. Similarly, the RNA quantification was 17.64 ± 21.10 with a curette, 16.04 ± 15.81 with Oral CDx and 6.82 ± 6.71 with a Cytobrush. There were statistically significant differences between the Cytobrush and curette (P = 0.008) and between the Cytobrush and OralCDx (P = 0.034). There was no difference according to the demographical variables. Oral exfoliative cytology is a simple, non-invasive technique that provides sufficient RNA to perform studies on gene expression. Although material was obtained with all three instruments, adequate samples were more likely to be obtained with the curette or Oral CDx than with a Cytobrush. The Oral CDx is a less aggressive instrument than the curette, so could be a useful tool in a clinical setting. © 2011 Blackwell Publishing Ltd.

  9. 12 CFR 206.5 - Capital levels of correspondents.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 2 2010-01-01 2010-01-01 false Capital levels of correspondents. 206.5 Section... LIMITATIONS ON INTERBANK LIABILITIES (REGULATION F) § 206.5 Capital levels of correspondents. (a) Adequately... capital levels. A bank shall obtain information to demonstrate that a correspondent is at least adequately...

  10. The subxiphoid view cannot replace the apical view for transthoracic echocardiographic assessment of hemodynamic status

    PubMed Central

    2013-01-01

    Introduction This prospective study aimed to assess whether use of the subxiphoid acoustic window in transthoracic echocardiography (TTE) can be an accurate alternative in the absence of an apical view to assess hemodynamic parameters. Methods This prospective study took place in a teaching hospital medical ICU. Over a 4-month period, TTE was performed in patients admitted for more than 24 hours. Two operators rated the quality of parasternal, apical, and subxiphoid acoustic windows as Excellent, Good, Acceptable, Poor, or No image. In the subpopulation presenting adequate (rated as acceptable or higher) apical and subxiphoid views, we compared the left ventricular ejection fraction (LVEF), the ratio between right and left ventricular end-diastolic areas (RVEDA/LVEDA), the ratio between early and late mitral inflow on pulsed Doppler (E/A ratio), the aortic velocity time integral (Ao VTI), and the ratio between early mitral inflow and displacement of the mitral annulus on tissue Doppler imaging (E/Ea ratio). Results An adequate apical view was obtained in 80%, and an adequate subxiphoid view was obtained in 63% of the 107 patients included. Only 5% of patients presented an adequate subxiphoid view without an adequate apical view. In the subpopulation of patients with adequate apical and subxiphoid windows (n = 65), LVEF, E/A, and RVEDA/LVEDA were comparable on both views, and were strongly correlated (r > 0.80) with acceptable biases and precision. However, the Ao VTI and the E/Ea ratio were lower on the subxiphoid view than on the apical view (18 ± 5 versus 16 ± 5 cm and 9.6 ± 4.6 versus 7.6 ± 4 cm, respectively, P = 0.001 for both). Conclusions An adequate TTE subxiphoid window was obtained in fewer than two thirds of ICU patients. In addition to the classic indication for the subxiphoid window to study the vena cava and pericardium, this view can be used to study right and left ventricular morphology and function, but does not provide accurate hemodynamic Doppler information. ICU echocardiographers should therefore record both apical and subxiphoid views to assess comprehensively the cardiac function and hemodynamic status. PMID:24004960

  11. Geology and occurrence of ground water in Lyon County, Minnesota

    USGS Publications Warehouse

    Rodis, Harry G.

    1963-01-01

    Large quantities of ground water are available from melt-water channels in the county. Moderate quantities, adequate for domestic and small industrial needs, are available from many of the small isolated deposits of sand and gravel in the till. Small quantities of ground water, adequate only for domestic supply, generally can be obtained from Cretaceous sandstone.

  12. Diagnostic games: from adequate formalization of clinical experience to structure discovery.

    PubMed

    Shifrin, Michael A; Kasparova, Eva I

    2008-01-01

    A method of obtaining well-founded and reproducible results in clinical decision making is presented. It is based on "diagnostic games", a procedure of elicitation and formalization of experts' knowledge and experience. The use of this procedure allows formulating decision rules in the terms of an adequate language, that are both unambiguous and clinically clear.

  13. Virtual Guidance Ultrasound: A Tool to Obtain Diagnostic Ultrasound for Remote Environments

    NASA Technical Reports Server (NTRS)

    Caine,Timothy L.; Martin David S.; Matz, Timothy; Lee, Stuart M. C.; Stenger, Michael B.; Platts, Steven H.

    2012-01-01

    Astronauts currently acquire ultrasound images on the International Space Station with the assistance of real-time remote guidance from an ultrasound expert in Mission Control. Remote guidance will not be feasible when significant communication delays exist during exploration missions beyond low-Earth orbit. For example, there may be as much as a 20- minute delay in communications between the Earth and Mars. Virtual-guidance, a pre-recorded audio-visual tutorial viewed in real-time, is a viable modality for minimally trained scanners to obtain diagnostically-adequate images of clinically relevant anatomical structures in an autonomous manner. METHODS: Inexperienced ultrasound operators were recruited to perform carotid artery (n = 10) and ophthalmic (n = 9) ultrasound examinations using virtual guidance as their only instructional tool. In the carotid group, each each untrained operator acquired two-dimensional, pulsed, and color Doppler of the carotid artery. In the ophthalmic group, operators acquired representative images of the anterior chamber of the eye, retina, optic nerve, and nerve sheath. Ultrasound image quality was evaluated by independent imaging experts. RESULTS: Eight of the 10 carotid studies were judged to be diagnostically adequate. With one exception the quality of all the ophthalmic images were adequate to excellent. CONCLUSION: Diagnostically-adequate carotid and ophthalmic ultrasound examinations can be obtained by untrained operators with instruction only from an audio/video tutorial viewed in real time while scanning. This form of quick-response-guidance, can be developed for other ultrasound examinations, represents an opportunity to acquire important medical and scientific information for NASA flight surgeons and researchers when trained medical personnel are not present. Further, virtual guidance will allow untrained personnel to autonomously obtain important medical information in remote locations on Earth where communication is difficult or absent.

  14. 48 CFR 245.7302-5 - Mailing lists.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Mailing lists. (a) The plant clearance officer will ensure the contractor solicits a sufficient number of bidders to obtain adequate competition. (b) When large quantities of property, special commodities, or unusual geographic locations are involved, the plant clearance officer is encouraged to obtain additional...

  15. 7 CFR 3550.51 - Program objectives.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... financing to help low- and very low-income persons who cannot obtain credit from other sources obtain adequate housing in rural areas. Resources for the section 502 program are limited, and therefore..., if feasible. Sections 3550.52 through 3550.73 set forth the requirements for originating loans on...

  16. 7 CFR 3550.51 - Program objectives.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... financing to help low- and very low-income persons who cannot obtain credit from other sources obtain adequate housing in rural areas. Resources for the section 502 program are limited, and therefore..., if feasible. Sections 3550.52 through 3550.73 set forth the requirements for originating loans on...

  17. 7 CFR 3550.51 - Program objectives.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... financing to help low- and very low-income persons who cannot obtain credit from other sources obtain adequate housing in rural areas. Resources for the section 502 program are limited, and therefore..., if feasible. Sections 3550.52 through 3550.73 set forth the requirements for originating loans on...

  18. 7 CFR 3550.51 - Program objectives.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... financing to help low- and very low-income persons who cannot obtain credit from other sources obtain adequate housing in rural areas. Resources for the section 502 program are limited, and therefore..., if feasible. Sections 3550.52 through 3550.73 set forth the requirements for originating loans on...

  19. 10 CFR 503.36 - State or local requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... zoning law; (2) The petitioner has made a good faith effort to obtain a variance from the State or local... petitioner is not entitled to an exemption for lack of alternate fuel supply, site limitation, environmental... supply, site limitation, environmental requirements, or inability to obtain adequate capital, the...

  20. Non-invasive method to obtain DNA from freshwater mussels (Bivalvia: Unionidae)

    USGS Publications Warehouse

    Henley, W.F.; Grobler, P.J.; Neves, R.J.

    2006-01-01

    To determine whether DNA could be isolated from tissues obtained by brush-swabbing the mantle, viscera and foot, mantle-clips and swabbed cells were obtained from eight Quadrula pustulosa (Lea, 1831). DNA yields from clips and swabbings were 447.0 and 975.3 ??g/??L, respectively. Furthermore, comparisons of sequences from the ND-1 mitochondrial gene region showed a 100% sequence agreement of DNA from cells obtained by clips and swabs. To determine the number of swabs needed to obtain adequate yields of DNA for analyses, the visceras and feet of 5 Q. pustulosa each were successively swabbed 2, 4 and 6 times. DNA yields from the 2, 4 and 6 swabbed mussel groups were 399.4, 833.8 and 852.6 ng/??L, respectively. ND-1 sequences from the lowest yield still provided 846-901 bp for the ND-1 region. Nevertheless, to ensure adequate DNA yield from cell samples obtained by swabbing, we recommend that 4 swab-strokes of the viscera and foot be obtained. The use of integumental swabbing for collection of cells for determination of genetic relationships among freshwater mussels is noninvasive, when compared with tissue collection by mantle-clipping. Therefore, its use is recommended for freshwater mussels, especially state-protected or federally listed mussel species.

  1. Preliminary validation of the Spanish version of the Multiple Stimulus Types Ambiguity Tolerance Scale (MSTAT-II).

    PubMed

    Arquero, José L; McLain, David L

    2010-05-01

    Despite widespread interest in ambiguity tolerance and other information-related individual differences, existing measures are conceptually dispersed and psychometrically weak. This paper presents the Spanish version of MSTAT-II, a short, stimulus-oriented, and psychometrically improved measure of an individual's orientation toward ambiguous stimuli. Results obtained reveal adequate reliability, validity, and temporal stability. These results support the use of MSTAT-II as an adequate measure of ambiguity tolerance.

  2. Use of a new jumbo forceps improves tissue acquisition of Barrett's esophagus surveillance biopsies.

    PubMed

    Komanduri, Sri; Swanson, Garth; Keefer, Laurie; Jakate, Shriram

    2009-12-01

    The major risk factors for the development of esophageal adenocarcinoma remain long-standing GERD and resultant Barrett's esophagus (BE). Finding the exact method of adequate tissue sampling for surveillance of dysplasia in BE remains a dilemma. We prospectively compared standard large-capacity biopsy forceps with a new jumbo biopsy forceps for dysplasia detection in BE. Prospective, single-center investigation. We prospectively enrolled 32 patients undergoing surveillance endoscopy for BE. Biopsy samples were obtained in paired fashion alternating between the experimental (jumbo) and control (large-capacity) forceps. Each sample was assessed for histopathology, specimen size, and adequacy. A total of 712 specimens were available for analysis for this investigation. Six patients were found to have dysplasia, and in 5 of those patients, the dysplasia was only detected with the jumbo forceps. The mean width was significantly greater in the Radial Jaw 4 jumbo group (3.3 mm vs 1.9 mm [P < .005]) as was the mean depth (2.0 mm vs 1.1 mm [P < .005]). Sixteen percent of samples obtained with the standard forceps provided an adequate sample, whereas the jumbo forceps provided an adequate sample 79% of the time (P < .05). A lack of a validated index for assessment of tissue adequacy in BE. The Radial Jaw 4 jumbo biopsy forceps significantly improves dysplasia detection and adequate tissue sampling in patients undergoing endoscopy for BE.

  3. 42 CFR 403.500 - Basis, scope, and definition.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... GENERAL PROVISIONS SPECIAL PROGRAMS AND PROJECTS Beneficiary Counseling and Assistance Grants § 403.500... purpose of providing information, counseling, and assistance relating to obtaining adequate and...

  4. 42 CFR 403.500 - Basis, scope, and definition.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... GENERAL PROVISIONS SPECIAL PROGRAMS AND PROJECTS Beneficiary Counseling and Assistance Grants § 403.500... purpose of providing information, counseling, and assistance relating to obtaining adequate and...

  5. 42 CFR 403.500 - Basis, scope, and definition.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... GENERAL PROVISIONS SPECIAL PROGRAMS AND PROJECTS Beneficiary Counseling and Assistance Grants § 403.500... purpose of providing information, counseling, and assistance relating to obtaining adequate and...

  6. 42 CFR 403.500 - Basis, scope, and definition.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... GENERAL PROVISIONS SPECIAL PROGRAMS AND PROJECTS Beneficiary Counseling and Assistance Grants § 403.500... purpose of providing information, counseling, and assistance relating to obtaining adequate and...

  7. 42 CFR 403.500 - Basis, scope, and definition.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... GENERAL PROVISIONS SPECIAL PROGRAMS AND PROJECTS Beneficiary Counseling and Assistance Grants § 403.500... purpose of providing information, counseling, and assistance relating to obtaining adequate and...

  8. Characterizing the Mental Health Care of U.S. Cambodian Refugees.

    PubMed

    Wong, Eunice C; Marshall, Grant N; Schell, Terry L; Berthold, S Megan; Hambarsoomians, Katrin

    2015-09-01

    This study examined U.S. Cambodian refugees' utilization of mental health services across provider types, levels of minimally adequate care, and mode of communication with providers. Face-to-face household interviews about mental health service use in the past 12 months were conducted as part of a study of a probability sample of Cambodian refugees. The analytic sample was restricted to the 227 respondents who met past 12-month criteria for posttraumatic stress disorder (PTSD) or major depressive disorder or both. Analyses were weighted to account for complex sampling design effects and for attrition. Fifty-two percent of Cambodian refugees who met diagnostic criteria obtained mental health services in the past 12 months. Of those who obtained care, 75% visited a psychiatrist and 56% a general medical provider. Only 7% had obtained care from other mental health specialty providers. Virtually all respondents who had seen a psychiatrist (100%) or a general medical doctor (97%) had been prescribed a psychotropic medication. Forty-five percent had received minimally adequate care. Most relied on interpreters to communicate with providers. Cambodian refugees' rates of mental health service utilization and minimally adequate care were comparable to those of individuals in the general U.S. Cambodian refugees obtained care almost entirely from psychiatrists and general medical doctors, and nearly all were receiving pharmacotherapy; these findings differ from rates seen in a nationally representative sample. Given this pattern of utilization, and the persistently high levels of PTSD and depression found among Cambodian refugees, treatment improvements may require identification of creative approaches to delivering more evidence-based psychotherapy.

  9. Secondary nerve lengthening to obtain full knee extension in popliteal pterygium syndrome.

    PubMed

    Boeckx, Willy; Misani, Marta; Vandermeeren, Liesbeth; Franck, Diane; Zirak, Christophe; Demey, Albert

    2014-05-01

    Microsurgical nerve lengthening was performed in two siblings presenting a popliteal pterigium syndrome with a knee flexion contracture of 80 degrees. After the first attempt for nerve lengthening and knee extension elsewhere, a repeated lengthening was required due to continuing tip-toe walking and recurrent knee contracture at the age of 3 years. An extensive external and internal interfascicular microsurgical neurolysis resulted in a lengthening of the nerves. A full length of leg procedure had to be performed, inclusive of Achilles tendon lengthening to obtain a complete extension of the knee and a 90-degree ankle flexion. Maintaining the leg in a fully extended position was obtained with a dynamic splinting in the first month after the operation. When timing the operation we have to consider the importance of adequate precision of the microsurgical neurolysis, down to the identification of the Fontana bands, and the adequate postoperative splinting. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  10. Analysis and Evaluation of Parameters Determining Maximum Efficiency of Fish Protection

    NASA Astrophysics Data System (ADS)

    Khetsuriani, E. D.; Kostyukov, V. P.; Khetsuriani, T. E.

    2017-11-01

    The article is concerned with experimental research findings. The efficiency of fish fry protection from entering water inlets is the main criterion of any fish protection facility or device. The research was aimed to determine an adequate mathematical model E = f(PCT, Vp, α), where PCT, Vp and α are controlled factors influencing the process of fish fry protection. The result of the processing of experimental data was an adequate regression model. We determined the maximum of fish protection Emax=94,21 and the minimum of optimization function Emin=44,41. As a result of the statistical processing of experimental data we obtained adequate dependences for determining an optimal rotational speed of tip and fish protection efficiency. The analysis of fish protection efficiency dependence E% = f(PCT, Vp, α) allowed the authors to recommend the following optimized operating modes for it: the maximum fish protection efficiency is achieved at the process pressure PCT=3 atm, stream velocity Vp=0,42 m/s and nozzle inclination angle α=47°49’. The stream velocity Vp has the most critical influence on fish protection efficiency. The maximum efficiency of fish protection is obtained at the tip rotational speed of 70.92 rpm.

  11. 7 CFR 1942.126 - Planning, bidding, contracting, constructing, procuring.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... evaluate the proposals received or can obtain adequate assistance from other sources, such as State or.... Contract documents must be sufficiently descriptive and legally binding to accomplish the work as...

  12. 7 CFR 1942.126 - Planning, bidding, contracting, constructing, procuring.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... evaluate the proposals received or can obtain adequate assistance from other sources, such as State or.... Contract documents must be sufficiently descriptive and legally binding to accomplish the work as...

  13. 7 CFR 1942.126 - Planning, bidding, contracting, constructing, procuring.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... evaluate the proposals received or can obtain adequate assistance from other sources, such as State or.... Contract documents must be sufficiently descriptive and legally binding to accomplish the work as...

  14. 7 CFR 1942.126 - Planning, bidding, contracting, constructing, procuring.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... evaluate the proposals received or can obtain adequate assistance from other sources, such as State or.... Contract documents must be sufficiently descriptive and legally binding to accomplish the work as...

  15. 7 CFR 1942.126 - Planning, bidding, contracting, constructing, procuring.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... evaluate the proposals received or can obtain adequate assistance from other sources, such as State or.... Contract documents must be sufficiently descriptive and legally binding to accomplish the work as...

  16. Effectiveness of touch and feel (TAF) technique on first aid measures for visually challenged.

    PubMed

    Mary, Helen; Sasikalaz, D; Venkatesan, Latha

    2013-01-01

    There is a common perception that a blind person cannot even help his own self. In order to challenge that view, a workshop for visually-impaired people to develop the skills to be independent and productive members of society was conceived. An experimental study was conducted at National Institute of Visually Handicapped, Chennai with the objective to assess the effectiveness of Touch and Feel (TAF) technique on first aid measures for the visually challenged. Total 25 visually challenged people were selected by non-probability purposive sampling technique and data was collected using demographic variable and structured knowledge questionnaire. The score obtained was categorised into three levels: inadequate (0-8), moderately adequate (8 - 17), adequate (17 -25). The study revealed that most of the visually challenged (40%) had inadequate knowledge, and 56 percent had moderately adequate and only few (4%) had adequate knowledge in the pre-test, whereas most (68%) of them had adequate knowledge in the post-test which is statistically significant at p < 0.000 with t-value 6.779. This proves that TAF technique was effective for the visually challenged. There was no association between the demographic variables and their level of knowledge regarding first aid.

  17. 40 CFR 85.1807 - Public hearings.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... action shall have an adequate opportunity, once he learns the name of a witness and obtains the narrative... order issued pursuant to this paragraph may lead to the inference that the information to be discovered...

  18. Preparation of sterile xenon-133 in saline for tissue perfusion studies

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

    DiPiazza, H.J.; Harbert, J.C.

    1983-11-01

    A simple, inexpensive method of obtaining Xe-133 in sterile saline is presented. The method uses commercial xenon ampules supplied for pulmonary ventilation studies. As much as 10% of the gas activity can be recovered per aliquot by cooling the saline to 4/sup 0/C. The specific activities obtained are adequate for most tissue perfusion studies.

  19. Health Sciences-Evidence Based Practice questionnaire (HS-EBP) for measuring transprofessional evidence-based practice: Creation, development and psychometric validation

    PubMed Central

    Fernández-Domínguez, Juan Carlos; de Pedro-Gómez, Joan Ernest; Morales-Asencio, José Miguel; Sastre-Fullana, Pedro; Sesé-Abad, Albert

    2017-01-01

    Introduction Most of the EBP measuring instruments available to date present limitations both in the operationalisation of the construct and also in the rigour of their psychometric development, as revealed in the literature review performed. The aim of this paper is to provide rigorous and adequate reliability and validity evidence of the scores of a new transdisciplinary psychometric tool, the Health Sciences Evidence-Based Practice (HS-EBP), for measuring the construct EBP in Health Sciences professionals. Methods A pilot study and a subsequent two-stage validation test sample were conducted to progressively refine the instrument until a reduced 60-item version with a five-factor latent structure. Reliability was analysed through both Cronbach’s alpha coefficient and intraclass correlations (ICC). Latent structure was contrasted using confirmatory factor analysis (CFA) following a model comparison aproach. Evidence of criterion validity of the scores obtained was achieved by considering attitudinal resistance to change, burnout, and quality of professional life as criterion variables; while convergent validity was assessed using the Spanish version of the Evidence-Based Practice Questionnaire (EBPQ-19). Results Adequate evidence of both reliability and ICC was obtained for the five dimensions of the questionnaire. According to the CFA model comparison, the best fit corresponded to the five-factor model (RMSEA = 0.049; CI 90% RMSEA = [0.047; 0.050]; CFI = 0.99). Adequate criterion and convergent validity evidence was also provided. Finally, the HS-EBP showed the capability to find differences between EBP training levels as an important evidence of decision validity. Conclusions Reliability and validity evidence obtained regarding the HS-EBP confirm the adequate operationalisation of the EBP construct as a process put into practice to respond to every clinical situation arising in the daily practice of professionals in health sciences (transprofessional). The tool could be useful for EBP individual assessment and for evaluating the impact of specific interventions to improve EBP. PMID:28486533

  20. Health Sciences-Evidence Based Practice questionnaire (HS-EBP) for measuring transprofessional evidence-based practice: Creation, development and psychometric validation.

    PubMed

    Fernández-Domínguez, Juan Carlos; de Pedro-Gómez, Joan Ernest; Morales-Asencio, José Miguel; Bennasar-Veny, Miquel; Sastre-Fullana, Pedro; Sesé-Abad, Albert

    2017-01-01

    Most of the EBP measuring instruments available to date present limitations both in the operationalisation of the construct and also in the rigour of their psychometric development, as revealed in the literature review performed. The aim of this paper is to provide rigorous and adequate reliability and validity evidence of the scores of a new transdisciplinary psychometric tool, the Health Sciences Evidence-Based Practice (HS-EBP), for measuring the construct EBP in Health Sciences professionals. A pilot study and a subsequent two-stage validation test sample were conducted to progressively refine the instrument until a reduced 60-item version with a five-factor latent structure. Reliability was analysed through both Cronbach's alpha coefficient and intraclass correlations (ICC). Latent structure was contrasted using confirmatory factor analysis (CFA) following a model comparison aproach. Evidence of criterion validity of the scores obtained was achieved by considering attitudinal resistance to change, burnout, and quality of professional life as criterion variables; while convergent validity was assessed using the Spanish version of the Evidence-Based Practice Questionnaire (EBPQ-19). Adequate evidence of both reliability and ICC was obtained for the five dimensions of the questionnaire. According to the CFA model comparison, the best fit corresponded to the five-factor model (RMSEA = 0.049; CI 90% RMSEA = [0.047; 0.050]; CFI = 0.99). Adequate criterion and convergent validity evidence was also provided. Finally, the HS-EBP showed the capability to find differences between EBP training levels as an important evidence of decision validity. Reliability and validity evidence obtained regarding the HS-EBP confirm the adequate operationalisation of the EBP construct as a process put into practice to respond to every clinical situation arising in the daily practice of professionals in health sciences (transprofessional). The tool could be useful for EBP individual assessment and for evaluating the impact of specific interventions to improve EBP.

  1. Early antibiotic treatment for BAL-confirmed ventilator-associated pneumonia: a role for routine endotracheal aspirate cultures.

    PubMed

    Michel, Fabrice; Franceschini, Bruno; Berger, Pierre; Arnal, Jean-Michel; Gainnier, Marc; Sainty, Jean-Marie; Papazian, Laurent

    2005-02-01

    To test whether routine quantitative cultures of endotracheal aspirates obtained before the onset of ventilator-associated pneumonia (VAP) could help to predict the causative microorganisms and to select early appropriate antimicrobial therapy before obtaining BAL culture results. Prospective observational study. French medical ICU. A total of 299 patients received mechanical ventilation for at least 48 h. Endotracheal aspiration (EA) was performed twice weekly in all mechanically ventilated patients. A diagnosis of VAP was made by BAL culture. Only the EA performed just before the suspicion of VAP (EA-pre) were evaluated. This strategy (ie, the EA-pre-based strategy) was compared with an antibiotic therapy that would have been prescribed if the recommendations of both the American Thoracic Society (ATS) and Trouillet et al (Am J Respir Crit Care Med 1998; 157:531-539) had been applied. VAP was diagnosed (by BAL culture) in 41 of the 75 patients in whom BAL was performed. Among the 41 BAL specimens that were positive for VAP, EA-pre had identified the same microorganisms (with the same antibiotic resistance patterns) in 34 cases (83%). In one case, EA-pre was not available at the time BAL was performed (a case of early-onset VAP), but the empiric antibiotic therapy was adequate. While EA-pre did not give the same results as the BAL culture, the antibiotic therapy based on the results of the EA-pre was adequate in four other cases. Finally, antibiotic therapy was delayed in only two cases. Antibiotic treatment was therefore adequate in 38 of the 40 assessable cases (95%). If the Trouillet-based strategy had been used, the antibiotic treatment would have been adequate in 34 of the 41 cases (83%; p = 0.15 [vs EA-pre strategy]). Based on the ATS classification, the antibiotic treatment would have been adequately prescribed in only 28 of the 41 cases (68%; p = 0.005 [vs EA-pre strategy]). Routine EA performed twice a week makes it possible to prescribe adequate antibiotic therapy (while waiting for BAL culture results) in 95% of the patients in whom a VAP is ultimately diagnosed by BAL culture.

  2. Virtual guidance as a tool to obtain diagnostic ultrasound for spaceflight and remote environments.

    PubMed

    Martin, David S; Caine, Timothy L; Matz, Timothy; Lee, Stuart M C; Stenger, Michael B; Sargsyan, Ashot E; Platts, Steven H

    2012-10-01

    With missions planned to travel greater distances from Earth at ranges that make real-time two-way communication impractical, astronauts will be required to perform autonomous medical diagnostic procedures during future exploration missions. Virtual guidance is a form of just-in-time training developed to allow novice ultrasound operators to acquire diagnostically-adequate images of clinically relevant anatomical structures using a prerecorded audio/visual tutorial viewed in real-time. Individuals without previous experience in ultrasound were recruited to perform carotid artery (N = 10) and ophthalmic (N = 9) ultrasound examinations using virtual guidance as their only training tool. In the carotid group, each untrained operator acquired two-dimensional, pulsed and color Doppler of the carotid artery. In the ophthalmic group, operators acquired representative images of the anterior chamber of the eye, retina, optic nerve, and nerve sheath. Ultrasound image quality was evaluated by independent imaging experts. Of the studies, 8 of the 10 carotid and 17 of 18 of the ophthalmic images (2 images collected per study) were judged to be diagnostically adequate. The quality of all but one of the ophthalmic images ranged from adequate to excellent. Diagnostically-adequate carotid and ophthalmic ultrasound examinations can be obtained by previously untrained operators with assistance from only an audio/video tutorial viewed in real time while scanning. This form of just-in-time training, which can be applied to other examinations, represents an opportunity to acquire important information for NASA flight surgeons and researchers when trained medical personnel are not available or when remote guidance is impractical.

  3. 34 CFR 271.20 - What conditions must an applicant meet to obtain funding?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., color, sex, age, or handicapping condition. (i) The applicant must have familiarity with materials used..., gender, age or handicapping condition. (l) The project must have an adequate budget to support the...

  4. 34 CFR 271.20 - What conditions must an applicant meet to obtain funding?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., color, sex, age, or handicapping condition. (i) The applicant must have familiarity with materials used..., gender, age or handicapping condition. (l) The project must have an adequate budget to support the...

  5. COMPARISON OF ECOLOGICAL COMMUNITIES: THE PROBLEM OF SAMPLE REPRESENTATIVENESS

    EPA Science Inventory

    Obtaining an adequate, representative sample of ecological communities to make taxon richness (TR) or compositional comparisons among sites is a continuing challenge. Sample representativeness literally means the similarity in species composition and relative abundance between a ...

  6. 34 CFR 271.20 - What conditions must an applicant meet to obtain funding?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... a plan of operation for the proposed project that includes: (1) An effective plan of management that..., gender, age or handicapping condition. (l) The project must have an adequate budget to support the...

  7. 34 CFR 271.20 - What conditions must an applicant meet to obtain funding?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... a plan of operation for the proposed project that includes: (1) An effective plan of management that..., gender, age or handicapping condition. (l) The project must have an adequate budget to support the...

  8. 34 CFR 271.20 - What conditions must an applicant meet to obtain funding?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... a plan of operation for the proposed project that includes: (1) An effective plan of management that..., gender, age or handicapping condition. (l) The project must have an adequate budget to support the...

  9. Rapid field detection of moisture content for base and subgrade : technical report.

    DOT National Transportation Integrated Search

    2015-03-01

    Mixing and compacting soil and flexible base pavement materials at the proper moisture content is critical : for obtaining adequate compaction and meeting construction specification requirements. This project sought : to evaluate rapid non-nuclear te...

  10. Low-speed aerodynamic characteristics of a 0.08-scale YF-17 airplane model at high angles of attack and sideslip

    NASA Technical Reports Server (NTRS)

    Petroff, D. N.; Scher, S. H.; Sutton, C. E.

    1978-01-01

    Data were obtained with and without the nose boom and with several strake configurations; also, data were obtained for various control surface deflections. Analysis of the results revealed that selected strake configurations adequately provided low Reynolds number simulation of the high Reynolds number characteristics. The addition of the boom in general tended to reduce the Reynolds number effects.

  11. Behavior of ceramic particles at the solid-liquid metal interface in metal matrix composites

    NASA Technical Reports Server (NTRS)

    Stefanescu, D. M.; Dhindaw, B. K.; Kacar, S. A.; Moitra, A.

    1988-01-01

    Directional solidification results were obtained in order to investigate particle behavior at the solid-liquid interface in Al-2 pct Mg (cellular interface) and Al-6.1 pct Ni (eutectic interface) alloys. It is found that particles can be entrapped in the solid if adequate solidification rates and temperature gradients are used. Model results showed critical velocity values slightly higher than those obtained experimentally.

  12. Research, Development and Fabrication of Lithium Solar Cells, Part 2

    NASA Technical Reports Server (NTRS)

    Iles, P. A.

    1972-01-01

    The development and fabrication of lithium solar cells are discussed. Several single-step, lithium diffusion schedules using lower temperatures and times are described. A comparison was made using evaporated lithium metal as the lithium source, and greatly improved consistency in lithium concentrations was obtained. It was possible to combine all processing steps to obtain lithium doped cells of high output which also contained adequate lithium to ensure good recoverability.

  13. 7 CFR 958.56 - Safeguards.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... first file applications with the committee to ship such onions; (2) Handlers shall obtain inspection... AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE ONIONS GROWN IN CERTAIN DESIGNATED...) The committee, with the approval of the Secretary, may prescribe adequate safeguards to prevent onions...

  14. 7 CFR 958.56 - Safeguards.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... first file applications with the committee to ship such onions; (2) Handlers shall obtain inspection... AND ORDERS; FRUITS, VEGETABLES, NUTS), DEPARTMENT OF AGRICULTURE ONIONS GROWN IN CERTAIN DESIGNATED...) The committee, with the approval of the Secretary, may prescribe adequate safeguards to prevent onions...

  15. 7 CFR 958.56 - Safeguards.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... first file applications with the committee to ship such onions; (2) Handlers shall obtain inspection... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE ONIONS GROWN IN CERTAIN DESIGNATED...) The committee, with the approval of the Secretary, may prescribe adequate safeguards to prevent onions...

  16. 7 CFR 958.56 - Safeguards.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... first file applications with the committee to ship such onions; (2) Handlers shall obtain inspection... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE ONIONS GROWN IN CERTAIN DESIGNATED...) The committee, with the approval of the Secretary, may prescribe adequate safeguards to prevent onions...

  17. 40 CFR 86.614-84 - Hearings on suspension, revocation, and voiding of certificates of conformity.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... there exists a basis for distinguishing vehicles produced at plants other than the one from which... any such action shall have an adequate opportunity, once he learns the name of a witness and obtains...

  18. The impact of age on the art of mammography and how to adapt accordingly.

    PubMed

    Lake, B; Cielecki, L; Williams, S; Worrall, C; Metelko, M

    2017-11-01

    Breast cancer is increasingly a disease of the elderly, and combined with the NHS Breast Screening Extension means that more elderly patients are having mammography. Increasing age can make mammography more technically difficult. This is a technical note detailing the results of a local audit which may be of interest due to potential service implications. A retrospective audit of the first year of screening extension of The Shropshire Breast Screening Programme. Aims to collect data on patient demographics and describe the technical adaptations developed in Shropshire. Breast screening extension has increased by 2.5 times the number of women aged 70-74 screened, and doubled the overall numbers of women over 70 screened. Significantly more older patients are being screened to present technical challenges to a screening programme. Data was obtained from a month of screening showed that 29% of patients over 70 needed extra time for positioning. Reasons included 22% difficulty in obtaining adequate positioning and 15% needed a relative to aid with consent. In the Shropshire screening programme different technical adaptations have been developed and are key to ensuring adequate images. These include double appointments, two radiographers, thorough assessment, steeper angles, seated examinations, from-below imaging and pre-planning for subsequent screen. Significantly more older women are having breast screening due to the increasing incidence of breast cancer and the Breast Screening Programme extension. Increasing age can significantly increase time taken for adequate imaging and present technical challenges. Development of technical adaptations to art of mammography is key to achieve adequate images. Copyright © 2017 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.

  19. A Multicenter comparative trial of a novel EUS-guided core biopsy needle (SharkCore™) with the 22-gauge needle in patients with solid pancreatic mass lesions

    PubMed Central

    Naveed, Mariam; Siddiqui, Ali A.; Kowalski, Thomas E.; Loren, David E.; Khalid, Ammara; Soomro, Ayesha; Mazhar, Syed M.; Yoo, Joseph; Hasan, Raza; Yalamanchili, Silpa; Tarangelo, Nicholas; Taylor, Linda J.; Adler, Douglas G.

    2018-01-01

    Background and Objectives: The ability to obtain adequate tissue of solid pancreatic lesions by EUS-guided remains a challenge. The aim of this study was to compare the performance characteristics and safety of EUS-FNA for evaluating solid pancreatic lesions using the standard 22-gauge needle versus a novel EUS biopsy needle. Methods: This was a multicenter retrospective study of EUS-guided sampling of solid pancreatic lesions between 2009 and 2015. Patients underwent EUS-guided sampling with a 22-gauge SharkCore (SC) needle or a standard 22-gauge FNA needle. Technical success, performance characteristics of EUS-FNA, the number of needle passes required to obtain a diagnosis, diagnostic accuracy, and complications were compared. Results: A total of 1088 patients (mean age = 66 years; 49% female) with pancreatic masses underwent EUS-guided sampling with a 22-gauge SC needle (n = 115) or a standard 22-gauge FNA needle (n = 973). Technical success was 100%. The frequency of obtaining an adequate cytology by EUS-FNA was similar when using the SC and the standard needle (94.1% vs. 92.7%, respectively). The sensitivity, specificity, and diagnostic accuracy of EUS-FNA for tissue diagnosis were not significantly different between two needles. Adequate sample collection leading to a definite diagnosis was achieved by the 1st, 2nd, and 3rd pass in 73%, 92%, and 98% of procedures using the SC needle and 20%, 37%, and 94% procedures using the standard needle (P < 0.001), respectively. The median number of passes to obtain a tissue diagnosis using the SC needle was significantly less as compared to the standard needle (1 and 3, respectively; P < 0.001). Conclusions: The EUS SC biopsy needle is safe and technically feasible for EUS-FNA of solid pancreatic mass lesions. Preliminary results suggest that the SC needle has a diagnostic yield similar to the standard EUS needle and significantly reduces the number of needle passes required to obtain a tissue diagnosis. PMID:29451167

  20. Adequate antiplatelet regimen in patients on chronic anti-vitamin K treatment undergoing percutaneous coronary intervention

    PubMed Central

    Brugaletta, Salvatore; Martin-Yuste, Victoria; Ferreira-González, Ignacio; Cola, Clarissa; Alvarez-Contreras, Luis; Antonio, Marta De; Garcia-Moll, Xavier; García-Picart, Joan; Martí, Vicens; Balcells-Iranzo, Jordi; Sabaté, Manel

    2011-01-01

    AIM: To investigate the impact of dual antiplatelet therapy (DAT) in patients on anti-vitamin K (AVK) regimen requiring percutaneous coronary intervention (PCI). METHODS: Between February 2006 and February 2008, 138 consecutive patients under chronic AVK treatment were enrolled in this registry. Of them, 122 received bare metal stent implantation and 16 received drug eluting stent implantation. The duration of DAT, on top of AVK treatment, was decided at the discretion of the clinician. Adequate duration of DAT was defined according to type of stent implanted and to its clinical indication. RESULTS: The baseline clinical characteristics of patients reflect their high risk, with high incidence of comorbid conditions (Charlson score ≥ 3 in 89% of the patients). At a mean follow-up of 17 ± 11 mo, 22.9% of patients developed a major adverse cardiac event (MACE): 12.6% died from cardiovascular disease and almost 6% had an acute myocardial infarction. Major hemorrhagic events were observed in 7.4%. Adequate DAT was obtained in only 44% of patients. In the multivariate analysis, no adequate DAT and Charlson score were the only independent predictors of MACE (both P = 0.02). CONCLUSION: Patients on chronic AVK therapy represent a high risk population and suffer from a high MACE rate after PCI. An adequate DAT regimen and absence of comorbid conditions are strongly associated with better clinical outcomes. PMID:22125672

  1. [Value of the tritium test for determining the fat content in the body of rats].

    PubMed

    Pisarchuk, K L

    1990-01-01

    An indirect method for estimation of the fat percentage in the animal organism, a tritium test, was studied on laboratory male rats aged 4 and 12 months. Results obtained from the tritium test and direct chemical analysis were compared. With age a mean absolute error of the tritium test increased (from 1 to 8%) as against actual values of the water and fat percentage in the organism obtained by a direct chemical analysis. The data obtained testify to the relative insolvency of the tritium test, as well as the necessity to carry additional investigations in order to obtain adequate data.

  2. Iatrogenic facial palsy: the cost.

    PubMed

    Pulec, J L

    1996-11-01

    The cost of iatrogenic facial paralysis can be high. Ways to avoid facial nerve injury during surgery and, should it occur, ways to minimize the disability and cost are discussed. These include adequate preparation and training by the surgeon, the exercise of sound judgment, the presence of high morals by the surgeon, adequate preoperative diagnosis and surgical instrumentation and thorough preoperative oral and written informed consent. Should facial nerve injury occur, immediate consultation and reparative decompression, anastomosis or grafting should be performed to obtain the best ultimate result. The value of prompt, competent, sympathetic and continuing concern offered by the surgeon to the patient cannot be over emphasized.

  3. Auditing fetal nasal bone images in the first trimester of pregnancy: results from a peer review program.

    PubMed

    Palermo, Fernanda Gasparin; Albuquerque, Débora de Paula Soares de Medeiros; Martins, Wellington P; Araujo Júnior, Edward; Bruns, Rafael Frederico

    2016-09-01

    To establish a structured review process to facilitate the identification of the fetal nasal bone (NB) in the first trimester ultrasound scan to improve the quality images. We conducted a retrospective observational study in fetal NB images obtained during ultrasound exams of singleton pregnancies that underwent first trimester screening (crown-rump length 45-84 mm). When the images were obtained the examiner was not aware of the study. Audit was conducted by an examiner according criteria established by the Fetal Medicine Foundation. Fetal NB images were assessed regarding adequate magnification, mid-sagittal view and transducer held parallel to the direction of the nose. The transvaginal and transabdominal as well as anterior and posterior fetal back groups were compared using χ(2) test. We considered 874 fetal NB images for auditing. Fetal NB was considered present in 865 images (99%). During the audit process, we identified 72 (8.2%) cases of disagreement between examiner and auditor assessments. Disagreement was higher when image quality was poor (62 cases = 7%). Transvaginal approach performed better in the following criteria: adequate magnification (p < 0.001), midline (p < 0.001) and completely adequate (p < 0.001). A peer reviewed audit program for fetal NB is feasible in a clinical scenario. Image quality appears to play an important role in compliance to image standards audited and in agreement between examiner and auditor.

  4. Electroejaculation as a method of fertility preservation in boys diagnosed with cancer: a single-center experience and review of the literature.

    PubMed

    Adank, Maria C; van Dorp, Wendy; Smit, Marij; van Casteren, Niels J; Laven, Joop S E; Pieters, Rob; van den Heuvel-Eibrink, Marry M

    2014-07-01

    To evaluate the feasibility of electroejaculation to perform semen cryopreservation in pubertal boys before gonadotoxic therapy and to review the literature on this topic. Retrospective cohort study and review of the literature. Academic children's hospital. Boys diagnosed with cancer to whom sperm cryopreservation was offered before the start of gonadotoxic therapy. We studied the outcome of electroejaculation, including patient characteristics, hormone levels, and pretreatment semen parameters. Semen cryopreservation. Pretreatment semen samples were obtained by masturbation in 106/114 boys with cancer, of which 78/106 were adequate for preservation. Electroejaculation was offered to 11 boys, of which three of 11 samples appeared adequate for preservation. Reviewing all reported electroejaculation cases in children with cancer in the literature, 13/29 (45%) cases were successful. Testosterone levels were higher in patients with successful sperm yield obtained by electroejaculation (median, 8.3 nmol/L [5.2-42.4] in successful harvests, vs. median 1.7 nmol/L [0.01-17.9] in unsuccessful harvests). Semen cryopreservation should be offered to all pubertal boys diagnosed with cancer. If masturbation fails, electroejaculation can be considered as a useful option for semen cryopreservation and leads to adequate material for cryopreservation in about half of the cases. Copyright © 2014 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  5. 48 CFR 832.202-4 - Security for Government financing.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... accepted accounting principles and must be audited and certified by an independent public accountant or an... for Government financing. An offeror's financial condition may be considered adequate security to... offeror's financial condition, the contracting officer may obtain, to the extent required, the following...

  6. Binoculars with mil scale as a training aid for estimating form class

    Treesearch

    H.W. Camp, J.R.; C.A. Bickford

    1949-01-01

    In an extensive forest inventory, estimates involving personal judgment cannot be eliminated. However, every means should be taken to keep these estimates to a minimum and to provide on-the-job training that is adequate for obtaining the best estimates possible.

  7. School-Based Methylphenidate Placebo Protocols: Methodological and Practical Issues.

    ERIC Educational Resources Information Center

    Hyman, Irwin A.; Wojtowicz, Alexandra; Lee, Kee Duk; Haffner, Mary Elizabeth; Fiorello, Catherine A.; And Others

    1998-01-01

    Focuses on methodological issues involved in choosing instruments to monitor behavior, once a comprehensive evaluation has suggested trials on Ritalin. Case examples illustrate problems of teacher compliance in filling out measures, supplying adequate placebos, and obtaining physical cooperation. Emerging school-based methodologies are discussed…

  8. GPL Report: Educational R&D in a Tough Budget Year.

    ERIC Educational Resources Information Center

    Florio, David H.

    1979-01-01

    This report examines funding and activities of the National Institute of Education (NIE) to demonstrate how educational inquiry is doing in obtaining federal financial support. An overview of specific areas NIE plans to investigate if adequate funds are allocated is presented. (EB)

  9. Photovoltaics technology program summary

    NASA Astrophysics Data System (ADS)

    1985-05-01

    An adequate supply of energy at reasonable price is discussed. Economic efficiency and the following strategies to obtain it are suggested: (1) minimization of federal regulation in energy pricing; and (2) promote a balanced and mixed energy resource system. The development of photovoltaic energy conversion technology is summarized.

  10. Travel Agency Survey. Final Report.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Bureau of Occupational Education Research.

    A research project was conducted cooperatively by the New York State Education Department Bureaus of Distributive Education and Occupational Education Research to determine whether the present secondary programs in New York State provide sufficient career information and adequate preparation for young people to obtain employment in the travel…

  11. Evaluation of the RapidAir 457 air void analyzer.

    DOT National Transportation Integrated Search

    2012-03-01

    An adequate air void system is imperative to produce concrete with freeze-thaw durability in a wet freeze environment such as found in Iowa. Specifications rely on a percentage of air obtained in the plastic state by the pressure meter. Actual, in pl...

  12. 30 CFR 282.11 - Director's authority.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... manner; (2) Balance OCS mineral resource development with protection of the human, marine, and coastal... holder to obtain additional environmental data when deemed necessary to assure adequate protection of the human, marine, and coastal environments. (2) The Director is to be provided an opportunity to inspect...

  13. An Assertiveness Scale for Adolescents.

    ERIC Educational Resources Information Center

    Lee, Dong Yul; And Others

    1985-01-01

    Developed a 33-item, situation-specific instrument that measures assertiveness of adolescents. Based on data from 682 elementary and secondary school students, adequate reliability and validity of the Assertiveness Scale for Adolescents (ASA) were obtained when tested against several variables about which predictions could be made. (BH)

  14. Efficacy and Safety of Using Air Versus Alkalinized 2% Lignocaine for Inflating Endotracheal Tube Cuff and Its Pressure Effects on Incidence of Postoperative Coughing and Sore Throat.

    PubMed

    Gaur, Pallavi; Ubale, Pravin; Khadanga, Prashant

    2017-01-01

    We wished to compare the endotracheal tube (ETT) cuff pressure inflated with air or alkalinized lignocaine during anesthesia and evaluate clinical symptoms such as coughing and sore throat (postoperative sore throat [POST]) following tracheal extubation. This was a prospective randomized controlled study conducted in a tertiary care set up over a period of 1 year. We included 100 patients in age group of 18-65 years posted for elective surgeries of duration more than 90 min under general anesthesia with N 2 O-O 2 mixture. Patients were randomized using computer-generated randomization table into air and lignocaine group. The ETT cuff was inflated with air or alkalinized lignocaine (2% lignocaine with 7.5% sodium bicarbonate, in the proportions of 19.0:1.0 ml) to the volume that prevented air leak using cuff pressure manometer. After extubation, an independent observer blinded to study group recorded the presence or absence of coughing and POST at immediately, 1 h and 24 h postoperatively. Demographic data, baseline characteristics (American Society of Anesthesiologists grade, intracuff volume/cuff pressure at start of surgery), and duration of anesthesia were comparable among study groups ( P > 0.05). Cuff pressure and volume achieved in the end of surgery were much higher in air group as compared to lignocaine group ( P < 0.05). Incidence of coughing and POST at immediately, 1 h and 24 h postoperatively was significantly higher in air group compared to lignocaine group. Impact of duration of anesthesia on rise in cuff pressure was significantly higher in air group and its effect on cuff-induced laryngotracheal morbidity was significant in both air and lignocaine group. This study showed the significance of use of alkalinized 2% lignocaine in prevention of rise of cuff pressure and incidence of coughing and POST. Duration of anesthesia has also a significant effect on incidence of postoperative trachea-laryngeal morbidity.

  15. STS/DBS power subsystem end-to-end stability margin

    NASA Astrophysics Data System (ADS)

    Devaux, R. N.; Vattimo, R. J.; Peck, S. R.; Baker, W. E.

    Attention is given to a full-up end-to-end subsystem stability test which was performed with a flight solar array providing power to a fully operational spacecraft. The solar array simulator is described, and a comparison is made between test results obtained with the simulator and those obtained with the actual array. It is concluded that stability testing with a fully integrated spacecraft is necessary to ensure that all elements have been adequately modeled.

  16. Titan: Evidence for seasonal change - A comparison of Hubble Space Telescope and Voyager images

    NASA Technical Reports Server (NTRS)

    Caldwell, John; Cunningham, Cindy C.; Anthony, David; White, H. P.; Groth, E. J.; Hasan, H.; Noll, K.; Smith, P. H.; Tomasko, M. G.; Weaver, H. A.

    1992-01-01

    A comparison of images of Titan obtained by the HST in August, 1990 with Voyager 1 and 2 images respectively obtained 10 and 9 years earlier has indicated a reversal of the seasonal hemispheric brightness asymmetry near 440 and 550 nm wavelengths; the northern hemisphere is in the more recent observations the brighter of the two, by about 10 percent. Titan's albedo pattern is therefore adequately explained by a seasonal model.

  17. Continuous two-wave lasing in microchip Nd : YAG lasers

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

    Ievlev, Ivan V; Koryukin, Igor' V; Lebedeva, Yu S

    2011-08-31

    Simultaneous two-wave lasing was obtained in microchip end-pumped Nd:YAG lasers at the wavelengths of 1061.5 and 1064.17 nm at room temperature. Laser wave intensities were studied as functions of crystal temperature and pump power. The ranges of parameters were determined in which the two-wave lasing occurs and the reasons for such lasing were established. A model is suggested, which adequately describes the experimental results obtained. (control of radiation parameters)

  18. STREAMBED PARTICLE SIZE FROM PEBBLE COUNTS USING VISUALLY ESTIMATED SIZE CLSASES: JUNK OR USEFUL DATA?

    EPA Science Inventory

    In large-scale studies, it is often neither feasible nor necessary to obtain the large samples of 400 particles advocated by many geomorphologists to adequately quantify streambed surface particle-size distributions. Synoptic surveys such as U.S. Environmental Protection Agency...

  19. 75 FR 52588 - Information Collection Available for Public Comments and Recommendations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-26

    ... be obtained from that office. SUPPLEMENTARY INFORMATION: Title of Collection: War Risk Insurance... Transportation may provide war risk insurance adequate for the needs of the waterborne commerce of the United... the war risk insurance program. Description of Respondents: Vessel owners or charterers interested in...

  20. 7 CFR 4287.170 - Bankruptcy.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... reorganization whenever it appears that additional recoveries are likely. (4) The Agency will be kept adequately... reorganization plan and the borrower repays in full the remaining balance without an additional loss sustained by... payment, the lender will submit a revised estimated loss in order to obtain payment of the additional...

  1. 7 CFR 4287.170 - Bankruptcy.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... reorganization whenever it appears that additional recoveries are likely. (4) The Agency will be kept adequately... reorganization plan and the borrower repays in full the remaining balance without an additional loss sustained by... payment, the lender will submit a revised estimated loss in order to obtain payment of the additional...

  2. 7 CFR 4287.170 - Bankruptcy.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... reorganization whenever it appears that additional recoveries are likely. (4) The Agency will be kept adequately... reorganization plan and the borrower repays in full the remaining balance without an additional loss sustained by... payment, the lender will submit a revised estimated loss in order to obtain payment of the additional...

  3. 7 CFR 4287.170 - Bankruptcy.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... reorganization whenever it appears that additional recoveries are likely. (4) The Agency will be kept adequately... reorganization plan and the borrower repays in full the remaining balance without an additional loss sustained by... payment, the lender will submit a revised estimated loss in order to obtain payment of the additional...

  4. 7 CFR 4287.170 - Bankruptcy.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... reorganization whenever it appears that additional recoveries are likely. (4) The Agency will be kept adequately... reorganization plan and the borrower repays in full the remaining balance without an additional loss sustained by... payment, the lender will submit a revised estimated loss in order to obtain payment of the additional...

  5. 7 CFR 762.126 - Security requirements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 7 2012-01-01 2012-01-01 false Security requirements. 762.126 Section 762.126... AGRICULTURE SPECIAL PROGRAMS GUARANTEED FARM LOANS § 762.126 Security requirements. (a) General. (1) The lender is responsible for ensuring that proper and adequate security is obtained and maintained to fully...

  6. 40 CFR 91.121 - Certification procedure-recordkeeping.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... maintain the following adequately organized records: (1) Copies of all applications and summary information, as applicable, filed with the Administrator; (2) A copy of all data obtained through the production... entry under one of the previous paragraphs of this section. (b) Routine emission test data, such as test...

  7. 40 CFR 90.121 - Certification procedure-recordkeeping.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... engine manufacturer must maintain the following adequately organized records: (1) Copies of all applications filed with the Administrator; (2) A copy of all data obtained through the in-use testing program... of this section. (b) Routine emission test data, such as those reporting test cell temperature and...

  8. 40 CFR 90.121 - Certification procedure-recordkeeping.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... engine manufacturer must maintain the following adequately organized records: (1) Copies of all applications filed with the Administrator; (2) A copy of all data obtained through the in-use testing program... of this section. (b) Routine emission test data, such as those reporting test cell temperature and...

  9. 40 CFR 91.121 - Certification procedure-recordkeeping.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... maintain the following adequately organized records: (1) Copies of all applications and summary information, as applicable, filed with the Administrator; (2) A copy of all data obtained through the production... entry under one of the previous paragraphs of this section. (b) Routine emission test data, such as test...

  10. 40 CFR 90.121 - Certification procedure-recordkeeping.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... engine manufacturer must maintain the following adequately organized records: (1) Copies of all applications filed with the Administrator; (2) A copy of all data obtained through the in-use testing program... of this section. (b) Routine emission test data, such as those reporting test cell temperature and...

  11. 40 CFR 91.121 - Certification procedure-recordkeeping.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... maintain the following adequately organized records: (1) Copies of all applications and summary information, as applicable, filed with the Administrator; (2) A copy of all data obtained through the production... entry under one of the previous paragraphs of this section. (b) Routine emission test data, such as test...

  12. 40 CFR 90.121 - Certification procedure-recordkeeping.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... engine manufacturer must maintain the following adequately organized records: (1) Copies of all applications filed with the Administrator; (2) A copy of all data obtained through the in-use testing program... of this section. (b) Routine emission test data, such as those reporting test cell temperature and...

  13. 40 CFR 91.121 - Certification procedure-recordkeeping.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... maintain the following adequately organized records: (1) Copies of all applications and summary information, as applicable, filed with the Administrator; (2) A copy of all data obtained through the production... entry under one of the previous paragraphs of this section. (b) Routine emission test data, such as test...

  14. 12 CFR 206.4 - Credit exposure.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... current market value of the collateral; (2) The proceeds of checks and other cash items deposited in an... that may be sold in ordinary circumstances with reasonable promptness at a fair market value determined... cannot obtain adequate information concerning the capital ratios of the correspondent, the bank shall...

  15. 29 CFR Section 1607.16 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... action are open to users. T. Skill. A present, observable competence to perform a learned psychomoter act... criterion-related validity studies. These conditions include: (1) An adequate sample of persons available for the study to achieve findings of statistical significance; (2) having or being able to obtain a...

  16. Development of 3D out-of-plane SU-8 microlenses using modified micromolding in capillaries (MIMIC) technology

    NASA Astrophysics Data System (ADS)

    Llobera, A.; Wilke, R.; Johnson, D. W.; Büttgenbach, S.

    2006-04-01

    This paper describes a modification of the standard MIMIC technology, solving its main drawbacks, to define arrays of spherical or ellipsoidal microlenses. Perfectly symmetrical meniscuses have been obtained by using a XP SU-8 NO-2 layer beneath the PDMS mold. Moreover, the photostructurable properties of this polymer allow obtaining self-alignment structures for adequate fiber optics positioning. Microchannels ended with these meniscuses have been filled with standard SU-8 to obtain 3D microlenses. Agreement between theory and experimental results allows confirming the validity of the proposed technology.

  17. Home bowel cancer tests and informed choice--is current information sufficient?

    PubMed

    Howard, K; Salkeld, G

    2003-10-01

    To evaluate the type of information that is available to purchasers of home-based bowel cancer test kits. Manufacturers, pharmacies and independent testing programs were contacted to obtain faecal occult blood test (FOBT) kits. State cancer organisations were contacted for information on bowel cancer screening. Information on bowel cancer, the FOBT kit, the testing process and potential benefits and harms of the screening process were assessed using guidelines provided by the UK General Medical Council (GMC). FOBT kits and cancer organisation information provided adequate information on the purpose of screening, the screening process itself and potential benefits, but provided no information concerning uncertainties of screening or potential harms. On the basis of both the UK GMC criteria and patient desires for information, the information available at present falls short of being considered adequate for an informed decision to purchase a home-based FOBT. We must ensure adequate and balanced information is available to redress the present information asymmetry to facilitate informed participation in a potentially valuable public health initiative.

  18. Monitoring of HIV treatment in seven countries in the WHO Region of the Americas

    PubMed Central

    Belaunzarán-Zamudio, Pablo F; Shepherd, Bryan E; Crabtree-Ramírez, Brenda E; Luz, Paula M; Grinsztejn, Beatriz; Cesar, Carina; Cahn, Pedro; Cortés, Claudia; Wolff, Marcelo; Pape, Jean W; Padgett, Denis; Gotuzzo, Eduardo; McGowan, Catherine; Sierra-Madero, Juan G

    2015-01-01

    Abstract Objective To determine the prevalence of adequate monitoring and the costs of measuring CD4+ T-lymphocytes (CD4+ cell) and human immunodeficiency virus (HIV) viral load in people receiving antiretroviral therapy (ART) in seven countries in the WHO Region of the Americas. Methods We obtained retrospective, longitudinal data for 14 476 adults who started a first ART regimen at seven HIV clinics in Argentina, Brazil, Chile, Haiti, Honduras, Mexico and Peru between 2000 and 2011. We estimated the proportion of 180-day periods with adequate monitoring, which we defined as at least one CD4+ cell count and one viral load measurement. Factors associated with adequate monitoring were analysed using regression methods. The costs of the tests were estimated. Findings The median follow-up time was 50.4 months; the proportion of 180-day periods with adequate CD4+ cell counts was 69% while the proportion with adequate monitoring was 62%. Adequate monitoring was more likely in participants who were older, who started ART more recently, whose first regimen included a non-nucleoside reverse transcriptase inhibitor or who had a CD4+ cell count less than 200 cells/µl at ART initiation. The cost of one CD4+ cell count ranged from 7.37 United States dollars (US$) in Argentina to US$ 64.09 in Chile; the cost of one viral load measurement ranged from US$ 20.34 in Brazil to US$ 186.28 in Haiti. Conclusion In HIV-infected participants receiving ART in the WHO Region of the Americas, CD4+ cell count and viral load monitoring was often carried out less frequently than regional guidelines recommend. The laboratory costs of monitoring varied greatly. PMID:26478610

  19. Monitoring of HIV treatment in seven countries in the WHO Region of the Americas.

    PubMed

    Belaunzarán-Zamudio, Pablo F; Caro-Vega, Yanink N; Shepherd, Bryan E; Crabtree-Ramírez, Brenda E; Luz, Paula M; Grinsztejn, Beatriz; Cesar, Carina; Cahn, Pedro; Cortés, Claudia; Wolff, Marcelo; Pape, Jean W; Padgett, Denis; Gotuzzo, Eduardo; McGowan, Catherine; Sierra-Madero, Juan G

    2015-08-01

    To determine the prevalence of adequate monitoring and the costs of measuring CD4+ T-lymphocytes (CD4+ cell) and human immunodeficiency virus (HIV) viral load in people receiving antiretroviral therapy (ART) in seven countries in the WHO Region of the Americas. We obtained retrospective, longitudinal data for 14 476 adults who started a first ART regimen at seven HIV clinics in Argentina, Brazil, Chile, Haiti, Honduras, Mexico and Peru between 2000 and 2011. We estimated the proportion of 180-day periods with adequate monitoring, which we defined as at least one CD4+ cell count and one viral load measurement. Factors associated with adequate monitoring were analysed using regression methods. The costs of the tests were estimated. The median follow-up time was 50.4 months; the proportion of 180-day periods with adequate CD4+ cell counts was 69% while the proportion with adequate monitoring was 62%. Adequate monitoring was more likely in participants who were older, who started ART more recently, whose first regimen included a non-nucleoside reverse transcriptase inhibitor or who had a CD4+ cell count less than 200 cells/µl at ART initiation. The cost of one CD4+ cell count ranged from 7.37 United States dollars (US$) in Argentina to US$ 64.09 in Chile; the cost of one viral load measurement ranged from US$ 20.34 in Brazil to US$ 186.28 in Haiti. In HIV-infected participants receiving ART in the WHO Region of the Americas, CD4+ cell count and viral load monitoring was often carried out less frequently than regional guidelines recommend. The laboratory costs of monitoring varied greatly.

  20. Performance of rapid test kits to assess household coverage of iodized salt.

    PubMed

    Gorstein, Jonathan; van der Haar, Frits; Codling, Karen; Houston, Robin; Knowles, Jacky; Timmer, Arnold

    2016-10-01

    The main indicator adopted to track universal salt iodization has been the coverage of adequately iodized salt in households. Rapid test kits (RTK) have been included in household surveys to test the iodine content in salt. However, laboratory studies of their performance have concluded that RTK are reliable only to distinguish between the presence and absence of iodine in salt, but not to determine whether salt is adequately iodized. The aim of the current paper was to examine the performance of RTK under field conditions and to recommend their most appropriate use in household surveys. Standard performance characteristics of the ability of RTK to detect the iodine content in salt at 0 mg/kg (salt with no iodine), 5 mg/kg (salt with any added iodine) and 15 mg/kg ('adequately' iodized salt) were calculated. Our analysis employed the agreement rate (AR) as a preferred metric of RTK performance. Setting/Subjects Twenty-five data sets from eighteen population surveys which assessed household iodized salt by both the RTK and a quantitative method (i.e. titration or WYD Checker) were obtained from Asian (nineteen data sets), African (five) and European (one) countries. In detecting iodine in salt at 0 mg/kg, the RTK had an AR>90 % in eight of twenty-three surveys, while eight surveys had an AR90 %. The RTK is not suited for assessment of adequately iodized salt coverage. Quantitative assessment, such as by titration or WYD Checker, is necessary for estimates of adequately iodized salt coverage.

  1. Communication gaps in nursing home transfers to the ED: impact on turnaround time, disposition, and diagnostic testing.

    PubMed

    Nelson, Drew; Washton, Danae; Jeanmonod, Rebecca

    2013-04-01

    This study aims to determine the source of communication gaps in history of present illness (HPI), medical history, and advanced directives in nursing home (NH) patients transferred to the emergency department (ED). We also attempt to determine if these gaps create differences in patient turnaround time (TAT), disposition decision, or diagnostic testing. A convenience sample of patients transferred from NHs to a level 1 community trauma center was enrolled by the physicians caring for them. The physicians assessed the adequacy and source of the history for each patient. The patient's chart was then retrospectively reviewed to determine disposition, ED TAT, and diagnostic tests ordered. One hundred patients were enrolled. Physicians found that NH paperwork contained adequate HPI 35% of the time. Patients could provide their own HPI 28% of the time. In 32% of patients, adequate HPI could not be obtained from the patient, NH paperwork, or NH personnel. Comparing patients in whom adequate HPI was available (n = 68) to those in whom HPI was not available (n = 32), there was no difference in TAT (146 vs 173 minutes, P = .22), admissions (60% vs 66%, P = .66), or diagnostic testing (P = .89-1.0). Emergency department physicians often do not have adequate HPI in patients transferred from NHs. The absence of adequate information does not affect patient TAT, disposition decision, or ED diagnostic testing. Copyright © 2013 Elsevier Inc. All rights reserved.

  2. 42 CFR 431.54 - Exceptions to certain State plan requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ....54 Section 431.54 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... served by the organization and wish to obtain services from it. (c) [Reserved] (d) Special procedures for... account geographic location and reasonable travel time) to Medicaid services of adequate quality. (3) The...

  3. 48 CFR 52.222-46 - Evaluation of Compensation for Professional Employees.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... obtaining the quality of professional services needed for adequate contract performance. It is therefore in... fairly compensated. As a part of their proposals, offerors will submit a total compensation plan setting... contract. The Government will evaluate the plan to assure that it reflects a sound management approach and...

  4. 3 CFR 8609 - Proclamation 8609 of November 30, 2010. World AIDS Day, 2010

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... orientation, gender identity, or socio-economic circumstance—will have unfettered access to high-quality, life... have endured great difficulties in obtaining adequate health insurance coverage and quality care. The... continue to focus on saving lives through effective prevention activities, as well as other smart...

  5. The Extraction and Partial Purification of Bacterial DNA as a Practical Exercise for GCE Advanced Level Students.

    ERIC Educational Resources Information Center

    Falconer, A. C.; Hayes, L. J.

    1986-01-01

    Describes a relatively simple method of extraction and purification of bacterial DNA. This technique permits advanced secondary-level science students to obtain adequate amounts of DNA from very small pellets of bacteria and to observe some of its polymer properties. (ML)

  6. 22 CFR 71.10 - Emergency medical assistance.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... general criteria: (1) Adequate treatment cannot or will not be provided by prison authorities or the host government; (2) All reasonable attempts to obtain private resources (prisoner's family, friends, etc.) have... family or friends who might serve as a source of private funds for medical services, and attempt to...

  7. [Rehabilitation prognosis in the patient with bilateral cortipathy due to prematurity].

    PubMed

    Trejo Rayón, S; Peñaloza, Y; Balderas Gil, A

    1979-01-01

    Thirty cases of bilateral corticopathy due to prematurity were studied at the Instituto Nacional de la Comunicación Humana. Taking into account all predisposing features, it is concluded that with adequate preventive measures, it is possible to avoid this pathology and thus obtain a favorable rehabilitation prognosis.

  8. Mineral Supertrumps: A New Card Game to Assist Learning of Mineralogy

    ERIC Educational Resources Information Center

    Spandler, Carl

    2016-01-01

    Mineralogy is an essential component of Earth Science education, yet many students struggle to obtain adequate comprehension and knowledge of mineralogy during tertiary (postsecondary) degree programs. The use of educational games can be an effective strategy for science teaching as games provide an active learning environment that enhances…

  9. 40 CFR 799.9748 - TSCA metabolism and pharmacokinetics

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (TSCA). (1) Testing of the disposition of a test substance is designed to obtain adequate information on... test substance. The usefulness of a particular study design depends upon the biological activity of a... thin and uniform film. The same nominal treatment surface area must be used for all dermal test groups...

  10. 40 CFR 799.9748 - TSCA metabolism and pharmacokinetics

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (TSCA). (1) Testing of the disposition of a test substance is designed to obtain adequate information on... test substance. The usefulness of a particular study design depends upon the biological activity of a... thin and uniform film. The same nominal treatment surface area must be used for all dermal test groups...

  11. 40 CFR 799.9748 - TSCA metabolism and pharmacokinetics

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (TSCA). (1) Testing of the disposition of a test substance is designed to obtain adequate information on... test substance. The usefulness of a particular study design depends upon the biological activity of a... thin and uniform film. The same nominal treatment surface area must be used for all dermal test groups...

  12. 40 CFR 799.9748 - TSCA metabolism and pharmacokinetics

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (TSCA). (1) Testing of the disposition of a test substance is designed to obtain adequate information on... test substance. The usefulness of a particular study design depends upon the biological activity of a... thin and uniform film. The same nominal treatment surface area must be used for all dermal test groups...

  13. 40 CFR 799.9748 - TSCA metabolism and pharmacokinetics

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (TSCA). (1) Testing of the disposition of a test substance is designed to obtain adequate information on... test substance. The usefulness of a particular study design depends upon the biological activity of a... thin and uniform film. The same nominal treatment surface area must be used for all dermal test groups...

  14. 41 CFR 101-26.100-1 - Procurement of lowest cost items.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... similar items to meet particular end-use requirements under the GSA stock program, special order program... functional end-use procurement needs of the various ordering agencies. Therefore, in submitting requisitions... source from which the lowest cost item can be obtained which will adequately serve the functional end-use...

  15. Correlations among the WISC-R, PIAT, and DAM.

    ERIC Educational Resources Information Center

    White, Thomas H.

    1979-01-01

    The WISC-R, PIAT, and DAM were examined to ascertain relationships among the three instruments. Correlations indicate that information yielded by the PIAT may be obtained through WISC-R results, while the DAM may be tapping other abilities not adequately assessed by either of the other two measures. (Author)

  16. 23 CFR 972.212 - Federal lands safety management system (SMS).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... functional classification to provide adequate information for use in making safety decisions in the RR... NHTSA, May 1996, may be obtained at the FHWA, Office of Safety, 1200 New Jersey Avenue, SE., Washington..., design, construction, maintenance, and operations. (d) The SMS may be utilized at various levels of...

  17. 40 CFR 85.2120 - Maintenance and submittal of records.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... establish, maintain and retain for 5 years the following adequately organized and indexed records: (1...) All data obtained during testing of the part and subsequent analyses based on that data, including the... applicable certification requirements; (6) All data taken in implementing the quality control plan, and any...

  18. 40 CFR 85.1412 - Maintenance and submittal of records for equipment certifiers.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... years from the date of certification the following adequately organized and indexed records: (1... specifications and any other information necessary to completely describe the equipment; (2) All data obtained during testing of the equipment and subsequent analyses based on that data, including the mileage and the...

  19. 40 CFR 85.1412 - Maintenance and submittal of records for equipment certifiers.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... years from the date of certification the following adequately organized and indexed records: (1... specifications and any other information necessary to completely describe the equipment; (2) All data obtained during testing of the equipment and subsequent analyses based on that data, including the mileage and the...

  20. 40 CFR 85.2120 - Maintenance and submittal of records.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... establish, maintain and retain for 5 years the following adequately organized and indexed records: (1...) All data obtained during testing of the part and subsequent analyses based on that data, including the... applicable certification requirements; (6) All data taken in implementing the quality control plan, and any...

  1. 40 CFR 85.2120 - Maintenance and submittal of records.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... establish, maintain and retain for 5 years the following adequately organized and indexed records: (1...) All data obtained during testing of the part and subsequent analyses based on that data, including the... applicable certification requirements; (6) All data taken in implementing the quality control plan, and any...

  2. 40 CFR 85.2120 - Maintenance and submittal of records.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... establish, maintain and retain for 5 years the following adequately organized and indexed records: (1...) All data obtained during testing of the part and subsequent analyses based on that data, including the... applicable certification requirements; (6) All data taken in implementing the quality control plan, and any...

  3. DETERMINING THE MINIMUM NUMBER OF SITES FOR BIOASSESSMENT OF THE OHIO RIVER

    EPA Science Inventory

    For wadeable stream bioassessment, much work has been done to determine the number of samples to composite or the appropriate reach length for obtaining an adequate sample. Proportions of stream miles in a given condition are then often reported at the watershed or ecoregion lev...

  4. 10 CFR 503.35 - Inability to obtain adequate capital.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... management's ability to raise debt or equity capital; (ii) Without a substantial dilution of shareholder... of non-investor-owned public utilities, without jeopardizing the utility's ability to recover its... impact analysis, as required under § 503.13 of these regulations; and (4) Fuels search, as required under...

  5. 10 CFR 503.35 - Inability to obtain adequate capital.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... management's ability to raise debt or equity capital; (ii) Without a substantial dilution of shareholder... of non-investor-owned public utilities, without jeopardizing the utility's ability to recover its... impact analysis, as required under § 503.13 of these regulations; and (4) Fuels search, as required under...

  6. 10 CFR 503.35 - Inability to obtain adequate capital.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... management's ability to raise debt or equity capital; (ii) Without a substantial dilution of shareholder... of non-investor-owned public utilities, without jeopardizing the utility's ability to recover its... impact analysis, as required under § 503.13 of these regulations; and (4) Fuels search, as required under...

  7. 10 CFR 503.35 - Inability to obtain adequate capital.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... management's ability to raise debt or equity capital; (ii) Without a substantial dilution of shareholder... of non-investor-owned public utilities, without jeopardizing the utility's ability to recover its... impact analysis, as required under § 503.13 of these regulations; and (4) Fuels search, as required under...

  8. Picture perfect staffing in today's economy.

    PubMed

    Kolender, Ellen R

    2009-01-01

    This article describes the methods one Cancer Registry Department used to justify adequate staffing and obtain approval for an increase in full-time employees (FTEs). Each day it is getting more difficult to keep up with registry work while hospitals are compensating for loss of income by implementing changes that often impact staffing. Departments such as Cancer Registries, which are historically understaffed, must find ways to keep up with increasing workloads. If a hospital intends to maintain accreditation by the American College of Surgeons (ACoS) Commission on Cancer (CoC) and the treatment facility of choice for cancer patients, it is the opinion of this author that administrators must realize that adequate staff for the Cancer Registry Department is essential.

  9. Two-Dimensional Perovskite Activation with an Organic Luminophore.

    PubMed

    Jemli, Khaoula; Audebert, Pierre; Galmiche, Laurent; Trippé-Allard, Gaelle; Garrot, Damien; Lauret, Jean-Sébastien; Deleporte, Emmanuelle

    2015-10-07

    A great advantage of the hybrid organic-inorganic perovskites is the chemical flexibility and the possibility of a molecular engineering of each part of the material (the inorganic part and the organic part respectively) in order to improve or add some functionalities. An adequately chosen organic luminophore has been introduced inside a lead bromide type organic-inorganic perovskite, while respecting the two-dimensional perovskite structure. A substantial increase of the brilliance of the perovskite is obtained. This activation of the perovskite luminescence by the adequate engineering of the organic part is an original approach, and is particularly interesting in the framework of the light-emitting devices such as organic light-emitting diodes (OLEDs) or lasers.

  10. Measuring the RC time constant with Arduino

    NASA Astrophysics Data System (ADS)

    Pereira, N. S. A.

    2016-11-01

    In this work we use the Arduino UNO R3 open source hardware platform to assemble an experimental apparatus for the measurement of the time constant of an RC circuit. With adequate programming, the Arduino is used as a signal generator, a data acquisition system and a basic signal visualisation tool. Theoretical calculations are compared with direct observations from an analogue oscilloscope. Data processing and curve fitting is performed on a spreadsheet. The results obtained for the six RC test circuits are within the expected interval of values defined by the tolerance of the components. The hardware and software prove to be adequate to the proposed measurements and therefore adaptable to a laboratorial teaching and learning context.

  11. Application Of Holographic Interferometry For Investigation Of Microroughness Of Engineering Surfaces

    NASA Astrophysics Data System (ADS)

    Lech, Marek; Mruk, Irena; Stupnicki, Jacek

    1985-01-01

    The paper describes an improved immersion method of holographic interferometry /IMHI/ adjusted for studies of roughness of engineering surfaces. Special optical arrangement, with two types of immersion cells and adequate technique of preparing transparent replicas reproducting with high fidelity details of differently machined surfaces was elaborated. It permits to obtain the contour maps of the surface asperities with intervals between the planes of succesive contour lines within a range of 1 μm. The results obtained for some engineering surfaces are given.

  12. Addressing the Challenges of Obtaining Functional Outcomes in Traumatic Brain Injury Research: Missing Data Patterns, Timing of Follow-Up, and Three Prognostic Models

    PubMed Central

    Morrison, Laurie J.; Devlin, Sean M.; Bulger, Eileen M.; Brasel, Karen J.; Sheehan, Kellie; Minei, Joseph P.; Kerby, Jeffrey D.; Tisherman, Samuel A.; Rizoli, Sandro; Karmy-Jones, Riyad; van Heest, Rardi; Newgard, Craig D.

    2014-01-01

    Abstract Traumatic brain injury (TBI) is common and debilitating. Randomized trials of interventions for TBI ideally assess effectiveness by using long-term functional neurological outcomes, but such outcomes are difficult to obtain and costly. If there is little change between functional status at hospital discharge versus 6 months, then shorter-term outcomes may be adequate for use in future clinical trials. Using data from a previously published multi-center, randomized, placebo-controlled TBI clinical trial, we evaluated patterns of missing outcome data, changes in functional status between hospital discharge and 6 months, and three prognostic models to predict long-term functional outcome from covariates available at hospital discharge (functional measures, demographics, and injury characteristics). The Resuscitation Outcomes Consortium Hypertonic Saline trial enrolled 1282 TBI patients, obtaining the primary outcome of 6-month Glasgow Outcome Score Extended (GOSE) for 85% of patients, but missing the primary outcome for the remaining 15%. Patients with missing outcomes had less-severe injuries, higher neurological function at discharge (GOSE), and shorter hospital stays than patients whose GOSE was obtained. Of 1066 (83%) patients whose GOSE was obtained both at hospital discharge and at 6-months, 71% of patients had the same dichotomized functional status (severe disability/death vs. moderate/no disability) after 6 months as at discharge, 28% had an improved functional status, and 1% had worsened. Performance was excellent (C-statistic between 0.88 and 0.91) for all three prognostic models and calibration adequate for two models (p values, 0.22 and 0.85). Our results suggest that multiple imputation of the standard 6-month GOSE may be reasonable in TBI research when the primary outcome cannot be obtained through other means. PMID:24552494

  13. Addressing the challenges of obtaining functional outcomes in traumatic brain injury research: missing data patterns, timing of follow-up, and three prognostic models.

    PubMed

    Zelnick, Leila R; Morrison, Laurie J; Devlin, Sean M; Bulger, Eileen M; Brasel, Karen J; Sheehan, Kellie; Minei, Joseph P; Kerby, Jeffrey D; Tisherman, Samuel A; Rizoli, Sandro; Karmy-Jones, Riyad; van Heest, Rardi; Newgard, Craig D

    2014-06-01

    Traumatic brain injury (TBI) is common and debilitating. Randomized trials of interventions for TBI ideally assess effectiveness by using long-term functional neurological outcomes, but such outcomes are difficult to obtain and costly. If there is little change between functional status at hospital discharge versus 6 months, then shorter-term outcomes may be adequate for use in future clinical trials. Using data from a previously published multi-center, randomized, placebo-controlled TBI clinical trial, we evaluated patterns of missing outcome data, changes in functional status between hospital discharge and 6 months, and three prognostic models to predict long-term functional outcome from covariates available at hospital discharge (functional measures, demographics, and injury characteristics). The Resuscitation Outcomes Consortium Hypertonic Saline trial enrolled 1282 TBI patients, obtaining the primary outcome of 6-month Glasgow Outcome Score Extended (GOSE) for 85% of patients, but missing the primary outcome for the remaining 15%. Patients with missing outcomes had less-severe injuries, higher neurological function at discharge (GOSE), and shorter hospital stays than patients whose GOSE was obtained. Of 1066 (83%) patients whose GOSE was obtained both at hospital discharge and at 6-months, 71% of patients had the same dichotomized functional status (severe disability/death vs. moderate/no disability) after 6 months as at discharge, 28% had an improved functional status, and 1% had worsened. Performance was excellent (C-statistic between 0.88 and 0.91) for all three prognostic models and calibration adequate for two models (p values, 0.22 and 0.85). Our results suggest that multiple imputation of the standard 6-month GOSE may be reasonable in TBI research when the primary outcome cannot be obtained through other means.

  14. Breastfeeding Education: Where Are We Going? A Systematic Review Article.

    PubMed

    Burgio, Maria Adriana; Laganà, Antonio Simone; Sicilia, Angela; Prosperi Porta, Romana; Porpora, Maria Grazia; Ban Frangež, Helena; DI Venti, Giovanni; Triolo, Onofrio

    2016-08-01

    UNICEF (United Nations International Children's Emergency Fund) and WHO estimate that if all babies were breastfed for at least the first six months of their lives, the rate of morbidity and malnutrition would significantly decrease all over the world. In this view, these two organizations promoted a worldwide campaign for breastfeeding, creating the Baby Friendly Hospital Initiative (BFHI) that encourages good practices for the promotion of breastfeeding in hospitals. The aim of our study was to review the available evidence regarding the positive effects of breastfeeding, in order to suggest to most appropriate strategy to support it. The main databases including Scopus, PubMed, MEDLINE, Google scholar and Science Direct were researched to obtain the original papers related to breastfeeding education. The main terms used to literature search were "Breastfeeding education", Breastfeeding support", and "Breastfeeding healthcare policy". The timeframe included the obtained articles was from 1980 to 2015. Our analysis confirms that healthcare providers play a pivotal role in education and encouraging mothers to begin and continue breastfeeding. In this view, the adequate training of healthcare providers seems to be mandatory in order to support this practice. Moreover, adequate facilities are needed in order to promote and support breastfeeding. Considering the available evidence, breastfeeding should be supported among all the mothers. Based on the positive data emerging from the public awareness campaign in different Countries of the world, we strongly encourage an accurate training for doctors and midwives and the implementation of adequate facilities in order to support breastfeeding.

  15. Currently used dosage regimens of vancomycin fail to achieve therapeutic levels in approximately 40% of intensive care unit patients.

    PubMed

    Obara, Vitor Yuzo; Zacas, Carolina Petrus; Carrilho, Claudia Maria Dantas de Maio; Delfino, Vinicius Daher Alvares

    2016-01-01

    This study aimed to assess whether currently used dosages of vancomycin for treatment of serious gram-positive bacterial infections in intensive care unit patients provided initial therapeutic vancomycin trough levels and to examine possible factors associated with the presence of adequate initial vancomycin trough levels in these patients. A prospective descriptive study with convenience sampling was performed. Nursing note and medical record data were collected from September 2013 to July 2014 for patients who met inclusion criteria. Eighty-three patients were included. Initial vancomycin trough levels were obtained immediately before vancomycin fourth dose. Acute kidney injury was defined as an increase of at least 0.3mg/dL in serum creatinine within 48 hours. Considering vancomycin trough levels recommended for serious gram-positive infection treatment (15 - 20µg/mL), patients were categorized as presenting with low, adequate, and high vancomycin trough levels (35 [42.2%], 18 [21.7%], and 30 [36.1%] patients, respectively). Acute kidney injury patients had significantly greater vancomycin trough levels (p = 0.0055, with significance for a trend, p = 0.0023). Surprisingly, more than 40% of the patients did not reach an effective initial vancomycin trough level. Studies on pharmacokinetic and dosage regimens of vancomycin in intensive care unit patients are necessary to circumvent this high proportion of failures to obtain adequate initial vancomycin trough levels. Vancomycin use without trough serum level monitoring in critically ill patients should be discouraged.

  16. Psychometric proprieties of Spanish version of Mindful Attention Awareness Scale (MAAS).

    PubMed

    Soler, Joaquim; Tejedor, Rosa; Feliu-Soler, Albert; Pascual, Juan C; Cebolla, Ausias; Soriano, José; Alvarez, Enric; Perez, Victor

    2012-01-01

    The Mindful Attention Awareness Scale (MAAS) is a brief and easy to administer scale that mainly assesses the individual’s dispositional capacity to be aware and conscious in day-to-day life experiences. This is a 15-item self-reported single-factor scale that is exclusively focused on attention/awareness component of mindfulness construct. The instrument can be independently used to assess individuals either with or without meditation experience and has been widely used in mindfulness research. In order to establish the psychometric proprieties of the MAAS a total of 385 individuals were assessed. 201 individuals came from a clinical sample and 184 control individuals were university students. The MAAS showed good psychometric proprieties in terms of validity and reliability. The scale obtained an adequate convergent validity with the Five Facets Mindfulness Questionnaire (FFMQ) and good discriminating validity with relation to depressive symptoms. Additionally, the MAAS obtained good reliability indexes (Cronbach’s α = 0.89), good temporal stability and adequately replicates the original single-factor structure accounting for 42.8% of the total variance. These results were comparable to those obtained by the original English version of the scale. MAAS can be briefly administered and enables us to measure the individual's frequency of mindfulness states in daily life and can be used both on clinical research and healthy subjects.

  17. Environmental Validation of Legionella Control in a VHA Facility Water System.

    PubMed

    Jinadatha, Chetan; Stock, Eileen M; Miller, Steve E; McCoy, William F

    2018-03-01

    OBJECTIVES We conducted this study to determine what sample volume, concentration, and limit of detection (LOD) are adequate for environmental validation of Legionella control. We also sought to determine whether time required to obtain culture results can be reduced compared to spread-plate culture method. We also assessed whether polymerase chain reaction (PCR) and in-field total heterotrophic aerobic bacteria (THAB) counts are reliable indicators of Legionella in water samples from buildings. DESIGN Comparative Legionella screening and diagnostics study for environmental validation of a healthcare building water system. SETTING Veterans Health Administration (VHA) facility water system in central Texas. METHODS We analyzed 50 water samples (26 hot, 24 cold) from 40 sinks and 10 showers using spread-plate cultures (International Standards Organization [ISO] 11731) on samples shipped overnight to the analytical lab. In-field, on-site cultures were obtained using the PVT (Phigenics Validation Test) culture dipslide-format sampler. A PCR assay for genus-level Legionella was performed on every sample. RESULTS No practical differences regardless of sample volume filtered were observed. Larger sample volumes yielded more detections of Legionella. No statistically significant differences at the 1 colony-forming unit (CFU)/mL or 10 CFU/mL LOD were observed. Approximately 75% less time was required when cultures were started in the field. The PCR results provided an early warning, which was confirmed by spread-plate cultures. The THAB results did not correlate with Legionella status. CONCLUSIONS For environmental validation at this facility, we confirmed that (1) 100 mL sample volumes were adequate, (2) 10× concentrations were adequate, (3) 10 CFU/mL LOD was adequate, (4) in-field cultures reliably reduced time to get results by 75%, (5) PCR provided a reliable early warning, and (6) THAB was not predictive of Legionella results. Infect Control Hosp Epidemiol 2018;39:259-266.

  18. Visual control of robots using range images.

    PubMed

    Pomares, Jorge; Gil, Pablo; Torres, Fernando

    2010-01-01

    In the last years, 3D-vision systems based on the time-of-flight (ToF) principle have gained more importance in order to obtain 3D information from the workspace. In this paper, an analysis of the use of 3D ToF cameras to guide a robot arm is performed. To do so, an adaptive method to simultaneous visual servo control and camera calibration is presented. Using this method a robot arm is guided by using range information obtained from a ToF camera. Furthermore, the self-calibration method obtains the adequate integration time to be used by the range camera in order to precisely determine the depth information.

  19. Effects of site preparation on seedling, growth: a preliminary comparison of broadcast burning and pile burning.

    Treesearch

    Don Minore

    1986-01-01

    Site preparation is often necessary to obtain adequate forest regeneration, but inappropriate treatment may reduce subsequent growth. Broadcast-burned and piled-and-burned plantations were studied in southwestern Oregon to determine if burning method affected the growth of Douglas-fir (Pseudotsuga menziesii (Mirb.) Franco var. menziesii...

  20. Digital servo control of random sound fields

    NASA Technical Reports Server (NTRS)

    Nakich, R. B.

    1973-01-01

    It is necessary to place number of sensors at different positions in sound field to determine actual sound intensities to which test object is subjected. It is possible to determine whether specification is being met adequately or exceeded. Since excitation is of random nature, signals are essentially coherent and it is impossible to obtain true average.

  1. Access to Health Care: Does Neighborhood Residential Instability Matter?

    ERIC Educational Resources Information Center

    Kirby, James B.; Kaneda, Toshiko

    2006-01-01

    Many Americans do not have access to adequate medical care. Previous research on this problem focuses primarily on individual-level determinants of access such as income and insurance coverage. The role of community-level factors in helping or hindering individuals in obtaining needed medical care, however, has not received much attention. We…

  2. Justice Is in the Eye of the Beholder

    ERIC Educational Resources Information Center

    Weaver, Michael

    2007-01-01

    An individual tells his story of how mental health problems got him to prison and how prison mental health services were difficult to obtain and inappropriate at times. He had to demand that he receive adequate treatment. Mike Weaver currently advocates for mental health services and treating people rather than extending their prison sentences.

  3. Height and Weight of Southeast Asian Preschool Children in Northern California.

    ERIC Educational Resources Information Center

    Dewey, Kathryn G.; And Others

    1986-01-01

    Anthropometric data were obtained from 526 Southeast Asian preschool children during 1980-84. Mean weights and heights were substantially below the National Center for Health Statistics (NCHS) 50th percentile, but rates of weight and height gain were similar to reference values, indicating adequate growth after arrival in the United States.…

  4. 7 CFR 1778.3 - Objective.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... quantity or quality of water, or in which such a decline is considered imminent, to obtain or maintain adequate quantities of water that meets the standards set by the Safe Drinking Water Act (42 U.S.C. 300f et... (CONTINUED) EMERGENCY AND IMMINENT COMMUNITY WATER ASSISTANCE GRANTS § 1778.3 Objective. The objective of the...

  5. Dynamic Master Mind: Interactive Use of a Game for Testing Metacognition

    ERIC Educational Resources Information Center

    Saldana, David

    2004-01-01

    Master Mind is a commercial game, popular in the 1970s, that has been extensively used in psychological and educational research. Here, a dynamic assessment format is developed in order to test metacognitive skills in individuals with mental retardation. The main objective is to obtain valid scores that adequately reflect individual differences…

  6. Improving Cancer-Related Outcomes with Connected Health - Objective 4

    Cancer.gov

    The full benefits of connected health cannot be achieved unless everyone in the United States who wants to participate and the organizations that support health and deliver healthcare have adequate access to high-speed Internet service. Access depends both on the availability of broadband service and the resources needed to obtain and maintain service.

  7. Formal Body Bequest Program in Nigerian Medical Schools: When Do We Start?

    ERIC Educational Resources Information Center

    Akinola, Oluwole Busayo

    2011-01-01

    Human body dissection is a prerequisite for the training of health professionals and the conduct of medical research. However, most Nigerian medical schools experience difficulty obtaining an adequate and regular supply of human tissue. Presently, the major source of anatomical material comes from unclaimed bodies collected from hospital…

  8. A Case Study of Parental Perceptions of Literacy Skill Development for Severe Speech Impairments

    ERIC Educational Resources Information Center

    Sweat, Karen

    2014-01-01

    Students exhibiting speech deficits may not have the appropriate skills or support structures necessary to obtain adequate or acceptable literacy development as mixed results from past research have indicated that some students with speech impairments have the capacity to gain appropriate literacy skills. The purpose of the qualitative holistic…

  9. 48 CFR 32.202-4 - Security for Government financing.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Security for Government... for Government financing. (a) Policy. (1) 10 U.S.C. 2307(f) and 41 U.S.C. 255(f) require the Government to obtain adequate security for Government financing. The contracting officer shall specify in the...

  10. 32 CFR 733.3 - Information and policy on support of dependents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... adequate and continuous support for their lawful dependents and comply with the terms of separation... the child if physical control is obtained. (6) Adopted children. The natural parents of an adopted... parents. A Navy or Marine Corps member who contemplates the adoption of a child should be aware of the...

  11. Help for Charters in Race for Space

    ERIC Educational Resources Information Center

    Robelen, Erik W.

    2008-01-01

    The world of charter school facilities is sometimes strange. Many charter operators have had to show considerable creativity and resourcefulness in finding a place to educate their students, whether it's a former K-Mart or car dealership, a church facility, or space in an office complex. Obtaining and paying for adequate facilities are often big…

  12. 77 FR 65215 - In the Matter of Licensee Identified in Attachment 1 and all Other Persons Who Obtain Safeguards...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-25

    ... a computing environment that has adequate computer security controls in place to prevent... NRC intends to issue a security Order to this Licensee in the near future. The Order will require compliance with specific Additional Security Measures to enhance the security for certain radioactive...

  13. Approaches for Evaluating the Usability of Assistive Technology Product Prototypes

    ERIC Educational Resources Information Center

    Choi, Young Mi; Sprigle, Stephen H.

    2011-01-01

    User input is an important component to help guide designers in producing a more usable product. Evaluation of prototypes is one method of obtaining this input, but methods for evaluating assistive technology prototypes during design have not been adequately described or evaluated. This project aimed to compare different methods of evaluating…

  14. 48 CFR 32.202-4 - Security for Government financing.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Security for Government... for Government financing. (a) Policy. (1) 10 U.S.C. 2307(f) and 41 U.S.C. 4505 require the Government to obtain adequate security for Government financing. The contracting officer shall specify in the...

  15. Timber management simulated field trip

    Treesearch

    Ronald M. Walters; Warren R. Bacon; Asa D. Twombly

    1979-01-01

    Timber Management techniques are changing the appearance of our nation's wildlands. Standard harvest practices often result in harsh visual impacts and public outcry. In some cases, subtle harvesting has been done, but without adequate thought as to what the visual result will be over time. Better visual results can be obtained by careful harvest design which...

  16. Evaluation of Lightning Induced Effects in a Graphite Composite Fairing Structure. Parts 1 and 2

    NASA Technical Reports Server (NTRS)

    Trout, Dawn H.; Stanley, James E.; Wahid, Parveen F.

    2011-01-01

    Defining the electromagnetic environment inside a graphite composite fairing due to lightning is of interest to spacecraft developers. This paper is the first in a two part series and studies the shielding effectiveness of a graphite composite model fairing using derived equivalent properties. A frequency domain Method of Moments (MoM) model is developed and comparisons are made with shielding test results obtained using a vehicle-like composite fairing. The comparison results show that the analytical models can adequately predict the test results. Both measured and model data indicate that graphite composite fairings provide significant attenuation to magnetic fields as frequency increases. Diffusion effects are also discussed. Part 2 examines the time domain based effects through the development of a loop based induced field testing and a Transmission-Line-Matrix (TLM) model is developed in the time domain to study how the composite fairing affects lightning induced magnetic fields. Comparisons are made with shielding test results obtained using a vehicle-like composite fairing in the time domain. The comparison results show that the analytical models can adequately predict the test and industry results.

  17. Bronchial asthma.

    PubMed

    Liccardi, Gennaro; Salzillo, Antonello; Sofia, Matteo; D'Amato, Maria; D'Amato, Gennaro

    2012-02-01

    The aim of this review is to underline the need for an adequate clinical and functional evaluation of respiratory function and asthma control in patients undergoing surgical procedures requiring general anesthesia to obtain useful information for an adequate preoperative pharmacological approach. It has been shown that baseline uncontrolled clinical/functional conditions of airways represent the most important risk factors for perioperative bronchospasm. In nonemergency conditions, asthma patients should undergo clinical/functional assessment at least 1 week before the surgery intervention to obtain, the better feasible control of asthma symptoms in the single patient. Some simple preoperative information given by the patient in preoperative consultation may be sufficient to identify individuals with uncontrolled or poor controlled asthmatic conditions. Spirometric evaluation is essential in individuals with poor control of symptoms, as well as in those patients with uncertain anamnestic data or limited perception of respiratory symptoms, and in those requiring lung resection. A better control of asthma must be considered the 'gold standard' for a patient at 'a reasonable low risk' to develop perioperative/postoperative bronchospasm. International consensus promoted by pulmonologists, anesthesiologists, and allergists might be useful to define a better diagnostic and therapeutic approach.

  18. Turkish version of the Academic Motivation Scale.

    PubMed

    Can, Gürhan

    2015-04-01

    The purpose of this study was to adapt the college version of the Academic Motivation Scale (AMS) into Turkish. The participants were 797 college students (437 men, 360 women) with a mean age of 20.1 yr. A seven-factor model of the scale, as well as alternative models (five-, three-, two-, and one-factor models) were investigated and compared through confirmatory factor analysis. The seven-factor model demonstrated adequate fit to the data. The fit indices obtained from the five-factor model were acceptable also. Hancock's coefficient H values and test-retest correlation coefficients of the subscales indicated that reliability of the scale was adequate except for the identified regulation subscale. The CFA conducted for the groups of men and women produced more acceptable fit indices values for men than women, but women obtained significantly higher scores from the AMS subscales. Correlations among the seven subscales partially supported the simplex pattern which claims that the neighboring subscales should have stronger positive correlations than the non-neighboring subscales and that the subscales which are the farthest apart should have the strongest negative relationships.

  19. Nebulized antibiotics. An adequate option for treating ventilator-associated respiratory infection?

    PubMed

    Rodríguez, A; Barcenilla, F

    2015-03-01

    Ventilator-associated tracheobronchitis (VAT) is a frequent complication in critical patients. The 90% of those who develop it receive broad-spectrum antibiotic (ATB) treatment, without any strong evidence of its favorable impact. The use of nebulized ATB could be a valid treatment option, to reduce the use of systemic ATB and the pressure of selection on the local flora. Several studies suggest that an adequate nebulization technique can ensure high levels of ATB even in areas of lung consolidation, and to obtain clinical and microbiological cure. New studies are needed to properly assess the impact of treatment with nebulized ATB on the emergence of resistance. Copyright © 2014 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

  20. EC4 European Syllabus for Post-Graduate Training in Clinical Chemistry and Laboratory Medicine: version 3 - 2005.

    PubMed

    Zerah, Simone; McMurray, Janet; Bousquet, Bernard; Baum, Hannsjorg; Beastall, Graham H; Blaton, Vic; Cals, Marie-Josèphe; Duchassaing, Danielle; Gaudeau-Toussaint, Marie-Françoise; Harmoinen, Aimo; Hoffmann, Hans; Jansen, Rob T; Kenny, Desmond; Kohse, Klaus P; Köller, Ursula; Gobert, Jean-Gérard; Linget, Christine; Lund, Erik; Nubile, Giuseppe; Opp, Matthias; Pazzagli, Mario; Pinon, Georges; Queralto, José M; Reguengo, Henrique; Rizos, Demetrios; Szekeres, Thomas; Vidaud, Michel; Wallinder, Hans

    2006-01-01

    The EC4 Syllabus for Postgraduate Training is the basis for the European Register of Specialists in Clinical Chemistry and Laboratory Medicine. The syllabus: Indicates the level of requirements in postgraduate training to harmonise the postgraduate education in the European Union (EU); Indicates the level of content of national training programmes to obtain adequate knowledge and experience; Is approved by all EU societies for clinical chemistry and laboratory medicine. The syllabus is not primarily meant to be a training guide, but on the basis of the overview given (common minimal programme), national societies should formulate programmes that indicate where knowledge and experience is needed. The main points of this programme are: Indicates the level of requirements in postgraduate training to harmonise the postgraduate education in the European Union (EU); Indicates the level of content of national training programmes to obtain adequate knowledge and experience; Is approved by all EU societies for clinical chemistry and laboratory medicine. Knowledge in biochemistry, haematology, immunology, etc.; Pre-analytical conditions; Evaluation of results; Interpretations (post-analytical phase); Laboratory management; and Quality insurance management. The aim of this version of the syllabus is to be in accordance with the Directive of Professional Qualifications published on 30 September 2005. To prepare the common platforms planned in this directive, the disciplines are divided into four categories: Indicates the level of requirements in postgraduate training to harmonise the postgraduate education in the European Union (EU); Indicates the level of content of national training programmes to obtain adequate knowledge and experience; Is approved by all EU societies for clinical chemistry and laboratory medicine. Knowledge in biochemistry, haematology, immunology, etc.; Pre-analytical conditions; Evaluation of results; Interpretations (post-analytical phase); Laboratory management; and Quality insurance management. General chemistry, encompassing biochemistry, endocrinology, chemical (humoral), immunology, toxicology, and therapeutic drug monitoring; Haematology, covering cells, transfusion serology, coagulation, and cellular immunology; Microbiology, involving bacteriology, virology, parasitology, and mycology; Genetics and IVF.

  1. Free Wake Techniques for Rotor Aerodynamic Analysis. Volume 1: Summary of Results and Background Theory

    NASA Technical Reports Server (NTRS)

    Miller, R. H.

    1982-01-01

    Results obtained during the development of a consistent aerodynamic theory for rotors in hovering flight are discussed. Methods of aerodynamic analysis were developed which are adequate for general design purposes until such time as more elaborate solutions become available, in particular solutions which include real fluids effects. Several problems were encountered in the course of this development, and many remain to be solved, however it is felt that a better understanding of the aerodynamic phenomena involved was obtained. Remaining uncertainties are discussed.

  2. Fused Deposition Technique for Continuous Fiber Reinforced Thermoplastic

    NASA Astrophysics Data System (ADS)

    Bettini, Paolo; Alitta, Gianluca; Sala, Giuseppe; Di Landro, Luca

    2017-02-01

    A simple technique for the production of continuous fiber reinforced thermoplastic by fused deposition modeling, which involves a common 3D printer with quite limited modifications, is presented. An adequate setting of processing parameters and deposition path allows to obtain components with well-enhanced mechanical characteristics compared to conventional 3D printed items. The most relevant problems related to the simultaneous feeding of fibers and polymer are discussed. The properties of obtained aramid fiber reinforced polylactic acid (PLA) in terms of impregnation quality and of mechanical response are measured.

  3. Repeated sugammadex reversal of muscle relaxation during lumbar spine surgery with intraoperative neurophysiological multimodal monitoring.

    PubMed

    Errando, C L; Blanco, T; Díaz-Cambronero, Ó

    2016-11-01

    Intraoperative neurophysiological monitoring during spine surgery is usually acomplished avoiding muscle relaxants. A case of intraoperative sugammadex partial reversal of the neuromuscular blockade allowing adequate monitoring during spine surgery is presented. A 38 year-old man was scheduled for discectomy and vertebral arthrodesis throughout anterior and posterior approaches. Anesthesia consisted of total intravenous anesthesia plus rocuronium. Intraoperatively monitoring was needed, and the muscle relaxant reverted twice with low dose sugammadex in order to obtain adequate responses. The doses of sugammadex used were conservatively selected (0.1mg/kg boluses increases, total dose needed 0.4mg/kg). Both motor evoqued potentials, and electromyographic responses were deemed adequate by the neurophysiologist. If muscle relaxation was needed in the context described, this approach could be useful to prevent neurological sequelae. This is the first study using very low dose sugammadex to reverse rocuronium intraoperatively and to re-establish the neuromuscular blockade. Copyright © 2016 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  4. Enrichment methods provide a feasible approach to comprehensive and adequately powered investigations of the brain methylome

    PubMed Central

    Chan, Robin F.; Shabalin, Andrey A.; Xie, Lin Y.; Adkins, Daniel E.; Zhao, Min; Turecki, Gustavo; Clark, Shaunna L.; Aberg, Karolina A.

    2017-01-01

    Abstract Methylome-wide association studies are typically performed using microarray technologies that only assay a very small fraction of the CG methylome and entirely miss two forms of methylation that are common in brain and likely of particular relevance for neuroscience and psychiatric disorders. The alternative is to use whole genome bisulfite (WGB) sequencing but this approach is not yet practically feasible with sample sizes required for adequate statistical power. We argue for revisiting methylation enrichment methods that, provided optimal protocols are used, enable comprehensive, adequately powered and cost-effective genome-wide investigations of the brain methylome. To support our claim we use data showing that enrichment methods approximate the sensitivity obtained with WGB methods and with slightly better specificity. However, this performance is achieved at <5% of the reagent costs. Furthermore, because many more samples can be sequenced simultaneously, projects can be completed about 15 times faster. Currently the only viable option available for comprehensive brain methylome studies, enrichment methods may be critical for moving the field forward. PMID:28334972

  5. Human rabies in India: an audit from a rabies diagnostic laboratory.

    PubMed

    Mani, Reeta Subramaniam; Anand, Ashwini Manoor; Madhusudana, Shampur Narayan

    2016-04-01

    Rabies, an acute progressive encephalomyelitis, continues to be a serious public health problem in India and many other countries in Asia and Africa. The low level of commitment to rabies control is partly attributable to challenges in laboratory diagnosis and lack of adequate surveillance to indicate the disease burden. A laboratory audit of human rabies cases was undertaken to disseminate information on the clinical, demographic, prophylactic and most importantly the laboratory diagnostic aspects of rabies. A retrospective analysis of all clinically suspected human rabies cases, whose samples were received at a rabies diagnostic laboratory in South India in the last 3 years, was performed. Clinical and demographic details of patients were obtained. The clinical samples included cerebrospinal fluid (CSF), serum, saliva and nuchal skin biopsy collected antemortem, and brain tissue obtained post-mortem. Various laboratory tests were performed for diagnosis. Clinical samples from 128 patients with suspected rabies, from 11 states in India, were received for diagnostic confirmation. About 94% of the victims reported dog-bites, more than a third of them were children and most of the victims did not receive adequate post-exposure prophylaxis. Antemortem confirmation of rabies by a combination of laboratory diagnostic assays (detection of viral RNA in CSF, skin and saliva, and neutralising antibodies in CSF) could be achieved in 40.6% cases. Increasing awareness about adequate post-exposure prophylaxis, additional rabies diagnostic facilities, and enhanced human and animal rabies surveillance to indicate the true disease burden are essential to control this fatal disease. © 2016 John Wiley & Sons Ltd.

  6. To Evaluate & Compare Retention of Complete Cast Crown in Natural Teeth Using Different Auxiliary Retentive Features with Two Different Crown Heights - An In Vitro Study.

    PubMed

    Vinaya, Kundapur; Rakshith, Hegde; Prasad D, Krishna; Manoj, Shetty; Sunil, Mankar; Naresh, Shetty

    2015-06-01

    To evaluate the retention of complete cast crowns in teeth with adequate and inadequate crown height and to evaluate the effects of auxiliary retentive features on retention form complete cast crowns. Sixty freshly extracted human premolars. They were divided into 2 major groups depending upon the height of the teeth after the preparation. Group1 (H1): prepared teeth with constant height of 3.5 mm and Group 2 (H2): prepared teeth with constant height of 2.5 mm. Each group is further subdivided into 3 subgroups, depending upon the retentive features incorporated. First sub group were prepared conventionally, second sub group with proximal grooves and third subgroups with proximal boxes preparation. Castings produced in Nickel chromium alloy were cemented with glass ionomer cement and the cemented castings were subjected to tensional forces required to dislodge each cemented casting from its preparation and used for comparison of retentive quality. The data obtained were statistically analyzed using Oneway ANOVA test. The results showed there was statistically significant difference between adequate (H1) and inadequate (H2) group and increase in retention when there was incorporation of retentive features compared to conventional preparations. Incorporation of retentive grooves was statistically significant compared to retention obtained by boxes. Results also showed there was no statistically significant difference between long conventional and short groove. Complete cast crowns on teeth with adequate crown height exhibited greater retention than with inadequate crown height. Proximal grooves provided greater amount of retention when compared with proximal boxes.

  7. Breastfeeding Education: Where Are We Going? A Systematic Review Article

    PubMed Central

    BURGIO, Maria Adriana; LAGANÀ, Antonio Simone; SICILIA, Angela; PROSPERI PORTA, Romana; PORPORA, Maria Grazia; BAN FRANGEŽ, Helena; DI VENTI, Giovanni; TRIOLO, Onofrio

    2016-01-01

    Background: UNICEF (United Nations International Children’s Emergency Fund) and WHO estimate that if all babies were breastfed for at least the first six months of their lives, the rate of morbidity and malnutrition would significantly decrease all over the world. In this view, these two organizations promoted a worldwide campaign for breastfeeding, creating the Baby Friendly Hospital Initiative (BFHI) that encourages good practices for the promotion of breastfeeding in hospitals. The aim of our study was to review the available evidence regarding the positive effects of breastfeeding, in order to suggest to most appropriate strategy to support it. Methods: The main databases including Scopus, PubMed, MEDLINE, Google scholar and Science Direct were researched to obtain the original papers related to breastfeeding education. The main terms used to literature search were “Breastfeeding education”, Breastfeeding support”, and “Breastfeeding healthcare policy”. The timeframe included the obtained articles was from 1980 to 2015. Results: Our analysis confirms that healthcare providers play a pivotal role in education and encouraging mothers to begin and continue breastfeeding. In this view, the adequate training of healthcare providers seems to be mandatory in order to support this practice. Moreover, adequate facilities are needed in order to promote and support breastfeeding. Conclusion: Considering the available evidence, breastfeeding should be supported among all the mothers. Based on the positive data emerging from the public awareness campaign in different Countries of the world, we strongly encourage an accurate training for doctors and midwives and the implementation of adequate facilities in order to support breastfeeding. PMID:27928522

  8. Psychological Assessment--An Elixir or an Illusion for the Practitioner.

    ERIC Educational Resources Information Center

    Moore, C. L.

    Testing has been perceived as a panacea, an elixir for obtaining data on innate human abilities. Since the empirical research and the experience of clinicians has not been fully able to meet this expectation adequately, assessment has been ascribed the quality of having an illusionary nature. Hence, it has been proposed by various factions in the…

  9. Knowledge and Attitudes of Secondary School Teachers regarding Sexual Health Education in England

    ERIC Educational Resources Information Center

    Westwood, Jo; Mullan, Barbara

    2007-01-01

    Objective: To assess the sexual health knowledge of teachers who contribute to secondary school sexual health education in order to determine whether teachers are adequately prepared to implement present government education and public health policies. Design: Results were obtained from a questionnaire as part of a two-phase intervention study.…

  10. FINANCING THE KIND OF PUBLIC SCHOOLS NEW JERSEY NEEDS.

    ERIC Educational Resources Information Center

    NORTON, JOHN K.

    AN ANALYSIS OF EDUCATIONAL PROBLEMS, THE COST OF SOLVING THEM, AND METHODS OF TAXATION BY WHICH ADEQUATE REVENUES COULD BE OBTAINED WAS MADE BY THE NATIONAL COMMITTEE IN RESPONSE TO REQUESTS FROM NEW JERSEY RESIDENTS. THIS INITIAL REPORT HAS VALUE NOT ONLY TO CITIZENS OF THAT STATE BUT ALSO TO ALL AMERICANS INTERESTED IN IMPROVING THE SCOPE,…

  11. Engaging African American and Latino Adolescent Males through School-Based Health Centers

    ERIC Educational Resources Information Center

    Bains, Ranbir Mangat; Franzen, Carolyn W.; White-Frese', Jesse

    2014-01-01

    African American and Latino males are less likely to seek mental health services and obtain adequate care than their White counterparts. They are more likely to receive mental health services in school-based health centers (SBHCs) than in other community-based setting. The purpose of this article was to understand the issues and reasons these…

  12. Analysis of Skills Needed by Graduates of Associate Degree Insurance Major. Final Report.

    ERIC Educational Resources Information Center

    Dickerson, Jack

    This study was undertaken to learn whether the courses offered by the Associate Degree Insurance program at North Central Technical Institute, Wausau, Wisconsin, are adequate to equip prospective employees in the insurance industry. The study was accomplished by surveying 169 insurance companies to obtain the value assigned by respondents to each…

  13. 31 CFR 535.540 - Disposition of certain tangible property.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... of time to obtain payment of any amounts owed by Iran or the Iranian entity, or adequate assurance of... monetary loss which may accrue to the United States from a decision by the Iran-U.S. Claims Tribunal that the United States is liable to Iran for damages that are in any way attributable to the issuance of...

  14. The Household and the Family in Rural Russia

    ERIC Educational Resources Information Center

    Patsiorkovskii, V. V.; Patsiorkovskaia, V. V.

    2011-01-01

    There is a great need to improve rural life in Russia, and this must involve the development of the agricultural economy. This will require improving life for rural families, making it easier for them to obtain land to farm, and providing adequate housing and cultural facilities in the Russian village. (Contains 1 table.) [This article was…

  15. 31 CFR 535.540 - Disposition of certain tangible property.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of time to obtain payment of any amounts owed by Iran or the Iranian entity, or adequate assurance of... monetary loss which may accrue to the United States from a decision by the Iran-U.S. Claims Tribunal that the United States is liable to Iran for damages that are in any way attributable to the issuance of...

  16. 31 CFR 535.540 - Disposition of certain tangible property.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... of time to obtain payment of any amounts owed by Iran or the Iranian entity, or adequate assurance of... monetary loss which may accrue to the United States from a decision by the Iran-U.S. Claims Tribunal that the United States is liable to Iran for damages that are in any way attributable to the issuance of...

  17. Strip transect sampling and analysis for avian habitat studies

    Treesearch

    Richard N. Conner; James G. Dickson

    1980-01-01

    Censusing procedures that detect effects of habitat treatment on birds are outlined. We suggest that only relative values of bird species diversity, equitability, abundance, and species richness need be obtained. We also suggest that 4, 250-m strip transects per treatment and 8-10 trips over each transect are adequate. Aspects of sampling design that affect within-...

  18. Regulation of flow computers for the measurement of biofuels

    NASA Astrophysics Data System (ADS)

    Almeida, R. O.; Aguiar Júnior, E. A.; Costa-Felix, R. P. B.

    2018-03-01

    This article aims to discuss the need to develop a standard or regulation applicable to flow computers in the measurement of biofuels. International standards and recommendations are presented which are possibly adequate to fill this gap and at the end of the article a way is proposed to obtain a single document on the subject.

  19. A Pilot Study Examining the Test-Retest and Internal Consistency Reliability of the ABLLS-R

    ERIC Educational Resources Information Center

    Partington, James W.; Bailey, Autumn; Partington, Scott W.

    2018-01-01

    The literature contains a variety of assessment tools for measuring the skills of individuals with autism or other developmental delays, but most lack adequate empirical evidence supporting their reliability and validity. The current pilot study sought to examine the reliability of scores obtained from the Assessment of Basic Language and Learning…

  20. Ways to Improve DoD 8570 IY Security Certification

    ERIC Educational Resources Information Center

    Bates, Justin D.

    2017-01-01

    The goal of this research was to discover a list of changes that can be applied to IT security certifications to enhance the day-to-day capabilities of IT security professionals. Background: IT security professionals are often required to obtain certifications that do not adequately prepare them for the full scope of work that will be necessary…

  1. Accounting For Nonlinearity In A Microwave Radiometer

    NASA Technical Reports Server (NTRS)

    Stelzried, Charles T.

    1991-01-01

    Simple mathematical technique found to account adequately for nonlinear component of response of microwave radiometer. Five prescribed temperatures measured to obtain quadratic calibration curve. Temperature assumed to vary quadratically with reading. Concept not limited to radiometric application; applicable to other measuring systems in which relationships between quantities to be determined and readings of instruments differ slightly from linearity.

  2. An Introductory Biology Lab that Uses Enzyme Histochemistry to Teach Students about Skeletal Muscle Fiber Types

    ERIC Educational Resources Information Center

    Sweeney, Lauren J.; Brodfuehrer, Peter D.; Raughley, Beth L.

    2004-01-01

    One important goal of introductory biology laboratory experiences is to engage students directly in all steps in the process of scientific discovery. Even when laboratory experiences are built on principles discussed in the classroom, students often do not adequately apply this background to interpretation of results they obtain in lab. This…

  3. Thioacetamide-induced cirrhosis in selenium-adequate mice displays rapid and persistent abnormity of hepatic selenoenzymes which are mute to selenium supplementation

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

    Zhang Jinsong; Wang Huali; Yu Hanqing

    2007-10-01

    Selenium reduction in cirrhosis is frequently reported. The known beneficial effect of selenium supplementation on cirrhosis is probably obtained from nutritionally selenium-deficient subjects. Whether selenium supplementation truly improves cirrhosis in general needs additional experimental investigation. Thioacetamide was used to induce cirrhosis in selenium-adequate and -deficient mice. Selenoenzyme activity and selenium content were measured and the influence of selenium supplementation was evaluated. In Se-adequate mice, thioacetamide-mediated rapid onset of hepatic oxidative stress resulted in an increase in thioredoxin reductase activity and a decrease in both glutathione peroxidase activity and selenium content. The inverse activity of selenoenzymes (i.e. TrxR activity goes upmore » and GPx activity goes down) was persistent and mute to selenium supplementation during the progress of cirrhosis; accordingly, cirrhosis was not improved by selenium supplementation in any period. On the other hand, selenium supplementation to selenium-deficient mice always more efficiently increased hepatic glutathione peroxidase activity and selenium content compared with those treated with thioacetamide, indicating that thioacetamide impairs the liver bioavailability of selenium. Although thioacetamide profoundly affects hepatic selenium status in selenium-adequate mice, selenium supplementation does not modify the changes. Selenium supplementation to cirrhotic subjects with a background of nutritional selenium deficiency can improve selenium status but cannot restore hepatic glutathione peroxidase and selenium to normal levels.« less

  4. Association Between Obesity During Pregnancy and the Adequacy of Prenatal Care.

    PubMed

    Zozzaro-Smith, Paula E; Bacak, Stephen; Conway, Ciara; Park, Jennifer; Glantz, J Christopher; Thornburg, Loralei L

    2016-01-01

    In the United States, more than a third of women are obese [body mass index (BMI) ≥ 30]. Although obese populations utilize health care at increased rates and have higher health care costs than non-obese patients, the adequacy of prenatal care in this population is not well established and assumed to be suboptimal. We therefore evaluated adequacy of prenatal care among obese women. We utilized an electronic database including 7094 deliveries with pre-pregnancy BMI ≥ 18.5 from January 2009 through December 2011. Subjects were categorized as normal weight 18.5-24.9 kg/m2, overweight 25-29.9 kg/m2, and obese ≥30 kg/m2 (class I-II-III). Adequacy of prenatal care (PNC) was evaluated using the Kotelchuck Index (KI), corrected for gestational age at delivery. Adequate care was defined as KI "adequate" or "adequate plus," and non-adequate as "intermediate" or "inadequate." Chi square and logistic regression were used for comparisons. When compared to non-obese women, obese women were more likely to have adequate PNC (74.1 vs. 68.7%; OR 1.30, 95% CI 1.15-1.47). After adjusting for age, race, education, diabetes, hypertension, and practice type, obesity remained a significant predictor of adequate prenatal care (OR 1.29, 95% CI 1.14-1.46). While age and hypertension were not significant independent predictors of adequate PNC, college education, Caucasian, diabetes, and resident or MFM care had positive associations. Maternal obesity is associated with increased adequacy of prenatal care. Although some comorbidities associated with obesity increase utilization of prenatal services, this did not explain the improvement in PNC adequacy associated with obesity. Overweight and obese women are at a higher risk of pregnancy complications with obesity contributing to increased morbidity and mortality of the mother. Several studies have evaluated barriers to routine health care services, with obese parturients perceiving their weight to be a barrier to obtaining appropriate care. There is limited data available assessing the adequacy of prenatal care in this population. Our study demonstrated that obesity was actually associated with an increased adequacy of prenatal care. The presence of comorbidities did not explain this improvement in prenatal care.

  5. What's in a name? The challenge of describing interventions in systematic reviews: analysis of a random sample of reviews of non-pharmacological stroke interventions

    PubMed Central

    Hoffmann, Tammy C; Walker, Marion F; Langhorne, Peter; Eames, Sally; Thomas, Emma; Glasziou, Paul

    2015-01-01

    Objective To assess, in a sample of systematic reviews of non-pharmacological interventions, the completeness of intervention reporting, identify the most frequently missing elements, and assess review authors’ use of and beliefs about providing intervention information. Design Analysis of a random sample of systematic reviews of non-pharmacological stroke interventions; online survey of review authors. Data sources and study selection The Cochrane Library and PubMed were searched for potentially eligible systematic reviews and a random sample of these assessed for eligibility until 60 (30 Cochrane, 30 non-Cochrane) eligible reviews were identified. Data collection In each review, the completeness of the intervention description in each eligible trial (n=568) was assessed by 2 independent raters using the Template for Intervention Description and Replication (TIDieR) checklist. All review authors (n=46) were invited to complete a survey. Results Most reviews were missing intervention information for the majority of items. The most incompletely described items were: modifications, fidelity, materials, procedure and tailoring (missing from all interventions in 97%, 90%, 88%, 83% and 83% of reviews, respectively). Items that scored better, but were still incomplete for the majority of reviews, were: ‘when and how much’ (in 31% of reviews, adequate for all trials; in 57% of reviews, adequate for some trials); intervention mode (in 22% of reviews, adequate for all trials; in 38%, adequate for some trials); and location (in 19% of reviews, adequate for all trials). Of the 33 (71%) authors who responded, 58% reported having further intervention information but not including it, and 70% tried to obtain information. Conclusions Most focus on intervention reporting has been directed at trials. Poor intervention reporting in stroke systematic reviews is prevalent, compounded by poor trial reporting. Without adequate intervention descriptions, the conduct, usability and interpretation of reviews are restricted and therefore, require action by trialists, systematic reviewers, peer reviewers and editors. PMID:26576811

  6. Downscaling of conventional laser cladding technique to microengineering

    NASA Astrophysics Data System (ADS)

    del Val, J.; Comesaña, R.; Lusquiños, F.; Riveiro, A.; Quintero, F.; Pou, J.

    To get an adequate response to the high increase of micro-products demand, new techniques have been developed by different types of industries in the last years. One approach is to adapt the laser surface cladding technique to the scale of microengineering. A new experimental configuration has been developed based on a highly stable high power laser with a high beam quality and a micro-feeder adequate to supply submicron particles. This work collects our efforts to extend the operation range of the laser cladding to the laser micro-cladding in order to produce micro-coatings. The viability of this new technique has been demonstrated by depositing coatings with geometrical characteristics in the micrometer range (minimum values obtained: 32 μm of width and 12 μm of height).

  7. Measuring health-promoting behaviors: cross-cultural validation of the Health-Promoting Lifestyle Profile-II.

    PubMed

    Sousa, Pedro; Gaspar, Pedro; Vaz, Daniela C; Gonzaga, Sílvia; Dixe, M Anjos

    2015-04-01

    Individual lifestyles have emerged as valuable health constructs. This study aims to psychometrically test the Portuguese (European) version of the Health-Promoting Lifestyle Profile-II. After an adequate linguistic and cultural adaptation of the Health-Promoting Lifestyle Profile-II scale, their psychometric properties were assessed (N = 889) by Cronbach's alpha and confirmatory factor analysis. Results showed an adequate fit to a 52-item, six-factor structure. A global alpha of .925 was obtained. The Portuguese version demonstrated good validity and reliability in a wide adult sample, and can thus be applied to the Portuguese population. This instrument is useful as an evaluation tool for health-promoting lifestyles and as an instrument for testing the effectiveness of health-promoting programs. © 2014 NANDA International, Inc.

  8. The Pack Method for Compressive Tests of Thin Specimens of Materials Used in Thin-Wall Structures

    NASA Technical Reports Server (NTRS)

    Aitchison, C S; Tuckerman, L B

    1939-01-01

    The strength of modern lightweight thin-wall structures is generally limited by the strength of the compression members. An adequate design of these members requires a knowledge of the compressive stress-strain graph of the thin-wall material. The "pack" method was developed at the National Bureau of Standards with the support of the National Advisory Committee for Aeronautics to make possible a determination of compressive stress-strain graphs for such material. In the pack test an odd number of specimens are assembled into a relatively stable pack, like a "pack of cards." Additional lateral stability is obtained from lateral supports between the external sheet faces of the pack and outside reactions. The tests seems adequate for many problems in structural research.

  9. Patent disclosure requirements for therapeutic antibody patents.

    PubMed

    De Luca, Carmela; Trifonova, Anastassia

    2017-08-01

    Therapeutic antibodies have grown to become an important product class within the biopharmaceutical market. A prerequisite to their commercialization is adequate patent protection. Disclosure requirements and the types of claims available in different jurisdictions can impact the scope of protection available for antibodies. Areas covered: A comparative review of statutory bases, patent office practices and selected decisions in Canada, the United States and the United Kingdom related to disclosure requirements is provided. Expert opinion: Differences in disclosure requirements exist in different jurisdictions which can impact the type of claims obtained and their survival when attacked in litigation. Including a wide variety of claim types is a key strategy to ensuring therapeutic antibodies are adequately protected. Method of use claims may provide advantages and broader protection in some circumstances and should also be considered.

  10. Right parasternal imaging: an underutilized echocardiographic technique.

    PubMed

    Marcella, C P; Johnson, L E

    1993-01-01

    If the echocardiographer uses only standard imaging planes, he or she may fail to obtain vital information about the aorta, atrial septum, superior and inferior vena cavae, and the coronary arteries. The evaluation of caval-to-systemic venous atrial connections (Senning or Mustard) in transposition of the great arteries of systemic vena caval or right atrial-to-pulmonary anastomosis (Fontan) in tricuspid atresia and single ventricle may not be adequately seen when only the standard left parasternal, apical, subcostal, and suprasternal imaging planes are used. Therefore, the use of the right parasternal imaging plane may help to provide crucial information regarding these areas when the standard views are unable to delineate them adequately. The right parasternal window is an additional echocardiographic window that should become part of a complete echocardiographic examination.

  11. Associations of Household Wealth and Individual Literacy with Prenatal Care in Ten West African Countries.

    PubMed

    Taylor, Yhenneko J; Laditka, Sarah B; Laditka, James N; Huber, Larissa R Brunner; Racine, Elizabeth F

    2016-11-01

    Objective To examine associations of household wealth and individual literacy with prenatal care in West Africa. Methods Data on women with recent births in Benin, Burkina Faso, Ghana, Guinea, Liberia, Mali, Nigeria, Niger, Senegal and Sierra Leone were obtained from 2006 to 2010 Demographic and Health Surveys (n = 58,512). Separate logistic regressions estimated associations of literacy and wealth quintiles with prenatal care, controlling for age, parity, marital status, rural/urban residence, religion, multiple births, pregnancy wantedness, and the woman's involvement in decision-making at home. Any prenatal care was defined by ≥1 prenatal care visit. Adequate prenatal care was defined as at least four prenatal care visits beginning in the first trimester, at least one with a skilled provider. Results Seventy-eight percent of women had any prenatal care; 23 % had adequate care. Women who were not literate had lower odds of having any prenatal care (odds ratio, OR 0.29; 95 % confidence interval, CI 0.26-0.33) and lower odds of adequate care (OR 0.73, CI 0.68-0.78). Women in the poorest wealth quintile were substantially less likely to have any prenatal care than women in the wealthiest quintile (OR 0.24, CI 0.11-0.18), and less likely to have adequate care (OR 0.31, CI 0.27-0.35). Conclusions for Practice A substantial percentage of women in West Africa have no prenatal care. Few have adequate care. Illiteracy and poverty are important risk factors for having little or no prenatal care. Increasing education for girls, promoting culturally appropriate messages about prenatal care, and building trust in providers may increase prenatal care.

  12. Regeneration after cutting of old-growth northern hardwoods in New Hampshire

    Treesearch

    William B. Leak; Robert W., Jr. Wilson

    1958-01-01

    Past experience with cuttings in old-growth northern hardwoods has demonstrated that the primary regeneration problem is to obtain a large proportion of desirable species of good quality. Regardless of method or intensity of cutting, the total amount of reproduction usually is adequate. Second-growth stands are a different story: this report pertains only to old-growth...

  13. Large Eddy Simulation of Turbulent Combustion

    DTIC Science & Technology

    2005-10-01

    a new method to automatically generate skeletal kinetic mechanisms for surrogate fuels, using the directed relation graph method with error...propagation, was developed. These mechanisms are guaranteed to match results obtained using detailed chemistry within a user- defined accuracy for any...specified target. They can be combined together to produce adequate chemical models for surrogate fuels. A library containing skeletal mechanisms of various

  14. Investigating 10-Year Trends of Learning Outcomes at Community Colleges. Research Report. ETS RR-13-34

    ERIC Educational Resources Information Center

    Liu, Ou Lydia; Roohr, Katrina Crotts

    2013-01-01

    Community colleges currently enroll about 44% of the undergraduate students in the United States and are rapidly expanding. It is of critical importance to obtain direct evidence of student learning to see if students receive adequate training at community colleges. This study investigated the 10-year trends of community college students' (n =…

  15. Course Shopping in Urban Community Colleges: An Analysis of Student Drop and Add Activities

    ERIC Educational Resources Information Center

    Hagedorn, Linda Serra; Maxwell, William E.; Cypers, Scott; Moon, Hye Sun; Lester, Jaime

    2007-01-01

    This study examined the course shopping behaviors among a sample of approximately 5,000 community college students enrolled across nine campuses of a large urban district. The sample was purposely designed as an analytic, rather than a random, sample that sought to obtain adequate numbers of students in course areas that were of theoretical and of…

  16. A Computational Technique to Determine the Angular Displacement, Velocity and Momentum of a Human Body.

    ERIC Educational Resources Information Center

    Hay, James G.; Wilson, Barry D.

    The angular momentum of a human body derived from both the angular velocity and angular displacement, utilizing cinematographic records has not been adequately assessed, prior to this study. Miller (1970) obtained the angular momentum but only during the airborne phase of activity. The method used by Ramey (1973) involved a force platform, but…

  17. Writing in the Content Areas. Research Brief

    ERIC Educational Resources Information Center

    Walker, Karen

    2006-01-01

    In an effort for schools to obtain Adequate Yearly Progress, the pressure is on to make certain that students are loaded with as much information as possible in order to score well on the high stakes tests. Writing has continued to move down the list of priorities of what is taught because: it is not being tested or is minimally being assessed.…

  18. Forest regeneration at high latitudes: experience from northern Sweden.

    Treesearch

    Mayo Murray

    1981-01-01

    The problem of obtaining adequate and economical forest regeneration is of major concern among the managers of high-latitude forest lands. In 1979 forest researchers and managers from Scandinavia and North America held the first of three workshops to address this topic by sharing experiences and research from each county. The first workshop was held in Umei, Sweden in...

  19. Ground-Water Reconnaissance at Pinnacles National Monument, California

    USGS Publications Warehouse

    Evenson, R.E.

    1962-01-01

    Ground-water supplies at Pinnacles National Monument have been obtained from springs that occur in fractures and along bedding planes of volcanic flows and deposits, and from springs discharged from perched water in a sedimentary fanglomerate formation. The spring-water yield is barely adequate to supply existing camp facilities, and therefore a supplemental water supply is necessary before existing campgrounds can be expanded. This supplemental water can be supplied by good-quality ground water obtained from shallow wells drilled in the alluvium of Chalone Creek. The yield of properly constructed wells in this area should exceed 10 gallons per minute.

  20. Extended Le Chatelier's formula for carbon dioxide dilution effect on flammability limits.

    PubMed

    Kondo, Shigeo; Takizawa, Kenji; Takahashi, Akifumi; Tokuhashi, Kazuaki

    2006-11-02

    Carbon dioxide dilution effect on the flammability limits was measured for various flammable gases. The obtained values were analyzed using the extended Le Chatelier's formula developed in a previous study. As a result, it has been found that the flammability limits of methane, propane, propylene, methyl formate, and 1,1-difluoroethane are adequately explained by the extended Le Chatelier's formula using a common set of parameter values. Ethylene, dimethyl ether, and ammonia behave differently from these compounds. The present result is very consistent with what was obtained in the case of nitrogen dilution.

  1. Mass Culture of a Slime Mold, Physarum polycephalum1

    PubMed Central

    Brewer, E. N.; Kuraishi, S.; Garver, J. C.; Strong, F. M.

    1964-01-01

    The slime mold, Physarum polycephalum, was cultivated in a soluble natural medium in shake flasks and in 30-liter and 50-gal conventional baffled fermentors. Yields of 6 to 10 g (dry weight) per liter were obtained in the large-scale fermentations. Because of the slow growth of the myxomycete, particular attention had to be paid to aseptic technique. The inability of this organism to withstand the normal degree of agitation employed with most aerobic fermentations made it difficult to obtain adequate aeration. Conditions for growth of the organism on a pilot-plant scale are presented. PMID:14131366

  2. Choice of mathematical models for technological process of glass rod drawing

    NASA Astrophysics Data System (ADS)

    Alekseeva, L. B.

    2017-10-01

    The technological process of drawing glass rods (light guides) is considered. Automated control of the drawing process is reduced to the process of making decisions to ensure a given quality. The drawing process is considered as a control object, including the drawing device (control device) and the optical fiber forming zone (control object). To study the processes occurring in the formation zone, mathematical models are proposed, based on the continuum mechanics basics. To assess the influence of disturbances, a transfer function is obtained from the basis of the wave equation. Obtaining the regression equation also adequately describes the drawing process.

  3. Endoscopic ultrasound guided fine needle aspiration and useful ancillary methods

    PubMed Central

    Tadic, Mario; Stoos-Veic, Tajana; Kusec, Rajko

    2014-01-01

    The role of endoscopic ultrasound (EUS) in evaluating pancreatic pathology has been well documented from the beginning of its clinical use. High spatial resolution and the close proximity to the evaluated organs within the mediastinum and abdominal cavity allow detection of small focal lesions and precise tissue acquisition from suspected lesions within the reach of this method. Fine needle aspiration (FNA) is considered of additional value to EUS and is performed to obtain tissue diagnosis. Tissue acquisition from suspected lesions for cytological or histological analysis allows, not only the differentiation between malignant and non-malignant lesions, but, in most cases, also the accurate distinction between the various types of malignant lesions. It is well documented that the best results are achieved only if an adequate sample is obtained for further analysis, if the material is processed in an appropriate way, and if adequate ancillary methods are performed. This is a multi-step process and could be quite a challenge in some cases. In this article, we discuss the technical aspects of tissue acquisition by EUS-guided-FNA (EUS-FNA), as well as the role of an on-site cytopathologist, various means of specimen processing, and the selection of the appropriate ancillary method for providing an accurate tissue diagnosis and maximizing the yield of this method. The main goal of this review is to alert endosonographers, not only to the different possibilities of tissue acquisition, namely EUS-FNA, but also to bring to their attention the importance of proper sample processing in the evaluation of various lesions in the gastrointestinal tract and other accessible organs. All aspects of tissue acquisition (needles, suction, use of stylet, complications, etc.) have been well discussed lately. Adequate tissue samples enable comprehensive diagnoses, which answer the main clinical questions, thus enabling targeted therapy. PMID:25339816

  4. Quantum chemical study of the inhibition of the corrosion of mild steel in H2SO4 by some antibiotics.

    PubMed

    Eddy, Nnabuk O; Ibok, Udo J; Ebenso, Eno E; El Nemr, Ahmed; El Ashry, El Sayed H

    2009-09-01

    The inhibition efficiency of some antibiotics against mild steel corrosion was studied using weight loss and quantum chemical techniques. Values of inhibition efficiency obtained from weight loss measurements correlated strongly with theoretical values obtained through semi empirical calculations. High correlation coefficients were also obtained between inhibition efficiency of the antibiotics and some quantum chemical parameters, including frontier orbital (E (HOMO) and E (LUMO)), dipole moment, log P, TNC and LSER parameters (critical volume and dipolar-polarisability factor), which indicated that these parameters affect the inhibition efficiency of the compounds. It was also found that quantitative structure activity relation can be used to adequately predict the inhibition effectiveness of these compounds.

  5. A randomized prospective controlled trial comparing the laryngeal tube suction disposable and the supreme laryngeal mask airway: the influence of head and neck position on oropharyngeal seal pressure.

    PubMed

    Somri, Mostafa; Vaida, Sonia; Garcia Fornari, Gustavo; Mendoza, Gabriela Renee; Charco-Mora, Pedro; Hawash, Naser; Matter, Ibrahim; Swaid, Forat; Gaitini, Luis

    2016-10-06

    The Laryngeal Tube Suction Disposable (LTS-D) and the Supreme Laryngeal Mask Airway (SLMA) are second generation supraglottic airway devices (SADs) with an added channel to allow gastric drainage. We studied the efficacy of these devices when using pressure controlled mechanical ventilation during general anesthesia for short and medium duration surgical procedures and compared the oropharyngeal seal pressure in different head and-neck positions. Eighty patients in each group had either LTS-D or SLMA for airway management. The patients were recruited in two different institutions. Primary outcome variables were the oropharyngeal seal pressures in neutral, flexion, extension, right and left head-neck position. Secondary outcome variables were time to achieve an effective airway, ease of insertion, number of attempts, maneuvers necessary during insertion, ventilatory parameters, success of gastric tube insertion and incidence of complications. The oropharyngeal seal pressure achieved with the LTS-D was higher than the SLMA in, (extension (p=0.0150) and right position (p=0.0268 at 60 cm H 2 O intracuff pressures and nearly significant in neutral position (p = 0.0571). The oropharyngeal seal pressure was significantly higher with the LTS-D during neck extension as compared to SLMA (p= 0.015). Similar oropharyngeal seal pressures were detected in all other positions with each device. The secondary outcomes were comparable between both groups. Patients ventilated with LTS-D had higher incidence of sore throat (p = 0.527). No major complications occurred. Better oropharyngeal seal pressure was achieved with the LTS-D in head-neck right and extension positions , although it did not appear to have significance in alteration of management using pressure control mechanical ventilation in neutral position. The fiberoptic view was better with the SLMA. The post-operative sore throat incidence was higher in the LTS-D. ClinicalTrials.gov ID: NCT02856672 , Unique Protocol ID:BnaiZionMC-16-LG-001, Registered: August 2016.

  6. Cuff filling volumes for pediatric classic laryngeal mask airways: comparison of clinical end points versus adjusted cuff pressure.

    PubMed

    Ghai, Babita; Sethi, Sameer; Ram, Jagat; Wig, Jyotsna

    2013-02-01

    Clinical end points are often used to guide inflation and adequacy of cuff seal after laryngeal mask airway placement. However, clinical end points for cuff inflation have been shown to have significantly higher intracuff pressure. The adjusted cuff pressure between 55 and 60 cm H(2)O causes significantly better seal of laryngeal mask airway. We prospectively assessed the cuff pressures generated by cuff inflation guided by clinical end points, and the actual volume of air required to achieve cuff pressures between 55 and 60 cm H(2)O for sizes 1-2.5 reusable classic laryngeal mask airway. Two hundred and three ASA I and II children undergoing elective cataract surgery requiring general anesthesia receiving laryngeal mask airway sizes 1-2.5 were recruited to this study. The laryngeal mask airway was placed using standard technique. After insertion of laryngeal mask airway, the cuff was slowly inflated until a slight outward shift of device was noted. Cuff pressures were measured using calibrated hand held Portex Cuff Inflator Pressure Gauge (Portex Limited, Hythe, Kent, UK). If the cuff pressure was >60 cm H(2)O, the cuff was deflated to achieve a cuff pressure of 55-60 cm H(2)O. The volume of air required to achieve this pressure was recorded. The volume of air required to achieve the pressure between 55 and 60 cm H(2)O in laryngeal mask airway size 1, 1.5, 2.0, and 2.5 were 2.750 ± 0.2565, 4.951 ± 0.5378, 6.927 ± 0.6328, and 10.208 ± 1.4535 ml, respectively. The difference between the initial and the final cuff volumes and pressures in all laryngeal mask airway sizes were statistically significant(P = 0.000). Lower cuff volumes are required to achieve a pressure of 60 cm H(2)O than those required if clinical end points are used as a sole guide for determining cuff inflation for patients receiving pediatric laryngeal mask airways. © 2012 Blackwell Publishing Ltd.

  7. Report on SARS backfit evaluation, Exxon Donor Solvent Plant, Baytown, Texas

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

    Meyer, A.F. Jr.

    1980-07-02

    This report provides information on observations, findings, and conclusions arising from a site visit to the Exxon Donor Solvent Plant, Baytown, Texas. That visit was to provide technical assistance and professional services to the DOE/ASFE/OPTA Project Officer regarding verification of his initial determination that this pilot plant is exempt from the SARS backfit requirement (DOE Order 5481.1). A secondary purpose was to obtain further information regarding the occupational safety and health plans and procedures at this new pilot plant facility. It is concluded that a well planned and implemented occupational safety and health program exists at the Exxon Donor Solventmore » Plant. Excellent manuals regarding general safety requirements and protection against carcinogens have been prepared and distributed. A Safe Operations Committee is in effect as is a Risk Management Committee. Adequate safety and industrial hygiene staff has been assigned and an excellent medical surveillance program has been established. Adequate compliance with environmental codes, standards, and regulations is being achieved. Although this plant is not subject to SARS because of the nature of the contract, adequate documentation exists in any case to exempt it from the SARS backfit requirement.« less

  8. Precise Near IR Radial Velocity First Light Observations With iSHELL

    NASA Astrophysics Data System (ADS)

    Cale, Bryson L.; Plavchan, Peter; Gagné, Jonathan; Gao, Peter; Nishimoto, America; Tanner, Angelle; Walp, Bernie; Brinkworth, Carolyn; Johnson, John Asher; Vasisht, Gautam

    2018-01-01

    We present our current progress on obtaining precise radial velocities with the new iSHELL spectrograph at NASA's Infrared Telescope Facility. To obtain precise RV's, we use a methane isotopologue absorption gas cell in the calibration unit. Over the past year, we've collected 3-12 epochs of 17 bright G, K, and M dwarfs at a high SNR. By focusing on late type type stars, we obtain relatively higher SNR in the near infrared. We've successfully updated both our spectral and RV extraction pipelines, with a few exceptions. Inherent to the iSHELL data is a wavelength dependent fringing component, which must be incorporated into our model to obtain adequate RV precision. With iSHELL's predecessor, CSHELL, we obtained a precision of 3 m/s on the bright M giant SV Peg. With further progress on our fringing and telluric models, we hope to obtain a precision of <3 m/s with iSHELL, sufficient to detect terrestrial planets in the habitable zone of nearby M dwarfs.

  9. Quantum Mechanical Modeling: A Tool for the Understanding of Enzyme Reactions

    PubMed Central

    Náray-Szabó, Gábor; Oláh, Julianna; Krámos, Balázs

    2013-01-01

    Most enzyme reactions involve formation and cleavage of covalent bonds, while electrostatic effects, as well as dynamics of the active site and surrounding protein regions, may also be crucial. Accordingly, special computational methods are needed to provide an adequate description, which combine quantum mechanics for the reactive region with molecular mechanics and molecular dynamics describing the environment and dynamic effects, respectively. In this review we intend to give an overview to non-specialists on various enzyme models as well as established computational methods and describe applications to some specific cases. For the treatment of various enzyme mechanisms, special approaches are often needed to obtain results, which adequately refer to experimental data. As a result of the spectacular progress in the last two decades, most enzyme reactions can be quite precisely treated by various computational methods. PMID:24970187

  10. The study of personality in renal transplant patients: possible predictor of an adequate social adaptation?

    PubMed

    Pistorio, M L; Veroux, M; Corona, D; Sinagra, N; Giaquinta, A; Zerbo, D; Giacchi, F; Gagliano, M; Tallarita, T; Veroux, P; De Pasquale, C

    2013-09-01

    This study explored the personality characteristic traits within a sample of renal transplant patients, seeking to obtain predictive index for likely clinical impacts. The personality study was performed using the Structured Clinical Interview Axis II Personality Disorders for Diagnostic and Statistical Manual of Mental Disorders fourth edition, text revision in 60 recipients of kidney transplantations from deceased donors. The personality trait that prevailed in the female gender was borderline, while in the male gender it appeared to be predominantly obsessive-compulsive personality trait. The personality study proved to be a good index to predict effects on the level of social adjustment. In this way, patients who have shown pathologic personality traits can be identified early to provide adequate psychologic-psychiatric support and follow-up. Copyright © 2013 Elsevier Inc. All rights reserved.

  11. Testing Students with Special Educational Needs in Large-Scale Assessments – Psychometric Properties of Test Scores and Associations with Test Taking Behavior

    PubMed Central

    Pohl, Steffi; Südkamp, Anna; Hardt, Katinka; Carstensen, Claus H.; Weinert, Sabine

    2016-01-01

    Assessing competencies of students with special educational needs in learning (SEN-L) poses a challenge for large-scale assessments (LSAs). For students with SEN-L, the available competence tests may fail to yield test scores of high psychometric quality, which are—at the same time—measurement invariant to test scores of general education students. We investigated whether we can identify a subgroup of students with SEN-L, for which measurement invariant competence measures of adequate psychometric quality may be obtained with tests available in LSAs. We furthermore investigated whether differences in test-taking behavior may explain dissatisfying psychometric properties and measurement non-invariance of test scores within LSAs. We relied on person fit indices and mixture distribution models to identify students with SEN-L for whom test scores with satisfactory psychometric properties and measurement invariance may be obtained. We also captured differences in test-taking behavior related to guessing and missing responses. As a result we identified a subgroup of students with SEN-L for whom competence scores of adequate psychometric quality that are measurement invariant to those of general education students were obtained. Concerning test taking behavior, there was a small number of students who unsystematically picked response options. Removing these students from the sample slightly improved item fit. Furthermore, two different patterns of missing responses were identified that explain to some extent problems in the assessments of students with SEN-L. PMID:26941665

  12. Design and Evaluation of Candidate Pressure Distribution and Air Data System Tile Penetration for the Aeroassist Flight Experiment

    NASA Technical Reports Server (NTRS)

    Vontheumer, Alfred E.

    1990-01-01

    This program objectives were to produce a pressure measurements system that penetrates the thermal protection system of a spacecraft and is able to obtain accurate pressure data. The design was tested vibro-acoustically, aerothermally, and structurally and found to be adequate. This design is a possible replacement of the current pressure system on the orbiter.

  13. Determining seed moisture in Quercus

    Treesearch

    F. T. Bonner

    1974-01-01

    The air-oven method with drying times 7 to 8 hours shorter than those now prescribed in the ISTA rules proved adequate for determining moisture contents in acorns of several North American oaks. Schedules of 8 hours at 105°C for Quercus muehlenbergii and 9 hours at 105°C for Q.shumardii and Q.nigra gave moisture contents within three percentage points of those obtained...

  14. Bone Marrow Biopsy: RNA Isolation with Expression Profiling in Men with Metastatic Castration-resistant Prostate Cancer—Factors Affecting Diagnostic Success

    PubMed Central

    Afonso, P. Diana; Vinson, Emily N.; Turnbull, James D.; Morris, Karla K.; Foye, Adam; Madden, John F.; Roy Choudhury, Kingshuk; Febbo, Phillip G.; George, Daniel J.

    2013-01-01

    Purpose To determine the rate at which computed tomographically guided pelvic percutaneous bone biopsy in men with metastatic castration-resistant prostate cancer (mCRPC) yields adequate tissue for genomic profiling and to identify issues likely to affect diagnostic yields. Materials and Methods This study was institutional review board approved, and written informed consent was obtained. In a phase II trial assessing response to everolimus, 31 men with mCRPC underwent 54 biopsy procedures (eight men before and 23 men both before and during treatment). Variables assessed were lesion location (iliac wing adjacent to sacroiliac joint, iliac wing anterior and/or superior to sacroiliac joint, sacrum, and remainder of pelvis), mean lesion attenuation, subjective lesion attenuation (purely sclerotic vs mixed), central versus peripheral lesion sampling, lesion size, core number, and use of zoledronic acid for more than 1 year. Results Of 54 biopsy procedures, 21 (39%) yielded adequate tissue for RNA isolation and genomic profiling. Three of four sacral biopsies were adequate. Biopsies of the ilium adjacent to the sacroiliac joints were more likely adequate than those from elsewhere in the ilium (48% vs 28%, respectively). All five biopsies performed in other pelvic locations yielded inadequate tissue for RNA isolation. Mean attenuation of lesions with inadequate tissue was 172 HU greater than those with adequate tissue (621.1 HU ± 166 vs 449 HU ± 221, respectively; P = .002). Use of zoledronic acid, peripheral sampling, core number, and lesion size affected yields, but the differences were not statistically significant. Histologic examination with hematoxylin-eosin staining showed that results of 36 (67%) biopsies were positive for cancer; only mean attenuation differences were significant (707 HU ± 144 vs 473 HU ± 191, negative vs positive, respectively; P < .001). Conclusion In men with mCRPC, percutaneous sampling of osseous metastases for genomic profiling is possible, but use of zoledronic acid for more than 1 year may reduce the yield of adequate tissue for RNA isolation. Sampling large low-attenuating lesions at their periphery maximizes yield. © RSNA, 2013 PMID:23925271

  15. Adequately Diversified Dietary Intake and Iron and Folic Acid Supplementation during Pregnancy Is Associated with Reduced Occurrence of Symptoms Suggestive of Pre-Eclampsia or Eclampsia in Indian Women

    PubMed Central

    Agrawal, Sutapa; Fledderjohann, Jasmine; Vellakkal, Sukumar; Stuckler, David

    2015-01-01

    Background/Objective Pre-eclampsia or Eclampsia (PE or E) accounts for 25% of cases of maternal mortality worldwide. There is some evidence of a link to dietary factors, but few studies have explored this association in developing countries, where the majority of the burden falls. We examined the association between adequately diversified dietary intake, iron and folic acid supplementation during pregnancy and symptoms suggestive of PE or E in Indian women. Methods Cross-sectional data from India’s third National Family Health Survey (NFHS-3, 2005-06) was used for this study. Self-reported symptoms suggestive of PE or E during pregnancy were obtained from 39,657 women aged 15-49 years who had had a live birth in the five years preceding the survey. Multivariable logistic regression analysis was used to estimate the association between adequately diversified dietary intake, iron and folic acid supplementation during pregnancy and symptoms suggestive of PE or E after adjusting for maternal, health and lifestyle factors, and socio-demographic characteristics of the mother. Results In their most recent pregnancy, 1.2% (n=456) of the study sample experienced symptoms suggestive of PE or E. Mothers who consumed an adequately diversified diet were 34% less likely (OR: 0.66; 95% CI: 0.51-0.87) to report PE or E symptoms than mothers with inadequately diversified dietary intake. The likelihood of reporting PE or E symptoms was also 36% lower (OR: 0.64; 95% CI: 0.47-0.88) among those mothers who consumed iron and folic acid supplementation for at least 90 days during their last pregnancy. As a sensitivity analysis, we stratified our models sequentially by education, wealth, antenatal care visits, birth interval, and parity. Our results remained largely unchanged: both adequately diversified dietary intake and iron and folic acid supplementation during pregnancy were associated with a reduced occurrence of PE or E symptoms. Conclusion Having a adequately diversified dietary intake and iron and folic acid supplementation in pregnancy was associated with a reduced occurrence of symptoms suggestive of PE or E in Indian women. PMID:25785774

  16. An evaluation of the accuracy of geomagnetic data obtained from an unattended, automated, quasi-absolute station

    USGS Publications Warehouse

    Herzog, D.C.

    1990-01-01

    A comparison is made of geomagnetic calibration data obtained from a high-sensitivity proton magnetometer enclosed within an orthogonal bias coil system, with data obtained from standard procedures at a mid-latitude U.S. Geological Survey magnetic observatory using a quartz horizontal magnetometer, a Ruska magnetometer, and a total field magnetometer. The orthogonal coil arrangement is used with the proton magnetometer to provide Deflected-Inclination-Deflected-Declination (DIDD) data from which quasi-absolute values of declination, horizontal intensity, and vertical intensity can be derived. Vector magnetometers provide the ordinate values to yield baseline calibrations for both the DIDD and standard observatory processes. Results obtained from a prototype system over a period of several months indicate that the DIDD unit can furnish adequate absolute field values for maintaining observatory calibration data, thus providing baseline control for unattended, remote stations. ?? 1990.

  17. Using CTX Image Features to Predict HiRISE-Equivalent Rock Density

    NASA Technical Reports Server (NTRS)

    Serrano, Navid; Huertas, Andres; McGuire, Patrick; Mayer, David; Ardvidson, Raymond

    2010-01-01

    Methods have been developed to quantitatively assess rock hazards at candidate landing sites with the aid of images from the HiRISE camera onboard NASA s Mars Reconnaissance Orbiter. HiRISE is able to resolve rocks as small as 1-m in diameter. Some sites of interest do not have adequate coverage with the highest resolution sensors and there is a need to infer relevant information (like site safety or underlying geomorphology). The proposed approach would make it possible to obtain rock density estimates at a level close to or equal to those obtained from high-resolution sensors where individual rocks are discernable.

  18. Schwarzschild and linear potentials in Mannheim's model of conformal gravity

    NASA Astrophysics Data System (ADS)

    Phillips, Peter R.

    2018-05-01

    We study the equations of conformal gravity, as given by Mannheim, in the weak field limit, so that a linear approximation is adequate. Specialising to static fields with spherical symmetry, we obtain a second-order equation for one of the metric functions. We obtain the Green function for this equation, and represent the metric function in the form of integrals over the source. Near a compact source such as the Sun the solution no longer has a form that is compatible with observations. We conclude that a solution of Mannheim type (a Schwarzschild term plus a linear potential of galactic scale) cannot exist for these field equations.

  19. Emergence of Pseudomonas aeruginosa with KPC-type carbapenemase in a teaching hospital: an 8-year study.

    PubMed

    García Ramírez, Dolores; Nicola, Federico; Zarate, Soledad; Relloso, Silvia; Smayevsky, Jorgelina; Arduino, Sonia

    2013-10-01

    An outbreak of Klebsiella pneumoniae carbapenamase (KPC)-producing K. pneumoniae occurred at our institution. Multiresistant Pseudomonas aeruginosa could have acquired this transmissible resistance mechanism, going unnoticed because its phenotypic detection in this species is difficult. We compared P. aeruginosa isolates obtained before and after the KPC-producing K. pneumoniae outbreak. No bla(KPC) genes were detected in the isolates obtained before the outbreak, whereas 33/76 (43%) of the isolates obtained after the outbreak harboured the bla(KPC) gene. P. aeruginosa may thus become a reservoir of this transmissible resistance mechanism. It is very important to understand the epidemiology of these multiresistant isolates, in order to achieve early implementation of adequate control measures to contain and reduce their dissemination in the hospital environment.

  20. Characterization of Spanish biomass wastes for energy use.

    PubMed

    García, Roberto; Pizarro, Consuelo; Lavín, Antonio G; Bueno, Julio L

    2012-01-01

    Energy plays an important role in the world's present and future. The best way to absorb the huge increase in energy demands is through diversification. In this context biomass appears as an attractive source for a number of environmental, economical, political and social reasons. There are several techniques used to obtain energy from biomass. Among these techniques, the most commonly used throughout the world is a thermo-chemical process to obtain heat. To optimize the combustion process in adequate reactors, a comprehensive study of the characterization of biomass fuel properties is needed, which includes proximate analysis (determination of moisture, ash, volatile and fixed carbon content), ultimate analysis (C, H, N, S and O composition) and calorimetry, focusing on biomass fuels obtained in Spain. Copyright © 2011 Elsevier Ltd. All rights reserved.

  1. Placing blood on the target: a challenge for visually impaired persons.

    PubMed

    Cleary, M E; Hamilton, J E

    1993-01-01

    An individualized, blood glucose self-monitoring procedure for those who are visually impaired must be developed, taught, practiced, observed, and reviewed. Effective teaching requires understanding functional vision loss, observing safety precautions, organizing the work area, obtaining an adequate blood sample, ensuring accurate placement of blood on the strip, and cleaning up. Thoroughness and repetition enable the visually impaired person to perform the procedure safely and confidently.

  2. Defining Acquisition and Contracting Terms Associated with Contract Administration

    DTIC Science & Technology

    1990-09-01

    for being such a dedicated scholar. You motivated me to study and as a result I have obtained my goals. May we be as successful in all our future...Assumptions and Scope of the Research ............ 1-8 1.7 Organization of the Study ...... ................ 1-9 II. Literature Review...Abstract The purpose of this study was to synthesize definitions for 20 terms associated with contract administration. To adequately accomplish this

  3. Long-term exposure of bacterial spores to space

    NASA Technical Reports Server (NTRS)

    Horneck, G.; Buecker, H.; Reitz, G.

    1992-01-01

    With the NASA mission of the Long Duration Exposure Facility (LDEF), the authors have obtained the opportunity to expose Bacillus subtilis spores for nearly six years to the space environment and to analyze their responses after retrieval. The experiment was mounted onto a side tray of LDEF facing space. Data shows that the chances of microorganisms surviving in free space will be greatly increased by adequate shielding against solar ultraviolet light.

  4. An evaluation of space acquired data as a tool for wildlife management in Alaska

    NASA Technical Reports Server (NTRS)

    Vantries, B. J. (Principal Investigator)

    1973-01-01

    The author has identified the following significant results. Interpretation of ERTS-1 imagery by color-coded densitometric displays and digital processes data verified that with adequate quadrat in situ sampling ERTS-1 data could be extrapolated to describe accurately the vegetative characteristics of analogous sites, and that surface acres of water for waterfowl production were obtainable for ponds a minimum of 5 acres in size.

  5. Discarded Minds: How Gender, Race and Class Biases Prevent Young Women from Obtaining an Adequate Math and Science Education in New York City Public Schools.

    ERIC Educational Resources Information Center

    Syron, Lisa

    This study is a systematic investigation of female participation in mathematics and science classes in New York City schools. Six major findings reported include: (1) young women's low levels of participation in mathematics and science reflect the overall low levels of participation and reveal lack of attention to excellence in mathematics and…

  6. A simplified competition data analysis for radioligand specific activity determination.

    PubMed

    Venturino, A; Rivera, E S; Bergoc, R M; Caro, R A

    1990-01-01

    Non-linear regression and two-step linear fit methods were developed to determine the actual specific activity of 125I-ovine prolactin by radioreceptor self-displacement analysis. The experimental results obtained by the different methods are superposable. The non-linear regression method is considered to be the most adequate procedure to calculate the specific activity, but if its software is not available, the other described methods are also suitable.

  7. Processes for Assessing the Thermal Stability of Han-Based Liquid Propellants. Revision

    DTIC Science & Technology

    1990-07-01

    indicators is not adequate, and potentiometric determination cr’ the equivalence point is the most suitable method (Kraft and Fischer 1972). The use of...be determined by Karl Fischer titration. This method requires a special titration apparatus because the Titroprozessor 636 is not suited for this type... methods obtained from the literature (Kraft and Fischer 1972), and, where necessary, the manufacturer has modified evaluation methods (Firmenschrift

  8. Recovery from Gz-induced Loss of Consciousness: Psychophysiologic Considerations

    DTIC Science & Technology

    1988-06-01

    hypnagogic hallucinations). REM activity been considered to occur during REM sleep, non-REM during narcoleptic episodes is usually present at the on...is difficult to ascertain whether the sidered adequate for our purposes. Fig. 3 depicts an "dreams" reported were either " hypnagogic " (as the...necessary. Currently, it is difficult to obtain EEG data in the ac- HYPNAGOGIC HYPNOPOMPIC celeration environment. However, current studies are PERIOD

  9. The technique for Simulation of Transient Combustion Processes in the Rocket Engine Operating with Gaseous Fuel “Hydrogen and Oxygen”

    NASA Astrophysics Data System (ADS)

    Zubanov, V. M.; Stepanov, D. V.; Shabliy, L. S.

    2017-01-01

    The article describes the method for simulation of transient combustion processes in the rocket engine. The engine operates on gaseous propellant: oxygen and hydrogen. Combustion simulation was performed using the ANSYS CFX software. Three reaction mechanisms for the stationary mode were considered and described in detail. Reactions mechanisms have been taken from several sources and verified. The method for converting ozone properties from the Shomate equation to the NASA-polynomial format was described in detail. The way for obtaining quick CFD-results with intermediate combustion components using an EDM model was found. Modeling difficulties with combustion model Finite Rate Chemistry, associated with a large scatter of reference data were identified and described. The way to generate the Flamelet library with CFX-RIF is described. Formulated adequate reaction mechanisms verified at a steady state have also been tested for transient simulation. The Flamelet combustion model was recognized as adequate for the transient mode. Integral parameters variation relates to the values obtained during stationary simulation. A cyclic irregularity of the temperature field, caused by precession of the vortex core, was detected in the chamber with the proposed simulation technique. Investigations of unsteady processes of rocket engines including the processes of ignition were proposed as the area for application of the described simulation technique.

  10. Improving Cardiometabolic Health with Diet, Physical Activity, and Breaking Up Sitting: What about Sleep?

    PubMed Central

    Vincent, Grace E.; Jay, Sarah M.; Sargent, Charli; Vandelanotte, Corneel; Ridgers, Nicola D.; Ferguson, Sally A.

    2017-01-01

    Cardiometabolic disease poses a serious health and economic burden worldwide and its prevalence is predicted to increase. Prolonged sitting, lack of physical activity, poor diet, and short sleep duration are ubiquitous behaviors in modern society, and all are independent risk factors in the development of cardiometabolic disease. Existing evidence demonstrates that breaking up prolonged periods of sitting is beneficial for cardiometabolic health, however, studies have not controlled for prior sleep duration. This article examines how prolonged sitting and short sleep duration independently contribute to cardiometabolic risk, and how breaking up sitting and obtaining adequate sleep may reduce this risk. We suggest that as prolonged sitting and short sleep duration influence the same cardiometabolic parameters, there is potential for short sleep to attenuate the positive impact of breaking up prolonged sitting with physical activity. Likewise, breaking up prolonged sitting and obtaining adequate sleep together could improve predictors of cardiometabolic disease, i.e., the combined effect may be stronger than either alone. To explore these perspectives, we propose a research agenda to investigate the relationship between breaking up prolonged sitting with physical activity and short sleep duration. This will provide an evidence-base for informing the design of interventions to reduce the burden of cardiometabolic disease on communities worldwide. PMID:29167645

  11. Status, trends, and changes in freshwater inflows to bay systems in the Corpus Christi Bay National Estuary Program study area

    USGS Publications Warehouse

    Asquith, W.H.; Mosier, J. G.; Bush, P.W.

    1997-01-01

    The watershed simulation model Hydrologic Simulation Program—Fortran (HSPF) was used to generate simulated flow (runoff) from the 13 watersheds to the six bay systems because adequate gaged streamflow data from which to estimate freshwater inflows are not available; only about 23 percent of the adjacent contributing watershed area is gaged. The model was calibrated for the gaged parts of three watersheds—that is, selected input parameters (meteorologic and hydrologic properties and conditions) that control runoff were adjusted in a series of simulations until an adequate match between model-generated flows and a set (time series) of gaged flows was achieved. The primary model input is rainfall and evaporation data and the model output is a time series of runoff volumes. After calibration, simulations driven by daily rainfall for a 26-year period (1968–93) were done for the 13 watersheds to obtain runoff under current (1983–93), predevelopment (pre-1940 streamflow and pre-urbanization), and future (2010) land-use conditions for estimating freshwater inflows and for comparing runoff under the three land-use conditions; and to obtain time series of runoff from which to estimate time series of freshwater inflows for trend analysis.

  12. Magnesium in hypertension, cardiovascular disease, metabolic syndrome, and other conditions: a review.

    PubMed

    Champagne, Catherine M

    2008-01-01

    Magnesium plays a role in a number of chronic, disease-related conditions. This article reviews current pertinent literature on magnesium, focusing on hypertension and cardiovascular diseases and implications for relationships with diabetes and metabolic syndrome. A major role for magnesium is in the regulation of blood pressure. While data are not entirely consistent, it does appear that an inverse relationship between magnesium intake and blood pressure is strongest for magnesium obtained from food rather than that obtained via supplements. Hypertension associated with preeclampsia appears to be alleviated when magnesium is administered; in addition, women with adequate intakes of magnesium are less likely to be affected by preeclampsia than those with an inadequate intake. A role for magnesium in other cardiovascular diseases has been noted in that increased magnesium intake may improve serum lipid profiles. Dietary magnesium is also recommended to aid in the prevention of stroke and is important for skeletal growth and development. Magnesium may also play a role in the development of diabetes mellitus, obesity, and metabolic syndrome. There are data from some studies, such as the DASH and PREMIER studies, that suggest that lifestyle changes (including adequate magnesium intake) can benefit blood pressure control, promote weight loss, and improve chronic disease risk.

  13. Evaluation of selected information on splitting devices for water samples

    USGS Publications Warehouse

    Capel, P.D.; Larson, S.J.

    1996-01-01

    Four devices for splitting water samples into representative aliquots are used by the U.S. Geological Survey's Water Resources Division. A thorough evaluation of these devices (14-liter churn, 8-liter churn, plastic cone, and Teflon cone) encompasses a wide variety of concerns, based on both chemical and physical considerations. This report surveys the existing data (as of April 1994) on cleaning efficiency and splitting capability of these devices and presents the data in a systematic framework for evaluation. From the existing data, some of these concerns are adequately or partially addressed, but the majority of concerns could not be addressed because of the lack of data. In general, the existing cleaning and transport protocols are adequate at the milligram per liter level, but the adequacy is largely unknown for trace elements and organic chemicals at lower concen- trations. The existing data indicate that better results are obtained when the splitters are cleaned in the laboratory rather than in the field. Two conclusions that can be reached on the splitting capability of solids are that more work must be done with all four devices to characterize and quantify their limitations and range of usefulness, and that the 14-liter churn (and by association, the 8-liter churn) is not useful in obtaining representative splits of sand-sized particles.

  14. Spanish version of the Thought-Action Fusion Questionnaire and its application in eating disorders.

    PubMed

    Jáuregui-Lobera, I; Santed-Germán, Ma; Bolaños-Ríos, P; Garrido-Casals, O

    2013-01-01

    The aims of the study were to analyze the psychometric properties of the Spanish version of the Thought-Action Fusion Questionnaire (TAF-SP), as well as to determine its validity by evaluating the relationship of the TAF-SP to different instruments. TWO GROUPS WERE STUDIED: one comprising 146 patients with eating disorders; and another a group of 200 students. THREE FACTORS WERE OBTAINED: TAF-Moral; TAF-Likelihood-others; and TAF-Likelihood-oneself. The internal consistency of the TAF-SP was determined by means of Cronbach's α coefficient, with values ranging between 0.84-0.95. The correlations with other instruments refected adequate validity. The three-factor structure was tested by means of a linear structural equation model, and the structure fit satisfactorily. Differences in TAF-SP scores between the diagnostic subgroups were also analyzed. The TAF-SP meets the psychometric requirements for measuring thought-action fusion and shows adequate internal consistency and validity.

  15. Barriers to vitamin D supplementation among military physicians.

    PubMed

    Sherman, Eric M; Svec, Rita V

    2009-03-01

    We surveyed military pediatricians and family physicians about barriers to vitamin D supplementation. We obtained lists of uniformed members of the American Academy of Pediatrics (AAP) and American Academy of Family Practice (AAFP). Three hundred individuals were randomly selected from each group and surveyed about: (1) practice habits; (2) vitamin D use and barriers to supplementation; (3) demographic factors. Pediatricians were 40% more likely to be aware of AAP recommendations about vitamin D (p < 0.001) and 40% more likely to prescribe vitamin D to exclusively breastfed infants (p < 0.001). The most common reason for not recommending vitamin D was the belief that breastfed infants received adequate sunlight. Most military pediatricians supplement breastfed infants with vitamin D. Military family physicians are less likely to supplement breastfed infants and are targets for educational interventions. Many physicians mistakenly believe that adequate sunlight exposure prevents vitamin D deficiency, another focus for future interventions.

  16. A standardized, uniform and universal dental chart for documenting state of dentition before anaesthesia.

    PubMed

    Gatt, S P; Aurisch, J; Wong, K

    2001-02-01

    It is vital to have adequate and precise documentation of the condition of a patient's dentition before commencing an anaesthetic. The incidence of dental damage during anaesthesia is not low. To the authors' knowledge, there is no standardized method used by anaesthetists to document the state of a patient's dentition. We propose the introduction of a standardized uniform dental chart to enable anaesthetists to accurately document the condition of their patients' teeth. This vital information can be easily obtained during the preanaesthetic assessment. With the increase in medical litigation and demands for adequate documentation, we believe this chart can become an invaluable part of every hospital's preanaesthetic assessment form. The dental chart is to be offered as a service to anaesthetists in the form of a copyright-free "Freeware" computer diskette or adhesive sticker and will be downloadable from the internet.

  17. Perceptions of final-year nursing students on the facilities, resources and quality of education provided by schools in Turkey.

    PubMed

    Güner, Perihan

    2015-01-01

    The purpose of this study is to determine the perceptions of final-year nursing students regarding the adequacy of education, resources and internships in preparation for graduation. The study design was a descriptive cross-sectional study of nursing students (n: 1804) in their final year of education and questionnaires were used to collect data. Information related to student-to-instructor ratios and internships was obtained from each institution. Most students reported receiving instruction or supervision by lecturers and clinicians who did not specialise in the field. Overall, students did not find the facilities, educational or technological resources and the quality of education offered by their respective schools adequate. The proportion of students who found the level of theoretical education, clinical practice and instructor support adequate was higher in state university colleges of nursing/faculties of health sciences than in state university schools of health sciences.

  18. Pediatric Inpatient Nurses' Perceptions of Child Maltreatment.

    PubMed

    Lavigne, Jenifer L; Portwood, Sharon G; Warren-Findlow, Jan; Brunner Huber, Larissa R

    The purpose of this study was to explore the perceptions of child maltreatment among inpatient pediatric nurses. A cross-sectional survey was used to obtain responses to an online survey designed to examine perceptions of child maltreatment from inpatient pediatric nurses. Many nurses surveyed (41.25%) indicated that they had not received adequate training or had never received training on child maltreatment identification and many (40%) also indicated they were not familiar with the applicable reporting laws. Due to the serious immediate and long term effects of child maltreatment, it is imperative that pediatric inpatient nurses have adequate training on how to identify potential abuse and neglect cases, as well as legal reporting requirements, since they are in a unique position to identify potential cases of maltreatment. There is a continuing need for training on child maltreatment identification and reporting laws for inpatient pediatric nurses. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Obtaining environmental measures to facilitate vertebrate habitat modeling

    USGS Publications Warehouse

    Karl, J.W.; Wright, N.M.; Heglund, P.J.; Scott, J.M.

    1999-01-01

    Published literature generally lacks habitat information needed to adequately model the habitats of most wildlife species at large scales (>1:100,000). We searched in primary and secondary literature for occurrence of several potentially useful habitat measures for 20 species of interest to the Idaho Department of Fish and Game. We found adequate information for modeling only the habitats of certain game species and species of special interest. We suggest that many more researchers could collect simple habitat information regarding vegetation composition and structure, topographic features, soils, temperature, and distance to special landscape features such that current research expenses would not be increased significantly. We recommend that habitat data be consistently reported in peer-reviewed literature or deposited into a central data repository. This will not only help fill the gaps in our current knowledge of wildlife but also place it in a format that is readily accessible by the scientific community.

  20. Potassium and Obesity/Metabolic Syndrome: A Systematic Review and Meta-Analysis of the Epidemiological Evidence.

    PubMed

    Cai, Xianlei; Li, Xueying; Fan, Wenjie; Yu, Wanqi; Wang, Shan; Li, Zhenhong; Scott, Ethel Marian; Li, Xiuyang

    2016-03-25

    The objective of this study was to investigate the associations between potassium and obesity/metabolic syndrome. We identified eight relevant studies and applied meta-analysis, and nonlinear dose-response analysis to obtain the available evidence. The results of the pooled analysis and systematic review indicated that high potassium intake could not reduce the risk of obesity (pooled OR = 0.78; 95% CI: 0.61-1.01), while serum potassium and urinary sodium-to-potassium ratio was associated with obesity. Potassium intake was associated with metabolic syndrome (pooled OR = 0.75; 95% CI: 0.50-0.97). Nonlinear analysis also demonstrated a protective effect of adequate potassium intake on obesity and metabolic syndrome. Adequate intake of fruits and vegetables, which were the major sources of potassium, was highly recommended. However, additional pertinent studies are needed to examine the underlying mechanism.

  1. [Dysphagia in a young woman from Somalia].

    PubMed

    Veldhuis, Suzanne; van Altena, Richard; van Steenwijk, Reindert P; Rauws, Erik A J; Eeftinck Schattenkerk, Jan Karel M

    2013-01-01

    Multidrug-resistant tuberculosis is increasing worldwide. The determination of possible resistance is essential for adequate treatment. Tuberculosis is common amongst immigrants from Somalia and extra-pulmonary localisation is often seen. A 21-year-old woman from Somalia presented with progressive dysphagia and severe weight loss. Endoscopy revealed two ulcers in the mid-oesophagus. A chest x-ray showed enlarged lymph nodes in the right hilar and mediastinal regions. The Ziehl-Neelsen stain and PCR for mycobacteria were negative. Sputum samples and oesophageal biopsies were cultured. Quadruple tuberculostatic therapy was started empirically. After five weeks, a sputum culture grew Mycobacterium tuberculosis, which was resistant to rifampicin and isoniazid. She was treated with second-line anti-tuberculous therapy and eventually recovered. Tuberculosis can manifest in many ways. It is important to obtain patient material for culture; not only to confirm the diagnosis but also for the determination of possible resistance which is necessary for adequate therapy.

  2. Silicon Detector System for High Rate EXAFS Applications.

    PubMed

    Pullia, A; Kraner, H W; Siddons, D P; Furenlid, L R; Bertuccio, G

    1995-08-01

    A multichannel silicon pad detector for EXAFS (Extended X-ray Absorption Fine Structure) applications has been designed and built. The X-ray spectroscopic measurements demonstrate that an adequate energy resolution of 230 eV FWHM (corresponding to 27 rms electrons in silicon) can be achieved reliably at -35 °C. A resolution of 190 eV FWHM (corresponding to 22 rms electrons) has been obtained from individual pads at -35 °C. At room temperature (25 °C) an average energy resolution of 380 eV FWHM is achieved and a resolution of 350 eV FWHM (41 rms electrons) is the best performance. A simple cooling system constituted of Peltier cells is sufficient to reduce the reverse currents of the pads and their related shot noise contribution, in order to achieve resolutions better than 300 eV FWHM which is adequate for the EXAFS applications.

  3. Silicon Detector System for High Rate EXAFS Applications

    PubMed Central

    Pullia, A.; Kraner, H. W.; Siddons, D. P.; Furenlid, L. R.; Bertuccio, G.

    2015-01-01

    A multichannel silicon pad detector for EXAFS (Extended X-ray Absorption Fine Structure) applications has been designed and built. The X-ray spectroscopic measurements demonstrate that an adequate energy resolution of 230 eV FWHM (corresponding to 27 rms electrons in silicon) can be achieved reliably at −35 °C. A resolution of 190 eV FWHM (corresponding to 22 rms electrons) has been obtained from individual pads at −35 °C. At room temperature (25 °C) an average energy resolution of 380 eV FWHM is achieved and a resolution of 350 eV FWHM (41 rms electrons) is the best performance. A simple cooling system constituted of Peltier cells is sufficient to reduce the reverse currents of the pads and their related shot noise contribution, in order to achieve resolutions better than 300 eV FWHM which is adequate for the EXAFS applications. PMID:26538683

  4. Potassium and Obesity/Metabolic Syndrome: A Systematic Review and Meta-Analysis of the Epidemiological Evidence

    PubMed Central

    Cai, Xianlei; Li, Xueying; Fan, Wenjie; Yu, Wanqi; Wang, Shan; Li, Zhenhong; Scott, Ethel Marian; Li, Xiuyang

    2016-01-01

    The objective of this study was to investigate the associations between potassium and obesity/metabolic syndrome. We identified eight relevant studies and applied meta-analysis, and nonlinear dose-response analysis to obtain the available evidence. The results of the pooled analysis and systematic review indicated that high potassium intake could not reduce the risk of obesity (pooled OR = 0.78; 95% CI: 0.61–1.01), while serum potassium and urinary sodium-to-potassium ratio was associated with obesity. Potassium intake was associated with metabolic syndrome (pooled OR = 0.75; 95% CI: 0.50–0.97). Nonlinear analysis also demonstrated a protective effect of adequate potassium intake on obesity and metabolic syndrome. Adequate intake of fruits and vegetables, which were the major sources of potassium, was highly recommended. However, additional pertinent studies are needed to examine the underlying mechanism. PMID:27023597

  5. Navigation for space shuttle approach and landing using an inertial navigation system augmented by data from a precision ranging system or a microwave scan beam landing guidance system

    NASA Technical Reports Server (NTRS)

    Mcgee, L. A.; Smith, G. L.; Hegarty, D. M.; Merrick, R. B.; Carson, T. M.; Schmidt, S. F.

    1970-01-01

    A preliminary study has been made of the navigation performance which might be achieved for the high cross-range space shuttle orbiter during final approach and landing by using an optimally augmented inertial navigation system. Computed navigation accuracies are presented for an on-board inertial navigation system augmented (by means of an optimal filter algorithm) with data from two different ground navigation aids; a precision ranging system and a microwave scanning beam landing guidance system. These results show that augmentation with either type of ground navigation aid is capable of providing a navigation performance at touchdown which should be adequate for the space shuttle. In addition, adequate navigation performance for space shuttle landing is obtainable from the precision ranging system even with a complete dropout of precision range measurements as much as 100 seconds before touchdown.

  6. Wastewater Biosolid Composting Optimization Based on UV-VNIR Spectroscopy Monitoring

    PubMed Central

    Temporal-Lara, Beatriz; Melendez-Pastor, Ignacio; Gómez, Ignacio; Navarro-Pedreño, Jose

    2016-01-01

    Conventional wastewater treatment generates large amounts of organic matter–rich sludge that requires adequate treatment to avoid public health and environmental problems. The mixture of wastewater sludge and some bulking agents produces a biosolid to be composted at adequate composting facilities. The composting process is chemically and microbiologically complex and requires an adequate aeration of the biosolid (e.g., with a turner machine) for proper maturation of the compost. Adequate (near) real-time monitoring of the compost maturity process is highly difficult and the operation of composting facilities is not as automatized as other industrial processes. Spectroscopic analysis of compost samples has been successfully employed for compost maturity assessment but the preparation of the solid compost samples is difficult and time-consuming. This manuscript presents a methodology based on a combination of a less time-consuming compost sample preparation and ultraviolet, visible and short-wave near-infrared spectroscopy. Spectroscopic measurements were performed with liquid compost extract instead of solid compost samples. Partial least square (PLS) models were developed to quantify chemical fractions commonly employed for compost maturity assessment. Effective regression models were obtained for total organic matter (residual predictive deviation—RPD = 2.68), humification ratio (RPD = 2.23), total exchangeable carbon (RPD = 2.07) and total organic carbon (RPD = 1.66) with a modular and cost-effective visible and near infrared (VNIR) spectroradiometer. This combination of a less time-consuming compost sample preparation with a versatile sensor system provides an easy-to-implement, efficient and cost-effective protocol for compost maturity assessment and near-real-time monitoring. PMID:27854280

  7. Wastewater Biosolid Composting Optimization Based on UV-VNIR Spectroscopy Monitoring.

    PubMed

    Temporal-Lara, Beatriz; Melendez-Pastor, Ignacio; Gómez, Ignacio; Navarro-Pedreño, Jose

    2016-11-15

    Conventional wastewater treatment generates large amounts of organic matter-rich sludge that requires adequate treatment to avoid public health and environmental problems. The mixture of wastewater sludge and some bulking agents produces a biosolid to be composted at adequate composting facilities. The composting process is chemically and microbiologically complex and requires an adequate aeration of the biosolid (e.g., with a turner machine) for proper maturation of the compost. Adequate (near) real-time monitoring of the compost maturity process is highly difficult and the operation of composting facilities is not as automatized as other industrial processes. Spectroscopic analysis of compost samples has been successfully employed for compost maturity assessment but the preparation of the solid compost samples is difficult and time-consuming. This manuscript presents a methodology based on a combination of a less time-consuming compost sample preparation and ultraviolet, visible and short-wave near-infrared spectroscopy. Spectroscopic measurements were performed with liquid compost extract instead of solid compost samples. Partial least square (PLS) models were developed to quantify chemical fractions commonly employed for compost maturity assessment. Effective regression models were obtained for total organic matter (residual predictive deviation-RPD = 2.68), humification ratio (RPD = 2.23), total exchangeable carbon (RPD = 2.07) and total organic carbon (RPD = 1.66) with a modular and cost-effective visible and near infrared (VNIR) spectroradiometer. This combination of a less time-consuming compost sample preparation with a versatile sensor system provides an easy-to-implement, efficient and cost-effective protocol for compost maturity assessment and near-real-time monitoring.

  8. A Preliminary Analysis of the Flying Qualities of the Consolidated Vultee MX-813 Delta-Wing Airplane Configuration at Transonic and Low Supersonic Speeds as Determined from Flights of Rocket-Powered Models

    NASA Technical Reports Server (NTRS)

    Mitcham, Grady L.

    1949-01-01

    A preliminary analysis of the flying qualities of the Consolidated Vultee MX-813 delta-wing airplane configuration has been made based on the results obtained from the first two 1/8 scale models flown at the NACA Pilotless Aircraft Research Station, Wallop's Island, VA. The Mach number range covered in the tests was from 0.9 to 1.2. The analysis indicates adequate elevator control for trim in level flight over the speed range investigated. Through the transonic range there is a mild trim change with a slight tucking-under tendency. The elevator control effectiveness in the supersonic range is reduced to about one-half the subsonic value although sufficient control for maneuvering is available as indicated by the fact that 10 deg elevator deflection produced 5g acceleration at Mach number of 1.2 at 40,000 feet.The elevator control forces are high and indicate the power required of the boost system. The damping. of the short-period oscillation is adequate at sea-level but is reduced at 40,000 feet. The directional stability appears adequate for the speed range and angles of attack covered.

  9. Assessing the adequacy of pressure ulcer prevention in hospitals: a nationwide prevalence survey.

    PubMed

    Vanderwee, Katrien; Defloor, Tom; Beeckman, Dimitri; Demarré, Liesbet; Verhaeghe, Sofie; Van Durme, Thérèse; Gobert, Micheline

    2011-03-01

    The development of a pressure ulcer is an adverse event and is often avoidable if adequate preventive measures are applied. No large-scale data, based on direct patient observations, are available regarding the pressure ulcer preventive interventions used in hospitals. The aim of this study was to obtain insight into the adequacy of interventions used to prevent pressure ulcers in Belgian hospitals. A cross-sectional, multi-centre pressure ulcer prevalence study was performed in Belgian hospitals. The methodology used to measure pressure ulcer prevalence was developed by the European Pressure Ulcer Advisory Panel. The data collection instrument includes five categories of data: general data, patient data, risk assessment, skin observation and prevention. The total sample consisted of 19,968 patients. The overall prevalence of pressure ulcers Category I-IV was 12.1%. Only 10.8% of the patients at risk received fully adequate prevention in bed and while sitting. More than 70% of the patients not at risk received some pressure ulcer prevention while lying or sitting. Generally, there is a limited use of adequate preventive interventions for pressure ulcers in hospitals, which reflects a rather low quality of preventive care. The implementation of pressure ulcer guidelines requires more attention. The pressure ulcer prevention used in practice should be re-evaluated on a regular basis.

  10. Vitamin D: a hormone for all seasons.

    PubMed

    Mason, R S

    2011-04-01

    Vitamin D is principally obtained from skin through the action of ultraviolet B irradiation on 7-dehydrocholesterol. It is further metabolized to 25-hydroxyvitamin D, the major circulating vitamin D compound, and then to 1,25-dihydroxyvitamin D, the hormonal form. The major function of vitamin D compounds is to enhance active absorption of calcium (and phosphate) from the gut, ensuring that bone does not need to be resorbed to maintain blood calcium concentrations despite obligatory urinary losses. Vitamin D compounds have direct effects to enhance bone and muscle function. Based on good evidence, target levels for 25-hydroxyvitamin D in blood are at least 50 nmol/l and there may be a case for higher targets of 75-80 nmol/l. Adequate calcium intakes help to reduce vitamin D degradation. Vitamin D and calcium together reduce the risk of falls and fractures in older people. There are vitamin D receptors in most nucleated cells and preliminary evidence that adequate vitamin D levels may be important in reducing the incidence of, or mortality from, some cancers, and in reducing autoimmune disease. Adequate vitamin D may also allow for a normal innate immune response to pathogens, improve cardiovascular function and mortality, and reduce type 2 diabetes. Supplemental vitamin D seems to work in a generally similar manner to skin-derived vitamin D.

  11. Iraqi Police Development Program: Opportunities for Improved Program Accountability and Budget Transparency

    DTIC Science & Technology

    2011-10-24

    makes three recommendations to the Secretary of State, highlighting the need for (1) an adequate current assessment of the Iraqi police forces, (2...with documents obtained from other sources, allowed us to determine that: • DoS does not have a current assessment of Iraqi police forces...capabilities upon which to base its program. Such an assessment is essential for effective program targeting. Further, DoS does not have a sufficiently

  12. A review of tropospheric refraction effects on Earth-to-satellite systems

    NASA Technical Reports Server (NTRS)

    Althsuler, E. E.

    1983-01-01

    Abnormal refractivity gradients may cause radio waves to be trapped within tropospheric layers, thus producing regions through which the waves do not pass called radio holes. For some locations and for many applications, refractive corrections based on the surface refractivity are adequate for elevation angles above a few degrees. However, new systems which operate at elevation angles near the horizon often require improved accuracies. Techniques for obtaining these improved corrections are reviewed.

  13. The variability of the surface wind field in the equatorial Pacific Ocean: Criteria for satellite measurements

    NASA Technical Reports Server (NTRS)

    Halpern, D.

    1984-01-01

    The natural variability of the equatorial Pacific surface wind field is described from long period surface wind measurements made at three sites along the equator (95 deg W, 109 deg 30 W, 152 deg 30 W). The data were obtained from surface buoys moored in the deep ocean far from islands or land, and provide criteria to adequately sample the tropical Pacific winds from satellites.

  14. Development of Automated Moment Tensor Software at the Prototype International Data Center

    DTIC Science & Technology

    2000-09-01

    Berkeley Digital Seismic Network stations in the 100 to 500 km distance range. With sufficient azimuthal coverage this method is found to perform...the solution reported by NIED (http://argent.geo.bosai.go.jp/ freesia /event/hypo/joho.html). The normal mechanism obtained by the three-component...Digital Seismic Network stations. These stations provide more than 100 degrees of azimuthal coverage, which is an adequate sampling of the focal

  15. Grid Resolution Effects on LES of a Piloted Methane-Air Flame

    DTIC Science & Technology

    2009-05-20

    respectively. In the LES momen- tum equation , Eq.(3), the Smagorinsky model is used to obtain the deviatoric part of the unclosed SGS stress τi j... accurately predicted from integra- tion of their LES evolution equations ; and (ii), the flamelet parametrization should adequately approximate the... effect of the complex small-scale turbulence/chemistry interactions is modeled in an affordable way by a combustion model. A question of how a particular

  16. Radiation-induced extrinsic photoconductivity in Li-doped Si.

    NASA Technical Reports Server (NTRS)

    Fenimore, E.; Mortka, T.; Corelli, J. C.

    1972-01-01

    Investigation of the effects of lithium on radiation-produced complexes having long-time stability by examining the localized energy levels in the forbidden gap which give rise to extrinsic photoconductivity. The levels are found to disappear and in some cases shift with annealing in the 100-450 C temperature range. Due to the complexity of the system and the present lack of adequate theory, no complete analysis of the data obtained could be made.

  17. Aspects of Shape Coexistence in the Geometric Collective Model of Nuclei

    NASA Astrophysics Data System (ADS)

    Georgoudis, P. E.; Leviatan, A.

    2018-02-01

    We examine the coexistence of spherical and γ-unstable deformed nuclear shapes, described by an SO(5)-invariant Bohr Hamiltonian, along the critical-line. Calculations are performed in the Algebraic Collective Model by introducing two separate bases, optimized to accommodate simultaneously different forms of dynamics. We demonstrate the need to modify the β-dependence of the moments of inertia, in order to obtain an adequate description of such shape-coexistence.

  18. Temperature dependence of the water vapor continuum absorption in the 3-5 μm spectral region

    NASA Astrophysics Data System (ADS)

    Klimeshina, T. E.; Rodimova, O. B.

    2013-04-01

    Asymptotic line wing theory allows one to construct the line shape describing the frequency and temperature dependence of the self-broadened H2O continuum in the 3-5 μm spectral region obtained experimentally by CAVIAR and NIST. The H2O transmission functions are adequately described as well, using this line shape up to temperatures of ˜675 K and pressures of ˜10 atm.

  19. Reduction of speckle noise from optical coherence tomography images using multi-frame weighted nuclear norm minimization method

    NASA Astrophysics Data System (ADS)

    Thapa, Damber; Raahemifar, Kaamran; Lakshminarayanan, Vasudevan

    2015-12-01

    In this paper, we propose a speckle noise reduction method for spectral-domain optical coherence tomography (SD-OCT) images called multi-frame weighted nuclear norm minimization (MWNNM). This method is a direct extension of weighted nuclear norm minimization (WNNM) in the multi-frame framework since an adequately denoised image could not be achieved with single-frame denoising methods. The MWNNM method exploits multiple B-scans collected from a small area of a SD-OCT volumetric image, and then denoises and averages them together to obtain a high signal-to-noise ratio B-scan. The results show that the image quality metrics obtained by denoising and averaging only five nearby B-scans with MWNNM method is considerably better than those of the average image obtained by registering and averaging 40 azimuthally repeated B-scans.

  20. Global Trends in Chlorophyll Concentration Observed with the Satellite Ocean Colour Data Record

    NASA Astrophysics Data System (ADS)

    Melin, F.; Vantrepotte, V.; Chuprin, A.; Grant, M.; Jackson, T.; Sathyendranath, S.

    2016-08-01

    To detect climate change signals in the data records derived from remote sensing of ocean colour, combining data from multiple missions is required, which implies that the existence of inter-mission differences be adequately addressed prior to undertaking trend studies. Trend distributions associated with merged products are compared with those obtained from single-mission data sets in order to evaluate their suitability for climate studies. Merged products originally developed for operational applications such as near-real time distribution (GlobColour) do not appear to be proper climate data records, showing large parts of the ocean with trends significantly different from trends obtained with SeaWiFS, MODIS or MERIS. On the other hand, results obtained from the Climate Change Initiative (CCI) data are encouraging, showing a good consistency with single-mission products.

  1. Surfactant-Assisted Coal Liquefaction

    NASA Technical Reports Server (NTRS)

    Hickey, Gregory S.; Sharma, Pramod K.

    1993-01-01

    Obtaining liquid fuels from coal which are economically competitive with those obtained from petroleum based sources is a significant challenge for the researcher as well as the chemical industry. Presently, the economics of coal liquefaction are not favorable because of relatively intense processing conditions (temperatures of 430 degrees C and pressures of 2200 psig), use of a costly catalyst, and a low quality product slate of relatively high boiling fractions. The economics could be made more favorable by achieving adequate coal conversions at less intense processing conditions and improving the product slate. A study has been carried out to examine the effect of a surfactant in reducing particle agglomeration and improving hydrodynamics in the coal liquefaction reactor to increase coal conversions...

  2. Modelling the morphology of migrating bacterial colonies

    NASA Astrophysics Data System (ADS)

    Nishiyama, A.; Tokihiro, T.; Badoual, M.; Grammaticos, B.

    2010-08-01

    We present a model which aims at describing the morphology of colonies of Proteus mirabilis and Bacillus subtilis. Our model is based on a cellular automaton which is obtained by the adequate discretisation of a diffusion-like equation, describing the migration of the bacteria, to which we have added rules simulating the consolidation process. Our basic assumption, following the findings of the group of Chuo University, is that the migration and consolidation processes are controlled by the local density of the bacteria. We show that it is possible within our model to reproduce the morphological diagrams of both bacteria species. Moreover, we model some detailed experiments done by the Chuo University group, obtaining a fine agreement.

  3. Development of an Alternative Treatment Scheme for Sr/TRU Removal: Permanganate Treatment of AN-107 Waste

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

    RT Hallen; SA Bryan; FV Hoopes

    A number of Hanford tanks received waste containing organic complexants, which increase the volubility of Sr-90 and transuranic (TRU) elements. Wastes from these tanks require additional pretreatment to remove Sr-90 and TRU for immobilization as low activity waste (Waste Envelope C). The baseline pretreatment process for Sr/TRU removal was isotopic exchange and precipitation with added strontium and iron. However, studies at both Battelle and Savannah River Technology Center (SRTC) have shown that the Sr/Fe precipitates were very difficult to filter. This was a result of the formation of poor filtering iron solids. An alternate treatment technology was needed for Sr/TRUmore » removal. Battelle had demonstrated that permanganate treatment was effective for decontaminating waste samples from Hanford Tank SY-101 and proposed that permanganate be examined as an alternative Sr/TRU removal scheme for complexant-containing tank wastes such as AW107. Battelle conducted preliminary small-scale experiments to determine the effectiveness of permanganate treatment with AN-107 waste samples that had been archived at Battelle from earlier studies. Three series of experiments were performed to evaluate conditions that provided adequate Sr/TRU decontamination using permanganate treatment. The final series included experiments with actual AN-107 diluted feed that had been obtained specifically for BNFL process testing. Conditions that provided adequate Sr/TRU decontamination were identified. A free hydroxide concentration of 0.5M provided adequate decontamination with added Sr of 0.05M and permanganate of 0.03M for archived AN-107. The best results were obtained when reagents were added in the sequence Sr followed by permanganate with the waste at ambient temperature. The reaction conditions for Sr/TRU removal will be further evaluated with a 1-L batch of archived AN-107, which will provide a large enough volume of waste to conduct crossflow filtration studies (Hallen et al. 2000a).« less

  4. Coronary Flow Velocity Reserve during Dobutamine Stress Echocardiography

    PubMed Central

    de Abreu, José Sebastião; Lima, José Wellington Oliveira; Diógenes, Tereza Cristina Pinheiro; Siqueira, Jordana Magalhães; Pimentel, Nayara Lima; Gomes, Pedro Sabino; de Abreu, Marília Esther Benevides; Paes, José Nogueira

    2014-01-01

    Background A coronary flow velocity reserve (CFVR) ≥ 2 is adequate to infer a favorable prognosis or the absence of significant coronary artery disease. Objective To identify parameters which are relevant to obtain CFVR (adequate or inadequate) in the left anterior descending coronary artery (LAD) during dobutamine stress echocardiography (DSE). Methods 100 patients referred for detection of myocardial ischemia by DSE were evaluated; they were instructed to discontinue the use of β-blockers 72 hours prior to the test. CFVR was calculated as a ratio of the diastolic peak velocity (cm/s) (DPV) on DSE (DPV-DSE) to baseline DPV at rest (DPV-Rest). In group I, CFVR was < 2 and, in group II, CFVR was ≥ 2. The Fisher's exact test and Student's t test were used for the statistical analyses. P values < 0.05 were considered statistically significant. Results At rest, the time (in seconds) to obtain Doppler in LAD in groups I and II was not different (53±31 vs. 45±32; p=0.23). During DSE, LAD was recorded in 92 patients. Group I patients were older (65.9±9.3 vs. 61.2±10.8 years; p=0.04), had lower ejection fraction (61±10 vs. 66±6%; p=0.005), higher DPV-Rest (36.81±08 vs. 25.63 ± 06cm/s; p<0.0001) and lower CFVR (1.67 ± 0.24 vs. 2.53 ± 0.57; p<0.0001), but no difference was observed regarding DPVDSE (61.40±16 vs. 64.23±16cm/s; p=0.42). β-blocker discontinuation was associated with a 4-fold higher chance of a CFVR < 2 (OR= 4; 95% CI [1.171-13.63], p=0.027). Conclusion DPV-Rest was the main parameter to determine an adequate CFVR. β-blocker discontinuation was significantly associated with inadequate CFVR. The high feasibility and the time to record the LAD corroborate the use of this methodology. PMID:24676368

  5. Usefulness of conventional transbronchial needle aspiration in the diagnosis, staging and molecular characterization of pulmonary neoplasias by thin-prep based cytology: experience of a single oncological institute.

    PubMed

    Ramieri, Maria Teresa; Marandino, Ferdinando; Visca, Paolo; Salvitti, Tommaso; Gallo, Enzo; Casini, Beatrice; Giordano, Francesca Romana; Frigieri, Claudia; Caterino, Mauro; Carlini, Sandro; Rinaldi, Massimo; Ceribelli, Anna; Pennetti, Annarita; Alò, Pier Luigi; Marino, Mirella; Pescarmona, Edoardo; Filippetti, Massimo

    2016-08-01

    Conventional transbronchial needle aspiration (c-TBNA) contributed to improve the bronchoscopic examination, allowing to sample lesions located even outside the tracheo-bronchial tree and in the hilo-mediastinal district, both for diagnostic and staging purposes. We have evaluated the sensitivity, accuracy, positive predictive value (PPV) and negative predictive value (NPV) of the c-TBNA performed during the 2005-2015 period for suspicious lung neoplasia and/or hilar and mediastinal lymphadenopathy at the Thoracic endoscopy of the Thoracic Surgery Department of the Regina Elena National Cancer Institute, Rome. Data from 273 consecutive patients (205 males and 68 females) were analyzed. Among 158 (58%) adequate specimens, 112 (41%) were neoplastic or contained atypical cells, 46 (17%) were negative or not diagnostic. We considered in the analysis first the overall period; then we compared the findings of the first [2005-2011] and second period [2012-2015] and, finally, only those of adequate specimens. During the overall period, sensibility and accuracy values were respectively of 53% and 63%, in the first period they reached 41% and 53% respectively; in the second period sensibility and accuracy reached 60% and 68%. Considering only the adequate specimens, sensibility and accuracy during the overall period were respectively of 80% and 82%; the values obtained for the first period were 68% and 72%. Finally, in the second period, sensibility reached 86% and accuracy 89%. Carcinoma-subtyping was possible in 112 cases, adenocarcinomas being diagnosed in 50 cases; further, in 30 cases molecular predictive data could be obtained. The c-TBNA proved to be an efficient method for the diagnosis/staging of lung neoplasms and for the diagnosis of mediastinal lymphadenopathy. Endoscopist's skill and technical development, associated to thin-prep cytology and to a rapid on site examination (ROSE), were able to provide by c-TBNA a high diagnostic yield and molecular predictive data in advanced lung carcinomas.

  6. Two novel mutations of pfdhps K540T and I588F, affecting sulphadoxine-pyrimethamine-resistant response in uncomplicated falciparum malaria at Banjar district, South Kalimantan Province, Indonesia

    PubMed Central

    2014-01-01

    Background Mutations in pfdhfr and pfdhps genes have been shown to associate with sulphadoxine-pyrimethamine (SP) resistance of Plasmodium falciparum parasites. However, pfdhfr, pfdhps genotypes and the correlations to SP treatment outcome in Indonesia has not yet been well analysed. Methods After obtaining informed consent, 61 uncomplicated falciparum malaria patients were recruited in Banjar district, South Kalimantan Province, Indonesia, from October 2009 to August 2010. They were treated by a single oral dose of SP and its effects on clinical and parasitological status were followed until day 28 after treatment. Occasionally, a thick smear blood film for microscopy observation and blood spot on a filter paper for pfdhfr and pfdhps genotype analysis were collected. Results Pfdhfr and pfdhps genotypes from 24 P. falciparum-infected patients consisting of adequate clinical parasitological response (ACPR) (n = 6; 25.0%) and early treatment failure (ETF) (n = 10; 41.7%) or late parasitological failure (LPF) (n = 8; 33.3%) were obtained by sequencing. Two novel mutations of pfdhps gene, K540T and I588F, were determined in ten and five isolates, respectively. These mutations were present in the pfdhfr/pfdhps combined haplotypes of ANRNI/SGTGA (n = 6), ANRNL/SGTGA (n = 4), and ANRNI/SGEAA(588F) (n = 5), (mutation codons are bold typed); these haplotypes were mostly belonging to parasitological failure (ETF or LPF). The parasites acquiring five mutations in pfdhfr/pfdhps haplotypes and four mutations with additional I588F did not respond adequately to SP treatment. Conclusion Many of Plasmodium falciparum infected patients in Banjar district, South Kalimantan, Indonesia did not respond adequately to SP treatment and these low ineffectiveness of SP in this area was associated with two novel mutations of pfdhps, K540T and I588F. PMID:25187019

  7. Two novel mutations of pfdhps K540T and I588F, affecting sulphadoxine-pyrimethamine-resistant response in uncomplicated falciparum malaria at Banjar district, South Kalimantan Province, Indonesia.

    PubMed

    Basuki, Sukmawati; Fitriah; Riyanto, Sugeng; Budiono; Dachlan, Yoes P; Uemura, Haruki

    2014-04-04

    Mutations in pfdhfr and pfdhps genes have been shown to associate with sulphadoxine-pyrimethamine (SP) resistance of Plasmodium falciparum parasites. However, pfdhfr, pfdhps genotypes and the correlations to SP treatment outcome in Indonesia has not yet been well analysed. After obtaining informed consent, 61 uncomplicated falciparum malaria patients were recruited in Banjar district, South Kalimantan Province, Indonesia, from October 2009 to August 2010. They were treated by a single oral dose of SP and its effects on clinical and parasitological status were followed until day 28 after treatment. Occasionally, a thick smear blood film for microscopy observation and blood spot on a filter paper for pfdhfr and pfdhps genotype analysis were collected. Pfdhfr and pfdhps genotypes from 24 P. falciparum-infected patients consisting of adequate clinical parasitological response (ACPR) (n = 6; 25.0%) and early treatment failure (ETF) (n = 10; 41.7%) or late parasitological failure (LPF) (n = 8; 33.3%) were obtained by sequencing. Two novel mutations of pfdhps gene, K540T and I588F, were determined in ten and five isolates, respectively. These mutations were present in the pfdhfr/pfdhps combined haplotypes of ANRNI/SGTGA (n = 6), ANRNL/SGTGA (n = 4), and ANRNI/SGEAA(588F) (n = 5), (mutation codons are bold typed); these haplotypes were mostly belonging to parasitological failure (ETF or LPF). The parasites acquiring five mutations in pfdhfr/pfdhps haplotypes and four mutations with additional I588F did not respond adequately to SP treatment. Many of Plasmodium falciparum infected patients in Banjar district, South Kalimantan, Indonesia did not respond adequately to SP treatment and these low ineffectiveness of SP in this area was associated with two novel mutations of pfdhps, K540T and I588F.

  8. EVALUATION OF THE EFFECTS OF A PROGRAMME PROMOTING ADEQUATE AND HEALTHY EATING ON ADOLESCENT HEALTH MARKERS: AN INTERVENTIONAL STUDY.

    PubMed

    Brito Beck da Silva, Karine; Leovigildo Fiaccone, Rosemeire; Couto, Ricardo David; Ribeiro-Silva, Rita de Cássia

    2015-10-01

    to evaluate the effects of a protocol promoting adequate and healthy eating on adolescent health parameters. this controlled intervention study was conducted for 9 months, with the participation of adolescents enrolled in two schools (intervention/control) located in a poor neighbourhood in the city of Salvador (Bahia), Brazil. For the intervention school, activities promoting adequate and healthy eating were designed based on the Food Guide for the Brazilian Population (Guia Alimentar para a População Brasileira). Students underwent biochemical, sexual maturation and anthropometric tests at baseline and at the end of the 9-month period. In addition, students answered a questionnaire on food consumption, physical activity and sedentary behaviour. Information on the socioeconomic status of their family was also obtained. Generalized Estimating Equation (GEE) analysis was chosen to evaluate the associations of interest. students under intervention presented decreases of 7.64 mg/dL in mean total cholesterol (TC) (p = 0.009) and 7.77 mg/dL in mean low-density lipoprotein cholesterol (LDLc) (p = 0.003) and increases of 18% in legume consumption (odds ratio [OR] = 1.18; 95% confidence interval [CI] 1.03-1.37) and 17% in vegetable consumption (OR = 1.17; 95%CI 1.01-1.35) compared with students who did not undergo intervention. No differences were observed in the anthropometric parameters analysed. the results showed a positive effect of activities promoting adequate and healthy eating on reducing TC and LDLc and on increasing the consumption of vegetables and legumes, evidencing that the intervention model was able to prevent and/or treat cardiovascular risk factors in adolescents. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  9. Screws are not needed when secure interference fit of uncemented acetabular components is adequate: a 5- to 15-year follow-up with clinical and radiological analysis.

    PubMed

    García-Rey, Eduardo

    2017-05-12

    Even with good surgical preparation, adequate primary stability of the acetabular component is not always achieved after primary total hip replacement (THR). We hypothesise that adequate bone preparation for appropriate cortical loading would allow us to avoid screw use. A total of 791 uncemented cups were analysed to compare the need for screws to obtain primary fixation in 5 different designs. Arthritic hips with inflammatory arthritis or severe congenital hip disease were excluded. A press-fit technique was first tried in all hips and screws were only used when strictly needed. Radiological acetabular shape and postoperative cup position were assessed in all hips. The mean follow-up was 9.6 (5-15) years. Screws were required in 155 hips (19.6%). We could not detect any difference in the percentage of screw use between designs. We found that female patients (odds ratio [OR] 2.06; 95% confidence interval [CI], 1.41-3.02) and cups with a greater distance to the hip rotation centre on the postoperative radiograph (OR 1.69; 95% CI, 1.17-2.45) had a higher risk for screw use. A greater anteversion of the cup had a lower risk for screw use (OR 0.96; 95% CI, 0.94-0.99). At latest follow-up no hips had needed revision for aseptic loosening. Good intraoperative technique is not enough to avoid screw use since more accurate cup position and reconstruction of the hip rotation centre are required for an adequate interference fit. A press-fit technique can provide similar mid-term results to screw use in hips without severe deformities.

  10. Effect of process technology on the nutritional, functional, and physical quality of grapefruit powder.

    PubMed

    Agudelo, C; Igual, M; Camacho, M M; Martínez-Navarrete, N

    2017-01-01

    The health properties of fruit are widely known. Powdered fruit may be a practical format to be offered to the consumer. Nevertheless, the process used to obtain the powder must ensure the maximum retention of the bioactive compounds and the functional value of the fruit while retaining adequate physical properties. The aim of this study was to compare freeze-drying and spray drying as the drying technologies to obtain grapefruit powder. The obtained results allow freeze-drying to be proposed as a better technology than spray drying in order to obtain a product with a higher content of vitamin C and total carotenoids. Moreover, all of the edible part of the fruit is used in this case, so a greater quantity of healthy compounds is preserved and by-product generation is avoided. Adding about 6 g water, 4 g Arabic gum and 0.6 g bamboo fibre/100 g grapefruit pulp is recommended before freeze-drying. © The Author(s) 2016.

  11. An innovative approach for rubber dam isolation of root end tip: A case report.

    PubMed

    Mittal, Sunandan; Kumar, Tarun; Mittal, Shifali; Sharma, Jyotika

    2015-01-01

    The success of an apicoectomy with a retrofilling is dependent upon obtaining an acceptable apical seal. The placement of the variously approved retrograde materials requires adequate access, visibility, lighting, and a sterile dry environment. There are instances, however, in which it is difficult to use the rubber dam. One such instance is during retrograde filling. This case report highlights an innovative technique for rubber dam isolation of root end retrograde filling.

  12. Providing Common Access Mechanisms for Dissimilar Network Interconnection Nodes

    DTIC Science & Technology

    1991-02-01

    Network management involves both maintaining adequate data transmission capabilities in the face of growing and changing needs and keeping the network...Display Only tools are able to obtain information from an IN or a set of INs and display this information, but are not able to change the...configuration or state of an IN. 2. Display and Control tools have the same capabilities as Display Only tools, but in addition are capable of changing the

  13. Corynebacterium species isolated from patients with mastitis.

    PubMed

    Paviour, Sue; Musaad, Sahar; Roberts, Sally; Taylor, Graeme; Taylor, Susan; Shore, Keith; Lang, Selwyn; Holland, David

    2002-12-01

    Corynebacteria were isolated from breast tissue, pus, or deep wound swabs of 24 women; the most common species isolated was the newly described Corynebacterium kroppenstedtii, followed by Corynebacterium amycolatum and Corynebacterium tuberculostearicum. Gram-positive bacilli were seen in samples sent for culture or in histological specimens for 12 women, and 9 of the 12 women from whom adequate histological specimens were obtained had conditions that met the criteria for granulomatous lobular mastitis, a chronic inflammatory disease of unknown etiology.

  14. Nature and amount of data required for a definition of strategies and programs on food and nutrition.

    PubMed

    Lopes, J M; Chacel, J M

    1974-12-01

    The most economically justifiable way to determine the nutritional status of a population in a developing country is through family budget surveys that could then be followed up by food consumption surveys that weigh foods, once problem families are identified. Biomedical data could be obtained if funds and personnel were adequate, but the basic surveys alone could provide enough information for nutritional planning, policy making, and program evaluation.

  15. Recent progress towards predicting aircraft ground handling performance

    NASA Technical Reports Server (NTRS)

    Yager, T. J.; White, E. J.

    1981-01-01

    Capability implemented in simulating aircraft ground handling performance is reviewed and areas for further expansion and improvement are identified. Problems associated with providing necessary simulator input data for adequate modeling of aircraft tire/runway friction behavior are discussed and efforts to improve tire/runway friction definition, and simulator fidelity are described. Aircraft braking performance data obtained on several wet runway surfaces are compared to ground vehicle friction measurements. Research to improve methods of predicting tire friction performance are discussed.

  16. Packing optimization for automated generation of complex system's initial configurations for molecular dynamics and docking.

    PubMed

    Martínez, José Mario; Martínez, Leandro

    2003-05-01

    Molecular Dynamics is a powerful methodology for the comprehension at molecular level of many chemical and biochemical systems. The theories and techniques developed for structural and thermodynamic analyses are well established, and many software packages are available. However, designing starting configurations for dynamics can be cumbersome. Easily generated regular lattices can be used when simple liquids or mixtures are studied. However, for complex mixtures, polymer solutions or solid adsorbed liquids (for example) this approach is inefficient, and it turns out to be very hard to obtain an adequate coordinate file. In this article, the problem of obtaining an adequate initial configuration is treated as a "packing" problem and solved by an optimization procedure. The initial configuration is chosen in such a way that the minimum distance between atoms of different molecules is greater than a fixed tolerance. The optimization uses a well-known algorithm for box-constrained minimization. Applications are given for biomolecule solvation, many-component mixtures, and interfaces. This approach can reduce the work of designing starting configurations from days or weeks to few minutes or hours, in an automated fashion. Packing optimization is also shown to be a powerful methodology for space search in docking of small ligands to proteins. This is demonstrated by docking of the thyroid hormone to its nuclear receptor. Copyright 2003 Wiley Periodicals, Inc. J Comput Chem 24: 819-825, 2003

  17. Day two post retrieval 1500 IUI hCG bolus, progesterone-free luteal support post GnRH agonist trigger - a proof of concept study.

    PubMed

    Vanetik, Sharon; Segal, Linoy; Breizman, Tatiana; Kol, Shahar

    2018-02-01

    Small dose of hCG (1500 IU) on the day of oocyte retrieval, followed by daily progesterone administration, is currently the preferred way to secure adequate luteal support following GnRH agonist trigger. In the current proof-of-concept study, we explored the possibility that a bolus of 1500 IU hCG, given two days after oocyte retrieval, may be sufficient to sustain adequate luteal support without additional progesterone treatment. From February 2015 to August 2016, we obtained 44 pregnancies following GnRHa trigger followed by day 2 hCG (1500 IU) support only (study group). Data from these 44 cycles were compared with the latest 44 pregnancies obtained following hCG (6500 IU) trigger followed by conventional progesterone luteal documented (control group). Mean progesterone levels (14 days postoocyte retrieval) in the study and control groups were 197 nmol/l and 173 nmol/l, respectively (NS). Mean E 2 levels (14 days post oocyte retrieval) in the study group was 6937 pmol/l, significantly higher (p < .001) than in the control group (3.276 pmol/l). We conclude that bolus of 1500 IU hCG, administered 2 days after retrieval, can provide excellent support, without the need to further supplement with progesterone.

  18. Extracardiac conduit obstruction: initial experience in the use of Doppler echocardiography for noninvasive estimation of pressure gradient.

    PubMed

    Reeder, G S; Currie, P J; Fyfe, D A; Hagler, D J; Seward, J B; Tajik, A J

    1984-11-01

    Extracardiac valved conduits are often employed in the repair of certain complex congenital heart defects; late obstruction is a well recognized problem that usually requires catheterization for definitive diagnosis. A reliable noninvasive method for detecting conduit stenosis would be clinically useful in identifying the small proportion of patients who develop this problem. Continuous wave Doppler echocardiography has been used successfully to estimate cardiac valvular obstructive lesions noninvasively. Twenty-three patients with prior extracardiac conduit placement for complex congenital heart disease underwent echocardiographic and continuous wave Doppler echocardiographic examinations to determine the presence and severity of conduit stenosis. In 20 of the 23 patients, an adequate conduit flow velocity profile was obtained, and in 10 an abnormally increased conduit flow velocity was present. All but one patient had significant obstruction proven at surgery and in one patient, surgery was planned. In three patients, an adequate conduit flow velocity profile could not be obtained but obstruction was still suspected based on high velocity tricuspid regurgitant Doppler signals. In these three patients, subsequent surgery also proved that conduit stenosis was present. Doppler-predicted gradients and right ventricular pressures showed an overall good correlation (r = 0.90) with measurements at subsequent cardiac catheterization. Continuous wave Doppler echocardiography appears to be a useful noninvasive tool for the detection and semiquantitation of extracardiac conduit stenosis.

  19. Uranium nitride as LWR TRISO fuel: Thermodynamic modeling of U-C-N

    NASA Astrophysics Data System (ADS)

    Besmann, Theodore M.; Shin, Dongwon; Lindemer, Terrence B.

    2012-08-01

    TRISO coated particle fuel is envisioned as a next generation replacement for current urania pellet fuel in LWR applications. To obtain adequate fissile loading the kernel of the TRISO particle will likely need to be UN instead of UO2. In support of the necessary development effort for this new fuel system, an assessment of phase regions of interest in the U-C-N system was undertaken as the fuel will be prepared by the carbothermic reduction of the oxide followed by nitriding, will be in equilibrium with carbon within the TRISO particle, and will react with minor actinides and fission products. The phase equilibria and thermochemistry of the U-C-N system is reviewed, including nitrogen pressure measurements above various phase fields. Measurements were used to confirm an ideal solution model of UN and UC adequately represents the UC1-xNx phase. Agreement with the data was significantly improved by effectively adjusting the Gibbs free energy of UN by +12 kJ/mol. This also required adjustment of the value for the sesquinitride by +17 kJ/mol to obtain agreement with phase equilibria. The resultant model together with reported values for other phases in the system was used to generate isothermal sections of the U-C-N phase diagram. Nitrogen partial pressures were also computed for regions of interest.

  20. Family informed consent to organ donation--who performs better: organ procurement organizations, in-hospital coordinators, or intensive care unit professionals?

    PubMed

    Lenzi, J A; Sarlo, R; Assis, A; Ponte, M; Paura, P; Araújo, C; Rocha, E

    2014-01-01

    Successful organ donation in countries adopting informed consent legislation depends on adequate interviewing of potential donors' families. As the number of both referral and effective donors in Brazil increases, health care managers argue whether educational efforts should be directed toward training in-hospital coordinators (IHC)--based on the "Spanish model"--or on the creation of extra-hospital-based professionals (Organ Procurement Organizations [OPOs], the "American model"). Meanwhile, many potential donor families are still approached by intensive care unit (ICU) professionals not trained in donation interviews. The aim of our study was to compare performances in obtaining informed consent from potential donors' families, according to the type of health care professional conducting the interviews: OPO, IHC, or ICU staff. In this retrospective 2-year study performed in Rio de Janeiro, Brazil, we observed an increase in referrals (285 to 411) and consent rates (48.1% to 55.7%). Each year, OPO professionals conducted most family interviews (58.6% and 60.4%, respectively) and obtained better consent rates (63.5% and 64.5%, respectively), when compared to IHC (41.8% and 53.7%, respectively) or untrained ICU professionals (22.1% and 13.4%, respectively). Our results show that adequate professional training is necessary for obtaining family consent for organ donation. Both established international policies for organ procurement and donation, namely the "Spanish model" with its IHCs or the "American model" of extra-hospital OPOs, may equally achieve this task. However, family interviews performed by untrained ICU professionals result in low donation rates and should be discouraged. Copyright © 2014 Elsevier Inc. All rights reserved.

  1. Health literacy, health information seeking behaviors and internet use among patients attending a private and public clinic in the same geographic area.

    PubMed

    Gutierrez, Natalia; Kindratt, Tiffany B; Pagels, Patti; Foster, Barbara; Gimpel, Nora E

    2014-02-01

    Despite the growing body of health information available online, patients with limited health literacy may lack either internet access or skills necessary to utilize this information. Nonetheless, patients at all health literacy levels may prefer other primary sources to obtain health information. We conducted a cross-sectional study to measure health literacy of patients attending two clinics in Dallas, TX and determine associations between health literacy, health information access and internet usage before and after controlling for confounders. Patients from both clinics (county N = 265; private N = 233) completed a brief survey which included sociodemographics, internet patterns, confidence in filling out medical forms and a self-administered Newest Vital Sign to measure health literacy. In the county clinic, most patients (61.5 %) were Hispanic, had low income (<$19,000/year), limited education (<11th grade) and a high likelihood or possibility of limited health literacy (68.5 %). In the private clinic, participants were mostly black (40.4 %) or white (38.6 %), had higher incomes (≥$46,000), higher education (technical college or college) and adequate health literacy (75.1 %). The primary source of obtaining health information in both clinics was their health care professional (50.6 % county; 40.1 % private). In multivariate analyses to determine differences by health literacy level, there were no statistically significant differences between patients with limited and adequate health literacy and their primary information source. Regardless of health literacy, patients rely on their health care providers to obtain health information. These results showcase the importance of providers' effective communication with patients to make shared decisions about their health regardless of other factors.

  2. Handling of boar spermatozoa during and after flow cytometric sex-sorting process to improve their in vitro fertilizing ability.

    PubMed

    del Olmo, D; Parrilla, I; Gil, M A; Maside, C; Tarantini, T; Angel, M A; Roca, J; Martinez, E A; Vazquez, J M

    2013-09-01

    The objective of this study was to develop an adequate sperm handling protocol in order to obtain a sex-sorted sperm population with an optimal fertilizing ability. For this purpose, different aspects of the sorting procedure were examined. The effects of the high dilution rates (experiment 1), type of collection medium used (experiment 2), and sheath fluid composition (experiment 3) on sorted boar sperm quality and function were evaluated. Sperm quality was assessed by motility and viability tests, whereas sperm function was evaluated by an in vitro fertilization assay which determined the penetration and polyspermy rates as well as the mean number of sperm penetrating each oocyte. In experiment 1, the results obtained indicated that the high dilution rates did not cause a decrease either in the sperm quality parameters evaluated or the in vitro fertilization ability of spermatozoa. In experiment 2, although sperm quality was not affected, fertilizing ability was compromised after sorting, regardless of the collection medium that was used. In the experiment 3, all groups displayed adequate sperm quality values, but higher in vitro fertility parameters were obtained for spermatozoa sorted in presence of EDTA in the sheath fluid and egg yolk (EY) in the collection media when compared with those sorted in absence of these protective agents. No differences in penetration rates between unsorted highly diluted (control) and sorted sperm in the presence of EDTA and EY were observed. In conclusion, fertilizing ability was compromised in sex-sorted sperm. The addition of EDTA to sheath fluid and EY to collection medium improved boar sperm fertilizing ability, and both agents should be included as essential media components in future studies. Copyright © 2013 Elsevier Inc. All rights reserved.

  3. Heat capacity of xenon adsorbed on nanobundle grooves

    NASA Astrophysics Data System (ADS)

    Chishko, K. A.; Sokolova, E. S.

    2016-02-01

    A model of a one-dimensional nonideal gas in an external transverse force field is used to interpret the experimentally observed thermodynamic properties of xenon deposited in grooves on the surface of carbon nanobundles. A nonideal gas model with pairwise interactions is not entirely adequate for describing dense adsorbates (at low temperatures), but makes it easy to account for the exchange of particles between the 1D adsorbate and the 3D atmosphere, which is an important factor at intermediate (on the order of 35 K for xenon) and, especially, high (˜100 K) temperatures. In this paper, we examine a 1D real gas taking only the one-dimensional Lennard-Jones interaction into account, but under exact equilibrium with respect to the number of particles between the 1D adsorbate and the 3D atmosphere of the measurement cell. The low-temperature branch of the specific heat is fitted independently by an elastic chain model so as to obtain the best agreement between theory and experiment over the widest possible region, beginning at zero temperature. The gas approximation sets in after temperatures for which the phonon specific heat of the chain essentially transforms to a one-dimensional equipartition law. Here the basic parameters of both models can be chosen so that the heat capacity C(T) of the chain transforms essentially continuously into the corresponding curve for the gas approximation. Thus, it can be expected that an adequate interpretation of the real temperature dependences of the specific heat of low-dimensionality atomic adsorbates can be obtained through a reasonable combination of the phonon and gas approximations. The main parameters of the gas approximation (such as the desorption energy) obtained by fitting the theory to experiments on the specific heat of xenon correlate well with published data.

  4. Poster — Thur Eve — 01: The effect of the number of projections on MTF and CNR in Compton scatter tomography

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

    Chighvinadze, T; Pistorius, S; CancerCare Manitoba, Winnipeg, MB

    2014-08-15

    Purpose: To investigate the dependence of the reconstructed image quality on the number of projections in multi-projection Compton scatter tomography (MPCST). The conventional relationship between the projection number used for reconstruction and reconstructed image quality pertained to CT does not necessarily apply to MPCST, which can produce images from a single projection if the detectors have sufficiently high energy and spatial resolution. Methods: The electron density image was obtained using filtered-backprojection of the scatter signal over circular arcs formed using Compton equation. The behavior of the reconstructed image quality as a function of the projection number was evaluated through analyticalmore » simulations and characterized by CNR and MTF. Results: The increase of the projection number improves the contrast with this dependence being a function of fluence. The number of projections required to approach the asymptotic maximum contrast decreases as the fluence increases. Increasing projection number increases the CNR but not spatial resolution. Conclusions: For MPCST using a 500eV energy resolution and a 2×2mm{sup 2} size detector, an adequate image quality can be obtained with a small number of projections provided the incident fluence is high enough. This is conceptually different from conventional CT where a minimum number of projections is required to obtain an adequate image quality. While increasing projection number, even for the lowest dose value, the CNR increases even though the number of photons per projection decreases. The spatial resolution of the image is improved by increasing the sampling within a projection rather than by increasing the number of projections.« less

  5. Yes, one can obtain better quality structures from routine X-ray data collection.

    PubMed

    Sanjuan-Szklarz, W Fabiola; Hoser, Anna A; Gutmann, Matthias; Madsen, Anders Østergaard; Woźniak, Krzysztof

    2016-01-01

    Single-crystal X-ray diffraction structural results for benzidine dihydrochloride, hydrated and protonated N,N,N,N-peri(dimethylamino)naphthalene chloride, triptycene, dichlorodimethyltriptycene and decamethylferrocene have been analysed. A critical discussion of the dependence of structural and thermal parameters on resolution for these compounds is presented. Results of refinements against X-ray data, cut off to different resolutions from the high-resolution data files, are compared to structural models derived from neutron diffraction experiments. The Independent Atom Model (IAM) and the Transferable Aspherical Atom Model (TAAM) are tested. The average differences between the X-ray and neutron structural parameters (with the exception of valence angles defined by H atoms) decrease with the increasing 2θmax angle. The scale of differences between X-ray and neutron geometrical parameters can be significantly reduced when data are collected to the higher, than commonly used, 2θmax diffraction angles (for Mo Kα 2θmax > 65°). The final structural and thermal parameters obtained for the studied compounds using TAAM refinement are in better agreement with the neutron values than the IAM results for all resolutions and all compounds. By using TAAM, it is still possible to obtain accurate results even from low-resolution X-ray data. This is particularly important as TAAM is easy to apply and can routinely be used to improve the quality of structural investigations [Dominiak (2015 ▸). LSDB from UBDB. University of Buffalo, USA]. We can recommend that, in order to obtain more adequate (more accurate and precise) structural and displacement parameters during the IAM model refinement, data should be collected up to the larger diffraction angles, at least, for Mo Kα radiation to 2θmax = 65° (sin θmax/λ < 0.75 Å(-1)). The TAAM approach is a very good option to obtain more adequate results even using data collected to the lower 2θmax angles. Also the results of translation-libration-screw (TLS) analysis and vibrational entropy values are more reliable for 2θmax > 65°.

  6. Gyroscope-driven mouse pointer with an EMOTIV® EEG headset and data analysis based on Empirical Mode Decomposition.

    PubMed

    Rosas-Cholula, Gerardo; Ramirez-Cortes, Juan Manuel; Alarcon-Aquino, Vicente; Gomez-Gil, Pilar; Rangel-Magdaleno, Jose de Jesus; Reyes-Garcia, Carlos

    2013-08-14

    This paper presents a project on the development of a cursor control emulating the typical operations of a computer-mouse, using gyroscope and eye-blinking electromyographic signals which are obtained through a commercial 16-electrode wireless headset, recently released by Emotiv. The cursor position is controlled using information from a gyroscope included in the headset. The clicks are generated through the user's blinking with an adequate detection procedure based on the spectral-like technique called Empirical Mode Decomposition (EMD). EMD is proposed as a simple and quick computational tool, yet effective, aimed to artifact reduction from head movements as well as a method to detect blinking signals for mouse control. Kalman filter is used as state estimator for mouse position control and jitter removal. The detection rate obtained in average was 94.9%. Experimental setup and some obtained results are presented.

  7. Gyroscope-Driven Mouse Pointer with an EMOTIV® EEG Headset and Data Analysis Based on Empirical Mode Decomposition

    PubMed Central

    Rosas-Cholula, Gerardo; Ramirez-Cortes, Juan Manuel; Alarcon-Aquino, Vicente; Gomez-Gil, Pilar; Rangel-Magdaleno, Jose de Jesus; Reyes-Garcia, Carlos

    2013-01-01

    This paper presents a project on the development of a cursor control emulating the typical operations of a computer-mouse, using gyroscope and eye-blinking electromyographic signals which are obtained through a commercial 16-electrode wireless headset, recently released by Emotiv. The cursor position is controlled using information from a gyroscope included in the headset. The clicks are generated through the user's blinking with an adequate detection procedure based on the spectral-like technique called Empirical Mode Decomposition (EMD). EMD is proposed as a simple and quick computational tool, yet effective, aimed to artifact reduction from head movements as well as a method to detect blinking signals for mouse control. Kalman filter is used as state estimator for mouse position control and jitter removal. The detection rate obtained in average was 94.9%. Experimental setup and some obtained results are presented. PMID:23948873

  8. Flex-rigid pleuroscopic biopsy with the SB knife Jr is a novel technique for diagnosis of malignant or benign fibrothorax.

    PubMed

    Wang, Xiao-Bo; Yin, Yan; Miao, Yuan; Eberhardt, Ralf; Hou, Gang; Herth, Felix J; Kang, Jian

    2016-11-01

    Diagnosing pleural effusion is challenging, especially in patients with malignant or benign fibrothorax, which is difficult to sample using standard flexible forceps (SFF) via flex-rigid pleuroscopy. An adequate sample is crucial for the differential diagnosis of malignant fibrothorax (malignant pleural mesothelioma, metastatic lung carcinoma, etc.) from benign fibrothorax (benign asbestos pleural disease, tuberculous pleuritis, etc.). Novel biopsy techniques are required in flex-rigid pleuroscopy to improve the sample size and quality. The SB knife Jr, which is a scissor forceps that uses a mono-pole high frequency, was developed to allow convenient and accurate resection of larger lesions during endoscopic dissection (ESD). Herein, we report two patients with fibrothorax who underwent a pleural biopsy using an SB knife Jr to investigate the potential use of this tool in flex-rigid pleuroscopy when pleural lesions are difficult to biopsy via SFF. The biopsies were successful, with sufficient size and quality for definitive diagnosis. We also successfully performed adhesiolysis with the SB knife Jr in one case, and adequate biopsies were conducted. No complications were observed. Electrosurgical biopsy with the SB knife Jr during flex-rigid pleuroscopy allowed us to obtain adequate samples for the diagnosis of malignant versus benign fibrothorax, which is usually not possible with SFF. The SB knife Jr also demonstrated a potential use for pleuropulmonary adhesions.

  9. Spanish version of the Thought-Action Fusion Questionnaire and its application in eating disorders

    PubMed Central

    Jáuregui-Lobera, I; Santed-Germán, Ma; Bolaños-Ríos, P; Garrido-Casals, O

    2013-01-01

    Purpose The aims of the study were to analyze the psychometric properties of the Spanish version of the Thought-Action Fusion Questionnaire (TAF-SP), as well as to determine its validity by evaluating the relationship of the TAF-SP to different instruments. Patients and methods Two groups were studied: one comprising 146 patients with eating disorders; and another a group of 200 students. Results Three factors were obtained: TAF–Moral; TAF–Likelihood-others; and TAF–Likelihood-oneself. The internal consistency of the TAF-SP was determined by means of Cronbach’s α coefficient, with values ranging between 0.84–0.95. The correlations with other instruments refected adequate validity. The three-factor structure was tested by means of a linear structural equation model, and the structure fit satisfactorily. Differences in TAF-SP scores between the diagnostic subgroups were also analyzed. Conclusion The TAF-SP meets the psychometric requirements for measuring thought-action fusion and shows adequate internal consistency and validity. PMID:24043960

  10. Development and Characterization of a 3D Printed, Keratin-Based Hydrogel.

    PubMed

    Placone, Jesse K; Navarro, Javier; Laslo, Gregory W; Lerman, Max J; Gabard, Alexis R; Herendeen, Gregory J; Falco, Erin E; Tomblyn, Seth; Burnett, Luke; Fisher, John P

    2017-01-01

    Keratin, a naturally-derived polymer derived from human hair, is physiologically biodegradable, provides adequate cell support, and can self-assemble or be crosslinked to form hydrogels. Nevertheless, it has had limited use in tissue engineering and has been mainly used as casted scaffolds for drug or growth factor delivery applications. Here, we present and assess a novel method for the printed, sequential production of 3D keratin scaffolds. Using a riboflavin-SPS-hydroquinone (initiator-catalyst-inhibitor) photosensitive solution we produced 3D keratin constructs via UV crosslinking in a lithography-based 3D printer. The hydrogels obtained have adequate printing resolution and result in compressive and dynamic mechanical properties, uptake and swelling capacities, cytotoxicity, and microstructural characteristics that are comparable or superior to those of casted keratin scaffolds previously reported. The novel keratin-based printing resin and printing methodology presented have the potential to impact future research by providing an avenue to rapidly and reproducibly manufacture patient-specific hydrogels for tissue engineering and regenerative medicine applications.

  11. Fast methodology of analysing major steviol glycosides from Stevia rebaudiana leaves.

    PubMed

    Lorenzo, Cándida; Serrano-Díaz, Jéssica; Plaza, Miguel; Quintanilla, Carmen; Alonso, Gonzalo L

    2014-08-15

    The aim of this work is to propose an HPLC method for analysing major steviol glycosides as well as to optimise the extraction and clarification conditions for obtaining these compounds. Toward this aim, standards of stevioside and rebaudioside A with purities ⩾99.0%, commercial samples from different companies and Stevia rebaudiana Bertoni leaves from Paraguay supplied by Insobol, S.L., were used. The analytical method proposed is adequate in terms of selectivity, sensitivity and accuracy. Optimum extraction conditions and adequate clarification conditions have been set. Moreover, this methodology is safe and eco-friendly, as we use only water for extraction and do not use solid-phase extraction, which requires solvents that are banned in the food industry to condition the cartridge and elute the steviol glycosides. In addition, this methodology consumes little time as leaves are not ground and the filtration is faster, and the peak resolution is better as we used an HPLC method with gradient elution. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. Clinical radiological aspects of primary endodontic lesions with secondary periodontal involvement

    PubMed Central

    Jivoinovici, R; Suciu, Ileana; Gheorghiu, I; Suciu, Ioana

    2017-01-01

    Damage of pulp tissue usually begins in the coronal pulp. Its mistreatment or its lack of on time detection determines the progressive inclusion of the whole endodontic space in its evolution, opening the way of its expansion in the surrounding tissues of the tooth, and on the marginal apical tissue. Aim. The goal of this study was to highlight that the primary endodontic lesions with secondary periodontal implication healed and bone repair was obtained due to a proper disinfection and an adequate sealing of the endodontic system. In primary endodontic lesion with secondary periodontal involvement, endodontic treatment is required in the first stage followed by specific periodontal treatment. The prognosis is good if an appropriate endodontic approach is chosen, depending on the stage of the periodontal disease and the treatment response. The identification of the etiological factors is the most important to establish the appropriate treatment. In all clinical cases selected in this article, the healing tendency was noticed after an adequate disinfection and sealing of the endodontic system. PMID:28255382

  13. Ares-I-X Stability and Control Flight Test: Analysis and Plans

    NASA Technical Reports Server (NTRS)

    Brandon, Jay M.; Derry, Stephen D.; Heim, Eugene H.; Hueschen, Richard M.; Bacon, Barton J.

    2008-01-01

    The flight test of the Ares I-X vehicle provides a unique opportunity to reduce risk of the design of the Ares I vehicle and test out design, math modeling, and analysis methods. One of the key features of the Ares I design is the significant static aerodynamic instability coupled with the relatively flexible vehicle - potentially resulting in a challenging controls problem to provide adequate flight path performance while also providing adequate structural mode damping and preventing adverse control coupling to the flexible structural modes. Another challenge is to obtain enough data from the single flight to be able to conduct analysis showing the effectiveness of the controls solutions and have data to inform design decisions for Ares I. This paper will outline the modeling approaches and control system design to conduct this flight test, and also the system identification techniques developed to extract key information such as control system performance (gain/phase margins, for example), structural dynamics responses, and aerodynamic model estimations.

  14. Metabolic energy requirements for space flight

    NASA Technical Reports Server (NTRS)

    Lane, Helen W.

    1992-01-01

    The international space community, including the USSR, Japan, Germany, the European Space Agency, and the US, is preparing for extended stays in space. Much of the research planned for space will be tended by humans, thus, maintaining adequate nutritional status during long stays in space has lately become an issue of much interest. Historically, it appears that minimum nutritional requirements are being met during stays in space. Thus far, crewmembers have been able to consume food adequate for maintaining nominal performance in microgravity. The physiological data obtained from ground-based and flight research that may enable us to understand the biochemical alterations that effect energy utilization and performance. Focus is on energy utilization during the Apollo lunar missions, Skylab's extended space lab missions, and Space Shuttle flights. Available data includes those recorded during intra- and extravehicular activities as well as during microgravity simulation (bed rest). Data on metabolism during flight and during bed rest are discussed, with a follow-up on human gastrointestinal function.

  15. Bladder necrosis: 'A man without a bladder'.

    PubMed

    Bosschieter, Judith; Oudshoorn, Frederik H K; Meuleman, Eric J H; Nieuwenhuijzen, Jakko A

    2018-02-17

    Since the use of antibiotics, bladder necrosis has become a rare condition. We report a case of bladder necrosis in a 90-year-old man following urinary retention. After insertion of a transurethral catheter (TUC), 2 L of urine was evacuated. In the following days, the TUC became intermittently blocked. Adequate bladder drainage could not be obtained despite intensive rinsing and placement of a suprapubic catheter. On surgical exploration necrosis of almost the entire bladder wall, except for the trigone, was encountered. Surgical debridement of the non-viable bladder wall without opening the abdominal cavity was conducted, and a TUC was placed in the Retzius cavity to ensure evacuation of urine. Since the patient was haemodynamically unstable, construction of a urinary diversion was waived and urinary drainage of the Retzius cavity by the TUC was accepted, resulting in adequate urinary drainage without compromising renal function. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  16. Bilingual parallel programming

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

    Foster, I.; Overbeek, R.

    1990-01-01

    Numerous experiments have demonstrated that computationally intensive algorithms support adequate parallelism to exploit the potential of large parallel machines. Yet successful parallel implementations of serious applications are rare. The limiting factor is clearly programming technology. None of the approaches to parallel programming that have been proposed to date -- whether parallelizing compilers, language extensions, or new concurrent languages -- seem to adequately address the central problems of portability, expressiveness, efficiency, and compatibility with existing software. In this paper, we advocate an alternative approach to parallel programming based on what we call bilingual programming. We present evidence that this approach providesmore » and effective solution to parallel programming problems. The key idea in bilingual programming is to construct the upper levels of applications in a high-level language while coding selected low-level components in low-level languages. This approach permits the advantages of a high-level notation (expressiveness, elegance, conciseness) to be obtained without the cost in performance normally associated with high-level approaches. In addition, it provides a natural framework for reusing existing code.« less

  17. Structure and Function of the Snail Statocyst System after a 16-Day Flight on Foton-M-2

    NASA Technical Reports Server (NTRS)

    Balaban, P. M.; Malyshev, A. Y.; Zakharov, I. S.; Aseev, N. A.; Bravarenko, N. I.; Ierusalimsky, V. N.; Samarova, A. I.; Vorontzov, D. D.; Popova, Y.; Boyle, R.

    2006-01-01

    In terrestrial gastropod snail Helix lucorum L. we studied the changes after a 16-day exposure to microgravity in: behavior, neural responses to adequate motion stimulation, intersensory interactions between the photosensory pathways and the statocyst receptors, and in expression of the HPeP gene in the statocyst receptors. In behavioral experiments it was found that the latency of body position change to sudden orientation change (flip from horizontal to downwards position) was significantly reduced in the postflight snails. Extracellularly recorded neural responses of the statocyst nerve to adequate motion stimulation in the postflight snails were independent of the motion direction while in the control animals an orientation selectivity was observed. Significant differences in the HPeP gene mRNA expression pattern in the statocyst receptor neurons were observed in postflight (30h) and control snails. Obtained results confirm the possibility to elucidate the influence of microgravity exposure on mechanisms and function of gravireceptors using this simple model animal.

  18. Biomedical research with human embryos: changes in the legislation on assisted reproduction in Spain.

    PubMed

    Vidal Martínez, Jaime

    2006-01-01

    This study deals with issues of research with human embryos obtained through in vitro fertilization in the context of the Spanish Law. The paper focuses on Act 14/2006 on techniques of human assisted reproduction, which replaces the previous Act from 1988. The author claims that the main goals of Act 14/2006 are, on the one hand, to eliminate the restrictions affecting research with human embryos put in place by Act 45/2003 and, on the other, to pave the way for a future legislation on biomedical research. This paper argues for the need of an effective and adequate juridical protection of human embryos obtained in vitro according to responsibility and precautionary principles.

  19. Real-time simulation of the TF30-P-3 turbofan engine using a hybrid computer

    NASA Technical Reports Server (NTRS)

    Szuch, J. R.; Bruton, W. M.

    1974-01-01

    A real-time, hybrid-computer simulation of the TF30-P-3 turbofan engine was developed. The simulation was primarily analog in nature but used the digital portion of the hybrid computer to perform bivariate function generation associated with the performance of the engine's rotating components. FORTRAN listings and analog patching diagrams are provided. The hybrid simulation was controlled by a digital computer programmed to simulate the engine's standard hydromechanical control. Both steady-state and dynamic data obtained from the digitally controlled engine simulation are presented. Hybrid simulation data are compared with data obtained from a digital simulation provided by the engine manufacturer. The comparisons indicate that the real-time hybrid simulation adequately matches the baseline digital simulation.

  20. Experimental Profiling of a Non-truncated Focused Gaussian Beam and Fine-tuning of the Quadratic Phase in the Fresnel Gaussian Shape Invariant

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

    S., Juan Manuel Franco; Cywiak, Moises; Cywiak, David

    2015-06-24

    A homodyne profiler is used for recording the intensity distribution of focused non-truncated Gaussian beams. The spatial distributions are obtained at planes in the vicinity of the back-focal plane of a focusing lens placed at different distances from a He–Ne laser beam with a Gaussian intensity profile. Comparisons of the experimental data with those obtained from the analytical equations for an ideal focusing lens allow us to propose formulae to fine-tune the quadratic term in the Fresnel Gaussian shape invariant at each interface of the propagated field. Furthermore, we give analytical expressions to calculate adequately the propagation of the fieldmore » through an optical system.« less

  1. Quality of care for major depression and its determinants: a multilevel analysis

    PubMed Central

    2012-01-01

    Background Numerous studies highlight an important gap in the quality of care for depression in primary care. However, basic indicators were often used. Few of these studies examined factors associated with receiving adequate treatment, particularly with a simultaneous consideration of individual and organizational characteristics. The purpose of this study was to estimate the proportion of primary care patients with a major depressive episode (MDE) who receive adequate treatment and to examine the individual and organizational (i.e., clinic-level) characteristics associated with the receipt of at least one minimally adequate treatment for depression. Methods The sample used for this study included 915 adults consulting a general practitioner (GP), regardless of the motive of consultation, meeting DSM-IV criteria for MDE during the 12 months preceding the survey (T1), and nested within 65 primary care clinics. Data reported in this study were obtained from the “Dialogue” project. Adherence rates for 27 quality indicators selected to cover the most important components of depression treatment were estimated. Multilevel analyses were conducted. Results Adherence to guidelines was high (>75%) for one third of the quality indicators that were measured but was low (<60%) for nearly half of the measures. Just over half of the sample (52.2%) received at least one minimally adequate treatment for depression. At the individual level, determinants of receipt of minimally adequate care included age, having a family physician, a supplementary insurance coverage, a comorbid anxiety disorder and the severity of depression. At the clinic level, determinants included the availability of psychotherapy on-site, the use of treatment algorithms, and the mode of remuneration. Conclusions Our findings suggest that interventions are needed to increase the extent to which primary mental health care conforms to evidence-based recommendations. These interventions should target specific populations (i.e. the younger adults and the elderly), enhance accessibility to psychotherapy and to a regular family physician, and support primary care physicians in their clinical practice with patients suffering from depression in different ways such as developing knowledge to treat depression and adapting mode of remuneration. PMID:22985262

  2. Learning inverse kinematics: reduced sampling through decomposition into virtual robots.

    PubMed

    de Angulo, Vicente Ruiz; Torras, Carme

    2008-12-01

    We propose a technique to speedup the learning of the inverse kinematics of a robot manipulator by decomposing it into two or more virtual robot arms. Unlike previous decomposition approaches, this one does not place any requirement on the robot architecture, and thus, it is completely general. Parametrized self-organizing maps are particularly adequate for this type of learning, and permit comparing results directly obtained and through the decomposition. Experimentation shows that time reductions of up to two orders of magnitude are easily attained.

  3. Plasmodium spp. in raptors on the Eurasian-African migration route.

    PubMed

    Paperna, I; Yosef, R; Landau, I

    2007-12-01

    Examination of blood smears obtained from raptors trapped while on migration at Eilat, Israel, demonstrated Plasmodium infection in Accipiter brevipes and Buteo buteo. The following species are described, from A. brevipes: Plasmodium alloelongatum n. sp., P. accipiteris n. sp. and from B. buteo: P. buteonis n. sp. and Plasmodium sp. for which we lack sufficient data for adequate species description. Overall prevalence of infection with Plasmodium spp. was very low: among 38 examined A. brevipes 5% and among 56 B. buteo 3.6%.

  4. Development of a large-area Multigap RPC with adequate spatial resolution for muon tomography

    NASA Astrophysics Data System (ADS)

    Wang, J.; Wang, Y.; Wang, X.; Zeng, M.; Xie, B.; Han, D.; Lyu, P.; Wang, F.; Li, Y.

    2016-11-01

    We study the performance of a large-area 2-D Multigap Resistive Plate Chamber (MRPC) designed for muon tomography with high spatial resolution. An efficiency up to 98% and a spatial resolution of around 270 μ m are obtained in cosmic ray and X-ray tests. The performance of the MRPC is also investigated for two working gases: standard gas and pure Freon. The result shows that the MRPC working in pure Freon can provide higher efficiency and better spatial resolution.

  5. Positron emission tomography and optical tissue imaging

    DOEpatents

    Falen, Steven W [Carmichael, CA; Hoefer, Richard A [Newport News, VA; Majewski, Stanislaw [Yorktown, VA; McKisson, John [Hampton, VA; Kross, Brian [Yorktown, VA; Proffitt, James [Newport News, VA; Stolin, Alexander [Newport News, VA; Weisenberger, Andrew G [Yorktown, VA

    2012-05-22

    A mobile compact imaging system that combines both PET imaging and optical imaging into a single system which can be located in the operating room (OR) and provides faster feedback to determine if a tumor has been fully resected and if there are adequate surgical margins. While final confirmation is obtained from the pathology lab, such a device can reduce the total time necessary for the procedure and the number of iterations required to achieve satisfactory resection of a tumor with good margins.

  6. [Visual hygiene in LED lighting. Modern scientific imaginations].

    PubMed

    Deynego, V N; Kaptsov, V A

    2014-01-01

    There are considered a classic and modern paradigm of perception of light and its impact on human health. To consider the perception of light as a complex self-organizing synergistic system of compression of information in the process of its sequencing was supposed. This allowed to develop a complex of interrelated measures, which may become the basis for modern hygiene, and determine requirements for the led lamp with biologically adequate spectrum of the light, for which there were obtained patents in Russia, Europe and USA.

  7. Department of the Air Force FY 1994 Budget Estimates, Military Construction and Family Housing. Volume 1. Justification Data Submitted to Congress April 1993

    DTIC Science & Technology

    1993-01-01

    concrete floor, masonry walls, roof joists, and roof system. Facility includes dining area, kitchen, serving area, dishwashing area, bakery , regular and...brick exterior, and standing seam metal roof. Facility includes dining area, serving line, kitchen, dishwashing area, bakery , refrigerated and non...desperately needed. Adequate child care is much more difficult to obtain in Europe than in the States since there are no franchised child care centers on the

  8. An estimator for the standard deviation of a natural frequency. II.

    NASA Technical Reports Server (NTRS)

    Schiff, A. J.; Bogdanoff, J. L.

    1971-01-01

    A method has been presented for estimating the variability of a system's natural frequencies arising from the variability of the system's parameters. The only information required to obtain the estimates is the member variability, in the form of second-order properties, and the natural frequencies and mode shapes of the mean system. It has also been established for the systems studied by means of Monte Carlo estimates that the specification of second-order properties is an adequate description of member variability.

  9. Y2K: prepare, don't panic.

    PubMed

    Russo, R

    1999-04-01

    Y2K issues could affect anyone, so it is important for HIV-positive people to make preparations to ensure their health and security. There are wide-ranging opinions about the effects of the so-called Millennium Bug, but some planning will make any changes more manageable. Patients should have adequate supplies of food, water, and medications at home in case of shortages or production problems. Other prudent steps include keeping extra cash on hand and obtaining copies of medical records and benefit plans. Internet resources are listed.

  10. Minimally invasive trans-portal resection of deep intracranial lesions.

    PubMed

    Raza, S M; Recinos, P F; Avendano, J; Adams, H; Jallo, G I; Quinones-Hinojosa, A

    2011-02-01

    The surgical management of deep intra-axial lesions still requires microsurgical approaches that utilize retraction of deep white matter to obtain adequate visualization. We report our experience with a new tubular retractor system, designed specifically for intracranial applications, linked with frameless neuronavigation for a cohort of intraventricular and deep intra-axial tumors. The ViewSite Brain Access System (Vycor, Inc) was used in a series of 9 adult and pediatric patients with a variety of pathologies. Histological diagnoses either resected or biopsied with the system included: colloid cyst, DNET, papillary pineal tumor, anaplastic astrocytoma, toxoplasmosis and lymphoma. The locations of the lesions approached include: lateral ventricle, basal ganglia, pulvinar/posterior thalamus and insular cortex. Post-operative imaging was assessed to determine extent of resection and extent of white matter damage along the surgical trajectory (based on T (2)/FLAIR and diffusion restriction/ADC signal). Satisfactory resection or biopsy was obtained in all patients. Radiographic analysis demonstrated evidence of white matter damage along the surgical trajectory in one patient. None of the patients experienced neurological deficits as a result of white matter retraction/manipulation. Based on a retrospective review of our experience, we feel that this access system, when used in conjunction with frameless neuronavigational systems, provides adequate visualization for tumor resection while permitting the use of standard microsurgical techniques through minimally invasive craniotomies. Our initial data indicate that this system may minimize white matter injury, but further studies are necessary. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Use of an intravascular fluorescent continuous glucose sensor in subjects with type 1 diabetes mellitus.

    PubMed

    Romey, Matthew; Jovanovič, Lois; Bevier, Wendy; Markova, Kateryna; Strasma, Paul; Zisser, Howard

    2012-11-01

    Stress hyperglycemia in the critically ill is associated with increased morbidity and mortality. Continuous glucose monitoring offers a solution to the difficulties of dosing intravenous insulin properly to maintain glycemic control. The purpose of this study was to evaluate an intravascular continuous glucose monitoring (IV-CGM) system with a sensing element based on the concept of quenched fluorescence. A second-generation intravascular continuous glucose sensor was evaluated in 13 volunteer subjects with type 1 diabetes mellitus. There were 21 study sessions of up to 24 h in duration. Sensors were inserted into peripheral veins of the upper extremity, up to two sensors per subject per study session. Sensor output was compared with temporally correlated reference measurements obtained from venous samples on a laboratory glucose analyzer. Data were obtained from 23 sensors in 13 study sessions with 942 paired reference values. Fourteen out of 23 sensors (60.9%) had a mean absolute relative difference ≤ 10%. Eighty-nine percent of paired points were in the clinically accurate A zone of the Clarke error grid and met ISO 15197 performance criteria. Adequate venous blood flow was identified as a necessary condition for accuracy when local sensor readings are compared with venous blood glucose. The IV-CGM system was capable of achieving a high level of glucose measurement accuracy. However, superficial peripheral veins may not provide adequate blood flow for reliable indwelling blood glucose monitoring. © 2012 Diabetes Technology Society.

  12. Use of an Intravascular Fluorescent Continuous Glucose Sensor in Subjects with Type 1 Diabetes Mellitus

    PubMed Central

    Romey, Matthew; Jovanovič, Lois; Bevier, Wendy; Markova, Kateryna; Strasma, Paul; Zisser, Howard

    2012-01-01

    Background Stress hyperglycemia in the critically ill is associated with increased morbidity and mortality. Continuous glucose monitoring offers a solution to the difficulties of dosing intravenous insulin properly to maintain glycemic control. The purpose of this study was to evaluate an intravascular continuous glucose monitoring (IV-CGM) system with a sensing element based on the concept of quenched fluorescence. Method A second-generation intravascular continuous glucose sensor was evaluated in 13 volunteer subjects with type 1 diabetes mellitus. There were 21 study sessions of up to 24 h in duration. Sensors were inserted into peripheral veins of the upper extremity, up to two sensors per subject per study session. Sensor output was compared with temporally correlated reference measurements obtained from venous samples on a laboratory glucose analyzer. Results Data were obtained from 23 sensors in 13 study sessions with 942 paired reference values. Fourteen out of 23 sensors (60.9%) had a mean absolute relative difference ≤ 10%. Eighty-nine percent of paired points were in the clinically accurate A zone of the Clarke error grid and met ISO 15197 performance criteria. Adequate venous blood flow was identified as a necessary condition for accuracy when local sensor readings are compared with venous blood glucose. Conclusions The IV-CGM system was capable of achieving a high level of glucose measurement accuracy. However, superficial peripheral veins may not provide adequate blood flow for reliable indwelling blood glucose monitoring. PMID:23294770

  13. Urine Collected From Diapers Can Be Used for 2-Dimensional Polyacrylamide Gel Electrophoresis (2D-PAGE) in Infants and Young Children

    PubMed Central

    Kennedy, Mary Jayne; Griffin, Angela; Su, Ruifeng; Merchant, Michael; Klein, Jon

    2011-01-01

    Urinary proteomic profiling has potential to identify candidate biomarkers of renal injury in infants provided an adequate urine sample can be obtained. Although diapers are used to obtain urine for clinical evaluation, their use for proteomic analysis has not been investigated. We therefore performed feasibility studies on the use of diaper-extracted urine for 2-dimensional polyacrylamide gel electrophoresis (2D-PAGE). Pediatric waste urine (2–20 mL) was applied to gel-containing, non-gel and cotton-gauze diapers and then mechanically expressed. Urine volume and total protein were measured pre- and post-extraction. Proteins were separated via 2D-PAGE following application of urine (20–40 mL) to each matrix. 2D-PAGE was also performed on clinical specimens collected using each diaper type. Differences in the adsorption and retention of urine volume and protein were noted between matrices. Non-gel and cotton-gauze diapers provided the best protein/volume recovery and the lowest interference with the Bradford assay. 2D-PAGE was also successfully completed using urine samples from both cotton fiber matrices. Conversely, samples from low-gel diapers demonstrated poor protein separation and reproducibility. Diapers containing cotton-fiber matrices appear adequate for 2D-PAGE. Qualitative and quantitative analyses of resolved proteins using replicate, high resolution gels will be required, however, before diaper-extracted urine can be applied in proteomic profiling. PMID:21137001

  14. Comparison of Measured Flapwise Structural Bending Moments on a Teetering Rotor Blade With Results Calculated From the Measured Pressure Distribution

    NASA Technical Reports Server (NTRS)

    Mayo, Alton P.

    1959-01-01

    Flapwise bending moments were calculated for a teetering rotor blade using a reasonably rapid theoretical method in which airloads obtained from wind-tunnel tests were employed. The calculated moments agreed reasonably well with those measured with strain gages under the same test conditions. The range of the tests included one hovering and two forward-flight conditions. The rotor speed for the test was very near blade resonance, and difficult-to-calculate resonance effects apparently were responsible for the largest differences between the calculated and measured harmonic components of blade bending moments. These differences, moreover, were largely nullified when the harmonic components were combined to give a comparison of the calculated and measured blade total- moment time histories. The degree of agreement shown is therefore considered adequate to warrant the use of the theoretical method in establishing and applying methods of prediction of rotor-blade fatigue loads. At the same time, the validity of the experimental methods of obtaining both airload and blade stress measurement is also indicated to be adequate for use in establishing improved methods for prediction of rotor-blade fatigue loads during the design stage. The blade stiffnesses and natural frequencies were measured and found to be in close agreement with calculated values; however, for a condition of blade resonance the use of the experimental stiffness values resulted in better agreement between calculated and measured blade stresses.

  15. [The influence of consumption of phytate on the bone mass in posmenopausal women of Mallorca].

    PubMed

    López-González, Angel A; Grases, Félix; Marí, Bartolomé; Vicente-Herrero, María Teófila; Costa-Bauzá, Antonia; Monroy, Nieves

    2011-01-01

    Osteoporosis is a serious health problem in the population, mainly for postmenopausal women. Therefore, it is important to develop programs to decrease prevalence. The main objective of this study is to determine the influence of phytate consumption on bone mineral density. The bone mineral density was evaluated in postmenopausal women by means of dual X-ray double energy absorptiometry for calcaneous (C), lumbar spine (LS) and femoral neck (FN). The results obtained were related to the consumption of phytate by means of a dietary questionnaire. In the three different areas (C, LS, FN) we observed significantly higher values of T-score in women that consumed adequate amounts of phytate as opposed to those that did not, (C 0.1 vs. -0.5, LS -1.2 and -2.5 and FN -0.2 and -1.2). There is also an increase in the T-score as more phytate is consumed, up to a maximum of two times a week (C -0.7 in non consumers, -0.2 in those that consume phytate once a week and 0.2 in those that consume phytate twice a week; LS -2.8, -1.7 and 1.1 and finally, CF -1.3, -0.6 and -0.1). The results obtained seem to indicate that the adequate consumption of phytate may play an important role in the prevention of bone mineral density loss in postmenopausal women. 2010 Elsevier España, S.L. All rights reserved.

  16. Determinants of Hearing Aid Use Among Older Americans With Hearing Loss.

    PubMed

    McKee, Michael M; Choi, HwaJung; Wilson, Shelby; DeJonckheere, Melissa J; Zazove, Philip; Levy, Helen

    2018-05-21

    Hearing loss (HL) is common among older adults and is associated with significant psychosocial, cognitive, and physical sequelae. Hearing aids (HA) can help, but not all individuals with HL use them. This study examines how social determinants may impact HA use. We conducted an explanatory sequential mixed methods study involving a secondary analysis of a nationally representative data set, the Health and Retirement Study (HRS; n = 35,572). This was followed up with 1:1 qualitative interviews (n = 21) with community participants to clarify our findings. Both samples included individuals aged 55 and older with a self-reported HL, with or without HA. The main outcome measure was the proportion of participants with a self-reported HL who use HA. Analysis of HRS data indicated that younger, nonwhite, non-Hispanic, lower income, and less-educated individuals were significantly less likely to use HA than their referent groups (all p values < .001). Area of residence (e.g., urban) were not significantly associated with HA use. Qualitative findings revealed barriers to HA included cost, stigma, vanity, and a general low priority placed on addressing HL by health care providers. Facilitators to obtaining and using HA included family/friend support, knowledge, and adequate insurance coverage for HA. Many socioeconomic factors hinder individuals' ability to obtain and use HA, but these obstacles appeared to be mitigated in part when insurance plans provided adequate HA coverage, or when their family/friends provided encouragement to use HA.

  17. Patellar tendon rupture repair using Dall-Miles cable.

    PubMed

    Shelbourne, K D; Darmelio, M P; Klootwyk, T E

    2001-01-01

    Ten patients underwent patellar tendon repair with end-to-end suture technique and medial and lateral retinacular repair, as well as reinforcement with a Dall-Miles cable through the patella and tibial tubercle. The cable was tensioned at 60 degrees of flexion to allow immediate range of motion to at least 100 degrees of flexion and to protect the repair from undue tension while healing. Accurate tendon length was obtained from a lateral radiograph of the noninvolved knee in 60 degrees of flexion. Patients were allowed to bear full weight as tolerated postoperatively. A knee immobilizer was worn for approximately 2 weeks when adequate muscular control of the leg was attained. The cable was removed 6-8 weeks postoperatively, at which time range of motion equal to the opposite extremity was sought. Full extension was obtained by 1 week postoperatively. Average postoperative knee flexion was 88 degrees at 2 weeks, 112 degrees at 1 month, 133 at 3 months, and 138 degrees at 6 months compared to flexion of 141 degrees in the noninvolved knee. Mean quadriceps muscle strength 1 year postoperatively was 72%+/-11% of the noninvolved leg. No patient had patella infera or rerupture after surgery. Repair of a patellar tendon rupture with end-to-end techniques reinforced with a Dall-Miles cable allows immediate rehabilitation without the need for prolonged immobilization. This technique allows restoration of full range of motion early postoperatively and enables patients to regain adequate quadriceps strength.

  18. Psychometric Properties of the Heart Disease Knowledge Scale: Evidence from Item and Confirmatory Factor Analyses

    PubMed Central

    Lim, Bee Chiu; Kueh, Yee Cheng; Arifin, Wan Nor; Ng, Kok Huan

    2016-01-01

    Background Heart disease knowledge is an important concept for health education, yet there is lack of evidence on proper validated instruments used to measure levels of heart disease knowledge in the Malaysian context. Methods A cross-sectional, survey design was conducted to examine the psychometric properties of the adapted English version of the Heart Disease Knowledge Questionnaire (HDKQ). Using proportionate cluster sampling, 788 undergraduate students at Universiti Sains Malaysia, Malaysia, were recruited and completed the HDKQ. Item analysis and confirmatory factor analysis (CFA) were used for the psychometric evaluation. Construct validity of the measurement model was included. Results Most of the students were Malay (48%), female (71%), and from the field of science (51%). An acceptable range was obtained with respect to both the difficulty and discrimination indices in the item analysis results. The difficulty index ranged from 0.12–0.91 and a discrimination index of ≥ 0.20 were reported for the final retained 23 items. The final CFA model showed an adequate fit to the data, yielding a 23-item, one-factor model [weighted least squares mean and variance adjusted scaled chi-square difference = 1.22, degrees of freedom = 2, P-value = 0.544, the root mean square error of approximation = 0.03 (90% confidence interval = 0.03, 0.04); close-fit P-value = > 0.950]. Conclusion Adequate psychometric values were obtained for Malaysian undergraduate university students using the 23-item, one-factor model of the adapted HDKQ. PMID:27660543

  19. Psychometric Properties of the Heart Disease Knowledge Scale: Evidence from Item and Confirmatory Factor Analyses.

    PubMed

    Lim, Bee Chiu; Kueh, Yee Cheng; Arifin, Wan Nor; Ng, Kok Huan

    2016-07-01

    Heart disease knowledge is an important concept for health education, yet there is lack of evidence on proper validated instruments used to measure levels of heart disease knowledge in the Malaysian context. A cross-sectional, survey design was conducted to examine the psychometric properties of the adapted English version of the Heart Disease Knowledge Questionnaire (HDKQ). Using proportionate cluster sampling, 788 undergraduate students at Universiti Sains Malaysia, Malaysia, were recruited and completed the HDKQ. Item analysis and confirmatory factor analysis (CFA) were used for the psychometric evaluation. Construct validity of the measurement model was included. Most of the students were Malay (48%), female (71%), and from the field of science (51%). An acceptable range was obtained with respect to both the difficulty and discrimination indices in the item analysis results. The difficulty index ranged from 0.12-0.91 and a discrimination index of ≥ 0.20 were reported for the final retained 23 items. The final CFA model showed an adequate fit to the data, yielding a 23-item, one-factor model [weighted least squares mean and variance adjusted scaled chi-square difference = 1.22, degrees of freedom = 2, P-value = 0.544, the root mean square error of approximation = 0.03 (90% confidence interval = 0.03, 0.04); close-fit P-value = > 0.950]. Adequate psychometric values were obtained for Malaysian undergraduate university students using the 23-item, one-factor model of the adapted HDKQ.

  20. Local hyperspectral data multisharpening based on linear/linear-quadratic nonnegative matrix factorization by integrating lidar data

    NASA Astrophysics Data System (ADS)

    Benhalouche, Fatima Zohra; Karoui, Moussa Sofiane; Deville, Yannick; Ouamri, Abdelaziz

    2015-10-01

    In this paper, a new Spectral-Unmixing-based approach, using Nonnegative Matrix Factorization (NMF), is proposed to locally multi-sharpen hyperspectral data by integrating a Digital Surface Model (DSM) obtained from LIDAR data. In this new approach, the nature of the local mixing model is detected by using the local variance of the object elevations. The hyper/multispectral images are explored using small zones. In each zone, the variance of the object elevations is calculated from the DSM data in this zone. This variance is compared to a threshold value and the adequate linear/linearquadratic spectral unmixing technique is used in the considered zone to independently unmix hyperspectral and multispectral data, using an adequate linear/linear-quadratic NMF-based approach. The obtained spectral and spatial information thus respectively extracted from the hyper/multispectral images are then recombined in the considered zone, according to the selected mixing model. Experiments based on synthetic hyper/multispectral data are carried out to evaluate the performance of the proposed multi-sharpening approach and literature linear/linear-quadratic approaches used on the whole hyper/multispectral data. In these experiments, real DSM data are used to generate synthetic data containing linear and linear-quadratic mixed pixel zones. The DSM data are also used for locally detecting the nature of the mixing model in the proposed approach. Globally, the proposed approach yields good spatial and spectral fidelities for the multi-sharpened data and significantly outperforms the used literature methods.

  1. Forced oral opening for cadavers with rigor mortis: two approaches for the myotomy on the temporal muscles.

    PubMed

    Nakayama, Y; Aoki, Y; Niitsu, H; Saigusa, K

    2001-04-15

    Forensic dentistry plays an essential role in personal identification procedures. An adequate interincisal space of cadavers with rigor mortis is required to obtain detailed dental findings. We have developed intraoral and two directional approaches, for myotomy of the temporal muscles. The intraoral approach, in which the temporalis was dissected with scissors inserted via an intraoral incision, was adopted for elderly cadavers, females and emaciated or exhausted bodies, and had a merit of no incision on the face. The two directional approach, in which myotomy was performed with thread-wire saw from behind and with scissors via the intraoral incision, was designed for male muscular youths. Both approaches were effective to obtain a desired degree of an interincisal opening without facial damage.

  2. Molecular profiles: a new tool to substantiate serum banks for evaluation of potential allergenicity of GMO.

    PubMed

    Barber, D; Rodríguez, R; Salcedo, G

    2008-10-01

    Assessment of the allergenicity of GMOs involves performing a test with a panel of sera obtained from allergic donors. However, there is no clear indication of how to characterize the above-mentioned panel. The patient selection criteria should take into account the geographical location of patients, the intensity and nature of the environmental allergens in the area and the potential cross-reactivity among allergenic molecules. Sera for serum banks, obtained from patients with demonstrated food allergy, should be subjected to a further characterization by screening with a panel of relevant allergenic molecules. A representative panel of these sera should be used in the allergenicity assessment. Finally, the "in vitro" methodologies should have the adequate specificity and sensitivity, and the integrity of the molecules tested should be guaranteed.

  3. A parylene coating process for hybrid circuits

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The parylene coating process developed during this program consists of (1) obtaining a hybrid cover with a hole in it, (2) sealing of the circuit with a hole in the cover, (3) parylene coating through the hole with the external leads protected from parylene by appropriate fixturing, and (4) sealing of the hole by soldering a pretinned kovar tab. Development of the above process required optimization of the parylene coater parameters to obtain a uniform consistent coating which could offer adequate protection to the circuits, fixture design for packages of various types, determination of the size of the deposition hole, and the amount of dimer charge per run, a process to hermetically seal the deposition holes and establishment of quality control techniques or acceptance criteria for the deposited film.

  4. Short memory fuzzy fusion image recognition schema employing spatial and Fourier descriptors

    NASA Astrophysics Data System (ADS)

    Raptis, Sotiris N.; Tzafestas, Spyros G.

    2001-03-01

    Single images quite often do not bear enough information for precise interpretation due to a variety of reasons. Multiple image fusion and adequate integration recently became the state of the art in the pattern recognition field. In this paper presented here and enhanced multiple observation schema is discussed investigating improvements to the baseline fuzzy- probabilistic image fusion methodology. The first innovation introduced consists in considering only a limited but seemingly ore effective part of the uncertainty information obtained by a certain time restricting older uncertainty dependencies and alleviating computational burden that is now needed for short sequence (stored into memory) of samples. The second innovation essentially grouping them into feature-blind object hypotheses. Experiment settings include a sequence of independent views obtained by camera being moved around the investigated object.

  5. Subsonic stability and control derivatives for an unpowered, remotely piloted 3/8-scale F-15 airplane model obtained from flight test

    NASA Technical Reports Server (NTRS)

    Iliff, K. W.; Maine, R. E.; Shafer, M. F.

    1976-01-01

    In response to the interest in airplane configuration characteristics at high angles of attack, an unpowered remotely piloted 3/8-scale F-15 airplane model was flight tested. The subsonic stability and control characteristics of this airplane model over an angle of attack range of -20 to 53 deg are documented. The remotely piloted technique for obtaining flight test data was found to provide adequate stability and control derivatives. The remotely piloted technique provided an opportunity to test the aircraft mathematical model in an angle of attack regime not previously examined in flight test. The variation of most of the derivative estimates with angle of attack was found to be consistent, particularly when the data were supplemented by uncertainty levels.

  6. Area estimation of crops by digital analysis of Landsat data

    NASA Technical Reports Server (NTRS)

    Bauer, M. E.; Hixson, M. M.; Davis, B. J.

    1978-01-01

    The study for which the results are presented had these objectives: (1) to use Landsat data and computer-implemented pattern recognition to classify the major crops from regions encompassing different climates, soils, and crops; (2) to estimate crop areas for counties and states by using crop identification data obtained from the Landsat identifications; and (3) to evaluate the accuracy, precision, and timeliness of crop area estimates obtained from Landsat data. The paper describes the method of developing the training statistics and evaluating the classification accuracy. Landsat MSS data were adequate to accurately identify wheat in Kansas; corn and soybean estimates for Indiana were less accurate. Systematic sampling of entire counties made possible by computer classification methods resulted in very precise area estimates at county, district, and state levels.

  7. Prediction of N-nitrosodimethylamine (NDMA) formation as a disinfection by-product.

    PubMed

    Kim, Jongo; Clevenger, Thomas E

    2007-06-25

    This study investigated the possibility of a statistical model application for the prediction of N-nitrosodimethylamine (NDMA) formation. The NDMA formation was studied as a function of monochloramine concentration (0.001-5mM) at fixed dimethylamine (DMA) concentrations of 0.01mM or 0.05mM. Excellent linear correlations were observed between the molar ratio of monochloramine to DMA and the NDMA formation on a log scale at pH 7 and 8. When a developed prediction equation was applied to a previously reported study, a good result was obtained. The statistical model appears to predict adequately NDMA concentrations if other NDMA precursors are excluded. Using the predictive tool, a simple and approximate calculation of NDMA formation can be obtained in drinking water systems.

  8. Surface Flashover on Epoxy-Resin Printed Circuit Boards in Vacuum under Electron Irradiation

    NASA Astrophysics Data System (ADS)

    Fujii, Haruhisa; Hasegawa, Taketoshi; Osuga, Hiroyuki; Matsui, Katsuaki

    This paper deals with the surface flashover characteristics of dielectric material in vacuum during electron beam irradiation in order to design adequately the conductive patterns on printed circuit boards used inside a spacecraft. The dielectric material, glass-fiber reinforced epoxy resin, and the electrodes printed on it were irradiated with electrons of the energy of 3-10 keV. DC high voltage was applied between the two electrodes during electron irradiation. The voltage was increased stepwise until the surface flashover occurred on the dielectric material. We obtained the results that the surface flashover voltage increased with the insulation distance between the electrodes but electron irradiation made the flashover voltage lower. The flashover voltage characteristics were obtained as parameters of the electrode distance and the energy of the electron beam.

  9. The nexus between periodontics and oral pathology.

    PubMed

    Rich, Alison M; Seo, Benedict; Parachuru, Venkata; Hussaini, Haizal M

    2017-06-01

    A wide variety of lesions may arise from the oral mucosa, fibrous connective tissue, bone and cementum of the periodontium. The commonest pathology occurs as a result of bacterial infection and is very well known to dentists and periodontists, but rarer conditions present as gingival pathology. The pathogenesis of these conditions ranges from genetic to traumatic to immunological to neoplastic, and includes benign, malignant and metastatic lesions. This paper outlines some of these conditions and describes how the periodontist and oral pathologist can work together using a framework, and how with careful consideration of the clinical features and the use of appropriate special tests, including obtaining an adequate tissue specimen, a timely and accurate diagnosis can be obtained. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  10. Remote sensing at the University of Kansas in radar systems

    NASA Technical Reports Server (NTRS)

    Moore, R. K.

    1970-01-01

    Demonstration that a spectral response across an octave bandwidth in the microwave region is as variable as the comparable response in the visible and infrared region is a major mile-stone and indicates the potential of polypanchromatic radar systems is analogous with that of color photography. Averaging of the returns from a target element appears necessary to obtain a grey scale adequate for many earth-science applications of radar systems. This result can be obtained either by azimuth averaging or by the use of panchromatic techniques (range averaging). Improvement with panchromatic techniques has been demonstrated both with a landbased electromagnetic system and with an ultrasonic simulator. The advantage of the averaging achieved in azimuth with the real-aperture version of the DPD-2 when compared with the synthetic aperture version confirms the concept.

  11. The Viking seismometry

    NASA Technical Reports Server (NTRS)

    Lazarewicz, A. R.; Anderson, D. L.; Anderson, K.; Daonty, A. M.; Duennebier, F. K.; Gains, N. R.; Knight, T. C. D.; Kovach, R. L.; Latham, G. V.; Miller, W. F.

    1981-01-01

    Efforts were made to determine the seismicity of Mars as well as define its internal structure by detecting vibrations generated by marsquakes and meteoroid impacts. The lack of marsquakes recognized in the Viking data made it impossible to make any direct inferences about the interior of Mars and only allowed the setting of upper bounds on the seismic activity of the planet. After obtaining more than 2100 hours worth of data during the quite periods at rates of one sample per second or higher, the Viking 2 seismometer was turned off as a consequence of a landing system failure. During the periods when adequate data were obtained, one event of possible seismic or meteoroid impact origin was recognized; however, there is a significant probability that this event was generated by a wind gust.

  12. Stage-discharge relationship in tidal channels

    NASA Astrophysics Data System (ADS)

    Kearney, W. S.; Mariotti, G.; Deegan, L.; Fagherazzi, S.

    2016-12-01

    Long-term records of the flow of water through tidal channels are essential to constrain the budgets of sediments and biogeochemical compounds in salt marshes. Statistical models which relate discharge to water level allow the estimation of such records from more easily obtained records of water stage in the channel. While there is clearly structure in the stage-discharge relationship, nonlinearity and nonstationarity of the relationship complicates the construction of statistical stage-discharge models with adequate performance for discharge estimation and uncertainty quantification. Here we compare four different types of stage-discharge models, each of which is designed to capture different characteristics of the stage-discharge relationship. We estimate and validate each of these models on a two-month long time series of stage and discharge obtained with an Acoustic Doppler Current Profiler in a salt marsh channel. We find that the best performance is obtained by models which account for the nonlinear and time-varying nature of the stage-discharge relationship. Good performance can also be obtained from a simplified version of these models which approximates the fully nonlinear and time-varying models with a piecewise linear formulation.

  13. Thick Galactic Cosmic Radiation Shielding Using Atmospheric Data

    NASA Technical Reports Server (NTRS)

    Youngquist, Robert C.; Nurge, Mark A.; Starr, Stanley O.; Koontz, Steven L.

    2013-01-01

    NASA is concerned with protecting astronauts from the effects of galactic cosmic radiation and has expended substantial effort in the development of computer models to predict the shielding obtained from various materials. However, these models were only developed for shields up to about 120 g!cm2 in thickness and have predicted that shields of this thickness are insufficient to provide adequate protection for extended deep space flights. Consequently, effort is underway to extend the range of these models to thicker shields and experimental data is required to help confirm the resulting code. In this paper empirically obtained effective dose measurements from aircraft flights in the atmosphere are used to obtain the radiation shielding function of the earth's atmosphere, a very thick shield. Obtaining this result required solving an inverse problem and the method for solving it is presented. The results are shown to be in agreement with current code in the ranges where they overlap. These results are then checked and used to predict the radiation dosage under thick shields such as planetary regolith and the atmosphere of Venus.

  14. Is the level of knowledge a predictor of rational antibiotic use in Serbia?

    PubMed

    Horvat, Olga J; Tomas, Ana D; Paut Kusturica, Milica M; Savkov, Alisa V; Bukumirić, Dragica U; Tomić, Zdenko S; Sabo, Ana J

    2017-01-01

    The objective of this study was to investigate the knowledge, attitudes and behavior regarding antibiotics of the general population. The study sample consisted of adult subjects who consulted general practitioners at health centers in Serbia and agreed to complete the questionnaire. A total of 668 questionnaires were distributed; 500 respondents completed the entire questionnaire (response rate 74.85%). The average age was 51.65 ± 16.56 years, 60.80% of the respondents were women. The median antibiotic knowledge score was 9. Predictors of adequate antibiotic knowledge were higher education level and a family member whose ocuppation was related to health-care. Overall, 58.4% of respondents believed that antibiotics could be used to treat common cold. Around a half of the respondents (47.2%) self-medicated with antibiotics at least once during their life-time, and around a quarter (24.2%) during the last treatment of infection. Patients with inadequate knowledge had 3 times higher chances of self-medicating with antibiotics compared to those with adequate knowledge. Although 98.20% of respondents claimed that antibiotic treatment should be started after a visit to a doctor and receiving a prescription, only 65.8% obtained antibiotics with prescription from a doctor during the last infection. Although these results demonstrate that respondents had a relatively adequate level of knowledge regarding antibiotics use, some areas of misconceptions and improper behavior were identified. Therefore, further rationalization should be focused on educational campaigns targeting the behavior of patients with regard to antibiotic use.

  15. Low Average Sidelobe Slot Array Antennas for Radiometer Applications

    NASA Technical Reports Server (NTRS)

    Rengarajan, Sembiam; Zawardzki, Mark S.; Hodges, Richard E.

    2012-01-01

    In radiometer applications, it is required to design antennas that meet low average sidelobe levels and low average return loss over a specified frequency bandwidth. It is a challenge to meet such specifications over a frequency range when one uses resonant elements such as waveguide feed slots. In addition to their inherent narrow frequency band performance, the problem is exacerbated due to modeling errors and manufacturing tolerances. There was a need to develop a design methodology to solve the problem. An iterative design procedure was developed by starting with an array architecture, lattice spacing, aperture distribution, waveguide dimensions, etc. The array was designed using Elliott s technique with appropriate values of the total slot conductance in each radiating waveguide, and the total resistance in each feed waveguide. Subsequently, the array performance was analyzed by the full wave method of moments solution to the pertinent integral equations. Monte Carlo simulations were also carried out to account for amplitude and phase errors introduced for the aperture distribution due to modeling errors as well as manufacturing tolerances. If the design margins for the average sidelobe level and the average return loss were not adequate, array architecture, lattice spacing, aperture distribution, and waveguide dimensions were varied in subsequent iterations. Once the design margins were found to be adequate, the iteration was stopped and a good design was achieved. A symmetric array architecture was found to meet the design specification with adequate margin. The specifications were near 40 dB for angular regions beyond 30 degrees from broadside. Separable Taylor distribution with nbar=4 and 35 dB sidelobe specification was chosen for each principal plane. A non-separable distribution obtained by the genetic algorithm was found to have similar characteristics. The element spacing was obtained to provide the required beamwidth and close to a null in the E-plane end-fire direction. Because of the alternating slot offsets, grating lobes called butterfly lobes are produced in non-principal planes close to the H-plane. An attempt to reduce the influence of such grating lobes resulted in a symmetric design.

  16. THE IMPACT OF NEONATAL BREASTFEEDING ON GROWTH TRAJECTORIES OF YOUTH EXPOSED AND UNEXPOSED TO DIABETES IN UTERO: THE EPOCH STUDY

    PubMed Central

    Crume, T.L.; Ogden, L.G.; Mayer-Davis, E.J.; Hamman, R.F.; Norris, J.M.; Bischoff, K.J.; McDuffie, R.; Dabelea, D.

    2011-01-01

    Objective To evaluate the influence of breastfeeding on the body mass index (BMI) growth trajectory from birth through 13 years of age among offspring of diabetic pregnancies (ODP) and offspring of non-diabetic pregnancies (ONDP) participating in the EPOCH study. Subjects There were 94 ODP and 399 ONDP who had multiple BMI measures obtained from birth throughout childhood. A measure of breast milk-months was derived from maternal self-report to categorize breastfeeding status as adequate (≥6 breast milk-months) or low (<6 breast milk-months). Mixed linear effects models were constructed to assess the impact of breastfeeding on the BMI growth curves during infancy (birth to 27 months) and childhood (27 months to 13 years). Results ODP who were adequately breastfed had a slower BMI growth trajectory during childhood (p=0.047) and slower period-specific growth velocity with significant differences between 4 to 6 years of age (p=0.03) and 6 to 9 years of age (p=0.01) compared to ODP with low breastfeeding. A similar pattern was seen in the ONDP, with adequate breastfeeding associated with lower average BMI in infancy (p=0.03) and childhood (p=0.0002) and a slower growth trajectory in childhood (p=0.0002). Slower period-specific growth velocity was seen among the ONDP associated with adequate breastfeeding with significant differences between 12–26 months (p=0.02), 4–6 years (p=0.03), 6–9 years (p=0.0001) and 9–13 years of age (p<.0001). Conclusion Our study provides novel evidence that breastfeeding is associated with long-term effects on childhood BMI growth that extend beyond infancy into early and late childhood. Importantly, these effects are also present in the high-risk offspring, exposed to overnutrition during pregnancy. Breastfeeding in the early postnatal period may represent a critical opportunity to reduce the risk of childhood obesity. PMID:22290537

  17. Coverage of Adequately Iodized Salt Is Suboptimal and Rice Fortification Using Public Distribution Channels Could Reach Low-Income Households: Findings from a Cross-Sectional Survey of Anganwadi Center Catchment Areas in Telangana, India.

    PubMed

    Wirth, James P; Leyvraz, Magali; Sodani, Prahlad R; Aaron, Grant J; Sharma, Narottam D; Woodruff, Bradley A

    2016-01-01

    Food fortification is a cost-effective approach to prevent and control of micronutrient deficiencies in India. A cross-sectional survey of children 0-35 months of age residing in the catchment areas of anganwadi centers in the state of Telangana was conducted to assess the coverage of adequately iodized salt and the potential for rice fortification. Salt samples were collected and tested for iodine concentration using iodometric titration. Information on demographics, household rice consumption, and Telangana's rice sector was collected and interpreted. In households of selected children, 79% of salt samples were found to be adequately iodized. Salt brand and district were significant predictors of inadequately iodized salt. Daily rice consumption among children and women averaged 122 grams and 321 grams per day, respectively. Approximately 28% of households reported consuming rice produced themselves or purchased from a local farmer, 65% purchased rice from a market or shop, 6% got rice from a public distribution system site, and 2% obtained it from a rice mill. In the catchment areas of Telangana's anganwadi centers, there is significant variation in the coverage of adequately iodized salt by district. Future surveys in Telangana should measure the coverage of salt iodization in the general population using quantitative methods. Nonetheless, increasing the adequacy of iodization of smaller salt manufacturers would help achieve universal salt iodization in Telangana. Despite high consumption of rice, our findings suggest that large-scale market-based rice fortification is not feasible in Telangana due to a large proportion of households producing their own rice and highly fragmented rice distribution. Distributing fortified rice via Telangana's public distribution system may be a viable approach to target low-income households, but would only reach a small proportion of the population in Telangana.

  18. An audit of bronchoscopy practice in the United Kingdom: a survey of adherence to national guidelines

    PubMed Central

    Honeybourne, D.; Neumann, C. S.

    1997-01-01

    BACKGROUND: Both patient and staff safety are of major importance during the procedure of fibreoptic bronchoscopy. Patient safety depends partly on adequate disinfection of instruments and accessories used as well as careful monitoring during the procedure. Adequate facilities, manpower and training are also essential. Staff safety depends partly on adequate procedures to minimise any risks of sensitisation to agents such as glutaraldehyde. An audit was carried out of bronchoscopy procedures in hospitals in the UK and the findings were compared with published guidelines on good practice and clinical consensus. METHODS: A postal questionnaire was sent to 218 bronchoscopy units in the UK. Findings were then compared with published evidence of good practice in the areas of disinfection, including the use of glutaraldehyde, patient monitoring, manpower, facilities, and training. RESULTS: A 73% response rate was obtained. Recommended minimum disinfection times before and after routine bronchoscopies were not achieved by 35% of units. No disinfection was carried out in 34% of units before emergency bronchoscopies and in 19% of units after suspected cases of tuberculosis. Adequate rinsing of the bronchoscope with sterile or filtered water was not carried out by 43% of units. Contrary to recommendations, 31% of departments were still using glutaraldehyde in the patient examination room and inadequate room ventilation was common. Protective clothing was often not worn by staff during bronchoscopy. Inadequate intravenous access and use of supplementary oxygen were found in many units. Practice standards were higher in departments where dedicated bronchoscopy/endoscopy units of the hospital were used, and also where staff had been on external training courses. CONCLUSIONS: This audit has shown that many units do not adhere to guidelines on disinfection procedures and patient monitoring. Unnecessary potential risks due to staff exposure to glutaraldehyde were apparent. National guidelines on good practice are not being followed in areas which may potentially affect patient and staff safety. 


 PMID:9337830

  19. Coverage of Adequately Iodized Salt Is Suboptimal and Rice Fortification Using Public Distribution Channels Could Reach Low-Income Households: Findings from a Cross-Sectional Survey of Anganwadi Center Catchment Areas in Telangana, India

    PubMed Central

    Wirth, James P.; Leyvraz, Magali; Sodani, Prahlad R.; Aaron, Grant J.; Sharma, Narottam D.; Woodruff, Bradley A.

    2016-01-01

    Food fortification is a cost-effective approach to prevent and control of micronutrient deficiencies in India. A cross-sectional survey of children 0–35 months of age residing in the catchment areas of anganwadi centers in the state of Telangana was conducted to assess the coverage of adequately iodized salt and the potential for rice fortification. Salt samples were collected and tested for iodine concentration using iodometric titration. Information on demographics, household rice consumption, and Telangana’s rice sector was collected and interpreted. In households of selected children, 79% of salt samples were found to be adequately iodized. Salt brand and district were significant predictors of inadequately iodized salt. Daily rice consumption among children and women averaged 122 grams and 321 grams per day, respectively. Approximately 28% of households reported consuming rice produced themselves or purchased from a local farmer, 65% purchased rice from a market or shop, 6% got rice from a public distribution system site, and 2% obtained it from a rice mill. In the catchment areas of Telangana’s anganwadi centers, there is significant variation in the coverage of adequately iodized salt by district. Future surveys in Telangana should measure the coverage of salt iodization in the general population using quantitative methods. Nonetheless, increasing the adequacy of iodization of smaller salt manufacturers would help achieve universal salt iodization in Telangana. Despite high consumption of rice, our findings suggest that large-scale market-based rice fortification is not feasible in Telangana due to a large proportion of households producing their own rice and highly fragmented rice distribution. Distributing fortified rice via Telangana’s public distribution system may be a viable approach to target low-income households, but would only reach a small proportion of the population in Telangana. PMID:27447925

  20. An electroanalytical approach for evaluation of biochar adsorption characteristics and its application for lead and cadmium determination.

    PubMed

    Suguihiro, Talita Mayumi; de Oliveira, Paulo Roberto; de Rezende, Edivaltrys Inayve Pissinati; Mangrich, Antonio Sálvio; Marcolino, Luiz Humberto; Bergamini, Márcio F

    2013-09-01

    This work describes for first time the use of electroanalytical techniques for evaluation of adsorptive proprieties of biochar using it as electrode modifier and its application for preconcentration and determination of Lead(II) and Cadmium(II) under differential pulse adsorptive voltammetric conditions (DPAdSV). Samples of biochars were obtained from castor oil cake using a predefined set of experimental conditions varying the heating rate (V), final temperature (T) and warm-up period (P) and subsequently used for carbon paste modified electrode (CPME) preparation. The proposed method was applied for Lead(II) and Cadmium(II) determination in spiked simulated industrial effluents and the limit of detection obtained for both metals were adequated for determination of these evaluated ions taking into account the limits established by Brazilian legislation. For all samples analyzed, recoveries ranged from 95% to 104% were obtained and no significative interferences were observed for common cations in water samples. Copyright © 2013 Elsevier Ltd. All rights reserved.

  1. Health Literacy and Sources of Health Information for Caregivers of Urban Children with Asthma

    PubMed Central

    Fagnano, Maria; Halterman, Jill S.; Conn, Kelly M.; Shone, Laura P.

    2012-01-01

    Little is known about the resources urban caregivers of children with asthma use to obtain health information. We analyzed data for 304 families of children with persistent asthma to describe: 1) sources of health information, 2) access and use of Internet resources, and 3) the association between caregiver’s health literacy (HL) and use of health information sources. Overall, 37% of caregivers had Limited HL. Most families received health information from: a health care professional (94%); written sources (51%); family/friends (42%); non-print media (34%); and Internet (30%). Less than ½ of caregivers had access to Internet at home, but 73% reported Internet use in the past year. Caregivers with Adequate HL were more likely to obtain information from multiple sources, and to use and have access to the Internet. Our results suggest that HL is associated with where caregivers obtain health information for their children and their use of the Internet. PMID:21911409

  2. Results of wind simulations in the mesosphere using precision C-band radars and the inflatable falling sphere technique

    NASA Technical Reports Server (NTRS)

    Schmidlin, F. J.; Northam, E. T.; Michel, W. R.

    1985-01-01

    The inflatable sphere technique represents a relatively inexpensive approach for obtaining density and wind data between 30 and 90 km. The procedure in its current form is adequate for operational rocket network type application. However, detailed information is lost because of oversmoothing. The present study had the objective to determine whether more detailed wind profiles could be obtained using the inflatable falling sphere and Hirobin. Hirobin is the name for the sphere reduction program used at NASA Wallops Island, VA. In connection with the aim of the study, information had to be obtained regarding the precision of the radar used to track the sphere. For this purpose, data from three C-band radars, each with a different tracking precision, were simulated. On the basis of the results of the investigation, it is concluded that, given a radar with a known precision and a perfectly performing sphere, the Hirobin filters can be adjusted to provide small-scale wind information to about 70 km.

  3. A resected perivascular epithelioid cell tumor (PEComa) of the pancreas diagnosed using endoscopic ultrasound-guided fine-needle aspiration.

    PubMed

    Okuwaki, Kosuke; Kida, Mitsuhiro; Masutani, Hironori; Yamauchi, Hiroshi; Katagiri, Hiroyuki; Mikami, Tetuo; Miyazawa, Shiro; Iwai, Tomohisa; Takezawa, Miyoko; Imaizumi, Hiroshi; Koizumi, Wasaburo

    2013-01-01

    Primary perivascular epithelioid cell tumors (PEComas) of the pancreas are extremely rare. We herein report our experience with a patient who had a primary PEComa of the pancreas that was diagnosed by the preoperative histopathological examination of a biopsy specimen obtained by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). The patient was a 43-year-old woman whose chief complaint was abdominal pain. Imaging studies revealed a pancreatic tumor. Gastrointestinal stromal tumor (GIST), solid pseudopapillary tumor and neuroendocrine tumor were considered in the differential diagnosis. A histopathological examination of a specimen of the tumor obtained using EUS-FNA showed spindle-shaped tumor cells with enlarged nuclei and eosinophilic cytoplasm. The tumor cells proliferated in a sheet-like fashion and stained positive for the melanoma-associated antigen HMB-45. A PEComa was thus diagnosed. If an adequate tumor specimen can be obtained using EUS-FNA, immunostaining may facilitate the diagnosis of extremely rare diseases and therefore assist in deciding the treatment policy.

  4. Bio-refinery approach for spent coffee grounds valorization.

    PubMed

    Mata, Teresa M; Martins, António A; Caetano, Nídia S

    2018-01-01

    Although normally seen as a problem, current policies and strategic plans concur that if adequately managed, waste can be a source of the most interesting and valuable products, among which metals, oils and fats, lignin, cellulose and hemicelluloses, tannins, antioxidants, caffeine, polyphenols, pigments, flavonoids, through recycling, compound recovery or energy valorization, following the waste hierarchy. Besides contributing to more sustainable and circular economies, those products also have high commercial value when compared to the ones obtained by currently used waste treatment methods. In this paper, it is shown how the bio-refinery framework can be used to obtain high value products from organic waste. With spent coffee grounds as a case study, a sequential process is used to obtain first the most valuable, and then other products, allowing proper valorization of residues and increased sustainability of the whole process. Challenges facing full development and implementation of waste based bio-refineries are highlighted. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Synthesis and morphological examination of high-purity Ca(OH)2 nanoparticles suitable to consolidate porous surfaces

    NASA Astrophysics Data System (ADS)

    Madrid, Juan Antonio; Lanzón, Marcos

    2017-12-01

    Adequate synthetic methods to obtain pure Ca(OH)2 nanoparticles are scarcely documented in the literature. This paper presents a complete methodology to obtain highly-pure Ca(OH)2 nanoparticles that are appropriate for strengthening heritage materials. The precipitation synthesis was operated in controlled atmosphere to avoid carbonation by atmospheric CO2. A complete purification method was developed to eliminate the sodium chloride generated in the reaction. Several analytical techniques, such as electrical conductivity, pH, ion chromatography, X-ray diffraction (XRD) and thermogravimetric analysis coupled to mass spectrometry (TGA-MS) were used to analyse both the aqueous medium and solid phase. The amount of material obtained in the synthesis (yield) was quantified throughout the purification procedure. The influence of temperature on the nanoparticles' size and stability was studied by transmission electron microscopy (HRTEM) and sedimentation tests (light scattering). It was found that the synthesis yielded high-purity nanoparticles, whose morphological features were greatly affected by the reaction temperature.

  6. Velocimetry with refractive index matching for complex flow configurations, phase 1

    NASA Technical Reports Server (NTRS)

    Thompson, B. E.; Vafidis, C.; Whitelaw, J. H.

    1987-01-01

    The feasibility of obtaining detailed velocity field measurements in large Reynolds number flow of the Space Shuttle Main Engine (SSME) main injector bowl was demonstrated using laser velocimetry and the developed refractive-index-matching technique. An experimental system to provide appropriate flow rates and temperature control of refractive-index-matching fluid was designed and tested. Test results are presented to establish the feasibility of obtaining accurate velocity measurements that map the entire field including the flow through the LOX post bundles: sample mean velocity, turbulence intensity, and spectral results are presented. The results indicate that a suitable fluid and control system is feasible for the representation of complex rocket-engine configurations and that measurements of velocity characteristics can be obtained without the optical access restrictions normally associated with laser velocimetry. The refractive-index-matching technique considered needs to be further developed and extended to represent other rocket-engine flows where current methods either cannot measure with adequate accuracy or they fail.

  7. Standard map in magnetized relativistic systems: fixed points and regular acceleration.

    PubMed

    de Sousa, M C; Steffens, F M; Pakter, R; Rizzato, F B

    2010-08-01

    We investigate the concept of a standard map for the interaction of relativistic particles and electrostatic waves of arbitrary amplitudes, under the action of external magnetic fields. The map is adequate for physical settings where waves and particles interact impulsively, and allows for a series of analytical result to be exactly obtained. Unlike the traditional form of the standard map, the present map is nonlinear in the wave amplitude and displays a series of peculiar properties. Among these properties we discuss the relation involving fixed points of the maps and accelerator regimes.

  8. A Comparative Analysis of Chemical Vapor Deposition Techniques for the Growth of 3-5 Epitaxial Films

    DTIC Science & Technology

    1988-04-01

    2 and V4. However, the following segment of a mechanism suggested by Kelvin C8 ] for NH3 de - composition adequately described the loss of VH3 from...be corrected for other temperatures by assuming a T3 / 2 de - pendence C 23 ]. In order to transform the reaction rate coefficients obtained in this...the de - creased electron multilplier gain at large m/e values. This is clearly decnstrated for As+ (m/e = 300) where the maximum signal observed (ZmV

  9. Sqeezing generated by a nonlinear master equation and by amplifying-dissipative Hamiltonians

    NASA Technical Reports Server (NTRS)

    Dodonov, V. V.; Marchiolli, M. A.; Mizrahi, Solomon S.; Moussa, M. H. Y.

    1994-01-01

    In the first part of this contribution we show that the master equation derived from the generalized version of the nonlinear Doebner-Goldin equation leads to the squeezing of one of the quadratures. In the second part we consider two familiar Hamiltonians, the Bateman- Caldirola-Kanai and the optical parametric oscillator; going back to their classical Lagrangian form we introduce a stochastic force and a dissipative factor. From this new Lagrangian we obtain a modified Hamiltonian that treats adequately the simultaneous amplification and dissipation phenomena, presenting squeezing, too.

  10. [Protein-losing enteropathy due to intestinal lymphangiectasis: a rare disease. Report of two cases].

    PubMed

    Sommaruga, Horacio; Santarcángelo, Salomé Catalina; Quintana, Carlos; Navacchia, Daniel

    2015-03-01

    Congenital intestinal lymphangiectasis (LIP) is a protein-losing enteropathy that appears sporadically in children. It begins with edema due to hypoproteinemia and hypoalbuminemia, and in some cases with ascites, immunodeficience and hypocalcemic tetania. The purpose of this report is to present two patients with LIP which appeared during the first year of life. The diagnosis was certificated by upper gastrointestinal videoendoscopy and histological findings. Both patients were treated with a new formula containing mean chain triglycerides with an adequate response, not obtained before with a common semielemental formula.

  11. The use of audio-visual methods in radiology and physics courses

    NASA Astrophysics Data System (ADS)

    Holmberg, Peter

    1987-03-01

    Today's medicine utilizes sophisticated equipment for radiological, biochemical and microbiological investigation procedures and analyses. Hence it is necessary that physicians have adequate scientific and technical knowledge of the apparatus they are using so that the equipment can be used in the most effective way. Partly this knowledge is obtained from science-orientated courses in the preclinical stage of the study program for medical students. To increase the motivation to study science-courses (medical physics) audio-visual methods are used to describe diagnostic and therapeutic procedures in the clinical routines.

  12. Case history development of a hybrid poplar nursery at Reynolds Metals Company, Massena, New York. Final report

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

    Marler, R.L.

    1981-11-01

    Intensive cultivation of fast-growing hardwoods, such as hybrid poplars, is a promising method of assuring adequate supplies of biomass for energy purposes. This report details the establishment of a hybrid poplar nursery on formerly unused land at the Reynolds Metals Company's reduction plant in Massena, NY and presents the results obtained during the first growing season. Cuttings from the nursery replanted during the Spring of 1982 are the first phase of a 600-acre hybrid poplar plantation at the Reynolds site.

  13. Civil tiltrotor transport point design: Model 940A

    NASA Technical Reports Server (NTRS)

    Rogers, Charles; Reisdorfer, Dale

    1993-01-01

    The objective of this effort is to produce a vehicle layout for the civil tiltrotor wing and center fuselage in sufficient detail to obtain aerodynamic and inertia loads for determining member sizing. This report addresses the parametric configuration and loads definition for a 40 passenger civil tilt rotor transport. A preliminary (point) design is developed for the tiltrotor wing box and center fuselage. This summary report provides all design details used in the pre-design; provides adequate detail to allow a preliminary design finite element model to be developed; and contains guidelines for dynamic constraints.

  14. Positronics of radiation-induced effects in chalcogenide glassy semiconductors

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

    Shpotyuk, O.; Kozyukhin, S. A., E-mail: sergkoz@igic.ras.ru; Shpotyuk, M.

    2015-03-15

    Using As{sub 2}S{sub 3} and AsS{sub 2} glasses as an example, the principal possibility of using positron annihilation spectroscopy methods for studying the evolution of the free volume of hollow nanoobjects in chalcogenide glassy semiconductors exposed to radiation is shown. The results obtained by measurements of the positron annihilation lifetime and Doppler broadening of the annihilation line in reverse chronological order are in full agreement with the optical spectroscopy data in the region of the fundamental absorption edge, being adequately described within coordination defect-formation and physical-aging models.

  15. Relationship Between the School Nursing Experience of the Young Man Unqualified for Military Service and his Present Status of Health

    DTIC Science & Technology

    1966-05-01

    research study known to this writer that is related to this problem. TIM STUDY The purpose of this st𔃼dy was to determine what rela- tionship exists, if...their health status. Objectives of the study were: one, discovering the present health problem that caused rejection and how long it had been in...rojectoes. Three assumptions were made relative to the study . The first one was that an adequate school h Iealth se:-vir.e assists families in obtaining

  16. Clinical process examples of cognitive behavioral therapy for psychosis.

    PubMed

    Sivec, Harry J; Montesano, Vicki L

    2013-09-01

    Interest in the practice of Cognitive Behavioral Therapy for persistent psychotic symptoms (CBT-p) has increased dramatically in the last decade. Despite the widespread interest, it remains challenging to obtain adequate training in this approach in the United States. This article provides a few hypothetical examples of the types of interventions commonly used in CBT-p. We provide information about the theoretical basis for the techniques and related research support. We also provide references that offer more detailed discussion of the theory and application of the techniques. 2013 APA, all rights reserved

  17. Noise assessment of unsuppressed TF-34-GE-100A engine at Warfield ANG, Baltimore, Maryland

    NASA Astrophysics Data System (ADS)

    Shaffer, Winston J., II; Ellis, John C., II

    1987-12-01

    This report presents the results of noise data measurements of an unsuppressed TF34-GE-100A engine and a community noise survey of the local area around the engine. Three recommendations were made. A two barrier design should be installed as an interim noise control measure. Justification and installation of a noise suppressor, as a long term solution, should be pursued. Day-night sound levels should continue to be monitored until adequate characterization of the airport noise environment is obtained.

  18. Thermal resistance of Listeria monocytogenes in sausage meat.

    PubMed

    Farber, J M; Hughes, A; Holley, R; Brown, B

    1989-01-01

    The heat resistance of a mixture of 10 different strains of Listeria monocytogenes inoculated into ground meat and ground meat plus cure was examined. D-values for ground meat ranged from 1.01 min at 62 degrees C to 13.18 min at 56 degrees C. The D-values obtained for ground meat plus cure were approximately 5-8 fold times higher than those for ground meat alone. These results imply that rare meats and possibly some cooked fermented meats may not be heated adequately to inactivate Listeria.

  19. Risk assessment of bronchial asthma development in children with atopic dermatitis

    NASA Astrophysics Data System (ADS)

    Vуsotska, Olena V.; Klymenko, Viktoriia A.; Trubitcin, Alexei A.; Pecherska, Anna I.; Savchuk, Tamara O.; Kolimoldayev, Maksat; Wójcik, Waldemar; Szatkowska, Małgorzata; Burlibay, Aron

    2017-08-01

    This article offers a risk assessment of bronchial asthma development in children with atopic dermatitis by applying fuzzy-set theory to accumulated statistical data. It is shown that with a view to executing the said task one should exercise a complex approach involving factors such as "IgE level", "existence of obstructions" and "burdened bronchial asthma heredity of immediate relatives". The obtained results will assist in making adequate and well-informed medical decisions as well as facilitate the decrease of the risk of developing bronchial asthma in children with atopic dermatitis.

  20. Use of simulation technology in Australian Defence Force resuscitation training.

    PubMed

    Hendrickse, A D; Ellis, A M; Morris, R W

    2001-06-01

    Realistic training of health personnel for the resuscitation of military casualties is problematic. There are few opportunities for personnel to obtain the necessary experience unless working in a busy emergency or trauma environment. Even so, the specific nature of military trauma means that many aspects of casualty management may not be adequately covered in the civilian domain. This paper discusses the use of advanced simulation technology in the training of military resuscitation teams. Such training has been available to members of the Australian Defence Force (ADF) for two years.

  1. Complex outflow anatomy in left lateral lobe graft and modified venous reconstruction in pediatric living donor liver transplantation.

    PubMed

    Benetatos, Nikolaos; Scalera, Irene; Isaac, John R; Mirza, Darius F; Muiesan, Paolo

    2014-10-01

    Hepatic venous outflow reconstruction is of critical significance in pediatric patients undergoing living donor liver transplantation. Accurate knowledge of the anatomical variations is important to obtain appropriate size segmental grafts. The diameter of the hepatic veins and the potential risk of complications at the level of the anastomosis require an adequate primary vascular reconstruction. We describe a venous outflow reconstruction technique, in a living related left lateral lobe graft, with unfavorable hepatic venous anatomy. © 2014 Steunstichting ESOT.

  2. Potentialities of mass spectrometry (ICP-MS) for actinides determination in urine.

    PubMed

    Bouvier-Capely, C; Ritt, J; Baglan, N; Cossonnet, C

    2004-05-01

    The applicability of inductively coupled plasma-mass spectrometry (ICP-MS) for determining actinides in urine was investigated. Performances of ICP-MS including detection limit and analysis time were studied and compared with alpha spectrometry performances. In the field of individual monitoring of workers, the comparison chart obtained in this study can be used as a guide for medical laboratories to select the most adequate procedure to be carried out depending on the case in question (the radioisotope to be measured, the required sensitivity, and the desired response time).

  3. Membrane Vibration Tests Using Surface-Bonded Piezoelectric Patch Actuation

    NASA Technical Reports Server (NTRS)

    Gasper, James L.; Pappa, Richard S.

    2003-01-01

    This paper describes the status of on-going work at the NASA Langley Research Center to measure the dynamics of thin membranes. The test article is a one-meter square pre-tensioned Kapton membrane that incorporates small surface-bonded piezoelectric patches strategically positioned to excite many modes. It is shown that PVDF (polyvinylidene fluoride) and MFC (macro fiber composite) piezoelectric patch actuators provide adequate excitation energy to obtain modal frequencies and mode shapes. Results from modal tests performed on the membrane using piezoelectric patches of different sizes and positions are discussed.

  4. Development of non-linear finite element computer code

    NASA Technical Reports Server (NTRS)

    Becker, E. B.; Miller, T.

    1985-01-01

    Recent work has shown that the use of separable symmetric functions of the principal stretches can adequately describe the response of certain propellant materials and, further, that a data reduction scheme gives a convenient way of obtaining the values of the functions from experimental data. Based on representation of the energy, a computational scheme was developed that allows finite element analysis of boundary value problems of arbitrary shape and loading. The computational procedure was implemental in a three-dimensional finite element code, TEXLESP-S, which is documented herein.

  5. Creep Measurement Video Extensometer

    NASA Technical Reports Server (NTRS)

    Jaster, Mark; Vickerman, Mary; Padula, Santo, II; Juhas, John

    2011-01-01

    Understanding material behavior under load is critical to the efficient and accurate design of advanced aircraft and spacecraft. Technologies such as the one disclosed here allow accurate creep measurements to be taken automatically, reducing error. The goal was to develop a non-contact, automated system capable of capturing images that could subsequently be processed to obtain the strain characteristics of these materials during deformation, while maintaining adequate resolution to capture the true deformation response of the material. The measurement system comprises a high-resolution digital camera, computer, and software that work collectively to interpret the image.

  6. Working papers: applicability of Box Jenkins techniques to gasoline consumption forecasting

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

    Not Available

    Reliable consumption forecasts are needed, however, traditional linear time-series techniques don't adequately account for an environment so subject to change. This report evaluates the use of Box Jenkins techniques for gasoline consumption forecasting. Box Jenkins methods were applied to data obtained from the Colorado Petroleum Association and the Colorado Highway Users Fund to ''predict'' 1978 and 1979 consumption. These results prove the Box Jenkins techniques to be quite effective. Forecasts for 1980-81 are included along with suggestions for continuous use of the technique to monitor consumption.

  7. LETTER TO THE EDITOR: Constant-time solution to the global optimization problem using Brüschweiler's ensemble search algorithm

    NASA Astrophysics Data System (ADS)

    Protopopescu, V.; D'Helon, C.; Barhen, J.

    2003-06-01

    A constant-time solution of the continuous global optimization problem (GOP) is obtained by using an ensemble algorithm. We show that under certain assumptions, the solution can be guaranteed by mapping the GOP onto a discrete unsorted search problem, whereupon Brüschweiler's ensemble search algorithm is applied. For adequate sensitivities of the measurement technique, the query complexity of the ensemble search algorithm depends linearly on the size of the function's domain. Advantages and limitations of an eventual NMR implementation are discussed.

  8. Design of cryogenic tanks for launch vehicles

    NASA Technical Reports Server (NTRS)

    Copper, Charles; Pilkey, Walter D.; Haviland, John K.

    1990-01-01

    During the period since January 1990, work was concentrated on the problem of the buckling of the structure of an ALS (advanced launch systems) tank during the boost phase. The primary problem was to analyze a proposed hat stringer made by superplastic forming, and to compare it with an integrally stiffened stringer design. A secondary objective was to determine whether structural rings having the identical section to the stringers will provide adequate support against overall buckling. All of the analytical work was carried out with the TESTBED program on the CONVEX computer, using PATRAN programs to create models. Analyses of skin/stringer combinations have shown that the proposed stringer design is an adequate substitute for the integrally stiffened stringer. Using a highly refined mesh to represent the corrugations in the vertical webs of the hat stringers, effective values were obtained for cross-sectional area, moment of inertia, centroid height, and torsional constant. Not only can these values be used for comparison with experimental values, but they can also be used for beams to replace the stringers and frames in analytical models of complete sections of tank. The same highly refined model was used to represent a section of skin reinforced by a stringer and a ring segment in the configuration of a cross. It was intended that this would provide a baseline buckling analysis representing a basic mode, however, the analysis proved to be beyond the scope of the CONVEX computer. One quarter of this model was analyzed, however, to provide information on buckling between the spot welds. Models of large sections of the tank structure were made, using beam elements to model the stringers and frames. In order to represent the stiffening effects of pressure, stresses and deflections under pressure should first be obtained, and then the buckling analysis should be made on the structure so deflected. So far, uncharacteristic deflections under pressure were obtained from the TESTBED program using two types of structural elements. Similar results were obtained using the ANSYS program on a mainframe computer, although two finite element programs on microcomputers have yielded realistic results.

  9. Online Bayesian Learning with Natural Sequential Prior Distribution Used for Wind Speed Prediction

    NASA Astrophysics Data System (ADS)

    Cheggaga, Nawal

    2017-11-01

    Predicting wind speed is one of the most important and critic tasks in a wind farm. All approaches, which directly describe the stochastic dynamics of the meteorological data are facing problems related to the nature of its non-Gaussian statistics and the presence of seasonal effects .In this paper, Online Bayesian learning has been successfully applied to online learning for three-layer perceptron's used for wind speed prediction. First a conventional transition model based on the squared norm of the difference between the current parameter vector and the previous parameter vector has been used. We noticed that the transition model does not adequately consider the difference between the current and the previous wind speed measurement. To adequately consider this difference, we use a natural sequential prior. The proposed transition model uses a Fisher information matrix to consider the difference between the observation models more naturally. The obtained results showed a good agreement between both series, measured and predicted. The mean relative error over the whole data set is not exceeding 5 %.

  10. Evaluation of vitamins A, C and E content in diets of adolescents living in Warsaw, Poland.

    PubMed

    Dybkowska, Ewa; Waszkiewicz-Robak, Bozena; Piekot, Edyta

    2014-01-01

    Antioxidant vitamins such as alpha-tocopherol (vitamin E), ascorbic acid (vitamin C), and beta-carotene (provitamin A), play a significant role in protecting the body from an excess of free radicals. The vitamin content of the diet is thus very important. To assess whether the dietary intake of vitamins A, C and E is adequate in a selected group of adolescents living in Warsaw. The mean vitamin consumption was estimated using three-day dietary records whilst vitamin contents of selected foodstuffs were obtained from Food Composition Tables. Both were related to Polish nutrition standards applied to adolescents; i.e. EAR (Estimated Average Requirement) for vitamins A and C and AI (Adequate Intake) for vitamin E. Dietary vitamin C in adolescents and vitamin E in girls were around 18-25% lower than that recommended. Diets that were deficient in vitamins C and E were recorded in 47% to 67% adolescents. It is therefore necessary to increase the consumption of vegetables and fruit which provide a valuable dietary source for these vitamins.

  11. The rites of writing papers: steps to successful publishing for psychiatrists.

    PubMed

    Brakoulias, Vlasios; Macfarlane, Matthew D; Looi, Jeffrey C

    2015-02-01

    To encourage psychiatrists to publish high-quality articles in peer-reviewed journals by demystifying the publishing process. This paper will describe the publishing process and outline key factors that ensure that publishing is an achievable goal for psychiatrists. The publishing process can be long and often this is related to delays associated with obtaining reviewers and their comments. Negative reviewer comments often relate to grammatical and typographical errors, an insufficient literature review, failure to adequately discuss limitations and conclusions that are not adequately supported by the results. Authors who systematically respond to their paper's reviewer comments are usually successful in having their papers accepted. Success in publishing is usually determined by a topic that appeals to the readership of a journal, a credible methodology and a paper that is well-written. Publishing is achievable for all psychiatrists providing they can write a paper that delivers a clear and concise message, are willing to address reviewer comments and that their paper is tailored to the readership of the journal. © The Royal Australian and New Zealand College of Psychiatrists 2014.

  12. Administration of a leptin antagonist during the neonatal leptin surge induces alterations in the redox and inflammatory state in peripubertal /adolescent rats.

    PubMed

    Mela, Virginia; Hernandez, Oskarina; Hunsche, Caroline; Diaz, Francisca; Chowen, Julie A; De la Fuente, Mónica

    2017-10-15

    The importance of the neonatal leptin surge in rodents in neurodevelopmental processes has aroused curiosity in its implication in other physiological systems. Given the role of leptin in neuro-immune interactions, we hypothesized that the neonatal leptin surge could have an effect on the oxidative and inflammatory stress situations of both systems. We blocked the neonatal leptin surge by a leptin antagonist and measured several parameters of oxidative and inflammatory stress in the spleen, hypothalamus and adipose tissue of peripubertal/adolescent rats. The treated rats showed lower activity of several antioxidant enzymes in the spleen and their leukocytes released lower levels of mitogen-stimulated IL-10 and IL-13 and higher levels of TNF-alpha. In conclusion, the neonatal leptin surge may have a key role in the establishment of adequate redox and inflammatory states in the immune system, which is important for the generation of adequate immune responses and to obtain and maintain good health. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Parallel Processing of Images in Mobile Devices using BOINC

    NASA Astrophysics Data System (ADS)

    Curiel, Mariela; Calle, David F.; Santamaría, Alfredo S.; Suarez, David F.; Flórez, Leonardo

    2018-04-01

    Medical image processing helps health professionals make decisions for the diagnosis and treatment of patients. Since some algorithms for processing images require substantial amounts of resources, one could take advantage of distributed or parallel computing. A mobile grid can be an adequate computing infrastructure for this problem. A mobile grid is a grid that includes mobile devices as resource providers. In a previous step of this research, we selected BOINC as the infrastructure to build our mobile grid. However, parallel processing of images in mobile devices poses at least two important challenges: the execution of standard libraries for processing images and obtaining adequate performance when compared to desktop computers grids. By the time we started our research, the use of BOINC in mobile devices also involved two issues: a) the execution of programs in mobile devices required to modify the code to insert calls to the BOINC API, and b) the division of the image among the mobile devices as well as its merging required additional code in some BOINC components. This article presents answers to these four challenges.

  14. Endo-periodontal lesion--endodontic approach.

    PubMed

    Jivoinovici, R; Suciu, I; Dimitriu, B; Perlea, P; Bartok, R; Malita, M; Ionescu, C

    2014-01-01

    Endo-perio lesions might be interdependent because of the vascular and anatomic connections between the pulp and the periodontium. The aim of this study is to emphasise that primary endodontic lesion heals after a proper instrumentation, disinfection and sealing of the endodontic space. The primary endodontic lesion with a secondary periodontal involvement first requires an endodontic therapy and, in the second stage, a periodontal therapy. The prognosis is good, with an adequate root canal treatment; it depends on the severity of the periodontal disease, appropriate healing time and the response to the treatment. A correct diagnosis is sometimes difficult; an accurate identification of the etiologic factors is important for an adequate treatment. Primary perio-endo lesion may heal after a proper disinfection and sealing of the endodontic system, the one-year follow-up radiograph showing bonny repair. Invasive periodontal procedures should be avoided at that moment. The microorganisms and by-products from the infected root canal may cross accessory and furcal canals and determine sinus tract and loss of attachment. In both clinical cases presented in this article, successful healing was obtained after a proper disinfection and sealing of the endodontic system.

  15. The Association of Household Food Insecurity and the Risk of Calcium Oxalate Stones.

    PubMed

    Shafi, Hamid; Dorosty Motlagh, Ahmad-Reza; Bagherniya, Mohammad; Daeezadeh, Atefeh; Safarian, Mohammad

    2017-08-29

    Food insecurity has been defined as 'limited or uncertain availability of nutritionally adequate and safe foods', which associated with adverse health consequences in human. Another alarming condition, which is related to several comorbidities is kidney stone. This study aimed to determine the association of household food insecurity and developing kidney stones (calcium oxalate) in adults referred to medical centers of Babol. This case-control study included 200 participants 18-65 years of ages (100 cases, 100 controls). An 18-items food insecurity questionnaire (USDA), a valid and reliable 147-item food frequency questionnaire (FFQ) and demographic characteristics were obtained via interviewing. Sixty eight percent of cases and 40% of controls were food insecure, respectively. Food insecurity was significantly associated with the risk of kidney stone (P < .05). Furthermore, body mass index (BMI) and family history of kidney stone were significantly associated with the risk of kidney stones (P < .05). Food insecurity and BMI were significantly associated with the kidney stone, which shows the importance of availability of nutritionally adequate and safe foods in prevention of the kidney stone.

  16. [Psychometric properties of the Escala de Autoeficacia para el Afrontamiento del Estrés (EAEAE)].

    PubMed

    Godoy Izquierdo, Débora; Godoy García, Juan F; López-Chicheri García, Isabel; Martínez Delgado, Antonio; Gutiérrez Jiménez, Susana; Vázquez Vázquez, Luisa

    2008-02-01

    This paper presents the theoretical construct of and an instrument for its assessment, the Escala de Autoeficacia para el Afrontamiento del Estrés (EAEAE; in English, Coping with Stress Self-Efficacy Scale), as well as the results obtained concerning its psychometric properties from an adult population. 812 individuals, aged 18 to 64 years old ( M = 26.46, SD = 9.93, 62.6% females and 37.4% males), recruited from various contexts, participated in this study. Participants completed the EAEAE along with other measures of constructs theoretically related to this specific self-efficacy. The EAEAE shows appropriate reliability in its complete form as well as in its two subscales of Efficacy Expectations and Outcome Expectations, and adequate factorial construct validity (which reveals the bi-dimensionality of the instrument), and convergent validity with the remaining measures. The characteristics of brevity and ease of application of the scale, in addition to its adequate psychometric properties, indicate that the EAEAE is an appropriate tool to assess and investigate coping with stress self-efficacy in research as well as clinical settings.

  17. A survey of attitudes toward two motivating factors.

    PubMed

    Marty, J

    1977-07-01

    A survey was conducted to determine the attitudes clinical laboratory workers in Utah had toward two intrinsic aspects of work, challenge or appeal of work and self-fulfillment. Questionnaires were distributed to all major hospitals in Utah. Frequency distributions were obtained and Chisquare tests were performed to determine if significant differences existed in relationship to demographic variables. Respondents indicated that work was interesting, challenging, required thinking, and enabled them to make good use of past training, skills, and abilities. Findings showed they also responded positively to statements involving ample responsibility given for the position held, contribution to patient care, enjoyment of work, and feeling of self-importance. Negative attitudes were noted toward statements dealing with advancement in medical technology, adequate opportunities for continuing education at employer expense, and participation in decision making. The Chi-square test revealed workers in the hospitals surveyed differed significantly in their opinions about having adequate opportunities to attend workshops, etc., on employer time and expense, and also that personnel with varying educational levels felt significantly different about making suggestions concerning the laboratory.

  18. Outcome-based self-assessment on a team-teaching subject in the medical school

    PubMed Central

    Cho, Sa Sun

    2014-01-01

    We attempted to investigate the reason why the students got a worse grade in gross anatomy and the way how we can improve upon the teaching method since there were gaps between teaching and learning under recently changed integration curriculum. General characteristics of students and exploratory factors to testify the validity were compared between year 2011 and 2012. Students were asked to complete a short survey with a Likert scale. The results were as follows: although the percentage of acceptable items was similar between professors, professor C preferred questions with adequate item discrimination and inappropriate item difficulty whereas professor Y preferred adequate item discrimination and appropriate item difficulty with statistical significance (P<0.01). The survey revealed that 26.5% of total students gave up the exam on gross anatomy of professor Y irrespective of years. These results suggested that students were affected by the corrected item difficulty rather than item discrimination in order to obtain academic achievement. Therefore, professors in a team-teaching subject should reach a consensus on an item difficulty with proper teaching methods. PMID:25548724

  19. Prenatal health care beyond the obstetrics service: Utilization and predictors of unscheduled care

    PubMed Central

    Magriples, Urania; Kershaw, Trace S.; Rising, Sharon Schindler; Massey, Zohar; Ickovics, Jeannette R.

    2008-01-01

    OBJECTIVE The objective of the study was to describe the patient characteristics of prenatal care utilization within and outside of routine obstetric care, and the clinical and psychosocial factors that predict care utilization. STUDY DESIGN Four hundred twenty pregnant women enrolled in a randomized controlled trial receiving prenatal care in a university-affiliated clinic. All hospital encounters were obtained by review of computerized databases. The Kotelchuck index (KI) was computed, and the characteristics of inadequate, adequate, or excessive prenatal care were described. Demographic and psychosocial predictors of unscheduled visits were evaluated. RESULTS A total of 50.5% of women were adequate users by KI, with 19% being inadequate. An average of 5 additional unscheduled encounters occurred (standard deviation 4.2; range, 0−26). Almost 75% of participants made an unscheduled obstetric visit, with 38% making 2 or more unscheduled visits. Overweight/obese, younger women, high symptom distress, and excessive and inadequate prenatal users were more likely to utilize the labor floor before delivery. CONCLUSION Unscheduled care is common during pregnancy. PMID:18166312

  20. Comparison of EUS-guided tissue acquisition using two different 19-gauge core biopsy needles: a multicenter, prospective, randomized, and blinded study

    PubMed Central

    DeWitt, John; Cho, Chang-Min; Lin, Jingmei; Al-Haddad, Mohammad; Canto, Marcia Irene; Salamone, Ashley; Hruban, Ralph H.; Messallam, Ahmed A.; Khashab, Mouen A.

    2015-01-01

    Background and study aims: The optimal core biopsy needle for endoscopic ultrasound (EUS) is unknown. The principle aim of this study is to compare outcomes of EUS-fine-needle biopsy (EUS-FNB) with a new 19-gauge EUS histology needle (ProCore, Cook Medical Inc., Winston-Salem, North Carolina, United States) to a conventional 19-gauge Tru-Cut biopsy (EUS-TCB) needle (19G, Quick-Core, Cook Medical Inc.). Patients and methods: Patients referred for EUS who require possible histologic biopsy were prospectively randomized to EUS-FNB or EUS-TCB. With the initial needle, ≤ 3 biopsies were obtained until either technical failure or an adequate core was obtained. Patients with suspected inadequate biopsies were crossed over to the other needle and similarly ≤ 3 passes were obtained until adequate cores or technical failure occurred. Technical success, diagnostic histology, accuracy and complication rates were evaluated. Results: Eighty-five patients (mean 58 years; 43 male) were randomized to FNB (n = 44) and TCB (n = 41) with seven patients excluded. Procedure indication, biopsy site, mass size, number of passes, puncture site, overall technical success and adverse events were similar between the two groups. FNB specimens had a higher prevalence of diagnostic histology (85 % vs. 57 %; P = 0.006), accuracy (88 % vs. 62 %; P = 0.02), mean total length (19.4 vs. 4.3 mm; P = 0.001), mean complete portal triads from liver biopsies (10.4 vs. 1.3; P = 0.0004) and required fewer crossover biopsies compared to those of TCB (2 % vs. 65 %; P = 0.0001). Overall technical success and complication rates were comparable. Conclusion: EUS-FNB using a 19-gauge FNB needle is superior to 19-gauge EUS-TCB needle. PMID:26528504

  1. How often do surgeons obtain the critical view of safety during laparoscopic cholecystectomy?

    PubMed

    Stefanidis, Dimitrios; Chintalapudi, Nikita; Anderson-Montoya, Brittany; Oommen, Bindhu; Tobben, Daniel; Pimentel, Manuel

    2017-01-01

    The reported incidence (0.16-1.5 %) of bile duct injury (BDI) during laparoscopic cholecystectomy (LC) is higher than during open cholecystectomy and has not decreased over time despite increasing experience with the procedure. The "critical view of safety" (CVS) technique may help to prevent BDI when certain criteria are met prior to division of any structures. This study aimed to evaluate the adherence of practicing surgeons to the CVS criteria during LC and the impact of a training intervention on CVS identification. LC procedures of general surgeons were video-recorded. De-identified recordings were reviewed by a blinded observer and rated on a 6-point scale using the previously published CVS criteria. A coaching program was conducted, and participating surgeons were re-assessed in the same manner. The observer assessed ten LC videos, each involving a different surgeon. The CVS was adequately achieved by two surgeons (20 %). The remaining eight surgeons (80 %) did not obtain adequate CVS prior to division of any structures, despite two surgeons dictating that they did; the mean score of this group was 1.75. After training, five participating surgeons (50 %) scored > 4, and the mean increased from 1.75 (baseline) to 3.75 (p < 0.05). The CVS criteria were not routinely used by the majority of participating surgeons. Further, one-fourth of those who claimed to obtain the CVS did so inadequately. All surgeons who participated in training showed improvement during their post-assessment. Our findings suggest that education of practicing surgeons in the application of the CVS during LC can result in increased implementation and quality of the CVS. Pending studies with larger samples, our findings may partly explain the sustained BDI incidence despite increased experience with LC. Our study also supports the value of direct observation of surgical practices and subsequent training for quality improvement.

  2. Coarsening of physics for biogeochemical model in NEMO

    NASA Astrophysics Data System (ADS)

    Bricaud, Clement; Le Sommer, Julien; Madec, Gurvan; Deshayes, Julie; Chanut, Jerome; Perruche, Coralie

    2017-04-01

    Ocean mesoscale and submesoscale turbulence contribute to ocean tracer transport and to shaping ocean biogeochemical tracers distribution. Representing adequately tracer transport in ocean models therefore requires to increase model resolution so that the impact of ocean turbulence is adequately accounted for. But due to supercomputers power and storage limitations, global biogeochemical models are not yet run routinely at eddying resolution. Still, because the "effective resolution" of eddying ocean models is much coarser than the physical model grid resolution, tracer transport can be reconstructed to a large extent by computing tracer transport and diffusion with a model grid resolution close to the effective resolution of the physical model. This observation has motivated the implementation of a new capability in NEMO ocean model (http://www.nemo-ocean.eu/) that allows to run the physical model and the tracer transport model at different grid resolutions. In a first time, we present results obtained with this new capability applied to a synthetic age tracer in a global eddying model configuration. In this model configuration, ocean dynamic is computed at ¼° resolution but tracer transport is computed at 3/4° resolution. The solution obtained is compared to 2 reference setup ,one at ¼° resolution for both physics and passive tracer models and one at 3/4° resolution for both physics and passive tracer model. We discuss possible options for defining the vertical diffusivity coefficient for the tracer transport model based on information from the high resolution grid. We describe the impact of this choice on the distribution and one the penetration of the age tracer. In a second time we present results obtained by coupling the physics with the biogeochemical model PISCES. We look at the impact of this methodology on some tracers distribution and dynamic. The method described here can found applications in ocean forecasting, such as the Copernicus Marine service operated by Mercator-Ocean, and in Earth System Models for climate applications.

  3. Infrared emission contrast for the visualization of subsurface graphical features in artworks

    NASA Astrophysics Data System (ADS)

    Mercuri, Fulvio; Paoloni, Stefano; Cicero, Cristina; Zammit, Ugo; Orazi, Noemi

    2018-03-01

    In this paper a method is presented based on the use of active infrared thermography for the detection of subsurface graphical features in artworks. A theoretical model for the thermographic signal describing the physical mechanisms which allow the identification of the buried features has been proposed and thereafter it has been applied to the analysis of the results obtained on specifically made test samples. It is shown that the proposed model predictions adequately describe the experimental results obtained on the test samples. A comparative analysis between the proposed technique and infrared reflectography is also presented. The comparison shows that active thermography can be more effective in the detection of features buried below infrared translucent layers and, in addition, that it can provide information about the depth of the detected features, particularly in highly IR diffusing materials.

  4. Efficient flow injection and sequential injection methods for spectrophotometric determination of oxybenzone in sunscreens based on reaction with Ni(II).

    PubMed

    Chisvert, A; Salvador, A; Pascual-Martí, M C; March, J G

    2001-04-01

    Spectrophotometric determination of a widely used UV-filter, such as oxybenzone, is proposed. The method is based on the complexation reaction between oxybenzone and Ni(II) in ammoniacal medium. The stoichiometry of the reaction, established by the Job method, was 1:1. Reaction conditions were studied and the experimental parameters were optimized, for both flow injection (FI) and sequential injection (SI) determinations, with comparative purposes. Sunscreen formulations containing oxybenzone were analyzed by the proposed methods and results compared with those obtained by HPLC. Data show that both FI and SI procedures provide accurate and precise results. The ruggedness, sensitivity and LOD are adequate to the analysis requirements. The sample frequency obtained by FI is three-fold higher than that of SI analysis. SI is less reagent-consuming than FI.

  5. [Gum-like exudate from Laguncularia racemosa (white mangrove) as culture media for fungi].

    PubMed

    Mesa, L M; León-Pinto, G

    1993-01-01

    Morphological studies of eight species of fungus: Aspergillus flavus Microsporum canis, Epidermophyton floccosum, Curvularia lunata, Cladosporium carrionii, Natrassia mangífera (Edo. Scytalidium), Sporotrix schenckii y Rhizophus oligosporus, which belong to families Mucedinaceae, Dematiaceae and Mucoraceae have been carried out in support medium based in gum exudate from Laguncularia racemosa (mangle blanco). This native polimer contains galactose, arabinose, rhamnose, uronic acid and proteins. Nitrogen calcium and magnesium are microconstituents of the gum. An economical substrate which contained gum exudate (4%) and agar (1.5%) was used in these studies. The results obtained showed that gum exudate-agar medium (EGA) permits an adequate identification of the studied species, therefore, it is a possible substitute for Sabouraud. It is important to know that the gum exudate is a natural product, economical and easy to obtain.

  6. Inference for multivariate regression model based on multiply imputed synthetic data generated via posterior predictive sampling

    NASA Astrophysics Data System (ADS)

    Moura, Ricardo; Sinha, Bimal; Coelho, Carlos A.

    2017-06-01

    The recent popularity of the use of synthetic data as a Statistical Disclosure Control technique has enabled the development of several methods of generating and analyzing such data, but almost always relying in asymptotic distributions and in consequence being not adequate for small sample datasets. Thus, a likelihood-based exact inference procedure is derived for the matrix of regression coefficients of the multivariate regression model, for multiply imputed synthetic data generated via Posterior Predictive Sampling. Since it is based in exact distributions this procedure may even be used in small sample datasets. Simulation studies compare the results obtained from the proposed exact inferential procedure with the results obtained from an adaptation of Reiters combination rule to multiply imputed synthetic datasets and an application to the 2000 Current Population Survey is discussed.

  7. Application of Canonical Effective Methods to Background-Independent Theories

    NASA Astrophysics Data System (ADS)

    Buyukcam, Umut

    Effective formalisms play an important role in analyzing phenomena above some given length scale when complete theories are not accessible. In diverse exotic but physically important cases, the usual path-integral techniques used in a standard Quantum Field Theory approach seldom serve as adequate tools. This thesis exposes a new effective method for quantum systems, called the Canonical Effective Method, which owns particularly wide applicability in backgroundindependent theories as in the case of gravitational phenomena. The central purpose of this work is to employ these techniques to obtain semi-classical dynamics from canonical quantum gravity theories. Application to non-associative quantum mechanics is developed and testable results are obtained. Types of non-associative algebras relevant for magnetic-monopole systems are discussed. Possible modifications of hypersurface deformation algebra and the emergence of effective space-times are presented. iii.

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

    Raccach, M.; Henrickson, R.L.

    The electrical stimulation (ES) period was a very important factor determining the tenderness of three bovine muscles: Biceps femoris (BF), Longissimus dorsi (LD), and Semimembranosus (SM). Tenderness (shear force values) increased in most cases with increasing the ES period. An ES period of 15 min was optimal for obtaining a tenderness equal to that obtained by conventional processing of beef. The shortest ES period used (1 min) was adequate in most cases to set the muscles in rigor mortis and in preventing cold shortening. The tenderness of blade tenderized muscles was in most cases independent from the ES period. Blademore » tenderization was very effective to tenderize the BF muscle followed in decreasing order of efficacy by the LD and SM muscles. The cooking times and cooking losses of the three muscles were not affected by either the ES period or by blade tenderization.« less

  9. Attitude determination of planetary exploration rovers using solar panels characteristics and accelerometer

    NASA Astrophysics Data System (ADS)

    Ishida, Takayuki; Takahashi, Masaki

    2014-12-01

    In this study, we propose a new attitude determination system, which we call Irradiance-based Attitude Determination (IRAD). IRAD employs the characteristics and geometry of solar panels. First, the sun vector is estimated using data from solar panels including current, voltage, temperature, and the normal vectors of each solar panel. Because these values are obtained using internal sensors, it is easy for rovers to provide redundancy for IRAD. The normal vectors are used to apply to various shapes of rovers. Second, using the gravity vector obtained from an accelerometer, the attitude of a rover is estimated using a three-axis attitude determination method. The effectiveness of IRAD is verified through numerical simulations and experiments that show IRAD can estimate all the attitude angles (roll, pitch, and yaw) within a few degrees of accuracy, which is adequate for planetary explorations.

  10. [Raising children with mental disabilities: mothers' narratives].

    PubMed

    Bastos, Olga Maria; Deslandes, Suely Ferreira

    2008-09-01

    Technical advances in neonatology have increased the life expectancy of children with serious health problems. Many of these children experience developmental delay (mental disability) and require special care. The family must adapt to better provide for the child's needs. This study aimed to identify mothers' reactions and the obstacles they face to obtain what they consider the best treatment for their children. The study methodology was based on analysis of the mothers' narratives, drawing on medical anthropology and linguistics. The most typical plots in the narratives showed the impact of the diagnosis and the search for means to adapt to the child's care, as well as the difficulties encountered in the public health system to obtain what the mothers considered adequate care. The value ascribed to characters in the support network showed the importance of such support in these situations.

  11. Age-Period-Cohort approaches to back-calculation of cancer incidence rate

    PubMed Central

    Oh, Cheongeun; Holford, Theodore R.

    2016-01-01

    A compartment model for cancer incidence and mortality is developed in which healthy subjects may develop cancer, and subsequently die of cancer or another cause. In order to adequately represent the experience of a defined population, it is also necessary to allow for subjects who are diagnosed at death, as well as subjects who migrate and are subsequently lost to follow-up. Expressions are derived for the number of cancer deaths as a function of the number of incidence cases and vice versa, which allows for the use of mortality statistics to obtain estimates of incidence using survival information. In addition, the model can be used to obtain estimates of cancer prevalence, which is useful for health care planning. The method is illustrated using data on lung cancer among males in Connecticut. PMID:25715831

  12. The feasibility of water injection into the turbine coolant to permit gas turbine contingency power for helicopter application

    NASA Technical Reports Server (NTRS)

    Van Fossen, G. J.

    1983-01-01

    It is pointed out that in certain emergency situations it may be desirable to obtain power from a helicopter engine at levels greater than the maximum rating. Yost (1976) has reported studies concerning methods of power augmentation in the one engine inoperative (OEI) case. It was found that a combination of water/alcohol injection into the inlet and overtemperature/overspeed could provide adequate emergency power. The present investigation is concerned with the results of a feasibility study which analytically investigated the maximum possible level of augmentation with constant gas generator turbine stress rupture life as a constraint. In the proposed scheme, the increased engine output is obtained by turbine overtemperature, however, the temperature of the compressor bleed air used for hot section cooling is lowered by injecting and evaporating water.

  13. The impact of background radiation, illumination and temperature on EMF-induced changes of aqua medium properties.

    PubMed

    Naira, Baghdasaryan; Yerazik, Mikayelyan; Anna, Nikoghosyan; Sinerik, Ayrapetyan

    2013-09-01

    The effects of extremely low frequency electromagnetic field (ELF EMF) on physicochemical properties of physiological solution at different environmental media were studied. The existence of frequency "windows" at 4 and 8 Hz frequencies of ELF EMF having effects on heat fusion period, hydrogen peroxide (H2O2) formation and oxygen (O2) content of water solution and different dependency on temperature, background radiation and illumination was shown. Obtained data allow us to suggest that EMF-induced effect on water physicochemical properties depends on abovementioned environmental factors. As cell bathing medium is a target for biological effects of ELF EMF, the variability of experimental data on biological effects of EMF, obtained in different laboratories, can be explained by different environmental conditions of experiments, which very often are not considered adequately.

  14. Total ozone determination by spectroradiometry in the middle ultraviolet

    NASA Technical Reports Server (NTRS)

    Garrison, L. M.; Doda, D. D.; Green, A. E. S.

    1979-01-01

    A method has been developed to determine total ozone from multispectral measurements of the direct solar irradiance. The total ozone is determined by a least squares fit to the spectrum between 290 nm and 380 nm. The aerosol extinction is accounted for by expanding it in a power series in wavelength; use of the linear term proved adequate. A mobile laboratory incorporating a sky scanner has been developed and used to obtain data to verify the method. Sun tracking, wavelength setting of the double monochromator, and data acquisition are under control of a minicomputer. Results obtained at Wallops Island, Virginia, and Palestine, Texas, agree well with simultaneous Dobson and Canterbury spectrometer and balloon ECC ozonesonde values. The wavelength calibration of the monochromator and the values for the normalized ozone absorption are the most important factors in an accurate determination of total ozone.

  15. Isolation, Characterization, and Purification of Macrophages from Tissues Affected by Obesity-related Inflammation.

    PubMed

    Allen, Joselyn N; Dey, Adwitia; Nissly, Ruth; Fraser, James; Yu, Shan; Balandaram, Gayathri; Peters, Jeffrey M; Hankey-Giblin, Pamela A

    2017-04-03

    Obesity promotes a chronic inflammatory state that is largely mediated by tissue-resident macrophages as well as monocyte-derived macrophages. Diet-induced obesity (DIO) is a valuable model in studying the role of macrophage heterogeneity; however, adequate macrophage isolations are difficult to acquire from inflamed tissues. In this protocol, we outline the isolation steps and necessary troubleshooting guidelines derived from our studies for obtaining a suitable population of tissue-resident macrophages from mice following 18 weeks of high-fat (HFD) or high-fat/high-cholesterol (HFHCD) diet intervention. This protocol focuses on three hallmark tissues studied in obesity and atherosclerosis including the liver, white adipose tissues (WAT), and the aorta. We highlight how dualistic usage of flow cytometry can achieve a new dimension of isolation and characterization of tissue-resident macrophages. A fundamental section of this protocol addresses the intricacies underlying tissue-specific enzymatic digestions and macrophage isolation, and subsequent cell-surface antibody staining for flow cytometric analysis. This protocol addresses existing complexities underlying fluorescent-activated cell sorting (FACS) and presents clarifications to these complexities so as to obtain broad range characterization from adequately sorted cell populations. Alternate enrichment methods are included for sorting cells, such as the dense liver, allowing for flexibility and time management when working with FACS. In brief, this protocol aids the researcher to evaluate macrophage heterogeneity from a multitude of inflamed tissues in a given study and provides insightful troubleshooting tips that have been successful for favorable cellular isolation and characterization of immune cells in DIO-mediated inflammation.

  16. Multiresponse modeling of variably saturated flow and isotope tracer transport for a hillslope experiment at the Landscape Evolution Observatory

    NASA Astrophysics Data System (ADS)

    Scudeler, Carlotta; Pangle, Luke; Pasetto, Damiano; Niu, Guo-Yue; Volkmann, Till; Paniconi, Claudio; Putti, Mario; Troch, Peter

    2016-10-01

    This paper explores the challenges of model parameterization and process representation when simulating multiple hydrologic responses from a highly controlled unsaturated flow and transport experiment with a physically based model. The experiment, conducted at the Landscape Evolution Observatory (LEO), involved alternate injections of water and deuterium-enriched water into an initially very dry hillslope. The multivariate observations included point measures of water content and tracer concentration in the soil, total storage within the hillslope, and integrated fluxes of water and tracer through the seepage face. The simulations were performed with a three-dimensional finite element model that solves the Richards and advection-dispersion equations. Integrated flow, integrated transport, distributed flow, and distributed transport responses were successively analyzed, with parameterization choices at each step supported by standard model performance metrics. In the first steps of our analysis, where seepage face flow, water storage, and average concentration at the seepage face were the target responses, an adequate match between measured and simulated variables was obtained using a simple parameterization consistent with that from a prior flow-only experiment at LEO. When passing to the distributed responses, it was necessary to introduce complexity to additional soil hydraulic parameters to obtain an adequate match for the point-scale flow response. This also improved the match against point measures of tracer concentration, although model performance here was considerably poorer. This suggests that still greater complexity is needed in the model parameterization, or that there may be gaps in process representation for simulating solute transport phenomena in very dry soils.

  17. Problems of test choice and data analysis in behavioral teratology: the case of prenatal benzodiazepines.

    PubMed

    Chiarotti, F; Alleva, E; Bignami, G

    1987-01-01

    Higher-tier tests for the assessment of early treatment effects should be aimed at providing specific information on the behavior processes affected, rather than simply at extending the descriptive data base. The contrast between positive and negative results can be useful to point out possible mechanisms of action. For example, late prenatal oxazepam exposure of mice produced a reduction of the amphetamine hyperactivity at the end of the second postnatal week, but did not significantly affect the response to scopolamine at the end of the third week. An impairment of active locomotor avoidance was observed at the young adult stage, which contrasted with the absence or scarcity of changes in passive avoidance and extinction responding in the same go-no go tests. These changes in response-activating mechanisms appear to be in agreement with the medium- and long-term effects on CNS monoamine metabolism described in the literature. As concerns statistical analysis, dichotomous or polytomous data obtained, e.g., by the Fox battery are not yet amenable to an adequate processing, due to the shortcomings of the available nonparametric tests. By contrast, mixed-model ANOVAs can cope with complex data obtained, e.g., in activity and learning tests. However, the available checks on various assumptions (normality, homogeneity of variance, sphericity) are not valid when nested factors, block factors and repeated measures coexist. Finally, the more usual cross-fostering procedures provide adequate information on some aspects (e.g., separation of main effects of prenatal treatments from postnatal maternal effects) but not on others.(ABSTRACT TRUNCATED AT 250 WORDS)

  18. Keto-analogues and essential aminoacids and other supplements in the conservative management of chronic kidney disease.

    PubMed

    Cupisti, Adamasco; Bolasco, Piergiorgio

    2017-06-01

    The manipulation of dietary protein intake is the mainstay of nutritional treatment of patients affected by chronic renal insufficiency, with the aim to reduce the burden of uremic toxins in order to decrease uremic toxicity and delay the need for dialysis. Consensus exists regarding the benefit of progressive protein restriction towards delaying the progression of renal failure and the need for dialysis, provided adequate energy supply. Although pivotal, protein restriction is only one aspect of the dietary management of chronic kidney disease (CKD) patients. Additional features, though strictly related to proteins, include modifications in sodium, phosphorus and energy intake, as well as in the source (animal or plant derived) of protein and lipids. In addition, supplements play an important role as a means to obtain both beneficial effects and nutritional safety in the renal patient. Essential amino acid and ketoacid mixtures are the most utilized types of supplementation in CKD patients on restricted protein regimens. The essential amino acids plus ketoacid supplementation is mandatory in conjunction with a very low-protein diet in order to assure an adequate essential amino acid supply. It is needed to safely implement a very low protein (and phosphorus) intake, so as to obtain the beneficial effect of a severe protein restriction while preventing malnutrition. Protein-free products and energy supplements are also crucial for the prevention of protein-energy wasting in CKD patients. Calcium, iron, native vitamin D and omega-3 PUFAs are other types of supplementation of potential benefits in the CKD patients on conservative management.

  19. Changes in the electroencephalogram during anaesthesia and their physiological basis.

    PubMed

    Hagihira, S

    2015-07-01

    The use of EEG monitors to assess the level of hypnosis during anaesthesia has become widespread. Anaesthetists, however, do not usually observe the raw EEG data: they generally pay attention only to the Bispectral Index (BIS™) and other indices calculated by EEG monitors. This abstracted information only partially characterizes EEG features. To properly appreciate the availability and reliability of EEG-derived indices, it is necessary to understand how raw EEG changes during anaesthesia. With hemi-frontal lead EEGs obtained under volatile anaesthesia or propofol anaesthesia, the dominant EEG frequency decreases and the amplitude increases with increasing concentrations of anaesthetic. Looking more closely, the EEG changes are more complicated. At surgical concentrations of anaesthesia, spindle waves (alpha range) become dominant. At deeper levels, this activity decreases, and theta and delta waves predominate. At even deeper levels, EEG waveform changes into a burst and suppression pattern, and finally becomes flat. EEG waveforms vary in the presence of noxious stimuli (surgical skin incision), which is not always reflected in BIS™, or other processed EEG indices. Spindle waves are adequately sensitive, however, to noxious stimuli: under surgical anaesthesia they disappear when noxious stimuli are applied, and reappear when adequate analgesia is obtained. To prevent awareness during anaesthesia, I speculate that the most effective strategy is to administer anaesthetic agents in such a way as to maintain anaesthesia at a level where spindle waves predominate. © The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  20. [Economic assessment of low flow anesthesia with analysis of the break-even point. Experience at an underutilized operating room].

    PubMed

    Varesio, V; Agosta, I; Masullo, F; Malnati, R; Martegani, G M

    1997-04-01

    Many authors indicate the importance of economic saving obtained with the use of the inhalation rebreathing anaesthesia instead of non rebreathing anaesthesia, always referring to parameters which are the duration of anesthesia (1 hour) and the use of the operating theatre each year. It is presumed that the utilization of rebreathing system is at least a 1.000 hours/year. However it is not necessary that all the operating theatres employ 1.000 hours/year in rebreathing anesthesia. This method requires annual depreciation costs of the capital invested for the purchase of new adequate ventilators, to modificative those already existing and guarantee adequate monitoring and the maintenance of these equipment. The importance is stressed of individuating a method of economical evaluation comparing the effective savings obtained with the real utilization of rebreathing anesthesia for each operating theatre and the costs of purchasing and maintaining the equipment. From our point of view the break-even point analysis has demonstrated to be a consistent instrument for the evaluation of the real economic advantage of rebreathing system in each hospital. It is suggested to utilize a conventional formula for the determination of the break even point, which means the minimal number of hours for year that justifies economically the adoption of rebreathing anaesthesia. An example of this analysis has been applied for an operating theatre in the hospital of Morbegno, where the major utilization of regional anaesthesia leads to a reduced number hours/year of rebreathing anesthesia which remains anyhow economically advantageous.

  1. [Myocardial perfusion imaging by digital subtraction angiography].

    PubMed

    Kadowaki, H; Ishikawa, K; Ogai, T; Katori, R

    1986-03-01

    Several methods of digital subtraction angiography (DSA) were compared to determine which could better visualize regional myocardial perfusion using coronary angiography in seven patients with myocardial infarction, two with angina pectoris and five with normal coronary arteries. Satisfactory DSA was judged to be achieved if the shape of the heart on the mask film was identical to that on the live film and if both films were exactly superimposed. To obtain an identical mask film in the shape of each live film, both films were selected from the following three phases of the cardiac cycle; at the R wave of the electrocardiogram, 100 msec before the R wave, and 200 msec before the R wave. The last two were superior for obtaining mask and live films which were similar in shape, because the cardiac motion in these phases was relatively small. Using these mask and live films, DSA was performed either with the continuous image mode (CI mode) or the time interval difference mode (TID mode). The overall perfusion of contrast medium through the artery to the vein was adequately visualized using the CI mode. Passage of contrast medium through the artery, capillary and vein was visualized at each phase using TID mode. Subtracted images were displayed and photographed, and the density of the contrast medium was adequate to display contour lines as in a relief map. Using this DSA, it was found that regional perfusion of the contrast medium was not always uniform in normal subjects, depending on the typography of the coronary artery.(ABSTRACT TRUNCATED AT 250 WORDS)

  2. [Bad results obtained from the current public health policies and recommendations of hydration].

    PubMed

    San Mauro Martín, Ismael; Romo Orozco, Denisse Aracely; Mendive Dubourdieu, Paula; Garicano Vilar, Elena; Valente, Ana; Betancor, Fabiana; Morales Hurtado, Alexis Daniel; Garagarza, Cristina

    2016-07-19

    Achieving an adequate intake of water is crucial within a balanced diet. For that purpose, dietary guidelines for healthy eating and drinking are an important consideration and need to be updated and disseminated to the population. We aimed to evaluate the liquid intake habits of a Mediterranean and Latin American population (Spain-Portugal and Mexico-Uruguay) and if they support the current recommendations of hydration by the EFSA. A record of fluid intake was obtained from 1168 participants from 4 countries above; and then compared with current consensus about hydration 1600 mL/day (female) and 2000 mL/day (male). The average fluid intake slightly surpassed the recommended: mean of 2049 mL/day (2,223 mL in males, 1,938 mL in females). Portugal stood out due to its lower intake (mean of 1,365 mL/day). Water contributed the largest part to total fluid intake (37%) in all countries (mean of 1365 mL/day). Hot beverages (18%) and milk and derivates (17%) follow water in highest consumption. The 20% of males and only 0.3% of females knew recommendations of hydration, while 63.3% of males and 62% of females followed them. Only 8.4% of people who follow the recommendations know them. The people studied surpassed the recommendation, although majority they didn´t know it. Future research should examine actual beverage consumption patterns and evaluate if the current consensuses are correctly adapted to the population needs. Hydration's policies should be transmitted to the population for their knowledge and adequate compliance.

  3. Evaluating diagnosis-based case-mix measures: how well do they apply to the VA population?

    PubMed

    Rosen, A K; Loveland, S; Anderson, J J; Rothendler, J A; Hankin, C S; Rakovski, C C; Moskowitz, M A; Berlowitz, D R

    2001-07-01

    Diagnosis-based case-mix measures are increasingly used for provider profiling, resource allocation, and capitation rate setting. Measures developed in one setting may not adequately capture the disease burden in other settings. To examine the feasibility of adapting two such measures, Adjusted Clinical Groups (ACGs) and Diagnostic Cost Groups (DCGs), to the Department of Veterans Affairs (VA) population. A 60% random sample of veterans who used health care services during FY 1997 was obtained from VA inpatient and outpatient administrative databases. A split-sample technique was used to obtain a 40% sample (n = 1,046,803) for development and a 20% sample (n = 524,461) for validation. Concurrent ACG and DCG risk adjustment models, using 1997 diagnoses and demographics to predict FY 1997 utilization (ambulatory provider encounters, and service days-the sum of a patient's inpatient and outpatient visit days), were fitted and cross-validated. Patients were classified into groupings that indicated a population with multiple psychiatric and medical diseases. Model R-squares explained between 6% and 32% of the variation in service utilization. Although reparameterized models did better in predicting utilization than models with external weights, none of the models was adequate in characterizing the entire population. For predicting service days, DCGs were superior to ACGs in most categories, whereas ACGs did better at discriminating among veterans who had the lowest utilization. Although "off-the-shelf" case-mix measures perform moderately well when applied to another setting, modifications may be required to accurately characterize a population's disease burden with respect to the resource needs of all patients.

  4. Maternal and infant essential fatty acid status in Havana, Cuba.

    PubMed

    Krasevec, Julia M; Jones, Peter J; Cabrera-Hernandez, Alejandrina; Mayer, D Luisa; Connor, William E

    2002-10-01

    Adequate intake of essential fatty acids (EFAs) is required for optimal development of the central nervous system and visual acuity in infants. Little information exists regarding the EFA status of vulnerable populations living in Southern regions. We examined the adequacy of EFA status in Cuban breast-feeding mothers and their infants. Blood and breast-milk samples were obtained from a cross-sectional sample of mothers and term infants in Havana at 2 mo postpartum. We determined the fatty acid profiles of total lipids in breast milk, plasma, and erythrocytes and assessed infant visual acuity by using Teller acuity cards. Of the 56 mothers and infants examined, none showed biochemical signs of poor EFA status. Compared with values reported in the literature, mothers had an adequate EFA profile in their breast milk, plasma, and erythrocytes. The docosahexaenoic acid (DHA) concentration in breast milk was 0.43 +/- 0.26% of total fatty acids. It appeared that these breast-fed infants had an adequate dietary supply of DHA, as reflected by the mean plasma and erythrocyte DHA concentrations (2.82 +/- 0.84% and 7.41 +/- 1.16% of total fatty acids, respectively). Infant visual acuity testing showed a mean of 2.00 +/- 0.68 cycles/degree, which is within the normal range of mean binocular acuities for 2-mo-old term infants. The data did not show any relation between EFA concentrations and visual acuity. The results suggest that n-3 fatty acid deficiency and potential related deficits in early visual neural development are rare, if they exist at all, in breast-feeding women and their infants in Havana.

  5. Hormonal Treatment of Transgender Women with Oral Estradiol.

    PubMed

    Leinung, Matthew C; Feustel, Paul J; Joseph, Jalaja

    2018-01-01

    Purpose: Maintaining cross-sex hormone levels in the normal physiologic range for the desired gender is the cornerstone of transgender hormonal therapy, but there are limited data on how to achieve this. We investigated the effectiveness of oral estradiol therapy in achieving this goal. Methods: We analyzed data on all transgender females seen in our clinic since 2008 treated with oral estradiol. We looked at the success of achieving serum levels of testosterone and 17-β estradiol in the normal range on various doses of estradiol (with and without antiandrogens spironolactone and finasteride). Results: There was a positive correlation between estradiol dose and 17-β estradiol, but testosterone suppression was less well correlated. Over 70% achieved treatment goals (adequate 17-β estradiol levels and testosterone suppression) on 4 mg daily or more. Nearly a third of patients did not achieve adequate treatment goals on 6 or even 8 mg daily of estradiol. Spironolactone, but not finasteride, use was associated with impairment of obtaining desired 17-β estradiol levels. Spironolactone did not enhance testosterone suppression, and finasteride was associated with higher testosterone levels. Conclusions: Oral estradiol was effective in achieving desired serum levels of 17-β estradiol, but there was wide individual variability in the amount required. Oral estradiol alone was not infrequently unable to achieve adequate testosterone suppression. Spironolactone did not aid testosterone suppression and seemed to impair achievement of goal serum 17-β estradiol levels. Testosterone levels were higher with finasteride use. We recommend that transgender women receiving estradiol therapy have hormone levels monitored so that therapy can be individualized.

  6. Trace Element Concentrations in Beef Cattle Related to the Breed Aptitude.

    PubMed

    Pereira, Victor; Carbajales, Paloma; López-Alonso, Marta; Miranda, Marta

    2018-02-24

    Animal feed has traditionally been supplemented with trace elements at dietary concentrations well above physiological needs. However, environmental concerns have led to calls for better adjustment of mineral supplementation to actual physiological needs and, in this context, consideration of breed-related differences in trace element requirements. The aim of this study was to analyze trace element concentrations in the main breeds used for intensive beef production in northern Spain (Holstein-Friesian [HF], Galician Blonde [GB], and GB × HF cross). Samples of blood, internal organs, and muscle were obtained at slaughter from 10 HF, GB, and GB × HF cross calves in the same feedlot. Overall, trace element concentrations in serum and internal organs were within adequate ranges and did not differ between those of breeds, suggesting that trace mineral supplementation was adequate in all groups. The only exception to this was copper, and hepatic copper concentrations were above adequate levels in all calves. This was particularly evident in the HF calves, and the maximum recommended level for human consumption was exceeded in 90% of these animals. Copper, iron, manganese, selenium, and zinc concentrations in muscle were significantly higher in the HF than those in the GB calves, with intermediate values for the crosses. These breed-related differences in trace element concentrations in the muscle may be related to lower muscle mass and/or higher hepatic activity in the HF (dairy) calves than in GB (beef) calves. As meat is an essential source of highly available trace elements in human diets, breed-related differences in trace element concentrations in meat deserve further investigation.

  7. Vitamin D: the light side of sunshine.

    PubMed

    Mason, R S; Sequeira, V B; Gordon-Thomson, C

    2011-09-01

    Under normal circumstances, vitamin D is mainly obtained from skin through the action of ultraviolet B irradiation on 7-dehydrocholesterol. It is further metabolized to 25-hydroxyvitamin D (25OHD), the major circulating vitamin D compound, and then to 1,25-dihydroxyvitamin D, the hormonal form. The major function of vitamin D compounds is to enhance active absorption of ingested calcium (and phosphate). This assists in building bone at younger ages and ensures that despite obligatory urinary losses, bone does not need to be resorbed to maintain blood calcium concentrations. Vitamin D compounds appear to have direct effects to improve bone and muscle function, and there is good, although not entirely consistent, evidence that supplemental vitamin D and calcium together reduce falls and fractures in older individuals. On the basis of calcium control and musculoskeletal function, target levels for 25OHD in blood are at least 50-60 nmol/l and there may be a case for higher targets of 75-80 nmol/l. There are vitamin D receptors in most nucleated cells and some evidence, although not consistent, that adequate vitamin D levels may be important in reducing the incidence of, or mortality from, some cancers and in reducing autoimmune disease. Adequate vitamin D may also allow for a normal innate immune response to pathogens, improve cardiovascular function and mortality and increase insulin responsiveness. Vitamin D levels are maintained better in the presence of adequate calcium intakes, more exercise and less obesity. Genetic variation may have an effect on vitamin D blood levels and response to treatment with vitamin D.

  8. Adolescent Sleep and the Impact of Technology Use Before Sleep on Daytime Function.

    PubMed

    Johansson, Ann E E; Petrisko, Maria A; Chasens, Eileen R

    2016-01-01

    Technology has become pervasive in our culture, particularly among adolescents. The purpose of this study is to examine associations between use of technology before sleep and daytime function in adolescents. This study is a secondary analysis of respondents aged 13 to 21 years (N = 259) from the 2011 National Sleep Foundation's Sleep in America Poll. The survey included questions on demographics, sleep habits, and use of technology in the hour before bedtime. Daytime sleepiness was assessed with the Epworth Sleepiness Scale (ESS). Student's t-tests, Mann-Whitney U, and Fischer's exact tests were performed to detect differences in demographics, sleep duration, and technology use in the total sample, and between respondents with "adequate" compared to "inadequate" sleep. Correlations were calculated between technology frequency and daytime function. Adolescents had mean sleep duration of 7.3 ± 1.3 h. Almost all respondents (97%) used some form of technology before sleep. Increased technology use and the frequency of being awoken in the night by a cell phone were significantly associated with waking too early, waking unrefreshed, and daytime sleepiness (p < 0.05). Adolescents who reported "inadequate" sleep had shorter sleep duration, greater frequency of technology use before bedtime, feeling unrefreshed on waking, and greater daytime sleepiness than those reporting "adequate" sleep (all p-values < 0.05). Technology use before sleep by adolescents had negative consequences on nighttime sleep and on daytime function. Healthcare professionals who interact with adolescents should encourage technology to be curtailed before bedtime and for adolescents to value obtaining adequate sleep. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. The Effects of Acute Sleep Restriction on Adolescents' Pedestrian Safety in a Virtual Environment

    PubMed Central

    Davis, Aaron L.; Avis, Kristin T.; Schwebel, David C.

    2013-01-01

    Purpose Over 8,000 American adolescents ages 14-15 require medical attention due to pedestrian injury annually. Cognitive factors contributing to pedestrian safety include reaction time, impulsivity, risk-taking, attention, and decision-making. These characteristics are also influenced by sleep restriction. Experts recommend adolescents obtain 8.5 hours of uninterrupted sleep each night, but most American adolescents do not. Inadequate sleep may place adolescents at risk for pedestrian injury. Method Using a within-subjects design, fifty-five 14- and 15-year-olds engaged in a virtual reality pedestrian environment in two conditions, scheduled a week apart: sleep-restricted (4 hours sleep previous night) and adequate sleep (8.5 hours). Sleep was assessed using actigraphy and pedestrian behavior via four outcome measures: time to initiate crossing, time before contact with vehicle while crossing, virtual hits/close calls and attention to traffic (looks left and right). Results While acutely sleep restricted, adolescents took more time to initiate pedestrian crossings, crossed with less time before contact with vehicles, experienced more virtual hits/close calls and looked left and right more often compared to when adequately rested. Results were maintained after controlling for age, gender, ethnicity and average total sleep duration prior to each condition. Discussion Adolescent pedestrian behavior in the simulated virtual environment was markedly different, and generally more risky, when acutely sleep restricted compared to adequately rested. Inadequate sleep may influence cognitive functioning to the extent that pedestrian safety is jeopardized among adolescents capable of crossing streets safely when rested. Policy decisions might be educated by these results. PMID:24012066

  10. 7 CFR 3017.900 - Adequate evidence.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Adequate evidence. 3017.900 Section 3017.900 Agriculture Regulations of the Department of Agriculture (Continued) OFFICE OF THE CHIEF FINANCIAL OFFICER... Adequate evidence. Adequate evidence means information sufficient to support the reasonable belief that a...

  11. Validation of the concentration profiles obtained from the near infrared/multivariate curve resolution monitoring of reactions of epoxy resins using high performance liquid chromatography as a reference method.

    PubMed

    Garrido, M; Larrechi, M S; Rius, F X

    2007-03-07

    This paper reports the validation of the results obtained by combining near infrared spectroscopy and multivariate curve resolution-alternating least squares (MCR-ALS) and using high performance liquid chromatography as a reference method, for the model reaction of phenylglycidylether (PGE) and aniline. The results are obtained as concentration profiles over the reaction time. The trueness of the proposed method has been evaluated in terms of lack of bias. The joint test for the intercept and the slope showed that there were no significant differences between the profiles calculated spectroscopically and the ones obtained experimentally by means of the chromatographic reference method at an overall level of confidence of 5%. The uncertainty of the results was estimated by using information derived from the process of assessment of trueness. Such operational aspects as the cost and availability of instrumentation and the length and cost of the analysis were evaluated. The method proposed is a good way of monitoring the reactions of epoxy resins, and it adequately shows how the species concentration varies over time.

  12. Multiple molecular scattering and albedo action on the solar spectral irradiance in the region of the UVB (less than or equal to 320 nm): A preliminary inventory

    NASA Astrophysics Data System (ADS)

    Nicolet, Marcel

    A study comparing, in the spectral UVB region, the various components of the solar radiation field in order to explain the large difference obtained in Apr. 1939 by Goetz in Chur (green meadows), Nicolet in Arosa (adequate location in the snow) and Penndorf on the Weisshorn (above the ski slopes) (Switzerland) is presented. Numerical results from detailed theoretical calculations aimed at evaluating the various absolute effects associated with height, solar zenith angle and surface albedo were obtained for the standard atmosphere. The variations with solar zenith angles from 0 to 90 deg and albedos between 0 and 1 are presented for a spherical terrestrial atmosphere at selected wavelengths between 301 and 325 nm in the UVB region. From simultaneous measurements made at the same solar zenith angles, it was found that the values obtained in Arosa were between 5 and 10 times those obtained in Chur and on the Weisshorn. Such results are explained by a maximum of reflectivity of the snow covering the slope facing the relatively low Sun and its associated multiple scattered radiation in addition to the multiple molecular scattering of the atmosphere.

  13. Different Techniques For Producing Precision Holes (>20 mm) In Hardened Steel—Comparative Results

    NASA Astrophysics Data System (ADS)

    Coelho, R. T.; Tanikawa, S. T.

    2009-11-01

    High speed machining (HSM), or high performance machining, has been one of the most recent technological advances. When applied to milling operations, using adequate machines, CAM programs and tooling, it allows cutting hardened steels, which was not feasible just a couple of years ago. The use of very stiff and precision machines has created the possibilities of machining holes in hardened steels, such as AISI H13 with 48-50 HRC, using helical interpolations, for example. Such process is particularly useful for holes with diameter bigger than normal solid carbide drills commercially available, around 20 mm, or higher. Such holes may need narrow tolerances, fine surface finishing, which can be obtained just by end milling operations. The present work compares some of the strategies used to obtain such holes by end milling, and also some techniques employed to finish them, by milling, boring and also by fine grinding at the same machine. Results indicate that it is possible to obtain holes with less than 0.36 m in circularity, 7.41 m in cylindricity and 0.12 m in surface roughness Ra. Additionally, there is less possibilities of obtaining heat affected layers when using such technique.

  14. 'One-component' ultrathin multilayer films based on poly(vinyl alcohol) as stabilizing coating for phenytoin-loaded liposomes.

    PubMed

    Zasada, Katarzyna; Łukasiewicz-Atanasov, Magdalena; Kłysik, Katarzyna; Lewandowska-Łańcucka, Joanna; Gzyl-Malcher, Barbara; Puciul-Malinowska, Agnieszka; Karewicz, Anna; Nowakowska, Maria

    2015-11-01

    Ultrathin "one-component" multilayer polymeric films for potential biomedical applications were designed based on polyvinyl alcohol,-a non-toxic, fully degradable synthetic polymer. Good uniformity of the obtained film and adequate adsorption properties of the polymeric layers were achieved by functional modification of the polymer, which involved synthesis of cationic and anionic derivatives. Synthesized polymers were characterized by FTIR, NMR spectroscopy, dynamic light scattering measurements and elemental analysis. The layer by layer assembly technique was used to build up a multilayer film and this process was followed using UV-Vis spectroscopy and ellipsometry. The morphology and thickness of the obtained multilayered film material was evaluated by atomic force microscopy (AFM). Preliminary studies on the application of the obtained multilayer film for coating of liposomal nanocarriers containing phenytoin, an antiarrhythmic drug, were performed. The coating effectively stabilizes liposomes and the effect increases with an increasing number of deposited layers until the polymeric film reaches the optimal thickness. The obtained release profiles suggest that bilayer-coated liposomes release phenytoin less rapidly than uncoated ones. The cytotoxicity studies performed for all obtained nanocarriers confirmed that none of them has negative effect on cell viability. All of the performed experiments suggest that liposomes coated with ultrathin film obtained from PVA derivatives can be attractive drug nanocarriers. Copyright © 2015 Elsevier B.V. All rights reserved.

  15. Design Information for Emergency Operations Centers.

    DTIC Science & Technology

    1983-06-01

    STC 40-45 4. Visual privacy. Sound Reflectances: 5. Electrical survey. Ceiling: NRC 50 6. Adequate lighting. Floor: NRC 25 7. Adequate thermal comfort . 4...ceiling to 7. Adequate thermal comfort . reduce noise. 8. Image appropriate for authority 4. 60-in.-high minimum wall panels. given. 5. 110-V outlets as...tions. 5. Electrical supply. 2. 9-ft minimum for open plan office 6. Adequate lighting, schemes. 7. Adequate thermal comfort . 3. Enclosing walls: STC 40

  16. 29 CFR 98.900 - Adequate evidence.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 1 2012-07-01 2012-07-01 false Adequate evidence. 98.900 Section 98.900 Labor Office of the Secretary of Labor GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Definitions § 98.900 Adequate evidence. Adequate evidence means information sufficient to support the reasonable belief that a...

  17. 29 CFR 98.900 - Adequate evidence.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 1 2011-07-01 2011-07-01 false Adequate evidence. 98.900 Section 98.900 Labor Office of the Secretary of Labor GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Definitions § 98.900 Adequate evidence. Adequate evidence means information sufficient to support the reasonable belief that a...

  18. 29 CFR 98.900 - Adequate evidence.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 1 2013-07-01 2013-07-01 false Adequate evidence. 98.900 Section 98.900 Labor Office of the Secretary of Labor GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Definitions § 98.900 Adequate evidence. Adequate evidence means information sufficient to support the reasonable belief that a...

  19. 2 CFR 180.900 - Adequate evidence.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Adequate evidence. 180.900 Section 180.900 Grants and Agreements Office of Management and Budget Guidance for Grants and Agreements OFFICE OF... Adequate evidence. Adequate evidence means information sufficient to support the reasonable belief that a...

  20. 2 CFR 180.900 - Adequate evidence.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 2 Grants and Agreements 1 2012-01-01 2012-01-01 false Adequate evidence. 180.900 Section 180.900 Grants and Agreements Office of Management and Budget Guidance for Grants and Agreements OFFICE OF... Adequate evidence. Adequate evidence means information sufficient to support the reasonable belief that a...

  1. 10 CFR 1304.114 - Responsibility for maintaining adequate safeguards.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Responsibility for maintaining adequate safeguards. 1304.114 Section 1304.114 Energy NUCLEAR WASTE TECHNICAL REVIEW BOARD PRIVACY ACT OF 1974 § 1304.114 Responsibility for maintaining adequate safeguards. The Board has the responsibility for maintaining adequate...

  2. 10 CFR 1304.114 - Responsibility for maintaining adequate safeguards.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Responsibility for maintaining adequate safeguards. 1304.114 Section 1304.114 Energy NUCLEAR WASTE TECHNICAL REVIEW BOARD PRIVACY ACT OF 1974 § 1304.114 Responsibility for maintaining adequate safeguards. The Board has the responsibility for maintaining adequate...

  3. 10 CFR 1304.114 - Responsibility for maintaining adequate safeguards.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Responsibility for maintaining adequate safeguards. 1304.114 Section 1304.114 Energy NUCLEAR WASTE TECHNICAL REVIEW BOARD PRIVACY ACT OF 1974 § 1304.114 Responsibility for maintaining adequate safeguards. The Board has the responsibility for maintaining adequate...

  4. 10 CFR 1304.114 - Responsibility for maintaining adequate safeguards.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Responsibility for maintaining adequate safeguards. 1304.114 Section 1304.114 Energy NUCLEAR WASTE TECHNICAL REVIEW BOARD PRIVACY ACT OF 1974 § 1304.114 Responsibility for maintaining adequate safeguards. The Board has the responsibility for maintaining adequate...

  5. Hypnotherapy for labor and birth.

    PubMed

    Beebe, Kathleen R

    2014-01-01

    Hypnotherapy is an integrative mind-body technique with therapeutic potential in various health care applications, including labor and birth. Evaluating the efficacy of this modality in controlled studies can be difficult, because of methodologic challenges, such as obtaining adequate sample sizes and standardizing experimental conditions. Women using hypnosis techniques for childbirth in hospital settings may face barriers related to caregiver resistance or institutional policies. The potential anxiolytic and analgesic effects of clinical hypnosis for childbirth merit further study. Nurses caring for women during labor and birth can increase their knowledge and skills with strategies for supporting hypnotherapeutic techniques. © 2014 AWHONN.

  6. Lattice design for the CEPC double ring scheme

    NASA Astrophysics Data System (ADS)

    Wang, Yiwei; Su, Feng; Bai, Sha; Zhang, Yuan; Bian, Tianjian; Wang, Dou; Yu, Chenghui; Gao, Jie

    2018-01-01

    A future Circular Electron Positron Collider (CEPC) has been proposed by China with the main goal of studying the Higgs boson. Its baseline design, chosen on the basis of its performance, is a double ring scheme; an alternative design is a partial double ring scheme which reduces the budget while maintaining an adequate performance. This paper will present the collider ring lattice design for the double ring scheme. The CEPC will also work as a W and a Z factory. For the W and Z modes, except in the RF region, compatible lattices were obtained by scaling down the magnet strength with energy.

  7. Medicare program; acquisition, protection and disclosure of utilization and quality control peer review organization (PRO) information--HCFA. Proposed rule.

    PubMed

    1984-04-16

    This proposal would govern the acquisition, protection and disclosure of information obtained or generated by Utilization and Quality Control Peer Review Organizations (PROs). The Peer Review Improvement Act of 1982 authorizes PROs to acquire information necessary to fulfill their duties and functions, places limits on the disclosure of PRO information, and establishes penalties for unauthorized disclosure. These regulations would implement the PROs' statutory right of access to necessary information and set forth their responsibilities to assure that information once acquired is adequately safeguarded, and used only for proper purposes.

  8. Predicting charmonium and bottomonium spectra with a quark harmonic oscillator

    NASA Technical Reports Server (NTRS)

    Norbury, J. W.; Badavi, F. F.; Townsend, L. W.

    1986-01-01

    The nonrelativistic quark model is applied to heavy (nonrelativistic) meson (two-body) systems to obtain sufficiently accurate predictions of the spin-averaged mass levels of the charmonium and bottomonium spectra as an example of the three-dimensional harmonic oscillator. The present calculations do not include any spin dependence, but rather, mass values are averaged for different spins. Results for a charmed quark mass value of 1500 MeV/c-squared show that the simple harmonic oscillator model provides good agreement with experimental values for 3P states, and adequate agreement for the 3S1 states.

  9. Solar Power Satellite (SPS) solid-state antenna power combiner

    NASA Technical Reports Server (NTRS)

    1980-01-01

    A low loss power-combining microstrip antenna suitable for solid state solar power satellite (SPS) application was developed. A unique approach for performing both the combining and radiating function in a single cavity-type circuit was verified, representing substantial refinements over previous demonstration models in terms of detailed geometry to obtain good matching and adequate bandwidth at the design frequency. The combiner circuit was designed, built, and tested and the overall results support the view that the solid state power-combining antenna approach is a viable candidate for a solid state SPS antenna building block.

  10. Measurement and modeling of unsaturated hydraulic conductivity: Chapter 21

    USGS Publications Warehouse

    Perkins, Kim S.; Elango, Lakshmanan

    2011-01-01

    This chapter will discuss, by way of examples, various techniques used to measure and model hydraulic conductivity as a function of water content, K(). The parameters that describe the K() curve obtained by different methods are used directly in Richards’ equation-based numerical models, which have some degree of sensitivity to those parameters. This chapter will explore the complications of using laboratory measured or estimated properties for field scale investigations to shed light on how adequately the processes are represented. Additionally, some more recent concepts for representing unsaturated-zone flow processes will be discussed.

  11. Structure of dysprosium(111) dl-tartrate dimer in aqueous solution

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

    Chevela, V.V.; Vulfson, S.G.; Salnikov, Y.I.

    1994-10-01

    The paramagnetic birefringence method was supplemented by numerical simulation to determine the molar paramagnetic-birefringence constant of the dysprosium dl-tartrate dimer Dy{sub 2}(d-L)(l-L){sup 2-} (I), where d-L{sup 4-} and l-L{sup 4-} are the deprotonated d- and l-tartaric acid molecules, respectively. The structure of the ligand and hydration surroundings of I was modeled by molecular mechanic calculations (the Dashevskii-Pylamovatyi model). It is shown that adequate results can be obtained only if one takes into account the coordination of I to the Na{sup +} ion.

  12. Addressing Challenges in Studies of Behavioral Responses of Whales to Noise.

    PubMed

    Cato, Douglas H; Dunlop, Rebecca A; Noad, Michael J; McCauley, Robert D; Kniest, Eric; Paton, David; Kavanagh, Ailbhe S

    2016-01-01

    Studying the behavioral response of whales to noise presents numerous challenges. In addition to the characteristics of the noise exposure, many factors may affect the response and these must be measured and accounted for in the analysis. An adequate sample size that includes matching controls is crucial if meaningful results are to be obtained. Field work is thus complicated, logistically difficult, and expensive. This paper discusses some of the challenges and how they are being met in a large-scale multiplatform project in which humpback whales are exposed to the noise of seismic air guns.

  13. Absorption characteristics of glass fiber materials at normal and oblique incidence. M.S. Thesis

    NASA Technical Reports Server (NTRS)

    Wyerman, B. R.

    1974-01-01

    The absorption characteristics of several fibrous materials of the Owens Corning 700 Fiberglas Series were measured to determine the variation in impedance as a function of incident angle of the sound wave. The results, indicate that the fibrous absorbents behave as extended reacting materials. The poor agreement between measurement and theory for sound absorption based on the parameters of flow resistance and porosity indicates that this theory does not adequately predict the acoustic behavior of fibrous materials. A much better agreement with measured results is obtained for values calculated from the bulk acoustic parameters of the material.

  14. Recruiting and enrolling pregnant adolescents for research.

    PubMed

    Kaiser, Margaret M; Hays, Bevely J

    2006-01-01

    Difficulty obtaining a sample is not justification for failure to study a hard-to-enroll population, particularly a vulnerable population such as pregnant adolescents. Recruitment of a representative, adequate sample of pregnant adolescents for a recent instrument development study provided multiple challenges. Although carefully developed, the sampling plan required several modifications to achieve the sample (n=145). Those challenges and the ensuing modifications to the sampling plan are discussed in relation to (a) access/institutional concerns, (b) the human subject's protection considerations, and (c) developmental/personal concerns of the pregnant adolescents. Recommendations for sampling strategies for future research are offered.

  15. Scanning Transmission Electron Microscopy at High Resolution

    PubMed Central

    Wall, J.; Langmore, J.; Isaacson, M.; Crewe, A. V.

    1974-01-01

    We have shown that a scanning transmission electron microscope with a high brightness field emission source is capable of obtaining better than 3 Å resolution using 30 to 40 keV electrons. Elastic dark field images of single atoms of uranium and mercury are shown which demonstrate this fact as determined by a modified Rayleigh criterion. Point-to-point micrograph resolution between 2.5 and 3.0 Å is found in dark field images of micro-crystallites of uranium and thorium compounds. Furthermore, adequate contrast is available to observe single atoms as light as silver. Images PMID:4521050

  16. Predicting Ly-alpha intensities in coronal streamers

    NASA Technical Reports Server (NTRS)

    Noci, Giancarlo; Poletto, Giannina; Suess, Steven T.; Wang, A.-H.; Wu, S. T.

    1992-01-01

    SOHO (Solar and Heliospheric Observatory) UVCS (Ultraviolet Coronagraph Spectrometer) will make long term observations of coronal streamers in UV lines, providing a new tool for the analysis of structures which have been known for decades but are still far from being adequately described. Work to evaluate the Lyman alpha brightness of coronal streamers is reported, adopting the streamer models obtained, via a time dependent numerical relaxation technique. This will yield understanding on the role of geometric versus physical factors in determining the streamer lyman alpha intensity and provide guidelines for UVCS observational operations. Future prospects along this line of research are summarized.

  17. Analysis of the OPERA 15-pin experiment with SABRE-2P. [LMFBR

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

    Rose, S.D.; Carbajo, J.J.

    The OPERA (Out-of-Pile Expulsion and Reentry Apparatus) experiment simulates the initial phase of a pump coastdown without scram of a liquid-metal fast breeder reactor, specifically the Fast Flux Test Facility. The test section is a 15-pin 60/sup 0/ triangular sector designed to simulate a full-size 61-pin hexagonal bundle. A previous study indicates this to be an adequate simulation. In this paper, experimental results from the OPERA 15-pin experiment performed at ANL in 1982 are compared to analytical calculations obtained with the SABRE-2P code at ORNL.

  18. [Problem based learning: achievement of educational goals in the information and comprehension sub-categories of Bloom cognitive domain].

    PubMed

    Montecinos, P; Rodewald, A M

    1994-06-01

    The aim this work was to assess and compare the achievements of medical students, subjected to problem based learning methodology. The information and comprehension categories of Bloom were tested in 17 medical students in four different occasions during the physiopathology course, using a multiple choice knowledge test. There was a significant improvement in the number of correct answers towards the end of the course. It is concluded that these medical students obtained adequate learning achievements in the information subcategory of Bloom using problem based learning methodology, during the physiopathology course.

  19. Fabrication and Characterization of Nanopillars for Silicon-Based Thermoelectrics

    NASA Astrophysics Data System (ADS)

    Stranz, A.; Sökmen, Ü.; Wehmann, H.-H.; Waag, A.; Peiner, E.

    2010-09-01

    Si-based nanopillars of various sizes were fabricated by lateral structuring using anisotropic etching and thermal oxidation. We obtained pillars of diameter <500 nm, about 25 μm in height, with an aspect ratio of more than 50. The distance between pillars was varied from 500 nm to 10 μm. Besides the fabrication and structural characterization of silicon nanopillars, implementation of adequate metrology for measuring single pillars is described. Commercial tungsten probes, self-made gold probes, and piezoresistive silicon cantilever probes were used for measurements of nanopillars in a scanning electron microscope (SEM) equipped with nanomanipulators.

  20. Numerical study for melting heat transfer and homogeneous-heterogeneous reactions in flow involving carbon nanotubes

    NASA Astrophysics Data System (ADS)

    Hayat, Tasawar; Muhammad, Khursheed; Alsaedi, Ahmed; Asghar, Saleem

    2018-03-01

    Present work concentrates on melting heat transfer in three-dimensional flow of nanofluid over an impermeable stretchable surface. Analysis is made in presence of porous medium and homogeneous-heterogeneous reactions. Single and multi-wall CNTs (carbon nanotubes) are considered. Water is chosen as basefluid. Adequate transformations yield the non-linear ordinary differential systems. Solution of emerging problems is obtained using shooting method. Impacts of influential variables on velocity and temperature are discussed graphically. Skin friction coefficient and Nusselt number are numerically discussed. The results for MWCNTs and SWCNTs are compared and examined.

  1. Sound from a Two-Blade Propeller at Supersonic Tip Speeds

    NASA Technical Reports Server (NTRS)

    Hubbard, Harvey H; Lassiter, Leslie W

    1952-01-01

    Report presents the results of sound measurements at static conditions made for a two-blade 47-inch-diameter propeller in the tip Mach number range 0.75 to 1.30. For comparison, spectrums have been obtained at both subsonic and supersonic tip speeds. In addition, the measured data are compared with calculations by the theory of Gutin which has previously been found adequate for predicting the sound at subsonic tip speeds. Curves are presented from which the maximum over-all noise levels in free space may be estimated if the power, tip Mach number, and distance are known.

  2. Design data for brazed Rene 41 honeycomb sandwich

    NASA Technical Reports Server (NTRS)

    Hepler, A. K.; Arnquist, J.; Koetje, E. L.; Esposito, J. J.; Lindsay, V. E. J.; Swegle, A. R.

    1981-01-01

    Strength data, creep data and residual strength data after cyclic thermal exposure were obtained at temperatures from 78 K to 1144 K (-320 F to 1600 F). The influences of face thickness, core depth, core gage, cell size and thermal/stress exposure conditions on the mechanical design properties were investigated. A braze alloy and process was developed that is adequate to fully develop the strength of the honeycomb core while simultaneously solution treating and aging the Rene 41 fact sheets. New test procedures and test specimen configurations were developed to avoid excessive thermal stresses during cyclic thermal exposure.

  3. Use of cornmeal bolus as an aid in obtaining cranial four-vessel angiograms.

    PubMed

    Weathers, R M; Lee, A

    1975-01-01

    In cranial angiography it has always been difficult to visualize extracranial vessels of the cervico-thoracic region, upon one radiograph, by using the same exposure factors for both regions. For this reason, we experimented and found that by applying a dry cornmeal bolus on specific areas of the neck a technically superior radiograph of these regions can be achieved. This bolus simulated added soft tissue to the cervical region. The density of the cervical region is now similar to that of the upper thoracic. As a result, factors set for one exposure will adequately penetrate both areas.

  4. Propfan Test Assessment (PTA): Flight test report

    NASA Technical Reports Server (NTRS)

    Little, B. H.; Bartel, H. W.; Reddy, N. N.; Swift, G.; Withers, C. C.; Brown, P. C.

    1989-01-01

    The Propfan Test Assessment (PTA) aircraft was flown to obtain glade stress and noise data for a 2.74m (9 ft.) diameter single rotation propfan. Tests were performed at Mach numbers to 0.85 and altitudes to 12,192m (40,000 ft.). The propfan was well-behaved structurally over the entire flight envelope, demonstrating that the blade design technology was completely adequate. Noise data were characterized by strong signals at blade passage frequency and up to 10 harmonics. Cabin noise was not so high as to preclude attainment of comfortable levels with suitable wall treatment. Community noise was not excessive.

  5. The pitch of vibrato tones: a model based on instantaneous frequency decomposition.

    PubMed

    Mesz, Bruno A; Eguia, Manuel C

    2009-07-01

    We study vibrato as the more ubiquitous manifestation of a nonstationary tone that can evoke a single overall pitch. Some recent results using nonsymmetrical vibrato tones suggest that the perceived pitch could be governed by some stability-sensitive mechanism. For nonstationary sounds the adequate tools are time-frequency representations (TFRs). We show that a recently proposed TFR could be the simplest framework to explain this hypothetical stability-sensitive mechanism. We propose a one-parameter model within this framework that is able to predict previously reported results and we present new results obtained from psychophysical experiments performed in our laboratory.

  6. Rocket observations of electron density in the nighttime E region using Faraday rotation

    NASA Technical Reports Server (NTRS)

    Smith, L. G.; Gilchrist, B. E.

    1984-01-01

    A rocket radio propagation experiment is described in which the electron density profile of the nighttime E region is obtained with an accuracy of 100 per cu cm. The factors limiting the accuracy of the experiment are found to be related to atmospheric and receiver noise and to the use of a magnetometer to determine the spin rate of the rocket. The Fourier analysis used for the frequency measurement may also contribute error under conditions of steep electron density gradients. The accuracy being achieved appears to be adequate for present applications of the experiment.

  7. Studies of electron-molecule collisions - Applications to e-H2O

    NASA Technical Reports Server (NTRS)

    Brescansin, L. M.; Lima, M. A. P.; Gibson, T. L.; Mckoy, V.; Huo, W. M.

    1986-01-01

    Elastic differential and momentum transfer cross sections for the elastic scattering of electrons by H2O are reported for collision energies from 2 to 20 eV. These fixed-nuclei static-exchange cross sections were obtained using the Schwinger variational approach. In these studies the exchange potential is directly evaluated and not approximated by local models. The calculated differential cross sections, obtained with a basis set expansion of the scattering wave function, agree well with available experimental data at intermediate and larger angles. As used here, the results cannot adequately describe the divergent cross sections at small angles. An interesting feature of the calculated cross sections, particularly at 15 and 20 eV, is their significant backward peaking. This peaking occurs in the experimentally inaccessible region beyond a scattering angle of 120 deg. The implication of this feature for the determination of momentum transfer cross sections is described.

  8. Methodological challenges when doing research that includes ethnic minorities: a scoping review.

    PubMed

    Morville, Anne-Le; Erlandsson, Lena-Karin

    2016-11-01

    There are challenging methodological issues in obtaining valid and reliable results on which to base occupational therapy interventions for ethnic minorities. The aim of this scoping review is to describe the methodological problems within occupational therapy research, when ethnic minorities are included. A thorough literature search yielded 21 articles obtained from the scientific databases PubMed, Cinahl, Web of Science and PsychInfo. Analysis followed Arksey and O'Malley's framework for scoping reviews, applying content analysis. The results showed methodological issues concerning the entire research process from defining and recruiting samples, the conceptual understanding, lack of appropriate instruments, data collection using interpreters to analyzing data. In order to avoid excluding the ethnic minorities from adequate occupational therapy research and interventions, development of methods for the entire research process is needed. It is a costly and time-consuming process, but the results will be valid and reliable, and therefore more applicable in clinical practice.

  9. Ionic Hydrogel Based on Chitosan Cross-Linked with 6-Phosphogluconic Trisodium Salt as a Drug Delivery System.

    PubMed

    Martínez-Martínez, Mayte; Rodríguez-Berna, Guillermo; Gonzalez-Alvarez, Isabel; Hernández, Ma Jesús; Corma, Avelino; Bermejo, Marival; Merino, Virginia; Gonzalez-Alvarez, Marta

    2018-04-09

    In this work, 6-phosphogluconic trisodium salt (6-PG - Na + ) is introduced as a new aqueous and nontoxic cross-linking agent to obtain ionic hydrogels. Here, it is shown the formation of hydrogels based on chitosan cross-linked with 6-PG - Na + . This formulation is obtained by ionic interaction of cationic groups of polymer with anionic groups of the cross-linker. These hydrogels are nontoxic, do not cause dermal irritation, are easy to extend, and have an adequate adhesion force to be applied as polymeric film over the skin. This formulation exhibits a first order release kinetic and can be applied as drug vehicle for topical administration or as wound dressing for wound healing. The primary goal of this communication is to report the identification and utility of 6-phosphogluconic trisodium salt (6-PG - Na + ) as a nontoxic cross-linker applicable for cationic polymers.

  10. Comparing an additional hour of cycler therapy to an additional midday exchange to achieve adequacy targets.

    PubMed

    Pagé, D E

    2000-01-01

    As CAPD patients lose residual renal function, adequate dialysis is frequently impossible to obtain unless the dialysis prescription is changed. For patients already on cycler therapy with a "wet" day, we compared the advantage of adding one hour on the cycler to adding an extra, midday exchange. To compare the two approaches, we used a commercial computer program to optimize solute clearance in 90 patients. Adding one hour of cycler therapy increases Kt/V and creatinine clearance (CrCl) by approximately 6.4%-8%. When a midday exchange is added, the increase in Kt/V and CrCl varies between 17.5% and 21.6%. We conclude that adding an extra, midday exchange always gives a better increase in weekly Kt/V and CrCl than that obtained by adding an extra hour of cycler therapy.

  11. Electrocatalytic Transformation of Carbon Dioxide into Low Carbon Compounds on Conducting Polymers Derived from Multimetallic Porphyrins.

    PubMed

    Dreyse, Paulina; Honores, Jessica; Quezada, Diego; Isaacs, Mauricio

    2015-11-01

    The electrochemical reduction of carbon dioxide is studied herein by using conducting polymers based on metallotetraruthenated porphyrins (MTRPs). The polymers on glassy carbon electrodes were obtained by electropolymerization processes of the monomeric MTRP. The linear sweep voltammetry technique resulted in polymeric films that showed electrocatalytic activity toward carbon dioxide reduction with an onset potential of -0.70 V. The reduction products obtained were hydrogen, formic acid, formaldehyde, and methanol, with a tendency for a high production of methanol with a maximum value of turnover frequency equal to 15.07 when using a zinc(II) polymeric surface. Studies of the morphology (AFM) and electrochemical impedance spectroscopy results provide an adequate background to explain that the electrochemical reduction is governed by the roughness of the polymer, for which the possible mechanism involves a series of one-electron reduction reactions. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  12. Validation of the Impulsive/Premeditated Aggression Scale in Mexican psychiatric patients.

    PubMed

    Romans, Laura; Fresán, Ana; Sentíes, Héctor; Sarmiento, Emmanuel; Berlanga, Carlos; Robles-García, Rebeca; Tovilla-Zarate, Carlos-Alfonso

    2015-07-01

    Aggression has been linked to several psychiatric disorders. None of the available instruments validated in Mexico is able to classify aggression as impulsive or premeditated. The Impulsive/Premeditated Aggression Scale (IPAS) is a self-report instrument designed to characterize aggressiveness as predominately impulsive or premeditated. The aim of the study was to determine the validity and reliability of the IPAS in a sample of Mexican psychiatric patients. A total of 163 patients diagnosed with affective, anxiety or psychotic disorder were included. A principal-component factor analysis was performed to obtain construct validity of the IPAS impulsive and premeditated aggression subscales; convergent validity as well as internal consistency of subscales were also determined. The rotated matrix accounted for 33.4% of the variance. Significant values were obtained for convergent validity and reliability of the IPAS subscales. The IPAS is an adequate instrument, which might be used to differentiate the type of aggressive behavior in Mexican psychiatric patients.

  13. Ground-water resources of Kleberg County, Texas

    USGS Publications Warehouse

    Livingston, Penn Poore; Bridges, Thomas W.

    1936-01-01

    Water obtained from the fresh-water horizon is comparatively fresh in the western and central parts of the county but contains a somewhat higher proportion of chlorides toward the Gulf. Samples obtained from about 100 wells, located for the most part in the central part of the county, showed a. higher chloride content than is normal for the freshwater beds in the area. These wells are believed in large part to be defective and to be admitting salt water. This was demonstrated and the leaks located in several wells that were tested. No evidence was found of salt-water contamination by percolation through the formations, however. The leaky wells should be repaired, If practicable, or sealed to prevent them from contaminating the fresh-water sand. The chances of leaks developing can be largely eliminated If the wells are properly drilled and provided with casing of good grade, and the casing is adequately seated.

  14. A theoretical study of potentially observable chirality-sensitive NMR effects in molecules.

    PubMed

    Garbacz, Piotr; Cukras, Janusz; Jaszuński, Michał

    2015-09-21

    Two recently predicted nuclear magnetic resonance effects, the chirality-induced rotating electric polarization and the oscillating magnetization, are examined for several experimentally available chiral molecules. We discuss in detail the requirements for experimental detection of chirality-sensitive NMR effects of the studied molecules. These requirements are related to two parameters: the shielding polarizability and the antisymmetric part of the nuclear magnetic shielding tensor. The dominant second contribution has been computed for small molecules at the coupled cluster and density functional theory levels. It was found that DFT calculations using the KT2 functional and the aug-cc-pCVTZ basis set adequately reproduce the CCSD(T) values obtained with the same basis set. The largest values of parameters, thus most promising from the experimental point of view, were obtained for the fluorine nuclei in 1,3-difluorocyclopropene and 1,3-diphenyl-2-fluoro-3-trifluoromethylcyclopropene.

  15. Mental states as macrostates emerging from brain electrical dynamics

    NASA Astrophysics Data System (ADS)

    Allefeld, Carsten; Atmanspacher, Harald; Wackermann, Jiří

    2009-03-01

    Psychophysiological correlations form the basis for different medical and scientific disciplines, but the nature of this relation has not yet been fully understood. One conceptual option is to understand the mental as "emerging" from neural processes in the specific sense that psychology and physiology provide two different descriptions of the same system. Stating these descriptions in terms of coarser- and finer-grained system states (macro- and microstates), the two descriptions may be equally adequate if the coarse-graining preserves the possibility to obtain a dynamical rule for the system. To test the empirical viability of our approach, we describe an algorithm to obtain a specific form of such a coarse-graining from data, and illustrate its operation using a simulated dynamical system. We then apply the method to an electroencephalographic recording, where we are able to identify macrostates from the physiological data that correspond to mental states of the subject.

  16. Properties of tungsten coating deposited onto copper by high-speed atmospheric plasma spraying

    NASA Astrophysics Data System (ADS)

    Jianjun, Huang; Fan, Wang; Ying, Liu; Shishou, Jiang; Xisheng, Wang; Bing, Qi; Liang, Gao

    2011-07-01

    Tungsten (W) coatings were fabricated on copper (Cu) by high-speed atmospheric plasma spray (HAPS) technique. The properties of the porosity, oxygen content, bonding strength and microhardness were measured. The results obtained indicated that the HAPS-W coating showed good properties particularly in terms of porosity and oxygen content. The porosity of the HAPS-W coating was 2.3% and the distribution of pore size diameter was mainly concentrated in the range of 0.01-1 μm. The oxygen content of the coating measured by means of Nitrogen/Oxygen Determinator was about 0.10 wt.%. These initial results suggest that the HAPS-W coating has achieved the reported properties of the vacuum plasma spray (VPS) W coating. Compared with VPS, HAPS-W technique could provide a convenient and low cost way to obtain adequate W coatings for fusion applications.

  17. Photodynamic therapy and the treatment of malignancies of the head and neck

    NASA Astrophysics Data System (ADS)

    Biel, Merrill A.

    1995-05-01

    Sixty-five patients with neoplastic diseases of the larynx, oral cavity, pharynx, and skin have been treated with PDT with followup to 56 months. Patients with carcinoma in situ and T1 carcinomas obtained a complete response after one PDT treatment. All but two have remained free of disease. Eight patients with T2 and T3 carcinomas treated with PDT obtained a complete response, but they all recurred locally. This is due to the inability to adequately deliver laser light to the depths of the tumor bed. five patients with massive neck recurrences of squamous cell carcinomas were treated with intraoperative adjuvant PDT following tumor resection. Only one developed recurrence with 24- month followup. PDT is highly effective for the curative treatment of early carcinomas (CIS, T1) of the head and neck. Also, intraoperative adjuvant PDT may increase cure rates of large infiltrating carcinomas of the head and neck.

  18. Resection followed by vascularized bone autograft in patients with possible recurrence of malignant bone tumors after conservative treatment

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

    Metaizeau, J.P.; Olive, D.; Bey, P.

    1984-04-01

    In conservative treatment of malignant bone tumors, assessment of the local condition is difficult. The radiological changes seen in the irradiated tumor and the frequent occurrence of pathological fractures at this site may give rise to the fear that the tumor has relapsed. Resection of the whole of the involved bone is the best way to assure adequate local control but the extent of the bone defect and the bad local conditions secondary to irradiation make reconstruction hazardous. In two patients (one with Ewing's sarcoma of the femur and one with osteogenic sarcoma of the humerus) the authors used amore » free, vascularized fibular graft for the reconstruction having obtained consolidation of the limb after resection of the irradiated tumor, with preservation of its function. The encouraging results obtained have suggested a conservative attitude as primary treatment of specific malignant bone tumors.« less

  19. Protein crystallization: Eluding the bottleneck of X-ray crystallography

    PubMed Central

    Holcomb, Joshua; Spellmon, Nicholas; Zhang, Yingxue; Doughan, Maysaa; Li, Chunying; Yang, Zhe

    2017-01-01

    To date, X-ray crystallography remains the gold standard for the determination of macromolecular structure and protein substrate interactions. However, the unpredictability of obtaining a protein crystal remains the limiting factor and continues to be the bottleneck in determining protein structures. A vast amount of research has been conducted in order to circumvent this issue with limited success. No single method has proven to guarantee the crystallization of all proteins. However, techniques using antibody fragments, lipids, carrier proteins, and even mutagenesis of crystal contacts have been implemented to increase the odds of obtaining a crystal with adequate diffraction. In addition, we review a new technique using the scaffolding ability of PDZ domains to facilitate nucleation and crystal lattice formation. Although in its infancy, such technology may be a valuable asset and another method in the crystallography toolbox to further the chances of crystallizing problematic proteins. PMID:29051919

  20. Electron impact ionization-excitation of Helium

    NASA Astrophysics Data System (ADS)

    Ancarani, Lorenzo Ugo; Gomez, A. I.; Gasaneo, G.; Mitnik, D. M.; Ambrosio, M. J.

    2016-09-01

    We calculate triple differential cross sections (TDCS) for the process of ionization-excitation of Helium by fast electron impact in which the residual ion is left in the n =2 excited state. We chose the strongly asymmetric kinematics used in the experiment performed by Dupré et al.. In a perturbative scheme, for high projectile energies the four-body problem reduces to a three-body one and, within that framework, we solve the time- independent Schrödinger equation with a Sturmian approach. The method, based on Generalized Sturmian Functions (GSF), is employed to obtain the initial ground state of Helium, the single-continuum state and the scattering wave function; for each of them, the GSF basis is constructed with the corresponding adequate asymptotic conditions. Besides, the method presents the following advantage: the scattering amplitudes can be extracted directly in the asymptotic region of the scattering solution, and thus the TDCS can be obtained without requiring a matrix element evaluation.

  1. A technique for extracting blood samples from mice in fire toxicity tests

    NASA Technical Reports Server (NTRS)

    Bucci, T. J.; Hilado, C. J.; Lopez, M. T.

    1976-01-01

    The extraction of adequate blood samples from moribund and dead mice has been a problem because of the small quantity of blood in each animal and the short time available between the animals' death and coagulation of the blood. These difficulties are particularly critical in fire toxicity tests because removal of the test animals while observing proper safety precautions for personnel is time-consuming. Techniques for extracting blood samples from mice were evaluated, and a technique was developed to obtain up to 0.8 ml of blood from a single mouse after death. The technique involves rapid exposure and cutting of the posterior vena cava and accumulation of blood in the peritoneal space. Blood samples of 0.5 ml or more from individual mice have been consistently obtained as much as 16 minutes after apparent death. Results of carboxyhemoglobin analyses of blood appeared reproducible and consistent with carbon monoxide concentrations in the exposure chamber.

  2. Computational methods in the development of a knowledge-based system for the prediction of solid catalyst performance.

    PubMed

    Procelewska, Joanna; Galilea, Javier Llamas; Clerc, Frederic; Farrusseng, David; Schüth, Ferdi

    2007-01-01

    The objective of this work is the construction of a correlation between characteristics of heterogeneous catalysts, encoded in a descriptor vector, and their experimentally measured performances in the propene oxidation reaction. In this paper the key issue in the modeling process, namely the selection of adequate input variables, is explored. Several data-driven feature selection strategies were applied in order to obtain an estimate of the differences in variance and information content of various attributes, furthermore to compare their relative importance. Quantitative property activity relationship techniques using probabilistic neural networks have been used for the creation of various semi-empirical models. Finally, a robust classification model, assigning selected attributes of solid compounds as input to an appropriate performance class in the model reaction was obtained. It has been evident that the mathematical support for the primary attributes set proposed by chemists can be highly desirable.

  3. Monte Carlo simulation of a near-continuum shock-shock interaction problem

    NASA Technical Reports Server (NTRS)

    Carlson, Ann B.; Wilmoth, Richard G.

    1992-01-01

    A complex shock interaction is calculated with direct simulation Monte Carlo (DSMC). The calculation is performed for the near-continuum flow produced when an incident shock impinges on the bow shock of a 0.1 in. radius cowl lip for freestream conditions of approximately Mach 15 and 35 km altitude. Solutions are presented both for a full finite-rate chemistry calculation and for a case with chemical reactions suppressed. In each case, both the undisturbed flow about the cowl lip and the full shock interaction flowfields are calculated. Good agreement has been obtained between the no-chemistry simulation of the undisturbed flow and a perfect gas solution obtained with the viscous shock-layer method. Large differences in calculated surface properties when different chemical models are used demonstrate the necessity of adequately representing the chemistry when making surface property predictions. Preliminary grid refinement studies make it possible to estimate the accuracy of the solutions.

  4. Optical phonon behavior of columbite MgNb2O6 single crystals

    NASA Astrophysics Data System (ADS)

    Xu, Dapeng; Liu, Wenqiang; Zhou, Qiang; Cui, Tian; Yuan, Hongming; Wang, Wenquan; Liu, Ying; Shi, Zhan; Li, Liang

    2014-08-01

    To explore potential applications, MgNb2O6 single crystal grown previously by optical floating zone method was used as a prototype for optical phonon behavior investigation. Polarized Raman spectra obtained in adequate parallel and crossed polarization were presented. All the obtained Raman modes were identified for the MgNb2O6, in good agreement with previous theory analysis. The selection rules of Raman for the columbite group were validated. Additionally, in-site temperature-dependent Raman spectra of MgNb2O6 were also investigated in the range from 83 to 803 K. The strong four Ag phonon modes all exhibits red shift with the temperature increasing. But thermal expansion of spectra is sectional linear with inflection points at about 373 K. And the absolute value of dω/dT at high temperature is higher than the one at lower temperature.

  5. Experiment S-213 selenocentric geodetic reference system

    NASA Technical Reports Server (NTRS)

    Doyle, F. J.; Elassal, A. A.; Lucas, J. R.

    1976-01-01

    Development and implementation of a photogrammetric system was undertaken to provide accurate selenodetic positions and topographic mapping of all areas overflown by orbital spacecraft. The system was installed in the scientific instrument module (SIM) bay of the Apollo command service module (CSM). In theory, this system provided everything a photogrammetrist could want: the position of each exposure station would be obtained from Earth-based tracking; the orientation of each photograph could be computed from the synchronized stellar exposure and the lock-angles determined by preflight calibration; and the scale of each stereomodel would be obtained directly from the altimeter data. Operationally, the data acquisition was adequate, but less than optimum. Systematic errors are believed to be the result of the primitive orbit determination procedures in use at the time of the Apollo 15 mission, inadequate models of the lunar gravity field, and spacecraft oscillations induced by uncoupled thrusting and various activities of the astronauts.

  6. Japan: seeds of consciousness.

    PubMed

    Domoto, A

    1993-01-01

    Historically, women's bodies in Japan have been viewed as tools to support larger national populations. Men remain emotionally and physically in control sexual relations. Women are deprived of adequate information to exert control over their bodies and fertility. Health and welfare policies view women's sexuality strictly in terms of marriage and motherhood; the reproductive health needs of unmarried women are ignored. There are no clinics where women can receive information about sexuality or contraception, despite the existence since 1952 of a national family planning program. Abortion remains the predominant form of birth control since oral contraceptives are not available and diaphragms and IUDs are difficult to obtain. Japanese women are beginning to organize for gender, reproductive, and sexual rights, but traditional attitudes remain a barrier. If Japanese women are to control their own bodies, they must first understand them through access to sex education. Clinics should be established where women can obtain information, counseling and services on sex, abortion, and contraception.

  7. Food Access Patterns and Barriers among Midlife and Older Adults with Mobility Disabilities

    PubMed Central

    Huang, Deborah L.; Rosenberg, Dori E.; Simonovich, Shannon D.; Belza, Basia

    2012-01-01

    We examined where midlife and older adults with a mobility disability accessed food outside the home in King County, Washington, USA, how they travelled to these food destinations, and facilitators and barriers to food access using qualitative interviews. Thirty-five adults aged ≥50 years with a mobility disability (defined as use of an assistive device for mobility) were interviewed. Supplemental objective information was obtained from a Global Positioning System device worn by participants for 3 days. Participants primarily accessed food at grocery stores, restaurants, and coffee shops/cafés. The most common transportation modes were walking, obtaining a ride from friends, motorized chair/scooter, and public transit. Location and proximity of food destinations were factors affecting participants' ability to access these destinations. Adequate space, ease of entry, available amenities such as restrooms, and helpful people were facilitators for participants to access food outside the home. PMID:23056944

  8. A review of demodulation techniques for amplitude-modulation atomic force microscopy

    PubMed Central

    Harcombe, David M; Ragazzon, Michael R P; Moheimani, S O Reza; Fleming, Andrew J

    2017-01-01

    In this review paper, traditional and novel demodulation methods applicable to amplitude-modulation atomic force microscopy are implemented on a widely used digital processing system. As a crucial bandwidth-limiting component in the z-axis feedback loop of an atomic force microscope, the purpose of the demodulator is to obtain estimates of amplitude and phase of the cantilever deflection signal in the presence of sensor noise or additional distinct frequency components. Specifically for modern multifrequency techniques, where higher harmonic and/or higher eigenmode contributions are present in the oscillation signal, the fidelity of the estimates obtained from some demodulation techniques is not guaranteed. To enable a rigorous comparison, the performance metrics tracking bandwidth, implementation complexity and sensitivity to other frequency components are experimentally evaluated for each method. Finally, the significance of an adequate demodulator bandwidth is highlighted during high-speed tapping-mode atomic force microscopy experiments in constant-height mode. PMID:28900596

  9. Development and psychometric validation of a child Racial Attitudes Index (RAI).

    PubMed

    Clark, Khaya D; Yovanoff, Paul; Tate, Charlotte Ursula

    2017-12-01

    The Racial Attitudes Index (RAI) measures a child's racial attitudes. Designed for children aged 5-9 years, the RAI is delivered over the Internet using Audio Computer Assisted Self-Interviewing (ACASI). Unlike traditional binary forced-choice instruments, the RAI uses an expanded response format permitting a more nuanced understanding of patterns of children's racial attitudes. In addition to establishing psychometric evidence of the RAI technical adequacy, hypotheses about RAI item response patterns were tested. The racial attitudes of 336 Black and White children in grades K-3 were assessed using a forced-choice instrument (Preschool Racial Attitudes Measure II) and the RAI. Findings from this study indicate measures obtained with the RAI are technically adequate, and the measure functions invariantly across racial groups. Also, patterns of children's racial attitudes measured with the RAI are more nuanced than those obtained using the forced-choice response format.

  10. Stochastic algorithm for simulating gas transport coefficients

    NASA Astrophysics Data System (ADS)

    Rudyak, V. Ya.; Lezhnev, E. V.

    2018-02-01

    The aim of this paper is to create a molecular algorithm for modeling the transport processes in gases that will be more efficient than molecular dynamics method. To this end, the dynamics of molecules are modeled stochastically. In a rarefied gas, it is sufficient to consider the evolution of molecules only in the velocity space, whereas for a dense gas it is necessary to model the dynamics of molecules also in the physical space. Adequate integral characteristics of the studied system are obtained by averaging over a sufficiently large number of independent phase trajectories. The efficiency of the proposed algorithm was demonstrated by modeling the coefficients of self-diffusion and the viscosity of several gases. It was shown that the accuracy comparable to the experimental one can be obtained on a relatively small number of molecules. The modeling accuracy increases with the growth of used number of molecules and phase trajectories.

  11. Self-pressurized air-Q® intubating laryngeal airway versus the LMA® Classic™: a randomized clinical trial.

    PubMed

    Ha, Sang Hee; Kim, Min-Soo; Suh, Jiwoo; Lee, Jong Seok

    2018-05-01

    The self-pressurized air-Q® (air-Q SP) intubating laryngeal airway is a relatively new supraglottic airway (SGA) device. The intracuff pressure of air-Q dynamically equilibrates with the airway pressure and adjusts to the patient's pharyngeal and periglottic anatomy, potentially providing improved airway fit and seal. The aim of this prospective randomized study was to compare the clinical performance of air-Q to the LMA® Classic™ SGA. Adult patients requiring general anesthesia for elective surgery were prospectively enrolled and randomly assigned to either air-Q SP or the LMA Classic SGA. Oropharyngeal leak pressure (primary endpoint), success rate, insertion features (insertion time, ease of insertion, requirement for device manipulation), sealing function, gastric insufflation, bronchoscopic view, and oropharyngeal complications at device insertion and following its removal (sore throat, dysphagia, dysphonia) were compared. The mean (standard deviation [SD]) oropharyngeal leak pressure just after insertion was similar in the air-Q SP and LMA [16.8 (4.9) vs 18.6 (5.5) cm H 2 O, respectively; mean difference, 1.8 cm H 2 O; 95% CI, -0.5 to 4.2; P = 0.13] and did not differ at ten minutes following device insertion. Median [interquartile range (IQR)] peak inspiratory pressure just after insertion was lower in the air-Q SP (11.0 [10.0-13.0] vs 13.0 [11.0-14.0] cmH 2 O, median difference, 1.0 cm H 2 O; 95% CI, 0.0 to 2.0; P = 0.03) but no difference was observed at ten minutes. The median [IQR] insertion time was faster with the air-Q SP (15.9 [13.6-20.3] sec vs 24 [21.2-27.1] sec; median difference, 8.1 sec; 95% CI, 5.6 to 9.9; P < 0.001) and improved bronchoscopic viewing grade were seen with the air-Q SP immediately after insertion (P < 0.001). No differences between the groups were observed with respect to the rate of successful insertion at first attempt, overall insertion success rate, ease of insertion, and complications. The air-Q SP had similar leak pressures but a faster insertion time and superior bronchoscopic viewing grade when compared with the LMA Classic. The air-Q SP is a suitable alternative to the LMA Classic in adult patients and may be a superior conduit for tracheal intubation. www.clinicaltrials.gov (NCT02206438). Registered 1 August 2014.

  12. 48 CFR 52.216-29 - Time-and-Materials/Labor-Hour Proposal Requirements-Non-Commercial Item Acquisition With Adequate...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...-Hour Proposal Requirements-Non-Commercial Item Acquisition With Adequate Price Competition. 52.216-29... Proposal Requirements—Non-Commercial Item Acquisition With Adequate Price Competition (FEB 2007) (a) The... Time-and-Materials/Labor-Hour Proposal Requirements—Non-Commercial Item Acquisition With Adequate Price...

  13. Photon statistics and speckle visibility spectroscopy with partially coherent X-rays.

    PubMed

    Li, Luxi; Kwaśniewski, Paweł; Orsi, Davide; Wiegart, Lutz; Cristofolini, Luigi; Caronna, Chiara; Fluerasu, Andrei

    2014-11-01

    A new approach is proposed for measuring structural dynamics in materials from multi-speckle scattering patterns obtained with partially coherent X-rays. Coherent X-ray scattering is already widely used at high-brightness synchrotron lightsources to measure dynamics using X-ray photon correlation spectroscopy, but in many situations this experimental approach based on recording long series of images (i.e. movies) is either not adequate or not practical. Following the development of visible-light speckle visibility spectroscopy, the dynamic information is obtained instead by analyzing the photon statistics and calculating the speckle contrast in single scattering patterns. This quantity, also referred to as the speckle visibility, is determined by the properties of the partially coherent beam and other experimental parameters, as well as the internal motions in the sample (dynamics). As a case study, Brownian dynamics in a low-density colloidal suspension is measured and an excellent agreement is found between correlation functions measured by X-ray photon correlation spectroscopy and the decay in speckle visibility with integration time obtained from the analysis presented here.

  14. Assessing reading comprehension with narrative and expository texts: Dimensionality and relationship with fluency, vocabulary and memory.

    PubMed

    Santos, Sandra; Cadime, Irene; Viana, Fernanda L; Chaves-Sousa, Séli; Gayo, Elena; Maia, José; Ribeiro, Iolanda

    2017-02-01

    Reading comprehension assessment should rely on valid instruments that enable adequate conclusions to be taken regarding students' reading comprehension performance. In this article, two studies were conducted to collect validity evidence for the vertically scaled forms of two Tests of Reading Comprehension for Portuguese elementary school students in the second to fourth grades, one with narrative texts (TRC-n) and another with expository ones (TRC-e). Two samples of 950 and 990 students participated in Study 1, the study of the dimensionality of the TRC-n and TRC-e forms, respectively. Confirmatory factor analyses provided evidence of an acceptable fit for the one-factor solution for all test forms. Study 2 included 218 students to collect criterion-related validity. The scores obtained in each of the test forms were significantly correlated with the ones obtained in other reading comprehension measures and with the results obtained in oral reading fluency, vocabulary and working memory tests. Evidence suggests that the test forms are valid measures of reading comprehension. © 2016 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  15. Gas sampling method for determining pollutant concentrations in the flame zone of two swirl-can combustor modules

    NASA Technical Reports Server (NTRS)

    Duerr, R. A.

    1975-01-01

    A gas sampling probe and traversing mechanism were developed to obtain detailed measurements of gaseous pollutant concentrations in the primary and mixing regions of combustors in order to better understand how pollutants are formed. The gas sampling probe was actuated by a three-degree-of-freedom traversing mechanism and the samples obtained were analyzed by an on-line gas analysis system. The pollutants in the flame zone of two different swirl-can combustor modules were measured at an inlet-air temperature of 590 K, pressure of 6 atmospheres, and reference velocities of 23 and 30 meters per second at a fuel-air ratio of 0.02. Typical results show large spatial gradients in the gaseous pollutant concentration close to the swirl-can module. Average concentrations of unburned hydrocarbons and carbon monoxide decrease rapidly in the downstream wake regions of each module. By careful and detailed probing, the effect of various module design features on pollutant formation can be assessed. The techniques presently developed seem adequate to obtain the desired information.

  16. Determination of the atrazine migration parameters in Vertisol

    NASA Astrophysics Data System (ADS)

    Raymundo-Raymundo, E.; Hernandez-Vargas, J.; Nikol'Skii, Yu. N.; Guber, A. K.; Gavi-Reyes, F.; Prado-Pano, B. L.; Figueroa-Sandoval, B.; Mendosa-Hernandez, J. R.

    2010-05-01

    The parameters of the atrazine migration in columns with undisturbed Vertisol sampled from an irrigated plot in Guanajuato, Mexico were determined. A model of the convection-dispersion transport of the chemical compounds accounting for the decomposition and equilibrium adsorption, which is widely applied for assessing the risk of contamination of natural waters with pesticides, was used. The model parameters were obtained by solving the inverse problem of the transport equation on the basis of laboratory experiments on the transport of the 18O isotope and atrazine in soil columns with an undisturbed structure at three filtration velocities. The model adequately described the experimental data at the individual selection of the parameters for each output curve. Physically unsubstantiated parameters of the atrazine adsorption and degradation were obtained when the parameter of the hydrodynamic dispersion was determined from the data on the 18O migration. The simulation also showed that the use of parameters obtained at water content close to saturation in the calculations for an unsaturated soil resulted in the overestimation of the leaching rate and the maximum concentration of atrazine in the output curve compared to the experimental data.

  17. Identification of Anisotropic Criteria for Stratified Soil Based on Triaxial Tests Results

    NASA Astrophysics Data System (ADS)

    Tankiewicz, Matylda; Kawa, Marek

    2017-09-01

    The paper presents the identification methodology of anisotropic criteria based on triaxial test results. The considered material is varved clay - a sedimentary soil occurring in central Poland which is characterized by the so-called "layered microstructure". The strength examination outcomes were identified by standard triaxial tests. The results include the estimated peak strength obtained for a wide range of orientations and confining pressures. Two models were chosen as potentially adequate for the description of the tested material, namely Pariseau and its conjunction with the Jaeger weakness plane. Material constants were obtained by fitting the model to the experimental results. The identification procedure is based on the least squares method. The optimal values of parameters are searched for between specified bounds by sequentially decreasing the distance between points and reducing the length of the searched range. For both considered models the optimal parameters have been obtained. The comparison of theoretical and experimental results as well as the assessment of the suitability of selected criteria for the specified range of confining pressures are presented.

  18. Stability of recursive out-of-sequence measurement filters: an open problem

    NASA Astrophysics Data System (ADS)

    Chen, Lingji; Moshtagh, Nima; Mehra, Raman K.

    2011-06-01

    In many applications where communication delays are present, measurements with earlier time stamps can arrive out-of-sequence, i.e., after state estimates have been obtained for the current time instant. To incorporate such an Out-Of-Sequence Measurement (OOSM), many algorithms have been proposed in the literature to obtain or approximate the optimal estimate that would have been obtained if the OOSM had arrived in-sequence. When OOSM occurs repeatedly, approximate estimations as a result of incorporating one OOSM have to serve as the basis for incorporating yet another OOSM. The question of whether the "approximation of approximation" is well behaved, i.e., whether approximation errors accumulate in a recursive setting, has not been adequately addressed in the literature. This paper draws attention to the stability question of recursive OOSM processing filters, formulates the problem in a specific setting, and presents some simulation results that suggest that such filters are indeed well-behaved. Our hope is that more research will be conducted in the future to rigorously establish stability properties of these filters.

  19. Rotation curves of LSBGs and dwarf galaxies in a nearly Newtonian solution

    NASA Astrophysics Data System (ADS)

    Capistrano, Abraão J. S.; Barrocas, Guilherme R. G.

    2018-04-01

    The observed motion of stars close to galaxy nuclei shows that the resulting velocities are small of the order of a few hundred of km s-1. In these regions of strong gravity, the Newtonian gravitational field or even a post-Newtonian approximation may not be adequate to describe the motion of stars. In this paper, we study the possibility that the rotation curves problem may be explained mostly in the realm of Einstein's general relativity in a nearly weak field regime. By using the geodesic equations to obtain a gravitational potential generated from a point-like source, we end up in the concept of a nearly Newtonian gravity, and we show that its resulting potential responds to the dark halo mostly attributed to dark matter. We show that it comes essentially from the propagation of the non-linear effects of the obtained effective velocity field. As a test, we study a sample of 27 low surface brightness galaxies (LSBGs) and nine dwarf galaxies obtaining rotation curve shapes in nearly agreement with observations.

  20. Development and Validation of New Discriminative Dissolution Method for Carvedilol Tablets

    PubMed Central

    Raju, V.; Murthy, K. V. R.

    2011-01-01

    The objective of the present study was to develop and validate a discriminative dissolution method for evaluation of carvedilol tablets. Different conditions such as type of dissolution medium, volume of dissolution medium and rotation speed of paddle were evaluated. The best in vitro dissolution profile was obtained using Apparatus II (paddle), 50 rpm, 900 ml of pH 6.8 phosphate buffer as dissolution medium. The drug release was evaluated by high-performance liquid chromatographic method. The dissolution method was validated according to current ICH and FDA guidelines using parameters such as the specificity, accuracy, precision and stability were evaluated and obtained results were within the acceptable range. The comparison of the obtained dissolution profiles of three different products were investigated using ANOVA-based, model-dependent and model-independent methods, results showed that there is significant difference between the products. The dissolution test developed and validated was adequate for its higher discriminative capacity in differentiating the release characteristics of the products tested and could be applied for development and quality control of carvedilol tablets. PMID:22923865

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