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Sample records for pluvial total interna

  1. Multivariate pluvial flood damage models

    SciTech Connect

    Van Ootegem, Luc; Verhofstadt, Elsy; Van Herck, Kristine; Creten, Tom

    2015-09-15

    Depth–damage-functions, relating the monetary flood damage to the depth of the inundation, are commonly used in the case of fluvial floods (floods caused by a river overflowing). We construct four multivariate damage models for pluvial floods (caused by extreme rainfall) by differentiating on the one hand between ground floor floods and basement floods and on the other hand between damage to residential buildings and damage to housing contents. We do not only take into account the effect of flood-depth on damage, but also incorporate the effects of non-hazard indicators (building characteristics, behavioural indicators and socio-economic variables). By using a Tobit-estimation technique on identified victims of pluvial floods in Flanders (Belgium), we take into account the effect of cases of reported zero damage. Our results show that the flood depth is an important predictor of damage, but with a diverging impact between ground floor floods and basement floods. Also non-hazard indicators are important. For example being aware of the risk just before the water enters the building reduces content damage considerably, underlining the importance of warning systems and policy in this case of pluvial floods. - Highlights: • Prediction of damage of pluvial floods using also non-hazard information • We include ‘no damage cases’ using a Tobit model. • The damage of flood depth is stronger for ground floor than for basement floods. • Non-hazard indicators are especially important for content damage. • Potential gain of policies that increase awareness of flood risks.

  2. A new survey tool to assess pluvial damage to residential buildings

    NASA Astrophysics Data System (ADS)

    Rözer, Viktor; Spekkers, Matthieu; ten Veldhuis, Marie-Claire; Kreibich, Heidi

    2017-04-01

    comparison between the relative damage contributions for different entry points of water into the house indicates an effect of regional distinctions in building topology on the total damage. The results of this comparison give important insights for the development and transferability of pluvial flood damage models.

  3. Isolation of Legionella pneumophila from pluvial floods by amoebal coculture.

    PubMed

    Schalk, J A C; Docters van Leeuwen, A E; Lodder, W J; de Man, H; Euser, S; den Boer, J W; de Roda Husman, A M

    2012-06-01

    Viable Legionella pneumophila bacteria were isolated by amoebal coculture from pluvial floods after intense rainfall and from water collected at sewage treatment plants. Several isolated L. pneumophila strains belonged to sequence types that have been previously identified in patients.

  4. Preliminary results from two international pluvial flood event studies

    NASA Astrophysics Data System (ADS)

    Roezer, Viktor; Spekkers, Matthieu; Kreibich, Heidi

    2016-04-01

    Pluvial floods have caused severe damages to urban dwellings in Europe and elsewhere in recent years. With a predicted increase in extreme weather events as well as an ongoing urbanization, pluvial flood damage is expected to increase in the future. These type of flood events, caused by stormwater being unable to enter urban drainage systems or flowing out of urban drainage systems when capacity is exceeded, often happen with little warning and in areas which are often not obviously prone to flooding. Up to now little research was done on the adverse consequences of pluvial floods, as empirical damage data of pluvial flooding is scarce. In this study, results of two telephone surveys are discussed. The surveys comprise interviews with more than 500 flood-affected households in Germany (Münster and Greven) and the Netherlands (Amsterdam), related to the severe rain event of July 28th 2014. Respondents were asked a series of questions about the damage to their building structure and contents, as well as on topics such as early warning, emergency and precautionary measures, building properties and hazard characteristics. The questionnaire was developed with the aim to create a harmonized transnational pluvial flood damage survey that can potentially be extended to other European countries. New indicator variables have been developed to account for different national and regional standards in building structure, early warning, socio-economic data and recovery. The survey data from the German and Dutch case studies are compared with the goal to identify similarities and differences in damage reducing factors and recovery. Water level data and other hazard characteristics are used to form comparable groups out of the German and Dutch sample. Within these groups, regional distinctions in building topology and use are expected to have the strongest impact on differences between reported damage amounts of the two case studies. The newly collected data will be used in

  5. Precision Topography of Pluvial Features in Nevada as Analogs for Possible Pluvial Landforms on Mars

    NASA Astrophysics Data System (ADS)

    Zimbelman, J. R.; Garry, W. B.; Irwin, R. P.

    2009-12-01

    Topographic measurements with better than 2 cm horizontal and 4 cm vertical precision were obtained for pluvial features in Nevada using a Trimble R8 Differential Global Positioning System (DGPS), making use of both real-time kinematic and post-processed kinematic techniques. We collected ten transects across shorelines in the southern end of Surprise Valley, near the California border in NW Nevada, on April 15-17, 2008, plus five transects of shorelines and eight transects of a wavecut scarp in Long Valley, near the Utah border in NE Nevada, on May 5-7, 2009. Each transect consists of topographic points keyed to field notes and photographs. In Surprise Valley, the highstand shoreline was noted at 1533.4 m elevation in 8 of the 10 transects, and several prominent intermediate shorelines could be correlated between two or more transects. In Long Valley, the well preserved highstand shoreline elevation of 1908.7 m correlated (within 0.6 m) to the base of the wavecut scarp along a horizontal distance of 1.2 km. These results demonstrate that adherence to a geopotential elevation level is one of the strongest indicators that a possible shoreline feature is the result of pluvial processes, and that elevation levels of features can be clearly detected and documented with precise topographic measurements. The High Resolution Imaging Science Experiment (HiRISE) is returning images of Mars that show potential shoreline features in remarkable detail (e.g., image PSP_009998_2165, 32 cm/pixel, showing a possible shoreline in NW Arabia). Our results from studying shorelines in Nevada will provide a basis for evaluating the plausibility of possible shoreline features on Mars, the implications of which are significant for the overall history of Mars.

  6. Isolation of Legionella pneumophila from Pluvial Floods by Amoebal Coculture

    PubMed Central

    Docters van Leeuwen, A. E.; Lodder, W. J.; de Man, H.; Euser, S.; den Boer, J. W.; de Roda Husman, A. M.

    2012-01-01

    Viable Legionella pneumophila bacteria were isolated by amoebal coculture from pluvial floods after intense rainfall and from water collected at sewage treatment plants. Several isolated L. pneumophila strains belonged to sequence types that have been previously identified in patients. PMID:22467504

  7. Pluvials, Droughts, Energetics, and the Mongol Empire

    NASA Astrophysics Data System (ADS)

    Hessl, A. E.; Pederson, N.; Baatarbileg, N.

    2012-12-01

    The success of the Mongol Empire, the largest contiguous land empire the world has ever known, is a historical enigma. At its peak in the late 13th century, the empire influenced areas from the Hungary to southern Asia and Persia. Powered by domesticated herbivores, the Mongol Empire grew at the expense of agriculturalists in Eastern Europe, Persia, and China. What environmental factors contributed to the rise of the Mongols? What factors influenced the disintegration of the empire by 1300 CE? Until now, little high resolution environmental data have been available to address these questions. We use tree-ring records of past temperature and water to illuminate the role of energy and water in the evolution of the Mongol Empire. The study of energetics has long been applied to biological and ecological systems but has only recently become a theme in understanding modern coupled natural and human systems (CNH). Because water and energy are tightly linked in human and natural systems, studying their synergies and interactions make it possible to integrate knowledge across disciplines and human history, yielding important lessons for modern societies. We focus on the role of energy and water in the trajectory of an empire, including its rise, development, and demise. Our research is focused on the Orkhon Valley, seat of the Mongol Empire, where recent paleoenvironmental and archeological discoveries allow high resolution reconstructions of past human and environmental conditions for the first time. Our preliminary records indicate that the period 1210-1230 CE, the height of Chinggis Khan's reign is one of the longest and most consistent pluvials in our tree ring reconstruction of interannual drought. Reconstructed temperature derived from five millennium-long records from subalpine forests in Mongolia document warm temperatures beginning in the early 1200's and ending with a plunge into cold temperatures in 1260. Abrupt cooling in central Mongolia at this time is

  8. Scientific challenges for enhancing urban pluvial flood resilience

    NASA Astrophysics Data System (ADS)

    Ochoa Rodriguez, S.; ten Veldhuis, J. A. E.; Maksimovic, C.; Schertzer, D.; Willems, P.

    2012-04-01

    Historically, flood risk management in Europe and around the world has mainly focused on fluvial and coastal flooding; however, recent events have revealed the imminent risk imposed by urban pluvial flooding (also known as surface water flooding) and therefore the need for improved management of flooding from all sources. According to the UK Government's Independent Review into the Summer 2007 Flood Events, about two thirds of flood damage in urban areas was caused by surface water flooding, a type of flooding for which no models, forecasts or warnings existed. Similar events have occurred around the world in recent years and the associated damage has been enormous. In addition, the extent, magnitude and frequency of urban pluvial flooding are likely to increase in the near future, given the increasing effects of climate change, the increased urbanisation and population growth. Following these events and facts, significant attention has been given to urban pluvial flooding in the last few years and major efforts have been made to effectively model, forecast and manage this type of flooding. Nevertheless, there are still significant scientific challenges which need to be addressed in order to properly deal with urban pluvial flooding and enhance the resilience to it. Most of these challenges are associated with the complexity of urban areas and with the small temporal and spatial scales at which urban pluvial flooding takes place (it happens quickly and is localised), which make it significantly different from other types of flooding (e.g. fluvial and coastal flooding). Some of the main challenges to be addressed are the following: - Need for high spatial and temporal resolution rainfall estimates and forecast: the rainfall events which generate pluvial flooding are often associated with thunderstorms of small spatial scale (~ 10 km), whose magnitude and spatial distribution are difficult to monitor and predict. - Need for improved hydrological and hydraulic models

  9. Systematic Planning of Adaptation Options for Pluvial Flood Resilience

    NASA Astrophysics Data System (ADS)

    Babovic, Filip; Mijic, Ana; Madani, Kaveh

    2016-04-01

    Different elements of infrastructure and the built environment vary in their ability to quickly adapt to changing circumstances. Furthermore, many of the slowest, and often largest infrastructure adaptations, offer the greatest improvements to system performance. In the context of de-carbonation of individual buildings Brand (1995) identified six potential layers of adaptation based on their renewal times ranging from daily to multi-decadal time scales. Similar layers exist in urban areas with regards to Water Sensitive Urban Design (WSUD) and pluvial flood risk. These layers range from appliances within buildings to changes in the larger urban form. Changes in low-level elements can be quickly implemented, but are limited in effectiveness, while larger interventions occur at a much slower pace but offer greater benefits as a part of systemic change. In the context of urban adaptation this multi-layered approach provides information on how to order urban adaptations. This information helps to identify potential pathways by prioritising relatively quick adaptations to be implemented in the short term while identifying options which require more long term planning with respect to both uncertainty and flexibility. This information is particularly critical in the evolution towards more resilient and water sensitive cities (Brown, 2009). Several potential adaptation options were identified ranging from small to large-scale adaptations. The time needed for the adaptation to be implemented was estimated and curves representing the added drainage capacity per year were established. The total drainage capacity added by each option was then established. This methodology was utilised on a case study in the Cranbrook Catchment in the North East of London. This information was able to provide insight on how to best renew or extend the life of critical ageing infrastructure.

  10. Multi-year Droughts and Pluvials over the Southwestern U.S. and Associated Circulations

    NASA Astrophysics Data System (ADS)

    Abatan, A. A.; Gutowski, W. J., Jr.

    2015-12-01

    The southwestern U.S. is highly vulnerable to climate variability leading to extremes, such as droughts and pluvials, because of its geographic location and climatologic characteristics. These can include multi-year and multi-decadal extremes in precipitation, as occurred in the 1950s drought. Multi-year droughts and pluvials can have severe consequences on water resources management, which makes them events of interest to a major water utility in the region, Denver Water. Denver Water managers are especially interested in 36-month droughts for planning water management, both for maintaining supply and adequate operating revenue. Our analysis is part of an effort to understand the basis for past droughts and pluvials and how they might change in the future. Several indices, based on their sensitivity to drought development at different time scales, data availability and drought types, have been developed for detecting and monitoring drought and pluvial severity. Among them are the Palmer drought severity index, standardized precipitation index (SPI), and standardized precipitation evapotranspiration index (SPEI). This study uses 36-month SPEI and SPI to analyze drought and pluvial episodes over the southwestern U.S., with a focus on the region that supplies water for Denver Water. Aims of this study include: 1) characteristics of multi-year droughts and pluvials (e.g., onset, duration, cessation, intensity, and frequency), 2) the contrasts between drought and pluvial characteristics, and 3) atmospheric large-scale features associated with the initiation and maintenance of extended drought and pluvial periods. We find that droughts and pluvials are not simply mirror images of each other in their characteristics, so that one is not simply the opposite phase of the other. This result is particularly true of the large-scale circulation patterns associated with droughts and pluvials. We diagnose how the circulation behavior sustains the very wet and very dry episodes

  11. Morphofunctional changes of phytoplankton community during pluvial anomaly in a tropical reservoir.

    PubMed

    Câmara, F R A; Rocha, O; Pessoa, E K R; Chellappa, S; Chellappa, N T

    2015-08-01

    The present study focuses on the structure and function of phytoplankton community during periods of marked changes in hydrological traits, influenced by an atypical climatic event (La Niña) and its impact on Armando Ribeiro Gonçalves Reservoir of Rio Grande do Norte, situated in the Caatinga biome of northeastern Brazil. The main questions addressed were: What are the effects of environmental factors on the temporal variation of Morphologically Based Functional Group (MBFG) of phytoplankton community? How does the composition of cyanobacterial species shift in relation to high and low trends of phytoplankton diversity? The samples were collected monthly during 2008-2009 and analyzed for pH, temperature, electrical conductivity, dissolved oxygen content and the nutrients, such as, nitrate-nitrogen, ammoniacal nitrogen, total nitrogen and orthophosphate. Phytoplankton samples were collected for both qualitative and quantitative analyses to evaluate species richness index and species diversity index. The data was divided into two distinct hydrodynamic periods of instability and stability. The results demonstrate considerable changes in dissolved oxygen content, water transparency and nitrogen nutrients, which directly influenced the MBFG of phytoplankton community in space and time. The instability of reservoir water was caused by heavy rainfall, which exerts atypical external disturbances. The seasonal variation of MBFG demonstrates a change in cyanobacterial composition and their diversity during instability and stability periods. MBFG VII, composed by colonial cyanobacteria with mucilage, was associated with reduced values of electrical conductance and alterations in pH. The predominance of filamentous species with heterocyst (MBFG III) occurs only during the hydrodynamic stability period and did not show significant association with analyzed parameters. The co-dominance of MBGFs III, V and VII along with high species diversity of phytoplankton community

  12. On the Causes and Dynamics of the Early Twentieth Century North American Pluvial

    NASA Technical Reports Server (NTRS)

    Cook, Benjamin I.; Seager, Richard; Miller, Ron L.

    2011-01-01

    The early twentieth century North American pluvial (1905-1917) was one of the most extreme wet periods of the last five hundred years and directly led to overly generous water allotments in the water-limited American West. Here we examine the causes and dynamics of the pluvial event using a combination of observation-based data sets and general circulation model (GCM) experiments. The character of the moisture surpluses during the pluvial differed by region, alternately driven by increased precipitation (the Southwest), low evaporation from cool temperatures (the Central Plains), or a combination of the two (the Pacific Northwest). Cool temperature anomalies covered much of the west and persisted through most months, part of a globally extensive period of cooler land and sea surface temperatures (SST). Circulation during boreal winter favored increased moisture import and precipitation in the southwest, while other regions and seasons were characterized by near normal or reduced precipitation. Anomalies in the mean circulation, precipitation, and SST fields are partially consistent with the relatively weak El Nino forcing during the pluvial, and also reflect the impact of positive departures in the Arctic Oscillation that occurred in ten of the thirteen pluvial winters. Differences between the reanalysis dataset, an independent statistical drought model, and GCM simulations highlight some of the remaining uncertainties in understanding the full extent of SST forcing of North American hydroclimatic variability.

  13. Drivers of pluvial lake distributions in western North America

    NASA Astrophysics Data System (ADS)

    Ibarra, D. E.; Oster, J. L.; Winnick, M.; Caves, J. K.; Ritch, A. J.; Chamberlain, C. P.; Maher, K.

    2016-12-01

    The distribution of large inland lakes in western North America during the Plio-Pleistocene is intimately linked to the regional hydroclimate and moisture delivery dynamics. We investigate the climatological conditions driving terminal basin lakes in western North America during the mid-Pliocene warm period and the latest Pleistocene glacial maximum. Lacustrine deposits and geologic proxies suggest that lakes and wet conditions persisted during both warm and cold periods in the southwest, despite dramatically different global climate, ice sheet configuration and pCO2 levels. We use two complementary methods to quantify the hydroclimate drivers of terminal basin lake levels. First, a quantitative proxy-model comparison is conducted using compilations of geologic proxies and an ensemble of climate models. We utilize archived climate model simulations of the Last Glacial Maximum (21 ka, LGM) and mid-Pliocene (3.3 Ma) produced by the Paleoclimate Modelling Intercomparison Project (PMIP and PlioMIP). Our proxy network is made up of stable isotope records from caves, soils and paleosols, lake deposits and shorelines, glacier chronologies, and packrat middens. Second, we forward model the spatial distribution of lakes in the region using a Budyko framework to constrain the water balance for terminally draining watersheds, and make quantitative comparisons to mapped lacustrine shorelines and outcrops. Cumulatively these two approaches suggest that reduced evaporation and moderate increases in precipitation, relative to modern, drove moderate to large pluvial lakes during the LGM in the Great Basin. In contrast, larger precipitation increases appear to be the primary driver of lake levels during the mid-Pliocene in the southwest, with this spatial difference suggesting a role for El Niño teleconnections. These results demonstrate that during past periods of global change patterns of `dry-gets-drier, wet-gets-wetter' do not hold true for western North America.

  14. Impacts of climate change on the population health associated with pluvial disaster

    NASA Astrophysics Data System (ADS)

    Pan, Tsung-Yi; Chang, Tsang-Jung; Cheng, Ke-Sheng; Lai, Jihn-Sung; Chang, Hsiang-Kuan; Wu, Yii-Chen; Ho, Hao-Wei

    2013-04-01

    Many metropolises located in lowlands suffer pluvial inundation disaster more than pluvial flood disaster. During the post-inundation period, some water-borne illnesses would be induced from the polluted area. For improving mitigation strategies, population health risk assessment is an important tool of post-inundation disaster management, especially in the countries suffering tropical cyclones and monsoon with high frequency. Locating in the hot zone of typhoon tracks in the Western Pacific, Taiwan suffers three to five typhoons annually. Furthermore, the trend of 24 global circulation models (GCMs) shows that climate change would enhance rainfall in Taiwan. The purpose of this study is to evaluate the impacts of climate change on the population health associated with pluvial disaster. This study applies the concept that risk is composed by hazard and vulnerability to assess the risk of the population health associated with pluvial disaster. Stochastic simulation of bi-variate Gamma distribution is developed to downscale the GCMs' monthly data to extreme rainfall event scale in time domain. According to A1B scenario in short-term period of climate change, two-dimensional overland-flow coupled with drainage systems simulation is performed based on a design extreme rainfall event to calculate the impacts of climate change on pluvial hazard to population health, including flood depth, velocity and the duration of flood recession. The environmental vulnerability for population health is carried out according to the factors of resident and environment. The risk matrix is applied to show the risk by composing the inundation hazards and vulnerabilities associated with population health. The Taipei City, the Capital of Taiwan, is selected as the case study because the highest density of population in Taiwan causes high exposure to the risk of water-borne illnesses. Through assessing the impacts of climate change on the population health associated with pluvial disaster of

  15. Moisture sources of the Mono Lake deglacial pluvial events

    NASA Astrophysics Data System (ADS)

    Wang, X.; Liang, M. C.; Ali, G.; Shen, C. C.; Cai, Y.; Ke, L.; Hemming, S. R.

    2016-12-01

    Enormously expanded lakes existed in the today's dry western US Great Basin during the last glacial period. The ancient shorelines located well above modern lake levels suggest that precipitation in lake basins must have been substantially higher in the past. It is however under debate whether the subtropical North Pacific or the tropical Pacific is the major moisture source that contributed to the pluvial events, particularly during the deglaciation. Here, we collected a suite of tufa carbonate samples deposited at the 2,080 meter terrace ( 135 meters above today's lake level) in the Mono Basin, California, a closed lake basin for the last 130 thousand years (kyr). At Goat Ranch, we discovered white, shiny, laminated botryoidal carbonate coatings on tufa mounds. Most of these coatings present two generations of formation separated by a hiatus, which indicates lake level fluctuations. Using high-precision U-Th dating techniques, we found that the lower layer was formed 14.1-14.4 kyr BP (corresponding to the North Atlantic Bølling warming period). The upper layer of the coating was formed 11.9-12.3 kyr BP (within the Younger Dryas event). We then obtained d18O, d13C, D47 and 17O-excess values for the two carbonate layers. The upper part is characterized by low d18O values, -8 to -12 ‰ VPDB, whereas the lower one has higher d18O values, -5 to -6 ‰ VPDB. Both share similar d13C values ( 1-2‰ VPDB). D47 analysis on the carbonates suggests that both layers were deposited in a water temperature of 9±2 oC (1s, n = 4 and 8, respectively). The two generations of carbonates present 17O-excess of moisture in values of 50±5 (1s, n=4) and 25±5 (1s, n=8) per meg VSMOW-SLAP, respectively. The large difference in 17O-excess of parent meteoric water points to different origins of moisture for the tufa carbonate formations. The high 17O-excess values during YD suggest a moisture source with a low relative humidity, consistent with the conventional view that the moisture

  16. Pluvial Period over NE Brazil linked to Heinrich Stadial 4

    NASA Astrophysics Data System (ADS)

    Wendt, K. A.; Häuselmann, A.; Fleitmann, D.; Wang, X.; Auler, A. S.; Cheng, H.; Edwards, R. L.

    2014-12-01

    The precise timing and duration of Heinrich Stadials (HS) remains a topic of active debate. Here we present multiple NE Brazilian stalagmites known to grow during HS 4[i]. Using a combination of U/Th dating, confocal microscopy, and stable isotope analysis, we aim to provide additional age constraints on the Brazilian pluvial anomaly associated with HS 4. Stalagmite growth in this region is caused by increased rainfall due to a southerly displacement of the Intertropical Convergence Zone during HS Events. We focus on three stalagmites—TBV40, TBV63, and TBR14—collected from Toca da Boa Vista (TBV) and Toca da Barriguda (TBR) caves[ii], respectively. TBV40 and TBV63 each contain an aragonite phase U/Th dated from 40.02 to 39.57 ka B.P., followed by a calcitic phase U/Th dated from 39.27 to 38.74 ka B.P., within errors of ±0.1 ka. The switch from aragonite to calcite at approximately 39.57 ka B.P. is characterized by an abrupt 4‰ decrease in the δ18O record of TBV40. We infer that rainfall increased over NE Brazil at this time. TBR14 has a single calcite growth phase from 39.66 to 39.45 ka B.P., which correlates in part with the calcite phases of TBV40 and TBV 63. Stable isotope values for TBR14 are similar in range, trend, and absolute values to the correlative calcite portion of TBR40. Fluorescent banding was discovered in the calcitic portion of all three stalagmites using confocal laser scanning microscopy. If annual, band-counts may add additional constrains to the duration of the HS 4 growth phases. Adopting ice core band-counting methods, an average of 325±128 bands per sample and 17 small hiatuses were identified. The estimated duration of the calcitic HS 4 growth phases is therefore consistent with the U/Th dates. Growth phases may correlate in detail with other global records of HS 4, such as the Hulu Cave record[iii]from China, with the aragonitic portion correlating to the weak monsoon immediately following Chinese Interstadial 9 and the calcitic

  17. Teleconnected ocean forcing of Western North American droughts and pluvials during the last millennium

    NASA Astrophysics Data System (ADS)

    Routson, Cody C.; Woodhouse, Connie A.; Overpeck, Jonathan T.; Betancourt, Julio L.; McKay, Nicholas P.

    2016-08-01

    Western North America (WNA) is rich in hydroclimate reconstructions, yet questions remain about the causes of decadal-to-multidecadal hydroclimate variability. Teleconnection patterns preserved in annually-resolved tree-ring reconstructed drought maps, and anomalies in a global network of proxy sea surface temperature (SST) reconstructions, were used to reassess the evidence linking ocean forcing to WNA hydroclimate variability over the past millennium. Potential forcing mechanisms of the Medieval Climate Anomaly (MCA) and individual drought and pluvial events-including two multidecadal-length MCA pluvials-were evaluated. We show strong teleconnection patterns occurred during the driest (wettest) years within persistent droughts (pluvials), implicating SSTs as a potent hydroclimate forcing mechanism. The role of the SSTs on longer timescales is more complex. Pacific teleconnection patterns show little long-term change, whereas low-resolution SST reconstructions vary over decades to centuries. While weaker than the tropical Pacific teleconnections, North Atlantic teleconnection patterns and SST reconstructions also show links to WNA droughts and pluvials, and may in part account for longer-term WNA hydroclimate changes. Nonetheless, evidence linking WNA hydroclimate to SSTs still remains sparse and nuanced-especially over long-timescales with a broader range of hydroclimatic variability than characterized during the 20th century.

  18. A framework for probabilistic pluvial flood nowcasting for urban areas

    NASA Astrophysics Data System (ADS)

    Ntegeka, Victor; Murla, Damian; Wang, Lipen; Foresti, Loris; Reyniers, Maarten; Delobbe, Laurent; Van Herk, Kristine; Van Ootegem, Luc; Willems, Patrick

    2016-04-01

    Pluvial flood nowcasting is gaining ground not least because of the advancements in rainfall forecasting schemes. Short-term forecasts and applications have benefited from the availability of such forecasts with high resolution in space (~1km) and time (~5min). In this regard, it is vital to evaluate the potential of nowcasting products for urban inundation applications. One of the most advanced Quantitative Precipitation Forecasting (QPF) techniques is the Short-Term Ensemble Prediction System, which was originally co-developed by the UK Met Office and Australian Bureau of Meteorology. The scheme was further tuned to better estimate extreme and moderate events for the Belgian area (STEPS-BE). Against this backdrop, a probabilistic framework has been developed that consists of: (1) rainfall nowcasts; (2) sewer hydraulic model; (3) flood damage estimation; and (4) urban inundation risk mapping. STEPS-BE forecasts are provided at high resolution (1km/5min) with 20 ensemble members with a lead time of up to 2 hours using a 4 C-band radar composite as input. Forecasts' verification was performed over the cities of Leuven and Ghent and biases were found to be small. The hydraulic model consists of the 1D sewer network and an innovative 'nested' 2D surface model to model 2D urban surface inundations at high resolution. The surface components are categorized into three groups and each group is modelled using triangular meshes at different resolutions; these include streets (3.75 - 15 m2), high flood hazard areas (12.5 - 50 m2) and low flood hazard areas (75 - 300 m2). Functions describing urban flood damage and social consequences were empirically derived based on questionnaires to people in the region that were recently affected by sewer floods. Probabilistic urban flood risk maps were prepared based on spatial interpolation techniques of flood inundation. The method has been implemented and tested for the villages Oostakker and Sint-Amandsberg, which are part of the

  19. Transcriptome Profiling of the Theca Interna from Bovine Ovarian Follicles during Atresia

    PubMed Central

    Hatzirodos, Nicholas; Irving-Rodgers, Helen F.; Hummitzsch, Katja; Rodgers, Raymond J.

    2014-01-01

    The theca interna is a specialized stromal layer that envelops each growing ovarian follicle. It contains capillaries, fibroblasts, immune cells and the steroidogenic cells that synthesize androgens for conversion to estradiol by the neighboring granulosa cells. During reproductive life only a small number of follicles will grow to a sufficient size to ovulate, whereas the majority of follicles will undergo regression/atresia and phagocytosis by macrophages. To identify genes which are differentially regulated in the theca interna during follicular atresia, we undertook transcriptome profiling of the theca interna from healthy (n = 10) and antral atretic (n = 5) bovine follicles at early antral stages (<5 mm). Principal Component Analyses and hierarchical classification of the signal intensity plots for the arrays showed primary clustering into two groups, healthy and atretic. A total of 543 probe sets were differentially expressed between the atretic and healthy theca interna. Further analyses of these genes by Ingenuity Pathway Analysis and Gene Ontology Enrichment Analysis Toolkit software found most of the genes being expressed were related to cytokines, hormones and receptors as well as the cell cycle and DNA replication. Cell cycle genes which encode components of the replicating chromosome complex and mitotic spindle were down-regulated in atretic theca interna, whereas stress response and inflammation-related genes such as TP53, IKBKB and TGFB1 were up-regulated. In addition to cell cycle regulators, upstream regulators that were predicted to be inhibited included Retinoblastoma 1, E2 transcription factor 1, and hepatocyte growth factor. Our study suggests that during antral atresia of small follicles in the theca interna, arrest of cell cycle and DNA replication occurs rather than up- regulation of apoptosis-associated genes as occurs in granulosa cells. PMID:24956388

  20. Next generation paradigm for urban pluvial flood modelling, prediction, management and vulnerability reduction - Interaction between RainGain and Blue Green Dream projects

    NASA Astrophysics Data System (ADS)

    Maksimovic, C.

    2012-04-01

    with C-Band and X-Band radars with NWP and pluvial flood prediction models. The RG project deals with the merging and providing synergy of these technologies. Combined effects of BG technologies can totally reduce the risk of surface flooding for low return period events and up to 50-80% for high return periods. Demonstration technology testing sites for both BGD and RG projects will be established in 5 participating countries. Decision Support Systems will enhance full scale implementation of both BGD and RG project deliverables. A BGD efficiency rating scheme and training guidelines and e-learning tools will be developed. Experimental/demo sites for BDG and RG technology development and testing in Rotterdam, Paris, Berlin, Leuven and London and the expected results with concepts of RG and BGD projects and the initial results will be presented in the paper.

  1. Paleowind velocity and paleocurrents of pluvial Lake Manly, Death Valley, USA

    NASA Astrophysics Data System (ADS)

    Knott, Jeffrey R.; Fantozzi, Joanna M.; Ferguson, Kelly M.; Keller, Summer E.; Nadimi, Khadija; Rath, Carolyn A.; Tarnowski, Jennifer M.; Vitale, Michelle L.

    2012-09-01

    Pluvial lake deposits are found throughout western North America and are frequently used to reconstruct regional paleoclimate. In Death Valley, California, USA, we apply the beach particle technique (BPT) of Adams (2003), Sedimentology, 50, 565-577 and Adams (2004), Sedimentology, 51, 671-673 to Lake Manly deposits at the Beatty Junction Bar Complex (BJBC), Desolation Canyon, and Manly Terraces and calculate paleowind velocities of 14-27 m/s. These wind velocities are within the range of present-day wind velocities recorded in the surrounding area. Sedimentary structures and clast provenance at Desolation Canyon and the Manly Terraces indicate sediment transport from north to south. Lake level, based on the elevation of constructional features, indicates that the hill west of the BJBC was an island and that the BJBC spits formed during simple lake regression. The data are consistent with the hypothesis that the present wind regime (velocity and direction) formed the pluvial Lake Manly features.

  2. Modeling of Tropical Forcing of Persistent Droughts and Pluvials over Western North America: 1856 2000(.

    NASA Astrophysics Data System (ADS)

    Seager, Richard; Kushnir, Yochanan; Herweijer, Celine; Naik, Naomi; Velez, Jennifer

    2005-10-01

    The causes of persistent droughts and wet periods, or pluvials, over western North America are examined in model simulations of the period from 1856 to 2000. The simulations used either (i) global sea surface temperature data as a lower boundary condition or (ii) observed data in just the tropical Pacific and computed the surface ocean temperature elsewhere with a simple ocean model. With both arrangements, the model was able to simulate many aspects of the low-frequency (periods greater than 6 yr) variations of precipitation over the Great Plains and in the American Southwest including much of the nineteenth-century variability, the droughts of the 1930s (the “Dust Bowl”) and 1950s, and the very wet period in the 1990s. Results indicate that the persistent droughts and pluvials were ultimately forced by persistent variations of tropical Pacific surface ocean temperatures. It is argued that ocean temperature variations outside of the tropical Pacific, but forced from the tropical Pacific, act to strengthen the droughts and pluvials. The persistent precipitation variations are part of a pattern of global variations that have a strong hemispherically and zonally symmetric component, which is akin to interannual variability, and that can be explained in terms of interactions between tropical ocean temperature variations, the subtropical jets, transient eddies, and the eddy-driven mean meridional circulation. Rossby wave propagation poleward and eastward from the tropical Pacific heating anomalies disrupts the zonal symmetry, intensifying droughts and pluvials over North America. Both mechanisms of tropical driving of extratropical precipitation variations work in summer as well as winter and can explain the year-round nature of the precipitation variations. In addition, land atmosphere interactions over North America appear important by (i) translating winter precipitation variations into summer evaporation and, hence, precipitation anomalies and (ii) shifting the

  3. Key pluvial parameters in assessing rainfall erosivity in the south-west development region, Romania

    NASA Astrophysics Data System (ADS)

    Dumitraşcu, Monica; Dragotă, Carmen-Sofia; Grigorescu, Ines; Dumitraşcu, Costin; Vlăduţ, Alina

    2017-06-01

    Located in the south-western part of Romania, the south-west development region overlaps the main relief forms: the Carpathians mountains, the Getic Subcarpathians, the Getic piedmont, the Romanian plain and the Danube valley. The study aims at providing an overview on the main pluvial parameters and their role in assessing rainfall erosivity in the study area. The authors assessed the occurrence, frequency and magnitude of some of the most significant pluvial parameters and their impact on the climatic aggressiveness in the study area. Thus, the monthly and annual mean and extreme climatic values for different rainfall related parameters (e.g., maximum amounts of precipitation/24 hr, heavy rainfall), as well as relevant indices and indicators for pluvial aggressiveness (Fournier, Fournier Modified, Angot) were calculated. The rainfall erosivity was assessed in order to provide both the spatial distribution of the triggering extreme weather phenomena and the resulted intensity classes for the analysed indices and indicators. The authors used long-term precipitation records (1961-2010) for the selected relevant meteorological stations distributed throughout all analysed relief units.

  4. Teleconnected ocean forcing of Western North American droughts and pluvials during the last millennium

    USGS Publications Warehouse

    Routson, Cody C.; Woodhouse, Connie A.; Overpeck, Jonathan T.; Betancourt, Julio L.; McKay, Nicholas P.

    2016-01-01

    Western North America (WNA) is rich in hydroclimate reconstructions, yet questions remain about the causes of decadal-to-multidecadal hydroclimate variability. Teleconnection patterns preserved in annually-resolved tree-ring reconstructed drought maps, and anomalies in a global network of proxy sea surface temperature (SST) reconstructions, were used to reassess the evidence linking ocean forcing to WNA hydroclimate variability over the past millennium. Potential forcing mechanisms of the Medieval Climate Anomaly (MCA) and individual drought and pluvial events—including two multidecadal-length MCA pluvials—were evaluated. We show strong teleconnection patterns occurred during the driest (wettest) years within persistent droughts (pluvials), implicating SSTs as a potent hydroclimate forcing mechanism. The role of the SSTs on longer timescales is more complex. Pacific teleconnection patterns show little long-term change, whereas low-resolution SST reconstructions vary over decades to centuries. While weaker than the tropical Pacific teleconnections, North Atlantic teleconnection patterns and SST reconstructions also show links to WNA droughts and pluvials, and may in part account for longer-term WNA hydroclimate changes. Nonetheless, evidence linking WNA hydroclimate to SSTs still remains sparse and nuanced—especially over long-timescales with a broader range of hydroclimatic variability than characterized during the 20th century.

  5. Geochronology and paleoenvironment of pluvial Harper Lake, Mojave Desert, California, USA

    USGS Publications Warehouse

    Garcia, Anna L.; Knott, Jeffrey R.; Mahan, Shannon; Bright, Jordan

    2014-01-01

    Accurate reconstruction of the paleo-Mojave River and pluvial lake (Harper, Manix, Cronese, and Mojave) system of southern California is critical to understanding paleoclimate and the North American polar jet stream position over the last 500 ka. Previous studies inferred a polar jet stream south of 35°N at 18 ka and at ~ 40°N at 17–14 ka. Highstand sediments of Harper Lake, the upstream-most pluvial lake along the Mojave River, have yielded uncalibrated radiocarbon ages ranging from 24,000 to > 30,000 14C yr BP. Based on geologic mapping, radiocarbon and optically stimulated luminescence dating, we infer a ~ 45–40 ka age for the Harper Lake highstand sediments. Combining the Harper Lake highstand with other Great Basin pluvial lake/spring and marine climate records, we infer that the North American polar jet stream was south of 35°N about 45–40 ka, but shifted to 40°N by ~ 35 ka. Ostracodes (Limnocythere ceriotuberosa) from Harper Lake highstand sediments are consistent with an alkaline lake environment that received seasonal inflow from the Mojave River, thus confirming the lake was fed by the Mojave River. The ~ 45–40 ka highstand at Harper Lake coincides with a shallowing interval at downstream Lake Manix.

  6. Geochronology and paleoenvironment of pluvial Harper Lake, Mojave Desert, California, USA

    NASA Astrophysics Data System (ADS)

    Garcia, Anna L.; Knott, Jeffrey R.; Mahan, Shannon A.; Bright, Jordon

    2014-03-01

    Accurate reconstruction of the paleo-Mojave River and pluvial lake (Harper, Manix, Cronese, and Mojave) system of southern California is critical to understanding paleoclimate and the North American polar jet stream position over the last 500 ka. Previous studies inferred a polar jet stream south of 35°N at 18 ka and at ~ 40°N at 17-14 ka. Highstand sediments of Harper Lake, the upstream-most pluvial lake along the Mojave River, have yielded uncalibrated radiocarbon ages ranging from 24,000 to > 30,000 14C yr BP. Based on geologic mapping, radiocarbon and optically stimulated luminescence dating, we infer a ~ 45-40 ka age for the Harper Lake highstand sediments. Combining the Harper Lake highstand with other Great Basin pluvial lake/spring and marine climate records, we infer that the North American polar jet stream was south of 35°N about 45-40 ka, but shifted to 40°N by ~ 35 ka. Ostracodes (Limnocythere ceriotuberosa) from Harper Lake highstand sediments are consistent with an alkaline lake environment that received seasonal inflow from the Mojave River, thus confirming the lake was fed by the Mojave River. The ~ 45-40 ka highstand at Harper Lake coincides with a shallowing interval at downstream Lake Manix.

  7. Combined fluvial and pluvial urban flood hazard analysis: concept development and application to Can Tho city, Mekong Delta, Vietnam

    NASA Astrophysics Data System (ADS)

    Apel, Heiko; Martínez Trepat, Oriol; Nghia Hung, Nguyen; Thi Chinh, Do; Merz, Bruno; Viet Dung, Nguyen

    2016-04-01

    Many urban areas experience both fluvial and pluvial floods, because locations next to rivers are preferred settlement areas and the predominantly sealed urban surface prevents infiltration and facilitates surface inundation. The latter problem is enhanced in cities with insufficient or non-existent sewer systems. While there are a number of approaches to analyse either a fluvial or pluvial flood hazard, studies of a combined fluvial and pluvial flood hazard are hardly available. Thus this study aims to analyse a fluvial and a pluvial flood hazard individually, but also to develop a method for the analysis of a combined pluvial and fluvial flood hazard. This combined fluvial-pluvial flood hazard analysis is performed taking Can Tho city, the largest city in the Vietnamese part of the Mekong Delta, as an example. In this tropical environment the annual monsoon triggered floods of the Mekong River, which can coincide with heavy local convective precipitation events, causing both fluvial and pluvial flooding at the same time. The fluvial flood hazard was estimated with a copula-based bivariate extreme value statistic for the gauge Kratie at the upper boundary of the Mekong Delta and a large-scale hydrodynamic model of the Mekong Delta. This provided the boundaries for 2-dimensional hydrodynamic inundation simulation for Can Tho city. The pluvial hazard was estimated by a peak-over-threshold frequency estimation based on local rain gauge data and a stochastic rainstorm generator. Inundation for all flood scenarios was simulated by a 2-dimensional hydrodynamic model implemented on a Graphics Processing Unit (GPU) for time-efficient flood propagation modelling. The combined fluvial-pluvial flood scenarios were derived by adding rainstorms to the fluvial flood events during the highest fluvial water levels. The probabilities of occurrence of the combined events were determined assuming independence of the two flood types and taking the seasonality and probability of

  8. A fluvial and pluvial probabilistic flood hazard analysis for Can Tho city, Vietnam

    NASA Astrophysics Data System (ADS)

    Apel, Heiko; Martinez, Oriol; Thi Chinh, Do; Viet Dung, Nguyen

    2014-05-01

    Can Tho city is the largest city and the economic heart of the Mekong Delta, Vietnam. Due to its economic importance and envisaged development goals the city grew rapidly in population size and extend over the last two decades. Large parts of the city are located in flood prone areas, and also the central parts of the city recently experienced an increasing number of flood events, both of fluvial and pluvial nature. As the economic power and asset values are constantly increasing, this poses a considerable risk for the city. The the aim of this study is to perform a flood hazard analysis considering both fluvial and pluvial floods and to derive probabilistic flood hazard maps. This requires in a first step an understanding of the typical flood mechanisms. Fluvial floods are triggered by a coincidence of high water levels during the annual flood period in the Mekong Delta with high tidal levels, which cause in combination short term inundations in Can Tho. Pluvial floods are triggered by typical tropical convective rain storms during the monsoon season. These two flood pathways are essentially independent in its sources and can thus be treated in the hazard analysis accordingly. For the fluvial hazard analysis we propose a bivariate frequency analysis of the Mekong flood characteristics, the annual maximum flood discharge Q and the annual flood volume V at the upper boundary of the Mekong Delta, the gauging station Kratie. This defines probabilities of exceedance of different Q-V pairs, which are transferred into synthetic flood hydrographs. The synthetic hydrographs are routed through a quasi-2D hydrodynamic model of the entire Mekong Delta in order to provide boundary conditions for a detailed hazard mapping of Can Tho. This downscaling step is necessary, because the huge complexity of the river and channel network does not allow for a proper definition of boundary conditions for Can Tho city by gauge data alone. In addition the available gauge data around Can Tho

  9. An integrated multi-scale risk analysis procedure for pluvial flooding

    NASA Astrophysics Data System (ADS)

    Tader, Andreas; Mergili, Martin; Jäger, Stefan; Glade, Thomas; Neuhold, Clemens; Stiefelmeyer, Heinz

    2016-04-01

    Mitigation of or adaptation to the negative impacts of natural processes on society requires a better understanding of the spatio-temporal distribution not only of the processes themselves, but also of the elements at risk. Information on their values, exposures and vulnerabilities towards the expected impact magnitudes/intensities of the relevant processes is needed. GIS-supported methods are particularly useful for integrated spatio-temporal analyses of natural processes and their potential consequences. Hereby, pluvial floods are of particular concern for many parts of Austria. The overall aim of the present study is to calculate the hazards emanating from pluvial floods, to determine the exposure of given elements at risk, to determine their vulnerabilities towards given pluvial flood hazards and to analyze potential consequences in terms of monetary losses. The whole approach builds on data available on a national scale. We introduce an integrated, multi-scale risk analysis procedure with regard to pluvial flooding. Focusing on the risk to buildings, we firstly exemplify this procedure with a well-documented event in the city of Graz (Austria), in order to highlight the associated potentials and limitations. Secondly, we attempt to predict the possible consequences of pluvial flooding triggered by rainfall events with recurrence intervals of 30, 100 and 300 years. (i) We compute spatially distributed inundation depths using the software FloodArea. Infiltration capacity and surface roughness are estimated from the land cover units given by the official cadastre. Various assumptions are tested with regard to the inflow to the urban sewer system. (ii) Based on the inundation depths and the official building register, we employ a set of rules and functions to deduce the exposure, vulnerability and risk for each building. A risk indicator for each building, expressed as the expected damage associated to a given event, is derived by combining the building value and

  10. A multiscale analysis of drought and pluvial mechanisms for the Southeastern United States

    NASA Astrophysics Data System (ADS)

    Kam, Jonghun; Sheffield, Justin; Wood, Eric F.

    2014-06-01

    The Southeast (SE) U.S. has experienced several severe droughts over the past 30 years, with the most recent drought during 2006-2008 causing agricultural impacts of $1 billion. However, the mechanisms that lead to droughts over the region and their persistence have been poorly understood due to the region's humid coastal environment and its complex climate. In this study, we carry out a multiscale analysis of drought mechanisms for the SE U.S. over 1979-2008 using the North American Regional Reanalysis (NARR) to identify conditions associated with drought and contrast with those associated with pluvials. These conditions include land surface drought propagation, land-atmosphere feedbacks, regional moisture sources, persistent atmospheric patterns, and larger-scale oceanic conditions. Typical conditions for SE U.S. droughts (pluvials) are identified as follows: (1) weaker (stronger) southerly meridional fluxes and weaker (stronger) westerly zonal fluxes, (2) strong moisture flux divergence (convergence) by transient eddies, and (3) strong (weak) coupling between the land surface and atmosphere. The NARR demonstrates that historic SE droughts are mainly derived from a combination of a strong North Atlantic subtropical high (NASH) and Icelandic Low (IL) during summer and winter, respectively, which peak 1 month earlier than the onset of the drought. The land surface plays a moderate role in drought occurrence over the SE via recycling of precipitation, and the oceans show an asymmetric influence on droughts and pluvials depending on the season. This study suggests that the NASH and IL can be used as a predictor for SE droughts at 1 month lead despite the overall that it represents an atmospheric forcing.

  11. Forced and unforced variability of twentieth century North American droughts and pluvials

    NASA Astrophysics Data System (ADS)

    Cook, Benjamin I.; Cook, Edward R.; Anchukaitis, Kevin J.; Seager, Richard; Miller, Ron L.

    2011-09-01

    Research on the forcing of drought and pluvial events over North America is dominated by general circulation model experiments that often have operational limitations (e.g., computational expense, ability to simulate relevant processes, etc). We use a statistically based modeling approach to investigate sea surface temperature (SST) forcing of the twentieth century pluvial (1905-1917) and drought (1932-1939, 1948-1957, 1998-2002) events. A principal component (PC) analysis of Palmer Drought Severity Index (PDSI) from the North American Drought Atlas separates the drought variability into five leading modes accounting for 62% of the underlying variance. Over the full period spanning these events (1900-2005), the first three PCs significantly correlate with SSTs in the equatorial Pacific (PC 1), North Pacific (PC 2), and North Atlantic (PC 3), with spatial patterns (as defined by the empirical orthogonal functions) consistent with our understanding of North American drought responses to SST forcing. We use a large ensemble statistical modeling approach to determine how successfully we can reproduce these drought/pluvial events using these three modes of variability. Using Pacific forcing only (PCs 1-2), we are able to reproduce the 1948-1957 drought and 1905-1917 pluvial above a 95% random noise threshold in over 90% of the ensemble members; the addition of Atlantic forcing (PCs 1-2-3) provides only marginal improvement. For the 1998-2002 drought, Pacific forcing reproduces the drought above noise in over 65% of the ensemble members, with the addition of Atlantic forcing increasing the number passing to over 80%. The severity of the drought, however, is underestimated in the ensemble median, suggesting this drought intensity can only be achieved through internal variability or other processes. Pacific only forcing does a poor job of reproducing the 1932-1939 drought pattern in the ensemble median, and less than one third of ensemble members exceed the noise threshold

  12. Late Quaternary MIS 6-8 shoreline features of pluvial Owens Lake, Owens Valley, eastern California

    USGS Publications Warehouse

    Jayko, A.S.; Bacon, S.N.

    2008-01-01

    The chronologic history of pluvial Owens Lake along the eastern Sierra Nevada in Owens Valley, California, has previously been reported for the interval of time from ca. 25 calibrated ka to the present. However, the age, distribution, and paleoclimatic context of higher-elevation shoreline features have not been formally documented. We describe the location and characteristics of wave-formed erosional and depositional features, as well as fluvial strath terraces that grade into an older shoreline of pluvial Owens Lake. These pluvial-lacustrine features are described between the Olancha area to the south and Poverty Hills area to the north, and they appear to be vertically deformed -20 ?? 4 m across the active oblique-dextral Owens Valley fault zone. They occur at elevations from 1176 to 1182 m along the lower flanks of the Inyo Mountains and Coso Range east of the fault zone to as high as -1204 m west of the fault zone. This relict shoreline, referred to as the 1180 m shoreline, lies -20-40 m higher than the previously documented Last Glacial Maximum shoreline at -1160 m, which occupied the valley during marine isotope stage 2 (MIS 2). Crosscutting relations of wave-formed platforms, notches, and sandy beach deposits, as well as strath terraces on lava flows of the Big Pine volcanic field, bracket the age of the 1180 m shoreline to the time interval between ca. 340 ?? 60 ka and ca. 130 ?? 50 ka. This interval includes marine oxygen isotope stages 8-6 (MIS 8-6), corresponding to 260-240 ka and 185-130 ka, respectively. An additional age estimate for this shoreline is provided by a cosmogenic 36Cl model age of ca. 160 ?? 32 ka on reefal tufa at ???1170 m elevation from the southeastern margin of the valley. This 36Cl model age corroborates the constraining ages based on dated lava flows and refines the lake age to the MIS 6 interval. Documentation of this larger pluvial Owens Lake offers insight to the hydrologic balance along the east side of the southern Sierra

  13. Reconstructing Quaternary pluvial episodes and paleohydrology using travertines from Egypt's Western Desert

    NASA Astrophysics Data System (ADS)

    Jimenez, G.; Crossey, L. J.; Karlstrom, K. E.; Ricketts, J. W.; Tafoya, A. J.; Anan, T.; Mohammed, A.; Asmerom, Y.; Polyak, V.; Farouk, S.

    2012-12-01

    Quaternary climate in North Africa was marked by multiple wet periods overprinting extreme aridity, but pluvial drivers, as well as their timing and geographic extent, are poorly constrained. We address these factors in the first comprehensive analysis of travertine from Egypt's Western Desert, which represents a unique and under-utilized record of paleoclimate and paleohydrology. We infer large-volume travertine mound deposition along faults near the area's central limestone plateau to reflect times of high discharge (high groundwater head) from springs of the Nubian aquifer, likely associated with so-called Green Sahara pluvial episodes. Similarly, we assume that travertine platforms in depressions (oases) represent related marsh and lake deposition, including a widespread late Cenozoic dolostone of probable lacustrine origin in Farafra Oasis, which needs additional mapping. We present the results of uranium-series analysis of travertines from oasis areas spanning a north-south gradient through the Western Desert; we dated the tops and bottoms of inset deposits at different wadi (wash) elevations to resolve the inception and termination of high spring heads/pluvials as well as regional aggradation or incision patterns. Our dates, combined with published literature ages, suggest wet intervals around 100-115, 125-140, 180-200, 350-360, 450, and 600 ka. Heights of inset terrace travertines in wadis are potentially correlative between sites and are seen as approximately 5, 10, and 25 m above the modern wadi levels. Assuming that paleohydrological changes reflect paleoclimate changes, we examine correlations between times of travertine deposition, relative to glacial cycles or to more specific orbital forcings, acting on the North African summer monsoon. Initial comparison of travertine occurrence to glacial cycles shows no obvious correlation, although there are major travertine deposition episodes at important paleoclimate transitions such as MIS 6 to 5, 7 to 6, and

  14. Forced and Unforced Variability of Twentieth Century North American Droughts and Pluvials

    NASA Technical Reports Server (NTRS)

    Cook, Benjamin I.; Cook, Edward R.; Anchukaitis, Kevin J.; Seager, Richard; Miller, Ron L.

    2010-01-01

    Research on the forcing of drought and pluvial events over North America is dominated by general circulation model experiments that often have operational limitations (e.g., computational expense, ability to simulate relevant processes, etc). We use a statistically based modeling approach to investigate sea surface temperature (SST) forcing of the twentieth century pluvial (1905-1917) and drought (1932-1939, 1948-1957, 1998-2002) events. A principal component (PC) analysis of Palmer Drought Severity Index (PDSI) from the North American Drought Atlas separates the drought variability into five leading modes accounting for 62% of the underlying variance. Over the full period spanning these events (1900-2005), the first three PCs significantly correlate with SSTs in the equatorial Pacific (PC 1), North Pacific (PC 2), and North Atlantic (PC 3), with spatial patterns (as defined by the empirical orthogonal functions) consistent with our understanding of North American drought responses to SST forcing. We use a large ensemble statistical modeling approach to determine how successfully we can reproduce these drought/pluvial events using these three modes of variability. Using Pacific forcing only (PCs 1-2), we are able to reproduce the 1948-1957 drought and 1905-1917 pluvial above a 95% random noise threshold in over 90% of the ensemble members; the addition of Atlantic forcing (PCs 1-2-3) provides only marginal improvement. For the 1998-2002 drought, Pacific forcing reproduces the drought above noise in over 65% of the ensemble members, with the addition of Atlantic forcing increasing the number passing to over 80%. The severity of the drought, however, is underestimated in the ensemble median, suggesting this drought intensity can only be achieved through internal variability or other processes. Pacific only forcing does a poor job of reproducing the 1932-1939 drought pattern in the ensemble median, and less than one third of ensemble members exceed the noise threshold

  15. Forced and unforced variability of twentieth century North American droughts and pluvials

    NASA Astrophysics Data System (ADS)

    Cook, B. I.; Cook, E.; Anchukaitis, K. J.; Seager, R.; Miller, R. L.

    2010-12-01

    Research on the forcing of drought and pluvial events over North America is dominated by general circulation model experiments that often have operational limitations (e.g., computational expense, ability to simulate relevant processes, etc). We use a statistically based modeling approach to investigate sea surface temperature (SST) forcing of the twentieth century pluvial (1905-1917) and drought (1932-1939, 1948-1957, 1998-2002) events. A principal component (PC) analysis of Palmer Drought Severity Index (PDSI) from the North American Drought Atlas separates the drought variabil- ity into five leading modes accounting for 62% of the underlying variance. Over the full period spanning these events (1900-2005), the first three PCs significantly correlate with SSTs in the equatorial Pacific (PC 1), north Pacific (PC 2), and north Atlantic (PC 3), with spatial patterns (as defined by the empirical orthogonal functions) consistent with our understanding of North American drought responses to SST forcing. We use a large ensemble statistical modeling approach to determine how successfully we can reproduce these drought/pluvial events using these three modes of variability. Using Pacific forcing only (PCs 1-2), we are able to reproduce the 1948-1957 drought and 1905-1917 pluvial above a 95% random noise threshold in over 90% of the ensemble members; the addition of Atlantic forcing (PCs 1-2-3) provides only marginal improvement. For the 1998-2002 drought, Pacific forcing reproduces the drought above noise in over 65% of the ensemble members, with the addition of Atlantic forcing increasing the number passing to over 80%. The severity of the drought, however, is underestimated in the ensemble median, suggesting this drought intensity can only be achieved through internal variability or other processes. Pacific only forcing does a poor job of reproducing the 1932-1939 drought pattern in the ensemble median, and less than one third of ensemble members exceed the noise

  16. Hyperostosis frontalis interna and androgen suppression.

    PubMed

    May, Hila; Peled, Natan; Dar, Gali; Abbas, Janan; Medlej, Bahaa; Masharawi, Youssef; Hershkovitz, Israel

    2010-08-01

    Although hyperostosis frontalis interna (HFI) has been documented in the medical literature for over 300 years, its etiology remains undetermined. It is generally assumed to be associated with hormonal disturbances of the gonads. The aim of this study was to examine the association between androgen deprivation and development of HFI in males. Two groups of males over 60-years old were compared: a control group that included 180 healthy males, 45 suffering from benign prostatic hypertrophy (BPH) and a study group of 127 males with prostate cancer: 67 who received complete androgen block treatment, and 60 who received different treatments or none at all. CT head scans were used to identify and classify HFI (Brilliance 64, Philips Medical Systems, slice thickness 3 mm x 1.5 mm). It was found that males who received a complete androgen block manifested significantly higher prevalence of HFI compared to healthy males. However, no significant difference in HFI prevalence was found between males suffering from BPH and healthy males or males with prostate cancer who had not received a complete androgen block. A positive association between length of hormonal treatment and manifestation of HFI was shown. It can be concluded that BPH does not promote development of HFI; males who are hormonally treated for prostate cancer are at a higher risk of developing HFI compared to healthy males; the longer the duration of hormonal treatment, the higher the risk of developing HFI.

  17. The influence of digital elevation model resolution on overland flow networks for modelling urban pluvial flooding.

    PubMed

    Leitão, J P; Boonya-Aroonnet, S; Prodanović, D; Maksimović, C

    2009-01-01

    This paper presents the developments towards the next generation of overland flow modelling of urban pluvial flooding. Using a detailed analysis of the Digital Elevation Model (DEM) the developed GIS tools can automatically generate surface drainage networks which consist of temporary ponds (floodable areas) and flow paths and link them with the underground network through inlets. For different commercially-available Rainfall-Runoff simulation models, the tool will generate the overland flow network needed to model the surface runoff and pluvial flooding accurately. In this paper the emphasis is placed on a sensitivity analysis of ponds and preferential overland flow paths creation. Different DEMs for three areas were considered in order to compare the results obtained. The DEMs considered were generated using different acquisition techniques and hence represent terrain with varying levels of resolution and accuracy. The results show that DEMs can be used to generate surface flow networks reliably. As expected, the quality of the surface network generated is highly dependent on the quality and resolution of the DEMs and successful representation of buildings and streets.

  18. Statistical model for economic damage from pluvial floods in Japan using rainfall data and socioeconomic parameters

    NASA Astrophysics Data System (ADS)

    Bhattarai, Rajan; Yoshimura, Kei; Seto, Shinta; Nakamura, Shinichiro; Oki, Taikan

    2016-05-01

    The assessment of flood risk is important for policymakers to evaluate damage and for disaster preparation. Large population densities and high property concentration make cities more vulnerable to floods and having higher absolute damage per year. A number of major cities in the world suffer from flood inundation damage every year. In Japan, approximately USD 1 billion in damage occurs annually due to pluvial floods only. The amount of damage was typically large in large cities, but regions with lower population density tended to have more damage per capita. Our statistical approach gives the probability of damage following every daily rainfall event and thereby the annual damage as a function of rainfall, population density, topographical slope and gross domestic product. Our results for Japan show reasonable agreement with area-averaged annual damage for the period 1993-2009. We report a damage occurrence probability function and a damage cost function for pluvial flood damage, which makes this method flexible for use in future scenarios and also capable of being expanded to different regions.

  19. The Efficacy of Blue-Green Infrastructure for Pluvial Flood Prevention under Conditions of Deep Uncertainty

    NASA Astrophysics Data System (ADS)

    Babovic, Filip; Mijic, Ana; Madani, Kaveh

    2017-04-01

    Urban areas around the world are growing in size and importance; however, cities experience elevated risks of pluvial flooding due to the prevalence of impermeable land surfaces within them. Urban planners and engineers encounter a great deal of uncertainty when planning adaptations to these flood risks, due to the interaction of multiple factors such as climate change and land use change. This leads to conditions of deep uncertainty. Blue-Green (BG) solutions utilise natural vegetation and processes to absorb and retain runoff while providing a host of other social, economic and environmental services. When utilised in conjunction with Decision Making under Deep Uncertainty (DMDU) methodologies, BG infrastructure provides a flexible and adaptable method of "no-regret" adaptation; resulting in a practical, economically efficient, and socially acceptable solution for flood risk mitigation. This work presents the methodology for analysing the impact of BG infrastructure in the context of the Adaptation Tipping Points approach to protect against pluvial flood risk in an iterative manner. An economic analysis of the adaptation pathways is also conducted in order to better inform decision-makers on the benefits and costs of the adaptation options presented. The methodology was applied to a case study in the Cranbrook Catchment in the North East of London. Our results show that BG infrastructure performs better under conditions of uncertainty than traditional grey infrastructure.

  20. Modeling pluvial flooding damage in urban environments: spatial relationships between citizens' complaints and overland catchment areas

    NASA Astrophysics Data System (ADS)

    Gaitan, Santiago; ten Veldhuis, Marie-Claire; van de Giesen, Nick

    2013-04-01

    Extreme weather events such as floods and storms are expected to cause severe economic losses in The Netherlands. Cumulative damage due to pluvial flooding can be considerable, especially in lowland areas where this type of floods occurs relatively frequently. Currently, in The Netherlands, water-related damages to property and contents are covered through private insurance. As pluvial flooding is becoming heavier and more likely to occur, sound modelling of damages is required to ensure that insurance systems are able to stand as an adaptation measure. Current damage models based on rainfall intensity, registries of insurance claims, and classifications of building types are unable to fully explain damage variability. Further developments assessing additional explanatory factors and reducing uncertainties, are required in order to significantly explain damage. In this study, urban topography is used as an explanatory factor for modelling of urban pluvial flooding. Flood damage is evaluated based on complaints data, a valuable resource for assessing vulnerability to urban pluvial flooding. Though previous research has shown coincidences between the localization of high complaint counts and large size catchments areas in Rotterdam, additional research is needed to establish the precise spatial relationship of those two variables. This additional task is the focus of the presented work. To that end a data base of complaints, that was made available by the Municipality Administration of the City, will be analysed. It comprises close to 36800 complaints from 2004 to 2011. The geographical position of the registries is aggregated into 4 to 6-digit Postal Code zones, which represents entire streets or relative positions along a street, respectively. The Municipality also provided the DEM, characterized by a spatial resolution of 0.5 m × 0.5 m, a vertical precision of 5 cm, and an accuracy better than two standard deviations of 15 cm. First the localization of complaints

  1. Current and future pluvial flood hazard analysis for the city of Antwerp

    NASA Astrophysics Data System (ADS)

    Willems, Patrick; Tabari, Hossein; De Niel, Jan; Van Uytven, Els; Lambrechts, Griet; Wellens, Geert

    2016-04-01

    For the city of Antwerp in Belgium, higher rainfall extremes were observed in comparison with surrounding areas. The differences were found statistically significant for some areas and may be the result of the heat island effect in combination with the higher concentrations of aerosols. A network of 19 rain gauges but with varying records length (the longest since the 1960s) and continuous radar data for 10 years were combined to map the spatial variability of rainfall extremes over the city at various durations from 15 minutes to 1 day together with the uncertainty. The improved spatial rainfall information was used as input in the sewer system model of the city to analyze the frequency of urban pluvial floods. Comparison with historical flood observations from various sources (fire brigade and media) confirmed that the improved spatial rainfall information also improved sewer impact results on both the magnitude and frequency of the sewer floods. Next to these improved urban flood impact results for recent and current climatological conditions, the new insights on the local rainfall microclimate were also helpful to enhance future projections on rainfall extremes and pluvial floods in the city. This was done by improved statistical downscaling of all available CMIP5 global climate model runs (160 runs) for the 4 RCP scenarios, as well as the available EURO-CORDEX regional climate model runs. Two types of statistical downscaling methods were applied for that purpose (a weather typing based method, and a quantile perturbation approach), making use of the microclimate results and its dependency on specific weather types. Changes in extreme rainfall intensities were analyzed and mapped as a function of the RCP scenario, together with the uncertainty, decomposed in the uncertainties related to the climate models, the climate model initialization or limited length of the 30-year time series (natural climate variability) and the statistical downscaling (albeit limited

  2. Hyperostosis frontalis interna: an anthropological perspective.

    PubMed

    Hershkovitz, I; Greenwald, C; Rothschild, B M; Latimer, B; Dutour, O; Jellema, L M; Wish-Baratz, S

    1999-07-01

    Hyperostosis frontalis interna (HFI) is manifested by the accretion of bone on the inner table of the frontal bone. Despite the vast literature on HFI, ambiguity exists as to its etiology, osteogenesis, demography, and history. This stimulated the present broad-scale study of HFI which included the evaluation of 1,706 early 20th century skulls (1,007 males and 699 females) from the Hamann-Todd and Terry human osteological collections, as well as 2,019 pre-19th century East-Mediterranean, Amerindian, and Central European skulls. In addition, 72 cadavers were dissected for gross inspection and histology. Special attention was paid to the relationship of the brain and meninges to endocranial lesions. HFI is an independent condition, not a symptom of a more generalized syndrome as suggested in the past. It can appear in a variety of forms but each is the result of the same process and probably of the same etiology. Investigators' previous failure to recognize the mild stages of HFI (types A and B) as an early form of the general HFI process led to erroneous statistics and interpretations of observations. HFI should also be considered a phenomenon separate from HCI, hyperostosis cranialis diffusa (HCD), and other endostoses, even when it appears in association with them. To avoid ambiguity and facilitate the description of cranial hyperostoses, uniform nomenclature (HFI, HCD) has been recommended. HFI is rarely seen in historic populations, regardless of geographical origin. It is most commonly found among females and is believed to be associated with prolonged estrogen stimulation. While its magnitude of manifestation and frequency are much higher in females, HFI is not a purely female phenomenon. Males with hormonal disturbances such as atrophic testis were found to manifest HFI type D. HFI is associated with age insofar as it is much less frequent in females under 40 years of age. Although advanced cases of HFI (types C and D) have been observed in individuals as

  3. Age and isotopic constraints on pleistocene pluvial episodes in the Western Desert, Egypt.

    SciTech Connect

    Crombie, M. K.; Arvidson, R. E.; Sturchio, N. C.; El Alfy, Z.; Abu Zeid, K.; Environmental Research; Washington Univ.; Egyptian Geological Survey and Mining Authority

    1997-01-01

    North Africa has undergone drastic climatic changes over the past several hundred thousand years. The timing of humid intervals called pluvials was investigated by uranium-series disequilibrium dating of travertines from the Kurkur Oasis, Western Desert, Egypt. The youngest and best dated travertines (70-160 ka) are found in Wadi Kurkur and include spring and lacustrine units exposed as 2 to 3 m high terraces. Travertines having an age of approximately 191-220 ka are exposed by differential erosion as linear mounds produced by spring systems over fracture zones in ancient wadis. The oldest travertines, having ages >260 ka, are extensive, cap limestone units above the oasis, and were deposited in paludal and lacustrine environments. Oxygen isotope ratios were measured for the wadi travertines ({delta}{sup 18}O values ranging from 16.7 to 19.1{per_thousand} SMOW) and for spring mound travertines (18.5-20.5{per_thousand}). Equilibrium oxygen isotope fractionation calculations indicate that the Kurkur travertines were deposited from waters having {delta}{sup 18}O values similar to ancient Western Desert groundwaters ({approx} -11{per_thousand}). The ages of the travertines correspond to times of monsoonal maxima, eustatic sea level high stands and interglacial maxima. Rainfall producing these groundwaters (and travertines) was significantly fractionated during atmospheric transport, in contrast to modern meteoric waters (-2.09{per_thousand}), implying a distant source for the pluvial waters. Increased precipitation, recharge of Western Desert groundwaters, and resultant travertine deposition are interpreted to be consequences of Milankovitch insolation cycle forcing, through enhanced Atlantic and Indian Ocean monsoons during interglacial time periods.

  4. The last Pluvial Highstand (Late Wisconsin, Tioga Age) in Panamint Valley, Southeast California

    NASA Astrophysics Data System (ADS)

    Jayko, A. S.; Forester, R. M.; Sharpe, S.; Smith, G. I.

    2001-12-01

    A large late Wisconsin age lake has not been previously documented in Panamint Valley which contains a small north basin and a large south basin, both of which could have received overflow from the Owens River system via Searles Lake when the lake exceeded 1700' elevation. A 14C age on gastropod-bearing tufa indicates that the lake's surface elevation was near 512m (1680') at 22,600 ka +/-130 yr. This tufa deposit is about 2-3 meters thick and forms a fringing reef within a bedrock alcove about 1 km north of Water Canyon. The deposit appears to document a water body in the southern basin that would have been about 11 km wide, 52 km long and least 150m (500') deep with a volume around 4000 km3. Tentatively, the highest stand of the Tioga-age glacial lake' could have reached ~1800-1820' based on the marginal-lacustrine gastropod assemblage Helisoma newberryi newberryi, Vorticifex solida (lacustrine indicator), and Stagnicola sp., found in a sandy (beach?) deposit 120' upslope from the 1680' tufa, but probably was not any higher (14C in progress). The lake does not appear to have breached the Wingate Pass spillway at 1977' into Death Valley during the last glacial. Along the lower part of the Shepard Canyon fan, lacustrine silt is exposed at about 415m (1360') in a stream incision overlain by 1.5 to 2.0 meters of alluvial gravel. Tufa underlying the silt yielded a 14C age of 17,130ka +/- 100yr indicating a lake whose shoreline elevation was between 60 to 75 meters above the present valley floor. White chalky silt overlying the tufa at this locality yielded abundant Limnocythere sappaensis, an ostracode that lives within a wide range of total dissolved solids (TDS) in waters that are enriched or dominated by bicarbonate-carbonate and depleted in Ca. Its waters typically have an alk/Ca ratio of 7 or much higher. When this species is abundant and the only ostrocode present, the lake water commonly has a TDS of more than about 20,000 mg/L; in lakes with a much lower TDS

  5. Etiopathogenesis of hyperostosis frontalis interna: a mystery still.

    PubMed

    Raikos, Athanasios; Paraskevas, George K; Yusuf, Faisal; Kordali, Panagiota; Meditskou, Soultana; Al-Haj, Abdulatif; Brand-Saberi, Beate

    2011-10-20

    Hyperostosis frontalis interna is a morphological pattern characterized by single or multiple bony nodules situated on the inner lamina of the frontal bone. It is seldom found in males, but it is a common phenomenon among post-menopausal females in modern societies but relatively rare in antiquity. The etiopathogenesis of the trait is a matter of debate and ranges from genetic predisposition to epigenetic, while endocrine disturbances, aging, and dietary factors are also listed among the causes. We studied the frequency, characteristic features, and etiopathogenesis of the disease in recent cadaveric and dry skull specimens. The frequency of hyperostosis frontalis interna in cadavers and dry skull materials was almost identical, 12.5% and 12.3%, respectively. In cadavers, 87.5% of severe hyperostosis frontalis interna cases were found in females over 65 years-old. Interestingly, in two cadavers we found hyperostotic lesions spreading onto adjacent tissues such as the dura and falx cerebri. We provide some new aspects that may help in better understanding of the etiopathogenesis of hyperostosis frontalis interna. Thereby, we discuss the various etiopathogenesis models found in the literature.

  6. The Atlas of Natural Hazards and Risks of Austria: first results for fluvial and pluvial floods

    NASA Astrophysics Data System (ADS)

    Mergili, Martin; Tader, Andreas; Glade, Thomas; Neuhold, Clemens; Stiefelmeyer, Heinz

    2015-04-01

    Incoherent societal adaptation to natural processes results in significant losses every year. A better knowledge of the spatial and temporal distribution of hazards and risks, and of particular hot spots in a given region or period, is essential for reducing adverse impacts. Commonly, different hazard and risk estimations are performed within individual approaches based on tailor-made concepts. This works well as long as specific cases are considered. The advantage of such a procedure is that each individual hazard and risk is addressed in the best possible manner. The drawback, however, consists in the fact that the results differ significantly in terms of quality and accuracy and therefore cannot be compared. Hence, there is a need to develop a strategy and concept which uses similar data sources of equivalent quality in order to adequately analyze the different natural hazards and risks at broader scales. The present study is aiming to develop such a platform. The project Risk:ATlas focuses on the design of an atlas visualizing the most relevant natural hazards and, in particular, possible consequences for the entire territory of Austria. Available as a web-based tool and as a printed atlas, it is seen as a key tool to improve the basis for risk reduction, risk adaptation and risk transfer. The atlas is founded on those data sets available for the entire territory of Austria at a consistent resolution and quality. A 1 m resolution DEM and the official cadastre and building register represent the core, further data sets are employed according to the requirements for each natural hazard and risk. In this contribution, the methodology and the preliminary results for fluvial and pluvial floods and their consequences to buildings for three selected test areas in different types of landscapes (rural, urban and mountainous) are presented. Flooding depths expected for annualities of 30, 100 and 300 are derived from existing data sets for fluvial floods and are computed

  7. Pluvial Drainage Patterns and Holocene Desiccation Influenced the Genetic Architecture of Relict Dace, Relictus solitarius (Teleostei: Cyprinidae)

    PubMed Central

    Houston, Derek D.; Evans, R. Paul; Shiozawa, Dennis K.

    2015-01-01

    Changing drainage patterns have played a significant role in the evolution of western North American aquatic taxa. Relict dace, Relictus solitarius, is a Great Basin endemic cyprinid with a native range that is restricted to four valleys in eastern Nevada. Relictus solitarius now occupies spring systems that are the remnants of Pleistocene-era pluvial lakes, although it may have occurred in the area for much longer. Here we use mitochondrial DNA sequence data to assess range-wide genetic diversity of R. solitarius, and to estimate divergence times to determine whether pluvial drainages played an important role in shaping intraspecific genetic diversity. Genetic diversification within R. solitarius began during the early to mid-Pleistocene, separating populations within two sets of valleys (Butte/Ruby and Goshute/Steptoe). Additional diversification in each of the two sets of valleys occurred more recently, in the mid- to late-Pleistocene. Holocene desiccation has further isolated populations, and each population sampled contains unique mtDNA haplotypes. Pluvial drainage patterns did contribute to the genetic structure observed within R. solitarius, but most of the intraspecific diversification does not appear to be associated with the Last Glacial Maximum. Holocene desiccation has also contributed to the observed genetic structure. The relict dace populations we sampled are all unique, and we recommend that future management efforts should strive to preserve as much of the genetic diversity as possible. PMID:26394395

  8. Pluvial Drainage Patterns and Holocene Desiccation Influenced the Genetic Architecture of Relict Dace, Relictus solitarius (Teleostei: Cyprinidae).

    PubMed

    Houston, Derek D; Evans, R Paul; Shiozawa, Dennis K

    2015-01-01

    Changing drainage patterns have played a significant role in the evolution of western North American aquatic taxa. Relict dace, Relictus solitarius, is a Great Basin endemic cyprinid with a native range that is restricted to four valleys in eastern Nevada. Relictus solitarius now occupies spring systems that are the remnants of Pleistocene-era pluvial lakes, although it may have occurred in the area for much longer. Here we use mitochondrial DNA sequence data to assess range-wide genetic diversity of R. solitarius, and to estimate divergence times to determine whether pluvial drainages played an important role in shaping intraspecific genetic diversity. Genetic diversification within R. solitarius began during the early to mid-Pleistocene, separating populations within two sets of valleys (Butte/Ruby and Goshute/Steptoe). Additional diversification in each of the two sets of valleys occurred more recently, in the mid- to late-Pleistocene. Holocene desiccation has further isolated populations, and each population sampled contains unique mtDNA haplotypes. Pluvial drainage patterns did contribute to the genetic structure observed within R. solitarius, but most of the intraspecific diversification does not appear to be associated with the Last Glacial Maximum. Holocene desiccation has also contributed to the observed genetic structure. The relict dace populations we sampled are all unique, and we recommend that future management efforts should strive to preserve as much of the genetic diversity as possible.

  9. Modelling the impact of land subsidence on urban pluvial flooding: A case study of downtown Shanghai, China.

    PubMed

    Yin, Jie; Yu, Dapeng; Wilby, Rob

    2016-02-15

    This paper presents a numerical analysis of pluvial flooding to evaluate the impact of land subsidence on flood risks in urban contexts using a hydraulic model (FloodMap-HydroInundation2D). The pluvial flood event of August 2011 in Shanghai, China is used for model calibration and simulation. Evolving patterns of inundation (area and depth) are assessed over four time periods (1991, 1996, 2001 and 2011) for the downtown area, given local changes in topography and rates of land subsidence of up to 27 mm/yr. The results show that land subsidence can lead to non-linear response of flood characteristics. However, the impact on flood depths is generally minor (<5 cm) and limited to areas with lowest-lying topographies because of relatively uniform patterns of subsidence and micro-topographic variations at the local scale. Nonetheless, the modelling approach tested here may be applied to other cities where there are more marked rates of subsidence and/or greater heterogeneity in the depressed urban surface. In these cases, any identified hot-spots of subsidence and focusing of pluvial flooding may be targeted for adaptation interventions.

  10. Chemical evolution of shallow playa groundwater in response to post-pluvial isostatic rebound, Honey Lake Basin, California-Nevada, USA

    NASA Astrophysics Data System (ADS)

    Mayo, Alan L.; Henderson, Rachel M.; Tingey, David; Webber, William

    2010-05-01

    The 1,750-km2 endorheic Honey Lake basin (California-Nevada, USA) was part of the 22,000-km2 Pleistocene Lake Lahontan pluvial lake system which existed between 5,000 and 40,000 years BP. The basin consists of two subbasins separated by a low elevation divide. Groundwater in the western subbasin has a maximum total dissolved solids (TDS) content of only ˜1,300 mg/L; however eastern subbasin groundwater has a maximum TDS of ˜46,000 mg/L. This TDS distribution is unexpected because 94% of surface water TDS loading is to the western subbasin. In situ reactions and upwelling thermal groundwater contributing to groundwater chemistry were modeled using NETPATH. The TDS difference between the subbasins is attributed to post-Lake Lahontan isostatic rebound about 13,000 years ago. Prior to rebound the subbasins did not exist and the low point of the basin was in the eastern area where hydraulic isolation from the larger Lake Lahontan and frequent desiccation of the basin surface water resulted in evaporite mineral deposition in accumulating sediments. After rebound, the terminal sink for most surface water shifted to the western subbasin. Although most closed basins have not been impacted by isostatic rebound, results of this investigation demonstrate how tectonic evolution can impact the distribution of soluble minerals accumulating in shallow basins.

  11. Geochronology and Stratigraphy of Pluvial Argentinean Lakes: Implications for Quaternary Climate Change

    NASA Astrophysics Data System (ADS)

    Cartwright, A.

    2009-12-01

    Shoreline deposits of pluvial lake systems can provide direct evidence of the timing and duration of lake high stands. Complemented by careful stratigraphic and geochemical analysis, these records also contain important paleoenvironmental information. Two lake systems were studied as part of a global effort to understand major climatic changes during the Last Glacial Maximum (LGM: 24-18 ka) and the following deglaciation (18-13 ka). Today, both of the studied regions are arid, and the lake basins contain much smaller lakes than in the past. Laguna Cari-Laufquen is located at 41°S and the modern basin is occupied by two lakes: Cari-Laufquen Grande and Chica. Preserved shorelines and sediments show these two lakes rose and merged multiple times during the Late Quaternary. An extensive radiocarbon geochronology show the lake was the highest during the LGM, with several smaller, more recent lake oscillations in the last thousand years. The second lake system in this study is Laguna Bebedero, located at 33°S in western Argentina. Previous studies show the highest shorelines date to 23-16,000 yrs BP. Our new radiocarbon dates help constrain the timing of the highstands - and show highstands during the deglacial period. Our lake highstand evidence provides a unique opportunity to reconstruct shifts in Atlantic (easterly)- or Pacific (westerly)-driven moisture. Geochemical studies of shell, water chemical analysis, and geospatial analysis also help to constrain hydrologic balance and paleoenvironmental conditions. Comparison of paleohydrologic records in South America. From top: Cariaco Basin - reconstructed sea-surface temperatures from Lea et al., 2003, Bolivian Lakes - Uyuni lake system phases from shoreline data (Placzek et al., 2006), Atacama Wetlands - wet events above local water table (Quade et al., 2008), Laguna Bebedero and Laguna Cari-Laufquen - lake level changes from this study.

  12. Late Pleistocene outburst flooding from pluvial Lake Alvord into the Owyhee River, Oregon

    NASA Astrophysics Data System (ADS)

    Carter, Deron T.; Ely, Lisa L.; O'Connor, Jim E.; Fenton, Cassandra R.

    2006-05-01

    At least one large, late Pleistocene flood traveled into the Owyhee River as a result of a rise and subsequent outburst from pluvial Lake Alvord in southeastern Oregon. Lake Alvord breached Big Sand Gap in its eastern rim after reaching an elevation of 1292 m, releasing 11.3 km 3 of water into the adjacent Coyote Basin as it eroded the Big Sand Gap outlet channel to an elevation of about 1280 m. The outflow filled and then spilled out of Coyote Basin through two outlets at 1278 m and into Crooked Creek drainage, ultimately flowing into the Owyhee and Snake Rivers. Along Crooked Creek, the resulting flood eroded canyons, stripped bedrock surfaces, and deposited numerous boulder bars containing imbricated clasts up to 4.1 m in diameter, some of which are located over 30 m above the present-day channel. Critical depth calculations at Big Sand Gap show that maximum outflow from a 1292- to 1280-m drop in Lake Alvord was ˜ 10,000 m 3 s - 1 . Flooding became confined to a single channel approximately 40 km downstream of Big Sand Gap, where step-backwater calculations show that a much larger peak discharge of 40,000 m 3 s - 1 is required to match the highest geologic evidence of the flood in this channel. This inconsistency can be explained by (1) a single 10,000 m 3 s - 1 flood that caused at least 13 m of vertical incision in the channel (hence enlarging the channel cross-section); (2) multiple floods of 10,000 m 3 s - 1 or less, each producing some incision of the channel; or (3) an earlier flood of 40,000 m 3 s - 1 creating the highest flood deposits and crossed drainage divides observed along Crooked Creek drainage, followed by a later 10,000 m 3 s - 1 flood associated with the most recent shorelines in Alvord and Coyote Basins. Well-developed shorelines of Lake Alvord at 1280 m and in Coyote Basin at 1278 m suggest that after the initial flood, postflood overflow persisted for an extended period, connecting Alvord and Coyote Basins with the Owyhee River of the

  13. Late Pleistocene outburst flooding from pluvial Lake Alvord into the Owyhee River, Oregon

    USGS Publications Warehouse

    Carter, D.T.; Ely, L.L.; O'Connor, J. E.; Fenton, C.R.

    2006-01-01

    At least one large, late Pleistocene flood traveled into the Owyhee River as a result of a rise and subsequent outburst from pluvial Lake Alvord in southeastern Oregon. Lake Alvord breached Big Sand Gap in its eastern rim after reaching an elevation of 1292 m, releasing 11.3 km3 of water into the adjacent Coyote Basin as it eroded the Big Sand Gap outlet channel to an elevation of about 1280 m. The outflow filled and then spilled out of Coyote Basin through two outlets at 1278 m and into Crooked Creek drainage, ultimately flowing into the Owyhee and Snake Rivers. Along Crooked Creek, the resulting flood eroded canyons, stripped bedrock surfaces, and deposited numerous boulder bars containing imbricated clasts up to 4.1 m in diameter, some of which are located over 30 m above the present-day channel. Critical depth calculations at Big Sand Gap show that maximum outflow from a 1292- to 1280-m drop in Lake Alvord was ??? 10,000 m3 s- 1. Flooding became confined to a single channel approximately 40 km downstream of Big Sand Gap, where step-backwater calculations show that a much larger peak discharge of 40,000 m3 s- 1 is required to match the highest geologic evidence of the flood in this channel. This inconsistency can be explained by (1) a single 10,000 m3 s- 1 flood that caused at least 13 m of vertical incision in the channel (hence enlarging the channel cross-section); (2) multiple floods of 10,000 m3 s- 1 or less, each producing some incision of the channel; or (3) an earlier flood of 40,000 m3 s- 1 creating the highest flood deposits and crossed drainage divides observed along Crooked Creek drainage, followed by a later 10,000 m3 s- 1 flood associated with the most recent shorelines in Alvord and Coyote Basins. Well-developed shorelines of Lake Alvord at 1280 m and in Coyote Basin at 1278 m suggest that after the initial flood, postflood overflow persisted for an extended period, connecting Alvord and Coyote Basins with the Owyhee River of the Columbia River

  14. New constrains on Late Glacial pluvial events on the Southern Bolivian Altiplano

    NASA Astrophysics Data System (ADS)

    Placzek, C. J.; Quade, J.; Patchett, P. J.

    2009-12-01

    Two large paleolakes (33,000 and 60,000 km2) occupied dry basins on the southern Bolivian Altiplano during the Late Glacial, providing evidence of dramatic changes in low-latitude moisture. It is now apparent that the Tauca (18.1-14.1 ka) and Coipasa (13-11 ka) lake cycles are part of a regional wet interval, the Central Andean Pluvial Event (CAPE). Proposed driving mechanisms for CAPE include changes in: summer solar insolation, Pacific SST gradients (ENSO variability), Atlantic SST gradients (the Younger Dryas and Heinrich I), and moisture levels in the eastern lowlands. The region impacted by CAPE may extend from 10 to 26°S. The Southern Altiplano (18-22°S) is at the center of this region. Regional climate histories, however, highlight existing uncertainties and contradictions about the timing, magnitude, and synchrony of the CAPE both across the region and within Altiplano lake basins. Are differing conclusions about the timing and mechanisms of central Andean climate change related to regional variability, or are these differences, instead, a result of different chronological or proxy methods? An improved understanding of climate history on the Southern Bolivian Altiplano is critical to addressing the cause of the CAPE. The Coipasa lake cycle coincides with the Younger Dryas (12.8-11 ka) and new insight into lake extent is aided by distinct 87Sr/86Sr values for this lake cycle. Carbonate crusts from this lake cycle produce exceptionally precise U-Th ages (some with uncertainties <150 years). Sediments associated with the Tauca and Coipasa lake cycles are clearly separated stratigraphically in some locations, but at the highest and lowest elevations these crusts often superimposed in a manner that is not obviously disconformable. Both field and geochemical evidence now suggest that the Coipasa lake cycle was ~55 meters deep (~33,000 km2) and began to expand at 12.8 ka. Quantitative assessment of the precipitation/evaporation balance necessary to maintain

  15. Developing the Late Quaternary Record of Pluvial Lake Clover, Northern Great Basin, U.S.A

    NASA Astrophysics Data System (ADS)

    Laabs, B. J.; Munroe, J. S.

    2009-12-01

    Lake Clover was one of numerous closed-basin pluvial lakes that formed in the northern Great Basin during the Pleistocene. The geomorphic record of the lake includes continuous shoreline ridges and spits at altitudes of as much as 25 m above the modern playa surface. The history of Lake Clover is poorly known compared to those of the larger lakes Lahontan and Bonneville, but can provide a useful framework for understanding regional-scale environmental changes during the latest Pleistocene. Shoreline ridges of Lake Clover are preserved at altitudes of ca. 1729, 1725, 1719, and 1715 m asl, which correspond to intervals when the lake attained a surface area of 788, 726, 618, and 524 km2, respectively. Although the chronology of highstands at these altitudes is still being developed (through radiocarbon and luminescence-dating methods), the morphology and orientations of prominent shoreline features provide clues to regional air-circulation patterns during highstands. The highest shoreline is represented by a gravel ridge that can be traced nearly continuously around the perimeter of the lake basin. The ridge is uniformly developed along shorelines of differing aspect, suggesting that the wind field during the ice-free season was not dominated by a single direction. Along the eastern and western shores of the basin, the lower shorelines are manifested by a similar gravel ridge. However, in other sectors of the basin, features associated with progressively lower shorelines reveal an increasing dominance of northward longshore drift. The most dramatic features correspond with the 1719 m shoreline and include 1) a pronounced V-shaped, northward projecting spit at the southern end of the basin, 2) a 3-km long spit projecting to the north-northwest along the northeastern shoreline, and 3) a tombolo connecting a former island to the northern shore. Together these features suggest that dominant wind directions became more southerly during the ice-free season when the lake

  16. Otitis interna (labyrinthitis) associated with Salmonella enterica arizonae in turkey poults.

    PubMed

    Shivaprasad, H L; Cortes, P; Crespo, R

    2006-03-01

    Otitis interna was diagnosed in five 9-to-21-day-old turkey poults with clinical signs of paralysis, opisthotonus, torticollis, blindness, and increased mortality. Gross and microscopic lesions in the poults included omphalitis, typhlitis, hepatitis, meningoencephalitis, ophthalmitis, neuritis and ganglionitis of the vestibulocochlear nerve, and otitis interna. Salmonella enterica arizonae was isolated from the brains, eyes, intestines, yolk sacs, and livers of poults. Birds with otitis interna also had meningoencephalitis. It is most likely that the S. enterica arizonae infection spread from the brain to the internal ears through the vestibulocochlear nerve. This is the first documentation of otitis interna caused by bacteria in an avian species.

  17. Statistical model for economic damage from pluvial flood in Japan using rainfall data and socio-economic parameters

    NASA Astrophysics Data System (ADS)

    Bhattarai, R.; Yoshimura, K.; Seto, S.; Nakamura, S.; Oki, T.

    2015-10-01

    The assessment of flood risk is important for policy makers to evaluate damage and for disaster preparation. Large population densities and high property concentration make cities more vulnerable to floods and having higher absolute damage per year. A number of major cities in the world suffer from flood inundation damage every year. In Japan, approximately JPY 100 billion in damage occurs annually due to pluvial flood only. The amount of damage was typically large in large cities, but regions with lower population density tended to have more damage per capita. Our statistical approach gives the probability of damage following every daily rainfall event and thereby the annual damage as a function of rainfall, population density, topographical slope, and gross domestic product. Our results for Japan show reasonable agreement with area-averaged annual damage for the period 1993-2009. We report a damage occurrence probability function and a damage cost function for pluvial flood damage, which makes this method flexible for use in future scenarios and also capable of being expanded to different regions.

  18. Evaluating the impact and risk of pluvial flash flood on intra-urban road network: A case study in the city center of Shanghai, China

    NASA Astrophysics Data System (ADS)

    Yin, Jie; Yu, Dapeng; Yin, Zhane; Liu, Min; He, Qing

    2016-06-01

    Urban pluvial flood are attracting growing public concern due to rising intense precipitation and increasing consequences. Accurate risk assessment is critical to an efficient urban pluvial flood management, particularly in transportation sector. This paper describes an integrated methodology, which initially makes use of high resolution 2D inundation modeling and flood depth-dependent measure to evaluate the potential impact and risk of pluvial flash flood on road network in the city center of Shanghai, China. Intensity-Duration-Frequency relationships of Shanghai rainstorm and Chicago Design Storm are combined to generate ensemble rainfall scenarios. A hydrodynamic model (FloodMap-HydroInundation2D) is used to simulate overland flow and flood inundation for each scenario. Furthermore, road impact and risk assessment are respectively conducted by a new proposed algorithm and proxy. Results suggest that the flood response is a function of spatio-temporal distribution of precipitation and local characteristics (i.e. drainage and topography), and pluvial flash flood is found to lead to proportionate but nonlinear impact on intra-urban road inundation risk. The approach tested here would provide more detailed flood information for smart management of urban street network and may be applied to other big cities where road flood risk is evolving in the context of climate change and urbanization.

  19. Impact of agricultural management on pluvial flash floods - Case study of an extreme event observed in Austria in 2016

    NASA Astrophysics Data System (ADS)

    Lumassegger, Simon; Achleitner, Stefan; Kohl, Bernhard

    2017-04-01

    Central Europe was affected by extreme flash floods in summer 2016 triggered by short, high-intensity storm cells. Besides fluvial runoff, local pluvial floods appear to increase recently. In frame of the research project SAFFER-CC (sensitivity assessment of critical condition for local flash floods - evaluating the recurrence under climate change) surface runoff and pluvial flooding is assessed using a coupled hydrological/2D hydrodynamic model for the severely affected municipality of Schwertberg, Upper Austria. In this small catchment several flooding events occurred in the last years, where the most severe event occurred during summer 2016. Several areas could only be reached after the flood wave subsided with observed flood marks up to one meter. The modeled catchment is intensively cultivated with maize, sugar beets, winter wheat and soy on the hillside and hence highly vulnerable to water erosion. The average inclination is relatively steep with 15 % leading to high flow velocities of surface runoff associated with large amounts of transported sediments. To assess the influence of land use and soil conservation on flash floods, field experiments with a portable irrigation spray installation were carried out at different locations. The test plots were subjected to rainfall with constant intensity of 100 mm/h for one hour. Consecutively a super intense, one hour lasting, rainfall hydrograph was applied after 30 minutes at the same plots, ranging from 50 mm/h to 200 mm/h. Surface runoff was collected and measured in a tank and water samples were taken to determine the suspended material load. Large differences of runoff coefficients were determined depending on the agricultural management. The largest discharge was measured in a maize field, where surface runoff occurred immediately after start of irrigation. The determined runoff coefficients ranged from 0.22 for soy up to 0.65 for maize for the same soil type and inclination. The conclusion that runoff is

  20. A 9170-year record of decadal-to-multi-centennial scale pluvial episodes from the coastal Southwest United States: a role for atmospheric rivers?

    NASA Astrophysics Data System (ADS)

    Kirby, Matthew E.; Zimmerman, Susan R. H.; Patterson, William P.; Rivera, Jose J.

    2012-07-01

    A well-dated, 9170 calendar year before present (cal yr BP) paleohydrologic reconstruction is presented from Lower Bear Lake in the San Bernardino Mountains of the coastal southwest United States. This new multi-proxy record is characterized by alternating organic-rich/carbonate-rich sediment units, interpreted to reflect hydrologically-forced changes in the lake's depositional environment. Our interpretation of the proxy data indicates nine decadal-to-multi-centennial pluvial episodes (PE) over the past 9170 cal yr BP. Of these nine inferred pluvials, five are interpreted as more pronounced based on their combined proxy interpretations: (PE-V) 9170?-8250, (PE-IV) 7000-6400, (PE-III) 3350-3000, (PE-II) 850-700, and (PE-I) 500-476 (top of core) cal yr BP. The Lower Bear Lake record indicates that the San Bernardino Mountains, source region for the Mojave River and its terminal playa, was wet during the same periods (within dating errors), to several of the major pluvials proposed from the lakes in the sink of the Mojave River. Our comparison extends north also to Tulare Lake, which drains the southcentral-western Sierra Nevada Mountains. This temporally and spatially coherent signal indicates that a similar climate forcing acted to increase regional wetness at various times during the past 9170 cal yr BP. As originally proposed by Enzel, Ely, and colleagues (e.g., Enzel et al., 1989; Enzel, 1992; Ely et al., 1994; Enzel and Wells, 1997), we too contend that Holocene pluvial episodes are associated with changing the frequency of large winter storms that track across a broad region at decadal-to-multi-centennial timescales. We build upon their hypothesis through the addition of new and better-dated site comparisons, recent advances in the understanding of atmospheric rivers, and improved knowledge of the ocean-atmosphere dynamics that caused the early 20th century western United States pluvial.

  1. Comparison of the impacts of urban development and climate change on exposing European cities to pluvial flooding

    NASA Astrophysics Data System (ADS)

    Skougaard Kaspersen, Per; Høegh Ravn, Nanna; Arnbjerg-Nielsen, Karsten; Madsen, Henrik; Drews, Martin

    2017-08-01

    The economic and human consequences of extreme precipitation and the related flooding of urban areas have increased rapidly over the past decades. Some of the key factors that affect the risks to urban areas include climate change, the densification of assets within cities and the general expansion of urban areas. In this paper, we examine and compare quantitatively the impact of climate change and recent urban development patterns on the exposure of four European cities to pluvial flooding. In particular, we investigate the degree to which pluvial floods of varying severity and in different geographical locations are influenced to the same extent by changes in urban land cover and climate change. We have selected the European cities of Odense, Vienna, Strasbourg and Nice for analyses to represent different climatic conditions, trends in urban development and topographical characteristics. We develop and apply a combined remote-sensing and flood-modelling approach to simulate the extent of pluvial flooding for a range of extreme precipitation events for historical (1984) and present-day (2014) urban land cover and for two climate-change scenarios (i.e. representative concentration pathways, RCP 4.5 and RCP 8.5). Changes in urban land cover are estimated using Landsat satellite imagery for the period 1984-2014. We combine the remote-sensing analyses with regionally downscaled estimates of precipitation extremes of current and expected future climate to enable 2-D overland flow simulations and flood-hazard assessments. The individual and combined impacts of urban development and climate change are quantified by examining the variations in flooding between the different simulations along with the corresponding uncertainties. In addition, two different assumptions are examined with regards to the development of the capacity of the urban drainage system in response to urban development and climate change. In the stationary approach, the capacity resembles present

  2. Effects of drought and pluvial periods on fish and zooplankton communities in prairie lakes: systematic and asystematic responses.

    PubMed

    Starks, Elizabeth; Cooper, Ryan; Leavitt, Peter R; Wissel, Björn

    2014-04-01

    The anticipated impacts of climate change on aquatic biota are difficult to evaluate because of potentially contrasting effects of temperature and hydrology on lake ecosystems, particularly those closed-basin lakes within semiarid regions. To address this shortfall, we quantified decade-scale changes in chemical and biological properties of 20 endorheic lakes in central North America in response to a pronounced transition from a drought to a pluvial period during the early 21st century. Lakes exhibited marked temporal changes in chemical characteristics and formed two discrete clusters corresponding to periods of substantially different effective moisture (as Palmer Drought Severity Index, PDSI). Discriminant function analysis (DFA) explained 90% of variability in fish assemblage composition and showed that fish communities were predicted best by environmental conditions during the arid interval (PDSI <-2). DFA also predicted that lakes could support more fish species during pluvial periods, but their occurrences may be limited by periodic stress due to recurrent droughts and physical barriers to colonization. Zooplankton taxonomic assemblages in fishless lakes were resilient to short-term changes in meteorological conditions, and did not vary between drought and deluge periods. Conversely, zooplankton taxa in fish-populated lakes decreased substantially in biomass during the wet interval, likely due to increased zooplanktivory by fish. The powerful effects of such climatic variability on hydrology and the strong subsequent links to water chemistry and biota indicate that future changes in global climate could result in significant restructuring of aquatic communities. Together these findings suggest that semiarid lakes undergoing temporary climate shifts provide a useful model system for anticipating the effects of global climate change on lake food webs.

  3. Quantifying UV-B flux over the Late Triassic Carnian Pluvial Extinction Event (c. 233-229 Ma).

    NASA Astrophysics Data System (ADS)

    Miller, Charlotte; Fraser, Wesley; Jardine, Phil; Kürschner, Wolfram

    2015-04-01

    The geological record contains numerous episodes of global environmental change associated with pronounced transient perturbations to the global carbon cycle, some of which are closely linked with ocean acidification and mass extinction. Here, we focus on the Late Triassic mass extinction during the Carnian Pluvial Event (CPE) which occurred c. 233-229 million-years-ago (Ma). The CPE extinction remains one of the least studied and most controversial biotic crises due primarily to the lack of well-dated sedimentary successions. The CPE interval features a -4 o δ13C excursion, which is interpreted as a massive atmospheric injection of 13C-depleted carbon from the Wrangellia Flood Basalts. The associated increase in atmospheric pCO2 may then have accelerated the hydrological cycle, resulting in increased weathering and enhanced siliciclastic delivery to shallow carbonate basins. Volcanic activity is known to significantly alter the amount of incoming solar UV-B radiation via dimming processes, the destruction of ozone and increased cloud formation via the addition of cloud condensation nuclei to the atmosphere. To reconstruct variations in UV-B flux we have measured the abundance of phenolic components (UV-B absorbing compounds) contained within the cell wall of Ovalipollis pollen grains across the CPE, from samples taken from the Lunz region (Austria). These phenolic components are part of the defensive system of plants, where the abundance of phenolics increases with elevated UV-B flux. Our preliminary data indicate i) that the highest abundance of phenolics occur in the latter stages of the CPE, ii) the abundance of phenolics are highly variable throughout the CPE, and iii) the abundance of phenolics broadly increase towards the end of the Late Triassic. Here we will discuss the significance of the obtained data in terms of palaeoclimatic variability and the impact of volcanism during the Carnian Pluvial Event.

  4. Hyperostosis frontalis interna: criteria for sexing and aging a skeleton.

    PubMed

    May, Hila; Peled, Nathan; Dar, Gali; Cohen, Haim; Abbas, Janan; Medlej, Bahaa; Hershkovitz, Israel

    2011-09-01

    Estimation of sex and age in skeletons is essential in anthropological and forensic medicine investigations. The aim of the current study was to examine the potential of hyperostosis frontalis interna (HFI) as a criterion for determining sex and age in forensic cases. Macroscopic examination of the inner aspect of the frontal bone of 768 skulls (326 males and 442 females) aged 1 to 103, which had undergone a head computerized tomography scan, was carried out using the volume rendering technique. HFI was divided into two categories: minor and major. HFI is a sex- and age-dependent phenomena, with females manifesting significantly higher prevalence than males (p<0.01). In both females and males, prevalence of HFI increases as age increases (p<0.01). We present herein the probabilities of designating an unknown skull to a specific sex and age cohort according to the presence of HFI (standardized to age distribution in an Israeli population). Moreover, we present the probability of an individual belonging to a specific sex or age cohort according to age or sex (respectively) and severity of HFI. We suggest a valid, reliable, and easy method for sex and age identification of unknown skulls.

  5. Identifying and classifying hyperostosis frontalis interna via computerized tomography.

    PubMed

    May, Hila; Peled, Nathan; Dar, Gali; Hay, Ori; Abbas, Janan; Masharawi, Youssef; Hershkovitz, Israel

    2010-12-01

    The aim of this study was to recognize the radiological characteristics of hyperostosis frontalis interna (HFI) and to establish a valid and reliable method for its identification and classification. A reliability test was carried out on 27 individuals who had undergone a head computerized tomography (CT) scan. Intra-observer reliability was obtained by examining the images three times, by the same researcher, with a 2-week interval between each sample ranking. The inter-observer test was performed by three independent researchers. A validity test was carried out using two methods for identifying and classifying HFI: 46 cadaver skullcaps were ranked twice via computerized tomography scans and then by direct observation. Reliability and validity were calculated using Kappa test (SPSS 15.0). Reliability tests of ranking HFI via CT scans demonstrated good results (K > 0.7). As for validity, a very good consensus was obtained between the CT and direct observation, when moderate and advanced types of HFI were present (K = 0.82). The suggested classification method for HFI, using CT, demonstrated a sensitivity of 84%, specificity of 90.5%, and positive predictive value of 91.3%. In conclusion, volume rendering is a reliable and valid tool for identifying HFI. The suggested three-scale classification is most suitable for radiological diagnosis of the phenomena. Considering the increasing awareness of HFI as an early indicator of a developing malady, this study may assist radiologists in identifying and classifying the phenomena.

  6. Bilateral ocular myiasis interna caused by botfly (Oestrus ovis): a case report.

    PubMed

    Parikh, Vatsal; Biswas, Jyotirmay; Vaijayanthi, K; Das, Debmalya; Raval, Vishal

    2011-12-01

    The sheep nasal botfly Oestrus ovis is the commonest of several species of dipteran fly whose larvae are obligatory parasites in the nasal cavities and frontal sinuses of sheep but may cause infestation (myiasis) in man, commonly as external infestations and rarely, involves inner coat of the eye (Ocular myiasis interna). We report an imported case of Bilateral Ocular myiasis interna in an Indian boy.

  7. A multi-disciplinary approach to evaluate pluvial floods risk under changing climate: The case study of the municipality of Venice (Italy).

    PubMed

    Sperotto, A; Torresan, S; Gallina, V; Coppola, E; Critto, A; Marcomini, A

    2016-08-15

    Global climate change is likely to pose increasing threats in nearly all sectors and across all sub-regions worldwide (IPCC, 2014). Particularly, extreme weather events (e.g. heavy precipitations), together with changing exposure and vulnerability patterns, are expected to increase the damaging effect of storms, pluvial floods and coastal flooding. Developing climate and adaptation services for local planners and decision makers is becoming essential to transfer and communicate sound scientific knowledge about climate related risks and foster the development of national, regional and local adaptation strategies. In order to analyze the effect of climate change on pluvial flood risk and advice adaptation planning, a Regional Risk Assessment (RRA) methodology was developed and applied to the urban territory of the municipality of Venice. Based on the integrated analysis of hazard, exposure, vulnerability and risk, RRA allows identifying and prioritizing targets and sub-areas that are more likely to be affected by pluvial flood risk due to heavy precipitation events in the future scenario 2041-2050. From the early stages of its development and application, the RRA followed a bottom-up approach taking into account the requests, knowledge and perspectives of local stakeholders of the North Adriatic region by means of interactive workshops, surveys and discussions. Results of the analysis showed that all targets (i.e. residential, commercial-industrial areas and infrastructures) are vulnerable to pluvial floods due to the high impermeability and low slope of the topography. The spatial pattern of risk mostly reflects the distribution of the hazard and the districts with the higher percentage of receptors' surface in the higher risk classes (i.e. very high, high and medium) are Lido-Pellestrina and Marghera. The paper discusses how risk-based maps and statistics integrate scientific and local knowledge with the final aim to mainstream climate adaptation in the development

  8. A 9000-Year Record of Centennial-to-Multi Centennial Scale Pluvial Events From Lower Bear Lake Sediments (San Bernardino Mtns., Coastal Southwestern North America)

    NASA Astrophysics Data System (ADS)

    Rivera, J. J.; Kirby, M. E.; Zimmerman, S. R.; Starratt, S.; Patterson, W. P.; Hiner, C.; Monarrez, P.

    2011-12-01

    Lower Bear Lake is located in the San Bernardino Mountains of coastal southwestern North America (CSWNA). This lake is the natural, pre-dam lake where present day Big Bear Reservoir is located. A single drive, 4.8 m-long sediment core was extracted from Lower Bear Lake in 2005. We present a 9000 calendar years before present (cal yr BP) paleohydrologic reconstruction. This new multi-proxy record (LOI 550°C, 950°C; C:N ratios, microfossils counts, grain size) is well-dated (22 AMS 14C dates on discrete organic material) and is characterized by variable sedimentology. Our results indicate two major features: 1) a long-term Holocene drying trend as observed elsewhere in CSWNA with an abrupt shift from wetter to drier conditions about 6200; and, 2) nine centennial-to-multi-centennial pluvial events over the past 9000 cal yr BP superimposed on the long term drying trend. Of these nine inferred pluvial intervals, five are considered major based on their combined proxy interpretations: 9300?-8250, 7000-6400, 3350-3000, 850-700, and 500-??? cal yr BP. To assess our results in terms of broader, regional paleoclimate records, we compare the timing of the major pluvial intervals at Lower Bear Lake to those identified previously at Lake Elsinore and Tulare Lake. This comparison reveals a similar timing between the three sites and the major pluvials. This temporally and spatially coherent signal indicates that a similar climate forcing acted to increase regional wetness at various times during the past 9000 cal yr BP. As a working hypothesis, we contend that small changes in the dominant patterns of Pacific SSTs modulated atmospheric circulation, thus favoring periods of enhanced atmospheric river storm activity across CSWNA.

  9. Sedimentology of the Essaouira Basin (Meskala Field) in context of regional sediment distribution patterns during upper Triassic pluvial events

    NASA Astrophysics Data System (ADS)

    Mader, Nadine K.; Redfern, Jonathan; El Ouataoui, Majid

    2017-06-01

    Upper Triassic continental clastics (TAGI: Trias Argilo-Greseux Inferieur) in the Essaouira Basin are largely restricted to the subsurface, which has limited analysis of the depositional environments and led to speculation on potential provenance of the fluvial systems. Facies analysis of core from the Meskala Field onshore Essaouira Basin is compared with tentatively time-equivalent deposits exposed in extensive outcrops in the Argana Valley, to propose a process orientated model for local versus regional sediment distribution patterns in the continuously evolving Moroccan Atlantic rift during Carnian to Norian times. The study aims to unravel the climatic overprint and improve the understanding of paleo-climatic variations along the Moroccan Atlantic margin to previously recognised Upper Triassic pluvial events. In the Essaouira Basin, four facies associations representing a progressive evolution from proximal to distal facies belts in a continental rift were established. Early ephemeral braided river systems are succeeded by a wet aeolian sandflat environment with a strong arid climatic overprint (FA1). This is followed by the onset of perennial fluvial deposits with extensive floodplain fines (FA2), accompanied by a distinct shift in fluvial style, suggesting increase in discharge and related humidity, either locally or in the catchment area. The fluvial facies transitions to a shallow lacustrine or playa lake delta environment (FA3), which exhibits cyclical abandonment. The delta is progressively overlain by a terminal playa with extensive, mottled mudstones (FA4), interpreted to present a return from cyclical humid-arid conditions to prevailing aridity in the basin. In terms of regional distribution and sediment source provenance, paleocurrent data from Carnian to Norian deposits (T5 to T8 member) in the Argana Valley suggest paleoflow focused towards the S and SW, not directed towards the Meskala area in the NW as previously suggested. A major depo

  10. How well do models reproduce the ocean-forced teleconnections associated with droughts and pluvials in the Middle East and Southwest Asia?

    NASA Astrophysics Data System (ADS)

    Barlow, Mathew; Hoell, Andrew; Schubert, Siegfried; Wang, Hailan

    2016-04-01

    Tropical sea surface temperatures have been shown to strongly influence the seasonal and multi-year occurrence of both droughts and very wet periods (pluvials) across Southwest Asia and parts of the Middle East. Here, we examine those ocean-forced teleconnections from three perspectives: how their influence varies within this broad region, how well their influence is captured by a range of models, and how closely their influence is linked to societal impacts. This combination of perspectives improves our understanding of these modes, especially in relation to societal impacts, and provides key information for evaluating climate projections. The teleconnections are examined first in observational data, considering differences resulting from focusing on the western part of the region (the Mediterranean coastal Middle East) to the eastern part of the region (the Pamir mountains), and then comparing the observational results to ensemble simulations from a range of models. There are notable differences between models, with important implications for understanding the dynamics of the events and for setting confidence bounds on climate change projections in the region. The relationship between droughts and floods in the region is also considered. The teleconnections associated with pluvials are approximately antisymmetric to those associated with droughts. Floods occur over a considerably shorter time-scale, however, and their variability is examined by analyzing changes to the frequency of floods between pluvial and drought periods, considering floods as recorded in the Dartmouth Flood Observatory and the CRED EM-DAT disaster database.

  11. Hyperostosis frontalis interna in a Neandertal from Marillac (Charente, France).

    PubMed

    Garralda, María Dolores; Maureille, Bruno; Vandermeersch, Bernard

    2014-02-01

    The site of Marillac (Charente, France) has yielded an important stratigraphic sequence containing numerous Neandertal remains (some of them with peri-mortem manipulations) from lithofacies 2 (Quina Mousterian). This level has been correlated with MIS 4 and is associated with a TL date of 57,600 ± 4600 years BP (before present). The study of one of the cranial fragments (Marillac 3) revealed a grade 2 or Type B Hyperostosis frontalis interna (HFI), remodelling and altering the internal table of the thick frontal bone. This pathology has been analysed macroscopically together with radiography and sections made using a microscanner and a scanner. The development of the HFI is compared with published evidence for Sangiran 3 (Homo erectus), two other Neandertals (Forbes' Quarry and Shanidar 5), and several archaeological samples. Forbes' Quarry seems to display more advanced HFI than either Shanidar 5 or Marillac 3. The three Neandertals may be considered mature individuals (≥40 years) and it seems likely that the aetiology of this pathology may be associated with hormonal alterations, as has been suggested for past and extant populations. While the prevalence of HFI in contemporary post-menopausal women is well documented, the identification of HFI amongst males from several archaeological samples (Neanderthals, Ancient Egypt, Syrian Bronze Age or the Anasazi), with different stages of development, confirm that the pathology affected both sexes in past populations. Additional data and research are still needed to elucidate the etiopathogenesis of this illness and to better understand the relationship between environmental factors and their possible influences/consequences for the development of metabolic disorders in prehistoric populations.

  12. Urban pluvial flooding in Jakarta: applying state-of-the-art technology in a data scarce environment.

    PubMed

    Hurford, A P; Maksimović, C; Leitão, J P

    2010-01-01

    Available data relating to major pluvial flooding events in Jakarta, Indonesia were used to investigate the suitability of two different levels of sophistication in urban modelling tools for modelling these events. InfoWorks CS v9.0 was employed to build 1D and 1D/2D models of a 541 ha area of inner city Ciliwung River catchment which has a history of being particularly badly affected by flooding during heavy rainfall events. The study demonstrated that a 1D model was sufficient to simulate the flood extent of a major event using the limited data available. While the 1D/2D model also performed well, more data and time would have been required to match the 1D model's simulation of flood extent. Much more detailed data would have been required to produce reliable results in the 1D/2D model and to enable any kind of verification or calibration of the two models beyond visual comparison with crude flood extent maps.

  13. Carbon isotope records reveal synchronicity between carbon cycle perturbation and the "Carnian Pluvial Event" in the Tethys realm (Late Triassic)

    NASA Astrophysics Data System (ADS)

    Dal Corso, Jacopo; Gianolla, Piero; Newton, Robert J.; Franceschi, Marco; Roghi, Guido; Caggiati, Marcello; Raucsik, Béla; Budai, Tamás; Haas, János; Preto, Nereo

    2015-04-01

    In the early Late Triassic a period of increased rainfall, named the Carnian Pluvial Event (CPE), is evidenced by major lithological changes in continental and marine successions worldwide. The environmental change seems to be closely associated with a negative carbon isotope excursion that was identified in a stratigraphic succession of the Dolomites (Italy) but the temporal relationship between these phenomena is still not well defined. Here we present organic-carbon isotope data from Carnian deep-water stratigraphic sections in Austria and Hungary, and carbonate petrography of samples from a marginal marine section in Italy. A negative 2-4‰ δ13C shift is recorded by bulk organic matter in the studied sections and is coincident with a similar feature highlighted in higher plant and marine algal biomarker carbon-isotope records from the Dolomites (Italy), thus testifying to a global change in the isotopic composition of the reservoirs of the exchangeable carbon. Our new observations verify that sedimentological changes related to the CPE coincide with the carbon cycle perturbation and therefore occurred synchronously within the western Tethys. Consistent with modern observations, our results show that the injection of 13C-depleted CO2 into the Carnian atmosphere-ocean system may have been directly responsible for the increase in rainfall by intensifying the Pangaean mega-monsoon activity. The consequent increased continental weathering and erosion led to the transfer of large amounts of siliciclastics into the basins that were rapidly filled up, while the increased nutrient flux triggered the local development of anoxia. The new carbonate petrography data show that these changes also coincided with the demise of platform microbial carbonate factories and their replacement with metazoan driven carbonate deposition. This had the effect of considerably decreasing carbonate deposition in shallow water environments.

  14. [Anales de Medicina Interna: standardization, dissemination and bibliometric indicators. (I) Standards evaluation].

    PubMed

    Ruiz Pérez, R; Delgado López-Cozar, E; Jiménez Contreras, E

    1997-08-01

    The evaluation of scientific journal has become a necessary exercise for a variety of purposes and parties. We evaluated compliance with ISO standards for periodicals by the Spanish biomedical journal An. Med. Interna. Compliance with 136 data items based on different standards was evaluated with the help of a specially developed data sheet, and expressed as overall mean compliance (49.2%) and actual mean compliance (83.4%), i.e., compliance with those items considered necessary for the effective transfer of information via data bases. Items for which standardization was not optimal were examined in detail and specific recommendations for correction were given. We conclude that An. Med. Interna effectively fulfills its mission as an instrument for the communication of research results. In comparison with Spanish journals covering different areas and published by different organizations, compliance with international standards was better in An. Med. Interna.

  15. A multi-disciplinary approach to evaluate vulnerability and risks of pluvial floods under changing climate: the case study of the municipality of Venice (Italy).

    NASA Astrophysics Data System (ADS)

    Sperotto, Anna; Torresan, Silvia; Gallina, Valentina; Coppola, Erika; Critto, Andrea; Marcomini, Antonio

    2015-04-01

    Global climate change is expected to affect the intensity and frequency of extreme events (e.g. heat waves, drought, heavy precipitations events) leading to increasing natural disasters and damaging events (e.g. storms, pluvial floods and coastal flooding) worldwide. Especially in urban areas, disasters risks can be exacerbated by changes in exposure and vulnerability patterns (i.e. urbanization, population growth) and should be addressed by adopting a multi-disciplinary approach. A Regional Risk Assessment (RRA) methodology integrating climate and environmental sciences with bottom-up participative processes was developed and applied to the urban territory of the municipality of Venice in order to evaluate the potential consequences of climate change on pluvial flood risk in urban areas. Based on the consecutive analysis of hazard, exposure, vulnerability and risks, the RRA methodology is a screening risk tool to identify and prioritize major elements at risk (e.g. residential, commercial areas and infrastructures) and to localize sub-areas that are more likely to be affected by flood risk due to heavy precipitation events, in the future scenario (2041-2050). From the early stages of its development and application, the RRA followed a bottom-up approach to select and score site-specific vulnerability factors (e.g. slope, permeability of the soil, past flooded areas) and to consider the requests and perspectives of local stakeholders of the North Adriatic region, by means of interactive workshops, surveys and discussions. The main outputs of the assessment are risk and vulnerability maps and statistics aimed at increasing awareness about the potential effect of climate change on pluvial flood risks and at identifying hot-spot areas where future adaptation actions should be required to decrease physical-environmental vulnerabilities or building resilience and coping capacity of human society to climate change. The overall risk assessment methodology and the results

  16. [Arteriovenous fistula of the A. vertebralis after catheterization of V. jugularis interna (author's transl)].

    PubMed

    Beeger, R; Grabbe, E; Vogel, H

    1982-09-01

    The article reports on an arteriovenous fistula between the a. vertebralis and the v. vertebralis with blood flowing off via the v. vertebralis, v. cervicalis profunda and v. brachiocephalica. The fistula occurred after application of a central venous catheter to the v. jugularis interna.

  17. [Anales de Medicina Interna: standardization, dissemination and bibliometric indicators. (II) Bibliometric analysis].

    PubMed

    Jiménez-Contreras, E; Delgado López-Cozar, E; Ruiz Pérez, R

    1997-08-01

    National and international diffusion, composition of the collective of authors who publish in the journal, and cocitation were studies for the journal An. Med. Interna. Diffusion was analyzed by examining the presence of the journal in medical data bases and specialized libraries in Spain. The institutional affiliations and geographical location of authors were determined on the basis of the affiliations given in the article by-lines. The journal is included in the major medical data bases and in approximately 80% of the libraries studied. The predominant professional affiliation among authors was clinical (hospital); the geographical origin of the authors (expressed as a percentage of all authors) approximately paralleled the volume of scientific publications generated by each of Spain's 17 autonomous regions. The cocitation study showed that An. Med. Interna ranked somewhere in the middle of the group' of 38 Spanish medical journals considered representative of research being done in Spain.

  18. Primera aproximación a la estructura interna de Plutón

    NASA Astrophysics Data System (ADS)

    Steren, G. A.; Carranza, G. J.; Hubbard, W. B.

    En el presente trabajo se propuso estudiar la estructura interna actual del planeta Plutón. El modelo que se planteó es del tipo de estructura no-diferenciada. Se incluyó como fuente de calor interna la radioactividad y como único mecanismo de transporte de la energía a la conducción. Se encontró que el planeta estaría compuesto por una mezcla de roca (65% en masa) y hielo de agua (35%). Este simple modelo permite inferir que una estructura más realista para Plutón debería incluir también a la convección como mecanismo de transporte. Ello además permitiría avanzar de modo más firme en el estado de diferenciación del planeta, que casi seguramente sea más complejo que el adoptado.

  19. Presumptive meningoencephalitis secondary to extension of otitis media/interna caused by Streptococcus equi subspecies zooepidemicus in a cat.

    PubMed

    Martin-Vaquero, Paula; da Costa, Ronaldo C; Daniels, Joshua B

    2011-08-01

    A 5-year-old castrated male domestic longhair cat was presented with neurological signs consistent with a central vestibular lesion and left Horner's syndrome. Computed tomography images revealed hyperattenuating, moderately contrast-enhancing material within the left tympanic bulla, most consistent with left otitis media/interna. Marked neutrophilic pleocytosis was identified on cerebrospinal fluid analysis. Streptococcus equi subspecies zooepidemicus (SEZ) was isolated from the cerebrospinal fluid. Intracranial extension of otitis media/interna is relatively infrequent in small animals. There are no reports of otitis media/interna caused by SEZ in dogs or cats. This is the first report of otitis media/interna and presumptive secondary meningoencephalitis caused by SEZ in a cat. Copyright © 2011 ISFM and AAFP. Published by Elsevier Ltd. All rights reserved.

  20. Sub-pluvial Saqqara and its possible impact on ancient Egyptian civilization in the Old Kingdom Period (4600 - 4100 yrs BP)

    NASA Astrophysics Data System (ADS)

    Welc, Fabian; Marks, Leszek

    2014-05-01

    ). A role of these wet intervals is incontestable and they can represent a sub-pluvial episode with two peaks at about 4600 and 4200 yrs BP, presumably of regional significance for north-eastern Africa. The authors suggest to name this relatively wet period the Saqqara Sub-pluvial. Based on the present knowledge, the extremely dynamic terminal phase of the second peak of the Saqqara Sub-pluvial and the following sudden desertification noted in deposits at archaeological sites in Saqqara and in the adjoining area (Abusir, Giza) should be roughly correlated with global climatic perturbation of the 3rd Bond Event or 4.2 ka Rapid Climate Change. The climate change in that time resulted in a collapse of the Egyptian civilization but also in rapid depopulation of Palestine, disintegration of the Acadian Empire in Mesopotamia and the Harappa Civilization in northwest India. Mechanism of this climate change is investigated within the project funded by National Science Centre in Poland (decision no. DEC-2012/05/B/ST10/00558).

  1. Paleoseismology from Paleoshorelines: Combining Lidar Data and Geochronology to Resolve Displacement of Pleistocene Pluvial Shorelines along Normal Faults in the Northwestern Basin and Range

    NASA Astrophysics Data System (ADS)

    Egger, A. E.; Ibarra, D. E.

    2012-12-01

    Paleoshorelines of pluvial lakes in the Basin and Range are commonly used to determine lake highstands and to assess past climate in a now-arid region. However, because paleoshorelines record a paleohorizontal datum, these features can provide insight into tectonic processes at a variety of scales as well. Deviations of a paleoshorelines from a modern horizontal plane may be caused by isostatic rebound of the crust resulting from lake removal or by offset along faults since a given lake stillstand. While isostatic rebound has a significant effect over large lake basins such as Bonneville and Lahontan, the effect is negligible in smaller lakes that fill a single valley, often within terminal basins. As a result, variability in shoreline elevations can be attributed primarily to offset along normal faults. Pluvial lakes occupied valleys in the Basin and Range between >1 Ma to <12 ka, a time range for which fault slip rates have proven difficult to determine using traditional paleoseismic and geologic records. Trenches provide paleoseismic records across a single fault, but a single valley may contain several seismically active faults, and the time resolution is typically limited by the maximum age of radiocarbon dating and the earthquake recurrence interval. Geologic records typically provide average slip rates over time rather than timing of individual seismic events. In the northwestern Basin and Range, where the strain rate is low and earthquake recurrence intervals are long, it is particularly critical to extend the traditional paleoseismic record as far back as possible. By precisely dating paleoshorelines and using high-resolution topographic data to correlate them across active faults, it is possible to greatly enhance the record of slip rate along normal fault systems. Newly acquired airborne lidar data in Surprise Valley, a small terminal basin in northeastern California, reveals a mappable series of shorelines that occur throughout the valley on both sides

  2. Brief communication: unusual finding at Pueblo Bonito: multiple cases of hyperostosis frontalis interna.

    PubMed

    Mulhern, Dawn M; Wilczak, Cynthia A; Dudar, J Christopher

    2006-08-01

    Hyperostosis frontalis interna (HFI) is a disease characterized by excess bone growth on the internal lamina of the frontal bone and, occasionally, other cranial bones. Although the disease is fairly common in modern populations, its etiology is poorly understood. Hyperostosis frontalis interna has been identified in antiquity, primarily in the Old World, but with a much lower frequency than in modern groups. The purpose of the present study is to report multiple cases of HFI at Pueblo Bonito (Chaco Canyon, New Mexico). Twelve out of 37 adults with observable frontal bones exhibited HFI, ranging from mild to severe, including 11 females and one male. This is the first published case report of HFI in archaeological remains from the New World having a frequency comparable with modern groups. Most archaeological cases of HFI are isolated, so comparative data for multiple cases at one site are rare. The results of this study emphasize the importance of looking for HFI in archaeological remains, although it is rarely observed. Possible genetic and environmental factors for the high frequency of HFI at Chaco Canyon are considered, but additional research is needed to discover the etiology and to better understand why HFI sometimes occurs at modern frequencies in ancient populations.

  3. Late Pleistocene ages for the most recent volcanism and glacial-pluvial deposits at Big Pine volcanic field, California, USA, from cosmogenic 36Cl dating

    USGS Publications Warehouse

    Vazquez, Jorge A.; Woolford, Jeff M

    2015-01-01

    The Big Pine volcanic field is one of several Quaternary volcanic fields that poses a potential volcanic hazard along the tectonically active Owens Valley of east-central California, and whose lavas are interbedded with deposits from Pleistocene glaciations in the Sierra Nevada Range. Previous geochronology indicates an ∼1.2 Ma history of volcanism, but the eruption ages and distribution of volcanic products associated with the most-recent eruptions have been poorly resolved. To delimit the timing and products of the youngest volcanism, we combine field mapping and cosmogenic 36Cl dating of basaltic lava flows in the area where lavas with youthful morphology and well-preserved flow structures are concentrated. Field mapping and petrology reveal approximately 15 vents and 6 principal flow units with variable geochemical composition and mineralogy. Cosmogenic 36Cl exposure ages for lava flow units from the top, middle, and bottom of the volcanic stratigraphy indicate eruptions at ∼17, 27, and 40 ka, revealing several different and previously unrecognized episodes of late Pleistocene volcanism. Olivine to plagioclase-pyroxene phyric basalt erupted from several vents during the most recent episode of volcanism at ∼17 ka, and produced a lava flow field covering ∼35 km2. The late Pleistocene 36Cl exposure ages indicate that moraine and pluvial shoreline deposits that overlie or modify the youngest Big Pine lavas reflect Tioga stage glaciation in the Sierra Nevada and the shore of paleo-Owens Lake during the last glacial cycle.

  4. Bilateral Granulomatous and Fibrinoheterophilic Otitis Interna due to Pseudomonas aeruginosa in a Captive Little Bustard ( Tetrax tetrax ).

    PubMed

    Scala, Christopher; Langlois, Isabelle; Lemberger, Karin

    2015-06-01

    A captive juvenile little bustard ( Tetrax tetrax ) was presented for acute onset of right head tilt and right circling. The bird failed to respond to supportive care and systemic antibiotic therapy. A bilateral granulomatous and fibrinoheterophilic otitis interna due to Pseudomonas aeruginosa was diagnosed postmortem by histopathologic examination and bacterial culture. In bustards, Pseudomonas species have been documented in the normal bacterial flora of the oropharynx and are frequently reported in upper respiratory tract infections. This is the first report of a peripheral vestibular syndrome due to P aeruginosa otitis interna in a bustard species. Pseudomonas aeruginosa should be included as a possible cause of otitis and peripheral vestibular syndrome in bustards.

  5. Ultrastructure of the membrana limitans interna after dye-assisted membrane peeling.

    PubMed

    Brockmann, Tobias; Steger, Claudia; Westermann, Martin; Nietzsche, Sandor; Koenigsdoerffer, Ekkehart; Strobel, Juergen; Dawczynski, Jens

    2011-01-01

    The purpose of this study was to investigate the ultrastructure of the membrana limitans interna (internal limiting membrane, ILM) and to evaluate alterations to the retinal cell layers after membrane peeling with vital dyes. Twenty-five patients (25 eyes) who underwent macular hole surgery were included, whereby 12 indocyanine green (ICG)- and 13 brilliant blue G (BBG)-stained ILM were analyzed using light, transmission electron and scanning electron microscopy. Retinal cell fragments on the ILM were identified in both groups using immunohistochemistry. Comparing ICG- and BBG-stained membranes, larger cellular fragments were observed at a higher frequency in the BBG group. Thereby, the findings indicate that ICG permits an enhanced separation of the ILM from the underlying retina with less mechanical destruction. A possible explanation might be seen in the known photosensitivity of ICG, which induces a stiffening and shrinkage of the ILM but also generates retinal toxic metabolites.

  6. Appearance of hyperostosis frontalis interna in some osteoarcheological series from Hungary.

    PubMed

    Hajdu, T; Fóthi, E; Bernert, Zs; Molnár, E; Lovász, G; Kovári, I; Köhler, K; Marcsik, A

    2009-01-01

    Hyperostosis frontalis interna (HFI) is a generalised pathological condition with an unknown etiology and variable clinical association. It is characterized by excess bone growth and manifested on the inner table of the frontal bone, occasionally extending onto the temporals, parietals and the occipital. The etiology of HFI is uncertain: it may be an unknown genetic predisposition, a common environmental exposure, or special metabolic diseases. The purpose of the present study is to report cases of HFI in some osteoarcheological series from Hungary and to emphasize the importance of the investigation of HFI in ancient populations. Twenty out of 803 adults with observable frontal bones exhibited HFI, ranging from early to mid-type, including 15 females and 5 males. Some overgrowths with edges were blending into the endocranial surface, and some were prominently protruding from the surface. Advanced cases of HFI (type C) were observed after age 40-60 years.

  7. Ophthalmomyiasis interna anterior in a dog: keratotomy and extraction of a Cuterebra sp. larva.

    PubMed

    Edelmann, Michele L; Lucio-Forster, Araceli; Kern, Thomas J; Bowman, Dwight D; Ledbetter, Eric C

    2014-11-01

    A 1-year-old female spayed mixed-breed dog was presented for evaluation of acute onset of lethargy and blepharospasm OD. Slit-lamp biomicroscopy revealed a segmented larva embedded in the inferonasal iris. Moderate anterior uveitis was present. After pharmacologic dilation, mild vitreal hemorrhage and chorioretinal migration tracks were identified. The dog was treated empirically for uveitis for 5 days, after which a keratotomy and larval foreign body extraction was performed. The dog recovered uneventfully from intraocular surgery and remained visual and comfortable. Parasite evaluation confirmed the larva to be a Cuterebra sp. To the authors' knowledge, this is the first report of canine ophthalmomyiasis interna anterior, and the first report of successful surgical removal from the anterior segment in a dog with preservation of vision.

  8. Intensified pluvial conditions during the twentieth century in the inland Heihe River Basin in arid northwestern China over the past millennium

    NASA Astrophysics Data System (ADS)

    Qin, Chun; Yang, Bao; Burchardt, Iris; Hu, Xiaoli; Kang, Xingcheng

    2010-06-01

    Past streamflow variability is of special significance in the inland river basin, i.e., the Heihe River Basin in arid northwestern China, where water shortage is a serious environmental and social problem. However, the current knowledge of issues related to regional water resources management and long-term planning and management is limited by the lack of long-term hydro-meteorological records. Here we present a 1009-year annual streamflow (August-July) reconstruction for the upstream of the Heihe River in the arid northwestern China based on a well-replicated Qilian juniper ( Sabina przewalskii Kom.) ring-width chronology. This reconstruction accounts for 46.9% of the observed instrumental streamflow variance during the period 1958-2006. Considerable multidecadal to centennial flow variations below and above the long-term average are displayed in the millennium streamflow reconstruction. These periods 1012-1053, 1104-1212, 1259-1352, 1442-1499, 1593-1739 and 1789-1884 are noteworthy for the persistence of low-level river flow, and for the fact that these low streamflow events are not found in the observed instrumental hydrological record during the recent 50 years. The 20th century witnessed intensified pluvial conditions in the upstream of the Heihe River in the arid northwestern China in the context of the last millennium. Comparison with other long-term hydrological reconstructions indicates that the intensification of the hydrological cycle in the twentieth century from different regions could be attributable to regional to large-scale temperature increase during this time. Furthermore, from a practical perspective, the streamflow reconstruction can serve as a robust database for the government to work out more scientific and more reasonable water allocation alternatives for the Heihe River Basin in arid northwestern China.

  9. Impacts of Evolutionary History on Endangerment in a Changing Climate: Miocene upwelling, Holocene Pluvial Cycles and Endemics at the Mouth of the Colorado River.

    NASA Astrophysics Data System (ADS)

    Jacobs, D. K.

    2006-12-01

    The environmental conditions communities experienced during their diversification and recent geologic history informs us as to which environmental changes are most likely to impact species in those communities. Three examples follow: 1) Recent compilation of molecular and paleontological data document that higher aspects of the trophic chain in the Pacific Northwest, including the salmon genus Onchoyrhynchus, alcid birds (Auks & Puffins) and crabs of the genus Cancer speciated dramatically in response to enhanced upwelling of the mid Miocene (Jacobs et al. 2004). Consistent with this evolutionary origin, population dynamics and endangerment of these taxa are associated with the changing productivity regime of the Pacific as well as more direct human impacts. 2) Pluvials in the Eurasian and African continent respond to the precession cycle, as a result wetland habitats were much more expansive in the early and middle Holocene. Late Holocene wetland habitat contraction combines with increasing anthropogenic manipulation of these cyclically limited hydrologic resources to yield a suite of endangered taxa across these continents as is statistically documented by analysis of Redbook data. 3) Our recent work documents the evolution of endemic fish and Molluscan taxa in association with the Colorado River Delta. These endemic taxa are then vulnerable to the to impacts on the Colorado Delta where anthropogenic use of water resources combine with the threat of climate provide combined threats to this ecosystem. The Environmental/Evolutionary history of lineages clearly has strong implications for how anthropogenic changes impacts and endangers those lineages. Jacobs D.K. et al. Annu. Rev. Earth Planet. Sci. 2004. 32:601 52

  10. 3D-Microarchitectural patterns of Hyperostosis frontalis interna: a micro-computed tomography study in aged women.

    PubMed

    Bracanovic, Djurdja; Djonic, Danijela; Nikolic, Slobodan; Milovanovic, Petar; Rakocevic, Zoran; Zivkovic, Vladimir; Djuric, Marija

    2016-11-01

    Although seen frequently during dissections and autopsies, Hyperostosis frontalis interna (HFI) - a morphological pattern of the frontal bone thickening - is often ignored and its nature and development are not yet understood sufficiently. Current macroscopic classification defines four grades/stages of HFI based on the morphological appearance and size of the affected area; however, it is unclear if these stages also depict the successive phases in the HFI development. Here we assessed 3D-microarchitecture of the frontal bone in women with various degrees of HFI expression and in an age- and sex-matched control group, hypothesizing that the bone microarchitecture bears imprints of the pathogenesis of HFI and may clarify the phases of its development. Frontal bone samples were collected during routine autopsies from 20 women with HFI (age: 69.9 ± 11.1 years) and 14 women without HFI (age: 74.1 ± 9.7 years). We classified the HFI samples into four groups, each group demonstrating different macroscopic type or stage of HFI. All samples were scanned by micro-computed tomography to evaluate 3D bone microarchitecture in the following regions of interest: total sample, outer table, diploe and inner table. Our results revealed that, compared to the control group, the women with HFI showed a significantly increased bone volume fraction in the region of diploe, along with significantly thicker and more plate-like shaped trabeculae and reduced trabecular separation and connectivity density. Moreover, the inner table of the frontal bone in women with HFI displayed significantly increased total porosity and mean pore diameter compared to controls. Microstructural reorganization of the frontal bone in women with HFI was also reflected in significantly higher porosity and lower bone volume fraction in the inner vs. outer table due to an increased number of pores larger than 100 μm. The individual comparisons between the control group and different macroscopic stages of

  11. Net Primary Productivity and Edaphic Fertility in Two Pluvial Tropical Forests in the Chocó Biogeographical Region of Colombia

    PubMed Central

    Quinto-Mosquera, Harley

    2017-01-01

    The net primary productivity (NPP) of tropical forests is a key process of the carbon cycle and therefore for the mitigation of global climate change. It has been proposed that NPP is limited by the availability of soil nutrients in lowland tropical forests and that belowground NPP decreases as edaphic fertility increases. This hypothesis was evaluated in two localities (Opogodó and Pacurita) of the Chocó Biogeographical region, one of the rainiest of the world, where the aboveground (litter and wood) and belowground (fine and coarse roots) components of NPP were measured. Fertility parameters (pH, nutrients, and texture) were also determined and related to NPP. Total NPP was similar between locations (23.7 vs. 24.2 t ha-1 year-1 for Opogodó and Pacurita, respectively). However, components of NPP showed differences: in Pacurita, with steeper topography, NPP of wood and coarse roots were higher; therefore, differences of topography and drainage between localities probably affected the NPP of wood. On the other hand, soils of Opogodó, where NPP of fine roots was higher, showed higher contents of sand, N+, and organic matter (OM). With the increase of pH, OM, N+, K, Mg, and sand, the NPP of leaves and fine roots as well as the percentage of NPP belowground also increased, which suggests NPP limitation by multiple nutrients. The increase of NPP belowground with the availability of edaphic nutrients evidenced a redistribution of the aboveground and belowground components of NPP with the increase of soil fertility in oligotrophic systems, probably as a mechanism to improve the capture of resources. PMID:28114418

  12. Net Primary Productivity and Edaphic Fertility in Two Pluvial Tropical Forests in the Chocó Biogeographical Region of Colombia.

    PubMed

    Quinto-Mosquera, Harley; Moreno, Flavio

    2017-01-01

    The net primary productivity (NPP) of tropical forests is a key process of the carbon cycle and therefore for the mitigation of global climate change. It has been proposed that NPP is limited by the availability of soil nutrients in lowland tropical forests and that belowground NPP decreases as edaphic fertility increases. This hypothesis was evaluated in two localities (Opogodó and Pacurita) of the Chocó Biogeographical region, one of the rainiest of the world, where the aboveground (litter and wood) and belowground (fine and coarse roots) components of NPP were measured. Fertility parameters (pH, nutrients, and texture) were also determined and related to NPP. Total NPP was similar between locations (23.7 vs. 24.2 t ha-1 year-1 for Opogodó and Pacurita, respectively). However, components of NPP showed differences: in Pacurita, with steeper topography, NPP of wood and coarse roots were higher; therefore, differences of topography and drainage between localities probably affected the NPP of wood. On the other hand, soils of Opogodó, where NPP of fine roots was higher, showed higher contents of sand, N+, and organic matter (OM). With the increase of pH, OM, N+, K, Mg, and sand, the NPP of leaves and fine roots as well as the percentage of NPP belowground also increased, which suggests NPP limitation by multiple nutrients. The increase of NPP belowground with the availability of edaphic nutrients evidenced a redistribution of the aboveground and belowground components of NPP with the increase of soil fertility in oligotrophic systems, probably as a mechanism to improve the capture of resources.

  13. Hyperostosis frontalis interna in postmenopausal women-Possible relation to osteoporosis.

    PubMed

    Djonic, Danijela; Bracanovic, Djurdja; Rakocevic, Zoran; Ivovic, Miomira; Nikolic, Slobodan; Zivkovic, Vladimir; Djuric, Marija

    2016-01-01

    To improve our understanding of hyperostosis frontalis interna (HFI), we investigated whether HFI was accompanied by changes in the postcranial skeleton. Based on head CT scan analyses, 103 postmenopausal women were divided into controls without HFI and those with HFI, in whom we measured the thickness of frontal, occipital, and parietal bones. Women in the study underwent dual energy x-ray absorptiometry to analyze the bone density of the hip and vertebral region and external geometry of the proximal femora. Additionally, all of the women completed a questionnaire about symptoms and conditions that could be related to HFI. Women with HFI had a significantly higher prevalence of headaches, neurological and psychiatric disorders, and a significantly lower prevalence of having given birth. Increased bone thickness and altered bone structure in women with HFI was localized only on the skull, particularly on the frontal bone, probably due to specific properties of its underlying dura. Bone loss in the postcranial skeleton showed the same pattern in postmenopausal women with HFI as in those without HFI. Recording of HFI in medical records can be helpful in distinguishing whether reported disorders occur as a consequence of HFI or are related to other diseases, but does not appear helpful in identifying women at risk of bone loss.

  14. Hyperostosis frontalis interna (HFI) and castration: the case of the famous singer Farinelli (1705-1782).

    PubMed

    Belcastro, Maria Giovanna; Todero, Antonio; Fornaciari, Gino; Mariotti, Valentina

    2011-11-01

    The famous castrato singer Farinelli (1705-1782) was exhumed by our research group in July 2006 for the purpose of gaining some insight into his biological profile through a study of his skeletal remains. Farinelli was castrated before puberty to preserve the treble pitch of the boy's voice into adult life. His powerful and sweet voice became legendary. In spite of its bad preservation state, the skeleton displayed some interesting characteristics that are probably related to the effects of castration, including long limb-bones, persistence of epiphyseal lines and osteoporosis. In particular, the frontal bone was affected by severe hyperostosis frontalis interna (HFI). This condition consists in a symmetrical thickening of the inner table of the bone. The epidemiology of HFI shows that it is relatively common in postmenopausal women but very rare in men. Men affected by this pathology suffer from diseases, syndromes or treatments causing androgen deficiency. In the case of Farinelli, castration was probably responsible for the onset and development of this lesion.

  15. A case of extensive hyperostosis frontalis interna in an 87-year-old female human cadaver.

    PubMed

    Talarico, Ernest F; Prather, Andrew D; Hardt, Kevin D

    2008-04-01

    Hyperostosis frontalis interna (HFI) is a condition that involves thickening of the inner surface of the frontal bone with sparing of the midline. Little is known about the etiology and clinical presentation of HFI. We report unusual findings in a woman with extensive Type D hyperostosis of the frontal bone and a large hyperostotic nodule in the parietal bone with impingement on the precentral gyrus, distinguishing this from the common form of HFI. The scalp was dissected from the cranial vault, and the calvaria and brain were removed and digitally imaged. Bone specimens were embedded in methyl methacrylate plastic, sectioned, and stained using the Von Kossa Method with MacNeal's tetrachrome. Medical records were reviewed, and additional history was obtained through interviews with the donor's family. The calvaria had extensive, bilateral thickening of the frontal bone with irregular topography and clearly demarcated borders. The dura was adherent to all hyperostotic regions. A 3.5-cm nodule was visible on the inner table of the left parietal bone. The dura and cerebrum showed compression in this region, but it was unclear if this resulted in clinical ramifications. Microscopic analysis revealed a larger proportion of cancellous bone was present in regions of macroscopic hyperostosis. Quantitative analysis of sections through areas of gross hyperostosis demonstrated a lower proportion of lamellar bone than in the control. The patient exhibited symptoms that have been correlated to HFI in previous studies. We suggest that the HFI disease process was responsible for the manifestation of these symptoms in this patient.

  16. The Cognitive Role of the Globus Pallidus interna; Insights from Disease States.

    PubMed

    Gillies, M J; Hyam, J A; Weiss, A R; Antoniades, C A; Bogacz, R; Fitzgerald, J J; Aziz, T Z; Whittington, M A; Green, Alexander L

    2017-02-28

    The motor symptoms of both Parkinson's disease and focal dystonia arise from dysfunction of the basal ganglia, and are improved by pallidotomy or deep brain stimulation of the Globus Pallidus interna (GPi). However, Parkinson's disease is associated with a greater degree of basal ganglia-dependent learning impairment than dystonia. We attempt to understand this observation in terms of a comparison of the electrophysiology of the output of the basal ganglia between the two conditions. We use the natural experiment offered by Deep Brain Stimulation to compare GPi local field potential responses in subjects with Parkinson's disease compared to subjects with dystonia performing a forced-choice decision-making task with sensory feedback. In dystonic subjects, we found that auditory feedback was associated with the presence of high gamma oscillations nestled on a negative deflection, morphologically similar to sharp wave ripple complexes described in human rhinal cortex. These were not present in Parkinson's disease subjects. The temporal properties of the high gamma burst were modified by incorrect trial performance compared to correct trial performance. Both groups exhibited a robust low frequency response to 'incorrect' trial performance in dominant GPi but not non-dominant GPi at theta frequency. Our results suggest that cellular processes associated with striatum-dependent memory function may be selectively impaired in Parkinson's disease even if dopaminergic drugs are administered, but that error detection mechanisms are preserved.

  17. Membrana limitans interna and epiretinal membrane lying on macular holes. Some morphological observations.

    PubMed

    Reale, E; Groos, S; Luciano, L; Eckardt, C; Eckardt, U

    2001-01-01

    The structure of the membrana limitans interna (MLI) in the region of the macula has been investigated by electron microscopy in (a) 2 enucleated human adult eyes and (b) 38 surgically removed samples associated with an epiretinal membrane (ERM). In the enucleated eye, the glia cells were vitrad bordered either by the lamina rara or, directly, by the lamina densa. Both extended into a coarse network whereby the lamina densa, through repeated branches and anastomoses, delimited large meshes, the lamina rara formed their contents. High magnification revealed that both meshes and contents of this network were composed by a further, finer network. It is suggested that strips and small openings of the finer network are homologous to the cords and intercordal spaces, respectively, which have been indicated as the common, basic structures of most of the basement membranes. The MLI excised with an ERM had the same structure. In some of the ERM associated with a macular hole, myofibroblasts prevailed among the cells. They showed indented nucleus, stress fibers abuting on the plasma membrane or in apparent continuity with bundles of extracellular filaments (microtendons), gap junctions. The cells lay on or were surrounded by a discontinuous basement membrane.

  18. Hyperostosis frontalis interna (HFI) and castration: the case of the famous singer Farinelli (1705–1782)

    PubMed Central

    Belcastro, Maria Giovanna; Todero, Antonio; Fornaciari, Gino; Mariotti, Valentina

    2011-01-01

    The famous castrato singer Farinelli (1705–1782) was exhumed by our research group in July 2006 for the purpose of gaining some insight into his biological profile through a study of his skeletal remains. Farinelli was castrated before puberty to preserve the treble pitch of the boy's voice into adult life. His powerful and sweet voice became legendary. In spite of its bad preservation state, the skeleton displayed some interesting characteristics that are probably related to the effects of castration, including long limb-bones, persistence of epiphyseal lines and osteoporosis. In particular, the frontal bone was affected by severe hyperostosis frontalis interna (HFI). This condition consists in a symmetrical thickening of the inner table of the bone. The epidemiology of HFI shows that it is relatively common in postmenopausal women but very rare in men. Men affected by this pathology suffer from diseases, syndromes or treatments causing androgen deficiency. In the case of Farinelli, castration was probably responsible for the onset and development of this lesion. PMID:21740437

  19. Globus Pallidus Interna in Tourette Syndrome: Decreased Local Activity and Disrupted Functional Connectivity

    PubMed Central

    Ji, Gong-Jun; Liao, Wei; Yu, Yang; Miao, Huan-Huan; Feng, Yi-Xuan; Wang, Kai; Feng, Jian-Hua; Zang, Yu-Feng

    2016-01-01

    Globus pallidus interna (GPi) is an effective deep brain stimulation site for the treatment of Tourette syndrome (TS), and plays a crucial role in the pathophysiology of TS. To investigate the functional network feature of GPi in TS patients, we retrospectively studied 24 boys with ‘pure’ TS and 32 age-/education-matched healthy boys by resting state functional magnetic resonance images. Amplitude of low-frequency fluctuation (ALFF) and functional connectivity were used to estimate the local activity in GPi and its functional coordinate with the whole brain regions, respectively. We found decreased ALFF in patients’ bilateral GPi, which was also negatively correlated with clinical symptoms. Functional connectivity analysis indicated abnormal regions within motor and motor-control networks in patients (inferior part of sensorimotor area, cerebellum, prefrontal cortex, cingulate gyrus, caudate nucleus, and brain stem). Transcranial magnetic stimulation sites defined by previous studies (“hand knob” area, premotor area, and supplementary motor area) did not show significantly different functional connectivity with GPi between groups. In summary, this study characterized the disrupted functional network of GPi and provided potential regions-of-interest for further basic and clinical studies on TS. PMID:27799898

  20. Carbon cycle perturbations recorded by δ13C of bulk organic matter: the Carnian Pluvial Event in the Dolomites, northern Italy

    NASA Astrophysics Data System (ADS)

    Preto, Nereo; Breda, Anna; Dal Corso, Jacopo; Rigo, Manuel; Roghi, Guido; Spötl, Christoph

    2015-04-01

    A period of increased rainfall occurred in the Carnian (Late Triassic), known as Carnian Pluvial Event (CPE), which is evidenced by major lithological changes in continental and marine successions at tropical latitudes. Increased continental weathering and erosion led to the supply of large amounts of siliciclastics into the marginal basins of the Tethys. Seawater anoxia is also observed locally in semi-restricted basins. Simultaneously, microbial factories on high-relief carbonate platforms were replaced by metazoan factories, forming low-relief carbonate ramps and mixed low-gradient shelves. This environmental change has been shown to be closely associated with a negative carbon isotope excursion. A negative δ13C shift is recorded by bulk organic matter in the Milieres section (central Dolomites) and parallels a coeval excursion in carbon-isotope records of higher plant and marine algal biomarker, thus testifying a global change in the isotopic composition of carbon dioxide in the atmosphere and of dissolved inorganic carbon (DIC) in the ocean. This isotopic excursion was identified in organic carbon records throughout the western Tethys, but so far could not be reproduced convincingly using carbon isotope records from carbonate. A long carbon isotope record was produced from bulk organic matter of the early to late Carnian Milieres - Dibona section in the Dolomites, northern Italy. Carbon isotope analyses of carbonate (limestone and dolomite) were also obtained. This new carbon isotope record illustrates the structure of this complex carbon cycle perturbation related to the CPE. But while sharp carbon isotope oscillations are evident in the bulk organic carbon record, there is no evidence of a similar pattern in carbonate record. It can be shown that the carbon isotope record of carbonates is influenced by fractionation and diagenetic processes that completely obliterated the original δ13C signal. We conclude that the Carnian carbonates of the Dolomites do not

  1. The pars interna/media anatomy and histology in the human larynx.

    PubMed

    Charpied, George L

    2007-01-01

    The pars interna/media (PIM) is a small muscle found in the human larynx that has not been successfully described in contemporary literature on laryngeal structure. The objective of this study was to describe the PIM's anatomy in detail. Thirteen human larynges obtained from postmortem examination were cleaned and preserved. Exposure of the PIM was through a lateral disarticulation of the cricothyroid joint and reflection of the cricothyroid muscle and the thyroid lamina. In the human, the PIM was found to be strap-like in form and to have two bellies with attachments to the medial surface of the thyroid cartilage at the root of the inferior horn and anteriosuperior cricoid arch. It appears to be innervated by a middle division, vestibular branch, of the internal superior laryngeal nerve. The average fiber diameter is 40 mum. Its type 1-to-type 2 fiber ratio places it within the range of other intrinsic laryngeal muscles. A muscle spindle was identified in medial bundle at the PIM's thyroid attachment. Thyroid medial surface attachment is within few millimeters of the muscular process of the arytenoid cartilage. These data show that the PIM is a robust muscle and deserves attention anatomically. Its orientation within the thyroid and nonrecurrent laryngeal nerve innervations of the human PIM may place it in the vocal fold tensor group rather than the laryngeal sphincter group. It is possible the PIM reports on cricothyroid distance and right versus left cricothyroid joint stresses. Electromyographic examination of the PIM in the Rhesus larynx may help elucidate its physiology to elaborate its human physiology. Copyright 2007 S. Karger AG, Basel.

  2. Glycoprotein from the liver constitutes the inner layer of the egg envelope (zona pellucida interna) of the fish, Oryzias latipes

    SciTech Connect

    Hamazaki, T.S.; Nagahama, Y.; Iuchi, I.; Yamagami, K.

    1989-05-01

    A glycoprotein from the liver, which shares epitopes with chorion (egg envelope or zona pellucida) glycoproteins, is present only in the spawning female fish, Oryzias latipes, under natural conditions. This spawning female-specific (SF) substance is distinct from vitellogenin but closely resembles a major glycoprotein component, ZI-3, of the inner layer (zona radiata interna) of the ovarian egg envelope with respect to some biochemical and immunochemical characteristics. Here we report that the (/sup 125/I)SF substance, injected into the abdominal cavity of the spawning female fish, was rapidly transported by the blood circulation into the ovary and incorporated into the inner layer of egg envelope of the growing oocytes. The result strongly suggests that the SF substance from the liver is a precursor substance of the major component, ZI-3, of the inner layer of egg envelope in the fish.

  3. Transcriptomal profiling of bovine ovarian granulosa and theca interna cells in primary culture in comparison with their in vivo counterparts

    PubMed Central

    Hatzirodos, Nicholas; Glister, Claire; Hummitzsch, Katja; Irving-Rodgers, Helen F.; Knight, Philip G.; Rodgers, Raymond J.

    2017-01-01

    In vitro culture of ovarian granulosa cells and theca cells has been very important for our understanding of their function and regulation. One of the most eagerly sought attributes of cell culture is the use of chemically-defined conditions. However, even under such in vitro conditions cell behaviour could differ from the in vivo situation because of differences in oxygen tension, nutrients, adhesion matrix and other factors. To examine this further we compared the transcriptomes of both granulosa cells and cells from the theca interna that were cultured in what are arguably the best in vitro conditions for maintaining the ‘follicular’ phenotypes of both tissue types, as displayed by their respective freshly-isolated counterparts. The array data analysed are from recently published data and use the same sizes of bovine follicles (small antral 3–6 mm) and the same Affymetrix arrays. We conducted analysis using Partek, Ingenuity Pathway Analysis and GOEAST. Principal Component Analysis (PCA) and hierarchical clustering clearly separated the in vivo from the in vitro groups for both cells types and transcriptomes were more homogeneous upon culture. In both cell cultures behaviours associated with cell adhesion, migration and interaction with matrix or substrate were more abundant. However, the pathways involved generally differed between the two cell types. With the thecal cultures a gene expression signature of an immune response was more abundant, probably by leukocytes amongst the cells cultured from the theca interna. These results indicate differences between in vivo and in vitro that should be considered when interpreting in vitro data. PMID:28282394

  4. Otitis interna, media, and externa with destruction of the left tympanic bulla and subluxation and septic arthritis of the left temporomandibular joint in an alpaca (Vicugna pacos)

    PubMed Central

    Galvan, Noe; Middleton, John R.; Cook, Cristi; Britt, Lisa G.; Kuroki, Keiichi

    2013-01-01

    A 1.5-year-old, 37.7 kg, female alpaca was evaluated for a 2-week history of weight loss, left ear droop, and deviation of the rostral mandible to the right. Antemortem radiography and postmortem examination revealed otitis interna, media, and externa, destruction of the left tympanic bulla, and subluxation and septic arthritis of the left temporomandibular joint. PMID:23997267

  5. Siliciclastics in the Upper Triassic dolomite formations of the Krížna Unit (Malá Fatra Mountains, Western Carpathians): constraints for the Carnian Pluvial Event in the Fatric Basin

    NASA Astrophysics Data System (ADS)

    Sýkora, Milan; Siblík, Miloš; Soták, Ján

    2011-04-01

    The Upper Triassic carbonates of the Krížna Unit in the eastern part of the Krivánska Malá Fatra Mts contain the unique siliciclastic interbeds. They are developed between the Ramsau Dolomite Formation and the Hauptdolomite Formation, and comprise alternating dark grey shales and pale grey dolomites. Such a shaly-dolomite formation is unknown from the Upper Triassic formations of the Krížna Unit, which makes it possible to define a new lithostratigraphic unit (Tržinovo Formation). The Ramsau Dolomites beneath the Tržinovo Formation contain microfauna of Carnian foraminifers. Therefore, the Carnian age has also been constrained for the Tržinovo Formation, which by the reduced carbonate productivity and enhanced terrigenous influx could be related to the Reingraben Event. This event related to the "Carnian Pluvial Episode" is also inferred in the Tržinovo Formation by the presence of lingulide brachiopods (Lingularia) and spinicaudatan crustaceans (Euestheria). This fauna provides evidence of not fully marine conditions of the Tržinovo Formation, influenced by continental freshwater influx and humid climate.

  6. Hyperostosis frontalis interna - a marker of social status? Evidence from the Bronze-Age "high society" of Qatna, Syria.

    PubMed

    Flohr, S; Witzel, C

    2011-02-01

    In 1719 Morgagni described a condition, today known as hyperostosis frontalis interna (HFI), as one sign within a triad consisting of HFI, virilism, and obesity. Today, HFI is predominantly found in older women. Although the etiology of HFI has not yet been determined precisely, the condition has been linked to metabolic disorders. HFI is reported to be rare in the archaeological record and the frequency of the condition is thought to have increased during the 19th and 20th centuries. We present preliminary results on the occurrence of HFI in the commingled human bone assemblage from "tomb VII" discovered underneath the Bronze Age royal palace of the ancient city of Qatna, Syria. A preliminary minimal number of individuals of 70 has been estimated for the as yet not fully analyzed skeletal remains. Skull fragments of nine individuals exhibit endocranial bone formations consistent with HFI. Rarity of stress indicators in the skeletons, the rich grave goods, and the burial place within the area of the Royal palace are suggestive of a high social status and an economically favorable situation of the buried individuals. Assuming that their life style included a high calorie diet in combination with little physical activity, acquired metabolic disorders may have been present in many individuals. The comparatively high number of individuals presenting HFI in the studied sample might therefore be viewed as being related to their high social status. Multiple occurrences of HFI in archaeological skeletal assemblages might serve as a proxy for social status.

  7. Comparison of Globus Pallidus Interna and Subthalamic Nucleus in Deep Brain Stimulation for Parkinson Disease: An Institutional Experience and Review

    PubMed Central

    Yazdani, Umar; Dewey III, Richard; Dewey, Richard B.; Miocinovic, Svjetlana

    2017-01-01

    Deep Brain Stimulation (DBS) has revolutionized the lives of patients of Parkinson disease, offering therapeutic options to those not benefiting entirely from medications alone. With its proven track record of outperforming the best medical management, the goal is to unlock the full potential of this therapy. Currently, the Globus Pallidus Interna (GPi) and Subthalamic Nucleus (STN) are both viable targets for DBS, and the choice of site should focus on the constellation of symptoms, both motor and nonmotor, which are key determinants to quality of life. Our article sheds light on the specific advantages and drawbacks of the two sites, highlighting the need for matching the inherent properties of a target with specific desired effects in patients. UT Southwestern Medical Center has a robust and constantly evolving DBS program and the narrative from our center provides invaluable insight into the practical realities of DBS. The ultimate decision in selecting a DBS target is complex, ideally made by a multidisciplinary team, tailored towards each patient's profile and their expectations, by drawing upon scientific evidence coupled with experience. Ongoing research is expanding our knowledge base, which should be dynamically incorporated into an institute's DBS paradigm to ensure that patients receive the optimal therapy. PMID:28706748

  8. Rate of occurrence, gross appearance, and age relation of hyperostosis frontalis interna in females: a prospective autopsy study.

    PubMed

    Nikolić, Slobodan; Djonić, Danijela; Zivković, Vladimir; Babić, Dragan; Juković, Fehim; Djurić, Marija

    2010-09-01

    The aim of our study was to determine rate of occurrence and appearance of hyperostosis frontalis interna (HFI) in females and correlation of this phenomenon with ageing. The sample included 248 deceased females: 45 of them with different types of HFI, and 203 without HFI, average age 68.3 +/- 15.4 years (range, 19-93), and 58.2 +/- 20.2 years (range, 10-101), respectively. According to our results, the rate of HFI was 18.14%. The older the woman was, the higher the possibility of HFI occurring (Pearson correlation 0.211, N=248, P=0.001), but the type of HFI did not correlate with age (Pearson correlation 0.229, N=45, P=0.131). Frontal and temporal bone were significantly thicker in women with than in women without HFI (t= -10.490, DF=246, P=0.000, and t= -5.658, DF=246, P=0.000, respectively). These bones became thicker with ageing (Pearson correlation 0.178, N=248, P=0.005, and 0.303, N=248, P=0.000, respectively). The best predictors of HFI occurrence were respectively, frontal bone thickness, temporal bone thickness, and age(Wald. coeff.=35.487, P=0.000; Wald. coeff.=3.288, P=0.070, and Wald.coeff. =2.727, P =0.099). Diagnosis of HFI depends not only on frontal bone thickness, but also on waviness of internal plate of the frontal bone, as well as-the involvement of the inner bone surface.

  9. Propiedades biomecánicas de la membrana limitante interna tras recibir tratamiento intravítreo con ocriplasmina.

    PubMed

    Vielmuth, Franziska; Schumann, Ricarda G; Spindler, Volker; Wolf, Armin; Scheler, Renate; Mayer, Wolfgang J; Henrich, Paul B; Haritoglou, Christos

    2017-01-01

    Objetivo: Evaluar la rigidez de la membrana limitante interna (MLI) humana y evaluar los posibles cambios de las propiedades mecánicas tras administrar una inyección intravítrea de ocriplasmina para tratar la tracción vitreomacular. Métodos: Este estudio se compone de una serie de casos intervencionales y comparativos de 12 muestras de MLI extraídas mediante cirugía y obtenidas de forma consecutiva de 9 ojos de 9 pacientes después de someterse sin éxito a vitreólisis farmacológica con ocriplasmina. Durante el mismo periodo de tiempo, 16 muestras de otros 13 ojos sin tratamiento con ocriplasmina se obtuvieron mediante vitrectomía y sirvieron como controles. Todos los pacientes presentaron agujeros maculares o tracción vitreomacular y se sometieron a vitrectomía con disección de la MLI tanto con tinción con azul brillante (AB) como sin ella. Todas las muestras se analizaron con un microscopio de fuerza atómica con imágenes de las regiones de 25 × 25 μm. En todas las muestras, se analizaron tanto la parte de la retina como la del vítreo de la MLI. Resultados: La microscopia de fuerza atómica no reveló diferencias significativas en cuanto a elasticidad de las muestras de MLI extraídas de ojos con o sin tratamiento con ocriplasmina. Las áreas onduladas de la parte de la retina presentaron una mayor rigidez que la parte del vítreo de la MLI. La cartografía topográfica tanto de la parte del vítreo como de la retina de la MLI no mostró ninguna alteración aparente de la morfología en ojos tratados con ocriplasmina en comparación con los ojos no tratados. La tinción con azul brillante conllevó un aumento de la rigidez tisular. Conclusiones: Las inyecciones intravítreas de ocriplasmina no varían las propiedades biomecánicas de la MLI humana. No existen pruebas de un posible efecto enzimático que interfiera con la rigidez de esta membrana basal. © 2017 S. Karger AG, Basel.

  10. Pluvial Inhibition by Urban Cloud Condensation Nuclei

    NASA Astrophysics Data System (ADS)

    Hudson, J. G.; Yum, S. S.

    2002-05-01

    Cloud microphysics and sub-cloud aerosol measurements in urban and cleaner air masses showed the effects of anthropogenic air pollution. Cloud condensation nuclei (CCN) measurements in three different parts of the world displayed typical urban/clean air mass differences in concentrations. Near-simultaneous cloud droplet measurements (diameter < 50 micrometers) showed the higher concentrations and smaller sizes expected for higher CCN concentrations. The commensurate lower concentrations of large cloud droplets (30-50 micrometers) in urban air indicated that the higher CCN concentrations were responsible for the order(s) of magnitude lower drizzle drop (diameter > 50 micrometers) concentrations in the urban-influenced clouds. The similarity of the clean and urban- influenced cloud droplet spectra near cloud base suggested no differences in giant nuclei concentrations that have been suggested to be responsible for greater precipitation in cleaner clouds. This suppression of warm rain by higher CCN concentrations occurred hundreds of km from the urban sources. Similar effects were found for three different cloud types in these three field projects: 1) stratocumulus clouds in the eastern Atlantic (ASTEX); 2) small cumulus clouds in eastern Florida (SCMS); and small trade wind cumuli in the Indian Ocean (INDOEX). Comparisons of CCN and cloud droplet concentrations in the three projects showed a more-or-less linear relationship between CCN and cloud droplet concentrations. Comparisons of CCN and cloud droplet spectra showed that supersaturations were lower in the urban-influenced clouds due to greater competition for condensed water. This means that a smaller percentage of the higher urban CCN concentrations actually produced cloud droplets. However, the supersaturation suppression was smaller because droplet sizes were so reduced that many urban cloud droplets escaped detection. This underestimation of cloud droplet concentrations suggested a greater suppression of supersaturations than actually occurred. Therefore urban CCN may have even greater effect on clouds.

  11. Total parenteral nutrition - infants

    MedlinePlus

    ... medlineplus.gov/ency/article/007239.htm Total parenteral nutrition - infants To use the sharing features on this page, please enable JavaScript. Total parenteral nutrition (TPN) is a method of feeding that bypasses ...

  12. Revision Total Elbow Arthroplasty.

    PubMed

    Ramirez, Miguel A; Cheung, Emilie V; Murthi, Anand M

    2017-08-01

    Despite recent technologic advances, total elbow arthroplasty has complication rates higher than that of total joint arthroplasty in other joints. With new antirheumatic treatments, the population receiving total elbow arthroplasty has shifted from patients with rheumatoid arthritis to those with posttraumatic arthritis, further compounding the high complication rate. The most common reasons for revision include infection, aseptic loosening, fracture, and component failure. Common mechanisms of total elbow arthroplasty failure include infection, aseptic loosening, fracture, component failure, and instability. Tension band fixation, allograft struts with cerclage wire, and/or plate and screw constructs can be used for fracture stabilization.

  13. Effect of frozen storage duration and cooking on physical and oxidative changes in M. Gastrocnemius pars interna and M. Iliofiburalis of Rhea americana.

    PubMed

    Filgueras, R S; Gatellier, P; Zambiazi, R C; Santé-Lhoutellier, V

    2011-08-01

    This study was conducted to evaluate the effect of frozen storage time (30, 60, 90 or 180 days) and cooking (100 °C, 30 min) on the physical characteristics and oxidative stability of M. Gastrocnemius pars interna (GN) and M. Iliofiburalis (IF) of rhea americana. Physical parameters measured included thawing and cooking loss, colour parameters (L*a*b*), while oxidation was assessed by determining the TBA-RS, carbonyl and aromatic amino acid content. Prolonged frozen storage of rhea meat decreased lightness (L*), yellowness (b*), and increased the discoloration parameter hue angle and redness a*. During storage, muscle IF was more prone to lipid and myoglobin oxidation than muscle GN. Cooking loss declined with the increase of storage time and was higher in GN than in IF muscle. With cooking, TBA-RS, carbonyl content, and aromatic amino acids (phenylalanine, tyrosine, and tryptophan) were highly affected, but the extent of oxidation ranged according to muscle and duration of frozen storage.

  14. Total Quality Leadership

    NASA Technical Reports Server (NTRS)

    1991-01-01

    More than 750 NASA, government, contractor, and academic representatives attended the Seventh Annual NASA/Contractors Conference on Quality and Productivity. The panel presentations and Keynote speeches revolving around the theme of total quality leadership provided a solid base of understanding of the importance, benefits, and principles of total quality management (TQM). The presentations from the conference are summarized.

  15. Parallel Total Energy

    SciTech Connect

    Wang, Lin-Wang

    2004-10-21

    This is a total energy electronic structure code using Local Density Approximation (LDA) of the density funtional theory. It uses the plane wave as the wave function basis set. It can sue both the norm conserving pseudopotentials and the ultra soft pseudopotentials. It can relax the atomic positions according to the total energy. It is a parallel code using MP1.

  16. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    A total solar eclipse is seen on Monday, August 21, 2017 from onboard a NASA Armstrong Flight Research Center’s Gulfstream III 25,000 feet above the Oregon coast. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. Photo Credit: (NASA/Carla Thomas)

  17. Laparoscopic total pancreatectomy

    PubMed Central

    Wang, Xin; Li, Yongbin; Cai, Yunqiang; Liu, Xubao; Peng, Bing

    2017-01-01

    Abstract Rationale: Laparoscopic total pancreatectomy is a complicated surgical procedure and rarely been reported. This study was conducted to investigate the safety and feasibility of laparoscopic total pancreatectomy. Patients and Methods: Three patients underwent laparoscopic total pancreatectomy between May 2014 and August 2015. We reviewed their general demographic data, perioperative details, and short-term outcomes. General morbidity was assessed using Clavien–Dindo classification and delayed gastric emptying (DGE) was evaluated by International Study Group of Pancreatic Surgery (ISGPS) definition. Diagnosis and Outcomes: The indications for laparoscopic total pancreatectomy were intraductal papillary mucinous neoplasm (IPMN) (n = 2) and pancreatic neuroendocrine tumor (PNET) (n = 1). All patients underwent laparoscopic pylorus and spleen-preserving total pancreatectomy, the mean operative time was 490 minutes (range 450–540 minutes), the mean estimated blood loss was 266 mL (range 100–400 minutes); 2 patients suffered from postoperative complication. All the patients recovered uneventfully with conservative treatment and discharged with a mean hospital stay 18 days (range 8–24 days). The short-term (from 108 to 600 days) follow up demonstrated 3 patients had normal and consistent glycated hemoglobin (HbA1c) level with acceptable quality of life. Lessons: Laparoscopic total pancreatectomy is feasible and safe in selected patients and pylorus and spleen preserving technique should be considered. Further prospective randomized studies are needed to obtain a comprehensive understanding the role of laparoscopic technique in total pancreatectomy. PMID:28099344

  18. Total hip arthroplasty.

    PubMed Central

    Siopack, J S; Jergesen, H E

    1995-01-01

    Total hip arthroplasty, or surgical replacement of the hip joint with an artificial prosthesis, is a reconstructive procedure that has improved the management of those diseases of the hip joint that have responded poorly to conventional medical therapy. In this review we briefly summarize the evolution of total hip arthroplasty, the design and development of prosthetic hip components, and the current clinical indications for this procedure. The possible complications of total hip arthroplasty, its clinical performance over time, and future directions in hip replacement surgery are also discussed. Images PMID:7725707

  19. [Total artificial heart].

    PubMed

    Antretter, H; Dumfarth, J; Höfer, D

    2015-09-01

    To date the CardioWest™ total artificial heart is the only clinically available implantable biventricular mechanical replacement for irreversible cardiac failure. This article presents the indications, contraindications, implantation procedere and postoperative treatment. In addition to a overview of the applications of the total artificial heart this article gives a brief presentation of the two patients treated in our department with the CardioWest™. The clinical course, postoperative rehabilitation, device-related complications and control mechanisms are presented. The total artificial heart is a reliable implant for treating critically ill patients with irreversible cardiogenic shock. A bridge to transplantation is feasible with excellent results.

  20. Total Water Management - slides

    EPA Science Inventory

    Total Water Management (TWM) examines urban water systems in an interconnected manner. It encompasses reducing water demands, increasing water recycling and reuse, creating water supply assets from stormwater management, matching water quality to end-use needs, and achieving envi...

  1. Revised Total Coliform Rule

    EPA Pesticide Factsheets

    The Revised Total Coliform Rule (RTCR) aims to increase public health protection through the reduction of potential pathways for fecal contamination in the distribution system of a public water system (PWS).

  2. Multiclass Total Variation Clustering

    DTIC Science & Technology

    2014-12-01

    Multiclass Total Variation Clustering Xavier Bresson University of Lausanne Lausanne, Switzerland xavier.bresson@unil.ch Thomas Laurent Loyola...recently motivated a new set of clustering algorithms that rely on the concept of total variation. While these al- gorithms perform well for bi-partitioning...tasks, their recursive extensions yield unimpressive results for multiclass clustering tasks. This paper presents a general framework for multiclass

  3. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    During the total solar eclipse, the Sun’s corona, only visible during the total eclipse, is shown as a crown of white flares from the surface. The red spots called Bailey's beads occurs where the moon grazes by the Sun and the rugged lunar limb topography allows beads of sunlight to shine through in some areas as photographed from NASA Armstrong’s Gulfstream III. Photo Credit: (NASA/Carla Thomas)

  4. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    The diamond-ring effect occurred at the beginning and end of totality during a total solar eclipse. As the last bits of sunlight pass through the valleys on the moon's limb, and the faint corona around the sun is just becoming visible, it looks like a ring with glittering diamonds on it. Credit: (NASA/Carla Thomas)

  5. Total lymphoid irradiation

    SciTech Connect

    Sutherland, D.E.; Ferguson, R.M.; Simmons, R.L.; Kim, T.H.; Slavin, S.; Najarian, J.S.

    1983-05-01

    Total lymphoid irradiation by itself can produce sufficient immunosuppression to prolong the survival of a variety of organ allografts in experimental animals. The degree of prolongation is dose-dependent and is limited by the toxicity that occurs with higher doses. Total lymphoid irradiation is more effective before transplantation than after, but when used after transplantation can be combined with pharmacologic immunosuppression to achieve a positive effect. In some animal models, total lymphoid irradiation induces an environment in which fully allogeneic bone marrow will engraft and induce permanent chimerism in the recipients who are then tolerant to organ allografts from the donor strain. If total lymphoid irradiation is ever to have clinical applicability on a large scale, it would seem that it would have to be under circumstances in which tolerance can be induced. However, in some animal models graft-versus-host disease occurs following bone marrow transplantation, and methods to obviate its occurrence probably will be needed if this approach is to be applied clinically. In recent years, patient and graft survival rates in renal allograft recipients treated with conventional immunosuppression have improved considerably, and thus the impetus to utilize total lymphoid irradiation for its immunosuppressive effect alone is less compelling. The future of total lymphoid irradiation probably lies in devising protocols in which maintenance immunosuppression can be eliminated, or nearly eliminated, altogether. Such protocols are effective in rodents. Whether they can be applied to clinical transplantation remains to be seen.

  6. Total Energy Monitor

    SciTech Connect

    Friedrich, S

    2008-08-11

    The total energy monitor (TE) is a thermal sensor that determines the total energy of each FEL pulse based on the temperature rise induced in a silicon wafer upon absorption of the FEL. The TE provides a destructive measurement of the FEL pulse energy in real-time on a pulse-by-pulse basis. As a thermal detector, the TE is expected to suffer least from ultra-fast non-linear effects and to be easy to calibrate. It will therefore primarily be used to cross-calibrate other detectors such as the Gas Detector or the Direct Imager during LCLS commissioning. This document describes the design of the TE and summarizes the considerations and calculations that have led to it. This document summarizes the physics behind the operation of the Total Energy Monitor at LCLS and derives associated engineering specifications.

  7. Total Health Organization.

    PubMed

    1993-01-01

    Total Health Organization is a holistic care an humanitarian relief agency with special emphasis on Africa and Third World countries. It was founded in 1987 with a focus on hunger relief, health assistance, handicap, habitat and human rights of destitutes, socially disadvantaged persons and communities which it has adopted as the socially forgotten people (SFP). Total Health Organization is a non-political, non-profit, and international non-governmental organization, having official relations with several national, regional and world bodies. Some of the project activities include: free mobile clinics to rural destitutes, AIDS and related health education, an information and research library, and an NGO Development Center. For more information, please contact: Dr. Obi Osisiogu, Founder and President, Total Health International Center, 147 Ikot-Ekpene Road, P.O. Box 1726, Aba, Abia State Nigeria, Tel: 082-222279, Telex: 63311 ANYA NG, Fax: 234-82-227512.

  8. [Total temporomandibular joint prostheses].

    PubMed

    Zwetyenga, N; Amroun, S; Wajszczak, B-L; Moris, V

    2016-09-01

    The temporomandibular joint (TMJ) is probably the most complex human joint. As in all joints, its prosthetic replacement may be indicated in selected cases. Significant advances have been made in the design of TMJ prostheses during the last three decades and the indications have been clarified. The aim of our work was to make an update on the current total TMJ total joint replacement. Indications, contraindications, prosthetic components, advantages, disadvantages, reasons for failure or reoperation, virtual planning and surgical protocol have been exposed. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  9. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    The Moon is seen passing in front of the Sun during a total solar eclipse on Monday, August 21, 2017 from onboard a NASA Gulfstream III aircraft flying 25,000 feet above the Oregon coast. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Carla Thomas)

  10. "Total Deposition (TDEP) Maps"

    EPA Science Inventory

    The presentation provides an update on the use of a hybrid methodology that relies on measured values from national monitoring networks and modeled values from CMAQ to produce of maps of total deposition for use in critical loads and other ecological assessments. Additionally, c...

  11. Estuarine Total Ecosystem Metabolism

    EPA Science Inventory

    Total ecosystem metabolism (TEM), both as discrete measurements and as a theoretical concept, has an important history in ecosystem ecology, particularly in estuaries. Some of the earliest ecological studies were developed to determine how energy flowed through an ecosystem and w...

  12. CSF total protein

    MedlinePlus

    CSF total protein is a test to determine the amount of protein in your spinal fluid, also called cerebrospinal fluid (CSF). ... The normal protein range varies from lab to lab, but is typically about 15 to 60 milligrams per deciliter (mg/dL) ...

  13. Total Precipitable Water

    SciTech Connect

    2012-01-01

    The simulation was performed on 64K cores of Intrepid, running at 0.25 simulated-years-per-day and taking 25 million core-hours. This is the first simulation using both the CAM5 physics and the highly scalable spectral element dynamical core. The animation of Total Precipitable Water clearly shows hurricanes developing in the Atlantic and Pacific.

  14. Total Water Management - Report

    EPA Science Inventory

    There is a growing need for urban water managers to take a more holistic view of their water resource systems as population growth, urbanization, and current operations put different stresses on the environment and urban infrastructure. Total Water Management (TWM) is an approac...

  15. Total portal robotic pneumonectomy.

    PubMed

    Rodriguez, Jose R

    2013-09-01

    Robotic pulmonary lobectomies have been reported to be technically and oncologically achievable; however, only three robotic pneumonectomy cases have been described. Two of them used a mini thoracotomy. We describe one case of a total portal robotic pneumonectomy without utility incision. We describe the step-by-step process.

  16. Total Lunar Eclipse

    NASA Image and Video Library

    2010-12-21

    The Washington Monument is seen as the full moon is shadowed by the Earth during a total lunar eclipse on the arrival of the winter solstice, Tuesday, December 21, 2010 in Washington. From beginning to end, the eclipse lasted about three hours and twenty-eight minutes. Photo Credit: (NASA/Bill Ingalls)

  17. Total Lunar Eclipse

    NASA Image and Video Library

    2010-12-21

    A total lunar eclipse begins as the full moon is shadowed by the Earth on the arrival of the winter solstice, Tuesday, December 21, 2010 in Arlington, VA. From beginning to end, the eclipse will last about three hours and twenty-eight minutes. Photo Credit: (NASA/Bill Ingalls)

  18. Total Lunar Eclipse

    NASA Image and Video Library

    2010-12-21

    A nearly total lunar eclipse is seen as the full moon is shadowed by the Earth on the arrival of the winter solstice, Tuesday, December 21, 2010 in Arlington, VA. From beginning to end, the eclipse will last about three hours and twenty-eight minutes. Photo Credit: (NASA/Bill Ingalls)

  19. Total Lunar Eclipse

    NASA Image and Video Library

    2010-12-21

    A total lunar eclipse is seen as the full moon is shadowed by the Earth on the arrival of the winter solstice, Tuesday, December 21, 2010 in Arlington, VA. From beginning to end, the eclipse will last about three hours and twenty-eight minutes. Photo Credit: (NASA/Bill Ingalls)

  20. Estuarine Total Ecosystem Metabolism

    EPA Science Inventory

    Total ecosystem metabolism (TEM), both as discrete measurements and as a theoretical concept, has an important history in ecosystem ecology, particularly in estuaries. Some of the earliest ecological studies were developed to determine how energy flowed through an ecosystem and w...

  1. Total Quality Management Simplified.

    ERIC Educational Resources Information Center

    Arias, Pam

    1995-01-01

    Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program. Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality…

  2. Total Synthesis of Kopsinine

    PubMed Central

    Xie, Jian; Wolfe, Amanda L.; Boger, Dale L.

    2013-01-01

    The use of a powerful intramolecular [4 + 2]/[3 + 2] cycloaddition cascade of an 1,3,4-oxadiazole in the divergent total synthesis of kopsinine (1), featuring an additional unique SmI2-promoted transannular cyclization reaction for formation of the bicyclo[2.2.2]octane central to its hexacyclic ring system, is detailed. PMID:23391149

  3. "Total Deposition (TDEP) Maps"

    EPA Science Inventory

    The presentation provides an update on the use of a hybrid methodology that relies on measured values from national monitoring networks and modeled values from CMAQ to produce of maps of total deposition for use in critical loads and other ecological assessments. Additionally, c...

  4. Total Quality Management.

    ERIC Educational Resources Information Center

    Focus in Change, 1992

    1992-01-01

    The philosophy known as Total Quality Management (TQM) is frequently presented as a way to change and improve public education. This issue of "Focus in Change" examines Deming's original 14 TQM points and their application to education. Myron Tribus lays out the core philosophy of the movement and discusses its possible application to…

  5. Total Water Management - Report

    EPA Science Inventory

    There is a growing need for urban water managers to take a more holistic view of their water resource systems as population growth, urbanization, and current operations put different stresses on the environment and urban infrastructure. Total Water Management (TWM) is an approac...

  6. Total Quality Management Simplified.

    ERIC Educational Resources Information Center

    Arias, Pam

    1995-01-01

    Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program. Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality…

  7. Total Quality Management Seminar.

    ERIC Educational Resources Information Center

    Massachusetts Career Development Inst., Springfield.

    This booklet is one of six texts from a workplace literacy curriculum designed to assist learners in facing the increased demands of the workplace. The booklet contains seven sections that cover the following topics: (1) meaning of total quality management (TQM); (2) the customer; (3) the organization's culture; (4) comparison of management…

  8. Biodynamic total hip prosthesis.

    PubMed

    Pipino, F; Calderale, P M

    1987-09-01

    The biodynamic total hip prosthesis which was devised in 1977-78 and implanted in 1979 was derived from a series of experimental studies and a lengthy clinical experience, both dating back to 1968. This prosthesis introduced two new and original concepts into the field of prosthetic hip surgery: 1) the biequatorial design of the cup; 2) the preservation of the femoral neck. This prosthetic system is based on maximum preservation of the bone stock as well as hip function. The biequatorial cup allows for positioning corresponding to that of the normal acetabulum. The femoral component incorporates features (collar, sagittal and frontal angulation, external surface, etc.) which facilitate proximal cortical fixation and cancellous metaphyseal biological anchoring, thus ensuring total adhesion. The average 3.5 years follow-up (maximum 7 years, minimum one year) in 280 cases confirms the effectiveness of this prosthesis and the validity of the basic principles on which it is founded.

  9. Totally parallel multilevel algorithms

    NASA Technical Reports Server (NTRS)

    Frederickson, Paul O.

    1988-01-01

    Four totally parallel algorithms for the solution of a sparse linear system have common characteristics which become quite apparent when they are implemented on a highly parallel hypercube such as the CM2. These four algorithms are Parallel Superconvergent Multigrid (PSMG) of Frederickson and McBryan, Robust Multigrid (RMG) of Hackbusch, the FFT based Spectral Algorithm, and Parallel Cyclic Reduction. In fact, all four can be formulated as particular cases of the same totally parallel multilevel algorithm, which are referred to as TPMA. In certain cases the spectral radius of TPMA is zero, and it is recognized to be a direct algorithm. In many other cases the spectral radius, although not zero, is small enough that a single iteration per timestep keeps the local error within the required tolerance.

  10. Total synthesis of clostrubin

    PubMed Central

    Yang, Ming; Li, Jian; Li, Ang

    2015-01-01

    Clostrubin is a potent antibiotic against methicillin- and vancomycin-resistant bacteria that was isolated from a strictly anaerobic bacterium Clostridium beijerinckii in 2014. This polyphenol possesses a fully substituted arene moiety on its pentacyclic scaffold, which poses a considerable challenge for chemical synthesis. Here we report the first total synthesis of clostrubin in nine steps (the longest linear sequence). A desymmetrization strategy is exploited based on the inherent structural feature of the natural product. Barton–Kellogg olefination forges the two segments together to form a tetrasubstituted alkene. A photo-induced 6π electrocyclization followed by spontaneous aromatization constructs the hexasubstituted B ring at a late stage. In total, 200 mg of clostrubin are delivered through this approach. PMID:25759087

  11. Total synthesis of teixobactin

    NASA Astrophysics Data System (ADS)

    Jin, Kang; Sam, Iek Hou; Po, Kathy Hiu Laam; Lin, Du'an; Ghazvini Zadeh, Ebrahim H.; Chen, Sheng; Yuan, Yu; Li, Xuechen

    2016-08-01

    To cope with the global bacterial multidrug resistance, scientific communities have devoted significant efforts to develop novel antibiotics, particularly those with new modes of actions. Teixobactin, recently isolated from uncultured bacteria, is considered as a promising first-in-class drug candidate for clinical development. Herein, we report its total synthesis by a highly convergent Ser ligation approach and this strategy allows us to prepare several analogues of the natural product.

  12. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    The Moon is seen passing in front of the Sun during a solar eclipse from Ross Lake, Northern Cascades National Park, Washington on Monday, Aug. 21, 2017. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Bill Ingalls)

  13. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    The Moon is seen as it starts passing in front of the Sun during a solar eclipse from Ross Lake, Northern Cascades National Park, Washington on Monday, Aug. 21, 2017. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Bill Ingalls)

  14. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    The Sun is seen as it rises behind Jack Mountain head of the solar eclipse, Monday, Aug. 21, 2017, Ross Lake, Northern Cascades National Park, Washington. A total solar eclipse will sweep across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Bill Ingalls)

  15. Total Synthesis of (-)-Conolutinine.

    PubMed

    Feng, Xiangyang; Jiang, Guangde; Xia, Zilei; Hu, Jiadong; Wan, Xiaolong; Gao, Jin-Ming; Lai, Yisheng; Xie, Weiqing

    2015-09-18

    The first enantioselective synthesis of (-)-conolutinine was achieved in 10 steps. The synthesis featured a catalytic asymmetric bromocyclization of tryptamine to forge the tricycle intermediate. Hydration of an alkene catalyzed by Co(acac)2 was also employed as a key step to diastereoselectively introduce the tertiary alcohol moiety. The absolute configuration of (-)-conolutinine was established to be (2S,5aS,8aS,13aR) based on this asymmetric total synthesis.

  16. Total synthesis of lodopyridone.

    PubMed

    Burckhardt, Tobias; Harms, Klaus; Koert, Ulrich

    2012-09-07

    A convergent total synthesis of the structurally unprecedented alkaloid lodopyridone was achieved using a cross-coupling of an iodopyridone fragment with a quinolinethiazolylstannane. Key features of the syntheses of the pentasubstituted 4-pyridone were a regioselective bromination of a 4-pyridone derived from kojic acid, a subsequent Cu-mediated introduction of the thioether, and a directed lithiation/iodination step. A chemoselective Negishi cross-coupling of a dibromothiazole and a quinolinylzinc reagent was used to assemble the chloroquinolinethiazol moiety.

  17. Total synthesis of (+)-pleuromutilin.

    PubMed

    Fazakerley, Neal J; Helm, Matthew D; Procter, David J

    2013-05-17

    The first enantiospecific total synthesis of the antibacterial natural product (+)-pleuromutilin has been achieved. The approach includes the synthesis of a non-racemic cyclisation substrate from (+)-trans-dihydrocarvone, a highly selective SmI2-mediated cyclisation cascade, an electron transfer reduction of a hindered ester, and the first efficient conversion of (+)-mutilin to the target. Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  18. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    This composite image shows the progression of a partial solar eclipse over Ross Lake, in Northern Cascades National Park, Washington on Monday, Aug. 21, 2017. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Bill Ingalls)

  19. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    Robert Lightfoot, acting NASA administrator and Thomas Zurbuchen NASA AA for the science mission directorate view a partial eclipse solar eclipse Monday, August 21, 2017, from onboard a NASA Armstrong Flight Research Center’s Gulfstream III 35,000 feet above the Oregon Coast. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. Photo Credit: (NASA/Carla Thomas)

  20. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    This composite image of nine pictures shows the progression of a partial solar eclipse near Banner, Wyoming on Monday, Aug. 21, 2017. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Joel Kowsky)

  1. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    The Moon is seen passing in front of the Sun at the point of the maximum of the partial solar eclipse near Banner, Wyoming on Monday, Aug. 21, 2017. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Joel Kowsky)

  2. Meuli total wrist arthroplasty.

    PubMed

    Meuli, H C

    1984-01-01

    The wrist endoprosthesis developed and used since 1971 by the author is comparable to other designs of total joint implants. The completely unconstrained design has proved effective. It has sufficient stability, provided that the proper muscle balance is achieved at the end of the procedure. Careful, exact centering of the prosthesis is a vital prerequisite for good function, along with the use of adequate bone stock for securing implantation and survival of the cement-bone interface. The eccentric placement of the anchoring prongs of the distal component has made centering of the prosthesis easier but has not obviated the need for careful, individual contouring and implantation of each prosthesis. Indications for a total wrist prosthesis must take into account pain, disability, and the local findings. Patients who engage in heavy, manual work and those who must rely on walking aids, such as a cane or crutch, should not be considered as suitable candidates for total wrist implantations. Salvage is always possible either by revision of the arthroplasty or arthrodesis. Cementless implantation of the components may have certain advantages. The prototypes that have been designed are still under investigation.

  3. Physician Update: Total Health

    PubMed Central

    Tuso, Phillip

    2014-01-01

    As an integrated prepaid health care system, Kaiser Permanente (KP) is in a unique position to demonstrate that affordability in health care can be achieved by disease prevention. During the past decade, KP has significantly improved the quality care outcomes of its members with preventable diseases. However, because of an increase in the incidence of preventable disease, and the potential long-term and short-term costs associated with the treatment of preventable disease, KP has developed a new strategy called Total Health to meet the current and future needs of its patients. Total Health means healthy people in healthy communities. KP’s strategic vision is to be a leader in Total Health by making lives better. KP hopes to make lives better by 1) measuring vital signs of health, 2) promoting healthy behaviors, 3) monitoring disease incidence, 4) spreading leading practices, and 5) creating healthy environments with our community partners. Best practices, spread to the communities we serve, will make health care more affordable, prevent preventable diseases, and save lives. PMID:24694316

  4. Total ankle joint replacement.

    PubMed

    2016-02-01

    Ankle arthritis results in a stiff and painful ankle and can be a major cause of disability. For people with end-stage ankle arthritis, arthrodesis (ankle fusion) is effective at reducing pain in the shorter term, but results in a fixed joint, and over time the loss of mobility places stress on other joints in the foot that may lead to arthritis, pain and dysfunction. Another option is to perform a total ankle joint replacement, with the aim of giving the patient a mobile and pain-free ankle. In this article we review the efficacy of this procedure, including how it compares to ankle arthrodesis, and consider the indications and complications.

  5. Medical Total Force Management

    DTIC Science & Technology

    2014-05-01

    GASTROENTEROLOGY 57 0 N/A PULMONARY DISEASE 51 0 N/A CARDIOLOGY 69 0 N/A NEUROLOGY 73 0 N/A PHYSICAL/REHABILITATION MEDICINE 45 0 N/A ALLERGY AND...IMMUNOLOGY 32 0 N/A PEDIATRICS, SUBSPECIALTIES 93 0 N/A PEDIATRICS, GENERAL 196 1 195 PATHOLOGY 126 2 61.0 INFECTIOUS DISEASE 65 2 30.5...Corps Total Requirement Deployable Requirement Tail-to-Tooth Ratio CARDIOLOGY 30 0 N/A DERMATOLOGY 32 0 N/A INFECTIOUS DISEASE 31 0 N/A

  6. Total photoabsorption in nuclei

    SciTech Connect

    Bianchi, N.

    1992-06-01

    The Frascati-Genova collaboration proposes to measure the total photonuclear cross section on a wide range of nuclei between 500 MeV and 2 GeV, to obtain informations on the interaction of baryon resonances with nucleons and on the onset of the shadowing effect. The experiment could be performed in the Hall B as soon as the tagging facility will be ready and before the end of the installation of the CLAS spectrometer. The requirements for the photon beam, like maximum energy, intensity and beam definition, are not so strong so that the experiment would also be a good first test of the tagged photon facility.

  7. Amplified total internal reflection.

    PubMed

    Fan, J; Dogariu, A; Wang, L J

    2003-02-24

    Totally internal reflected beams can be amplified if the lowerindex medium has gain. We analyze the reflection and refraction of light, and analytically derive the expression for the Goos-Hänchen shifts of a Gaussian beam incident on a lower-index medium, both active and absorptive. We examine the energy flow and the Goos-Hänchen shifts for various cases. The analytical results are consistent with the numerical results. For the TE mode, the Goos-Hänchen shift for the transmitted beam is exactly half of that of the reflected beam, resulting in a "1/2" rule.

  8. 2017 Total Solar Eclipse

    NASA Image and Video Library

    2017-08-21

    This composite image of seven pictures shows the progression of a partial solar eclipse near from Ross Lake, Northern Cascades National Park, Washington on Monday, Aug. 21, 2017. The second to the last frame shows the International Space Station, with a crew of six onboard, in silhouette as it transits the Sun at roughly five miles per second. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Bill Ingalls)

  9. Total quality is people

    SciTech Connect

    Vogel, C.E. )

    1991-01-01

    Confronted by changing market conditions and increased global competition, in 1983 the Commercial Nuclear Fuel Division (CNFD) of Westinghouse Electric embarked on an ambitious plan to make total quality the centerpiece of its long-term business strategy. Five years later, the division's efforts in making continuous quality improvement a way of life among its more than 2,000 employees gained national recognition when it was named a charter recipient of the Malcolm Baldridge National Quality Award. What CNFD achieved during the 1980s was a cultural transformation, characterized by an empowered work force committed to a common vision. The company's quality program development strategy is described.

  10. Immediate total tooth replacement.

    PubMed

    Garber, D A; Salama, M A; Salama, H

    2001-03-01

    Successful implant placement at the time of extraction has been documented. Implant placement at the time of extraction was initially performed as a two-stage procedure often with barrier membranes and sophisticated second-stage surgical uncoverings. The authors describe the next generation of this technique, including atraumatic tooth removal with simultaneous root form, implant placement, and temporization at one appointment. This technique of "Immediate Total Tooth Replacement" allows for the maintenance of the bony housing and soft-tissue form that existed before extraction, while at the same time establishing a root form anchor in the bone for an esthetic restoration.

  11. Cementless total knee arthroplasty

    PubMed Central

    Risitano, Salvatore; Sabatini, Luigi; Giachino, Matteo; Agati, Gabriele; Massè, Alessandro

    2016-01-01

    Interest for uncemented total knee arthroplasty (TKA) has greatly increased in recent years. This technique, less used than cemented knee replacement in the last decades, sees a revival thanks an advance in prosthetic design, instrumentation and operative technique. The related literature in some cases shows conflicting data on survival and on the revision’s rate, but in most cases a success rate comparable to cemented TKA is reported. The optimal fixation in TKA is a subject of debate with the majority of surgeons favouring cemented fixation. PMID:27162779

  12. Calcium: total or ionized?

    PubMed

    Schenck, Patricia A; Chew, Dennis J

    2008-05-01

    Measurement of serum total calcium (tCa) has been relied on for assessment of calcium status, despite the fact that it is the ionized calcium (iCa) fraction that has biologic activity. Serum tCa does not accurately predict iCa status in many clinical conditions. For accurate assessment of iCa status, iCa should be directly measured. Anaerobic measurement of serum iCa under controlled conditions provides the most reliable assessment of calcium status; aerobic measurement of iCa with species-specific pH correction is highly correlated with anaerobic measurements.

  13. Modular total absorption spectrometer

    NASA Astrophysics Data System (ADS)

    Karny, M.; Rykaczewski, K. P.; Fijałkowska, A.; Rasco, B. C.; Wolińska-Cichocka, M.; Grzywacz, R. K.; Goetz, K. C.; Miller, D.; Zganjar, E. F.

    2016-11-01

    The design and performance of the Modular Total Absorption Spectrometer built and commissioned at the Oak Ridge National Laboratory is presented. The active volume of the detector is approximately one ton of NaI(Tl), which results in very high full γ energy peak efficiency of 71% at 6 MeV and nearly flat efficiency of around 81.5% for low energy γ-rays between 300 keV and 1 MeV. In addition to the high peak efficiency, the modular construction of the detector permits the use of a γ-coincidence technique in data analysis as well as β-delayed neutron observation.

  14. TOTAL user manual

    NASA Technical Reports Server (NTRS)

    Johnson, Sally C.; Boerschlein, David P.

    1994-01-01

    Semi-Markov models can be used to analyze the reliability of virtually any fault-tolerant system. However, the process of delineating all of the states and transitions in the model of a complex system can be devastatingly tedious and error-prone. Even with tools such as the Abstract Semi-Markov Specification Interface to the SURE Tool (ASSIST), the user must describe a system by specifying the rules governing the behavior of the system in order to generate the model. With the Table Oriented Translator to the ASSIST Language (TOTAL), the user can specify the components of a typical system and their attributes in the form of a table. The conditions that lead to system failure are also listed in a tabular form. The user can also abstractly specify dependencies with causes and effects. The level of information required is appropriate for system designers with little or no background in the details of reliability calculations. A menu-driven interface guides the user through the system description process, and the program updates the tables as new information is entered. The TOTAL program automatically generates an ASSIST input description to match the system description.

  15. Laparoscopic Total Mesorectum Excision

    PubMed Central

    Quilici, F.A.; Cordeiro, F.; Reis, J.A.; Kagohara, O.; Simões Neto, J.

    2002-01-01

    The main controversy of colon-rectal laparoscopic surgery comes from its use as a cancer treatment. Two points deserve special attention: the incidence of portsite tumor implantation and the possibility of performing radical cancer surgery, such as total mesorectum excision. Once these points are addressed, the laparoscopic approach will be used routinely to treat rectal cancer. To clarify these points, 32 patients with cancer of the lower rectum participated in a special protocol that included preoperative radiotherapy and laparoscopic total mesorectum excision. All data were recorded. At the same time, all data recorded from the experience of a multicenter laparoscopic group (Brazilian Colorectal Laparoscopic Surgeons – 130 patients with tumor of the lower rectum) were analyzed and compared with the data provided by our patients. Analysis of the results suggests that a laparoscopic approach allows the same effective resection as that of conventional surgery and that preoperative irradiation does not influence the incidence of intraoperative complications. The extent of lymph nodal excision is similar to that obtained with open surgery, with an average of 12.3 lymph nodes dissected per specimen. The rate of local recurrence was 3.12%. No port site implantation of tumor was noted in this series of patients with cancer of the lower rectum. PMID:12113422

  16. Anisotropic Total Variation Filtering

    SciTech Connect

    Grasmair, Markus; Lenzen, Frank

    2010-12-15

    Total variation regularization and anisotropic filtering have been established as standard methods for image denoising because of their ability to detect and keep prominent edges in the data. Both methods, however, introduce artifacts: In the case of anisotropic filtering, the preservation of edges comes at the cost of the creation of additional structures out of noise; total variation regularization, on the other hand, suffers from the stair-casing effect, which leads to gradual contrast changes in homogeneous objects, especially near curved edges and corners. In order to circumvent these drawbacks, we propose to combine the two regularization techniques. To that end we replace the isotropic TV semi-norm by an anisotropic term that mirrors the directional structure of either the noisy original data or the smoothed image. We provide a detailed existence theory for our regularization method by using the concept of relaxation. The numerical examples concluding the paper show that the proposed introduction of an anisotropy to TV regularization indeed leads to improved denoising: the stair-casing effect is reduced while at the same time the creation of artifacts is suppressed.

  17. Local resistance patterns to antimicrobials in internal medicine: a focused report from the REGIMEN (REGistro Infezioni in MEdicina INterna) study.

    PubMed

    Cei, Marco; Pardelli, Riccardo; Sani, Spartaco; Mumoli, Nicola

    2014-02-01

    The treatment for infections in hospitalized patients can be summarized in the timely start of empirical therapy, followed by adjustment on the basis of isolates and microbial susceptibilities. Initial therapy may be based on international guidelines. However, to know local frequencies of bacterial and fungal strains together with patterns of drug resistance should be a better approach to therapy. REGIMEN is a retrospective observational study of all consecutive recorded bacterial and fungal isolates, collected between October 2009 and August 2011 from patients admitted in a 53-bedded ward of internal medicine of a non-teaching Italian hospital. We investigated type of samples and of microorganisms, patterns of susceptibility and resistance to antibiotics, and in-hospital mortality. A total of 504 samples were examined (244 from urine, 189 from blood and 71 from skin and various exudates). Participants were old (mean age, 83 years), and so overall mortality was high (20 %). There were high frequencies of drug resistance; only 27.9 % of urinary gram-negatives and 52.6 % of blood gram-negatives were susceptible to levofloxacin. Susceptibility profiles compatible with the presence of extended-spectrum beta-lactamases were present in 64.2 % of gram-negative strains, and 10.1 % were also resistant to carbapenems. ESKAPE organisms account for a third of all bacterial infections. Local patterns of drug resistance should influence empirical antibiotic therapy for patients admitted in internal medicine wards, where mortality is high.

  18. Total synthesis of atropurpuran

    PubMed Central

    Gong, Jing; Chen, Huan; Liu, Xiao-Yu; Wang, Zhi-Xiu; Nie, Wei; Qin, Yong

    2016-01-01

    Due to their architectural intricacy and biological significance, the synthesis of polycyclic diterpenes and their biogenetically related alkaloids have been the subject of considerable interest over the last few decades, with progress including the impressive synthesis of several elusive targets. Despite tremendous efforts, conquering the unique structural types of this large natural product family remains a long-term challenge. The arcutane diterpenes and related alkaloids, bearing a congested tetracyclo[5.3.3.04,9.04,12]tridecane unit, are included in these unsolved enigmas. Here we report a concise approach to the construction of the core structure of these molecules and the first total synthesis of (±)-atropurpuran. Pivotal features of the synthesis include an oxidative dearomatization/intramolecular Diels-Alder cycloaddition cascade, sequential aldol and ketyl-olefin cyclizations to assemble the highly caged framework, and a chemoselective and stereoselective reduction to install the requisite allylic hydroxyl group in the target molecule. PMID:27387707

  19. Total parenteral nutrition.

    PubMed

    Domínguez-Cherit, Guillermo; Borunda, Delia; Rivero-Sigarroa, Eduardo

    2002-08-01

    In recent months, numerous reports concerning total parenteral nutrition in critically ill patients have been published, including the guidelines and recommendations of the American Society for Parenteral and Enteral Nutrition. The old controversy regarding the use of the enteral versus parenteral route still exists. Although the enteral route is indicated in those patients with normal gastrointestinal function, the parenteral route is obviously beneficial in several clinical conditions and appears to be associated with few procedure-related complications when performed by experienced clinicians. There is also continued interest in the supplementation of parenteral formulas with nutrients that were previously considered nonessential, such as arginine, glutamine, and omega-3 fatty acids, but that may become essential in the setting of critical illness.

  20. Cervical Total Disc Arthroplasty

    PubMed Central

    Basho, Rahul; Hood, Kenneth A.

    2012-01-01

    Symptomatic adjacent segment degeneration of the cervical spine remains problematic for patients and surgeons alike. Despite advances in surgical techniques and instrumentation, the solution remains elusive. Spurred by the success of total joint arthroplasty in hips and knees, surgeons and industry have turned to motion preservation devices in the cervical spine. By preserving motion at the diseased level, the hope is that adjacent segment degeneration can be prevented. Multiple cervical disc arthroplasty devices have come onto the market and completed Food and Drug Administration Investigational Device Exemption trials. Though some of the early results demonstrate equivalency of arthroplasty to fusion, compelling evidence of benefits in terms of symptomatic adjacent segment degeneration are lacking. In addition, non-industry-sponsored studies indicate that these devices are equivalent to fusion in terms of adjacent segment degeneration. Longer-term studies will eventually provide the definitive answer. PMID:24353955

  1. Total organic carbon analyzer

    NASA Technical Reports Server (NTRS)

    Godec, Richard G.; Kosenka, Paul P.; Smith, Brian D.; Hutte, Richard S.; Webb, Johanna V.; Sauer, Richard L.

    1991-01-01

    The development and testing of a breadboard version of a highly sensitive total-organic-carbon (TOC) analyzer are reported. Attention is given to the system components including the CO2 sensor, oxidation reactor, acidification module, and the sample-inlet system. Research is reported for an experimental reagentless oxidation reactor, and good results are reported for linearity, sensitivity, and selectivity in the CO2 sensor. The TOC analyzer is developed with gravity-independent components and is designed for minimal additions of chemical reagents. The reagentless oxidation reactor is based on electrolysis and UV photolysis and is shown to be potentially useful. The stability of the breadboard instrument is shown to be good on a day-to-day basis, and the analyzer is capable of 5 sample analyses per day for a period of about 80 days. The instrument can provide accurate TOC and TIC measurements over a concentration range of 20 ppb to 50 ppm C.

  2. Total organic carbon analyzer

    NASA Technical Reports Server (NTRS)

    Godec, Richard G.; Kosenka, Paul P.; Smith, Brian D.; Hutte, Richard S.; Webb, Johanna V.; Sauer, Richard L.

    1991-01-01

    The development and testing of a breadboard version of a highly sensitive total-organic-carbon (TOC) analyzer are reported. Attention is given to the system components including the CO2 sensor, oxidation reactor, acidification module, and the sample-inlet system. Research is reported for an experimental reagentless oxidation reactor, and good results are reported for linearity, sensitivity, and selectivity in the CO2 sensor. The TOC analyzer is developed with gravity-independent components and is designed for minimal additions of chemical reagents. The reagentless oxidation reactor is based on electrolysis and UV photolysis and is shown to be potentially useful. The stability of the breadboard instrument is shown to be good on a day-to-day basis, and the analyzer is capable of 5 sample analyses per day for a period of about 80 days. The instrument can provide accurate TOC and TIC measurements over a concentration range of 20 ppb to 50 ppm C.

  3. Total organic carbon analyzer

    NASA Astrophysics Data System (ADS)

    Godec, Richard G.; Kosenka, Paul P.; Smith, Brian D.; Hutte, Richard S.; Webb, Johanna V.; Sauer, Richard L.

    The development and testing of a breadboard version of a highly sensitive total-organic-carbon (TOC) analyzer are reported. Attention is given to the system components including the CO2 sensor, oxidation reactor, acidification module, and the sample-inlet system. Research is reported for an experimental reagentless oxidation reactor, and good results are reported for linearity, sensitivity, and selectivity in the CO2 sensor. The TOC analyzer is developed with gravity-independent components and is designed for minimal additions of chemical reagents. The reagentless oxidation reactor is based on electrolysis and UV photolysis and is shown to be potentially useful. The stability of the breadboard instrument is shown to be good on a day-to-day basis, and the analyzer is capable of 5 sample analyses per day for a period of about 80 days. The instrument can provide accurate TOC and TIC measurements over a concentration range of 20 ppb to 50 ppm C.

  4. Total Energy CMR Production

    SciTech Connect

    Friedrich, S; Kolagani, R M

    2008-08-11

    The following outlines the optimized pulsed laser deposition (PLD) procedure used to prepare Nd{sub 0.67}Sr{sub 0.33}MnO{sub 3} (NSMO) temperature sensors at Towson University (Prof. Rajeswari Kolagani) for the LCLS XTOD Total Energy Monitor. The samples have a sharp metal/insulator transition at T {approx} 200 K and are optimized for operation at T {approx} 180 K, where their sensitivity is the highest. These samples are epitaxial multilayer structures of Si/YSZ/CeO/NSMO, where these abbreviations are defined in table 1. In this heterostructure, YSZ serves as a buffer layer to prevent deleterious chemical reactions, and also serves to de-oxygenate the amorphous SiO{sub 2} surface layer to generate a crystalline template for epitaxy. CeO and BTO serve as template layers to minimize the effects of thermal and lattice mismatch strains, respectively. More details on the buffer and template layer scheme are included in the attached manuscript accepted for publication in Sensor Letters (G. Yong et al., 2008).

  5. The total artificial heart.

    PubMed

    Cook, Jason A; Shah, Keyur B; Quader, Mohammed A; Cooke, Richard H; Kasirajan, Vigneshwar; Rao, Kris K; Smallfield, Melissa C; Tchoukina, Inna; Tang, Daniel G

    2015-12-01

    The total artificial heart (TAH) is a form of mechanical circulatory support in which the patient's native ventricles and valves are explanted and replaced by a pneumatically powered artificial heart. Currently, the TAH is approved for use in end-stage biventricular heart failure as a bridge to heart transplantation. However, with an increasing global burden of cardiovascular disease and congestive heart failure, the number of patients with end-stage heart failure awaiting heart transplantation now far exceeds the number of available hearts. As a result, the use of mechanical circulatory support, including the TAH and left ventricular assist device (LVAD), is growing exponentially. The LVAD is already widely used as destination therapy, and destination therapy for the TAH is under investigation. While most patients requiring mechanical circulatory support are effectively treated with LVADs, there is a subset of patients with concurrent right ventricular failure or major structural barriers to LVAD placement in whom TAH may be more appropriate. The history, indications, surgical implantation, post device management, outcomes, complications, and future direction of the TAH are discussed in this review.

  6. The total artificial heart

    PubMed Central

    Cook, Jason A.; Shah, Keyur B.; Quader, Mohammed A.; Cooke, Richard H.; Kasirajan, Vigneshwar; Rao, Kris K.; Smallfield, Melissa C.; Tchoukina, Inna

    2015-01-01

    The total artificial heart (TAH) is a form of mechanical circulatory support in which the patient’s native ventricles and valves are explanted and replaced by a pneumatically powered artificial heart. Currently, the TAH is approved for use in end-stage biventricular heart failure as a bridge to heart transplantation. However, with an increasing global burden of cardiovascular disease and congestive heart failure, the number of patients with end-stage heart failure awaiting heart transplantation now far exceeds the number of available hearts. As a result, the use of mechanical circulatory support, including the TAH and left ventricular assist device (LVAD), is growing exponentially. The LVAD is already widely used as destination therapy, and destination therapy for the TAH is under investigation. While most patients requiring mechanical circulatory support are effectively treated with LVADs, there is a subset of patients with concurrent right ventricular failure or major structural barriers to LVAD placement in whom TAH may be more appropriate. The history, indications, surgical implantation, post device management, outcomes, complications, and future direction of the TAH are discussed in this review. PMID:26793338

  7. Gateway to total participation

    SciTech Connect

    Cooper, B.R.

    1991-12-01

    ``People Involvement`` activities are used to bridge all aspects of our Kansas City manufacturing business. This involvement is evident in the daily operation meetings conducted for information sharing, problem solving, concurrent engineering, and planning the work day as a business unit. Our business structure promotes total participation and fosters individual development and growth. This program illustrates the degree to which people can and should be involved in every facet of American industry. It taps capabilities not routinely used in manufacturing assignments and creates a working environment that strives to achieve a ``win-win`` situation for all. Our employee involvement program appropriately called ``People Involvement`` began on a single complex electrical product at the Kansas City Division of Allied Signal Aerospace Company approximately three years ago. The People involvement program is organized like a stand-alone company, and much of its success is based on the way it involves each employee as if they were an ``owner`` in the ``business.`` The group is structured to emphasize the importance of each member`s skill, regardless of position, and to include each member in all aspects of the project.

  8. Gateway to total participation

    SciTech Connect

    Cooper, B.R.

    1991-12-01

    People Involvement'' activities are used to bridge all aspects of our Kansas City manufacturing business. This involvement is evident in the daily operation meetings conducted for information sharing, problem solving, concurrent engineering, and planning the work day as a business unit. Our business structure promotes total participation and fosters individual development and growth. This program illustrates the degree to which people can and should be involved in every facet of American industry. It taps capabilities not routinely used in manufacturing assignments and creates a working environment that strives to achieve a win-win'' situation for all. Our employee involvement program appropriately called People Involvement'' began on a single complex electrical product at the Kansas City Division of Allied Signal Aerospace Company approximately three years ago. The People involvement program is organized like a stand-alone company, and much of its success is based on the way it involves each employee as if they were an owner'' in the business.'' The group is structured to emphasize the importance of each member's skill, regardless of position, and to include each member in all aspects of the project.

  9. Total equipment parts configuration

    SciTech Connect

    Ferrare, J.; Panzani, F.

    1989-01-01

    Florida Power Lights's (FP L's) Turkey Point units were built prior to the establishment of American Society of Mechanical Engineers' Sec. III requirements. Since that time, FP L has voluntarily committed to procuring some spare and replacement parts in compliance with the ordering requirements of ASME Sec. III. New subsystems were designed according to ASME Sec. III requirements. In 1978, 10CFR21 of the Code of Federal Regulations was federally mandated. Environmental qualification concerns and the Three Mile Island incident further complicated the stocking and ordering of spare and replacement parts. Turkey Point assembled a team of quality assurance, quality control, and engineering people and obtained permission to directly access the store department computer so that catalog descriptions could be quickly made available for use by the plant. The total equipment parts configuration (TEPC) system was designed and developed under the direction of the procurement document review team at the Turkey Point nuclear plant. The system is a network of related computer data bases that identifies the equipment at the plant. The equipment (or components that make up a piece of equipment) is identified by a tag/component code system. Each component is further broken down by the manufacturer's parts list or bill of material. A description of the data available to the user, the ways these data can be accessed and displayed, and a description of the data bases and their relation to each other are summarized in this paper.

  10. Total disc replacement.

    PubMed

    Vital, J-M; Boissière, L

    2014-02-01

    Total disc replacement (TDR) (partial disc replacement will not be described) has been used in the lumbar spine since the 1980s, and more recently in the cervical spine. Although the biomechanical concepts are the same and both are inserted through an anterior approach, lumbar TDR is conventionally indicated for chronic low back pain, whereas cervical TDR is used for soft discal hernia resulting in cervicobrachial neuralgia. The insertion technique must be rigorous, with precise centering in the disc space, taking account of vascular anatomy, which is more complex in the lumbar region, particularly proximally to L5-S1. All of the numerous studies, including prospective randomized comparative trials, have demonstrated non-inferiority to fusion, or even short-term superiority regarding speed of improvement. The main implant-related complication is bridging heterotopic ossification with resulting loss of range of motion and increased rates of adjacent segment degeneration, although with an incidence lower than after arthrodesis. A sufficiently long follow-up, which has not yet been reached, will be necessary to establish definitively an advantage for TDR, particularly in the cervical spine. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  11. Connectivity of the subthalamic nucleus and globus pallidus pars interna to regions within the speech network: a meta-analytic connectivity study.

    PubMed

    Manes, Jordan L; Parkinson, Amy L; Larson, Charles R; Greenlee, Jeremy D; Eickhoff, Simon B; Corcos, Daniel M; Robin, Donald A

    2014-07-01

    Cortico-basal ganglia connections are involved in a range of behaviors within motor, cognitive, and emotional domains; however, the whole-brain functional connections of individual nuclei are poorly understood in humans. The first aim of this study was to characterize and compare the connectivity of the subthalamic nucleus (STN) and globus pallidus pars interna (GPi) using meta-analytic connectivity modeling. Structure-based activation likelihood estimation meta-analyses were performed for STN and GPi seeds using archived functional imaging coordinates from the BrainMap database. Both regions coactivated with caudate, putamen, thalamus, STN, GPi, and GPe, SMA, IFG, and insula. Contrast analyses also revealed coactivation differences within SMA, IFG, insula, and premotor cortex. The second aim of this study was to examine the degree of overlap between the connectivity maps derived for STN and GPi and a functional activation map representing the speech network. To do this, we examined the intersection of coactivation maps and their respective contrasts (STN > GPi and GPi > STN) with a coordinate-based meta-analysis of speech function. In conjunction with the speech map, both STN and GPi coactivation maps revealed overlap in the anterior insula with GPi map additionally showing overlap in the supplementary motor area (SMA). Among cortical regions activated by speech tasks, STN was found to have stronger connectivity than GPi with regions involved in cognitive linguistic processes (pre-SMA, dorsal anterior insula, and inferior frontal gyrus), while GPi demonstrated stronger connectivity to regions involved in motor speech processes (middle insula, SMA, and premotor cortex).

  12. The total artificial heart.

    PubMed

    Meyer, A; Slaughter, M

    2011-09-01

    In the 1960s, cardiac surgeons and biomedical engineers pioneered the development of total artificial hearts (TAH) for the treatment of left and right heart failure. As we mark the 10th anniversary of the first implantation of the AbioCor device, the use of TAH has been limited, having failed to reach its envisioned potential and promise as an alternative therapy to heart transplantation. The Syncardia/CardioWest device, originally developed 30 years ago as the Jarvik TAH and later renamed the CardioWest TAH, continues to be used clinically in over 50 centers within the US and Europe having supported over 900 patients worldwide. Syncardia continues to develop TAH technology as evidenced by their recent introduction of a new portable pneumatic driver that enables patients to be discharged from the hospital. In contrast to TAH devices, continuous flow ventricular assist devices (VAD) have made tremendous technological strides and are rapidly gaining widespread clinical acceptance. The VAD technology has demonstrated extraordinary safety and reliability records through evolving technologies, advanced biocompatible materials, and improved patient management. Subsequently, the number of TAH implantations remains low compared to the growth in LVAD implants. Nonetheless, the Syncardia/CardioWest TAH remains an important and viable option for patients with severe biventricular failure and end organ dysfunction. Overall, a 79% survival rate has been achieved in patients supported with a Syncardia/CardioWest TAH as bridge-to-transplantation. In this review article, a brief history on the evolution of TAH devices, their current use and emerging use of evolving continuous flow VAD technology as chronic biventricular and TAH device systems are presented.

  13. Determination of Total Petroleum Hydrocarbons (TPH) Using Total Carbon Analysis

    SciTech Connect

    Ekechukwu, A.A.

    2002-05-10

    Several methods have been proposed to replace the Freon(TM)-extraction method to determine total petroleum hydrocarbon (TPH) content. For reasons of cost, sensitivity, precision, or simplicity, none of the replacement methods are feasible for analysis of radioactive samples at our facility. We have developed a method to measure total petroleum hydrocarbon content in aqueous sample matrixes using total organic carbon (total carbon) determination. The total carbon content (TC1) of the sample is measured using a total organic carbon analyzer. The sample is then contacted with a small volume of non-pokar solvent to extract the total petroleum hydrocarbons. The total carbon content of the resultant aqueous phase of the extracted sample (TC2) is measured. Total petroleum hydrocarbon content is calculated (TPH = TC1-TC2). The resultant data are consistent with results obtained using Freon(TM) extraction followed by infrared absorbance.

  14. Clinical-pathological findings of otitis media and media-interna in calves and (clinical) evaluation of a standardized therapeutic protocol.

    PubMed

    Bertone, I; Bellino, C; Alborali, G L; Cagnasso, A; Cagnotti, G; Dappiano, E; Lizzi, M; Miciletta, M; Ramacciotti, A; Gianella, P; D'Angelo, A

    2015-12-03

    The aims of this field trial were to describe the clinical-pathologic findings in calves with otitis media (OM) and media-interna (OMI), to evaluate, through the development of a scoring system, the effectiveness of a standardized therapeutic protocol, and to identify the causative pathogens and their possible correlation with concurrent respiratory disease. All animals underwent physical and neurological examinations at three experimental time points: at diagnosis/beginning of treatment (T0), 1 week (T1) and 2 weeks (T2) after therapy was started, respectively. Follow-up telephone interviews with animal owners were conducted 1 month later. The therapeutic protocol consisted of tulathromycin (Draxxin®; Zoetis), oxytetracycline hydrochloride (Terramicina 100®; Zoetis), and carprofen (Rimadyl®; Zoetis). Twenty-two calves were enrolled. Physical and otoscopic examination at T0 revealed monolateral and bilateral otorrhea in 16 and 6 calves, respectively, with peripheral vestibular system involvement in calves presenting with neurological signs (n = 17; 77 %). A significant improvement of clinical and neurological scores was observed in 20 (90 %) calves, a full recovery in only 1 (5 %). One calf worsened between T0 and T1 and it was removed from the study. None of the other animals showed a worsening of clinical conditions and/or required further treatments at one month follow up. Mycoplasma bovis was isolated in 89 % of the affected ears either alone or together with P. multocida (n = 5), Streptococcus spp. (n = 1), Staphylococcus spp. (n = 1), and Pseudomonas spp. (n = 1). M. bovis either alone or together with these bacteria was also isolated from the upper and/or lower respiratory tract in 19 (86 %) calves. This is the first prospective study to evaluate the effectiveness of a standardized therapeutic protocol for the treatment of OM/OMI in calves. The therapy led to clinical improvement in the majority of the calves. Persistence of mild clinical

  15. Amniotic Fluid Angiopoietin-1, Angiopoietin-2, and Soluble Receptor Tunica Interna Endothelial Cell Kinase-2 Levels and Regulation in Normal Pregnancy and Intraamniotic Inflammation-Induced Preterm Birth

    PubMed Central

    Buhimschi, Catalin S.; Bhandari, Vineet; Dulay, Antonette T.; Thung, Stephen; Razeq, Sonya S. Abdel-; Rosenberg, Victor; Han, Christina S.; Ali, Unzila A.; Zambrano, Eduardo; Zhao, Guomao; Funai, Edmund F.; Buhimschi, Irina A.

    2010-01-01

    Background: Angiopoietin-1 (Ang-1) and Ang-2 act selectively on endothelial cells by engaging the Tunica interna endothelial cell kinase-2 (Tie2) receptor. A soluble form of Tie2 (sTie2) blocks angiopoietin bioactivity. Objective: The aim of the study was to characterize changes and expression patterns of Ang-1, Ang-2, and sTie2 in amniotic fluid (AF) and placenta during human pregnancy and intraamniotic inflammation (IAI)-induced preterm birth. Design and Setting: We conducted a cross-sectional study at a tertiary university hospital. Patients: AF levels of Ang-1, Ang-2, and sTie2 were evaluated in 176 women during second trimester (n = 40), third trimester (n = 37), and preterm labor (positive IAI, n = 50; negative IAI, n = 49). Placenta and cord blood of select women were analyzed. Main Outcome Measures: Ang-1, Ang-2, sTie2, and IL-6 were evaluated by ELISA. Real-time PCR measured Ang-1, Ang-2, and Tie2 placental mRNA levels. Placenta was immunostained for Ang-1 and Ang-2. Placental explant cultures were stimulated with lipopolysaccharide, Pam3Cys, and modulators of protein synthesis/secretion (cycloheximide, monensin, and brefeldin A). Results: In normal pregnancy, the levels and ratios of AF Ang-1, Ang-2, and sTie2 varied with gestational age (GA) (P < 0.001). PCR revealed corresponding changes in placental Ang-1 and Ang-2, but not Tie2, mRNA. IAI raised AF Ang-1, Ang-2, and sTie2 above the expected level for GA without affecting their placental mRNA. Ang-2 immunoreactivity appeared enhanced in areas of villous edema. AF Ang-2/Ang-1 ratio was an important determinant of cord blood IL-6 (P < 0.001). Ex-vivo, sTie2 release was increased by Golgi disrupting but not bacterial mimic agents. Conclusions: Ang-1, Ang-2, and sTie2 are physiological constituents of AF that are GA and IAI regulated. Ang-2/Ang-1 ratio may play a role in modulating the fetal inflammatory response to IAI. Placental sTie2 shedding likely involves a Golgi-mediated mechanism. PMID:20410222

  16. Effect of co-culture with theca interna on nuclear maturation of horse oocytes with low meiotic competence, and subsequent fusion and activation rates after nuclear transfer.

    PubMed

    Choi, Young-Ho; Shin, Taeyoung; Love, Charley C; Johnson, Cindy; Varner, Dickson D; Westhusin, Mark E; Hinrichs, Katrin

    2002-02-01

    We conducted this study to examine whether or not co-culture with theca cells improves the maturation rate of horse oocytes with compact cumuli and to evaluate the cytoplasmic competence of oocytes after maturation by assessing fusion, activation and cleavage rates after nuclear transfer. We collected oocytes by scraping follicles from slaughterhouse-derived ovaries and classified them as having an expanded or a compact cumulus. Expanded oocytes were matured in M199 supplemented with 10% FBS and 5 microU/ml FSH for 24 h: compact oocytes were cultured in the same medium, or they were co-cultured in the same medium with theca interna explants, for 24 or 42 h. Oocytes were held with or without 10 microg/ml cytochalasin B, before washing and micromanipulation. and they were fused with donor fibroblasts by electrical pulse. Fused oocytes were activated with Ca ionophore/cycloheximide, cultured for 5 days, and stained with Hoechst to assess nuclear development. We considered oocytes with an enlarged nucleus, or having cleavage with multiple nuclei, to be activated. There was no significant difference in overall maturation rate between compact oocytes cultured with theca and compact controls. When these two groups were combined, there was a significant increase in the proportion of oocytes in MII between 24 and 42 h (P < 0.05). Expanded oocytes had a significantly higher rate of maturation than did compact oocytes (64% versus 25-30%; P < 0.001). There were no significant differences in rates of successful enucleation, fusion, activation or cleavage between compact control and compact + theca oocytes, nor between compact and expanded oocytes; however, expanded oocytes treated with cytochalasin B had a significantly higher survival rate after enucleation than did untreated expanded oocytes (P < 0.05). Three embryos developed from recombined oocytes, with maximum cleavage to 10 cells. The results of this study indicate that co-culture with theca cells does not increase

  17. Total anomalous pulmonary venous return

    MedlinePlus

    ... atrial septal defect (ASD) or patent foramen ovale (passage between the left and right atria) must exist ... heart disease - TAPVR Images Heart, section through the middle Totally anomalous pulmonary venous return, x-ray Totally ...

  18. Total colectomy or proctocolectomy - discharge

    MedlinePlus

    ... 2016:chap 26. Read More Colon cancer Ileostomy Intestinal obstruction Total abdominal colectomy Total proctocolectomy and ileal - anal ... Diseases Colorectal Cancer Crohn's Disease Diverticulosis and Diverticulitis Intestinal Obstruction Ulcerative Colitis Browse the Encyclopedia A.D.A. ...

  19. Cambios históricos en el aporte terrígeno de la cuenca del Río de la Plata sobre la plataforma interna Uruguaya

    NASA Astrophysics Data System (ADS)

    Marrero, Analía; Tudurí, Adriana; Pérez, Laura; Cuña, Caroline; Muniz, Pablo; Lopes Figueira, Rubens; Michaelovitch de Mahiques, Michel; Alves de Lima Ferreira, Paulo; Pittauerová, Daniela; Hanebuth, Till; García Rodríguez, Felipe

    2014-12-01

    El Río de la Plata (RdlP) presenta significativas variaciones naturales (hidrodinámicas y oceanográficas) asociadas a diferentes condiciones climáticas. El propósito de este trabajo es inferir los cambios de aportes continentales de sedimentos y su relación con las variaciones hidrológicas del Río de la Plata, a través del análisis de proxies sedimentológicos y geoquímicos en testigos de sedimentos de la plataforma interna uruguaya que registran los últimos 100 años, aproximadamente. A partir de la datación por 210Pb de dos testigos de sedimentos (GeoB 13813-4 y BAR1) se reconstruyó la geocronología del ambiente, y se relacionó con datos de las forzantes climáticas Pacific Decadal Oscillation, El Niño/La Niña Southern Oscillation, Atlantic Multidecadal Oscillation, y las anomalías hidrológicas de los ríos Paraná y Uruguay. Los valores más positivos y estables del Southern Oscillation Index, los cuales corresponden a fases La Niña, se observan en el periodo correspondiente entre 1910-1970, respecto al resto de la serie, donde se aprecia una mayor variabilidad y una tendencia hacia valores más negativos (eventos El Niño). Se hicieron dendrogramas (clustering) jerárquicos para ambos testigos. Para el testigo GeoB 13813-4, se utilizó la relación Ca/Ti y la granulometría, mientras que para BAR1 se recurrió a variables granulométricas y la tasa de sedimentación. El mayor aporte continental hacia la región de la plataforma adyacente al Río de la Plata registrado a partir del año 1970, podría ser el factor principal de los agrupamientos observados en los clusters para ambos testigos. Las agrupaciones mostraron una diferenciación en la década de 1970, lo que estaría asociado al aumento de los caudales de los ríos Paraná y Uruguay, durante las últimas tres décadas del siglo XX. Por otra parte se observa que la granulometría del testigo BAR1 presentó un mayor tamaño de grano y más variabilidad que en el caso del testigo Geo

  20. Total Quality and Organization Development. Total Quality Series.

    ERIC Educational Resources Information Center

    Lindsay, William M.; Petrick, Joseph A.

    As the global business environment becomes more turbulent, quality management seems more indispensable. This book offers strategies for integrating the theory and practice of Total Quality Management (TQM) with organizational-development (OD) theory at all organizational levels. Chapter 1 answers the question "Why Total Quality Management and…

  1. Total Quality Management in Construction

    DTIC Science & Technology

    1993-08-01

    Non M-M to TOTAL QUALITY MANAGEMENT IN CONSTRUCTION Icc I FCHARLES C. MILLER I A REPORT PRESENTED TO THE GRADUATE COMMIITTEE OF THE DEPARTMENT OF...Ii I I TOTAL QUALITY MANAGEMENT IN CONSTRUCTION I I BY CHARLES C. MILLER A REPORT PRESENTED TO THE GRADUATE COMMITTEE OF THE DEPARTMENT OF CIVIL...Figures iii Introduction 1 Chapter 1 - Defining Total Quality Management 4 Philosophy 4 The Team Concept 20 Quality Improvement Process 27 Chapter 2

  2. Total Quality Management (TQM) Bibliography

    DTIC Science & Technology

    1990-04-01

    GTE FIE COPY DTIC c" ECTE 8JUL 25 1990u TOTAL QUALITY MANAGEMENT (TQM) BIBLIOGRAPHY APRIL-1990 Jointly supported by __’__________-_________ Jointly...Arsenal, AL 35898-5241 1I. TITLE (Include Security Classification) TOTAL QUALITY MANAGEMENT (TQM) BIBL IRAPHY APRIL-1990 12. PERSONAL AUTHOR(S) Knott...implementation of the concept of total quality management (TQM). The selected coverage includes books, periodical articles, conference papers and reports. Coded

  3. Total synthesis of bryostatin 9.

    PubMed

    Wender, Paul A; Schrier, Adam J

    2011-06-22

    The total synthesis of bryostatin 9 was accomplished using a uniquely step-economical and convergent Prins-driven macrocyclization strategy. At 25 linear and 42 total steps, this is currently the most concise and convergent synthesis of a potent bryostatin.

  4. Total Synthesis of Bryostatin 9

    PubMed Central

    Wender, Paul A.; Schrier, Adam J.

    2011-01-01

    The total synthesis of bryostatin 9 was accomplished using a uniquely step economical and convergent Prins-driven macrocyclization strategy. At 25 linear and 42 total steps, this is currently the most concise and convergent (5 steps post fragment coupling) synthesis of a potent bryostatin. PMID:21618969

  5. INNOPLANT Total Hip Replacement System.

    PubMed

    Harper, Tisha A M

    2017-07-01

    Total hip replacement is a salvage procedure that is done to alleviate discomfort secondary to osteoarthritis in the hip, which is most often a result of hip dysplasia. Commercially available total hip replacement implants for small animal patients are classified as cemented or cementless. The INNOPLANT Total Hip Replacement system includes modular, screw-in cementless components that were developed to improve implant stability by maintaining as much normal anatomic structure, and by extension biomechanics of the coxofemoral joint, as possible. As a newer system, there are few data and no long-term studies available in the veterinary literature. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Scheme for total quantum teleportation

    PubMed

    DelRe; Crosignani; Di Porto P

    2000-03-27

    We address the issue of totally teleporting the quantum state of an external particle, as opposed to studies on partial teleportation of external single-particle states, total teleportation of coherent states and encoded single-particle states, and intramolecular teleportation of nuclear spin states. We find a set of commuting observables whose measurement directly projects onto the Bell basis and discuss a possible experiment, based on two-photon absorption, allowing, for the first time, total teleportation of the state of a single external photon through a direct projective measurement.

  7. Almost strictly totally positive matrices

    NASA Astrophysics Data System (ADS)

    Gasca, M.; Micchelli, Charles; Peña, J.

    1992-06-01

    A determinantal identity, frequently used in the study of totally positive matrices, is extended, and then used to re-prove the well-known univariate knot insertion formula for B-splines. Also we introduce a class of matrices, intermediate between totally positive and strictly totally positive matrices. The determinantal identity is used to show any minor of such matrices is positive if and only if its diagonal entries are positive. Among others, this class of matrices includes B-splines collocation matrices and Hurwitz matrices.

  8. Fracture After Total Hip Replacement

    MedlinePlus

    ... er Total Hip Replacement cont. • Dislocation • Limb length inequality • Poor fracture healing • Repeat fracture • Lack of in- ... Surgeons (AAOS). To learn more about your orthopaedic health, please visit orthoinfo.org. Page ( 5 ) AAOS does ...

  9. March 8 Solar Eclipse Totality

    NASA Image and Video Library

    The moon passes in front of the sun, creating a total solar eclipse visible in parts of Southeast Asia. This video. taken from a live broadcast from the Exploratorium Science Center, shows the peri...

  10. Rehabilitation following total hip arthroplasty.

    PubMed

    Garden, F H

    1994-01-01

    Rehabilitation professionals play an important role in the comprehensive postoperative management of the patient who has undergone a total hip replacement. Understanding the general surgical considerations that eventually impact the rehabilitation process is essential. Coordination of physicians, physical and occupational therapists, social services, and family members results in better quality of care. The technology and design of hip prostheses and fixation methods impact the functional outcome of total hip arthroplasty. Professionals involved in total hip arthroplasty rehabilitation should also understand the potential complications following total hip arthroplasty that oftentimes cause delays or revisions in the rehabilitation program. When these are combined with appropriate preoperative patient selection and education, as well as postoperative physical and occupational therapy programs, most patients are able to achieve a satisfactory functional outcome, including independence in basic activities of daily living and independent ambulation with an assistive device.

  11. Total arsenic in rice milk.

    PubMed

    Shannon, Ron; Rodriguez, Jose M

    2014-01-01

    Rice milk and its by-products were tested for total arsenic concentration. Total arsenic concentration was determined using graphite-furnace atomic absorption spectrometry. The arsenic concentrations ranged from 2.7 ± 0.3 to 17.9 ± 0.5 µg L(-1). Rice milk and its by-products are not clearly defined as food, water or milk substitute. The US Environmental Protection Agency (EPA), the European Union (EU) and the World Health Organization (WHO) have set a level of 10 µg L(-1) for total arsenic concentrations in drinking water. The EU and the US regulatory agencies do not provide any guidelines on total arsenic concentrations in foods. This study provides us with a starting point to address this issue in the State of Mississippi, USA.

  12. Total exertion: zen, psychoanalysis, life.

    PubMed

    Cooper, Paul C

    2011-09-01

    This paper integrates Zen and psychoanalytic concepts; introduces the Zen concept of total exertion; elaborates the profound implications that the notion of total exertion has for the psychoanalytic encounter and the psychotherapist's capacity for maintaining an optimal attentional stance; addresses anxiety-driven interferences to both the psychoanalytic process and deepened Zen practice. Clinical vignettes, personal experiences, poetry and psychoanalytic theory serve to demonstrate the abstract aspects of the discussion.

  13. Total Quality From The Top

    DTIC Science & Technology

    1993-04-01

    product followed. But, according to V. Daniel Hunt, author of Quality in America, "the time bomb ticks silently 1 V. Daniel Hunt. Quality in America...Michael L., Richard K. Lester, and Robert M. Solow . Made In America. Cambridge, MA:MIT Press, 1989. Doyle, Kevin. "Who’s Killing Total Quality?" Incentive...Gatanas, Harry. Lt Col, USA. "Leadership and Total Quality Management." Carlisle Barracks, PA:U.S. Army War College. April 1992. Hunt, V. Daniel

  14. Total eclipses of the sun.

    PubMed

    Zirker, J B

    1980-12-19

    Total eclipses of the sun offer research opportunities in a variety of sciences. Some of the advances in solar physics resulting from eclipse observations are discussed. Experiments at the total eclipse of 16 February 1980 in India are also described. These included a test of general relativity, studies in coronal physics, investigations of solar prominences, diameter measurements, a search for interplanetary dust, a study of the gravity waves in the earth's atmosphere, and experiments on the biological effects on animals and humans.

  15. The total synthesis of psymberin.

    PubMed

    Huang, Xianhai; Shao, Ning; Palani, Anandan; Aslanian, Robert; Buevich, Alexei

    2007-06-21

    The total synthesis of a new member of the pederin family of natural products, psymberin 1, was accomplished. Using a recently reported novel and efficient PhI(OAc)2 mediated oxidative entry to 2-(N-acylaminal)-substituted tetrahydropyrans as the key step, this total synthesis was executed in a convergent and efficient manner. The longest linear sequence of this synthesis was 22 steps starting from known 6.

  16. Total Quality Management Implementation Plan.

    DTIC Science & Technology

    1989-06-01

    E 14. SUBJECT TERMS 15. NUMBER OF PAGES TOM ( Total Quality Management ), Continuous Process Improvement,_________ Depot Operations, Supply Support 16... Quality Management Implementation Plan 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION Defense General...Reduction PrOtect (O704.Ot8SL Wasilngton, OC 20503j. .EPORT DATE 3. REPORT TYPE AND DATES COVERED June 19891 4. TITLE AND SUBTITLE S. FUNDING NUMBERS Total

  17. Extensions to total variation denoising

    NASA Astrophysics Data System (ADS)

    Blomgren, Peter; Chan, Tony F.; Mulet, Pep

    1997-10-01

    The total variation denoising method, proposed by Rudin, Osher and Fatermi, 92, is a PDE-based algorithm for edge-preserving noise removal. The images resulting from its application are usually piecewise constant, possibly with a staircase effect at smooth transitions and may contain significantly less fine details than the original non-degraded image. In this paper we present some extensions to this technique that aim to improve the above drawbacks, through redefining the total variation functional or the noise constraints.

  18. Total hip and total knee replacement: preoperative nursing management.

    PubMed

    Lucas, Brian

    Total hip replacement (THR) and total knee replacement (TKR) surgery are carried out for the relief of hip or knee pain, usually caused by osteoarthritis. This is the first of two articles on THR and TKR. It will outline the different types of replacement used in lower limb joint replacement surgery. Preparation of patients for surgery requires attention to physical, psychological and social factors and these are explored in detail. The organization of services along the patient pathway to ensure comprehensive preparation is considered and the nursing role highlighted. The second article, to be published in the next issue, will discuss recovery and rehabilitation from THR and TKR surgery.

  19. Total Quality in Higher Education. Total Quality Series.

    ERIC Educational Resources Information Center

    Lewis, Ralph G.; Smith, Douglas H.

    This volume offers a detailed argument for and description of Total Quality Management (TQM) for institutions of higher education. Chapter 1 elaborates on why TQM is good for higher education and includes some warning as to why implementation at colleges and universities may not be easy. Chapter 2 provides an overview of the history of the TQM…

  20. Total body water and total body potassium in anorexia nervosa

    SciTech Connect

    Dempsey, D.T.; Crosby, L.O.; Lusk, E.; Oberlander, J.L.; Pertschuk, M.J.; Mullen, J.L.

    1984-08-01

    In the ill hospitalized patient with clinically relevant malnutrition, there is a measurable decrease in the ratio of the total body potassium to total body water (TBK/TBW) and a detectable increase in the ratio of total exchangeable sodium to total exchangeable potassium (Nae/Ke). To evaluate body composition analyses in anorexia nervosa patients with chronic uncomplicated semistarvation, TBK and TBW were measured by whole body K40 counting and deuterium oxide dilution in 10 females with stable anorexia nervosa and 10 age-matched female controls. The ratio of TBK/TBW was significantly (p less than 0.05) higher in anorexia nervosa patients than controls. The close inverse correlation found in published studies between TBK/TBW and Nae/Ke together with our results suggest that in anorexia nervosa, Nae/Ke may be low or normal. A decreased TBK/TBW is not a good indicator of malnutrition in the anorexia nervosa patient. The use of a decreased TBK/TBW ratio or an elevated Nae/Ke ratio as a definition of malnutrition may result in inappropriate nutritional management in the patient with severe nonstressed chronic semistarvation.

  1. Total Quality Management Is Total at Fox Valley Technical College.

    ERIC Educational Resources Information Center

    Tyler, Carol R.

    1993-01-01

    At Fox Valley Technical College (Wisconsin), application of Total Quality Management (TQM) brought positive outcomes and other effects. Areas in which TQM was used are considered, including admissions, employee safety, customer focus, policy formation, management performance appraisal, student services, creation of a self-managing class, TQM for…

  2. Total Quality in Higher Education. Total Quality Series.

    ERIC Educational Resources Information Center

    Lewis, Ralph G.; Smith, Douglas H.

    This volume offers a detailed argument for and description of Total Quality Management (TQM) for institutions of higher education. Chapter 1 elaborates on why TQM is good for higher education and includes some warning as to why implementation at colleges and universities may not be easy. Chapter 2 provides an overview of the history of the TQM…

  3. [Total gastrectomy for gastric neoplasms].

    PubMed

    Taschieri, A M; Rovati, M P; Elli, M; Pisacreta, M; Danelli, P G; Lesma, A; Cristaldi, M; Tommaso, V; Kurihara, H

    1995-01-01

    In spite of the decreasing incidence of gastric carcinoma, as it is reported in recent reports from the U.S.A., total gastrectomy and its surgical indications results and complications, focus the interest of surgeons. We analize 61 cases of total gastrectomy for carcinoma, treated in the years 1982-1992. Perioperative mortality and long term survival appear highly satisfactory, mainly if one considers that the site and extension of the neoplasms treated would have severely impaired the possibilities of cure or long term survival with surgery of lesser momentum. We believe that nowaday indications for total gastrectomy can be widened in the hope of improving results of gastric cancer surgery with no or little additional risk.

  4. Totally ossified metaplastic spinal meningioma.

    PubMed

    Ju, Chang Il; Hida, Kazutoshi; Yamauchi, Tomohiro; Houkin, Kiyohiro

    2013-09-01

    A 61-year-old woman with a very rare case of totally ossified large thoracic spinal metaplastic meningioma, showing progressing myelopathy is presented. Computed tomographic images showed a large totally ossfied intradural round mass occupying the spinal canal on T9-10 level. Magnetic resonance imaging revealed a large T9-10 intradural extramedullary mass that was hypointense to spinal cord on T1- and T2-weighted sequences, partial enhancement was apparent after Gadolinium administration. The spinal cord was severely compressed and displaced toward the right at the level of T9-10. Surgical removal of the tumor was successfully accomplished via the posterior midline approach and the histological diagnosis verified an ossified metaplastic meningioma. The clinical neurological symptoms of patient were improved postoperatively. In this article we discuss the surgical and pathological aspects of rare case of spinal totally ossified metaplastic meningioma.

  5. Totally Ossified Metaplastic Spinal Meningioma

    PubMed Central

    Hida, Kazutoshi; Yamauchi, Tomohiro; Houkin, Kiyohiro

    2013-01-01

    A 61-year-old woman with a very rare case of totally ossified large thoracic spinal metaplastic meningioma, showing progressing myelopathy is presented. Computed tomographic images showed a large totally ossfied intradural round mass occupying the spinal canal on T9-10 level. Magnetic resonance imaging revealed a large T9-10 intradural extramedullary mass that was hypointense to spinal cord on T1- and T2-weighted sequences, partial enhancement was apparent after Gadolinium administration. The spinal cord was severely compressed and displaced toward the right at the level of T9-10. Surgical removal of the tumor was successfully accomplished via the posterior midline approach and the histological diagnosis verified an ossified metaplastic meningioma. The clinical neurological symptoms of patient were improved postoperatively. In this article we discuss the surgical and pathological aspects of rare case of spinal totally ossified metaplastic meningioma. PMID:24278660

  6. Stereocontrolled total synthesis of (+)-vincristine

    PubMed Central

    Kuboyama, Takeshi; Yokoshima, Satoshi; Tokuyama, Hidetoshi; Fukuyama, Tohru

    2004-01-01

    An efficient total synthesis of (+)-vincristine has been accomplished through a stereoselective coupling of demethylvindoline and the eleven-membered carbomethoxyverbanamine presursor. Demethylvindoline was prepared by oxidation of 17-hydroxy-11-methoxytabersonine, followed by regioselective acetylation with mixed anhydride method. Although an initial attempt of coupling by using demethylvindoline formamide was not successful and resulted in recovery of the starting compounds, the reaction using demethylvindoline took place smoothly to furnish the desired bisindole product with the correct stereochemistry at C18′. After formation of the piperidine ring by sequential removal of the protective groups and intramolecular nucleophilic cyclization, the total synthesis of vincristine was completed by formylation of N1. PMID:15141084

  7. Advances in total scattering analysis

    SciTech Connect

    Proffen, Thomas E; Kim, Hyunjeong

    2008-01-01

    In recent years the analysis of the total scattering pattern has become an invaluable tool to study disordered crystalline and nanocrystalline materials. Traditional crystallographic structure determination is based on Bragg intensities and yields the long range average atomic structure. By including diffuse scattering into the analysis, the local and medium range atomic structure can be unravelled. Here we give an overview of recent experimental advances, using X-rays as well as neutron scattering as well as current trends in modelling of total scattering data.

  8. Total Ozone Prediction: Stratospheric Dynamics

    NASA Technical Reports Server (NTRS)

    Jackman, Charles H.; Kawa, S. Ramdy; Douglass, Anne R.

    2003-01-01

    The correct prediction of total ozone as a function of latitude and season is extremely important for global models. This exercise tests the ability of a particular model to simulate ozone. The ozone production (P) and loss (L) will be specified from a well- established global model and will be used in all GCMs for subsequent prediction of ozone. This is the "B-3 Constrained Run" from M&MII. The exercise mostly tests a model stratospheric dynamics in the prediction of total ozone. The GCM predictions will be compared and contrasted with TOMS measurements.

  9. Energy Planning: A Total Concept.

    ERIC Educational Resources Information Center

    Hall, Stephen S. J.

    1975-01-01

    Harvard's energy conservation plan is presented in detail with the hope that it will suggest practical, cost-effective energy-saving ideas to other institutions, and to dispel frequently-expressed fears concerning the feasibility and acceptance problems of this type of program. The total energy plan incorporates numerous specific elements that…

  10. Energy Planning: A Total Concept.

    ERIC Educational Resources Information Center

    Hall, Stephen S. J.

    1975-01-01

    Harvard's energy conservation plan is presented in detail with the hope that it will suggest practical, cost-effective energy-saving ideas to other institutions, and to dispel frequently-expressed fears concerning the feasibility and acceptance problems of this type of program. The total energy plan incorporates numerous specific elements that…

  11. Total Library Computerization for Windows.

    ERIC Educational Resources Information Center

    Combs, Joseph, Jr.

    1999-01-01

    Presents a general review of features of version 2.1 of Total Library Computerization (TLC) for Windows from On Point, Inc. Includes information about pricing, hardware and operating systems, modules/functions available, user interface, security, on-line catalog functions, circulation, cataloging, and documentation and online help. A table…

  12. The first Polish total laryngectomies

    PubMed Central

    Paprocka-Borowicz, Małgorzata; Pozowski, Andrzej; Kuciel-Lewandowska, Jadwiga

    2013-01-01

    The total removal of the larynx (total laryngectomy), performed in 1872 by the well-known Viennese surgeon Christian A. Theodor Billroth (1829–1894), was an epoch-making event in the history of surgery and laryngology. This paper presents the first surgeons who performed this operation. The first Pole who performed a total laryngectomy (1877) was Julian Kosiński (1833–1914), head of the Surgical Clinic of Imperial University Warsaw. It was the 14th operation of this kind in the world. Several laryngectomies were carried out by Franciszek Ksawery Jawdyński (1851–1896), called the father of Polish head and neck surgery, who was the first Pole to excise a malignant neck cancer together with the lymph nodes. The next total laryngectomies were performed by the following Polish surgeons: Jan Mikulicz-Radecki (1850–1905), Władysław H.S. Krajewski (1855–1907), Alfred Obaliński (1843–1898). According to Jan Sędziak, by 1897 Poland with 16 laryngectomies (per 188 carried out) had occupied the fourth position in the world. The failures of the first laryngectomies were due to such factors as the ignorance of shock pathophysiology, the inability to ensure the patency of the airways during and after the operation, which would result in lung and mediastinum infections, massive haemorrhages and so on. But the primary cause was the lack of constructive collaboration between the laryngologists and the surgeons. PMID:24592132

  13. Total Library Computerization for Windows.

    ERIC Educational Resources Information Center

    Combs, Joseph, Jr.

    1999-01-01

    Presents a general review of features of version 2.1 of Total Library Computerization (TLC) for Windows from On Point, Inc. Includes information about pricing, hardware and operating systems, modules/functions available, user interface, security, on-line catalog functions, circulation, cataloging, and documentation and online help. A table…

  14. Total Synthesis of Propolisbenzofuran B†

    PubMed Central

    Jones, Brian T.; Avetta, Christopher T.; Thomson, Regan J.

    2014-01-01

    The first total synthesis of propolisbenzofuran B, a bioactive natural product isolated from honeybee propolis resin, is reported. The convergent synthesis makes use of a silicon-tether controlled oxidative ketone–ketone cross-coupling and a novel benzofuran-generating cascade reaction to deliver the core structure of the natural product from readily prepared precursors. PMID:24976944

  15. The Total Cost of Technology.

    ERIC Educational Resources Information Center

    Freeman, Jim

    2002-01-01

    Presents overview of areas to consider when planning for the total cost of technology, including a brief look at the planning needed, equipment that should be considered, infrastructure needs, software considerations, maintenance issues, training, upgrades, and planning for system failures. (Author/PKP)

  16. Total Quality Management in Education.

    ERIC Educational Resources Information Center

    Johnson, James H.

    1993-01-01

    Ways to apply the concepts and processes of Total Quality Management (TQM) to education are discussed in this document. Following the introduction and the preface, chapter 1 provides a historical overview and describes the four cornerstones of TQM--an understanding of systems, psychology, knowledge, and statistics. Chapter 2 describes some of the…

  17. Leadership and Total Quality Management

    DTIC Science & Technology

    1992-04-15

    Quality Management when combine with good leadership and management skills yields increased productivity. This paper will focus on the skills required of...The leadership of large and complex organizations in today’s environment of shrinking resources requires a strong commitment by the leader. Total

  18. [Hypoparathyroid risk after total thyroidectomy].

    PubMed

    Milone, Antonino; Carditello, Antonio; Stilo, Francesco; Paparo, Domenica; Paparo, Teresa

    2004-01-01

    From January 1970 to December 1999, 881 patients with thyroid pathology underwent surgery consisting in 551 subtotal thyroidectomies and 330 total thyroidectomies. Permanent hypocalcaemia was present in 32 patients (3.6%). The importance of accurate isolation and ultraligature of the branches of the inferior thyroid artery in the prevention of parathyroid damage is stressed.

  19. Total Quality Management for Schools.

    ERIC Educational Resources Information Center

    Greenwood, Malcolm S.; Gaunt, Helen J.

    Education in the United Kingdom has been shaped by the advent of local school management and the rapid growth of grant-maintained schools. Total Quality Management (TQM) offers a new way of looking at management principles and structures by identifying the needs of both internal and external customers. This book applies principles of TQM…

  20. [Peristomal recurrence after total laryngectomy].

    PubMed

    Lahoz Zamarro, M T; Faubel Serra, M; Campos Dana, J J

    1989-01-01

    The AA. evaluate the incidence of peristomal recurrences among 349 total laryngectomies operated between 1975 and 1985, at ENT Service, Hospital Dr. Peset, Valencia. As possible etiologies they emphasize: first of all the infraglottic spreading of the tumor, the emergency tracheostomy done prior to the surgery of the larynx, and the lacking of irradiation of the tracheostoma.

  1. Total body potassium measurement method

    SciTech Connect

    Tomlinson, F.K.

    1985-09-01

    The body counter facility at Mound was used to measure the total body potassium (TBK) in hypertensive patients. Radioactive /sup 40/K accounts for 0.0118% of natural potassium and can be readily measured in vivo. The normal adult human generally has 80 to 185 g of TBK depending on sex, age, height, etc. 10 refs., 1 tab.

  2. A totally implantable electrical heart.

    PubMed

    Jufer, M

    1985-01-01

    A totally implantable artificial heart, electrically actuated by magnetical energy transmission was developed in Switzerland. The pusher-plates and roller-screw model was used for the pump. The main advantages of such a mechanical heart are discussed, in particular, the motor that transforms electrical energy into mechanical energy, and allows accurate control of the output and pressures of the artificial ventricles. The system includes the heart, the electronic control of the power supply, the microprocessor for the control of the mechanical heart's performance, a buffer battery, a rectifier and the secondary of the energy transmission. All these elements are implanted. Outside of the body are the main battery, the chopper and the primary of the energy transmission. At present, a left ventricle device for external assistance and a totally artificial heart have both been developed and implanted in calves. An optimized totally artificial heart is in construction, its size being compatible for human implantation; its volume is 500 mL and its total weight is 450 g.

  3. What is Total Quality Management?

    ERIC Educational Resources Information Center

    Bryan, William A.

    1996-01-01

    Provides a general overview of Total Quality Management (TQM) and explains why there is pressure for change in higher education institutions. Defines TQM and the various themes, tools, and beliefs that make it different from other management approaches. Presents 14 principles and how they might be applied to student affairs. (RJM)

  4. The Total Cost of Ownership.

    ERIC Educational Resources Information Center

    Day, C. William

    2000-01-01

    Examines what Total Cost of Ownership is regarding the purchase of technological resources for schools and the major expenses that are likely to occur after technological hardware and software have been installed. A list of best practices that can reduce costs approximately 15 percent and a checklist for technology budgeting are provided. (GR)

  5. Total Quality Management for Schools.

    ERIC Educational Resources Information Center

    Greenwood, Malcolm S.; Gaunt, Helen J.

    Education in the United Kingdom has been shaped by the advent of local school management and the rapid growth of grant-maintained schools. Total Quality Management (TQM) offers a new way of looking at management principles and structures by identifying the needs of both internal and external customers. This book applies principles of TQM…

  6. Self-Boring Pressuremeter in Pluvially Deposited Sands.

    DTIC Science & Technology

    1987-06-01

    OF TABLES TABLE 1: SUMMARY OF INSTALLATION CONDITIONS DURING SELF-BORING TABLE 2: SUMMARY OF GENERAL CALIBRATION CHAMBER CONDITIONS AFTER SAMPLE...CANKOMETER MARK VIII FIG. 4: GENERAL CHARACTERISTICS OF TICINO AND HOKKSUND SAND FIG. 5: SCHEMATIC OUTLINE OF SAND SPREADER FIG. 6: SCHEMATIC OUTLINE...COMPARISON OF CALCULATED #Ps ROM SBPT AND EQUIVALENT O FROM TRIAXIAL TESTS 04 LIST OF APPENDIXES APP. I : EXAMPLE OF COMPUTER GENERATED PLOTS FOR

  7. Pluvials, droughts, the Mongol Empire, and modern Mongolia

    NASA Astrophysics Data System (ADS)

    Pederson, Neil; Hessl, Amy E.; Baatarbileg, Nachin; Anchukaitis, Kevin J.; Di Cosmo, Nicola

    2014-03-01

    Although many studies have associated the demise of complex societies with deteriorating climate, few have investigated the connection between an ameliorating environment, surplus resources, energy, and the rise of empires. The 13th-century Mongol Empire was the largest contiguous land empire in world history. Although drought has been proposed as one factor that spurred these conquests, no high-resolution moisture data are available during the rapid development of the Mongol Empire. Here we present a 1,112-y tree-ring reconstruction of warm-season water balance derived from Siberian pine (Pinus sibirica) trees in central Mongolia. Our reconstruction accounts for 56% of the variability in the regional water balance and is significantly correlated with steppe productivity across central Mongolia. In combination with a gridded temperature reconstruction, our results indicate that the regional climate during the conquests of Chinggis Khan's (Genghis Khan's) 13th-century Mongol Empire was warm and persistently wet. This period, characterized by 15 consecutive years of above-average moisture in central Mongolia and coinciding with the rise of Chinggis Khan, is unprecedented over the last 1,112 y. We propose that these climate conditions promoted high grassland productivity and favored the formation of Mongol political and military power. Tree-ring and meteorological data also suggest that the early 21st-century drought in central Mongolia was the hottest drought in the last 1,112 y, consistent with projections of warming over Inner Asia. Future warming may overwhelm increases in precipitation leading to similar heat droughts, with potentially severe consequences for modern Mongolia.

  8. Pluvials, Droughts, the Mongol Empire, and Modern Mongolia

    NASA Astrophysics Data System (ADS)

    Hessl, A. E.; Pederson, N.; Baatarbileg, N.; Anchukaitis, K. J.

    2013-12-01

    Understanding the connections between climate, ecosystems, and society during historical and modern climatic transitions requires annual resolution records with high fidelity climate signals. Many studies link the demise of complex societies with deteriorating climate conditions, but few have investigated the connection between climate, surplus energy, and the rise of empires. Inner Asia in the 13th century underwent a major political transformation requiring enormous energetic inputs that altered human history. The Mongol Empire, centered on the city of Karakorum, became the largest contiguous land empire in world history (Fig. 1 inset). Powered by domesticated grazing animals, the empire grew at the expense of sedentary agriculturalists across Asia, the Middle East, and Eastern Europe. Although some scholars and conventional wisdom agree that dry conditions spurred the Mongol conquests, little paleoenvironmental data at annual resolution are available to evaluate the role of climate in the development of the Mongol Empire. Here we present a 2600 year tree-ring reconstruction of warm-season, self-calibrating Palmer Drought Severity Index (scPDSI), a measure of water balance, derived from 107 live and dead Siberian pine (Pinus sibirica) trees growing on a Holocene lava flow in central Mongolia. Trees growing on the Khorgo lava flow today are stunted and widely spaced, occurring on microsites with little to no soil development. These trees are extremely water-stressed and their radial growth is well-correlated with both drought (scPDSI) and grassland productivity (Normalized Difference Vegetation Index (NDVI)). Our reconstruction, calibrated and validated on instrumental June-September scPDSI (1959-2009) accounts for 55.8% of the variability in the regional scPDSI when 73% of the annual rainfall occurs. Our scPDSI reconstruction places historic and modern social change in Mongolia in the context of the range of climatic variability during the Common Era. Our record, in combination with a gridded temperature reconstruction, shows that the climate during the conquests of Chinggis Khaan's (Ghengis Khan) 13th century Mongol Empire was warm and persistently wet. Tree-ring and meteorological data combined suggest that the early 21st century drought was the hottest drought in the last 1000 years, consistent with model projections of warming in Inner Asia. Future warming may overwhelm increases in precipitation leading to similar 'heat droughts', with potentially severe consequences for modern Mongolia.

  9. Terrestrial Evidence for Holocene Pluvials in Coastal Southern California

    NASA Astrophysics Data System (ADS)

    Reynolds, L.; Simms, A.; Rockwell, T. K.; Peters, R. B.

    2016-12-01

    In 1861 a series of large storms attributed to a prolonged atmospheric river event impacted the coast of California, inundated large regions of the state for weeks on end, stalled the government, and devastated the economy. A recent report by the USGS, the Arkstorm Report, predicted a similar sized event today could cost the state more than $700 billion in long-term economic losses. The high-resolution sedimentary record from the Santa Barbara Basin indicates 8 flooding events similar to or larger than the 1861 event have occurred in the past 2000 years. However, little terrestrial evidence for these events has been identified to determine coastal impacts or test the completeness of the Santa Barbara Channel record. Here we show evidence from coastal wetlands along the Santa Barbara Channel that alluvial fan progradation events have recurred at least 7 times over the last 7ka. Because most streams in the Transverse ranges flow only during storms, these alluvial fan building events are interpreted to represent large flooding events. We use a chronology derived from over 40 radiocarbon dates from 39 vibracores up to 4m in length, and 7 Geoprobe cores up to 13m in length from Carpinteria Marsh to test whether these alluvial fan progradation events and/or other abrupt stratigraphic changes are synchronous with regionally documented climatic events. We show that a compilation of biological, sedimentological, geochemical, and archeological proxies for flooding, storms, and/or wet climate conditions from sites throughout the southwestern United States demonstrates the difficulty in correlating and interpreting regional Holocene events across variable proxies and geographic regions. Despite this variation, isolating the purely sedimentological proxies (increase in sedimentation rates, increase in grain size, decrease in organic content, etc.) seems to demonstrate a correlation between alluvial fan progradation events in Carpinteria at 0.3-0.9 ka and 3.5 ka and records of wet conditions throughout the western US, while a lack of alluvial fan deposits from 2-3 ka correlates with the Late Holocene Dry Period. Whether these flooding events represent increased occurrences of atmospheric river events, heightened El Nino activity, or longer-term changes in atmospheric conditions remains an open question.

  10. Old World megadroughts and pluvials during the Common Era

    PubMed Central

    Cook, Edward R.; Seager, Richard; Kushnir, Yochanan; Briffa, Keith R.; Büntgen, Ulf; Frank, David; Krusic, Paul J.; Tegel, Willy; van der Schrier, Gerard; Andreu-Hayles, Laia; Baillie, Mike; Baittinger, Claudia; Bleicher, Niels; Bonde, Niels; Brown, David; Carrer, Marco; Cooper, Richard; Čufar, Katarina; Dittmar, Christoph; Esper, Jan; Griggs, Carol; Gunnarson, Björn; Günther, Björn; Gutierrez, Emilia; Haneca, Kristof; Helama, Samuli; Herzig, Franz; Heussner, Karl-Uwe; Hofmann, Jutta; Janda, Pavel; Kontic, Raymond; Köse, Nesibe; Kyncl, Tomáš; Levanič, Tom; Linderholm, Hans; Manning, Sturt; Melvin, Thomas M.; Miles, Daniel; Neuwirth, Burkhard; Nicolussi, Kurt; Nola, Paola; Panayotov, Momchil; Popa, Ionel; Rothe, Andreas; Seftigen, Kristina; Seim, Andrea; Svarva, Helene; Svoboda, Miroslav; Thun, Terje; Timonen, Mauri; Touchan, Ramzi; Trotsiuk, Volodymyr; Trouet, Valerie; Walder, Felix; Ważny, Tomasz; Wilson, Rob; Zang, Christian

    2015-01-01

    Climate model projections suggest widespread drying in the Mediterranean Basin and wetting in Fennoscandia in the coming decades largely as a consequence of greenhouse gas forcing of climate. To place these and other “Old World” climate projections into historical perspective based on more complete estimates of natural hydroclimatic variability, we have developed the “Old World Drought Atlas” (OWDA), a set of year-to-year maps of tree-ring reconstructed summer wetness and dryness over Europe and the Mediterranean Basin during the Common Era. The OWDA matches historical accounts of severe drought and wetness with a spatial completeness not previously available. In addition, megadroughts reconstructed over north-central Europe in the 11th and mid-15th centuries reinforce other evidence from North America and Asia that droughts were more severe, extensive, and prolonged over Northern Hemisphere land areas before the 20th century, with an inadequate understanding of their causes. The OWDA provides new data to determine the causes of Old World drought and wetness and attribute past climate variability to forced and/or internal variability. PMID:26601136

  11. Pluvials, droughts, the Mongol Empire, and modern Mongolia

    PubMed Central

    Pederson, Neil; Hessl, Amy E.; Baatarbileg, Nachin; Anchukaitis, Kevin J.; Di Cosmo, Nicola

    2014-01-01

    Although many studies have associated the demise of complex societies with deteriorating climate, few have investigated the connection between an ameliorating environment, surplus resources, energy, and the rise of empires. The 13th-century Mongol Empire was the largest contiguous land empire in world history. Although drought has been proposed as one factor that spurred these conquests, no high-resolution moisture data are available during the rapid development of the Mongol Empire. Here we present a 1,112-y tree-ring reconstruction of warm-season water balance derived from Siberian pine (Pinus sibirica) trees in central Mongolia. Our reconstruction accounts for 56% of the variability in the regional water balance and is significantly correlated with steppe productivity across central Mongolia. In combination with a gridded temperature reconstruction, our results indicate that the regional climate during the conquests of Chinggis Khan’s (Genghis Khan’s) 13th-century Mongol Empire was warm and persistently wet. This period, characterized by 15 consecutive years of above-average moisture in central Mongolia and coinciding with the rise of Chinggis Khan, is unprecedented over the last 1,112 y. We propose that these climate conditions promoted high grassland productivity and favored the formation of Mongol political and military power. Tree-ring and meteorological data also suggest that the early 21st-century drought in central Mongolia was the hottest drought in the last 1,112 y, consistent with projections of warming over Inner Asia. Future warming may overwhelm increases in precipitation leading to similar heat droughts, with potentially severe consequences for modern Mongolia. PMID:24616521

  12. Old World megadroughts and pluvials during the Common Era.

    PubMed

    Cook, Edward R; Seager, Richard; Kushnir, Yochanan; Briffa, Keith R; Büntgen, Ulf; Frank, David; Krusic, Paul J; Tegel, Willy; van der Schrier, Gerard; Andreu-Hayles, Laia; Baillie, Mike; Baittinger, Claudia; Bleicher, Niels; Bonde, Niels; Brown, David; Carrer, Marco; Cooper, Richard; Čufar, Katarina; Dittmar, Christoph; Esper, Jan; Griggs, Carol; Gunnarson, Björn; Günther, Björn; Gutierrez, Emilia; Haneca, Kristof; Helama, Samuli; Herzig, Franz; Heussner, Karl-Uwe; Hofmann, Jutta; Janda, Pavel; Kontic, Raymond; Köse, Nesibe; Kyncl, Tomáš; Levanič, Tom; Linderholm, Hans; Manning, Sturt; Melvin, Thomas M; Miles, Daniel; Neuwirth, Burkhard; Nicolussi, Kurt; Nola, Paola; Panayotov, Momchil; Popa, Ionel; Rothe, Andreas; Seftigen, Kristina; Seim, Andrea; Svarva, Helene; Svoboda, Miroslav; Thun, Terje; Timonen, Mauri; Touchan, Ramzi; Trotsiuk, Volodymyr; Trouet, Valerie; Walder, Felix; Ważny, Tomasz; Wilson, Rob; Zang, Christian

    2015-11-01

    Climate model projections suggest widespread drying in the Mediterranean Basin and wetting in Fennoscandia in the coming decades largely as a consequence of greenhouse gas forcing of climate. To place these and other "Old World" climate projections into historical perspective based on more complete estimates of natural hydroclimatic variability, we have developed the "Old World Drought Atlas" (OWDA), a set of year-to-year maps of tree-ring reconstructed summer wetness and dryness over Europe and the Mediterranean Basin during the Common Era. The OWDA matches historical accounts of severe drought and wetness with a spatial completeness not previously available. In addition, megadroughts reconstructed over north-central Europe in the 11th and mid-15th centuries reinforce other evidence from North America and Asia that droughts were more severe, extensive, and prolonged over Northern Hemisphere land areas before the 20th century, with an inadequate understanding of their causes. The OWDA provides new data to determine the causes of Old World drought and wetness and attribute past climate variability to forced and/or internal variability.

  13. Pluvials, droughts, the Mongol Empire, and modern Mongolia.

    PubMed

    Pederson, Neil; Hessl, Amy E; Baatarbileg, Nachin; Anchukaitis, Kevin J; Di Cosmo, Nicola

    2014-03-25

    Although many studies have associated the demise of complex societies with deteriorating climate, few have investigated the connection between an ameliorating environment, surplus resources, energy, and the rise of empires. The 13th-century Mongol Empire was the largest contiguous land empire in world history. Although drought has been proposed as one factor that spurred these conquests, no high-resolution moisture data are available during the rapid development of the Mongol Empire. Here we present a 1,112-y tree-ring reconstruction of warm-season water balance derived from Siberian pine (Pinus sibirica) trees in central Mongolia. Our reconstruction accounts for 56% of the variability in the regional water balance and is significantly correlated with steppe productivity across central Mongolia. In combination with a gridded temperature reconstruction, our results indicate that the regional climate during the conquests of Chinggis Khan's (Genghis Khan's) 13th-century Mongol Empire was warm and persistently wet. This period, characterized by 15 consecutive years of above-average moisture in central Mongolia and coinciding with the rise of Chinggis Khan, is unprecedented over the last 1,112 y. We propose that these climate conditions promoted high grassland productivity and favored the formation of Mongol political and military power. Tree-ring and meteorological data also suggest that the early 21st-century drought in central Mongolia was the hottest drought in the last 1,112 y, consistent with projections of warming over Inner Asia. Future warming may overwhelm increases in precipitation leading to similar heat droughts, with potentially severe consequences for modern Mongolia.

  14. Solar total energy project Shenandoah

    NASA Astrophysics Data System (ADS)

    1980-01-01

    A description of the final design for the Solar Total Energy System to be installed at the Shenandoah, Georgia, site of utilization by the Bleyle knitwear plant, is presented. The system is a fully cascaded total energy system design featuring high temperature paraboloidal dish solar collectors with a 235 concentration ratio, a steam Rankine cycle power conversion system capable of supplying 100 to 400 kW(e) output with an intermediate process steam take-off point, and a back pressure condenser for heating and cooling. The design also includes an integrated control system employing the supervisory control concept to allow maximum experimental flexibility. The system design criteria and requirements are presented including the performance criteria and operating requirements, environmental conditions of operation; interface requirements with the Bleyle plant and the Georgia Power Company lines; maintenance, reliability, and testing requirements; health and safety requirements; and other applicable ordinances and codes.

  15. Fiscally Informed Total Force Manpower

    DTIC Science & Technology

    2008-01-01

    manpower requirements and within fiscal limits and acceptable levels of risk identified in DoD planning and programming guidance. In 2006, DoD issued...operating at a time when it must carefully balance resources to recapitalize major equipment—all while mitigating operational risk . DoD is carefully...Total Force4 work- forces that enable key capabilities, deliver readiness, are cost-effective, and balance risk . Demand exists both in the military and

  16. Total synthesis of (+/-)-chartelline C.

    PubMed

    Baran, Phil S; Shenvi, Ryan A

    2006-11-01

    The first total synthesis of (+/-)-chartelline C in a concise 10-step sequence is reported. Highlights of the completion of this decades-old puzzle include (1) chemo- and position-selective installation of the heteroaromatic halogens, (2) halogen-sparing monoreduction of an alkyne linker, (3) a simple strategy for placement of the sensitive beta-chloroenamide, (4) an unusually facile thermolysis of a vinyl carboxylic acid, and (5) a powerful ring contraction whose potential utility in heterocyclic chemistry merits further investigation.

  17. Total Synthesis of Apoptolidin A

    PubMed Central

    Crimmins, Michael T.; Christie, Hamish S.; Long, Alan; Chaudhary, Kleem

    2009-01-01

    A highly convergent, enantioselective total synthesis of the potent antitumor agent apoptolidin A, has been completed. The key transformations include highly selective glycosylations to attach the C27 disaccharide and the C9 6′-deoxy-l-glucose, a cross metathesis to incorporate the C1-C10 trienoate unit, and a Yamaguchi macrolactonization to complete the macrocycle. Twelve stereocenters in the polypropionate segments and sugar units were established through diastereoselective chlorotitanium enolate aldol reactions. PMID:19199767

  18. The essence of total synthesis

    PubMed Central

    Nicolaou, K. C.; Snyder, Scott A.

    2004-01-01

    For the past century, the total synthesis of natural products has served as the flagship of chemical synthesis and the principal driving force for discovering new chemical reactivity, evaluating physical organic theories, testing the power of existing synthetic methods, and enabling biology and medicine. This perspective article seeks to examine this time-honored and highly demanding art, distilling its essence in an effort to ascertain its power and future potential. PMID:15302925

  19. Total synthesis of (-)-callipeltoside A.

    PubMed

    Hoye, Thomas R; Danielson, Michael E; May, Aaron E; Zhao, Hongyu

    2010-11-05

    A total synthesis of (-)-callipeltoside A (1) has been achieved. The core macrocycle was made via a dual macrolactonization/pyran hemiketal formation reaction, developed to circumvent issues related to the reversible nature of acylketene formation from β-keto lactone substrates. Initial approaches to the core of the natural product that revolved around ring-closing metathesis (RCM) and relay ring-closing metathesis (RRCM) reactions are also described.

  20. Rehabilitation for total joint arthroplasty.

    PubMed

    Ritterman, Scott; Rubin, Lee E

    2013-05-01

    Total hip and knee replacement are two of the most common and successful elective surgeries preformed in the United States each year. Preoperative medical preparation and postoperative rehabilitation are equally important to a successful outcome. Physical deconditioning, tobacco use, obesity and medical co-morbidities can adversely affect outcomes and should be addressed before any elective procedure. Formal postoperative therapy is geared towards the specific surgery and is aimed at returning the patient to independent activity.

  1. Acceleration using total internal reflection

    SciTech Connect

    Fernow, R.C.

    1991-06-07

    This report considers the use of a dielectric slab undergoing total internal reflection as an accelerating structure for charged particle beams. We examine the functional dependence of the electromagnetic fields above the surface of the dielectric for polarized incident waves. We present an experimental arrangement for testing the performance of the method, using apparatus under construction for the Grating Acceleration experiment at Brookhaven National Laboratory. 13 refs., 4 figs., 2 tabs.

  2. Hinge total knee replacement revisited

    PubMed Central

    Cameron, Hugh U.; Hu, Cungen; Vyamont, Didier

    1997-01-01

    Objective To determine if aseptic loosening is a major problem in hinge total knee replacement. Design A cohort study. Setting A university-affiliated institute, specializing in elective orthopedic surgery. Patients Fifty-eight patients, mainly those requiring revision, in whom the conditions were such that it was felt only a totally constrained implant was appropriate. In 7 patients the implant was press-fitted; in the remainder it was cemented. Five patients required fusion or revision, and 8 died less than 2 years after implantation, leaving 45 for review. Follow-up was 2 to 13 years. Intervention Total knee replacement with a Guepar II prosthesis. Main outcome measures Radiolucency determined by the Cameron system and clinical scoring using the Hospital for Special Surgery system. Results Of the cemented components, 91% of femoral stems were type IA (no lucency), 9% were type IB (partial lucency), with no type II or III lucency. Tibial lucency was 87% type IA and 13% type IB, with no type II or III lucency. Of the noncemented components, 58% of femoral components were type IA and 42% type IB. Tibial lucency was 71% type IA and 29% type IB. Lucency was mainly present in zones 1 and 2 adjacent to the knee. Clinical rating was 18% excellent, 20% good, 20% fair and 42% poor. Postoperative complications included infection (13%), aseptic loosening (7%), quadriceps lag (16%) and extensor mechanism problems (16%). Conclusions Aseptic loosening is an uncommon problem in hinge total knee replacement. The complication rate in cases of sufficient severity as to require a hinge replacement remains high. Current indications for a hinge prosthesis are anteroposterior instability with a very large flexion gap, complete absence of the collateral ligaments and complete absence of a functioning extensor mechanism. PMID:9267296

  3. Total Pancreatectomy With Islet Autotransplantation

    PubMed Central

    Bellin, Melena D.; Gelrud, Andres; Arreaza-Rubin, Guillermo; Dunn, Ty B.; Humar, Abhinav; Morgan, Katherine A.; Naziruddin, Bashoo; Rastellini, Cristiana; Rickels, Michael R.; Schwarzenberg, Sarah J.; Andersen, Dana K.

    2015-01-01

    A workshop sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases focused on research gaps and opportunities in total pancreatectomy with islet autotransplantation (TPIAT) for the management of chronic pancreatitis. The session was held on July 23, 2014 and structured into 5 sessions: (1) patient selection, indications, and timing; (2) technical aspects of TPIAT; (3) improving success of islet autotransplantation; (4) improving outcomes after total pancreatectomy; and (5) registry considerations for TPIAT. The current state of knowledge was reviewed; knowledge gaps and research needs were specifically highlighted. Common themes included the need to identify which patients best benefit from and when to intervene with TPIAT, current limitations of the surgical procedure, diabetes remission and the potential for improvement, opportunities to better address pain remission, GI complications in this population, and unique features of children with chronic pancreatitis considered for TPIAT. The need for a multicenter patient registry that specifically addresses the complexities of chronic pancreatitis and total pancreatectomy outcomes and postsurgical diabetes outcomes was repeatedly emphasized. PMID:25599324

  4. CLINICAL OUTCOME AFTER INFECTED TOTAL KNEE AND TOTAL HIP ARTHROPLASTY.

    PubMed

    Mittag, Falk; Leichtle, Carmen Ina; Schlumberger, Michael; Leichtle, Ulf Gunther; Wünschel, Markus

    2016-01-01

    Infection after total hip (THA) and knee arthroplasty (TKA) is a serious complication which typically leads to a long lasting and intensive surgical and medicamentous treatment. The aim of this study was to identify factors that influence outcome after revision surgery caused by prosthetic infection. We retrospectively analyzed 64 patients who had revision surgery between 1989 and 2009 due to periprosthetic infection. We examined a total of 69 joints (TKA: 36%, THA: 64%), follow-up 5.1 years (0.5-21 years) after the initial surgical intervention. The mean patient age at time of surgery was 67 years old (43-79 years old). Clinical data and scores including the Western Ontario and McMaster Universities (WOMAC)-Index, the Harris Hip Score (HHS) and the Hospital for Special Surgery Score (HSS) were surveyed. There was no difference in clinical scores regarding treatment between a single and a multiple stage treatment regime. Infections with multiple microorganisms and Enterococcus spp. lead to a significantly higher number of interventions. Using a modified Tsukayama system we classified 24% as type I, 34% type II and 42% type III- infections, with no differences in clinical outcome. Overweight patients had a significantly lower HHS and WOMAC-score. Immunosuppression leads to a worse WOMAC and HSS-Score. An increased number of procedures was associated to a limping gait. Thorough surgical technique leads to good clinical results independent of infection-type and treatment philosophy. Level of Evidence III, Case Control Study.

  5. An assessment of the isotopic (2H/18O) integrity of water samples collected and stored by unattended precipitation totalizers

    NASA Astrophysics Data System (ADS)

    Terzer, Stefan; Wassenaar, Leonard I.; Douence, Cedric; Araguas-Araguas, Luis

    2016-04-01

    -in-funnel collector. For the submerged-tube sampler, the evaporative effect depended on the amount of stored water: 100 ml showed unacceptable isotopic enrichment, whereas the SEE of 500 ml stored water was acceptable. These data allowed us to estimate the impact of secondary evaporative enrichment on a device-specific basis as a function of PET. Based on global PET grids (e.g. CGIAR data), and benchmarking the expected SEE against the reasonable uncertainty of isotope spectrometry (< ±0.1‰ for δ18O), these findings reveal the most suitable totalizer device for any given climatic condition. Under extreme conditions (e.g. high aridity, little precipitation vs. high PET), a paraffin-oil based rain totalizer is most appropriate for monthly collections. Submerged-tube samplers may be considered if either a higher frequency of collection were possible, or monthly under pluvial/temperate climate conditions. The use of ball-in-funnel type totalizers are not recommended at all, unless samples could be collected on a daily basis.

  6. Heliophysics at total solar eclipses

    NASA Astrophysics Data System (ADS)

    Pasachoff, Jay M.

    2017-08-01

    Observations during total solar eclipses have revealed many secrets about the solar corona, from its discovery in the 17th century to the measurement of its million-kelvin temperature in the 19th and 20th centuries, to details about its dynamics and its role in the solar-activity cycle in the 21st century. Today's heliophysicists benefit from continued instrumental and theoretical advances, but a solar eclipse still provides a unique occasion to study coronal science. In fact, the region of the corona best observed from the ground at total solar eclipses is not available for view from any space coronagraphs. In addition, eclipse views boast of much higher quality than those obtained with ground-based coronagraphs. On 21 August 2017, the first total solar eclipse visible solely from what is now United States territory since long before George Washington's presidency will occur. This event, which will cross coast-to-coast for the first time in 99 years, will provide an opportunity not only for massive expeditions with state-of-the-art ground-based equipment, but also for observations from aloft in aeroplanes and balloons. This set of eclipse observations will again complement space observations, this time near the minimum of the solar activity cycle. This review explores the past decade of solar eclipse studies, including advances in our understanding of the corona and its coronal mass ejections as well as terrestrial effects. We also discuss some additional bonus effects of eclipse observations, such as recreating the original verification of the general theory of relativity.

  7. Epithelial phenotype in total sclerocornea

    PubMed Central

    Yeh, Lung-Kun; Chen, Hung-Chi; Chang, Anna Marie; Ho, Yi-Ju; Chang, Shirley H.L.; Yang, Unique

    2014-01-01

    Purpose To understand whether the epithelial phenotype in total sclerocornea is corneal or conjunctival in origin. Methods Four cases of total sclerocornea (male:female = 1:3; mean age = 5.4±4.3; 1–11 years old) who received penetrating keratoplasty (PKP) at our hospital between 2008 and 2011 were included. Corneal buttons obtained during PKP were used for transmission electron microscopy (TEM) as well as immunoconfocal microscopy for cytokeratins 3, 12, and 13, goblet cell mucin MUC5AC, connexin 43, stem cell markers p63 and ABCG2, laminin-5, and fibronectin. Results After a mean follow-up period of 38.8±14.0 (12–54) months, the grafts remained clear in half of the patients. TEM examination revealed a markedly attenuated Bowman’s layer in the scleralized corneas, with irregular and variably thinned collagen lamellar layers, and disorganization and random distribution of collagen fibrils, which were much larger in diameter compared with a normal cornea. Immunoconfocal microscopy showed that keratin 3 was expressed in all four patients, while p63, ABCG2, and MUC5AC were all absent. Cornea-specific keratin 12 was universally expressed in Patients 1 to 3, while mucosa (including conjunctiva)-specific keratin 13 was negative in these patients. Interestingly, keratin 12 and 13 were expressed in Patient 4 in a mutually exclusive manner. Linear expression of laminin-5 in the basement membrane zone and similar expression of fibronectin were observed. Conclusions The epithelia in total sclerocornea are essentially corneal in phenotype, but in the event of massive corneal angiogenesis, invasion by the conjunctival epithelium is possible. PMID:24744607

  8. Development of a totally implantable total artificial heart controller.

    PubMed

    Lee, S H; Choi, W W; Min, B G

    1991-01-01

    Using a one chip microcontroller, 87C196 (One chip EPROM), and an erasable and programmable logic device (EPLD), an implantable control system to drive a pendulum type electromechanical total artificial heart was developed. This control system consists of four parts: a main management system, a motor driver with power regulator, a state monitoring system, and a communication portion. The main system has a speed detector, proportional and integral (PI) control, pulse width modulation (PWM) generation, serial communication, and an analog data processor. Two kinds of power system are used, separated by eight photocoupler arrays to improve system stability. When the performance of each compartment was compared with that of the previously used Z80 microprocessor based control system, good correspondence was shown. Logic power consumption was reduced to one third that of the previous controller. Using mock circulation tests, the overall performance of the control system was evaluated.

  9. Malnutrition and Total Joint Arthroplasty

    PubMed Central

    Ellsworth, Bridget; Kamath, Atul F.

    2016-01-01

    Malnutrition is prevalent in patients undergoing elective total joint arthroplasty (TJA). Malnutrition has been shown to be an independent risk factor for multiple postsurgical complications following TJA in addition to increasing postoperative mortality. In the current healthcare environment, it is important to recognize and correct modifiable risk factors preoperatively to minimize perioperative complications and improve patient outcomes. Recently, multiple studies have been published focusing on the association between malnutrition and perioperative complications following TJA. The findings of these studies are summarized in this review. Further research is required to determine if optimization of nutritional status preoperatively influence surgical outcomes in the elective TJA patient. PMID:27376151

  10. Total Synthesis of (+)-Superstolide A

    PubMed Central

    Tortosa, Mariola; Yakelis, Neal A.; Roush, William R.

    2009-01-01

    A convergent and highly stereocontrolled total synthesis of the cytotoxic macrolide (+)-superstolide A is described. Key features of this synthesis include the use of bimetallic linchpin 36b for uniting the C(1)-C(15) (43) and the C(20)-C(27) (38) fragments of the natural product, a late-stage Suzuki macrocyclization of 49, and a highly diastereoselective transannular Diels-Alder reaction of macrocyclic octanene 4. In contrast, the intramolecular Diels-Alder reaction of pentaenal 5 provided the desired cycloadduct with lower stereoselectivity (6:1:1). PMID:18956845

  11. Polarimetric total internal reflection biosensing.

    PubMed

    Maisonneuve, Mathieu; Song, In-Hyouk; Patskovsky, Sergiy; Meunier, Michel

    2011-04-11

    In this paper, a concept of polarimetric total internal reflection (TIR) biosensor based on the method of temporal phase modulation is presented. Measurements of the phase difference between s- and p- polarized light combined with their amplitudes allow simultaneous detection of the bulk refractive index and thickness of the surface biofilms. Obtained experimental sensitivity is better than 10(-5) in terms of refractive index unit and 0.5 nm in biolayer thickness. Relatively simple technological implementation of the TIR sensors on the base of inexpensive and transparent substrates opens a number of novel applications in biosensing and microscopy. © 2011 Optical Society of America

  12. Characterization of total flare energy

    NASA Technical Reports Server (NTRS)

    Hudson, H. S.

    1986-01-01

    It is concluded that the estimates of total energy in the prime flares lie well below the Active Cavity Radiometer Irradiance Monitor upper limits. This is consistent with our knowledge of the energy distribution in solar flares. Insufficient data exist for us to be very firm about this conclusion, however, and major energetic components could exist undetected, especially in the EUV-XUV and optical bands. In addition, the radiant energy cannot quantitatively be compared at this time with non-radiant terms because of even larger uncertainties in the latter.

  13. Enantioselective Total Synthesis of (+)-Wortmannin.

    PubMed

    Guo, Yinliang; Quan, Tianfei; Lu, Yandong; Luo, Tuoping

    2017-05-24

    A concise and enantioselective total synthesis of the potent PI3K inhibitor (+)-wortmannin is described. A Pd-catalyzed cascade reaction was first developed to connect a synthon derived from Hajos-Parrish ketone to a furan moiety. The subsequent Friedel-Crafts alkylation of the β-position of a furan ring to an epoxide was optimized to establish the C10 quaternary center. (+)-Wortmannin was eventually accomplished by transformations following a late-stage oxidation of the furan allylic position. Kinome profiling and in vitro enzymatic assays were performed on 17-β-hydroxy-wortmannin and an epoxide analogue.

  14. [Proximal and total femur replacement].

    PubMed

    Pennekamp, P H; Wirtz, D C; Dürr, H R

    2012-07-01

    Reconstruction of segmental bone defects of the proximal femur following wide tumor resection or revision arthroplasty. Aggressive benign or primary malignant bone tumors of the proximal femur; destructive metastases; massive segmental bone defects of the proximal femur; periprosthetic fractures. Local infection; very short life expectancy (< 3 months); massive deficiency of acetabular bone stock. Anterolateral approach. Exposure and detachment of the iliopsoas and gluteus medius muscle from the proximal femur with a sufficient safety margin to the bone; distal transsection of the vastus lateralis/intermedius and rectus femoris muscle according to the extraosseous tumor extension; distal femur osteotomy al least 3 cm beyond the farthest point of tumor extension; in case of total femur replacement, additional lateral arthrotomy of the knee with resection of the ligaments and menisci; reaming of the medullary canal after securing the shaft with a Verbrugge clamp; trial assembly and reduction followed by the definitive implantation of the prosthesis with adjustment of the femoral neck anteversion in 5° increments; soft tissue reconstruction and fixation to an attachment tube covering the prosthesis; in case of total femur replacement, the preparation of the tibia is followed by the coupling of the tibial and femoral components. Infection prophylaxis, 20 kg partial weight bearing, continuous passive motion. A total of 20  patients with proximal femur replacement and 2 patients with total femur replacement implanted between June 2007 and December 2011 were retrospectively reviewed. Three patients had primary malignant bone tumors, while 19 patients underwent resection for metastatic disease. The mean age at surgery was 62.0 ± 18.1 years (18-82 years). Fifteen patients with a mean follow-up of 20.3 ± 17.2 months (4-51 months) were studied. Among the 22 cases, periprosthetic infection occurred in 3 patients (13.6%), dislocation in 2 patients (9

  15. CLINICAL OUTCOME AFTER INFECTED TOTAL KNEE AND TOTAL HIP ARTHROPLASTY

    PubMed Central

    Mittag, Falk; Leichtle, Carmen Ina; Schlumberger, Michael; Leichtle, Ulf Gunther; Wünschel, Markus

    2016-01-01

    ABSTRACT Objective: Infection after total hip (THA) and knee arthroplasty (TKA) is a serious complication which typically leads to a long lasting and intensive surgical and medicamentous treatment. The aim of this study was to identify factors that influence outcome after revision surgery caused by prosthetic infection. Methods: We retrospectively analyzed 64 patients who had revision surgery between 1989 and 2009 due to periprosthetic infection. We examined a total of 69 joints (TKA: 36%, THA: 64%), follow-up 5.1 years (0.5-21 years) after the initial surgical intervention. The mean patient age at time of surgery was 67 years old (43-79 years old). Clinical data and scores including the Western Ontario and McMaster Universities (WOMAC)-Index, the Harris Hip Score (HHS) and the Hospital for Special Surgery Score (HSS) were surveyed. Results: There was no difference in clinical scores regarding treatment between a single and a multiple stage treatment regime. Infections with multiple microorganisms and Enterococcus spp. lead to a significantly higher number of interventions. Using a modified Tsukayama system we classified 24% as type I, 34% type II and 42% type III- infections, with no differences in clinical outcome. Overweight patients had a significantly lower HHS and WOMAC-score. Immunosuppression leads to a worse WOMAC and HSS-Score. An increased number of procedures was associated to a limping gait. Conclusion: Thorough surgical technique leads to good clinical results independent of infection-type and treatment philosophy. Level of Evidence III, Case Control Study. PMID:26997914

  16. Total ozone trend over Cairo

    NASA Technical Reports Server (NTRS)

    Hassan, G. K. Y.

    1994-01-01

    A world wide interest in protecting ozone layer against manmade effects is now increasing. Assessment of the ozone depletion due to these activities depends on how successfully we can separate the natural variabilities from the data. The monthly mean values of total ozone over Cairo (30 05N) for the period 1968-1988, have been analyzed using the power spectral analysis technique. The technique used in this analysis does not depend on a pre-understanding of the natural fluctuations in the ozone data. The method depends on increasing the resolution of the spectral peaks in order to obtain the more accurate sinusoidal fluctuations with wavelength equal to or less than record length. Also it handles the possible sinusoidal fluctuations with wavelength equal to or less than record length. The results show that it is possible to detect some of the well known national fluctuations in the ozone record such as annual, semiannual, quasi-biennial and quasi-quadrennial oscillations. After separating the natural fluctuations from the ozone record, the trend analysis of total ozone over Cairo showed that a decrease of about -1.2% per decade has occurred since 1979.

  17. Total hip replacement in dancers.

    PubMed

    Buyls, Inge R A E; Rietveld, A B M Boni; Ourila, Tiia; Emerton, Mark E; Bird, H A

    2013-04-01

    A case report of a professional contemporary dancer who successfully returned to the stage after bilateral total hip replacements (THR) for osteoarthritis is presented, together with her own commentary and a retrospective cohort study of total hip replacements in dancers. In the presented cohort, there were no post-operative dislocations or infections, the original pain had been relieved, rehabilitation was objectively normal and all resumed their dance (teaching) activities. Nevertheless, they were disappointed about the prolonged rehabilitation. Due to their high demands as professional dancers, post-operative expectations were too optimistic in view of the usual quick and favourable results of THR in the older and less physically active, general population. In all dancers with unilateral osteoarthritis, the left hip was involved, which may reflect the tendency to use the left leg as standing leg and be suggestive that strenuous physical activity may lead to osteoarthritis. Better rehabilitation guidelines are needed for dancer patients undergoing THR, especially drawing their attention to realistic post-operative expectations.

  18. Total synthesis of brevetoxin A.

    PubMed

    Nicolaou, K C; Yang, Z; Shi, G; Gunzner, J L; Agrios, K A; Gärtner, P

    1998-03-19

    Brevetoxin A is the most potent neurotoxin secreted by Gymnodinium breve Davis, a marine organism often associated with harmful algal blooms known as 'red tides'. The compound, whose mechanism of action involves binding to and opening of sodium channels, is sufficiently toxic to kill fish at concentrations of nanograms per ml and, after accumulation in filter-feeding shellfish, to poison human consumers. The precise pathway by which nature constructs brevetoxin A is at present unknown, but strategies for its total synthesis have been contemplated for some time. The synthetic challenge posed by brevetoxin A reflects the high complexity of its molecular structure: 10 oxygen atoms and a chain of 44 carbon atoms are woven into a polycyclic macromolecule that includes 10 rings (containing between 5 and 9 atoms) and 22 stereogenic centres. Particularly challenging are the 7-, 8- and 9-membered rings which allow the molecule to undergo slow conformational changes and force a 90 degrees twist at one of its rings. Here we describe the successful incorporation of methods that were specifically developed for the construction of these rings into an overall strategy for the total synthesis of brevetoxin A in its naturally occurring form. The convergent synthesis reported here renders this scarce neurotoxin synthetically available and, more importantly, allows the design and synthesis of analogues for further biochemical studies.

  19. Total Value of Phosphorus Recovery.

    PubMed

    Mayer, Brooke K; Baker, Lawrence A; Boyer, Treavor H; Drechsel, Pay; Gifford, Mac; Hanjra, Munir A; Parameswaran, Prathap; Stoltzfus, Jared; Westerhoff, Paul; Rittmann, Bruce E

    2016-07-05

    Phosphorus (P) is a critical, geographically concentrated, nonrenewable resource necessary to support global food production. In excess (e.g., due to runoff or wastewater discharges), P is also a primary cause of eutrophication. To reconcile the simultaneous shortage and overabundance of P, lost P flows must be recovered and reused, alongside improvements in P-use efficiency. While this motivation is increasingly being recognized, little P recovery is practiced today, as recovered P generally cannot compete with the relatively low cost of mined P. Therefore, P is often captured to prevent its release into the environment without beneficial recovery and reuse. However, additional incentives for P recovery emerge when accounting for the total value of P recovery. This article provides a comprehensive overview of the range of benefits of recovering P from waste streams, i.e., the total value of recovering P. This approach accounts for P products, as well as other assets that are associated with P and can be recovered in parallel, such as energy, nitrogen, metals and minerals, and water. Additionally, P recovery provides valuable services to society and the environment by protecting and improving environmental quality, enhancing efficiency of waste treatment facilities, and improving food security and social equity. The needs to make P recovery a reality are also discussed, including business models, bottlenecks, and policy and education strategies.

  20. Solar total energy project Shenandoah

    SciTech Connect

    1980-01-10

    This document presents the description of the final design for the Solar Total Energy System (STES) to be installed at the Shenandoah, Georgia, site for utilization by the Bleyle knitwear plant. The system is a fully cascaded total energy system design featuring high temperature paraboloidal dish solar collectors with a 235 concentration ratio, a steam Rankine cycle power conversion system capable of supplying 100 to 400 kW(e) output with an intermediate process steam take-off point, and a back pressure condenser for heating and cooling. The design also includes an integrated control system employing the supervisory control concept to allow maximum experimental flexibility. The system design criteria and requirements are presented including the performance criteria and operating requirements, environmental conditions of operation; interface requirements with the Bleyle plant and the Georgia Power Company lines; maintenance, reliability, and testing requirements; health and safety requirements; and other applicable ordinances and codes. The major subsystems of the STES are described including the Solar Collection Subysystem (SCS), the Power Conversion Subsystem (PCS), the Thermal Utilization Subsystem (TUS), the Control and Instrumentation Subsystem (CAIS), and the Electrical Subsystem (ES). Each of these sections include design criteria and operational requirements specific to the subsystem, including interface requirements with the other subsystems, maintenance and reliability requirements, and testing and acceptance criteria. (WHK)

  1. "Total IBA" - Where are we?

    NASA Astrophysics Data System (ADS)

    Jeynes, C.; Bailey, M. J.; Bright, N. J.; Christopher, M. E.; Grime, G. W.; Jones, B. N.; Palitsin, V. V.; Webb, R. P.

    2012-01-01

    The suite of techniques which are available with the small accelerators used for MeV ion beam analysis (IBA) range from broad beams, microbeams or external beams using the various particle and photon spectrometries (including RBS, EBS, ERD, STIM, PIXE, PIGE, NRA and their variants), to tomography and secondary particle spectrometries like MeV-SIMS. These can potentially yield almost everything there is to know about the 3-D elemental composition of types of samples that have always been hard to analyse, given the sensitivity and the spacial resolution of the techniques used. Molecular and chemical information is available in principle with, respectively, MeV-SIMS and high resolution PIXE. However, these techniques separately give only partial information - the secret of "Total IBA" is to find synergies between techniques used simultaneously which efficiently give extra information. We here review how far "Total IBA" can be considered already a reality, and what further needs to be done to realise its full potential.

  2. Concise total synthesis of glucosepane.

    PubMed

    Draghici, Cristian; Wang, Tina; Spiegel, David A

    2015-10-16

    Glucosepane is a structurally complex protein posttranslational modification that is believed to exist in all living organisms. Research in humans suggests that glucosepane plays a critical role in the pathophysiology of both diabetes and human aging, yet comprehensive biological investigations of this metabolite have been hindered by a scarcity of chemically homogeneous material available for study. Here we report the total synthesis of glucosepane, enabled by the development of a one-pot method for preparation of the nonaromatic 4H-imidazole tautomer in the core. Our synthesis is concise (eight steps starting from commercial materials), convergent, high-yielding (12% overall), and enantioselective. We expect that these results will prove useful in the art and practice of heterocyclic chemistry and beneficial for the study of glucosepane and its role in human health and disease.

  3. NAVIGATION IN TOTAL KNEE ARTHROPLASTY

    PubMed Central

    da Mota e Albuquerque, Roberto Freire

    2015-01-01

    Navigation was the most significant advance in instrumentation for total knee arthroplasty over the last decade. It provides surgeons with a precision tool for carrying out surgery, with the possibility of intraoperative simulation and objective control over various anatomical and surgical parameters and references. Since the first systems, which were basically used to control the alignment of bone cutting referenced to the mechanical axis of the lower limb, many other surgical steps have been incorporated, such as component rotation, ligament balancing and arranging the symmetry of flexion and extension spaces, among others. Its efficacy as a precision tool with an effective capacity for promoting better alignment of the lower-limb axis has been widely proven in the literature, but the real value of optimized alignment and the impact of navigation on clinical results and the longevity of arthroplasty have yet to be established. PMID:27026979

  4. Total quality management implementation guidelines

    SciTech Connect

    Not Available

    1993-12-01

    These Guidelines were designed by the Energy Quality Council to help managers and supervisors in the Department of Energy Complex bring Total Quality Management to their organizations. Because the Department is composed of a rich mixture of diverse organizations, each with its own distinctive culture and quality history, these Guidelines are intended to be adapted by users to meet the particular needs of their organizations. For example, for organizations that are well along on their quality journeys and may already have achieved quality results, these Guidelines will provide a consistent methodology and terminology reference to foster their alignment with the overall Energy quality initiative. For organizations that are just beginning their quality journeys, these Guidelines will serve as a startup manual on quality principles applied in the Energy context.

  5. Total Synthesis of Bryostatin 1

    PubMed Central

    Keck, Gary E.; Poudel, Yam B.; Cummins, Thomas J.; Rudra, Arnab; Covel, Jonathan A.

    2010-01-01

    Bryostatin 1 is a marine natural product that is a very promising lead compound due to the potent biological activity it displays against a variety of human disease states. We describe herein the first total synthesis of this agent. The synthetic route adopted is a highly convergent one in which preformed and heavily functionalized pyran rings A and C are united by “pyran annulation”: the TMSOTf promoted reaction between a hydroxy allylsilane appended to the A ring fragment and an aldehyde contained in the C ring fragment, with concomitant formation of the B ring. Further elaborations of the resulting very highly functionalized intermediate include macrolactonization and selective cleavage of just one of five ester linkages present. PMID:21175177

  6. Total synthesis of bryostatin 1.

    PubMed

    Keck, Gary E; Poudel, Yam B; Cummins, Thomas J; Rudra, Arnab; Covel, Jonathan A

    2011-02-02

    Bryostatin 1 is a marine natural product that is a very promising lead compound because of the potent biological activity it displays against a variety of human disease states. We describe herein the first total synthesis of this agent. The synthetic route adopted is a highly convergent one in which the preformed, heavily functionalized pyran rings A and C are united by "pyran annulation", the TMSOTf-promoted reaction between a hydroxyallylsilane appended to the A-ring fragment and an aldehyde contained in the C-ring fragment, with concomitant formation of the B ring. Further elaborations of the resulting very highly functionalized intermediate include macrolactonization and selective cleavage of just one of five ester linkages present.

  7. Total extraperitoneal endoscopic hernioplasty (TEP).

    PubMed

    Kuthe, A; Mainik, F; Flade-Kuthe, R

    2014-04-01

    One can no longer think about modern hernia surgery without mentioning endoscopic techniques. But due to their high technical demands the learning curve is comparatively long. And by technical mistakes and their consequences (pain, recurrence, complications) the benefits of the endoscopic techniques can easily be turned to drawbacks. The following text explains the steps of the total extraperitoneal endoscopic hernioplasty (TEP) technique in detail pointing out alternatives and risks. From preparation, indication and positioning, from trocar placement to extraperitoneal dissection and mesh placement, the principles of TEP are elucidated in respect of local anatomy and possible complications. The text as well as the accompanying video in the Mediathek are based on the authors' 20 years of experience in the TEP technique. Both of them may help in safe TEP application to minimise the complication rate as well as recurrences. Then patients can benefit from the advantages of this technique.

  8. Stereocontrolled Total Synthesis of (-)-Stemaphylline.

    PubMed

    Varela, Ana; Garve, Lennart K B; Leonori, Daniele; Aggarwal, Varinder K

    2017-02-13

    Homologation of readily available α-boryl pyrrolidines with metal carbenoids is especially challenging even when good leaving groups (Cl(-) ) are employed. By performing a solvent switch from Et2 O to CHCl3 , efficient 1,2-metalate rearrangement of the intermediate boronate occurs with both halide and ester leaving groups. The methodology was used in the total synthesis of the Stemona alkaloid (-)-stemaphylline in just 11 steps (longest linear sequence), with high stereocontrol (>20:1 d.r.) and 11 % overall yield. The synthesis also features a late-stage lithiation-borylation reaction with a tertiary amine containing carbenoid. © 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

  9. Tribology of total artificial joints.

    PubMed

    Fisher, J; Dowson, D

    1991-01-01

    The tribology of total artificial replacement joints is reviewed. The majority of prosthesis currently implanted comprise a hard metallic component which articulates on ultra high molecular weight polyethylene surface. These relatively hard bearing surfaces operate with a mixed or boundary lubrication regime, which results in wear and wear debris from the ultra high molecular weight polyethylene surface. This debris can contribute to loosening and ultimate failure of the prostheses. The tribological performance of these joints has been considered and a number of factors which may contribute to increased wear rates have been identified. Cushion bearing surfaces consisting of low elastic modulus materials which can articulate with full fluid film lubrication are also described. These bearing surfaces have shown the potential for greatly reducing wear debris.

  10. Instability following total knee arthroplasty.

    PubMed

    Rodriguez-Merchan, E Carlos

    2011-10-01

    Background Knee prosthesis instability (KPI) is a frequent cause of failure of total knee arthroplasty. Moreover, the degree of constraint required to achieve immediate and long-term stability in total knee arthroplasty (TKA) is frequently debated. Questions This review aims to define the problem, analyze risk factors, and review strategies for prevention and treatment of KPI. Methods A PubMed (MEDLINE) search of the years 2000 to 2010 was performed using two key words: TKA and instability. One hundred and sixty-five initial articles were identified. The most important (17) articles as judged by the author were selected for this review. The main criteria for selection were that the articles addressed and provided solutions to the diagnosis and treatment of KPI. Results Patient-related risk factors predisposing to post-operative instability include deformity requiring a large surgical correction and aggressive ligament release, general or regional neuromuscular pathology, and hip or foot deformities. KPI can be prevented in most cases with appropriate selection of implants and good surgical technique. When ligament instability is anticipated post-operatively, the need for implants with a greater degree of constraint should be anticipated. In patients without significant varus or valgus malalignment and without significant flexion contracture, the posterior cruciate ligament (PCL) can be retained. However, the PCL should be sacrificed when deformity exists particularly in patients with rheumatoid arthritis, previous patellectomy, previous high tibial osteotomy or distal femoral osteotomy, and posttraumatic osteoarthritis with disruption of the PCL. In most cases, KPI requires revision surgery. Successful outcomes can only be obtained if the cause of KPI is identified and addressed. Conclusions Instability following TKA is a common cause of the need for revision. Typically, knees with deformity, rheumatoid arthritis, previous patellectomy or high tibial osteotomy, and

  11. Total quality management program planning

    SciTech Connect

    Thornton, P.T.; Spence, K.

    1994-05-01

    As government funding grows scarce, competition between the national laboratories is increasing dramatically. In this era of tougher competition, there is no for resistance to change. There must instead be a uniform commitment to improving the overall quality of our products (research and technology) and an increased focus on our customers` needs. There has been an ongoing effort to bring the principles of total quality management (TQM) to all Energy Systems employees to help them better prepare for future changes while responding to the pressures on federal budgets. The need exists for instituting a vigorous program of education and training to an understanding of the techniques needed to improve and initiate a change in organizational culture. The TQM facilitator is responsible for educating the work force on the benefits of self-managed work teams, designing a program of instruction for implementation, and thus getting TQM off the ground at the worker and first-line supervisory levels so that the benefits can flow back up. This program plan presents a conceptual model for TQM in the form of a hot air balloon. In this model, there are numerous factors which can individually and collectively impede the progress of TQM within the division and the Laboratory. When these factors are addressed and corrected, the benefits of TQM become more visible. As this occurs, it is hoped that workers and management alike will grasp the ``total quality`` concept as an acceptable agent for change and continual improvement. TQM can then rise to the occasion and take its rightful place as an integral and valid step in the Laboratory`s formula for survival.

  12. Total hydrocarbon analyzer evaluation study

    SciTech Connect

    Shamat, N. ); Crumpler, E. ); Roddan, A. )

    1991-10-01

    Measuring and controlling organic emissions from incineration processes has become a major environmental concern in recent years. The US Environmental Protection Agency (EPA) recently proposed a regulation for sewage sludge incinerators under section 405(d) of the Clean Water Act that will require all sludge incinerators to monitor total hydrocarbon emissions (THCs) on a continuous basis. Such a requirement would be part of National Pollutant Discharge Elimination (NPDES) permits and site-specific THC limits would be established for facilities based on a risk assessment of organic emissions. Before EPA can finalize the proposed requirement, THC monitoring must be successfully conducted in a plant environment and the system required by any final regulation must be kept in operation so that facilities can comply with their permits. The Metropolitan Waste Control Commission (MWCC) in St. Paul, Minn., and Rosemount Analytical Division in La Habre, Calif., entered into a joint agreement with EPA to demonstrate a hot' THC monitoring system to detect THCs in stack gases. The objectives of the study are to determine the feasibility of THC monitoring of sludge incinerator emissions; evaluate the long term reliability, cost of operation, and consistency of a continuous THC monitoring system in an incinerator environment; and determine the correlation of THC stack concentration to incinerator and scrubber operating conditions, carbon monoxide concentration, and specific VOC emissions.

  13. A Practical Total Integrated Scatterometer

    NASA Astrophysics Data System (ADS)

    Guerra, John M.

    1989-03-01

    Universal acceptance of a proposed standard measurement method can depend not only upon how soundly it is based in scientific theory but on its cost and technical implementation as well. A total integrated scatterometer for the optical shop is described with emphasis on economy, rapid measurement, repeatability, and ergonomic packaging as controlling design criteria. The advent of low-cost microvolt resolution in digital multimeters allows the use of large-area silicon photovoltaic cells for detection of the scatter and specular light from the sample. The thin cell profile permits placement of the scatter detector closer to the sample port for minimal scatter obscuration. The large cell area accepts the blur circle from an inexpensive molded acrylic dome for scatter collection. A dedicated pocket computer and printer calculates, displays and prints sample RMS roughness, average, and standard de-viation for multiple measurements; it also controls laser user-access, prints a tutorial, and identifies sample, operator and date/time. The laser is a 2mW HeNe (633 nm); safety issues are addressed. The specular beam reflects off the specular detector and onto an alignment target screen, ensuring sample alignment and measurement repeatability. The inverted design provides a gravity-loading sample stage that is completely accessible; custom sample mounts are readily added. Component sources are provided. Performance and correlation to other scatterometer and roughness measurement techniques such as optical and mechanical profilers are presented.

  14. Total chemical synthesis of crambin.

    PubMed

    Bang, Duhee; Chopra, Neeraj; Kent, Stephen B H

    2004-02-11

    Crambin is a small (46 amino acids) protein isolated from the seeds of the plant Crambe abyssinica. Crambin has been extensively used as a model protein for the development of advanced crystallography and NMR techniques and for computational folding studies. We set out to establish synthetic access to crambin. Initially, we synthesized the 46 amino acid polypeptide by native chemical ligation of two distinct sets of peptide segments (15 + 31 and 31 + 15 residues). The synthetic polypeptide chain folded in good yield to give native crambin containing three disulfide bonds. The chemically synthesized crambin was characterized by LC-MS and by 2D-NMR. However, the 31-residue peptide segments were difficult to purify, and this caused an overall low yield for the synthesis. To overcome this problem, we synthesized crambin by the native chemical ligation of three segments (15 + 16 + 15 residues). Total synthesis using the ligation of three segments gave more than a 10-fold increase in yield and a protein product of exceptionally high purity. This work demonstrates the efficacy of chemical protein synthesis by the native chemical ligation of three segments and establishes efficient synthetic access to the important model protein crambin for experimental studies of protein folding and stability.

  15. Pollution prevention through total quality

    SciTech Connect

    Stoltz, D.L.; Byrant, M.G.; Eggers, D.M.; Gough, R.W.; Schlosberg, W.H.

    1993-05-01

    Application of Total Quality to AlliedSignal Inc., Kansas City Division's (KCD) Pollution Prevention Program has created a dynamic and focused effort to significantly reduce process inefficiencies and waste generation. KCD is demonstrating TQ's usefulness by empowering associates and obtaining their buy-in and ownership of pollution prevention principles. Specific pollution prevention working groups include: establishing a comprehensive recycling process; (2) capitalizing on Environmentally Conscious Manufacturing (ECM) expertise; and (3) encouraging the internal implementation of ECM. TQ produces the performance results that promote and sustain plant-wide pollution prevention goals and activities. KCD uses AlliedSignall's nine step Process Improvement Problem/Solving Model'' (Appendix A). Although this program only formally began within the past year, many of the tools have been used over the last eight years to achieve pollution prevention objectives. This paper focuses on the new attitude and gives examples of how each of the nine steps is being used in the KCD Pollution Prevention Program. This paper describe s each step of the process and provides specific pollution prevention examples.

  16. Pollution prevention through total quality

    SciTech Connect

    Stoltz, D.L.; Byrant, M.G.; Eggers, D.M.; Gough, R.W.; Schlosberg, W.H.

    1993-05-01

    Application of Total Quality to AlliedSignal Inc., Kansas City Division`s (KCD) Pollution Prevention Program has created a dynamic and focused effort to significantly reduce process inefficiencies and waste generation. KCD is demonstrating TQ`s usefulness by empowering associates and obtaining their buy-in and ownership of pollution prevention principles. Specific pollution prevention working groups include: establishing a comprehensive recycling process; (2) capitalizing on Environmentally Conscious Manufacturing (ECM) expertise; and (3) encouraging the internal implementation of ECM. TQ produces the performance results that promote and sustain plant-wide pollution prevention goals and activities. KCD uses AlliedSignall`s nine step ``Process Improvement Problem/Solving Model`` (Appendix A). Although this program only formally began within the past year, many of the tools have been used over the last eight years to achieve pollution prevention objectives. This paper focuses on the new attitude and gives examples of how each of the nine steps is being used in the KCD Pollution Prevention Program. This paper describe s each step of the process and provides specific pollution prevention examples.

  17. Total synthesis of dictyodendrin B.

    PubMed

    Fürstner, Alois; Domostoj, Mathias M; Scheiper, Bodo

    2005-08-24

    A concise total synthesis of dictyodendrin B (1) is reported, a scarce marine alkaloid endowed with promising telomerase inhibitory activity. Key steps of the chosen route are a reductive cyclization of ketoamide 11 to indole 12 mediated by low-valent titanium (from TiCl3 and KC8) followed by a photochemical 6pi-electrocyclization, which was performed in the presence of Pd/C and nitrobenzene to effect concomitant dehydrogenation/aromatization of the product initially formed. Regioselective bromination of the resulting pyrrolocarbazole 13 followed by lithium/bromine exchange and quenching of the resulting organolithium species with p-methoxybenzaldehyde installed the side chain at C2. Oxidation of the benzylic alcohol 15 thus obtained to ketone 17 was best achieved with catalytic amounts of tetra-n-propylammonium perruthenate (TPAP) and N-methylmorpholine-N-oxide (NMO) in dilute CH2Cl2 solution to avoid the formation of undue amounts of the unsymmetrical dimer 16. Ketone 17 was elaborated into the natural product by selective cleavage of the isopropyl ether with BCl3, introduction of the sulfate moiety with the aid of trichloroethyl chlorosulfuric acid ester, deprotection of all lateral methyl ether groups, and final reductive cleavage of the trichloroethyl ester moiety. The spectroscopic data of synthetic dictyodendrin B thus formed matched those of an authentic sample in all regards. Moreover, it was shown that global deprotection of the peripheral -OH groups in pyrrolo[2,3-c]carbazole 13 is accompanied by spontaneous air-oxidation to form the quinone core of dictyodendrin C.

  18. Complex primary total hip arthroplasty.

    PubMed

    Boisgard, S; Descamps, S; Bouillet, B

    2013-02-01

    Although total hip arthroplasty is now a classic procedure that is well controlled by orthopedic surgeons, some cases remain complex. Difficulties may be due to co-morbidities: obesity, skin problems, muscular problems, a history of neurological disease or associated morphological bone deformities. Obese patients must be informed of their specific risks and a surgical approach must be used that obtains maximum exposure. Healing of incisions is not a particular problem, but adhesions must be assessed. Neurological diseases may require tenotomy and the use of implants that limit instability. Specific techniques or implants are necessary to respect hip biomechanics (offset, neck-shaft angle) in case of a large lever arm or coxa vara. In case of arthrodesis, before THA can be performed, the risk of infection must be specifically evaluated if the etiology is infection, and the strength of the gluteal muscles must be determined. Congenital hip dysplasia presents three problems: the position and coverage of the cup, placement of a specific or custom made femoral stem, with an osteotomy if necessary, and finally lowering the femoral head into the cup by freeing the soft tissues or a shortening osteotomy. Acetabular dysplasia should not be underestimated in the presence of significant bone defect (BD), and reconstruction with a bone graft can be proposed. Sequelae from acetabular fractures presents a problem of associated BD. Internal fixation hardware is rarely an obstacle but the surgical approach should take this into account. Treatment of acetabular protrusio should restore a normal center of rotation, and prevent recurrent progressive protrusion. The use of bone grafts and reinforcement rings are indispensible. Femoral deformities may be congenital or secondary to trauma or osteotomy. They must be evaluated to restore hip biomechanics that are as close to normal as possible. Fixation of implants should restore anteversion, length and the lever arm. Most problems that

  19. Total joint replacement preadmission programs.

    PubMed

    Messer, B

    1998-01-01

    Patients begin to formulate their expectations of the postoperative hospitalization during the preadmission program. The challenge is to better understand the factors patients consider when formulating judgments about the quality of preadmission education. For example, it may be that perceptions of the preadmission program are influenced by what patients believe about their postoperative pain and functional abilities. Specific attention needs to be given both preoperatively and postoperatively to instructing patients on realistic expectations for recovery. One other method of measuring patient outcomes is with the Health Status Profile (SF-36) (Response Healthcare Information Management, 1995). The SF-36 approach emphasizes the outcome of medical care as the patient sees it, in addition to a clinical evaluation of successful health care. This form is currently initiated in the physician's office and returned for scanning at the preadmission class. The patient then completes another SF-36 at 6 months and every year thereafter to compare measurable outcomes. Patients intending to have elective total joint replacements experience anxiety and require much support and education. An effective preadmission program is a major investment in a patient's recovery, as well as a unique marketing tool to customers. Preadmission programs can be viewed as an opportunity to enhance customer satisfaction. Preadmission clinics are an excellent means for nurses to improve the quality of patient care through patient education. the overall goal of preadmission testing programs is to ensure patient preparedness while increasing quality health care and overall customer satisfaction. To enhance program effectiveness, health care providers must lead collaborative efforts to improve the efficiency of systems.

  20. Functional outcomes following total laryngopharyngectomy.

    PubMed

    Iseli, Tim A; Agar, Nicholas J M; Dunemann, Catherine; Lyons, Bernard M

    2007-11-01

    Despite increasing use of laryngeal preserving protocols, laryngopharyngectomy remains the gold standard treatment for locally advanced hypopharyngeal and upper oesophageal tumours and for salvage following failed chemoradiotherapy. Nevertheless, improved perioperative medical care and experience in reconstruction have reduced mortality and improved functional outcomes. All patients undergoing total laryngopharyngectomy between July 2001 and July 2006 were prospectively recorded in a head and neck database. Demographics and functional outcomes were recorded. Eighteen patients underwent laryngopharyngectomies with 5 having failed chemoradiotherapy and 13 presented with locally advanced tumours. Patients were reconstructed using free jejunal interposition if the lower anastomosis was in the neck (50%). They developed early fistulas (33%), late strictures (33%) and 44% spoke with a tracheo-oesophageal puncture, the rest with an electrolarynx. If the lower anastomosis was below the manubrium, patients required a gastric pull-up (38.9%). Gastric pull-up patients had fewer fistulas but more number of chest complications. More gastric pull-up patients tolerated solid diet and 43% managed oesophageal speech, the remainder using an electrolarynx. Overall, 88.9% of jejunums and 100% of gastric pull-ups tolerated oral alimentation and 100% used verbal communication. During a mean follow up of 34 months, 7 patients (38.9%) died; four patients died of local recurrence, two of distant metastases and one of unrelated causes. Surgical treatment of neoplasms of the hypopharynx and cervical oesophagus is technically demanding and involves careful postoperative care to manage complications. Despite having a poor tumour-related prognosis, laryngopharyngectomy may be carried out in selected patients with low mortality and acceptable functional and survival results.

  1. Total Petroleum Hydrocarbons (TPH): ToxFAQs

    MedlinePlus

    ... a state: This map displays locations where Total Petroleum Hydrocarbons (TPH) is known to be present. On ... I get more information? ToxFAQs TM for Total Petroleum Hydrocarbons (TPH) ( Hidrocarburos Totales de Petróleo (TPH) ) August ...

  2. Cryotherapy following total knee replacement.

    PubMed

    Adie, Sam; Kwan, Amy; Naylor, Justine M; Harris, Ian A; Mittal, Rajat

    2012-09-12

    Total knee replacement (TKR) is a common intervention for patients with end-stage osteoarthritis of the knee. Post-surgical management may include cryotherapy. However, the effectiveness of cryotherapy is unclear. To evaluate the acute (within 48 hours) application of cryotherapy following TKR on pain, blood loss and function. We searched the Cochrane Database of Systematic Reviews, CENTRAL, DARE, HTA Database, MEDLINE, EMBASE, CINAHL, PEDro and Web of Science on 15th March 2012. Randomised controlled trials or controlled clinical trials in which the experimental group received any form of cryotherapy, and was compared to any control group following TKR indicated for osteoarthritis. Two reviewers independently selected trials for inclusion. Disagreements were discussed and resolved involving a third reviewer if required. Data were then extracted and the risk of bias of trials assessed. Main outcomes were blood loss, visual analogue score (VAS) pain, adverse events, knee range of motion, transfusion rate and knee function. Secondary outcomes were analgesia use, knee swelling, length of hospital stay, quality of life and activity level. Effects of interventions were estimated as mean differences (MD), standardised mean differences (SMD) or given as risk ratios (RR), with 95% confidence intervals (CI). Meta-analyses were performed using the inverse variance method and pooled using random effects. Eleven randomised trials and one controlled clinical trial involving 809 participants met the inclusion criteria. There is very low quality evidence from 10 trials (666 participants) that cryotherapy has a small benefit on blood loss (SMD -0.46, 95% CI, -0.84 to -0.08), equivalent to 225mL less blood loss in cryotherapy group (95% CI, 39 to 410mL). This benefit may not be clinically significant. There was very low quality evidence from four trials (322 participants) that cryotherapy improved visual analogue score pain at 48 hours (MD = -1.32 points on a 10 point scale, 95% CI

  3. Prevalence and Determinants of the Use of Lipid-Lowering Agents in a Population of Older Hospitalized Patients: the Findings from the REPOSI (REgistro POliterapie Società Italiana di Medicina Interna) Study.

    PubMed

    Bertolotti, Marco; Franchi, Carlotta; Rocchi, Marco B L; Miceli, Andrea; Libbra, M Vittoria; Nobili, Alessandro; Lancellotti, Giulia; Carulli, Lucia; Mussi, Chiara

    2017-04-01

    Older patients are prone to multimorbidity and polypharmacy, with an inherent risk of adverse events and drug interactions. To the best of our knowledge, available information on the appropriateness of lipid-lowering treatment is extremely limited. The aim of the present study was to quantify and characterize lipid-lowering drug use in a population of complex in-hospital older patients. We analyzed data from 87 units of internal medicine or geriatric medicine in the REPOSI (Registro Politerapie della Società Italiana di Medicina Interna) study, with reference to the 2010 and 2012 patient cohorts. Lipid-lowering drug use was closely correlated with the clinical profiles, including multimorbidity markers and polypharmacy. 2171 patients aged >65 years were enrolled (1057 males, 1114 females, mean age 78.6 years). The patients treated with lipid-lowering drugs amounted to 508 subjects (23.4%), with no gender difference. Atorvastatin (39.3%) and simvastatin (34.0%) were the most widely used statin drugs. Likelihood of treatment was associated with polypharmacy (≥5 drugs) and with higher Cumulative Illness Rating Scale (CIRS) score. At logistic regression analysis, the presence of coronary heart disease, peripheral vascular disease, and hypertension were significantly correlated with lipid-lowering drug use, whereas age showed an inverse correlation. Diabetes was not associated with drug treatment. In this in-hospital cohort, the use of lipid-lowering agents was mainly driven by patients' clinical history, most notably the presence of clinically overt manifestations of atherosclerosis. Increasing age seems to be associated with lower prescription rates. This might be indicative of cautious behavior towards a potentially toxic treatment regimen.

  4. Fusion following failed total ankle replacement.

    PubMed

    Wünschel, Markus; Leichtle, Ulf G; Leichtle, Carmen I; Walter, Christian; Mittag, Falk; Arlt, Eva; Suckel, Andreas

    2013-04-01

    Although mid- to long-term results after total ankle replacement have improved because of available second- and third-generation devices, failure of total ankle replacement is still more common compared with total hip replacement and total knee replacement. The portfolio of available total ankle replacement revision component options is small. Furthermore, the bone stock of the tibiotalar region is scarce making it difficult and in some situations impossible to perform revision total ankle replacement. In these cases tibiotalar and tibiotalocalcaneal fusions are valuable options. This article describes which surgical procedures should be performed depending on the initial situation and gives detailed advice on surgical technique, postoperative care, and clinical results.

  5. Why, How, and Where to View Totality

    ERIC Educational Resources Information Center

    Fulco, Charles

    This article is a follow-up to previous articles on the August 2017 Great American Eclipse. The author discusses what totality is when viewing the eclipse and the spots across the United States where totality will take place.

  6. 2017 Total Solar Eclipse Across America Promo

    NASA Image and Video Library

    2017-08-10

    On Monday, August 21, 2017, all of North America will be treated to an eclipse of the sun. Anyone within the path of totality can see one of nature’s most awe inspiring sights - a total solar eclipse.

  7. 43 CFR 5461.3 - Total payment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Total payment. 5461.3 Section 5461.3 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR FOREST MANAGEMENT (5000) SALES ADMINISTRATION Contract Payments § 5461.3 Total payment. The total amount of the contract purchas...

  8. Total Quality Management (TQM): Group Dynamics Workshop

    DTIC Science & Technology

    1990-05-15

    TOTAL QUALITY MANAGEMENT (TQM) Group Dynamics Workshop © Copyright 1990 Booz*Allen & Hamilton... QUALITY MANAGEMENT (TQM) GROUP DYNAMICS COURSE -’ Total Quality Management * This course has been designed under the direction and approval of OASD (P...participants’ use of group dynamics skills as leaders and members of OSD TQM groups. Total Quality Management " Examples of such groups include

  9. Defense meteorological satellite measurements of total ozone

    NASA Technical Reports Server (NTRS)

    Lovill, J. E.; Ellis, J. S.; Luther, F. M.; Sullivan, T. J.; Weichel, R. L.

    1982-01-01

    A multichannel filter radiometer (MFR) on Defense Meteorological Satellites (DMS) that measured total ozone on a global-scale from March 1977 - February 1980 is described. The total ozone data measured by the MFR were compared with total ozone data taken by surfaced-based Dobson spectrophotometers. When comparisons were made for five months, the Dobson spectrophotometer measured 2-5% more total ozone than the MFR. Comparisons between the Dobson spectrophotometer and the MFR showed a reduced RMS difference as the comparisons were made at closer proximity. A Northern Hemisphere total ozone distribution obtained from MFR data is presented.

  10. Trends in total column ozone measurements

    NASA Technical Reports Server (NTRS)

    Rowland, F. S.; Angell, J.; Attmannspacher, W.; Bloomfield, P.; Bojkov, R. D.; Harris, N.; Komhyr, W.; Mcfarland, M.; Mcpeters, R.; Stolarski, R. S.

    1989-01-01

    It is important to ensure the best available data are used in any determination of possible trends in total ozone in order to have the most accurate estimates of any trends and the associated uncertainties. Accordingly, the existing total ozone records were examined in considerable detail. Once the best data set has been produced, the statistical analysis must examine the data for any effects that might indicate changes in the behavior of global total ozone. The changes at any individual measuring station could be local in nature, and herein, particular attention was paid to the seasonal and latitudinal variations of total ozone, because two dimensional photochemical models indicate that any changes in total ozone would be most pronounced at high latitudes during the winter months. The conclusions derived from this detailed examination of available total ozone can be split into two categories, one concerning the quality and the other the statistical analysis of the total ozone record.

  11. Total solar eclipse of 3 November 1994

    NASA Technical Reports Server (NTRS)

    Espenak, Fred; Anderson, Jay

    1993-01-01

    A total eclipse of the Sun will be visible from the southern half of the Western Hemisphere on 3 November 1994. The path of the Moon's shadow passes through Peru, Chile, Bolivia, Paraguay, and Brazil. Detailed predictions for this event are presented and include tables of geographic coordinates of the path of totality, local circumstances for hundreds of cities, maps of the path of total and partial eclipse, weather prospects, and the lunar limb profile.

  12. Tissue sparing total femoral arthroplasty: technical note.

    PubMed

    Willimon, Samuel Clifton; Bolognesi, Michael P; Attarian, David E

    2011-01-01

    It is predicted that the number of revision hip and knee arthroplasties will double by the years 2026 and 2015, respectively. As the burden of end-stage prosthetic disease increases, there will be a greater potential need for total femoral arthroplasty. This report describes a patient with a femoral neck fracture nonunion with an ipsilateral multiply revised failed total knee arthroplasty treated by a tissue sparing total femoral arthroplasty. The technique is described, and potential benefits are reviewed.

  13. Total Quality Management, DLA Finance Center

    DTIC Science & Technology

    1989-07-01

    ton. DC 20503. DATE 3. REPORT TYPE AND DATES COVERED SJuly 1989 4. TITLE AND SUBTIT’LE 5. FUNDING NUMBERS Total Quality Management , DLA Finance Center 6...1989 ~ D 14. SUBJECT TERMS 15. NUMBER OF PAGES TQM ( Total Quality Management ), Continuous Process Improvement. ., I Management 16. PRICE CODE 17...CONCEPTS TQM BASICS Total Quality Management (TQM) is a concept which is based on the work of a variety of people in a variety of fields. It includes

  14. Improving Operational Readiness through Total Quality Management

    DTIC Science & Technology

    1991-06-21

    DTIC AD-A236 611 EL CT F NAVAL WAR COLL GE C Newport, R. I. IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT by Herb Westphal Defense...IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT (TQM) A Case Study: The Defense Mapping Agency Combat Support Center (DMACSC) initiated a...of the Defense Mapping Agency Combat Support Center’s (DMACSC) Total Quality Management (TQM) improvement methodology. This allows the reader to

  15. Total Quality Management (TQM). Implementers Workshop

    DTIC Science & Technology

    1990-05-15

    SHEE’T :s t’ii ,rrl DEPARTMENT OF DEFENSE May 15, 1990 Lfl CN I TOTAL QUALITY MANAGEMENT (TQM) Implementers Workshop © Copyright 1990 Booz.Allen...must be continually performed in order to achieve successful TQM implementation. 1-5 = TOTAL QUALITY MANAGEMENT Implementers Workshop Course Content...information, please refer to the student manual, Total Quality Management (TOM) Awareness Seminar, that was provided for the Awareness Course. You may

  16. Defense Depot Tracy Total Quality Management Plan

    DTIC Science & Technology

    1989-07-01

    PAGES TQM ( Total Quality Management ), Depot Operations, Continuous Process Improvement 16. PRICE CODE 17. SECURITY CLASSIFICATION 18. SECURITY...make up our pcrceptions of Total Quality Management . Our goal is to improve those proven management processes that have brought us success while being...MANIAGEMENT F. QUALITY AUDITS OF PRODUCTS AND OPERATIONS ASSETS MANAGEMENT 00 i .......... / ~899 29 03 1 EFENSE DEPOT TACY TOTAL QUALITY MANAGEMENT PLAN

  17. Arthroscopic treatment of unstable total hip replacement.

    PubMed

    Cuéllar, Ricardo; Aguinaga, Iñaki; Corcuera, Irene; Ponte, Juan; Usabiaga, Jaime

    2010-06-01

    Hip arthroscopy may be useful in the diagnosis and treatment of apparently well-implanted but unstable total hip replacement prostheses. We present 2 cases of arthroscopically assisted capsular tightening in unstable total hip replacements. Both cases had significant capsular laxity. Case 2 had impingement of the lower part of the acetabulum with the lesser trochanter that caused hip dislocation. Early revision surgery can be avoided with the use of this technique in selected cases of unstable total hip replacements.

  18. Water-Cooled Total-Temperature Probe

    NASA Technical Reports Server (NTRS)

    Lagen, Nicholas T.; Reece, Garland D.

    1992-01-01

    Water-cooled supersonic total-pressure, static-pressure, and total-temperature probes developed to study high-temperature jet plumes. Total-temperature probe tested up to 2,000 degrees F incorporates annular cooling system up to thermocouple lead. Lead extends into test chamber to sense temperature of supersonic external flow. Design novel and significant. Applicable in development of jet engines and in research on fast flows of hot gases.

  19. Generalized gravitational entropy from total derivative action

    NASA Astrophysics Data System (ADS)

    Dong, Xi; Miao, Rong-Xin

    2015-12-01

    We investigate the generalized gravitational entropy from total derivative terms in the gravitational action. Following the method of Lewkowycz and Maldacena, we find that the generalized gravitational entropy from total derivatives vanishes. We compare our results with the work of Astaneh, Patrushev, and Solodukhin. We find that if total derivatives produced nonzero entropy, the holographic and the field-theoretic universal terms of entanglement entropy would not match. Furthermore, the second law of thermodynamics could be violated if the entropy of total derivatives did not vanish.

  20. Total Synthesis of Mycolactones A and B

    PubMed Central

    Song, Fengbin; Fidanze, Steve; Benowitz, Andrew B.; Kishi, Yoshito

    2007-01-01

    First and second generation total syntheses of mycolactones A and B are reported. The first generation total synthesis unambiguously confirmed our earlier assignment of the relative and absolute stereochemistry of mycolactones A and B. Knowledge of the chemical properties of the mycolactones accumulated through the first generation total synthesis allowed us to implement several major improvements to the original synthesis, including: (1) optimizing the choice of protecting groups, (2) eliminating the unnecessary adjustment of protecting groups, and (3) improving the overall stereoselectivity and synthetic efficiency. The second generation total synthesis consists of 21 longest linear steps, with 8.8% overall yield. PMID:17940589

  1. Total quality management in American industry.

    PubMed

    Widtfeldt, A K; Widtfeldt, J R

    1992-07-01

    The definition of total quality management is conformance to customer requirements and specifications, fitness for use, buyer satisfaction, and value at an affordable price. The three individuals who have developed the total quality management concepts in the United States are W.E. Deming, J.M. Juran, and Philip Crosby. The universal principles of total quality management are (a) a customer focus, (b) management commitment, (c) training, (d) process capability and control, and (e) measurement through quality improvement tools. Results from the National Demonstration Project on Quality Improvement in Health Care showed the principles of total quality management could be applied to healthcare.

  2. 75 FR 22418 - FHA TOTAL Mortgage Scorecard

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FHA TOTAL Mortgage Scorecard AGENCY: Office of the Chief Information Officer, HUD... following information: Title of Proposal: FHA TOTAL Mortgage Scorecard. OMB Approval Number: 2502-0556. Form...

  3. Combat Service Support and the Total Force

    DTIC Science & Technology

    1991-09-01

    need for petroleum oils and lubricants for cold weather operations, and their associated equipment, become essential to mission success. Because of... Essential Support .................. 57 Summary .................. 58 Total Force Policy - Current Use. ....... 59 Introduction ................ 59...study determined the minimum essential active Army Total Force Combat Service Support structure required for Contingency Force (CF) operations to

  4. Airway Complications of Total Artificial Heart

    PubMed Central

    Pathak, Vikas; Donovan, Colin; Malhotra, Rajiv

    2017-01-01

    The total artificial heart is the mechanical device which is used as a bridge to the heart transplant in patients with biventricular failure. Due to the mechanical nature of the device, patients receiving total artificial heart (TAH) require to be on anticoagulation therapy. Hemorrhage and coagulopathy are few of the known complications of TAH. PMID:28250605

  5. Educating Deaf Children: The Total Approach.

    ERIC Educational Resources Information Center

    Santa Ana Unified School District, CA.

    The use of total communication in educating deaf preschool and elementary school students in the Santa Ana Program for the Hearing Impaired, Orange County, California, is described. Total communication is explained to consist of auditory training, speech, speechreading, fingerspelling, and the language of signs. Aspects of the program described…

  6. Total Quality Management in Education. Second Edition.

    ERIC Educational Resources Information Center

    Sallis, Edward

    Quality is at the top of most agendas, and improving quality is probably the most important task facing any institution. In addition, quality is difficult to define or measure. This book, the second edition of "Total Quality Management in Education," introduces the key concepts of Total Quality Management (TQM) and demonstrates how they…

  7. The Total Quality Movement in Education.

    ERIC Educational Resources Information Center

    Leuenberger, John A.; Whitaker, Sheldon V., Jr.

    The total quality movement began as a result of the desire of W. Edwards Deming, an American statistician, to permit the economic system to maintain its edge in a growing global market. The 14 points Deming listed as essential to "total quality management" have recently been adapted to the field of education. The success of the total…

  8. Total Quality Management: A Selected Bibliography

    DTIC Science & Technology

    1992-03-01

    Total Quality Management (TQM) in the Department of Defense is a strategy for continuously improving performance at every level, and in all areas of...reflects selected books, documents, periodical articles, and videos on the subject of Total Quality Management (TQM) in the collection of the U.S. Army War College Library.

  9. Total Quality Management: A Guide to Implementation

    DTIC Science & Technology

    1989-08-01

    Total Quality Management (TQM) is a means for improving personal effectiveness and performance and for aligning and focusing all individual efforts...your individual effort and extending its effect and its importance throughout an organization and beyond. Total Quality Management is not a destination

  10. Digital holography of total internal reflection.

    PubMed

    Ash, William M; Kim, Myung K

    2008-06-23

    We introduce a new microscopy technique termed total internal reflection holographic microscopy (TIRHM). Quantitative phase microscopy by digital holography is used to image the phase profile of light in total internal reflection, which is modulated by the materials present on or near the surface of internal reflection. The imaging characteristics are theoretically modeled and imaging capabilities are experimentally demonstrated.

  11. Total Cost Management: Analyzing Operational Support Costs.

    ERIC Educational Resources Information Center

    Jenny, Hans J.

    1996-01-01

    Total cost management, an innovation useful in higher education, is best implemented in the institution's support services. Total cost management is the practice of analyzing and improving an institution's financial and qualitative performance when producing a particular product or service, paying attention to the complete work process and all…

  12. The total cost of EHR ownership.

    PubMed

    Eastaugh, Steven R

    2013-02-01

    Consider total cost of ownership, not just initial cost of acquisition and annual maintenance, when reviewing electronic health record (EHR) system bids. Support costs--a key part of total cost of ownership--include FTEs dedicated to the system. The long-term costs of an EHR system can vary dramatically (up to 200 percent) depending on which system is selected.

  13. Airway Complications of Total Artificial Heart.

    PubMed

    Pathak, Vikas; Donovan, Colin; Malhotra, Rajiv

    2017-02-01

    The total artificial heart is the mechanical device which is used as a bridge to the heart transplant in patients with biventricular failure. Due to the mechanical nature of the device, patients receiving total artificial heart (TAH) require to be on anticoagulation therapy. Hemorrhage and coagulopathy are few of the known complications of TAH.

  14. EVALUATION OF TOTAL ORGANIC EMISSIONS ANALYSIS METHODS

    EPA Science Inventory

    The rationale and supporting experimental data for revising EPA's 1996 "Guidance for Total Organics" are summarized in this document. It reports the results of reseach and investigation of improvements to the Total Organic Emissions (TOE) guidance used by EPA to measure recovera...

  15. Total Quality Management in Education. Second Edition.

    ERIC Educational Resources Information Center

    Sallis, Edward

    Quality is at the top of most agendas, and improving quality is probably the most important task facing any institution. In addition, quality is difficult to define or measure. This book, the second edition of "Total Quality Management in Education," introduces the key concepts of Total Quality Management (TQM) and demonstrates how they…

  16. EVALUATION OF TOTAL ORGANIC EMISSIONS ANALYSIS METHODS

    EPA Science Inventory

    The rationale and supporting experimental data for revising EPA's 1996 "Guidance for Total Organics" are summarized in this document. It reports the results of reseach and investigation of improvements to the Total Organic Emissions (TOE) guidance used by EPA to measure recovera...

  17. Creating the Total Quality Effective School.

    ERIC Educational Resources Information Center

    Lezotte, Lawrence W.

    This book shows how Deming's Total Quality Management (TQM) theory for organizational management can be integrated with the effective-schools literature. Part 1 compares the 14 principles of TQM with the tenets of effective-schools research. The second part develops a blueprint for creating the total quality effective school. The conceptual…

  18. 'Total disability' and the wrongness of killing.

    PubMed

    Omelianchuk, Adam

    2015-08-01

    Walter Sinnott-Armstrong and Franklin G Miller recently argued that the wrongness of killing is best explained by the harm that comes to the victim, and that 'total disability' best explains the nature of this harm. Hence, killing patients who are already totally disabled is not wrong. I maintain that their notion of total disability is ambiguous and that they beg the question with respect to whether there are abilities left over that remain relevant for the goods of personhood and human worth. If these goods remain, then something more is lost in death than in 'total disability,' and their explanation of what makes killing wrong comes up short. But if total disability is equivalent with death, then their argument is an interesting one.

  19. Single-incision laparoscopic total colectomy.

    PubMed

    Paranjape, Charudutt; Ojo, Oluwatosin J; Carne, David; Guyton, Daniel

    2012-01-01

    To present our experience with a single-incision laparoscopic total colectomy, along with a literature review of all published cases on single-incision laparoscopic total colectomy. A total of 22 cases were published between 2010 and 2011, with our patient being case 23. These procedures were performed in the United States and United Kingdom. Surgical procedures included total colectomy with end ileostomy, proctocolectomy with ileorectal anastomosis, and total proctocolectomy with ileopouch-anal anastomosis. Intraoperative and postoperative data are analyzed. Twenty-two of the 23 cases were performed for benign cases including Crohns, ulcerative colitis, and familial adenomatous polyposis. One case was performed for adenocarcinoma of the cecum. The mean age was 35.3 years (range, 13 to 64), the mean body mass index was 20.1 (range, 19 to 25), mean operative time was 175.9 minutes (range, 139 to 216), mean blood loss was 95.3mL (range, 59 to 200), mean incision length was 2.61cm (range, 2 to 3). Average follow-up was 4.6 months with 2 reported complications. Single-incision laparoscopic total colectomy is feasible and safe in the hands of an experienced surgeon. It has been performed for both benign and malignant cases. It is comparable to the conventional multi-port laparoscopic total colectomy.

  20. Single-Incision Laparoscopic Total Colectomy

    PubMed Central

    Ojo, Oluwatosin J.; Carne, David; Guyton, Daniel

    2012-01-01

    Background and Objectives: To present our experience with a single-incision laparoscopic total colectomy, along with a literature review of all published cases on single-incision laparoscopic total colectomy. Methods: A total of 22 cases were published between 2010 and 2011, with our patient being case 23. These procedures were performed in the United States and United Kingdom. Surgical procedures included total colectomy with end ileostomy, proctocolectomy with ileorectal anastomosis, and total proctocolectomy with ileopouch-anal anastomosis. Intraoperative and postoperative data are analyzed. Results: Twenty-two of the 23 cases were performed for benign cases including Crohns, ulcerative colitis, and familial adenomatous polyposis. One case was performed for adenocarcinoma of the cecum. The mean age was 35.3 years (range, 13 to 64), the mean body mass index was 20.1 (range, 19 to 25), mean operative time was 175.9 minutes (range, 139 to 216), mean blood loss was 95.3mL (range, 59 to 200), mean incision length was 2.61cm (range, 2 to 3). Average follow-up was 4.6 months with 2 reported complications. Conclusions: Single-incision laparoscopic total colectomy is feasible and safe in the hands of an experienced surgeon. It has been performed for both benign and malignant cases. It is comparable to the conventional multi-port laparoscopic total colectomy. PMID:22906326

  1. Total solar eclipse of 1995 October 24

    NASA Technical Reports Server (NTRS)

    Espenak, Fred; Anderson, Jay

    1994-01-01

    A total eclipse of the sun will be visible from Asia and the Pacific Ocean on 24 Oct. 1995. The path of the moon's shadow begins in the Middle East and sweeps across India, Southeast Asia, and the waters of the Indonesian archipelago before ending at sunset in the Pacific. Detailed predictions for this event are presented and include besselian elements, geographic coordinates of the path of totality, physical ephemeris of the umbra, topocentric limb profile corrections, local circumstances for 400 cities, maps of the eclipse path, weather prospects, the lunar limb profile, and the sky during totality.

  2. Total body calcium analysis. [neutron irradiation

    NASA Technical Reports Server (NTRS)

    Lewellen, T. K.; Nelp, W. B.

    1974-01-01

    A technique to quantitate total body calcium in humans is developed. Total body neutron irradiation is utilized to produce argon 37. The radio argon, which diffuses into the blood stream and is excreted through the lungs, is recovered from the exhaled breath and counted inside a proportional detector. Emphasis is placed on: (1) measurement of the rate of excretion of radio argon following total body neutron irradiation; (2) the development of the radio argon collection, purification, and counting systems; and (3) development of a patient irradiation facility using a 14 MeV neutron generator. Results and applications are discussed in detail.

  3. [Total amitraz residues in bee honeys].

    PubMed

    Hemmerling, C; Augustyniak, B; Risto, C

    1991-01-01

    A total of 330 bee honey samples was analysed in 1986-1990, and the results are reported. Analysis was performed according to the method for the amitraz total residue determination by hydrolysis and steam distillation as described. 60% of the honeys were practically not contamined (total residue content amounting to 0.01 mg/kg), 8.5% of the honeys contained more than 0.05 mg/kg. Maximal values of 0.2-0.5 mg/kg were stated. 54% of the rape-honeys contained more than 0.01 mg/kg, 19% more than 0.05 mg/kg.

  4. 2016 Total Solar Eclipse Expedition of KASI

    NASA Astrophysics Data System (ADS)

    Bong, Su-Chan; Choi, SeongHwan; Jang, Bi-Ho; Park, Jongyeob; Jeon, Young-Beom; Cho, Kyuhyoun; Chae, Jongchul

    2016-05-01

    A total solar eclipse occurred on March 9 along the path through Indonesia and the Pacific. KASI organized an expedition team for total solar eclipse observation. The main purpose of this observation is to test the coronal temperature and outflow velocity diagnostics based on filter observation, which is proposed for the next generation coronagraph. In addition, various white light observations were tried. Although we could not get satisfactory data for the quantitative diagnostics due to system problem and weather, we could get some useful experimental data and nice white light images. We plan next expedition for 2017 total solar eclipse in USA.

  5. Total Coliform Rule (TCR) Federal Register Notice

    EPA Pesticide Factsheets

    This document provides the FR notice to 40 CFR Parts 141 and 142 Drinking Water: National Primary Drinking Water Regulations; Total Coliforms (Including Fecal Coliforms and E. Coli); Final Rule (26 pp, 5 M).

  6. Total lymphoid irradiation in alloimmunity and autoimmunity

    SciTech Connect

    Strober, S.

    1987-12-01

    Total lymphoid irradiation has been used as an immunosuppressive regimen in autoimmune disease and organ transplantation. The rationale for its use originated from studies of patients with Hodgkin disease, in whom this radiotherapy regimen was noted to induce profound and long-lasting immune suppression and yet was well tolerated, with few long-term side effects. Total lymphoid irradiation is a unique immunosuppressive regimen that produces a selective (and long-lasting) reduction in the number and function of helper T cells and certain subsets of B cells. Conventional immunosuppressive drugs show little selectivity, and their effects are short-lived. The most important aspect of total lymphoid irradiation is the potential for achieving transplantation tolerance and permanent remissions in autoimmune disease in laboratory animals. Attempts are being made to achieve similar goals in humans given total lymphoid irradiation, so that immunosuppressive drugs can be ultimately withdrawn from transplant recipients and patients with lupus nephritis. 28 references.

  7. Revised Total Coliform Rule Lab Sampling Form

    EPA Pesticide Factsheets

    This form should be completed when a water system collects any required Revised Total Coliform Rule (RTCR) samples. It should also be used when collecting “Special” non-compliance samples for the RTCR.

  8. Total Solar Eclipse--A Caribbean Adventure.

    ERIC Educational Resources Information Center

    Green, Steven; Tunstall, Louisa; Tunstall, Neil

    1999-01-01

    Describes the experiences of two high school students who traveled to the Caribbean island of Curacao to view a total solar eclipse and prepare methods for teaching classmates about the eclipse the following school year. (Author/WRM)

  9. Applications of total-etch adhesive bonding.

    PubMed

    Strassler, Howard E

    2003-06-01

    The concept of total-etch adhesion for enamel and dentin is well accepted. Although new techniques with self-etching adhesives have been introduced, there needs to be more reported clinical trials before making a complete switch to these systems. Currently, the only adhesive systems with long-term data to support confidence and success with their clinical use are total-etch systems. Applications for using a total-etch adhesive bonding technique include sealants, orthodontic brackets, anterior composite resins, posterior composite resins, bonded dental silver amalgam, resin cementation with posts, all-metal, porcelain-metal, composite resin, and ceramic restorations, splinting, core foundations, and conservative treatment of the worn dentition. This article will review the concepts for clinical success with total-etch adhesion for a wide range of clinical applications.

  10. The 1995 total solar eclipse: an overview.

    NASA Astrophysics Data System (ADS)

    Singh, J.

    A number of experiments were conducted during the total solar eclipse of October 24, 1995. First time efforts were made to photograph the solar corona using IAF jet aircrafts and transport planes ad hot air balloons.

  11. Total Solar Eclipse--A Caribbean Adventure.

    ERIC Educational Resources Information Center

    Green, Steven; Tunstall, Louisa; Tunstall, Neil

    1999-01-01

    Describes the experiences of two high school students who traveled to the Caribbean island of Curacao to view a total solar eclipse and prepare methods for teaching classmates about the eclipse the following school year. (Author/WRM)

  12. Rainfall Total Estimates for Southeastern US Storms

    NASA Image and Video Library

    IMERG estimated total rainfall from Dec. 30, 2016, through early Jan. 3, 2017. This analysis of rainfall over the Southeast indicates that more than 12 inches (305 mm) of rain fell over the southea...

  13. Total Synthesis of the Proposed Banyasin A

    NASA Astrophysics Data System (ADS)

    Gao, Xuguang; Ren, Qi; Choi, Sun; Xu, Zhengshuang; Ye, Tao

    2015-03-01

    The first total synthesis of four possible isomers of a molecule possessing the stereochemistry proposed for banyasin A is described. The structure synthesized appears to be different from that of the natural product.

  14. UNDERSTANDING CHILDREN'S TOTAL DIETARY EXPOSURE TO PESTICIDES

    EPA Science Inventory

    Recent residential monitoring studies have demonstrated that significant portion of total exposure of infants and children to environmental contaminants can result from contamination of food in the home. Children's foods become contaminated through handling and contact with surf...

  15. Dermabond efficacy in total joint arthroplasty wounds.

    PubMed

    Miller, Adam G; Swank, Michael L

    2010-10-01

    The goals of wound closure are a low infection rate and timely healing. Total joint arthroplasty (TJA) requires mobile recovery, and, therefore, a high-tension wound care environment. We conducted a study to compare the efficacy of high-viscosity Dermabond (Ethicon, Somerville, New Jersey) and the efficacy of surgical staples in healing high-tension, mobile surgical sites of TJA. Of 236 total knee arthroplasties and 223 total hip arthroplasties (459 surgeries total), 250 were performed with Dermabond and 209 with staples. According to χ2 analysis, case and control infection rates were equivalent. Signs of acute inflammation (redness, drainage, dehiscence) also were statistically equivalent. Absence of staples accounted for a significant decrease in tape blisters and skin abscesses. Dermabond is superior to staples in high-tension wound care.

  16. Enantioselective Total Synthesis of (+)-Gliocladin C

    PubMed Central

    Overman, Larry E.; Shin, Youseung

    2008-01-01

    The first total synthesis of gliocladin C, a fungal-derived marine alkaloid containing a rare trioxopiperazine fragment, is reported. This asymmetric synthesis establishes the absolute configuration of this structurally novel natural product. PMID:17217299

  17. Outdoor Activities for a Total Lunar Eclipse

    ERIC Educational Resources Information Center

    Glenn, William H.

    1977-01-01

    Describes several activities involving a total eclipse of the moon. Included are observations with binoculars, naked eye, and telescope; timing activities and observations of color changes during penumbral and umbral phases; and photography activities. (CS)

  18. [What's new about total knee arthroplasty].

    PubMed

    Dao Trong, Mai Lang; Helmy, Näder

    2013-10-30

    Osteoarthritis of the knee is one of the most common problems in the orthopedic practice and its surgical technique is still challenging. This Mini-Review presents patient specific cutting blocks for the implantation of a total knee arthroplasty.

  19. Total Solar Eclipse Australia - Nov. 13, 2012

    NASA Image and Video Library

    On Nov. 13, 2012, a narrow corridor in the southern hemisphere experienced a total solar eclipse. The corridor lay mostly over the ocean but also cut across the northern tip of Australia where both...

  20. Outdoor Activities for a Total Lunar Eclipse

    ERIC Educational Resources Information Center

    Glenn, William H.

    1977-01-01

    Describes several activities involving a total eclipse of the moon. Included are observations with binoculars, naked eye, and telescope; timing activities and observations of color changes during penumbral and umbral phases; and photography activities. (CS)

  1. Revised Total Coliform Webinar for Primacy Agencies

    EPA Pesticide Factsheets

    This webinar was created to assist Primacy Agencies in the implementation of the Revised Total Coliform Rule. It provides an overview of the requirements in the rule and implementation guidance for Primacy Agencies.

  2. Safety Precautions for Total Release Foggers

    EPA Pesticide Factsheets

    Total release foggers, also known as bug bombs, are pesticide products containing aerosol propellants that release their contents at once to fumigate an area. They can pose a hazard if used incorrectly. Find safety information and videos on this page.

  3. Total ankle replacement - surgical treatment and rehabilitation.

    PubMed

    Prusinowska, Agnieszka; Krogulec, Zbigniew; Turski, Piotr; Przepiórski, Emil; Małdyk, Paweł; Księżopolska-Orłowska, Krystyna

    2015-01-01

    Functions of the ankle joint are closely connected with the gait and ability to maintain an upright position. Degenerative lesions of the joint directly contribute to postural disorders and greatly restrict propulsion of the foot, thus leading to abnormal gait. Development of total ankle replacement is connected with the use of the method as an efficient treatment of joint injuries and continuation of achievements in hip and knee surgery. The total ankle replacement technique was introduced as an alternative to arthrodesis, i.e. surgical fixation, which made it possible to preserve joint mobility and to improve gait. Total ankle replacement is indicated in post-traumatic degenerative joint disease and joint destruction secondary to rheumatoid arthritis. In this paper, total ankle replacement and various types of currently used endoprostheses are discussed. The authors also describe principles of early postoperative rehabilitation as well as rehabilitation in the outpatient setting.

  4. Total water withdrawals in Mississippi, 1990

    USGS Publications Warehouse

    Johnson, P.M.

    1994-01-01

    During 1990, the amount of water withdrawn from ground- and surface-water sources in Mississippi was about 3,600 Mgal/d (million gallons per day). Of this amount, 91 percent, or 3,300 Mgal/d, was withdrawn from freshwater sources. Of the total freshwater withdrawals, about 82 percent, or 2,700 Mgal/d, was withdrawn from ground-water sources. Total water withdrawals in Mississippi in 1990 for eight categories of use were as follows: irrigation, 1,900 Mgal/d; thermoelectric power, 700 Mgal/d; aquaculture, 400 Mgal/d; public supply, 320 Mgal/d; industrial and mining, 270 Mgal/d; domestic, 33 Mgal/d; commercial, 16 Mgal/d; and livestock, 16 Mgal/d. Overall, total withdrawals increased by 20 percent from 1985 to 1990, although the total population decreased about 2 percent. During the same period, total freshwater withdrawals increased by about 17 percent. Total saline with- drawals increased by about 60 percent from 1985 due to an increase in salin withdrawals for thermo- electric power generation. Total fresh and saline surface-water withdrawals decreased by about 6 percent from 1985, due to decrease in surface-water withdrawals for irrigation. Fresh ground-water withdrawals in Mississippi increased by about 33 percent, primarily due to an increase in irrigation. Since 1960, total ground- and surface-water with- drawals increased 70 percent for the same period. Irrigation had the greatest increase in with- drawals since 1960, with a 269 percent increase. Public supply had the second greatest, with a 178 percent increase.

  5. NEW BEARING SURFACES IN TOTAL HIP REPLACEMENT

    PubMed Central

    Schwartsmann, Carlos Roberto; Boschin, Leonardo Carbonera; Gonçalves, Ramiro Zilles; Yépez, Anthony Kerbes; de Freitas Spinelli, Leandro

    2015-01-01

    Total hip arthroplasty is being increasingly indicated for younger and more active patients, in addition to a naturally growing demand for the procedure because of increasing life expectancy among patients. The high costs of this surgery and the controversies regarding implant performance have made this topic the subject of constant research, seeking new materials with better resistance to wear and better biocompatibility. The present article provides a review of new surfaces in total hip arthroplasty. PMID:27042614

  6. [Treatment of infected total hip endoprostheses].

    PubMed

    Zilkens, K W; Forst, R; Casser, H R

    1989-07-01

    In total hip arthroplasty the most serious complication besides aseptic loosening is infection. The results observed in 42 cases of infected hip arthroplasties are presented. In contrast to early superficial infection, deep infection following total hip replacement is difficult to treat. Depending on the general condition of the patient, a well-defined, adequate treatment is required. In patients at vital risk the provocation of a permanent fistula can be recommended as an alternative method in preference to revision arthroplasty.

  7. Managing a total quality maintenance painting program

    SciTech Connect

    Poncio, S.; Coots, R.

    1995-12-01

    Managing a Coatings Program can be a difficult task without the proper tools. Owners can reduce overall costs through the implementation of a total quality program. A total quality program encompasses elements such as project management, safety and quality assurance. This paper will address the area of quality assurance for coating materials and their application. Significant highlights of an owners program are presented to help other owner/end users.

  8. Effects of xenobiotics on total antioxidant capacity

    PubMed Central

    2012-01-01

    The objective of this article was to review the effects of xenobiotics on total antioxidant capacity (TAC). Measurement of TAC is appropriate for evaluation of the total antioxidant defenses of blood, cells, and different kinds of tissues and organs. TAC is reduced by alcoholism, smoking, and exposure to radiation, herbicides, carbon monoxide, carbon tetrachloride, lead, arsenic, mercury, cadmium, aluminum, and other toxic elements. The test is also an important tool in evaluating environmental and occupational exposure. PMID:23554550

  9. Photoproduction total cross section and shower development

    NASA Astrophysics Data System (ADS)

    Cornet, F.; García Canal, C. A.; Grau, A.; Pancheri, G.; Sciutto, S. J.

    2015-12-01

    The total photoproduction cross section at ultrahigh energies is obtained using a model based on QCD minijets and soft-gluon resummation and the ansatz that infrared gluons limit the rise of total cross sections. This cross section is introduced into the Monte Carlo system AIRES to simulate extended air showers initiated by cosmic ray photons. The impact of the new photoproduction cross section on common shower observables, especially those related to muon production, is compared with previous results.

  10. Secondary hemorrhage after total laparoscopic hysterectomy.

    PubMed

    Paul, P G; Prathap, Talwar; Kaur, Harneet; Shabnam, Khan; Kandhari, Dimple; Chopade, Gaurav

    2014-01-01

    The purpose of this study is to estimate the cumulative incidence, patient characteristics, and potential risk factors for secondary hemorrhage after total laparoscopic hysterectomy. All women who underwent total laparoscopic hysterectomy at Paul's Hospital between January 2004 and April 2012 were included in the study. Patients who had bleeding per vaginam between 24 hours and 6 weeks after primary surgery were included in the analysis. A total of 1613 patients underwent total laparoscopic hysterectomy during the study period, and 21 patients had secondary hemorrhage after hysterectomy. The overall cumulative incidence of secondary hemorrhage after total laparoscopic hysterectomy was 1.3%. The mean size of the uterus was 541.4 g in the secondary hemorrhage group and 318.9 g in patients without hemorrhage, which was statistically significant. The median time interval between hysterectomy and secondary hemorrhage was 13 days. Packing was sufficient to control the bleeding in 13 patients, and 6 patients required vault suturing. Laparoscopic coagulation of the uterine artery was performed in 1 patient. Uterine artery embolization was performed twice in 1 patient to control the bleeding. Our data suggest that secondary hemorrhage is rare but may occur more often after total laparoscopic hysterectomy than after other hysterectomy approaches. Whether it is related to the application of thermal energy to tissues, which causes more tissue necrosis and devascularization than sharp culdotomy in abdominal and vaginal hysterectomies, is not clear. A large uterus size, excessive use of an energy source for the uterine artery, and culdotomy may play a role.

  11. Total lymphoid irradiation and discordant cardiac xenografts

    SciTech Connect

    Kaplan, E.; Dresdale, A.R.; Diehl, J.T.; Katzen, N.A.; Aronovitz, M.J.; Konstam, M.A.; Payne, D.D.; Cleveland, R.J. )

    1990-01-01

    Total lymphoid irradiation can prolong concordant cardiac xenografts. The effects of total lymphoid irradiation in a discordant xenograft model (guinea pig to rat) were studied with and without adjuvant pharmacologic immunosuppression. Inbred Lewis rats were randomly allocated to one of four groups. Group 1 (n = 6) served as a control group and rats received no immunosuppression. Group 2 (n = 5) received triple-drug therapy that consisted of intraperitoneal azathioprine (2 mg/kg), cyclosporine (20 mg/kg), and methylprednisolone (1 mg/kg) for 1 week before transplantation. Group 3 animals (n = 5) received 15 Gy of total lymphoid irradiation in 12 divided doses over a 3-week period. Group 4 (n = 6) received both triple-drug therapy and total lymphoid irradiation as described for groups 2 and 3. Complement-dependent cytotoxicity assay was performed to determine if a correlation between complement-dependent cytotoxicity and rejection-free interval existed. Rejection was defined as cessation of graft pulsation and was confirmed by histologic test results. Only groups 1 and 2 showed a difference in survival (group 1, 6.9 +/- 1.0 minutes; group 2, 14.2 +/- 2.7 minutes, p = 0.02). Although total lymphoid irradiation did decrease complement-dependent cytotoxicity, linear regression revealed no correlation between complement-dependent cytotoxicity and graft survival (coefficient of correlation, 0.30). Unlike concordant cardiac xenografts, total lymphoid irradiation with or without triple-drug therapy does not prolong graft survival.

  12. Total OH reactivity emissions from Norway spruce

    NASA Astrophysics Data System (ADS)

    Nölscher, Anke; Bourtsoukidis, Efstratios; Bonn, Boris; Kesselmeier, Jürgen; Lelieveld, Jos; Williams, Jonathan

    2013-04-01

    Forest emissions represent a strong potential sink for the main tropospheric oxidant, the hydroxyl radical (OH). In forested environments, the comparison of the directly determined overall sink of OH radicals, the total OH reactivity, and the individually measured OH sink compounds often exposes a significant gap. This "missing" OH reactivity can be high and influenced by both direct biogenic emissions and secondary photo-oxidation products. To investigate the source of the missing OH sinks in forests, total OH reactivity emission rates were determined for the first time from a Norway spruce (Picea abies) throughout spring, summer and autumn 2011. The total OH reactivity was measured inside a branch enclosure using the Comparative Reactivity Method (CRM) with a Proton Transfer Reaction-Mass Spectrometer (PTR-MS) as the detector. In parallel, separate volatile organic compounds (VOC) emission rates were monitored by a second PTR-MS, including the signal of isoprene, acetaldehyde, total monoterpenes and total sesquiterpenes. The comparison of known and PTR-MS detected OH sink compounds and the directly measured total OH reactivity emitted from Norway spruce revealed unmeasured and possibly unknown primary biogenic emissions. These were found to be highest in late summer during daytime coincident with highest temperatures and ozone levels.

  13. Total hip arthroplasty after lower extremity amputation.

    PubMed

    Amanatullah, Derek F; Trousdale, Robert T; Sierra, Rafael J

    2015-05-01

    There are approximately 1.6 million lower extremity amputees in the United States. Lower extremity amputees are subject to increased physical demands proportional to their level of amputation. Lower extremity amputees have a 6-fold higher risk of developing radiographic osteoarthritis in the ipsilateral hip and a 2-fold risk of developing radiographic osteoarthritis in contralateral hip when compared with the non-amputee population. Additionally, there is a 3-fold increased risk of developing radiographic osteoarthritis in the ipsilateral hip after an above knee amputation when compared with a below knee amputation. The authors retrospectively reviewed 35 total hip arthroplasties after lower extremity amputation. The mean clinical follow-up was 5.3±4.0 years. The mean time from lower extremity amputation to total hip arthroplasty was 12.2±12.8 years after a contralateral amputation and 5.4±6.0 years after an ipsilateral amputation (P=.050). The mean time to total hip arthroplasty was 15.6±15.4 years after an above knee amputation and 6.4±6.1 years after a below knee amputation (P=.021). There was a statistically significant improvement in the mean Harris Hip Score from 35.9±21.8 to 76.8±12.8 with total hip arthroplasty after a contralateral amputation (P<.001). There also was a statistically significant improvement in the mean Harris Hip Score from 25.4±21.7 to 78.6±17.1 with total hip arthroplasty after an ispilateral amputation (P<.001). Three (17.7%) total hip arthroplasties after a contralateral amputation and 2 (11.1%) total hip arthroplasties after an ipsilateral amputation required revision total hip arthroplasty. Patients with an ipsilateral amputation or a below knee amputation progress to total hip arthroplasty faster than those with a contralateral amputation or an above knee amputation, respectively. Lower extremity amputees experience clinically significant improvements with total hip arthroplasty after lower extremity amputation.

  14. PACU PTH facilitates safe outpatient total thyroidectomy.

    PubMed

    Houlton, Jeffrey J; Pechter, William; Steward, David L

    2011-01-01

    To determine if a serum parathyroid hormone (PTH)-based discharge algorithm can be used to safely facilitate outpatient total thyroidectomy. Case series with chart review of consecutive total and completion thyroidectomies performed by the senior author from March 2008 to November 2009. An academic tertiary care center. At the authors' institution, patients undergoing total or completion thyroidectomy are subject to a same-day discharge algorithm that incorporates postanesthesia care unit rapid PTH as the major discharge criterion. Patients with PTH >30 pg/mL are eligible for same-day discharge without supplementation, patients with PTH between 20 and 30 pg/mL are eligible for discharge but receive calcium supplementation, and patients with PTH <20 pg/mL are observed overnight (23 hours) with calcium and vitamin D supplementation. One hundred eighty patients (mean age, 48.9 years; 83.3% female) underwent total (77.2%) or completion (22.7%) thyroidectomy with or without node dissection. Forty-two percent were performed with minimally invasive video-assisted (MIVA) technique. Seventy-six percent (137/180) of patients had a PTH >20 pg/mL, meeting the PTH discharge criterion. Sixty-nine percent (95/137) of eligible patients were discharged on the same day (53.1% of total). Ten percent of discharge-eligible patients were admitted due to drain placement. Of the 95 patients undergoing outpatient surgery, none were admitted, seen, or called for symptoms of hypocalcemia in the postoperative period. All 180 patients were eucalcemic at postoperative day (POD) 7 and POD 30 office visits. No patients were hypoparathyroid at POD 30. No significant difference in postoperative hypoparathyroidism existed between completion versus total thyroidectomy (11.1% vs 22.2%, P = .28) or MIVA versus standard technique (P = .37). A PTH-based discharge algorithm can safely facilitate outpatient total or completion thyroidectomy, with minimal risk of clinically significant outpatient

  15. 38 CFR 3.340 - Total and permanent total ratings and unemployability.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... are met. (3) Ratings of total disability on history. In the case of disabilities which have undergone... incapacitating will be regarded as permanently and totally disabling when the probability of...

  16. 38 CFR 3.340 - Total and permanent total ratings and unemployability.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... are met. (3) Ratings of total disability on history. In the case of disabilities which have undergone... incapacitating will be regarded as permanently and totally disabling when the probability of...

  17. 38 CFR 3.340 - Total and permanent total ratings and unemployability.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... are met. (3) Ratings of total disability on history. In the case of disabilities which have undergone... incapacitating will be regarded as permanently and totally disabling when the probability of...

  18. Totally semi-continuous and semi totally-continuous functions in double fuzzy topological spaces

    NASA Astrophysics Data System (ADS)

    Mahmood Mohammed, Fatimah; Md Noorani, Mohd Salmi; Salleh, Abdul Razak

    2013-04-01

    The aim of this paper is to introduce new classes of functions called totally-continuous functions and its variants totally semi-continuous functions and semi totally-continuous functions in double fuzzy topological spaces. Their characterizations, examples and relationship with other notions of continuous functions in this space are provided.

  19. Risk assessment tools used to predict outcomes of total hip and total knee arthroplasty.

    PubMed

    Konopka, Joseph F; Hansen, Viktor J; Rubash, Harry E; Freiberg, Andrew A

    2015-07-01

    This article reviews recently proposed clinical tools for predicting risks and outcomes in total hip arthroplasty and total knee arthroplasty patients. Additionally, we share the Massachusetts General Hospital experience with using the Risk Assessment and Prediction Tool to predict the need for an extended care facility after total joint arthroplasty.

  20. A high performance totally ordered multicast protocol

    NASA Technical Reports Server (NTRS)

    Montgomery, Todd; Whetten, Brian; Kaplan, Simon

    1995-01-01

    This paper presents the Reliable Multicast Protocol (RMP). RMP provides a totally ordered, reliable, atomic multicast service on top of an unreliable multicast datagram service such as IP Multicasting. RMP is fully and symmetrically distributed so that no site bears un undue portion of the communication load. RMP provides a wide range of guarantees, from unreliable delivery to totally ordered delivery, to K-resilient, majority resilient, and totally resilient atomic delivery. These QoS guarantees are selectable on a per packet basis. RMP provides many communication options, including virtual synchrony, a publisher/subscriber model of message delivery, an implicit naming service, mutually exclusive handlers for messages, and mutually exclusive locks. It has commonly been held that a large performance penalty must be paid in order to implement total ordering -- RMP discounts this. On SparcStation 10's on a 1250 KB/sec Ethernet, RMP provides totally ordered packet delivery to one destination at 842 KB/sec throughput and with 3.1 ms packet latency. The performance stays roughly constant independent of the number of destinations. For two or more destinations on a LAN, RMP provides higher throughput than any protocol that does not use multicast or broadcast.

  1. Aortic surgery using total miniaturized cardiopulmonary bypass.

    PubMed

    Issitt, Richard W; Mulholland, John W; Oliver, Martin D; Yarham, Gemma J; Borra, Philippa J; Morrison, Paul; Dimarakis, Ioannis; Anderson, Jon R

    2008-08-01

    Few centers have attempted aortic surgery using miniaturized cardiopulmonary bypass (MCPB) systems due to concerns of air handling. The extra corporeal circuit optimized (ECCO) total MCPB system uses a venous air removal device and a parallel soft-shell reservoir that allows for venting of the heart. At our institution, total MCPB is used for all coronary artery bypass graft patients. Our objective was to assess the suitability of the ECCO total MCPB system during aortic surgery. Fifty consecutive and unselected aortic procedures using the ECCO system were undertaken. Surgical feasibility, air removal ability, and blood transfusion requirements were audited to determine the efficacy of this technique. The bypass time was 81.6 +/- 28.0 minutes and the ischemic time was 56.7 +/- 18.9 minutes. Total MCPB handled 1,910 +/- 404 mL of vented blood with 96 venous air removal device activations noted. The blood product transfusion rate was 12%, which was below the surgical transfusion rate for our unit. There were no complications. Aortic surgery can be undertaken safely and effectively using the ECCO total MCPB system.

  2. Totally implantable catheter embolism: two related cases.

    PubMed

    Ribeiro, Rodrigo Chaves; Monteiro, Aurea Cristina Ferreira; Menezes, Quirino Cavalcante; Schettini, Sérgio Tomaz; Vianna, Sonia Maria Rossi

    2008-11-01

    Long-term totally implantable catheters (e.g. Port-a-Cath) are frequently used for long-term venous access in children with cancer. The use of this type of catheter is associated with complications such as infection, extrusion, extravasation and thrombosis. Embolism of catheter fragments is a rare complication, but has potential for morbidity. The aim here was to report on two cases in which embolism of fragments of a long-term totally implantable catheter occurred. Case series study at Hospital do Servidor Público Estadual, São Paulo. Retrospective review of catheter embolism in oncological pediatric patients with long-term totally implantable catheters. The first patient was a 3-year-old girl diagnosed with stage IV Wilms' tumor. Treatment was started with the introduction of a totally implantable catheter through the subclavian vein. At the time of removal, it was realized that the catheter had fractured inside the heart. An endovascular procedure was necessary to remove the fragment. The second case was a boy diagnosed with stage II Wilms' tumor at the age of two years. At the time of removal, it was noticed that the catheter had disconnected from the reservoir and an endovascular procedure was also necessary to remove the embolized catheter. Embolism of fragments of totally implantable catheters is a rare complication that needs to be recognized even in asymptomatic patients.

  3. Total and inorganic arsenic in Antarctic macroalgae.

    PubMed

    Farías, Silvia; Smichowski, Patricia; Vélez, Dinoraz; Montoro, Rosa; Curtosi, Antonio; Vodopívez, Cristian

    2007-10-01

    The Antarctic region offers unparalleled possibilities of investigating the natural distribution of metals and metalloids, such as arsenic. Total and inorganic As were analysed in nine species of Antarctic macroalgae collected during the 2002 summer season in the Potter Cove area at Jubany-Dallmann Station (South Shetland Islands, Argentinian Base). Total As was determined by inductively coupled plasma-optical emission spectrometry after microwave-assisted acid digestion. Inorganic As was determined by acid digestion, solvent extraction, flow injection-hydride generation-atomic absorption spectrometry. Total As ranged from 5.8 microg g(-1) dry weight (dw) (Myriogramme sp.) to 152 microg g(-1)dw (Himantothallus grandifolius). Total As concentrations were higher in Phaeophytes (mean+/-SD: 71+/-44 microg g(-1)dw) than in Rhodophytes (mean+/-SD: 15+/-11 microg g(-1)dw). Inorganic As ranged from 0.12 microg g(-1) (Myriogramme sp.) to 0.84 microg g(-1)dw (Phaeurus antarcticus). The percentage of inorganic As with respect to total As was 0.7 for Phaeophytes, but almost 4 times higher for Rhodophytes (2.6). The work discusses possible causes for the presence of As in marine organisms in that pristine environment.

  4. Current status of permanent total artificial hearts.

    PubMed

    Davis, P K; Rosenberg, G; Snyder, A J; Pierce, W S

    1989-01-01

    Pneumatic total artificial heats, although demonstrating utility as temporary mechanical circulatory support devices, have not demonstrated a great deal of promise as permanent cardiac replacements. The increasing number of patients who would be candidates for total heart replacement suggests a large role for a permanent implantable total artificial heart. To that end, the Pennsylvania State University is developing an electric motor-driven total artificial heart; the results with implants in calves are encouraging. In this device, a roller-screw mechanism is used to translate the rotation of a brushless direct-current motor into rectilinear motion of a pusher-plate assembly, which in turn empties the blood sacs. The total artificial heart of the future will function under automatic control without percutaneous leads, and this should provide the patient with a nearly normal life-style. Although further experimental efforts are necessary to prepare the device for clinical trials, the technology to provide a safe and reliable electric blood-pump system is at hand.

  5. Total internal reflection ellipsometry: principles and applications.

    PubMed

    Arwin, Hans; Poksinski, Michal; Johansen, Knut

    2004-05-20

    A concept for a measurement technique based on ellipsometry in conditions of total internal reflection is presented. When combined with surface plasmon resonance (SPR) effects, this technique becomes powerful for monitoring and analyzing adsorption and desorption on thin semitransparent metal films as well as for analyzing the semitransparent films themselves. We call this technique total internal reflection ellipsometry (TIRE). The theory of ellipsometry under total internal reflection combined with SPR is discussed for some simple cases. For more advanced cases and to prove the concept, simulations are performed with the Fresnel formalism. The use of TIRE is exemplified by applications in protein adsorption, corrosion monitoring, and adsorption from opaque liquids on metal surfaces. Simulations and experiments show greatly enhanced thin-film sensitivity compared with ordinary ellipsometry.

  6. Assay development status report for total cyanide

    SciTech Connect

    Simpson, B.C.; Jones, T.E.; Pool, K.H.

    1993-02-01

    A validated cyanide assay that is applicable to a variety of tank waste matrices is necessary to resolve certain waste tank safety issues and for purposes of overall waste characterization. The target for this effort is an assay with an applicable range of greater than 1,000 ppM (0.10 wt%) total cyanide and a confidence level greater than 80%. Figure 1 illustrates the operating regime of the proposed cyanide assay method. The Assay Development Status Report for Total Cyanide will summarize the past experience with cyanide analyses on-tank waste matrices and will rate the status of the analytical methods used to assay total cyanide (CN{sup {minus}} ion) in the tank waste matrices as acceptable or unacceptable. This paper will also briefly describe the current efforts for improving analytical resolution of the assays and the attempts at speciation.

  7. Total Solar Eclipse of 1997 March 9

    NASA Technical Reports Server (NTRS)

    Espenak, Fred; Anderson, Jay

    1995-01-01

    A total eclipse of the Sun will be visible from Asia and the Pacific Ocean on 1997 March 9. The path of the Moon's umbral shadow begins in eastern Kazakhstan and travels through Mongolia and eastern Siberia, where it swings northward to end at sunset in the Arctic Ocean. A partial eclipse will be seen within the much broader path of the Moon's penumbral shadow, which includes eastern Asia, the northern Pacific, and the northwest corner of North America. Detailed predictions for this event are presented and include besselian elements, geographic coordinates of the path of totality, physical ephemeris of the umbra, topocentric limb profile corrections, local circumstances for 280 cities, maps of the eclipse path, weather prospects, the lunar limb profile, and the sky during totality. Tips and suggestions are also given on how to safely view and photograph the eclipse.

  8. Total artificial hearts: past, present, and future.

    PubMed

    Cohn, William E; Timms, Daniel L; Frazier, O H

    2015-10-01

    A practical artificial heart has been sought for >50 years. An increasing number of people succumb to heart disease each year, but the number of hearts available for transplantation remains small. Early total artificial hearts mimicked the pumping action of the native heart. These positive-displacement pumps could provide adequate haemodynamic support and maintain the human circulation for short periods, but large size and limited durability adversely affected recipients' quality of life. Subsequent research into left ventricular assist devices led to the use of continuous-flow blood pumps with rotating impellers. Researchers have attempted to integrate this technology into modern total artificial hearts with moderate clinical success. The importance of pulsatile circulation remains unclear. Future research is, therefore, needed into positive-displacement and rotary total artificial hearts.

  9. Total Solar Eclipse of 2001 June 21

    NASA Technical Reports Server (NTRS)

    Espenak, Fred; Anderson, Jay

    1999-01-01

    On 2001 June 21, a total eclipse of the Sun will be visible from within a narrow corridor which traverses the Southern Hemisphere. The path of the Moon's umbral shadow begins in the South Atlantic, crosses southern Africa and Madagascar, and ends at sunset in the Indian Ocean. A partial eclipse will be seen within the much broader path of the Moon's penumbral shadow, which includes eastern South America and the southern two thirds of Africa. Detailed predictions for this event are presented and include besselian elements, geographic coordinates of the path of totality, physical ephemeris of the umbra, topocentric limb profile corrections, local circumstances for approximately 350 cities, maps of the eclipse path, weather prospects, the lunar limb profile and the sky during totality. Tips and suggestions are also given on how to safely view and photograph the eclipse.

  10. Total Solar Eclipse of 2008 August 01

    NASA Technical Reports Server (NTRS)

    Espenak, F.; Anderson, J.

    2007-01-01

    On 2008 August 01, a total eclipse of the Sun is visible from within a narrow corridor that traverses half the Earth. The path of the Moon's umbral shadow begins in northern Canada and extends across Greenland, the Arctic, central Russia, Mongolia, and China. A partial eclipse is seen within the much broader path of the Moon's penumbral shadow, which includes northeastern North America, most of Europe and Asia. Detailed predictions for this event are presented and include besselian elements, geographic coordinates of the path of totality, physical ephemeris of the umbra, topocentric limb profile corrections, local circumstances for 308 cities, maps of the eclipse path, weather prospects, the lunar limb profile and the sky during totality. Information on safe eclipse viewing and eclipse photography is included.

  11. Preoperative planning for revision total hip arthroplasty.

    PubMed

    Barrack, Robert L; Burnett, R Stephen J

    2006-01-01

    Revision total hip arthroplasty is associated with more perioperative complications and unexpected findings than are encountered during primary total hip arthroplasty. Special instruments, implants, bone grafts, and other accessories may be required to treat complex problems that arise during revision surgery. Preoperative planning is important to anticipate potential complications and to ensure that all possible needed materials are readily available during surgery. Patients and their families also should be counseled on the specific additional risk factors involved in this complex surgery. An organized approach to revision total hip arthroplasty helps to reduce surgical time, minimize risks, decrease the stress level of the entire surgical team, and to increase the rate of successful outcomes for patients.

  12. Total Solar Eclipse of 2002 December 04

    NASA Technical Reports Server (NTRS)

    Espenak, Fred; Anderson, Jay

    2001-01-01

    On 2002 December 04, a total eclipse of the Sun will be visible from within a narrow corridor which traverses the Southern Hemisphere. The path of the Moon's umbral shadow begins in the South Atlantic, crosses southern Africa and the Indian Ocean, and ends at sunset in southern Australia. A partial eclipse will be seen within the much broader path of the Moon's penumbral shadow, which includes the southern two thirds of Africa, Antarctica, Indian Ocean and Australia. Detailed predictions for this event are presented and include besselian elements, geographic coordinates of the path of totality, physical ephemeris of the umbra, topocentric limb profile corrections, local circumstances for approximately 400 cities, maps of the eclipse path, weather prospects, the lunar limb profile and the sky during totality. Information on safe eclipse viewing and eclipse photography is included.

  13. Total Solar Eclipse of 1999 August 11

    NASA Technical Reports Server (NTRS)

    Espenak, Fred; Anderson, Jay

    1997-01-01

    On 1999 August 11, a total eclipse of the Sun will be visible from within a narrow corridor which traverses the Eastern Hemisphere. The path of the Moon's umbral shadow begins in the Atlantic and crosses central Europe, the Middle East, and India, where it ends at sunset in the Bay of Bengal. A partial eclipse will be seen within the much broader path of the Moon's penumbral shadow, which includes northeastern North America, all of Europe, northern Africa, and the western half of Asia. Detailed predictions for this event are presented and include besselian elements, geographic coordinates of the path of totality, physical ephemeris of the umbra, topocentric limb profile corrections, local circumstances for approximately 1400 cities, maps of the eclipse path, weather prospects, the lunar limb profile, and the sky during totality. Tips and suggestions are also given on how to safely view and photograph the eclipse.

  14. Total Solar Eclipse of 2006 March 29

    NASA Technical Reports Server (NTRS)

    Espenak, F.; Anderson, J.

    2004-01-01

    On 2006 March 29, a total eclipse of the Sun will be visible from within a narrow corridor which traverses half the Earth. The path of the Moon's umbral shadow begins in Brazil and extends across the Atlantic, northern Africa, and central Asia where it ends at sunset in western Mongolia. A partial eclipse will be seen within the much broader path of the Moon's penumbral shadow, which includes the northern two thirds of Africa, Europe, and central Asia.Detailed predictions for this event are presented and include besselian elements, geographic coordinates of the path of totality, physical ephemeris of the umbra, topocentric limb profile corrections, local circumstances for approximately 350 cities, maps of the eclipse path, weather prospects, the lunar limb profile, and the sky during totality. Information on safe eclipse viewing and eclipse photography is included.

  15. Total quality management in orthodontic practice.

    PubMed

    Atta, A E

    1999-12-01

    Quality is the buzz word for the new Millennium. Patients demand it, and we must serve it. Yet one must identify it. Quality is not imaging or public relations; it is a business process. This short article presents quality as a balance of three critical notions: core clinical competence, perceived values that our patients seek and want, and the cost of quality. Customer satisfaction is a variable that must be identified for each practice. In my practice, patients perceive quality as communication and time, be it treatment or waiting time. Time is a value and cost that must be managed effectively. Total quality management is a business function; it involves diagnosis, design, implementation, and measurement of the process, the people, and the service. Kazien is a function that reduces value services, eliminates waste, and manages time and cost in the process. Total quality management is a total commitment for continuous improvement.

  16. Uncommon Indications for Reverse Total Shoulder Arthroplasty

    PubMed Central

    Hyun, Yoon Suk; Huri, Gazi; Garbis, Nickolas G.

    2013-01-01

    Total shoulder arthroplasty and shoulder hemiarthroplasty have been the traditional method for treating a variety of shoulder conditions, including arthritis, cuff tear arthropathy, and some fracture types. However, these procedures did not provide consistently good results for patients with torn rotator cuffs. The development of the reverse prosthesis by Grammont in the late 20th century revolutionized the treatment of the rotator-cuff-deficient shoulder with arthritis. The main indication for the reverse prosthesis remains the patient with cuff tear arthropathy who has pain and loss of motion. Because the reverse total shoulder arthroplasty produced such good results in these patients, the indications for the reverse prosthesis have expanded to include other shoulder conditions that have previously been difficult to treat successfully and predictably. This review discusses and critically reviews these newer indications for the reverse total shoulder arthroplasty. PMID:24340143

  17. Uncommon indications for reverse total shoulder arthroplasty.

    PubMed

    Hyun, Yoon Suk; Huri, Gazi; Garbis, Nickolas G; McFarland, Edward G

    2013-12-01

    Total shoulder arthroplasty and shoulder hemiarthroplasty have been the traditional method for treating a variety of shoulder conditions, including arthritis, cuff tear arthropathy, and some fracture types. However, these procedures did not provide consistently good results for patients with torn rotator cuffs. The development of the reverse prosthesis by Grammont in the late 20th century revolutionized the treatment of the rotator-cuff-deficient shoulder with arthritis. The main indication for the reverse prosthesis remains the patient with cuff tear arthropathy who has pain and loss of motion. Because the reverse total shoulder arthroplasty produced such good results in these patients, the indications for the reverse prosthesis have expanded to include other shoulder conditions that have previously been difficult to treat successfully and predictably. This review discusses and critically reviews these newer indications for the reverse total shoulder arthroplasty.

  18. Total microwave processing using microwave technologies

    SciTech Connect

    Walter, P.J.; Kingston, H.M.

    1995-12-31

    The implementation of total microwave processing of samples involves all processes after the collection of a sample up to but not including the analysis. These processes are often time consuming and a primary source of critical analytical errors. The use of microwave technology has been shown to improve sample digestion while also reducing contamination. However, microwave technology can also be used in the preparation of representative samples and matrix modifications; essentially total sample preparation. The concept of total microwave processing will be discussed as applied to the routine analysis of samples according to proposed Environmental Protection Agency Method 3052. This method requires microwave digestion and provides for several methods of post-digestion removal of hydrofluoric acid. Microwave technologies will be shown to efficiently dry, digest, and perform matrix modifications.

  19. The US 2017 Total Solar Eclipse Workshops

    NASA Astrophysics Data System (ADS)

    Arndt, Martina B.; Habbal, S. R.; Wind Sherpas, Solar

    2012-05-01

    In preparation for the Total Solar Eclipse that will span across the United States in 2017, multiple eclipse workshops are being planned to bring together professional and amateur researchers, educators, and imagers. Our ultimate goal with these workshops is to maximize the amount and quality of data we can collect during the eclipse as well as to leverage this exciting event to educate and inspire people of all ages. Part of the workshops will be dedicated to discussing the science that can be learned from observing total solar eclipses, and part of the workshops will be dedicated to strategizing about how to mobilize and prepare communities in the path of totality. In this poster, we will share our preliminary results from the inaugural workshop in Maryland, April 2012.

  20. Imaging Total Stations - Modular and Integrated Concepts

    NASA Astrophysics Data System (ADS)

    Hauth, Stefan; Schlüter, Martin

    2010-05-01

    Keywords: 3D-Metrology, Engineering Geodesy, Digital Image Processing Initialized in 2009, the Institute for Spatial Information and Surveying Technology i3mainz, Mainz University of Applied Sciences, forces research towards modular concepts for imaging total stations. On the one hand, this research is driven by the successful setup of high precision imaging motor theodolites in the near past, on the other hand it is pushed by the actual introduction of integrated imaging total stations to the positioning market by the manufacturers Topcon and Trimble. Modular concepts for imaging total stations are manufacturer independent to a large extent and consist of a particular combination of accessory hardware, software and algorithmic procedures. The hardware part consists mainly of an interchangeable eyepiece adapter offering opportunities for digital imaging and motorized focus control. An easy assembly and disassembly in the field is possible allowing the user to switch between the classical and the imaging use of a robotic total station. The software part primarily has to ensure hardware control, but several level of algorithmic support might be added and have to be distinguished. Algorithmic procedures allow to reach several levels of calibration concerning the geometry of the external digital camera and the total station. We deliver insight in our recent developments and quality characteristics. Both the modular and the integrated approach seem to have its individual strengths and weaknesses. Therefore we expect that both approaches might point at different target applications. Our aim is a better understanding of appropriate applications for robotic imaging total stations. First results are presented. Stefan Hauth, Martin Schlüter i3mainz - Institut für Raumbezogene Informations- und Messtechnik FH Mainz University of Applied Sciences Lucy-Hillebrand-Straße 2, 55128 Mainz, Germany

  1. Collagenase Total Occlusion-1 (CTO-1) Trial

    PubMed Central

    Strauss, Bradley H.; Osherov, Azriel B.; Radhakrishnan, Sam; Mancini, G.B. John; Manners, Allison; Sparkes, John D.; Chisholm, Robert J.

    2014-01-01

    Background Percutaneous interventions for chronic total occlusions have low success rates, primarily because of failure of guide wire crossing. Collagen-rich matrix constitutes the main barrier to chronic total occlusion crossing. In preclinical studies, local delivery of a bacterial collagenase formulation improved guide wire crossing. The Collagenase Total Occlusion-1 (CTO-1) Trial is a phase I, dose-escalation trial to assess the safety and efficacy of collagenase therapy to facilitate guide wire crossing in coronary artery chronic occlusions. Methods and Results Twenty subjects with ≥1 previous failure of chronic total occlusion guide wire crossing were enrolled at 2 sites. Subjects were treated in 4 distinct cohorts of 5 patients, with escalation of collagenase dose in each cohort from 300 to 1200 μg. Collagenase was locally delivered into the occlusions with either an over-the-wire balloon system (n=8) or a fine-cross microcatheter (n=12) for a period of 30 minutes. Subjects were brought back to the catheterization laboratory for guide wire crossing and angioplasty the next day. Guide wire crossing was successfully achieved in 15 subjects (75%). A soft-tip guide wire (Whisper, Pilot-50, Fielder XT) was either the sole or predominant guide wire used in 75% of successful crossings. Non–ST-segment–elevation myocardial infarctions occurred in 3 patients as a result of side-branch ischemia during stenting. Computed tomographic angiography at 3 months showed no late complications and patent stents in successfully treated chronic total occlusion. Anginal improvement occurred with a reduction in Canadian Cardiovascular Society class from baseline to 3 months (2.5±0.6 versus 0.9±0.9; P<0.001). Conclusion Local delivery of collagenase into coronary chronic total occlusion is feasible and safe with encouraging guide wire crossing results in previously failed cases. Larger clinical trials are required to determine efficacy. Clinical Trial Registration URL: http

  2. Secondary Hemorrhage After Total Laparoscopic Hysterectomy

    PubMed Central

    Prathap, Talwar; Kaur, Harneet; Shabnam, Khan; Kandhari, Dimple; Chopade, Gaurav

    2014-01-01

    Background and Objectives: The purpose of this study is to estimate the cumulative incidence, patient characteristics, and potential risk factors for secondary hemorrhage after total laparoscopic hysterectomy. Methods: All women who underwent total laparoscopic hysterectomy at Paul's Hospital between January 2004 and April 2012 were included in the study. Patients who had bleeding per vaginam between 24 hours and 6 weeks after primary surgery were included in the analysis. Results: A total of 1613 patients underwent total laparoscopic hysterectomy during the study period, and 21 patients had secondary hemorrhage after hysterectomy. The overall cumulative incidence of secondary hemorrhage after total laparoscopic hysterectomy was 1.3%. The mean size of the uterus was 541.4 g in the secondary hemorrhage group and 318.9 g in patients without hemorrhage, which was statistically significant. The median time interval between hysterectomy and secondary hemorrhage was 13 days. Packing was sufficient to control the bleeding in 13 patients, and 6 patients required vault suturing. Laparoscopic coagulation of the uterine artery was performed in 1 patient. Uterine artery embolization was performed twice in 1 patient to control the bleeding. Conclusions: Our data suggest that secondary hemorrhage is rare but may occur more often after total laparoscopic hysterectomy than after other hysterectomy approaches. Whether it is related to the application of thermal energy to tissues, which causes more tissue necrosis and devascularization than sharp culdotomy in abdominal and vaginal hysterectomies, is not clear. A large uterus size, excessive use of an energy source for the uterine artery, and culdotomy may play a role. PMID:25392609

  3. Correlations between corneal and total wavefront aberrations

    NASA Astrophysics Data System (ADS)

    Mrochen, Michael; Jankov, Mirko; Bueeler, Michael; Seiler, Theo

    2002-06-01

    Purpose: Corneal topography data expressed as corneal aberrations are frequently used to report corneal laser surgery results. However, the optical image quality at the retina depends on all optical elements of the eye such as the human lens. Thus, the aim of this study was to investigate the correlations between the corneal and total wavefront aberrations and to discuss the importance of corneal aberrations for representing corneal laser surgery results. Methods: Thirty three eyes of 22 myopic subjects were measured with a corneal topography system and a Tschernig-type wavefront analyzer after the pupils were dilated to at least 6 mm in diameter. All measurements were centered with respect to the line of sight. Corneal and total wavefront aberrations were calculated up to the 6th Zernike order in the same reference plane. Results: Statistically significant correlations (p < 0.05) between the corneal and total wavefront aberrations were found for the astigmatism (C3,C5) and all 3rd Zernike order coefficients such as coma (C7,C8). No statistically significant correlations were found for all 4th to 6th order Zernike coefficients except for the 5th order horizontal coma C18 (p equals 0.003). On average, all Zernike coefficients for the corneal aberrations were found to be larger compared to Zernike coefficients for the total wavefront aberrations. Conclusions: Corneal aberrations are only of limited use for representing the optical quality of the human eye after corneal laser surgery. This is due to the lack of correlation between corneal and total wavefront aberrations in most of the higher order aberrations. Besides this, the data present in this study yield towards an aberration balancing between corneal aberrations and the optical elements within the eye that reduces the aberration from the cornea by a certain degree. Consequently, ideal customized ablations have to take both, corneal and total wavefront aberrations, into consideration.

  4. An Operational Perspective of Total Lightning Information

    NASA Technical Reports Server (NTRS)

    Nadler, David J.; Darden, Christopher B.; Stano, Geoffrey; Buechler, Dennis E.

    2009-01-01

    The close and productive collaborations between the NWS Warning and Forecast Office, the Short Term Prediction and Research Transition Center at NASA Marshall Space Flight Center and the University of Alabama in Huntsville have provided a unique opportunity for science sharing and technology transfer. One significant technology transfer that has provided immediate benefits to NWS forecast and warning operations is the use of data from the North Alabama Lightning Mapping Array. This network consists of ten VHF receivers deployed across northern Alabama and a base station located at the National Space Science and Technology Center. Preliminary investigations done at WFO Huntsville, along with other similar total lightning networks across the country, have shown distinct correlations between the time rate-of-change of total lightning and trends in intensity/severity of the parent convective cell. Since May 2003 when WFO HUN began receiving these data - in conjunction with other more traditional remotely sensed data (radar, satellite, and surface observations) -- have improved the situational awareness of the WFO staff. The use of total lightning information, either from current ground based systems or future space borne instrumentation, may substantially contribute to the NWS mission, by enhancing severe weather warning and decision-making processes. Operational use of the data has been maximized at WFO Huntsville through a process that includes forecaster training, product implementation, and post event analysis and assessments. Since receiving these data, over 50 surveys have been completed highlighting the use of total lightning information during significant events across the Tennessee Valley. In addition, around 150 specific cases of interest have been archived for collaborative post storm analysis. From these datasets, detailed trending information from radar and total lightning can be compared to corresponding damage reports. This presentation will emphasize

  5. An Operational Perspective of Total Lightning Information

    NASA Technical Reports Server (NTRS)

    Nadler, David J.; Darden, Christopher B.; Stano, Geoffrey; Buechler, Dennis E.

    2009-01-01

    The close and productive collaborations between the NWS Warning and Forecast Office, the Short Term Prediction and Research Transition Center at NASA Marshall Space Flight Center and the University of Alabama in Huntsville have provided a unique opportunity for science sharing and technology transfer. One significant technology transfer that has provided immediate benefits to NWS forecast and warning operations is the use of data from the North Alabama Lightning Mapping Array. This network consists of ten VHF receivers deployed across northern Alabama and a base station located at the National Space Science and Technology Center. Preliminary investigations done at WFO Huntsville, along with other similar total lightning networks across the country, have shown distinct correlations between the time rate-of-change of total lightning and trends in intensity/severity of the parent convective cell. Since May 2003 when WFO HUN began receiving these data - in conjunction with other more traditional remotely sensed data (radar, satellite, and surface observations) -- have improved the situational awareness of the WFO staff. The use of total lightning information, either from current ground based systems or future space borne instrumentation, may substantially contribute to the NWS mission, by enhancing severe weather warning and decision-making processes. Operational use of the data has been maximized at WFO Huntsville through a process that includes forecaster training, product implementation, and post event analysis and assessments. Since receiving these data, over 50 surveys have been completed highlighting the use of total lightning information during significant events across the Tennessee Valley. In addition, around 150 specific cases of interest have been archived for collaborative post storm analysis. From these datasets, detailed trending information from radar and total lightning can be compared to corresponding damage reports. This presentation will emphasize

  6. Closed total talar extrusion after ankle sprain.

    PubMed

    Turhan, Yalcin; Cift, Hakan; Ozkan, Korhan; Ozkut, Afsar; Eren, Abdullah

    2012-02-01

    Closed total talus dislocation from tibiotalar, subtalar, and talonavicular joints is a very rare injury. A 25-year-old young man, who had severe ankle distortion while walking down a flight of stairs, was brought to the emergency room complaining of a deformity and pain in his ankle joint. Roentgenographies revealed total talar body extrusion. The patient was treated urgently with open reduction in the authors' clinic. Tibialis posterior tendon might prevent closed reduction so open reduction with retraction of the tendon may be necessary.

  7. Nucleon-Nucleon Total Cross Section

    NASA Technical Reports Server (NTRS)

    Norbury, John W.

    2008-01-01

    The total proton-proton and neutron-proton cross sections currently used in the transport code HZETRN show significant disagreement with experiment in the GeV and EeV energy ranges. The GeV range is near the region of maximum cosmic ray intensity. It is therefore important to correct these cross sections, so that predictions of space radiation environments will be accurate. Parameterizations of nucleon-nucleon total cross sections are developed which are accurate over the entire energy range of the cosmic ray spectrum.

  8. Samarium diiodide mediated reactions in total synthesis.

    PubMed

    Nicolaou, K C; Ellery, Shelby P; Chen, Jason S

    2009-01-01

    Introduced by Henri Kagan more than three decades ago, samarium diiodide (SmI(2)) has found increasing application in chemical synthesis. This single-electron reducing agent has been particularly useful in C-C bond formations, including those found in total synthesis endeavors. This Review highlights selected applications of SmI(2) in total synthesis, with special emphasis on novel transformations and mechanistic considerations. The examples discussed are both illustrative of the power of this reagent in the construction of complex molecules and inspirational for the design of synthetic strategies toward such targets, both natural and designed.

  9. Biomechanics of reverse total shoulder arthroplasty.

    PubMed

    Berliner, Jonathan L; Regalado-Magdos, Ashton; Ma, C Benjamin; Feeley, Brian T

    2015-01-01

    Reverse total shoulder arthroplasty is an effective procedure for treatment of glenohumeral joint disease among patients with severe rotator cuff deficiency. Improvements in prosthetic design are the result of an evolved understanding of both shoulder and joint replacement biomechanics. Although modern generations of the reverse shoulder prosthesis vary in specific design details, they continue to adhere to Grammont's core principles demonstrated by his original Delta III prosthesis. This review article discusses the biomechanics of reverse total shoulder arthroplasty with a focus on elements of implant design and surgical technique that may affect stability, postoperative complications, and functional outcomes.

  10. Determination of total solutes in synfuel wastewaters

    SciTech Connect

    Wallace, J.R.; Bonomo, F.S.

    1984-03-01

    Efforts to investigate both lyophilization and the measurement of colligative properties as an indication of total solute content are described. The objective of the work described is to develop a method for measuring total dissolved material in retort wastewaters which is simple and rugged enough to be performed in a field laboratory in support of pollution control tests. The analysis should also be rapid enough to provide timely and pertinent data to the pollution control plant operator. To be of most value, the technique developed also should be applicable to other synfuel wastewaters, most of which contain similar major components as oil shale retort waters. 4 references, 1 table.

  11. Measuring Total and Germinable Spore Populations

    NASA Technical Reports Server (NTRS)

    Noell, A.C.; Yung, P.T.; Yang, W.; Lee, C.; Ponce, A.

    2011-01-01

    It has been shown that bacterial endospores can be enumerated using a microscopy based assay that images the luminescent halos from terbium ions bound to dipicolinic acid, a spore specific chemical marker released upon spore germination. Further development of the instrument has simplified it towards automation while at the same time improving image quality. Enumeration of total spore populations has also been developed allowing measurement of the percentage of viable spores in any population by comparing the germinable/culturable spores to the total. Percentage viability will allow a more quantitative comparison of the ability of spores to survive across a wide range of extreme environments.

  12. Data on total and spectral solar irradiance

    SciTech Connect

    Mecherikunnel, A.T.; Gatlin, J.A.; Richmond, J.C.

    1983-05-01

    This paper presents a brief survey of the data available on solar constant and extraterrestrial solar spectral irradiance. The spectral distribution of solar radiation at ground surface, computed from extraterrestrial solar spectral irradiance for several air mass values and for four levels of atmospheric pollution, is also presented. The total irradiance at ground level is obtained by integration of the area under the spectral irradiance curves. It is significant that, as air mass increases or as turbidity increases, the amount of energy in the infrared relative to the total increases and that the energy in the UV and visible decreases.

  13. Pollution prevention and total quality management

    SciTech Connect

    Baker, G.E.

    1995-09-01

    Both quality management and pollution prevention are paradigms for their respective concepts to be followed and put into effect in industrial production. They each represent a framework for making things better, and for the examination and evaluation of current practices. Both pollution prevention and total quality management welcome innovative thought and the mandate to question the validity of practices. This chapter investigates the similarities of purpose and content of pollution prevention and total quality management techniques for industrial wastes. It also examines the reasons and directions that industry is following to make both paradigms integral parts of conducting business.

  14. Antegrade Techniques for Chronic Total Occlusions

    PubMed Central

    Lim, Michael C.L.

    2015-01-01

    By convention, a total obstruction of the coronary artery with no flow at the occluded segment that has been present for at least 3 months is termed as chronic total occlusion or CTO. This is to be distinguished from a sudden occlusion of the coro-nary artery lumen by a thrombus during an acute myocardial infarction. Percutaneous coronary intervention (PCI) of CTO is increasingly being performed by interventional cardiologists with improved success rates. In this article, the focus will be on antegrade techniques that will assist the operator to maximise the success rates and to minimise the complications.

  15. Measuring Total and Germinable Spore Populations

    NASA Technical Reports Server (NTRS)

    Noell, A.C.; Yung, P.T.; Yang, W.; Lee, C.; Ponce, A.

    2011-01-01

    It has been shown that bacterial endospores can be enumerated using a microscopy based assay that images the luminescent halos from terbium ions bound to dipicolinic acid, a spore specific chemical marker released upon spore germination. Further development of the instrument has simplified it towards automation while at the same time improving image quality. Enumeration of total spore populations has also been developed allowing measurement of the percentage of viable spores in any population by comparing the germinable/culturable spores to the total. Percentage viability will allow a more quantitative comparison of the ability of spores to survive across a wide range of extreme environments.

  16. Chromium deficiency during total parenteral nutrition.

    PubMed

    Freund, H; Atamian, S; Fischer, J E

    1979-02-02

    Chromium is required for maintenance of normal glucose tolerance. After complete bowel resection and five months of total parenteral nutrition, severe glucose intolerance, weight loss, and a metabolic encephalopathy-like confusional state developed in a patient. Serum chromium levels were at the lowest normal level. Supplementation of 150 microgram of chromium per day reversed the glucose intolerance, reduced insulin requirements, and resulted in weight gain and the disappearance of encephalopathy. The low levels of chromium and response to chromium supplementation suggest that chromium deficiency can arise in long-term total parenteral nutrition.

  17. Mineral Analysis of Whole Grain Total Cereal

    ERIC Educational Resources Information Center

    Hooker, Paul

    2005-01-01

    The quantitative analysis of elemental iron in Whole Grain Total Cereal using visible spectroscopy is suitable for a general chemistry course for science or nonscience majors. The more extensive mineral analysis, specifically for the elements iron, calcium and zinc, is suitable for an instrumental or quantitative analysis chemistry course.

  18. Periprosthetic fractures around total knee arthroplasty

    PubMed Central

    Sarmah, SS; Patel, S; Reading, G; El-Husseiny, M; Douglas, S; Haddad, FS

    2012-01-01

    INTRODUCTION The number of total knee arthroplasties performed continues to rise annually and it would be expected that complications, which include periprosthetic fractures, will also therefore become more commonplace. This article reviews the current literature regarding this injury and identifies the treatment principles that enable patients to regain optimal function. METHODS A comprehensive search of the Pubmed and Embase™ databases was performed to identify relevant articles. Keywords and MeSH (Medical Subject Headings) terms included in the search strategy were ‘periprosthetic fracture(s)’, ‘femur’, ‘tibia’, ‘patella(r)’, ‘complication(s)’, ‘failure(s)’, ‘risk(s)’, ‘prevalence’, ‘incidence’, ‘epidemiology’ and ‘classification(s)’. The search was limited to all articles published in English and reference lists from the original articles were reviewed to identify pertinent articles to include in this review. A total number of 43 studies were identified. RESULTS Common treatment aims have been identified when managing patients with a periprosthetic fracture around total knee arthoplasty. The main criterion that determines which option to choose is the degree of remaining bone stock and the amount of fracture displacement. CONCLUSIONS Treatment of a periprosthetic fracture around total knee arthroplasty will either be non-operative, osteosynthesis or revision arthroplasty. It is imperative that a suitable option is chosen and based on the published literature, pathways are outlined to aid the surgeon. PMID:22943223

  19. The technology behind Colgate Total Advanced Fresh.

    PubMed

    Williams, Malcolm I; Cummins, Diane

    2003-09-01

    In the early 1990s, a breakthrough toothpaste, Colgate Total, was launched with documented long-lasting activity against plaque, gingivitis, calculus, tooth decay, and bad breath. The technology behind this toothpaste is the combination of triclosan, a polyvinylmethylether/maleic acid copolymer, and sodium fluoride. The copolymer ensures maximal oral retention and subsequent release of the antibacterial triclosan. Effective levels of triclosan have been observed in the oral cavity 12 hours after brushing the teeth, allowing prolonged control of oral bacteria that may cause the most common dental problems, including bad breath. Similarly, the enhanced retention of triclosan to oral surfaces after using this revolutionary toothpaste for up to 2 years has led to significantly reduced incremental coronal caries compared to an American Dental Association-Approved anticavity fluoride toothpaste. Furthermore, significantly less calcium remained in dental plaque after brushing the teeth with the triclosan/copolymer toothpaste, resulting in the formation of less tartar. In keeping with the multiple oral health benefits provided by Colgate Total, consumers are now offered a new dentifrice, Colgate Total Advanced Fresh, which provides the numerous therapeutic and esthetic benefits that are the hallmark of Colgate Total. The new dentifrice, which contains an impactful breath-freshening flavor, has been documented to provide sustained control of bad breath over 12 hours.

  20. Estimating Total Deposition Using NADP & CASTNET Data

    EPA Science Inventory

    For more than 40 years, efforts have been made to estimate total sulfur and nitrogen deposition in the United States using a combination of measured concentrations in precipitation and in the air, precipitation amounts for wet deposition, and various modeled or estimated depositi...

  1. Salinity: Electrical conductivity and total dissolved solids

    USDA-ARS?s Scientific Manuscript database

    The measurement of soil salinity is a quantification of the total salts present in the liquid portion of the soil. Soil salinity is important in agriculture because salinity reduces crop yields by reducing the osmotic potential making it more difficult for the plant to extract water, by causing spe...

  2. Estimating total population size for Songbirds

    Treesearch

    Jonathan Bart

    2005-01-01

    A conviction has developed during the past few years within the avian conservation community that estimates of total population size are needed for many species, especially ones that warrant conservation action. For example, the recently completed monitoring plans for North American shorebirds and landbirds establish estimating population size as a major objective....

  3. GGOT total pressure loss control concept evaluation

    NASA Technical Reports Server (NTRS)

    Blumenthal, R. F.

    1993-01-01

    Total pressure loss is one of the most important parameters in the design of a turbine. This parameter effects not only the turbine performance, but consequently the engine power balance and engine performance. Computational Fluid Dynamics (CFD) can be an effective tool in predicting turbine total pressure loss, and also for performing sensitivity studies to achieve an optimal design with respect to pressure loss. In the present study, the AEROVISC code was used to predict the total pressure loss in the Turbine Technology Team Gas Generator Oxidizer Turbine (GGOT). The objectives in this study are two-fold. It is first necessary to determine an optimal methodology in predicting total pressure loss. The type of grid, grid density and distribution are parameters which may affect the loss prediction. Also, the effect of using a standard K-epsilon turbulence model with wall functions versus a two-layer turbulence model needs to be investigated. The use of grid embedding to resolve areas with high flow gradients needs to be explored. The second objective of the study is to apply the optimal methodology toward evaluating different tip leakage control concepts.

  4. PROCEDURE FOR ESTIMATING PERMANENT TOTAL ENCLOSURE COSTS

    EPA Science Inventory

    The paper discusses a procedure for estimating permanent total enclosure (PTE) costs. (NOTE: Industries that use add-on control devices must adequately capture emissions before delivering them to the control device. One way to capture emissions is to use PTEs, enclosures that mee...

  5. Estimating Total Deposition Using NADP & CASTNET Data

    EPA Science Inventory

    For more than 40 years, efforts have been made to estimate total sulfur and nitrogen deposition in the United States using a combination of measured concentrations in precipitation and in the air, precipitation amounts for wet deposition, and various modeled or estimated depositi...

  6. The Total Solar Eclipse, March 1970

    ERIC Educational Resources Information Center

    Glenn, William H.

    1970-01-01

    Describes the circumstances of the total and partial solar eclipse of March 7, 1970 in certain American cities. Also discussed are (1) a classroom demonstration of the cause of solar eclipses, (2) techniques for safely observing the eclipse, and (3) what to observe during the eclipse. Bibliography. (LC)

  7. Mineral Analysis of Whole Grain Total Cereal

    ERIC Educational Resources Information Center

    Hooker, Paul

    2005-01-01

    The quantitative analysis of elemental iron in Whole Grain Total Cereal using visible spectroscopy is suitable for a general chemistry course for science or nonscience majors. The more extensive mineral analysis, specifically for the elements iron, calcium and zinc, is suitable for an instrumental or quantitative analysis chemistry course.

  8. Total Synthesis of (+)-Condylocarpine, (+)-Isocondylocarpine, and (+)Tubotaiwine

    PubMed Central

    Martin, Connor L.; Nakamura, Seiichi; Otte, Ralf; Overman, Larry E.

    2010-01-01

    The first enantioselective total syntheses of indolealk aloids of the condylocarpine type are reported. (+)-Condylocarpine, (+)-isocondylocarpine, and (+)-tubotaiwine were prepared in high enantiomeric purity (er >99:1) from (1 S,5 R)-hexahydro-1,5-methano-1 H-azocino[4,3 -b]indole-12-one 7b by way of five or six isolated intermediates. PMID:21133399

  9. The Total Solar Eclipse, March 1970

    ERIC Educational Resources Information Center

    Glenn, William H.

    1970-01-01

    Describes the circumstances of the total and partial solar eclipse of March 7, 1970 in certain American cities. Also discussed are (1) a classroom demonstration of the cause of solar eclipses, (2) techniques for safely observing the eclipse, and (3) what to observe during the eclipse. Bibliography. (LC)

  10. PROCEDURE FOR ESTIMATING PERMANENT TOTAL ENCLOSURE COSTS

    EPA Science Inventory

    The paper discusses a procedure for estimating permanent total enclosure (PTE) costs. (NOTE: Industries that use add-on control devices must adequately capture emissions before delivering them to the control device. One way to capture emissions is to use PTEs, enclosures that mee...

  11. Total internal reflection laser tools and methods

    DOEpatents

    Zediker, Mark S.; Faircloth, Brian O.; Kolachalam, Sharath K.; Grubb, Daryl L.

    2016-02-02

    There is provided high power laser tools and laser heads that utilize total internal reflection ("TIR") structures to direct the laser beam along a laser beam path within the TIR structure. The TIR structures may be a TIR prism having its hypotenuse as a TIR surface.

  12. Learning Language through Total Physical Response.

    ERIC Educational Resources Information Center

    Marlatt, Edward A.

    1995-01-01

    The Total Physical Response (TPR) method of language instruction is introduced, and guidelines for designing and implementing TPR lessons for students with hearing impairments are provided. In TPR instruction, students develop understanding before speech or signing, understanding is demonstrated through actions, and new vocabulary is developed…

  13. Total Quality Management: Implications for Higher Education.

    ERIC Educational Resources Information Center

    Hoffman, Allan M., Ed.; Julius, Daniel J., Ed.

    This book contains 19 papers describing the implementation of Total Quality Management in a variety of higher education settings. Following a Foreword by Peter Likins and a Preface by Daniel J. Julius, the chapter titles and authors are: (1) "TQM: Implications for Higher Education--A Look Back to the Future" (Allan M. Hoffman and Randall…

  14. Total Quality Management in Libraries. ERIC Digest.

    ERIC Educational Resources Information Center

    Masters, Denise G.

    Total Quality Management (TQM) is "a system of continuous improvement employing participative management and centered on the needs of customers." Key components of TQM are employee involvement and training, problem-solving teams, statistical methods, long-term goals and thinking, and recognition that the system, not people, produces…

  15. How to calculate total purchase cost.

    PubMed

    Harding, M L

    1998-05-01

    Companies wanting to implement a total cost-based supplier selection process often stumble over how to include nonmonetary issues such as delivery and quality performance, lead time, services, and social policies. This article describes a process that allows a company to include any issue it deems relevant and to determine its cost factor.

  16. Metal hypersensitivity in total joint arthroplasty.

    PubMed

    Pinson, Michelle L; Coop, Christopher A; Webb, Charles N

    2014-08-01

    To review the clinical manifestations, testing methods, and treatment options for hypersensitivity reactions to total joint arthroplasty procedures. Studies were identified using MEDLINE and reference lists of key articles. Randomized controlled trials were selected when available. Systematic reviews and meta-analyses of peer-reviewed literature were included, as were case series and observational studies of clinical interest. Total joint arthroplasty procedures are increasing, as are the hypersensitivity reactions to these implants. Evidence is not conclusive as to whether metal joint implants increase metal sensitivity or whether metal sensitivity leads to prosthesis failure. Currently, patch testing is still the most widely used method for determining metal hypersensitivity; however, there are no standardized commercial panels specific for total joint replacements available currently. In vitro testing has shown comparable results in some studies, but its use in the clinical setting may be limited by the cost and need for specialized laboratories. Hypersensitivity testing is generally recommended before surgery for patients with a reported history of metal sensitivity. In cases of metal hypersensitivity-related joint failure, surgical revision ultimately may be required. Knowledge about joint replacement hypersensitivity reactions becomes vital because the approach to the evaluation depends on appropriate testing to guide recommendations for future arthroplasty procedures. Evaluation of hypersensitivity reactions after total joint arthroplasty requires a systematic approach, including a careful history, targeted evaluation with skin testing, and in vitro studies. Copyright © 2014 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  17. Production Function Geometry with "Knightian" Total Product

    ERIC Educational Resources Information Center

    Truett, Dale B.; Truett, Lila J.

    2007-01-01

    Authors of principles and price theory textbooks generally illustrate short-run production using a total product curve that displays first increasing and then diminishing marginal returns to employment of the variable input(s). Although it seems reasonable that a temporary range of increasing returns to variable inputs will likely occur as…

  18. Knee disarticulation after total-knee replacement.

    PubMed

    Lambregts, S A M; Hitters, W M G C

    2002-12-01

    An 89-year-old woman who had a total-knee replacement in the past, underwent a knee disarticulation of the same leg because of an ischaemic foot. Eight (8) months postoperatively the stump is fully weight-bearing and the patient is able to walk safely, using a prosthesis and a walking frame.

  19. Invariant Ordering of Item-Total Regressions

    ERIC Educational Resources Information Center

    Tijmstra, Jesper; Hessen, David J.; van der Heijden, Peter G. M.; Sijtsma, Klaas

    2011-01-01

    A new observable consequence of the property of invariant item ordering is presented, which holds under Mokken's double monotonicity model for dichotomous data. The observable consequence is an invariant ordering of the item-total regressions. Kendall's measure of concordance "W" and a weighted version of this measure are proposed as measures for…

  20. Total main rotor isolation system analysis

    NASA Technical Reports Server (NTRS)

    Sankewitsch, V.

    1981-01-01

    Requirements, preliminary design, and verification procedures for a total main rotor isolation system at n/rev are presented. The fuselage is isolated from the vibration inducing main rotor at one frequency in all degrees of freedom by four antiresonant isolation units. Effects of parametric variations on isolation system performance are evaluated.

  1. Total Quality Management: Implications for Higher Education.

    ERIC Educational Resources Information Center

    Hoffman, Allan M., Ed.; Julius, Daniel J., Ed.

    This book contains 19 papers describing the implementation of Total Quality Management in a variety of higher education settings. Following a Foreword by Peter Likins and a Preface by Daniel J. Julius, the chapter titles and authors are: (1) "TQM: Implications for Higher Education--A Look Back to the Future" (Allan M. Hoffman and Randall…

  2. Total Quality Management in Libraries: A Sourcebook.

    ERIC Educational Resources Information Center

    O'Neil, Rosanna M., Comp.

    Total Quality Management (TQM) brings together the best aspects of organizational excellence by driving out fear, offering customer-driven products and services, doing it right the first time by eliminating error, and maintaining inventory control without waste. Libraries are service organizations which are constantly trying to improve service.…

  3. Coordinating Council. Ninth Meeting: Total Quality Management

    NASA Technical Reports Server (NTRS)

    1992-01-01

    This report summarizes the 9th meeting of the STI Coordinating Council. The council listened to the speakers' understanding of Total Quality Management (TQM) principles and heard stories of successful applications of these principles. Definitions of quality stated were focused on customer satisfaction. Reports presented by the speakers are also included.

  4. Total quality management in behavioral health care.

    PubMed

    Sluyter, G V

    1998-01-01

    The literature on total quality management or continuous quality improvement in the behavioral health care field is just beginning to emerge. Although most of the evidence on its effectiveness remains anecdotal, it seems clear that it can work in behavioral health care organizations with strong leadership support and a long-term commitment.

  5. Revitalizing Space Operations through Total Quality Management

    NASA Technical Reports Server (NTRS)

    Baylis, William T.

    1995-01-01

    The purpose of this paper is to show the reader what total quality management (TQM) is and how to apply TQM in the space systems and management arena. TQM is easily understood, can be implemented in any type of business organization, and works.

  6. Application of Total Quality Management in Education

    ERIC Educational Resources Information Center

    Farooq, M. S.; Akhtar, M. S.; Ullah, S. Zia; Memon, R. A.

    2007-01-01

    The purpose of the paper is to analyzing thoughts of the modern management paradigm "Total Quality Management" (TQM), and its application in the field of education. The basic theme of TQM is participatory approach to address the question(s) of quality in business aswell as in the field of education. Reviewing fresh literature from the internet …

  7. Learning Language through Total Physical Response.

    ERIC Educational Resources Information Center

    Marlatt, Edward A.

    1995-01-01

    The Total Physical Response (TPR) method of language instruction is introduced, and guidelines for designing and implementing TPR lessons for students with hearing impairments are provided. In TPR instruction, students develop understanding before speech or signing, understanding is demonstrated through actions, and new vocabulary is developed…

  8. Enantioselective total synthesis of (+)-salvileucalin B.

    PubMed

    Levin, Sergiy; Nani, Roger R; Reisman, Sarah E

    2011-02-02

    An enantioselective total synthesis of the diterpenoid natural product (+)-salvileucalin B is reported. Key findings include a copper-catalyzed arene cyclopropanation reaction to provide the unusual norcaradiene core and a reversible retro-Claisen rearrangement of a highly functionalized norcaradiene intermediate.

  9. Total synthesis of zincophorin methyl ester.

    PubMed

    Defosseux, Magali; Blanchard, Nicolas; Meyer, Christophe; Cossy, Janine

    2003-10-30

    [reaction: see text]. A convergent total synthesis of the methyl ester of zincophorin, an ionophore antibiotic, has been realized relying on a diastereoselective titanium-mediated aldol coupling between the C1-C12 and C13-C25 subunits. The latter fragment was prepared by using a Carroll-Claisen rearrangement.

  10. Asymmetric total synthesis of ent-cyclooroidin

    PubMed Central

    Mukherjee, Sabuj; Sivappa, Rasapalli; Yousufuddin, Muhammed; Lovely, Carl J.

    2010-01-01

    An enantiospecific total synthesis of the pyrrole-imidazole natural product cyclooroidin from histidine is described. The key N1-C9 bond is constructed through an intramolecular SN2-type of reaction of a chloro ester. Subsequent imidazole C2-azidation at the 2-position, pyrrole bromination, azide reduction and deprotection leads to the completion of the synthesis. PMID:20929213

  11. Reverse total shoulder arthroplasty: research models

    PubMed Central

    PETRILLO, STEFANO; LONGO, UMILE GIUSEPPE; GULOTTA, LAWRENCE V.; BERTON, ALESSANDRA; KONTAXIS, ANDREAS; WRIGHT, TIMOTHY; DENARO, VINCENZO

    2016-01-01

    Purpose the past decade has seen a considerable increase in the use of research models to study reverse total shoulder arthroplasty (RTSA). Nevertheless, none of these models has been shown to completely reflect real in vivo conditions. Methods we performed a systematic review of the literature matching the following key words: “reverse total shoulder arthroplasty” or “reverse total shoulder replacement” or “reverse total shoulder prosthesis” and “research models” or “biomechanical models” or “physical simulators” or “virtual simulators”. The following databases were screened: Medline, Google Scholar, EMBASE, CINAHIL and Ovid. We identified and included all articles reporting research models of any kind, such as physical or virtual simulators, in which RTSA and the glenohumeral joint were reproduced. Results computer models and cadaveric models are the most commonly used, and they were shown to be reliable in simulating in vivo conditions. Bone substitute models have been used in a few studies. Mechanical testing machines provided useful information on stability factors in RTSA. Conclusion because of the limitations of each individual model, additional research is required to develop a research model of RTSA that may reduce the limitations of those presently available, and increase the reproducibility of this technique in the clinical setting. PMID:28217660

  12. Total Synthesis of Aeruginosin 98B

    PubMed Central

    Trost, Barry M.; Kaneko, Toshiyuki; Andersen, Neil G.; Tappertzhofen, Christoph; Fahr, Bruce

    2012-01-01

    The first total synthesis of aeruginosin 98B (1) was accomplished. The key step includes a highly diastereoselective Pd-catalyzed intramolecular asymmetric allylic alkylation (AAA) reaction of a diastereomeric mixture of allylic carbonates, which is enabled by the use of racemic phosphine ligand L1. PMID:23116136

  13. Total synthesis of aeruginosin 98B.

    PubMed

    Trost, Barry M; Kaneko, Toshiyuki; Andersen, Neil G; Tappertzhofen, Christoph; Fahr, Bruce

    2012-11-21

    The first total synthesis of aeruginosin 98B was accomplished. The key step is a highly diastereoselective Pd-catalyzed intramolecular asymmetric allylic alkylation reaction of a diastereomeric mixture of allylic carbonates that is enabled by the use of racemic phosphine ligand L1.

  14. A Campus Is a Total Community.

    ERIC Educational Resources Information Center

    Hunt, Robert E.

    1979-01-01

    Described are the various components of the total college or university community and their associated environmental health and safety problems. Included are food service, insect and rodent control, multi-use athletic facilities, housing, laboratory animal facilities, laboratory biosafety, radiological health, fire protection, and emergency…

  15. Applying Total Quality Management to Business Education.

    ERIC Educational Resources Information Center

    Brown, Daniel J.; Koenig, Harold F.

    1993-01-01

    Responses from 390 business school alumni (60%) show that students want educators to consider their opinions about their overall educational experience and what happens after graduation. A total quality management approach can help discover customer/student needs, establish a focus on improvement, and implement a process orientation. (SK)

  16. Total Energy Management for Minnesota Schools.

    ERIC Educational Resources Information Center

    Minnesota State Dept. of Energy, Planning and Development, St. Paul.

    Total Energy Management (TEM) is a unified, planned approach to reducing the energy use and costs of an individual school or school district. The program increases energy awareness and improves school energy efficiency through: (1) careful energy accounting; (2) changes in operations and maintenance procedures; (3) modifications in the building…

  17. Total Quality Management Goes to Community College.

    ERIC Educational Resources Information Center

    DeCosmo, Richard D.; And Others

    1991-01-01

    This article details the four-year implementation of Total Quality Management at Delaware County Community College (Pennsylvania) to conserve resources, improve effectiveness, assure quality, and increase participation in decision making. Reported are planning, execution, and monitoring activities of the Implementation Team; specific problems…

  18. Total Quality Management (TQM) in Higher Education.

    ERIC Educational Resources Information Center

    Sullivan, Michael F.

    This document consists largely of paper versions of the transparencies used by the author to give his conference paper on Total Quality Management (TQM) in the college and university setting. An introduction lists a series of definitional phrases, a list of what TQM is not, and 11 fundamental principles describing what TQM is. The three major…

  19. Neutron Total Scattering Analysis of Nanoparticles

    NASA Astrophysics Data System (ADS)

    Proffen, Th.

    2012-01-01

    Nanoparticles are entering many aspects of our lives as they often possess properties their bulk counterparts lack. The arsenal of structural characterization techniques for bulk materials is well established. In the case of nanomaterials these tools are just starting to emerge. In this paper the total scattering approach applied to nanomaterials and the promises it holds are discussed.

  20. Total sacrectomy and reconstruction for sacral tumors.

    PubMed

    Doita, Minoru; Harada, Toshihiko; Iguchi, Tetsuhiro; Sumi, Masatoshi; Sha, Hidenori; Yoshiya, Shinichi; Kurosaka, Masahiro

    2003-08-01

    Report of three patients in whom the lumbosacral junctions were successfully restored by spinal instrumentations after total sacrectomies. To describe the surgical technique of the reconstruction of the continuity between the pelvic ring and spinal column by using a transpedicular and iliac screw system. Although there have been case reports about reconstruction methods after total sacrectomy, biomechanical, and technical problems still remain unresolved. Total sacrectomy was carried out in three cases: two with chordomas and one with a recurrent giant cell tumor. In the first case, reconstruction was achieved with Zielke transpedicular screw and rod system and a sacral rod. The other two patients were reconstructed using a transpedicular and iliac screw system and a sacral rod for bilateral fixation of the iliac wings. In the third patient, the vertical rods were connected to transverse rod with rod connectors. No instrumentation failure was observed, and the continuity between the pelvic wing and spinal column was established with the instrumentation and bone grafting. Although one patient died of metastatic chordoma, the lumbosacral junction was successfully reconstructed with the instrumentation. The other two patients could stand with double crutches 13 and 2 years after surgery, respectively. Total sacrectomy is a feasible operation for primary malignant tumors involving the entire sacrum. Reconstruction of the union between the lumbar spine and the ilia with spinal instrumentation achieves stabilization suitable for ambulation.

  1. Total Quality Management in Libraries: A Sourcebook.

    ERIC Educational Resources Information Center

    O'Neil, Rosanna M., Comp.

    Total Quality Management (TQM) brings together the best aspects of organizational excellence by driving out fear, offering customer-driven products and services, doing it right the first time by eliminating error, and maintaining inventory control without waste. Libraries are service organizations which are constantly trying to improve service.…

  2. Smell and Taste Impairment After Total Laryngectomy.

    PubMed

    Riva, Giuseppe; Sensini, Matteo; Corvino, Andrea; Pecorari, Giancarlo; Garzaro, Massimiliano

    2017-07-01

    Aim of this observational study is the evaluation of olfactory and gustatory impairments in laryngectomized long-term survivors compared to control subjects. Correlation between smell and taste alterations, age, and previous adjuvant treatments in laryngectomees was investigated. Fifty control subjects and 50 patients who underwent total laryngectomy for advanced laryngeal carcinoma were evaluated. All subjects underwent symptoms evaluation, oropharyngeal exam, endoscopic fiberoptic nasal examination, and Taste Strips and Sniffin' Sticks tests. Hyposmia was reported by all laryngectomees and hypogeusia by 54% of patients. Sniffin' Sticks and Taste Strips tests demonstrated a statistically significant difference between controls and laryngectomees regarding olfactory threshold, odor discrimination and identification, Threshold Discrimination Identification (TDI) score, and sour, salty, and gustatory Total Taste score ( P < .05). Multivariate analysis for Total Taste score in laryngectomees showed a statistically significant correlation with aging, having an odds ratio of 0.127 for age ≥65 years, but not with TDI score, radiotherapy, and follow-up time, whereas multivariate analysis for TDI score demonstrated no correlation with radiotherapy, age, and follow-up time. Total laryngectomy determines olfactory and gustatory impairments that should be taken into account in clinical practice. Relationships between sensorial alterations, aging, follow-up period, and adjuvant treatments should be further evaluated in prospective studies.

  3. Extracorporeal total artificial heart as bailout surgery.

    PubMed

    Perrodin, Stéphanie F; Muller, Olivier; Gronchi, Fabrizio; Liaudet, Lucas; Hullin, Roger; Kirsch, Matthias

    2017-03-01

    We report the use of a total extracorporeal heart for uncontrolled bleeding following a proximal left anterior descending artery perforation, using two centrifugal ventricular assist devices after heart explantation. The literature describing similar techniques and patient outcomes for this "bailout" technique are reviewed. © 2017 Wiley Periodicals, Inc.

  4. Applying Total Quality Management in Cooperative Extension.

    ERIC Educational Resources Information Center

    Fredendall, Lawrence D.; Lippert, Robert M.

    1995-01-01

    South Carolina's Agricultural Service Laboratory received responses from 252 of 500 farmers who currently use the soil testing service; 97% were pleased with accuracy, 89% with turnaround time, 18% thought the fee too high. Nonusers (100 of 520) were mainly dissatisfied with turnaround time. Total quality management methods were used to improve…

  5. The Leica TCRA1105 Reflectorless Total Station

    SciTech Connect

    Gaudreault, F.

    2005-09-06

    This poster provides an overview of SLAC's TCRA1105 reflectorless total station for the Alignment Engineering Group. This instrument has shown itself to be very useful for planning new construction and providing quick measurements to difficult to reach or inaccessible surfaces.

  6. Production Function Geometry with "Knightian" Total Product

    ERIC Educational Resources Information Center

    Truett, Dale B.; Truett, Lila J.

    2007-01-01

    Authors of principles and price theory textbooks generally illustrate short-run production using a total product curve that displays first increasing and then diminishing marginal returns to employment of the variable input(s). Although it seems reasonable that a temporary range of increasing returns to variable inputs will likely occur as…

  7. A Campus Is a Total Community.

    ERIC Educational Resources Information Center

    Hunt, Robert E.

    1979-01-01

    Described are the various components of the total college or university community and their associated environmental health and safety problems. Included are food service, insect and rodent control, multi-use athletic facilities, housing, laboratory animal facilities, laboratory biosafety, radiological health, fire protection, and emergency…

  8. Total Quality Management: Implications for Educational Assessment.

    ERIC Educational Resources Information Center

    Rankin, Stuart C.

    1992-01-01

    Deming's "System of Profound Knowledge" is even more fundamental than his 14-principle system transformation guide and is based on 4 elements: systems theory, statistical variation, a theory of knowledge, and psychology. Management should revamp total system processes so that quality of product is continually improved. Implications for…

  9. Total Quality Management in Higher Education.

    ERIC Educational Resources Information Center

    Rieley, James B.

    In order for an educational institution to utilize Total Quality Management as a tool for improving effectiveness, the culture of the college must foster a belief in change and a focus on the customer. A disciplined approach to planning and a commitment to the concept of Continuous Improvement (CI) are also required. Concerning acceptance of…

  10. Concise total syntheses of (+/-)-strychnine and (+/-)-akuammicine.

    PubMed

    Sirasani, Gopal; Paul, Tapas; Dougherty, William; Kassel, Scott; Andrade, Rodrigo B

    2010-05-21

    Concise total syntheses of Strychnos alkaloids strychnine (1) and akuammicine (2) have been realized in 13 and 6 operations, respectively. Key steps include (1) the vinylogous Mannich reaction; (2) a novel, sequential one-pot spirocyclization/intramolecular aza-Baylis-Hillman reaction; and (3) a Heck cyclization. The synthesis of 1 proceeds via the Wieland-Gumlich aldehyde (26).

  11. Revitalizing Space Operations through Total Quality Management

    NASA Technical Reports Server (NTRS)

    Baylis, William T.

    1995-01-01

    The purpose of this paper is to show the reader what total quality management (TQM) is and how to apply TQM in the space systems and management arena. TQM is easily understood, can be implemented in any type of business organization, and works.

  12. English in a Program of Total Innovation

    ERIC Educational Resources Information Center

    Knoll, Robert E.

    1970-01-01

    Explains an experimental program designed to give the student a total look at himself and his society through literature, politics, and history; a paper presented at annual convention of National Council of Teachers of English (Washington, D. C., November 28, 1969) and published in Kansas English" (February 1970). (Editor/SW)

  13. 2 CFR 170.330 - Total compensation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Total compensation. 170.330 Section 170.330 Grants and Agreements Office of Management and Budget Guidance for Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS NATIONAL POLICY REQUIREMENTS...

  14. 2 CFR 170.330 - Total compensation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Total compensation. 170.330 Section 170.330 Grants and Agreements Office of Management and Budget Guidance for Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS Reserved REPORTING SUBAWARD AND...

  15. 2 CFR 170.330 - Total compensation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Total compensation. 170.330 Section 170.330... or more in Federal funds that does not include Recovery funds (as defined in section 1512(a)(2) of... definitions in paragraph e. of this award term). 2. Where and when to report. i. You must report each...

  16. Ambient Ammonium Contribution to total Nitrogen Deposition ...

    EPA Pesticide Factsheets

    There has been a wealth of evidence over the last decade illustrating the rising importance of reduced inorganic nitrogen (NHx = ammonia gas, NH3, plus particulate ammonium, p-NH4) in the overall atmospheric mass balance and deposition of nitrogen as emissions of oxidized nitrogen have decreased throughout a period of stable or increasing NH3 emissions. In addition, the fraction of ambient ammonia relative to p-NH4 generally has risen as a result of decreases in both oxides of nitrogen and sulfur emissions. EPA plans to consider ecological effects related to deposition of nitrogen, of which NHx is a contributing component, in the review of secondary National Ambient Air Quality Standards (NAAQS) for oxides of nitrogen and sulfur (NOx/SOx standard). Although these ecological effects are associated with total nitrogen deposition, it will be important to understand the emissions sources contributing to the total nitrogen deposition and to understand how much of the total nitrogen deposition is from deposition of NHx versus other nitrogen species. Because p-NH4 contributes to nitrogen deposition and can also be a significant component of particulate matter, there is a potential overlap in addressing nitrogen based deposition effects in the secondary PM and NOx/SOx NAAQS. Consequently, there is a policy interest in quantifying the contribution of p-NH4 to total nitrogen deposition. While dry deposition of p-NH4 is calculated through a variety of modeling app

  17. Total Quality Management. ERIC Digest, Number 73.

    ERIC Educational Resources Information Center

    Weaver, Tyler

    The Japanese success story has made W. Edwards Deming's Total Quality Management (TQM) theory increasingly popular among American managers, from car manufacturers to educational leaders. TQM is based on two tenets: the primacy of customer satisfaction and the necessity of tapping nontraditional sources (especially employee ideas) to institute…

  18. Student Involvement: A Bridge to Total Education.

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Public Instruction, Raleigh.

    This document, prepared by students involved in the Task Force on Student Involvement program, provides guidelines for administrators who are attempting to enhance constructive student participation in the total educational program. An outline of specific recommendations for dealing with high school unrest is followed by general recommendations…

  19. Total Quality Management: Institutional Research Applications.

    ERIC Educational Resources Information Center

    Heverly, Mary Ann

    Total Quality Management (TQM), a technique traditionally reserved for the manufacturing sector, has recently spread to service companies, government agencies, and educational institutions. TQM places responsibility for quality problems with management rather than on the workers. A principal concept of TQM is the management of Process Variation,…

  20. [Total purine content in selected foods].

    PubMed

    Wolfram, G; Colling, M

    1987-12-01

    For the dietary treatment of hyperuricemia and gout, it is necessary to know the total purine content of food. A new method determining the purine content enzymatically, as uric acid, allows routine analysis. Many foods of animal and plant origin were brought in usual or alternative stores and analysed.

  1. Total Quality Management: The Emperor's Tailor.

    ERIC Educational Resources Information Center

    Alexander, Gary C.; Keeler, Carolyn M.

    Conversations among educators, business leaders, legislators, and educational reformers have generated support for the application of Total Quality Management (TQM) to education. This paper considers whether TQM is indeed the solution to education's problems. After a brief explanation of TQM theory, the paper is organized around four broad issues…

  2. Total Quality Management: Implications for Educational Assessment.

    ERIC Educational Resources Information Center

    Rankin, Stuart C.

    1992-01-01

    Deming's "System of Profound Knowledge" is even more fundamental than his 14-principle system transformation guide and is based on 4 elements: systems theory, statistical variation, a theory of knowledge, and psychology. Management should revamp total system processes so that quality of product is continually improved. Implications for…

  3. Curriculum Transformation through Total Quality Management.

    ERIC Educational Resources Information Center

    Edwards, Barbara; Algozzine, Bob

    1995-01-01

    Describes a massive cultural transformation project at two Charlotte, North Carolina, elementary schools that used Deming's total quality management principles to restructure curricula according to Boyer's eight commonalities of learning. Shows how the FADE (focus, analyze, develop, and execute) model was used to develop a well-coordinated,…

  4. Total Laparoscopic Hysterectomy for Large Uterus

    PubMed Central

    Sinha, Rakesh; Sundaram, Meenakshi; Lakhotia, Smita; Mahajan, Chaitali; Manaktala, Gayatri; Shah, Parul

    2009-01-01

    Aim: In this review, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uteri weighing more than 500 grams. We have analyzed whether it is possible for an experienced laparoscopic surgeon to perform efficient total laparoscopic hysterectomy for large myomatous uteri regardless of the size, number and location of the myomas. Design: Retrospective review (Canadian Task Force Classification II-1) Setting: Dedicated high volume Gynecological laparoscopy centre. Patients: 173 women with symptomatic myomas who underwent total laparoscopic hysterectomy at our center. There were no exclusion criteria based on the size number or location of myomas. Intervention: TLH and modifications of performing the surgery by ligating the uterine arteries prior, myomectomy followed by hysterectomy, direct morcellation after uterine artery ligation. Results: 72% of patients had previous normal vaginal delivery and 28% had previous cesarean section. Average clinical size of the uterus was 18 weeks (10, 32). The average weight of the specimen was 700 grams (500, 2240). The average duration of surgery was 107 min (40, 300) and the average blood loss was 228 ml (10, 3200). Conclusion: Total laparoscopic hysterectomy is a technically feasible procedure. It can be performed by experienced surgeons for large uteri regardless of the size, number or location of the myomas. PMID:22442509

  5. Sports activity after anatomical total shoulder arthroplasty.

    PubMed

    Schumann, Katrin; Flury, Matthias P; Schwyzer, Hans-Kaspar; Simmen, Beat R; Drerup, Susann; Goldhahn, Joerg

    2010-10-01

    Implant functionality has clearly increased over the past decades because of improvements in total shoulder arthroplasty systems. This means that prostheses are now being implanted in younger patients with high sports activity. The implantation of the total shoulder arthroplasty does not mainly influence the sports activity. Case series; Level of evidence, 4. One hundred consecutive patients with unilateral total shoulder arthroplasty, followed for at least 1 year, were included in the study. Assessment preoperatively and 1 year and 2 years after operation included clinical examination and a validated questionnaire (Constant, Shoulder Pain and Disability Index [SPADI], and Disabilities of the Arm, Shoulder and Hand [DASH] scores, and the Short Form 36 [SF-36]). In addition, all patients received a sports questionnaire developed in house. Of the 55 patients who took part in sports before having shoulder disease, 49 (89%) were still able to participate after a mean follow-up of 2.8 years (range, 1.3-4.6 years). Seventeen patients had given up sports before total shoulder arthroplasty; 11 of them resumed activities after joint replacement but 6 did not start again. No patient had to stop sports because of the total shoulder arthroplasty. The sports most commonly mentioned were swimming (10 patients [20.4%]), golf (8 patients [16.3%]), cycling (8 patients [16.3%]), and fitness training (8 patients [16.3%]). Strength and range of motion, as well as the physical component summary (PCS) of the SF-36 and the Constant score (CS) after total shoulder arthroplasty, were significantly better in the sports group (49 of 100; PCS = 46, CS = 77) than in the nonsports group (45 of 100; PCS = 41,CS = 71). Eighteen patients (36.7%) stated that even after joint replacement, they still suffered restrictions on their sports activities because of shoulder problems. Whereas the overall mean age at follow-up was 68.9 years (range, 26-92 years), the mean age of patients participating in

  6. A Fix by Total Solar Eclipse

    NASA Astrophysics Data System (ADS)

    Sadler, D. H.

    In anticipation of the TOTAL Solar Eclipse on 11 August 1999 (see the January/February issue of Navigation News), it seemed very appropriate to repeat this short article by one of the Institute's most respected Fellows. It was first published in Vol. VII, October 1954.A TOTAL eclipse of the Sun provides an opportunity, rare though it may be, of obtaining an instantaneous fix from the Sun alone. Eclipses vary greatly in character, in position on the Earth, in the width of the path of totality, in the duration, and also in the direction of the path. However, the shadow of the Moon cast by the Sun is always a right circular cone which, in the case of a total eclipse, intersects the Earth's surface at some point before its vertex. Owing to the motion of the Moon in its orbit round the Earth, the shadow moves at a speed of about 2000 m.p.h. from west to east (it varies considerably according to the distance of the Moon from the Earth). The intersection of this cone with the Earth's surface is an ellipse, which moves over the surface at speeds which are very high when the cone is nearly tangential (i.e. when the Sun's altitude is low) and at speeds as low as about 1000 m.p.h., when the eclipse is central over the equator at noon and the Earth's rotation has its maximum effect. The speed of the shadow is generally low enough to give a position line of considerable accuracy from the observed time of either second or third contacts, that is the beginning or ending of the total phase. An error of 1 second corresponds, in the most favourable case, to about one-third of a mile. The position line is, of course, the portion of the elliptic shadow corresponding to the observed phase and time; these can be precomputed.

  7. Early Predictors of Hypocalcemia After Total Thyroidectomy

    PubMed Central

    Noureldine, Salem I.; Genther, Dane J.; Lopez, Michael; Agrawal, Nishant; Tufano, Ralph P.

    2015-01-01

    IMPORTANCE Postoperative hypocalcemia is common after total thyroidectomy, and perioperative monitoring of serum calcium levels is arguably the primary reason for overnight hospitalization. Confidently predicting which patients will not develop significant hypocalcemia may allow for a safe earlier discharge. OBJECTIVE To examine associations of patient characteristics with hypocalcemia, duration of hospitalization, and postoperative intact parathyroid hormone (IPTH) level after total thyroidectomy. DESIGN, SETTING, AND PARTICIPANTS Retrospective study of consecutive patients who underwent total thyroidectomy by a single high-volume surgeon between February 1, 2010, and November 30, 2012. Postoperative serum 25-hydroxyvitamin D (vitamin D), calcium, and IPTH levels were tested within 6 to 8 hours after surgery. Mild hypocalcemia was defined as any postoperative serum calcium level of less than 8.4 to 8.0 mg/dL. Significant hypocalcemia was defined as any postoperative serum calcium level of less than 8.0 mg/dL or the development of hypocalcemia-related symptoms. INTERVENTIONS Total thyroidectomy. MAIN OUTCOMES AND MEASURES Associations of patient demographic and clinical characteristics and laboratory values with postoperative mild and significant hypocalcemia were examined using univariate analysis, and independent predictors of hypocalcemia, duration of hospitalization, and IPTH level were determined using multivariate analysis. RESULTS Overall, 304 total thyroidectomies were performed. Mild and significant hypocalcemia occurred in 68 (22.4%) and 91 (29.9%) patients, respectively, of which the majority were female (P = .003). The development of significant hypocalcemia was associated with postoperative IPTH level (P < .001). On multivariate analysis, males had a decreased risk of developing mild (odds ratio, 0.37 [95% CI, 0.16–0.85]) and significant (odds ratio, 0.57 [95% CI, 0.09–0.78]) hypocalcemia. Every 10-pg/mL increase in postoperative IPTH level

  8. Total Limb Rotation after Unilateral Total Knee Arthroplasty: Side-to-Side Discrepancy.

    PubMed

    Oh, Kwang-Jun; Yoon, Seok-Tae; Ko, Young-Bong

    2016-08-01

    Total limb rotation, an important anatomical feature of the lower limb, is defined as any rotation of the lower limb on its longitudinal axis. The aim of the present study was to evaluate the discrepancies of rotational profiles of total limb between nonoperated and operated limb following unilateral total knee arthroplasty. We conducted an analysis of the computed tomography (CT) data from 32 patients undergoing primary unilateral total knee arthroplasty. Using these CT scan, rotational profiles of total limb, such as femoral neck anteversion angle expressed as femoral torsion angle (FTA), tibial torsion angle (TTA), knee joint rotation angle (KJRA), and total limb rotation (TLR) were measured. There were significant discrepancies of FTA and KJRA between operated and nonoperated limb following unilateral total knee arthroplasty. The mean difference of operated and nonoperated side for FTA and KJRA were -6.51 ± 11.88 degrees (p = 0.0041) and -6.83 ± 5.04 degrees (p < 0.001), respectively. However, there were no significant discrepancies of TLR, TTA. These results are due to the compensation effect of KJRA. However, excessive external rotation of the femoral component beyond the compensation effect of prosthetic knee joint can lead to a total limb rotational discrepancy in patient undergoing unilateral total knee arthroplasty.

  9. [J-pouch after total gastrectomy].

    PubMed

    Prete, F; Montemurro, S; Rucci, A; Rinaldi, S; Liguori, P

    1992-04-01

    The Authors report their initial experience with the construction of a J-pouch as restorative surgery following total gastrectomy (TG) for malignant neoplasms. In the last 10 months of the 1990 upon 52 interventions for gastric cancer 31 TG were performed, and in 13 cases a J-pouch on the proximal end of the jejunal segment was constructed. No mortality or specific morbidity was registered using the totally stapled technique. Within one month 3/4 of the patients had normal meals as far as quantity and quality; also the foamy regurgitation seemed to be minimal. The ease of the reconstructive technique and the short term results obtained encourage the use of such approach.

  10. Total ankle replacement. Design evolution and results.

    PubMed

    van den Heuvel, Alexander; Van Bouwel, Saskia; Dereymaeker, Greta

    2010-04-01

    The ankle joint has unique anatomical, biomechanical and cartilaginous structural characteristics that allow the joint to withstand the very high mechanical stresses and strains over years. Any minor changes to any of these features predispose the joint to osteoarthritis. Total ankle replacement (TAR) is evolving as an alternative to ankle arthrodesis for the treatment of end-stage ankle osteoarthritis. Initial implant designs from the early 1970s had unacceptably high failure and complication rates. As a result many orthopaedic surgeons have restricted the use of TAR in favour of ankle arthrodesis. Long term follow-up studies following ankle arthrodesis show risks of developing adjacent joint osteoarthritis. Therefore research towards a successful ankle replacement continues. Newer designs and longer-term outcome studies have renewed the interest in ankle joint replacement. We present an overview of the evolution, results and current concepts of total ankle replacement.

  11. Total synthesis of palau'amine

    PubMed Central

    Namba, Kosuke; Takeuchi, Kohei; Kaihara, Yukari; Oda, Masataka; Nakayama, Akira; Nakayama, Atsushi; Yoshida, Masahiro; Tanino, Keiji

    2015-01-01

    Palau'amine has received a great deal of attention in the past two decades as an attractive synthetic target by virtue of its intriguing molecular architecture and significant immunosuppressive activity. Here we report the total synthesis of palau'amine characterized by the construction of an ABDE tetracyclic ring core including a trans-bicylo[3.3.0]octane skeleton at a middle stage of total synthesis. The ABDE tetracyclic ring core is constructed by a cascade reaction of a cleavage of the N–N bond, including simultaneous formation of imine, the addition of amide anion to the resulting imine (D-ring formation) and the condensation of pyrrole with methyl ester (B-ring formation) in a single step. The synthetic palau'amine is confirmed to exhibit excellent immunosuppressive activity. The present synthetic route has the potential to help elucidate a pharmacophore as well as the mechanistic details of immunosuppressive activity. PMID:26530707

  12. A Modern Approach to Total Wellbeing

    NASA Astrophysics Data System (ADS)

    Hadzic, Maja; Chen, Meifania; Brouwer, Rick; Dillon, Tharam

    The events of the last decades have impacted our lives and our health significantly. We expected that the technology boom will improve our lives. While this may be true in a specific context, generally speaking our societies are suffering from moral decays, terrorism fears, wars, financial crisis and unpredictable acts of nature that are increasing in frequency and in intensity. The complex nature of the world we live is impacting our health and wellbeing considerably. Our health is not only determined by our physical health but is the end product of the interplay of the physical, mental, emotional, financial, relational and spiritual events of a lifetime. In this paper we develop a framework that will help us define and measure total wellbeing of individuals in our volatile societies. This framework will help us better understand the complex nature of total wellbeing and develop effective prevention and intervention strategies.

  13. Frustrated total internal reflection acoustic field sensor

    DOEpatents

    Kallman, Jeffrey S.

    2000-01-01

    A frustrated total internal reflection acoustic field sensor which allows the acquisition of the acoustic field over an entire plane, all at once. The sensor finds use in acoustic holography and acoustic diffraction tomography. For example, the sensor may be produced by a transparent plate with transparent support members tall enough to support one or more flexible membranes at an appropriate height for frustrated total internal reflection to occur. An acoustic wave causes the membrane to deflect away from its quiescent position and thus changes the amount of light that tunnels through the gap formed by the support members and into the membrane, and so changes the amount of light reflected by the membrane. The sensor(s) is illuminated by a uniform tight field, and the reflection from the sensor yields acoustic wave amplitude and phase information which can be picked up electronically or otherwise.

  14. Total variation projection with first order schemes.

    PubMed

    Fadili, Jalal M; Peyre, Gabriel

    2011-03-01

    This article proposes a new algorithm to compute the projection on the set of images whose total variation is bounded by a constant. The projection is computed through a dual formulation that is solved by first order non-smooth optimization methods. This yields an iterative algorithm that applies iterative soft thresholding to the dual vector field, and for which we establish convergence rate on the primal iterates. This projection algorithm can then be used as a building block in a variety of applications such as solving inverse problems under a total variation constraint, or for texture synthesis. Numerical results are reported to illustrate the usefulness and potential applicability of our TV projection algorithm on various examples including denoising, texture synthesis, inpainting, deconvolution and tomography problems. We also show that our projection algorithm competes favorably with state-of-the-art TV projection methods in terms of convergence speed.

  15. Gravitation experiments during the total solar eclipse

    SciTech Connect

    Kuusela, T.; Jaeykkae, J.; Kiukas, J.; Multamaeki, T.; Ropo, M.; Vilja, I.

    2006-12-15

    The variations of the apparent vertical direction of the gravity field were measured with horizontal gravimeters acting as tilt meters during the total solar eclipse in Turkey in March 29, 2006. Three separated locations within the path of totality were chosen for observations, two spaced apart along the center line, and one off the center line. No anomaly was observed at the furthest location from the center line. Aperiodic oscillations in tilt were recorded at the two locations on the center line. These may be related to the eclipse phenomenon. The average tilt amplitude deviation during the eclipse over all locations and in all directions was 150 nrad, which can be regarded as a mean upper limit for the eclipse related changes in the tilt.

  16. Total laparoscopic reversal of Hartmann's procedure.

    PubMed

    Masoni, Luigi; Mari, Francesco Saverio; Nigri, Giuseppe; Favi, Francesco; Pindozzi, Fioralba; Dall'Oglio, Anna; Pancaldi, Alessandra; Brescia, Antonio

    2013-01-01

    Hartmann's procedure is still performed in those cases in which colorectal anastomosis might be unsafe. Reversal of Hartmann's procedure (HR) is considered a major surgical procedure with a high morbidity (55 to 60%) and mortality rate (0 to 4%). To decrease these rates, laparoscopic Hartmann's reversal procedure was successfully experienced. We report our totally laparoscopic Hartmann's reversal technique. Between 2004 and 2010 we performed 27 HRs with a totally laparoscopic approach. The efficacy and safety of this technique were demonstrated evaluating the operative data, postoperative complications, and the outcome of the patients. There were no open conversions or major intraoperative complications. Anastomotic leaking occurred in one patient requiring an ileostomy; one patient needed a blood transfusion and one had a nosocomial pneumonia. The mean postoperative hospitalization was 5.7 days. Laparoscopic HR is a feasible and safe procedure and can be considered a valid alternative to open HR.

  17. Acute arterial occlusion after total knee arthroplasty.

    PubMed

    Gregory, Patricia C; Rogic, Roselyn; Eddington, Carolyn

    2006-11-01

    There are a number of complications associated with total knee-joint arthroplasty. These include deep venous thromboses, peroneal palsy, infection, anemia, and Ogilvie's syndrome. An uncommon but potentially limb-threatening complication is acute arterial occlusion. Approximately 35 cases have been reported in the orthopedic literature. Prompt recognition and treatment intervention are the keys to successful outcome. We describe the case of one patient who had mild peroneal palsy and developed acute arterial occlusion 9 days postoperatively while on the inpatient rehabilitation service. Prompt aggressive management restored arterial circulation to the lower limb. Careful management of patients after total knee arthroplasty requires an understanding that arterial occlusion is a rare limb-threatening complication of surgery, but that it is treatable with prompt, deliberate management. Physiatrists should be aware that this condition exists in postoperative knee-joint arthroplasty patients. They should pay careful attention to any patient with a history of peripheral vascular disease or postoperative peroneal palsy.

  18. Quality Indicators for the Total Testing Process.

    PubMed

    Plebani, Mario; Sciacovelli, Laura; Aita, Ada

    2017-03-01

    ISO 15189:2012 requires the use of quality indicators (QIs) to monitor and evaluate all steps of the total testing process, but several difficulties dissuade laboratories from effective and continuous use of QIs in routine practice. An International Federation of Clinical Chemistry and Laboratory Medicine working group addressed this problem and implemented a project to develop a model of QIs to be used in clinical laboratories worldwide to monitor and evaluate all steps of the total testing process, and decrease error rates and improve patient services in laboratory testing. All laboratories are invited, at no cost, to enroll in the project and contribute to harmonized management at the international level. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Late instability following total hip arthroplasty.

    PubMed

    Pulido, Luis; Restrepo, Camilo; Parvizi, Javad

    2007-06-01

    Instability is one of the most common complications after total hip arthroplasty and can present early or late after hip replacement. Late instability is considered if the event occurs five or more years after the primary arthroplasty, and in contrast to early dislocation, it appears to require operative intervention. The incidence of late instability may be greater than initially appreciated, and the cumulative rate rises with longer follow-up. The etiology of hip instability is often multifactorial with the presumed risk factors for late instability including long standing malposition of the components, trauma, deterioration in muscle mass, neurological status impairment and polyethylene wear. This article presents a synopsis of published studies on late instability and outlines our institutional experience with treatment of late dislocation following total hip arthroplasty occurring due to polyethylene wear.

  20. Pain management for total hip arthroplasty.

    PubMed

    Young, Adam C; Buvanendran, Asokumar

    2014-01-01

    Total hip arthroplasty (THA) has been shown to improve long-term quality of life, although the immediate postoperative period can be associated with intense postoperative pain that hampers rehabilitation. Effective postoperative analgesia is paramount in the recovery period. The understanding and collaboration of the orthopaedic surgeon and the pain-management physicians will improve the perioperative outcome of THA. Appropriate pain management can reduce the associated total direct medical costs for lower extremity joint replacement surgeries by reducing hospital stays and the services needed during hospitalization. Factors contributing to the shorter lengths of stay include homogenous entities such as regular staff and continuity of nursing care, the use of timely and up-to-date information including expectations on a short stay, functional discharge criteria, early mobilization, and the use of a multimodal analgesia approach centered on opioid sparing.