Sample records for remains extremely difficult

  1. Dynamics of cracks in disordered materials

    NASA Astrophysics Data System (ADS)

    Bonamy, Daniel

    2017-05-01

    Predicting when rupture occurs or cracks progress is a major challenge in numerous fields of industrial, societal, and geophysical importance. It remains largely unsolved: stress enhancement at cracks and defects, indeed, makes the macroscale dynamics extremely sensitive to the microscale material disorder. This results in giant statistical fluctuations and non-trivial behaviors upon upscaling, difficult to assess via the continuum approaches of engineering.

  2. Concurrency Attacks and Defenses

    DTIC Science & Technology

    2016-10-04

    Enter name(s) of person(s) responsible for writing the report, performing the research, or credited with the content of the report. The form of...Amsterdam Avenue New York, NY 10027-7003 Tel.: 212-939-7012 Fax: 212-666-0140 Email : junfeng@cs.columbia.edu 2. Research Objectives...Multithreaded programs are getting increasingly pervasive and critical. Unfortunately, they remain extremely difficult to write . This difficulty has led to

  3. Dynamic behavior of particles in spacecraft

    NASA Technical Reports Server (NTRS)

    Perrine, B. S.

    1981-01-01

    The behavior of particles relative to a spacecraft frame of reference was examined. Significant spatial excursions of particles in space can occur relative to the spacecraft frame of reference as a result of drag deceleration of the vehicle. These vehicle excursions tend to be large as time increases. Thus, if the particle is required to remain in a specified volume, constraints may be required. Thus, for example, in levitation experiments it may be extremely difficult to turn off the forces of constraint which keep the particles in a specified region. This means experiments which are sensitive to disturbances may be very difficult to perform if perturbation forces are required to be absent.

  4. Fungal Endocarditis

    PubMed Central

    Yuan, Shi-Min

    2016-01-01

    Fungal endocarditis is a rare and fatal condition. The Candida and Aspergillus species are the two most common etiologic fungi found responsible for fungal endocarditis. Fever and changing heart murmur are the most common clinical manifestations. Some patients may have a fever of unknown origin as the onset symptom. The diagnosis of fungal endocarditis is challenging, and diagnosis of prosthetic valve fungal endocarditis is extremely difficult. The optimum antifungal therapy still remains debatable. Treating Candida endocarditis can be difficult because the Candida species can form biofilms on native and prosthetic heart valves. Combined treatment appears superior to monotherapy. Combination of antifungal therapy and surgical debridement might bring about better prognosis. PMID:27737409

  5. Fungal Endocarditis.

    PubMed

    Yuan, Shi-Min

    2016-01-01

    Fungal endocarditis is a rare and fatal condition. The Candida and Aspergillus species are the two most common etiologic fungi found responsible for fungal endocarditis. Fever and changing heart murmur are the most common clinical manifestations. Some patients may have a fever of unknown origin as the onset symptom. The diagnosis of fungal endocarditis is challenging, and diagnosis of prosthetic valve fungal endocarditis is extremely difficult. The optimum antifungal therapy still remains debatable. Treating Candida endocarditis can be difficult because the Candida species can form biofilms on native and prosthetic heart valves. Combined treatment appears superior to monotherapy. Combination of antifungal therapy and surgical debridement might bring about better prognosis.

  6. Statistical physics of crime: A review

    NASA Astrophysics Data System (ADS)

    D'Orsogna, Maria R.; Perc, Matjaž

    2015-03-01

    Containing the spread of crime in urban societies remains a major challenge. Empirical evidence suggests that, if left unchecked, crimes may be recurrent and proliferate. On the other hand, eradicating a culture of crime may be difficult, especially under extreme social circumstances that impair the creation of a shared sense of social responsibility. Although our understanding of the mechanisms that drive the emergence and diffusion of crime is still incomplete, recent

  7. Phantom radiculitis effectively treated by fluoroscopically guided transforaminal epidural steroid injections.

    PubMed

    DeGregoris, Gerard; Diwan, Sudhir

    2010-01-01

    Lower back and extremity pain in the amputee patient can be challenging to classify and treat. Radicular compression in a patient with lower limb amputation may present as or be superimposed upon phantom limb pain, creating diagnostic difficulties. Both patients and physicians classically find it difficult to discern phantom sensation from phantom limb pain and stump pain; radicular compression is often not considered. Many studies have shown back pain to be a significant cause of pain in lower limb amputees, but sciatica has been rarely reported in amputees. We present a case of L4/5 radiculitis in an above-knee amputee presenting as phantom radiculitis. Our patient is a 67 year old gentleman with new onset 10/10 pain in a phantom extremity superimposed upon a 40 year history of previously stable phantom limb pain. MRI showed a central disc herniation at L4/5 with compression of the traversing left L4 nerve root. Two fluoroscopically guided left transforaminal epidural steroid injections at the level of the L4 and L5 spinal nerve roots totally alleviated his new onset pain. At one year post injection, his phantom radiculitis pain was completely gone, though his underlying phantom limb pain remained. Lumbar radiculitis in lower extremity amputee patients may be difficult to differentiate from baseline phantom limb pain. When conservative techniques fail, fluoroscopically guided spinal nerve injection may be valuable in determining the etiology of lower extremity pain. Our experience supports the notion that epidural steroid injections can effectively treat phantom lumbar radiculitis in lower extremity amputees.

  8. Extremes in Oxidizing Power, Acidity, and Basicity

    DTIC Science & Technology

    2013-10-01

    and extremely difficult to oxidize, with reversible redox potentials calculated up to 5 V above ferrocene /ferricenium. In liquid sulfur dioxide, the...ol, the undecafluorinated anion is oxidized reversibly at 2.43 V above ferrocene /ferricenium (calculated 2.40 V) but the radical is too unstable for...unusually weakly nucleophilic and extremely difficult to oxidize, with reversible redox potentials calculated up to 5 V above ferrocene /ferricenium. In

  9. Development of interface-dominant bulk Cu/V nanolamellar composites by cross accumulative roll bonding

    PubMed Central

    Zeng, L. F.; Gao, R.; Xie, Z. M.; Miao, S.; Fang, Q. F.; Wang, X. P.; Zhang, T.; Liu, C. S.

    2017-01-01

    Traditional nanostructured metals are inherently comprised of a high density of high-energy interfaces that make this class of materials not stable in extreme conditions. Therefore, high performance bulk nanostructured metals containing stable interfaces are highly desirable for extreme environments applications. Here, we reported an attractive bulk Cu/V nanolamellar composite that was successfully developed by integrating interface engineering and severe plastic deformation techniques. The layered morphology and ordered Cu/V interfaces remained stable with respect to continued rolling (total strain exceeding 12). Most importantly, for layer thickness of 25 nm, this bulk Cu/V nanocomposite simultaneously achieves high strength (hardness of 3.68 GPa) and outstanding thermal stability (up to 700 °C), which are quite difficult to realize simultaneously in traditional nanostructured materials. Such extraordinary property in our Cu/V nanocomposite is achieved via an extreme rolling process that creates extremely high density of stable Cu/V heterophase interfaces and low density of unstable grain boundaries. In addition, high temperature annealing result illustrates that Rayleigh instability is the dominant mechanism driving the onset of thermal instability after exposure to 800 °C. PMID:28094346

  10. Zebrafish Melanoma.

    PubMed

    Kaufman, Charles K

    2016-01-01

    Melanoma skin cancer is a potentially deadly disease in humans and has remained extremely difficult to treat once it has metastasized. In just the last 10 years, a number of models of melanoma have been developed in the zebrafish that are biologically faithful to the human disease and have already yielded important insights into the fundamental biology of melanoma and offered new potential avenues for treatment. With the diversity and breadth of the molecular genetic tools available in the zebrafish, these melanoma models will continue to be refined and expanded upon to keep pace with the rapidly evolving field of melanoma biology.

  11. Wireless peripheral nerve stimulation for complex regional pain syndrome type I of the upper extremity: a case illustration introducing a novel technology.

    PubMed

    Herschkowitz, Daniel; Kubias, Jana

    2018-04-13

    Complex regional pain syndrome (CRPS) is a debilitating painful disorder, cryptic in its pathophysiology and refractory condition with limited therapeutic options. Type I CRPS with its variable relationship to trauma has often no discernible fractures or nerve injuries and remains enigmatic in its response to conservative treatment as well as the other limited interventional therapies. Neuromodulation in the form of spinal cord and dorsal root ganglion stimulation (SCS, DRGS) has shown encouraging results, especially of causalgia or CRPS I of lower extremities. Upper extremity CRPS I is far more difficult. To report a case of upper extremity CRPS I treated by wireless peripheral nerve stimulation (WPNS) for its unique features and minimally invasive technique. The system does not involve implantation of battery or its connections. A 47 year old female patient presented with refractory CRPS I following a blunt trauma to her right forearm. As interventional treatment in the form of local anesthetics (Anesthesia of peripheral branches of radial nerve) and combined infusions of ketamine/lidocaine failed to provide any significant relief she opted for WPNS treatment. Based on the topographic distribution, two electrodes (Stimwave Leads: FR4A-RCV-A0 with tines, Generation 1 and FR4A-RCV-B0 with tines, Generation 1), were placed along the course of radial and median nerves under ultrasonography monitoring and guided by intraoperative stimulation. This procedure did not involve implantation of extension cables or the power source. At a frequency of 60 Hz and 300 μs the stimulation induced paresthesia along the distribution of the nerves. Therapeutic relief was observed with high frequency (HF) stimulation (HF 10 kHz/32 μs, 2.0 mA) reducing her pain from a visual analogue scale (VAS) score of 7-4 postoperatively. Three HF stimulations programs were provided at the time of discharge, as she improved in her sensory impairment to touch, pressure and temperature at her first follow up visit. At 5-months she was able to drive, did not require opioids and allodynia disappeared. In a case with difficult CRPS I involving upper extremity, a minimally invasive WPNS of radial and median nerves provided good symptomatic relief. The procedure was tolerated well and both electrodes remained in place without any adverse events. In view of the very limited options currently available to manage CRPS, WPNS can be a promising therapeutic modality.

  12. Ethical decision-making near the end of life.

    PubMed

    Finucane, T E; Harper, M

    1996-05-01

    For ethical decision-making near the end of life, autonomy is the moral North Star. At the same time, for some treatments, the burdens so clearly outweigh benefits that physicians may make a judgment not to offer the treatment. This is often clearer in surgery. A person with colon cancer and metastases may not insist on resection of the metastases. For some reason, some treatments have escaped these logical constraints. Attempted resuscitation of a dying patient is a good example. The circumstances in which a physician may make choices on behalf of a competent, terminally-ill patient without consent, and even without notification, are hotly debated, but data suggest that physicians do so frequently. Patients who lack capacity present even more difficult challenges. Advance directives, when available, can be extremely helpful, but even with them difficult problems can remain. If advance directives have not been established, family and close friends are an obvious source of guidance. Their legal role varies in different jurisdictions; in practice, they are crucial in bedside decision-making. Guardianship and alternatives to it remain a poor last resort. Euthanasia is a very difficult problem. We believe it is semantically misleading to lump under the term "passive euthanasia" those circumstances where potentially life-sustaining treatment is withheld or withdrawn. The tension between patient autonomy and medical common sense remains unresolved within the "futility" controversy. The authors believe it serves no purpose to discuss carefully with dying patients propositions that are nonsense. At the same time, physicians must not confuse decisions about quality of life with judgements about treatment effectiveness. We believe that what many, although not all, dying patients want are physicians with intelligent compassion who can take care of them through the dying process.

  13. Adenoid cystic carcinoma of head and neck: apropos of a case

    PubMed Central

    Graça, Susana Alexandra Rodrigues; Sequeira, Hugo; Coelho, Gustavo; Costa, Horácio

    2012-01-01

    Adenoid cystic carcinoma (ACC) is a rare malignant neoplasm, arising from glandular tissues, found mainly in the head and neck. Generally, it presents insidiously but can behave aggressively making its course unpredictable. Surgery and adjuvant radiotherapy continue to be the cornerstone for its treatment. ACC remains extremely difficult to treat. The authors report a case of a 37-year-old woman with bloody rhinorrhea for 6 months. She was diagnosed with a left nasal cavity lesion that was biopsied, and the anatomopathological result showed ACC. The patient was submitted to a left extended maxillectomy, microsurgical reconstruction and radiotherapy. PMID:22914229

  14. Emerging communications technologies for outer-planet exploration

    NASA Technical Reports Server (NTRS)

    Stelzried, C.; Lesh, J.

    2001-01-01

    Communication over long free space distances is extremely difficult due to the inverse squared propagation losses associated with link distance. That makes communications particularly difficult from outer planet destinations.

  15. Prosthetic rehabilitation of a marginally resected mandibular arch with a metal reinforced telescopic overdenture.

    PubMed

    Rohit, Raghavan; Prathith, Uthappa; Regish, K M; Rupesh, P L; Basavaraj, Salagundi; Padmanabhan, T V

    2014-09-01

    Success of the prosthesis after mandibular resection is related directly to the amount of the remaining bone and soft tissue present. The prognosis for mandibulectomy patients becomes less favorable as the size of the resection increases. Prosthetic rehabilitation for such patients is a challenge for clinicians. Without preprosthetic reconstructive surgery, denture fabrication for mandibulectomy patients becomes extremely difficult. Telescopic dentures is a modality of treatment consisting of an inner or primary telescopic coping which is permanently cemented to an abutment and an outer or secondary telescopic coping which is attached to the prosthesis. These copings protect the abutment from dental caries and thermal irritations and also provide retention and stabilization of the secondary coping. The secondary coping engages the primary copings to form a telescopic unit and it provides retention and stability to the prosthesis. This clinical report aims at utilizing the remaining natural teeth for a mandibular overdenture with telescopic coping.

  16. A Fiducial Approach to Extremes and Multiple Comparisons

    ERIC Educational Resources Information Center

    Wandler, Damian V.

    2010-01-01

    Generalized fiducial inference is a powerful tool for many difficult problems. Based on an extension of R. A. Fisher's work, we used generalized fiducial inference for two extreme value problems and a multiple comparison procedure. The first extreme value problem is dealing with the generalized Pareto distribution. The generalized Pareto…

  17. Rehabilitation of children and infants with osteogenesis imperfecta. A program for ambulation.

    PubMed

    Gerber, L H; Binder, H; Weintrob, J; Grange, D K; Shapiro, J; Fromherz, W; Berry, R; Conway, A; Nason, S; Marini, J

    1990-02-01

    Management of children and infants with osteogenesis imperfecta (OI) poses difficult decisions for pediatricians, orthopedists, and physiatrists. These children are frequently frail with disabling bone and joint deformities and fractures. In an eight-year cumulative management of 12 children with OI, a comprehensive program included strengthening exercises to the pelvic girdle and lower extremity muscles, in addition to pool exercises and molded seating to support upright posture. Long leg braces were fitted when the children were able to sit unsupported. All 12 were fitted with braces; nine were functional ambulators, and three were home ambulators. Six children required femoral plating or rodding, two of whom subsequently had the metal removed. Lower extremity fractures averaged one and one-half per year prior to bracing for nine children who had fractures. There was 0.83 fracture per year for the ten children who had fractures after bracing. The degree of femoral bowing increased in four, decreased in four, and remained unchanged in four, while the degree of tibial bowing increased in two, decreased in nine, and remained unchanged in one during the observation period. A comprehensive rehabilitation program and long leg bracing with surgical operations on the femur result in a high level of functional activity for children with OI with an acceptable level of risk for fracture.

  18. Extreme decay of meteoric beryllium-10 as a proxy for persistent aridity.

    PubMed

    Valletta, Rachel D; Willenbring, Jane K; Lewis, Adam R; Ashworth, Allan C; Caffee, Marc

    2015-12-09

    The modern Antarctic Dry Valleys are locked in a hyper-arid, polar climate that enables the East Antarctic Ice Sheet (EAIS) to remain stable, frozen to underlying bedrock. The duration of these dry, cold conditions is a critical prerequisite when modeling the long-term mass balance of the EAIS during past warm climates and is best examined using terrestrial paleoclimatic proxies. Unfortunately, deposits containing such proxies are extremely rare and often difficult to date. Here, we apply a unique dating approach to tundra deposits using concentrations of meteoric beryllium-10 ((10)Be) adhered to paleolake sediments from the Friis Hills, central Dry Valleys. We show that lake sediments were emplaced between 14-17.5 My and have remained untouched by meteoric waters since that time. Our results support the notion that the onset of Dry Valleys aridification occurred ~14 My, precluding the possibility of EAIS collapse during Pliocene warming events. Lake fossils indicate that >14 My ago the Dry Valleys hosted a moist tundra that flourished in elevated atmospheric CO2 (>400 ppm). Thus, Dry Valleys tundra deposits record regional climatic transitions that affect EAIS mass balance, and, in a global paleoclimatic context, these deposits demonstrate how warming induced by 400 ppm CO2 manifests at high latitudes.

  19. Extreme decay of meteoric beryllium-10 as a proxy for persistent aridity

    PubMed Central

    Valletta, Rachel D.; Willenbring, Jane K.; Lewis, Adam R.; Ashworth, Allan C.; Caffee, Marc

    2015-01-01

    The modern Antarctic Dry Valleys are locked in a hyper-arid, polar climate that enables the East Antarctic Ice Sheet (EAIS) to remain stable, frozen to underlying bedrock. The duration of these dry, cold conditions is a critical prerequisite when modeling the long-term mass balance of the EAIS during past warm climates and is best examined using terrestrial paleoclimatic proxies. Unfortunately, deposits containing such proxies are extremely rare and often difficult to date. Here, we apply a unique dating approach to tundra deposits using concentrations of meteoric beryllium-10 (10Be) adhered to paleolake sediments from the Friis Hills, central Dry Valleys. We show that lake sediments were emplaced between 14–17.5 My and have remained untouched by meteoric waters since that time. Our results support the notion that the onset of Dry Valleys aridification occurred ~14 My, precluding the possibility of EAIS collapse during Pliocene warming events. Lake fossils indicate that >14 My ago the Dry Valleys hosted a moist tundra that flourished in elevated atmospheric CO2 (>400 ppm). Thus, Dry Valleys tundra deposits record regional climatic transitions that affect EAIS mass balance, and, in a global paleoclimatic context, these deposits demonstrate how warming induced by 400 ppm CO2 manifests at high latitudes. PMID:26647733

  20. Protecting military convoys in Iraq: an examination of battle injuries sustained by a mechanized battalion during Operation Iraqi Freedom II.

    PubMed

    Gondusky, Joseph S; Reiter, Michael P

    2005-06-01

    Improvised explosive devices and mines pose a formidable threat to military convoys traveling in Iraq. This study evaluated battle injuries sustained by a mechanized battalion operating against this threat. The objective was to gain insight into injury profiles and prevention. In the period examined, 32 attacks injured 120 Marines, causing 188 injuries. Upper extremity and head injuries (70%) were common, whereas lower extremity injuries (11%) were rare (as expected, given the threat and the body areas exposed). Shoulder and axilla protectors may be beneficial, but lower arm and hand injuries remain difficult to combat. Ear injury was the most common single injury type (23%). Combat earplugs may reduce ear blast injuries. Eye injuries were uncommon (0.5%), likely because of ballistic eye protection. Injury to the torso (11%) was generally mild, because of body armor vests. The majority of wounds were minor, allowing > 80% of the injured Marines to return to duty.

  1. Simulating the effect of climate extremes on groundwater flow through a lakebed

    USGS Publications Warehouse

    Virdi, Makhan L.; Lee, Terrie M.; Swancar, Amy; Niswonger, Richard G.

    2012-01-01

    Groundwater exchanges with lakes resulting from cyclical wet and dry climate extremes maintain lake levels in the environment in ways that are not well understood, in part because they remain difficult to simulate. To better understand the atypical groundwater interactions with lakes caused by climatic extremes, an original conceptual approach is introduced using MODFLOW-2005 and a kinematic-wave approximation to variably saturated flow that allows lake size and position in the basin to change while accurately representing the daily lake volume and three-dimensional variably saturated groundwater flow responses in the basin. Daily groundwater interactions are simulated for a calibrated lake basin in Florida over a decade that included historic wet and dry departures from the average rainfall. The divergent climate extremes subjected nearly 70% of the maximum lakebed area and 75% of the maximum shoreline perimeter to both groundwater inflow and lake leakage. About half of the lakebed area subject to flow reversals also went dry. A flow-through pattern present for 73% of the decade caused net leakage from the lake 80% of the time. Runoff from the saturated lake margin offset the groundwater deficit only about half of that time. A centripetal flow pattern present for 6% of the decade was important for maintaining the lake stage and generated 30% of all net groundwater inflow. Pumping effects superimposed on dry climate extremes induced the least frequent but most cautionary flow pattern with leakage from over 90% of the actual lakebed area.

  2. Extremophiles in Household Water Heaters

    NASA Astrophysics Data System (ADS)

    Wilpiszeski, R.; House, C. H.

    2016-12-01

    A significant fraction of Earth's microbial diversity comes from species living in extreme environments, but natural extreme environments can be difficult to access. Manmade systems like household water heaters serve as an effective proxy for thermophilic environments that are otherwise difficult to sample directly. As such, we are investigating the biogeography, taxonomic distribution, and evolution of thermophiles growing in domestic water heaters. Citizen scientists collected hot tap water culture- and filter- samples from 101 homes across the United States. We recovered a single species of thermophilic heterotroph from culture samples inoculated from water heaters across the United States, Thermus scotoductus. Whole-genome sequencing was conducted to better understand the distribution and evolution of this single species. We have also sequenced hyper-variable regions of the 16S rRNA gene from whole-community filter samples to identify the broad diversity and distribution of microbial cells captured from each water heater. These results shed light on the processes that shape thermophilic populations and genomes at a spatial resolution that is difficult to access in naturally occurring extreme ecosystems.

  3. From Tunguska to Chelyabinsk via Jupiter

    NASA Astrophysics Data System (ADS)

    Artemieva, Natalia A.; Shuvalov, Valery V.

    2016-06-01

    The Tunguska event remained enigmatic for almost 100 years until the collision of Comet Shoemaker-Levy 9 with Jupiter in 1994 helped to resolve this enigma and allowed us to adequately interpret the more recent Chelyabinsk event. Airbursts typically occur if a meteoroid entering Earth's atmosphere is 10-100 m in diameter, i.e., its energy ranges from 0.5 (Chelyabinsk) to 20 (Tunguska) Mt TNT. All this energy is released in the atmosphere with strong shock waves generated during the entry reaching the surface and causing substantial damage. Atmospheric plumes are capable of dispersing extraterrestrial materials worldwide. Modern civilization is extremely vulnerable to those relatively small disturbances that recur on a decadal timescale and are still difficult to predict.

  4. Haemothorax following bullectomy caused by a sharp edge of the Endoloop.

    PubMed

    Otsuka, Hajime; Hata, Yoshinobu; Takagi, Keigo; Sato, Fumitomo

    2013-05-01

    A 22-year old man presented with a massive haemothorax 25 days after bullectomy for a spontaneous pneumothorax. Thoracoscopic surgery revealed ongoing bleeding from the chest wall caused by a sharp edge of the Endoloop Ligature (Ethicon Endo-Surgery) used to resect the remaining small part of the lung at the earlier staple bullectomy. The point where bleeding was occurring was clipped and covered using a collagen patch coated with human fibrinogen and thrombin. The protruding sharp edge of the Endoloop was excised together with the surrounding lung tissue, using a stapler. Although prevention of this type of complication is difficult, awareness of the potential problem may help in managing such extremely rare events.

  5. Haemothorax following bullectomy caused by a sharp edge of the Endoloop

    PubMed Central

    Otsuka, Hajime; Hata, Yoshinobu; Takagi, Keigo; Sato, Fumitomo

    2013-01-01

    A 22-year old man presented with a massive haemothorax 25 days after bullectomy for a spontaneous pneumothorax. Thoracoscopic surgery revealed ongoing bleeding from the chest wall caused by a sharp edge of the Endoloop Ligature (Ethicon Endo-Surgery) used to resect the remaining small part of the lung at the earlier staple bullectomy. The point where bleeding was occurring was clipped and covered using a collagen patch coated with human fibrinogen and thrombin. The protruding sharp edge of the Endoloop was excised together with the surrounding lung tissue, using a stapler. Although prevention of this type of complication is difficult, awareness of the potential problem may help in managing such extremely rare events. PMID:23407693

  6. The Highly-Automated Airplane: Its Impact on Aviation Safety and an Analysis of Training Philosophy.

    DTIC Science & Technology

    1997-06-01

    equipment. This means more than just knowing how to program the device and being familiar with the functions of varying modes (Patrick, 1996:18). 33...the function that I wanted to use or modify in a flight plan." "Initially it is extremely difficult to figure out exactly how to program or pull up...commented: "Getting used to the EFIS display was the hardest. Initially it is extremely difficult to figure out exactly how to program or pull up the

  7. Simulating the effect of climate extremes on groundwater flow through a lakebed.

    PubMed

    Virdi, Makhan L; Lee, Terrie M; Swancar, Amy; Niswonger, Richard G

    2013-03-01

    Groundwater exchanges with lakes resulting from cyclical wet and dry climate extremes maintain lake levels in the environment in ways that are not well understood, in part because they remain difficult to simulate. To better understand the atypical groundwater interactions with lakes caused by climatic extremes, an original conceptual approach is introduced using MODFLOW-2005 and a kinematic-wave approximation to variably saturated flow that allows lake size and position in the basin to change while accurately representing the daily lake volume and three-dimensional variably saturated groundwater flow responses in the basin. Daily groundwater interactions are simulated for a calibrated lake basin in Florida over a decade that included historic wet and dry departures from the average rainfall. The divergent climate extremes subjected nearly 70% of the maximum lakebed area and 75% of the maximum shoreline perimeter to both groundwater inflow and lake leakage. About half of the lakebed area subject to flow reversals also went dry. A flow-through pattern present for 73% of the decade caused net leakage from the lake 80% of the time. Runoff from the saturated lake margin offset the groundwater deficit only about half of that time. A centripetal flow pattern present for 6% of the decade was important for maintaining the lake stage and generated 30% of all net groundwater inflow. Pumping effects superimposed on dry climate extremes induced the least frequent but most cautionary flow pattern with leakage from over 90% of the actual lakebed area. Published 2012. This article is a U.S. Government work and is in the public domain in the USA.

  8. At the feet of the dinosaurs: the early history and radiation of lizards.

    PubMed

    Evans, Susan E

    2003-11-01

    Lizards, snakes and amphisbaenians together constitute the Squamata, the largest and most diverse group of living reptiles. Despite their current success, the early squamate fossil record is extremely patchy. The last major survey of squamate palaeontology and evolution was published 20 years ago. Since then, there have been major changes in systematic theory and methodology, as well as a steady trickle of new fossil finds. This review examines our current understanding of the first 150 million years of squamate evolution in the light of the new data and changing ideas. Contrary to previous reports, no squamate fossils are currently documented before the Jurassic. Nonetheless, indirect evidence predicts that squamates had evolved by at least the middle Triassic, and had diversified into existing major lineages before the end of this period. There is thus a major gap in the squamate record at a time when key morphological features were evolving. With the exception of fragmentary remains from Africa and India, Jurassic squamates are known only from localities in northern continents (Laurasia). The situation improves in the Early Cretaceous, but the southern (Gondwanan) record remains extremely poor. This constrains palaeobiogeographic discussion and makes it difficult to predict centres of origin for major squamate clades on the basis of fossil evidence alone. Preliminary mapping of morphological characters onto a consensus tree demonstrates stages in the sequence of acquisition for some characters of the skull and postcranial skeleton, but many crucial stages--most notably those relating to the acquisition of squamate skull kinesis--remain unclear.

  9. Perceived ability to perform daily hand activities after stroke and associated factors: a cross-sectional study.

    PubMed

    Ekstrand, Elisabeth; Rylander, Lars; Lexell, Jan; Brogårdh, Christina

    2016-11-02

    Despite that disability of the upper extremity is common after stroke, there is limited knowledge how it influences self-perceived ability to perform daily hand activities. The aim of this study was to describe which daily hand activities that persons with mild to moderate impairments of the upper extremity after stroke perceive difficult to perform and to evaluate how several potential factors are associated with the self-perceived performance. Seventy-five persons (72 % male) with mild to moderate impairments of the upper extremity after stroke (4 to 116 months) participated. Self-perceived ability to perform daily hand activities was rated with the ABILHAND Questionnaire. The perceived ability to perform daily hand activities and the potentially associated factors (age, gender, social and vocational situation, affected hand, upper extremity pain, spasticity, grip strength, somatosensation of the hand, manual dexterity, perceived participation and life satisfaction) were evaluated by linear regression models. The activities that were perceived difficult or impossible for a majority of the participants were bimanual tasks that required fine manual dexterity of the more affected hand. The factor that had the strongest association with perceived ability to perform daily hand activities was dexterity (p < 0.001), which together with perceived participation (p = 0.002) explained 48 % of the variance in the final multivariate model. Persons with mild to moderate impairments of the upper extremity after stroke perceive that bimanual activities requiring fine manual dexterity are the most difficult to perform. Dexterity and perceived participation are factors specifically important to consider in the rehabilitation of the upper extremity after stroke in order to improve the ability to use the hands in daily life.

  10. Overview and Status of Experimental Neutrino Physics

    NASA Astrophysics Data System (ADS)

    Stancu, Ion

    2002-10-01

    Seventy years after the existence of the neutrino has been postulated by Wolfgang Pauli, these elusive particles remain surrounded by mystery. One of the most fundamental questions about neutrinos is whether they have an identically vanishing mass, as assumed by the Standard Model, or not. Direct measurements have proven to be extremely difficult to perform, and have yielded so far only upper limits. However, if neutrino flavour oscillations do happen, this would automatically imply that at least one of the three neutrinos (the electron, muon or tau neutrino) must have a non-zero mass. The present experimental data indicate that both the solar and atmospheric neutrino deficits can be explained by the phenomenon of neutrino oscillations, while the positive signal reported by the accelerator-based LSND experiment remains to be verified by an independent measurement (MiniBooNE). This talk reviews the current status of the neutrino oscillations experiments, experiments which are quite likely to produce results with significant consequences for both the Standard Model and Cosmology.

  11. Evolving Markets for Commercial, Civil, and Military Services

    NASA Astrophysics Data System (ADS)

    Kaplan, Marshall H.

    2003-01-01

    Recent commercial failures in the LEO market, declining budgets for research, and other political factors have made it difficult for entrepreneurs and financial institutions to realize returns from investments in new space transportation systems and satellites. This paper explores the major factors impacting future markets that make use of our space infrastructure. At the top of the list is the high cost of space access. This has been extremely expensive, and will continue to be expensive as long as space access remains low on the nation's priority list. While launch prices have generally been reduced over the past several years, they remain well above the elastic range of supply and demand. Our best estimate is that it will take an order of magnitude reduction to significantly expand the market. Projections about market segments that will represent future winners in space and launch demand forecasts are presented. Future markets, outside of traditional strongholds, are explored, including a long-term view of new commercial space activities, conventional and ambitious future/futuristic activities, and related business aspects.

  12. Radiofrequency Ablation Followed by Percutaneous Ethanol Ablation Leading to Long-Term Remission of Hyperparathyroidism

    PubMed Central

    Menon, Arun S.; Nazar, P. K.; Moorthy, Srikanth; Kumar, Harish; Nair, Vasantha; Pavithran, Praveen Valiyaparambil; Bhavani, Nisha; Menon, Vadayath Usha; Abraham, Nithya; Jayakumar, R. Vasukutty

    2017-01-01

    A 30-year-old male with cerebral palsy and motor impairment presented with right femur fracture. He had gradually worsening mobility and contractures of all extremities for the preceding 5 years. Evaluation showed multiple vertebral and femoral fractures, severe osteoporosis, a large parathyroid adenoma, and parathormone (PTH) exceeding 2500 pg/mL. Because of poor general health and high anesthetic risk, parathyroidectomy was deemed impractical. Ultrasound-guided radiofrequency ablation (RFA) helped achieve 50% size reduction and PTH levels with better control of hypercalcemia. Later, as calcium and PTH remained elevated, percutaneous ethanol ablation was performed with resultant normalization of PTH and substantial symptomatic improvement. Two years later, he still remains normocalcaemic with normal PTH levels. We propose that RFA and percutaneous ethanol ablation be considered as effective short-term options for surgically difficult cases, which could even help achieve long-term remission. Although not previously reported, our case illustrates that both RFA and percutaneous ethanol ablation could be safely performed successively achieving long-term remission. PMID:29264521

  13. Evaluation of dynamically downscaled extreme temperature using a spatially-aggregated generalized extreme value (GEV) model

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

    Wang, Jiali; Han, Yuefeng; Stein, Michael L.

    2016-02-10

    The Weather Research and Forecast (WRF) model downscaling skill in extreme maximum daily temperature is evaluated by using the generalized extreme value (GEV) distribution. While the GEV distribution has been used extensively in climatology and meteorology for estimating probabilities of extreme events, accurately estimating GEV parameters based on data from a single pixel can be difficult, even with fairly long data records. This work proposes a simple method assuming that the shape parameter, the most difficult of the three parameters to estimate, does not vary over a relatively large region. This approach is applied to evaluate 31-year WRF-downscaled extreme maximummore » temperature through comparison with North American Regional Reanalysis (NARR) data. Uncertainty in GEV parameter estimates and the statistical significance in the differences of estimates between WRF and NARR are accounted for by conducting bootstrap resampling. Despite certain biases over parts of the United States, overall, WRF shows good agreement with NARR in the spatial pattern and magnitudes of GEV parameter estimates. Both WRF and NARR show a significant increase in extreme maximum temperature over the southern Great Plains and southeastern United States in January and over the western United States in July. The GEV model shows clear benefits from the regionally constant shape parameter assumption, for example, leading to estimates of the location and scale parameters of the model that show coherent spatial patterns.« less

  14. Understanding the Reach of Agricultural Impacts from Climate Extremes in the Agricultural Model Intercomparison and Improvement Project (AgMIP)

    NASA Astrophysics Data System (ADS)

    Ruane, A. C.

    2016-12-01

    The Agricultural Model Intercomparison and Improvement Project (AgMIP) has been working since 2010 to build a modeling framework capable of representing the complexities of agriculture, its dependence on climate, and the many elements of society that depend on food systems. AgMIP's 30+ activities explore the interconnected nature of climate, crop, livestock, economics, food security, and nutrition, using common protocols to systematically evaluate the components of agricultural assessment and allow multi-model, multi-scale, and multi-method analysis of intertwining changes in socioeconomic development, environmental change, and technological adaptation. AgMIP is now launching Coordinated Global and Regional Assessments (CGRA) with a particular focus on unforeseen consequences of development strategies, interactions between global and local systems, and the resilience of agricultural systems to extreme climate events. Climate extremes shock the agricultural system through local, direct impacts (e.g., droughts, heat waves, floods, severe storms) and also through teleconnections propagated through international trade. As the climate changes, the nature of climate extremes affecting agriculture is also likely to change, leading to shifting intensity, duration, frequency, and geographic extents of extremes. AgMIP researchers are developing new scenario methodologies to represent near-term extreme droughts in a probabilistic manner, field experiments that impose heat wave conditions on crops, increased resolution to differentiate sub-national drought impacts, new behavioral functions that mimic the response of market actors faced with production shortfalls, analysis of impacts from simultaneous failures of multiple breadbasket regions, and more detailed mapping of food and socioeconomic indicators into food security and nutrition metrics that describe the human impact in diverse populations. Agricultural models illustrate the challenges facing agriculture, allowing resilience planning even as precise prediction of extremes remains difficult. Increased research is necessary to understand hazards, vulnerability, and exposure of populations to characterize the risk of shocks and mechanisms by which unexpected losses drive land-use transitions.

  15. Neurosurgical rare disease: solitary plasmacytoma of the skull - case report and literature review.

    PubMed

    Rizea, Radu Eugen; Popescu, Mihai; Gheorghiţă, Karina Lidia; Popescu, George; Neamţu, Marius Cristian; Busuioc, Cristina Jana; Ciurea, Alexandru Vlad

    2018-01-01

    Solitary extranevraxial plasmacytoma (SEP), as a clinical entity without signs of systemic myelomatosis, is extremely rare; it is difficult to find literature on the issue of patient management and proper course of action in the presence of associated pathology. The authors present a rare case of plasmacytoma of the skull vault associated with severe cardiac pathology, which made surgery extremely difficult and possible only through temporization of the interventions, as presented. We discuss our findings and opportunities for treatment in this case, which seemed unapproachable at presentation, in connection with the associated cardiac pathology. The case was followed-up for eight years with no recurrences.

  16. Variable effects of climate on forest growth in relation to climate extremes, disturbance, and forest dynamics.

    PubMed

    Itter, Malcolm S; Finley, Andrew O; D'Amato, Anthony W; Foster, Jane R; Bradford, John B

    2017-06-01

    Changes in the frequency, duration, and severity of climate extremes are forecast to occur under global climate change. The impacts of climate extremes on forest productivity and health remain difficult to predict due to potential interactions with disturbance events and forest dynamics-changes in forest stand composition, density, size and age structure over time. Such interactions may lead to non-linear forest growth responses to climate involving thresholds and lag effects. Understanding how forest dynamics influence growth responses to climate is particularly important given stand structure and composition can be modified through management to increase forest resistance and resilience to climate change. To inform such adaptive management, we develop a hierarchical Bayesian state space model in which climate effects on tree growth are allowed to vary over time and in relation to past climate extremes, disturbance events, and forest dynamics. The model is an important step toward integrating disturbance and forest dynamics into predictions of forest growth responses to climate extremes. We apply the model to a dendrochronology data set from forest stands of varying composition, structure, and development stage in northeastern Minnesota that have experienced extreme climate years and forest tent caterpillar defoliation events. Mean forest growth was most sensitive to water balance variables representing climatic water deficit. Forest growth responses to water deficit were partitioned into responses driven by climatic threshold exceedances and interactions with insect defoliation. Forest growth was both resistant and resilient to climate extremes with the majority of forest growth responses occurring after multiple climatic threshold exceedances across seasons and years. Interactions between climate and disturbance were observed in a subset of years with insect defoliation increasing forest growth sensitivity to water availability. Forest growth was particularly sensitive to climate extremes during periods of high stem density following major regeneration events when average inter-tree competition was high. Results suggest the resistance and resilience of forest growth to climate extremes can be increased through management steps such as thinning to reduce competition during early stages of stand development and small-group selection harvests to maintain forest structures characteristic of older, mature stands. © 2017 by the Ecological Society of America.

  17. Variable effects of climate on forest growth in relation to climate extremes, disturbance, and forest dynamics

    USGS Publications Warehouse

    Itter, Malcolm S.; Finley, Andrew O.; D'Amato, Anthony W.; Foster, Jane R.; Bradford, John B.

    2017-01-01

    Changes in the frequency, duration, and severity of climate extremes are forecast to occur under global climate change. The impacts of climate extremes on forest productivity and health remain difficult to predict due to potential interactions with disturbance events and forest dynamics—changes in forest stand composition, density, size and age structure over time. Such interactions may lead to non-linear forest growth responses to climate involving thresholds and lag effects. Understanding how forest dynamics influence growth responses to climate is particularly important given stand structure and composition can be modified through management to increase forest resistance and resilience to climate change. To inform such adaptive management, we develop a hierarchical Bayesian state space model in which climate effects on tree growth are allowed to vary over time and in relation to past climate extremes, disturbance events, and forest dynamics. The model is an important step toward integrating disturbance and forest dynamics into predictions of forest growth responses to climate extremes. We apply the model to a dendrochronology data set from forest stands of varying composition, structure, and development stage in northeastern Minnesota that have experienced extreme climate years and forest tent caterpillar defoliation events. Mean forest growth was most sensitive to water balance variables representing climatic water deficit. Forest growth responses to water deficit were partitioned into responses driven by climatic threshold exceedances and interactions with insect defoliation. Forest growth was both resistant and resilient to climate extremes with the majority of forest growth responses occurring after multiple climatic threshold exceedances across seasons and years. Interactions between climate and disturbance were observed in a subset of years with insect defoliation increasing forest growth sensitivity to water availability. Forest growth was particularly sensitive to climate extremes during periods of high stem density following major regeneration events when average inter-tree competition was high. Results suggest the resistance and resilience of forest growth to climate extremes can be increased through management steps such as thinning to reduce competition during early stages of stand development and small-group selection harvests to maintain forest structures characteristic of older, mature stands.

  18. [Vancomycin-resistant enterococcus--chronicle of a foretold problem].

    PubMed

    Bonten, Marc J M; Willems, Rob J

    2012-01-01

    There have recently been 12 outbreaks of infection caused by vancomycin-resistant enterococci (VRE) in Dutch hospitals. Although the first VRE outbreaks were reported almost 12 years ago, such outbreaks remained uncommon and the question is why they are occurring now. Based on molecular epidemiological studies we have learned that a subpopulation of Enterococcus faecium, resistant to amoxicillin but susceptible to vancomycin, has become highly endemic in Dutch hospitals in the past 12 years. Initial analyses suggest that several transposons containing vancomycin-resistance genes have been introduced into this population, followed by nosocomial spread. We recommend that hospitals without detected VRE outbreaks screen high-risk patients for the presence of VRE. If transmission has already occurred in many hospitals, it will be extremely difficult (and costly) to eradicate VRE.

  19. Study on the effectiveness of Extreme Cold Mist MQL system on turning process of stainless steel AISI 316

    NASA Astrophysics Data System (ADS)

    Jamaludin, A. S.; Hosokawa, A.; Furumoto, T.; Koyano, T.; Hashimoto, Y.

    2018-03-01

    Cutting process of difficult-to-cut material such as stainless steel, generates immensely excessive heat, which is one of the major causes related to shortening tool life and lower quality of surface finish. It is proven that application of cutting fluid during the cutting process of difficult-to-cut material is able to improve the cutting performance, but excessive application of cutting fluid leads to another problem such as increasing processing cost and environmental hazardous pollution of workplace. In the study, Extreme Cold Mist system is designed and tested along with various Minimum Quantity Lubrication (MQL) systems on turning process of stainless steel AISI 316. In the study, it is obtained that, Extreme Cold Mist system is able to reduce cutting force up to 60N and improve the surface roughness of the machined surface significantly.

  20. Extreme Weather Events and Interconnected Infrastructures: Toward More Comprehensive Climate Change Planning [Meeting challenges in understanding impacts of extreme weather events on connected infrastructures

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

    Wilbanks, Thomas J.; Fernandez, Steven J.; Allen, Melissa R.

    The President s Climate Change Action Plan calls for the development of better science, data, and tools for climate preparedness. Many of the current questions about preparedness for extreme weather events in coming decades are, however, difficult to answer with assets that have been developed by climate science to answer longer-term questions about climate change. Capacities for projecting exposures to climate-related extreme events, along with their implications for interconnected infrastructures, are now emerging.

  1. Extreme Weather Events and Interconnected Infrastructures: Toward More Comprehensive Climate Change Planning [Meeting challenges in understanding impacts of extreme weather events on connected infrastructures

    DOE PAGES

    Wilbanks, Thomas J.; Fernandez, Steven J.; Allen, Melissa R.

    2015-06-23

    The President s Climate Change Action Plan calls for the development of better science, data, and tools for climate preparedness. Many of the current questions about preparedness for extreme weather events in coming decades are, however, difficult to answer with assets that have been developed by climate science to answer longer-term questions about climate change. Capacities for projecting exposures to climate-related extreme events, along with their implications for interconnected infrastructures, are now emerging.

  2. Courting, Marriage and Death in Colombia: An Interview.

    ERIC Educational Resources Information Center

    Richardson, Constance

    There are a variety of methods to impart the cultural setting of a foreign language. The teacher can use, among other things, cultural assimilators, films, mini-dramas, culture capsules, background lectures, and native-speaking class visitors. This last technique can be extremely effective but difficult to arrange and difficult to control once it…

  3. Learned Helplessness: The Effect of Failure on Test-Taking

    ERIC Educational Resources Information Center

    Firmin, Michael; Hwang, Chi-En; Copella, Margaret; Clark, Sarah

    2004-01-01

    This study examined learned helplessness and its effect on test taking. Students were given one of two tests; the first began with extremely difficult questions and the other started with easy questions. The researchers hypothesized that those who took the test beginning with difficult questions would become easily frustrated and possibly doubt…

  4. Extreme Warming Challenges Sentinel Status of Kelp Forests as Indicators of Climate Change

    NASA Astrophysics Data System (ADS)

    Miller, R. J.; Reed, D.; Washburn, L.; Rassweiler, A.; Bell, T. W.; Harrer, S.

    2016-12-01

    The ecological effects of global warming are expected to be large, but are proving difficult and costly to measure. This has led to a growing interest in using sentinel species as early warning indicators of impending climate change effects on entire ecosystems, raising awareness of the importance of verifying that such conservation shortcuts have sound biological foundations. A recent large-scale warming event in the North Pacific Ocean of unprecedented magnitude and duration allowed us to evaluate the sentinel status of giant kelp, a coastal foundation species that thrives in cold, nutrient-rich waters and considered sensitive to warming. Here we show that giant kelp did not presage ecosystem effects of extreme warming off southern California despite its expected vulnerability. Fluctuations in the biomass of giant kelp, understory algae, invertebrates and fish remained within historical ranges despite 34 months of above average temperatures and below average nutrients. Sea stars and sea urchins were exceptions, plummeting due to disease outbreaks linked to the warming. Our results challenge the IPCC predictions about the vulnerability of kelp-dominated systems to extreme warming events and question their use as early indicators of climate change. The resilience of giant kelp to unprecedented warming not only questions our understanding of kelp ecology, but exposes the risk of relying on supposed sentinel species that are assumed to be very sensitive to climate change.

  5. Constraining continuous rainfall simulations for derived design flood estimation

    NASA Astrophysics Data System (ADS)

    Woldemeskel, F. M.; Sharma, A.; Mehrotra, R.; Westra, S.

    2016-11-01

    Stochastic rainfall generation is important for a range of hydrologic and water resources applications. Stochastic rainfall can be generated using a number of models; however, preserving relevant attributes of the observed rainfall-including rainfall occurrence, variability and the magnitude of extremes-continues to be difficult. This paper develops an approach to constrain stochastically generated rainfall with an aim of preserving the intensity-durationfrequency (IFD) relationships of the observed data. Two main steps are involved. First, the generated annual maximum rainfall is corrected recursively by matching the generated intensity-frequency relationships to the target (observed) relationships. Second, the remaining (non-annual maximum) rainfall is rescaled such that the mass balance of the generated rain before and after scaling is maintained. The recursive correction is performed at selected storm durations to minimise the dependence between annual maximum values of higher and lower durations for the same year. This ensures that the resulting sequences remain true to the observed rainfall as well as represent the design extremes that may have been developed separately and are needed for compliance reasons. The method is tested on simulated 6 min rainfall series across five Australian stations with different climatic characteristics. The results suggest that the annual maximum and the IFD relationships are well reproduced after constraining the simulated rainfall. While our presentation focusses on the representation of design rainfall attributes (IFDs), the proposed approach can also be easily extended to constrain other attributes of the generated rainfall, providing an effective platform for post-processing of stochastic rainfall generators.

  6. Can Concentration - Discharge Relationships Diagnose Material Source During Extreme Events?

    NASA Astrophysics Data System (ADS)

    Karwan, D. L.; Godsey, S.; Rose, L.

    2017-12-01

    Floods can carry >90% of the basin material exported in a given year as well as alter flow pathways and material sources. In turn, sediment and solute fluxes can increase flood damages and negatively impact water quality and integrate physical and chemical weathering of landscapes and channels. Concentration-discharge (C-Q) relationships are used to both describe export patterns as well as compute them. Metrics for describing C-Q patterns and inferring their controls are vulnerable to infrequent sampling that affects how C-Q relationships are interpolated and interpreted. C-Q relationships are typically evaluated from multiple samples, but because hydrological extremes are rare, data are often unavailable for extreme events. Because solute and sediment C-Q relationships likely respond to changes in hydrologic extremes in different ways, there is a pressing need to define their behavior under extreme conditions, including how to properly sample to capture these patterns. In the absence of such knowledge, improving load estimates in extreme floods will likely remain difficult. Here we explore the use of C-Q relationships to determine when an event alters a watershed system such that it enters a new material source/transport regime. We focus on watersheds with sediment and discharge time series include low-frequency and/or extreme events. For example, we compare solute and sediment patterns in White Clay Creek in southeastern Pennsylvania across a range of flows inclusive of multiple hurricanes for which we have ample ancillary hydrochemical data. TSS is consistently mobilized during high flow events, even during extreme floods associated with hurricanes, and sediment fingerprinting indicates different sediment sources, including in-channel remobilization and landscape erosion, are active at different times. In other words, TSS mobilization in C-Q space is not sensitive to the source of material being mobilized. Unlike sediments, weathering solutes in this watershed tend to exhibit a relatively chemostatic C-Q pattern, except during the runoff-dominated Hurricane Irene, when they exhibit a diluting C-Q pattern. Finally, we summarize the vulnerability of these observations to shifts in sampling effort to highlight the utility and limitations of C-Q-derived export patterns.

  7. Long-term records reveal decoupling of nitrogen and phosphorus cycles in a large, urban lake in response to an extreme rainfall event

    NASA Astrophysics Data System (ADS)

    Corman, J. R.; Loken, L. C.; Oliver, S. K.; Collins, S.; Butitta, V.; Stanley, E. H.

    2017-12-01

    Extreme events can play powerful roles in shifting ecosystem processes. In lakes, heavy rainfall can transport large amounts of particulates and dissolved nutrients into the water column and, potentially, alter biogeochemical cycling. However, the impacts of extreme rainfall events are often difficult to study due to a lack of long-term records. In this paper, we combine daily discharge records with long-term lake water quality information collected by the North Temperate Lakes Long-Term Ecological Research (NTL LTER) site to investigate the impacts of extreme events on nutrient cycling in lakes. We focus on Lake Mendota, an urban lake within the Yahara River Watershed in Madison, Wisconsin, USA, where nutrient data are available at least seasonally from 1995 - present. In June 2008, precipitation amounts in the Yahara watershed were 400% above normal values, triggering the largest discharge event on record for the 40 years of monitoring at the streamgage station; hence, we are able to compare water quality records before and after this event as a case study of how extreme rain events couple or decouple lake nutrient cycling. Following the extreme event, the lake-wide mass of nitrogen and phosphorus increased in the summer of 2008 by 35% and 21%, respectively, shifting lake stoichiometry by increasing N:P ratios (Figure 1). Nitrogen concentrations remained elevated longer than phosphorus, suggesting (1) that nitrogen inputs into the lake were sustained longer than phosphorus (i.e., a "smear" versus "pulse" loading of nitrogen versus phosphorus, respectively, in response to the extreme event) and/or (2) that in-lake biogeochemical processing was more efficient at removing phosphorus compared to nitrogen. While groundwater loading data are currently unavailable to test the former hypothesis, preliminary data from surficial nitrogen and phosphorus loading to Lake Mendota (available for 2011 - 2013) suggest that nitrogen removal efficiency is less than phosphorus, supporting the latter hypothesis. As climate change is expected to increase the frequency of extreme events, continued monitoring of lakes is needed to understand biogeochemical responses and when and how water quality threats may occur.

  8. Strategies for Managing Massive Defects of the Foot in High-Energy Combat Injuries of the Lower Extremity

    DTIC Science & Technology

    2010-01-01

    infection, or avascular necrosis is extremely difficult. Tibiocalcaneal fusion typically leaves a patient with a leg length discrepancy unless large bone...fractures. J Orthop Trauma 2004;18(5):265–70. 37. Dennison MG, Pool RD, Simonis RB, et al. Tibiocalcaneal fusion for avascular necrosis of the talus

  9. Current thinking about acute compartment syndrome of the lower extremity

    PubMed Central

    Shadgan, Babak; Menon, Matthew; Sanders, David; Berry, Gregg; Martin, Claude; Duffy, Paul; Stephen, David; O’Brien, Peter J.

    2010-01-01

    Acute compartment syndrome of the lower extremity is a clinical condition that, although uncommon, is seen fairly regularly in modern orthopedic practice. The pathophysiology of the disorder has been extensively described and is well known to physicians who care for patients with musculoskeletal injuries. The diagnosis, however, is often difficult to make. In this article, we review the clinical risk factors of acute compartment syndrome of the lower extremity, identify the current concepts of diagnosis and discuss appropriate treatment plans. We also describe the Canadian medicolegal environment in regard to compartment syndrome of the lower extremity. PMID:20858378

  10. Study of correlations from Ab-Initio Simulations of Liquid Water

    NASA Astrophysics Data System (ADS)

    Soto, Adrian; Fernandez-Serra, Marivi; Lu, Deyu; Yoo, Shinjae

    An accurate understanding of the dynamics and the structure of H2O molecules in the liquid phase is of extreme importance both from a fundamental and from a practical standpoint. Despite the successes of Molecular Dynamics (MD) with Density Functional Theory (DFT), liquid water remains an extremely difficult material to simulate accurately and efficiently because of fine balance between the covalent O-H bond, the hydrogen bond and the attractive the van der Waals forces. Small errors in those produce dramatic changes in the macroscopic properties of the liquid or in its structural properties. Different density functionals produce answers that differ by as much as 35% in ambient conditions, with none producing quantitative results in agreement with experiment at different mass densities. In order to understand these differences we perform an exhaustive scanning of the geometrical coordinates of MD simulations and study their statistical correlations with the simulation output quantities using advanced correlation analyses and machine learning techniques. This work was partially supported by DOE Award No. DE-FG02-09ER16052, by DOE Early Career Award No. DE-SC0003871, by BNL LDRD 16-039 project and BNL Contract No. DE-SC0012704.

  11. Study of correlations from Ab-Initio Simulations of Liquid Water

    NASA Astrophysics Data System (ADS)

    Soto, Adrian; Fernandez-Serra, Marivi; Lu, Deyu; Yoo, Shinjae

    An accurate understanding of the dynamics and the structure of H2O molecules in the liquid phase is of extreme importance both from a fundamental and from a practical standpoint. Despite the successes of Molecular Dynamics (MD) with Density Functional Theory (DFT), liquid water remains an extremely difficult material to simulate accurately and efficiently because of fine balance between the covalent O-H bond, the hydrogen bond and the attractive the van der Waals forces. Small errors in those produce dramatic changes in the macroscopic properties of the liquid or in its structural properties. Different density functionals produce answers that differ by as much as 35% in ambient conditions, with none producing quantitative results in agreement with experiment at different mass densities [J. Chem Phys. 139, 194502(2013)]. In order to understand these differences we perform an exhaustive scanning of the geometrical coordinates of MD simulations and study their statistical correlations with the simulation output quantities using advanced correlation analyses and machine learning techniques. This work was partially supported by DOE Award No. DE-FG02-09ER16052, by DOE Early Career Award No. DE-SC0003871, by BNL LDRD 16-039 project and BNL Contract No. DE-SC0012704.

  12. Unusual presentation of a skull base mass lesion in sarcoidosis mimicking malignant neoplasm: a case report.

    PubMed

    Shijo, Katsunori; Moro, Nobuhiro; Sasano, Mari; Watanabe, Mitsuru; Yagasaki, Hiroshi; Takahashi, Shori; Homma, Taku; Yoshino, Atsuo

    2018-05-29

    Sarcoidosis is a multi-organ disease of unknown etiology characterised by the presence of epithelioid granulomas, without caseous necrosis. Systemic sarcoidosis is rare among children, while neurosarcoidosis in children is even rarer whether it is systemic or not. We described the case of a 12-year-old boy who presented with monocular vision loss accompanied by unusual MRI features of an extensive meningeal infiltrating mass lesion. The patient underwent surgical resection (biopsy) via a frontotemporal craniotomy to establish a definitive diagnosis based on the histopathology, since neurosarcoidosis remains a very difficult diagnosis to establish from neuroradiogenic imagings. Based on the histopathology of the resected mass lesion, neurosarcoidosis was diagnosed. On follow-up after 3 months of steroid therapy, the patient displayed a good response on the imaging studies. MRI revealed that the preexisting mass lesion had regressed extremely. We also conducted a small literature review on imaging studies, manifestations, appropriate treatments, etc., in particular neurosarcoidosis including children. Although extremely rare, neurosarcoidosis, even in children, should be considered in the differential diagnosis of skull base mass lesions to avoid unnecessary aggressive surgery and delay in treatment, since surgery may have little role in the treatment of sarcoidosis.

  13. Society's symbolic order and political trials: toward sacrificing the self for the "Big Other".

    PubMed

    Lubin, Avi

    2005-12-01

    The need to establish a borderline between legitimate and illegitimate political trial is one of the central societal discourses. In this paper the author claims that the issues are complex and that a political trial can remain legitimate as long as it is not dealing with a confrontation with the symbolic order on which the society (and the court itself) is founded and as long as the subject (or action) it is dealing with does not threaten the symbolic order's (or the "Big Other") existence. When the symbolic order's existence is in danger, the court is bound to participate in an act of "sacrifice" that is intended to protect the "order." The author uses Jacques Lacan's psychoanalytic theory of the "Big Other" (and its development to ideological-political terms) in examining three categories of sacrifice. Through these categories the author claims that in extreme cases of confrontation with the existence of the symbolic order, the court cannot remain objective and it would be difficult to justify the trial as legitimate (especially in historical perspective).

  14. A critical review of current nursing faculty practice.

    PubMed

    Sawyer, M J; Alexander, I M; Gordon, L; Juszczak, L J; Gilliss, C

    2000-12-01

    To critically examine the current literature on nursing faculty practice, using the National Organization of Nurse Practitioner Faculties (NONPF) Guidelines for Evaluation of Faculty Practice, and to examine faculty practice models' strengths, weaknesses, and barriers. Thirty-five articles describing models of faculty practice were identified through an exhaustive search on CINAHL and Medline. Two NONPF monographs on nursing faculty practice were used as guidelines for the critical review. Faculty practice has become an integral component of faculty-role expectations at many schools of nursing. Workload, especially without adequate compensation, remains a hindrance to practice. The value of faculty practice time and expertise has not been sufficiently demonstrated. Integration of practitioner, educator and researcher roles remains extremely difficult and sometimes elusive. Faculty practice offers many advantages to schools of nursing, including educational and research opportunities for faculty and students, as well as practice sites and affordable community healthcare. Providing health care in the community presents an opportunity for independent and collaborative practice. To fully utilize the great research opportunities provided by faculty practice, more emphasis must be placed on gathering and analyzing descriptive data.

  15. Diversity in action: exchange of perspectives and reflections on taxonomies of individual differences.

    PubMed

    Uher, Jana; Trofimova, Irina; Sulis, William; Netter, Petra; Pessoa, Luiz; Posner, Michael I; Rothbart, Mary K; Rusalov, Vladimir; Peterson, Isaac T; Schmidt, Louis A

    2018-04-19

    Throughout the last 2500 years, the classification of individual differences in healthy people and their extreme expressions in mental disorders has remained one of the most difficult challenges in science that affects our ability to explore individuals' functioning, underlying psychobiological processes and pathways of development. To facilitate analyses of the principles required for studying individual differences, this theme issue brought together prominent scholars from diverse backgrounds of which many bring unique combinations of cross-disciplinary experiences and perspectives that help establish connections and promote exchange across disciplines. This final paper presents brief commentaries of some of our authors and further scholars exchanging perspectives and reflecting on the contributions of this theme issue.This article is part of the theme issue 'Diverse perspectives on diversity: multi-disciplinary approaches to taxonomies of individual differences'. © 2018 The Author(s).

  16. Prebiotic Chemistry: Geochemical Context and Reaction Screening

    PubMed Central

    Cleaves, Henderson James

    2013-01-01

    The origin of life on Earth is widely believed to have required the reactions of organic compounds and their self- and/or environmental organization. What those compounds were remains open to debate, as do the environment in and process or processes by which they became organized. Prebiotic chemistry is the systematic organized study of these phenomena. It is difficult to study poorly defined phenomena, and research has focused on producing compounds and structures familiar to contemporary biochemistry, which may or may not have been crucial for the origin of life. Given our ignorance, it may be instructive to explore the extreme regions of known and future investigations of prebiotic chemistry, where reactions fail, that will relate them to or exclude them from plausible environments where they could occur. Come critical parameters which most deserve investigation are discussed. PMID:25369745

  17. Collections Care in Southeast Asia: Conservation and the Need for the Creation of Micro-Environments.

    ERIC Educational Resources Information Center

    Dean, John F.

    For a variety of reasons, collection care in Southeast Asia, especially in the northern regions, is fraught with many difficult challenges. Climates that are unfriendly to paper-based materials, poor economies, war, and civil unrest, are just a few of the reasons that librarians and archivists find it extremely difficult to ensure the survival of…

  18. Effect of loudness on reaction time and response force in different motor tasks.

    PubMed

    Jaśkowski, Piotr; Włodarczyk, Dariusz

    2005-12-01

    Van der Molen and Keuss, in 1979 and 1981, showed that paradoxically long reaction times occur with extremely strong auditory stimuli when the task is difficult, e.g., choice-by-location or Simon paradigm. It was argued that this paradoxical behavior of RT is due to active inhibition of an arousal-dependent bypassing mechanism to prevent false responses. As the peak force, i.e., maximal force exerted by participants on a response key, is considered to be related to immediate arousal, we predicted that for extremely loud stimuli and for difficult tasks, lengthening of RT should be associated with reduction of peak force. Moreover, these effects should be enhanced when emphasis is on accuracy rather than speed. Although the relation between RT and intensity depended on task difficulty, no increase in RT was found for the loudest tones. Moreover, peak force increased monotonically with loudness, showing no tendency to be suppressed for loudest tones and difficult tasks.

  19. How extreme are extremes?

    NASA Astrophysics Data System (ADS)

    Cucchi, Marco; Petitta, Marcello; Calmanti, Sandro

    2016-04-01

    High temperatures have an impact on the energy balance of any living organism and on the operational capabilities of critical infrastructures. Heat-wave indicators have been mainly developed with the aim of capturing the potential impacts on specific sectors (agriculture, health, wildfires, transport, power generation and distribution). However, the ability to capture the occurrence of extreme temperature events is an essential property of a multi-hazard extreme climate indicator. Aim of this study is to develop a standardized heat-wave indicator, that can be combined with other indices in order to describe multiple hazards in a single indicator. The proposed approach can be used in order to have a quantified indicator of the strenght of a certain extreme. As a matter of fact, extremes are usually distributed in exponential or exponential-exponential functions and it is difficult to quickly asses how strong was an extreme events considering only its magnitude. The proposed approach simplify the quantitative and qualitative communication of extreme magnitude

  20. Bondability of ipê (Tabebuia spp.) wood using ambient-curing exterior wood adhesives

    Treesearch

    Daniel J. Yelle

    2016-01-01

    Ipê is an extremely difficult species to bond because of its high density, interlocking grain, and high volumetric swelling–shrinkage under prolonged wet conditions. Despite its difficulties, the wood is known to be extremely durable in exterior conditions because of its resistance to microbial and insect degradation. Therefore, investigating its bondability with...

  1. The Extreme Ultraviolet Explorer science instruments development - Lessons learned

    NASA Technical Reports Server (NTRS)

    Malina, Roger F.; Battel, S.

    1991-01-01

    The science instruments development project for the Extreme Ultraviolet Explorer (EUVE) satellite is reviewed. Issues discussed include the philosophical basis of the program, the establishment of a tight development team, the approach to planning and phasing activities, the handling of the most difficult technical problems, and the assessment of the work done during the preimplemntation period of the project.

  2. The attitudes of neonatal nurses towards extremely preterm infants.

    PubMed

    Gallagher, Katie; Marlow, Neil; Edgley, Alison; Porock, Davina

    2012-08-01

    The paper is a report of a study of the attitudes of neonatal nurses towards extremely preterm infants. Alongside advancing survival at extremely preterm gestational ages, ethical debates concerning the provision of invasive care have proliferated in light of the high morbidity. Despite nurses being the healthcare professionals who work closest with the infant and their family, their potential influence is usually ignored when determining how parents come to decisions about future care for their extremely premature infant. A Q methodology was employed to explore the attitudes of neonatal nurses towards caring for extremely preterm infants. Data were collected between 2007 and 2008 and analysed using PQMethod and Card Content Analysis. Thirty-six nurses from six neonatal units in the United Kingdom participated. Although there was consensus around the professional role of the nurse, when faced with the complexities of neonatal nursing three distinguishing factors emerged: the importance of parental choice in decision-making, the belief that technology should be used to assess response to treatment, and the belief that healthcare professionals should undertake difficult decisions. Neonatal nurses report unexpected difficulties in upholding their professionally defined role through highly complex and ever varied decision-making processes. Recognition of individual attitudes to the care of extremely preterm infants and the role of the family in the face of difficult decisions should facilitate more open communication between the nurse and the parents and improve the experience of both the nurse and the family during these emotional situations. © 2011 Blackwell Publishing Ltd.

  3. Plant Water Content is the Best Predictor of Drought-induced Mortality

    NASA Astrophysics Data System (ADS)

    Sapes, G.; Roskilly, B.; Dobrowski, S.; Sala, A.

    2017-12-01

    Predicting drought-induced forest mortality remains extremely challenging. Recent research has shown that both plant hydraulics and stored non-structural carbohydrates (NSC) interact during drought-induced mortality. The strong interaction between these two variables and the fact that they are both difficult to measure render drought-induced plant mortality extremely difficult to monitor and predict. A variable that is easier to measure and that integrates hydraulic transport and carbohydrate dynamics may, therefore, improve our ability to monitor and predict mortality. Here, we tested whether plant water content is such an integrator variable and, therefore, a better predictor of mortality under drought. We subjected 250 two-year-old ponderosa pine seedlings to drought until they died in a greenhouse experiment. Periodically during the dry down, we measured percent loss of hydraulic conductivity (PLC), NSC concentration (starch and soluble sugars), and tissue volumetric water content (VWC) in roots, stems and leaves. At each measurement time, a separate set of seedlings were re-watered to estimate the probability of mortality at the population level. Linear models were used to explore whether PLC and NSC were linked to VWC and to determine which of the three variables predicted mortality the best. As expected, plants lost hydraulic conductivity in stems and roots during the dry down. Starch concentrations also decreased in all organs as the drought proceeded. In contrast, soluble sugars increased in stems and roots, consistent with the conversion of stored NSCs into osmotically active compounds. Models containing both PLC and NSC concentrations as predictors of VWC were highly significant in all organs and at the whole plant level, indicating that water content is influenced by both PLC and NSCs. PLC, NSC, and VWC explained mortality across organs and at the whole plant level, but VWC was the best predictor (R2 = 0.99). Our results indicate that plant water content integrates plant hydraulics and carbohydrate availability, two factors commonly interacting and difficult to tease apart. An important advantage of water content is that it is very easy to measure across scales, from leaves to entire ecosystems through remote sensing.

  4. Climate change and rising heat: population health implications for working people in Australia.

    PubMed

    Hanna, Elizabeth G; Kjellstrom, Tord; Bennett, Charmian; Dear, Keith

    2011-03-01

    The rapid rise in extreme heat events in Australia recently is already taking a health toll. Climate change scenarios predict increases in the frequency and intensity of extreme heat events in the future, and population health may be significantly compromised for people who cannot reduce their heat exposure. Exposure to extreme heat presents a health hazard to all who are physically active, particularly outdoor workers and indoor workers with minimal access to cooling systems while working. At air temperatures close to (or beyond) the core body temperature of 37°C, body cooling via sweating is essential, and this mechanism is hampered by high air humidity. Heat exposure among elite athletes and the military has been investigated, whereas the impacts on workers remain largely unexplored, particularly in relation to future climate change. Workers span all age groups and diverse levels of fitness and health status, including people with higher than "normal" sensitivity to heat. In a hotter world, workers are likely to experience more heat stress and find it increasingly difficult to maintain productivity. Modeling of future climate change in Australia shows a substantial increase in the number of very hot days (>35°C) across the country. In this article, the authors characterize the health risks associated with heat exposure on working people and discuss future exposure risks as temperatures rise. Progress toward developing occupational health and safety guidelines for heat in Australia are summarized.

  5. Quality versus quantity: The complexities of quality of life determinations for neonatal nurses.

    PubMed

    Green, Janet; Darbyshire, Philip; Adams, Anne; Jackson, Debra

    2017-11-01

    The ability to save the life of an extremely premature baby has increased substantially over the last decade. This survival, however, can be associated with unfavourable outcomes for both baby and family. Questions are now being asked about quality of life for survivors of extreme prematurity. Quality of life is rightly deemed to be an important consideration in high technology neonatal care; yet, it is notoriously difficult to determine or predict. How does one define and operationalise what is considered to be in the best interest of a surviving extremely premature baby, especially when the full extent of the outcomes might not be known for several years? The research investigates the caregiving dilemmas often faced by neonatal nurses when caring for extremely premature babies. This article explores the issues arising for neonatal nurses when they considered the philosophical and ethical questions about quality of life in babies ≤24 weeks gestation. Data were collected via a questionnaire to Australian neonatal nurses and semi-structured interviews with 24 neonatal nurses in New South Wales, Australia. Ethical considerations: Ethical processes and procedures have been adhered to by the researchers. A qualitative approach was used to analyse the data. The theme 'difficult choices' was generated which comprised three sub-themes: 'damaged through survival', 'the importance of the brain' and 'families are important'. The results show that neonatal nurses believed that quality of life was an important consideration; yet they experienced significant inner conflict and uncertainty when asked to define or suggest specific elements of quality of life, or to suggest how it might be determined. It was even more difficult for the nurses to say when an extremely premature baby's life possessed quality. Their previous clinical and personal experiences led the nurses to believe that the quality of the family's life was important, and possibly more so than the quality of life of the surviving baby. This finding contrasts markedly with much of the existing literature in this field. Quality of life for extremely premature babies was an important consideration for neonatal nurses; however, they experienced difficulty deciding how to operationalise such considerations in their everyday clinical practice.

  6. A review of the changing culture and social context relating to forensic facial depiction of the dead.

    PubMed

    Wilkinson, Caroline

    2014-12-01

    The recognition of a decedent by a family member is commonplace in forensic investigation and is often employed as identity confirmation. However, it is recognised that misidentification from facial recognition is also common and faces of the dead may be extremely difficult to recognise due to decomposition or external damage, and even immediate post-mortem changes may be significant enough to confuse an observer. The depiction of faces of the dead can be a useful tool for promoting recognition leading to identification and post-mortem facial depiction is described as the interpretation of human remains in order to suggest the living appearance of an individual. This paper provides an historical context relating to the changing view of society to the presentation and publication of post-mortem facial depictions and discusses the current ethical, practical and academic challenges associated with these images. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  7. Patellofemoral anatomy and biomechanics: current concepts

    PubMed Central

    ZAFFAGNINI, STEFANO; DEJOUR, DAVID; GRASSI, ALBERTO; BONANZINGA, TOMMASO; MUCCIOLI, GIULIO MARIA MARCHEGGIANI; COLLE, FRANCESCA; RAGGI, FEDERICO; BENZI, ANDREA; MARCACCI, MAURILIO

    2013-01-01

    The patellofemoral joint, due to its particular bone anatomy and the numerous capsuloligamentous structures and muscles that act dynamically on the patella, is considered one of the most complex joints in the human body from the biomechanical point of view. The medial patellofemoral ligament (MPFL) has been demonstrated to contribute 60% of the force that opposes lateral displacement of the patella, and MPFL injury results in an approximately 50% reduction in the force needed to dislocate the patella laterally with the knee extended. For this reason, recent years have seen a growing interest in the study of this important anatomical structure, whose aponeurotic nature has thus been demonstrated. The MPFL acts as a restraint during motion, playing an active role under conditions of laterally applied stress, but an only marginal role during natural knee flexion. However, it remains extremely difficult to clearly define the anatomy of the MPFL and its relationships with other anatomical structures. PMID:25606512

  8. Plasmapheresis in the management of severe hypertriglyceridemia.

    PubMed

    Seda, Gilbert; Meyer, Jill M; Amundson, Dennis E; Daheshia, Massoud

    2013-08-01

    Plasmapheresis can benefit a variety of critically ill patients. A woman with diabetic ketoacidosis and severe hypertriglyceridemia was treated with plasmapheresis when conventional treatments did not markedly reduce her triglyceridemia. The patient was admitted to a medical intensive care unit because of diabetic ketoacidosis with severe lipemia. The lipemia-associated interference in laboratory studies made treatment of electrolyte abnormalities extremely difficult. The hypertriglyceridemia was initially treated with insulin, antilipidemic medications, and heparin, but the levels of triglycerides remained elevated, delaying results of needed laboratory studies for hours. After plasmapheresis, the serum level of triglycerides decreased by 77% in less than 24 hours. Severe lipemia interferes with photometric laboratory studies, yielding an underestimation of serum levels of electrolytes. Plasmapheresis is safe, rapid, and effective for emergent management of severe hypertriglyceridemia in critically ill patients. The impact of the procedure on critical care nursing is growing as nurses become involved in the treatment and follow-up care of patients who have plasmapheresis.

  9. Mapping transiently formed and sparsely populated conformations on a complex energy landscape.

    PubMed

    Wang, Yong; Papaleo, Elena; Lindorff-Larsen, Kresten

    2016-08-23

    Determining the structures, kinetics, thermodynamics and mechanisms that underlie conformational exchange processes in proteins remains extremely difficult. Only in favourable cases is it possible to provide atomic-level descriptions of sparsely populated and transiently formed alternative conformations. Here we benchmark the ability of enhanced-sampling molecular dynamics simulations to determine the free energy landscape of the L99A cavity mutant of T4 lysozyme. We find that the simulations capture key properties previously measured by NMR relaxation dispersion methods including the structure of a minor conformation, the kinetics and thermodynamics of conformational exchange, and the effect of mutations. We discover a new tunnel that involves the transient exposure towards the solvent of an internal cavity, and show it to be relevant for ligand escape. Together, our results provide a comprehensive view of the structural landscape of a protein, and point forward to studies of conformational exchange in systems that are less characterized experimentally.

  10. Broadband polygonal invisibility cloak for visible light

    PubMed Central

    Chen, Hongsheng; Zheng, Bin

    2012-01-01

    Invisibility cloaks have recently become a topic of considerable interest thanks to the theoretical works of transformation optics and conformal mapping. The design of the cloak involves extreme values of material properties and spatially dependent parameter tensors, which are very difficult to implement. The realization of an isolated invisibility cloak in the visible light, which is an important step towards achieving a fully movable invisibility cloak, has remained elusive. Here, we report the design and experimental demonstration of an isolated polygonal cloak for visible light. The cloak is made of several elements, whose electromagnetic parameters are designed by a linear homogeneous transformation method. Theoretical analysis shows the proposed cloak can be rendered invisible to the rays incident from all the directions. Using natural anisotropic materials, a simplified hexagonal cloak which works for six incident directions is fabricated for experimental demonstration. The performance is validated in a broadband visible spectrum. PMID:22355767

  11. Distant Galaxy Clusters Hosting Extreme Central Galaxies

    NASA Astrophysics Data System (ADS)

    McDonald, Michael

    2014-09-01

    The recently-discovered Phoenix cluster harbors the most star-forming central cluster galaxy of any cluster in the known Universe, by nearly a factor of 10. This extreme system appears to be fulfilling early cooling flow predictions, although the lack of similar systems makes any interpretation difficult. In an attempt to find other "Phoenix-like" clusters, we have cross-correlated archival all-sky surveys (in which Phoenix was detected) and isolated 4 similarly-extreme systems which are also coincident in position and redshift with an overdensity of red galaxies. We propose here to obtain Chandra observations of these extreme, Phoenix-like systems, in order to confirm them as relaxed, rapidly-cooling galaxy clusters.

  12. Using the SWAT model to improve process descriptions and define hydrologic partitioning in South Korea

    NASA Astrophysics Data System (ADS)

    Shope, C. L.; Maharjan, G. R.; Tenhunen, J.; Seo, B.; Kim, K.; Riley, J.; Arnhold, S.; Koellner, T.; Ok, Y. S.; Peiffer, S.; Kim, B.; Park, J.-H.; Huwe, B.

    2014-02-01

    Watershed-scale modeling can be a valuable tool to aid in quantification of water quality and yield; however, several challenges remain. In many watersheds, it is difficult to adequately quantify hydrologic partitioning. Data scarcity is prevalent, accuracy of spatially distributed meteorology is difficult to quantify, forest encroachment and land use issues are common, and surface water and groundwater abstractions substantially modify watershed-based processes. Our objective is to assess the capability of the Soil and Water Assessment Tool (SWAT) model to capture event-based and long-term monsoonal rainfall-runoff processes in complex mountainous terrain. To accomplish this, we developed a unique quality-control, gap-filling algorithm for interpolation of high-frequency meteorological data. We used a novel multi-location, multi-optimization calibration technique to improve estimations of catchment-wide hydrologic partitioning. The interdisciplinary model was calibrated to a unique combination of statistical, hydrologic, and plant growth metrics. Our results indicate scale-dependent sensitivity of hydrologic partitioning and substantial influence of engineered features. The addition of hydrologic and plant growth objective functions identified the importance of culverts in catchment-wide flow distribution. While this study shows the challenges of applying the SWAT model to complex terrain and extreme environments; by incorporating anthropogenic features into modeling scenarios, we can enhance our understanding of the hydroecological impact.

  13. Recent advances in lipid separations and structural elucidation using mass spectrometry combined with ion mobility spectrometry, ion-molecule reactions and fragmentation approaches

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

    Zheng, Xueyun; Smith, Richard D.; Baker, Erin S.

    Lipids are a vital class of molecules that play important and varied roles in biological processes. Fully understanding lipid roles, however, is extremely difficult since the number and diversity of lipid species is immense, with cells expressing hundreds of enzymes that synthesize tens of thousands of different lipids. While recent advances in chromatography and high resolution mass spectrometry have greatly progressed the understanding of lipid species and functions, effectively separating many lipids still remains problematic. Isomeric lipids have made lipid characterization especially difficult and occur due to subclasses having the same chemical composition, or species having multiple acyl chains connectivitiesmore » (sn-1, sn-2, or sn-3), double bond positions and orientations (cis or trans), and functional group stereochemistry (R versus S). Fully understanding the roles of lipids in biological processes therefore requires separating and evaluating how isomers change in biological and environmental samples. To address this challenge, ion mobility spectrometry separations, ion-molecule reactions and fragmentation techniques have increasingly been added to lipid analysis workflows to improve identifications. In this manuscript, we review the current state of these approaches and their capabilities for improving the identification of specific lipid species.« less

  14. The evolution of teaching.

    PubMed

    Fogarty, L; Strimling, P; Laland, K N

    2011-10-01

    Teaching, alongside imitation, is widely thought to underlie the success of humanity by allowing high-fidelity transmission of information, skills, and technology between individuals, facilitating both cumulative knowledge gain and normative culture. Yet, it remains a mystery why teaching should be widespread in human societies but extremely rare in other animals. We explore the evolution of teaching using simple genetic models in which a single tutor transmits adaptive information to a related pupil at a cost. Teaching is expected to evolve where its costs are outweighed by the inclusive fitness benefits that result from the tutor's relatives being more likely to acquire the valuable information. We find that teaching is not favored where the pupil can easily acquire the information on its own, or through copying others, or for difficult to learn traits, where teachers typically do not possess the information to pass on to relatives. This leads to a narrow range of traits for which teaching would be efficacious, which helps to explain the rarity of teaching in nature, its unusual distribution, and its highly specific nature. Further models that allow for cumulative cultural knowledge gain suggest that teaching evolved in humans because cumulative culture renders otherwise difficult-to-acquire valuable information available to teach. © 2011 The Author(s). Evolution© 2011 The Society for the Study of Evolution.

  15. To the fringe and back: Violent extremism and the psychology of deviance.

    PubMed

    Kruglanski, Arie W; Jasko, Katarzyna; Chernikova, Marina; Dugas, Michelle; Webber, David

    2017-04-01

    We outline a general psychological theory of extremism and apply it to the special case of violent extremism (VE). Extremism is defined as motivated deviance from general behavioral norms and is assumed to stem from a shift from a balanced satisfaction of basic human needs afforded by moderation to a motivational imbalance wherein a given need dominates the others. Because motivational imbalance is difficult to sustain, only few individuals do, rendering extreme behavior relatively rare, hence deviant. Thus, individual dynamics translate into social patterns wherein majorities of individuals practice moderation, whereas extremism is the province of the few. Both extremism and moderation require the ability to successfully carry out the activities that these demand. Ability is partially determined by the activities' difficulty, controllable in part by external agents who promote or oppose extremism. Application of this general framework to VE identifies the specific need that animates it and offers broad guidelines for addressing this pernicious phenomenon. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  16. Identifying Opportunities for Vertical Integration of Biochemistry and Clinical Medicine.

    PubMed

    Wendelberger, Karen J.; Burke, Rebecca; Haas, Arthur L.; Harenwattananon, Marisa; Simpson, Deborah

    1998-01-01

    Objectives: Retention of basic science knowledge, as judged by National Board of Medical Examiners' (NBME) data, suffers due to lack of apparent relevance and isolation of instruction from clinical application, especially in biochemistry. However, the literature reveals no systematic process for identifying key biochemical concepts and associated clinical conditions. This study systematically identified difficult biochemical concepts and their common clinical conditions as a critical step towards enhancing relevance and retention of biochemistry.Methods: A multi-step/ multiple stakeholder process was used to: (1) identify important biochemistry concepts; (2) determine students' perceptions of concept difficulty; (3) assess biochemistry faculty, student, and clinical teaching scholars' perceived relevance of identified concepts; and (4) identify associated common clinical conditions for relevant and difficult concepts. Surveys and a modified Delphi process were used to gather data, subsequently analyzed using SPSS for Windows.Results: Sixteen key biochemical concepts were identified. Second year medical students rated 14/16 concepts as extremely difficult while fourth year students rated nine concepts as moderately to extremely difficult. On average, each teaching scholar generated common clinical conditions for 6.2 of the 16 concepts, yielding a set of seven critical concepts and associated clinical conditions.Conclusions: Key stakeholders in the instructional process struggle to identify biochemistry concepts that are critical, difficult to learn and associated with common clinical conditions. However, through a systematic process beginning with identification of concepts and associated clinical conditions, relevance of basic science instruction can be enhanced.

  17. Patients whom neurologists find difficult to help

    PubMed Central

    Carson, A; Stone, J; Warlow, C; Sharpe, M

    2004-01-01

    Objective: To test the hypothesis that patients whose symptoms were less explained by organic disease would be perceived as more difficult to help. Methods: In a consecutive series of 300 new neurology outpatients, neurologists indicated on four point Likert-type scales how "difficult to help" they found the patient and to what extent the patient's symptoms were explained by organic disease. The patients' demographics, health status, number of somatic symptoms, and mental state were also assessed. Results: The neurologists rated 143 patients (48%) as "not at all difficult" to help, 111 (37%) as "somewhat difficult", 27 (9%) as "very difficult", and 18 (6%) as "extremely difficult". A logistic regression model was constructed and the hypothesis that patients whose symptoms were less explained by organic disease would be perceived as more difficult to help was supported. The only other measured variable that contributed to perceived difficulty was physical disability, but it explained only a small amount of the variance. Conclusions: Neurologists find patients whose symptoms are not explained by organic disease more difficult to help than their other patients. PMID:15548505

  18. Precautions for breast cancer-related lymphoedema: risk from air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and cellulitis.

    PubMed

    Asdourian, Maria S; Skolny, Melissa N; Brunelle, Cheryl; Seward, Cara E; Salama, Laura; Taghian, Alphonse G

    2016-09-01

    Precautionary recommendations conveyed to survivors of cancer by health-care practitioners to reduce the risk of breast cancer-related lymphoedema are indispensable aspects of clinical care, yet remain unsubstantiated by high-level scientific evidence. By reviewing the literature, we identified 31 original research articles that examined whether lifestyle-associated risk factors (air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and skin infections-eg, cellulitis) increase the risk of breast cancer-related lymphoedema. Among the few studies that lend support to precautionary guidelines, most provide low-level (levels 3-5) or inconclusive evidence of an association between lymphoedema and these risk factors, and only four level 2 studies show a significant association. Skin infections and previous infection or inflammation on the ipsilateral arm were among the most clearly defined and well established risk factors for lymphoedema. The paucity of high-level evidence and the conflicting nature of the existing literature make it difficult to establish definitive predictive factors for breast cancer-related lymphoedema, which could be a considerable source of patient distress and anxiety. Along with further research into these risk factors, continued discussion regarding modification of the guidelines and adoption of a risk-adjusted approach is needed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Feasibility, diagnostic validity and limits of postmortem evaluation of a newborn infant following an extremely prolonged freezing interval: a thanatological case study.

    PubMed

    Krajčovič, Jozef; Janík, Martin; Novomeský, František; Straka, Lubomír; Hejna, Petr

    2014-11-01

    In forensic assessment, denial and concealment of pregnancy has wide-ranging implications including criminal abortions, extramural deliveries, concealment of birth, newborn infant abandonment or even neonaticide. Clarification of whether a newborn was born alive is the most important factor when evaluating an abandoned neonate or concealment of birth. Other points that need to be addressed are determination of viability and maturity of the newborn infant, and the identity of the mother. A prolonged postmortem interval following illegal disposal of a dead body often leads to advanced decomposition, making postmortem elucidation difficult. We report an exceptionally uncommon autopsy case of a well-preserved female newborn, which was accidentally found after eight years in a home freezer. Despite the prolonged postmortem interval, tissue preservation was sufficient for a meaningful autopsy including a comprehensive histopathological study. The purpose of the present investigations was to expand our understanding of thanatological processes, as well as detectability of particular histological findings on the remains of a newborn after extremely prolonged storage in an artificially frozen environment. In addition, this article discusses forensically important issues regarding concealment of newborn infant under specific conditions. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  20. Extreme mitochondrial variation in the Atlantic gall crab Opecarcinus hypostegus (Decapoda: Cryptochiridae) reveals adaptive genetic divergence over Agaricia coral hosts

    PubMed Central

    van Tienderen, Kaj M.; van der Meij, Sancia E. T.

    2017-01-01

    The effectiveness of migration in marine species exhibiting a pelagic larval stage is determined by various factors, such as ocean currents, pelagic larval stage duration and active habitat selection. Direct measurement of larval movements is difficult and, consequently, factors determining the gene flow patterns remain poorly understood for many species. Patterns of gene flow play a key role in maintaining genetic homogeneity in a species by dampening the effects of local adaptation. Coral-dwelling gall crabs (Cryptochiridae) are obligate symbionts of stony corals (Scleractinia). Preliminary data showed high genetic diversity on the COI gene for 19 Opecarcinus hypostegus specimens collected off Curaçao. In this study, an additional 176 specimens were sequenced and used to characterize the population structure along the leeward side of Curaçao. Extremely high COI genetic variation was observed, with 146 polymorphic sites and 187 unique haplotypes. To determine the cause of this high genetic diversity, various gene flow scenarios (geographical distance along the coast, genetic partitioning over depth, and genetic differentiation by coral host) were examined. Adaptive genetic divergence across Agariciidae host species is suggested to be the main cause for the observed high intra-specific variance, hypothesised as early signs of speciation in O. hypostegus. PMID:28079106

  1. Frailty and geography: should these two factors be added to the ABCDE contemporary guide to diabetes therapy?

    PubMed

    Maddaloni, Ernesto; D'Onofrio, Luca; Pozzilli, Paolo

    2016-02-01

    On the road towards personalized treatments for type 2 diabetes, we suggest here that two parameters could be added to the ABCDE algorithm, 'F' for frailty and 'G' for geography. Indeed, the progressive ageing of population is causing a simultaneous increase of frailty worldwide. The identification of the optimal therapeutic approach is often difficult in frail subjects because of the complexity of 'frailty syndrome'. Nevertheless, given the relevance of diabetes in the development and progression of frailty, a safe and effective cure of diabetes is extremely important to guarantee a good medical outcome. There are few data about diabetes treatment in this delicate category of patients, and the choice of the appropriate therapy mostly remains a challenge. Moreover, type 2 diabetes affects more than 382 million people of different countries, races and ethnicities. To face the lack of solid evidence-based medicine for the treatment of diabetes in different ethnic groups, it is extremely important to increase knowledge about the different pathophysiology of diabetes according to ethnicity. In this way, a tailored approach to treatment of various ethnic groups living in the same or different regions can eventually be developed. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  2. Neural predictors of evaluative attitudes toward celebrities

    PubMed Central

    Shibata, Kazuhisa; Matsumoto, Kenji; Adolphs, Ralph

    2017-01-01

    Abstract Our attitudes toward others influence a wide range of everyday behaviors and have been the most extensively studied concept in the history of social psychology. Yet they remain difficult to measure reliably and objectively, since both explicit and implicit measures are typically confounded by other psychological processes. We here address the feasibility of decoding incidental attitudes based on brain activations. Participants were presented with pictures of members of a Japanese idol group inside an functional magnetic resonance imaging scanner while performing an unrelated detection task, and subsequently (outside the scanner) performed an incentive-compatible choice task that revealed their attitude toward each celebrity. We used a real-world election scheme that exists for this idol group, which confirmed both strongly negative and strongly positive attitudes toward specific individuals. Whole-brain multivariate analyses (searchlight-based support vector regression) showed that activation patterns in the anterior striatum predicted each participant’s revealed attitudes (choice behavior) using leave-one-out (as well as 4-fold) cross-validation across participants. In contrast, attitude extremity (unsigned magnitude) could be decoded from a distinct region in the posterior striatum. The findings demonstrate dissociable striatal representations of valenced attitude and attitude extremity and constitute a first step toward an objective and process-pure neural measure of attitudes. PMID:27651542

  3. A fire danger rating system for Hawaii

    Treesearch

    Robert E. Burgan; Francis M. Fujioka; George H. Hirata

    1974-01-01

    Extremes in rainfall on the Hawaiian Islands make it difficult to judge forest fire danger conditions. The use of an automatic data collection and computer processing system helps to monitor the problem.

  4. Management of stormwater facility maintenance residuals

    DOT National Transportation Integrated Search

    1998-06-01

    Current research on stormwater maintenance residuals has revealed that the source and nature of these materials is extremely variable, that regulation can be ambiguous, and handling can be costly and difficult. From a regulatory perspective, data ind...

  5. Countering Extremism; Beyond Interagency Cooperation

    DTIC Science & Technology

    2011-04-18

    such as health care, education and welfare for its constituents. Hizballah also garnered credit in Lebanon for forcing Israel to withdraw in... Minster , will likely make the official relationship with the GOL significantly more difficult. 24 “A

  6. Surviving at extremes

    NASA Astrophysics Data System (ADS)

    Dougan, Lorna

    2015-11-01

    Wherever we look on Earth - even in the most inhospitable places - we find life. But how do organisms manage to survive such difficult conditions? Lorna Dougan explains how physicists are helping to unravel the properties of “extremophile” life.

  7. Case study of a floor-cleaning robot

    NASA Astrophysics Data System (ADS)

    Branch, Allan C.

    1998-01-01

    Developing the technologies suitable of ra high level robotic application such as cleaning a floor has proved extremely difficult. Developing the robot mobility technology has been a stumbling block and developing and integrating the applications technology to the machine and the mobility technology has also been a difficult stage in this quest, but doing so in a cost effective and realistic manner suitable for the market place and to compete with humans and manually operated machines has been the most difficult of all. This paper describes one of these quests spanning a 14 year period and resulting in what is hoped will be the world's first commercially manufactured household robot vacuum cleaner.

  8. 78 FR 51267 - Hours of Service of Drivers: National Ready Mixed Concrete Association; Application for Exemption

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-20

    ... rule is extremely difficult due to the numerous variables associated with delivery (e.g., weather... 2 hours resulting from weather or unforeseen construction delays. NRMCA claims that these frequent...

  9. Extremes in ecology: Avoiding the misleading effects of sampling variation in summary analyses

    USGS Publications Warehouse

    Link, W.A.; Sauer, J.R.

    1996-01-01

    Surveys such as the North American Breeding Bird Survey (BBS) produce large collections of parameter estimates. One's natural inclination when confronted with lists of parameter estimates is to look for the extreme values: in the BBS, these correspond to the species that appear to have the greatest changes in population size through time. Unfortunately, extreme estimates are liable to correspond to the most poorly estimated parameters. Consequently, the most extreme parameters may not match up with the most extreme parameter estimates. The ranking of parameter values on the basis of their estimates are a difficult statistical problem. We use data from the BBS and simulations to illustrate the potential misleading effects of sampling variation in rankings of parameters. We describe empirical Bayes and constrained empirical Bayes procedures which provide partial solutions to the problem of ranking in the presence of sampling variation.

  10. Atmospheric rivers and the mass mortality of wild oysters: insight into an extreme future?

    PubMed Central

    Chang, Andrew L.; Deck, Anna; Ferner, Matthew C.

    2016-01-01

    Climate change is predicted to increase the frequency and severity of extreme events. However, the biological consequences of extremes remain poorly resolved owing to their unpredictable nature and difficulty in quantifying their mechanisms and impacts. One key feature delivering precipitation extremes is an atmospheric river (AR), a long and narrow filament of enhanced water vapour transport. Despite recent attention, the biological impacts of ARs remain undocumented. Here, we use biological data coupled with remotely sensed and in situ environmental data to describe the role of ARs in the near 100% mass mortality of wild oysters in northern San Francisco Bay. In March 2011, a series of ARs made landfall within California, contributing an estimated 69.3% of the precipitation within the watershed and driving an extreme freshwater discharge into San Francisco Bay. This discharge caused sustained low salinities (less than 6.3) that almost perfectly matched the known oyster critical salinity tolerance and was coincident with a mass mortality of one of the most abundant populations throughout this species' range. This is a concern, because wild oysters remain a fraction of their historical abundance and have yet to recover. This study highlights a novel mechanism by which precipitation extremes may affect natural systems and the persistence of sensitive species in the face of environmental change. PMID:27974516

  11. Arctic sea ice, Eurasia snow, and extreme winter haze in China.

    PubMed

    Zou, Yufei; Wang, Yuhang; Zhang, Yuzhong; Koo, Ja-Ho

    2017-03-01

    The East China Plains (ECP) region experienced the worst haze pollution on record for January in 2013. We show that the unprecedented haze event is due to the extremely poor ventilation conditions, which had not been seen in the preceding three decades. Statistical analysis suggests that the extremely poor ventilation conditions are linked to Arctic sea ice loss in the preceding autumn and extensive boreal snowfall in the earlier winter. We identify the regional circulation mode that leads to extremely poor ventilation over the ECP region. Climate model simulations indicate that boreal cryospheric forcing enhances the regional circulation mode of poor ventilation in the ECP region and provides conducive conditions for extreme haze such as that of 2013. Consequently, extreme haze events in winter will likely occur at a higher frequency in China as a result of the changing boreal cryosphere, posing difficult challenges for winter haze mitigation but providing a strong incentive for greenhouse gas emission reduction.

  12. Arctic sea ice, Eurasia snow, and extreme winter haze in China

    PubMed Central

    Zou, Yufei; Wang, Yuhang; Zhang, Yuzhong; Koo, Ja-Ho

    2017-01-01

    The East China Plains (ECP) region experienced the worst haze pollution on record for January in 2013. We show that the unprecedented haze event is due to the extremely poor ventilation conditions, which had not been seen in the preceding three decades. Statistical analysis suggests that the extremely poor ventilation conditions are linked to Arctic sea ice loss in the preceding autumn and extensive boreal snowfall in the earlier winter. We identify the regional circulation mode that leads to extremely poor ventilation over the ECP region. Climate model simulations indicate that boreal cryospheric forcing enhances the regional circulation mode of poor ventilation in the ECP region and provides conducive conditions for extreme haze such as that of 2013. Consequently, extreme haze events in winter will likely occur at a higher frequency in China as a result of the changing boreal cryosphere, posing difficult challenges for winter haze mitigation but providing a strong incentive for greenhouse gas emission reduction. PMID:28345056

  13. Durable nonslip stainless-steel drivebelts

    NASA Technical Reports Server (NTRS)

    Bahiman, H.

    1979-01-01

    Two toothed stainless-steel drive belt retains its strength and flexibility in extreme heat or cold, intense radiation, or under high loading. Belt does not stretch or slip and is particularly suited to machinery for which replacement is difficult or impossible.

  14. Reexamining ultrafiltration and solute transport in groundwater

    NASA Astrophysics Data System (ADS)

    Neuzil, C. E.; Person, Mark

    2017-06-01

    Geologic ultrafiltration—slowing of solutes with respect to flowing groundwater—poses a conundrum: it is consistently observed experimentally in clay-rich lithologies, but has been difficult to identify in subsurface data. Resolving this could be important for clarifying clay and shale transport properties at large scales as well as interpreting solute and isotope patterns for applications ranging from nuclear waste repository siting to understanding fluid transport in tectonically active environments. Simulations of one-dimensional NaCl transport across ultrafiltering clay membrane strata constrained by emerging data on geologic membrane properties showed different ultrafiltration effects than have often been envisioned. In relatively high-permeability advection-dominated regimes, salinity increases occurred mostly within membrane units while their effluent salinity initially fell and then rose to match solute delivery. In relatively low-permeability diffusion-dominated regimes, salinity peaked at the membrane upstream boundary and effluent salinity remained low. In both scenarios, however, only modest salinity changes (up to ˜3 g L-1) occurred because of self-limiting tendencies; membrane efficiency declines as salinity rises, and although sediment compaction increases efficiency, it is also decreases permeability and allows diffusive transport to dominate. It appears difficult for ultrafiltration to generate brines as speculated, but widespread and less extreme ultrafiltration effects in the subsurface could be unrecognized. Conditions needed for ultrafiltration are present in settings that include topographically-driven flow systems, confined aquifer systems subjected to injection or withdrawal, compacting basins, and accretionary complexes.

  15. Primary cardiac lymphoma. A case report and review.

    PubMed

    Montalbetti, L; Della Volpe, A; Airaghi, M L; Landoni, C; Brambilla-Pisoni, G; Pozzi, S

    1999-05-01

    Primary cardiac lymphoma is classically defined as an extranodal non-Hodgkin's lymphoma exclusively located in the heart and/or pericardium. However, over the last few years, this definition has been extended to include other localizations on condition that these are clearly less important then a cardiac site, that must remain the first, during the illness course, and the most important for its entity. PCL is extremely rare in immunocompetent patients, accounting for 1.3% of all cardiac tumours and 0.5% of all extranodal lymphomas, but it has been encountered with increasing frequency in patients with AIDS or other severe immunodepressive syndromes. PCL is difficult to diagnose, especially during the early stage of the disease, because of its non-specific clinical manifestations, the limited possibility of using non-invasive diagnostic techniques, and difficulties or delays in applying invasive methods. The malignancy of its histotypes and its delicate location are responsible for its rapid and frequently unfavourable evolution. Successful treatment, which is mainly based on anthracycline-containing polychemotherapies, is heavily dependent on an early diagnosis. After a general review of the literature, the authors describe the clinical case of a patient with a PCL that had a secondary central nervous system location, treated with polychemotherapy and autologous peripheral blood stem cell transplantation. Emphasis is placed on the fact that it is more difficult to eradicate the disease from the central nervous system than from the heart.

  16. Reexamining ultrafiltration and solute transport in groundwater

    USGS Publications Warehouse

    Neuzil, Christopher E.; Person, Mark

    2017-01-01

    Geologic ultrafiltration—slowing of solutes with respect to flowing groundwater—poses a conundrum: it is consistently observed experimentally in clay-rich lithologies, but has been difficult to identify in subsurface data. Resolving this could be important for clarifying clay and shale transport properties at large scales as well as interpreting solute and isotope patterns for applications ranging from nuclear waste repository siting to understanding fluid transport in tectonically active environments. Simulations of one-dimensional NaCl transport across ultrafiltering clay membrane strata constrained by emerging data on geologic membrane properties showed different ultrafiltration effects than have often been envisioned. In relatively high-permeability advection-dominated regimes, salinity increases occurred mostly within membrane units while their effluent salinity initially fell and then rose to match solute delivery. In relatively low-permeability diffusion-dominated regimes, salinity peaked at the membrane upstream boundary and effluent salinity remained low. In both scenarios, however, only modest salinity changes (up to ∼3 g L−1) occurred because of self-limiting tendencies; membrane efficiency declines as salinity rises, and although sediment compaction increases efficiency, it is also decreases permeability and allows diffusive transport to dominate. It appears difficult for ultrafiltration to generate brines as speculated, but widespread and less extreme ultrafiltration effects in the subsurface could be unrecognized. Conditions needed for ultrafiltration are present in settings that include topographically-driven flow systems, confined aquifer systems subjected to injection or withdrawal, compacting basins, and accretionary complexes.

  17. Rosetta Structure Prediction as a Tool for Solving Difficult Molecular Replacement Problems.

    PubMed

    DiMaio, Frank

    2017-01-01

    Molecular replacement (MR), a method for solving the crystallographic phase problem using phases derived from a model of the target structure, has proven extremely valuable, accounting for the vast majority of structures solved by X-ray crystallography. However, when the resolution of data is low, or the starting model is very dissimilar to the target protein, solving structures via molecular replacement may be very challenging. In recent years, protein structure prediction methodology has emerged as a powerful tool in model building and model refinement for difficult molecular replacement problems. This chapter describes some of the tools available in Rosetta for model building and model refinement specifically geared toward difficult molecular replacement cases.

  18. Computing return times or return periods with rare event algorithms

    NASA Astrophysics Data System (ADS)

    Lestang, Thibault; Ragone, Francesco; Bréhier, Charles-Edouard; Herbert, Corentin; Bouchet, Freddy

    2018-04-01

    The average time between two occurrences of the same event, referred to as its return time (or return period), is a useful statistical concept for practical applications. For instance insurances or public agencies may be interested by the return time of a 10 m flood of the Seine river in Paris. However, due to their scarcity, reliably estimating return times for rare events is very difficult using either observational data or direct numerical simulations. For rare events, an estimator for return times can be built from the extrema of the observable on trajectory blocks. Here, we show that this estimator can be improved to remain accurate for return times of the order of the block size. More importantly, we show that this approach can be generalised to estimate return times from numerical algorithms specifically designed to sample rare events. So far those algorithms often compute probabilities, rather than return times. The approach we propose provides a computationally extremely efficient way to estimate numerically the return times of rare events for a dynamical system, gaining several orders of magnitude of computational costs. We illustrate the method on two kinds of observables, instantaneous and time-averaged, using two different rare event algorithms, for a simple stochastic process, the Ornstein–Uhlenbeck process. As an example of realistic applications to complex systems, we finally discuss extreme values of the drag on an object in a turbulent flow.

  19. Hypothalamic obesity after treatment for craniopharyngioma: the importance of the home environment.

    PubMed

    Meijneke, Ruud W H; Schouten-van Meeteren, Antoinette Y N; de Boer, Nienke Y; van Zundert, Suzanne; van Trotsenburg, Paul A S; Stoelinga, Femke; van Santen, Hanneke M

    2015-01-01

    Hypothalamic obesity after treatment for craniopharyngioma is a well-recognized, severe problem. Treatment of hypothalamic obesity is difficult and often frustrating for the patient, the parents and the professional care-giver. Because hypothalamic obesity is caused by an underlying medical disorder, it is often assumed that regular diet and exercise are not beneficial to reduce the extraordinarily high body mass index, and in fact, lifestyle interventions have been shown to be insufficient in case of extreme hypothalamic obesity. Nevertheless, it is important to realize that also in this situation, informal care delivered by the family and appropriate parenting styles are required to minimize the obesity problem. We present a case in which weight gain in the home situation was considered unstoppable, and a very early mortality due to complications of the severe increasing obesity was considered inevitable. A permissive approach toward food intake became leading with rapid weight increase since a restrictive lifestyle was considered a senseless burden for the child. By admission to our hospital for a longer period of time, weight reduction was realized, and the merely permissive approach could be changed into active purposeful care by adequate information, instruction, guidance and encouragement of the affected child and her parents. This case illustrates that, although this type of obesity has a pathological origin, parental and environmental influences remain of extreme importance.

  20. Neural predictors of evaluative attitudes toward celebrities.

    PubMed

    Izuma, Keise; Shibata, Kazuhisa; Matsumoto, Kenji; Adolphs, Ralph

    2017-03-01

    Our attitudes toward others influence a wide range of everyday behaviors and have been the most extensively studied concept in the history of social psychology. Yet they remain difficult to measure reliably and objectively, since both explicit and implicit measures are typically confounded by other psychological processes. We here address the feasibility of decoding incidental attitudes based on brain activations. Participants were presented with pictures of members of a Japanese idol group inside an functional magnetic resonance imaging scanner while performing an unrelated detection task, and subsequently (outside the scanner) performed an incentive-compatible choice task that revealed their attitude toward each celebrity. We used a real-world election scheme that exists for this idol group, which confirmed both strongly negative and strongly positive attitudes toward specific individuals. Whole-brain multivariate analyses (searchlight-based support vector regression) showed that activation patterns in the anterior striatum predicted each participant's revealed attitudes (choice behavior) using leave-one-out (as well as 4-fold) cross-validation across participants. In contrast, attitude extremity (unsigned magnitude) could be decoded from a distinct region in the posterior striatum. The findings demonstrate dissociable striatal representations of valenced attitude and attitude extremity and constitute a first step toward an objective and process-pure neural measure of attitudes. © The Author (2016). Published by Oxford University Press. For Permissions, please email: journals.permissions@oup.com.

  1. Equipment modifications for perennial nutsedge control in fallow organic transition

    USDA-ARS?s Scientific Manuscript database

    Perennial nutsedges are extremely difficult to control in organic crop transition and production systems. Herbicides suitable for use in certified organic production do not adequately control perennial nutsedges. Cultural and mechanical control are partially effective in controlling perennial nuts...

  2. Acupuncture and Deaf-Mutism--An Essay in Cross-Cultural Defectology

    ERIC Educational Resources Information Center

    Sutton, Andrew

    1977-01-01

    Describes reportedly successful treatment of deaf-mutes in China by acupuncture, and suggests that the disorders might have been more psychological than physical. The author comments that interpretation of poorly documented reports from unfamiliar cultures is extremely difficult. (AV)

  3. Malignant solitary fibrous tumor in the extremity: Cytopathologic findings

    PubMed Central

    Khanchel, Fatma; Driss, Maha; Mrad, Karima; Romdhane, Khaled Ben

    2012-01-01

    Malignant solitary fibrous tumor (SFT) is an extremely rare neoplasm. There are only rare published accounts of the cytopathologic features of this tumor. We report a case of a 59-year-old woman presented with a 10-year history of a right thigh mass. A preoperative fine needle aspiration (FNA) was performed. Smears were hypercellular, with cohesive and crowded tissue fragments, haphazard cell arrangements and many single cells. The tumor cells were polymorphous, plump spindled or round with often indented or bare nuclei. A differential diagnosis of low grade sarcoma was favored. The diagnosis of malignant SFT is extremely difficult on FNA and must be included in the differential diagnosis of spindle cell neoplasms. PMID:22787298

  4. Bayes Factors Unmask Highly Variable Information Content, Bias, and Extreme Influence in Phylogenomic Analyses.

    PubMed

    Brown, Jeremy M; Thomson, Robert C

    2017-07-01

    As the application of genomic data in phylogenetics has become routine, a number of cases have arisen where alternative data sets strongly support conflicting conclusions. This sensitivity to analytical decisions has prevented firm resolution of some of the most recalcitrant nodes in the tree of life. To better understand the causes and nature of this sensitivity, we analyzed several phylogenomic data sets using an alternative measure of topological support (the Bayes factor) that both demonstrates and averts several limitations of more frequently employed support measures (such as Markov chain Monte Carlo estimates of posterior probabilities). Bayes factors reveal important, previously hidden, differences across six "phylogenomic" data sets collected to resolve the phylogenetic placement of turtles within Amniota. These data sets vary substantially in their support for well-established amniote relationships, particularly in the proportion of genes that contain extreme amounts of information as well as the proportion that strongly reject these uncontroversial relationships. All six data sets contain little information to resolve the phylogenetic placement of turtles relative to other amniotes. Bayes factors also reveal that a very small number of extremely influential genes (less than 1% of genes in a data set) can fundamentally change significant phylogenetic conclusions. In one example, these genes are shown to contain previously unrecognized paralogs. This study demonstrates both that the resolution of difficult phylogenomic problems remains sensitive to seemingly minor analysis details and that Bayes factors are a valuable tool for identifying and solving these challenges. © The Author(s) 2016. Published by Oxford University Press, on behalf of the Society of Systematic Biologists. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  5. Monodisperse Latex Reactor (MLR): A materials processing space shuttle mid-deck payload

    NASA Technical Reports Server (NTRS)

    Kornfeld, D. M.

    1985-01-01

    The monodisperse latex reactor experiment has flown five times on the space shuttle, with three more flights currently planned. The objectives of this project is to manufacture, in the microgravity environment of space, large particle-size monodisperse polystyrene latexes in particle sizes larger and more uniform than can be manufactured on Earth. Historically it has been extremely difficult, if not impossible to manufacture in quantity very high quality monodisperse latexes on Earth in particle sizes much above several micrometers in diameter due to buoyancy and sedimentation problems during the polymerization reaction. However the MLR project has succeeded in manufacturing in microgravity monodisperse latex particles as large as 30 micrometers in diameter with a standard deviation of 1.4 percent. It is expected that 100 micrometer particles will have been produced by the completion of the the three remaining flights. These tiny, highly uniform latex microspheres have become the first material to be commercially marketed that was manufactured in space.

  6. On the matter of synovial fluid lubrication: implications for Metal-on-Metal hip tribology.

    PubMed

    Myant, Connor; Cann, Philippa

    2014-06-01

    Artificial articular joints present an interesting, and difficult, tribological problem. These bearing contacts undergo complex transient loading and multi axes kinematic cycles, over extremely long periods of time (>10 years). Despite extensive research, wear of the bearing surfaces, particularly metal-metal hips, remains a major problem. Comparatively little is known about the prevailing lubrication mechanism in artificial joints which is a serious gap in our knowledge as this determines film formation and hence wear. In this paper we review the accepted lubrication models for artificial hips and present a new concept to explain film formation with synovial fluid. This model, recently proposed by the authors, suggests that interfacial film formation is determined by rheological changes local to the contact and is driven by aggregation of synovial fluid proteins. The implications of this new mechanism for the tribological performance of new implant designs and the effect of patient synovial fluid properties are discussed. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. A Principal Component Analysis of the Diffuse Interstellar Bands

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

    Ensor, T.; Cami, J.; Bhatt, N. H.

    2017-02-20

    We present a principal component (PC) analysis of 23 line-of-sight parameters (including the strengths of 16 diffuse interstellar bands, DIBs) for a well-chosen sample of single-cloud sightlines representing a broad range of environmental conditions. Our analysis indicates that the majority (∼93%) of the variations in the measurements can be captured by only four parameters The main driver (i.e., the first PC) is the amount of DIB-producing material in the line of sight, a quantity that is extremely well traced by the equivalent width of the λ 5797 DIB. The second PC is the amount of UV radiation, which correlates wellmore » with the λ 5797/ λ 5780 DIB strength ratio. The remaining two PCs are more difficult to interpret, but are likely related to the properties of dust in the line of sight (e.g., the gas-to-dust ratio). With our PCA results, the DIBs can then be used to estimate these line-of-sight parameters.« less

  8. Mapping transiently formed and sparsely populated conformations on a complex energy landscape

    PubMed Central

    Wang, Yong; Papaleo, Elena; Lindorff-Larsen, Kresten

    2016-01-01

    Determining the structures, kinetics, thermodynamics and mechanisms that underlie conformational exchange processes in proteins remains extremely difficult. Only in favourable cases is it possible to provide atomic-level descriptions of sparsely populated and transiently formed alternative conformations. Here we benchmark the ability of enhanced-sampling molecular dynamics simulations to determine the free energy landscape of the L99A cavity mutant of T4 lysozyme. We find that the simulations capture key properties previously measured by NMR relaxation dispersion methods including the structure of a minor conformation, the kinetics and thermodynamics of conformational exchange, and the effect of mutations. We discover a new tunnel that involves the transient exposure towards the solvent of an internal cavity, and show it to be relevant for ligand escape. Together, our results provide a comprehensive view of the structural landscape of a protein, and point forward to studies of conformational exchange in systems that are less characterized experimentally. DOI: http://dx.doi.org/10.7554/eLife.17505.001 PMID:27552057

  9. Telemedicine and Palliative Care: an Increasing Role in Supportive Oncology.

    PubMed

    Worster, Brooke; Swartz, Kristine

    2017-06-01

    With the emergence of telemedicine as a routine form of care in various venues, the opportunities to use technology to care for the most vulnerable, most ill cancer patients are extremely appealing. Increasingly, evidence supports early integration of palliative care with standard oncologic care, supported by recent NCCN guidelines to increase and improve access to palliative care. This review looks at the use of telemedicine to expand access to palliative care as well as provide better care for patients and families where travel is difficult, if not impossible. When telemedicine has been used, often in Europe, for palliative care, the results show improvements in symptom management, comfort with care as well as patient and family satisfaction. One barrier to use of telemedicine is the concerns with technology and technology-related complications in population that is often elderly, frail and not always comfortable with non-face-to-face physician care. There remain significant opportunities to explore this intersection of supportive care and telemedicine.

  10. Evolution caused by extreme events.

    PubMed

    Grant, Peter R; Grant, B Rosemary; Huey, Raymond B; Johnson, Marc T J; Knoll, Andrew H; Schmitt, Johanna

    2017-06-19

    Extreme events can be a major driver of evolutionary change over geological and contemporary timescales. Outstanding examples are evolutionary diversification following mass extinctions caused by extreme volcanism or asteroid impact. The evolution of organisms in contemporary time is typically viewed as a gradual and incremental process that results from genetic change, environmental perturbation or both. However, contemporary environments occasionally experience strong perturbations such as heat waves, floods, hurricanes, droughts and pest outbreaks. These extreme events set up strong selection pressures on organisms, and are small-scale analogues of the dramatic changes documented in the fossil record. Because extreme events are rare, almost by definition, they are difficult to study. So far most attention has been given to their ecological rather than to their evolutionary consequences. We review several case studies of contemporary evolution in response to two types of extreme environmental perturbations, episodic (pulse) or prolonged (press). Evolution is most likely to occur when extreme events alter community composition. We encourage investigators to be prepared for evolutionary change in response to rare events during long-term field studies.This article is part of the themed issue 'Behavioural, ecological and evolutionary responses to extreme climatic events'. © 2017 The Author(s).

  11. High intensity focused ultrasound surgery (HIFU) of the brain: A historical perspective, with modern applications

    PubMed Central

    Jagannathan, Jay; Sanghvi, Narendra K; Crum, Lawrence A; Yen, Chun-Po; Medel, Ricky; Dumont, Aaron S; Sheehan, Jason P; Steiner, Ladislau; Jolesz, Ferenc; Kassell, Neal F

    2014-01-01

    The field of MRI-guided high intensity focused ultrasound surgery (MRgFUS) is a rapidly evolving one with many potential applications in neurosurgery. This is the first of three articles on MRgFUS, this paper focuses on the historical development of the technology and it's potential applications to modern neurosurgery. The evolution of MRgFUS has occurred in parallel with modern neurological surgery and the two seemingly distinct disciplines share many of the same pioneering figures. Early studies on focused ultrasound treatment in the 1940's and 1950's demonstrated the ability to perform precise lesioning in the human brain, with a favorable risk-benefit profile. However, the need for a craniotomy, as well as lack of sophisticated imaging technology resulted in limited growth of HIFU for neurosurgery. More recently, technological advances, have permitted the combination of HIFU along with MRI guidance to provide an opportunity to effectively treat a variety of CNS disorders. Although challenges remain, HIFU-mediated neurosurgery may offer the ability to target and treat CNS conditions that were previously extremely difficult to perform. The remaining two articles in this series will focus on the physical principles of modern MRgFUS as well as current and future avenues for investigation. PMID:19190451

  12. Assessment of geraniol-incorporated polymers to control Aedes albopictus (Diptera: culicidae)

    PubMed Central

    Chuaycharoensuk, T.; Manguin, S.; Duvallet, G.; Chareonviriyaphap, T.

    2012-01-01

    Effective control of mosquito borne diseases has proven extremely difficult with both vector and pathogen remaining entrenched and expanding in many disease endemic areas. When lacking an effective vaccine, vector control methods targeting both larval habitats and adult mosquito populations remain the primary strategy for reducing risk. Aedes albopictus from Thailand was used as a reference baseline for evaluation of natural insecticides incorporated in polymer disks and pellets and tested both in laboratory and field conditions. In laboratory and field tests, the highest larval mortality was obtained with disks or pellets containing IKHC (Insect Killer Highly Concentrate) from Fulltec AG Company. This product is reputed to contain geraniol as an active ingredient. With pellets, high mortality of Ae. albopictus larvae (92%) was observed in presence of 1 g of pellets per 500 ml of water at day 1st, and the mortality was 100% at day 1st for larvae in presence of 5 or 10 g of pellets. Fulltec AG Company has not accepted to give us the exact composition of their IKHC product. Therefore, we cannot recommend it, but the principle of using monoterpenes like geraniol, incorporated into polymer disks or pellets as natural larvicide needs more attention as it could be considered as a powerful alternative in mosquito vector control. PMID:22910616

  13. Complex regional pain syndrome (CRPS/RSD) and neuropathic pain: role of intravenous bisphosphonates as analgesics.

    PubMed

    Yanow, Jennifer; Pappagallo, Marco; Pillai, Letha

    2008-02-25

    Neuropathic pain is a sequela of dysfunction, injuries, or diseases of the peripheral and/or central nervous system pain pathways, which has historically been extremely difficult to treat. Complex regional pain syndrome (CRPS) types 1 and 2 are neuropathic pain conditions that have a long history in the medical literature but whose pathophysiology remains elusive and whose available treatment options remain few. While an exact animal model for CRPS doesn't yet exist, there are several animal models of neuropathic pain that develop behaviors of hypersensitivity, one of the hallmark signs of neuropathic pain in humans. Bisphosphonates have been used for pathologic conditions associated with abnormal bone metabolism, such as osteoporosis, Paget's disease and cancer-related bone pain for many years. More recently, results of clinical trials have indicated the potential role of bisphosphonates in the treatment of CRPS/RSD. In this paper we will review the preclinical studies regarding the use of bisphosphonates as analgesics in animal models of neuropathic pain, and also summarize the clinical trials that have been done to date. We will give an overview of bisphosphonate pharmacology and discuss several potential mechanisms by which bisphosphonates may be analgesic in CRPS/RSD and bone pain of noncancer origin.

  14. Paediatric arterial ischemic stroke: acute management, recent advances and remaining issues.

    PubMed

    Rosa, Margherita; De Lucia, Silvana; Rinaldi, Victoria Elisa; Le Gal, Julie; Desmarest, Marie; Veropalumbo, Claudio; Romanello, Silvia; Titomanlio, Luigi

    2015-12-02

    Stroke is a rare disease in childhood with an estimated incidence of 1-6/100.000. It has an increasingly recognised impact on child mortality along with its outcomes and effects on quality of life of patients and their families. Clinical presentation and risk factors of paediatric stroke are different to those of adults therefore it can be considered as an independent nosological entity. The relative rarity, the age-related peculiarities and the variety of manifested symptoms makes the diagnosis of paediatric stroke extremely difficult and often delayed. History and clinical examination should investigate underlying diseases or predisposing factors and should take into account the potential territoriality of neurological deficits and the spectrum of differential diagnosis of acute neurological accidents in childhood. Neuroimaging (in particular diffusion weighted magnetic resonance) is the keystone for diagnosis of paediatric stroke and other investigations might be considered according to the clinical condition. Despite substantial advances in paediatric stroke research and clinical care, many unanswered questions remain concerning both its acute treatment and its secondary prevention and rehabilitation so that treatment recommendations are mainly extrapolated from studies on adult population. We have tried to summarize the pathophysiological and clinical characteristics of arterial ischemic stroke in children and the most recent international guidelines and practical directions on how to recognise and manage it in paediatric emergency.

  15. Congenital Differences of the Upper Extremity: Classification and Treatment Principles

    PubMed Central

    2011-01-01

    For hand surgeons, the treatment of children with congenital differences of the upper extremity is challenging because of the diverse spectrum of conditions encountered, but the task is also rewarding because it provides surgeons with the opportunity to impact a child's growth and development. An ideal classification of congenital differences of the upper extremity would reflect the full spectrum of morphologic abnormalities and encompass etiology, a guide to treatment, and provide prognoses. In this report, I review current classification systems and discuss their contradictions and limitations. In addition, I present a modified classification system and provide treatment principles. As our understanding of the etiology of congenital differences of the upper extremity increases and as experience of treating difficult cases accumulates, even an ideal classification system and optimal treatment strategies will undoubtedly continue to evolve. PMID:21909463

  16. Atmospheric rivers and the mass mortality of wild oysters: insight into an extreme future?

    PubMed

    Cheng, Brian S; Chang, Andrew L; Deck, Anna; Ferner, Matthew C

    2016-12-14

    Climate change is predicted to increase the frequency and severity of extreme events. However, the biological consequences of extremes remain poorly resolved owing to their unpredictable nature and difficulty in quantifying their mechanisms and impacts. One key feature delivering precipitation extremes is an atmospheric river (AR), a long and narrow filament of enhanced water vapour transport. Despite recent attention, the biological impacts of ARs remain undocumented. Here, we use biological data coupled with remotely sensed and in situ environmental data to describe the role of ARs in the near 100% mass mortality of wild oysters in northern San Francisco Bay. In March 2011, a series of ARs made landfall within California, contributing an estimated 69.3% of the precipitation within the watershed and driving an extreme freshwater discharge into San Francisco Bay. This discharge caused sustained low salinities (less than 6.3) that almost perfectly matched the known oyster critical salinity tolerance and was coincident with a mass mortality of one of the most abundant populations throughout this species' range. This is a concern, because wild oysters remain a fraction of their historical abundance and have yet to recover. This study highlights a novel mechanism by which precipitation extremes may affect natural systems and the persistence of sensitive species in the face of environmental change. © 2016 The Author(s).

  17. [The evaluation of science].

    PubMed

    Ramiro-H, Manuel; Cruz-A, J Enrique; García-Gómez, Francisco

    2017-01-01

    The evaluation and quantification of scientific activity is an extremely complex task. Evaluation of research results is often difficult, and different indicators for the quantification and evaluation of scientific publications have been identified, as well as the development and success of the training programs of researchers.

  18. n-Alcohol/Water Partition Coefficients for Decachlorobiphenyl (PCB 209)

    EPA Science Inventory

    Measurements of n-octanol/water partition coefficients (Kow) for highly hydrophobic chemicals are extremely difficult and are rarely made, in part due to the large volumes of water typically needed to quantify these compounds in the aqueous phase. An extrapolation approach using ...

  19. Uncertainty in determining extreme precipitation thresholds

    NASA Astrophysics Data System (ADS)

    Liu, Bingjun; Chen, Junfan; Chen, Xiaohong; Lian, Yanqing; Wu, Lili

    2013-10-01

    Extreme precipitation events are rare and occur mostly on a relatively small and local scale, which makes it difficult to set the thresholds for extreme precipitations in a large basin. Based on the long term daily precipitation data from 62 observation stations in the Pearl River Basin, this study has assessed the applicability of the non-parametric, parametric, and the detrended fluctuation analysis (DFA) methods in determining extreme precipitation threshold (EPT) and the certainty to EPTs from each method. Analyses from this study show the non-parametric absolute critical value method is easy to use, but unable to reflect the difference of spatial rainfall distribution. The non-parametric percentile method can account for the spatial distribution feature of precipitation, but the problem with this method is that the threshold value is sensitive to the size of rainfall data series and is subjected to the selection of a percentile thus make it difficult to determine reasonable threshold values for a large basin. The parametric method can provide the most apt description of extreme precipitations by fitting extreme precipitation distributions with probability distribution functions; however, selections of probability distribution functions, the goodness-of-fit tests, and the size of the rainfall data series can greatly affect the fitting accuracy. In contrast to the non-parametric and the parametric methods which are unable to provide information for EPTs with certainty, the DFA method although involving complicated computational processes has proven to be the most appropriate method that is able to provide a unique set of EPTs for a large basin with uneven spatio-temporal precipitation distribution. The consistency between the spatial distribution of DFA-based thresholds with the annual average precipitation, the coefficient of variation (CV), and the coefficient of skewness (CS) for the daily precipitation further proves that EPTs determined by the DFA method are more reasonable and applicable for the Pearl River Basin.

  20. Method For Synthesizing Extremely High-Temperature Melting Materials

    DOEpatents

    Saboungi, Marie-Louise; Glorieux, Benoit

    2005-11-22

    The invention relates to a method of synthesizing high-temperature melting materials. More specifically the invention relates to a containerless method of synthesizing very high temperature melting materials such as borides, carbides and transition-metal, lanthanide and actinide oxides, using an Aerodynamic Levitator and a laser. The object of the invention is to provide a method for synthesizing extremely high-temperature melting materials that are otherwise difficult to produce, without the use of containers, allowing the manipulation of the phase (amorphous/crystalline/metastable) and permitting changes of the environment such as different gaseous compositions.

  1. Method for synthesizing extremely high-temperature melting materials

    DOEpatents

    Saboungi, Marie-Louise; Glorieux, Benoit

    2007-11-06

    The invention relates to a method of synthesizing high-temperature melting materials. More specifically the invention relates to a containerless method of synthesizing very high temperature melting materials such as carbides and transition-metal, lanthanide and actinide oxides, using an aerodynamic levitator and a laser. The object of the invention is to provide a method for synthesizing extremely high-temperature melting materials that are otherwise difficult to produce, without the use of containers, allowing the manipulation of the phase (amorphous/crystalline/metastable) and permitting changes of the environment such as different gaseous compositions.

  2. Applied extreme-value statistics

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

    Kinnison, R.R.

    1983-05-01

    The statistical theory of extreme values is a well established part of theoretical statistics. Unfortunately, it is seldom part of applied statistics and is infrequently a part of statistical curricula except in advanced studies programs. This has resulted in the impression that it is difficult to understand and not of practical value. In recent environmental and pollution literature, several short articles have appeared with the purpose of documenting all that is necessary for the practical application of extreme value theory to field problems (for example, Roberts, 1979). These articles are so concise that only a statistician can recognise all themore » subtleties and assumptions necessary for the correct use of the material presented. The intent of this text is to expand upon several recent articles, and to provide the necessary statistical background so that the non-statistician scientist can recognize and extreme value problem when it occurs in his work, be confident in handling simple extreme value problems himself, and know when the problem is statistically beyond his capabilities and requires consultation.« less

  3. Exact simulation of max-stable processes.

    PubMed

    Dombry, Clément; Engelke, Sebastian; Oesting, Marco

    2016-06-01

    Max-stable processes play an important role as models for spatial extreme events. Their complex structure as the pointwise maximum over an infinite number of random functions makes their simulation difficult. Algorithms based on finite approximations are often inexact and computationally inefficient. We present a new algorithm for exact simulation of a max-stable process at a finite number of locations. It relies on the idea of simulating only the extremal functions, that is, those functions in the construction of a max-stable process that effectively contribute to the pointwise maximum. We further generalize the algorithm by Dieker & Mikosch (2015) for Brown-Resnick processes and use it for exact simulation via the spectral measure. We study the complexity of both algorithms, prove that our new approach via extremal functions is always more efficient, and provide closed-form expressions for their implementation that cover most popular models for max-stable processes and multivariate extreme value distributions. For simulation on dense grids, an adaptive design of the extremal function algorithm is proposed.

  4. STEAM INJECTION REMEDIATION IN FRACTURED BEDROCK AT LORING AIR FORCE BASE

    EPA Science Inventory

    Contaminated groundwater occurs at many Superfund, RCRA, and Brownfields sites. Chlorinated solvents which can form a dense nonaqueous phase (DNAPL) when released to the subsurface can pose an extreme challenge for remediation, as DNAPLs are often difficult to locate and even ha...

  5. Defining Adequacy: Implications for School Business Officials.

    ERIC Educational Resources Information Center

    Picus, Lawrence O.

    1999-01-01

    Whereas equity generally focuses on relative levels or distributions of funds, adequacy stresses providing sufficient and absolute funding levels to produce desired student outcomes. Adequacy underlies many recent court decisions. Estimating costs of an adequate education is extremely difficult. School business officials must develop better…

  6. Identification of source-sink dynamics in mountain lions of the Great Basin

    USDA-ARS?s Scientific Manuscript database

    Understanding population boundaries and movement rates in the field for species that are cryptic and occur at low densities is often extremely difficult and logistically prohibitive; however genetic techniques may offer insights that have previously been unattainable. We analyzed thirteen microsatel...

  7. Field Scale Monitoring and Modeling of Water and Chemical Transfer in the Vadose Zone

    USDA-ARS?s Scientific Manuscript database

    Natural resource systems involve highly complex interactions of soil-plant-atmosphere-management components that are extremely difficult to quantitatively describe. Computer simulations for prediction and management of watersheds, water supply areas, and agricultural fields and farms have become inc...

  8. Advances in Laryngoscopy.

    PubMed

    Aziz, Michael

    2015-01-01

    Recent technological advances have made airway management safer. Because difficult intubation remains challenging to predict, having tools readily available that can be used to manage a difficult airway in any setting is critical. Fortunately, video technology has resulted in improvements for intubation performance while using laryngoscopy by various means. These technologies have been applied to rigid optical stylets, flexible intubation scopes, and, most notably, rigid laryngoscopes. These tools have proven effective for the anticipated difficult airway as well as the unanticipated difficult airway.

  9. Wavelength Comparisons

    NASA Image and Video Library

    2018-04-02

    NASA's Solar Dynamics Observatory ran together three sequences of the sun taken in three different extreme ultraviolet wavelengths to better illustrate how different features that appear in one sequence are difficult if not impossible to see in the others (Mar. 20-21, 2018). In the red sequence (304 Angstroms), we can see very small spicules and some small prominences at the sun's edge, which are not easy to see in the other two sequences. In the second clip (193 Angstroms), we can readily observe the large and dark coronal hole, though it is difficult to make out in the others. In the third clip (171 wavelengths), we can see strands of plasma waving above the surface, especially above the one small, but bright, active region near the right edge. And these are just three of the 10 extreme ultraviolet wavelengths in which SDO images the sun every 12 seconds every day. That's a lot of data and a lot of science. Movies are available at https://photojournal.jpl.nasa.gov/catalog/PIA22360

  10. The Analytic Hierarchy Process and Participatory Decisionmaking

    Treesearch

    Daniel L. Schmoldt; Daniel L. Peterson; Robert L. Smith

    1995-01-01

    Managing natural resource lands requires social, as well as biophysical, considerations. Unfortunately, it is extremely difficult to accurately assess and quantify changing social preferences, and to aggregate conflicting opinions held by diverse social groups. The Analytic Hierarchy Process (AHP) provides a systematic, explicit, rigorous, and robust mechanism for...

  11. Forage kochia and Russian wildrye potential for rehabilitating Gardner's saltbush ecosystems degraded by halogeton

    USDA-ARS?s Scientific Manuscript database

    Gardner saltbush ecosystems are increasingly being invaded by halogeton (Halogeton glomeratus), which is extremely competitive and believed to increase soil surface salinity making it difficult to establish other desired plants. This study evaluated the ability of forage kochia (Kochia prostrata), ...

  12. A Wide World of Risk

    ERIC Educational Resources Information Center

    Van Der Werf, Martin

    2007-01-01

    As the number of American students studying overseas increases, it will be difficult for colleges to establish or find enough adequate programs with challenging curricula. Students desire ever more remote locations, and colleges are being pushed to support the extremely adventurous. With more students studying abroad, and amid heightened fears…

  13. "Vulnerable Families": Reflections on a Difficult Category

    ERIC Educational Resources Information Center

    Bauer, Petra; Wiezorek, Christine

    2016-01-01

    The term "vulnerable families" refers to familial living situations that are considered problematic, with a particular need for socially responsible, professionally provided support. This means of categorising families is extremely ambivalent, indicating not only a need for society to support forms of family life and family achievements,…

  14. DRINKING WATER ARSENIC EXPOSURE AND BLOOD PRESSURE IN HEALTHY WOMEN OF REPRODUCTIVE AGE IN INNER MONGOLIA, CHINA

    EPA Science Inventory

    The extremely high exposure levels evaluated in prior investigations relating elevated levels of drinking water arsenic and hypertension prevalence make extrapolation to potential vascular effects at lower exposure levels very difficult. A cross-sectional study was conducted on ...

  15. Evaluation of alternative approaches for measuring n-octanol/water partition coefficients for methodologically challenging chemicals (MCCs)

    EPA Science Inventory

    Measurements of n-octanol/water partition coefficients (KOW) for highly hydrophobic chemicals, i.e., greater than 108, are extremely difficult and are rarely made, in part because the vanishingly small concentrations in the water phase require extraordinary analytical sensitivity...

  16. Sex Work Research: Methodological and Ethical Challenges

    ERIC Educational Resources Information Center

    Shaver, Frances M.

    2005-01-01

    The challenges involved in the design of ethical, nonexploitative research projects with sex workers or any other marginalized population are significant. First, the size and boundaries of the population are unknown, making it extremely difficult to get a representative sample. Second, because membership in hidden populations often involves…

  17. Development of Semiochemical Based Control Programs for Arthropod Pests of Honeybees

    USDA-ARS?s Scientific Manuscript database

    In recent years the apiculture industry has experienced serious problems from serious invasions by exotic pests including Varroa destructor and the Small hive beetle, Aethina tumida. Control of these pests is difficult and problematic because Honey bees are extremely sensitive to pesticides and the...

  18. Graph-matching based CTA.

    PubMed

    Maksimov, Dmitry; Hesser, Jürgen; Brockmann, Carolin; Jochum, Susanne; Dietz, Tiina; Schnitzer, Andreas; Düber, Christoph; Schoenberg, Stefan O; Diehl, Steffen

    2009-12-01

    Separating bone, calcification, and vessels in computer tomography angiography (CTA) allows for a detailed diagnosis of vessel stenosis. This paper presents a new, graph-based technique that solves this difficult problem with high accuracy. The approach requires one native data set and one that is contrast enhanced. On each data set, an attributed level-graph is derived and both graphs are matched by dynamic programming to differentiate between bone, on one hand side, and vessel/calcification on the other hand side. Lumen and calcified regions are then separated by a profile technique. Evaluation is based on data from vessels of pelvis and lower extremities of elderly patients. Due to substantial calcification and motion of patients between and during the acquisitions, the underlying approach is tested on a class of difficult cases. Analysis requires 3-5 min on a Pentium IV 3 GHz for a 700 MByte data set. Among 37 patients, our approach correctly identifies all three components in 80% of cases correctly compared to visual control. Critical inconsistencies with visual inspection were found in 6% of all cases; 70% of these inconsistencies are due to small vessels that have 1) a diameter near the resolution of the CT and 2) are passing next to bony structures. All other remaining deviations are found in an incorrect handling of the iliac artery since the slice thickness is near the diameter of this vessel and since the orientation is not in cranio-caudal direction. Increasing resolution is thus expected to solve many the aforementioned difficulties.

  19. Regioselective Synthesis of Cellulose Ester Homopolymers

    Treesearch

    Daiqiang Xu; Kristen Voiges; Thomas Elder; Petra Mischnick; Kevin J. Edgar

    2012-01-01

    Regioselective synthesis of cellulose esters is extremely difficult due to the small reactivity differences between cellulose hydroxyl groups, small differences in steric demand between acyl moieties of interest, and the difficulty of attaching and detaching many protecting groups in the presence of cellulose ester moieties without removing the ester groups. Yet the...

  20. NOVEL LIGNIN-BASED MAGNETITE NANOCOMPOSITES FOR REMOVAL OF PHOSPHATE FROM CONTAMINATED WATERS - PHASE II

    EPA Science Inventory

    Phosphorus (P) remediation is an extremely difficult and costly environmental problem and could cost $44.5 billion for treatment using conventional water treatment plants to meet EPA requirements. Phosphorus runoffs can lead to “dead zones” due to eutrophication and also ca...

  1. Working with Child Prostitutes in Thailand: Problems of Practice and Interpretation

    ERIC Educational Resources Information Center

    Montgomery, Heather

    2007-01-01

    Conducting anthropological fieldwork on the emotive issue of child prostitution raises difficult issues for anthropologists and other researchers. This article examines the ethical dilemmas of working with these extremely vulnerable children, focusing on the difference between the researcher's own interpretations and those given by the children…

  2. Guidelines to Support Professional Copyright Practice

    ERIC Educational Resources Information Center

    Dryden, Jean

    2012-01-01

    Copyright is extremely complex, and it is difficult to convey its complexities in a clear and concise form. Through decades of experience, archivists developed informal best practices for dealing with copyright in the analog world; however the application of copyright in the digital environment is evolving in response to rapidly changing…

  3. Educational Management within a Young Offender Institution.

    ERIC Educational Resources Information Center

    Fryer, Winny; Fryer, Paul

    1992-01-01

    Examines educational theory and objectives within prisons and relates these to the real-time case study of the Young Offender Institution at Whatton, in Nottinghamshire, England. Measuring success and cost effectiveness is extremely difficult in the prison education field, and a significant gap exists between the theoretical model and everyday…

  4. Accountability: Its Implications for Provincial and State Governments.

    ERIC Educational Resources Information Center

    Kolesar, H.

    This paper examines the implications of the accountability concept for provincial or State authorities. Accountability is defined as a concomitant of an agreement between two parties. The author suggests that, in education, agreements between parties have lacked preciseness and clarity, making it extremely difficult to assess performance and to…

  5. The American Indian: A Very Private People.

    ERIC Educational Resources Information Center

    Chan, Carole; Hamby, John

    American Indian urban immigration has put between 33% and 50% of all Indians in urban settings where they invariably are subjected to an initial cultural shock. Leaving the reservation to improve their socioeconomic status, Indians find urban adjustment extremely difficult. The Anglo culture is inherently opposed to the "Indian Way", for it…

  6. Creating 3D Physical Models to Probe Student Understanding of Macromolecular Structure

    ERIC Educational Resources Information Center

    Cooper, A. Kat; Oliver-Hoyo, M. T.

    2017-01-01

    The high degree of complexity of macromolecular structure is extremely difficult for students to process. Students struggle to translate the simplified two-dimensional representations commonly used in biochemistry instruction to three-dimensional aspects crucial in understanding structure-property relationships. We designed four different physical…

  7. A Zone for Deliberation? Methodological Challenges in Fields of Political Unrest

    ERIC Educational Resources Information Center

    Westrheim, Kariane; Lillejord, Solvi

    2007-01-01

    This article outlines certain problems and challenges facing the qualitative researcher who enters fields that are either extremely difficult to access or potentially hostile towards outsiders. Problems and dilemmas in such contexts are highlighted by reference to fieldwork research among PKK (Kurdistan Worker's Party) guerrillas in North…

  8. A forecast of the effects of containerization on the transportation system in the state of Virginia : December 1973.

    DOT National Transportation Integrated Search

    1973-01-01

    It was found that valid predictions of the use of containers were extremely difficult to make because of the lack of reliable data. Further, during the time of the study, the local ports negotiated for international consolidation, the dollar was deva...

  9. From Positive Reinforcement to Positive Behaviors: An Everyday Guide for the Practitioner

    ERIC Educational Resources Information Center

    Sigler, Ellen A.; Aamidor, Shirley

    2005-01-01

    There are various opinions concerning the value of positive reinforcement when discussing modifying behaviors of young children. In some cases, individuals considered positive reinforcement difficult to implement and, in extreme cases, even felt it to be detrimental. Educators often use praise interchangeably with positive reinforcement when…

  10. U.S. National Security Policy. Revision.

    DTIC Science & Technology

    1986-03-01

    World War II, Sino-American relations have fluctuated from tacit war (in the early 1950s) to a quasi alliance (in the late 1970s). This .I historical ... volatility makes prediction of the long-term future extremely difficult, but the character of Chinese foreign policy in 2010 well may be (after the

  11. Changing University Students' Alternative Conceptions of Optics by Active Learning

    ERIC Educational Resources Information Center

    Hadžibegovic, Zalkida; Sliško, Josip

    2013-01-01

    Active learning is individual and group participation in effective activities such as in-class observing, writing, experimenting, discussion, solving problems, and talking about to-be-learned topics. Some instructors believe that active learning is impossible, or at least extremely difficult to achieve in large lecture sessions. Nevertheless, the…

  12. Improving Professional Judgments of Risk and Amenability in Juvenile Justice

    ERIC Educational Resources Information Center

    Mulvey, Edward P.; Iselin, Anne-Marie R.

    2008-01-01

    The dual requirement to ensure community safety and promote a youthful offender's positive development permeates policy and frames daily practice in juvenile justice. Balancing those two demands, explain Edward Mulvey and Anne-Marie Iselin, requires justice system professionals at all levels to make extremely difficult decisions about the likely…

  13. EVALUATING CUMULATIVE EFFECTS OF DISTURBANCE ON THE HYDROLOGIC FUNCTION OF BOGS, FENS, AND MIRES

    EPA Science Inventory

    Few quantitative studies have been done on the hydrology of fens, bogs and mires, and consequently any predictions of the cumulative impacts of disturbances on their hydrologic functions is extremely difficult. or example, few data are available on the role of bogs and fens with ...

  14. Rubber Reclamation

    ERIC Educational Resources Information Center

    Williams, Kathryn R.

    2007-01-01

    The safety and health hazards related to recycling of used rubber, due to the scarcity and high price of virgin rubber are reported. Various threats like stagnant water pools trapped in tires leading to diseases and ignited tires, which become very difficult to extinguish and generating smoke that is extremely detrimental to the environment, have…

  15. Sowing pregerminated northern red oak acorns

    Treesearch

    Richard M. Godman; Gilbert A. Mattson

    1992-01-01

    Northern red oak is extremely difficult to regenerate, although it has produced good acorn crops nearly half of the last 32 years in northern Wisconsin. Field trials have shown that for successful seeding, you must protect acorns from predation by wildlife and sow them when temperatures are most favorable for germination.

  16. Estimating timber supply from private forests

    Treesearch

    D.F. Dennis

    1991-01-01

    Nonindustrial private landowners, who hold a majority of the Nation's commercial forests, own land primarily for reasons other than timber production. The multiple objective and dynamic nature of private ownership make planning and estimation of timber availability from this sector extremely difficult. Insight into the determinants of timber supply from private...

  17. Challenges Facing Guitar Education

    ERIC Educational Resources Information Center

    Harrison, Eli

    2010-01-01

    The guitar is an extremely versatile instrument. It can produce complex chords and arpeggiated textures as readily as single-note melodies. In the twentieth century alone, it has appeared in a wide range of genres; classical, jazz, blues, rock, and bossa nova compose a partial list. The guitar is also a difficult instrument. Inconsistencies across…

  18. Education: Perceiving the Disease and Prescribing the Remedy

    ERIC Educational Resources Information Center

    Clarken, Rodney H.

    2007-01-01

    Modern thinkers chiefly identify development with materialistic and economic factors. Education is often measured and evaluated by the same standard: its material and economic impact on the individual and society. A moral balance is recommended to this excessively materialistic perspective. It is extremely difficult to unravel the complexities of…

  19. Employment Problems of the Vietnam Veteran. Special Report.

    ERIC Educational Resources Information Center

    National Advisory Council on Vocational Education, Washington, DC.

    Vietnam veterans are finding it extremely difficult of find jobs upon their return home. Altogether there are approximately 320,000 known unemployed veterans. Statistics show that they have a higher unemployment rate than nonveterans, and that the unemployment persists longer. Factors contributing to this condition are the economic slump, a…

  20. Using repeat lidar to estimate sediment transport in a steep stream

    NASA Astrophysics Data System (ADS)

    Anderson, Scott; Pitlick, John

    2014-03-01

    Sediment fluxes in steep mountain streams remain difficult to quantify, despite their importance in geomorphology, ecology, and hazard analysis. In this work, aerial lidar surveys, acquired in 2002, 2008, and 2012, are used to quantify such fluxes in Tahoma Creek, a proglacial stream on Mount Rainier, Washington. As these surveys encompass all coarse sediment sources in the basin, we are able to translate geomorphic change into total bed material transport volumes for the time steps between surveys. By assuming that the relationship between daily sediment transport and daily mean discharge is of the form Qs=a(Q-Qc)b, our two observed total loads and estimates of daily mean discharge allow us to numerically solve for values of a and b to create a bed material sediment rating curve. Comparisons of our transport estimates with sediment deposition in a downstream reservoir indicate that our transport estimates and derived rating curve are reasonable. The method we present thus represents a plausible means of estimating transport rates in energetic settings or during extreme events, applicable whenever at least two cumulative sediment loads and the driving hydrology are known. We use these results to assess the performance of several bed load transport equations. The equations generally overpredict transport at low to moderate flows but significantly underpredict transport rates during an extreme event. Using a critical shear stress value appropriate for steep streams improves agreement at lower flows, whereas a shear-partitioning technique accounting for form drag losses significantly underpredicts transport at all flows.

  1. The extraction of neural strategies from the surface EMG: an update

    PubMed Central

    Merletti, Roberto; Enoka, Roger M.

    2014-01-01

    A surface EMG signal represents the linear transformation of motor neuron discharge times by the compound action potentials of the innervated muscle fibers and is often used as a source of information about neural activation of muscle. However, retrieving the embedded neural code from a surface EMG signal is extremely challenging. Most studies use indirect approaches in which selected features of the signal are interpreted as indicating certain characteristics of the neural code. These indirect associations are constrained by limitations that have been detailed previously (Farina D, Merletti R, Enoka RM. J Appl Physiol 96: 1486–1495, 2004) and are generally difficult to overcome. In an update on these issues, the current review extends the discussion to EMG-based coherence methods for assessing neural connectivity. We focus first on EMG amplitude cancellation, which intrinsically limits the association between EMG amplitude and the intensity of the neural activation and then discuss the limitations of coherence methods (EEG-EMG, EMG-EMG) as a way to assess the strength of the transmission of synaptic inputs into trains of motor unit action potentials. The debated influence of rectification on EMG spectral analysis and coherence measures is also discussed. Alternatively, there have been a number of attempts to identify the neural information directly by decomposing surface EMG signals into the discharge times of motor unit action potentials. The application of this approach is extremely powerful, but validation remains a central issue. PMID:25277737

  2. [Principles of management of high-energy injuries of the leg].

    PubMed

    Jovanović, Mladen; Janjić, Zlata; Marić, Dusan

    2002-01-01

    High-energy traumas are open or closed injuries caused by force (missile, traffic injuries, crush or blust injuries, falling from heights), affecting the body surface and transferring high amount of kinetic energy inducing great damage to the tissue. Management of such lower extremity injuries has evolved over past several decades, but still remains a difficult task for every surgical team. Specific anatomic and functional characteristics combined with extensive injuries demands specific treatment protocols. In a multiple injured patient the first priority is management of life-threatening trauma. Despite other injuries, surgical treatment of limb-threatening injuries must start as soon as life-threatening condition has been managed. Algorithms are especially beneficial in management of severely injured, but salvageable extremities and in making decision on amputation. Insight into mechanisms of injury, as well as systematic examination of the affected limb, should help us understand the extensiveness of trauma and make an adequate management plan. Prevention of wound infection and surgical approach to high-energy limb trauma, which includes wound extension, wound excision, skeletal stabilization and if necessary muscle compartment release, should be done in the first 6 hours after injury. Commonly used methods for soft tissue defects must provide wound coverage in less than five days following injury. Early passive and active mobilization and verticalization of patients is very important for successful treatment. Good and timely evaluation of the injured and collaboration between plastic and orthopaedic surgeons from the beginning of treatment, are crucial for final outcome.

  3. Stereoselective Syntheses of Soman Analog

    DTIC Science & Technology

    1993-04-28

    only one pseudorotatomer cycle exists. Surprisingly. la-f are hydrolytically stable in the absence of acid ; phosphorane lb, for example, remained...unchanged in CDCl3 for at least 2 weeks even in the presence of water or 0.1 N NaOH at room temperature. However, la-f are extremely labile to aqueous acids ...1 and 2 are hydrolytically stable in neutral and basic conditions, but extremely labile to aqueous acids : they remained unchanged for at least 3 days

  4. Wind Tunnel Data Fusion and Immersive Visualization: A Case Study

    NASA Technical Reports Server (NTRS)

    Severance, Kurt; Brewster, Paul; Lazos, Barry; Keefe, Daniel

    2001-01-01

    This case study describes the process of fusing the data from several wind tunnel experiments into a single coherent visualization. Each experiment was conducted independently and was designed to explore different flow features around airplane landing gear. In the past, it would have been very difficult to correlate results from the different experiments. However, with a single 3-D visualization representing the fusion of the three experiments, significant insight into the composite flowfield was observed that would have been extremely difficult to obtain by studying its component parts. The results are even more compelling when viewed in an immersive environment.

  5. Better Redd than Dead: Optimizing Reservoir Operations for Wild Fish Survival During Drought

    NASA Astrophysics Data System (ADS)

    Adams, L. E.; Lund, J. R.; Quiñones, R.

    2014-12-01

    Extreme droughts are difficult to predict and may incur large economic and ecological costs. Dam operations in drought usually consider minimizing economic costs. However, dam operations also offer an opportunity to increase wild fish survival under difficult conditions. Here, we develop a probabilistic optimization approach to developing reservoir release schedules to maximize fish survival in regulated rivers. A case study applies the approach to wild Fall-run Chinook Salmon below Folsom Dam on California's American River. Our results indicate that releasing more water early in the drought will, on average, save more wild fish over the long term.

  6. Use of Compressive Osseointegration Endoprostheses for Massive Bone Loss From Tumor and Failed Arthroplasty: A Viable Option in the Upper Extremity.

    PubMed

    Goulding, Krista A; Schwartz, Adam; Hattrup, Steven J; Randall, R Lor; Lee, Donald; Rispoli, Damian M; Lerman, Daniel M; Beauchamp, Christopher

    2017-06-01

    Endoprostheses using principles of compressive osseointegration have shown good survivorship in several studies involving the lower extremity; however, no series to our knowledge have documented the use of this technology in the management of massive bone loss in the upper limb. (1) What proportion of upper extremity implants using compressive osseointegration fixation principles achieved durable short-term fixation, and what were the modes of failure? (2) What surgical complications resulted from reconstruction using this technique? A multiinstitutional retrospective review identified nine patients (five women; four men) who underwent 13 endoprosthetic replacements between 2003 and 2014 using compressive osseointegration (Compliant ® Pre-stress Device [CPS]; Biomet Inc, Warsaw, IN, USA) in the upper extremity, including two proximal humeri, two humeral diaphyses, seven distal humeri, and two proximal ulna. During the early part of that period, the indication for use of a compressive prosthesis in our centers was revision of a previous tumor reconstruction (allograft-prosthetic composite or stemmed endoprosthetic reconstruction) (three patients; five implants), or revision arthroplasty with massive bone loss (three patients, four implants); more recently, indications became somewhat more permissive and included posttraumatic bone loss (one patient, one implant), primary bone sarcoma, and resections with very short remaining end segments after diaphyseal resections (two patients, three implants). Minimum followup was 24 months; one patient (one implant) was lost to followup before that time with the implant intact at 14 months and no patients have died. The mean age of the patients was 45 years (range, 21-62 years). Mean followup was 68 months (range, 24-141 months). Implant revision for any cause and for failure of the CPS mechanism was recorded. Modes of failure were categorized as soft tissue, aseptic loosening, structural, infection, and tumor progression; CPS modes of failure were defined as lack of fixation, with or without bone or implant fracture. Of the 12 implants accounted for beyond 2 years, six had undergone revision of any kind. Only two revisions in two patients were attributable to lack of CPS fixation at the bone-implant interface; one of the patients also had periprosthetic and implant fracture develop through the traction bar. Other modes of failure were aseptic loosening of the standard ulnar component (two patients, two implants), bushing wear (one patient; one implant) and infection resulting in two-stage exchange and free soft tissue transfer with retention of the CPS spindle (one patient, one implant). Complications for all nine patients included one transient radial nerve palsy, one ulnar nerve sensory neurapraxia, one superficial infection, and two glenohumeral subluxations, one underwent revision surgery with implantation of a constrained liner. A compressive osseointegration endoprosthesis is an option for very difficult revisions or sarcoma resection in the upper extremity in which the remaining segment of host bone is too short for a conventional prosthesis. However, surgeons must inform patients that these are salvage operations, and revision surgery is common. Long-term followup of more patients is necessary to further document the survivorship of these implants in the upper extremity. Level IV, therapeutic study.

  7. First trimester diagnosis of parapagus diprosopus dibrachius dipus twins with cranirachischisis totalis by three-dimensional ultrasound.

    PubMed

    Ülker, Kahraman; Akyer, Şahika P; Temur, İsmail; Tan, Temel; Karaca, Mehmet; Adıgüzel, Esat; Gül, Abdülaziz

    2012-02-01

    Parapagus (laterally fused), diprosopus (two faces), dibrachius (two upper extremities), dipus (two lower extremities) conjoined twinning is extremely rare. The coexistence of anencephaly with a contiguous spinal defect (craniorachischisis totalis) makes the present case one of the rarest of the published cases. In our case, it was difficult to make the final diagnosis by two-dimensional abdominal and vaginal ultrasound. Three-dimensional ultrasound was helpful for final diagnosis and post-abortal examination confirmed the prenatal ultrasound diagnosis. The heart, diaphragm, liver and perineum were all united. Fine dissection of the heart showed four vessels arising from the ventricles and a membranous type ventricular septal defect. © 2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology.

  8. Extreme hydronephrosis due to uretropelvic junction obstruction in infant (case report).

    PubMed

    Krzemień, Grażyna; Szmigielska, Agnieszka; Bombiński, Przemysław; Barczuk, Marzena; Biejat, Agnieszka; Warchoł, Stanisław; Dudek-Warchoł, Teresa

    2016-01-01

    Hydronephrosis is the one of the most common congenital abnormalities of urinary tract. The left kidney is more commonly affected than the right side and is more common in males. To determine the role of ultrasonography, renal dynamic scintigraphy and lowerdose computed tomography urography in preoperative diagnostic workup of infant with extreme hydronephrosis. We presented the boy with antenatally diagnosed hydronephrosis. In serial, postnatal ultrasonography, renal scintigraphy and computed tomography urography we observed slightly declining function in the dilated kidney and increasing pelvic dilatation. Pyeloplasty was performed at the age of four months with good result. Results of ultrasonography and renal dynamic scintigraphy in child with extreme hydronephrosis can be difficult to asses, therefore before the surgical procedure a lower-dose computed tomography urography should be performed.

  9. Dismounted Complex Blast Injury.

    PubMed

    Andersen, Romney C; Fleming, Mark; Forsberg, Jonathan A; Gordon, Wade T; Nanos, George P; Charlton, Michael T; Ficke, James R

    2012-01-01

    The severe Dismounted Complex Blast Injury (DCBI) is characterized by high-energy injuries to the bilateral lower extremities (usually proximal transfemoral amputations) and/or upper extremity (usually involving the non-dominant side), in addition to open pelvic injuries, genitourinary, and abdominal trauma. Initial resuscitation and multidisciplinary surgical management appear to be the keys to survival. Definitive treatment follows general principals of open wound management and includes decontamination through aggressive and frequent debridement, hemorrhage control, viable tissue preservation, and appropriate timing of wound closure. These devastating injuries are associated with paradoxically favorable survival rates, but associated injuries and higher amputation levels lead to more difficult reconstructive challenges.

  10. Phase transitions and dynamics of bulk and interfacial water.

    PubMed

    Franzese, G; Hernando-Martínez, A; Kumar, P; Mazza, M G; Stokely, K; Strekalova, E G; de los Santos, F; Stanley, H E

    2010-07-21

    New experiments on water at the surface of proteins at very low temperature display intriguing dynamic behaviors. The extreme conditions of these experiments make it difficult to explore the wide range of thermodynamic state points needed to offer a suitable interpretation. Detailed simulations suffer from the same problem, where equilibration times at low temperature become extremely long. We show how Monte Carlo simulations and mean field calculations using a tractable model of water help interpret the experimental results. Here we summarize the results for bulk water and investigate the thermodynamic and dynamic properties of supercooled water at an interface.

  11. Early Rehabilitation After Stroke: a Narrative Review

    PubMed Central

    Moudgal, Rohitha; Lang, Kathryn; Hyacinth, Hyacinth I.; Awosika, Oluwole O.; Kissela, Brett M.; Feng, Wuwei

    2018-01-01

    Purpose of Review Despite current rehabilitative strategies, stroke remains a leading cause of disability in the USA. There is a window of enhanced neuroplasticity early after stroke, during which the brain’s dynamic response to injury is heightened and rehabilitation might be particularly effective. This review summarizes the evidence of the existence of this plastic window, and the evidence regarding safety and efficacy of early rehabilitative strategies for several stroke domain-specific deficits. Recent Findings Overall, trials of rehabilitation in the first 2 weeks after stroke are scarce. In the realm of very early mobilization, one large and one small trial found potential harm from mobilizing patients within the first 24 h after stroke, and only one small trial found benefit in doing so. For the upper extremity, constraint-induced movement therapy appears to have benefit when started within 2 weeks of stroke. Evidence for non-invasive brain stimulation in the acute period remains scant and inconclusive. For aphasia, the evidence is mixed, but intensive early therapy might be of benefit for patients with severe aphasia. Mirror therapy begun early after stroke shows promise for the alleviation of neglect. Novel approaches to treating dysphagia early after stroke appear promising, but the high rate of spontaneous improvement makes their benefit difficult to gauge. Summary The optimal time to begin rehabilitation after a stroke remains unsettled, though the evidence is mounting that for at least some deficits, initiation of rehabilitative strategies within the first 2 weeks of stroke is beneficial. Commencing intensive therapy in the first 24 h may be harmful. PMID:29116473

  12. Early Rehabilitation After Stroke: a Narrative Review.

    PubMed

    Coleman, Elisheva R; Moudgal, Rohitha; Lang, Kathryn; Hyacinth, Hyacinth I; Awosika, Oluwole O; Kissela, Brett M; Feng, Wuwei

    2017-11-07

    Despite current rehabilitative strategies, stroke remains a leading cause of disability in the USA. There is a window of enhanced neuroplasticity early after stroke, during which the brain's dynamic response to injury is heightened and rehabilitation might be particularly effective. This review summarizes the evidence of the existence of this plastic window, and the evidence regarding safety and efficacy of early rehabilitative strategies for several stroke domain-specific deficits. Overall, trials of rehabilitation in the first 2 weeks after stroke are scarce. In the realm of very early mobilization, one large and one small trial found potential harm from mobilizing patients within the first 24 h after stroke, and only one small trial found benefit in doing so. For the upper extremity, constraint-induced movement therapy appears to have benefit when started within 2 weeks of stroke. Evidence for non-invasive brain stimulation in the acute period remains scant and inconclusive. For aphasia, the evidence is mixed, but intensive early therapy might be of benefit for patients with severe aphasia. Mirror therapy begun early after stroke shows promise for the alleviation of neglect. Novel approaches to treating dysphagia early after stroke appear promising, but the high rate of spontaneous improvement makes their benefit difficult to gauge. The optimal time to begin rehabilitation after a stroke remains unsettled, though the evidence is mounting that for at least some deficits, initiation of rehabilitative strategies within the first 2 weeks of stroke is beneficial. Commencing intensive therapy in the first 24 h may be harmful.

  13. Comparison of upper extremity glenohumeral joint forces in children with cerebral palsy using anterior and posterior walkers - biomed 2009.

    PubMed

    Strifling, Kelly M B; Konop, Katherine A; Wang, Mei; Harris, Gerald F

    2009-01-01

    Walkers are prescribed with the notion that one type of walker will be better for a child than another. One underlying justification for this practice is the theory that one walker may produce less stress on the upper extremities as the patient uses the walker. Nevertheless, upper extremity joint loading is not typically analyzed during walker assisted gait in children with spastic diplegic cerebral palsy. It has been difficult to evaluate the theory of walker prescription based on upper extremity stresses because loading on the upper extremities however has not been quantified until recently. In this study, weight bearing on the glenohumeral joints was analyzed in five children with spastic diplegic cerebral palsy using both anterior and posterior walkers fitted with 6-axis handle transducers. Though walkers' effects on the upper extremities proved to be similar between walker types, the differences between the walkers may have some clinical significance in the long run. In general, posterior walker use created larger glenohumeral joint forces. Though these differences are not statistically significant, over time and with repetitive loading they may be clinically significant.

  14. Biodiversity increases the resistance of ecosystem productivity to climate extremes

    USDA-ARS?s Scientific Manuscript database

    It remains unclear whether biodiversity buffers ecosystems against extreme climate events, which are becoming increasingly frequent worldwide. Although early results suggested that biodiversity might provide both resistance and resilience (sensu rapid recovery) of ecosystem productivity to drought, ...

  15. Early Reconstructions of Complex Lower Extremity Battlefield Soft Tissue Wounds

    PubMed Central

    Ebrahimi, Ali; Nejadsarvari, Nasrin; Ebrahimi, Azin; Rasouli, Hamid Reza

    2017-01-01

    BACKGROUND Severe lower extremity trauma as a devastating combat related injury is on the rise and this presents reconstructive surgeons with significant challenges to reach optimal cosmetic and functional outcomes. This study assessed early reconstructions of complex lower extremity battlefield soft tissue wounds. METHODS This was a prospective case series study of battled field injured patients which was done in the Department of Plastic Surgery, Baqiyatallah University of Medical Sciences hospitals, Tehran, Iran between 2013-2015. In this survey, 73 patients were operated for reconstruction of lower extremity soft tissue defects due to battlefield injuries RESULTS Seventy-three patients (65 men, 8 womens) ranging from 21-48 years old (mean: 35 years) were enrolled. Our study showed that early debridement and bone stabilization and later coverage of complex battlefields soft tissue wounds with suitable flaps and grafts of lower extremity were effective method for difficult wounds managements with less amputation and infections. CONCLUSION Serial debridement and bone stabilization before early soft tissue reconstruction according to reconstructive ladder were shown to be essential steps. PMID:29218283

  16. Premature ejaculation: challenging new and the old concepts

    PubMed Central

    Kalejaiye, Odunayo; Almekaty, Khaled; Blecher, Gideon; Minhas, Suks

    2017-01-01

    Premature ejaculation remains a difficult condition to manage for patients, their partners, and the clinician. Whilst prevalence rates are estimated to be 20–40%, determining a diagnosis of premature ejaculation is difficult, as the definition remains both subjective and ill-defined in the clinical context. As our understanding of the ejaculatory pathway has improved, new opportunities to treat the condition have evolved with mixed results. In this review, we explore some of these controversies surrounding the aetiology, diagnosis, and treatment of this condition and discuss potential novel therapeutic options. PMID:29259775

  17. Two centuries of extreme events over the Baltic Sea and North Sea regions

    NASA Astrophysics Data System (ADS)

    Stendel, Martin; den Besselaar Else, van; Abdel, Hannachi; Jaak, Jaagus; Elizabeth, Kent; Christiana, Lefebvre; Gudrun, Rosenhagen; Anna, Rutgersson; Frederik, Schenk; der Schrier Gerard, van; Tim, Woolings

    2017-04-01

    Two centuries of extreme events over the Baltic Sea and North Sea regions In the framework of the BACC 2 (for the Baltic Sea) and NOSCCA projects (for the North Sea region), studies of past and present variability and changes in atmospheric variables within the North Sea region over the instrumental period (roughly the past 200 years) have been investigated. Findings on trends in temperature and precipitation have already been presented. Here we focus on data homogeneity issues and examine how reliable reanalyses are in this context. Unlike most other regions in the world, there is a wealth of old observations available for the Baltic and North Sea regions, most of it in handwritten form in meteorological journals and other publications. These datasets need to be carefully digitised and homogenized. For this, a thorough quality control must be applied; otherwise the digitised datasets may prove useless or even counterproductive. We present evidence that this step cannot be conducted without human interference and thus cannot be fully automated. Furthermore, inhomogeneities due to e.g. instrumentation and station relocations need to be addressed. A wealth of reanalysis products is available, which can help detect such inhomogeneities in observed time series, but at the same time are prone to biases and/or spurious trends themselves e.g. introduced by changes in the availability and quality of the underlying assimilated data. It therefore in general remains unclear in how far we can simulate the pre-satellite era with respect to homogeneity with reanalyses based only on parts of the observing system. Extreme events and changes in extreme situations are more important and of greater (societal) significance than changes in mean climate. However, changes in extreme weather events are difficult to assess not only because they are, per definition, rare events, but also due to the homogeneity issues outlined above. Taking these into account, we present evidence for changes in extrema in the Baltic and North Sea regions. In particular, we will discuss different measures of storminess, compare the persistence of circulation types and investigate to what extent atmospheric circulation over the Baltic and North Sea regions is controlled influenced by distant factors, in particular Arctic sea-ice decline in recent decades.

  18. Rogue Waves and Extreme Events in Optics - Challenges and Questions

    NASA Astrophysics Data System (ADS)

    Dudley, John; Lacourt, Pierre-Ambroise; Genty, Goery; Dias, Frederic; Akhmediev, Nail

    2010-05-01

    A central challenge in understanding extreme events in physics is to develop rigorous models linking the complex generation dynamics and the associated statistical behavior. Quantitative studies of extreme phenomena, however, are often hampered in two ways: (i) the intrinsic scarcity of the events under study and (ii) the fact that such events often appear in environments where measurements are difficult. A particular case of interest concerns the infamous oceanic rogue waves that have been associated with many catastrophic maritime disasters. Studying rogue waves under controlled conditions is problematic, and the phenomenon remains a subject of intensive research. On the other hand, there are many qualitative and quantitative links between wave propagation in optics and in hydrodynamics, and it is thus natural to consider to what degree (if any) insights from studying instability phenomena in optics can be applied to other systems. In this context, significant experiments were reported by Solli et al. in late 2007 ["Optical rogue waves," Nature 450, 1054 (2007)], where a wavelength-to-time detection technique allowed the direct characterization of shot-to-shot instabilities in the extreme nonlinear optical spectral broadening process of supercontinuum generation. Specifically, although the process of supercontinuum generation is well-known to exhibit fluctuations in both the time and frequency domains, Solli et al. have shown that these fluctuations contain a small number of statistically-rare "rogue" events associated with a greatly enhanced spectral bandwidth and the generation of localized temporal solitons with greatly increased intensity. Crucially, because these experiments were performed in a regime where modulation instability (MI) plays a key role in the dynamics, an analogy was drawn with hydrodynamic rogue waves, whose origin and dynamics has also been discussed in terms of MI or, as it often referred to in hydrodynamics, the Benjamin-Feir instability. The analogy between the appearance of localized structures in optics and the rogue waves on the ocean's surface is both intriguing and attractive, as it opens up possibilities to explore the extreme value dynamics in a convenient benchtop optical environment. In addition to the proposed links with solitons suggested by Solli et al., other recent studies motivated from an optical context have experimentally demonstrated links with nonlinear breather propagation. The purpose of this paper will be to discuss these results that have been obtained in optics, and to consider possible similarities and differences with oceanic rogue wave counterparts.

  19. Temperature extremes: geographic patterns, recent changes, and implications for organismal vulnerabilities.

    PubMed

    Buckley, Lauren B; Huey, Raymond B

    2016-12-01

    Extreme temperatures can injure or kill organisms and can drive evolutionary patterns. Many indices of extremes have been proposed, but few attempts have been made to establish geographic patterns of extremes and to evaluate whether they align with geographic patterns in biological vulnerability and diversity. To examine these issues, we adopt the CLIMDEX indices of thermal extremes. We compute scores for each index on a geographic grid during a baseline period (1961-1990) and separately for the recent period (1991-2010). Heat extremes (temperatures above the 90th percentile during the baseline period) have become substantially more common during the recent period, particularly in the tropics. Importantly, the various indices show weak geographic concordance, implying that organisms in different regions will face different forms of thermal stress. The magnitude of recent shifts in indices is largely uncorrelated with baseline scores in those indices, suggesting that organisms are likely to face novel thermal stresses. Organismal tolerances correlate roughly with absolute metrics (mainly for cold), but poorly with metrics defined relative to local conditions. Regions with high extreme scores do not correlate closely with regions with high species diversity, human population density, or agricultural production. Even though frequency and intensity of extreme temperature events have - and are likely to have - major impacts on organisms, the impacts are likely to be geographically and taxonomically idiosyncratic and difficult to predict. © 2016 John Wiley & Sons Ltd.

  20. Transition. Practice Perspectives--Highlighting Information on Deaf-Blindness. Number 4

    ERIC Educational Resources Information Center

    Malloy, Peggy; McGinnity, Betsy

    2009-01-01

    Finding a job, learning to live independently, and obtaining further education are important goals for all young adults as they leave high school. But achieving these goals is often extremely difficult for students who are deaf-blind. Limited or absent hearing and vision, difficulties with communication, and the frequent presence of additional…

  1. An Extreme Case of Action Learning at BAT Niemeyer

    ERIC Educational Resources Information Center

    Eckstein, Emiel; Veenhoven, Gert; De Loo, Ivo

    2009-01-01

    Becoming a "winning organization" when one currently is an "ugly ducking" can be a difficult and strenuous task. BAT Niemeyer in the Netherlands succeeded in making such a transformation over the course of four years. Action learning was used, among other methods, to steer part of this transformation, in which employee…

  2. Information and knowledge management in support of sustainable forestry: a review

    Treesearch

    H. Michael Rauscher; Daniel L. Schmoldt; Harald Vacik

    2007-01-01

    For individuals, organizations and nations, success and even survival depend upon making good decisions. Doing so can be extremely difficult when problems are not well structured and situations are complex, as they are for natural resource management. Recent advances in computer technology coupled with the increase in accessibility brought about by the...

  3. Open Access, Retention and Throughput at the Central University of Technology

    ERIC Educational Resources Information Center

    de Beer, K. J.

    2006-01-01

    The most debatable question in higher education today is: Why first "open access" to promote massafication and now "capping" to restrict learner intake? (cf. SA Media Information 2004). Concerning the managing of this difficult and extremely sensitive issue, the Central University of Technology, Free State (CUT) has come a long…

  4. Training Programs That Facilitate Lasting Change in Student Academic Behaviour

    ERIC Educational Resources Information Center

    Hodge, Brad

    2014-01-01

    A range of evidence suggests that changing a person's pattern of behaviour is extremely difficult, with past behaviour being one of the strongest predictors of future behaviour. This is particularly evident in the university setting where students tend to use the same academic processes they have used throughout their schooling despite any…

  5. Personal Experiences of the Criminal Justice System by Individuals with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Helverschou, Sissel Berge; Steindal, Kari; Nøttestad, Jim Aage; Howlin, Patricia

    2018-01-01

    The processes of arrest, investigation, trial and imprisonment are often extremely difficult for individuals with autism spectrum disorders. In this study, nine offenders with autism spectrum disorders were interviewed about the circumstance surrounding the criminal acts, their views of the arrest, the police interrogation, the trial and the…

  6. Mining Formative Evaluation Rules Using Web-Based Learning Portfolios for Web-Based Learning Systems

    ERIC Educational Resources Information Center

    Chen, Chih-Ming; Hong, Chin-Ming; Chen, Shyuan-Yi; Liu, Chao-Yu

    2006-01-01

    Learning performance assessment aims to evaluate what knowledge learners have acquired from teaching activities. Objective technical measures of learning performance are difficult to develop, but are extremely important for both teachers and learners. Learning performance assessment using learning portfolios or web server log data is becoming an…

  7. How Can "Problem Subjects" Be Made Less of a Problem?

    ERIC Educational Resources Information Center

    Warwick, Philip; Ottewill, Roger

    2004-01-01

    Many higher education courses, across the whole range of disciplines, include subjects that are somewhat problematic because they appear to be unrelated to other components of the curriculum. Students frequently perceive them as irrelevant and boring. This makes it extremely difficult for lecturers to stimulate interest and results in an…

  8. The Coach-Team Approach: An Introductory Accounting Instructional Alternative

    ERIC Educational Resources Information Center

    Wood, Lynette I.

    2012-01-01

    Many students approach the introductory accounting course with a great deal of apprehension. For the most part, the course is populated by non-accounting majors who often perceive accounting to be extremely difficult and may view the instructor-student relationship as adversarial. As a result, such students may be inclined to express their…

  9. Satisfaction and Dissatisfaction: Formulating Digital Marketing Strategy for Online Faith-Based Education

    ERIC Educational Resources Information Center

    Price, Kelly; Price, Julia

    2016-01-01

    When digitally marketing an online educational program, degree or course, an institution must realize the target market which it is trying to reach. However, the demographics of the online student is extremely diverse, making marketing efforts difficult. With such a demographically diverse online student population to attract, it is important to…

  10. The Gellyfish: an in-situ equilibrium-based sampler for determining multiple free metal ion concentrations in marine ecosystems

    EPA Science Inventory

    Free metal ions are usually the most bioavailable and toxic metal species to aquatic organisms, but they are difficult to measure because of their extremely low concentrations in the marine environment. Many of the current methods for determining free metal ions are complicated a...

  11. Fire behavior sensor package remote trigger design

    Treesearch

    Dan Jimenez; Jason Forthofer; James Reardon; Bret Butler

    2007-01-01

    Fire behavior characteristics (such as temperature, radiant and total heat flux, 2- and 3-dimensional velocities, and air flow) are extremely difficult to measure insitu. Although insitu sensor packages are capable of such measurements in realtime, it is also essential to acquire video documentation as a means of better understanding the fire behavior data recorded by...

  12. Teaching and Learning: Hokie Spirit

    ERIC Educational Resources Information Center

    Lindeman, Cheryl A.

    2007-01-01

    If teachers were to reflect about their most difficult teachable moments in their careers, the author is sure the Virginia Tech tragedy would be extremely taxing on their minds. For those teachers teaching high school seniors, who were in the process of sending deposits to Virginia Tech, it was particularly agonizing. In this article, the author…

  13. GENERAL VIEW OF THE INTERIOR OF THE EXTREME NORTH CONTROL ...

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

    GENERAL VIEW OF THE INTERIOR OF THE EXTREME NORTH CONTROL TANK SHOWING THE REMAINING PIECES OF EQUIPMENT USED DURING THE REDSTONE ROCKET TESTING PROGRAM. - Marshall Space Flight Center, Redstone Rocket (Missile) Test Stand, Dodd Road, Huntsville, Madison County, AL

  14. The Correlation Between Recordable MEPs and Motor Function During Spinal Surgery for Resection of Thoracic Spinal Cord Tumor.

    PubMed

    Guo, LanJun; Li, Yan; Han, Ruquan; Gelb, Adrian W

    2018-01-01

    Motor evoked potentials (MEPs) are commonly used during surgery for spinal cord tumor resection. However, it can be difficult to record reliable MEPs from the muscles of the lower extremities during surgery in patients with preoperative weakness due to spinal cord compression. In this study, motor function of patients' lower extremities and their association with intraoperative MEP recording were compared. Patients undergoing thoracic spinal cord tumor resection were studied. Patients' motor function was checked immediately before the surgical procedure. MEP responses were recorded from the tibialis anterior and foot muscles, and the hand muscles were used as control. Electrical current with train of eight pulses, 200 to 500 V was delivered through 2 corkscrews placed at C3' and C4' sites. Anesthesia was maintained by total intravenous anesthesia using a combination of propofol and remifentanil after induction with intravenous propofol, remifentanil, and rocuronium. Rocuronium was not repeated. Bispectral Index was maintained between 40 to 50. From 178 lower limbs of 89 patients, myogenic MEPs could be recorded from 100% (105/105) of the patients with 5 of 5 motor strength in lower extremity; 90% (36/40) from the patients with 4/5 motor strength; only 25% (5/20) with 3/5; and 12.5% (1/8) with 2/5 motor strength; none (0/5) were able to be recorded if the motor strength was 1/5. The ability to record myogenic MEPs is closely associated with the patient's motor function. They are difficult to obtain if motor function is 3/5 motor strength in the lower extremity. They are almost impossible to record if motor function is worse than 3/5.

  15. Development of a computational model on the neural activity patterns of a visual working memory in a hierarchical feedforward Network

    NASA Astrophysics Data System (ADS)

    An, Soyoung; Choi, Woochul; Paik, Se-Bum

    2015-11-01

    Understanding the mechanism of information processing in the human brain remains a unique challenge because the nonlinear interactions between the neurons in the network are extremely complex and because controlling every relevant parameter during an experiment is difficult. Therefore, a simulation using simplified computational models may be an effective approach. In the present study, we developed a general model of neural networks that can simulate nonlinear activity patterns in the hierarchical structure of a neural network system. To test our model, we first examined whether our simulation could match the previously-observed nonlinear features of neural activity patterns. Next, we performed a psychophysics experiment for a simple visual working memory task to evaluate whether the model could predict the performance of human subjects. Our studies show that the model is capable of reproducing the relationship between memory load and performance and may contribute, in part, to our understanding of how the structure of neural circuits can determine the nonlinear neural activity patterns in the human brain.

  16. Mussel adhesion – essential footwork

    PubMed Central

    2017-01-01

    ABSTRACT Robust adhesion to wet, salt-encrusted, corroded and slimy surfaces has been an essential adaptation in the life histories of sessile marine organisms for hundreds of millions of years, but it remains a major impasse for technology. Mussel adhesion has served as one of many model systems providing a fundamental understanding of what is required for attachment to wet surfaces. Most polymer engineers have focused on the use of 3,4-dihydroxyphenyl-l-alanine (Dopa), a peculiar but abundant catecholic amino acid in mussel adhesive proteins. The premise of this Review is that although Dopa does have the potential for diverse cohesive and adhesive interactions, these will be difficult to achieve in synthetic homologs without a deeper knowledge of mussel biology; that is, how, at different length and time scales, mussels regulate the reactivity of their adhesive proteins. To deposit adhesive proteins onto target surfaces, the mussel foot creates an insulated reaction chamber with extreme reaction conditions such as low pH, low ionic strength and high reducing poise. These conditions enable adhesive proteins to undergo controlled fluid–fluid phase separation, surface adsorption and spreading, microstructure formation and, finally, solidification. PMID:28202646

  17. Pyoderma gangrenosum: an exceptional complication of venous access device.

    PubMed

    La Marca, Sophie; Toussoun, Gilles; Ho Quoc, Christophe; Sebban, Henry; Delay, Emmanuel

    2014-01-01

    Pyoderma gangrenosum (PG) is a rare disease whose precise etiology remains unknown. It causes rapidly developing skin necrosis and can occur after surgery, or after a nonspecific external stimulus. This condition is difficult to diagnose because it often mimics a fulminant infection. We present a case of very significant local presentation of PG after placement of a venous access device. Fifteen days after placement, the patient developed extensive cutaneous ulcers and necrosis in the subclavicular area, which led to the misdiagnosis of infection. The device was removed and the patient was given antibiotics. Because there was no improvement following antibiotic treatment, combined with the worrying and extensive appearance of the skin and extremely intense pain, the diagnosis of PG was made. The patient was immediately treated with high-dose corticosteroids, resulting in rapid improvement of the lesions and relief of pain. PG should be considered in cases of extensive, antibiotic-resistant ulceration and treatment with corticosteroids should be initiated. Clinical improvement is usually dramatic, with almost immediate suppression of the pain and arrest of the lesion's progression. Early treatment is the best guarantee for an effective recovery.

  18. Tracing the Origins of Nitrogen Bearing Organics Toward Orion KL with Alma

    NASA Astrophysics Data System (ADS)

    Carroll, Brandon; Crockett, Nathan; Wilkins, Olivia H.; Bergin, Edwin; Blake, Geoffrey

    2017-06-01

    A comprehensive analysis of a broadband 1.2 THz wide spectral survey of the Orion Kleinmann-Low nebula (Orion KL) has shown that nitrogen bearing complex organics trace systematically hotter gas than O-bearing organics toward this source. The origin of this O/N dichotomy remains a mystery. If complex molecules originate from grain surfaces, N-bearing species may be more difficult to remove from grain surfaces than O-bearing organics. Theoretical studies, however, have shown that hot (T=300 K) gas phase chemistry can produce high abundances of N-bearing organics while suppressing the formation of O-bearing complex molecules. In order to distinguish these distinct formation pathways we have obtained extremely high angular resolution observations of methyl cyanide (CH_3CN) using the Atacama Large Millimeter/Submillimeter Array (ALMA) toward Orion KL. By simultaneously imaging ^{13}CH_3CN and CH_2DCN we map the temperature structure and D/H ratio of CH_3CN. We will present updated results of these observations and discuss their implications for the formation of N-bearing organics in the interstellar medium.

  19. Tracing the Origins of Nitrogen Bearing Organics Toward Orion KL with Alma

    NASA Astrophysics Data System (ADS)

    Carroll, Brandon; Crockett, Nathan; Bergin, Edwin; Blake, Geoffrey

    2016-06-01

    A comprehensive analysis of a broadband 1.2 THz wide spectral survey of the Orion Kleinmann-Low nebula (Orion KL) from the Herschel Space Telescope has shown that nitrogen bearing complex organics trace systematically hotter gas than O-bearing organics toward this source. The origin of this O/N dichotomy remains a mystery. If complex molecules originate from grain surfaces, N-bearing species may be more difficult to remove from grain surfaces than O-bearing organics. Theoretical studies, however, have shown that hot (T=300 K) gas phase chemistry can produce high abundances of N-bearing organics while suppressing the formation of O-bearing complex molecules. In order to distinguish these distinct formation pathways we have obtained extremely high angular resolution observations of methyl cyanide (CH_3CN) using the Atacama Large Millimeter/Submillimeter Array (ALMA) toward Orion KL. By simultaneously imaging 13CH_3CN and CH_2DCN we map the temperature structure and D/H ratio of CH_3CN. We will present the initial results of these observations and discuss their implications for the formation of N-bearing organics in the interstellar medium.

  20. [Epidemiology of Minamata Disease--Focus on the Clinical Features Related to the 1977 Diagnostic Criteria].

    PubMed

    Futatsuka, Makoto

    2015-01-01

    Large-scale food poisoning caused by methylmercury was identified in Minamata, Japan, in the 1950s (Minamata Disease). Although the diagnostic criteria for the disease was controversial and difficult during that time, we, the Kumamoto University Study Group, carried out a large-scale study to assess the clinical features in 1972-1973. The author tried to reassess the results of that study to appraise the diagnostic criteria established in 1977 on the basis of those results. A substantial number of residents in the exposed area exhibited neurologic signs, especially paresthesia of only the extremities, namely, the male residents of Minamata City showed a positive predictive value of 0.73 and a negative predictive value of 0.23. The relative risks of paresthesia only were 2.6 (2.0-3.3) and 1.2 (0.9-1.5), in Minamata and Goshonoura related to Ariake (control), respectively. At least until 1977, the diagnostic criteria remained valid, although it was inadequate. Nevertheless, presently, a follow-up study of the certified patients may lead to the development of efficient new diagnostic criteria.

  1. Imaging of mesoscopic-scale organisms using selective-plane optoacoustic tomography.

    PubMed

    Razansky, Daniel; Vinegoni, Claudio; Ntziachristos, Vasilis

    2009-05-07

    Mesoscopic-scale living organisms (i.e. 1 mm to 1 cm sized) remain largely inaccessible by current optical imaging methods due to intensive light scattering in tissues. Therefore, imaging of many important model organisms, such as insects, fishes, worms and similarly sized biological specimens, is currently limited to embryonic or other transparent stages of development. This makes it difficult to relate embryonic cellular and molecular mechanisms to consequences in organ function and animal behavior in more advanced stages and adults. Herein, we have developed a selective-plane illumination optoacoustic tomography technique for in vivo imaging of optically diffusive organisms and tissues. The method is capable of whole-body imaging at depths from the sub-millimeter up to centimeter range with a scalable spatial resolution in the order of magnitude of a few tenths of microns. In contrast to pure optical methods, the spatial resolution here is not determined nor limited by light diffusion; therefore, such performance cannot be achieved by any other optical imaging technology developed so far. The utility of the method is demonstrated on several whole-body models and small-animal extremities.

  2. Genetic, genomic, and molecular tools for studying the protoploid yeast, L. waltii.

    PubMed

    Di Rienzi, Sara C; Lindstrom, Kimberly C; Lancaster, Ragina; Rolczynski, Lisa; Raghuraman, M K; Brewer, Bonita J

    2011-02-01

    Sequencing of the yeast Kluyveromyces waltii (recently renamed Lachancea waltii) provided evidence of a whole genome duplication event in the lineage leading to the well-studied Saccharomyces cerevisiae. While comparative genomic analyses of these yeasts have proven to be extremely instructive in modeling the loss or maintenance of gene duplicates, experimental tests of the ramifications following such genome alterations remain difficult. To transform L. waltii from an organism of the computational comparative genomic literature into an organism of the functional comparative genomic literature, we have developed genetic, molecular and genomic tools for working with L. waltii. In particular, we have characterized basic properties of L. waltii (growth, ploidy, molecular karyotype, mating type and the sexual cycle), developed transformation, cell cycle arrest and synchronization protocols, and have created centromeric and non-centromeric vectors as well as a genome browser for L. waltii. We hope that these tools will be used by the community to follow up on the ideas generated by sequence data and lead to a greater understanding of eukaryotic biology and genome evolution. 2010 John Wiley & Sons, Ltd.

  3. Genetic, genomic, and molecular tools for studying the protoploid yeast, L. waltii

    PubMed Central

    Di Rienzi, Sara C.; Lindstrom, Kimberly C.; Lancaster, Ragina; Rolczynski, Lisa; Raghuraman, M. K.; Brewer, Bonita J.

    2011-01-01

    Sequencing of the yeast Kluyveromyces waltii (recently renamed Lachancea waltii) provided evidence of a whole genome duplication event in the lineage leading to the well-studied Saccharomyces cerevisiae. While comparative genomic analyses of these yeasts have proven to be extremely instructive in modeling the loss or maintenance of gene duplicates, experimental tests of the ramifications following such genome alterations remain difficult. To transform L. waltii from an organism of the computational comparative genomic literature into an organism of the functional comparative genomic literature, we have developed genetic, molecular and genomic tools for working with L. waltii. In particular, we have characterized basic properties of L. waltii (growth, ploidy, molecular karyotype, mating type and the sexual cycle), developed transformation, cell cycle arrest and synchronization protocols, and have created centromeric and non-centromeric vectors as well as a genome browser for L. waltii. We hope that these tools will be used by the community to follow up on the ideas generated by sequence data and lead to a greater understanding of eukaryotic biology and genome evolution. PMID:21246627

  4. Resistant and Refractory Hypertension: Antihypertensive Treatment Resistance vs Treatment Failure

    PubMed Central

    Siddiqui, Mohammed; Dudenbostel, Tanja; Calhoun, David A.

    2017-01-01

    Resistant or difficult to treat hypertension is defined as high blood pressure that remains uncontrolled with 3 or more different antihypertensive medications, including a diuretic. Recent definitions also include controlled blood pressure with use of 4 or more medications as also being resistant to treatment. Recently, refractory hypertension, an extreme phenotype of antihypertensive treatment failure has been defined as hypertension uncontrolled with use of 5 or more antihypertensive agents, including a long-acting thiazide diuretic and a mineralocorticoid receptor antagonist. Patients with resistant vs refractory hypertension share similar characteristics and comorbidities, including obesity, African American race, female sex, diabetes, coronary heart disease, chronic kidney disease, and obstructive sleep apnea. Patients with refractory vs resistant hypertension tend to be younger and are more likely to have been diagnosed with congestive heart failure. Refractory hypertension might also differ from resistant hypertension in terms of underlying cause. Preliminary evidence suggests that refractory hypertension is more likely to be neurogenic in etiology (ie, heightened sympathetic tone), vs a volume-dependent hypertension that is more characteristic of resistant hypertension in general. PMID:26514749

  5. Low Bandwidth Robust Controllers for Flight

    NASA Technical Reports Server (NTRS)

    Biezad, Daniel J.; Chou, Hwei-Lan

    1993-01-01

    Through throttle manipulations, engine thrust can be used for emergency flight control for multi-engine aircraft. Previous study by NASA Dryden has shown the use of throttles for emergency flight control to be very difficult. In general, manual fly-by-throttle is extremely difficult - with landing almost impossible, but control augmentation makes runway landings feasible. Flight path control using throttles-only to achieve safe emergency landing for a large jet transport airplane, Boeing 720, was investigated using Quantitative Feedback Theory (QFT). Results were compared to an augmented control developed in a previous simulation study. The control augmentation corrected the unsatisfactory open-loop characteristics by increasing system bandwidth and damping, but increasing the control bandwidth substantially proved very difficult. The augmented pitch control is robust under no or moderate turbulence. The augmented roll control is sensitive to configuration changes.

  6. Low bandwidth robust controllers for flight

    NASA Technical Reports Server (NTRS)

    Biezad, Daniel J.; Chou, Hwei-Lan

    1993-01-01

    Through throttle manipulations, engine thrust can be used for emergency flight control for multi-engine aircraft. Previous study by NASA Dryden has shown the use of throttles for emergency flight control to be very difficult. In general, manual fly-by-throttle is extremely difficult - with landing almost impossible, but control augmentation makes runway landings feasible. Flight path control using throttles-only to achieve safe emergency landing for a large jet transport airplane, Boeing 720, was investigated using Quantitative Feedback Theory (QFT). Results were compared to an augmented control developed in a previous simulation study. The control augmentation corrected the unsatisfactory open-loop characteristics by increasing system bandwidth and damping, but increasing the control bandwidth substantially proved very difficult. The augmented pitch control is robust under no or moderate turbulence. The augmented roll control is sensitive to configuration changes.

  7. Computational discovery of extremal microstructure families

    PubMed Central

    Chen, Desai; Skouras, Mélina; Zhu, Bo; Matusik, Wojciech

    2018-01-01

    Modern fabrication techniques, such as additive manufacturing, can be used to create materials with complex custom internal structures. These engineered materials exhibit a much broader range of bulk properties than their base materials and are typically referred to as metamaterials or microstructures. Although metamaterials with extraordinary properties have many applications, designing them is very difficult and is generally done by hand. We propose a computational approach to discover families of microstructures with extremal macroscale properties automatically. Using efficient simulation and sampling techniques, we compute the space of mechanical properties covered by physically realizable microstructures. Our system then clusters microstructures with common topologies into families. Parameterized templates are eventually extracted from families to generate new microstructure designs. We demonstrate these capabilities on the computational design of mechanical metamaterials and present five auxetic microstructure families with extremal elastic material properties. Our study opens the way for the completely automated discovery of extremal microstructures across multiple domains of physics, including applications reliant on thermal, electrical, and magnetic properties. PMID:29376124

  8. The effects of task difficulty, novelty and the size of the search space on intrinsically motivated exploration.

    PubMed

    Baranes, Adrien F; Oudeyer, Pierre-Yves; Gottlieb, Jacqueline

    2014-01-01

    Devising efficient strategies for exploration in large open-ended spaces is one of the most difficult computational problems of intelligent organisms. Because the available rewards are ambiguous or unknown during the exploratory phase, subjects must act in intrinsically motivated fashion. However, a vast majority of behavioral and neural studies to date have focused on decision making in reward-based tasks, and the rules guiding intrinsically motivated exploration remain largely unknown. To examine this question we developed a paradigm for systematically testing the choices of human observers in a free play context. Adult subjects played a series of short computer games of variable difficulty, and freely choose which game they wished to sample without external guidance or physical rewards. Subjects performed the task in three distinct conditions where they sampled from a small or a large choice set (7 vs. 64 possible levels of difficulty), and where they did or did not have the possibility to sample new games at a constant level of difficulty. We show that despite the absence of external constraints, the subjects spontaneously adopted a structured exploration strategy whereby they (1) started with easier games and progressed to more difficult games, (2) sampled the entire choice set including extremely difficult games that could not be learnt, (3) repeated moderately and high difficulty games much more frequently than was predicted by chance, and (4) had higher repetition rates and chose higher speeds if they could generate new sequences at a constant level of difficulty. The results suggest that intrinsically motivated exploration is shaped by several factors including task difficulty, novelty and the size of the choice set, and these come into play to serve two internal goals-maximize the subjects' knowledge of the available tasks (exploring the limits of the task set), and maximize their competence (performance and skills) across the task set.

  9. Extreme precipitation patterns reduced terrestrial ecosystem production across biomass

    USDA-ARS?s Scientific Manuscript database

    Precipitation regimes are predicted to shift to more extreme patterns that are characterized by more intense rainfall events and longer dry intervals, yet their ecological impacts on vegetation production remain uncertain across biomes in natural climatic conditions. This in situ study investigated ...

  10. Contributions of Dynamic and Thermodynamic Scaling in Subdaily Precipitation Extremes in India

    NASA Astrophysics Data System (ADS)

    Ali, Haider; Mishra, Vimal

    2018-03-01

    Despite the importance of subdaily precipitation extremes for urban areas, the role of dynamic and thermodynamic scaling in changes in precipitation extremes in India remains poorly constrained. Here we estimate contributions from thermodynamic and dynamic scaling on changes in subdaily precipitation extremes for 23 urban locations in India. Subdaily precipitation extremes have become more intense during the last few decades. Moreover, we find a twofold rise in the frequency of subdaily precipitation extremes during 1979-2015, which is faster than the increase in daily precipitation extremes. The contribution of dynamic scaling in this rise in the frequency and intensity of subdaily precipitation extremes is higher than the thermodynamic scaling. Moreover, half-hourly precipitation extremes show higher contributions from the both thermodynamic ( 10%/K) and dynamic ( 15%/K) scaling than daily (6%/K and 9%/K, respectively) extremes indicating the role of warming on the rise in the subdaily precipitation extremes in India. Our findings have implications for better understanding the dynamic response of precipitation extremes under the warming climate over India.

  11. Diagnosis, treatment, and rehabilitation of stress fractures in the lower extremity in runners

    PubMed Central

    Kahanov, Leamor; Eberman, Lindsey E; Games, Kenneth E; Wasik, Mitch

    2015-01-01

    Stress fractures account for between 1% and 20% of athletic injuries, with 80% of stress fractures in the lower extremity. Stress fractures of the lower extremity are common injuries among individuals who participate in endurance, high load-bearing activities such as running, military and aerobic exercise and therefore require practitioner expertise in diagnosis and management. Accurate diagnosis for stress fractures is dependent on the anatomical area. Anatomical regions such as the pelvis, sacrum, and metatarsals offer challenges due to difficulty differentiating pathologies with common symptoms. Special tests and treatment regimes, however, are similar among most stress fractures with resolution between 4 weeks to a year. The most difficult aspect of stress fracture treatment entails mitigating internal and external risk factors. Practitioners should address ongoing risk factors to minimize recurrence. PMID:25848327

  12. Trends in body mass index and prevalence of extreme high obesity among Pennsylvania children and adolescents, 2007-2011: promising but cautionary.

    PubMed

    Lohrmann, David; YoussefAgha, Ahmed; Jayawardene, Wasantha

    2014-04-01

    We determined current trends and patterns in overweight, obesity, and extreme high obesity among Pennsylvania pre-kindergarten (pre-K) to 12th grade students and simulated future trends. We analyzed body mass index (BMI) of pre-K to 12th grade students from 43 of 67 Pennsylvania counties in 2007 to 2011 to determine trends and to discern transition patterns among BMI status categories for 2009 to 2011. Vinsem simulation, confirmed by Markov chain modeling, generated future prevalence trends. Combined rates of overweight, obesity, and extreme high obesity decreased among secondary school students across the 5 years, and among elementary students, first increased and then markedly decreased. BMI status remained constant for approximately 80% of normal and extreme high obese students, but both decreased and increased among students who initially were overweight and obese; the increase in BMI remained significant. Overall trends in child and adolescent BMI status seemed positive. BMI transition patterns indicated that although overweight and obesity prevalence leveled off, extreme high obesity, especially among elementary students, is projected to increase substantially over time. If current transition patterns continue, the prevalence of overweight, obesity, and extreme high obesity among Pennsylvania students in 2031 is projected to be 16.0%, 6.6%, and 23.2%, respectively.

  13. How are the wetlands over tropical basins impacted by the extreme hydrological events?

    NASA Astrophysics Data System (ADS)

    Al-Bitar, A.; Parrens, M.; Frappart, F.; Papa, F.; Kerr, Y. H.; Cretaux, J. F.; Wigneron, J. P.

    2016-12-01

    Wetlands play a crucial role in tropical basins and still many questions remain unanswered on how extreme events (like El-Nino) impacts them. Answering these questions is challenging as monitoring of inland water surfaces via remote sensing over tropical areas is a difficult task because of impact of vegetation and cloud cover. Several microwave based products have been elaborated to monitor these surfaces (Papa et al. 2010). In this study we combine the use of L-band microwave brightness temperatures and altimetric data from SARAL/ALTIKA to derive water storage maps at relatively high (7days) temporal frequency. The area of interest concerns the Amazon, Congo and GBH basins A first order radiative model is used to derive surface water over land from the brightness temperature measured by ESA SMOS mission at coarse resolution (25 km x 25 km) and 7-days frequency. An initial investigation of the use of the SMAP mission for the same purpose will be also presented. The product is compared to the static land cover map such as ESA CCI and the International Geosphere-Biosphere Program (IGBP) and also dynamic maps from SWAPS. It is then combined to the altimetric data to derive water storage maps. The water surfaces and water storage products are then compared to precipitation data from GPM TRMM datasets, ground water storage change from GRACE and river discharge data from field data. The amplitudes and time shifts of the signals is compared based on the sub-basin definition from Hydroshed database. The dataset is then divided into years of strong and weak El-Nino signal and the anomaly is between the two dataset is compared. The results show a strong influence of EL-Nino on the time shift of the different components showing that the hydrological regime of wetlands is highly impacted by these extreme events. This can have dramatic impacts on the ecosystem as the wetlands are vulnerable with a high biodiversity.

  14. Numerical simulation of crystal fractionation in shergottite meteorites

    NASA Astrophysics Data System (ADS)

    Grimm, R. E.; McSween, H. Y., Jr.

    Cumulus clinopyroxenes in the Shergotty and Zagami meteorites suggest crystal fractionation occurred, possibly by gravitative settling. Numerical models of this process in a nonconvecting environment argue that the small phenocrysts can segregate only under extreme conditions of cooling time or gravitational field strength. Since textures indicate that cooling time was not excessive, a large (planetary) g is required by these models, in agreement with other suggestions that the shergottite parent body may be Mars. Other calculations indicate that it is extremely difficult to produce the observed textures in a convecting environment, unless crystal setting occurred in a quiescent zone at the bottom of the magma chamber.

  15. Numerical simulation of crystal fractionation in shergottite meteorites

    NASA Technical Reports Server (NTRS)

    Grimm, R. E.; Mcsween, H. Y., Jr.

    1982-01-01

    Cumulus clinopyroxenes in the Shergotty and Zagami meteorites suggest crystal fractionation occurred, possibly by gravitative settling. Numerical models of this process in a nonconvecting environment argue that the small phenocrysts can segregate only under extreme conditions of cooling time or gravitational field strength. Since textures indicate that cooling time was not excessive, a large (planetary) g is required by these models, in agreement with other suggestions that the shergottite parent body may be Mars. Other calculations indicate that it is extremely difficult to produce the observed textures in a convecting environment, unless crystal setting occurred in a quiescent zone at the bottom of the magma chamber.

  16. What's new in Rocky Mountain spotted fever?

    PubMed

    Chen, Luke F; Sexton, Daniel J

    2008-09-01

    Rocky Mountain spotted fever (RMSF) remains an important illness despite an effective therapy because it is difficult to diagnose and is capable of producing a fatal outcome. The pathogenesis of RMSF remains, in large part, an enigma. However, recent research has helped shed light on this mystery. Importantly, the diagnosis of RMSF must be considered in all febrile patients who have known or possible exposure to ticks, especially if they live in or have traveled to endemic regions during warmer months. Decisions about giving empiric therapy to such patients are difficult and require skill and careful judgement.

  17. Inferior vena cava filter retrievals, standard and novel techniques.

    PubMed

    Kuyumcu, Gokhan; Walker, T Gregory

    2016-12-01

    The placement of an inferior vena cava (IVC) filter is a well-established management strategy for patients with venous thromboembolism (VTE) disease in whom anticoagulant therapy is either contraindicated or has failed. IVC filters may also be placed for VTE prophylaxis in certain circumstances. There has been a tremendous growth in placement of retrievable IVC filters in the past decade yet the majority of the devices are not removed. Unretrieved IVC filters have several well-known complications that increase in frequency as the filter dwell time increases. These complications include caval wall penetration, filter fracture or migration, caval thrombosis and an increased risk for lower extremity deep vein thrombosis (DVT). Difficulty is sometimes encountered when attempting to retrieve indwelling filters, mainly because of either abnormal filter positioning or endothelization of filter components that are in contact with the IVC wall, thereby causing the filter to become embedded. The length of time that a filter remains indwelling also impacts the retrieval rate, as increased dwell times are associated with more difficult retrievals. Several techniques for difficult retrievals have been described in the medical literature. These techniques range from modifications of standard retrieval techniques to much more complex interventions. Complications related to complex retrievals are more common than those associated with standard retrieval techniques. The risks of complex filter retrievals should be compared with those of life-long anticoagulation associated with an unretrieved filter, and should be individualized. This article summarizes current techniques for IVC filter retrieval from a clinical point of view, with an emphasis on advanced retrieval techniques.

  18. Inferior vena cava filter retrievals, standard and novel techniques

    PubMed Central

    Walker, T. Gregory

    2016-01-01

    The placement of an inferior vena cava (IVC) filter is a well-established management strategy for patients with venous thromboembolism (VTE) disease in whom anticoagulant therapy is either contraindicated or has failed. IVC filters may also be placed for VTE prophylaxis in certain circumstances. There has been a tremendous growth in placement of retrievable IVC filters in the past decade yet the majority of the devices are not removed. Unretrieved IVC filters have several well-known complications that increase in frequency as the filter dwell time increases. These complications include caval wall penetration, filter fracture or migration, caval thrombosis and an increased risk for lower extremity deep vein thrombosis (DVT). Difficulty is sometimes encountered when attempting to retrieve indwelling filters, mainly because of either abnormal filter positioning or endothelization of filter components that are in contact with the IVC wall, thereby causing the filter to become embedded. The length of time that a filter remains indwelling also impacts the retrieval rate, as increased dwell times are associated with more difficult retrievals. Several techniques for difficult retrievals have been described in the medical literature. These techniques range from modifications of standard retrieval techniques to much more complex interventions. Complications related to complex retrievals are more common than those associated with standard retrieval techniques. The risks of complex filter retrievals should be compared with those of life-long anticoagulation associated with an unretrieved filter, and should be individualized. This article summarizes current techniques for IVC filter retrieval from a clinical point of view, with an emphasis on advanced retrieval techniques. PMID:28123984

  19. Classification of brain MRI with big data and deep 3D convolutional neural networks

    NASA Astrophysics Data System (ADS)

    Wegmayr, Viktor; Aitharaju, Sai; Buhmann, Joachim

    2018-02-01

    Our ever-aging society faces the growing problem of neurodegenerative diseases, in particular dementia. Magnetic Resonance Imaging provides a unique tool for non-invasive investigation of these brain diseases. However, it is extremely difficult for neurologists to identify complex disease patterns from large amounts of three-dimensional images. In contrast, machine learning excels at automatic pattern recognition from large amounts of data. In particular, deep learning has achieved impressive results in image classification. Unfortunately, its application to medical image classification remains difficult. We consider two reasons for this difficulty: First, volumetric medical image data is considerably scarcer than natural images. Second, the complexity of 3D medical images is much higher compared to common 2D images. To address the problem of small data set size, we assemble the largest dataset ever used for training a deep 3D convolutional neural network to classify brain images as healthy (HC), mild cognitive impairment (MCI) or Alzheimers disease (AD). We use more than 20.000 images from subjects of these three classes, which is almost 9x the size of the previously largest data set. The problem of high dimensionality is addressed by using a deep 3D convolutional neural network, which is state-of-the-art in large-scale image classification. We exploit its ability to process the images directly, only with standard preprocessing, but without the need for elaborate feature engineering. Compared to other work, our workflow is considerably simpler, which increases clinical applicability. Accuracy is measured on the ADNI+AIBL data sets, and the independent CADDementia benchmark.

  20. Managing Conflict with Direct Reports. For the Practicing Manager. An Ideas into Action Guidebook.

    ERIC Educational Resources Information Center

    Popejoy, Barbara; McManigle, Brenda J.

    Conflict is inevitable when people work together because they have different points of view, values, and ways of working. Resolving conflicts can be extremely difficult because of these differences. This short guidebook addresses ways successful leaders can work to manage conflict in the workplace, in particular conflict with people who report to…

  1. Alaska biological control program directed at amber-marked birch leaf miner.

    Treesearch

    J.E. Lundquist; K.F. Zogas; C.L. Snyder; B.K. Schulz

    2008-01-01

    Nonnative invasive insects are having major impacts on the economics and ecology of forests nationwide. Until recently, Alaska was fortunately mostly free of these pests. Because of the remoteness of much of Alaska's native forests, an invasive pest infestation would be extremely difficult to control. Global markets, global climate change, and the ever-increasing...

  2. What Recourse for the Principal Abused by Community Activists? The Case of "Stevens v. Tillman."

    ERIC Educational Resources Information Center

    Menacker, Julius

    1990-01-01

    "Stevens v. Tillman" illustrates the limited reach of federal law in controversies where community activists use extreme, even illegal, methods to exert their will over objecting school officials. Defamation charges against activists for verbal abuses will apparently be very difficult to sustain, given court views that being called a…

  3. Techniques for Cynodon dactylon (L.) Pers. control suitable for use in fallow organic transition in the southeastern U.S. coastal plain

    USDA-ARS?s Scientific Manuscript database

    Cynodon dactylon (L.) Pers. (common bermudagrass) is a troublesome perennial grass common in the southeastern U. S. and extremely difficult to control in organic crop production systems. Research trials in a site heavily infested with C. dactylon were conducted from 2008 to 2010 to evaluate systems...

  4. Adaptive Techniques for Control of Large Space Structures.

    DTIC Science & Technology

    1984-12-01

    uncertainty, diverge and ultimately go unstable. This problem is extremely difficult and has only recently been addressed, even in the general context of...L. (4.7b) Corollary 1: Performance Bounds Suppose z. and e. satisfy the conditions in () of Theroems 1A or 18. I) Let H c SPR , i.e., - M, y > 0 such

  5. The Impact of Social Software in Product Design Higher Education

    ERIC Educational Resources Information Center

    Hurn, Karl

    2012-01-01

    It is difficult to ignore the impact that Web 2.0 and the subsequent social software revolution has had on society in general, and young people in particular. Information is exchanged and interpreted extremely quickly and in ways that were not imagined 10 years ago. Universities are struggling to keep up with this new technology, with outdated…

  6. A Simple Microscopy Assay to Teach the Processes of Phagocytosis and Exocytosis

    ERIC Educational Resources Information Center

    Gray, Ross; Gray, Andrew; Fite, Jessica L.; Jordan, Renee; Stark, Sarah; Naylor, Kari

    2012-01-01

    Phagocytosis and exocytosis are two cellular processes involving membrane dynamics. While it is easy to understand the purpose of these processes, it can be extremely difficult for students to comprehend the actual mechanisms. As membrane dynamics play a significant role in many cellular processes ranging from cell signaling to cell division to…

  7. Resilience and Political Violence: A Cross-Cultural Study of Moderating Effects among Jewish- and Arab-Israeli Youth

    ERIC Educational Resources Information Center

    Lavi, Iris; Slone, Michelle

    2011-01-01

    Children in countries involved in violent national conflicts experience difficult and, at times, extreme events such as spending long hours in shelters, witnessing terror attacks, or having a family member absent or injured while participating in battle. This study explores the moderating effect of resilience factors, self-esteem, and…

  8. Visual impacts in the urban-wildland interface

    Treesearch

    Arthur W. Magill; Rowan A. Rowntree; Robert O. Brush

    1979-01-01

    The urban-wildland interface is treated as a place where extremes meet--where it is difficult to maintain a visually appealing transition from country to city. Problems are identified in relation to stable cities, urbanizing areas, and developing resorts in the wildlands. The visual problems of urbanization are also discussed in relation to physical impacts such as...

  9. Transition to Adult-Oriented Health Care: Perspectives of Youth and Adults with Complex Physical Disabilities

    ERIC Educational Resources Information Center

    Young, Nancy L.; Barden, Wendy S.; Mills, Wendy A.; Burke, Tricia A.; Law, Mary; Boydell, Katherine

    2009-01-01

    Introduction: The transition to adulthood is extremely difficult for individuals with disabilities. We sought to explore the specific issue of transition to adult-oriented health care in a Canadian context. Methods: We conducted semi-structured individual interviews with 15 youth and 15 adults with cerebral palsy, spina bifida, and acquired brain…

  10. New technology in postfire rehab

    Treesearch

    Joe Sabel

    2007-01-01

    PAM-12™ is a recycled office paper byproduct made into a spreadable mulch with added Water Soluble Polyacrylamide (WSPAM), a previously difficult polymer to apply. PAM-12 is extremely versatile and can be applied through several methods. In a field test, PAM-12 outperformed straw in every targeted performance area: erosion control, improving soil hydrophobicity, and...

  11. A Case for National Security: Using the Might Tuna to Frame U.S. Coast Guard’s Role in the Strategic Shift to the Pacific

    DTIC Science & Technology

    2014-06-13

    corruption and cheating. This also makes it extremely difficult to determine the actual impact on the resource and the entire ecosystem . “Overfishing...limits, established under international agreements. By adversely impacting fisheries, marine ecosystems , food security and coastal communities around...

  12. Classroom-tested Recommendations for Teaching Problem Solving within a Traditional College Course: Genetics.

    ERIC Educational Resources Information Center

    Smith, Mike U.

    Both teachers and students alike acknowledge that genetics and genetics problem-solving are extremely difficult to learn and to teach. Therefore, a number of recommendations for teaching college genetics are offered. Although few of these ideas have as yet been tested in controlled experiments, they are supported by research and experience and may…

  13. Libraries in Today's Digital Age: The Copyright Controversy. ERIC Digest.

    ERIC Educational Resources Information Center

    Russell, Carrie

    This digest focuses on the continuing ambiguities libraries and their users face in dealing with copyright in the digital environment. In the networked digital world, the basic principles of copyright are more difficult to apply. Digital copies are easy to create, modify, and manipulate, they are extremely easy to distribute widely over networks,…

  14. Denying Social Harm: Students' Resistance to Lessons about Inequality

    ERIC Educational Resources Information Center

    Kleinman, Sherryl; Copp, Martha

    2009-01-01

    Students share folk beliefs that make it difficult for them to understand inequality, especially the harmful consequences of social practices they routinely engage in, are attached to, and take for granted. Four of these beliefs include: (a) harm is direct, extreme, and the product of an individual's intentions; (2) harm is the product of the…

  15. Heterotopic Prostate at Autopsy- An Unusual Mass at the Dome of the Urinary Bladder.

    PubMed

    Munde, Shital; Fernandes, Gwendolyn; Phadnis, Priyanka

    2017-09-01

    Heterotopic prostate in the dome of the urinary bladder is extremely rare and difficult to diagnose. It is often mistaken for neoplastic masses and histopathological examination is warranted for diagnosis. We report an autopsy case of an ectopic prostate at the dome of the bladder which mimicked a neoplasm on gross pathology.

  16. Teaching about the Holocaust--A Resource Guide

    ERIC Educational Resources Information Center

    Russell, William Benedict, III

    2005-01-01

    Teaching about the Holocaust is an emotional process that can be extremely difficult, especially without the proper resources. Most teachers spend one or two class periods on the Holocaust and usually cram the lesson into a unit on World War II. As a teacher, the author understands that time is short and that it is impossible to spend the…

  17. Hardwood cover crops:can they enhance loblolly pine seedling production

    Treesearch

    Paul P. Kormanik; Shi-Jean S. Sung; T.L. Kormanik; Stanley J. Zarnoch

    1995-01-01

    It has been extremely difficult to obtain more than two loblolly pine (Pinus taeda L.) crops following even effective soil fumigation with methyl bromide in southern forest tree nurseries. The traditional agronomic cover crops such as sorghum and sudex, unless followed by fumigation, do not normally produce satisfactory loblolly pine seedling crops. Various species...

  18. An Educational Game for Learning Human Immunology: What Do Students Learn and How Do They Perceive?

    ERIC Educational Resources Information Center

    Cheng, Meng-Tzu; Su, TzuFen; Huang, Wei-Yu; Chen, Jhih-Hao

    2014-01-01

    The scientific concepts of human immunology are inherently complicated and extremely difficult to understand. Hence, this study reports on the development of an educational game entitled "Humunology" and examines the impact of using "Humunology" for learning how the body's defense system works. A total of 132 middle school…

  19. Landscape epidemiology and control of pathogens with cryptic and long-distance dispersal: Sudden oak death in northern Californian forests

    Treesearch

    Joao A. N. Filipe; Richard C. Cobb; Ross K. Meentemeyer; Christopher A. Lee; Yana S. Valachovic; Alex R. Cook; David M. Rizzo; Christopher A. Gilligan

    2012-01-01

    Exotic pathogens and pests threaten ecosystem service, biodiversity, and crop security globally. If an invasive agent can disperse asymptomatically over long distances, multiple spatial and temporal scales interplay, making identification of effective strategies to regulate, monitor, and control disease extremely difficult. The management of outbreaks is also...

  20. Chapter 19: The carbon isotope composition of plants and soils as biomarkers of pollution

    Treesearch

    DE Pataki; JT Eanderson; W Want; MK Herzenach; NE Grulke

    2010-01-01

    Urban environments have been compared to the global environment predicted at the end of the twenty-first century, in that urban areas are currently experiencing elevated atmospheric C02 concentrations, warmer temperatures, increased nitrogen loads, and elevated concentrations of pollutants (Grimm et al. 2000). It is extremely difficult to predict...

  1. Learning in LAMS: Lesson from a Student Teacher Exploring Gene Ethics

    ERIC Educational Resources Information Center

    Dennis, Carina

    2012-01-01

    Due to its complex and microscopic nature, genetics is a difficult subject for many learners to conceptually grasp. Graphics, animation and video material can be extremely helpful to their understanding. A wealth of educational online content about genetics has been created over the past decade in the wake of the human genome being sequenced.…

  2. Cumulative hazard: The case of nuisance flooding

    NASA Astrophysics Data System (ADS)

    Moftakhari, Hamed R.; AghaKouchak, Amir; Sanders, Brett F.; Matthew, Richard A.

    2017-02-01

    The cumulative cost of frequent events (e.g., nuisance floods) over time may exceed the costs of the extreme but infrequent events for which societies typically prepare. Here we analyze the likelihood of exceedances above mean higher high water and the corresponding property value exposure for minor, major, and extreme coastal floods. Our results suggest that, in response to sea level rise, nuisance flooding (NF) could generate property value exposure comparable to, or larger than, extreme events. Determining whether (and when) low cost, nuisance incidents aggregate into high cost impacts and deciding when to invest in preventive measures are among the most difficult decisions for policymakers. It would be unfortunate if efforts to protect societies from extreme events (e.g., 0.01 annual probability) left them exposed to a cumulative hazard with enormous costs. We propose a Cumulative Hazard Index (CHI) as a tool for framing the future cumulative impact of low cost incidents relative to infrequent extreme events. CHI suggests that in New York, NY, Washington, DC, Miami, FL, San Francisco, CA, and Seattle, WA, a careful consideration of socioeconomic impacts of NF for prioritization is crucial for sustainable coastal flood risk management.

  3. Cardiothoracic and Vascular Surgeons Achieve High Rates of K-Award Conversion Into R01 Funding.

    PubMed

    Narahari, Adishesh K; Mehaffey, J Hunter; Hawkins, Robert B; Baderdinni, Pranav K; Chandrabhatla, Anirudha S; Tribble, Curtis G; Kron, Irving L; Roeser, Mark E; Walters, Dustin M; Ailawadi, Gorav

    2018-03-14

    Obtaining National Institutes of Health (NIH) R01 funding remains extremely difficult. The utility of career development grants (K awards) for achieving the goal of R01 funding remains debated, particularly for surgeon-scientists. We examined the success rate for cardiothoracic and vascular (CTV) surgeons compared to other specialties in converting K-level grants into R01 equivalents. All K (K08 and K23) grants awarded to surgeons by the NIH between 1992-2017 were identified through NIH RePORTER, an online database combining funding, publications, and patents. Only grants awarded to CTV surgeons were included. Grants active within the past year were excluded. Mann-Whitney U-tests and Chi-squared tests were used to compare groups. A total of 62 K grants awarded to CTV surgeons were identified during this period. Sixteen grants were still active within the last year and excluded from analysis. Twenty-two (48%) of the remaining K awardees successfully transitioned to an R01 or equivalent grant. Awardees with successful conversion published 9 publications per K grant compared to 4 publications for those who did not convert successfully (p=0.01). The median time for successful conversion to an R grant was 5.0 years after the K award start date. Importantly, the 10-year conversion rate to R01 was equal for CTV surgeons compared to other clinician-investigators (52.6% vs 42.5%). CTV surgeons have an equal 10-year conversion rate to first R01 award compared to other clinicians. These data suggest that NIH achieves a good return on investment when funding CTV surgeon-scientists with K-level funding. Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  4. Weak linkage between the heaviest rainfall and tallest storms.

    PubMed

    Hamada, Atsushi; Takayabu, Yukari N; Liu, Chuntao; Zipser, Edward J

    2015-02-24

    Conventionally, the heaviest rainfall has been linked to the tallest, most intense convective storms. However, the global picture of the linkage between extreme rainfall and convection remains unclear. Here we analyse an 11-year record of spaceborne precipitation radar observations and establish that a relatively small fraction of extreme convective events produces extreme rainfall rates in any region of the tropics and subtropics. Robust differences between extreme rainfall and convective events are found in the rainfall characteristics and environmental conditions, irrespective of region; most extreme rainfall events are characterized by less intense convection with intense radar echoes not extending to extremely high altitudes. Rainfall characteristics and environmental conditions both indicate the importance of warm-rain processes in producing extreme rainfall rates. Our results demonstrate that, even in regions where severe convective storms are representative extreme weather events, the heaviest rainfall events are mostly associated with less intense convection.

  5. Starquakes, Heating Anomalies, and Nuclear Reactions in the Neutron Star Crust

    NASA Astrophysics Data System (ADS)

    Deibel, Alex Thomas

    When the most massive stars perish, their cores may remain intact in the form of extremely dense and compact stars. These stellar remnants, called neutron stars, are on the cusp of becoming black holes and reach mass densities greater than an atomic nucleus in their centers. Although the interiors of neutron stars were difficult to investigate at the time of their discovery, the advent of modern space-based telescopes (e.g., Chandra X-ray Observatory) has pushed our understanding of the neutron star interior into exciting new realms. It has been shown that the neutron star interior spans an enormous range of densities and contains many phases of matter, and further theoretical progress must rely on numerical calculations of neutron star phenomena built with detailed nuclear physics input. To further investigate the properties of the neutron star interior, this dissertation constructs numerical models of neutron stars, applies models to various observations of neutron star high-energy phenomena, and draws new conclusions about the neutron star interior from these analyses. In particular, we model the neutron star's outermost ? 1 km that encompasses the neutron star's envelope, ocean, and crust. The model must implement detailed nuclear physics to properly simulate the hydrostatic and thermal structure of the neutron star. We then apply our model to phenomena that occur in these layers, such as: thermonuclear bursts in the envelope, g-modes in the ocean, torsional oscillations of the crust, and crust cooling of neutron star transients. A comparison of models to observations provides new insights on the properties of dense matter that are often difficult to probe through terrestrial experiments. For example, models of the quiescent cooling of neutron stars, such as the accreting transient MAXI J0556-332, at late times into quiescence probe the thermal transport properties of the deep neutron star crust. This modeling provides independent data from astronomical observations on the nature of neutron superfluidity and the thermal conductivity of nuclear pasta. Our neutron star modeling efforts also pose new questions. For instance, reaction networks find that neutrino emission from cycling nuclear reactions is present in the neutron star ocean and crust, and potentially cools an accreting neutron star. This is a theory we attempt to verify using observations of neutron star transients and thermonuclear bursts, although it remains unclear if this cooling occurs. Furthermore, on some accreting neutron stars, more heat than supplied by nuclear reactions is needed to explain their high temperatures at the outset of quiescence. Although the presence of heating anomalies seems common, the source of extra heating is difficult to determine.

  6. Intra-Operative Predictors of difficult cholecystectomy and Conversion to Open Cholecystectomy - A New Scoring System.

    PubMed

    Ahmed, Nauman; Hassan, Maaz Ul; Tahira, Maham; Samad, Abdul; Rana, Hamad Naeem

    2018-01-01

    To evaluate the intra-operative scoring system to predict difficult cholecystectomy and conversion to open surgery. This descriptive study was conducted from March 2016 to August, 2016 in the Department of Surgery, Shalimar Hospital. The study recruited 120 patients of either gender, age greater than 18 years and indicated for laparoscopic cholecystectomy (LC). Intra-operatively all patients were evaluated using the new scoring system. The scoring system included five aspects; appearance and adhesion of Gall Bladder (GB), distension or contracture degree of GB, ease in access, local or septic complications, and time required for cystic artery and duct identification. The scoring system ranges from 0 to 10, classified as score of <2 being considered easy, 2 to 4 moderate, 5-7 very difficult, and 8 to 10, extreme. Patient demographic data (i.e. age, gender), co-morbidities, intra-operative scores using the scoring system and conversion to open were recorded. The data was analysed using statistical analysis software SPSS (IBM). Among one hundred and twenty participants, sixty seven percent were females and the mean age (years) was 43.05 ± 14.16. Co-morbidities were present in twenty percent patients with eleven diagnosed with diabetes, six with hypertension and five with both hypertension and diabetes. The conversion rate to open surgery was 6.7%. The overall mean intra-operative scores were 3.52 ± 2.23; however significant difference was seen in mean operative score of converted to open and those not converted to open (8.00 ± 0.92 Vs. 3.20 V 1.92; p-value = 0.001). Among eight cases converted to open, three (37.5%) were in very difficult category while five (62.5%) were in extreme category. Moreover, age greater than 40 years and being diabetic were also the risk factors for conversion to open surgery. The new intra-operative scoring system is a valuable assessment tool to predict difficult laparoscopic cholecystectomy and conversion parameters to open surgery and its utility could improve patient's clinical outcome indicated for laparoscopic cholecystectomy.

  7. Intrinsic Brain Activity in Altered States of Consciousness

    PubMed Central

    Boly, M.; Phillips, C.; Tshibanda, L.; Vanhaudenhuyse, A.; Schabus, M.; Dang-Vu, T.T.; Moonen, G.; Hustinx, R.; Maquet, P.; Laureys, S.

    2010-01-01

    Spontaneous brain activity has recently received increasing interest in the neuroimaging community. However, the value of resting-state studies to a better understanding of brain–behavior relationships has been challenged. That altered states of consciousness are a privileged way to study the relationships between spontaneous brain activity and behavior is proposed, and common resting-state brain activity features observed in various states of altered consciousness are reviewed. Early positron emission tomography studies showed that states of extremely low or high brain activity are often associated with unconsciousness. However, this relationship is not absolute, and the precise link between global brain metabolism and awareness remains yet difficult to assert. In contrast, voxel-based analyses identified a systematic impairment of associative frontoparieto–cingulate areas in altered states of consciousness, such as sleep, anesthesia, coma, vegetative state, epileptic loss of consciousness, and somnambulism. In parallel, recent functional magnetic resonance imaging studies have identified structured patterns of slow neuronal oscillations in the resting human brain. Similar coherent blood oxygen level–dependent (BOLD) systemwide patterns can also be found, in particular in the default-mode network, in several states of unconsciousness, such as coma, anesthesia, and slow-wave sleep. The latter results suggest that slow coherent spontaneous BOLD fluctuations cannot be exclusively a reflection of conscious mental activity, but may reflect default brain connectivity shaping brain areas of most likely interactions in a way that transcends levels of consciousness, and whose functional significance remains largely in the dark. PMID:18591474

  8. Probing Nucleobase Interactions and Predicting Mechanisms of Synthetic Interest Using Computational Chemistry, and Furthering the Development of BVI Education in Chemistry

    ERIC Educational Resources Information Center

    Harrison, Jason Gordon

    2013-01-01

    Quantum mechanical (QM) and molecular docking methods are used to probe systems of biological and synthetic interest. Probing interactions of nucleobases within proteins, and properly modeling said interactions toward novel nucleobase development, is extremely difficult, and of great utility in RNA interference (RNAi) therapeutics. The issues in…

  9. A methodology for determining operational priorities for prevention and suppression of wildland fires

    Treesearch

    F. Rodríguez y Silva; J.R. Molina Martínez; Armando González-Cabán

    2014-01-01

    Traditional uses of the forest (timber, forage) have been giving way to other uses more in demand (recreation, ecosystem services). An observable consequence of this process of forest land use conversion is an increase in more difficult and extreme wildfires. Wildland forest management and protection program budgets are limited, and managers are requesting help in...

  10. Hurricane impacts on forest resources in the Eastern United States: a post-sandy assessment

    Treesearch

    Greg C. Liknes; Susan J. Crocker; Randall S. Morin; Brian F. Walters

    2015-01-01

    Extreme weather events play a role in shaping the composition and structure of forests. Responding to and mitigating a storm event in a forested environment requires information about the location and severity of tree damage. However, this information can be difficult to obtain immediately following an event. Post-storm assessments using regularly collected forest...

  11. Tibetan-English Dictionary of Modern Tibetan. Bibliotheca Himalayica, Series II, Vol. 9.

    ERIC Educational Resources Information Center

    Goldstein, Melvyn C., Ed.

    Recent political events have triggered a revolution in the Tibetan language. The entrance of Tibet into the world arena of politics, science and technology has led to the creation of thousands of new lexical items in a relatively short period of time. Because of these changes, modern literary Tibetan is extremely difficult for non-Tibetans to…

  12. Simultaneous screening analysis of 3-methyl-quinoxaline-2-carboxylic acid and quinoxaline-2-carboxylic acid residues in edible animal tissues by a competitive indirect immunoassay

    USDA-ARS?s Scientific Manuscript database

    Immunoassays contribute greatly to veterinary drug residue analysis and food safety, but there are no reported immunoassays on simultaneously detecting MQCA and QCA, the marker residues for carbadox and olaquindox. It is extremely difficult to produce broad-specificity antibodies that bind both res...

  13. Integrated Spacesuit Audio System Enhances Speech Quality and Reduces Noise

    NASA Technical Reports Server (NTRS)

    Huang, Yiteng Arden; Chen, Jingdong; Chen, Shaoyan Sharyl

    2009-01-01

    A new approach has been proposed for increasing astronaut comfort and speech capture. Currently, the special design of a spacesuit forms an extreme acoustic environment making it difficult to capture clear speech without compromising comfort. The proposed Integrated Spacesuit Audio (ISA) system is to incorporate the microphones into the helmet and use software to extract voice signals from background noise.

  14. Effects of ambient temperature on egg and larval development of the invasive emerald ash borer (Coleoptera: Buprestidae): implications for laboratory-rearing

    USDA-ARS?s Scientific Manuscript database

    The emerald ash borer, Agrilus planipennis Fairmaire, an invasive beetle from Asia causing large scale ash (Fraxinus spp.) mortality in North America, has been extremely difficult to rear in the laboratory because of its long life cycle and cryptic nature of immature stages. This lack of effective ...

  15. Building an Effective and Affordable K-12 Geoscience Outreach Program from the Ground Up: A Simple Model for Universities

    ERIC Educational Resources Information Center

    Dahl, Robyn Mieko; Droser, Mary L.

    2016-01-01

    University earth science departments seeking to establish meaningful geoscience outreach programs often pursue large-scale, grant-funded programs. Although this type of outreach is highly successful, it is also extremely costly, and grant funding can be difficult to secure. Here, we present the Geoscience Education Outreach Program (GEOP), a…

  16. Gangs in Central America

    DTIC Science & Technology

    2007-08-02

    Societal stigmas against gangs and gang- deportees from the United States have made the process of leaving a gang extremely difficult. A recent...often unwilling to hire them. Tattooed former gang members, especially returning deportees from the United States who are often native English...recipients of deportees on a per capita basis. For all Central American countries, with the exception of Panama, those deported on criminal grounds

  17. Integrating forest stand projections with wildlife occupancy models to develop a decision support tool

    Treesearch

    Michelle F. Tacconelli; Edward F. Loewenstein

    2012-01-01

    Natural resource managers must often balance multiple objectives on a single property. When these objectives are seemingly conflicting, the manager’s job can be extremely difficult and complex. This paper presents a decision support tool, designed to aid land managers in optimizing wildlife habitat needs while accomplishing additional objectives such as ecosystem...

  18. Relevance of antarctic microbial ecosystems to exobiology

    NASA Technical Reports Server (NTRS)

    Mckay, Christopher P.

    1993-01-01

    Antarctic microbial ecosystems which provide biological and physical analogs that can be used in exobiology are studied. Since the access to extraterrestrial habitats is extremely difficult, terrestrial analogs represent the best opportunity for both formulation and preliminary testing of hypothesis about life. Antarctica, as one of few suitable environments on earth is considered to be a major locus of progress in exobiology.

  19. Measuring Social Cohesion: An Experiment Using the Canadian National Survey of Giving, Volunteering, and Participating

    ERIC Educational Resources Information Center

    Rajulton, Fernando; Ravanera, Zenaida R.; Beaujot, Roderic

    2007-01-01

    Social cohesion is a concept difficult to define and to measure. As there can be many definitions, so there can be many measurements. The main problem, either in defining or measuring the concept, is its multilevel and multidimensional nature. At one extreme, "country" is the most commonly used level to view social cohesion but…

  20. Everyday Expertise in Self-Management of Diabetes in the Dominican Republic: Implications for Learning and Performance Support Systems Design

    ERIC Educational Resources Information Center

    Reyes Paulino, Lisette G.

    2012-01-01

    An epidemic such as diabetes is an extremely complex public health, economic and social problem that is difficult to solve through medical expertise alone. Evidence-based models for improving healthcare delivery systems advocate educating patients to become more active participants in their own care. This shift demands preparing chronically ill…

  1. Heterotopic Prostate at Autopsy- An Unusual Mass at the Dome of the Urinary Bladder

    PubMed Central

    Munde, Shital; Phadnis, Priyanka

    2017-01-01

    Heterotopic prostate in the dome of the urinary bladder is extremely rare and difficult to diagnose. It is often mistaken for neoplastic masses and histopathological examination is warranted for diagnosis. We report an autopsy case of an ectopic prostate at the dome of the bladder which mimicked a neoplasm on gross pathology. PMID:29207717

  2. Investigating the Stability of Benzoyl Peroxide in Over-the-Counter Acne Medications

    ERIC Educational Resources Information Center

    Kittredge, Marina Canepa; Kittredge, Kevin W.; Sokol, Melissa S.; Sarquis, Arlyne M.; Sennet, Laura M.

    2008-01-01

    One of the most commonly used ingredients in over-the-counter acne treatments in cream, gel, and wash form is benzoyl peroxide. It is an anti-bacterial agent that kills the bacterium ("Propionibacterium acne") involved in the formation of acne. The formulation of these products is extremely difficult owing to the instability of benzoyl peroxide.…

  3. The Effect of Learning Style Awareness, Strategies, and Classroom Type on Grades (Achievement) in High School Algebra II

    ERIC Educational Resources Information Center

    Adduci, Stacy B.

    2017-01-01

    Improving the nation's math prowess and preparing the youth to be college or career ready, may need to be solved by a culmination of theories from different perspectives. As the controversial meshing hypothesis contends that teachers should present information according to each students' learning styles; this can be extremely difficult in a…

  4. Influence of sleep deprivation and auditory intensity on reaction time and response force.

    PubMed

    Włodarczyk, Dariusz; Jaśkowski, Piotr; Nowik, Agnieszka

    2002-06-01

    Arousal and activation are two variables supposed to underlie change in response force. This study was undertaken to explain these roles, specifically, for strong auditory stimuli and sleep deficit. Loud auditory stimuli can evoke phasic overarousal whereas sleep deficit leads to general underarousal. Moreover, Van der Molen and Keuss (1979, 1981) showed that paradoxically long reaction times occurred with extremely strong auditory stimuli when the task was difficult, e.g., choice reaction or Simon paradigm. It was argued that this paradoxical behavior related to reaction time is due to active disconnecting of the coupling between arousal and activation to prevent false responses. If so, we predicted that for extremely loud stimuli and for difficult tasks, the lengthening of reaction time should be associated with reduction of response force. The effects of loudness and sleep deficit on response time and force were investigated in three different tasks: simple response, choice response, and Simon paradigm. According to our expectation, we found a detrimental effect of sleep deficit on reaction time and on response force. In contrast to Van der Molen and Keuss, we found no increase in reaction time for loud stimuli (up to 110 dB) even on the Simon task.

  5. Application of a fast skyline computation algorithm for serendipitous searching problems

    NASA Astrophysics Data System (ADS)

    Koizumi, Kenichi; Hiraki, Kei; Inaba, Mary

    2018-02-01

    Skyline computation is a method of extracting interesting entries from a large population with multiple attributes. These entries, called skyline or Pareto optimal entries, are known to have extreme characteristics that cannot be found by outlier detection methods. Skyline computation is an important task for characterizing large amounts of data and selecting interesting entries with extreme features. When the population changes dynamically, the task of calculating a sequence of skyline sets is called continuous skyline computation. This task is known to be difficult to perform for the following reasons: (1) information of non-skyline entries must be stored since they may join the skyline in the future; (2) the appearance or disappearance of even a single entry can change the skyline drastically; (3) it is difficult to adopt a geometric acceleration algorithm for skyline computation tasks with high-dimensional datasets. Our new algorithm called jointed rooted-tree (JR-tree) manages entries using a rooted tree structure. JR-tree delays extend the tree to deep levels to accelerate tree construction and traversal. In this study, we presented the difficulties in extracting entries tagged with a rare label in high-dimensional space and the potential of fast skyline computation in low-latency cell identification technology.

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

    Guo Xiaoming

    The dominated process of controlled fusion is to let nuclei gain enough kinetic energy to overcome Coulomb barrier. As a result, a fusion scheme can consider two factors in its design: to increase kinetic energy of nuclei and to alter the Coulomb barrier. Cold Fusion and Hot fusion are all one-factor schemes while Intermediate Fusion is a twofactors scheme. This made CINF kinetically superior. Cold Fusion reduces deuteron-deuteron distance, addressing Coulomb barrier, and Hot Fusion heat up plasma into extreme high temperature, addressing kinetic energy. Without enough kinetic energy made Cold Fusion skeptical. Extreme high temperature made Hot Fusion verymore » difficult to engineer. Because CIFN addresses both factors, CIFN is a more promising technique to be industrialized.« less

  7. Complexity-aware simple modeling.

    PubMed

    Gómez-Schiavon, Mariana; El-Samad, Hana

    2018-02-26

    Mathematical models continue to be essential for deepening our understanding of biology. On one extreme, simple or small-scale models help delineate general biological principles. However, the parsimony of detail in these models as well as their assumption of modularity and insulation make them inaccurate for describing quantitative features. On the other extreme, large-scale and detailed models can quantitatively recapitulate a phenotype of interest, but have to rely on many unknown parameters, making them often difficult to parse mechanistically and to use for extracting general principles. We discuss some examples of a new approach-complexity-aware simple modeling-that can bridge the gap between the small-scale and large-scale approaches. Copyright © 2018 Elsevier Ltd. All rights reserved.

  8. Kinetic advantage of controlled intermediate nuclear fusion

    NASA Astrophysics Data System (ADS)

    Guo, Xiaoming

    2012-09-01

    The dominated process of controlled fusion is to let nuclei gain enough kinetic energy to overcome Coulomb barrier. As a result, a fusion scheme can consider two factors in its design: to increase kinetic energy of nuclei and to alter the Coulomb barrier. Cold Fusion and Hot fusion are all one-factor schemes while Intermediate Fusion is a twofactors scheme. This made CINF kinetically superior. Cold Fusion reduces deuteron-deuteron distance, addressing Coulomb barrier, and Hot Fusion heat up plasma into extreme high temperature, addressing kinetic energy. Without enough kinetic energy made Cold Fusion skeptical. Extreme high temperature made Hot Fusion very difficult to engineer. Because CIFN addresses both factors, CIFN is a more promising technique to be industrialized.

  9. Analysis of complete mitochondrial genome sequences increases phylogenetic resolution of bears (Ursidae), a mammalian family that experienced rapid speciation.

    PubMed

    Yu, Li; Li, Yi-Wei; Ryder, Oliver A; Zhang, Ya-Ping

    2007-10-24

    Despite the small number of ursid species, bear phylogeny has long been a focus of study due to their conservation value, as all bear genera have been classified as endangered at either the species or subspecies level. The Ursidae family represents a typical example of rapid evolutionary radiation. Previous analyses with a single mitochondrial (mt) gene or a small number of mt genes either provide weak support or a large unresolved polytomy for ursids. We revisit the contentious relationships within Ursidae by analyzing complete mt genome sequences and evaluating the performance of both entire mt genomes and constituent mtDNA genes in recovering a phylogeny of extremely recent speciation events. This mitochondrial genome-based phylogeny provides strong evidence that the spectacled bear diverged first, while within the genus Ursus, the sloth bear is the sister taxon of all the other five ursines. The latter group is divided into the brown bear/polar bear and the two black bears/sun bear assemblages. These findings resolve the previous conflicts between trees using partial mt genes. The ability of different categories of mt protein coding genes to recover the correct phylogeny is concordant with previous analyses for taxa with deep divergence times. This study provides a robust Ursidae phylogenetic framework for future validation by additional independent evidence, and also has significant implications for assisting in the resolution of other similarly difficult phylogenetic investigations. Identification of base composition bias and utilization of the combined data of whole mitochondrial genome sequences has allowed recovery of a strongly supported phylogeny that is upheld when using multiple alternative outgroups for the Ursidae, a mammalian family that underwent a rapid radiation since the mid- to late Pliocene. It remains to be seen if the reliability of mt genome analysis will hold up in studies of other difficult phylogenetic issues. Although the whole mitochondrial DNA sequence based phylogeny is robust, it remains in conflict with phylogenetic relationships suggested by analysis of limited nuclear-encoded data, a situation that will require gathering more nuclear DNA sequence information.

  10. Analysis of complete mitochondrial genome sequences increases phylogenetic resolution of bears (Ursidae), a mammalian family that experienced rapid speciation

    PubMed Central

    Yu, Li; Li, Yi-Wei; Ryder, Oliver A; Zhang, Ya-Ping

    2007-01-01

    Background Despite the small number of ursid species, bear phylogeny has long been a focus of study due to their conservation value, as all bear genera have been classified as endangered at either the species or subspecies level. The Ursidae family represents a typical example of rapid evolutionary radiation. Previous analyses with a single mitochondrial (mt) gene or a small number of mt genes either provide weak support or a large unresolved polytomy for ursids. We revisit the contentious relationships within Ursidae by analyzing complete mt genome sequences and evaluating the performance of both entire mt genomes and constituent mtDNA genes in recovering a phylogeny of extremely recent speciation events. Results This mitochondrial genome-based phylogeny provides strong evidence that the spectacled bear diverged first, while within the genus Ursus, the sloth bear is the sister taxon of all the other five ursines. The latter group is divided into the brown bear/polar bear and the two black bears/sun bear assemblages. These findings resolve the previous conflicts between trees using partial mt genes. The ability of different categories of mt protein coding genes to recover the correct phylogeny is concordant with previous analyses for taxa with deep divergence times. This study provides a robust Ursidae phylogenetic framework for future validation by additional independent evidence, and also has significant implications for assisting in the resolution of other similarly difficult phylogenetic investigations. Conclusion Identification of base composition bias and utilization of the combined data of whole mitochondrial genome sequences has allowed recovery of a strongly supported phylogeny that is upheld when using multiple alternative outgroups for the Ursidae, a mammalian family that underwent a rapid radiation since the mid- to late Pliocene. It remains to be seen if the reliability of mt genome analysis will hold up in studies of other difficult phylogenetic issues. Although the whole mitochondrial DNA sequence based phylogeny is robust, it remains in conflict with phylogenetic relationships suggested by analysis of limited nuclear-encoded data, a situation that will require gathering more nuclear DNA sequence information. PMID:17956639

  11. Extreme precipitation patterns and reductions of terrestrial ecosystem production across biomes

    Treesearch

    Yongguang Zhang; M. Susan Moran; Mark A. Nearing; Guillermo E. Ponce Campos; Alfredo R. Huete; Anthony R. Buda; David D. Bosch; Stacey A. Gunter; Stanley G. Kitchen; W. Henry McNab; Jack A. Morgan; Mitchel P. McClaran; Diane S. Montoya; Debra P.C. Peters; Patrick J. Starks

    2013-01-01

    Precipitation regimes are predicted to shift to more extreme patterns that are characterized by more heavy rainfall events and longer dry intervals, yet their ecological impacts on vegetation production remain uncertain across biomes in natural climatic conditions. This in situ study investigated the effects of these climatic conditions on aboveground net primary...

  12. Giant calculus: review and report of a case.

    PubMed

    Woodmansey, Karl; Severine, Anthony; Lembariti, Bakari S

    2013-01-01

    Dental calculus is a common oral finding. The term giant calculus is used to describe unusually large deposits of dental calculus. Several extreme cases have been reported in the dental literature. The specific etiology of these cases remains uncertain. This paper reviews previously reported cases, and presents another extreme example of giant calculus.

  13. "Extreme Bold" in the Faculty Ranks

    ERIC Educational Resources Information Center

    Kuusisto, Stephen

    2013-01-01

    Boldness, defense, and the necessity of talking back remain as central to life with disability in one's time as in Francis Bacon's age. "Therefore all deformed persons are extreme bold," Bacon wrote, "first, as in their own defence, as being exposed to scorn, but in process of time, by a general habit." Perhaps no word carries…

  14. From Drought to Flood: Biological Responses of Large River Salmonids and Emergent Management Challenges Under California's Extreme Hydroclimatic Variability

    NASA Astrophysics Data System (ADS)

    Anderson, C.

    2017-12-01

    California's hydroclimatic regime is characterized by extreme interannual variability including periodic, multi-year droughts and winter flooding sequences. Statewide, water years 2012-2016 were characterized by extreme drought followed by likely one of the wettest years on record in water year 2017. Similar drought-flood patterns have occurred multiple times both in the contemporary empirical record and reconstructed climate records. Both the extreme magnitude and rapid succession of these hydroclimatic periods pose difficult challenges for water managers and regulatory agencies responsible for providing instream flows to protect and recover threatened and endangered fish species. Principal among these riverine fish species are federally listed winter-run and spring-run Chinook salmon (Oncorhynchus tshawytscha), Central Valley steelhead (Oncorhynchus mykiss), and the pelagic species Delta smelt (Hypomesus transpacificus). Poor instream conditions from 2012-2016 resulted in extremely low abundance estimates and poor overall fish health, and while fish monitoring results from water year 2017 are too preliminary to draw substantive conclusions, early indicators show continued downward population trends despite the historically wet conditions. This poster evaluates California's hydroclimatic conditions over the past decade and quantifies resultant impacts of the 2012-2016 drought and the extremely wet 2017 water year to both adult escapement and juvenile production estimates in California's major inland salmon rivers over that same time span. We will also examine local, state, and federal regulatory actions both in response to the extreme hydroclimatic variability and in preparation for future drought-flood sequences.

  15. Achievable Performance and Effective Interrogator Design for SAW RFID Sensor Tags

    NASA Technical Reports Server (NTRS)

    Barton, Richard J.

    2011-01-01

    For many NASA missions, remote sensing is a critical application that supports activities such as environmental monitoring, planetary science, structural shape and health monitoring, non-destructive evaluation, etc. The utility of the remote sensing devices themselves is greatly increased if they are passive that is, they do not require any on-board power supply such as batteries and if they can be identified uniquely during the sensor interrogation process. Additional passive sensor characteristics that enable greater utilization in space applications are small size and weight, long read ranges with low interrogator power, ruggedness, and operability in extreme environments (vacuum, extreme high/low temperature, high radiation, etc.) In this paper, we consider one very promising passive sensor technology, called surface acoustic wave (SAW) radio-frequency identification (RFID), that satisfies all of these criteria. Although SAW RFID tags have great potential for use in numerous space-based remote sensing applications, the limited collision resolution capability of current generation tags limits the performance in a cluttered sensing environment. That is, as more SAW-based sensors are added to the environment, numerous tag responses are superimposed at the receiver and decoding all or even a subset of the telemetry becomes increasingly difficult. Background clutter generated by reflectors other than the sensors themselves is also a problem, as is multipath interference and signal distortion, but the limiting factor in many remote sensing applications can be expected to be tag mutual interference. This problem may be greatly mitigated by proper design of the SAW tag waveform, but that remains an open research problem, and in the meantime, several other related questions remain to be answered including: What are the fundamental relationships between tag parameters such as bit-rate, time-bandwidth-product, SNR, and achievable collision resolution? What are the differences in optimal or near-optimal interrogator designs between noise-limited environments and interference-limited environments? What are the performance characteristics of different interrogator designs in term of parameters such as transmitter power level, range, and number of interfering tags? In this paper, we present the results of a research effort aimed at providing at least partial answers to all of these questions.

  16. Elements of Style and an Advanced ESL Student: The Case of Jun Shan Zhang.

    ERIC Educational Resources Information Center

    Ryan, Patrick

    Despite educators' efforts to understand the process of composition, writing remains a mercurial process difficult to see or describe, even partially. Writing is a process even more difficult to grasp when the writer is possessed of a language--Chinese, for example--and must rely on that language to take possession of and write in a second…

  17. Environmental and economic solutions: Pollution prevention technical assistance and the City of Los Angeles Hazardous and Toxic Materials Office

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

    Toy-Chen, D.; Joyce, M.M.

    1994-12-31

    The City of Los Angeles faces a challenge to assist industrial facilities to minimize and manage hazardous materials in order to sustain the local economy and natural environment. Industrial facilities in Los Angeles County released into the environment or transferred off-site 103,442,074 tons of hazardous materials and waste in 1988. This enormous quantity of hazardous waste requires generators to be in compliance with several environmental regulatory agencies. The City of Los Angeles Hazardous and Toxic Materials (HTM) Office has increased the awareness, commitments, and implementation of hazardous waste at the source, the amount of toxic pollutants discharged into the City`smore » publicly owned treatment works, surface and groundwaters, soils and atmosphere can be substantially reduced. Quantifying hazardous waste minimization progress is extremely difficult and complex. However, the HTM Office anticipates that if the challenge of pollution prevention is successful, more businesses will decide to remain in the region and Los Angeles residents will feel convinced that industry is making good faith efforts to protect the environment. Pollution prevention is a long term solution for the hazardous waste crisis that society has only recently recognized.« less

  18. Human Rhabdomyosarcoma Cell Lines for Rhabdomyosarcoma Research: Utility and Pitfalls

    PubMed Central

    Hinson, Ashley R. P.; Jones, Rosanne; Crose, Lisa E. S.; Belyea, Brian C.; Barr, Frederic G.; Linardic, Corinne M.

    2013-01-01

    Rhabdomyosarcoma (RMS) is the most common soft tissue sarcoma of childhood and adolescence. Despite intergroup clinical trials conducted in Europe and North America, outcomes for high risk patients with this disease have not significantly improved in the last several decades, and survival of metastatic or relapsed disease remains extremely poor. Accrual into new clinical trials is slow and difficult, so in vitro cell-line research and in vivo xenograft models present an attractive alternative for preclinical research for this cancer type. Currently, 30 commonly used human RMS cell lines exist, with differing origins, karyotypes, histologies, and methods of validation. Selecting an appropriate cell line for RMS research has important implications for outcomes. There are also potential pitfalls in using certain cell lines including contamination with murine stromal cells, cross-contamination between cell lines, discordance between the cell line and its associated original tumor, imposter cell lines, and nomenclature errors that result in the circulation of two or more presumed unique cell lines that are actually from the same origin. These pitfalls can be avoided by testing for species-specific isoenzymes, microarray analysis, assays for subtype-specific fusion products, and short tandem repeat analysis. PMID:23882450

  19. Fermi LAT Observations of the Crab Nebula During the Exceptional April 2011 Outburst

    NASA Technical Reports Server (NTRS)

    Hays, Elizabeth

    2012-01-01

    The Crab Nebula, formerly thought to be steady in gamma rays, shows unexpected and occasionally dramatic variability in high-energy gamma rays. The Large Area Telescope (LAT) on Fermi recorded several strong outbursts, including dedicated pointed observations of the brightest yet seen, a spectacular flare in April 2011. These observations provide a particularly detailed look at the temporal and spectral characteristics of the nebula during the flare. The LAT data show an additional component in the spectral energy distribution that peaks at a maximum of $375\\pm26\\mathrm{MeV}$. In the probable scenario that this component is synchrotron emission, the electrons are accelerated to extreme energies that are difficult to reconcile with the very rapid change in flux and the expectation for acceleration processes and conditions occurring within the pulsar wind nebula. The physical location and mechanism driving the flares remains undetermined despite observations across the spectrum made by a variety of instruments including the Hubble Space Telescope, the Chandra X-ray Observatory, and the Very Large Array. I will present timing and spectral studies of the high-energy gamma-ray data, discuss implications for the origin of the flares, and highlight preparations for the next major flare.

  20. Solar Coronal Events with Extended Hard X-ray and Gamma-ray Emission

    NASA Astrophysics Data System (ADS)

    Hudson, H. S.

    2017-12-01

    A characteristic pattern of solar hard X-ray emission, first identified in SOL1969-03-31 by Frost & Dennis (1971) now has been linked to prolonged high-energy gamma-ray emission detected by the Fermi/LAT experiment, for example in SOL2014-09-01. The distinctive features of these events include flat hard X-ray spectra extending well above 100 keV, a characteristic pattern of time development, low-frequency gyrosynchrotron peaks, CME association, and gamma-rays identifiable with pion decay originating in GeV ions. The identification of these events with otherwise known solar structures nevertheless remains elusive, in spite of the wealth of imagery available from AIA. The quandary is that these events have a clear association with CMEs in the high corona, and yet the gamma-ray production implicates the photosphere itself. The vanishingly small loss cone in the nominal acceleration region makes this extremely difficult. I propose direct inward advection of a part of the SEP particle population, as created on closed field structures, as a possible resolution of this puzzle, and note that this requires retracting magnetic structures on long time scales following the flare itself.

  1. Synergistic impacts of global warming on the resilience of coral reefs

    PubMed Central

    Bozec, Yves-Marie; Mumby, Peter J.

    2015-01-01

    Recent epizootics have removed important functional species from Caribbean coral reefs and left communities vulnerable to alternative attractors. Global warming will impact reefs further through two mechanisms. A chronic mechanism reduces coral calcification, which can result in depressed somatic growth. An acute mechanism, coral bleaching, causes extreme mortality when sea temperatures become anomalously high. We ask how these two mechanisms interact in driving future reef state (coral cover) and resilience (the probability of a reef remaining within a coral attractor). We find that acute mechanisms have the greatest impact overall, but the nature of the interaction with chronic stress depends on the metric considered. Chronic and acute stress act additively on reef state but form a strong synergy when influencing resilience by intensifying a regime shift. Chronic stress increases the size of the algal basin of attraction (at the expense of the coral basin), whereas coral bleaching pushes the system closer to the algal attractor. Resilience can change faster—and earlier—than a change in reef state. Therefore, we caution against basing management solely on measures of reef state because a loss of resilience can go unnoticed for many years and then become disproportionately more difficult to restore.

  2. A Scalable and Robust Multi-Agent Approach to Distributed Optimization

    NASA Technical Reports Server (NTRS)

    Tumer, Kagan

    2005-01-01

    Modularizing a large optimization problem so that the solutions to the subproblems provide a good overall solution is a challenging problem. In this paper we present a multi-agent approach to this problem based on aligning the agent objectives with the system objectives, obviating the need to impose external mechanisms to achieve collaboration among the agents. This approach naturally addresses scaling and robustness issues by ensuring that the agents do not rely on the reliable operation of other agents We test this approach in the difficult distributed optimization problem of imperfect device subset selection [Challet and Johnson, 2002]. In this problem, there are n devices, each of which has a "distortion", and the task is to find the subset of those n devices that minimizes the average distortion. Our results show that in large systems (1000 agents) the proposed approach provides improvements of over an order of magnitude over both traditional optimization methods and traditional multi-agent methods. Furthermore, the results show that even in extreme cases of agent failures (i.e., half the agents fail midway through the simulation) the system remains coordinated and still outperforms a failure-free and centralized optimization algorithm.

  3. Porphyry copper enrichment linked to excess aluminium in plagioclase

    NASA Astrophysics Data System (ADS)

    Williamson, B. J.; Herrington, R. J.; Morris, A.

    2016-03-01

    Porphyry copper deposits provide around 75%, 50% and 20% of world copper, molybdenum and gold, respectively. The deposits are mainly centred on calc-alkaline porphyry magmatic systems in subduction zone settings. Although calc-alkaline magmas are relatively common, large porphyry copper deposits are extremely rare and increasingly difficult to discover. Here, we compile existing geochemical data for magmatic plagioclase, a dominant mineral in calc-alkaline rocks, from fertile (porphyry-associated) and barren magmatic systems worldwide, barren examples having no associated porphyry deposit. We show that plagioclase from fertile systems is distinct in containing `excess’ aluminium. This signature is clearly demonstrated in a case study carried out on plagioclase from the fertile La Paloma and Los Sulfatos copper porphyry systems in Chile. Further, the presence of concentric zones of high excess aluminium suggests its incorporation as a result of magmatic processes. As excess aluminium has been linked to high melt water contents, the concentric zones may record injections of hydrous fluid or fluid-rich melts into the sub-porphyry magma chamber. We propose that excess aluminium may exclude copper from plagioclase, so enriching the remaining melts. Furthermore, this chemical signature can be used as an exploration indicator for copper porphyry deposits.

  4. The effect of motor control exercise versus placebo in patients with chronic low back pain [ACTRN012605000262606

    PubMed Central

    Maher, Chris G; Latimer, Jane; Hodges, Paul W; Refshauge, Kathryn M; Moseley, G Lorimer; Herbert, Robert D; Costa, Leonardo OP; McAuley, James

    2005-01-01

    Background While one in ten Australians suffer from chronic low back pain this condition remains extremely difficult to treat. Many contemporary treatments are of unknown value. One potentially useful therapy is the use of motor control exercise. This therapy has a biologically plausible effect, is readily available in primary care and it is of modest cost. However, to date, the efficacy of motor control exercise has not been established. Methods This paper describes the protocol for a clinical trial comparing the effects of motor control exercise versus placebo in the treatment of chronic non-specific low back pain. One hundred and fifty-four participants will be randomly allocated to receive an 8-week program of motor control exercise or placebo (detuned short wave and detuned ultrasound). Measures of outcomes will be obtained at follow-up appointments at 2, 6 and 12 months after randomisation. The primary outcomes are: pain, global perceived effect and patient-generated measure of disability at 2 months and recurrence at 12 months. Discussion This trial will be the first placebo-controlled trial of motor control exercise. The results will inform best practice for treating chronic low back pain and prevent its occurrence. PMID:16271149

  5. Panel 2: anticipatory risk assessment: identifying, assessing, and mitigating exposure risks before they occur.

    PubMed

    Guidotti, Tee L; Pacha, Laura

    2011-07-01

    Health threats place the military mission and deployed service members at risk. A commander's focus is on preventing acute health risks, such as diarrhea, because these quickly compromise the mission. However, in recent conflicts chronic and long-term illness risks have emerged as concerns. Department of Defense and Joint Chiefs of Staff mandates require documentation of exposures and environmental conditions to reconstruct exposures and evaluate future health risks. Current processes for identifying and assessing hazards, including identification and assessment before deployment and in time to take action to prevent or reduce exposures, when followed, are generally adequate for known hazards. Identifying and addressing novel, unexpected risks remain challenges. Armed conflicts are associated with rapidly changing conditions, making ongoing hazard identification and assessment difficult. Therefore, surveillance of the environment for hazards and surveillance of personnel for morbidity must be practiced at all times. Communication of risk information to decision makers is critical but problematic. Preventive Medicine (PM) personnel should take responsibility for communicating this information to non-PM military medical people and to military commanders. Communication of risks identified and lessons learned between PM personnel of different military units is extremely important when one military unit replaces another in a deployed environment.

  6. Women's responses to intimate partner violence in Rwanda: Rethinking agency in constrained social contexts.

    PubMed

    Mannell, Jenevieve; Jackson, Sharon; Umutoni, Aline

    2016-01-01

    This paper explores instances of agency in women's responses to intimate partner violence (IPV) in Rwanda. The literature on women's responses to IPV conceptualises agency primarily as an individual's capacity to take action by reporting violence or leaving a relationship, obscuring other ways women may respond to violence in contexts where reporting or leaving are unlikely. We aim to replace this narrow conceptualisation of agency with a social constructivist focus on the meanings women attribute to possible IPV responses. We draw on data from a study of IPV in Rwanda, which includes semi-structured interviews with women experiencing violence and four focus group discussions with women community members (n = 39). Our findings highlight sociocultural, economic, political-legal and historical constraints that shape women's actions in this context. In relation to these constraints, women describe four possible responses to IPV: reporting the violence; seeking emotional support; 'fighting back' against violence; or remaining silent. While reporting and leaving violent relationships are identified, women also discuss the social constraints that make these actions extremely difficult. In designing effective strategies, we conclude that public health strategies need to consider women's understandings of their own actions, particularly in social contexts where certain actions may be constrained.

  7. Achondroplasia and hypochondroplasia. Comments on frequency, mutation rate, and radiological features in skull and spine.

    PubMed

    Oberklaid, F; Danks, D M; Jensen, F; Stace, L; Rosshandler, S

    1979-04-01

    An attempt was made to ascertain all the dwarfs in the State of Victoria. The incidence of achondroplasia proved to be approximately 1 in 26,000 live births in the period 1969 to 1975 when ascertainment was nearly complete. This indicates a mutation rate of 1.93 X 10(-5) per generation in this locus. Paternal age was shown to influence mutation. Ascertainment in earlier years of the study was low despite the very great effort made to find all cases. Patients with hypochondroplasia were particularly difficult to find. However, 25 cases were found for study. Overlap between hypochondroplasia and achondroplasia was found in all features except the facial appearance (which was the basis of definition). Achondroplasia was more severe in all regards, but some individuals with hypochondroplasia were very short and some had extreme degrees of spinal canal stenosis. The classical measurements used to describe the skull changes in acondroplasia failed to distinguish this condition from hypochondroplasia. More efficient indices were devised, but visual assessment of the size of the facial region compared to that of the cranial valult proved more reliable than any index. The clinical distinction based upon facial appearance remains the arbitrary basis of definition.

  8. Estimating uncertainty in respondent-driven sampling using a tree bootstrap method.

    PubMed

    Baraff, Aaron J; McCormick, Tyler H; Raftery, Adrian E

    2016-12-20

    Respondent-driven sampling (RDS) is a network-based form of chain-referral sampling used to estimate attributes of populations that are difficult to access using standard survey tools. Although it has grown quickly in popularity since its introduction, the statistical properties of RDS estimates remain elusive. In particular, the sampling variability of these estimates has been shown to be much higher than previously acknowledged, and even methods designed to account for RDS result in misleadingly narrow confidence intervals. In this paper, we introduce a tree bootstrap method for estimating uncertainty in RDS estimates based on resampling recruitment trees. We use simulations from known social networks to show that the tree bootstrap method not only outperforms existing methods but also captures the high variability of RDS, even in extreme cases with high design effects. We also apply the method to data from injecting drug users in Ukraine. Unlike other methods, the tree bootstrap depends only on the structure of the sampled recruitment trees, not on the attributes being measured on the respondents, so correlations between attributes can be estimated as well as variability. Our results suggest that it is possible to accurately assess the high level of uncertainty inherent in RDS.

  9. Skeletal changes during and after spaceflight.

    PubMed

    Vico, Laurence; Hargens, Alan

    2018-03-21

    Space sojourns are challenging for life. The ability of the human body to adapt to these extreme conditions has been noted since the beginning of human space travel. Skeletal alterations that occur during spaceflight are now better understood owing to tools such as dual-energy X-ray densitometry and high-resolution peripheral quantitative CT, and murine models help researchers to understand cellular and matrix changes that occur in bone and that are difficult to measure in humans. However, questions remain with regard to bone adaptation and osteocyte fate, as well as to interactions of the skeleton with fluid shifts towards the head and with the vascular system. Further investigations into the relationships between the musculoskeletal system, energy metabolism and sensory motor acclimatisation are needed. In this regard, an integrated intervention is required that will address multiple systems simultaneously. Importantly, radiation and isolation-related stresses are gaining increased attention as the prospect of human exploration into deep space draws nearer. Although space is a unique environment, clear parallels exist between the effects of spaceflight, periods of immobilization and ageing, with possibly irreversible features. Space travel offers an opportunity to establish integrated deconditioning and ageing interventions that combine nutritional, physical and pharmaceutical strategies.

  10. Viability of Noether Symmetry of F( R) Theory of Gravity

    NASA Astrophysics Data System (ADS)

    Sarkar, Kaushik; Sk, Nayem; Debnath, Subhra; Sanyal, Abhik Kumar

    2013-04-01

    Recently, we have explored vices and virtues of R^{3/2} term in the action which has in-built Noether symmetry and anticipated that a linear term might improve the situation (Sarkar et al., arXiv:1201.2987 [astro-ph.CO], 2012). In the absence of a conserved current it is extremely difficult to obtain an analytical solution of the said fourth order theory of gravity in the presence of a linear term. Here, we therefore enlarge the configuration space by including a scalar field in addition and also taking some of the anisotropic models (in the absence of a scalar field) into account. We observe that Noether symmetry remains obscure and it does not even reproduce the one that already exists in the literature (Sanyal, Gen. Relativ. Gravit., 37:407, 2005). However, there exists in general, a conserved current for F( R) theory of gravity in the presence of a non-minimally coupled scalar field (Sanyal, Phys. Lett. B, 624:81, 2005; Mod. Phys. Lett. A, 25:2667, 2010), which simplifies the field equations considerably. Here, we briefly expatiate the non-Noether conserved current and show that indeed the situation is modified.

  11. The administrator's quest for quality.

    PubMed

    Ross, A

    1988-01-01

    Times are tough and will become even tougher. Retrenchment issues will be foremost in many operational settings. Failure to understand baseline quality standards will make it extremely difficult to know where to cut and how to regroup without adversely affecting patient attitudes and service. Practice patterns are changing rapidly and the astute administrator needs to be prepared to participate freely in decisions affecting quality, service and costs.

  12. Labor Market Changes in the Next Ten Years. Issue Paper No. 4.

    ERIC Educational Resources Information Center

    Barnow, Burt S.

    Although projecting what the labor market will be like in 10 years is extremely difficult, it is useful to consider what is in store for the nation in terms of employment. In 1985, the civilian labor force of the United States averaged 115 million persons, with 8 million (7.2 percent) unemployed. Unemployment was much higher for young people and…

  13. Cleft Lip and Cleft Palate--What to Know and Who Can Help

    ERIC Educational Resources Information Center

    Apel, Laura

    2008-01-01

    Craniofacial defects such as cleft lip and cleft palate are among the most common of all birth defects in the United States, with one in every 600 newborns affected. Cleft lip and/or palate can occur as an isolated condition or may be one component of an inherited disease or syndrome. Dealing with the condition is an extremely difficult and…

  14. The Devil Is in the Details: Key Questions in the Effort To "End Welfare as We Know It."

    ERIC Educational Resources Information Center

    Greenberg, Mark

    Noting the while there may be much support for the principle that families on welfare should have access to 2 years of education and training and then be expected to work, this paper contends that it will be extremely difficult, perhaps impossible, to design a coherent and constructive program within the probable federal budget constraints. In…

  15. Industry Studies 2004: Biotechnology

    DTIC Science & Technology

    2004-01-01

    for biological agent research, development, and production are available on the open market. Since biological weapons are relatively cheap, easy to...growing concern is that non-state actors will acquire and use a biological weapon , the “poor man’s nuclear weapon .” Such action is extremely difficult...to detect and counter. International Protocols and the Need to Control Agents and Technologies - The Biological and Toxin Weapons Convention

  16. Cost Effectiveness of Two versus Three Levels of Maintenance for Turbine Engines in the Air Force Inventory

    DTIC Science & Technology

    1990-09-01

    increasing 2 complexity of Air Force weapon systems makes the estimation of LCC an extremely difficult task. To accomplish this, mathematical models are...maintenance is nearly horizontal. A reduction in this rate from 2.8 to 2.6 (approx. 7%j resulted in cost savings of around 0.1% for the three lvel concept. The

  17. JPRS Report, Soviet Union, Political Affairs

    DTIC Science & Technology

    1988-10-26

    Christa Wolfs novel "Patterns of Childhood." This very sensitive and timely work reflects the psychology attending the rise of fascism. We also have...incriminating evidence and extenuating circumstances? Psychologically , it is extremely difficult. There are allegations, there are sus- picions, there are...Zionism, which has for a long time been chipping away at the socialist foundation of our society, with its perfidious psychological methods." What does

  18. Gangs in Central America

    DTIC Science & Technology

    2008-03-27

    deportees from the United States have made the process of leaving a gang extremely difficult. A recent State Department report on youth gangs in El...gang members, especially returning deportees from the United States who are often native English speakers, have had the most difficulty finding...with the exception of Panama, have a much lower percentage of criminal deportees than the regional average of 39%. For example, criminal deportees

  19. Sine Qua Non: Indispensable Resources for Ed Tech Professionals. Part 1: Educational Technology

    ERIC Educational Resources Information Center

    Conley, Kate

    2004-01-01

    Because the field of educational technology is so broad and dynamic, it is extremely difficult to find time to keep up with the best practices, current research, and innovative ideas. In an effort to help readers keep up their knowledge of the field and to determine some of the most interesting and useful resources to date, a large body of…

  20. Korean University EFL Student Perspectives of Smartphone Applications (Apps) as Tools for Language Learning: An Action Research Study

    ERIC Educational Resources Information Center

    Jackson, Bernedette S.

    2017-01-01

    Learning a second or foreign language may be a daunting task for anyone; however, learning a language that is vastly different from a person's native language can be extremely difficult. This is especially true in South Korea where English is taught and spoken as a foreign language. For Korean students, who typically study English from a young…

  1. "You Are Just an Idiot for Not Doing Any Physical Activity Right Now": Pre-Service Health and Physical Education Teachers' Constructions of Fatness

    ERIC Educational Resources Information Center

    Varea, Valeria; Underwood, Mair

    2016-01-01

    Research among former Physical Education (PE) school students has demonstrated how fat phobia in PE classes is oppressive and makes it extremely difficult for most students to develop positive subjectivities. This study explores how a group of pre-service Health and Physical Education (HPE) specialist teachers from an Australian university…

  2. Serial Migration and the Assessment of "Extreme and Unusual Psychological Hardship" with Undocumented Latina/o Families

    ERIC Educational Resources Information Center

    Cervantes, Joseph M.; Mejia, Olga L.; Mena, Amalia Guerrero

    2010-01-01

    There has been a significant trend among families from Mexico and Central America to immigrate to the United States due to difficult living conditions, financial hardship, and the lack of opportunity. This article addresses the role of serial migration, where one family member immigrates first and then brings the rest of the family at a later…

  3. Assessing wood quality of borer-infested red oak logs with a resonance acoustic technique

    Treesearch

    Xiping Wang; Henry E. Stelzer; Jan Wiedenbeck; Patricia K. Lebow; Robert J. Ross

    2009-01-01

    Large numbers of black oak (Quercus velutina Lam.) and scarlet oak (Quercus coccinea Muenchh.) trees are declining and dying in the Missouri Ozark forest as a result of oak decline. Red oak borer-infested trees produce low-grade logs that become extremely difficult to merchandize as the level of insect attack increases. The objective of this study was to investigate...

  4. Community Involvement Manual.

    DTIC Science & Technology

    1979-05-01

    and social problems, does not lend itself to a single or simple solution. This is why we must all be involved. For this reason we. believe that...of admission to decisionmaking. At times the implications of this relatively simple premise are not minor. Many people beginning community...involvement programs have found it extremely difficult to locate technical people able to translate technical reports into simple , every- day English. There

  5. Atmosphere-fire simulation of effects of low-level jets on pyro-convective plume dynamics

    Treesearch

    Colin C. Simpson; Marwan Katurji; Michael T. Kiefer; Shiyuan Zhong; Joseph J. Charney; Warren E. Heilman; Xindi Bian

    2013-01-01

    Blow-up fire behaviour can be broadly defined as a rapid escalation in the intensity or forward rate of spread of a wildland fire, and is often accompanied by extreme pyro-convection associated with rapid smoke release and dispersion. Blow-up fire behaviour is difficult to predict and has been linked to firefighter fatalities, making it an important fire management...

  6. Application of Remotely Piloted Vehicle (RPV) in monitoring and detecting watershed land use change and problem areas

    Treesearch

    Long-Ming Huang

    2000-01-01

    Improper cultivation of steep mountainous areas in Taiwan contributes to serious erosion and landslides. Regular patrol, detection, and administration of these problem areas has been an extremely difficult due to the steep and dangerous terrain of many of the forested watersheds in Taiwan. A remotely piloted vehicle (RPV) has been developed for various civil and...

  7. A Mobile Application for Discovery

    ERIC Educational Resources Information Center

    Zylstra, Robert

    2011-01-01

    The last 5 years have heralded a number of important changes to virtual libraries in academic and public settings. Despite this continual effort to improve library catalogs and websites, the fundamentals of these online spaces remain relatively unchanged. Digital collections are within reach of many libraries, yet they remain difficult to…

  8. K-wire assisted split-thickness skin graft harvesting from the anterior trunk.

    PubMed

    Yontar, Yalcin; Coruh, Atilla; Severcan, Mehmet

    2016-02-01

    Split thickness skin graft (STSG) harvesting from the anterior chest and abdominal wall skin is quite a difficult process. The main reason for the difficulty to perform this process is the unsuitable anatomic characteristics of the anterior trunk, such as irregular wavy-like surface over the ribs and lax abdominal wall skin resulting in collapse due to lack of adequate underneath supporting structures when a downward force is applied by the skin graft dermatome. Lower extremity and especially the thigh are generally chosen as the donor site where the STSGs are easily harvested from. However, extensive lower extremity burns, with or without other region burns, preclude harvesting auto STSGs from this invaluable anatomic site. We harvested K-wire assisted STSGs from the anterior chest and abdominal wall skin of 7 patients with lower extremity burns and also a patient that sustained motor vehicle collision. We encountered no problems in any of our patients both intra and postoperatively by using K-wire assisted STSG harvesting. All of the STSGs donor sites healed uneventfully without complications. In our opinion, K-wire assisted STSG harvesting must always be in the tool-box of any surgeon who deals with extensive burns with or without lower extremity burns and extensive traumas of lower extremities. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

  9. Results of a prospective randomized controlled trial of early ambulation for patients with lower extremity autografts.

    PubMed

    Lorello, David John; Peck, Michael; Albrecht, Marlene; Richey, Karen J; Pressman, Melissa A

    2014-01-01

    It is common practice to keep those patients with lower extremity autografts immobile until post-operative day (POD) 5. There is however inherent risks associated with even short periods of immobility. As of now there are no randomized controlled trials looking at early ambulation of patients with lower extremity autografts in the burn community.The objective of this study was to show that patients who begin ambulation within 24 hours of lower extremity autografting will have no increased risk of graft failure than those patients who remain immobile until POD 5. Thirty-one subjects who received autografts to the lower extremity were randomized after surgery into either the early ambulation group (EAG;17 subjects) or the standard treatment group (STG;14 subjects). Those subjects randomized to the EAG began ambulating with physical therapy on POD 1. Subjects in the STG maintained bed rest until POD 5. There was no difference in the number of patients with graft loss in either the EAG or STG on POD 5, and during any of the follow-up visits. No subjects required regrafting. There was a significant difference in the mean minutes of ambulation, with the EAG ambulating longer than the STG (EAG 23.4 minutes [SD 12.03], STG 14.1 [SD 9.00], P=.0235) on POD 5. Burn patients with lower extremity autografts can safely ambulate on POD 1 without fear of graft failure compared with those patients that remain on bed rest for 5 days.

  10. Archaeological Feedback as a Research Methodology in Near-Surface Geophysics

    NASA Astrophysics Data System (ADS)

    Maillol, J.; Ortega-Ramírez, J.; Berard, B.

    2005-05-01

    A unique characteristic of archaeological geophysics is to present the researchers in applied geophysics with the opportunity to verify their interpretation of geophysical data through the direct observation of often extremely detailed excavations. This is usually known as archaeological feedback. Archaeological materials have been slowly buried over periods ranging from several hundreds to several thousands of years, undergoing natural sedimentary and soil-forming processes. Once excavated, archaeological features therefore constitute more realistic test subjects than the targets artifically buried in common geophysical test sites. We are presenting the outcome of several such verification tests aimed at clarifying issues in geometry and spatial resolution of ground penetrating radar (GPR) images. On the site of a Roman villa in SE Portugal 500 Mhz GPR images are shown to depict very accurately the position and geometry of partially excavated remains. In the Maya city of Palenque, Mexico, 900 Mhz data allows the depth of tombs and natural cavities to be determined with cm accuracy. The predicted lateral extent of the cavities is more difficult to match with the reality due to the cluttering caused by high frequency. In the rainforest of Western Africa, 500 MHz GPR was used to prospect for stone tool sites. When very careful positioning and high density data sampling is achieved, stones can be accurately located and retrieved at depths exceeding 1 m with maximum positioning errors of 12cm horizontally and 2 cm vertically. In more difficult data collection conditions however, errors in positioning are shown to actually largely exceed the predictions based on quantitative theoretical resolution considerations. Geophysics has long been recognized as a powerful tool for prospecting and characterizing archaeological sites. Reciprocally, these results show that archaeology is an unparalleled test environment for the assesment and development of high resolution geophysical methods.

  11. Microspheres in Plasma Display Panels

    NASA Technical Reports Server (NTRS)

    2006-01-01

    Filling small bubbles of molten glass with gases is just as difficult as it sounds, but the technical staff at NASA is not known to shy away from a difficult task. When Microsphere Systems, Inc. (MSI), of Ypsilanti, Michigan, and Imaging Systems Technology, Inc. (IST), of Toledo, Ohio, were trying to push the limits of plasma displays but were having difficulty with the designs, NASA s Glenn Garrett Morgan Commercialization Initiative (GMCI) assembled key personnel at Glenn Research Center and Ohio State University for a brainstorming session to come up with a solution for the companies. They needed a system that could produce hollow, glass micro-sized spheres (microspheres) that could be filled with a variety of gasses. But the extremely high temperature required to force the micro-sized glass bubbles to form at the tip of a metal nozzle resulted in severe discoloration of the microspheres. After countless experiments on various glass-metal combinations, they had turned to the GMCI for help. NASA experts in advanced metals, ceramics, and glass concluded that a new design approach was necessary. The team determined that what was needed was a phosphate glass composition that would remain transparent, and they went to work on a solution. Six weeks later, using the design tips from the NASA team, Tim Henderson, president of MSI, had designed a new system in which all surfaces in contact with the molten glass would be ceramic instead of metal. Meanwhile, IST was able to complete a Phase I Small Business Innovation Research (SBIR) grant supported by the National Science Foundation (NSF) and supply a potential customer with samples of the microspheres for evaluation as filler materials for high-performance insulations.

  12. Extreme Fire Severity Patterns in Topographic, Convective and Wind-Driven Historical Wildfires of Mediterranean Pine Forests

    PubMed Central

    Lecina-Diaz, Judit; Alvarez, Albert; Retana, Javier

    2014-01-01

    Crown fires associated with extreme fire severity are extremely difficult to control. We have assessed fire severity using differenced Normalized Burn Ratio (dNBR) from Landsat imagery in 15 historical wildfires of Pinus halepensis Mill. We have considered a wide range of innovative topographic, fuel and fire behavior variables with the purposes of (1) determining the variables that influence fire severity patterns among fires (considering the 15 wildfires together) and (2) ascertaining whether different variables affect extreme fire severity within the three fire types (topographic, convective and wind-driven fires). The among-fires analysis showed that fires in less arid climates and with steeper slopes had more extreme severity. In less arid conditions there was more crown fuel accumulation and closer forest structures, promoting high vertical and horizontal fuel continuity and extreme fire severity. The analyses carried out for each fire separately (within fires) showed more extreme fire severity in areas in northern aspects, with steeper slopes, with high crown biomass and in climates with more water availability. In northern aspects solar radiation was lower and fuels had less water limitation to growth which, combined with steeper slopes, produced more extreme severity. In topographic fires there was more extreme severity in northern aspects with steeper slopes and in areas with more water availability and high crown biomass; in convection-dominated fires there was also more extreme fire severity in northern aspects with high biomass; while in wind-driven fires there was only a slight interaction between biomass and water availability. This latter pattern could be related to the fact that wind-driven fires spread with high wind speed, which could have minimized the effect of other variables. In the future, and as a consequence of climate change, new zones with high crown biomass accumulated in non-common drought areas will be available to burn as extreme severity wildfires. PMID:24465492

  13. Extreme fire severity patterns in topographic, convective and wind-driven historical wildfires of Mediterranean pine forests.

    PubMed

    Lecina-Diaz, Judit; Alvarez, Albert; Retana, Javier

    2014-01-01

    Crown fires associated with extreme fire severity are extremely difficult to control. We have assessed fire severity using differenced Normalized Burn Ratio (dNBR) from Landsat imagery in 15 historical wildfires of Pinus halepensis Mill. We have considered a wide range of innovative topographic, fuel and fire behavior variables with the purposes of (1) determining the variables that influence fire severity patterns among fires (considering the 15 wildfires together) and (2) ascertaining whether different variables affect extreme fire severity within the three fire types (topographic, convective and wind-driven fires). The among-fires analysis showed that fires in less arid climates and with steeper slopes had more extreme severity. In less arid conditions there was more crown fuel accumulation and closer forest structures, promoting high vertical and horizontal fuel continuity and extreme fire severity. The analyses carried out for each fire separately (within fires) showed more extreme fire severity in areas in northern aspects, with steeper slopes, with high crown biomass and in climates with more water availability. In northern aspects solar radiation was lower and fuels had less water limitation to growth which, combined with steeper slopes, produced more extreme severity. In topographic fires there was more extreme severity in northern aspects with steeper slopes and in areas with more water availability and high crown biomass; in convection-dominated fires there was also more extreme fire severity in northern aspects with high biomass; while in wind-driven fires there was only a slight interaction between biomass and water availability. This latter pattern could be related to the fact that wind-driven fires spread with high wind speed, which could have minimized the effect of other variables. In the future, and as a consequence of climate change, new zones with high crown biomass accumulated in non-common drought areas will be available to burn as extreme severity wildfires.

  14. [Metastasis revealing malignant peritoneum mesothelioma: About the difficulty to identify the primary tumors].

    PubMed

    Bretagne, Charles-Henri; Petitjean, Alain; Felix, Sophie; Bedgedjian, Isabelle; Algros, Marie-Paule; Delabrousse, Eric; Valmary-Degano, Séverine

    2016-04-01

    Peritoneal malignant mesothelioma is a rare and extremely aggressive tumor that is sometimes difficult to diagnose. We report two cases of metastatic malignant peritoneal mesothelioma. In one case, malignant metastatic cells were identified in cervical lymph nodes while in the other case, the cells were found in the liver. In both cases, metastases were identified before discovering the primary tumor. This led to the misdiagnosis of carcinoma of unknown origin. Nevertheless, the histological and immuno-histochemical patterns were typical of malignant mesothelioma. Regarding metastasis of unknown origin, a differentiation of epithelioid peritoneal malignant mesothelioma and adenocarcinoma proved to be difficult. Therefore, we discuss the diagnostic usefulness of immuno-histochemical mesothelioma markers. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  15. Beyond PSA: are new prostate cancer biomarkers of potential value to New Zealand doctors?

    PubMed

    Ng, Lance; Karunasinghe, Nishi; Benjamin, Challaraj S; Ferguson, Lynnette R

    2012-04-20

    The widespread introduction of prostate-specific antigen (PSA) screening has enhanced the early detection of prostate cancer within New Zealand. However, uncertainties associated with the test make it difficult to confidently differentiate low-risk patients from those that require a definitive diagnostic biopsy. In consequence, the decisions surrounding prostate cancer treatment become extremely difficult. A number of new tests have become available which might have the potential to complement the current PSA screens. We review a number of the best validated of these which provide data that, although currently not available in clinical practice, some of these might have considerable potential to aid diagnosis, prognosis and therapeutic decisions for men with prostate cancer in New Zealand.

  16. Bottom-up perspectives of extreme event and climate change threats to water quality: Drinking water utilities in California

    NASA Astrophysics Data System (ADS)

    Ekstrom, J.; Klasic, M.; Fencl, A.; Lubell, M.; Bedsworth, L. W.; Baker, E.

    2016-12-01

    Extreme events impact water quality, which pose serious challenges for drinking water systems. Such extreme events, including wildfire, storm surge, and other weather-related extremes, are projected to increase under a changing climate. It remains unclear what climate change information can support water managers in preparing for more extreme events. Exploring this topic requires understanding the larger question: What is the role of scientific information in adapting to climate change? We present two parts of a three-year study geared to understand whether, where, why and in what way climate information (or the lack of) is used or needed to support long term water quality planning for extreme events. In 2015 we surveyed California drinking water utilities and found a wide range of extreme event/water quality issues, perspectives on the severity of climate change threats, drought impacts and trusted information sources relating to water quality concerns. Approximately 70% of 259 respondents had recently experienced extreme weather-related events that worsen or trigger water quality. Survey results informed development of a case study analysis to gain a more in-depth understanding of what type of - or when - extreme events information could support climate adaptation. Projections of extreme events are often not in a form that is useable for water quality planning. Relative to supply-related projections, water quality has received much less scientific attention, leaving it an assumed scientific information gap and need for management. The question remains whether filling this gap would help adaptation, whom it would help, and in what way. Based on interviews with water systems in Summer 2016, our case study analyses reinforce that extreme events threaten water quality in many ways; largely as secondary impacts of climate change. Secondary impacts involve disinfection byproducts, increasing salinity in the Delta, and the use of lower quality sources. The most common barriers impeding effective adaptation were not related to information. Instead, respondents frequently expressed the obstacles of external institutions not coordinating with their needs. This demonstrates why climate adaptation must simultaneously occur at multiple levels of governance in order for water systems to successfully advance.

  17. Current concepts in repair of extremity venous injury.

    PubMed

    Williams, Timothy K; Clouse, W Darrin

    2016-04-01

    Extremity venous injury management remains controversial. The purpose of this communication is to offer perspective as well as experiential and technical insight into extremity venous injury repair. Available literature is reviewed and discussed. Historical context is provided. Indication, the decision process for repair, including technical conduct, is delineated. In particular, the authors' experiences in both civilian and wartime injury are used for perspective. Extremity venous injury repair was championed within data from the Vietnam Vascular Registry. However, patterns of extremity venous injury differ between combat and civilian settings. Since Vietnam, civilian descriptive series opine the benefits and potential complications associated with both venous injury repair and ligation. These surround extremity edema, chronic venous insufficiency, thromboembolism, and limb loss. Whereas no clear superiority in either approach has been identified to date, there appears to be no increased risk of pulmonary embolism or chronic venous changes with repair. Newer data from the wars in Iraq and Afghanistan and meta-analysis have reinforced this and also have suggested limb salvage benefit for extremity venous repair in combined arterial and venous injuries in modern settings. The patient's physiologic state and associated injury drive five triage categories suggesting vein injury management. Vein repair thrombosis occurs in a significant proportion, yet many recanalize and possibly have a positive impact on limb venous return. Further, early decompression favors reduced blood loss, acute edema, and inflammation, supporting collateral development. Large soft tissue injury minimizing collateral capacity increases the importance of repair. Constructs of repair are varied with modest differences in patency. Venous shunting is feasible, but specific roles remain nebulous. An aggressive posture toward extremity venous injury repair seems justified today because of the likely role in reducing venous hypertensive sequelae as well as a potential role in limb salvage. Appropriate triage selection for extremity vein repair is essential. Copyright © 2016 Society for Vascular Surgery. All rights reserved.

  18. Complex layered dental restorations: Are they recognizable and do they survive extreme conditions?

    PubMed

    Soon, Alistair S; Bush, Mary A; Bush, Peter J

    2015-09-01

    Recent research has shown that restorative dental materials can be recognized by microscopy and elemental analysis (scanning electron microscopy/energy dispersive X-ray spectroscopy and X-ray fluorescence; SEM/EDS and XRF) and that this is possible even in extreme conditions, such as cremation. These analytical methods and databases of dental materials properties have proven useful in DVI (disaster victim identification) of a commercial plane crash in 2009, and in a number of other victim identification cases. Dental materials appear on the market with ever expanding frequency. With their advent, newer methods of restoration have been proposed and adopted in the dental office. Methods might include placing multiple layers of dental materials, where they have different properties including adhesion, viscosity, or working time. These different dental materials include filled adhesives, flowable resins, glass ionomer cements, composite resins, liners and sealants. With possible combinations of different materials in these restorations, the forensic odontologist is now confronted with a new difficulty; how to recognize each individual material. The question might be posed if it is even possible to perform this task. Furthermore, an odontologist might be called upon to identify a victim under difficult circumstances, such as when presented with fragmented or incinerated remains. In these circumstances the ability to identify specific dental materials could assist in the identification of the deceased. Key to use of this information is whether these new materials and methods are detailed in the dental chart. Visual or radiographic inspection may not reveal the presence of a restoration, let alone the possible complex nature of that restoration. This study demonstrates another scientific method in forensic dental identification. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  19. Spitzer Trigonometric Parallaxes of L, T, and Y Dwarfs: Complementing Gaia's Optically-selected Census of Nearby Stars

    NASA Astrophysics Data System (ADS)

    Kirkpatrick, J. Davy; Smart, Richard; Marocco, Federico; Martin, Emily; Faherty, Jacqueline; Tinney, Christopher; Cushing, Michael; Beichman, Charles; Gelino, Christopher; Schneider, Adam; Wright, Edward; Lowrance, Patrick; Ingalls, James

    2018-05-01

    We now find ourselves at a moment in history where a parallax-selected census of nearby objects from the hottest A stars to the coldest Y dwarfs is almost a reality. With the release of Gaia DR2 in April of this year, we will be able to extract a volume-limited sample of stars out to 20 pc down to a spectral type of L5. Extending the census to colder types is much more difficult but nonetheless possible and essential. Ground-based astrometric monitoring of some of these colder dwarfs can be done with deep infrared detections on moderate to large (4+ meter) telescopes, but given the amount of time needed, only a portion of the colder objects believed to lie within 20 pc has been monitored. Our prior Spitzer observations have already enabled direct distance measures for T6 through Y dwarfs, but many 20-pc objects with spectral types between L5 and T5.5 have still not been astrometrically monitored, leaving a hole in our knowledge of this important all-sky sample. Spitzer Cycle 14 observations of modest time expenditure can rectify this problem by providing parallaxes for the 150+ objects remaining. Analysis of the brown dwarfs targeted by Spitzer is particularly important because it will provide insight into the low-mass cutoff of star formation, the shape of the mass function as inferred from the observed temperature distribution, the binary fraction of near-equal mass doubles, and the prevalence of extremely young (low-gravity) and extremely old (low metallicity) objects within the sample - all of which can be used to test and further refine model predictions of the underlying mass function.

  20. Germination and seedling establishment in orchids: a complex of requirements

    PubMed Central

    Rasmussen, Hanne N.; Dixon, Kingsley W.; Jersáková, Jana; Těšitelová, Tamara

    2015-01-01

    Background Seedling recruitment is essential to the sustainability of any plant population. Due to the minute nature of seeds and early-stage seedlings, orchid germination in situ was for a long time practically impossible to observe, creating an obstacle towards understanding seedling site requirements and fluctuations in orchid populations. The introduction of seed packet techniques for sowing and retrieval in natural sites has brought with it important insights, but many aspects of orchid seed and germination biology remain largely unexplored. Key Considerations The germination niche for orchids is extremely complex, because it is defined by requirements not only for seed lodging and germination, but also for presence of a fungal host and its substrate. A mycobiont that the seedling can parasitize is considered an essential element, and a great diversity of Basidiomycota and Ascomycota have now been identified for their role in orchid seed germination, with fungi identifiable as imperfect Rhizoctonia species predominating. Specificity patterns vary from orchid species employing a single fungal lineage to species associating individually with a limited selection of distantly related fungi. A suitable organic carbon source for the mycobiont constitutes another key requirement. Orchid germination also relies on factors that generally influence the success of plant seeds, both abiotic, such as light/shade, moisture, substrate chemistry and texture, and biotic, such as competitors and antagonists. Complexity is furthermore increased when these factors influence seeds/seedling, fungi and fungal substrate differentially. Conclusions A better understanding of germination and seedling establishment is needed for conservation of orchid populations. Due to the obligate association with a mycobiont, the germination niches in orchid species are extremely complex and varied. Microsites suitable for germination can be small and transient, and direct observation is difficult. An experimental approach using several levels of environmental manipulation/control is recommended. PMID:26271118

  1. Janiceps conjoined twins with extreme asymmetry: case report with complete autopsy and histopathologic findings.

    PubMed

    Kastenbaum, Hannah A; McPherson, Elizabeth W; Murdoch, Geoffrey H; Ozolek, John A

    2009-01-01

    Conjoined twinning is a rare form of twinning, in which 2 bodies are attached, and is classified according to the anatomic place of attachment. An extremely rare form of conjoined twinning is janiceps conjoined twinning, in which 2 faces are attached but oriented in opposite directions. In this report, we present an unusual and difficult-to-classify case of conjoined male twins with partial duplication of craniofacial, upper oropharyngeal, and cardiac organs. We believe this to be one of the few reported cases of janiceps asymmetrus. We describe in detail the gross and microscopic pathology and offer some insights into the possible embryogenesis and distinction from the other rare form of conjoined twinning with facial duplication, diprosopus.

  2. Extreme Wind, Rain, Storm Surge, and Flooding: Why Hurricane Impacts are Difficult to Forecast?

    NASA Astrophysics Data System (ADS)

    Chen, S. S.

    2017-12-01

    The 2017 hurricane season is estimated as one of the costliest in the U.S. history. The damage and devastation caused by Hurricane Harvey in Houston, Irma in Florida, and Maria in Puerto Rico are distinctly different in nature. The complexity of hurricane impacts from extreme wind, rain, storm surge, and flooding presents a major challenge in hurricane forecasting. A detailed comparison of the storm impacts from Harvey, Irma, and Maria will be presented using observations and state-of-the-art new generation coupled atmosphere-wave-ocean hurricane forecast model. The author will also provide an overview on what we can expect in terms of advancement in science and technology that can help improve hurricane impact forecast in the near future.

  3. Zoster-associated segmental paresis in a patient with cervical spinal stenosis.

    PubMed

    Kang, Sung-Hee; Song, Ho-Kyung; Jang, Yeon

    2013-06-01

    Segmental zoster paresis is a rare complication of herpes zoster, characterized by focal motor weakness that does not always present simultaneously with skin lesions. Zoster paresis can be easily confused with other neuromuscular or spinal diseases. This case report describes the case of a 72-year-old woman with herpes zoster and cervical spinal stenosis at the same spinal level, where it was difficult to distinguish segmental zoster paresis from cervical radiculopathy combined with motor neuropathy. Although segmental zoster paresis in the upper extremity is rare, it should be included in the differential diagnosis of segmental pain and weakness in the extremities, especially in older or immunocompromised patients. Correct diagnosis is required, to avoid unnecessary surgery and allow timely antiviral treatment.

  4. The Difficult Gallbladder: A Safe Approach to a Dangerous Problem.

    PubMed

    Santos, B Fernando; Brunt, L Michael; Pucci, Michael J

    2017-06-01

    Laparoscopic cholecystectomy is a common surgical procedure, and remains the gold standard for the management of benign gallbladder and biliary disease. While this procedure can be technically straightforward, it can also represent one of the most challenging operations facing surgeons. This dichotomy of a routine operation performed so commonly that poses such a hidden risk of severe complications, such as bile duct injury, must keep surgeons steadfast in the pursuit of safety. The "difficult gallbladder" requires strict adherence to the Culture of Safety in Cholecystectomy, which promotes safety first and assists surgeons in managing or avoiding difficult operative situations. This review will discuss the management of the difficult gallbladder and propose the use of subtotal fenestrating cholecystectomy as a definitive option during this dangerous situation.

  5. Opportunities for nonvolatile memory systems in extreme-scale high-performance computing

    DOE PAGES

    Vetter, Jeffrey S.; Mittal, Sparsh

    2015-01-12

    For extreme-scale high-performance computing systems, system-wide power consumption has been identified as one of the key constraints moving forward, where DRAM main memory systems account for about 30 to 50 percent of a node's overall power consumption. As the benefits of device scaling for DRAM memory slow, it will become increasingly difficult to keep memory capacities balanced with increasing computational rates offered by next-generation processors. However, several emerging memory technologies related to nonvolatile memory (NVM) devices are being investigated as an alternative for DRAM. Moving forward, NVM devices could offer solutions for HPC architectures. Researchers are investigating how to integratemore » these emerging technologies into future extreme-scale HPC systems and how to expose these capabilities in the software stack and applications. In addition, current results show several of these strategies could offer high-bandwidth I/O, larger main memory capacities, persistent data structures, and new approaches for application resilience and output postprocessing, such as transaction-based incremental checkpointing and in situ visualization, respectively.« less

  6. Consistency of extreme flood estimation approaches

    NASA Astrophysics Data System (ADS)

    Felder, Guido; Paquet, Emmanuel; Penot, David; Zischg, Andreas; Weingartner, Rolf

    2017-04-01

    Estimations of low-probability flood events are frequently used for the planning of infrastructure as well as for determining the dimensions of flood protection measures. There are several well-established methodical procedures to estimate low-probability floods. However, a global assessment of the consistency of these methods is difficult to achieve, the "true value" of an extreme flood being not observable. Anyway, a detailed comparison performed on a given case study brings useful information about the statistical and hydrological processes involved in different methods. In this study, the following three different approaches for estimating low-probability floods are compared: a purely statistical approach (ordinary extreme value statistics), a statistical approach based on stochastic rainfall-runoff simulation (SCHADEX method), and a deterministic approach (physically based PMF estimation). These methods are tested for two different Swiss catchments. The results and some intermediate variables are used for assessing potential strengths and weaknesses of each method, as well as for evaluating the consistency of these methods.

  7. A multi-disciplinary approach to the management of fungal osteomyelitis: current concepts in post-traumatic lower extremity reconstruction: a case report.

    PubMed

    Cetrulo, Curtis L; Leto Barone, Angelo A; Jordan, Kathleen; Chang, David S; Louie, Kevin; Buntic, Rudolf F; Brooks, Darrell

    2012-02-01

    Limb salvage in fungal osteomyelitis of the post-traumatic lower extremity represents a difficult clinical problem requiring aggressive management. We report lower extremity salvage by radical bony debridement, free tissue transfer, distraction osteogenesis with bone-docking, and a novel antifungal regimen in a clinical setting of infection with Scedosporium inflatum, historically requiring amputation in 100% of cases. We treated Scedosporium inflatum osteomyelitis of the tibia and calcaneus with radical debridement of infected bone, free partial medial rectus abdominis muscle flap coverage, transport distraction osteogenesis, and combination voriconazole/terbinafine chemotherapy, a novel antifungal regimen. We achieved successful control of the infection, limb salvage, and an excellent functional outcome through aggressive debridement of infected bone and soft tissue, elimination of dead space within the bony defect, the robust perfusion provided by the free flap, the hypervascular state induced by distraction osteogenesis, and the synergism of the novel antifungal regimen.

  8. Probabilistic forecasting of extreme weather events based on extreme value theory

    NASA Astrophysics Data System (ADS)

    Van De Vyver, Hans; Van Schaeybroeck, Bert

    2016-04-01

    Extreme events in weather and climate such as high wind gusts, heavy precipitation or extreme temperatures are commonly associated with high impacts on both environment and society. Forecasting extreme weather events is difficult, and very high-resolution models are needed to describe explicitly extreme weather phenomena. A prediction system for such events should therefore preferably be probabilistic in nature. Probabilistic forecasts and state estimations are nowadays common in the numerical weather prediction community. In this work, we develop a new probabilistic framework based on extreme value theory that aims to provide early warnings up to several days in advance. We consider the combined events when an observation variable Y (for instance wind speed) exceeds a high threshold y and its corresponding deterministic forecasts X also exceeds a high forecast threshold y. More specifically two problems are addressed:} We consider pairs (X,Y) of extreme events where X represents a deterministic forecast, and Y the observation variable (for instance wind speed). More specifically two problems are addressed: Given a high forecast X=x_0, what is the probability that Y>y? In other words: provide inference on the conditional probability: [ Pr{Y>y|X=x_0}. ] Given a probabilistic model for Problem 1, what is the impact on the verification analysis of extreme events. These problems can be solved with bivariate extremes (Coles, 2001), and the verification analysis in (Ferro, 2007). We apply the Ramos and Ledford (2009) parametric model for bivariate tail estimation of the pair (X,Y). The model accommodates different types of extremal dependence and asymmetry within a parsimonious representation. Results are presented using the ensemble reforecast system of the European Centre of Weather Forecasts (Hagedorn, 2008). Coles, S. (2001) An Introduction to Statistical modelling of Extreme Values. Springer-Verlag.Ferro, C.A.T. (2007) A probability model for verifying deterministic forecasts of extreme events. Wea. Forecasting {22}, 1089-1100.Hagedorn, R. (2008) Using the ECMWF reforecast dataset to calibrate EPS forecasts. ECMWF Newsletter, {117}, 8-13.Ramos, A., Ledford, A. (2009) A new class of models for bivariate joint tails. J.R. Statist. Soc. B {71}, 219-241.

  9. An exclusive human milk-based diet in extremely premature infants reduces the probability of remaining on total parenteral nutrition: A reanalysis of the data

    USDA-ARS?s Scientific Manuscript database

    We have previously shown that an exclusively human-milk-based diet is beneficial for extremely premature infants who are at risk for necrotizing enterocolitis (NEC). However, no significant difference in the other primary study endpoint, the length of time on total parenteral nutrition (TPN), was fo...

  10. Learning Long-Range Vision for an Offroad Robot

    DTIC Science & Technology

    2008-09-01

    robot to perceive and navigate in an unstructured natural world is a difficult task. Without learning, navigation systems are short-range and extremely...unsupervised or weakly supervised learning methods are necessary for training general feature representations for natural scenes. The process was...the world looked dark, and Legos when I was weary. iii ABSTRACT Teaching a robot to perceive and navigate in an unstructured natural world is a

  11. R&D100: Lightweight Distributed Metric Service

    ScienceCinema

    Gentile, Ann; Brandt, Jim; Tucker, Tom; Showerman, Mike

    2018-06-12

    On today's High Performance Computing platforms, the complexity of applications and configurations makes efficient use of resources difficult. The Lightweight Distributed Metric Service (LDMS) is monitoring software developed by Sandia National Laboratories to provide detailed metrics of system performance. LDMS provides collection, transport, and storage of data from extreme-scale systems at fidelities and timescales to provide understanding of application and system performance with no statistically significant impact on application performance.

  12. R&D100: Lightweight Distributed Metric Service

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

    Gentile, Ann; Brandt, Jim; Tucker, Tom

    2015-11-19

    On today's High Performance Computing platforms, the complexity of applications and configurations makes efficient use of resources difficult. The Lightweight Distributed Metric Service (LDMS) is monitoring software developed by Sandia National Laboratories to provide detailed metrics of system performance. LDMS provides collection, transport, and storage of data from extreme-scale systems at fidelities and timescales to provide understanding of application and system performance with no statistically significant impact on application performance.

  13. A Challenge for Micro and Mini UAV: The Sensor Problem

    DTIC Science & Technology

    2005-05-01

    pressure airspeed sensors on one single circuit board (Figure 8). Figure 8: Autopilot. The Quadcopter The fourth and final MAV is a quad-copter with...UNCLASSIFIED/UNLIMITED Figure 9: Quadcopter MAV. Figure 10: Loopshaping Diagram. The IMU contains 3 MEMS gyros. These form the rotational sensors Gx...flapping wings) and even by insects (vibrating wings). Once in operation, they will be extremely discrete, making it very difficult to distinct

  14. Measuring the Impact of Business Rules on Inventory Balancing

    DTIC Science & Technology

    2013-09-01

    The Navy ERP system enables inventory to be redistributed across sites to help maintain optimum inventory levels. Holding too much inventory is...not unique to the Navy. In fact, the complexity of this problem is only magnified for competitive firms that are hesitant to share sensitive data with...lateral transshipment problems makes finding an analytical solution extremely difficult. The strength of simulation models lies within their ability

  15. Leadership for the 1970s. Organizational Leadership Tasks for Army Leadership Training

    DTIC Science & Technology

    1977-05-01

    environment, training and development efforts in the leadership / management field become extremely complicated. It is a most difficult--perhaps fruitless...principles theory of learning for the soft skills area, we are not faced with the necessity to list ever task implicit in the leadership / management domain...a monumental undertaking by any standards. This monograph represents an attempt to clarify leadership / management activities within reasonable limits

  16. Compilation of 1982 Annual Reports of the Navy ELF (Extremely Low Frequency) Communications System Ecological Monitoring Program.

    DTIC Science & Technology

    1983-05-01

    systems are generally considered difficult to study, several features of ectomycor- rhizae facilitate such investigations. Ectomycorrhizal fungi...communications antenna area and 2) distribution features of the induced field in the forest floor. The overall objective of these studies is to quantify key...Sultanova, K. Kayumov, and 0. Khasahov. 1981. Some features of microbiological processes under alfalfa depending on hoeing depth and fertilizer

  17. Where Have All the Nunn-McCurdys Gone

    DTIC Science & Technology

    2015-12-01

    trickier than coming up with root causes of problems. While opinions abound, it is difficult to ascertain that a given action or set of actions is...change that has been lauded by most defense experts as extremely positive. WSARA made sweeping changes that have strengthened ac- countability of...prior to MS B, and measures to ensure adequate competition, including competitive proto- typing, dual sourcing, and modular open architectures, among

  18. Calendar methods of fertility regulation: a rule of thumb.

    PubMed

    Colombo, B; Scarpa, B

    1996-01-01

    "[Many] illiterate women, particularly in the third world, find [it] difficult to apply usual calendar methods for the regulation of fertility. Some of them are even unable to make simple subtractions. In this paper we are therefore trying to evaluate the applicability and the efficiency of an extremely simple rule which entails only [the ability to count] a number of days, and always the same way." (SUMMARY IN ITA) excerpt

  19. Nuclear Deterrence: Strong Policy is Needed for Effective Defense

    DTIC Science & Technology

    2011-03-24

    providing anti-access to U.S. forces should conflict erupt, for example over the Taiwan sovereignty issue.29 Emerging Chinese long- range delivery systems...securing fissile material is already extremely difficult. It is quite possible that some nuclear material is unaccounted for in the world; even if banned ...Nuclear weapons are like very complicated chemical experiments, sometimes changing in unforeseen ways as metals corrode, plastics break down and

  20. Gridded snow water equivalent reconstruction for Utah using Forest Inventory and Analysis tree-ring data

    Treesearch

    Daniel Barandiaran; S.-Y. Simon Wang; R. Justin DeRose

    2017-01-01

    Snowpack observations in the Intermountain West are sparse and short, making them difficult for use in depicting past variability and extremes. This study presents a reconstruction of April 1 snow water equivalent (SWE) for the period of 1850–1989 using increment cores collected by the U.S. Forest Service, Interior West Forest Inventory and Analysis program (FIA). In...

  1. Theoretical Perspectives of Terrorist Enemies as Networks

    DTIC Science & Technology

    2005-10-01

    applied to human systems, meaningful and repeatable measurements are extremely difficult (humans and societies are each unique and much that is...defined as- pects. Families can have patriarchs (or matriarchs for that matter) who serve as head of the family. As one individual dies another will...strengthen it. This type of construct does not illustrate how completely terrorist organi- zations are embedded within a larger society , and the importance

  2. Fine figure correction and other applications using novel MRF fluid designed for ultra-low roughness

    NASA Astrophysics Data System (ADS)

    Maloney, Chris; Oswald, Eric S.; Dumas, Paul

    2015-10-01

    An increasing number of technologies require ultra-low roughness (ULR) surfaces. Magnetorheological Finishing (MRF) is one of the options for meeting the roughness specifications for high-energy laser, EUV and X-ray applications. A novel MRF fluid, called C30, has been developed to finish surfaces to ULR. This novel MRF fluid is able to achieve <1.5Å RMS roughness on fused silica and other materials, but has a lower material removal rate with respect to other MRF fluids. As a result of these properties, C30 can also be used for applications in addition to finishing ULR surfaces. These applications include fine figure correction, figure correcting extremely soft materials and removing cosmetic defects. The effectiveness of these new applications is explored through experimental data. The low removal rate of C30 gives MRF the capability to fine figure correct low amplitude errors that are usually difficult to correct with higher removal rate fluids. The ability to figure correct extremely soft materials opens up MRF to a new realm of materials that are difficult to polish. C30 also offers the ability to remove cosmetic defects that often lead to failure during visual quality inspections. These new applications for C30 expand the niche in which MRF is typically used for.

  3. Deformation mechanisms in a coal mine roadway in extremely swelling soft rock.

    PubMed

    Li, Qinghai; Shi, Weiping; Yang, Renshu

    2016-01-01

    The problem of roadway support in swelling soft rock was one of the challenging problems during mining. For most geological conditions, combinations of two or more supporting approaches could meet the requirements of most roadways; however, in extremely swelling soft rock, combined approaches even could not control large deformations. The purpose of this work was to probe the roadway deformation mechanisms in extremely swelling soft rock. Based on the main return air-way in a coal mine, deformation monitoring and geomechanical analysis were conducted, as well as plastic zone mechanical model was analysed. Results indicated that this soft rock was potentially very swelling. When the ground stress acted alone, the support strength needed in situ was not too large and combined supporting approaches could meet this requirement; however, when this potential released, the roadway would undergo permanent deformation. When the loose zone reached 3 m within surrounding rock, remote stress p ∞ and supporting stress P presented a linear relationship. Namely, the greater the swelling stress, the more difficult it would be in roadway supporting. So in this extremely swelling soft rock, a better way to control roadway deformation was to control the releasing of surrounding rock's swelling potential.

  4. Using literature to help physician-learners understand and manage "difficult" patients.

    PubMed

    Shapiro, J; Lie, D

    2000-07-01

    Despite significant clinical and research efforts aimed at recognizing and managing "difficult" patients, such patients remain a frustrating experience for many clinicians. This is especially true for primary care residents, who are required to see a significant volume of patients with diverse and complex problems, but who may not have adequate training and life experience to enable them to deal with problematic doctor-patient situations. Literature--short stories, poems, and patient narratives--is a little-explored educational tool to help residents in understanding and working with difficult patients. In this report, the authors examine the mechanics of using literature to teach about difficult patients, including structuring the learning environment, establishing learning objectives, identifying teaching resources and appropriate pedagogic methods, and incorporating creative writing assignments. They also present an illustrative progression of a typical literature-based teaching session about a difficult patient.

  5. Effects of extreme climatic events on small-scale spatial patterns: a 20-year study of the distribution of a desert spider.

    PubMed

    Birkhofer, Klaus; Henschel, Joh; Lubin, Yael

    2012-11-01

    Individuals of most animal species are non-randomly distributed in space. Extreme climatic events are often ignored as potential drivers of distribution patterns, and the role of such events is difficult to assess. Seothyra henscheli (Araneae, Eresidae) is a sedentary spider found in the Namib dunes in Namibia. The spider constructs a sticky-edged silk web on the sand surface, connected to a vertical, silk-lined burrow. Above-ground web structures can be damaged by strong winds or heavy rainfall, and during dispersal spiders are susceptible to environmental extremes. Locations of burrows were mapped in three field sites in 16 out of 20 years from 1987 to 2007, and these grid-based data were used to identify the relationship between spatial patterns, climatic extremes and sampling year. According to Morisita's index, individuals had an aggregated distribution in most years and field sites, and Geary's C suggests clustering up to scales of 2 m. Individuals were more aggregated in years with high maximum wind speed and low annual precipitation. Our results suggest that clustering is a temporally stable property of populations that holds even under fluctuating burrow densities. Climatic extremes, however, affect the intensity of clustering behaviour: individuals seem to be better protected in field sites with many conspecific neighbours. We suggest that burrow-site selection is driven at least partly by conspecific cuing, and this behaviour may protect populations from collapse during extreme climatic events.

  6. Infrared Studies of the Variability and Mass Loss of Dusty Asymptotic Giant Branch Stars in the Magellanic Clouds

    NASA Astrophysics Data System (ADS)

    Sargent, Benjamin; Groenewegen, M. A. T.

    2018-01-01

    The asymptotic giant branch (AGB) phase is one of the last phases of a star's life. AGB stars lose mass in an outflow in which dust condenses and is pushed away from the star. Extreme AGB stars are so named because their very red colors suggest very large amounts of dust, which in turn suggests extremely high mass loss rates. AGB stars also vary in brightness, and studies show that extreme AGB stars tend to have longer periods than other AGB stars and are more likely to be fundamental mode pulsators than other AGB stars. Extreme AGB stars are difficult to study, as their colors are so red due to their copious amounts of circumstellar dust that they are often not detected at optical wavelengths. Therefore, they must be observed at infrared wavelengths to explore their variability. Using the Spitzer Space Telescope, my team and I have observed a sample of extreme AGB stars in the Large Magellanic Cloud (LMC) and Small Magellanic Cloud (SMC) over Cycles 9 through 12 during the Warm Spitzer mission. For each cycle, we typically observed a set of extreme AGB stars at both 3.6 and 4.5 microns wavelength approximately monthly for most of a year. These observations reveal a wide range of variability properties. I present results from our analysis of the data obtained from these Spitzer variability programs, including light curve analyses and comparison to period-luminosity diagrams. Funding is acknowledged from JPL RSA # 1561703.

  7. Epidemiology of Figure Skating Injuries: A Review of the Literature.

    PubMed

    Han, Julie S; Geminiani, Ellen T; Micheli, Lyle J

    2018-05-01

    As the popularity and technical demands of figure skating increase, so will the number of athletes presenting with sport-related problems. Searches were performed across PubMed from 1980 to 2017. The keywords searched were skating, skaters, incidence, and injuries. The search was limited to English-language articles and human participants. Relevant articles were cross-referenced. Clinical review. Level 5. Previous studies suggest an increase in incidence of figure skating injuries from 1982 to 2003. When combining all disciplines of figure skating, there is a similar proportion of acute and overuse injuries. Within disciplines, overuse injuries appear to be more common in singles skating, while acute injuries are more common in pairs skating, ice dancing, and synchronized skating. Lower extremity injuries are more common than upper extremity injuries in all disciplines, and pairs skating accounts for the majority of upper extremity injuries. Ankle sprains are the most common skating injury, and patellar tendinitis is the most common overuse injury across all disciplines. Stress fractures are the most common overuse injury in female singles skaters. The predominance of overuse injuries in singles disciplines reflects their increasing technical difficulty, with more difficult jumps and longer training hours. Partner disciplines are more likely to involve acute injuries and upper extremity injuries due to high-risk throws and lifts. Emphasis should be placed on properly fitting skating boots, intrinsic foot and ankle strengthening, and lower extremity flexibility, which may prevent many of the common lower extremity and back injuries in figure skating.

  8. Spatial extreme value analysis to project extremes of large-scale indicators for severe weather

    PubMed Central

    Gilleland, Eric; Brown, Barbara G; Ammann, Caspar M

    2013-01-01

    Concurrently high values of the maximum potential wind speed of updrafts (Wmax) and 0–6 km wind shear (Shear) have been found to represent conducive environments for severe weather, which subsequently provides a way to study severe weather in future climates. Here, we employ a model for the product of these variables (WmSh) from the National Center for Atmospheric Research/United States National Center for Environmental Prediction reanalysis over North America conditioned on their having extreme energy in the spatial field in order to project the predominant spatial patterns of WmSh. The approach is based on the Heffernan and Tawn conditional extreme value model. Results suggest that this technique estimates the spatial behavior of WmSh well, which allows for exploring possible changes in the patterns over time. While the model enables a method for inferring the uncertainty in the patterns, such analysis is difficult with the currently available inference approach. A variation of the method is also explored to investigate how this type of model might be used to qualitatively understand how the spatial patterns of WmSh correspond to extreme river flow events. A case study for river flows from three rivers in northwestern Tennessee is studied, and it is found that advection of WmSh from the Gulf of Mexico prevails while elsewhere, WmSh is generally very low during such extreme events. © 2013 The Authors. Environmetrics published by JohnWiley & Sons, Ltd. PMID:24223482

  9. Attribution of extreme weather and climate-related events.

    PubMed

    Stott, Peter A; Christidis, Nikolaos; Otto, Friederike E L; Sun, Ying; Vanderlinden, Jean-Paul; van Oldenborgh, Geert Jan; Vautard, Robert; von Storch, Hans; Walton, Peter; Yiou, Pascal; Zwiers, Francis W

    2016-01-01

    Extreme weather and climate-related events occur in a particular place, by definition, infrequently. It is therefore challenging to detect systematic changes in their occurrence given the relative shortness of observational records. However, there is a clear interest from outside the climate science community in the extent to which recent damaging extreme events can be linked to human-induced climate change or natural climate variability. Event attribution studies seek to determine to what extent anthropogenic climate change has altered the probability or magnitude of particular events. They have shown clear evidence for human influence having increased the probability of many extremely warm seasonal temperatures and reduced the probability of extremely cold seasonal temperatures in many parts of the world. The evidence for human influence on the probability of extreme precipitation events, droughts, and storms is more mixed. Although the science of event attribution has developed rapidly in recent years, geographical coverage of events remains patchy and based on the interests and capabilities of individual research groups. The development of operational event attribution would allow a more timely and methodical production of attribution assessments than currently obtained on an ad hoc basis. For event attribution assessments to be most useful, remaining scientific uncertainties need to be robustly assessed and the results clearly communicated. This requires the continuing development of methodologies to assess the reliability of event attribution results and further work to understand the potential utility of event attribution for stakeholder groups and decision makers. WIREs Clim Change 2016, 7:23-41. doi: 10.1002/wcc.380 For further resources related to this article, please visit the WIREs website.

  10. Extremity War Injuries VIII: sequelae of combat injuries.

    PubMed

    Andersen, Romney C; D'Alleyrand, Jean-Claude G; Swiontkowski, Marc F; Ficke, James R

    2014-01-01

    The 2013 Extremity War Injury symposium focused on the sequelae of combat-related injuries, including posttraumatic osteoarthritis, amputations, and infections. Much remains to be learned about posttraumatic arthritis, and there are few circumstances in which a definitive arthroplasty should be performed in an acutely injured and open joint. Although the last decade has seen tremendous advances in the treatment of combat upper extremity injuries, many questions remain unanswered, and continued research focusing on improving reconstruction of large segmental defects remains critical. Discussion of infection centered on the need for novel methods to reduce the bacterial load following the initial débridement procedures. Novel methods of delivering antimicrobial therapy and anti-inflammatory medications directly to the wound were discussed as well as the need for near real-time assessment of bacterial and fungal burden and further means of prevention and treatment of biofilm formation and the importance of animal models to test therapies discussed. Moderators and lecturers of focus groups noted the continuing need for improved prehospital care in the management of junctional injuries, identified optimal strategies for both surgical repair and/or reconstruction of the ligaments in multiligamentous injuries, and noted the need to mitigate bone mineral density loss following amputation and/or limb salvage as well as the necessity of developing better methods of anticipating and managing heterotopic ossification.

  11. IgE-blocking therapy for difficult-to-treat asthma: a brief review.

    PubMed

    Marshall, Gailen D; Sorkness, Christine A

    2004-03-01

    To review the characteristics of difficult-to-treat asthma and describe patients who may benefit from therapy with the recently approved humanized monoclonal antiimmunoglobulin E (IgE) antibody, omalizumab. Up to 20 percent of patients have difficult-to-treat asthma. These patients consume a disproportionate share of asthma care resources. Clinical and economic outcomes can be improved via improved self-management, increased adherence to prescribed therapy, and better compliance to national asthma treatment guidelines. These patients also may benefit from therapies that directly target mechanisms responsible for persistent airway inflammation and elicit favorable clinical responses. Effective asthma control remains difficult in a small cohort of patients with persistent, severe airway inflammation. Management strategies that improve asthma control and reduce exacerbations can improve clinical outcomes and minimize health care resource utilization.

  12. The Use of Bovine Collagen-glycosaminoglycan Matrix for Atypical Lower Extremity Ulcers.

    PubMed

    Garwood, Caitlin S; Kim, Paul J; Matai, Vinay; Steinberg, John S; Evans, Karen K; Mitnick, Carol Deane B; Attinger, Christopher E

    2016-09-01

    The primary purpose of this study was to evaluate the use of bovine collagen-glycosaminoglycan matrix on atypical lower extremity ulcers. A retrospective chart review was performed on patients who underwent application of bovine collagen matrix to a lower extremity ulcer with an atypical etiology including autoimmune disease, sickle cell anemia, radiation therapy, connective tissue disease, vasculitis, or coagulopathy from January 2009 to October 2014. The following outcomes were evaluated: rate of ulcer healing and closure, number of ulcers that received a split-thickness skin graft, improvement in pain, and complications related to the ulcer. Thirty-eight patients with 71 lower extremity ulcers were analyzed. The most common ulcer etiolo- gies included rheumatoid arthritis, sickle cell anemia, and coagulopa- thy. After application of the bovine collagen matrix, 30 (42.3%) ulcers healed at a mean of 220.9 days. Of the 71 ulcers, 26 (36.6%) re- ceived a split-thickness skin graft after application of the matrix and 17 (65.4%) of those went on to complete healing. Ten patients had a local infection noted during follow-up, and 5 patients had dehiscence or dissociation of the matrix. Atypical lower extremity ulcers, such as those caused by autoimmune diseases and sickle cell anemia, proved difficult to heal. This case series shows that bovine collagen matrix can be a successful adjunctive therapy for the treatment of these challenging ulcers.

  13. Bias-correction of PERSIANN-CDR Extreme Precipitation Estimates Over the United States

    NASA Astrophysics Data System (ADS)

    Faridzad, M.; Yang, T.; Hsu, K. L.; Sorooshian, S.

    2017-12-01

    Ground-based precipitation measurements can be sparse or even nonexistent over remote regions which make it difficult for extreme event analysis. PERSIANN-CDR (CDR), with 30+ years of daily rainfall information, provides an opportunity to study precipitation for regions where ground measurements are limited. In this study, the use of CDR annual extreme precipitation for frequency analysis of extreme events over limited/ungauged basins is explored. The adjustment of CDR is implemented in two steps: (1) Calculated CDR bias correction factor at limited gauge locations based on the linear regression analysis of gauge and CDR annual maxima precipitation; and (2) Extend the bias correction factor to the locations where gauges are not available. The correction factors are estimated at gauge sites over various catchments, elevation zones, and climate regions and the results were generalized to ungauged sites based on regional and climatic similarity. Case studies were conducted on 20 basins with diverse climate and altitudes in the Eastern and Western US. Cross-validation reveals that the bias correction factors estimated on limited calibration data can be extended to regions with similar characteristics. The adjusted CDR estimates also outperform gauge interpolation on validation sites consistently. It is suggested that the CDR with bias adjustment has a potential for study frequency analysis of extreme events, especially for regions with limited gauge observations.

  14. A Systematic Approach for Engagement Analysis Under Multitasking Environments

    NASA Technical Reports Server (NTRS)

    Zhang, Guangfan; Leddo, John; Xu, Roger; Richey, Carl; Schnell, Tom; McKenzie, Frederick; Li, Jiang

    2011-01-01

    An overload condition can lead to high stress for an operator and further cause substantial drops in performance. On the other extreme, in automated systems, an operator may become underloaded; in which case, it is difficult for the operator to maintain sustained attention. When an unexpected event occurs, either internal or external to the automated system, a disengaged operation may neglect, misunderstand, or respond slowly/inappropriately to the situation. In this paper, we discuss a systematic approach monitor for extremes of cognitive workload and engagement in multitasking environments. Inferences of cognitive workload ar engagement are based on subjective evaluations, objective performance measures, physiological signals, and task analysis results. The systematic approach developed In this paper aggregates these types of information collected under the multitasking environment and can provide a real-time assessment or engagement.

  15. Very high-resolution spectroscopy for extremely large telescopes using pupil slicing and adaptive optics.

    PubMed

    Beckers, Jacques M; Andersen, Torben E; Owner-Petersen, Mette

    2007-03-05

    Under seeing limited conditions very high resolution spectroscopy becomes very difficult for extremely large telescopes (ELTs). Using adaptive optics (AO) the stellar image size decreases proportional with the telescope diameter. This makes the spectrograph optics and hence its resolution independent of the telescope diameter. However AO for use with ELTs at visible wavelengths require deformable mirrors with many elements. Those are not likely to be available for quite some time. We propose to use the pupil slicing technique to create a number of sub-pupils each of which having its own deformable mirror. The images from all sub-pupils are combined incoherently with a diameter corresponding to the diffraction limit of the sub-pupil. The technique is referred to as "Pupil Slicing Adaptive Optics" or PSAO.

  16. Impact du réchauffement climatique sur le cycle hydrologique

    NASA Astrophysics Data System (ADS)

    Planton, Serge; Déqué, Michel; Douville, Hervé; Spagnoli, Bruno

    2005-02-01

    At the planetary scale, the models consistently simulate an intensification of the hydrological cycle in a future climate, warmer than the present-day one. However, this intensification might be accompanied by its slowing down due to an increase of the residence time of water vapour in the atmosphere. The impact of climate change on extreme events is even more difficult to evaluate, as results are dependent on methods, emission scenarios and, above all, on models. However, the increase of extreme winter precipitation over northern Europe is a common feature of these evaluations. The hydrological cycle, through the geographical distribution of continental surface humidity, seems to play a key role on the possibility to detect the warming in France. To cite this article: S. Planton et al., C. R. Geoscience 337 (2005).

  17. Center of Gravity in the Asymmetric Environment: Applicable or Not

    DTIC Science & Technology

    2006-06-01

    public release; distribution unlimited 12b. DISTRIBUTION CODE 13. ABSTRACT (maximum 200 words) The military concept of a Center of Gravity ( COG ) in...changed a great deal since the introduction of COG . And in today’s asymmetric environment, in which non-state actors use unconventional tactics, it is...becoming extremely difficult to apply the COG concept. The primary reason for this difficulty is that non-state actors do not operate as a unitary

  18. Report of the Commanding General Eighth Army on the PANAY-NEGROS and CEBU Operations Victor I and II

    DTIC Science & Technology

    1946-01-01

    numeroxis tunnels, with interconnecting tunnels leading into heavily-constructed pillboxes. These positions are in every case on hills and are in...all subsequent missions as the photographs were delivered. Reports on these studies were distributed within this headquarters and to the task force...estimates vary greatly and are extremely difficult to evaluate, greater reliance must be placed on the study of available information on unit

  19. [Mikhail Bulgakov--a colleague and cult figure].

    PubMed

    Olsen, B

    1995-12-10

    Mikhail Bulgakov (1891-1940) was medically qualified, but practised as a doctor only a few years before he launched on a full time career as a writer. His writings are marked by exuberant satire and burlesque phantasy, a genre condemned anti-Sovietic. Throughout his writing life, Bulgakov found it extremely difficult to get his writings published. He did not become known to the reading public inside and outside USSR until 30 years after his death.

  20. The Impact of the Type 094 Ballistic Missile Submarine on China’s Nuclear Policy

    DTIC Science & Technology

    2009-06-01

    74 Figure 9. VLF Towers at Greenbury Point in Annapolis, MD........................................75 Figure 10. ELF Communications Source...China’s ability to utilize these systems. Extremely low frequency ( ELF ) communications have the advantage that messages can be received at depths of...capabilities. Even with this increase, it will still be difficult for China to maintain constant two-way communications with ELF or VLF in high sea

  1. Development of Decision Analysis Specifically for Arctic Offshore Drilling Islands.

    DTIC Science & Technology

    1985-12-01

    the decision analysis method will - give tradeoffs between costs and design wave height, production and depth • :of water for an oil platform , etc...optimizing the type of platform that is best suited for a particular site has become an extremely difficult decision. Over fifty- one different types of...drilling and production platforms have been identified for the Arctic environment, with new concepts being developed - every year, Boslov et al (198j

  2. Primary hepatic carcinoid tumor: case report and literature review

    PubMed Central

    Camargo, Éden Sartor; Viveiros, Marcelo de Melo; Corrêa, Isaac José Felippe; Robles, Laercio; Rezende, Marcelo Bruno

    2014-01-01

    Primary hepatic carcinoid tumors are extremely rare neoplasms derived from hormone-producing neuroendocrine cells. It is difficult to make their diagnosis before biopsy, surgical resection or necropsy. A recent publication described only 94 cases of these tumors. There is no sex predilection and apparently it has no association with cirrhosis or preexisting hepatic disease. The most effective treatment is hepatectomy, and resection is determined by size and location of the lesions. PMID:25628206

  3. Mechanical Properties of Ceramics for High Temperature Applications

    DTIC Science & Technology

    1976-12-01

    difficult so far. Also torsion creep tests have been performed /2 /, not considered in this figure. The data show a relatively consistent picture...mittent creep test. Corrosion effects are claimed to be operative during fatigue : The lifetime of a fa- tigue specimen, being controlled by the slow...of plot at extremely low rates of loading. The static fatigue limit on this type of plot is the strength below which there is no effect of loading

  4. The Time and Effort in Taking Care for Children with Profound Intellectual and Multiple Disabilities: A Study on Care Load and Support

    ERIC Educational Resources Information Center

    Tadema, Annemarie C.; Vlaskamp, Carla

    2010-01-01

    Raising children with profound intellectual and multiple disabilities is considered to be extremely difficult for parents, but figures on the content and amount of time needed for the caring task of parents is lacking. Data on what the caring task actually means (in terms of amount of time and type of task) is needed to be able to understand the…

  5. [Proctalgia fugax. Differential diagnosis and therapy of fleeting anal cramp].

    PubMed

    Staude, G

    1992-05-30

    Proctalgia fugax--short-lived anal spasm--is a common, extremely unpleasant, painful condition that occurs completely unexpectedly, often waking the victim at night. Scientific assessment is difficult on account of the functional nature of the condition and its multifactorial genesis. Before the patient is labeled "anal neurotic", however, he/she should be investigated by a specialist. The results of treating the rarely absent pathological organic findings give rise to optimism.

  6. Film and Motivation -- The ’Why We Fight’ Series.

    DTIC Science & Technology

    1991-01-07

    34 series . PROPAGANDA - USE AND EFFECTS It appears, at this point, that propaganda is a combination of promotion and persuasion. A thought or idea is...sets the stage for the propagandist. The effects of propaganda can be extremely difficult to measure. As Paul Linebarger explained, "Success...Kampf, observed that "Lies, as long as they are believed, are oirren more effective than truth.ŗ.? AS far as Dr. Goebbels was concerned, propaganda

  7. Statistical Modeling of Natural Backgrounds in Hyperspectral LWIR Data

    DTIC Science & Technology

    2016-09-06

    extremely important for studying performance trades. First, we study the validity of this model using real hyperspectral data, and compare the relative...difficult to validate any statistical model created for a target of interest. However, since background measurements are plentiful, it is reasonable to...Golden, S., Less, D., Jin, X., and Rynes, P., “ Modeling and analysis of LWIR signature variability associated with 3d and BRDF effects,” 98400P (May 2016

  8. Photodynamic therapy for the treatment of folliculitis decalvans.

    PubMed

    Castaño-Suárez, Esther; Romero-Maté, Alberto; Arias-Palomo, Dolores; Borbujo, Jesús

    2012-04-01

    Folliculitis decalvans is a chronic form of deep folliculitis that occurs on the scalp as patches of scarring alopecia at the expanding margins of which are follicular pustules. Treatment of folliculitis decalvans is extremely difficult with a resultant poor prognosis. Photodynamic therapy has been reported to be effective in disorders as acne or folliculitis. We report one patient with folliculitis decalvans who was successfully treated with photodynamic therapy. © 2012 John Wiley & Sons A/S.

  9. Three Dimensional Inverse Synthetic Aperture Radar Imaging

    DTIC Science & Technology

    1995-12-01

    unfortunately produces a blurred image. To correct this problem, a deblurring filter must be applied to the data. It is preferred in some applications to...when the pulse is an impulse in time. So in order to get a high degree of downrange resolution directly it would be necessary to transmit the entire...bandwidth of frequencies simultaneously such as in an Impulse Radar. This would prove to be extremely difficult if not impossible. Luckily, the same

  10. What should a suspended doctor do when his actions could save a patient's life?

    PubMed Central

    Stewart, J

    2003-01-01

    Suspension from duty is becoming an increasing threat for medical practitioners. While under suspension a doctor may, in extreme circumstances, find themselves in a difficult legal dilemma as to their duty of care towards others. A suspended doctor may risk litigation if they are unaware of the legal ramifications of their unusual circumstances. The following article outlines the legal situation as it applies to England and Wales. PMID:12743336

  11. Bringing NASA Technology Down to Earth

    NASA Technical Reports Server (NTRS)

    Lockney, Daniel P.; Taylor, Terry L.

    2018-01-01

    Whether putting rovers on Mars or sustaining life in extreme conditions, NASA develops technologies to solve some of the most difficult challenges ever faced. Through its Technology Transfer Program, the agency makes the innovations behind space exploration available to industry, academia, and the general public. This paper describes the primary mechanisms through which NASA disseminates technology to solve real-life problems; illustrates recent program accomplishments; and provides examples of spinoff success stories currently impacting everyday life.

  12. Ethics, Counterinsurgency, and Perceptions, in the Information Era

    DTIC Science & Technology

    2006-05-25

    morally unethical behavior has historically been a causative factor in the failure of counterinsurgencies. A recounting of just a few such wars of the...the 42 people of the world perceive such a confrontation. The perception of incidents of unethical behavior at all levels of war can and does have...receiving end of the action. Perceptions created through extreme examples of unethical behavior are difficult to correct and will not lose their

  13. Diagnosing ion-beam targets, data acquisition, reactor conditions

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

    Mendel, Jr., C. W.

    1982-01-01

    The final lecture will discuss diagnostics of the target. These are very difficult because of the short times, small spatial extent, and extreme values of temperature and pressure. Diagnostics for temperature, density profile, and neutron production will be discussed. A few minutes will be devoted to data acquisition needs. The lecture will end with a discussion of current areas where improvements are needed and future diagnostics that will be required for reactor conditions.

  14. Draft genome sequence of the extremely halophilic archaeon Haladaptatus cibarius type strain D43(T) isolated from fermented seafood.

    PubMed

    Lee, Hae-Won; Kim, Dae-Won; Lee, Mi-Hwa; Kim, Byung-Yong; Cho, Yong-Joon; Yim, Kyung June; Song, Hye Seon; Rhee, Jin-Kyu; Seo, Myung-Ji; Choi, Hak-Jong; Choi, Jong-Soon; Lee, Dong-Gi; Yoon, Changmann; Nam, Young-Do; Roh, Seong Woon

    2015-01-01

    An extremely halophilic archaeon, Haladaptatus cibarius D43(T), was isolated from traditional Korean salt-rich fermented seafood. Strain D43(T) shows the highest 16S rRNA gene sequence similarity (98.7 %) with Haladaptatus litoreus RO1-28(T), is Gram-negative staining, motile, and extremely halophilic. Despite potential industrial applications of extremely halophilic archaea, their genome characteristics remain obscure. Here, we describe the whole genome sequence and annotated features of strain D43(T). The 3,926,724 bp genome includes 4,092 protein-coding and 57 RNA genes (including 6 rRNA and 49 tRNA genes) with an average G + C content of 57.76 %.

  15. Preventing lower extremity injury in elite orienteerers: study protocol for a randomised controlled trial

    PubMed Central

    Halvarsson, Bodil

    2018-01-01

    Background The high physical load associated with running through uneven terrain contributes toorienteerers being exposed to high injury risk, where the majority of injuries are located in the lower extremities. Specific training programmes have been effective at reducing injury risk in sports. Yet no trial has been conducted in elite orienteering. The aim of this study is to investigate the effectiveness of a specific training programme in preventing lower extremity injury in adult elite orienteerers. Study design Randomised controlled trial (RCT). Methods Seventy-two Swedish elite orienteerers, aged 18–40 years, are allocated to an intervention or control group. The intervention group performs four specific exercises, with three difficult levels intensified every second week over the first 4 weeks, targeting strength, flexibility and coordination of the lower extremity. The exercises are completed four times a week (10 min per session) in conjunction with normal training over 14 weeks. Injury data are collected every second week using a valid injury questionnaire distributed by text messages over 14 weeks. The primary outcome is number of substantial injuries in the lower extremity. The secondary outcomes are incidence of ankle sprains and the average substantial injury prevalence across 14 weeks. Discussion Due to high injury risk and lack of injury prevention trials in orienteering, an RCT investigating the effect of a specific exercise programme in preventing lower extremity injury is warranted. The results of this trial will be beneficial to orienteerers, clubs and federations, and increase our understanding on how lower extremity injuries can be prevented in a physically challenging sport. Trial registration number NCT03408925. PMID:29707231

  16. Two centuries of observed atmospheric variability and change over the North Sea region

    NASA Astrophysics Data System (ADS)

    Stendel, Martin; van den Besselaar, Else; Hannachi, Abdel; Kent, Elizabeth; Lefebvre, Christiana; Rosenhagen, Gudrun; Schenk, Frederik; van der Schrier, Gerard; Woollings, Tim

    2016-04-01

    In the upcoming North Sea Region Climate Change Assessment (NOSCCA), we present a synthesis of current knowledge about past, present and possible future climate change in the North Sea region. A climate change assessment from published scientific work has been conducted as a kind of regional IPCC report, and a book has been produced that will be published by Springer in 2016. In the framework of the NOSCCA project, we examine past and present studies of variability and changes in atmospheric variables within the North Sea region over the instrumental period, roughly the past 200 years, based on observations and reanalyses. The variables addressed in this presentation are large-scale circulation, pressure and wind, surface air temperature, precipitation and radiative properties (clouds, solar radiation, and sunshine duration). While air temperature over land, not unexpectedly, has increased everywhere in the North Sea region, with strongest trends in spring and in the north of the region, a precipitation increase has been observed in the north and a decrease in the south of the region. This pattern goes along with a north-eastward shift of storm tracks and is in agreement with climate model projections under enhanced greenhouse gas concentrations. For other variables, it is not obvious which part of the observed changes may be due to anthropogenic activities and which is internally forced. It remains also unclear to what extent atmospheric circulation over the North Sea region is influenced by distant factors, in particular Arctic sea-ice decline in recent decades. There are indications of an increase in the number of deep cyclones (but not in the total number of cyclones), while storminess since the late 19th century shows no robust trends. The persistence of circulation types appears to have increased over the last century, and consequently, there is an indication for 'more extreme' extreme events. However, changes in extreme weather events are difficult to assess owing to homogeneity issues resulting for example from changes in instrumentation and station relocations. There is a wealth of as-yet undigitised data available for the North Sea region. Digitisation is a time-intensive process requiring thorough quality control, without which the digitised datasets may be useless or even counterproductive. Quality control requires human input and thus cannot be fully automated. We also compare reanalysis data, which can help detect inhomogeneities in observed time series, but at the same time are prone to biases and/or spurious trends introduced e.g. by changes in the availability and quality of assimilated data. It therefore remains unclear whether surface observation-based reanalysis fields prior to the 1970s are homogeneous.

  17. The Age of Consequences: The Foreign Policy and National Security Implications of Global Climate Change

    DTIC Science & Technology

    2007-11-01

    Climate skeptics The climate change-conflict nexus has its fair share of skeptics. Many observers remain unconvinced that climate change, whether due...implications of climate change remain specula- tive. In addition, they observe that none of the consequences forecast in the authoritative reports of the...modern practices and relocate to the few remaining habitable regions at the extreme north- ern and southern hemispheres.33 Essam El Hinnawi first

  18. A Review of Recent Advances in Research on Extreme Heat Events

    NASA Technical Reports Server (NTRS)

    Horton, Radley M.; Mankin, Justin S.; Lesk, Corey; Coffel, Ethan; Raymond, Colin

    2016-01-01

    Reviewing recent literature, we report that changes in extreme heat event characteristics such as magnitude, frequency, and duration are highly sensitive to changes in mean global-scale warming. Numerous studies have detected significant changes in the observed occurrence of extreme heat events, irrespective of how such events are defined. Further, a number of these studies have attributed present-day changes in the risk of individual heat events and the documented global-scale increase in such events to anthropogenic-driven warming. Advances in process-based studies of heat events have focused on the proximate land-atmosphere interactions through soil moisture anomalies, and changes in occurrence of the underlying atmospheric circulation associated with heat events in the mid-latitudes. While evidence for a number of hypotheses remains limited, climate change nevertheless points to tail risks of possible changes in heat extremes that could exceed estimates generated from model outputs of mean temperature. We also explore risks associated with compound extreme events and nonlinear impacts associated with extreme heat.

  19. Logistic considerations for a successful institutional approach to the endovascular repair of ruptured abdominal aortic aneurysms.

    PubMed

    Mayer, Dieter; Rancic, Zoran; Pfammatter, Thomas; Hechelhammer, Lukas; Veith, Frank J; Donas, Konstantin; Lachat, Mario

    2010-01-01

    The value of emergency endovascular aneurysm repair (EVAR) in the setting of ruptured abdominal aortic aneurysm remains controversial owing to differing results. However, interpretation of published results remains difficult as there is a lack of generally accepted protocols or standard operating procedures. Furthermore, such protocols and standard operating procedures often are reported incompletely or not at all, thereby making interpretation of results difficult. We herein report our integrated logistic system for the endovascular treatment of ruptured abdominal aortic aneurysms. Important components of this system are prehospital logistics, in-hospital treatment logistics, and aftercare. Further studies should include details about all of these components, and a description of these logistic components must be included in all future studies of emergency EVAR for ruptured abdominal aortic aneurysms.

  20. Upper extremity injuries in Homer's Iliad.

    PubMed

    Hutchison, Richard L; Hirthler, Maureen A

    2013-09-01

    Homer's Iliad remains a fascinating source of medical history. This epic poem, compiled around 800 BCE, describes several weeks of the last year of the 10-year siege of Troy (Ilion) by the Achaeans. Homer composed the epic by combining and formalizing oral poems, legends, customs, and experiences that originated in the later Mycenaean age (1600-1100 bce). The story centers on the rage of the great warrior Achilles. The Iliad remains the oldest record of Greek medicine and a unique source of surgical history. This study examines the upper extremity injuries described in the Iliad and compares them to those other sites of injury. Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  1. Enhanced left-finger deftness following dominant upper- and lower-limb amputation.

    PubMed

    Swanberg, Kelley M; Clark, Abigail M; Kline, Julia E; Yurkiewicz, Ilana R; Chan, Brenda L; Pasquina, Paul F; Heilman, Kenneth M; Tsao, Jack W

    2011-09-01

    After amputation, the sensorimotor cortex reorganizes, and these alterations might influence motor functions of the remaining extremities. The authors examined how amputation of the dominant or nondominant upper or lower extremity alters deftness in the intact limbs. The participants were 32 unilateral upper- or lower-extremity amputees and 6 controls. Upper-extremity deftness was tested by coin rotation (finger deftness) and pegboard (arm, hand, and finger deftness) tasks. Following right-upper- or right-lower-extremity amputation, the left hand's finger movements were defter than the left-hand fingers of controls. In contrast, with left-upper- or left-lower-extremity amputation, the right hand's finger performance was the same as that of the controls. Although this improvement might be related to increased use (practice), the finding that right-lower-extremity amputation also improved the left hand's finger deftness suggests an alternative mechanism. Perhaps in right-handed persons the left motor cortex inhibits the right side of the body more than the right motor cortex inhibits the left side, and the physiological changes induced by right-sided amputation reduced this inhibition.

  2. Updated Intensity - Duration - Frequency Curves Under Different Future Climate Scenarios

    NASA Astrophysics Data System (ADS)

    Ragno, E.; AghaKouchak, A.

    2016-12-01

    Current infrastructure design procedures rely on the use of Intensity - Duration - Frequency (IDF) curves retrieved under the assumption of temporal stationarity, meaning that occurrences of extreme events are expected to be time invariant. However, numerous studies have observed more severe extreme events over time. Hence, the stationarity assumption for extreme analysis may not be appropriate in a warming climate. This issue raises concerns regarding the safety and resilience of the existing and future infrastructures. Here we employ historical and projected (RCP 8.5) CMIP5 runs to investigate IDF curves of 14 urban areas across the United States. We first statistically assess changes in precipitation extremes using an energy-based test for equal distributions. Then, through a Bayesian inference approach for stationary and non-stationary extreme value analysis, we provide updated IDF curves based on climatic model projections. This presentation summarizes the projected changes in statistics of extremes. We show that, based on CMIP5 simulations, extreme precipitation events in some urban areas can be 20% more severe in the future, even when projected annual mean precipitation is expected to remain similar to the ground-based climatology.

  3. Increasing occurrence of cold and warm extremes during the recent global warming slowdown.

    PubMed

    Johnson, Nathaniel C; Xie, Shang-Ping; Kosaka, Yu; Li, Xichen

    2018-04-30

    The recent levelling of global mean temperatures after the late 1990s, the so-called global warming hiatus or slowdown, ignited a surge of scientific interest into natural global mean surface temperature variability, observed temperature biases, and climate communication, but many questions remain about how these findings relate to variations in more societally relevant temperature extremes. Here we show that both summertime warm and wintertime cold extreme occurrences increased over land during the so-called hiatus period, and that these increases occurred for distinct reasons. The increase in cold extremes is associated with an atmospheric circulation pattern resembling the warm Arctic-cold continents pattern, whereas the increase in warm extremes is tied to a pattern of sea surface temperatures resembling the Atlantic Multidecadal Oscillation. These findings indicate that large-scale factors responsible for the most societally relevant temperature variations over continents are distinct from those of global mean surface temperature.

  4. The Emergence of Zika Virus as a Global Health Security Threat: A Review and a Consensus Statement of the INDUSEM Joint working Group (JWG)

    PubMed Central

    Sikka, Veronica; Chattu, Vijay Kumar; Popli, Raaj K; Galwankar, Sagar C; Kelkar, Dhanashree; Sawicki, Stanley G; Stawicki, Stanislaw P; Papadimos, Thomas J

    2016-01-01

    The Zika virus (ZIKV), first discovered in 1947, has emerged as a global public health threat over the last decade, with the accelerated geographic spread of the virus noted during the last 5 years. The World Health Organization (WHO) predicts that millions of cases of ZIKV are likely to occur in the Americas during the next 12 months. These projections, in conjunction with suspected Zika-associated increase in newborn microcephaly cases, prompted WHO to declare public health emergency of international concern. ZIKV-associated illness is characterized by an incubation period of 3-12 days. Most patients remain asymptomatic (i.e., ~80%) after contracting the virus. When symptomatic, clinical presentation is usually mild and consists of a self-limiting febrile illness that lasts approximately 2-7 days. Among common clinical manifestations are fever, arthralgia, conjunctivitis, myalgia, headache, and maculopapular rash. Hospitalization and complication rates are low, with fatalities being extremely rare. Newborn microcephaly, the most devastating and insidious complication associated with the ZIKV, has been described in the offspring of women who became infected while pregnant. Much remains to be elucidated about the timing of ZIKV infection in the context of the temporal progression of pregnancy, the corresponding in utero fetal development stage(s), and the risk of microcephaly. Without further knowledge of the pathophysiology involved, the true risk of ZIKV to the unborn remains difficult to quantify and remediate. Accurate, portable, and inexpensive point-of-care testing is required to better identify cases and manage the current and future outbreaks of ZIKV, including optimization of preventive approaches and the identification of more effective risk reduction strategies. In addition, much more work needs to be done to produce an effective vaccine. Given the rapid geographic spread of ZIKV in recent years, a coordinated local, regional, and global effort is needed to generate sufficient resources and political traction to effectively halt and contain further expansion of the current outbreak. PMID:27013839

  5. Showing up, Remaining Engaged, and Partaking as Students: Resilience among Students of Mexican Descent

    ERIC Educational Resources Information Center

    Sosa, Teresa

    2012-01-01

    This paper examines the ways in which 12 high school students of Mexican descent remain resilient amid difficult and stressful realities. Through an examination of students' interview responses, a case is made that students' ability to engage in school and figure out everyday ways to partake as students are signs of resilience. This work suggests…

  6. Validating a mouse model of ovarian cancer for early detection through imaging | Division of Cancer Prevention

    Cancer.gov

    Despite advances in treatment strategies, ovarian cancer remains the deadliest gynecological malignancy and the 5th largest cancer killer in women. Located deep in the body, with few early symptoms and no effective screening technique, ovarian cancer has remained stubbornly difficult to understand, much less effectively combat. Ovarian cancer is almost always discovered at an

  7. The Influence of Wheelchair Propulsion Hand Pattern on Upper Extremity Muscle Power and Stress

    PubMed Central

    Slowik, Jonathan S.; Requejo, Philip S.; Mulroy, Sara J.; Neptune, Richard R.

    2016-01-01

    The hand pattern (i.e., full-cycle hand path) used during manual wheelchair propulsion is frequently classified as one of four distinct hand pattern types: arc, single loop, double loop and semicircular. Current clinical guidelines recommend the use of the semicircular pattern, which is based on advantageous levels of broad biomechanical metrics implicitly related to the demand placed on the upper extremity (e.g., lower cadence). However, an understanding of the influence of hand pattern on specific measures of upper extremity muscle demand (e.g., muscle power and stress) is needed to help make such recommendations, but these quantities are difficult and impractical to measure experimentally. The purpose of this study was to use musculoskeletal modeling and forward dynamics simulations to investigate the influence of the hand pattern used on specific measures of upper extremity muscle demand. The simulation results suggest that the double loop and semicircular patterns produce the most favorable levels of overall muscle stress and total muscle power. The double loop pattern had the lowest full-cycle and recovery-phase upper extremity demand but required high levels of muscle power during the relatively short contact phase. The semicircular pattern had the second-lowest full-cycle levels of overall muscle stress and total muscle power, and demand was more evenly distributed between the contact and recovery phases. These results suggest that in order to decrease upper extremity demand, manual wheelchair users should use either the double loop or semicircular pattern when propelling their wheelchairs at a self-selected speed on level ground. PMID:27062591

  8. Recovery of human DNA profiles from poached deer remains: a feasibility study.

    PubMed

    Tobe, Shanan S; Govan, James; Welch, Lindsey A

    2011-12-01

    Poaching is a crime that occurs worldwide and can be extremely difficult to investigate and prosecute due to the nature of the evidence available. If a species is protected by international legislation such as the Convention on International Trade in Endangered Species of Wild Fauna and Flora then simply possessing any part of that species is illegal. Previous studies have focused on the identification of endangered species in cases of potential poaching. Difficulties arise if the poached animal is not endangered. Species such as deer have hunting seasons whereby they can legally be hunted however poaching is the illegal take of deer, irrespective of season. Therefore, identification of deer alone has little probative value as samples could have originated from legal hunting activities in season. After a deer is hunted it is usual to remove the innards, head and lower limbs. The limbs are removed through manual force and represent a potential source of human touch DNA. We investigate the potential to recover and profile human autosomal DNA from poached deer remains. Samples from the legs of ten culled deer were obtained (40 in total) using minitapes. DNA from samples was extracted, quantified and amplified to determine if it would be possible to recover human STR profiles. Low quantification data led to the use of an extended PCR cycling protocol of 34 cycles. Samples from seven deer amplified, however some samples were excluded from further analysis due to 'drop in' alleles or the low level of successfully amplified loci. Samples from five deer could be further analysed and gave match probabilities ranging from 6.37×10(-3) to 9.53×10(-11). This study demonstrates the potential of recovering human touch DNA from poached animal remains. There is the potential for this test to be used in relation to other species of poached remains or other types of wildlife crimes. This is the first time, to our knowledge, that human STR profiling has been successfully applied to touch DNA in regards to simulated wildlife crime. Copyright © 2011 Forensic Science Society. Published by Elsevier Ireland Ltd. All rights reserved.

  9. Credit BG. View looks south southwest (202°) across remains of ...

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

    Credit BG. View looks south southwest (202°) across remains of concrete pad foundation for the mess hall. North Base Road (3rd Street) passes nearby. Building 4318 is in the distance at the extreme left of view - Edwards Air Force Base, North Base, Base Mess Hall T-27, Third Street, Boron, Kern County, CA

  10. Repatriation of human remains following death in international travellers.

    PubMed

    Connolly, Ruairi; Prendiville, Richard; Cusack, Denis; Flaherty, Gerard

    2017-03-01

    Death during international travel and the repatriation of human remains to one's home country is a distressing and expensive process. Much organization is required involving close liaison between various agencies. A review of the literature was conducted using the PubMed database. Search terms included: 'repatriation of remains', 'death', 'abroad', 'tourism', 'travel', 'travellers', 'travelling' and 'repatriation'. Additional articles were obtained from grey literature sources and reference lists. The local national embassy, travel insurance broker and tour operator are important sources of information to facilitate the repatriation of the deceased traveller. Formal identification of the deceased's remains is required and a funeral director must be appointed. Following this, the coroner in the country or jurisdiction receiving the repatriated remains will require a number of documents prior to providing clearance for burial. Costs involved in repatriating remains must be borne by the family of the deceased although travel insurance may help defray some of the costs. If the death is secondary to an infectious disease, cremation at the site of death is preferred. No standardized procedure is in place to deal with the remains of a migrant's body at present and these remains are often not repatriated to their country of origin. Repatriation of human remains is a difficult task which is emotionally challenging for the bereaving family and friends. As a travel medicine practitioner, it is prudent to discuss all eventualities, including the risk of death, during the pre-travel consultation. Awareness of the procedures involved in this process may ease the burden on the grieving family at a difficult time. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

  11. Schistosomiasis in the People's Republic of China: Prospects and Challenges for the 21st Century

    PubMed Central

    Ross, Allen G. P.; Sleigh, Adrian C.; Li, Yuesheng; Davis, George M.; Williams, Gail M.; Jiang, Zheng; Feng, Zheng; McManus, Donald P.

    2001-01-01

    Schistosomiasis japonica is a serious communicable disease and a major disease risk for more than 30 million people living in the tropical and subtropical zones of China. Infection remains a major public health concern despite 45 years of intensive control efforts. It is estimated that 865,000 people and 100,250 bovines are today infected in the provinces where the disease is endemic, and its transmission continues. Unlike the other schistosome species known to infect humans, the oriental schistosome, Schistosoma japonicum, is a true zoonotic organism, with a range of mammalian reservoirs, making control efforts extremely difficult. Clinical features of schistosomiasis range from fever, headache, and lethargy to severe fibro-obstructive pathology leading to portal hypertension, ascites, and hepatosplenomegaly, which can cause premature death. Infected children are stunted and have cognitive defects impairing memory and learning ability. Current control programs are heavily based on community chemotherapy with a single dose of the drug praziquantel, but vaccines (for use in bovines and humans) in combination with other control strategies are needed to make elimination of the disease possible. In this article, we provide an overview of the biology, epidemiology, clinical features, and prospects for control of oriental schistosomiasis in the People's Republic of China. PMID:11292639

  12. Regular approximate factorization of a class of matrix-function with an unstable set of partial indices

    PubMed Central

    Rogosin, S.

    2018-01-01

    From the classic work of Gohberg & Krein (1958 Uspekhi Mat. Nauk. XIII, 3–72. (Russian).), it is well known that the set of partial indices of a non-singular matrix function may change depending on the properties of the original matrix. More precisely, it was shown that if the difference between the largest and the smallest partial indices is larger than unity then, in any neighbourhood of the original matrix function, there exists another matrix function possessing a different set of partial indices. As a result, the factorization of matrix functions, being an extremely difficult process itself even in the case of the canonical factorization, remains unresolvable or even questionable in the case of a non-stable set of partial indices. Such a situation, in turn, has became an unavoidable obstacle to the application of the factorization technique. This paper sets out to answer a less ambitious question than that of effective factorizing matrix functions with non-stable sets of partial indices, and instead focuses on determining the conditions which, when having known factorization of the limiting matrix function, allow to construct another family of matrix functions with the same origin that preserves the non-stable partial indices and is close to the original set of the matrix functions. PMID:29434502

  13. MDMA and PTSD treatment: "PTSD: From novel pathophysiology to innovative therapeutics".

    PubMed

    Sessa, Ben

    2017-05-10

    There is a range of therapies to treat Post Traumatic Stress Disorder (PTSD) but treatment resistance remains high, with many sufferers experiencing the chronic condition. Engagement in trauma-focused psychotherapy is difficult for some patients with PTSD, especially those with extreme affect dysregulation associated with recall of traumatic memories. In recent years there have been a number of neuroscientific and clinical studies examining the potential role for adjunctive drug-assisted psychotherapy using 3,4,-methylenedioxmethamphetamine (MDMA) as a treatment for PTSD. re-visiting of a novel approach to trauma-focused psychotherapy with Used just two or three times, under careful medical supervision and specialised psychotherapy support MDMA appears to facilitate the recall of traumatic memories without the user feeling overwhelmed by the negative affect that usually accompanies such memories. This therapeutic approach began in the 1980s and was subsequently shelved in the midst of public health concerns surrounding the recreational use of the drug ecstasy. When pharmaceutical grade MDMA is used in a clinical setting it does not share the same risk profiles as ecstasy. Recent phase one neurophysiological studies and phase two clinical studies are showing promise as a potential new approach to managing treatment-resistant PTSD. Crown Copyright © 2016. Published by Elsevier B.V. All rights reserved.

  14. Combined mTOR and MEK inhibition is an effective therapy in a novel mouse model for angiosarcoma

    PubMed Central

    Chadwick, Michelle L.; Lane, Adam; Thomas, Dana; Smith, Amanda R.; White, Angela R.; Davidson, Dominique; Feng, Yuxin; Boscolo, Elisa; Zheng, Yi; Adams, Denise M.; Gupta, Anita; Veillette, André; Chow, Lionel M.L.

    2018-01-01

    Angiosarcoma is an aggressive malignancy of vascular origin that occurs de novo or in the context of previous cancer therapy. Despite multi-modal aggressive treatment including surgical resection, chemotherapy, and radiation, five-year overall survival remains poor at 35%. Due to its rarity, little is known about its molecular pathology and clinical trials have been extremely difficult to conduct. Development of animal models for rare diseases like angiosarcoma is critical to improve our understanding of tumorigenesis and to test novel treatment regimens. A genetically engineered mouse model for angiosarcoma was generated by conditional deletion of Trp53, Pten, and Ptpn12 in endothelial cells. Tumors arising from these mice recapitulate the histology and molecular pathology of the human disease including hyperactivation of the PI3K/mTOR and MAPK signaling pathways. Treatment of tumor-bearing mice with mTOR or MEK inhibitors effectively inactivated signaling and resulted in reduced proliferation and elevated apoptosis leading to tumor regression. The effect of treatment on tumor growth was transient and proliferation was restored after a period of dormancy. However, combined inhibition of mTOR and MEK resulted in profound tumor regression which was sustained for the duration of treatment. These results suggest that angiosarcoma may be effectively treated by this drug combination.  PMID:29872503

  15. Building the second version of the World Digital Magnetic Anomaly Map (WDMAM)

    NASA Astrophysics Data System (ADS)

    Lesur, Vincent; Hamoudi, Mohamed; Choi, Yujin; Dyment, Jérôme; Thébault, Erwan

    2016-02-01

    The World Digital Anomaly Map (WDMAM) is a worldwide compilation of near-surface magnetic data. We present here a candidate for the second version of the WDMAM and its characteristics. This candidate has been evaluated by a group of independent reviewers and has been adopted as the official second version of the WDMAM during the 26th general assembly of the International Union of Geodesy and Geomagnetism (IUGG). The way this compilation has been built is described with some details. A global magnetic field model of the lithosphere contribution, parameterised by spherical harmonics, has been derived up to degree and order 800. The model information content has been evaluated by computing local spectra. Further, the compatibility of the anomaly field displayed by the WDMAM with a pure induced magnetisation is tested by comparison with the main field strength. These studies allowed an analysis of the compilation in terms of strength and wavelength content. They confirm the extremely smooth and weak contribution of the magnetic field generated in the lithosphere over Western Europe. This apparent weakness possibly extends to the Northern African continent. However, a global analysis remains difficult to achieve given the sparseness of good quality data over very large area of oceans and continents. The WDMAM and related information can be downloaded at http://www.wdmam.org/.

  16. Promising techniques to illuminate neuromodulatory control of the cerebral cortex in sleeping and waking states.

    PubMed

    Kanda, Takeshi; Ohyama, Kaoru; Muramoto, Hiroki; Kitajima, Nami; Sekiya, Hiroshi

    2017-05-01

    Sleep, a common event in daily life, has clear benefits for brain function, but what goes on in the brain when we sleep remains unclear. Sleep was long regarded as a silent state of the brain because the brain seemingly lacks interaction with the surroundings during sleep. Since the discovery of electrical activities in the brain at rest, electrophysiological methods have revealed novel concepts in sleep research. During sleep, the brain generates oscillatory activities that represent characteristic states of sleep. In addition to electrophysiology, opto/chemogenetics and two-photon Ca 2+ imaging methods have clarified that the sleep/wake states organized by neuronal and glial ensembles in the cerebral cortex are transitioned by neuromodulators. Even with these methods, however, it is extremely difficult to elucidate how and when neuromodulators spread, accumulate, and disappear in the extracellular space of the cortex. Thus, real-time monitoring of neuromodulator dynamics at high spatiotemporal resolution is required for further understanding of sleep. Toward direct detection of neuromodulator behavior during sleep and wakefulness, in this review, we discuss developing imaging techniques based on the activation of G-protein-coupled receptors that allow for visualization of neuromodulator dynamics. Copyright © 2017 Elsevier Ireland Ltd and Japan Neuroscience Society. All rights reserved.

  17. A Lightweight Anonymous Authentication Protocol with Perfect Forward Secrecy for Wireless Sensor Networks.

    PubMed

    Xiong, Ling; Peng, Daiyuan; Peng, Tu; Liang, Hongbin; Liu, Zhicai

    2017-11-21

    Due to their frequent use in unattended and hostile deployment environments, the security in wireless sensor networks (WSNs) has attracted much interest in the past two decades. However, it remains a challenge to design a lightweight authentication protocol for WSNs because the designers are confronted with a series of desirable security requirements, e.g., user anonymity, perfect forward secrecy, resistance to de-synchronization attack. Recently, the authors presented two authentication schemes that attempt to provide user anonymity and to resist various known attacks. Unfortunately, in this work we shall show that user anonymity of the two schemes is achieved at the price of an impractical search operation-the gateway node may search for every possible value. Besides this defect, they are also prone to smart card loss attacks and have no provision for perfect forward secrecy. As our main contribution, a lightweight anonymous authentication scheme with perfect forward secrecy is designed, and what we believe the most interesting feature is that user anonymity, perfect forward secrecy, and resistance to de-synchronization attack can be achieved at the same time. As far as we know, it is extremely difficult to meet these security features simultaneously only using the lightweight operations, such as symmetric encryption/decryption and hash functions.

  18. Modern architectures for intelligent systems: reusable ontologies and problem-solving methods.

    PubMed Central

    Musen, M. A.

    1998-01-01

    When interest in intelligent systems for clinical medicine soared in the 1970s, workers in medical informatics became particularly attracted to rule-based systems. Although many successful rule-based applications were constructed, development and maintenance of large rule bases remained quite problematic. In the 1980s, an entire industry dedicated to the marketing of tools for creating rule-based systems rose and fell, as workers in medical informatics began to appreciate deeply why knowledge acquisition and maintenance for such systems are difficult problems. During this time period, investigators began to explore alternative programming abstractions that could be used to develop intelligent systems. The notions of "generic tasks" and of reusable problem-solving methods became extremely influential. By the 1990s, academic centers were experimenting with architectures for intelligent systems based on two classes of reusable components: (1) domain-independent problem-solving methods-standard algorithms for automating stereotypical tasks--and (2) domain ontologies that captured the essential concepts (and relationships among those concepts) in particular application areas. This paper will highlight how intelligent systems for diverse tasks can be efficiently automated using these kinds of building blocks. The creation of domain ontologies and problem-solving methods is the fundamental end product of basic research in medical informatics. Consequently, these concepts need more attention by our scientific community. PMID:9929181

  19. Modern architectures for intelligent systems: reusable ontologies and problem-solving methods.

    PubMed

    Musen, M A

    1998-01-01

    When interest in intelligent systems for clinical medicine soared in the 1970s, workers in medical informatics became particularly attracted to rule-based systems. Although many successful rule-based applications were constructed, development and maintenance of large rule bases remained quite problematic. In the 1980s, an entire industry dedicated to the marketing of tools for creating rule-based systems rose and fell, as workers in medical informatics began to appreciate deeply why knowledge acquisition and maintenance for such systems are difficult problems. During this time period, investigators began to explore alternative programming abstractions that could be used to develop intelligent systems. The notions of "generic tasks" and of reusable problem-solving methods became extremely influential. By the 1990s, academic centers were experimenting with architectures for intelligent systems based on two classes of reusable components: (1) domain-independent problem-solving methods-standard algorithms for automating stereotypical tasks--and (2) domain ontologies that captured the essential concepts (and relationships among those concepts) in particular application areas. This paper will highlight how intelligent systems for diverse tasks can be efficiently automated using these kinds of building blocks. The creation of domain ontologies and problem-solving methods is the fundamental end product of basic research in medical informatics. Consequently, these concepts need more attention by our scientific community.

  20. New Tunneling Features in Polar III-Nitride Resonant Tunneling Diodes

    NASA Astrophysics Data System (ADS)

    Encomendero, Jimy; Faria, Faiza Afroz; Islam, S. M.; Protasenko, Vladimir; Rouvimov, Sergei; Sensale-Rodriguez, Berardi; Fay, Patrick; Jena, Debdeep; Xing, Huili Grace

    2017-10-01

    For the past two decades, repeatable resonant tunneling transport of electrons in III-nitride double barrier heterostructures has remained elusive at room temperature. In this work we theoretically and experimentally study III-nitride double-barrier resonant tunneling diodes (RTDs), the quantum transport characteristics of which exhibit new features that are unexplainable using existing semiconductor theory. The repeatable and robust resonant transport in our devices enables us to track the origin of these features to the broken inversion symmetry in the uniaxial crystal structure, which generates built-in spontaneous and piezoelectric polarization fields. Resonant tunneling transport enabled by the ground state as well as by the first excited state is demonstrated for the first time over a wide temperature window in planar III-nitride RTDs. An analytical transport model for polar resonant tunneling heterostructures is introduced for the first time, showing a good quantitative agreement with experimental data. From this model we realize that tunneling transport is an extremely sensitive measure of the built-in polarization fields. Since such electric fields play a crucial role in the design of electronic and photonic devices, but are difficult to measure, our work provides a completely new method to accurately determine their magnitude for the entire class of polar heterostructures.

  1. Refractory Pain Management in Amyloid-Associated Peripheral Neuropathy.

    PubMed

    Warner, Nafisseh S; Watson, James C; Bendel, Markus A; Moeschler, Susan M

    2018-05-01

    Systemic amyloidosis is a disease that often involves multiple organ systems, including the peripheral nervous system. Patients may present with severe, refractory neuropathic pain; however, the optimal treatment approach for pain for these patients remains unclear. A man with severe, refractory neuropathic pain in his bilateral upper and lower extremities and the trunk secondary to amyloid neuropathy is presented. Multiple medication trials, including neuropathic and opioid agents, produced considerable adverse effects and minimal relief. Scrambler therapy, a novel electrical stimulation modality, was used and was associated with substantial short-term but nonsustained benefit. Spinal cord stimulation was considered, but given his diffuse symptoms, it was deemed a less-than-optimal approach. Ultimately, an intrathecal drug delivery system was placed with infusion of hydromorphone, resulting in substantial pain reduction in all involved areas and with an improved adverse effect profile. This intervention resulted in immense improvement in the patient's quality of life, despite progression of his systemic amyloidosis. Severe pain in the setting of amyloid neuropathy is often difficult to treat. To our knowledge, this represents the first report of Scrambler therapy or an implanted intrathecal drug delivery system used for a patient with refractory amyloidosis-related neuropathic pain, resulting in substantial analgesic benefit and improved quality of life.

  2. A Review of the Current Research Trends in the Application of Medicinal Plants as a Source for Novel Therapeutic Agents Against Acanthamoeba Infections

    PubMed Central

    Niyyati, Maryam; Dodangeh, Samira; Lorenzo-Morales, Jacob

    2016-01-01

    Acanthamoeba keratitis (AK) is a sight-threating infection of the cornea that mostly affects contact lens wearers. Until now, AK treatment remains very difficult due to the existence of a highly resistant cyst stage in the life cycle of Acanthamoeba which is extremely resistant to most of the available anti-amoebic compounds. Moreover, current treatment of AK is usually based in the combination of various therapeutic agents such as polyhexamethylene biguanide or chlorhexidine and propamidine isethionate. However, all the mentioned compounds have also showed toxic side effects on human keratocytes and presented poor cysticidal effect at the concentrations currently used in the established AK treatments. Nowadays, the elucidation of novel compounds with antimicrobial and anticancer properties from plant and herbs with medicinal properties have encouraged researchers to evaluate plants as a source of new molecules with anti-trophozoite and cysticidal effects. Thus, in recent years, many natural products have been reported to present potent anti-Acanthamoeba properties with good selectivity and minimal toxic effects. Therefore, the chemical drugs currently used for AK treatment, their drawbacks as well as the current research in medicinal plants as a source of potent anti-Acanthamoeba compounds are described in this review. PMID:28243287

  3. Endoscopic ultrasound-guided fine-needle aspiration with liquid-based cytologic preparation in the diagnosis of primary pancreatic lymphoma.

    PubMed

    Rossi, Esther Diana; Larghi, Alberto; Verna, Elizabeth C; Martini, Maurizio; Galasso, Domenico; Carnuccio, Antonella; Larocca, Luigi Maria; Costamagna, Guido; Fadda, Guido

    2010-11-01

    The diagnosis subtyping of lymphoma on specimens collected by endoscopic ultrasound fine-needle aspiration (EUS-FNA) can be extremely difficult. When a cytopathologist is available for the on-site evaluation, the diagnosis may be achieved by applying flow cytometric techniques. We describe our experience with immunocytochemistry (ICC) and molecular biology studies applied on EUS-FNA specimens processed with a liquid-based cytologic (LBC) preparation for the diagnosis of primary pancreatic lymphoma (PPL). Three patients with a pancreatic mass underwent EUS-FNA. The collected specimens were processed with the ThinPrep method for the cytologic diagnosis and eventual additional investigations. A morphologic picture consistent with PPL was found on the LBC specimens of the 3 patients. Subsequent ICC and molecular biology studies for immunoglobulin heavy chain gene rearrangement established the diagnosis of pancreatic large B-cell non-Hodgkin lymphoma in 2 patients and a non-Hodgkin lymphoma with plasmoblastic/immunoblastic differentiation in the remaining one. An LBC preparation can be used to diagnose and subtype PPL by applying ICC and molecular biology techniques to specimens collected with EUS-FNA. This method can be an additional processing method for EUS-FNA specimens in centers where on-site cytopathologist expertise is not available.

  4. A Lightweight Anonymous Authentication Protocol with Perfect Forward Secrecy for Wireless Sensor Networks

    PubMed Central

    Peng, Daiyuan; Peng, Tu; Liang, Hongbin; Liu, Zhicai

    2017-01-01

    Due to their frequent use in unattended and hostile deployment environments, the security in wireless sensor networks (WSNs) has attracted much interest in the past two decades. However, it remains a challenge to design a lightweight authentication protocol for WSNs because the designers are confronted with a series of desirable security requirements, e.g., user anonymity, perfect forward secrecy, resistance to de-synchronization attack. Recently, the authors presented two authentication schemes that attempt to provide user anonymity and to resist various known attacks. Unfortunately, in this work we shall show that user anonymity of the two schemes is achieved at the price of an impractical search operation—the gateway node may search for every possible value. Besides this defect, they are also prone to smart card loss attacks and have no provision for perfect forward secrecy. As our main contribution, a lightweight anonymous authentication scheme with perfect forward secrecy is designed, and what we believe the most interesting feature is that user anonymity, perfect forward secrecy, and resistance to de-synchronization attack can be achieved at the same time. As far as we know, it is extremely difficult to meet these security features simultaneously only using the lightweight operations, such as symmetric encryption/decryption and hash functions. PMID:29160861

  5. Tractography for Optic Radiation Preservation in Transcortical Approaches to Intracerebral Lesions.

    PubMed

    Agarwal, Vijay; Malcolm, James G; Pradilla, Gustavo; Barrow, Daniel L

    2017-09-28

    We present a case of intraventricular meningioma resected via a transcortical approach using tractography for optic radiation and arcuate fasciculus preservation. We include a review of the literature. A 54-year-old woman with a history of breast cancer presented with gait imbalance. Workup revealed a mass in the atrium of the left lateral ventricle consistent with a meningioma. Whole brain automated diffusion tensor imaging (DTI) was used to plan a transcortical resection while sparing the optic radiations and arcuate fasciculus. A left posterior parietal craniotomy was performed using the Synaptive BrightMatter™ frameless navigation (Synaptive Medical, Toronto, Canada) to minimally disrupt the white matter pathways. A gross total resection was achieved. Postoperatively, the patient had temporary right upper extremity weakness, which improved, and her visual fields and speech remained intact. Pathology confirmed a World Health Organization (WHO) Grade I meningothelial meningioma. While a thorough understanding of cortical anatomy is essential for safe resection of eloquent or deep-seated lesions, significant variability in fiber bundles, such as optic radiations and the arcuate fasciculus, necessitates a more individualized understanding of a patient's potential surgical risk. The addition of enhanced DTI to the neurosurgeon's armamentarium may allow for more complete resections of difficult intracerebral lesions while minimizing complications, such as visual deficit.

  6. Achondroplasia and hypochondroplasia. Comments on frequency, mutation rate, and radiological features in skull and spine.

    PubMed Central

    Oberklaid, F; Danks, D M; Jensen, F; Stace, L; Rosshandler, S

    1979-01-01

    An attempt was made to ascertain all the dwarfs in the State of Victoria. The incidence of achondroplasia proved to be approximately 1 in 26,000 live births in the period 1969 to 1975 when ascertainment was nearly complete. This indicates a mutation rate of 1.93 X 10(-5) per generation in this locus. Paternal age was shown to influence mutation. Ascertainment in earlier years of the study was low despite the very great effort made to find all cases. Patients with hypochondroplasia were particularly difficult to find. However, 25 cases were found for study. Overlap between hypochondroplasia and achondroplasia was found in all features except the facial appearance (which was the basis of definition). Achondroplasia was more severe in all regards, but some individuals with hypochondroplasia were very short and some had extreme degrees of spinal canal stenosis. The classical measurements used to describe the skull changes in acondroplasia failed to distinguish this condition from hypochondroplasia. More efficient indices were devised, but visual assessment of the size of the facial region compared to that of the cranial valult proved more reliable than any index. The clinical distinction based upon facial appearance remains the arbitrary basis of definition. Images PMID:458831

  7. Statistical physics of crime: a review.

    PubMed

    D'Orsogna, Maria R; Perc, Matjaž

    2015-03-01

    Containing the spread of crime in urban societies remains a major challenge. Empirical evidence suggests that, if left unchecked, crimes may be recurrent and proliferate. On the other hand, eradicating a culture of crime may be difficult, especially under extreme social circumstances that impair the creation of a shared sense of social responsibility. Although our understanding of the mechanisms that drive the emergence and diffusion of crime is still incomplete, recent research highlights applied mathematics and methods of statistical physics as valuable theoretical resources that may help us better understand criminal activity. We review different approaches aimed at modeling and improving our understanding of crime, focusing on the nucleation of crime hotspots using partial differential equations, self-exciting point process and agent-based modeling, adversarial evolutionary games, and the network science behind the formation of gangs and large-scale organized crime. We emphasize that statistical physics of crime can relevantly inform the design of successful crime prevention strategies, as well as improve the accuracy of expectations about how different policing interventions should impact malicious human activity that deviates from social norms. We also outline possible directions for future research, related to the effects of social and coevolving networks and to the hierarchical growth of criminal structures due to self-organization. Copyright © 2014 Elsevier B.V. All rights reserved.

  8. Communicating Storm Surge Forecast Uncertainty

    NASA Astrophysics Data System (ADS)

    Troutman, J. A.; Rhome, J.

    2015-12-01

    When it comes to tropical cyclones, storm surge is often the greatest threat to life and property along the coastal United States. The coastal population density has dramatically increased over the past 20 years, putting more people at risk. Informing emergency managers, decision-makers and the public about the potential for wind driven storm surge, however, has been extremely difficult. Recently, the Storm Surge Unit at the National Hurricane Center in Miami, Florida has developed a prototype experimental storm surge watch/warning graphic to help communicate this threat more effectively by identifying areas most at risk for life-threatening storm surge. This prototype is the initial step in the transition toward a NWS storm surge watch/warning system and highlights the inundation levels that have a 10% chance of being exceeded. The guidance for this product is the Probabilistic Hurricane Storm Surge (P-Surge) model, which predicts the probability of various storm surge heights by statistically evaluating numerous SLOSH model simulations. Questions remain, however, if exceedance values in addition to the 10% may be of equal importance to forecasters. P-Surge data from 2014 Hurricane Arthur is used to ascertain the practicality of incorporating other exceedance data into storm surge forecasts. Extracting forecast uncertainty information through analyzing P-surge exceedances overlaid with track and wind intensity forecasts proves to be beneficial for forecasters and decision support.

  9. Regular approximate factorization of a class of matrix-function with an unstable set of partial indices.

    PubMed

    Mishuris, G; Rogosin, S

    2018-01-01

    From the classic work of Gohberg & Krein (1958 Uspekhi Mat. Nauk. XIII , 3-72. (Russian).), it is well known that the set of partial indices of a non-singular matrix function may change depending on the properties of the original matrix. More precisely, it was shown that if the difference between the largest and the smallest partial indices is larger than unity then, in any neighbourhood of the original matrix function, there exists another matrix function possessing a different set of partial indices. As a result, the factorization of matrix functions, being an extremely difficult process itself even in the case of the canonical factorization, remains unresolvable or even questionable in the case of a non-stable set of partial indices. Such a situation, in turn, has became an unavoidable obstacle to the application of the factorization technique. This paper sets out to answer a less ambitious question than that of effective factorizing matrix functions with non-stable sets of partial indices, and instead focuses on determining the conditions which, when having known factorization of the limiting matrix function, allow to construct another family of matrix functions with the same origin that preserves the non-stable partial indices and is close to the original set of the matrix functions.

  10. Syndrome of fixed dystonia in adolescents--short term outcome in 4 cases.

    PubMed

    Majumdar, Anirban; López-Casas, Jesús; Poo, Pilar; Colomer, Jaume; Galvan, Marta; Lingappa, Lokesh; Short, Clare; Jardine, Philip E; Fernández-Alvarez, Emilio

    2009-09-01

    We describe the clinical features, investigations and outcome of 4 adolescents aged 13, 16, 17 and 19 years, with fixed dystonia. The diagnosis was made within 6 months of the onset of symptoms. One patient had an identifiable traumatic precipitant. All the affected extremities had pain, sudomotor and vascular changes which were consistent with complex regional pain syndrome. The extremities affected by dystonia were the foot and the hand. The dystonia spread to affect other extremities in one patient. One patient had hemifacial spasm. Examination of the central and peripheral nervous system and allied investigations failed to reveal an organic cause. Common genetic causes for dystonia were excluded. The response to physical treatments for the affected extremities, such as Botulinum Toxin and surgery was poor. In all our cases there were significant psychological and psychiatric factors. Three patients fully met the criteria for psychogenic dystonia and responded well to psychological intervention. Fixed dystonia in adolescents is an uncommon disorder of unknown aetiology, usually presenting in girls, which can be very disabling and difficult to treat. The affected parts of the body are usually painful and show vascular changes. The condition is allied to CRPS. Treatment with multidisciplinary approach including psychological measures and physiotherapy is more likely to be successful and may prevent unnecessary physical measures.

  11. Perceived psychological stress and upper extremity cumulative trauma disorders.

    PubMed

    Strasser, P B; Lusk, S L; Franzblau, A; Armstrong, T J

    1999-01-01

    This report presents data exploring the relationship between perceived psychological stress and several variables implicated in the etiology of upper extremity cumulative trauma disorders (UECTDs). The sample was 354 workers from three different manufacturing companies. The primary job exposure for the subjects was that they were engaged in jobs that involved repetitious movements of the upper extremities, primarily of the hands and arms. Data collection included a detailed health history, a comprehensive physical examination of the upper extremities, limited electrodiagnostic testing, Cohen's Perceived Stress Scale, Karasek's Job Content Questionnaire, demographic information, and a measurement of repetition. Descriptive analyses, analysis of variance, correlational analyses, and multiple linear regression were used to examine the data. Perceived stress, as measured in this study, was only weakly associated with repetition, job dissatisfaction, and subjective complaints related to UECTDs. In addition, factors generally accepted as related to UECTDs (e.g., repetition, female gender, hormonal influences, and existing medical conditions) were not robust predictors of perceived stress. The major limitation is related to the measurement of perceived psychological stress. Like most psychosocial phenomena, perceived stress is a complex construct, one that is difficult to measure and correlate with health outcomes. Further research is necessary to examine what role, if any, perceived stress may have in the etiology of UECTDs.

  12. Knowledge discovery and nonlinear modeling can complement climate model simulations for predictive insights about climate extremes and their impacts

    NASA Astrophysics Data System (ADS)

    Ganguly, A. R.; Steinbach, M.; Kumar, V.

    2009-12-01

    The IPCC AR4 not only provided conclusive evidence about anticipated global warming at century scales, but also indicated with a high level of certainty that the warming is caused by anthropogenic emissions. However, an outstanding knowledge-gap is to develop credible projections of climate extremes and their impacts. Climate extremes are defined in this context as extreme weather and hydrological events, as well as changes in regional hydro-meteorological patterns, especially at decadal scales. While temperature extremes from climate models have relatively better skills, hydrological variables and their extremes have significant shortcomings. Credible projections about tropical storms, sea level rise, coastal storm surge, land glacier melts, and landslides remain elusive. The next generation of climate models is expected to have higher precision. However, their ability to provide more accurate projections of climate extremes remains to be tested. Projections of observed trends into the future may not be reliable in non-stationary environments like climate change, even though functional relationships derived from physics may hold. On the other hand, assessments of climate change impacts which are useful for stakeholders and policy makers depend critically on regional and decadal scale projections of climate extremes. Thus, climate impacts scientists often need to develop qualitative inferences about the not so-well predicted climate extremes based on insights from observations (e.g., increased hurricane intensity) or conceptual understanding (e.g., relation of wildfires to regional warming or drying and hurricanes to SST). However, neither conceptual understanding nor observed trends may be reliable when extrapolating in a non-stationary environment. These urgent societal priorities offer fertile grounds for nonlinear modeling and knowledge discovery approaches. Thus, qualitative inferences on climate extremes and impacts may be transformed into quantitative predictive insights based on a combination of hypothesis-guided data analysis and relatively hypothesis-free but data-guided discovery processes. The analysis and discovery approaches need to be cognizant of climate data characteristics like nonlinear processes, low-frequency variability, long-range spatial dependence and long-memory temporal processes; the value of physically-motivated conceptual understanding and functional associations; as well as possible thresholds and tipping points in the impacted natural, engineered or human systems. Case studies focusing on new methodologies as well as novel climate insights are discussed with a focus on stakeholder requirements.

  13. U. S. Naval Forces, Vietnam Monthly Historical Supplement for February 1967

    DTIC Science & Technology

    1967-04-16

    one of vhich set her fuel tanks on fire. River Patrol Boats (PBRs) in the area and MSB 49^ companion boat, MSB 51» returned the enemy outburst...Following the violent explosion, a companion boat» MSB 22, picked up five survivors from the water, four of whom vere wounded. The injured were evacuated...staffing has been prevalent and the procurement of supplies extremely difficult« Sometimes the hospital director (called the Medecin Chef ) has not

  14. Center for Intelligent Control Systems

    DTIC Science & Technology

    1992-12-01

    difficult than anyone expected 50 years ago, and it now seems that it will require inputs from such diver fields as brain and cognitive sience ...9/147 Wilisky. A.S. 17 Fleming, W.H. P Two-Player. Zero-Sum Differential Games 5/1/87 Sougmnidis, PS. 18 Gemnan, S-A. P Ststistical Methods for...Mansour, Y. Shavit, N. 175 Tshsiklis, J.N. P Extremal Properties of Likelihood-Ratio Quantizers 11/1/89 176 Awerbuch, B. P Online Tracking of Mobile

  15. JPRS Report, China.

    DTIC Science & Technology

    1991-04-30

    on the hardline faction’s "liberaliza- by Mao Zedong. tion" hook , it was extremely difficult for them to com- plete re-registration as Party members...overall Gross value of industrial and 168.43 357.73 45.7 agricultural output (100 mil- economic work on a course which places a realistic stress lion yuan...strategic Local State Revenues (100 15.17 35.13 131.6 goals of the second stage of socialist modernization. The million yuan) symposium stressed questions

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

    Li, Ang; Song, Shuaiwen; Brugel, Eric

    To continuously comply with Moore’s Law, modern parallel machines become increasingly complex. Effectively tuning application performance for these machines therefore becomes a daunting task. Moreover, identifying performance bottlenecks at application and architecture level, as well as evaluating various optimization strategies, are becoming extremely difficult when the entanglement of numerous correlated factors is being presented. To tackle these challenges, we present a visual analytical model named “X”. It is intuitive and sufficiently flexible to track all the typical features of a parallel machine.

  17. Automatic Identification Technology (AIT): The Development of Functional Capability and Card Application Matrices

    DTIC Science & Technology

    1994-09-01

    650 B.C. in Asia Minor, coins were developed and used in acquiring goods and services. In France, during the eighteenth century, paper money made its... counterfeited . [INFO94, p. 23] Other weaknesses of bar code technology include limited data storage capability based on the bar code symbology used when...extremely accurate, with calculated error rates as low as 1 in 100 trillion, and are difficult to counterfeit . Strong magnetic fields cannot erase RF

  18. Smart Rotorcraft Field Assistants for Terrestrial and Planetary Science

    NASA Technical Reports Server (NTRS)

    Young, Larry A.; Aiken, Edwin W.; Briggs, Geoffrey A.

    2004-01-01

    Field science in extreme terrestrial environments is often difficult and sometimes dangerous. Field seasons are also often short in duration. Robotic field assistants, particularly small highly mobile rotary-wing platforms, have the potential to significantly augment a field season's scientific return on investment for geology and astrobiology researchers by providing an entirely new suite of sophisticated field tools. Robotic rotorcraft and other vertical lift planetary aerial vehicle also hold promise for supporting planetary science missions.

  19. Pedophilia: an update on theory and practice.

    PubMed

    Travin, S; Bluestone, H; Coleman, E; Cullen, K; Melella, J

    1985-01-01

    The number of sexual attacks on children is staggering, yet it is extremely difficult to understand what effective treatments are available for the pedophile by reviewing the literature. Therefore, the authors present an update of the changing conceptualizations regarding the offenders and their victims. An overview of the currently used modalities to treat the pedophile is presented with emphasis on the promising cognitive-behavioral approach. A brief description of this approach is given with two case illustrations.

  20. Diagnostic approach of myocarditis: strike the golden mean.

    PubMed

    Hazebroek, M R; Everaerts, K; Heymans, S

    2014-02-01

    Myocarditis is a challenging diagnosis due to the extreme diversity of clinical manifestations. The actual incidence of myocarditis is also difficult to determine as endomyocardial biopsy (EMB), the diagnostic gold standard, is used infrequently. Nevertheless, in up to 30 % of patients with biopsy-proven myocarditis, progression to dilated cardiomyopathy (DCM) can occur and is associated with a poor prognosis. Recent position statements of the European Society of Cardiology (ESC) and the American Heart Association vary widely with regard to indications for performing an EMB in these patients. This makes decision-making, in particular for general practitioners (GPs) and regional hospitals, difficult and unclear. Therefore, we will present a short summary of the ESC Working Group on Myocardial and Pericardial Diseases statement and our suggestions for GPs and regional hospitals for the diagnostic approach in patients with suspected myocarditis.

  1. Repelling Point Bosons

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

    McGuire, J. B.

    2011-12-01

    There is a body of conventional wisdom that holds that a solvable quantum problem, by virtue of its solvability, is pathological and thus irrelevant. It has been difficult to refute this view owing to the paucity of theoretical constructs and experimental results. Recent experiments involving equivalent ions trapped in a spatial conformation of extreme anisotropic confinement (longitudinal extension tens, hundreds or even thousands of times transverse extension) have modified the view of relevancy, and it is now possible to consider systems previously thought pathological, in particular point Bosons that repel in one dimension. It has been difficult for the experimentalistsmore » to utilize existing theory, mainly due to long-standing theoretical misunderstanding of the relevance of the permutation group, in particular the non-commutativity of translations (periodicity) and transpositions (permutation). This misunderstanding is most easily rectified in the case of repelling Bosons.« less

  2. Difficult macromolecular structures determined using X-ray diffraction techniques.

    PubMed

    Hernández-Santoyo, Alejandra

    2012-07-01

    Macromolecular crystallography has been, for the last few decades, the main source of structural information of biological macromolecular systems and it is one of the most powerful techniques for the analysis of enzyme mechanisms and macromolecular interactions at the atomic level. In addition, it is also an extremely powerful tool for drug design. Recent technological and methodological developments in macromolecular X-ray crystallography have allowed solving structures that until recently were considered difficult or even impossible, such as structures at atomic or subatomic resolution or large macromolecular complexes and assemblies at low resolution. These developments have also helped to solve the 3D-structure of macromolecules from twin crystals. Recently, this technique complemented with cryo-electron microscopy and neutron crystallography has provided the structure of large macromolecular machines with great precision allowing understanding of the mechanisms of their function.

  3. Mergers and acquisitions in professional organizations: a complex adaptive systems approach.

    PubMed

    Walls, M E; McDaniel, R R

    1999-09-01

    Nurse managers face unique challenges as they cope with mergers and acquisitions among health care organizations. These challenges can be better understood if it is recognized that health care institutions are professional organizations and that the transformations required are extremely difficult. These difficulties are caused, in part, by the institutionalized nature of professional organizations, and this nature is explicated. Professional organizations are stubborn. They are repositories of expertise and values that are societal in origin and difficult to change. When professional organizations are understood as complex adaptive systems, complexity theory offers insight that provide strategies for managing mergers and acquisitions that may not be apparent when more traditional conceptualizations of professional organizations are used. Specific managerial techniques consistent with both the institutionalized characteristics and the complex adaptive systems characteristics of professional organizations are offered to nurse managers.

  4. Improving Predictions and Management of Hydrological Extremes through Climate Services

    NASA Astrophysics Data System (ADS)

    van den Hurk, Bart; Wijngaard, Janet; Pappenberger, Florian; Bouwer, Laurens; Weerts, Albrecht; Buontempo, Carlo; Doescher, Ralf; Manez, Maria; Ramos, Maria-Helena; Hananel, Cedric; Ercin, Ertug; Hunink, Johannes; Klein, Bastian; Pouget, Laurent; Ward, Philip

    2016-04-01

    The EU Roadmap on Climate Services can be seen as a result of convergence between the society's call for "actionable research", and the climate research community providing tailored data, information and knowledge. However, although weather and climate have clearly distinct definitions, a strong link between weather and climate services exists that is not explored extensively. Stakeholders being interviewed in the context of the Roadmap consider climate as a far distant long term feature that is difficult to consider in present-day decision taking, which is dominated by daily experience with handling extreme events. It is argued that this experience is a rich source of inspiration to increase society's resilience to an unknown future. A newly started European research project, IMPREX, is built on the notion that "experience in managing current day weather extremes is the best learning school to anticipate consequences of future climate". This paper illustrates possible ways to increase the link between information and services addressing weather and climate time scales by discussing the underlying concepts of IMPREX and its expected outcome.

  5. Infrared spectrum of an extremely cool white-dwarf star

    PubMed

    Hodgkin; Oppenheimer; Hambly; Jameson; Smartt; Steele

    2000-01-06

    White dwarfs are the remnant cores of stars that initially had masses of less than 8 solar masses. They cool gradually over billions of years, and have been suggested to make up much of the 'dark matter' in the halo of the Milky Way. But extremely cool white dwarfs have proved difficult to detect, owing to both their faintness and their anticipated similarity in colour to other classes of dwarf stars. Recent improved models indicate that white dwarfs are much more blue than previously supposed, suggesting that the earlier searches may have been looking for the wrong kinds of objects. Here we report an infrared spectrum of an extremely cool white dwarf that is consistent with the new models. We determine the star's temperature to be 3,500 +/- 200 K, making it the coolest known white dwarf. The kinematics of this star indicate that it is in the halo of the Milky Way, and the density of such objects implied by the serendipitous discovery of this star is consistent with white dwarfs dominating the dark matter in the halo.

  6. [New therapeutic strategies for the treatment of difficult wounds].

    PubMed

    Onesti, M G; Bitonti, Adriana; Fino, P; Ciotti, M; Scuderi, N

    2008-05-01

    The medical-surgical treatment of the difficult wounds represents a socio-sanitary problem in continuous growth, currently involving in our Country around 2,000,000 people. The "difficult wound" is a loss of cutaneous substances, usually due to multifactorial pathogenesis, that do not spontaneously lead to a complete recovery. Numerous studies in the literature have evidenced that the use of the advanced wound dressings allows to reach the best clinical and economic results in the process of recovery of the difficult wounds. The advanced would dressing assures a longer period of permanence on the injury and shorten the time of treatment and, as a consequence, it is required a smaller number of applications in comparison with the traditional medications. The Wound Bed Preparation (WBP) can be defined as the global and coordinate management of the cutaneous injury, enabling to chip off the local barriers to the recovery, or promoting the effectiveness of the innovative therapeutic instruments. The term advanced wound dressing indicates the dressing material having biocompatibility characteristics. The purpose of the advanced wound dressings is the one to create the ideal environment for the cicatrization process and isolate the wound from traumas and external infections. The "Difficult Wounds" Unit of the Department of Plastic and Reconstructive Surgery of the Policlinico Umberto I in Rome, from January to December 2006, treated 570 patients (308 men and 262 women), whose age was between 2 days and 85 years, affected by ulcers of various nature. Among our cases, 200 patients were selected and randomly separated in two different groups: group A consisting of 100 patients entirely treated with traditional medications; group B composed by 100 patients treated with advanced dressings. Every patient has locally been treated with periodic and specific medications, according to the type of difficult wound, and subsequently they proceeded to find out how to treat the systemic factors causing ulcer. The patients underwent 3 times a week to medications in those cases presenting infection signs and 2 times a week in those cases where no infection signs were shown, for period varying from 1 month up to one year for the chronic forms. The results showed a higher percentage of recovery reached by using the advanced dressings. Group A showed the followings results: the 53% of patients recovered from wounds; the remaining 47% patients did'nt not recover but in 17% cases medications showed to be of some help in the preparation of the vascular bed for the execution of a definitive operation (application of grafts or local edges), while the remaining 30% has shown a scarce improvement of the injury and they are still under treatment. Group B showed the 65% of patients recovered from wounds; as for the remaining 35% not recovered patients, medications represented an auxiliary aid to the preparation of the vascular bed for the execution of a definitive operation (application of grafts or local edges) for the 15% of patients, while the remaining 20%, even if not completely recovered, showed a notable improvement of the injury (reduction of the dimensions and disappearance of the infection and improvement of the patient quality of life). In synthesis, it emerges that the advanced dressings, if correctly used, offer advantages in terms of clinical effectiveness (rapid recovery from the injury), patient quality of the life and cheapness. It has also to be considered that the difficult wound is often the epiphenomenon of a systemic illness. The difficult wound requires, therefore, a multidisciplinary treatment.

  7. Extreme changes to barrier islands along the central Gulf of Mexico coast during Hurricane Katrina: Chapter 5C in Science and the storms-the USGS response to the hurricanes of 2005

    USGS Publications Warehouse

    Sallenger, Asbury; Wright, Wayne; Lillycrop, Jeff; Howd, Peter; Stockdon, Hilary; Guy, Kristy K.; Morgan, Karen

    2007-01-01

    Hurricane Katrina caused extreme changes to the barrier islands of the central Gulf of Mexico coast. Dauphin Island, Ala., migrated landward and stranded the remains of its oceanfront row homes in the sea. Chandeleur Islands, La., were completely stripped of their sand, leaving only marshy outcrops in the storm's wake.

  8. [Epidemiology of winter sport injuries].

    PubMed

    Heim, D; Weymann, A; Loeliger, U; Matter, P

    1993-01-01

    The region Davos/Klosters is a big wintersport area in Switzerland, where more than 5 million kilometers of vertical drop are skied per year. Over the last 20 years 28,777 patients with wintersport accidents have been treated in the 100-bed hospital of Davos, 85% of these patients have sustained their accident while skiing. An analysis of these datas show an increase of ski accidents as well as an increase of the distance skied. Especially an increase in snowboard accidents is noted over the last few years with a preponderance of lesions of the upper extremity. Injuries of the head, the trunk and simple skin lacerations remain stable over that period. Injuries of the upper extremity are increasing, whereas lower extremity lesions are slightly decreasing. There is a significant decrease of fractures of the leg, while at the same time an important increase of knee injuries is noted. Young patients below 20 years and those between 31 and 40 years of age sustained less accidents over the last 20 years, while the rest of the alpine skiers remain more or less stable in their accident incidence.

  9. Deformation of extremal black holes from stringy interactions

    NASA Astrophysics Data System (ADS)

    Chen, Baoyi; Stein, Leo C.

    2018-04-01

    Black holes are a powerful setting for studying general relativity and theories beyond GR. However, analytical solutions for rotating black holes in beyond-GR theories are difficult to find because of the complexity of such theories. In this paper, we solve for the deformation to the near-horizon extremal Kerr metric due to two example string-inspired beyond-GR theories: Einstein-dilaton-Gauss-Bonnet and dynamical Chern-Simons theory. We accomplish this by making use of the enhanced symmetry group of NHEK and the weak-coupling limit of EdGB and dCS. We find that the EdGB metric deformation has a curvature singularity, while the dCS metric is regular. From these solutions, we compute orbital frequencies, horizon areas, and entropies. This sets the stage for analytically understanding the microscopic origin of black hole entropy in beyond-GR theories.

  10. An Example of Economic Value in Rapid Prototyping

    NASA Technical Reports Server (NTRS)

    Hauer, R. L.; Braunscheidel, E. P.

    2001-01-01

    Today's modern machining projects are composed more and more of complicated and intricate structure due to a variety of reasons including the ability to computer model complex surfaces and forms. The cost of producing these forms can be extremely high not only in dollars but in time to complete. Changes are even more difficult to incorporate. The subject blade shown is an excellent example. Its complex form would have required hundreds of hours in fabrication for just a simple prototype. The procurement would have taken in the neighborhood of six weeks to complete. The actual fabrication would have been an equal amount of time to complete. An alternative to this process would have been a wood model. Although cheaper than a metal fabrication, it would be extremely time intensive and require in the neighborhood of a month to produce in-house.

  11. Game theory and extremal optimization for community detection in complex dynamic networks.

    PubMed

    Lung, Rodica Ioana; Chira, Camelia; Andreica, Anca

    2014-01-01

    The detection of evolving communities in dynamic complex networks is a challenging problem that recently received attention from the research community. Dynamics clearly add another complexity dimension to the difficult task of community detection. Methods should be able to detect changes in the network structure and produce a set of community structures corresponding to different timestamps and reflecting the evolution in time of network data. We propose a novel approach based on game theory elements and extremal optimization to address dynamic communities detection. Thus, the problem is formulated as a mathematical game in which nodes take the role of players that seek to choose a community that maximizes their profit viewed as a fitness function. Numerical results obtained for both synthetic and real-world networks illustrate the competitive performance of this game theoretical approach.

  12. Extreme geomagnetic storms: Probabilistic forecasts and their uncertainties

    USGS Publications Warehouse

    Riley, Pete; Love, Jeffrey J.

    2017-01-01

    Extreme space weather events are low-frequency, high-risk phenomena. Estimating their rates of occurrence, as well as their associated uncertainties, is difficult. In this study, we derive statistical estimates and uncertainties for the occurrence rate of an extreme geomagnetic storm on the scale of the Carrington event (or worse) occurring within the next decade. We model the distribution of events as either a power law or lognormal distribution and use (1) Kolmogorov-Smirnov statistic to estimate goodness of fit, (2) bootstrapping to quantify the uncertainty in the estimates, and (3) likelihood ratio tests to assess whether one distribution is preferred over another. Our best estimate for the probability of another extreme geomagnetic event comparable to the Carrington event occurring within the next 10 years is 10.3% 95%  confidence interval (CI) [0.9,18.7] for a power law distribution but only 3.0% 95% CI [0.6,9.0] for a lognormal distribution. However, our results depend crucially on (1) how we define an extreme event, (2) the statistical model used to describe how the events are distributed in intensity, (3) the techniques used to infer the model parameters, and (4) the data and duration used for the analysis. We test a major assumption that the data represent time stationary processes and discuss the implications. If the current trends persist, suggesting that we are entering a period of lower activity, our forecasts may represent upper limits rather than best estimates.

  13. Arm Volumetry Versus Upper Extremity Lymphedema Index: Validity of Upper Extremity Lymphedema Index for Body-Type Corrected Arm Volume Evaluation.

    PubMed

    Yamamoto, Nana; Yamamoto, Takumi; Hayashi, Nobuko; Hayashi, Akitatsu; Iida, Takuya; Koshima, Isao

    2016-06-01

    Volumetry, measurement of extremity volume, is a commonly used method for upper extremity lymphedema (UEL) evaluation. However, comparison between different patients with different physiques is difficult with volumetry, because body-type difference greatly affects arm volume. Seventy arms of 35 participants who had no history of arm edema or breast cancer were evaluated. Arm volume was calculated using a summed truncated cone model, and UEL index was calculated using circumferences and body mass index (BMI). Examinees' BMI was classified into 3 groups, namely, low BMI (BMI, <20 kg/m), middle BMI (BMI, 20-25 kg/m), and high BMI (BMI, >25 kg/m). Arm volume and UEL index were compared with corresponding BMI groups. Mean (SD) arm volume was 1090.9 (205.5) mL, and UEL index 96.9 (5.6). There were significant differences in arm volume between BMI groups [low BMI vs middle BMI vs high BMI, 945.2 (107.4) vs 1045.2 (87.5) vs 1443.1 (244.4) mL, P < 0.001]. There was no significant difference in UEL index between BMI groups [low BMI vs middle BMI vs high BMI, 97.2 (4.2) vs 96.6 (4.6) vs 96.7 (9.9), P > 0.5]. Arm volume significantly increased with increase of BMI, whereas UEL index stayed constant regardless of BMI. Upper extremity lymphedema index would allow better body-type corrected arm volume evaluation compared with arm volumetry.

  14. Pituitary tumor in a woman with a 47,XXX karyotype--case report.

    PubMed

    Witek, A; Skałba, P; Zieba, M

    2001-01-01

    The 47,XXX karyotype is a rare sex chromosome anomaly. This karyotype is usually not associated with a characteristic physical phenotype. In presented case a 47 triple X women with pituitary tumor and premature ovarian failure is identified. Diagnosis of a 47,XXX individual remains difficult because specific clinical criteria used to identify this condition are not available. The case described should attract attention to how difficult it is to diagnose properly a genetic disease in young women with correct phenotype.

  15. [Identification of male somatotype based on osteometric characteristics of the upper and lower extremities].

    PubMed

    Zviagin, V N; Sineva, I M

    2009-01-01

    This osteologic study included examination of 101 skeletons from the collections of the Department of Anthropology, M. V. Lomonosov Moscow State University, and Peter the Great Museum of Anthropology and Ethnography (Sankt-Peterburg). The results were compared with the data obtained by examining materials excavated from grave sites of an Yoshkar-Ola cemetery and from the Isupovo necropole (Kostroma) to evaluate the possibility of identifying human somatotypes from bone remains. Multidimensional discriminative analysis demonstrated that the equation derived by comparing characteristic signs of all long tubular bones of the extremities was of highest diagnostic value for the purpose of the study. Diagnostic equations are proposed for the identification of individual somatotypes based on the analysis of skeletal remains for the use in practical forensic medical examination.

  16. Back to the Future -Precipitation Extremes, Climate Variability, Environmental Planning and Adaptation

    NASA Astrophysics Data System (ADS)

    Barros, A. P.

    2008-12-01

    --"The last major climatic oscillation peak was about 1856, or 74 years ago. Practically all of our important railroad and public highway work has been done since that time. Most of our parks systems driveways, and roads of all type for auto travel, in the various States, have been completed within the past 30 years, namely, beginning at the very lowest point of our climatic swing (1900-1910). There is every reason to believe, therefore, as the next 20 years comes on apace, we will witness considerable damage to work done during the past regime of weather."-- Schuman, 1931 At the beginning of the 21st century, as at the beginning of the 20th century, the fundamental question is whether the nation is more prepared for natural disasters today than it was eight decades ago. Indeed, the question is whether the best science, engineering and policy tools are in place to prepare for and respond to extreme events. Changes in the risk and magnitude of extreme precipitation events rank among the most studied impacts, and indicators (symptoms) of climatic variations. Extreme precipitation translates generally into extreme flooding, landslides, collapse of lifeline infrastructure, and the breakdown of public health services among others. In approaching the problem of quantifying the risk and magnitude of extreme precipitation events, there are two major challenges: 1) it is difficult to characterize "observed" (20th century) conditions due to the lack of long-term observations - i.e., short and incomplete historical records; and 2) it is difficult to characterize "predicted" (21st century) conditions due to the lack of skill of precipitation forecasts at spatial and temporal scales meaningful for impact studies, and the short-duration of climate model simulations themselves. The first challenge translates in estimating the probability of occurrence (rare) and magnitude (very large) of events that may have not happened yet. The second challenge is that of quantifying uncertainty and separating climatic variability and change from model error. Nonstationarity and persistence at multiple scales confound the problem. From an economics perspective, the unprecedented success of environmental control and "conservation" in the 20th century, present another yet challenge in terms of social expectations and human development, including the right to sustainable (high) quality of life. In this presentation, we illustrate these challenges by considering first the estimation of Probable Maximum Precipitation, an engineering design criterion typically used in dam design, and examine how it varies spatially across the continental US according to physiographic region and as a function of climate regime. Second, we explore the spatial and temporal scales that link climate variability to macroscale environmental planning, and the notion of place-based adaptive riskgrade analysis.

  17. [Double homicide with a damning bite mark on the offender´s body - case report].

    PubMed

    Kulvajtová, Markéta; Hladík, Jiří; Zemančíková, Lucie

    2017-01-01

    The authors deal with a case of a double homicide, the parental murder made by their older son, which was committed by a combination of stabbing and cutting wounds. The perpetra-tor tried to hide the bodies, so he doused them with gasoline and set fire to them on a lonely forest road. Then he ran over the remains by his car. The cause of death was in both cases open wound of the neck - autopsy findings of the woman´s body testified for a blood aspi-ration, on the man´s body it was not clear for a partial charring, so the possibilities were blood aspiration, air embolism or external bleeding with haemorrhagic shock. There were also many other injuries on the bodies, especially of the post-mortem origin. During the combat, one of the victims - the mother - bit the assailant´s left forearm. So a few days after creation the injury on murderer´s left upper extremity, the police technicians took photos and during the forensic autopsies of both bodies, authors created the impressions of the teeth. The utilities were loaned from Department of Stomatology of University Hospital Královské Vinohrady in Prague and they were designed for the general adult population. The work was more difficult for the state of mortal remains, which were damaged by combination of fire and blunt violence. However finally the impressions of each arch were made, and they were given to the experts from Institute of Criminalistic Prague, who compared them with pictures of the bite mark. The results of this analysis were used in a court as evidence against the perpetrator.

  18. Revisiting the 'disaster and development' debate - Toward a broader understanding of macroeconomic risk and resilience.

    PubMed

    Mochizuki, Junko; Mechler, Reinhard; Hochrainer-Stigler, Stefan; Keating, Adriana; Williges, Keith

    2014-01-01

    Debate regarding the relationship between socioeconomic development and natural disasters remains at the fore of global discussions, as the potential risk from climate extremes and uncertainty pose an increasing threat to developmental prospects. This study reviews statistical investigations of disaster and development linkages, across topics of macroeconomic growth, public governance and others to identify key challenges to the current approach to macro-level statistical investigation. Both theoretically and qualitatively, disaster is known to affect development through a number of channels: haphazard development, weak institutions, lack of social safety nets and short-termism of our decision-making practices are some of the factors that drive natural disaster risk. Developmental potentials, including the prospects for sustainable and equitable growth, are in turn threatened by such accumulation of disaster risks. However, quantitative evidence regarding these complex causality chains remains contested due to several reasons. A number of theoretical and methodological limitations have been identified, including the use of GDP as a proxy measurement of welfare, issues with natural disaster damage reporting and the adoption of ad hoc model specifications and variables, which render interpretation and cross-comparison of statistical analysis difficult. Additionally, while greater attention is paid to economic and institutional parameters such as GDP, remittance, corruption and public expenditure as opposed to hard-to-quantify yet critical factors such as environmental conditions and social vulnerabilities. These are gaps in our approach that hamper our comprehensive understanding of the disaster-development nexus. Important areas for further research are identified, including recognizing and addressing the data constraints, incorporating sustainability and equity concerns through alternatives to GDP, and finding novel approaches to examining the complex and dynamic relationships between risk, vulnerability, resilience, adaptive capacity and development.

  19. Algal Energy Conversion and Capture

    NASA Astrophysics Data System (ADS)

    Hazendonk, P.

    2015-12-01

    We address the potential for energy conversions and capture for: energy generation; reduction in energy use; reduction in greenhouse gas emissions; remediation of water and air pollution; protection and enhancement of soil fertility. These processes have the potential to sequester carbon at scales that may have global impact. Energy conversion and capture strategies evaluate energy use and production from agriculture, urban areas and industries, and apply existing and emerging technologies to reduce and recapture energy embedded in waste products. The basis of biocrude production from Micro-algal feedstocks: 1) The nutrients from the liquid fraction of waste streams are concentrated and fed into photo bioreactors (essentially large vessels in which microalgae are grown) along with CO2 from flue gasses from down stream processes. 2) The algae are processed to remove high value products such as proteins and beta-carotenes. The advantage of algae feedstocks is the high biomass productivity is 30-50 times that of land based crops and the remaining biomass contains minimal components that are difficult to convert to biocrude. 3) The remaining biomass undergoes hydrothermal liquefaction to produces biocrude and biochar. The flue gasses of this process can be used to produce electricity (fuel cell) and subsequently fed back into the photobioreactor. The thermal energy required for this process is small, hence readily obtained from solar-thermal sources, and furthermore no drying or preprocessing is required keeping the energy overhead extremely small. 4) The biocrude can be upgraded and refined as conventional crude oil, creating a range of liquid fuels. In principle this process can be applied on the farm scale to the municipal scale. Overall, our primary food production is too dependent on fossil fuels. Energy conversion and capture can make food production sustainable.

  20. From Abstinence to Relapse: A Preliminary Qualitative Study of Drug Users in a Compulsory Drug Rehabilitation Center in Changsha, China

    PubMed Central

    Yang, Mei; Mamy, Jules; Gao, Pengcheng; Xiao, Shuiyuan

    2015-01-01

    Background Relapse among abstinent drug users is normal. Several factors are related to relapse, but it remains unclear what individuals’ actual life circumstances are during periods of abstinence, and how these circumstances facilitate or prevent relapse. Objective To illuminate drug users’ experiences during abstinence periods and explore the real-life catalysts and inhibitors contributing to drug use relapse. Method Qualitative in-depth interviews were conducted with 20 drug users recruited from a compulsory isolated drug rehabilitation center in Changsha. The interviews were guided by open-ended questions on individuals’ experiences in drug use initiation, getting addicted, treatment history, social environment, abstinence, and relapse. Participants were also encouraged to share their own stories. Interviews were digitally recorded and fully transcribed. The data of 18 participants who reported abstinence experiences before admission were included in the analyses. The data were analyzed using a thematic analysis with inductive hand coding to derive themes. Results Most drug users were able to successfully abstain from drugs. During abstinence, their lives were congested with challenges, such as adverse socioeconomic conditions, poor family/social support, interpersonal conflicts, and stigma and discrimination, all of which kept them excluded from mainstream society. Furthermore, the police’s system of ID card registration, which identifies individuals as drug users, worsened already grave situations. Relapse triggers reported by the participants focused mainly on negative feelings, interpersonal conflicts, and stressful events. Craving was experienced but not perceived as a relapse trigger by most participants. Conclusions This study of in-depth interview with drug users found evidence of situations and environments they live during abstinence appear rather disadvantaged, making it extremely difficult for them to remain abstinent. Comprehensive programs on relapse prevention that acknowledge these disadvantages are implicated. PMID:26107639

  1. Lumbar lordosis.

    PubMed

    Been, Ella; Kalichman, Leonid

    2014-01-01

    Lumbar lordosis is a key postural component that has interested both clinicians and researchers for many years. Despite its wide use in assessing postural abnormalities, there remain many unanswered questions regarding lumbar lordosis measurements. Therefore, in this article we reviewed different factors associated with the lordosis angle based on existing literature and determined normal values of lordosis. We reviewed more than 120 articles that measure and describe the different factors associated with the lumbar lordosis angle. Because of a variety of factors influencing the evaluation of lumbar lordosis such as how to position the patient and the number of vertebrae included in the calculation, we recommend establishing a uniform method of evaluating the lordosis angle. Based on our review, it seems that the optimal position for radiologic measurement of lordosis is standing with arms supported while shoulders are flexed at a 30° angle. There is evidence that many factors, such as age, gender, body mass index, ethnicity, and sport, may affect the lordosis angle, making it difficult to determine uniform normal values. Normal lordosis should be determined based on the specific characteristics of each individual; we therefore presented normal lordosis values for different groups/populations. There is also evidence that the lumbar lordosis angle is positively and significantly associated with spondylolysis and isthmic spondylolisthesis. However, no association has been found with other spinal degenerative features. Inconclusive evidence exists for association between lordosis and low back pain. Additional studies are needed to evaluate these associations. The optimal lordotic range remains unknown and may be related to a variety of individual factors such as weight, activity, muscular strength, and flexibility of the spine and lower extremities. Copyright © 2014 Elsevier Inc. All rights reserved.

  2. Future Simulated Intensification of Precipitation Extremes, CMIP5 Model Uncertainties and Dependencies

    NASA Astrophysics Data System (ADS)

    Bador, M.; Donat, M.; Geoffroy, O.; Alexander, L. V.

    2017-12-01

    Precipitation intensity during extreme events is expected to increase with climate change. Throughout the 21st century, CMIP5 climate models project a general increase in annual extreme precipitation in most regions. We investigate how robust this future increase is across different models, regions and seasons. We find that there is strong similarity in extreme precipitation changes between models that share atmospheric physics, reducing the ensemble of 27 models to 14 independent projections. We find that future simulated extreme precipitation increases in most models in the majority of land grid cells located in the dry, intermediate and wet regions according to each model's precipitation climatology. These increases significantly exceed the range of natural variability estimated from long equilibrium control runs. The intensification of extreme precipitation across the entire spectrum of dry to wet regions is particularly robust in the extra-tropics in both wet and dry season, whereas uncertainties are larger in the tropics. The CMIP5 ensemble therefore indicates robust future intensification of annual extreme rainfall in particular in extra-tropical regions. Generally, the CMIP5 robustness is higher during the dry season compared to the wet season and the annual scale, but inter-model uncertainties in the tropics remain important.

  3. UncertiantyQuantificationinTsunamiEarlyWarningCalculations

    NASA Astrophysics Data System (ADS)

    Anunziato, Alessandro

    2016-04-01

    The objective of the Tsunami calculations is the estimation of the impact of waves caused by large seismic events on the coasts and the determination of potential inundation areas. In the case of Early Warning Systems, i.e. systems that should allow to anticipate the possible effects and give the possibility to react consequently (i.e. issue evacuation of areas at risk), this must be done in very short time (minutes) to be effective. In reality, the above estimation includes several uncertainty factors which make the prediction extremely difficult. The quality of the very first estimations of the seismic parameters is not very precise: the uncertainty in the determination of the seismic components (location, magnitude and depth) decreases with time because as time passes it is possible to use more and more seismic signals and the event characterization becomes more precise. On the other hand other parameters that are necessary to establish for the performance of a calculation (i.e. fault mechanism) are difficult to estimate accurately also after hours (and in some cases remain unknown) and therefore this uncertainty remains in the estimated impact evaluations; when a quick tsunami calculation is necessary (early warning systems) the possibility to include any possible future variation of the conditions to establish the "worst case scenario" is particularly important. The consequence is that the number of uncertain parameters is so large that it is not easy to assess the relative importance of each of them and their effect on the predicted results. In general the complexity of system computer codes is generated by the multitude of different models which are assembled into a single program to give the global response for a particular phenomenon. Each of these model has associated a determined uncertainty coming from the application of that model to single cases and/or separated effect test cases. The difficulty in the prediction of a Tsunami calculation response is additionally increased by the not perfect knowledge of the initial and boundary conditions so that the response can change even with small variations of the input. The paper analyses a number of potential events in the Mediterranean Sea and in the Atlantic Ocean and for each of them a large number of calculations is performed (Monte Carlo simulation) in order to identify the relative importance of each of the uncertain parameter that is adopted. It is shown that even if after several hours the variation on the estimate is reduces, still remains and in some cases it can lead to different conclusions if this information is used as alerting method. The cases considered are: a mild event in the Hellenic arc (Mag. 6.9), a relatively medium event in Algeria (Mag. 7.2) and a quite relevant event in the Gulf of Cadiz (Mag. 8.2).

  4. Habitat Suitability Index Models: Lake trout (exclusive of the Great Lakes)

    USGS Publications Warehouse

    Marcus, Michael D.; Hubert, Wayne A.; Anderson, Stanley H.

    1984-01-01

    The lake trout is an important commercial and sport fish in North America. In the Central Rocky Mountain regi on, 1ake trout are common ly referred to as "mackinaw". There is good evidence that lake trout should be called "1 ake charr" (Morton 1980). No subspecies of lake trout is presently recognized (Robins et al. 1980). The species, however, has extreme variability throughout its range, making it difficult to draw general conclusions about its biology (Martin and Olver 1980).

  5. Applications of a hand-held GPS receiver in South American rain forests

    NASA Technical Reports Server (NTRS)

    Baksh, Michael

    1991-01-01

    A hand-held Global Positioning System receiver was used to determine the precise locations of villages, houses, gardens, and other cultural and environmental features in poorly mapped South American rain forests. The Magellan NAV 1000 unit profides extremely accurate latitude and longitude information, but determination of altitude is problematical. Overall, the receiver effectively allows anthropologists to obtain essential locational data useful for categorizing land uses, mapping tribal boundaries, and other applications in regions where environmental conditions are harsh and/or accessibility is difficult.

  6. Regional flood-frequency relations for streams with many years of no flow

    USGS Publications Warehouse

    Hjalmarson, Hjalmar W.; Thomas, Blakemore E.; ,

    1990-01-01

    In the southwestern United States, flood-frequency relations for streams that drain small arid basins are difficult to estimate, largely because of the extreme temporal and spatial variability of floods and the many years of no flow. A method is proposed that is based on the station-year method. The new method produces regional flood-frequency relations using all available annual peak-discharge data. The prediction errors for the relations are directly assessed using randomly selected subsamples of the annual peak discharges.

  7. Primary Hepatic Malignant Fibrous Histiocytoma on PET/CT.

    PubMed

    Liu, Yachao; Xu, Baixuan

    2018-06-01

    Malignant fibrous histiocytoma is mainly presented in extremities, less commonly in posterior peritoneum, but primary presented in liver is very rare and often with a poor prognosis because of its high aggression. The features of clinical presentations and images are variable and the pre-operative diagnosis is difficult. Here, we report a primary hepatic malignant fibrous histiocytoma patient with no distant metastasis showed on pre-operative F-FDG PET/CT, however with many metastases showed on the post-operative F-FDG PET/CT.

  8. The Effects of Color to the Eye and its Importance for Heliport Lighting

    DTIC Science & Technology

    1996-08-01

    beginning around middle age . The hardening of the lens makes it difficult for the ciliary muscles to squeeze the lens to accommodate near objects. This...deficiencies of the visual system is important when designing a new approach lighting system so that these effects are not worsened. The effects of aging ...older, our ability to perceive color at the extremes of the visual spectrum decreases due primarily to the aging effects of the eye’s components. Current

  9. Single crystals of selected titanates and tungstates

    NASA Technical Reports Server (NTRS)

    Loiacono, G. M.

    1972-01-01

    The compound preparation and crystal growth of a number of mixed titanate compositions was investigated. None of the compounds studied were found to melt congruently and therefore, crystal growth was extremely difficult. Various single crystal preparation methods always resulted in mixed phases from which 1-2 mm size crystals could be separated. It is concluded from this study that before successful single crystal growth can be accomplished, a detailed study of the phase diagrams in each of the systems of interest must be completed.

  10. Incorporating Biological Knowledge into Evaluation of Casual Regulatory Hypothesis

    NASA Technical Reports Server (NTRS)

    Chrisman, Lonnie; Langley, Pat; Bay, Stephen; Pohorille, Andrew; DeVincenzi, D. (Technical Monitor)

    2002-01-01

    Biological data can be scarce and costly to obtain. The small number of samples available typically limits statistical power and makes reliable inference of causal relations extremely difficult. However, we argue that statistical power can be increased substantially by incorporating prior knowledge and data from diverse sources. We present a Bayesian framework that combines information from different sources and we show empirically that this lets one make correct causal inferences with small sample sizes that otherwise would be impossible.

  11. Automated Diagnosis Coding with Combined Text Representations.

    PubMed

    Berndorfer, Stefan; Henriksson, Aron

    2017-01-01

    Automated diagnosis coding can be provided efficiently by learning predictive models from historical data; however, discriminating between thousands of codes while allowing a variable number of codes to be assigned is extremely difficult. Here, we explore various text representations and classification models for assigning ICD-9 codes to discharge summaries in MIMIC-III. It is shown that the relative effectiveness of the investigated representations depends on the frequency of the diagnosis code under consideration and that the best performance is obtained by combining models built using different representations.

  12. Neutrino Background from Population III Stars

    NASA Astrophysics Data System (ADS)

    Iocco, Fabio

    2011-12-01

    Population III Stars (PopIII) are the first generation of stars formed from the collapse of the very first structures in the Universe. Their peculiar chemical composition (metal-free, resembling the Primordial Nucleosynthesis yields) affects their formation and evolution and makes them unusually big and hot stars. They are good candidates for the engines of Reionization of the Universe although their direct observation is extremely difficult. Here we summarize a study of their expected diffuse low-energy neutrino background flux at Earth.

  13. SAR antenna calibration techniques

    NASA Technical Reports Server (NTRS)

    Carver, K. R.; Newell, A. C.

    1978-01-01

    Calibration of SAR antennas requires a measurement of gain, elevation and azimuth pattern shape, boresight error, cross-polarization levels, and phase vs. angle and frequency. For spaceborne SAR antennas of SEASAT size operating at C-band or higher, some of these measurements can become extremely difficult using conventional far-field antenna test ranges. Near-field scanning techniques offer an alternative approach and for C-band or X-band SARs, give much improved accuracy and precision as compared to that obtainable with a far-field approach.

  14. Segmentation of Unstructured Datasets

    NASA Technical Reports Server (NTRS)

    Bhat, Smitha

    1996-01-01

    Datasets generated by computer simulations and experiments in Computational Fluid Dynamics tend to be extremely large and complex. It is difficult to visualize these datasets using standard techniques like Volume Rendering and Ray Casting. Object Segmentation provides a technique to extract and quantify regions of interest within these massive datasets. This thesis explores basic algorithms to extract coherent amorphous regions from two-dimensional and three-dimensional scalar unstructured grids. The techniques are applied to datasets from Computational Fluid Dynamics and from Finite Element Analysis.

  15. The persistence of the large volumes in black holes

    NASA Astrophysics Data System (ADS)

    Ong, Yen Chin

    2015-08-01

    Classically, black holes admit maximal interior volumes that grow asymptotically linearly in time. We show that such volumes remain large when Hawking evaporation is taken into account. Even if a charged black hole approaches the extremal limit during this evolution, its volume continues to grow; although an exactly extremal black hole does not have a "large interior". We clarify this point and discuss the implications of our results to the information loss and firewall paradoxes.

  16. Physiological Evaluation of A1 (Extreme-Cold-Weather) and A2 (Buoyant, Intermediate-Cold-Weather) Jackets.

    DTIC Science & Technology

    1983-08-01

    the resting metabolic heat will be dissipated through the clothing with the remaining 25% lost through the respiratory tract and insensible sweating...AD-A258 410 PHYSIOLOGICAL EVALUATION OF Al (EXTREME-COLD-WEATHER) AND A2 (BUOYANT, INTERMEDIATE-COLD-WEATHER) JACKETS NAVY CLOTHING AND TEXTILE...Navy Clothing and Textile Research Facility 523-003-30-06 21 Strathmore Road 523-003-30-08 Natick, MA 01760 11. CONTROLLING OFFICE NAME AND ADDRESS

  17. Repeated retrieval practice and item difficulty: does criterion learning eliminate item difficulty effects?

    PubMed

    Vaughn, Kalif E; Rawson, Katherine A; Pyc, Mary A

    2013-12-01

    A wealth of previous research has established that retrieval practice promotes memory, particularly when retrieval is successful. Although successful retrieval promotes memory, it remains unclear whether successful retrieval promotes memory equally well for items of varying difficulty. Will easy items still outperform difficult items on a final test if all items have been correctly recalled equal numbers of times during practice? In two experiments, normatively difficult and easy Lithuanian-English word pairs were learned via test-restudy practice until each item had been correctly recalled a preassigned number of times (from 1 to 11 correct recalls). Despite equating the numbers of successful recalls during practice, performance on a delayed final cued-recall test was lower for difficult than for easy items. Experiment 2 was designed to diagnose whether the disadvantage for difficult items was due to deficits in cue memory, target memory, and/or associative memory. The results revealed a disadvantage for the difficult versus the easy items only on the associative recognition test, with no differences on cue recognition, and even an advantage on target recognition. Although successful retrieval enhanced memory for both difficult and easy items, equating retrieval success during practice did not eliminate normative item difficulty differences.

  18. [Topical problems of the diagnosis and rehabilitative treatment of lymphedema of the lower extremities].

    PubMed

    Badtieva, V A; Kniazeva, T A; Apkhanova, T V

    2010-01-01

    The present review of the literature data highlights modern approaches to and major trends in diagnostics and conservative treatment of lymphedema of the lower extremities based on the generalized world experience. Patients with lymphedema of the lower extremities comprise a "difficult to manage" group because the disease is characterized by steady progression and marked refractoriness to various conservative therapeutic modalities creating problems for both the patient and the attending physician. Modern methods for the diagnosis of lymphedema are discussed with special reference to noninvasive and minimally invasive techniques (such as lymphoscintiography, computed tomography, MRT, laser Doppler flowmetry, etc.). During the last 20 years, combined conservative therapy has been considered as the method of choice for the management of different stages and forms of lymphedema of the lower extremities in foreign clinics. The basis of conservative therapy is constituted by manual lymph drainage (MLD), compression bandages using short-stretch materials, physical exercises, and skin care (using the method of M. Foldi). Also reviewed are the main physiobalneotherapeutic methods traditionally widely applied for the treatment of lymphedema of the lower extremities in this country. Original methods for the same purpose developed by the authors are described including modifications of cryotherapy, pulsed matrix laserotherapy, hydro- and balneotherapy. Mechanisms of their therapeutic action on the main pathogenetic factors responsible for the development of lymphedema (with special reference to lymph transport and formation) are discussed. The principles of combined application of physiotherapeutic methods for the rehabilitative treatment of patients presenting with lymphedema of the lower extremities are briefly substantiated. Special emphasis is laid on their influence on major components of the pathological process.

  19. Changing Global Risk Landscape - Challenges for Risk Management (Invited)

    NASA Astrophysics Data System (ADS)

    Wenzel, F.

    2009-12-01

    The exponentially growing losses related to natural disasters on a global scale reflect a changing risk landscape that is characterized by the influence of climate change and a growing population, particularly in urban agglomerations and coastal zones. In consequence of these trends we witness (a) new hazards such as landslides due to dwindling permafrost, new patterns of strong precipitation and related floods, potential for tropical cyclones in the Mediterranean, sea level rise and others; (b) new risks related to large numbers of people in very dense urban areas, and risks related to the vulnerability of infrastructure such as energy supply, water supply, transportation, communication, etc. (c) extreme events with unprecedented size and implications. An appropriate answer to these challenges goes beyond classical views of risk assessment and protection. It must include an understanding of risk as changing with time so that risk assessment needs to be supplemented by risk monitoring. It requires decision making under high uncertainty. The risks (i.e. potentials for future losses) of extreme events are not only high but also very difficult to quantify, as they are characterized by high levels of uncertainty. Uncertainties relate to frequency, time of occurrence, strength and impact of extreme events but also to the coping capacities of society in response to them. The characterization, quantification, reduction in the extent possible of the uncertainties is an inherent topic of extreme event research. However, they will not disappear, so a rational approach to extreme events must include more than reducing uncertainties. It requires us to assess and rate the irreducible uncertainties, to evaluate options for mitigation under large uncertainties, and their communication to societal sectors. Thus scientist need to develop methodologies that aim at a rational approach to extreme events associated with high levels of uncertainty.

  20. Extreme weather and climate events with ecological relevance: a review

    PubMed Central

    Meehl, Gerald A.

    2017-01-01

    Robust evidence exists that certain extreme weather and climate events, especially daily temperature and precipitation extremes, have changed in regard to intensity and frequency over recent decades. These changes have been linked to human-induced climate change, while the degree to which climate change impacts an individual extreme climate event (ECE) is more difficult to quantify. Rapid progress in event attribution has recently been made through improved understanding of observed and simulated climate variability, methods for event attribution and advances in numerical modelling. Attribution for extreme temperature events is stronger compared with other event types, notably those related to the hydrological cycle. Recent advances in the understanding of ECEs, both in observations and their representation in state-of-the-art climate models, open new opportunities for assessing their effect on human and natural systems. Improved spatial resolution in global climate models and advances in statistical and dynamical downscaling now provide climatic information at appropriate spatial and temporal scales. Together with the continued development of Earth System Models that simulate biogeochemical cycles and interactions with the biosphere at increasing complexity, these make it possible to develop a mechanistic understanding of how ECEs affect biological processes, ecosystem functioning and adaptation capabilities. Limitations in the observational network, both for physical climate system parameters and even more so for long-term ecological monitoring, have hampered progress in understanding bio-physical interactions across a range of scales. New opportunities for assessing how ECEs modulate ecosystem structure and functioning arise from better scientific understanding of ECEs coupled with technological advances in observing systems and instrumentation. This article is part of the themed issue ‘Behavioural, ecological and evolutionary responses to extreme climatic events’. PMID:28483866

  1. Extreme weather and climate events with ecological relevance: a review.

    PubMed

    Ummenhofer, Caroline C; Meehl, Gerald A

    2017-06-19

    Robust evidence exists that certain extreme weather and climate events, especially daily temperature and precipitation extremes, have changed in regard to intensity and frequency over recent decades. These changes have been linked to human-induced climate change, while the degree to which climate change impacts an individual extreme climate event (ECE) is more difficult to quantify. Rapid progress in event attribution has recently been made through improved understanding of observed and simulated climate variability, methods for event attribution and advances in numerical modelling. Attribution for extreme temperature events is stronger compared with other event types, notably those related to the hydrological cycle. Recent advances in the understanding of ECEs, both in observations and their representation in state-of-the-art climate models, open new opportunities for assessing their effect on human and natural systems. Improved spatial resolution in global climate models and advances in statistical and dynamical downscaling now provide climatic information at appropriate spatial and temporal scales. Together with the continued development of Earth System Models that simulate biogeochemical cycles and interactions with the biosphere at increasing complexity, these make it possible to develop a mechanistic understanding of how ECEs affect biological processes, ecosystem functioning and adaptation capabilities. Limitations in the observational network, both for physical climate system parameters and even more so for long-term ecological monitoring, have hampered progress in understanding bio-physical interactions across a range of scales. New opportunities for assessing how ECEs modulate ecosystem structure and functioning arise from better scientific understanding of ECEs coupled with technological advances in observing systems and instrumentation.This article is part of the themed issue 'Behavioural, ecological and evolutionary responses to extreme climatic events'. © 2017 The Author(s).

  2. Nitrogen Accumulation and Partitioning in High Arctic Tundra from Extreme Atmospheric N Deposition Events

    NASA Astrophysics Data System (ADS)

    Phoenix, G. K.; Osborn, A.; Blaud, A.; Press, M. C.; Choudhary, S.

    2013-12-01

    Arctic ecosystems are threatened by pollution from extreme atmospheric nitrogen (N) deposition events. These events occur from the long-range transport of reactive N from pollution sources at lower latitudes and can deposit up to 80% of the annual N deposition in just a few days. To date, the fate and impacts of these extreme pollutant events has remained unknown. Using a field simulation study, we undertook the first assessment of the fate of acutely deposited N on arctic tundra. Extreme N deposition events were simulated on field plots at Ny-Ålesund, Svalbard (79oN) at rates of 0, 0.04, 0.4 and 1.2 g N m-2 yr-1 applied as NH4NO3 solution over 4 days, with 15N tracers used in the second year to quantify the fate of the deposited N in the plant, soil, microbial and leachate pools. Separate applications of 15NO3- and 15NH4+ were also made to determine the importance of N form in the fate of N. Recovery of the 15N tracer at the end of the first growing season approached 100% of the 15N applied irrespective of treatment level, demonstrating the considerable capacity of High Arctic tundra to capture pollutant N from extreme deposition events. Most incorporation of the 15N was found in bryophytes, followed by the dominant vascular plant (Salix polaris) and the microbial biomass of the soil organic layer. Total recovery remained high in the second growing season (average of 90%), indicating highly conservative N retention. Between the two N forms, recovery of 15NO3- and 15NH4+ were equal in the non-vascular plants, whereas in the vascular plants (particularly Salix polaris) recovery of 15NO3- was four times higher than of 15NH4+. Overall, these findings show that High Arctic tundra has considerable capacity to capture and retain the pollutant N deposited in acute extreme deposition events. Given they can represent much of the annual N deposition, extreme deposition events may be more important than increased chronic N deposition as a pollution source. Furthermore, current extreme N deposition events -and the predicted future increase in extreme deposition events- may represent an important source of eutrophication to 'pristine' arctic tundra.

  3. The temporal stability and predictive validity of pupils' causal attributions for difficult classroom behaviour.

    PubMed

    Lambert, Nathan; Miller, Andy

    2010-12-01

    Recent studies have investigated the causal attributions for difficult pupil behaviour made by teachers, pupils, and parents but none have investigated the temporal stability or predictive validity of these attributions. This study examines the causal attributions made for difficult classroom behaviour by students on two occasions 30 months apart. The longitudinal stability of these attributions is considered as is the predictive validity of the first set of attributions in relation to teachers' later judgments about individual students' behaviour. Two hundred and seventeen secondary school age pupils (114 males, 103 females) provided data on the two occasions. Teachers also rated each student's behaviour at the two times. A questionnaire listing 63 possible causes of classroom misbehaviour was delivered to pupils firstly when they were in Year 7 (aged 11-12) and then again, 30 months later. Responses were analysed through exploratory factor analysis (EFA). Additionally, teachers were asked to rate the standard of behaviour of each of the students on the two occasions. EFA of the Years 7 and 10 data indicated that pupils' attributions yielded broadly similar five-factor models with the perceived relative importance of these factors remaining the same. Analysis also revealed a predictive relationship between pupils' attributions regarding the factor named culture of misbehaviour in Year 7, and teachers' judgments of their standard of behaviour in Year 10. The present study suggests that young adolescents' causal attributions for difficult classroom behaviour remain stable over time and are predictive of teachers' later judgments about their behaviour.

  4. New options for vascularized bone reconstruction in the upper extremity.

    PubMed

    Houdek, Matthew T; Wagner, Eric R; Wyles, Cody C; Nanos, George P; Moran, Steven L

    2015-02-01

    Originally described in the 1970s, vascularized bone grafting has become a critical component in the treatment of bony defects and non-unions. Although well established in the lower extremity, recent years have seen many novel techniques described to treat a variety of challenging upper extremity pathologies. Here the authors review the use of different techniques of vascularized bone grafts for the upper extremity bone pathologies. The vascularized fibula remains the gold standard for the treatment of large bone defects of the humerus and forearm, while also playing a role in carpal reconstruction; however, two other important options for larger defects include the vascularized scapula graft and the Capanna technique. Smaller upper extremity bone defects and non-unions can be treated with the medial femoral condyle (MFC) free flap or a vascularized rib transfer. In carpal non-unions, both pedicled distal radius flaps and free MFC flaps are viable options. Finally, in skeletally immature patients, vascularized fibular head epiphyseal transfer can provide growth potential in addition to skeletal reconstruction.

  5. Record-breaking warming and extreme drought in the Amazon rainforest during the course of El Niño 2015–2016

    PubMed Central

    Jiménez-Muñoz, Juan C.; Mattar, Cristian; Barichivich, Jonathan; Santamaría-Artigas, Andrés; Takahashi, Ken; Malhi, Yadvinder; Sobrino, José A.; Schrier, Gerard van der

    2016-01-01

    The El Niño-Southern Oscillation (ENSO) is the main driver of interannual climate extremes in Amazonia and other tropical regions. The current 2015/2016 EN event was expected to be as strong as the EN of the century in 1997/98, with extreme heat and drought over most of Amazonian rainforests. Here we show that this protracted EN event, combined with the regional warming trend, was associated with unprecedented warming and a larger extent of extreme drought in Amazonia compared to the earlier strong EN events in 1982/83 and 1997/98. Typical EN-like drought conditions were observed only in eastern Amazonia, whilst in western Amazonia there was an unusual wetting. We attribute this wet-dry dipole to the location of the maximum sea surface warming on the Central equatorial Pacific. The impacts of this climate extreme on the rainforest ecosystems remain to be documented and are likely to be different to previous strong EN events. PMID:27604976

  6. An Update on the VAMOS Extremes Working Group Activities

    NASA Technical Reports Server (NTRS)

    Schubert, Siegfried; Cavalcanti, Iracema

    2011-01-01

    We review here the progress of the Variability of the American MOnsoon Systems (VAMOS) extremes working group since it was formed in February of 2010. The goals of the working group are to 1) develop an atlas of warm-season extremes over the Americas, 2) evaluate existing and planned simulations, and 3) suggest new model runs to address mechanisms and predictability of extremes. Substantial progress has been made in the development of an extremes atlas based on gridded observations and several reanalysis products including Modern Era Retrospective-Analysis for Research and Applications (MERRA) and Climate Forecast System Reanalysis (CFSR). The status of the atlas, remaining issues and plans for its expansion to include model data will be discussed. This includes the possibility of adding a companion atlas based on station observations based on the software developed under the World Climate Research Programme (WCRP) Expert Team on Climate Change. Detection and Indices (ETCCDI) activity. We will also review progress on relevant research and plans for the use and validation of the atlas results.

  7. Increasing water cycle extremes in California and in relation to ENSO cycle under global warming

    NASA Astrophysics Data System (ADS)

    Yoon, Jin-Ho; Wang, S.-Y. Simon; Gillies, Robert R.; Kravitz, Ben; Hipps, Lawrence; Rasch, Philip J.

    2015-10-01

    Since the winter of 2013-2014, California has experienced its most severe drought in recorded history, causing statewide water stress, severe economic loss and an extraordinary increase in wildfires. Identifying the effects of global warming on regional water cycle extremes, such as the ongoing drought in California, remains a challenge. Here we analyse large-ensemble and multi-model simulations that project the future of water cycle extremes in California as well as to understand those associations that pertain to changing climate oscillations under global warming. Both intense drought and excessive flooding are projected to increase by at least 50% towards the end of the twenty-first century; this projected increase in water cycle extremes is associated with a strengthened relation to El Niño and the Southern Oscillation (ENSO)--in particular, extreme El Niño and La Niña events that modulate California's climate not only through its warm and cold phases but also its precursor patterns.

  8. Record-breaking warming and extreme drought in the Amazon rainforest during the course of El Niño 2015-2016

    NASA Astrophysics Data System (ADS)

    Jiménez-Muñoz, Juan C.; Mattar, Cristian; Barichivich, Jonathan; Santamaría-Artigas, Andrés; Takahashi, Ken; Malhi, Yadvinder; Sobrino, José A.; Schrier, Gerard Van Der

    2016-09-01

    The El Niño-Southern Oscillation (ENSO) is the main driver of interannual climate extremes in Amazonia and other tropical regions. The current 2015/2016 EN event was expected to be as strong as the EN of the century in 1997/98, with extreme heat and drought over most of Amazonian rainforests. Here we show that this protracted EN event, combined with the regional warming trend, was associated with unprecedented warming and a larger extent of extreme drought in Amazonia compared to the earlier strong EN events in 1982/83 and 1997/98. Typical EN-like drought conditions were observed only in eastern Amazonia, whilst in western Amazonia there was an unusual wetting. We attribute this wet-dry dipole to the location of the maximum sea surface warming on the Central equatorial Pacific. The impacts of this climate extreme on the rainforest ecosystems remain to be documented and are likely to be different to previous strong EN events.

  9. Record-breaking warming and extreme drought in the Amazon rainforest during the course of El Niño 2015-2016.

    PubMed

    Jiménez-Muñoz, Juan C; Mattar, Cristian; Barichivich, Jonathan; Santamaría-Artigas, Andrés; Takahashi, Ken; Malhi, Yadvinder; Sobrino, José A; Schrier, Gerard van der

    2016-09-08

    The El Niño-Southern Oscillation (ENSO) is the main driver of interannual climate extremes in Amazonia and other tropical regions. The current 2015/2016 EN event was expected to be as strong as the EN of the century in 1997/98, with extreme heat and drought over most of Amazonian rainforests. Here we show that this protracted EN event, combined with the regional warming trend, was associated with unprecedented warming and a larger extent of extreme drought in Amazonia compared to the earlier strong EN events in 1982/83 and 1997/98. Typical EN-like drought conditions were observed only in eastern Amazonia, whilst in western Amazonia there was an unusual wetting. We attribute this wet-dry dipole to the location of the maximum sea surface warming on the Central equatorial Pacific. The impacts of this climate extreme on the rainforest ecosystems remain to be documented and are likely to be different to previous strong EN events.

  10. Increasing water cycle extremes in California and in relation to ENSO cycle under global warming.

    PubMed

    Yoon, Jin-Ho; Wang, S-Y Simon; Gillies, Robert R; Kravitz, Ben; Hipps, Lawrence; Rasch, Philip J

    2015-10-21

    Since the winter of 2013-2014, California has experienced its most severe drought in recorded history, causing statewide water stress, severe economic loss and an extraordinary increase in wildfires. Identifying the effects of global warming on regional water cycle extremes, such as the ongoing drought in California, remains a challenge. Here we analyse large-ensemble and multi-model simulations that project the future of water cycle extremes in California as well as to understand those associations that pertain to changing climate oscillations under global warming. Both intense drought and excessive flooding are projected to increase by at least 50% towards the end of the twenty-first century; this projected increase in water cycle extremes is associated with a strengthened relation to El Niño and the Southern Oscillation (ENSO)--in particular, extreme El Niño and La Niña events that modulate California's climate not only through its warm and cold phases but also its precursor patterns.

  11. Increasing water cycle extremes in California and in relation to ENSO cycle under global warming

    PubMed Central

    Yoon, Jin-Ho; Wang, S-Y Simon; Gillies, Robert R.; Kravitz, Ben; Hipps, Lawrence; Rasch, Philip J.

    2015-01-01

    Since the winter of 2013–2014, California has experienced its most severe drought in recorded history, causing statewide water stress, severe economic loss and an extraordinary increase in wildfires. Identifying the effects of global warming on regional water cycle extremes, such as the ongoing drought in California, remains a challenge. Here we analyse large-ensemble and multi-model simulations that project the future of water cycle extremes in California as well as to understand those associations that pertain to changing climate oscillations under global warming. Both intense drought and excessive flooding are projected to increase by at least 50% towards the end of the twenty-first century; this projected increase in water cycle extremes is associated with a strengthened relation to El Niño and the Southern Oscillation (ENSO)—in particular, extreme El Niño and La Niña events that modulate California's climate not only through its warm and cold phases but also its precursor patterns. PMID:26487088

  12. The analysis method of the DRAM cell pattern hotspot

    NASA Astrophysics Data System (ADS)

    Lee, Kyusun; Lee, Kweonjae; Chang, Jinman; Kim, Taeheon; Han, Daehan; Hong, Aeran; Kim, Yonghyeon; Kang, Jinyoung; Choi, Bumjin; Lee, Joosung; Lee, Jooyoung; Hong, Hyeongsun; Lee, Kyupil; Jin, Gyoyoung

    2015-03-01

    It is increasingly difficult to determine degree of completion of the patterning and the distribution at the DRAM Cell Patterns. When we research DRAM Device Cell Pattern, there are three big problems currently, it is as follows. First, due to etch loading, it is difficult to predict the potential defect. Second, due to under layer topology, it is impossible to demonstrate the influence of the hotspot. Finally, it is extremely difficult to predict final ACI pattern by the photo simulation, because current patterning process is double patterning technology which means photo pattern is completely different from final etch pattern. Therefore, if the hotspot occurs in wafer, it is very difficult to find it. CD-SEM is the most common pattern measurement tool in semiconductor fabrication site. CD-SEM is used to accurately measure small region of wafer pattern primarily. Therefore, there is no possibility of finding places where unpredictable defect occurs. Even though, "Current Defect detector" can measure a wide area, every chip has same pattern issue, the detector cannot detect critical hotspots. Because defect detecting algorithm of bright field machine is based on image processing, if same problems occur on compared and comparing chip, the machine cannot identify it. Moreover this instrument is not distinguished the difference of distribution about 1nm~3nm. So, "Defect detector" is difficult to handle the data for potential weak point far lower than target CD. In order to solve those problems, another method is needed. In this paper, we introduce the analysis method of the DRAM Cell Pattern Hotspot.

  13. Cascading disasters in the huge coastal aquifer of Salento (Apulia region, Southern Italy) ensuing droughts

    NASA Astrophysics Data System (ADS)

    Parisi, Alessandro; Fidelibus, Maria Dolores

    2017-04-01

    Physical extremes can be distinguished in "sudden physical extremes" (e.g. earthquakes, tsunami) and "progressive physical extremes" (e.g. drought, desertification, landslides). They differ for frequency, intensity, spatial extent, duration and timing of occurrence. If a physical extreme, by interacting with human systems, induces negative consequences, its outcome can be a "disaster". The disasters are, in both above cases, characterized by a few phases: physical extreme occurrence, emergency, response, and recovery. However, in the case of a progressive physical extreme, the disaster develops with an overlap in the time of the above-mentioned phases. When the events are repetitive, the emergency planning (which follows a cycle) succeeds with preparedness and mitigation with the intent of reducing the risk. Both the sudden and progressive physical extremes produce cascading effects of consequences on social, environmental and economic systems. Disasters consequent to sudden and progressive extremes show, however, some differences, mainly attributable to the "visibility" of the effects and to their time scale of evolution. As matter of fact, a disaster consequent to a progressive physical extreme produces "emerging signals" that are often invisible. Moreover, the emergency phase can arise with a time delay compared to the occurrence of the physical extreme, depending on the spatial scale of impacted system. The above differences allow defining "creeping disasters" the potential disasters related to progressive physical extremes. This study deals with some peculiar "cascading disasters" consequent to drought, which is the main "creeping disaster", namely the groundwater drought and the consequent salinization of coastal aquifers. In regional flow systems, their effects are invisible in the immediate to common people (and often even to managers) because of the concealed nature of groundwater; moreover, they are difficult to assess because of the shift over time of their evolution compared to the promptness of surface effects. The study area is the Salento coastal karstic aquifer (Apulia region, Southern Italy), where the groundwater flows according to a regional flow system. It has been subject to successive meteorological droughts between 1960 and 2010. The groundwater monitoring performed during this period, even with some gaps, allows identifying time lags between superficial effects and underground system response, potential tipping points, and emerging signals of the cascading disasters.

  14. A Cognitive Profile of Obesity and Its Translation into New Interventions

    PubMed Central

    Jansen, Anita; Houben, Katrijn; Roefs, Anne

    2015-01-01

    Change your lifestyle: decrease your energy intake and increase your energy expenditure, is what obesity experts tell people who need to lose weight. Though the advice might be correct, it appears to be extremely difficult to change one’s lifestyle. Unhealthy habits usually are ingrained and hard to change, especially for people with an “obese cognitive profile.” Knowledge of the cognitive mechanisms that maintain unhealthy eating habits is necessary for the development of interventions that can change behavior effectively. This paper discusses some cognitive processes that might maintain unhealthy eating habits and make healthier eating difficult, like increased food cue reactivity, weak executive skills and attention bias. An effort is also done to translate these basic scientific findings into new interventions which aim to tackle the sabotaging cognitive processes. Preliminary studies into the effectiveness of these interventions, if available, are presented. PMID:26640451

  15. Superrotation on Venus, on Titan, and Elsewhere

    NASA Astrophysics Data System (ADS)

    Read, Peter L.; Lebonnois, Sebastien

    2018-05-01

    The superrotation of the atmospheres of Venus and Titan has puzzled dynamicists for many years and seems to put these planets in a very different dynamical regime from most other planets. In this review, we consider how to define superrotation objectively and explore the constraints that determine its occurrence. Atmospheric superrotation also occurs elsewhere in the Solar System and beyond, and we compare Venus and Titan with Earth and other planets for which wind estimates are available. The extreme superrotation on Venus and Titan poses some difficult challenges for numerical models of atmospheric circulation, much more difficult than for more rapidly rotating planets such as Earth or Mars. We consider mechanisms for generating and maintaining a superrotating state, all of which involve a global meridional overturning circulation. The role of nonaxisymmetric eddies is crucial, however, but the detailed mechanisms may differ between Venus, Titan, and other planets.

  16. Native phasing of x-ray free-electron laser data for a G protein-coupled receptor.

    PubMed

    Batyuk, Alexander; Galli, Lorenzo; Ishchenko, Andrii; Han, Gye Won; Gati, Cornelius; Popov, Petr A; Lee, Ming-Yue; Stauch, Benjamin; White, Thomas A; Barty, Anton; Aquila, Andrew; Hunter, Mark S; Liang, Mengning; Boutet, Sébastien; Pu, Mengchen; Liu, Zhi-Jie; Nelson, Garrett; James, Daniel; Li, Chufeng; Zhao, Yun; Spence, John C H; Liu, Wei; Fromme, Petra; Katritch, Vsevolod; Weierstall, Uwe; Stevens, Raymond C; Cherezov, Vadim

    2016-09-01

    Serial femtosecond crystallography (SFX) takes advantage of extremely bright and ultrashort pulses produced by x-ray free-electron lasers (XFELs), allowing for the collection of high-resolution diffraction intensities from micrometer-sized crystals at room temperature with minimal radiation damage, using the principle of "diffraction-before-destruction." However, de novo structure factor phase determination using XFELs has been difficult so far. We demonstrate the ability to solve the crystallographic phase problem for SFX data collected with an XFEL using the anomalous signal from native sulfur atoms, leading to a bias-free room temperature structure of the human A 2A adenosine receptor at 1.9 Å resolution. The advancement was made possible by recent improvements in SFX data analysis and the design of injectors and delivery media for streaming hydrated microcrystals. This general method should accelerate structural studies of novel difficult-to-crystallize macromolecules and their complexes.

  17. Applying Sensor-Based Technology to Improve Construction Safety Management.

    PubMed

    Zhang, Mingyuan; Cao, Tianzhuo; Zhao, Xuefeng

    2017-08-11

    Construction sites are dynamic and complicated systems. The movement and interaction of people, goods and energy make construction safety management extremely difficult. Due to the ever-increasing amount of information, traditional construction safety management has operated under difficult circumstances. As an effective way to collect, identify and process information, sensor-based technology is deemed to provide new generation of methods for advancing construction safety management. It makes the real-time construction safety management with high efficiency and accuracy a reality and provides a solid foundation for facilitating its modernization, and informatization. Nowadays, various sensor-based technologies have been adopted for construction safety management, including locating sensor-based technology, vision-based sensing and wireless sensor networks. This paper provides a systematic and comprehensive review of previous studies in this field to acknowledge useful findings, identify the research gaps and point out future research directions.

  18. Applying Sensor-Based Technology to Improve Construction Safety Management

    PubMed Central

    Zhang, Mingyuan; Cao, Tianzhuo; Zhao, Xuefeng

    2017-01-01

    Construction sites are dynamic and complicated systems. The movement and interaction of people, goods and energy make construction safety management extremely difficult. Due to the ever-increasing amount of information, traditional construction safety management has operated under difficult circumstances. As an effective way to collect, identify and process information, sensor-based technology is deemed to provide new generation of methods for advancing construction safety management. It makes the real-time construction safety management with high efficiency and accuracy a reality and provides a solid foundation for facilitating its modernization, and informatization. Nowadays, various sensor-based technologies have been adopted for construction safety management, including locating sensor-based technology, vision-based sensing and wireless sensor networks. This paper provides a systematic and comprehensive review of previous studies in this field to acknowledge useful findings, identify the research gaps and point out future research directions. PMID:28800061

  19. Civil society development versus the peace dividend: international aid in the Wanni.

    PubMed

    Culbert, Vance

    2005-03-01

    Donors that provide aid to the Wanni region of Sri Lanka, which is controlled by the Liberation Tigers of Tamil Eelam (LTTE), are promoting initiatives that seek to advance the national peace process. Under the rubric of post-conflict reconstruction, the actions of political forces and structural factors have led to the prioritisation of two different approaches to peace-building: community capacity-building projects; and support for the 'peace dividend'. Both of these approaches face challenges. Cooperation with civil society actors is extremely difficult due to intimidation by the LTTE political authority and the authoritarian nature of its control. Peace-building successes with respect to the peace dividend are difficult to measure, and must be balanced against the negative effects of misdirected funds. Aid organisations must be careful not to consider the tasks of peacebuilding, humanitarian relief and community empowerment as either interchangeable or as mutually reinforcing endeavours.

  20. A case report of small bowel obstruction secondary to congenital peritoneal band in adult.

    PubMed

    Abdelwahed, Yahmadi; Saber, Rebii; Imen, Ben Ismail; Hakim, Zenaidi; Ayoub, Zoghlami

    2017-01-01

    Small bowel obstruction (SBO) is common in adult surgical procedures, mainly due to postoperative adhesions. Acute SBO in adults without history of abdominal surgery, trauma or clinical hernia is less common and has various etiologies. Congenital band is an extremely rare cause. A 56-year-old man was admitted to our hospital with a two-day history of abdominal pain and bilious vomiting. He had no history of abdominal surgery or any other medical problems. A contrast-enhanced CT of the abdomen showed a distention of small bowel loops with transition point in the right hypochondrium. Distended loops of small bowel were located in the left side of the abdomen, whereas collapsed loops was located in the right side. The normal bowel wall enhancement was preserved. After initial treatment with intravenous fluid and nasogastric suction, he was operated. At laparoscopy a band obstructing the ileum was clearly observed. This anomalous band extending from gallbladder to transverse mesocolon caused a small window leading to internal herniation of the small bowel and obstruction. The band was coagulated and divided. Postoperative outcome was uneventful and the patient was discharged on the second postoperative day. There was no recurrence of symptoms on subsequent follow-up. Congenital peritoneal bands are not frequently encountered in surgical practice and these bands are often difficult to classify and define. Diagnosis of acute intestinal obstruction due to CPB must be included in the differential diagnosis in any patient with no history of abdominal surgery, trauma, clinical hernia, inflammatory bowel disease or peritoneal tuberculosis. Despite technological advances in radiology preoperative diagnosis remains difficult, however the diagnosis of SBO due to CPB must be considered in any patient with no history of abdominal surgery, Trauma or clinical hernia consulting for occlusive syndrome. The laparoscopic approach should be intended initially for its feasibility and benefits. Copyright © 2016. Published by Elsevier Ltd.

  1. 33 CFR 165.510 - Delaware Bay and River, Salem River, Christina River and Schuylkill River-Regulated Navigation Area.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... between Cape May Light and Harbor of Refuge Light and then continuing to the northernmost extremity of... anchor, no vessel may, without the permission of the COTP: (i) Come or remain within 500 yards of the... dangerous cargo; or (ii) Come or remain within 100 yards of a moored or anchored vessel carrying dangerous...

  2. Environmental Conditions for Space Flight Hardware: A Survey

    NASA Technical Reports Server (NTRS)

    Plante, Jeannette; Lee, Brandon

    2005-01-01

    Interest in generalization of the physical environment experienced by NASA hardware from the natural Earth environment (on the launch pad), man-made environment on Earth (storage acceptance an d qualification testing), the launch environment, and the space environment, is ed to find commonality among our hardware in an effort to reduce cost and complexity. NASA is entering a period of increase in its number of planetary missions and it is important to understand how our qualification requirements will evolve with and track these new environments. Environmental conditions are described for NASA projects in several ways for the different periods of the mission life cycle. At the beginning, the mission manager defines survivability requirements based on the mission length, orbit, launch date, launch vehicle, and other factors . such as the use of reactor engines. Margins are then applied to these values (temperature extremes, vibration extremes, radiation tolerances, etc,) and a new set of conditions is generalized for design requirements. Mission assurance documents will then assign an additional margin for reliability, and a third set of values is provided for during testing. A fourth set of environmental condition values may evolve intermittently from heritage hardware that has been tested to a level beyond the actual mission requirement. These various sets of environment figures can make it quite confusing and difficult to capture common hardware environmental requirements. Environmental requirement information can be found in a wide variety of places. The most obvious is with the individual projects. We can easily get answers to questions about temperature extremes being used and radiation tolerance goals, but it is more difficult to map the answers to the process that created these requirements: for design, for qualification, and for actual environment with no margin applied. Not everyone assigned to a NASA project may have that kind of insight, as many have only the environmental requirement numbers needed to do their jobs but do not necessarily have a programmatic-level understanding of how all of the environmental requirements fit together.

  3. The use of bioimpedance analysis to evaluate lymphedema.

    PubMed

    Warren, Anne G; Janz, Brian A; Slavin, Sumner A; Borud, Loren J

    2007-05-01

    Lymphedema, a chronic disfiguring condition resulting from lymphatic dysfunction or disruption, can be difficult to accurately diagnose and manage. Of particular challenge is identifying the presence of clinically significant limb swelling through simple and noninvasive methods. Many historical and currently used techniques for documenting differences in limb volume, including volume displacement and circumferential measurements, have proven difficult and unreliable. Bioimpedance spectroscopy analysis, a technology that uses resistance to electrical current in comparing the composition of fluid compartments within the body, has been considered as a cost-effective and reproducible alternative for evaluating patients with suspected lymphedema. All patients were recruited through the Beth Israel Deaconess Medical Center Lymphedema Clinic. A total of 15 patients (mean age: 55.2 years) with upper-extremity or lower-extremity lymphedema as documented by lymphoscintigraphy underwent bioimpedance spectroscopy analysis using an Impedimed SFB7 device. Seven healthy medical students and surgical residents (mean age: 26.9 years) were selected to serve as normal controls. All study participants underwent analysis of both limbs, which allowed participants to act as their own controls. The multifrequency bioimpedance device documented impedance values for each limb, with lower values correlating with higher levels of accumulated protein-rich edematous fluid. The average ratio of impedance to current flow of the affected limb to the unaffected limb in lymphedema patients was 0.9 (range: 0.67 to 1.01). In the control group, the average impedance ratio of the participant's dominant limb to their nondominant limb was 0.99 (range: 0.95 to 1.02) (P = 0.01). Bioimpedance spectroscopy can be used as a reliable and accurate tool for documenting the presence of lymphedema in patients with either upper- or lower-extremity swelling. Measurement with the device is quick and simple and results are reproducible among patients. Given significant limitations with other methods of evaluating lymphedema, the use of bioimpedance analysis may aid in the diagnosis of lymphedema and allow for tracking patients over time as they proceed with treatment of their disease.

  4. The transition to value-based care.

    PubMed

    Ray, Jordan C; Kusumoto, Fred

    2016-10-01

    Delivery of medical care is evolving rapidly worldwide. Over the past several years in the USA, there has been a rapid shift in reimbursement from a simple fee-for-service model to more complex models that attempt to link payment to quality and value. Change in any large system can be difficult, but with medicine, the transition to a value-based system has been particularly hard to implement because both quality and cost are difficult to quantify. Professional societies and other medical groups are developing different programs in an attempt to define high value care. However, applying a national standard of value for any treatment is challenging, since value varies from person to person, and the individual benefit must remain the central tenet for delivering best patient-centered medical care. Regardless of the specific operational features of the rapidly changing healthcare environment, physicians must first and foremost always remain patient advocates.

  5. Bladder transitional cell carcinoma and BK virus in a young kidney transplant recipient.

    PubMed

    Pino, L; Rijo, E; Nohales, G; Frances, A; Ubre, A; Arango, O

    2013-02-01

    Kidney transplant recipients have a heightened risk of developing neoplasms. Immunosuppressive treatments decrease the incidence of transplant rejection but increase the risk of infections, including BK virus (BKV). This infection is acquired in childhood and remains latent in the renal and urinary epithelium. In cases of immunodeficiency, BKV has been implicated as a tumor virus, but the role of BKV in cancer is a controversial topic and is difficult to determine. In the tumor cells, it is possible to detect fragments of the viral genome that could alter the control mechanisms of the cell cycle and DNA repair. We report the case of a kidney transplant recipient who developed BKV nephropathy and carcinoma of the bladder, supporting a possible role for BKV in the oncogenic pathway in this clinical setting, but the role of BKV in cancer remains a controversial topic and difficult to determine. © 2012 John Wiley & Sons A/S.

  6. Large eddy simulation applications in gas turbines.

    PubMed

    Menzies, Kevin

    2009-07-28

    The gas turbine presents significant challenges to any computational fluid dynamics techniques. The combination of a wide range of flow phenomena with complex geometry is difficult to model in the context of Reynolds-averaged Navier-Stokes (RANS) solvers. We review the potential for large eddy simulation (LES) in modelling the flow in the different components of the gas turbine during a practical engineering design cycle. We show that while LES has demonstrated considerable promise for reliable prediction of many flows in the engine that are difficult for RANS it is not a panacea and considerable application challenges remain. However, for many flows, especially those dominated by shear layer mixing such as in combustion chambers and exhausts, LES has demonstrated a clear superiority over RANS for moderately complex geometries although at significantly higher cost which will remain an issue in making the calculations relevant within the design cycle.

  7. Cognitive function in hot environments: a question of methodology.

    PubMed

    Gaoua, N

    2010-10-01

    The physiological responses of thermal stress and its consequences on health have been well documented. However, the effect on cognitive function remains equivocal despite a substantial number of studies conducted in the area. Methodological discrepancies across different studies have made it difficult to conclude whether or not heat exposure per se has an adverse effect upon cognitive function and under what specific environmental and physiological conditions these alterations appear. This article gives an overview of the different confounding factors that have made it difficult to make conclusive interpretations. In addition, the current state of knowledge is presented and discussed with reference to the Global Workspace theory. Although previously presented conclusions are promising, much remains to be completed before understanding the mechanisms that could explain the relationship between heat exposure and cognitive function. Finally, recommendations are presented for further research in this area. © 2010 John Wiley & Sons A/S.

  8. Patient data system for monitoring shunts.

    PubMed

    Frank, E; Su, E; Smith, K

    1988-01-01

    Rapidly locating accurate data on a patient's shunt system is often extremely difficult. We have developed a simple system to fill a perceived need for recording current data on a patients shunt. This system employs an easily updated record in the patient's hospital or clinic chart as well as a wallet-sized data card for the patient or his family to carry. The data in the chart include the configuration of the patient's current shunt system and a graphic record of previous shunt problems. The small patient data card describes the age of the shunt system and its current configuration. We have found that this system provides assistance in the routine follow-up of patients with shunts and plays an extremely necessary role in the emergency evaluation of these patients, particularly when an emergency evaluation is undertaken in facilities distant from the location of regular treatment.

  9. Correlation of seasonal variations in phosphorous and nitrogen species in upper Black Warrior River with duckweed

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

    Gabrielson, F.C. Jr.; Malatino, A.M.; Santa Cruz, G.J.

    1980-10-01

    Water samples taken throughout the year from a drainage system that had supported giant duckweed blooms were analyzed for nitrogen and phosphorus. Although seasonal separation of the data indicates possible differences within an imppoundment (Bayview Lake), extreme variations make meaningful conclusions difficult. Daily discharge from a large number of points may have masked seasonal differences. Extensive plant mats were present at minimal levels of nitrogen and phosphorus. The growth rate seemed to be governed more by climate than nutrient conditions. Laboratory investigations indicate that giant duckweed can grow under a wide range of nutrient conditions including high heavy metal concentrations.more » Growth rate data show that without a continual input of nutrients, maximum growth rates do not usually continue beyond 14 to 20 days regardless of the initial single element concentration. With a continuous nutrient input, growth would probably only be inhibited by extreme climate conditions.« less

  10. Design and analysis of x-ray vision systems for high-speed detection of foreign body contamination in food

    NASA Astrophysics Data System (ADS)

    Graves, Mark; Smith, Alexander; Batchelor, Bruce G.; Palmer, Stephen C.

    1994-10-01

    In the food industry there is an ever increasing need to control and monitor food quality. In recent years fully automated x-ray inspection systems have been used to detect food on-line for foreign body contamination. These systems involve a complex integration of x- ray imaging components with state of the art high speed image processing. The quality of the x-ray image obtained by such systems is very poor compared with images obtained from other inspection processes, this makes reliable detection of very small, low contrast defects extremely difficult. It is therefore extremely important to optimize the x-ray imaging components to give the very best image possible. In this paper we present a method of analyzing the x-ray imaging system in order to consider the contrast obtained when viewing small defects.

  11. Emergency Response and Long Term Planning: Two sides of the Coin for Managing Water Resources

    NASA Astrophysics Data System (ADS)

    Metchis, K.; Beller-Simms, N.

    2014-12-01

    As projected by the US National Climate Assessment and the IPCC, extreme climate and weather events are occurring more frequently and with more intensity across the nation. Communities - and the water resource managers that serve them - are facing difficult choices to increase emergency preparedness, recover from costly impacts, and increase long term resilience. The presentation is based on a recent set of case studies about what happened in six communities that experienced one or more extreme events, focusing on water resource management. Two of the case studies will be presented, revealing that building climate resilience is not just about long term planning - it is also about taking the steps to be prepared for - and to be able to recover from - emergency events. The results of this study have implications for educating local officials on ways to think about resilience to balance both long-term and short-term preparedness.

  12. Bayesian versus politically motivated reasoning in human perception of climate anomalies

    NASA Astrophysics Data System (ADS)

    Ripberger, Joseph T.; Jenkins-Smith, Hank C.; Silva, Carol L.; Carlson, Deven E.; Gupta, Kuhika; Carlson, Nina; Dunlap, Riley E.

    2017-11-01

    In complex systems where humans and nature interact to produce joint outcomes, mitigation, adaptation, and resilience require that humans perceive feedback—signals of health and distress—from natural systems. In many instances, humans readily perceive feedback. In others, feedback is more difficult to perceive, so humans rely on experts, heuristics, biases, and/or identify confirming rationalities that may distort perceptions of feedback. This study explores human perception of feedback from natural systems by testing alternate conceptions about how individuals perceive climate anomalies, a form of feedback from the climate system. Results indicate that individuals generally perceive climate anomalies, especially when the anomalies are relatively extreme and persistent. Moreover, this finding is largely robust to political differences that generate predictable but small biases in feedback perception at extreme ends of the partisan spectrum. The subtlety of these biases bodes well for mitigation, adaptation, and resilience as human systems continue to interact with a changing climate system.

  13. Thyroid Gland Metastasis from Cancer of the Uterine Cervix: An Extremely Rare Case Report.

    PubMed

    Celik, Suleyman Utku; Besli, Dilara; Sak, Serpil Dizbay; Genc, Volkan

    The thyroid gland is a relatively uncommon site for a metastatic disease, although it is richly supplied with blood. The metastases may originate from various primary sites, mainly kidney, lung, head and neck, and breast. Thyroid metastasis from cervical carcinomas is extremely rare; and only a few cases have been previously reported in the literature. In patient with thyroid nodules and an oncological history, the possibility of thyroid metastasis should be seriously considered. Despite the rarity of the metastasis of cervical carcinoma to the thyroid, it is difficult to say appropriate treatment approach for these lesions. When managing such patients, decision-making should balance the possibility of gaining long-term survival against estimation of the aggressiveness of the disease and its possible complications. Here, a case of thyroid metastasis from a squamous cell carcinoma of the uterine cervix presenting with cervical mass and difficulty in swallowing and its treatment is reported.

  14. Neurologic complications in common wrist and hand surgical procedures

    PubMed Central

    Verdecchia, Nicole; Johnson, Julie; Baratz, Mark; Orebaugh, Steven

    2018-01-01

    Nerve dysfunction after upper extremity orthopedic surgery is a recognized complication, and may result from a variety of different causes. Hand and wrist surgery require incisions and retraction that necessarily border on small peripheral nerves, which may be difficult to identify and protect with absolute certainty. This article reviews the rates and ranges of reported nerve dysfunction with respect to common surgical interventions for the distal upper extremity, including wrist arthroplasty, wrist arthrodesis, wrist arthroscopy, distal radius open reduction and internal fixation, carpal tunnel release, and thumb carpometacarpal surgery. A relatively large range of neurologic complications is reported, however many of the studies cited involve relatively small numbers of patients, and only rarely are neurologic complications included as primary outcome measures. Knowledge of these neurologic outcomes should help the surgeon to better counsel patients with regard to perioperative risk, as well as provide insight into workup and management of any adverse neurologic outcomes that may arise.

  15. Difficult Decisions Made Easier

    NASA Technical Reports Server (NTRS)

    2006-01-01

    NASA missions are extremely complex and prone to sudden, catastrophic failure if equipment falters or if an unforeseen event occurs. For these reasons, NASA trains to expect the unexpected. It tests its equipment and systems in extreme conditions, and it develops risk-analysis tests to foresee any possible problems. The Space Agency recently worked with an industry partner to develop reliability analysis software capable of modeling complex, highly dynamic systems, taking into account variations in input parameters and the evolution of the system over the course of a mission. The goal of this research was multifold. It included performance and risk analyses of complex, multiphase missions, like the insertion of the Mars Reconnaissance Orbiter; reliability analyses of systems with redundant and/or repairable components; optimization analyses of system configurations with respect to cost and reliability; and sensitivity analyses to identify optimal areas for uncertainty reduction or performance enhancement.

  16. Surface-agnostic highly stretchable and bendable conductive MXene multilayers

    PubMed Central

    An, Hyosung; Habib, Touseef; Shah, Smit; Gao, Huili; Radovic, Miladin; Green, Micah J.; Lutkenhaus, Jodie L.

    2018-01-01

    Stretchable, bendable, and foldable conductive coatings are crucial for wearable electronics and biometric sensors. These coatings should maintain functionality while simultaneously interfacing with different types of surfaces undergoing mechanical deformation. MXene sheets as conductive two-dimensional nanomaterials are promising for this purpose, but it is still extremely difficult to form surface-agnostic MXene coatings that can withstand extreme mechanical deformation. We report on conductive and conformal MXene multilayer coatings that can undergo large-scale mechanical deformation while maintaining a conductivity as high as 2000 S/m. MXene multilayers are successfully deposited onto flexible polymer sheets, stretchable poly(dimethylsiloxane), nylon fiber, glass, and silicon. The coating shows a recoverable resistance response to bending (up to 2.5-mm bending radius) and stretching (up to 40% tensile strain), which was leveraged for detecting human motion and topographical scanning. We anticipate that this discovery will allow for the implementation of MXene-based coatings onto mechanically deformable objects. PMID:29536044

  17. Lock hopper values for coal gasification plant service

    NASA Technical Reports Server (NTRS)

    Schoeneweis, E. F.

    1977-01-01

    Although the operating principle of the lock hopper system is extremely simple, valve applications involving this service for coal gasification plants are likewise extremely difficult. The difficulties center on the requirement of handling highly erosive pulverized coal or char (either in dry or slurry form) combined with the requirement of providing tight sealing against high-pressure (possibly very hot) gas. Operating pressures and temperatures in these applications typically range up to 1600 psi (110bar) and 600F (316C), with certain process requirements going even higher. In addition, and of primary concern, is the need for reliable operation over long service periods with the provision for practical and economical maintenance. Currently available data indicate the requirement for something in the order of 20,000 to 30,000 open-close cycles per year and a desire to operate at least that long without valve failure.

  18. Airport full-body screening: what is the risk?

    PubMed

    Mehta, Pratik; Smith-Bindman, Rebecca

    2011-06-27

    In the past year, the Transportation Security Administration has deployed full-body scanners in airports across the United States in response to heightened security needs. Several groups have opposed the scans, citing privacy concerns and fear of the radiation emitted by the backscatter x-ray scanners, 1 of the 2 types of machines in use. The radiation doses emitted by the scans are extremely small; the scans deliver an amount of radiation equivalent to 3 to 9 minutes of the radiation received through normal daily living. Furthermore, since flying itself increases exposure to ionizing radiation, the scan will contribute less than 1% of the dose a flyer will receive from exposure to cosmic rays at elevated altitudes. The estimation of cancer risks associated with these scans is difficult, but using the only available models, the risk would be extremely small, even among frequent flyers. We conclude that there is no significant threat of radiation from the scans.

  19. Mirror Electromyografic Activity in the Upper and Lower Extremity: A Comparison between Endurance Athletes and Non-Athletes.

    PubMed

    Maudrich, Tom; Kenville, Rouven; Lepsien, Jöran; Villringer, Arno; Ragert, Patrick; Steele, Christopher J

    2017-01-01

    During unimanual motor tasks, muscle activity may not be restricted to the contracting muscle, but rather occurs involuntarily in the contralateral resting limb, even in healthy individuals. This phenomenon has been referred to as mirror electromyographic activity (MEMG). To date, the physiological (non-pathological) form of MEMG has been observed predominately in upper extremities (UE), while remaining sparsely described in lower extremities (LE). Accordingly, evidence regarding the underlying mechanisms and modulation capability of MEMG, i.e., the extent of MEMG in dependency of exerted force during unilateral isometric contractions are insufficiently investigated in terms of LE. Furthermore, it still remains elusive if and how MEMG is affected by long-term exercise training. Here, we provide novel quantitative evidence for physiological MEMG in homologous muscles of LE (tibialis anterior (TA), rectus femoris (RF)) during submaximal unilateral dorsiflexion in healthy young adults. Furthermore, endurance athletes (EA, n = 11) show a higher extent of MEMG in LE compared to non-athletes (NA, n = 11) at high force demands (80% MVC, maximum voluntary contraction). While the underlying neurophysiological mechanisms of MEMG still remain elusive, our study indicates, at least indirectly, that sport-related long-term training might affect the amount of MEMG during strong isometric contractions specifically in trained limbs. To support this assumption of exercise-induced limb-specific MEMG modulation, future studies including different sports disciplines with contrasting movement patterns and parameters should additionally be performed.

  20. Mirror Electromyografic Activity in the Upper and Lower Extremity: A Comparison between Endurance Athletes and Non-Athletes

    PubMed Central

    Maudrich, Tom; Kenville, Rouven; Lepsien, Jöran; Villringer, Arno; Ragert, Patrick; Steele, Christopher J.

    2017-01-01

    During unimanual motor tasks, muscle activity may not be restricted to the contracting muscle, but rather occurs involuntarily in the contralateral resting limb, even in healthy individuals. This phenomenon has been referred to as mirror electromyographic activity (MEMG). To date, the physiological (non-pathological) form of MEMG has been observed predominately in upper extremities (UE), while remaining sparsely described in lower extremities (LE). Accordingly, evidence regarding the underlying mechanisms and modulation capability of MEMG, i.e., the extent of MEMG in dependency of exerted force during unilateral isometric contractions are insufficiently investigated in terms of LE. Furthermore, it still remains elusive if and how MEMG is affected by long-term exercise training. Here, we provide novel quantitative evidence for physiological MEMG in homologous muscles of LE (tibialis anterior (TA), rectus femoris (RF)) during submaximal unilateral dorsiflexion in healthy young adults. Furthermore, endurance athletes (EA, n = 11) show a higher extent of MEMG in LE compared to non-athletes (NA, n = 11) at high force demands (80% MVC, maximum voluntary contraction). While the underlying neurophysiological mechanisms of MEMG still remain elusive, our study indicates, at least indirectly, that sport-related long-term training might affect the amount of MEMG during strong isometric contractions specifically in trained limbs. To support this assumption of exercise-induced limb-specific MEMG modulation, future studies including different sports disciplines with contrasting movement patterns and parameters should additionally be performed. PMID:29085288

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